Loading...
1000 Apollo Rd CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-5100 1.19Ch. Ia TING PERMIT No. 37r 2/12/80 Dote: Receipt No.: 1+ Single `Xl A.O110 Rda •.r~ _ Residential Site Address: 1. EIrandale Core . Sr Colm Lot Block Sub/Sec. _ Multi Res., Comm./Ind. Sperry t?r.? v:>c ~.e~ociel- Alter Name New/Alter,/ Repo! r 1 , 000.OC` Address Cost of Installation City Phone: Permit Fee Name galley kir ine. Surcharge 7111 W. 26th 9t. Address e City Phone: Total This Permit is issued 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 INSPECTION RECORD "CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: c Eagan, Minnesota 55122-1897 Date Issued: I'(612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. J - - - - - - - - - - - - - - - - - - - - - r Permit No. Penult Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL Z (xfPy em S . DECK FTG /,/di '77 DECK FINAL /D I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ! (612) 681-4675 SITE ADDRESS: H1 I APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. nr, i R, Ft Y i.1. 1 !',It~ rti i 1 rr!V t P!r,~ -J Permit No. Permit Holder Date Telephone i S/W PLUMBING HVAC / ELECTRI 580 y 9~ va ELECTRIC Inspection /Date Insp. Comments Footings I / Foundation Framing 95 /Lb lur~c - sTV/ D rti 16Y Lim, 'N' Roofing TF2/~lL- ~C!~ Cr - r,6'S 7 l Rough Plbg. /Z^ Rough Htg. ! ( 7 3 Isul. Fireplace Y 2` ~`~3 y ~S/ Final Htg. T ~7 lJ ~[T C~ Orsat Test << W Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter IF~I" EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. F INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ;!f 1 1,1 1111RA I E ',0IIAV1' ,r r, t1 t PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. r4 I I'!1: slUl,;c i I! ',I,;, 17,I 1 .If L~ J Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBIN HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ail ROOFING ( ! ROUGH PLUMBING 7 PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST ~ BLDG FINAL 2-2 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: till APPLICANT: tt► III I•. fl PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. ,II rili~ r lvlrtl •f,:t, i ' !i(:t I I i.i t1 ~ f 1'% i 1'1 I I l ~ 1 1 t141 I [ I 11 1 trl:' ~iia ' ~ `~"i• ' It'• irl I i r ! 4 t LIt3! J r ~ Permit No. Permit Holder Ate Telephone M ELECTRIC 00 PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 7 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ~I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: i 3830 Pilot Knob Road Permit Number: 1, Eagan, Minnesota 55122-1897 Date Issued: 0<) /of, Mx. (612) 681-4675 SITE ADDRESS:' APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. i F L Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 7 oz' ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: 1 INSPECTION TYPE DATE INSPTR INSPECTION TYPE DATE INSPTR. :II,,{I la I It I 1 tj it 1 I Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 77 7 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT I TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Address 1410 APPALOOSA TR Zip 5512 Lot T Blk 1 Sub SHERWOOD DOWNS THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: MAY 26, 1993 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway t/ Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy REQUEST FOR ELECTRICAL INSPECTION c3:. P, See inetmclipns for completing this form on back of yellow copy .per ~-J p. A1QQQ X" Below Work Covered by This Request `v•~., Nev, A" 1111l Type of Building Appliances Wired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specify) Comm./Industrial Furnace Farm it Condmoner Olher lspecity) Contractors Remarks Compute Inspection Fee Below # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps IB 1910 to 100 Amps Transformers Above 200 Amps Above 10 Amps Signs Inspectors Use Only, - / TOTAL Irrigation Booms 7~-O 7 f•SO Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 k%MHS. / I, the Electrical inspector, hereby Roogh-m gato 1 o certify that the above inspection has F,nal , I been made. OFFICE USE ONLY This request void 18 months from d 26988~/"/" Request Date Fire No Rough in Inspection March 2 9, 1993 Required' ❑ Ready Now FI.WillNolity, Inspector 9P" C• No When Ready? 1 4:.dioensed contractor I] owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No ) City 1410 Appaloosa Trail Eagan Section No Township Name or No Range No County Dakota Occupam,PRINTI Phone No. Joe Miller Homes 454-4663- Power Supplier Address ul"V 44V Dakota Electric FArmington,MN 55024 Electrical Contractor (Company Name) ConVattorS License No Midland Electric CA 01236 Mailing Address Contractor or Owner Making Installaionl 22691 Red Fos DR. Lakeville,MN 55044 AuOr,imtl S~ at (Con er along Ins(allanonl Phone Number 461-1444 MINNESOTA STATE BOARD qlltgLE THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway Bldg - Ro 3 BE ACCEPTED BY THE STATE BOARD 1821 Umveraity Ave, St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED 16709,A2 d/ Request Date a 6111 Rough-In mpsect n Regwr 1Ins :'.:q' c iomen Than gh.in (you moat call mspedor w reedy) Now Will Notdy Inspado, 19 { 6 2 0 yes No DatReady I Ilcensed contractor El owner hereby request inspection of above electrical work at. Job Address (SCeet Bo r Route Nd ) City ,C A uc v ,^,1c Section No Township Name or No Range No County IDA V"Q T-A O p t(PRINT) Phone No. A-f-Y\ :z, O 1 Z-II~3`71 Jt:t, 1 Power Supplier Address Electrical Contractor (Company Name) contractors License No Co mo u 6uR- L c/511 Ma, Ia Address ( CO Owner Making nstallavon) ] j ut cs--T- 4.1 c / N h 3 5(offr ed Signawre oniract.,;Own Making allahon) P ne Number MI SOTA STA BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway B g. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 662-0600 ENCLOSED, .709 REQUEST FOR ELECTRICAL INSPECTION Es-00001a tdl= 4, q 1100 m1mc1ions for complol ng Ira form on back al yellow copy 1 "X" Below Work Covered by Thls Request New Add Rep. Type of Building ~Apphancsvs Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm /Industrial Furnace Other (Specify) Farm Air Conditioner Other Ispeciyl Gontractorh Remarks ail Li~.r^ sa( Compute Inspection Fee Below: GL # Other Fee # Service Entrance Size FJA# Circuits/Feeders as Swimming Pool 0 to 200 Amps Amps y O Transformers Above 200 Amps 0 Amps Signs Inspectors Use Only. TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MQNT~H S. I, the Electrical Inspector, hereby Rough-in v p to certify that the above inspection has Final 41 Date „ 4 been made. , 7' OFFICE USE ONLY This request wild to months from 0 / 0 994 ao 9 ® D8 Request Date Fire No ugh-In pecton Requved Ins ction Other Than Rough-In (You must call inspepor when ready) Ready Now Will Natty Inspector Yes C] No Date Rea I ~z icensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No City oao P oLs, 9)9#4t h Section No Township Name or No. Range No County Occupan RINT) Phone No y-n o 4-,. , Power Supplier Address Electrical Contractor (Company Name) Central License No Mailing Address (Contractor or Owner Makmg stalletlon M h. :?Cr t ( Aulhonzed Signature onlract d0 er Making Installation) Phone Number ELECTRICITY THIS I MINNESOTA S-ATF BOARD OF eam 18x2 9UNVersity Ave., Stt.. Pau, MN855104 I II IIII II II IIII I II I I VIII III II III VIII EBE ACCEPTED BY THE STATE AD UNLESS NCLOSPROPER INSPECTION PflERS Phone 16121 642-0800 61-W- REQUEST FOR ELECTRICAL INSPECTION EB-00001-09 / BG(f to. See hichuctlons for completing this form on back of yellow copy. s 3`i 7 ul~o QS "X" Below Work Covered by This Request , . IY Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks +YSST'IF~ 'Tub -AtQ- ~ S. %w,_L_ - W I8-a.. r`. rpl C 1 I2Gr~L'I^S Compute Inspection Fee Below.. Ot, Co # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps S. "d Transformers Above 200-Amps Above 100 _Am s Signs Inspectors Use Only TOTAL Irrigation Booms VO Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M THS. I, the Electrical Inspector, hereby Rough-m r oa~eL -yL~~ certify that the above inspection has Final Da e~'l been made. OFFICE USE ONLY This request void 19 months tram ,sea 7o l l 2-726 ®u w% 5~ 4~0 ///ICJR 915 Req st Date Fire No, ough-I Inspection RV "red ns ecbon other Than Rough-In (You mus II inspect when reatly) Ready Now ❑ Will Notify Inspector Yes ❑ No pale React I C7licensed contractor Downer hereby request inspection of above electrical work at: Job Address (Street, Box or Route No) City Section No Township Name or No Range No County Occupant (PRINT) Phone No Power Supplier Adtlress ST Wg~:S7- Electrical Contractor (Company Name) Contractor's License No G Mailing Address (Contractor or Owner Making Installation) 342952 11, e, R C l'fi S77 Authonze nature (Contractor/Owner king In to anon) Phone Number 899US verrs yAAae ,,S ~P uSMN85B~ICITY II INI I I II I I II II III UTHIS INSPECTION REQUEST WILL BE ACCEPTED BY THE STATE OA NLESS INSPECTION FEE DT Phone (612) 602-0600 7y~ REQUEST FOR ELECTRICAL INSPECTION EB-00001-0e 10 , See instructions for completing this form on back of yellow copy SO~ ~O S "X" Below Work Covered by This Request Ne% Add Rep. Type of Building smip0ijaces Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractors Remarks Compute Inspection Fee Below: ` # Other Fee Service En ante Size Fee # Circuits/Feetlers Fee Swimming Pool 010200 Amps 12/1.7 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Signs inspectors Use Only TOTAL cy~ Irrigation Booms^ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ISCONNECTED IF NOT ther Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Dale ~I/Y r 17 certify that the above inspection has Fuel afe J been made. OFFICE USE ONLY This request vmd 18 months from REQUEST FOR IIII II II II IIII I I II II I I I I IIII MWn Wta StState ~ Ave., Rm. El ctrAS I Paul, MN SO510IL k .r-. 1821 * 0 3 3 0 4 7 2 P Phone (812) 842-080 Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Re atr Air Cond. Htg. Equip. Wafer Htr. Load Mgmf. Other: Dryer Ran a Elec. Heat Tem . Service W' above the work covered by this request. nter remarks in this space and on the back of the white copy only. (?I g s41 Calculate Inspedton Fee - This Inspection Request will not be accepted without the correct fee: Other Fee S Service Entrance Size Fee # Circuils/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./fraffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY 810 TAL Sign/Outline Ug. Xfmr. ~l Alarm/Remote Control Swimming Pool I here cero that I ins d the etedoml insbiloban de,cnbed herein on the dales noted Irrigation Boom Rough-In Date Special Inspecion Dare i Investigative fee THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 ONTHS. 319 ®s } 9 O ® OFFICE USE ONLY This request void 18 months from x.I,dation doh pnnled m tho box. /a7j~7 G 9~i P~ X33 -66t, yj 00 PLEASE PRINT OR TYPE Request Odle Rough-.n inspegioa requmedY es ❑ No Inspection Other Than Rough In Q Ready Now,QYill Call (You must roll the impector when ready) Cate Ready I, [2"ficensed contractor ❑ owner hereby request inspection of the above electrical work at bb Address (Street, Box, or Roble No) City ` I Lp Code /V Secfion No Township Name or No Range No. Fr, No Cauny Occupant Phone No Power Suppler Addrese Eledncal Contactor, ampony Name) Cannador Ucense No Moshr Uc. No (Plant Elea Only) EP Mating Address rlroC r orryOwner Performing Installoeon) Authonxed a re Cantmtlar a Padasni Install non) Phan. No. EB- lA.l 6/95 STATE BOARD COPY- SEE INSTRUCTIONS ON BACKOFYELLOWCOPY I}I~I REQUEST FOR ELECTRICAL INSPECTION 'd IIII) I II II III IIII I I I I I I II I III I II VIII Minnesota Ave.,Rm. Electricity 821 University St. Paul, MN 55104 ; * 0 3 1 9 4 8 0 0 # Phone (612) 642-0800 ! c? 7 Home Duplex Apt. Bldg. Other: 1Jew Addn Commercial Industrial Farm emod Re air Air Cond. Hig. Equip Water Htr. Load Mgmt. Other Dryer Range Elec. Heat Tem . Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee. Other Fee / Service Enhance Sae Fee #r Ci cuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200_Amps - - Above 100 Amps Transformer/Generator INSPECTOP'SUSE 0 I TOTAL Sign/Outline Ltg. Xfmr Alarm/Remote Control G - Swimming Pool I hereb tern thm he a non herein on the dotee rloro Irrigation Boom Rough-In Dore 7 ✓j Special Inspection } g S inal Dote nvesfigative Fee THIS INSTALLATION MAYBE ORDERED DI 1 D WITHIN 1 MONTH . 330-472 [2 OFFlC US ONLY Thrs request vad 18 months from.ahdalmn dote printed in this box PLEASE PRINT OR TYPE o2 ,B~ QX,L O Request Date Rough-.n mspeaon rcgm ❑ Yes spenion V or Than Rough.ln eady Now Will Call (You must call fhe inspenar when ready) Date Ready. I, Itcensed contractor ❑ owner hereby request inspection of the above electrical work at Jo Address (Street, Bax, or Route No I Gh Lp code Uvo 64 WtA Section No. Towvhsp me or No Ronge No Fire No County Phone No Ail OV/4e Power Supp er Address Eletldml Cantmcror (Company Nome( J Contractor Lane No Master Lc No (Plant tied Only) v « 16 Mol mg Address fCornmaor or Ownerr, n , Pe"Inp Insfollation) l ~ws.:iV vVyA, AL Av .no .d Sigiwtore ( on cror or pedormirg InsMllaton) Phone No. EB.00001A-la 6 STATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW CO" K36036 ~o7fs o Request Date Fire No Rough-'h Insp wn p Regmred4 75Ready Now 0 Will Nasty traditional Z~ I Yes No When Ready' I licensed contractor ❑ owner hereby request inspection of above electrical work at: Jodi Address (Street Box or Route No I City ioQQ r Section No Township Name or No county Range No, 4'7 Occupant (PRINT) Phone No U.,.art~scil C®~ Power Supplier Morass Electrical Contractor (Company Name) Contractor§ License No. eE E ec e- 4, 'K-'? 4, 0'yio Mailing Address (Contractor or Owner Mak@Vst yabort ,3013 Gl Cn• C Oon d 55t 3,-f > Authored Signature lC actorrOwner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Rao. S-170 BE ACCEPTED BY THE STATE BOARD 1941 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 6444500 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION a":`„ E6-ocom-oe See ,nstruchons br completing this form an back of yelbw copy ,0 O - "X" Below Work Covered by This Request ~ /v ew Add Rep Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Saa Fee # Circurts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to WO Amps Transformers Above 200 Amps Above 100 _ Amps Signs Inspectors Use Only TOTAL Sp Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1, the Electrical inspector, hereby Rough-,n Date certify that the above inspection has Final r been made. oat ♦ O~ OFFICE USE ONLY This request void 16 months from UNIVERSAL COOPERATIVES INC CITY OF EAGAN NO 18595 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 I I Z Receipt # INTERIOR To be used for IMPROVEMENT Est. Value $10,000 Date DEC 4 1990 Site Address 1000 APOLLO RD Lot 2 Block 1 Sec/SubEAGANDALE CORPORA E OFFICE USE ONLY Parcel No. SQUARE Occupancy B-2 FEES Zoning - a Name THE SHIDLER GROUP (ACtuapConst Bldg Permit 117-00 w 3 Address 4550 W 77TH ST (Allowable) Surcharge 5.00 ° City EDINA Phone 835-3336 # of Stories - Length Plan Review o Name KOHLENBERGER CONSTRUCTION CO Depth SAC, City ° Address 5492 FELTL RD S.F. Total a - Clty MINNETONKA Phone 935-5701 S.F. Footprints SAC, MCWCC On Site Sewage Water Conn cow Name On Site Well Water Meter MWCC System u Address Acct. Deposit aw City Phone City Water - PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and CI of agan Ordina Treatment PI ,Signature of Permitee APPROVALS Road Unit A Building Permit is iss ed to COHLENBERGER CONST CO Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official ea'! ~j t[~J Variance TOTAL 122.00 ILU ia/is1 /9o a 43906 Request Date No Rough-In Inspe n "spired? ❑ Ready Now Will Notify Inspector December 13, 1990 iffYes ❑No When Ready? I XI licensed contractor D owner hereby request inspection of above electrical work at: Jab Address (Street. Box or Route No.) CM 1000 Appollo road Eagan Section No Township Name or No. Range No County Dakota Occupant(PRINT) Phone No. Metro Marketing Power Supplier Atldress Electrical Contractor (Company Name) Contractors License No Prairie Electric Company 040597-7 Mailing Address (Contractor or Owner Making Installation) 6595 e vale vd., suite 0 Eden Prairie MN 55346 Authorized n tur onhacto n Making Installation Phone Number 949-0074 MINNESOTA TATE BOARD ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-I idway Bldg - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0500 ENCLOSED Q~REQUEST FOR ELECTRI((`AL INSPECTION EB-00011-08 120$0 ► See instructions for completing this loan on twck of yellow copy 4 3 9 0 6 X- Below Work Covered by This Request New Add Rep. Type of Building ApphanoesWimd Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) X Comm./Industrial 'Furnace Farm Air Condiaoner Other (speciy Contractor, Remarks Tenant Remodel Compute Inspection Fee Below: (East of Patterson Dental) IF Other Fee IF Service Entrance Size Fee S Cncurts/Feeders Fee Swimming Pool 0 to 200 Amps 13 0 to 100 Amps 52 . 0 Transformers Above 200 _ Amps Above 100 Amps Signs Inspector, Use only TOTAL Irrigation Booms 52.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee .50 COMPLETED WITHIN 18 MONTHS. , Electrical I, the Inspector, hereby Plough-in ; 7• ' bare r~i • D certify that the above inspection has Final been made. OFFICE USE ONLY This request void 113 months from CITY OF EAGAN NO 1 8616 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 (1 4t a BUILDING PERMIT PHONE: 454-8100 Receipt# L„/ `I INTERIOR To be used for IMPROVEMENT Est. Value $45,000 Date DEC 13 19-9D-- Site Address 1000 APOLLO RD OFFICE USE ONLY Lot 2 Block 1 Sec/SUb.EACANDAi.F. CORP Parcel No. SQUARE Occupancy P--9 FEES Zoning w Name SHIDLER GROUP (Actual) Const Bldg. Permit qR9 nn 3 Address 4550 W 77TH ST (Allowable) Surcharge 29-50 City EDINA Phone 919-1116 # of Stories - Plan Review 248.0 Length 0 c Name JALCO CONSTRUCTION Depth SAC. City Address 9505 CLUBHOUSE RD S.F Total SAC, MCWCC Clty EDEN PRAIRIE Phone 941-7777 S.F Footprints On Site Sewage Water Conn F11 Name L H B ARCHITECTS On Site Well Water Meter Address 4550 W 77TH ST MWCCSystem Acct. Deposit t City EDINA Phone 831-8971 City Water PRV Required S(W Permit I hereby acknowlege that I h. read this application and state that the Booster Pump SAN Surcharge information is coned and re to comply ap t ble State of Minnesota Statutes and C of gan Ordinan e . Treatment PI Signature of Permltee APPROVALS Road Unit A Building Permit is issued to: JALCO CO STRUCTION Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official 1i11q0,r.L 1 mA Variance TOTAL 652.50 A & It cartage CITY OF EAGAN _ 13322 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np BUILDING PERMIT PHQNE: 454-8100 Receipt 7t -2130 To be used for INT. IMPR. Est. Value $37,500 Date MARCH 10 87 t9 Site Address 1000 APOLLO ROAD Erect ❑ Occupancy Lot 2 Block 1 Sec/Sub. EAGANDALE CORP SQ Remodel ❑ Zoning Parcel No Repair ❑ Type of Const. Addition ❑ No. Stories THE SHIDLER GROUP Move 1:1 Length z Name 200 W MADISON, STE 3040 Demolish ❑ Depth ii: Address Int. lmpr. ❑ Sq. Ft o City CHICAGO Phone 1/800/222-4066 Install ❑ o Name STAHL CONSTRUCTION CO Approvals Fees o u Address 8400 NORMANDALE LK BLVD Assessment Permit $ 266.10 City BLMGTN Phone 921-8900 Water & Sew. Surcharge 19.00 Police Plan Review 133.05 W Name OPUS CORP Fire SAC - 13 3 Address P.O. BOX 150 Eng. Water Conn. a W City MPLS phone 936-4444 Planner Water Meter Council Road Unit I hereby acknowledge that l have read this application and state that the Bldg. Off. Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and Cityn O ces. APC Parks Signature of Permittee Var. Date Copie 418.15 Total A Building Permit is issued to. STAHL CONSTRUCTION CO on the express condition that all work shall be done in accordance with all applicab State of Minnes Statues and City of Eagan Ordinances. Building Official Y This request void '4303-7 L U ~ 18monthsfrom ~ J 4,61 w.av A 46282 Request Date Fire No. Rough-in Inspection []Ready ,y Req Yus []Ready Now I~ WUI Notify Inspec- ❑Yes ❑Nn ' for When Ready 115CLUcensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. Ctly /ooo Awdn (.D !zD . E-P44i4 Section No. Township Name or No. Range No. Couuly Occupant (PRINT) J Phone No. ut41 V*6- Power Supplier Address NS EI ctn cal Contractor (Company Name) Co. rac tr os License No. Go QoY2Y !~pl-C`I &46C. Mailing Address (Contractor or Owner Making Installation) Z-707 L- • F/4-LNIDaE 5T. /7.4clcr X70 Authored S~gna tore ontra ctor ner Making In to lation) Phone Number MINNESOTA STATE BOARD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1827 University St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phpne I6t 21 2) 297 7-2A11ve1 ENCLOSED. - LA ~ REQUEST FOR ELECTRICAL INSPECTION EB-0[0001-04 L 3 3I f J 0 See instructions for complet" rid this firm on back of y b { Vallow Copy. Q i!%-" Below Work Covered by This Reques!' Nw4it,di~ Rep. Type of But ldmg Appliances Wired Equipment wired Home Range Temporary Service Duplex Water Heater Li ghbn Fixtures Apt. Building Dryer Electric Hearin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm otter pacify ihcr lsoer:ifvl t nr ppoify Other Other ompute Inspection Fee Below p Fee Service Entrance Sme Fee FeedersrSubleaders F Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 An, Above 200 Amps 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Partial/Other Fee Signs Special inspection Rama rks TOT FEE d' Rough-,. Date I th 1 ai Inspoc tor" hereby certify that the above Final ( Dn te~ inspection has been S rtade. This request void to months from / 7 ~l3 This request void 18 months from 7 ' 'R 74363 Dale of this Request January 31, 1980 1, as 0 Licensed Electrical Contractor ❑Owner, do hereby request inspection of the above electri- cal wiring installed at: >-4-, 6/ , Az~ Street Address or Route No. 1000 Apollo Road ' City Eagan Section Township Range County Dakota Which is occupied by Uni vac COro. SOU ( ameareof Occupant) Is a roughin inspection required on this job? No D Yes ❑ Ready Now ❑ Will Call ❑ Power Supplier Address Electrical Contractor Olympic Electric Co. Contractor's License No. 37623 (Company Name) Mailing Address 6608 Penn Ave. 10. Richfield, MN. 55423 (Electrical n r or Owner Making This Installation) Authorized Signature Phone No. 861-4111 ~ { ectrlcal fltra r or w{nneer MMJaking This Ins, Lion) e'.J~hi9l]+L-®S~,t~ Q©@}jThis inspection request willnotbeaccepted bythe State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 83 University Ave., St. Paul, Minn. 55104-Phone 645-7703 7 EQUEST FOR ELECTRICAL INSPECTION R 74363 WIBEL OW WORK C OVERED BY THIS REQUEST uilding New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ An Conditioner Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List List > Other .-O ❑ ❑ Others} Others} Here l1 Here fff COMPUTE INSPECTION FEE BELOW o~ o - d 49(- e Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: -T I # Fce 0 to 100 Amps, 0 to 30 Am eres 0 to 30 Amperes 11 it 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res Above 200 Amps. Above•100Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Ins ction Minimum fee $ o Re ' d tl b TOTAL FE Q ry I, the Electrical Inspector, hereby ce00, at t1 b e ifilspection has been a e, r~ a~u (Rough4n) Date (Final) P Date Gj gJ- This request void 18 months from e (h " any4 3 6 9 F,,egFthR st Fire No. Licensed Ele ctrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: ct Street Address or Route No. CityC~~° --3_ Section Township Range County )C'~~ . J Which is occupied by In i-r ~i (Name of Occupant) Is a roughin inspection required on this job? No -o- Yes[] Ready Now,2k Will Call ❑ Power Supplier Address 74 -2-, 2, c7 71 Electrical Contractor Contractor's License No. _ (C mpaan V, Name) l Mailing Address ~V „n ~y~y e(Electr cpl Contr r or Owner Making This Installation) Authorized Signature Phone (ElactrlCal' ont ctor -or Owner ,king This Installation) cJll~Ip~D©d~ This inspection request will not be accepted by the v State Board unless proper inspection fee is enclosed. m'nnesora mars edam or cnecviciry Griggs Midway Bldg. - Room N191 I EB-00001-02 1821 University Ave., St. Paul, Minn. 55104 - Phone 297"2111 I a REQUEST FOR ELECTRICAL INSPECTION r S 94369 CHECK BELOW WO)tK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Hume ❑ ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Futures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm E] Ej C] List List Other C1 El El Uterhe ersI Others Here COMPUTE INSPECTION FEE BELOW Service Entrance Size: # F,oll1 Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 1 s. 0 to 30 Amperes 0 to 30 Amperes 101 to 2 Q, _ ps 1 / 31 to 100 Amperes 31 to 100 Amperes Above 20 Amps. \ V ✓ Above 100 Amps. Above IOQ_Amps. Transfo s Remote Control Cuc. Partial or other tee 0:- Signs Signs Special Inspection Minimum fe ; O/% Remarkso~ `"Cfr TOTAL EB,OCi D I, the Electrical Inspector, hereby cgi4ify th ahlove inspection has been made. (Rough-in) 'd Date 7 (Final) ' - Date/,-Y- / - S-0 This request void 18 months from CITY OF EAGAN 5795 Pilot Knob Road Eagan, MN 55122 N"_ 5594 PHONE: 454.8100 ~ / BUILDING PERMIT APPLICATION Receipt # ~ 7 To be tused (w de~~ • test Est. Value 51,000 Date 1/15/80 _ 19_ Site Address 1000 A polo Road Erect ❑ Occupancy B2 Lot 2 Block Sec/Sub. Eagandale Corp.Sq.Alter Zoning I-1 ~1 Parcel # .2.'.5.2U C•~CG C' Repair ❑ Fire Zone III Enlarge ❑ Type of Const. II-N Sprink z Name Sperry UniVac Move ❑ # Stories Address Demolish ❑ Front 75 _ ft. b CI agan' Phone Grade ❑ Depth 44 k. o Name Nelson Construction Approvals Fees av Address PO Box 506 Assessment Permit 142.00 U~ Prior Lk, 55 _ Water &Sew. Surcharge 25.0 city o2e 0 Police Plan check 71.00 hW Name Fire SAC !K Address Eng. Water Conn. <w city Phone Planner Water Meter Council O{{, I hereby acknowledge that I have recd this application and store that gidy. the information is correct and agree to comply with all applicable APC Total 238. U State of Minnesota Statutes qrW City of Eagan Ord' 3. Signature of Fermi"- A Building Permit is issued to: N on the express condition that all work shall be done in occordonc it ap ' le State of Minnesota Statutes and City of Eagan Ordinances. Building Official RADFORD DOOR CITY OF EAGAN 13567 3830 Pilot Knob Road, P.O: Box 21-199, Eagan, MN 55121 BUILDING PERMIT PH0NE:454.8100 Receipt # --I 3Z 3cU To be used for INT. IMPR. Est Value $37,000 Date MAY 7 ,19 87 Site Address 1000 APOLLO RD OFFICE USE ONLY Lot 2 Block 1 Sec/Sub. EAGANDALE CORP On Site Sewage _ Occupancy SQUARE MWCC System Zoning Parcel No. On Site Well Type of Const City Water (Actual) Name SHIDLER CORP (Allowable) w x of Stories = Address Length City CHICAGO phone Depth S.F. Total ,ij Name ARNDT CONST FootprintS.F. 0Q Address 18305 MTKA BLVD APPROVALS FEES oa City WAYZATA Phone 476-6756 Assessments Permit $260.90 Water/Sewer Surcharge 18.50 W w Name DU'MONCEAUX ASSOC Police Plan Review 130-49 i Fire SAC, City i5 Address 4801 W 81ST. STE 102 Engr. sAC,MwcC aW City_BLMGTN Phone 831-1844 Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree to comply with all applicable APC Treatment Pt State of Minnesota Statutes nd ' yof Eagan Ordinanc s. Variance Parks Copies Signature of Pe TOTAL rmitt A Building Permit is issue to: ARNDT CONS=T' on the express condition that all work shall be done in accordance with all applica~bl/@~ State of Minn sota Statutes and City of Eagan Ordinances. Building Official /C~-cep J V (J Or t3 0 559`1 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For Co,,, - mss f - Valuation Date Site Address DFO JdC2 Q Gp s. OFFICE USE ONLY Lot Block Sec./Sub. ect Occupancy Parcel Alter„ Zonis i Repair Fire Zone Owner: S fro/ va, G Enlarge _ Type of Const. ' Move # Stories Address: Demlish _ Front )5 ft. City/Zip Code: Grade Depth ft. Phone / / APPROVALS FEES ~L- Assessments Permit Contractor: T Address: Water/Sewer Surcharge Police Plan Check scs~z / City/Zip Code: Fire SAC Phone ~y7 Z a'2 Eng. Water Conn. l Planner Water Meter Arch /Eng.: Council Road Unit Bldg. Off. 15 Address: APC City/Zip Code: Phone TOTAL I This request void /rf/~ 18 months from e 57069Z1~1 a1. a4 (Ito Pequea Date Fjre No. ppough-in Ins pecTion Required / ❑Ready Now ❑ Will Notify InsDec- 87 Oyes ❑1JD for When Ready ® Licensed Electrical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City 1000 Apollo Eagan action No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. A & H Cartage Power Supplier Address Dakota Electric 4300 - 220th ST. e tt Farmington, MN. 5b24 Electrical Contractor (Company Name) ContrartOr's License No. Ben Franklin Electric, Inc. ~k0409708 Mailing Address (Contractor or Owner Making Installation) 4600 Chicago Ave. So. Mpls., MN. 55407 Author d Signatu ontrac[ O net Making nstallati 1- Phone Number 827-2903 MINNE OTA ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mid y Bldg. - Room N-181 BE ACCEPTED BY THE STATE BOARD 1831 Univerafty Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 642-WOO ENCLOSED. 31y19 -7 REQUEST FOR ELECTRICAL INSPECTION EB-00001-0S-'qR See _instrucUOrm for complebtp this form on back of yellow copy. "X"• Below Work Covered by This Request Nw4Adal Re Type of Building Apolronces Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Healing Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other pec. v Cher (Specify) Other uociV Other 01h.r ompute Inspection Fee Below p Fee Service Entrance Size k Fee Feeders/Subteeders n Fe Circuits Uto 200 qms 0to 30 Amps to 30 Am Above 2 0 Am 1s 31 to 100 Amps 31 to 100 A Swimming Pool Above 100_Am s Above 100-Amps Transformers Irrigation Booms Partial Other Fee Signs Special Inspection s errerks -TOTA E Rough-in a Date I• the Flit ical r Inspector- hereby certify that the above Final Doh inspection has been ♦ / G / made. this request void LB months from This request void yoZtr 18 months from . 36548 Rdquew Date ire No. Rough-m Inspect/ n Requ ned~ Ready Now Will Notify Inspec- ee ❑No for When Ready kbr ensed Electrloal Contractor I hereby request inspecLOn of above Owner electrical work installed at: Street Address, Box or Route No. City D-0 v AD 1S ect/on 140. Tow hip Name or No. Range No. Count Occu nt IPRIN I Phone No, ~ ~A-fir O--i,, L Power pller Address '6-'OIZ ,anti Elactn~I Cpractor (Cy~^Pany Namel Contractor's License No. C~ls/ Ate., `vim 9 4? p V r-) v Mailing Address (Contractor or Owner Making Instailatmni 1. v_ /5 d ~ ~n/LY~ a W Authorize gna a IContr mr Owner Making Installat/onl Pho Number MINNESOTq TATE BOARD OF ECTRICITy THIS INSPECTION REQUEST WILL NOT Grnggs•MidweY Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Ph..... IR121 797.2111 ENCLOSED. /~(p~$ J REQUEST FOR ELECTRICAL INSPECTION 7~~ See instructions for completing this fprm on back of yellow copy. V' 36548 "J('' Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Egpipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatm Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Sp."' 10 the, ISnecrtyl Other peel y 01hpr_ 01he, Compute Inspection Fee Below M Fee Service Entrance Size s Fee Feeders/Subfeeders s Fee Urcurte 0 to 200 Amps O /SO 0 to 30 Amps 0 to 30 A11,05 Above 200 Amps 31 to 100 Amps 31 to 100 Amp, Swimming Pool Above 100-Am s Above I00_Amps Transformers IrngaLOn Boorc~s Parttal,'Other Fee Signs Specie! lnspecLOn s/7 Remarks TOTAL 73 Rough-m D/ 1 [ I, the Elac 7 /4J Inspector, hereby certify that the above Final Dat ~a inspection has been 1J made. This request veld 18 months from This request void ';511'11y7 7'«3S lU 18 months from . '3:fa543 Request Date Fne Nq! Ro ugh-in inspection Requ rted~ G Ready Now Q Will Notify Inspec- S-id, -6 ❑Yes ONO lot When Ready tensed Electrical Contract., I hereby request inspection of above Owner electrical work installed at. Streets Address, Be. or Route No. city action NO. Towns p Name or No. Rangy O. Cour ~ v DMA Occu nt (PRINT) Phone No. nd Power Supplier f Address ,tin/ N tr1 vU,W tlo4 .9 Eley~ ca ontracl1or (Company Namel _ Contractor's License No. ~i~p-*vl~5~9~~~ t)oSY ,V. ng Address (Contractor or Owner Making Instailauon) 6715 Authorized natu (Contractor net Making Installation) Phone Numher l 3 t7 MINNESOTA STltlTE BOARD OF ELE TRICITY THIS INSPECTION REQUEST WILL NOT g. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Vnivers vers e UNLESS PROPER INSPECTION FEE IS a1821 Ave., St. Paul, MN 55104 r.....a ravl 2972111 ENCLOSED. 7 REQUEST FOR ELECTRICAL INSPECTION Aftk DES-00001-oa r. 0 See instructions for completing this form on back of yellow copy. (2~/ 0 3 &D` 4 3 "X" Below Work Covered by This Request Adtl Rep Type of Ballding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Omer peel y Other ISpeufy) [ er pen y ther Othcr Compute Inspection Fee Below p Fee Service Entrance Size If Fee Feeders/Subteeders a Fee cirewts /y 0 to 200 Amps Igo- 0 to 30 Amps 0 to 30 Amos Above 200 Am» /d^ 31 to 100 Amps 31 to 100 Amps Swi running Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Partial.'Other Fee Signs special Inspection $/7J - TOTAL F Rermrks 711-a-0) Rough-in Dare the Else .7( Inspector, hereby certify [hat the above Final Ir Oa al ection has been de. This request void 18 months from This4equesl void '5j/p7(p/p-7 ~a- 18 mdnths from . . 3547 Request Date Fue`No. Rough "n Inspector Requiretl~ Ready Now Will Notify 1nsDec- ❑Yes No for When Reedy icensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City O 0 O k4elo IMP < YJFL Aa -traction NO. Town Name or No. Range o. Count 1- V Occupant (PRINT) Phone No. 14 f iv I/V ,,Fewer Supplier Address Elec cal ontraxctoor (Cgompa my Name) / ?on,mrtor'a License No. Mailing ddress IContractor or Owner Making Installs ion( ss3s sa 7 doh Authorized tore 1 ntractor nor Making Installation) Phone Number MINNESOTA STA BOARD LECT CITY THIS INSPECTION REQUEST WILL NOT 'Griggs-Midway dg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave-. St. Paul, MN 55104 Phee. 18121 29]x111 ENCLOSED. jd&/S1) REQUEST FOR ELECTRICAL INSPECTION EB-0000I.n4 See instructions for completing this form on beck of yellow copy. S-n 4 7 "X"' Below Work Covered by This Request Fjdtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatio Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peoi y the, lSper.,fvl Other pea v Other Other ompute Inspection Fee Below e Fee Service Entrance Size n Fee Feeders/Subfeeders n Fee Circuits 0 to 200 Am s $6- 0 to 30 Amps 0 to 30 Am Above 200 Amps 3 Ste' 31 to 100 Amps 31 to 100 Amps Swinnning Pool .010 Above 100_Amps Above 100_Am s Transformers Irrigation Booms Partial.'Other Fee Signs Special Inspection $ Remarks 1 TOTAL tab Rough-in Date I, the Electrical • i Inspector. he,( Final Da certify that the above inspection has been aTwo request void is months from This request void 7,T 7C v _ 18 months from . 36549 Rpuset Date Fiia°Nol Rough-in Inspection / e flegwred> ady Nuw QWill Notify Inspec- •~-r/ es ❑No for When Ready PX.Acensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Boa or Route No. City D J o 4/0 /n^ : W Section No. Townsh Name or No. ange No. Coun Occueut IPRINTI Phone No. Power Supplier Address El iota Contract r (Company Name) Contractor's License No. A~F S .115 C ng Address (Contractor or Owner Making Insta UaUon) v " P?- 0,`~o ~S3 S7 Authorized SI n u ( tractor/Ow Making Installation) Phone Number MINNESOTA STAT OARD IF E ECTRIC Y THIS INSPECTION REQUEST WILL NOT Griggs-Midway BI g. -Room N•t 91 BE ACCEPTED BY THE STATE BOARD 1921 ln,- University AVe., St. Paul, MN 551 04 UNLESS PROPER INSPECTION FEE IS Pe..... ratni 9117_91tt ENCLOSED- 5~c?!o/S7 REQUEST FOR ELECTRICAL INSPECTION Ea-00001-D4 See instructions for completing this form on back of yellow copy. 6 5 4 9 "X" Below Work Covered by This Request tdd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heabn Commercial Bldg. Furnace Silo Unloader Industrial Bldg Air Conditioner Bulk Milk Tank Farm the. peel V Olhnr (sPecify) Other per.i y Other Other gmpute Inspection Fee Below k Fee Service Entrance&ze n Fee FBBdere/Sabfaeders M Fee Circuits S 0 to 200 Amps 0 to 30 Amps 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Amps - Swinvning Pool Above 100_Amps Above 100---Amps Transformers Irrigation Booms Partlal.'Other Fee Signs Special Inspection s).0 , TOTAL F 1tv marks r Rough-in D'I @~ I, the Elac al Z"u , i Inspector, hareby certify that the above Final Inspacu on has been ~(f metla. This request void 10 months from PATTERSON DENTAL CITY OF EAGAN N! 13566 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ONE: 454-8100 BUILDING PERMIT Receipt 35 To be used for INT. IMPR. Est. Value $97,000 Date MAY 7, _'j 987 Site Address 1000 APOLLO DRIVE OFFICE USE ONLY Lot 2 Block 1 Sec/Sub. EAGANDALE CORP On Site Sewage _ Occupancy SQUARE MWCC System Zoning Parcel No. On Site Well Type of Coral City Water (Actual) a Name SHIDLER CORP (Allowable) w # of Stories Address Length o City CHICAGO Phone Depth S.F. Total o Name ARNDT CONST FootprintS.F. ou Address 18305 MTKA BLVD APPROVALS FEES City WAYZATA Phone 476-6756 $493.00 Assessments Permit ~V Water/Sewer Surcharge ww Name DU'MONCEAUX ASSOC Police Plan Review 2/-F 5050 i Fire SAC, City Address 4801 W 81ST ST., #102 Engr. SAC, MWCC cm City RLMGTN Phone 831-1844 a Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit thatthe information is correct and agree to complywith allapplicable APC - Treatment P1 State of Minnesota Statutes a clC y of Eagan Ordinances. Variance Parks Copies Signature of Permitte TOTAL $788.6 A Building Permit is Issuad o:- ARNDT .2 NST on the express condition that all work shall be done in accordiipce with icable State f Minnesota Statutes and City of Eagan Ordinances. Building Official s e This request void 18 months from oA,250"P, 5wp e) Pe o~ 3 c 0 64302 Date of this Request November 18, 1977 I, as ❑ Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 1000 Apollo Road City Section Township Fgan Z_~ Range County nakota Which is occupied by Uni vac Corp. ,~s ~6~ 13k (Name oT ccupant) Is a roughin inspection required on this job? No O Yes ❑ Ready Now ❑ Will Call Power Supplier Address Electrical Contractor (11ymp1 C El ectri C CO Contractor's License No. 32554 (Company Name) Mailing Address (Electrical Contra i O ner Making nstallation) Authorized Signature one No. 561-4111 (E c rlcal Contract or O r VK4 acing This insta at Minnesota State Board of Electricity lP~~ D 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION O 64302 C$ECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex C2 ❑ 11 Water Heater El Lighting Fixtures Y< Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ 19 Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk ❑ Farm ❑ ❑ 13 Lpoist List Other ❑ ❑ ❑ Heiers# tie COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # cults: Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Am eyes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200_Amps. Above 100 Amps. Above 100_Amps. Transformers Remote Control Circ. Partial or other fee Signs 11 Special Inspection Minimum f Remarks TOTAL E s Q:y' S I, the Electrical Inspector, hereby th a bole inspection has been (Rough-in) 2 Date 77 (Final) Date / .S 7 This request void 18 months from R CITY OF EAGAN t l s 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PEq RIOR Receipt # To be used for IMPROWMENT Est. Value $45.000 Date DEC 13 19 90 Site Ad ess 1000 APOLLO RD Lot 'i Block SeciSub.]EAGAM)ALE CORP OFFICE USE ONLY Parcel No. SQURRE- Occupancy B-2 FEES SHIDLBR =UP Zoning 382.00 W Name (Actual) Const T Bldg. Permit Address 77TH ST (Allowable) Surcharge 22.50 O City EDINA Phone # of Stories 2".00 JALCO CO~iSTRUCTIOM Length Plan Review =o Name Depth SAC, City f-- I WMIUM RE) o< Addres S.F.Total - City Phone S.F. Footprints SAC, MCWCC On Site Sewage Water Conn W W Name L H ARCHITECTS On Site well - water Meter i Address MWCC System % z Acct. Deposit 77TH ST a :W City EDINA 831-8971 Phone Pity Water - PRV Required SAN Permit I hereby acknowlege that I he read this application and state that the Booster Pump SM Surcharge information is correct and agavree to comply w' apjWb2ble State of Minnesota Statutes and C of Eagan Ordirgan t / Treatment PI Signature of Permitee it, APPROVALS Road Unit A Building Permit is issued to: J TRMTION Planner Park Ded. on the express condition that all work shall be done in accordance with all council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies ~ Building Official Variance TOTAL Permit No. Permk Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Q 7v Inspection Date In Comments Footings l Foundation Framing 2' - ~d $ 4110 Roofing l~ Rough Plbg.- "t!^- Rough Mg. Isul. Fireplace Final Htg. Final PIN. Const. Meter Plbg. Inspector - Notity Plumber Engr./Plan Bldg. Final 7 2 ~fJ Deck Ftg. Deck Final WAII Pr. Disp. PLUMBING PERMIT For Office Ube MY CITY OF EAGANG' PERMIT # i CONTRAL 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# PRICE PHONE 4548100 DATES 1 1000 to Rd. BLDG. TYPE WORK DESCRIPTION i Site Add ss AAPo Lot -,Block ` Sec/Sub Res. New Mult. Add-on k - Repair i m NameBovde P - fft4i Inc C Other Address 2222 Edgetaood Ave S ~ City L'ipls. , MIN. Phone 545-8881 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTURES TOTAL Metro Mar g L1 Water Closet - $3.00 $ Name 3c ss O 2- Bath Tubs - $3.00 Addre Lavatory - $3.00 O City Eagan Phone Shower - $3.00 Kitchen Sink - $3.00 _ t Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE - 1% OF CONTRACT FEE T Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 D $.50 S/C PER ACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. - $10.00 A Rough Openings - $1.50 U. G. Sprinkler System - $12.00 SIGNA RE OF PER E PERMIT FEE: 'J" - STATES S/C: FOR: CITY OF EAGAN GRAND TOTAL: low. tOMRSAL. QJLMMATIM RC _ CITY OF EAGAN '0 18595 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PEfRIOR Receipt # To be used for IMPROVEMENT Est. Value $10'000 Date DW ` 19~ Site Acyress 1000 APOLLO RD ~ E Lot Block Sec/Sub. EAGANDALE OFFICE USE ONLY Parcel No. SQM Occupancy 3-2 FEES W Name 1'HE SITYDL.RR GROUP Zoning 117.00 (Actual) Const Bldg. Permit Address 4550 ST (Allowable) Surcharge 5.00 c City EDINA Phone 835-3336 # of Stories Length Plan Review 0' flGbltL821H8RGBR CONSTRUCTION CO 0' Name Depth SAC. City Z~ 5492 Address TELTL S.F. Total - U¢ Clt MINHETOWA Phone 3S- 201 S.F. Footprints SAC, MCWCC y On Site Sewage Water Conn r w Name On Site well water Meter W W va Address MWCC System Acct. Deposit W City Phone city water PRV Required SIW Permit I hereby acknowlege that 1 have read this application and state that the Booster Pump SAN Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci of F an rdin s. Treatment PI Signature of Permitee 'P0 ~~fe APPROVALS Road Unit KOHLENURGF-R 8T CO Planner Park fwd. A Building Permit is issued to: On the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official f y ' Variance TOTAL 122'00 Permit No. Permit Holder Date Telephone k WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings l 'I- 4 j n g. Rough Mg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final C4 2' O Ow Deck Fig. Deck Final r 0. QC e Weli Pr. Disp. CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N" 5 5 9 4 PHONE: 454-$100 BUILDING PERMIT Receipt # To be used for Est. Value Dote 19 Site Address Erect ❑ Occupancy Lot - Block Sec/Sub. j' I " Alter ❑ Zoning Parcel` Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. a Name move ❑ # Stories z Address Demolish ❑ Front ft. city Phone Grade ❑ Depth ft' Name Approvals Fees o u6 Address Assessment Permit Water & Sew. Surcharge city None Police Plan check w Name Fire SAC Address Eng. Water Conn. <W city Phone Planner Water Meter Council_ I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee r A Building Permit is issued to: 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 permit # Date lamed Penmitt" Plumbing Mechanical ley (4 INSPECTIONS DATE INSP. Rough-in Final Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. Mechanical Final Remarks: A & h cartage CITY OF EAGAN 1~' 2 2 " • r 3830 Pitt Knob Road, P.O. Box 21-199, Eagan, MN 55121 N _0 13 3 7 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used tor INT. IMPR. Est Value $37,500 Date MARCH 10 19 87 Site Address 1000 APOLLO ROAD Erect ❑ Occupancy Lot 2 Block 1 Sec/Sub. EAGANDALE CORP SQ Remodel ❑ Zoning Parcel No. Repair ❑ Type of Const Addition ❑ No. Stories W Name :Ei;. SHIDLER GROUP Move ❑ Length z 200 W ,t4ADISON, STE 3040 Demolish ❑ Depth o Address Int Impr. El Sq. Ft City CHICAGO phone 1/8(30/222-4066 Install ❑ c Name STAHL CONSTRUCT10N CO Approvals Fees 0 Address 8400 NORMANDALE LK BLVD Assessment Permit $ 266.10 City BLMGTN Phone 921-8900 Water 8 Sew. Surcharge 19.00 Police Plan Review 133.05 W Name OPUS CORP Fire SAC 23 Address P-O. BOX 150 Eng. Water Conn. i 1" City `1PLS Phone 936-4444 Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that the Bldg. Off. Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. Date Copies Signature of Permittee _ Total A Building Permit is issued to: STAHL CONSTRL CT ION CO 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 Permit No. ft d Holder Dab Telephone N Plumbing X. `J : ~(l`_ w ~7 H.V.A.C.~~ Electric y Softerer Inspection Date Insp. Comments Footings I Footings II Foundation Framing ~o 412 Roofing Rough Plbg. Rough Htg. Insul. Fireplace Final Htg. 7~ Gc, Find Plbg. Bldg. Final Cert. Occ. 7 Deck Fig. Deck Frmg. Well Pr. Dkip. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date ,19 Site Address Ro°:d OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage Occupancy MWCC System - Zoning Parcel No. On Site Well - Type of Const City Water (Actuaq a Name (Allowable) T z * of Stories 3 Address Length o City Phone Depth S.F. Total , ¢ Name Footprint S.F. i 0 1 u Address APPROVALS FEES City Phone Assessments Permit Water/Sewer Surcharge W Name Police Plan Review W E 3 Address Fire SAC, City Engr. SAC, MWCC LU City Phone Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree to comply with all applicable APC Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: 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 Permit No. Permit Holder Date Telephone Plumbing H.V.A.C. 1. l Electric E~1.4 Softener Inspection Date Insp. Comments Footings l Footings II Foundation LL Framing "Ar7`a @~"/-x-f7 Gr- :il~i7L Roofing Rough Plbg. .pg - Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final g Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Weil Pr. Disp. R-AOfb KD otp2 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage Occupancy MWCC System - Zoning Parcel No. On Site Well Type of Const City Water (Actual) m Name (Allowable) w # of Stories 3 Address Length C City Phone Depth S.F. Total p Name Footprint S.F. i Address APPROVALS FEES s City Phone Assessments Permit c , Water/Sewer - Surcharge LOU W Name Police Plan Review z } Fire SAC, City x - Address n= Engr. SAC, MWCC W City Phone Planner Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree to comply with all applicable APC - Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to., 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 Permit No. Permit Holder Date Telephone it Plumbing H.V.A.C. ' Electric ~ 7 rte' c~ Softener Inspection Date Insp. Comments Footings l Footings II Foundation Framing .1 Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final t 5 Cert Occ. Temp. LP Deck Fig. Deck Frmg. Well Pr. Disp. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: f~ CONTRACT PRICE PHONE 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New m Name Mul. Add-on Address Comm. Repair c City Phone Other Name FEES W Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other FEE: 7, 7' SIGNATURE OF PERMITTEE S/C: TOTAL FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -;!/#U 7 CONTRACT PRICE: OC~J O PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION i Lot Block Sec/Sub Res. New I C J' Mult. Add-on ✓ Name COMM. -l~ Repair 19 Address Other c City /~JA f ;3'A/./ ?,)Phone '17Z-1911Z RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name H t Water Closet - $3.00 $ Bath Tubs - $3.00 3 Address qQj= T 'v Lavatory - $3.00 p City C_'W 0 A 6e-) Phone Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00 APT BLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE -$12.00 -Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20-00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 f Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: ~y STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL ~J f t" i W PERMIT # • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ` CONTRACT PRICE PHONE 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New m Name Mult Add-on Address Comm Repair CA City Phone Other Name FEES a Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other FEE n. SIGNATURE OF PERMITTEE S/C: TOTAL - FOR: CITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # / C;"/ CITY OF EAGAN $4, 000.00 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: - CONTRACT PRICE: PHONE 454-8100 Site Address 1000 Apollo Road BLDG. TYPE WORK DESCRIPTION 11 Lot Block Sec/§ub ' ; ' . I Res. New Name Richfield Pl in g .om an Mult Add-on Address 305 W. 77' St. Comm. X Repair c City Richfield Phone 869-7517 Other License #1075M Stahl Construction 111P. FIXTURES TOTAL Name - Water Closet - $3.00 $ 3 Address 5400 Normandale Lake Blvd # 5-Bath Tubs - $3.00 p City Bloomington phone 893-9269 9 Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 MINIMUM - RESIDENTIAL FEE _$10.00 Laundry Tray - $3.00 MINIMUM - COMM/IND FEE - 2000 L 1 W Floor Drains Heater - $ 0 . STATE SURCHARGE PER PERMIT _ 50 - . $11.50 (ADD $.50 S/C IF PERMIT PRICE GOES -Whirlpool - $3.00 BEYOND $1,000.00) Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 r 1 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: n PERMIT # MECHANICAL PERMIT t CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Z5 Name Mult Add-on Address, Comm. Repair c City Phone ! Other L Name, FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMMAND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other "C FEE y.,. SAC' SIGNATURE OF PERWTEE TOTAL FOR: CITY OF EAGAN CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N0- 4588 PHONE: 454-8100 Receipt # BUILDING PERMIT 19 7 % To be used for Date 2i l Site Address 1009 Erect ❑ Occupancy Lot Block Sec/Sub. iialale inn Park Alter ❑ Zoning Parcel # Repair ❑e Fire Zone Enlarge ❑ Type of Const. W Name Move ❑ # Stories W z Address Demolish ❑ Front ft. City " r ATt Phone _ Grade ❑ Depth ft. Approvals Fees a Name August Czderstrand Co. a#- 966 Central. Ave. NE Assessment Permit u< Address r An r- ~ 379-2095 Water &Sew. Surcharge ;~(!t city Phone Police Plan check ri W W Name Fire SAC Ua Address Eng. Water Conn. <W City Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable y, ) State of Minnesota Statutes and City of Eagan Ordinancg;,..__....._.-.->APC Total Signature of Permittee ' z ,I ---e A Building Permit is issued to: lerarr,*n, on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official - - Penelt # Deft hwd pw OW" Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Find Footings Date Insp. Date Insp. Foundation _ Plumbing Frame /ins. Mechanical Final - Remarks: HOUSE HEATING TEST RECORD i ADDRESS C APT. FLOOR CITY -SUBURB OCCUPANT Co v f ra a OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY z2l Electrical Work By Gas Line By 192CA~,'-_$ ;2' 1 11f '°r- 1' TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER AS DESIGN CONVERSION MAKE MAKE OF BURNER Model _ ' / del Serial 4d.Z 4Z d Z' x. BTU Rating INPUT Z T~Z~~ t MAKE OF FURNACE/'' Model CONTROLS THERMOSTAT _Z_~7F Heat plug Vent Size Cf ~x Valve h. 4cr =jO/" KIND OF LINER 'SIZE NONE Limit% Draft Hood Regulator Limit Setting ~JCI Filters Size r' 5 1^ Number a Fan Setting L o 9tJ Chimney Location Inside Outside Pilot Type s Chimney Construction ~~t-~L- d' Pilot Make 411 4,4,- Pilot Model ; L t Smoke Bomb Miring _ ~L-.- Pilot Timing S "r Draft / -~124,'l .'a 1 -,k-'-Test Tag L, L.W. Cut Off Door Pressure - Lighting Inst. L/ Pressure S Percent CO f Date Tested i° 2^ / ~~ir1,~Sft v s Input CFH Percent OZ 2,0 Company Testing Stock Temp.L_ Percent CO r". Nome of Tester Form 235 CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 - PERMIT No. 2710 Date: April 12, 1977 Receipt No.: 0f Single Site Address: i)OC Apo ),-j Po3rl 1 Residential Lot Block L Sub/Sec. Multi Res., Comm./Ind. 'ate Name i r,1vac New/Alter./Repair altc iti<;r. Address 1.000 Apo l l ^ Hoar? Cost of Installation e'3' 000.00 City Fagan - Phone: Permit Fee 30.00 Yale, Inc. .50 `Name Surcharge g Address 3012 Clir,tc~n A%re. So. s 0 City Phone: Total ; , s n This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Z Building Official-, CITY OF EAGAN Remarks Addition FAGANDALE CORPORATE SQUARE Lot Blk ',1 P ei ~n 570 02"1 Owner Owner/j"-sJ Street Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1972 7389.79 738.98 10 STR EET RESTOR. 1971 1206.46 120.65 10 GRADING SAN SEW TRUNK 1970 861.30 34.45 25 y 35 * SEWER LATERAL & StIjb~,,4,il 1971 17907.70 1193.85 15 3o WATERMAIN * WATER LATERAL& Stub 1971 15 * WATER AREA 1971 15 * STORM SEW TRK 1971 15 * STORM SEW LAT 1971 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 9795 Pilot Knob Road Eagan, MN 55122 N2 4588 PHOHE: 454-8100 BUILDING PERMIT APPLICATION $10,000. Receipt It 8239 Nov. 28, 19 77 To be used for Rpmndpl Date Site Address 1000 Apollo Rd. Erect ❑ Occupancy Lot $4 Block 4 Sec/Sub. Eagandale Ind Park Alter $I Zoning Parcel # III Repair []C Fire Zone Enlarge ❑ Type of Const. z Nome 11ni var Move ❑ # Stories Z Address Demolish ❑ Front ft. City Eagan Phone Grade ❑ Depth ft. o Name August Cederstrand Co. Approvals Fees o~ Address 966 Central Ave. NN Assessment - Permit-33,00 - Mp1s. 379-2095 Water & Sew. _ Surcharge 5 city Phone a .00 Police Plan check ~w Name - Fire SAC ~z Address Eng. Water Conn. ¢w City Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable 38.00 State of Minnesota Statutes and City of Eagan Ordinan PC Total Signature of Permittee~b ! °.'4- / A Building Permit is issued to: on the express condition that all work shall be done in ordo a wit all plicable St re Minnesota Statutes and City of Eagan Ordinances. Building Official N° __3498 CITY of EAGAN A4, ~7 BUILDING PERMIT 3795 Pilot Knob Road Owner .........C._._.,`"•`• ~ Eagan, Minnesota 55122 Address (present) ...---...'L° 454-8100 Builder Address DESCRIPTION Stories To Be Used For Front Depth Heigh! Est. Cos! Permit Fee Remarks LOCATION 7,,5'-- Street, Road or other Description of Location Lo! Block Addition or Tract This "permit does not authorise the use of streets, roads, alloys or Csidewalks nor does it give "-th' the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify. that ..........................has permission to eree!_a..li~sr.. a`r.:e........`....`......._....`.J......upon the above described premise subject to the provisions of all applicable Ordinances for the City of Eagan. ...............__..i~..'.~...:.......~F••........... _ Per C May 6r Building Inspector 1 -Z- CC, 5c( t CL CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 215 The City of Eagan hereby grants to gran Air ndi-inn ng Tnn_ of Minneapolis _ a Mech. A/C Permit for: (Owner) Univac at 1000 Apollo , pursuant to application dated 3/21/75 Fee Paid: $154.48 dated this 25 day of mar. , 19-75--- .50 s/c Building Inspector Mechanical Permits: Bid Total: 20,896.00 1 i . 2 - vl CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 214 The City of Eagan hereby grants to Ryan Air Conditioning Inc of 9240 Grand Ave. So.. NP1g.-55420 a MECH. A/C Permit for: (Owner) Univae at 1000 Apollo , pursuant to application dated 3/21/75 Fee Paid: $139.77 dated this 25 day of mar. 191 _ .5o s/e Building Inspector Mechanical Permits: Bid Total: 17.954.00 I EAGAN TOWNSHIP n' n BUILDING PERMIT N? 2481 Owner K`-?lrc..1........ -t------------ ..Eagan Township Address IPresen3l Ll ' ::r ._...5.~`"'...4...i..._:.d..Cl...... iz"'[ w Town Hall P Builder ..rr:c~cZ - e-a Date ---'------•-------l Address 4.c./ --q °[{....._d.`-:^.'•`.:-`..._.~.. DESCRIPTION Stories To Be~ pUsed Fos _rroni Depth Heigh! Est. Cost permit reel Remarks LOCATION 4r Street, Road or other Description of Location Lo! Bloek Addition or Tract This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE EPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that... -.:!r:.-K ...............has permission to erect a.., r!.._vPon the above described premise subject to the proviai s o! !ha Building Ordinance for Eagan Township adop d ApsIl 11, 1955. { n Per -e Chairman Tnwn Scard 8 Buildin Impactor 1 EAGAN TOWNSHIP BUILDING PERMIT N° 2193 Owner ........4 ?.-.-5~`-'.`.' Eagan Township Town Hall Address (present) Builder - Date Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Feel Remarks LOCATION Street, Road or other Description of Location I Lot Block Addition or Tract `3 This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE EPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that ...--r.............. .:./,~.......has permission to erect ....°'7"9.-..'~'=_upon the above described premise subject to the provisins of the Building Ordinance for Eagan Township adopted April 11, 1955. <r-:.........-/`w...'......................'--. Per a` .c..... .`.:!'C~ . hairman fSf Tnwn Board Building Inspector a I BE SURE TO CALL NWBELL TELE. CO. OF LOCATION AND WHEN YOU ARE GOING TO EAGAN TOWNSHIP START JOB. c3 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: April 9, 1970 NUMBER 573 OWNER: Rauenhorst Development 4444 Rauenhorst Circle, Mpls. Address for Corporate , Banda e PLUMBER Wenzel Plumbing TYPE OF PIPE cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units roc Location of Connections: Connection Charge Permit Fee 10.00 pd 4/9/70 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration 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 Township, Dakota County ;Minnesota B G~tent~x c in iJrT Wenzel Plumbing & Heating, e. 1955 Shawnee Road, St Paul 55111 Please notify when ready for inspection and connection and before any portion of the work is covered. gr"O^A 6" At'-3 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: April 9, 1970 Number 421 Billing Name: Corporate Square c/o Site Address: Eagandale Owner: Rauenhorst Development Billing Address 4444 Rauenhorst Circle Plumber: Wenzel Plumbing & Heating, Inc. Location of Connection Meter Size if, Connection Chg. Meter No. 20833105 Permit Fee 10.00 pd 4/9/70 Meter Reading__, Meter Dep. Meter Sealed: Yea Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence Multiple No. Units Commercial xx Industrial By: Other Chief Inspector In consideration 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 Hagan Township, Dakota County., Minnesota. i Wenzel Plumbing & Heating, Inc. 1955 Shawnee Road, St. Paul 55111 Please notify the above office when ready for inspection and connection. /9 Poilo 1l d D D D MASTER CARD LOCATION M-4-3 f"A6 AA! OALXt OWNER AOsrp/ DIQS e C RAcRpTg eS~dA±~ STRUCTURE AND W LAND USED AS Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING 3 l~/-C~_ 7D ~~y-~ L CESSPOOL - SEPTIC TANK ~F•• w~fa yZ 1 y-9-70 L✓ ✓z ~L AdEAl AtST ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER 70 N/ 4/ EL OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well SOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING I OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING SA SANITARY SEWER - -Oe.d ..C , f~ Violations Noted on Back COMMENTS: MASTER CARD • LOCATION 77Y r OWNER 44h IZ.1 STRUCTURE AND D LAND USED AS dyl; Issued To Permit No. Issued Contractor Owner BUILDING dAl PLUMBING 2Y-71 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER . Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEAIING OF WELL > GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER A Violations Noted on Back COMMENTS F4 -7 If 41 W ' /w/ l MASTER CARD LOCATION d/A, Aboo OWNER 7 ! y~ C STRUCTURE AND AM 4 AI~ LAND USED AS roN elk ssued To Permit No. Issued Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING W GAS INSTALLING or h SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: 'Ift DATE l e Z BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for E-e G~ O GC P. rt Valuation e) ~Q Site Address: Lot Block Sec. Sub. G* Parcel Number Owner _ /(met Telephone Address Contractor Telephone 3 ) 9 - 2- y Address L Arch./Eng. /y/ ya G Telephone Address OFFICE USE Erect Occupancy Alter Zoning Repair Fire Zone Enlarge Type of Const. Move S of Stories Denolish Front Grade Depth OFFICE USE Date of Approval & Initial FEES UO Assessment Permit L Water/Sewer Surcharge ti Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Council Bldg. Off. A.P.C. TOTAL .,onths from of t is Request - 3 P 7 2 6 3 4 as 'LD Licensed Electrical Contractor OOwner, do hereby request cal wiring installed at inspection of the above electri- : J a ly-liv 6q Street Addressor Route No~ titan c.o S tY/t--Il Section Township Range County Which is occupied by Is a rOn (Name of Occupant) ghin inspection required on this job? No ❑ Yes}- Ready Now Y Will Cab O Power Supplier'" Address i~ Electrical Contracto ~~d~~~~, (Comp y me) Contractor's license Mailing Address` s j Authorized Signatur le t I I contractor or ow Fier making Tnis Instanation) ,egie ,IeZ (Electrical Contractor or OwKir Phone No. IGWitil This Installation) ST AT BOARD C PY This inspection request will not be accepted by the *it State Board unless proper inspection fee is enclosed. Carp, Sq . LZ I PAUL H. HAUGE & ASSOCIATES, P.A. F ATTORNEYS AT LAW 3908 SIBLEY MEMORIAL HIGHWAY EAGAN (ST. PAUL), MINNESOTA 55122 PAUL H. HAUGE BRADLEY SMITH AREA CODE 612 KEVIN W. EIDE TELEPHONE 454-4224 June 26, 1979 Mrs. Ann Goers Eagan Assessment Clerk City of Eagan 3795 Pilot Knob Road Eagan, Minnesota 55122 RE: Waiver of Hearing - Improvement Project No. 243. Dear Ann: Enclosed is the original and one copy of an Affidavit which I would like you to sign and have notarized and sent back to me at your earliest convenience. I will be needing it prior to closing on the bond issue on July 9th. I have double checked the ownership of the lots involved and they are all owned by Northwestern Mutual Life Insurance Company which is in the process of signing the Waiver of Hearing. I also checked on C. A. Roberts Company and it turns out that they own a lease and not a contract for deed, so we will not need a Waiver from them. Also thanks for your help in checking on the ownership. Very truly yours, Bradley Smith BS:cdg enc. AFFIDAVIT Ann Goers, being first sworn on oath, states that she is the Assessment Clerk for the City of Eagan, and that the attached Waiver of Hearing Notice has been signed by all land owners which could be assessed for the City of Eagan Improvement Project No. 243 over Lot 10,1Block 6, Eagandale Center Industrial Park No. 3, and Lots 1 through 5 inclusive, Block 1, Eagandale Corporate Square (formerly Lot 24, Block 4, Eagandale Center Industrial Park No. 3). D ANN GOERS, ASSESSMENT CLERK CITY OF EAGAN Subscribed and sworn to before me this _q day of 1979. -N-o-t^ar_y Pub THOk7AS L., HEDGES'' DAKOTA COUNTY NOTARY PUBLIC-MINNESOTA M1 QOMM16lION EXpIH89 DECw Q, ~9E$ 2 WALLS TAPE h SHEET ROCK EXISTING WALLS DOOR FRAMES MOVE EXISTING DOORS CLEAN & SEAL FLOOR 2 COATS 2 X 4 , CEILING TILE (MINERAL) 10' CEILINGS PAINT WALLS & DOOR FRAMES DROP SPRINKLER HEADS WIRING ROOF HEAT S AIR CONDITIONING (15 TON) WITH HUDIDIFIER SUPPLY 6 RETURN DUCTS ELECTRICAL WIRING AND INSTALLATION FOR THE FOLLOWING ITEMS, AS " SHOWN: 32 - 8', 2/LAMP STRIPS IN THE ROOM 3 - SINGLE POLE SWITCHES. 1 - 400 AMP SUB FEEDER FROM THE MAIN SERVICE. 1 - 400 AMP METER AND C.T. UNIT FOR POWER REQUIREMENTS. 2 - 42 CIRCUIT, 400 AMP SUB PANELS, 120/208 VOLT, 30, 4 WIRE. 140' - 4" X 4" WIREWAY. 2 - 4X4 T BRANCH UNITS. 1 - HVAC UNIT, ROOF TOP, PROVIDE POWER ONLY. 1 - 2" CONDUIT FROM PANEL TO WIREWAY, 1 - 6.25 KVA, 50 HZ GENERATOR - PROVIDE POWER. 28 - 30 AMP, 30, 208 VOLT RECEPTACLES, 60 HZ DROP. 3 - 20 AMP, 10, 220 VOLT RECEPTACLES, 50 HZ DROP. 1 - 30 AMP, 3~A, 220 VOLT RECEPTACLE, 50 HZ, DROP. 4 - 20 AMP, 30, 110 VOLT RECEPTACLES, 60 HZ DROP. 1 - 60 AMP, 30, 220 VOLT RECEPTACLE, 50 HZ DROP, 10 - WALL RECEPTACLES, GENERAL USE. THE ABOVE RECEPTACLES TO BE DROP CORDS, 3' IN LENGTH, WITH PIGTAILS, AND SPECIAL RECEPTACLE BODIES ON EACH. AMOUNT . ALTERNATE #1 - PROVIDE PRIMARY POWER TO OWNERS MOTOR GENERATOR 75 H.P., 208 VOLT PRIMARY TO 220 VOLT, 50 HZ SECONDARY, PROVIDE THE SECONDARY PANEL. AMOUNT ALT. Sri ity of eagan 3830 PILOT KNOB ROAD. P.O BOX 21199 BEA BLOMQUIST EAGAN, MINNESOTA 55121 Mayor PHONE (612) 454-8100 - THOMAS EGAN JAMES A SMITH VIC ELLISON THEODORE WACHTER OoUrwg Members December 23, 1986 TH HEDGES EUGENE VAN OVERBEKE C ty Clerk MS LORI HILDEBRANDT DORSEY AND WHITNEY LAW FIRM 2200 FIRST BANK PLACE EAST MINNEAPOLIS MN 55402 Dear Ms. Hildebrandt: Please be advised that parcels located at 990 and 1000 Apollo Road; 3110, 3140, and 3160 Neil Armstrong Boulevard; and 1170 Eagandale Industrial Boulevard are zoned light industrial. All properties located on these parcels are in conformance with the City of Eagan zoning designation of light industrial. Feel free to contact me if you have further questions regarding this matter. Sincerely, e C. Ru kle City Planner DCR/SS/jeh THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 19$7 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND pP„ E resr~ r~ D crv r~ 7 , To Be Used For: Valuation: Date: /9J7 7 Site Address //ky) Aoe~fa OFFICE USE ONLY Lot Block On Site Sewage_ Occupancy ^ I MWCC System Zoning Parcel/Sub f1.s7 ~-e.s e~/ On Site Well Type of Const City Water (Actual) Owner Gaiorc (Allowable) # of Stories Address Length Depth City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor /liv~t w3~ Assessments Permit 013. Water/Sewer Surcharge A-5•sO Address G~3Q~ /%rtic o rv ~wQ Police Plan Review 'L4 Fire SAC, City City/Zip Code ~~yz~Tt ///NNE6uT Engr SAC, MWCC ,3-s'W91 Planner Water Conn Phone y7l:~- Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment PI Variance Parks Address -5iJ7c io,7 y8G/ d~df/~` Copies TOTAL ~ City/Zip Code Z2 Phone # 135617 987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: lt,, .Imp Valuation: Date: Site Address 1~ l,tiac~--[.efD ( OFFICE USE ONLY Lot Block On Site Sewage_ Occupancy MWCC System Zoning Parcel/Sub On Site Well Type of Const City Water (Actual) Owner (Allowable) # of Stories Address Length Depth City/Zip Code S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor AfA' oT C 0 nl S T, Assessments Permit 2(00 d S Water/Sewer Surcharge !P, - Address % /~f} Police Plan Review 30, 4s _ Fire SAC, City City/Zip Code Lc1 H ~zfa T19 Engr SAC, MWCC Planner Water Conn Phone 4 7 lo - (o -75 Council Water Meter Bldg Off Road Unit Arch. /Engr. CA b,~m0nreaVY- 4SSa<- APC TreatmentPl Variance Parks Address / 5i p2 Copies City/Zip Code I~ L m G i /V -"ESP7 TOTAL 0 S~ Phone # $ 3 b ~l y 1987 BUILDING PERMTT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONSSSAND 1 SET OF TNERGY $2,000 LANDSCAPE CALCULATIONS, To Be Used For: 2/%~ Valuation: 3 s~ Date: Site Address 16ro ,6/XJ71-L6 eO-40 OFFICE USE ONLY Lot Block On Site Sewage_ Occupancy MWCC System Zoning Parcel/Sub On Site Well Type of Const City Water (Actual) Owner (Allowable) # of Stories Address a' GI~S% /<a/j ,5j-472'30`t) Length Depth City/Zip Code ~/SjGisGD /GG, l~~ S.F. Total Footprint S.F. v I; Phone APPROVALS FEES M / to Contractor S7,-41-11- CO/~STP OrV Assessments 'Permit Water/Sewer Surcharge l`I• Address (~l✓V- Police Plan Review Q Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone 92/-P900 Council Water Meter II Bldg Off Road Unit Arch./Engr. (7t~✓~ 42?e)e ~1ON APC Treatment P1 Variance Parks Address ~Q - /,$b Copies TOTAL 411 City/Zip Code 21j.4e7/S~ iyJ„Jnl. SS Phone U /7~ - 93G; KEY FLAN ND SALE 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. 9 6 1 2 RICO ao To Be Used For: (5PG(r.E1l ARSE Valuation: Date: 12,11Z1910 Site Address PrPOLL0 POAD OFFICE USE ONLY 45DOo r Lot Block FEES Occupancy 6-2 A rr Zoning Parcel/Sub l'l~(1fp,f~li4 . l,_)sp J911I)XV Actual Const Bldg. Permit 382,00 Allowable Surcharge 221St7 Owner Swjgz , Cxwop # of stories Plan Review 2-18,00 ~ try Length SAC, City AddressIf~4`sy W,-7 -1TA r Gb1N1t Depth SAC, MWCC S.F. Total Water Conn City/Zip Code ~~~1y1V Footprint S.F. Water Meter Acct. Deposit Phone 35-33 3 On site sewage- S/W Permit On site well S/W Surcharge ContractortJQ(~G~ CokTjTO)MOQ MWCC System _ Treatment Pl. City water Road Unit Address RSUS Cp.UEHOUSG PRV Park Ded. Booster Pump Copies City/Zip Code 7 SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch. /Engr . 1. • N . C~ Bldg. Off. _ Variance Address M550 W -77V a l City/Zip Code atti,41 Phone # '31" O O 8546 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. Re'vVL70 To Be Used For: t'-r-Valuation: Date: ten; vrr c o, :.t,r xa Site Address /fJ.k) ~¢~ry& OFFICE USE ONLY Lot Block FEES Occupancy S-2- Zoning r~ Parcel/Sub ~Q jf..~2, I, Mfl a, j4njx#) Actual Const Bldg. Permit I r, / Allowable Surcharge ~c5b Owner 7e- .Skc~ Lee2 ~ # of stories Plan Review Length SAC, City Address 7SSa ~y 7 / ST Depth SAC, MWCC S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter Acct. Deposit Phone X635 - ~ 7 On site sewage_ S/W Permit / On site well S/W Surcharge Contractor ~o~ MWCC System Treatment Pl. City water Road Unit Address PRV Park Ded. Booster Pump Copies City/Zip Code ~f~t 3`S7Y~ SUBTOTAL ,f rAPPROVALS Penalty Phones - -S-zed Planner TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # 0r IJ f~.~+a[-ISN ~GftcGS l ~t ~N TNrS f1R f.AJ ec~l~„i Yv • Gp.~sfRwc~ ~ G ~~1 C. LI^ 1 7 ~~=Lv Q~ p pdU-H Lwq ~o~i< s "ro,k m~~`/ sf d w/ B ~boyC s:dcr ~rfR tV Cd • • Q%lo °e(~f ~ ~ 575 sr .56 s.(. ~,OC4S CITY OF EAGAN L L B MECHANICAL PERMIT RECEIPT # 10 ;2j( ~,_;7- SUBD. (612) 681-4675 DATE -B-9-4=92- ~ / g 92-- RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: ADD-ON A/C ADD-ON FURNACE ❑ SITE ADDRESS: ADD ON/REMODEL (E)(ISTING $ 15.00 CONSTRUCTION ONLY) INSTALLER: HVAC: 0.100 M BTU 24.00 PHONE ADDITIONAL 33 M BTU 6.00 ADDRESS: GAS OUTLETS - MINIMUM 1 @ $3 EA. CITY: ZIP: SURCHARGE: $ .SO SIGNATURE: TOTAL: $ NO PERMIT REQUIRED FOR DUCTWORK ONLY! COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWE G UNTI. &LZI WORK DESCRIPTION: CONTRACT PRICE: 6900.00 FEES Out door cooling Unit 1% OF CONTRACT FEE. 69.00 35000 BTU - 3 tons STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $1.5.00 MINIMUM FEE - $25.00 OWNER: Universal Coop TOTAL: $ SITE ADDRESS: 1000 Apollo 69.50 TENANT: SUITE INSTALLER: Dependable Indoor Air Quality, I c, ADDRESS: 2619 Coon Rapids Blvd. LNE Rapids Mn zip. 55433 757-5040 CITY IG a".R .SS[~~a.=~v i'i t:xik;::~wfi avn~K .<au'.arnr•Y f[.' "...'S"'.':';: FS- +?:'o- ;~c,>..:K.v u~a>~-,~>NS;.. ix :T:•:,a.:cfit[~AYF ~?o~rsM.s:ikps: [ .[n.:pyk c• .••;a: v va.,.:.....n ._f~r.5 3.y:' .:..>a.> [•:.a.,:>:. : ':::::.,.Me,;~.,:: S.,.r., :<:4'~^.,.['..*^c..,~44."wa» >:a. c:..a..bPa'.aw>'~ksa ::...w..,... 1993 UMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681.4675 PLEASE COMPLETE FOR ALL COMMERCIAIANDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUR-DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U<'T. NEW CONSTRUCTION REPAIR WORK DESCRIPTION: (1) double service sink (cold water only - 1/2") in testing area for testing hand pieces CONTRACT PRICE: $ 2,395.00 FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF PERMIT FEE. MINIMUM FEE $ 25.00 00 CONTRACT PRICE X 1% STATE SURCHARGE $..__•50 So TOTAL i 24.45 - 5 SITE ADDRESS: 1000 Apollo Road /0 -adK"0 ova>oi jTN wT IaAmE!_ Patterson Dental Company ST'S # OWNER NAME: INSTALLER: Bredahl Plumbing, Inc. ADDRESS: 7916-73rd Avenue North CITY: Brooklyn Park STATE: MN ZIP CODE: 55428 PHONE 424-2646 :gam FOR: CITY OF EAGAN A"FIPLI CITY OF EAGAN IL 4 110 1995 BUILDING PERMIT APPLICATION (COMMERCIAL) {t) 681-4675 W.Y:rf fa-o The following are required with appropriate certification for all new construction: • 2 each: architecture] plans; mech. 8 elec. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainage/erosion control plan; utility plan • 7 each: set of specifications; set of energy calculations; electrical power & lighting form; Special Inspections & Testing Schedule • Letter from MCNVS (phone 0222.8423) indicating SAC determination • Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Budding and City Codes along with sq. ft. per floor, type of construction (synopsis of construction components) & any occupancy or area separation walls; occupancy bads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking. DATE: 1 9 S WORK TYPE: _ NEW REMODEL DESCRIPTION OF WORK: enA^Tm ror~~~ n ch'~ ~ rr CONSTRUCTION COST: 33/ y2S TENANT NAME: I wns IQL7 SITE ADDRESS: 00 tA' W C' LOT BLOCK SUBD. P.I.D. # PROPERTY Name: 7.o1 l he (0 r1) /vat Phone 1 3_ 7 OWNER Street Address ~~~/~5 ~l .a It City: Cock i"yu I r 14, Startle: I` I h n Zip: CONTRACTOR Company: al Phone Street Address, c-% rr•e, City: II 11 Zip: ARCHITECT/ Company: / o hG -ev-i fitfc~ ~ Phone CP ENGINEER Name: Registration # (tl ID N 0 V 0 9 1995 Street Address' City: ~AAZ?-C"` cl- State: ^k t, Zip: R. Sewer & water licensed plumber. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all J applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:' C/ fC 'EhISS'' h VESr:' SHADED 'NAL.J Qh,."• TO BE NEW WAL; - \J REPAIR 'HALL AY +Y TO'ICEILJNG GRID ' AS REQUIRED ,j PANTED- IN N p YY ` RE AR ~i 13 J v E<TE, CF ` Q OOFICE NOTES PANT ALL WALLS NEW CEIUNG TILE N 'WAREHOUSE ti PANT GRID CEILING 'WHITE `1J RELOCATE T-STATS AS RECJIRED 63' % 76' VQ (_J VERIFY HVAC IN WORKING -ONDITON 62' X 76' 11 I 1 oROV10E ALT. FOR NEW ROOF UNIT (I I PROVIDE NEW CARPET 'N 9MCES AND STORAGE i t V °ROVIDE VCT FOR BREAK- PSA yII~ U V W E%ISPNG DUPLEX-OUTLET so til l oP ~A~ ~v ON NEW ouTmr REPAIR WALL ( h j~,V v 'T oJNCTION BOX II~~AS REQUIRE] T-STAY ;l. =RE'.Ni_ NOTES /k~ N qV //)1 ONI :~C L AND GAS V p I'I ~rc~:1 S REQUIRED i \w\` / \4 u`4~,n(\o ~l`^ a.:o rt:.,_`..e 01TION CF I: TN ES '~F'IC~ ?L,aN 1525 SQ: FT. 09 '81/9- 3T U NGLO, I! ~I I RELOCATE B'XIO' - - O.H. DOOR OR o I - _ PROVIDE NEW 0 1 O.H. DOOR IF - DOOR IS NOT - ABLE TO BE USED. b - - - - - - - - 'u Ia!, LE 1. H.M. iNSJL :OCRs NEW 10' WIDE BITOMINOJS NALK CITY OF EAGAN r 1995 BUILDING PERMIT APPLICATION (COMMERCIAL) ) 681-4675 ILWI ~ The following ere required with appropriate certification for all nm construction: • 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainage/erosion control plan; utility plan • t each: set of specifications; set of energy calculations; electrical power & fighting form; Special Inspections & Testing Schedule Letter from MCANS (phone #222-8423) Indicating SAC determination • Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per floor, type of construction (synopsis of construction components) & any occupancy or area separation walls; occupancy bads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking. DATE: a - 6 - 2 ~ WORK TYPE: _ NEW REMODEL DESCRIPTION F WORK: f o ;B'g R' x%?^ cam- s CONSTRUCTION COST: 00o6p TENANT NAME: -d 2 26 SITE ADDRESS: I c:, p j~!MjlO~v~f) 1 ~apce~tz; A 4 m E? .rE. LOT y BLOCK SUBD. hL P.I.D. # Coly, -4 PROPERTY Name: S Phone OWNER `m`. Street Address I 14e 'DV-JJ ~ City: State: Tom' Zip: 3 CONTRACTOR Company: 0 'id ~2ay .J Phone 7a'~ ~3 5 sTc Street Address- 7 5 a"f city: ry) t P f trQR9 Zips S-S~ a 6 ARCHITECT! Company: ~T D Phone # 3~- U ENGINEER ~R~~, tL-~.p Name: Registration # Street Address* City: State: Zip: Sewer & water licensed plumber: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: a OFFICE USE ONLY 0 ` A BUILDING PERMIT TYPE ❑ 01 Foundation d!(-1g Comm./Ind. Misc. ❑ 21 Miscellaneous o 18 CommAnd. ❑ 20 Public Facility WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 32 Addition Gax34 Repair ❑ 37 Demolition GENERAL INFORMATION 49, Const. (Actual) Basement sq. ft. MC/WS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code 4/37 # of Stories _ sq. ft. SAC Code _J?o Length sq. ft. Census Bldg. _f Depth Footprint sq. ft. Census Unit n APPROVALS Planning Building Engineering Variance w Permit Fee Valuation: $ 450, o0 0 Surcharge Plan Review MCNVS SAC !G 12 City SAC Water Conn. SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 026707 Eagan, Minnesota 55122-1897 Date Issued: 11/14/95 (612) 681-4675 SITE ADDRESS: P . I . N 10-22520-020-01 APPLICANT: LOT: 2 BLOCK: 1 1000 APOLLO RD K M S CONST EAGANDALE CORPORATE SQUARE (612) 944-8181 PERMIT SUBTYPE: TYPE OF WORK: COMM./IND. MISC. ALTERATION DESCRIPTION (TRANSPORT PARTS) INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FRAMING ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL HTG FINAL PERMIT C k OK ~'CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 7 0 7 (612) 681-4675 Date Issued: 11/14/95 SITE ADDRESS: 1000 APOLLO RD LOT: 2 BLOCK: 1 EAGANDALE CORPORATE SQUARE P.I.N.: 10-22520-020-01 DESCRIPTION: (TRANSPORT PARTS) Bu'11ding'.Permit Type COMM./IND. MISC. Building Work Type ALTERATION t f. i REMARKS: FEE SUMMARY: VALUATION $34,000 Base Fee $430.75 Plan Review $279.99 Surcharge $17.00 Total Fee $727.74 CONTRACTOR: - Applicant - OWNER: K M S CONST 29448181 SHELARD GROUP 11455 VIKING DR 220 11455 VIKING DR 300 EDEN PRAIRIE MN 55344 EDEN PRAIRIE MN 55344 (612) 944-8181 (612)943-7907 I hereby acknowledge that I. have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPUCANTA~ERMTEE SIGNATURE I ISSUED 1BY: ]G URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 6 3 4 2 Eagan, Minnesota 55122-1897 Date Issued: 09/06/95 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-22520-020-01 APPLICANT: LOT: 2 BLOCK: 1 1000 APOLLO RD ROSENQUIST CONST INC EAGANDALE CORPORATE SQUARE (612) 724-1356 PERMIT SUBTYPE: TYPE OF WORK: COMM./IND. MISC. REPAIR DESCRIPTION (ROOFING) INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. ROOFING L PERMIT W IPWS CITY OF EAGAN 9/11/91, 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 3 4 2 (612) 681-4675 Date Issued: 09/06/95 SITE ADDRESS: 1000 APOLLO RD LOT: 2 BLOCK: 1 EAGANDALE CORPORATE SQUARE P.I.N.: 10-22520-020-01 DESCRIPTION: (ROOFING) Building',.piermit Type COMM./IND. MISC. Building W`rk Type REPAIR REMARKS: FEE SUMMARY: VALUATION $150,000 Base Fee $1,137.25 Surcharge $75.00 Total Fee $1,212.25 CONTRACTOR: - Applicant - OWNER: ROSENQUIST CONST INC 27241356 SHELARD GROUP 2526 24TH AVE S 11455 VIKING DR MINNEAPOLIS MN 55260 EDEN PRAIRIE MN 55344 (612) 724-1356 I hereby acknowledge that I have read this application and state that the information is correct and agree,to comply with=all applicable State of Mn. Statutes and City of Eagan Ordinances. JAN, APPLICANT/PERMITEE SIGNATURE ISSUED B SI ATUR CITY USE ONLY L BL RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings. ► multi-family buildings when separate permits are II4.t required for each dwelling unit. S~'~ ao DATE: -~4CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK:z4Q16(')1nQ ~ 4"k< j ~ as n etc~r~ FEES: $25.00 minimum fee 4r 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of awmd fee due on all permits. CONTRACT PRICE x 1% ys-, g~ PROCESSED PIPING STATE SURCHARGE SU TO AL 4&131~ SITE ADDRESS: OWNER NAME: ~~/11Y7~a;~'1Q, -TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) /d ~Q-1 lip/r14 ~Oa11~ 2 ~~cLl~Yl INSTALLER:] iC? ADDRESS: hard CITY: ~ ~i~ZI/YL,✓t vt STATE: ZIP:4 ~l PHONE SIGNATURE: z_3. `l7 SIGNATURE OF ERMITTEE CITY INSPECTOR 1V PERMIT ckm u4 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 3 9 3 (612) 681-4675 Date Issued: 04/20/95 SITE ADDRESS: 1000 APOLLO RD LOT: 2 BLOCK: 1 EAGANDALE CORPORATE SQUARE P.I.N.: 10-22520-020-01 DESCRIPTION: (PATTERSON DENTAL) Buildi4=R,armit Type COMM./IND. MISC. Building Work Type ALTERATION E t ~ ( REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY- VALUATION $8,000 Base Fee $99.00 Surcharge $4.00 Total Fee $103.00 CONTRACTOR: - Applicant - OWNER: RUTLEDGE CONST 29355558 NEILSON DEAL 1409 S 7TH ST 1000 APOLLO RD HOPKINS MN 55343 EAGAN MN 55121 (612) 935-5558 (612)688-6054 I hereby acknowledge that I have read this ap=plication and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City f Eagan Ordinances. APPLICAN RMITEE SIGNAT ' ISSUED 131 SICI(IAT CITY OF EAGAN 1995 BUILDING PERMIT APPLICATION (COMMERCIAL) M93 681-4675. ~l The following are required with appropriate certification for all Bft construction: (t QQGFs; 9 Lpla C' 2 each: architectural plans; mech. & elec. Plans; fire sprinkler plans; structural plans a , ~n d'ca'fiinj%Y'l~ din9/drains9eleroskon control plan; utility plan 1 each- set of specifications; set of energy calculations, electrical power & lighting fo sh g Schedu le Letter from MCArS (phone #222-8423) indicating SAC determination Code analysis indicating, Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per floor; type of construction (synopsis of construction components) & any occupancy or area separation walls; occupancy loads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking DATE: - /0 °l S WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: Co+1sTru~~C,~n 6C ov,)en Me~J Voe) M CONSTRUCTION COST: ~7V5OU TENANT NAME: r~ SON n VM L SITE ADDRESS. 1000 A PO l in RaA 13 E 11T In LOT BLOCK J_ SUBD. P.I.D. # C19'~~lbRd~i ¢t/AJr~. PROPERTY Name: rz~ W ILSON QrA - Phone 6~ S-6Q~y OWNER , T "ab. Street Address: 1000 A PO tto 2OA P City: EA I;~t' N State: M- Zip: 5 1 1 CONTRACTOR Company: ~tn~~ec~ae Cof►s~i+iaGn71 Phone#: y35-S55g Street Address: 1 Li SnLc_*k 77 ST ~ee_- " City: 00atl15 ARCHITECT/ Company: SArhe1 Phone M ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: NON E I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: tttec~e ~l35-SSs 8 p'{?a Sti CX31l 114T'411 c *t / CUueSTc SCD~Tl L BL / RECEIPT* D/Oo V SUBO. RECEIPTOATE:_ 1 917 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. . all commerciaUndustriel buildings. mufti-family buildings when separate permits are= required for each dwelling unit beckilow preventer to be installed In commercial areas or residential boulevards DATE: :X ~t f17 WORKTYPE: _ NewConst V Add-On _ Repair DESCRIPTION OF WORK: '10 5T'A-LL- AL/Vj,gT LAJO-T-Oa, •H C347 IS WATER METER REQUIRED? _ Yes 7L No. ARE FLUSHOME[ERS TO BE INSTALLED? _ Yes No UNDERGROUND SPRINKLER SYSTEM INSTALLING METER? _ Yes No. NEW SERVICE? _ Yes _ No WATER FLOW: GPM. Pressure Reducing Valve may be required 6 installing new service - contact Clefs Engineering Department at 681-4646. FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE FEES Minimum fee of $25.00 or 1% of contract price, whichever is greater. Minimum State Surcharge of $30 due on all permits. CONTRACTPRICE: $_f,800,0< x 1% _ $ COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM BACKFLOW PREVENTER $ 25.00 = $ WATER PERMIT (new service only) 50.00 $ WAC (per connection) 780.00 $ WATER TREATMENT (per connection) 420.00 = $ CITY INSTALLED TAP 300.00 $ METER: I"=$185.00, 2" TURBO = $846.00 = $ PERMIT FEE $ FIGURE SURCHARGE AT 60 CENTS FOR EVERY $100 OF PERMIT FEE DUE STATE SURCHARGE $ S ~ - TOTAL $ ,31 S Sc 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activates to the facilities constructed under this permit within City property/right-of-way/essement. SITE ADDRESS: d p,'p TENANT NAME: STE. # : I~ OWNER NAME: INSTALLER NAME: -5~+`S~SO(J ~GtEI-ACsCt~ TELEPHONE# p LDE~3lJ f}I/ ~O STREET ADDRESS: cyO CITY: )YLLDM)t16?6l" STATE: /196_ ZIP: 5SY3~ APPLICANTS SIGNATURE OFM9 USE ONLY • REVERSE SIDE OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE PRV Yes /r No Domestic Irrigation UTILITY CONNEC~TIION (APPLIES TO NEW SERVICE ONLY) $ REVIEWED BY _ i/. 1 Building Inspector 'Date To determine meter size • See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S&W permit # • Check PIMS Screens 110 (Remarks) • if gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector If Licensed Plumber does not know GPMs. Before selling meter Check PIMS Screen 320 for a°°roval of inspection results. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. Enter meter size, type, receipt date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miscellaneous Information The installer is to contact Building Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water tum-on. If meter is over 518, call Public Works and let them know so they can tell you H they have one in stock before plumber goes over there. CITY USE ONLY L oZ BL RECEIPT#: SQ Tr SUBD.c~' r~ RECEIPTDATE: 9 T 7 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681675 Please complete for. ► all commerclaUndustrial buildings. ► multi-family buildings when separate permits are W required for each dwelling unit. DATE: 5- PA - 3 / 19) CONTRACT PRICE: - 000 WORK TYPE: NEW CONSTRUCTION X INTERIOR IMPROVEMENT DESCRIPTION OF WORK: -1 S 724`-' 1- 6 T n w A I S rn~ /L ~ ~ fr~v A k u w r n 5 0, p :h y FEES: $25.00 minimum fee QC 1% of contract price, whichever is greater. ► Processed piping - $25.00 ► State surcharge of $.50 per $1,000 of ggtmjt fee due on all permits. CONTRACT PRICE x 1% Z 0 Q PROCESSED PIPING s° STATE SURCHARGE s" TOTAL Z O c d SITE ADDRESS: 1000 A ~O/ o Z- L o Oct OWNER NAME: eo r 10o ' n 1' c SQJ 4 : f B TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) 1'762-" p14ticitr,hl ` LI)2d"o7"af 1lb~r/~,r-~ia INSTALLER: >114 I- e to''Wo, s 1~-41 ADDRESS: p 9~ y i' K pr y I- e 5-o CITY: 1 r, r tig ~o^ STATE: ZIP: $S-N,31 PHONE#: S8`I - X6(0 / SIGNATURE: Z> A yZS TURE OF PERMITTEE CITY INSPECTOR qaS l~T OFFICE USE ONLY L _L0- BL _L RECEIPT 9 SUED. DATE' 4LIA 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN ' 3830 PILOT KNOB RD EAGAN, MN 66122 (612) 6814676 Please. complete for: ► all commercial/industrial buildings. P multi-family buildings when separate permits are W required for each dwelling unit. DATE: ~w5 4 , °19'7 CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: U• ~~'•2 N ~~R. f~ ¢T e,Z LL..1c-u IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: 35y-L, GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.:.. . FEE: $25.00 minimum fee or 1% of contract price, whichever is greater.-State surcharge of $.50 per $1,000 of permit fee due on all permits. 25.5. M 6. eo CONTRACT PRICE x 1% STATE SURCHARGE TOTAL y7► S_ SITE ADDRESS; l A? o LL a TENANT NAME: Fvn S o J -r p 1 / STE. # OWNER NAME: C• e' INSTALLER: 1„15+Z~ ACS v~3 aS r c•.~~y twlL ADDRESS: 3.SSD Ja+~ M • LC eJ S c=fc ~ZIP: CITY: s t' 9 S4,40LICANT PHONE 9.L/ S SIGNATURE: OFFICE USE ONLY ~r METER SIZE: 2 DATE: 7 INSPECTOR: _~CYTY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 4 6 8 (612) 681-4675 Date Issued: 0 2 / 14 /9 7 SITE ADDRESS: 1000 APOLLO RD LOT: 2 BLOCK: 1 EAGANDALE CORPORATE SQUARE P.I.N.: 10-22520-020-01 DESCRIPTION: (METRO MARKETING) i 2din#,,,,ermit Type COMM./IND. MISC. iCiYldrg i.(rx Type ALTERATION Ceri,U its=dxp+y,g. 437 ALT. NONRES. 1 a Y ~ p fF i5 , i~s L sa REMARKS: EXERCISE ROOM FEE SUMMARY- VALUATION $15,000 Base Fee $224.75 COPIES 1.25 Plan Review $146.09 Total Fee $379.59 Surcharge $7.50 Subtotal $378.34 CONTRACTOR: - Applicant - OWNER: T E BAINEY GROUP 25576911 C B COMMERCIAL 2 CAMPUS DR 30 7760 FRANCE AVE S 770 P MOUTH MN 55441 MINNEAPOLIS MN 55435 ( 12) 557-6911 (612)924-4624 I, hereby acKrr w.Lv(Pg-e thaC Y k av Y aat - herb p}a' ao G ort` at5 ! , CY1 't°the inf6rrriati4,n;j3s co'rrec't ar;d agree.=to cgmpLy" k~ , Y,1 ap aGabi ':Sta v ti 'Mn. Statbtes dnp- C-I,Ly' cat Er n Qrdlf tceS k~~ .gt 3 Iy p.. APPLICANT/PERMIT E SIGNATURE ISSUED B SIGNATURE 1997 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN 10to 681-4675 " The following are required with appropriate certification for al111m construction: 2 each: architectural plans; mech. & elec. plans; fee sprinkler plans; structural plans; site Pte; landscaping plans; gradingldrainage/erosion control plan; utility plan 1 each: set of specifications; set of energy calculations; electrical power & lighting forth; Special Inspections & Testing Schedule Letter from MGWS (phone #222-8423) indicating SAC determination Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per floor, type of construction (synopsis of construction components) & any occupancy or area separation walls; occupancy bads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking. DATE: 1r) A -7 WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: QMI4V1 l / ~X P,4 (1 r ~Se l2 vrt -~o 0-'aLj% [I( tO) e CONSTRUCTION COST: ILIO E TENANT NAME: m~ l rr> FYIn, rKP ~i ~Q SSMC LiNC . SITE ADDRESS: LOT~ BLOCK_~__ SUBD. P.I.D.# PROPERTY Name: CfJr~~m F~C~r Phone OWNER Street Address: 7Woe") ~ffz&tir0 A-0P S x'776 City: (0 p); State: h~ 0 Zip: ~j q 5 5 CONTRACTOR Company: `11)P Phone #:S - Street Address: City: Ptr,l 6U" Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zips Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances RECEIVED Signature of Applicant: JAN 11 1111 BY: A5 Q M .a r CORPORAIESQUAREPROpEknES, EAGAN, jnA?VEWA m _ N N Corporate square B ti Tenant Floor Plan v p rn ~ Apr O CYCR~'IYL : 9 O ru mum rOARWAW PATFMON 03 m ruxsf6rf fl11iTS 15,031 Sr. 9252 SS. OWAL Z 0 PATTEASoN DENyAL Q 11,311 &f. 6248 SF L~ 9 20.694 S.F. r OZ~i r zz .L Y W m N = ~m ~ a w W C Q r'- ® ~1ArAiOM PARIS OFFICE IIFIR OiFICE PATTITi OfMAL uL7 [ N OMCE j~ O o E: L-1 om t LD C-) a cn 20 Gl c •nJ~ C AIAIERCIAi. 1 ITI '1 1 H ~ 0 O LL LL CITY USE ONLY L BL ~pp PERMIT °I CO SUBD. ~c alk AA lIb Corn. Ser U A_Y2 RECEIPT#: 1 a 3(p~~ APPROVED BY: INSPECTOR RECEIPT DATE: ' 0 0 2000 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for all commerciaUndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit ~ p DATE: 15 n7 WORK TYPE: New construction install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee Contract price: $ 3900 x 1%= $ (Base Fee) State surcharges 7 V calculate at $.50 for each $1,000 Base Fee TOTAL $ - - SITE ADDRESS: food AN) I-1-0 VAO lFAGAn/ OWNER NAME: b oLt. MAv4CAMhA1~ PHONE#: Giz - 7Y~- 9OY (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): ?A- r 1t S[ A) D1-/st1 % Q .WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y _ N. NAME: INSTALLER: M A N A G f 0 <S r R L/ / Z. 5 IAJ r ADDRESS: 650 u d K F CA s ; PHONE G / Z - 9z S- 41-/& (AREA CODE) S L4 Z CITY: 5 % L J 0 (3 eAM STATE: ~4j ZIP: SIGNATURE OF PERMITTEE 2000 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN c~ U I I b 651-681-4675 n p n _ Re uirements ) --Z~dP$ e,16-00 Foundation Only New Construction Interior Improvement • Structural Plans (2 sets) • Architectural Plans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) • Structural Plans (2 sets) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2 sets) • Project Specs (1 set) • Code Analysis (1) " • Landscaping Plans (2 sets) • Key Plan (t ) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1)notalways" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always" 1 • Project Specs (1) 1 1 • Energy Calculations (1) " 1 1 • Electric Power & Lighting Form (1) " 1 1 • Master Exit Plan (1) 1 1 • Fire Protection Plan (1) 1 1 • Soils Report (1) 1 • MCIES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determinationdetter calf 651-602-1000 call 651-602-1000 call 651.602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE: (0-7.80 WORK TYPE: _ NEW >f REMODEL CONSTRUCTION COST: 7ZIA10,dr DESCRIPTION OF WORK: .2>1{et161 (1r1W,1 - tia 48V1". - d-e" up S,do a far z:5houi crn~Y TENANT NAME: V /IL+//~~)L ffP,, ~ n nn~__ SUITE: FORMER TENANT NAME: P(t ttedSSr7 zw-Ly (Je~ 11 SITE ADDRESS: 1000 A 79D tl~ i~a (J LOT ~`f BLOCK SUBD Name: 0,4-4&~P ~-(((5 C ;OkVi tMa" Phone#: ( 152 ) 92 ~ `f10~6 f/tf2 G (o/ PROPERTY Last First OWNER SffeetAddress~~:// ?7(00 F✓~ Az~ - S- City CJIVZ-M f4 1 State: t/19n1 Zip: f 35- Company: `u wd-~t^l j11 k Phone#: CONTRACTOR r _ 1~ S Street Address: 73(03 Gl/o~ of Tu+'1 City rr 0J VIA, State: Y(11~ Zip: 3 q ARCHITECT/ / ! ENGINEER Company: n~U/S h/ P ~ I jam' Phone Q - `~i'X7 ~i~d efJ Name: ~f/f W Krrl (t (e~ Registration ZZ~j Z 0 Street Address: 3.°!DU &0(08dfoy'( k city M11-6 State: !Yl fu Zip: I Sewer/water licensed plumber(ifinstallinstsewerlwater): Phone ( I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply ith all applic a State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT SUBTYPE ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Bldg. ❑ 14 Apartments ~7 Commercial/Industrial ❑ 32 Ext Alt - Apts. ❑ 15 Lodging 0 28 Greenhouse ❑ 34 Ext Alt - Comm. ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt - PF WORK TYPE ❑ 31 New ❑ 34 Repair ❑ 37 Demolish Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 35 Tenant Impr J$' 38 Demolish (Interior) ❑ 44 Siding ❑ 33 Alterations ❑ 36 Move Bldg. ❑ 42 Demolish (Found) ❑ 45 Fire Repair ❑ 46 Windows/Doors GENERAL INFORMATION Census Code ig 3 7 Zoning sq. ft. SAC Code 30 # of Stories sq. ft. No. of Units U Length sq. ft. No. of Bldgs. i Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Gas Service Test ❑ Heating ❑ Insulation ❑ Plumbing ❑ Stucco/Stone APPROVALS Planning Building ~G Engineering Variance Permit Fee 0 VALUATION:$~ ~6 0. S Surcharge Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size SIW Permit S/W Surcharge emu ur, ea si ( vr~~.h whiI a-d Treatment Plant q uFCltas, rj e.,...tiY tas i.. o?C, rtPn; rS Park Dedication Trails Dedication Water Quality Other Copies Total CITY USE ONLY ) L ~ BL I ~ PERMIT#: SUBD. ra nd RECEIPT#: r7 APPROVED BY: r ,INSPECTOR RECEIPT DATE: (0 ' -co "_0 d 2000 MECHANICAL PERMIT (COMMERCIAL) CITY OF KAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for. all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: 6 -16 OO WORK TYPE: New construction Install U.G. Tank ps Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. R~PU9c~' S.~iP~°~ y 6I //L v/~US~2 s .2~0 Description of work ;1L~i7 ~.v G /2/LL - S OAF/GE_ ff/Z E,9 Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ /00 x 1% = $ (Base Fee) M/Na ,~O„OO State surcharge . S-Z) calculate at $.50 for each $1,000 Base Fee TOTAL $ 30-S- Vo.e ~_f8/D/ SITE ADDRESS: &'00 /PpLCp AZT / z" OWNER NAME: PHONE (AREA CODE) dL~ pit77S2S0"~~ TENANT NAME (IMPROVEMENTS ONLY): Y AT /S 7'/M WAS THERE A PREVIOUS TENANT IN THIS SPACE? XY _ N. NAME: INSTALLER: Q1~~TrrzOPo~/7a9~`~ ~~G~/i4i✓iGec ~o.v7~2~~02 S ADDRESS: 731/0 04YE- 6d PHONE (AREA CODE) CITY: STATE: ' /V-/-&'V ZIP: -S' SIGNATURE OF PERMITTEE L a- BL CITY USE ONLY PERMIT#: ~ y SUBD.C RECEIPT#: APPROVED BY: Gam, INSPECTOR RECEIPT DATE: '~q y 8000 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3630 PILOT KNOB RD EAGAN, MN 55188 651-681-4695 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: 6100 WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: f2E(11S~ DUCTwo~ e -F02 7~"~~'„T /?CMODEL~ Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee ~xCF?T ~iL ET ~X iA~t> ~i9'-N S ~ fol~4N rnic~r~ e Contract price: $ 600 x 1 % = $ 6. (Base Fee) State surcharge Y Sv calculate at $.50 for each $1,000 Base Fee TOTAL $ 6. SO vjo'e 44 SITE ADDRESS: /000 10~0GLB /2D1 OWNER NAME: PHONE 7~ 77~~~ (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): P~iVTe9 AAC WAS THERE A PREVIOUS TENANT IN THIS SPACE? XY - N. NAME: P,'9'-77FZ -f'O ' ~E L INSTALLER: 0n4r s.of0"7x71V A79EGrl~ viGgt ADDRESS: 73c/D ttiiPss iNG~7o~✓ r9vE so PHONE#: 9S~ -may/- t70/D (AREA CODE) CITY: 'e~AfN RL"3p/0 /e-:r , 111~711'✓ STATE: /VN ZIP: SIGNA rz~ CITY USE ONLY~~ L ~ B ' PERMIT SUBD. CL` S ISSUED: CHK CHG 8000 PLUMBING PERWr (COMMRRCIRW CT[YOV EABAN 38M PORT KNOB RD EAGAN, MR 551 EE 851-8814875 / INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date: WORK TYPE _ New Bldg -Add-on _ Repair _ RPZ _ PVB • Irrigation system • Must complete reverse side of application also. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK N5173 LC Z-LUG -&ogvs To inquire if Pressure Reducing Valve is required on new service, call 651-681-4646 /-ajt l- ~ METERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to nicking up meter Irrigation Size & Type Avg GPM Fire Size & Type Avg GPM Domestic Size & Type Avg GPM Does this include high demand devices? _ Yes _ No FLUSHOMETERS _ Yes No P/RRVV REQUIRED _ Yes No Site Address: 1600 )L( .Q Ac' S/~` T~ Tenant Name: ?ETA- PLt 10.6 e-~i 1t(PhA I? Telephone I- ? (Area Code) Was there a previous tenant in this space? _ Y _ N. If Yes, Name: Installer Name: usQ Y i Ctifrl~l/- -A ~7 (l l i k~771 r Tr Telephone l Z J ~ y 7 C 7 YG 13c% (Area Code) Installer Address: City: / / , R--State: 1n1 Zip Code 6~5 r~ FEES Contractprice $ I0i O-ODsUb x1% ($30.00minimum) Contract Fee $ Miter(s) $ Required on all new buildings & boulevard irrigation systems Radio Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge $ 50 cents per $1,000 contract fee. Total From Reverse New Service $ / Total $ / OD . ~ Q I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's re to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City nviti lines constructed ~nder'th's pe within City property/right-of-way/easement. during its normal operational and Inter ' DES ~ 20oo D NATURE OFPERMITTEE By ITY USE ONLY REQUIRED INSPECTIONS: _ T. U. -A Test Gas Test _ Rough In Final PLANS SUBMITTED APPROVED BY. o+~ BUILDING INSPECTOR 2000 BUILDING PERMIT APPLICATION (COMMERCIAL) C 0 '1 C651-681-4675 Foundation Only New Construction Interior Improvement • Structural Plans (2 sets) • Architectural Plans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) • Structural Plans • Certificate of Survey (1) • Civil Plans (2 sets) : Code Analysis (1) Code Analysis (2 sets) Project Specs (1 set) • (1) Landscaping Plans (2 sets) Key Plan (1) • Project Specs (1) . Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always- • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always- • Meter size must be established . Meter size must be established • Meter size must be established - if applicable • Project Specs (1) 1 • Energy Calculations (1) 1 1 • Electric Power & Lighting Form (1) 1 1 • Master Exit Plan (1) 1 1 • Fire Protection Plan (1) 1 1 . Soils Report (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter MC/ES SAC determination letter call 651-602-1000 call 651.602-1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-070000 for details. DATE: I2- (6 WORKTYPE: _ NEW REMODEL CONSTRUCTION COS-1#761 XO' OG DESCRIPTION OF WORK: n_✓~Gl ~PjVj~,v+ ) VY) ~✓Dl.pi1MP/VU~ TENANT NAME: ~FMTO SUITE M FORMER TENANT NAME: C C S SITE ADDRESS: LOT BLOCK SUBD Foi ~y t p f, Name: F ~l r2kJGl 6[/(_C' Phone#: (O( (Z ) "IZ~ ~~UU PROPERTY Last First OWNER Street Address: 27(,.~Q_L4_//A~ Z l _ S• II - / City '61ZZV1'I I •c y 1 State: YW Zip: CT Company: D6.111-16( I Q l $1(~✓ J • - Phone ( 2 ) t/ Z 7 Z CONTRACTOR Street Address: / 7 Wt~s L4~ . S City State: miti Zip: a5q 3 7 ARCHITECT/ ENGINEER Company: r/ ~J (e l/' ( Phone ( I SZ ) g-3c' 07 6 Narne:__ V_wi KQM I Registration Street Address: 33bo ~lXl ~1VW Q~ y [(~O~j City 6444111 Stater Zip: fir`{ 3~7 Licensed plumber Installingsewerlwater: R ~c/G,^ ~W10-t✓1 r I //J~/)UMA Phone#: ( ) '54- 00/ Meter Size: 1 hereby acknowledge that 1 h q@a tI that the information is correct, and agree to co ply w t b of Minnesota Statutes and C' E~raa a e. U1~s~~1 DEC Q 1 ature of Applicant: 0 2000 By e OFFICE USE ONLY ' BUILDING PERMIT SUBTYPE ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Bldg. ❑ 14 Apartments 'OF 27 Commercial/Industrial ❑ 32 Ext Alt - Apts. ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt - Comm. ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt - PF WORK TYPE ❑ 31 New ❑ 34 Repair ❑ 37 Demolish Bldg. ❑ 43 Reroof ❑ 32 Addition ~ 35 Tenant Impr ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 33 Alterations ❑ 36 Move Bldg. ❑ 42 Demolish (Found) ❑ 45 Fire Repair ❑ 46 Windows/Doors GENERAL INFORMATION 443Z Census Code2 zoning L L s ft. SAC Code ~i # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy S' sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Gas Service Test ❑ Heating ❑ Insulation ❑ Plumbing ❑ Stucco/Stone APPROVALS Planning Building c. Engineering variance dv4~ VALUATION:$ Permit Fee Surcharge Plan Review ~j ,may MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total 1 y a~ 4 . g CITY USE ONLY L ~ BL ~ RECEIPT I a3 9 v S SUBD. L_Q ak aIcjL 5tj to . , RECEIPT DATE: a H o0 APPROVED BY: INSPECTOR MECHANICAL PERMIT#: ✓ 7A 1 / MECHANICAL PERMIT (COMMERCIAL) ~Ooo CITYO EAHAN 3830 PILOT KNOB RD '\J5 -7 3 EAGAN, MN 55188 (651) 681-4675 Please complete for: all commercialrndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE,.--- - 406 CONTRACT PRICE: WORK TYPE: New construction Install U.G. Tank _ (X Interior Improvement Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) "NOTE: When installing/removing underground tank, call 651-6814675 for inspection by fire marshal and plumbing inspector. r y DESCRIPTION OF WORK: Ki;y 1X5000 ON Q w4 u~vl~ IN 5 175, 00067k i a4- ld FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% ao PERMIT FEE STATE SURCHARGE ($.50 per $1,000 of 8caniI fee due on all pemrits.) TOTAL jy ?o -----------------------n------- - - - SITE ADDRESS: 21 /I _ / I& o' Ord OWNER NAME: ~ d-aw (~.10~ PHONE (AREA CODE) TENANT NAME~((IM~PROVEMENTS ONLY):~q . a~ INSTALLER: YA, _./'f'l ADDRESS: S PHONE k2 fF CPDE) CITY: h STATE: (AREA V ZIP: 55Y31 {Eg ' 9 IGNATURE P TTEE rl~ 612 830 8215 `DEC-06-2000 12;47 TUSHIE MONTGOMERY 612 830 8215 P.01i05 r r tiiQnr~O(T>p(I/ kct+fecds•$poce Pamers 3300 Edinborougli Way, Suite 601 A Ctutecls Minneapolis, Minn=ta 55435 612-830-8208 - Fax: 830-82€5 TRANSMITTAL To: Data 6 O[) loSl 65I - ( } i l1 Rortq6flf ' e4f d f EA Project Number: 2c~."~ bSl ' 9 104. 50 51303 ~ RfA 5A%k f~ Yxq Project Name: • hk •lz f+-rsne. Of. ' r1 611% .rtbt p~(x Jy4t f la~ °JFI.3t4I >blMb~ Jarls 2atnb( kkptl CAd WE ARE SENDING YOU ❑ ATTACHED VIA ❑ FAX TOTAL PAGES: THE FOLLOWING ITEMS: ❑ PRINTS ❑ SPECIFICATIONS ❑ SAMPLES ❑ OTI.MR COPIES DA'T'E NO,SIITS DESCPJZTION 17-4 -01) AvW4eWww 4 -7 ❑ FOR YOUR USE ❑ ASRBQUEV= ❑ FOR REVIEWANDCOMWF.NT ❑ FORAPPROVAL ❑ MR&DSDUE REMARKS: OeMe o Qoar ?e.,' Uf~l C tM r*> . COPY TO: FROM: Kr&,y k 612 830 8215 DEC-06-2000 12:47 TUSHIE MONTGOMERY 612 830 8215 P.02i05 Tush e Montgomery Associates Inc. 3300 Edinborough Way, #601 n✓+~ech = imaacope avuie:.r: Minneapolis, Minnesota 55435 nt¢rrx Cv~wn Sp w-Im"n 612-830-8208 Fax: 830.8215 Penta Pure - Proposed Space Plan Eagan Corporate Square 1000 Apollo Eagan. Minnesota December 06. 2000 TO: David Wayne Construction - David James Penta Pure - Andy Rensink Cb Richard Ellis - Darren Dufresnc City of Eagan - Bitl Bruestle FROM: Andrew Krenik Tushie Montgomery Associates, Inc. RE: Penta Pure Proposed Space Plan Addendum #7 Following are changes to the original drawings dated October 5, 2000. PLANY: Room 201. Remove existing door and frame and replace with new hollow metal door and frame. (#2010) SCHEDULE: Door Schedule: Add new door and frame 201 G. N 0 R RFR E DOWS - N 84Y i0° /j PART +.TEq iW1•EJ `PAM LW TEN[ -wIr aroR rzPne NO ~ vuN [mR rRAnr -RLI,(£ aXY iLV0.?RS ~-Rfi1K1 MGC LNfL<R ED SRIppvYJ MEW& Rm ae< Ievnw ED 071 N w tR4 00M gal fp"M 0 o A(T IW ) A56MY fVanrb 's•owa 70&.V 4TT ) N 0 W 00 V M LF7 LLLLe M1v'^O~[s msTh Rvenu a co PM F• O~ Ton-o• b[) R N O 0 W w.vc 1 Tara E~x. ° nsw L 2 Ion rdr - 1 ~~s U) ~ Aa.. Ivaw mn am ••-~•,°T,•• mT.nmE:wx o oo o „ A RqA Q. Y[ PENTA PURE 07u! OGEE 123 o 0 0 0 o Q PROPOSED SPACE PLAN - - EAGAN CORPORATE SQUARE 1DOO APOLLO ROAD CODE INFORMATION: EAOAN•MINNESOTA PROPOSED arclvATr~es CS 13 Richard Oils m FLOOR PLAN ° °`T'EE ^n'T 3i s.o ~Cti•i► m I ECAIE r s-] r1ARENy r Z,Sa SE • C 1 vy-o' WTA: 36.231 F[ ,.a.n•.~ 0 N NJ 5=PA2nI Vy! R[p/IREp N TYPE E38l RYL . TTPE ~~-•'£YRIRRLEREO ID 16' 32' q°' RER AM RESTRmrf To e[ PRO iIOM (UISTPY QE°TRtX TO RS•U'V q -IS) m - GREVISEO 12t)6UD Re,a AM DOOR -AXJ ARE To W PF lo #ZWSHEEP095A W IA Q m a m a - REMOVE EXISTING WALL FOR NEW WINDOWS Div REMOVE EXISTING DOOR/FRAME co INSTALL NEW DOOR/FRAME N / B ti V p v ii 1 'ss VESTI6U 6 Fc Fc 4 COMPUTE pOOM OFFICE ua N } liw 4 IIq CD O mLD NT Z NO ti F W_ !n D H TECH. AREA CONFERENCE 117 Ito m m ED N ID ED I , W'~~ J ca N ~ m 0 d Q J a ~o H N m m N7 CD DOOR SCHEDULE LOCATION NO. SIZE DOOR ELEV. FRAMe RATING / REMARKS CONFERENCE k03 PR 3'-0*' X 7'-0" HD I B WOMEN Ito Y-0' X 7'-O" WD. 3 B MEN III 3'-O" X 7'-0' 'ND 3 B N } CD W ASSEMBLY 201A X 101-0" OND. q M F ASSE: iBLY 2015 8'-O" X 10'-O" OHD. 4 - CD Z N D ASSEMBLY 2010 3'-0' X 7'-0" HM. 2 A `fl w ASSEMBLY 201D 8'-0" X B'-o" OHD 5 - ? ASSEMBLY 201E 81-0" X 81-0" OHD 5 - ~ A55EMBLY 201F 3'-0" X T-0" HM 2 A ASSEMBLY 201G 3'-0` X 7'-0" I-11`1. 2 q LAB 205 PR 3'-0" X T-0" HM 2 A m 0 N ti m m m N 10 m I U' W A ' CITY USE ONLY PERMIT L RECEIPT DATE: 2002 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF BABAN 8850 PILOT KNOB RD KAGAN, SIN 88122 681-681-4678 pa n INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date: C a / f ! d WORK TYPE_ ew Bldg _ Add-on Repair RPZ PVB Irrigation system ' Jerry Wobschall to calculate fees. Required- Imeter1sizzee is(~2" turbo unless smaller size permitted( by Public Works DESCRIPTION OF WORK r~- I t'1J1 v { If~t" Z (,L rim QC\Ql To inquire if Pressure Reducing Valve is required on new service, call 651-6814646 METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to nicking up meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $152.00 Domestic Size & Type Avg GPM Does this include high demand devices? _ Yes _ No FLUSHOMETERS -Yes -No / \ PRV REQUIRED _ Yes _ No Site Address: /ego / ~jn,, Tenant Name: Fa 1 ( Q Telephone (Area Code) Was there a previous tenant in this space? _ /Y XN. If Yes, Name: Installer Name: I f r / t }e (y' (~a Telephone Cl S% - 3S -3WJ (Area Code) Installer Addresrs: City: r(1 i V1C~, State: W N Zip Code S~~q~3S- FEES Contract price $ x 1% ($50.00 min) Plbg Permit $ 00 Meter(s) $ Required on all new buildings & boulevard irrigation systems Radio Meter Read $ Surcharge: $.50 Minimum. If base fee exceeds $1,000, calculate at State Surcharge $ S 0 50 cents per $1,000 base. y Sub TotaUTotal $ Supplementary fees for new irrigation system: Water Permit $ 50.00 Contact Jerry Wobschall at (651) 661-4624 regarding fees Treatment Plant $ 540.00 r Water Supply & Storage $ S ( ^ Ii r'~ State Surcharge $ R Total $ gV I hereby acknowledge that I have read this application,-state ihat the inform tion is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property o nershatlthe City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within property/right- way/easement. i'-\'~l'l~Q iN'I 1 I~_ 1/ X~J7C 111 a - - SIGNATURE F PERMITTE COMMERCIAL 2002 BUILDING PERMIT APPLICATION I O ( QI CITY OF EAGAN 3 Co t 651-681-4675 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master E>at Plan (1) • Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always- • Meter size must be established • Meter size must be established • Meter size must be established -if applicable . Project Specs (1) l • Energy Calculations (1) " l d • Electric Posner & Lighting Form (1) y • Master E>at Plan (1) 1 1 . Emergency Response Site Plan (1) 1 y • Soils Report (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 ' Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: WORK TYPE: _/~NEW REMODEL CONSTRUCTION COST., ZS), oao- ° v SITEADDRESS. 1000 62 o (Gb Prw-L r _ nn n i 11 I ..J J SUITE TENANT NAME' l'tm Pu/c- _v I~;I 1 ~ 2002 ~II FORMER TENANT NAME, IF APPLICABLE: t~u DESCRIPTION OF WORK ✓ dM sm S/^> (P w k Phone I( SZ ) ~zT' "-"//e✓ Name: C Q dtr's PROPERTY Last First OWNER Street Address: _7~ 60 6_. S City: ~111"'r"612 State: ✓17h1 Zip: Company: p~tAA W &Y" ,mac'- Phone#: ( ISL ) C/`f~' Z/L 9 CON c Nt' S: D S rc d es - - 1. -3 3 U~E~'7/N9TrV/ `T~ S' i ~ityn~2 I 0I State: ~N Zip: % ARC i1TEGT/-- r~l1A~ I-NGINEER Company: ~VS'Ile Mm ew(ol/ ~ Phone (~0 62- `Ao 3 S0 Name: 6-le f./144 111 'f"/ Registration Street Address:? b 6 NGtdl-L_ 4~ s. City: MO /-s State: MO Zip: SJ 541- Licensed plumber installing new sewer/water service: Phone I hereby acknowledge that I have read this application, state that the information is correct, and agree to com y with all a licable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applica Updated 7/02 OFFICE USE ONLY SUBTYPE ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Bldg. ❑ 14 Apartments X 27 Commercial/Industrial ❑ 32 Ext Alt - Apts. ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt - Comm. ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt - PF ❑ 37 Nail Salon WORK TYPE ❑ 31 New 35 Tenant Impr ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors ❑ 32 Addition ❑ 36 Move Bldg ❑ 43 Reroof ❑ 47 Repair ❑ 33 Alterations ❑ 37 Demolish (Bldg) ❑ 44 Siding ❑ 48 Authorization ❑ 34 Replacement ❑ 38 Demolish (Int) ❑ 45 Fire Repair GENERAL INFORMATION Census Code X37 Zoning Z ( sq. ft. SAC Code # of Stories sq. ft. No. of Units w Length sq. ft. No. of Bldgs. 1 Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy S 2 F•~ sq. ft. Fire Sprmklered MISCELLANEOUS INSPECTIONS ❑ Gas Service Test ❑ Heating ❑ Insulation 0 Plumbing ❑ Stucco/Stone APPROVALS Planning Building( Engineering Variance Permit Fee VALUATION $ Vy I 1 t7 C v Surcharge Plan Review C, E:~: MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit SAN Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total 3 6 . y3 DEC-02-2002 09:07 TUSHIE MONTGOMERY 612 861 9632 P.02i03 ]14etropolitan Council ilk Building communities that work Ertuiron.mental Services November 22, 2002 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner. The metropolitan council Environmental Services Division has determined SAC for the PentaPure Inc. to be located at 1000 Apollo Road within the City of Eagan. This project should be credited 1 SAC Unit, as determined below. SAC Units Charges: Office 4800 sq. ft. @ 2400 sq. ft./SAC Unit 2.00 Warehouse/Production 16240 sq. ft. @ 7000 sq. ft./SAC Unit 2.32 Total Charge: 4.32 Credits: Office/Warehouse 24256 sq. ft, @ 30% use @ 2400 sq. ft./SAC Unit 3.03 24256 sq. ft. @ 70% use @ 7000 sq. ft./SAC Unit 2.43 Total Credit: 5.46 Net Credit: 1.14 or 1 ***s***:x**a*s****a**s******ao-s*s***s*a*s*****r*astrfissasMSa~*«rs*s**s**** If NET SAC UNITS is a CREDIT BALANCE, please indicate how many will be reserved as Site Specific units of credits for future use on this site. or taken as City -wide _ units of credit to offset current SAC on Form 92A. After credits are taken in this section, send a copy of this letter to the SAC Auditor at the Metropolitan Council Environmental Services. *w:s*r+*••ssres•sr++s•sssws:re*r*rssssse**•t*s*ss*s+e+*s*s*«*+**s*■**s.:• www nxlrtxauncil.or}; Metro tntn Unc 602-1868 2.90 East Fdth Street • St. Paul Mlnnca to 55 10 1-1626 (650602-1005 • F"602-1138 • TIV 291-0904 DEC-02-2002 09 07. TUSHIE MONTGOMERY 612 861 9632 P.03i03 November 22, 2002 Page Two PentaPure If you have any questions, call me at 602-1113. Sincerely, &.LX~~- Jodi L.'Edls staff Specialist Municipal Services Section JLE:(425) 021122SG cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Greg Kinney, Tushie Montgomery Architects TOTAL P.03 ` c CITY USE ONLY PERMIT ~l RECEIPT DATE: EOOE COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAG" 3880 PILOT KNOB RD Eke", MN 55122 651-681-4675 r~ INCOMPLETE APPUCATJON$ WILL NOT BE PROCESSED I Date: © Q ^ vld ` WORK TYPE _ New Bldg _ Add-on _ Repair _ RPZ PVB _ *Irrigation system • Jerry Wobschall to calculate fees. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK ~ns~a 11 5 j 6-,V 5 ,312 Sin(,, j- 60 AIk S (n ~ I-) 6kA-1'Z'_ r To inquire if Pressure Reducing Valve is required on new service, call 651-681-4646 -7 METERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter Irrigation Size & Type Avg GPM VW Fire Size & Price 3/4" displacement $152.00 Domestic Size & Type Avg GPM Does this include high demand devices? _ Yes _ No FLUSHOMETERS -Yes -No ~J PRV REQUIRED _ Yes _ No Site Address: / oo(T Iq pO/'~,Pjp-,) Tenant Name: n^ -(-ig Telephone (Area Code) Was there a previous tenant in this space? _ YxN. If Yes, Name: Installer Name: l i I (Ltj 1 i K d"J51111 CTelephone (Area Code) Installer Address: ~y~,, City: / 6 t(7a State: / / / Zip Code y 3 S FEES Contract price $ x 1% ($50.00 min) Plbg Permit $ . Meter(s) $ Required on all new buildings & boulevard irrigation systems Radio Meter Read $ Surcharge: $.50 Minimum. If base fee exceeds $1,000, calculate at State Surcharge $ 50 cents per $1,000 base. Sub TotaVl'otal $ - - Supplementary fees for new irrigation system: _ - ~ Water Permit S 50.00 Contact Jerry Wobschall at (651) 681-4624 regarding fees Treat ent Plant $ 540.00 - Water, Supply & Storage $ Stale Surcharge $ ~Y----_____ Total $ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the Citt3 pf Eagan assumes no liability for any damages caused bythe City during its normal operational and maintenance activities to the facilities constructed er this p 1i,l n City property/right-of-way/easement. L L SIGNATURE OF PERMITTEE L / i CITY USE ONLY REQUIRED INSPECTIONS: IU.G. 'Test Gas Test _ Rough In Final PLANS SUBMITTED APPROVED BY: f 2 16 JZ/ BUILDING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 (Acct Code # 9220-4509) • RPZ's must be rebuilt every five years. A minimum fee permit (per address) is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement - residential $118.00 4-120 1-1/2" irrigation syst $ 745.00 sm commercial turbine" "must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine Ig irrigation syst $ 923.00 maximum residential & continuous sin commercial production lines 15 3-50 1" displacement very ig tea $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 units maximum am commercial & continuous & Ig comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $439.00 maximum displacement & continuous most comm bldgs 50 1 1 1 L] METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine verylg irrigation cyst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & production lines very Ig comm bldgs 1/2-320 3" compound +200 unit bldgs $2,264.00 10-1000 6" compound +400 unit bldgs $5,900.00 very Ig comm bldgs very lg comm bldgs 15-1000 4" turbine very lg irrigation syst $2,184.00 & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To arrange for water rum-on, call 651-681-4300. cc; Kris Forster, Maintenance Division Clerical Technician Updated 2/02 Mqy~0; ?002 Environmental Management Barry C. Schade May 28, 2002 Director Dakota County Thomas Hedges Western Service Center 14955 Galaxie Avenue Administrator, City of Eagan Apple Valley, MN 55124 3830 Pilot Knob Road 952.8917557 Eagan, MN 55122 Fax 952 89 1.7588 wwwcodakota.mn.us RE: Application for County Hazardous Waste Generator's License Applicant's Name: PentaPure Address: 1000 Apollo Road City/State/Zip Eagan, MN 55121 Dear Mr. Hedges, The Applicant listed above has applied for a hazardous waste generator license from the County. A copy of the application is enclosed for you're your review. According to the Dakota County Sequencing Ordinance (Ordinance 119), Dakota County cannot process or issue a hazardous waste generator license to an Applicant within a city or township (City/Township) unless the Applicant meets all local permit and license requirements. A form containing the information the County needs to receive from the City/Township in writing, as required by Ordinance 119, is enclosed for your convenience. A copy of Ordinance 119 is also enclosed. Please complete the attached form and return it to the Department within 30-days of the date of this request. Your prompt attention to this matter is greatly appreciated. If you have any questions, please give me a call at (952) 891-7548. Sincerely, Laura Villa Senior Environmental Specialist Waste Regulation Enclosures: Application Form - Local Authority's Ordinance 119 Written Response Ordinance 119 O:\HWR\Generator\Letters\Pentapure 119 letter.doc F,rs: - ec,ae,a paper "h 30."a pon roswnrwine ua Equni awxnrvn' x* CEa Mike Ridley From: Andy Rensink [ARensink@pentapure.comj Sent: Friday, May 31, 2002 2:32 PM To: mridley@cityofeagan.com Subject: FW: Pentapure EPA ID Number > -----Original Message----- > From: Andy Rensink > Sent: Friday, May 31, 2002 2:27 PM > To: 'mridley@cityofegan.com' > Cc: Chris Molitor; Mike Puzak (E-mail) > Subject: Pentapure EPA ID Number > Mike, > The information we provided to Dakota county in application for a > Hazardous Waste License is as follows: > We generate a very small amount of waste in our lab from the indicator > that is used to indicate the completion of a reaction. This is a > mercury containing solution, that is very diluted. > Inventory number: classified as Hl > Desription: Waste Mercury solution > Process/Activity: Lab testing for Iodine > Haz Waste Code: D009 > > Amount per year: 30 Gals > Storage: 55 Gal Drum > # shipments/year: <1 > Transport Name: Safety Kleen/Clean Harbors > Facility Name: Safety Kleen/Safe Harbors > Mike, if you need any further information you amy contact me at > 651-554-3165 > Andy Rensink > VP-Operations > Pentapure 1 ` LOCAL AUTHORITY'S ORDINANCE 119 WRITTEN RESPONSE TO THE DAKOTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT (Sequencing Ordinance) The City/Township has been informed that the following Applicant has submitted a hazardous waste generator license application to the Dakota County Environmental Management Department and the County has made a formal request for a response from the City/Township, pursuant to Dakota County Ordinance 119: Name: PentaPure Address. 1000 Apollo Road City/MN/Zip Eagan, MN 55121 Phone: 651-554-3165 In accordance with Ordinance 119, the City/Township is providing the following written response to the Department's request as required by Dakota County Ordinance 119: 1. There has been action taken by the City/Township and Dakota County may proceed with processing the Applicant's hazardous waste generator license application [check one]. Yes No, if no, please explain why not. 2. Does the City/Township intend to consider the above-referenced hazardous waste generator license application [check one]. Yes ~C No a. If Yes, does the hazardous waste generator's license application appear on its face to meet the City/Township's requirements for approval [check one]: Yes, the County may proceed with its review of the application, so long as the County's approval of the application is contingent upon the adoption of any City/Township approvals. Yes, the City/Township requests that Dakota County withhold any action until the City/Township completes its action. No, If not, why not: b. If Yes, when does the City/Township plan to consider the above-referenced hazardous waste generator application? Dated 6l3'~2 Signature for the City of Eaga ~IIGFf~Ct-~i LE`~[print name] S~~k d 'Ti Mt J Z [title] CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: S P 1 l to 3 INSPECTOR O a COMMERCIAL MECHANICAL PERMIT APPLICATION CITY OF KAHIRN 3830 PILOT KNOB RD KAGM, MN 551 EE ( 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: la bah A f o ~ SITE ADDRESS: / ~Q r l ((f eo- J.4AJ ~I OWNER NAME: ?_t r 'A P L&rp_ PHONE 1 d' 10 3 l (AREA TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS C1 SPACE? _ Y _ N. NAME: INSTALLER: nn l~ j ( 6y ~ 1 A I 1 Am ~ ca ADDRESS: 414; CO 7 S-l(- PHONE#: "!sa _ S3~ - 3g1 (AREA CODE) r , CITY: G 1 ~ STATE: / ' 1 r`/ ZIP: sSq_ J WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nature of Work: MaD / R~h127Yy5' - 3 ~f~ /tS ma✓ Q D~ SQ2 t'Y'PL` V, heaf'ers . When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $.5+t000 xl%=$ 5do (Base Fee) State surcharge T~ - ST-)calculate at $.50 for each $1,000 Base Fee TOTAL $ I OF PERMITTEE Updated 1/01 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: 'S I 16 3 INSPECTOR U 3 COMMEftCIAL MECHANICAL PERM T AppLICATION CITY OF EAeAN 3630 PILOT KNOB RD EAGLAN, MN 55188 651-661-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: I 1..' [1003 jj~ SITE ADDRESS: QW FRJAN Liu OWNER NAME: ~~iyrfl4 PHONE#: ~ (AR e H TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y X N. NAME: C21 I .,I 4Y-6.L I INSTALLER: ADDRESS: L'L S~ PHONE#:(~ JT~T_- W -3S/Q c W-23916 all (AREACODE) c C CITY: f STATE: IMP ZIP: JJ Y 3 S, WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping l 1 Specify Nature of Work:_ -b ks-~ When installing/removing underground tank, call 651-681-4675 fo pectfon by Fire Marshal and Plumbing Inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $T NAM x l% = $ _ 4 , (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ _L ~ `t9 sc~ IGNA ERMI E Updated 1/01 MECHANICAL (COMMERCIAL) Permit Application City Of Eagan s 1©, l 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date AO /`f / 03 Site Address MOO J4PDL~y 1204,40 Unit # Tenant Name (if applicable) pF^_779 - fZIAZ6< Previous Tenant Name Property Owner Telephone # ( ) Contractor ~~/2 j~ok'A7~ ,9jlECrlA.~~UP L Street Address `l S BOI?© ~9 V.#5r_ / o City /VE6 t/ tf1~f E State '0027^1 Zip Telephone # ( 762 ) The Applicant is Owner Contractor Other Work Type New construction Underground Tank -Install -Remove Ll~< Interior Improvement Call for inspection during installation/removal of tank _ Processed Piping Nature of Work: ~hTXND DUGT~r/vi2,e =d2OS4 ~k 1.37-1,/6. Roe),A P 6-N1 1/2aW/n/v ~NGLc~lE~ Permit Fee $50.50 Minimum Fee (includes State Surcharge) Contract Value $ `~c%$ V x 1% _ $ -S~ 7~•bs Permit Fee • If permit fee is $1,000 or less, add $.50 $ , • S~ State Surcharge If permit fee is over $1,000, add $.50 per ( 5 n C ~i,l ~S f $ 1,000 Permit Fee I I .^'sjN !"ra II nit 3 Total Fee i ne S87U I hereby apply for a Commercial Mechanical Pe formation is complete and accurate; 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 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. R is e R7)El2 1~9~ Applicant's Printed Name Applicant's Signature n to-~~~03 ~-jy o Approved By: ~ f!" Inspector Date: /0 - 3 COMMERCIAL BUILDING Permit Application (O-?-- City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 d1 Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Only New Building Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " . Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always- • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always- • Meter size must be established . Meter size must be established • Meter size must be established-if applicable 1 • Project Specs (1) 1 . Energy Calculations (1) " l 1 • Electric Power & Lighting Form (1) " l 1 • Master Exit Plan (1) 1 1 . Emergency Response Site Plan (1) 1 • Soils Report (1) 1 • SAC determination - call 651-602-1000 . SAC determination -call 651-602-1000 SAC determinabon -call 651-602-1000 Cat] MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Buddmg Inspections for sample and if required when it states "not always". Permit for new building or addition will not be processed without Emergency Response Site Plan. I~~21di~~_oo Date/ Construction Cost Site Address //gy~p L~.a ff Unit/Ste # Tenant Name te PQM ll Former Tenant Name PMtxt PU fir, Description of work j~tk✓to/Cytyvtyt7 yy ~4e2~L-kmanyt - on-'e-40)52 4P Property Owner C/, &444 UJ" S Telephone # (9SL) 2 F `E68 laJ~ [C Contractor D J UJ6.-Vise 6, Address 73 (o3 ai/V 1 1414 ✓1 - S City i~eI'."t2s( State Zip 3'7 Telephone # (Q5Z-) LiQ-f Arch/Engr KldAl~ l PeyLI~ W/2, -R7 Address 6 State /Zip Telep ~ 2) f,isek Ne.(-J OU f/.LICE ~A/~ J By_ - ~ 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 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. -bautd lames , I %w~~ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑6 Public Facility ❑ 30 Accessory Bldg. ❑ 14 Apartments N 27 CommerciaUlndustrial ❑ 32 Ext Alt - Apts. ❑ 15 Lodging ❑ 28 Greenhouse G 34 Ext Alt - Comm. ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt - PF ❑ 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 9K'33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ~24j ooo Occupancy -S F-/ MCIES System Census Cade X37 Zoning / l~- City Water SAC Units Stories Booster Pump - Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ALB S&C 2 aoo Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. Footings (deck) Finat/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other ~i Axe 6 LOC i^wof _ ice & Water _ Final _ Pool Ftgs Alr/Gas Tests _ Final ✓Framing Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final - Windows (new/replacement) - Insulation _ Retaining Wall Approved By Ntk_e L. Building Inspector - - - - - - - - - Base Fee 40 1.85' Surcharge 13,06 Plan Review a la 1 D MC/ES SAC City SAC Water Supply & Storage S/W Permit SAN Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total L2 6. oS 2004 COMMERCIAL PLUMBING PERMIT APPLICATION (0`1 4 1 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 - 651-675-5675 Date Site Address 1 Opn A pn h R J Unit # Tenant Name PL_ aT-P t 2 I-lv. Former Tenant Name Property Owner PC, nz- :3 CJ y r a Telephone # (10 D) 3G3 -S IS 'h Contractor CT r Vr~leC ka A ,Cd 1 Address L{ys i I.J • 1 Co+zE+ City Ed I n"I State Zip SSy 3.5 Telephone # (95a) g3 S The Applicant is Owner Contractor Other Work Type _ New Bldg _ Add-on - Repair pL, RPZ _ PVB _ Irrigation system «Jer Wlobschaall to calculate fees. Required meter size is 2" turbo vale smaller size permitted b Public Works Description of Work R e 6,-,i 1 d (';x 1 R P Z V d I V t= S To inquire if Pressure Reducing alve is required on new service, call 651-675-5646 r- Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter 1 LS Irrigation Size & Type Avg GPM , Fire Size & Price 3/4" displacement $155.00 L L/ Domestic Size & Type Avg GPM Includes high demand devices -Y.es__ No I Flushometers - Yes - No PRV Required _ Yes -No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1% _ $ Base Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ State Surcharge If base fee is over $1,000, surcharge is $SO per $1,000 of the Base Fee Following fees apply only when installing new irrigation system $ Water Permit Contact Jerry Wobschall at 651575-5024 for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge - $ Total Fee I hereby apply for a Commercial Plumbing 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 Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Pol'l' d--; c-i 1 n r M of !Y V (i ~l/~~ (3G Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL PLUMBING PERMIT APPLICATION 16 ~Z) CITY OF EAGAN 5 lJ L 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date//OS Site Address n( _ l~_sx_-v-~M n @~ C➢.p~ Unit # Tenant Nam w~~ v Former Tenant Name v Property OwnersNQ~n(~ Telephone # ( ) Contractor Address ~Ar~ka 1~kloCity State Mr~ Zip55kj\2 Telephone#Cp\Z.)'5n-47D`7 The Applicant is Owner Contractor Other Work Type _ New Bldg _ Add-on Repair _ RPZ _ PVB _ Irrigation system * Jer Wobschall to calculate fees. Required meter size is 2" turbo unless smaller size permitted by Public Works Description of Work _A\ V LQU k ~_5 To inquire if Pressure Reducing Valve is r red on new service, call 651575-564G Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to Picking up meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $155.00 Domestic Size & Type Avg GPM Includes high demand devices? - Yes - No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ ?S ffL n • x 1% _ $ Base Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ State Surcharge If base fee is over $1,000, surcharge is $SO per $1,000 of the Base Fee Following fees apply only when installing new irrigation system $ - Water Permit Contact Jerry Wobschall at 65 1 5 7 5-5024 for required fee amounts Treatment Plant Water Supply & Storage JAN 0 7 2A5 I State Surcharge - y g cJ Total Fee I hereby apply for a Commercial Plumbing 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 Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed are AV ant's Signature (31oC, I n 2004 COMMERCIAL BUILDING PERMIT APPLICATION ~ ~ C r 5~_a~n ~ City Of Eagan I a 30-0~ 3830 Pilot Knob Road, Eagan Mn 55122 _ Telephone # 651-675-5675 FAX # 651-675-5694 4 L I'll I, W-11 • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always- • Meter size must be established • Meter size must be established • Meter size must be established-if applicable L • Project Specs (1) L • Energy Calculations (1) " 1 L • Electric Power & Lighting Forth (1) " L L • Master Exit Plan (1) L L • Emergency Response Site Plan (1) L • Soils Report (1) L • SAC determination -call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination -call 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". Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 12- / ?-Z- / Construction Cost / UUU Ov Site Address (U00 p Ito Unit/Ste # Tenant Name (fUI7J r) yr qwr.%c0 lUCL~`G Former Tenant Name Des ription of work A v, L LL" 40 CA",-LA 9 rct etc 1, a id v `c S r vt v Property Owner euJ t &ic( 4.C~ L S Telephone # `(L F6eS bm e r 7Yl C~ Contractor IRlm Address '73 (e 3 Uji), I V( ~ItY, S City ~yvw State fM f✓ Zip L5~5i 3 Telephone # ( IT-L) fY l ' Z l L Arch/Engr c 0 Registration # Address C s e vu City State ~ one # ( ) Licensed plumber installing new sewerlwater service: DEC 2 2 2004 Phone ( ) I hereby apply for a Commercial Building Permit a 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 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. ~dt/r G~ ~ 0. VN 2 ~ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Building ❑ 14 Apartments ❑ 27 Commercial/Industrial ❑ 32 Ext Alt-Apartments ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt-Commercial ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt-Public Facility ❑ 37 Nail Salon Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 36 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)` ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 000 Occupancy E- MCES System Census Code 43-7 Zoning s City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered / Type of Const -rr-(3- Width / Required Inspections - Footings (new bldg) Insulation - Footings (deck) -Final/C.O. Footings (addition) ✓ Final/No C.O. Foundation _ Other _ Drain Tile _ Roof _ Ice Pr _ Decking - Insul _ Final Pool _ Ftgs _ Air/Gas Tests _ Final ✓Framing _ Siding _ Stucco _ Stone _ Fireplace - R.I. -Air Test -Final _ Windows Approved By: Planning K L Building Inspector Base Fee 3o7, - 5-Surcharge 9,5-0 Plan Review 1 R Z 1 MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S1W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total sy/ . q0 2004 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 `-E (09 - ~ ~ Telephone # 651-675-5675 FAX # 651-675-5694 vvW~ A~ a-a5 Foundation Only New Building Interior, Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Cenlficate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established-if applicable 1 • Project Specs (1) l • Energy Calculations (1) 1 • Electric Power & Lighting Form (1) 1 • Master Exit Plan ' , (1) l l • Emergency Response Site Plan (1) l • Soils Report (1) l • SAC determination -call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination -call 651-602-1000 Call MIN 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". Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 2- l ZU l Construction Cost r17~ bid ' 6 Site Address loco, O ( t!o Unit/Ste # Tenant Name -uM le-- rr Former Tenant Name Description of Work f44-10/' G CS Property Owner C lg nF- e-1l44 efiil15 414 vv { Ajj~j Me /GV(ra~ Telepbone # ff52 Contractor G v //NQ omSI L Address X317 3 LU6= N r vc~ y S• City ~e vt c~ State / 11111 l eJJX67 Zip 53 t3 -7 Telephone # (f52-) %V/- Z fe f Arch/Engr ; c'-k6r// L r1 Le,(. 4 Registration # Address 2361 E!d~e~tt£t City All U1f~c State Yl H✓ Zip 5 113 Telephone # (G S1 ) b 3 677S 7 r 111 ,I I . L Ll u ~ ~i Licensed plumber installing new sewer/water service: Phone Jinn - I hereby apply for a Commercial Building Permit and acknowledge that the informati L-an comple*-,afid accurate that the work will be in conformance with the ordinances and codes of the City of i =tIe-S MI` Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without i permit; that the work will be in accordance with the approved plan in the case of work which requires a review an( approval of plans. a T)od ~QwIeS 1 Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Building ❑ 14 Apartments X 27 Commercial/Industrial ❑ 32 Ext Alt-Apartments ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt-Commercial ❑ 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 (Bldgr ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 107, Doo ^ Occupancy 84-10 SL MCES System Census Code 43-7 Zoning City Water ✓ SAC Units -C ^ Stories Booster Pump Nbr. of Units G Sq. Ft. PRV Nbr. of Bldgs I Length Fire Sprinklered Type of Const 'Ar Width Required Inspections - Footings (new bldg) _ /Insulation Footings (deck) Final/C.O. Footings (addition) _ Final/No C.O. - Foundation _ Other _ Drain Tile _ Roof _ Ice Pr _ Decking _ Insul _ Final Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco - Stone Fireplace _ R.I. _ Air Test _ Final _ Windows Approved By: Planning ~N~Building Inspector Base Fee 27 Z°r Surcharge $ . YD Plan Review MCES SAC City SAC Water Supply & Storage S/W Permit A. i . FIRE SUPPRESSION SYSTEMS Permit Application City Of Eaganj 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and components to be used Date 01. / 1.0 / 03 Site Address: 1.000 Apollo Road Tenant / Building Name: Penta Rtre The Applicant is: Owner x Contractor Other PROPERTY OWNER Penta Pure Address: 1.000 Apollo Road City: Fagan State: t1i Zip: CONTRACTOR Shield Fire Protection NIN License No. 0014 Address: 7340 Washington Avenue South City: Eden Prairie State: P1innesota Zip: 55344 Phone 952-941-701.0 ESTIMATED COMPLETION DATE: 4 / 1. / 2003 FIRE PERMIT TYPE: X Sprinkler System of heads 234) _ Fire Pump _ Standpipe Other: WORK TYPE: New Addition x Alterations Remodel Other: DESCRIPTION OF WORK: x Commercial _ Residential _ Educational Other: PLEASE COMPLETE REVERSE SIDE PERMIT FEE: Contract Value $ 32,000.00 x .01% _ $ 320.00 Permit Fee • If Permit Fee is $1,000 or less, add $.50 $ .50 State Surcharge If Permit Fee is over $1,000, add $.50 per $1.000 Permit Fee 3/4" Displacement Fire Meter - $156.00 $ TOTAL FEE: $5050 Minimum Fee (includes State Surcharge) $ 320.50 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. Richard 1. Pease 6 u~ z Applicant's Printed Name Applicant's Signature 01/10/03 Date DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS Hydrostatic X Flow Alarm Drain Test Trip Pump Test Central Station _ Final Conditions of Issuance: Permit Approved b Date: 11-7 / 01 2007 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN NIN 55122 651-675-5675 Date 11 16 07 41011 Site Address 1000 Apollo Road Unit# ' Tenant Name Pentapure Former Tenant Name Property Owner 3M Cuno Telephone # ( ) Contractor NewMech Co., Inc. Address 1633 Eustis Street City St. Paul State MN zip 55108 Telephone # License# 5409PM Expires: 12/31/07 The Applicant is Owner X_ Contractor Other Work Type New Bldg _ Modify Space _ Irrigation System" _ Yes _ No Work in public r-o-w / easement? X_ RPZ _ PVB: _ New _ Repair/Rebuild _ Replace _ Remove Rain sensors are required on irrigation systems Description of Work Test one and remove 1 RPZ To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter 174.00 Domestic Size & Type Avg GPM Includes high demand devices? - Yes _ No Flushometers - Yes - No PRV Required _ Yes - No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ 200.00 x 1% 50_00 Permit Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read $ .50 State Surcharge If permit fee is less than $1,000, surcharge is $ 50 if permit fee is more than $1,000, surcharge is $.50 for each $1,000 owed. Following fees apply when installing new lawn irrigation system $ Water Permit Call the City's Engineering Department, 651-675-5646, for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge $ Total Fee I hereby apply for a Commercial Plumbing 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 Plumbing Codes; that I understand thi [ a permit, but only an application for a permit, and work is not to start without a permit; that the work will be to accordance with the approved plan in the c of work hick requires areyaew-gnd approval of plans. J Richard Poser Applicant's Printed Name Applicant's Signature . ar b _i I Permit Of(/S I I City of Cagan ~ I ~ 7 Permit Fee: , 3 ~ Q v~ I 3830 Pilot Knob Roar Phone: (651) Eagan MN 55122 ~ ~ Date Received: 7 5F r 2 5 ZOCd Fax: (651) 675-5694 Staff: J 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: ~603 oron I I l~'T_c5ly u i Tenant Name: ; k p (Tenant is: New / Existing) Suite PROPERTY OWNER Name: IYl Phone: Address / City / Zip: Applicant is: _ Owner - Contractor TYPE OF WORK Description of work: Z0- 0-k Constructi Cost: 14 7 CONTRACTOR Name: 1 license Address: /-e- `t L City: k I\~,C-CK_ A1 S State: -k~ 3-zip: ~~/0 0, Phone 59D9 1L C~1~ P Contact Person: -AA-'>\P~~~J3 ARCHITECT / Name: Registration ENGINEER Address: b 4-1'5 Lr 60 ~ ~ City: State: s Zip: Phone: Contact Person: d~ Y 2_J~ 1 F~ Licensed plumber installing new sewerlwater 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.' 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. II Applicant's Printed Name / App icant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES: ❑ Foundation ❑ Public Facility ❑ Accessory Building ❑ Apartments X Commercial / Industrial ❑ Ext. Alteration-Apartments ❑ Lodging ❑ Greenhouse ❑ Ext. Alteration-Commercial ❑ Miscellaneous ❑ Antennae ❑ Ext. Alteration-Public Facility ❑ Nail Salon WORK TYPES: ❑ New ~f Interior Improvement ❑ Siding ❑ Demolish Building' ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior ❑ Alteration pp,,~~svy'~ ❑ Fire Repair ❑ Demolish Foundation ❑ Replacement KAM96- &97b ) ❑ Windows ❑ Water Damage ` Demolition (entire building) -give PCA handout to applicant DESCRIPTION: Valuation am 60 Occupancy rj - 1 MCES System Plan Review ✓ Code Edition SAC Units 60 (25% 100%~7__ Zoning City Water Census Code Stories Booster Pump # of Units 0 Square Feet PRV # of Buildings 1 Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock Meter Size: _ Footings (deck) mal/C.O. _ Footings (addition) L,/Finai/No C.O. _ Foundation HVAC _ Drain Tile Other: Roof: _ Decking _ Insulation _ Final _ loeM/aler Pool: _Foofings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. Air Test -Final Windows Insulation Retaining Wall Final CIO Inspection: Schedule Fire Marshal to be present. Yes -No Reviewed By: , Building Inspector Reviewed By: - Planning COMMERCIAL FEES: Base Fee V Z .~a Surcharge 6 , Zg Plan Review D • ('g SAC-MCES SAC-City S/W Permit Financial Guarantee S/W Surcharge Storm Sewer Trunk Treatment Plant Sewer Lateral Treatment Plant (Irrigation) Street Sewer Trunk Park Dedication Water Lateral Trail Dedication Other Water Trunk Water Quality Water Supply & Storage (WAC) Total c O?j Page 2 of 3 For~Office Use I Permit #:S of Faun C I Permit Fee: I 3830 Pilot Knob Roayyrr 11 IS G l 'i~ I 71 Date Received= w I Eagan MN 55122 51 J I Phone: (651) 675-567 Fax: (651) 675-5694 5 i Start: , - J I 2008 COMMERCIAL BUILDING PERMIT APPLICATION C~ Y Date: Site Address: LCGb Tenant Name: C Y /t (Tenant is: New / _Existing) Suite PROPERTY OWNER Name: m Phone: Address / City / Zip: Applicant is: _ owner _Contractor TYPE OF WORK Description of work: 100. A ~^'7" t C~~ Constructi Cost: 4 ` icense CONTRACTOR Name: Address: ' k-l L City: l C~~O \ S State: >Nl Zip: 5SH L Phone:UO- Contact Person: 'L, ARCHITECT I Name: S ~.h Registration bd ENGINEER Address: LP~~S Stater Zip: City: Contact Person: Phone: - Phone Licensed plumber installing new sewer/water service: NOTE: Plans and supporting documents that you submit are, considered to be public lnforrriatfon. Portions of the Information may be classified as non-public if you provide specific reasons that would permit the Ctty,to conclude that the are trade secrets. 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. 4,~ 411, X / ~a f t l 1 x L e Applicant's Printed Name App icant's Signature Page 1 of 3 OR- NORTHERN AIR CORP STAT SHEET 75 S.OWASSO BLVD. ST PAUL, MN. 55117 PH#612-490-9868 JOB NAME: COMPANY STARTE FOR,', ADDRESS- ,'r, TECHNICIAN:- _ CITY: 'ci.✓-= DATE STARTED: ***k****** ****9X*'X~'************:F****,t*:F;k***1C*'XJF*.t**X'*t*YC*******:tif A'**:h***t JF'} BURNER INFORMATION ADDRESS OCCUPANT- R CITY ZOO= SUBURB=• INSTALLED BY: OWNER - w-- GAS LINE BY:-- UNIT INFORMATION ( OFF OF NAME PLATE ) MFR. MODEL ~r 4J SERIAL- # Cn,/j~s~, q - INPUT BTU-:: ~ TYPE OF HEAT-_ GA FA HW _ STEAM SPACE HTR_ "UNIT_HTR_-_- OTHERS THERMOSTAT- VENT SIZE GAS VALVE,. KIND OF LINER SIZE= NONE LIMIT TYPE-- - CHIMMNEX LOCATION LIMIT SETTING CHIMNEY CONSTRUCTION- FAN SETTING- r`• ti. _ SPILLAGE PILOT TYPE- _ PRESSURE- PILOT MAKE- INPUT CFH_ az~j PILOT MODEL STACK TEMP ~4dv _ _ PILOT TIMING) )_5nN_y~j pERCENT CO '/Q~0Tom. CO- ` L.W CUT OFF.-r _ DATE TESTE~ BELT SIZE TESTED BY:„---'- FILTER SIZE .;!t9Xo2.(j jc COMPENTENCY BURNER INFORMATION ADDRESS _ CITY___- SUBURB--.- OCCUPANT.,, INSTALLED BY:,._-_ OWNER-...-_ GAS LINE BY' _ UNIT INFORMATION ( OFF OF NAME PLATE ) MFR. MODEL SERIAL INPUT TYPE OF HEAT` GA__ FA_ HW-A STEAM_ SPACE HTR_` UNIT HTR__ OTHERS- THERMOSTAT i-"__ VENT SIZE GAS VALVE--.- KIND OF LINER_.~__ SIZE___ NONE__. LIMIT TYPE V~.__ CHIMMNEY LOCATIONM__- LIMIT SETTING----_-, _ CHIMNEY CONSTRUCTION____ FAN SPILLAGE---- - PILOT TYPE-__ PRESSURE PILOT MAKE__ INPUT CFR___----~---- PILOT MODEL__-_ 7 STACK TEMP PILOT' TIMING _ PERCENT 02 CO-- L.W CUT OFF--__ DATE TESTED _ _ BELT SIZE TESTED BY:- _ - FILTER SIZE _ COMPENTENCY COMMENTS: NORTHERN AIR CORP. PH# 612-490-9868T FAX# 612-490-163 D LS - OR 3 0 208 c ELF By S / dab ~ For Qfrtce l1seFl ~ I J ~~1 SCOf~ I (Vd j City of EapIl ~O I Permit If I ~Q rl ` ~y e~ S 1 Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 ~7 EC / j Date Received: Phone: (651) 675-5675 Fax: (651) 675.5694 Staff: L 2008 MECHANICAL PERMIT APPLICATION Date: Site Address: 1000 A jo(1u 1Z~r Tenant: Vokc""t Suite RESIDENT / OWNER Name:CQ R~C- " Phone:QS;) ~/oZ (17 Address / City / Zip ~'7l°~ r ~wcS S - 5 ' r CONTRACTOR Name: `VAC- Me6k&ntj 5~1-Vtc9151cense#: Address: (OP 1 (...4~0o r`~ i m4 u-5,y-v n-~ QA City: VAicts 4'~1sti.'S Stt(ate: Zip: 55 I I D Phone:~54q0-`1 (C+~ Contact Person:~V k"f- K 1S'R.O-r TYPE OF WORK New -Replacement Additional 4Alteration Demolition Description of work. m~ t V ttiA-Loo(- c a O *Dn R NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners 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 HVAC units must be screened _ Heat Pump _ Under / Above ground Tank L- Install / Remove) Other - When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: Minimum Add nn or atera5on tG av u,71! (ncl,;de3 $.50 otaie Surcharge) 90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ 3 I DOCK x1% $50.50 Minimum (includes State Surcharge) SID Permit Fee If Permit Fee is less than $1,000, surcharge is $.50 - If Pemtit Fee is > $1,000, surcharge increases by $.50 for each = $ o Sd State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ 3l~ TOTAL FEE I hereby acknowledge that this information is complete and accurate, that the work will be in conformance with the ordinances an of f E n, a 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 b rid e h e pr plan in the case of work which requires a review and approval of plans IJ x~`ncxr`t~ S+l xC~ L JL a P 0 9 2008 Applicant's Printed Name Applicant's Signature FOR OFFICE USE - Reviewed By: Da Required Inspections: Under Ground Rough In Air Test Gas Service Test In-floor Heat inal S ,3bCK Fiir;Offcg~Use, (GCo7 City of Eakan i Permit of 1~{J I Permit Fee: I 3830 Pilot Knob Road Eagan NIN 55122 Date Received: a - Phone: (651)675-5675 Fax: (651) 675-5694 j Staff: v (O I L-----------------I 2008 COMMERCIAL BUILDIN//G~~ PERMIT APPLICATION Date: 7 7- obSite Address: l d o /NO eu (Tenant is: _ New _ Existing) Suite / Tenant Name: ✓ PROPERTY OWNER Name: CA P-F- Phone: ~Sz' y~~' ` f arc Address / City / Zip: S, Applicant is: _ Owner Contractor TYPE OF WORK Description of work ~f 1 / ar Lryo Construction Cost: 47s-, &z - CA CONTRACTOR Name: \ L fMS OU- License Address: ~S A, 16 V City: iM(vtvLc VW S te: ^ Zip: Phone: 5-2 -Zt/d 1 Contact Person: k//1 u d wJ ARCHITECT I Name: Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: 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 rea`sons,that would permit the City to conclude that they are trade secrets: . 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 ~ x App rcant's Printed d Name Name Applicant's Signature Page 1 of 3 --C--------------, Alk, For Office Use City of Eapn Permit#: 3830 Pilot Knob Road j Permit Fee: ~ j Eagan MN 55122 I I Phone: (651) 675.5675 Date Received: j Fax: (651) 675-5694 Staff: U 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 0"' 08 Site Address: 000 APOI-L-0 X20 D Tenant: V19-64"7- CROAlr(_ s}NT Lr/i¢-S &/Vo Suite#: PROPERTY Name: G$ /y/1 N ' Phone: V688 OWNER CONTRACTOR Name:<1i License (027196-,P14 Address:.$7/Z/ /f/~580~4 /l✓E-Ncity: 17ZO/''C State: j4/ ip:.$S_ya9 Phone: 763 -87.3-3 070 Contact Person: !GK Pp75P~2 TYPE OF New Replacement Repair -Rebuild CX~ModifySpace _ Work in R.O.W. WORK Description of work: I - r /Nam bX-M O QNL ya PERMIT TYPE COMMERCIAL - New Construction Modify Space Irrigation System yes / _ no) RPZ PVR) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 314" meter 183.00 Avg. GPM High demand devices? _Yes _No Flushometers _Yes No PRV Required _Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract value x1% Permit Fee Required on ALL new buildings and boulevard irrigation systems = $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 Meter(s) - If Permit Fee is> $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permll Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). State Surcharge Following fees apply when Installing a new lawn Irrigation system. $ Wafer Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ Stale Surcharge TOTAL FEES $ 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 1 understand this is not a permit, but only an application for a permit, and work is not to scan without a permit; that the work wi in accor nce wit approved plan in tha case of work which requires a review and approval of plans. x /z-!GK P077,_ 7Z x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Page 1 of 3 a i (J ---/-Q-~---' I ' I CJ V ( V I , City of Ea~aIl I Permit#: 5(~3 3830 Pilot Knob Road i Permit Fee: Eagan MN 55122 I Date Received: (o 6 $ Phone: (651) 675-5675 Fax: (651) 675-5694 i staff: 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: /000 ~G + 10 9-c~ Tenant Name: (Tenant Is: _New/_ Existing) Suite PROPERTY OWNER Name: I~L7 r h t rt III S Phone: .9s~ ` Ito/3 Address /City /Zip: 1-7 /O (1 ':aa'?LL Ace 5 /r V7~~~w4 e?~~5 Applicant is: _ Owner XContractor ' Ja S TYPE OF WORK Description of work: Construction Cost: -FqZ~) 7 O o D rsa+ ~IEifV~Tc ~IVS CONTRACTOR Name: ~n P i /1 P~ (~iYIJCha? License Address: rS/ t lP C0l L d City: Yt-i ✓1 ';~4 Yid QQ /)//".5 Sttate: ~ Zip: y~0-Z Phone: U Lc{ `.0U- a 7LP Contact Person: /-Ops ARCHITECT I Name: -7a ih e Registration ENGINEER i s Jon Address '3- ~ CRY: ~7 / / State: //Zip: Phone: 61P -&WPerson: /tom / 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 clessiRed as non-public N you provide sped is reasons that would permit the City to condude that are trade secrets. 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 J l /i r' s S 1,51 lr-d x• / + tiGli. 1 Ikant's Printed Name p scent's Sltnatutiil Page 1 of 3 a ~ DO NOT WRITE BELOW THIS LINE SUB TYPES: ❑ Foundation ❑ Public Facility ❑ Accessory Building ❑ Apartments Commercial / Industrial ❑ Ext. Alteration-Apartments ❑ Lodging ❑ Greenhouse ❑ Ext. Alteration-Commercial ❑ Miscellaneous ❑ Antennae ❑ Ext. Alteration-Public Facility ❑ Nall Salon WORK TYPES: ❑ New x Interior Improvement ❑ Siding ❑ Demolish Building' ❑ Addition ❑ Move Building ❑ Retool ❑ Demolish Interior ❑ Alteration ❑ Fire Repair ❑ Demolish Foundation ❑ Replacement ❑ Windows ❑ Water Damage • Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation l~ l68r 600 Occupancy F MCES System Plan Review ✓ Code Edition ~be7M*& L SAC Units ~.CMGES) (25% 100% Zoning - ( City Water I✓~ Census Code Stories ! Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock Meter Size: _ Footings (deck) vw/ Final/C.O. _ Footings (addition) Final/No C.O. _ Foundation HVAC _ Drain Tile Other: Roof: _ Decking _ Insulation _ Final - Ice/Water Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. _AirTest -Final Windows Insulation Retaining Wall Final C/O Inspection: Schedule Fire Marshal to be present. ✓Yes -No Reviewed By: c~yFrr Building Inspector Reviewed By: t - Planning - COMMERCIAL FEES: Base Fee L 3 SL , 7 f i Surcharge S~ D" Plan Review 6} 31 . ~ i SAC-MCES j .r r-, ~ V SAC-City qao . a.0 ✓ S/W Permit Financial Guarantee SM Surcharge Storm Sewer Trunk Treatment Plant b, 316 • a t~ Sewer Lateral Treatment Plant (Irrigation) Street Sewer Trunk Park Dedication Water Lateral Trail Dedication Other Water Trunk Water Quality ,rr Water Supply & Storage (WAC) Total 4- Y Page 2 of 3 y~ Metropolitan Council u Environmental Services June 18, 2008 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC for the French Meadow Bakery to be located at Eagan Corporate Square - 1000 Apollo Road within the City of Eagan. This project should be charged 9 SAC Units, as determined below. The Council understands that neither industrial waste nor cooling water will be discharged to the Metropolitan Disposal System. SAC Units Charges: Office 7068 sq. ft. @ 2400 sq. ft./SAC Unit 2.95 Meeting Room 528 sq. ft. @ 1650 sq. ft./SAC Unit 0.32 Manufacturing/Production (wet) 5000 gal./day @ 274 gallons/SAC Unit 18.25 Total Charge: 21.52 Credits: Office/Warehouse (grandparent 1970) 56,616 sq. ft. x 30% @ 2400 sq. ft./SAC Unit 7.08 56,616 sq. ft. x 70% @ 7000 sq. ft./SAC Unit 5.66 Total Credit: 12.74 Net Charge: 8.78 or 9 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, call me at 651- 602-1378. Sin erely, Jessie Nye SAC Coordinator Environmental Services Division D I I~r- ~J JN:kb: 080618A7 JUN 2 0 200 cc: File, MCES Paul Neubauer, MCIW Peggy Fleck, Eagan Hans Sielker, Greiner Constructidh" metrGCo mat.org 390 Robert Street North • St Paul, MN 55101-1805 • (651) 602-1005. Fax )651) 602-1477 . TTY (651) 291-0904 An Fipml Opportunity Emp(uyer &GOc' T G/in /T !Y¢O~ EAGAN REVIEWED BY: l~cn? Y~ ' French Meadow Facility DATE: Inventory of Possibly Hazardous Materials 1000 Apollo Road BUILDING INSPECTIONS DIVISION Information as provided by Tenant Eagan, Minnesota 55121 Material Physical CAS Class Container Number of Largest Amount Complies State Number Size Containers Amount Allowed With Stored - IBC Table Maximum 307.11 Allowed 104 Stakleen Liquid 68131-39-5 NA 1 Qt 72 18 gal NA Yes 57018-52-7 74-98-6 106-97-8 64741-66-8 67-63-0 64742-48-9 Bowl Tamer RTU Liquid 506-89-8 NA 1 qt 36 8 gal NA Yes Drainguard Iodine Solid 7553-56-2 NA 4 oz 216 54 pounds NA Yes Blocks 7631-86-9 Chloroguard II Liquid 7681-52-9 NA 1 gal 24 24 gal NA Yes 1310-73-2 F-120 Liquid 6834-92-0 NA 55 gal 6 330 gal NA Yes 1310-73-3 F-196 Liquid 1310-58-3 NA 5 gal 6 30 gal NA Yes 111-77-3 1310-73-2 F-25 Liquid 68391-01-5 NA 55 gal 3 165 gal NA Yes 68956-79-6 64-17-5 Hand guard foam Liquid 139-08-2 NA 34 ounces 24 7 gallons NA Yes E cleaner and 27479-28-3 Sanitize Rich Products Corporation PAGE 1 Table as Created or Compiled: August 7, 2008 French Meadow Facility Inventory of Possibly Hazardous Materials 1000 Apollo Road Information as provided by Tenant Eagan, Minnesota 55121 Material Physical CAS Class Container Number of Largest Amount Complies State Number Size Containers Amount Allowed With Stored - IBC Table Maximum 307.11 Allowed Mid Brite Liquid 112-34-5 NA 5 gal 6 30 gal NA Yes 25155-30-0 Orange Kleen Liquid 5989-27-5 NA 1 gal 12 12 gal NA Yes 56-81-5 8006-54-0 Power Foam ALS Liquid 6834-92-0 NA 55 gal 3 165 gal NA Yes 7758-29-4 7681-52-9 See Thru Liquid 111-76-2 NA 1 qt 36 8 gal NA Yes Super Lime-Sol Liquid 7664-38-2 NA lgal 24 24 gal NA Yes Ultra Strip Liquid 111-76-2 NA 5 gal 3 15 gal NA Yes 1310-58-3 141-43-5 122-99-6 Ultra Marathon Liquid 111-90-0 NA 5 gal 3 15 gal NA Yes 34590-94-8 78-51-3 VigorOx Liquid Liquid 79-21-0 NA 5 gal 3 15 gal NA Yes Sanitizer and 7722-84-1 Disinfectant 64-19-7 HI-VIS 20 Liquid 1310-58-3 NA 1 gal 12 12 gal NA Yes 112-34-5 Rich Products Corporation PAGE 2 Table as Created or Compiled: August 7, 2008 333 Hollenbeck St. Emergency Phone: Rochester NY 14621 INFOTRAC: 1-800.535.5053 Information 5855--336 336-2200 OUTSIDE OUTSIDE US. 1-352-323-3500 Rochester Midland Corporation MATERIAL SAFETY DATA SHEET REVISION DATE: 11/03/2006 REVISION NUMBER: 4 DATE PRINTED: 03105/2007 PREPARED BY: EHBS DEPARTMENT CHEMICAL PRODUCT PRODUCT NAME: 104 STAKLEEN, Stainless Steel Cleaner PRODUCT CODE: 117659 NFPAIHMIS HAZARD CODES(minimal=0; slight-1; moderate=2; serious=3; severe=4) Health: 1/1 Fire: 3/3 Reactivity: 010 Special/Protective Equipment: NOne/B HAZARDS IDENTIFICATION EFFECTS FROM ACUTE EXPOSURE: INGESTION: Harmful if swallowed. SKIN CONTACT: May be absorbed through the skin and produce nervous system effects INHALATION: May be harmful if inhaled. EYE CONTACT: May cause moderate eye irritation. CHRONIC EFFECTS: None known. EFFECTSICARCINOGENICITY: None listed under OSHA, [ARC, or NTP. ROUTES OF ENTRY: Routes of entry for solids and liquids include eye and skin contact, ingestion and inhalation. 3. COMPOSITION/INFORMATION ON INGREDIENTS PRODUCT COMPOSITION % ACGIH TLV OSHA PELS CAS# Elhoxylated alcohols 1-5 NA NA 68131.39-5 PropNene Glycol +-butyl ether 5-10 NA NA 57018-52-7 PROPANE 15 - 26 1000 ppm 1000 ppm 74-98-6 1600 m /m' BUTANE [1], ISOBUTANE[2] 15-25 1000 ppm NA 106-97-8 NAPHTHA (PETROLEUM), LIGHT 10.15 NA NA ALKYLATE 64741-66-8 Isopropanol 1-10 200 ppm 400 ppm 67-830 980 im' Petroleum distillates 10.15 NA NA 64742-48-9 FIRST AID MEASURES INGESTION: Call a physician or Poison Control Center immediately. DO NOT INDUCE VOMITING. SKIN: Wash with soap and water. Get medical attention if irritation persists. INHALATION: If inhaled, remove to fresh air. If not breathing give artificial respiration, preferably mouth-to- mouth. If breathing is difficult give oxygen. Get medical attention. EYES: In case of contact, or suspected contact, immediately flush eyes with plenty of water for at least 15 minutes and get medical attention immediately after flushing. NOTES TO PHYSICIAN: None. FIRE AND EXPLOSION HAZARD DATA FLASH POINT (F): < 0 F (Propellant); > 100 F (Concentrate) (C): NA Page 1 of 5 w3rma~eNxa Ea.maay Pnw• BOWLTAMER R-hw%rW14QI NF 411,01h,&RIMents Momnlbn 6AM1A&]IW CFIRE FIGHTING PROCEDURES: CoolwausedmnbtlnmeMRese,"AVOM expoeurabnde aM Washes Flre-SSMere ebould seal seHmnMle d breslhIM apperdue end hA adedN. dogby Stem upNMp cherdcd We, MATERIAL SAFETY DATA SHEET RLMSIONDATE 080Mtow REVISION NUMBER: 6 ACCIDENTAL RELEASE MEASURES DATEPRINTED: ce 11111 PREPARED W. EHAS DEPARTMENT SPILLPROCEDURES: CHEMICAL PRODUCT SMALL BPILLS: Amorbvdthawn-reedivecley, LARGESPI": Wfeluc n-PIet up wiq ebaoAenl naladd. PutbalMbb mNdrerbrdhmsd. Keep PRODUCT RAMS: BOWLTAMER mndpdnA eewm,.Rwme,adnH bodleedweler. PROQUCTCOGE: 116113 PERSONALPRECAUTIONS: NA ENNRONMENTAL PRECAURONS: NA NFPAINMM HOWDCO...(mldraW..•ryhW; motas,,L..now-3.-4) METHODS FOR CLEANING UP: NA Health: III R.: Rwashy. Ut Sp•e.oProtsdlw Eauipm.d: Howse HANDLING AND STORAGE HAZARDS IDENTIFICATION PRECAUTIONSTO BE TAKEN Canton. GlomIna.1. dryama l» not sore In meet mwwwas IN HANDLING AND STORAGE: EFFECTS FROM ACUTIT EXPOSURE! OTHER PRECAUTIONS: KeepmAdrwdgdddlhMx SPECIFIC USE(S): NA INGESTION: MaybB RMlBawkund. SKIN CONTACT: Cmassmlal Anbll.leon. . EXPOSURE CONTROLSIPERSONAL PROTECTION INHALATION: New N wand us. Intalallon of away mist may W lMlaling. EYE CONTACT: CMaee mosemb eye lMlelb, PRWECTIVEEQUIPMENT: CHRONIC EFFECTS: Now burn EFFECTSICARCINOGENICITY. Now fetid amiss EPA, ARC, SO ACOIH. ROUTES OF ENTRY: Reins of easy for eddy Stff Bookie Insists. ey. SO aFLl mrdwc Ingestion SO! sweeten 13. COMPOSITIONGNFORBIATION ON INGREDIENTS EXPOSURECONTROLS U. 1. s eaf wOlated.me. RESPIRATORY PROTECTION: Awls bmaedng wpa Sr met PRODUCT POMTOp OSHA, PROTECTIVE GLOVES: Rlbberaplealbgbrea lemmwdM bndnlniie sHn aerNecl. CAM % EYE PROTECTION: Goggles. Fewshlela agaHC Hl1 dOnN, NA OTHER PERSONAL PROTECTION Appsagel.I. pw ema, cloning ee weds to Pevmt.kh ..led IXca,va EQUIPMENT: VENTILATION: Caaurel medlmlcel Whar iota mdwMl se nwd•tl to ..at espoeum Rase P meat In eh. FIRSTAIDMEASURE9 P. PHYSICAL AND CHEMICAL PROPERTIES INGESTION: ONA MrvarM Oucesolwalaa mfk Cmlxt physWen YlMlelbn peml9ea N.v,W. errylhbpbymau0lbmulwulmapeow. APPEARANCEANOODOR: am. Nue-gram fatal Mlnl Oca. SKIN: Flu.h aq seer for dleest 15 mrafts We mmoNng.1 mniHdmated clolMrq and shoe.. BOILING POINT tF): 94F(C)NA INHALATION: Mow peen b lmebdr AM Smelting N wwnary. EYES: In me of anlatL hwaxtsidy Su.h eyw.eA plady dwell br at b2915 minutes and gel VAPOR PRESSURE: HE nadwl ellenOen ll hdMLbn penhb VAPORDENSITY(AIR•1 NA NOTES TO PHYSICIAN: Now, SOLUBILfTYINWATER: NA SPECIFIC GRAVITY: IM-1.10 FIRE AND EXPLOSION HAZARD DATA VOC Content NS VOVCodaelft HE FLASH POINT(FI: NMN ICY, NA EVAPORATION SATE: NE MEIHUD: No. PH: Be- 1.1(10% In Cl en ter) FLAMMABLE UNITS IN MR L(HWER Nast 0. STABILITY AND REACTIVITY -UPPER I%): Nwn STABILITY STABLE ETISRIVRY TO MECHANICALARGE- YAVY NO POLYMEWSN: VJMNdOma. S SU YTOSHINSCHARI' Ser Or Dry bonalc u B Is woes Hpetled. RAZMOQUS DECOMPOSITION: When CH wlempHdraw.Iab maybe producedSaga c MCvbm OVfdn SUITABLE RABLE EI(TINGUISUMHIO MEGA: Water dumNasLCabm doWe w. C.we er CtbMH9as. FMmasn gas w be eMewN ald.. contact xlg aRdn melds CPnlSAO. arahwaOMeesudsee s. ay A. eNAderats y%Ntlas H11 1Mrda bxbgas. CmuM dlaA HW metelleb auwae awnad sal panemb had. Peg. 1 of a Pape 203 333 Hollenbeck SI. Emergency Phone. . Rochester 14621 OINFOTRAC: UTSIDE U1-800.535-5053 Informatio 7on* 5 585336-2200 OUTSIDE US' 1-352-323-3500 Rochester Midknd CarporaUOn MATERIAL SAFETY DATA SHEET REVISION DATE: none REVISION NUMBER: 1 DATE PRINTED: 03/05/2007 PREPARED BY: EH&S DEPARTMENT 1. CHEMICAL PRODUCT PRODUCT NAME: DRAINGUARD IODINE BLOCKS PRODUCT CODE: 515827 NFPAIHMIS HAZARD CODES(minimal=0; slight=l; moderate=2; serious=3; severe=4) Health: 112 Fire: 1/1 Reactivity: 0/0 SpecialfProtective Equipment: None/B HAZARDS IDENTIFICATION EFFECTS FROM ACUTE EXPOSURE: - INGESTION: Causes irritation of the stomach and Intestines, resulting in nausea and/or vomiting. SKIN CONTACT: May cause mild skin irritation. May cause moderate skin irritation. INHALATION: Causes mild respiratory irritation. EYE CONTACT: Causes moderate eye irritation. CHRONIC EFFECTS: None known. EFFECTS/CARCINOGENICITY: None listed under OSHA, IARC, or NTP. ROUTES OF ENTRY: Routes of entry for solids and liquids include eye and skin contact, ingestion and inhalation. COMPOSITIONIINFORMATION ON INGREDIENTS PRODUCT COMPOSITION % ACGIH TLV OSHA PELs CASC IODINE 1.0.5.0 NA NA 7553-58.2 AMORPHOUS SILICA 1.0-5.0 NA NA 7631-86.9 FIRST AID MEASURES INGESTION: DO NOT INDUCE VOMITING. Rinse mouth. Contact physician if irritation persists. SKIN: Flush skin with large amounts of water. If irritation persists, get medical attention. Remove contaminated clothing and launder before reuse. INHALATION: If inhaled, remove from area to fresh air. Get medical attention if respiratory irritation develops or if breathing becomes dfcult. EYES: Immediately flush eyes-veith large amounts of water for at least 15 minutes. Get immediate medical attention. NOTES TO PHYSICIAN: None. . FIRE AND EXPLOSION HAZARD DATA FLASH POINT (F): None (C): NA METHOD: None FLAMMABLE LIMITS IN AIR - LOWER None UPPER None SENSITIVITY TO MECHANICAL IMPACT(YIN): NO SENSITIVITY TO STATIC DISCHARGE: Sensitivity to static discharge is not expected. Page 1 of 4 333 Hollenbeck St. Emergency Phone: Rochester NY 14621 INFOTRAC: 1-800-535-5053 Information 5855--336 336-2200 OUTSIDE OUTSIDE US: 1-352-323-3500 Rochester Midland Corpo2tion MATERIAL SAFETY DATA SHEET REVISION DATE: 11109/2006 REVISION NUMBER: 3 DATE PRINTED: 03/0512007 PREPARED BY: EH&S DEPARTMENT 1. CHEMICAL PRODUCT PRODUCT NAME: CHLORIGUARD it PRODUCT CODE: 118232 NFPAIHMIS HAZARD CODES(minimal=o; slight=l; moderate=2; serious=3; severe=4) Health: 313 Fire: 010 Reactivity: 212 Special/Protective Equipment: None/B HAZARDS IDENTIFICATION EFFECTS FROM ACUTE EXPOSURE: INGESTION: Harmful if swallowed. Causes bums of the mouth, throat and stomach. Irritation, nausea, vomiting and possible dizziness. SKIN CONTACT: Causes skin bums which may not be immediately painful or visible. INHALATION: Inhalation of vapors or mists may cause nose and respiratory irritation, sore throat, and coughing. EYE CONTACT: Causes severe eye burns. CHRONIC EFFECTS: None known. EFFECTS/CARCINOGENICITY: None listed under OSHA, IARC, or NTP ROUTES OF ENTRY: Routes of entry for solids and liquids include eye and skin contact, ingestion and inhalation. COMPOSITIONANFORMATION ON INGREDIENTS PRODUCT COMPOSITION % ACGIH TLV OSHA PELs CAS9 Sodium hypochlonte 12-15 NA NA 7681-52-9 SODIUM HYDROXIDE 1-2 NA 2 mglm' 1310.73-2 FIRST AID MEASURES INGESTION: DO NOT INDUCE VOMITING. Drink one or two glasses of water. Get medical attention. Never give anything by mouth to an unconscious person. SKIN: Flush with water for at least 15 minutes while removing all contaminated dothing and shoes. INHALATION: If inhaled, remove to fresh air. If not breathing give artificial respiration, preferably mouth-to- mouth. If breathing is difficult give oxygen. Get medical attention. EYES: In case of contact, or suspected contact, immediately flush eyes with plenty of water for at least 15 minutes and get medical attention immediately after flushing. NOTES TO PHYSICIAN: None. FIRE AND EXPLOSION HAZARD DATA FLASH POINT (F): NIA (C): NA METHOD: None FLAMMABLE LIMITS IN AIR - LOWER (°k): None - UPPER None Page 1 of 4 CHLORGUARDII SENSITIVITY TO MECHANICAL IMPACT(Y/N): NO SENSITIVITY TO STATIC DISCHARGE: Sensitivity to static discharge is not expected. SUITABLE EXTINGUISHING MEDIA: Water fog, carbon dioxide, foam, dry chemical FIRE FIGHTING PROCEDURES: Fire-fighters should wear self-contained breathing apparatus and full protective clothing when fighting chemical fires. ACCIDENTAL RELEASE MEASURES SPILL PROCEDURES: SMALL SPILLS: Mop up or soak up immediately. LARGE SPILLS: Dike to contain Pick up with absorbent material. Put in suitable container for disposal. PERSONAL PRECAUTIONS: NA ENVIRONMENTAL PRECAUTIONS: NA METHODS FOR CLEANING UP: NA HANDLING AND STORAGE PRECAUTIONS TO BE TAKEN Do not reuse container. Follow label directions carefully IN HANDLING AND STORAGE: OTHER PRECAUTIONS: Keep out of reach of children. Do not reuse container. SPECIFIC USE(S): NA EXPOSURE CONTROLS/PERSONAL PROTECTION PROTECTIVE EQUIPMENT: ps EXPOSURE CONTROLS: Eyewash stations. Showers. RESPIRATORY PROTECTION: Not normally required If product is used in a manner which creates dust or mist above recommended exposure limits, a NIOSH/MSHA approved respirator with dust/mist filter maybe needed in the absence of proper environmental controls. PROTECTIVE GLOVES: Rubber gloves Neoprene. Vinyl gloves EYE PROTECTION: Goggles. Face shield. OTHER PERSONAL PROTECTION Rubber boots. EQUIPMENT: VENTILATION: Local exhaust ventilation recommended. Mechanical ventilation as needed. PHYSICAL AND CHEMICAL PROPERTIES APPEARANCE AND ODOR: Colorless Light yellow liquid. Chlorine odor. BOILING POINT (F): 230 (C) NA VAPOR PRESSURE: 204 mgft @ 20c VAPOR DENSITY (AIR=7): NA SOLUBILITY IN WATER: NA SPECIFIC GRAVITY: 1.2 VOC Content (°kJ: NA VOV Content NE EVAPORATION RATE: NA PH: 12 10. STABILITY AND REACTIVITY STABILITY DATA: STABLE POLYMERIZATION: Will Not Occur. HAZARDOUS DECOMPOSITION: If evaporated to dryness, as in a fire, may release: Chlorine gas. Page 2 of 4 CHLORGUARDII 10. STABILITY AND REACTIVITY INCOMPATIBILITY (MATERIALS TO Metals Reducing agents. Organic matter. Ether. Acids. AVOID): CONDITIONSIHAZARDS TO AVOID: Do not store or mix With: Acids. Temperature over 200F. 11. TOXICOLOGICAL INFORMATION ACUTE TOXICITY: NE EFFECTS OF CHRONIC EXPOSURE: NE OTHER TOXIC EFFECTS: NE 12. ECOLOGICAL INFORMATION ECOTOXICOLOGICAL No data at this time INFORMATION: CHEMICAL FATE INFORMATION: No data at this time. MOBILITY: NA PERSISTENCE/DEGRADABILITY: NA BIOACCUMULATIVE POTENTIAL: NA OTHER ADVERSE EFFECTS: NA 13. DISPOSAL CONSIDERATIONS WASTE DISPOSAL METHODS; Dispose in accordance With Federal, State and Local regulations. 14. TRANSPORT INFORMATION Please refer to the Bill of Lading/Receiving documents for up to date shipping information. 15. REGULATORY INFORMATION PRODUCT COMPOSITION % TSCA: EINECS: Canada DSL: CA PROP 66: CAS# Sodium hypochlorite 12-15 Listed Listed Listed Not Listed 7681-52-9 SODIUM HYDROXIDE 1-2 Listed Listed Listed Not Listed 1310-73-2 PRODUCT COMPOSITION % CERCLA: SARA 302: SARA 373: CASE Sodium hypochlorite 12-15 100 lb Not Listed Not Listed 7681-52-9 45.4 k SODIUM HYDROXIDE 1-2 1000 lb Not Listed Not Listed 1310-73-2 454 k PRODUCT COMPOSITION % Canada WHMIS: CAS/ Sodium hypochlodle 12-15 Listed 7681-52-9 SODIUM HYDROXIDE 1-2 Listed 1310-73-2 The following components of this material are included in the Massachusetts Substance List and are present at or above reportable levels. Page 3 of 4 CHLORGUARDII PRODUCT COMPOSITION % MARTK: CAS# Sodium hypochlorite 12-15 Listed 7681-52-9 SODIUM HYDROXIDE 1-2 Listed 131 D-73-2 The followin components of this material are included in the New Jersey Substance List and are resent at or above reportable levels. PRODUCT COMPOSITION % NJRTK: CAW Sodium hypochlorite 12-15 Listed 7681-52-9 SODIUM HYDROXIDE 1-2 Listed 1310-73-2 The following components of this material are included in the Pennsylvania Substance List and are present at or above reportable levels. PRODUCT COMPOSITION % PARTK: CAS# Sodium hypochlorite 12-15 Listed 7681-52-9 SODIUM HYDROXIDE 1-2 Listed 1310-73-2 16. OTHER INFORMATION This information was complied from current, reliable sources and Is believed to be correct As data, and/or regulations change, and conditions of use and handling are beyond our control, no warranty, express or implied, is made as to completeness or continuing accuracy of this information. END OF MSDS Page 4 of 4 raT H.Mnbck St Emegwcy Pnwa F-130, Alkaline Ll uid Cleaner RMWVNY u6t1 INFOTRAC 1-6W 505. Q KRMCa hNmK 505 6] 00 WTSME US 1dS22Z4a600 /WE{-n 1% -UPPER (%j: NA SENSITIVITY TO MECHANICAL IMPACT(YIN): NO MATERIAL SAFETY DATA SHEET SEHSITIVITYTO STATIC DISCHARGE: S...like, la seuc dl¢aharg. N nme.pealed. REVISION DATE: 101SR001 REVISION NUMBER: 3 5URABI2IOITINGUISHINGWDUO Ac"I'll"oto foremramdlrg mo-predmt In mmllynaer and not DAIS MMD: ommom PREPARED BY: EHaS DEPARTMENT mr hum CHEMICAL PRODUCT FlRE FlGNTINOPROCEOURES: ConosNemeedal. AVON erPNUre to mNl end epMehH "rr. somol veer self-conmbed breethog eppANtue and Inn protecWe claming whH 6gdo, ehemkrt em. Can or,o ed PRODUCT NAME: wnlMreNlathwater ,coo, F•720, Alkaline Liquid Cleaner PRODUCT CODE: To1Ta0 ACCIDENTAL RELEASE MEASURES NFPAMa6 NKAM Wa6(mHmM4, st]IP1;:mdaMnL safian•S: rewrra) SPILL PRDCEDNRE9Health: Ofd Flee: 0!0 RMALLSMLLS: RodaenaemuPlHHroble FluaM1 reeNUa Ham waa. Reactivity: ill Sp olallPml..Urv Egaip..K. AWL LARGE SPILLS: DNelowni.K Pid,1"me1dambantmeledd. PMIn.WWbbwnbMTordhp.SFlueh remMnd.r Wth weer. IER3ONAL PRECAUTIONS: NA HAZARDS IDENTIFICATION ENVIRONMENTAL PRECAUTIONS: NA EFFECTS MOM ACUTE EXPOSURE NETHCOS MR CLEANING UP. NA INGEBRON: Severe loon. wm.ww nombe. of mouth, throat and dlge.ihw bolo HANDLING AND STORAGE SIGN CONTACT: Co... moderet. akin bllellcn Prdanped awed........ to bums voch may not be reed b n a Hrer rinaly err Mamy t Pomll,. offinallool m INFUdATON: rcon. be Fd30nB.Pwdbe do.,. to mucous membrenH Of nwe and IN HANDLING none BE T~N DANGER: Concentrated. b ea, skin end c recall. npl tlavN. IN HANdJNG AND STORAGE: RAGE: breather Sf Mrtor Vepp edB cr relwMrtrerand AN on keep on Slme tetl. tlry EYE CONTACT: Celmerewn syr clan. Mvy.useyemmnenleywda ftot me. Mbmneva m aN.a.aka ewNertl eroe.MbonYwMxaMr. CHECTSIC EFIFECTS: o. ho rd.Footnote ilk1 rytlamepa franlnMOOOn W duM or err mlrt OTHER PRECAUTIONS: Do ci le.oo ee.rdelmm. EmPIsftoEmpcer ahXred. ettln Padutlcartoon, Red folow MSDSodcI Nelso ROUTESOFEINNOOENICITY: MIld ee NrN O9HA IARC, a MP pm.ugO.e even Hoer conlelrer 1. l.eita CwM Oadeln Mae d gan .1Can None ROUTES OF ENTRY; Roc Ranee of entry for sells and lpuloa include aye em Into canted. Ingestion and pheo0an. 11em:daYe a,nMbof.Ibw ..We .W.Me BM In pe rclnclosed .1%. Read elN faAOwbbel meta So e 13. COMPOSITIDNIINFORMATION ON INGREDIENTS sPECIFlC USE(S): NA w crcOMroamox Y ADOOInv oaNAPEIS EXPOSURE CONTROLSIPERSONAL PROTECTION cAH s. mmae.pbNe 20 men nq rvA PROTECTIVE EQUIPMENT: 66J4a -0 PpiAaaMINX1M11R0%IpE Me Wn1 NA NA 1alO4N EXPOSURE CONTROLS: UH lnawwevadaled vrea RESPIRATORY PROTECTION; NotnamRly Nquteo. nprodrNOUeolnamamxufiRl aeMea duals Mrtabwe FIRST AID MEASURES reoommeMetl mppaun OMp, a NIOSWNI3HA 4aaVVd roaphatavAth dINNNat1Aelmy ba reedetl IniM.beenceofproperem4omental cor b. INGESTION: OP IM Otlum wNlhg.Me*deue aHh 1.2,1.... ofanleror Mlle andseek medl.l PROTECTIVE GLOVES: Rubber or peel, gbvH roommerded to mbdmot skin coml., attention. Never give anything by match b an unFavclous person. EYE PROTECTION: Goggle. Fa.ehleld. SKIN: FWdlwM Vwlerfm el lee.116 mIadH whoa remwog allcomaminaled cbtldnp rtl~hoe~ OTHER PERSONAL PROTECTION Rubbwboom. AWopdaW protector clothing as record b pronod akin coned, Uquid,:my C.0m, drMrD UlWvrbpHlYfeelkp epaw. Oelm.dknl atendbn p Meth Mbume EQUIPMENT: "r.hde wmaehHe ant Sauera dM eyrtl bums Eyawuh lwnNgM and eefely elRwen de nte, matte e.. W accessible. INp1ILLATION: on! do.ftlheallek.N,of beethhq pow WTVdM reHkMIH, preorrtdymoulMb VENTILATION: Col,antmWmnkal nldb b.I mmwrtH reedetlbmralewoeure lode llmMln aO. maser Ntrerel .Move pkw.Yaen. Get medblelenLbn. CarNrtw mpMnl iqupenl lechmmentled. EYES: ewHOlemdmµaruspedetlOwed, Imrredaldy ieah eYHMe ponlydwalNbret leert t5 mmuee and pelmealwl euemiw Fnmedlalsty enerTUrtlllp. . PHYSICAL AND CHEMICAL PROPERTIES NOTES TO PHYSICIAN: None. FIRE AND EXPLOSION HAZARD DATA APPEARANCE AND ODOR: Yelbwlpuld.OExlsse. BmLING POINT ft. AS lower Iq NA FEASN POINT PT• Nare (C): t1A METHOD: iCC VAPOR PRESSURE: Asnaler DENSIW AA eerier PNMNASLE LIMBS IN NR 9O rY IN ATEM- NA BPECIECIFICIN VIIPY; ITY: 1.16 •lD1YER TI:1: NA VOC CmOnwn1NM PAk NE NE Pape 1014 VOVCOroHt(Sl: NE Page 2 al4 333 HolundalkB Emerydmy phone FA 96, Emm Heavy Duty Foam Cleaner ANc "I seNer NY 14@t OUTSIDE U 1 I-W5 23153 O~~I,I,I'Vj Rucason 585938-21W IINFOTOE dim-3S50"011 RWMlerhWMMCmPamVarl UPLOINER NA PER (XI' NA MATERIAL SAFETY DATA SHEET SENSTTIVITYTOMECHANICAL IMPACT(Yallb NO TENSION DATE: 05m12005 REVISION NUMBER: 5 SENSMN TO STATIC DISCHARGE: SensHVey 0 staeo discharge Is not expecued. SUITABLE EXTINGUISHING MEDIA: Product. 11 not term DATE PR D: 0328200] PREPARED 9Y: EHAS DEPARTMENT FIRE FIGHTING PROCEDURES: Covoslva matedM. Avoid exposure 19 slates apI.sh.a. Phe- 77 CHEMICAL PRODUCT haulers shoved scar wlfantalned brewhIM apparawa Md fun proledf s, clothing when fighting chop lwl ems. PRODUCTNAME: F-196, Extra Heavy Duty Foam Cleaner B. ACCIDENTAL RELEASE MEASURES PRODUCTCODE: 11)1183 NIpNRMIS HAZARD CODEBImM1ilrmk0, S119W I: mwdemb@. cetlo-1, mvab,M) SPILL PROCEDURER: SMALL SPILLS: Pick up o11h abwrbenl matelot Fluah residue MM water Hae10: an Find 0/D LARGE SPILLS: Dice to contain Pick up mN adeorbant material. INA In suitable container for dkposl Flush Reagtlvlty: in SpoclellPmtective Equipment; AMC mm.locne dmwmer PERSONAL PRECAUTIONS: NA ENVIRONMENTAL PRECAUTIONS. NA HAZARDS IDENTIFICATION MEINIMS FOR CLEANING UP: NA EFFECTS FROM ACUTE EXPOSURE INGESTION: Serere bums to mucous membranes M mouth, Ihmaland digestive tea 17. HANDLING AND STORAGE SKIN CONTACT: Pmlongw mnteQ ounces severe bums whLM may not be immoderate painful orvialble INHALATION: Inhalation of four well unions mwous membranes Can bound damage to mucous membranes PRECAUTIONS T pECAUTIONS TO BE TAKEN OengeC CprroslVe. OO not rsuae mnbiner. Stare In a .1. cry area. Keep conWner Gwetl. ads clothing of nose,eawl, respiratory Vect and lung pase s depentlmg on seserity of expmua. IN)(AN LINGNO STO STORAGE: Don Avo e, Comb ve ontec eDonot l O". ad, EYE CONTACT: Causes severe rye burns Conde. W eye laeue add may wive soem damage and SPOTHER ECIFIC PRECAUTIONS; Keep wd blindness. USE(S): NA CHRONIC EFFECTS: DemutlfiL Pool respwlory damage from Mhdallon of dust or and EFFECTRICARCINOGENICRY: Nona listed under OSHA. IARC, or NTP. P. EXPOSURE CONTROLSIPERSONAL PROTECTION ROUnES OF ENTRY: Roues crentry M solids and liquids solitude eye and akin conduct, ingestion and iMlekgon, PROTECTIVE EOUIPMENT: COMPOSMONIINFORMATION ON INGREDIENTS - PRO OM rtIDN % AWHILV OSH4 PELs EXPOSURE CONTROLS: E h cash.... Showers. ~~t3t9d&3 O%IDE emex NA RESPIRATORY PROTECTION; None normally requYed, Use NIO8H approved alkaflne resplretar veer EuaVmlot liter ae oreprynna gNwt namyt firer a max NA NA needed a meal emosum smite Nproduct is used Ina mannerwhich creates dust or mist 111-T2-3 above recommended exposure looks, SODMM HYDROXIDE 0osx NA 2mew PROTECME GLOVES: Noncoms. Rubber glows. Noun, gloves 1]10-23-2 EYE PROTECTION: Face aNNd. Goggles OTHER PERSONAL PROTECTION Appmpladu proteoeve cbNMg ea needed to pmvenl akin contact. Rubber boots. Rubber FIR-STAID MEASURES EQUIPMENT: apron.Eyeaash hundreds and octet, sh.. most be easily accused.. VENTILATION: General mechanical anti/or bcel exhaust as needed to meet expOwre emlls draat in or. INGESTION: Donotinducevomitb0 Snooty dquta edih l-2 glaswa of wmermmek end seek medical ageollon. Neverg"arglhingbymoumroenummnsdousmmw. PHYSICAL AND CHEMICAL PROPERTIES SKIN: FNYI wilM1 water tar at least15 minualswhulemmoving slleonteminatad droll and shoes O ntinue r ng ungl'sllppeM feeling is gone. Get medical dllenOw If Imdaeon mbums APPEARANCE AND DOOR: Clear ripen liquid Odod9w. develop. BOILING POINT(FF Assigner (C) NA INHALATION: Remove person to freahelr, Hnd brealbing, ewe Wfidalrespiratlon. Hbmaeangi.ciftit. VAPORPRESSURE: AswMer get immediate medical eaMMOn. VAPOR DENSITY UUR=1). NA EYES; Inonedlalety Ouch was wlth large amcun(safwMarforstleant5nflo.ma Getimmedtale SOLUBILITYINVIATER; NA medL4 attention. SPECIFIC GRAVITY: 1 205-1 295 NOTESTOPHYSICIAN: Now. VOC Content (X): NE VM Coolant (X): NE 15. FIRE AND EXPLOSION HAZARD DATA EVAPORATION RATE: Aawater rno 14 FLASH FORT fF): None ICI: NA METHOD: Toe FLAMMASLE LMM IN AIR Q. STABILITY AND REACTIVITY Page 1 ore Page 2 of 4 F-25, Senifizer 333 HClanx4St Smalparay Phone I-32MI ' RoGn:aIx 585631 IINFOTRAC odicalkah 565.936-2260 OUTSID OUTSIDEUS 1 1--M352--32}3606 RahesttrMMLnMC.rmxtmn SENSITIVITY TO MECHANICAL IMPACT(YNI: NO SENSITIVITY TO STATIC DISCHARGE: Swart ity to attic dlschemem not equated SUITABLE EXTINGUISHING MEDIA Pmdud is mostly water and Wll not bum MATERIAL SAFETY DATA SHEET FIRE FIGHTING PROCEDURES: Nona. REVISION DATE: 05103 06 REVISION NUMBER: T ACCIDENTAL RELEASE MEASURES DATE PR TED: 03KNWOUT PREPARED BY: EM&SOEPARTMENT CHEMICAL PRODUCT SPILL PROCEDURES SMALL SPILLS: Mop hP all pxNble Flush resdue wIlh water. PRODUCTNAME: F-25r Sanitizer LARGE SPILLS: Dikeboadaln. Pick upvdm abaxbant material. PMlnisimblecomalneybrdisppall.FNdh remdnaeretmwatef. PRODUCT CODE; 101850 PERSONALPRECAUTIONS: NA xFPAn1MI6 HAZA6000PES(Mmmal•0; v111ld•1; modequi aRbU'$ aamaaq) ENVIRONMENTAL PRECAUTIONS: NA Hand; 22 Fin: 010 METHODS FOR CLEANING UP: NA Reagdvily: DID SpeCIPlPrdecllve Equipment: NonelB 17. HANDLING ANDSTORAGE P. HAZARDS IDENTIFICATION PRECAUTIONS TO BE TAKEN Store In a cool, dry are. 0. not muse container Keep Peal, from rood and teed products. EFFECTS FROM ACUTE EXPOSURE, IN HANDLING AND STORAGE: OTHER PRECAUTIONS: Keep out of reach of children. INGESTION: HeonfulfeaddimareC PosablatoaiCeffecta Noterme Mucocalmon,e. SPECIFIC USE(S): NA SKIN CONTACT: Prolonged comed cash muse akin tlamage. - I INHALATION: May imlela m..b.... and throat EXPOSURE CONTROLS!PERSONAL PROTECTION EYE CONTACT: Cimodwa to eye 6aaueand may mode.. damage and bird. CHRONICEFFECTS: None known. PROTECTNEEGUIPMENT: - EFFECTWCARCNOGENICITY: None listed under OSHA,! ARC, or NTP. RCRIMS OF ENTRY: Routes ofentry mr solids and liquids Include q e and akin cooled, Ingestion and inhalation COMPOSITION/INFORMATION ON INGREDIENTS EXPOSURECONTROLS: None kMwn. PRwUeT COMPOStnOx % ACGIHnV OSHAPELe RESPIRATORYPROTECTION: Noe nommlly required data PROTECTIVE GLOVES: Rubber copleetic gloves recommended to mmmmrae Hdn cor-W.. n-rdmwiMremA beaytemmsmum 6 NA NA EYE PROTECTION: Goggtea Fax shield cki.id.Mm nt OTHER PERSONAL PROTECTION AppnpHate probadf. clothing as needed m prevent ski mnmd 6&991-014 BOUPMENT: n-NIII Mmemyl 5 NA NA VENTILATION. General mechanical and/or loch eahaad as needed if mid Or vapors cause mmialm. emybemymammnlammmddaa- "Mad PHYSICAL AND CHEMICAL PROPERTIES 611056,794 E111n ALCOHOL Imm pan ppm 64-17-5 1aoD mr APPEARANCE AND ODOR; Clem, orange liquid. Mid odor SOILING POUT IF): 212 (C) NA FIRST AID MEASURES VAPOR PRESSURE: 16 T mm Hg ® 222 C VAPOR DENSITY IAIR=1): DUB INGESTION: Do net Imum Vomiting. Slowly dgute VIM 1-2 glaasas of mater or milk and Peek medical SCLUBILITYINVIATER: NA attention Nwv 01eanymingbymoumbmunco ou.mmon. SPECIFIC GRANRTY: 0.995 a/-0.005; 5.2811gat SKIN: Fluah with ealermral lead 15 minutes wile removing Ml contaminated doming and shoes VOC Content (%I; NE INHALATION; Move pe.a b Mush all, VOV Cowed(%): NE EYES: In case of correct or suspected comsat, Immediately nosh eyes elm panty of water for at teed EVAPORATION RATE: lmACI) 126 15 mmules and gel medical attention immediately after flushing. PH: 7.5+610 NOTES TO PHYSICIAN: Nona. 15. FIRE AND EXPLOSION HAZARD DATA D. STABILITY AND REACTMrY FLASH POINT IF]: None in boning JC): NA STABILITY DATA: STABLE METHOD: TCO TCC HAZARDOUS DING Not Occur. nSiMP (MATERIALS AOdry9C maomers FLAMMABLE LIMITS IN AIR INCOW 1NCOIPATIBILITY (MgiERIALS TO None known AVOIDY - LOVIER %1: 19 CONDITIONSIHA2AROS TO AVOID; None. -UPPER {%1: 190 Page 2 of 4 Pape 1 of 4 MATERIAL SAFETY DATA SHEET SECTION O - PRODUCTLMANUFACTURER'S IDENTITY PRODUCT NAME: HANDGUARD FOAM E EZ Foam E2 Bacteria Controlling Hand Sanitizer Cleaner PRODUCTUSE: GENEMLPLRP09ENMDCLEMERMDSMORER 24HREMERDENCYTELEfflMENUMBER: WS42"M IElEM/0NE N1fXIBER FOq INFOPNUTINI' 9ISSx]SSCB DATE PREPARED. SRMa ` [SECTION 2-HAZARDOUS INOREDIENTWIDENT1TY INFORMATION R MAIRROOIIS CNEMCAL NIEMItt Hal QBHPP1 AUGHTLy RECOMMENDED % (OPTIMAL) CAS THIS CONFOUND OR ANY OF ITS INGREDIENTS ME NOT LISTED BY OSHA. NO' OR IMC AS ACARCINOGEN OR POTENTIAL CARCINOSEM NOR DO THEY HAYS ESTABLISHED OSHA PEW M ACOIH TLYS. SECTION S- PHYSICALLCHEMICAL CHARACTERISTICS SOLING POINT:,2RO T SPECIRCGRAVOT(KD.i)' 14 VAPOR PRESSURE f. Hpl: W MELTIM POINT: AVA VAPORDENSITY(MR.U.NM EVAPORATION RATE IBUCYL ACETATE. IgcI SOLURILRV IN WATER: COMRETE APPEARANCE AND ODOR: PALE YELLOW WATER THSV WD FRIGMNCE FREE BECTON 4-FIRE AND EXPLOSION HAZARD DATA FI.0.4H POIM (METICO U4FO1. WA LEL: NM EXTINDUIBMNG I.EDIA:ANY-WBL.WTSUPPORTL0.bBU5TICW MANMA9LE LVATS: WA UEL: HM SPECIAL ME FIGMING POOCEWRES:IIfM'E UNLEIUAI. ME AND EXPLOSION HA]ARDS' NONE SECTION 5- REACTIVITY DATA CHEMICALSTABILOY: IH STABLE Q UNSTABLE H RMUS DECONP061TIOUMSY-PRODUCTS: Nb 'MISTOM TO AVOID: NONE I TISBIT] (MAT W NLS TO AVOIDI'AYINE WS MERRATION: 0 MAY CCWR ®WSL NM OTOCC OCCUR CONDIT COiDMON3 TO TO AVO AVOID: NONE SECTION 6- HEALTH HAZARD DATA HOUTESOFENTRY: INHALATION: ❑YES IN NO BpN' YES 0 NO MENTION, N YEB ❑NO EYES: ® YES I] NO HEMTHHAS M(ACIITEMDCHRONIC)' NONE CARCINOGENICITY. ❑ YES ® NO NTP: ❑ YES ® NO IMc NONMRAPHS: ❑ YES IA NO OMAREGUTATEU: ❑ YES ® NO SIGNSMDSYMPTOMSOFENPOSURE: EYE STING NNTITATTNL MEDICALCONDITONSOENE YA MVATWlWWMURE:ADMEDICALCONIXNONSAREKNOWMMSEAUMVATEDBYTAB PRODUCT. EAIE ANOFISTNDPROCEDURES: OAiESTIM; 110N: VQM11NXi MAYBE MNOCED. CON9ULTPHY3X.MN. TAN. EYESRECAUTIONS FOR SAFE HANDLING AND AND USE SECT SECTION 7 ] - PRECAUTIONS FOR SSE STEPS TO BETAKEN M CA4E MICE W AL K ALhEABFR GR SPRWo-' SHOVEL INTO fEAHPRWF CO`?AITA:R WASTE DIEPoSAL METHOD, Uh9FRCWITIIMA(L UOCAL BTATEANO PEOEML NW8 PgECAUTIDNSTa f>E TAKEN W HAINLWG MDSTORWD. NORMIL 3AFEM4NOLWOPflOQMURES OTHER PgECAIITION9: ffi]NE SECTION S- CONTROL MEASURES RE6PIMTOIIV PROTECTION I9PFdFY TYPEI NONE VENIIATKIN: LACALE)NMST: NAVE OEER-.NON NONE SPEtlI1: HONE OTTER: NONE 'RIER GLOVES: NONE EYE PROTECTION: YES O OTHER PROTECTIVE LT.OTING OR EIXIIPMEM: AYlM1'E WOOIBHYGENIC PRACTICE6: ADOMALClFAM1NES8 Msosxgoc wnNDB 333 Hollenbeck St. Emergency Phone: ~q Rochester NY 14621 INFOTRAC: 1-801}535-5053 Information: 585-336-2200 OUTSIDE US: 1-352-323-3500 Rochester Midland Corpora[lon MATERIAL SAFETY DATA SHEET REVISION DATE: 0612812006 REVISION NUMBER: 6 DATE PRINTED: 03/06/2007 PREPARED BY: EH&S DEPARTMENT 1. CHEMICAL PRODUCT PRODUCT NAME: MID BRITS, High Foaming General Cleaner PRODUCT CODE: 103140 NFPAIHMIS HAZARD CODES(min1mal=0; slight=l; moderate=2; serious=3; severe=4) Health: 1/1 Fire: 0/0 Reactivity: 0/0 Special/Protective Equipment: None/B 2. HAZARDS IDENTIFICATION EFFECTS FROM ACUTE EXPOSURE: INGESTION: Large amounts may cause irritation, nausea, diarrhea. SKIN CONTACT: Prolonged contact may lead to irritation and dermatitis. INHALATION: Inhalation of vapors or mists may cause nose and respiratory irritation, sore throat, and coughing. EYE CONTACT: Causes moderate eye irritation. CHRONIC EFFECTS: None known. EFFECTSICARCINOGENICITY: None listed under OSHA, IARC, or NTP. ROUTES OF ENTRY: Routes of entry for solids and liquids include eye and skin contact, Ingestion and inhalation: COMPOSITIONIINFORMATION ON INGREDIENTS PRODUCT COMPOSITION % ACGIH TLV OSHA PELs CAS# Diethylene glycol butyl ether 1-5 NA NA 112-34-5 Sodium dodecycibenzene sultanate 15 max. NA NA 25155-30-0 FIRST AID MEASURES INGESTION: Drink one or two glasses of water. Get medical attention. Never give anything by mouth to an unconscious person. SKIN: Flush with water for at least 15 minutes while removing all contaminated clothing and shoes. Get medical attention if irritation or bums develop. INHALATION: If inhaled, remove to fresh air. If not breathing give artificial respiration, preferably mouth-to- mouth. If breathing is difficult give oxygen. Get medical attention. EYES: In rase of contact, or suspected contact,. immediately flush eyes with plenty of water for at least 15 minutes and get medical attention immediately after flushing. NOTES TO PHYSICIAN: None. FIRE AND EXPLOSION HAZARD DATA FLASH POINT (F): None (C): NA METHOD: TCC FLAMMABLE LIMITS IN AIR -LOWER NA - UPPER NA Page 1 of 4 JJ]HMen[ecx 9. E~,pi Ph.. R MC And..Iet NT 1401 NsOV's, 1.s0O636.m63 ORANGE KLEEN, Hand Cleaner with Grit 4K/1 RMC 5M.alBum OUTSIDE u31a624D3amo AT x x FMEFIGHTINGPROCEDURES: Cod enspoaed Heals. twh ealer.,aa, Flrellghle:s sasdd sear seT4 rorMelnetl loathing ep,.W. and fun VobclFre dolling sMan MATERIAL SAFETY DATA SHEET 6ghthennhennnelnna. REVISION DATE: 01231200] REVISON NUMBER: S ACCIDENTAL RELEASE MEASURES DATE PRINTED. OH05i2(0] PREPARED BY: EHAS DEPARTMENT CHEMICAL PRODUCT SPILL PROCEDURES• SMPLLSPILLS: MOPUPMamkuplmmedhedly PRODUCT NAME: ORANGE KLEEN, Hand Cleaner vrith Grit LARGE SPILLS: 4wps UP ofla ate Pen Mss efla safer. ENIA HA ENTALUTIC NA PRODUCT CODE: 11]810 VIR RONMENTAL PRELAU AUTH]NB: 6N EN NFPAMMB HArAR...ESImIam.IV loci nude,as, eeNU':..w', METHODS FOR CLEANING UP: NA Health: oil Fea: Bill Reactivity: 010 SPeelYlPrMadlva Equlpmen, Nona HANDLING AND STORAGE Sbra dtewol. dry area. HAZARDS IDENTIFICATION PRECAUTIONS TO BE TAKEN IN HANDLING AND STORAGE: OTHERPRECAUTIONS: Keep out sheath of O4Mren. EFFFCTSPROMACLTE LPO IR SPECIFIC USE(S): NA INGESTION: Causes lhei title clomeah and hte.lh.e, reeuSing In nevem andbrv=Bng. EXPOSURE CONTROLS/PERSONAL PROTECTION SKINCONTACT: P:donged,vaast edgy lead W Indention and domain, INHA1ATI011: flare in normal use PROTECTNE EQUIPMENT: EYE CONTACT: May muse mild eye Manton CHRONIC EFFECTS: Pmlonped cmlarl In., a. drynea. and unseen. EFFECTSICAWNDOENICIV-. None leled ender OSHA IARC, w MP, ROUTESOFENTRY: Rwas d an" br wllda and ligWtla Induce eye and skin coned- Ingestion and InnaTBUH, COMPOSITIONIINFORMATION ON INGREDIENTS PRO CTCIXApOenloN ACGM MY OSHAPML EXPOSURE CONTROLS: None Merge. CAST e~Umm7, a2 PN m PROTECTIVE CLOOTEGTION. era,.. 648&21b PROTECTN; 3: Nana. Oynenn t.3 wmlvm' is maim OTHER R PERSONAL CTION None_ .d-BI- g Imr OQUIPME PERSONAL. PROTECTION Nonerewired Lmap t.6 uA per EQUIPMENT: u-0 WNTMATION: None madras. FIRSTAIDMEASURES R. PHYSICAL AND CHEMICAL PROPERTIES INGESTION: DO NOT INDUCE VOM)TWO COnkHt Ptryelden. APPEARANCEANOOOOR WMIa. Creamy Vlaraus lollop. Cllrvs odor. SKIN: Rlmamonsughly,dlhaa., BOILING POINT(i NA (C) NA INHALATION: N.I a hmArdundenr onni.. nondflb:u. VAPOR PRESSURE: 2mm Hg M25C EYES: In edge.ImnleM ImneNately flush eyea Win plant, ofwMer had least 16 agates H el gel VAPOROENSIIYIUR-lk eI metllml attention elMiaGng targets. SOLUBILITY IN WATER: NA NOTESTOPHY6ICIAN: None. SPECIFIC GRAVITY: 102-1.03 voc c.ldmt 4 (ARS 310) 15- FIRE AND R%PLOSIONHAZARD DATA VOVC.nlentl%1: HE EVAPORATION RATE: (BWCa1): 126 FLASH POINT (P): Nme Is hdnng (cry NA PH: 55-7.5 METHOD: PMCC FLAMMABLE uMRB In AIR O. STABILITY AND REACTIVITY -LONER 04% UPPER(%): 6.1% STASRRYUATA: STABLE POLYMERIZATION: wfthldt , SENSRWIrY TO MECHANICAL IMPACT(YIN): NO HAZAROOUSDECOMPCSITION: Hydmgan hmldee SENSITMTY TO STATIC DISCHARGE: SensUft to deal. dlsnini and egpeded. INCOMPAnBlH (MATERUUETO Ni SUITABLE liMBIGUISHINO MEDIA: WMon fog, mNOn dlarlde.{Deal dry Memel. AVONI: Page Idf4 Page 2Df4 343 HOAmbxk sl Eme~9ann Pimne POWER FOAM ALS AA /pp~^e Rochealn NTli NrOrRAG IA9a53s505] sr. it. M5.336-z20o OUTSIDE UC 1-]62.3234500 poylasp>ayuh pCarporetyr SUITABLE EXTINGUISHING MEDIA: Product MYlw[hendi expected ro Wm unless ell Me sister Is hoiktl most. for surrounding fire. FIRE FIGHTING PROCEDURES: Wear vhd elamnMlnM lnM heaNhg equMmnl and rubber pmletlWa MATERIAL SAFETY DATA SHEET REVISION DATE: 11RT12006 REVISION NUMBER: 2 U. ACCIDENTAL RELEASE MEASURES DATE PRINTED: 03 2007 PREPARED BY: EHBS DEPARTMENT CHEMICAL PRODUCT SPILL PROCEDURES, SMALL SPILLS: Pkk up Win abMrbent Moamar PRODUCTNAME: POWER FOAM ALS LARGE SPILLS: DYcelowwin. Pnkup0midearbenlmatadal Putineuesselewnlalnerfordkposal PRODUCTOODE: 1111i PERSONALPRECAUTIONS: NA ENVIRONMENTAL PRECAUTIONS: NA NFPAMMIS Hiiii CODES(andrao-O, ini modossaii sahour•9,e si METHODS FOR CLEANING UP: NA Health: 212 Fin: 010 RsadlNly: 111 SpecIallPruacUva Equipment NonelC HANDLING AND STORAGE HAZARDS IDENTIFICATION PRECAUTIONS TO BE TAKEN WARNING Keep wnlanur cksed. Wash Muni .her hardling. AVold cower men adn it IN HANDLING AND STORAGE: eyes. EFFECTS FROM ACUTE EXPOSURE: OTHER PRECAUTIONS: No other Sn01 proeadu...meeery. SPECIFIC USE(S): NA INGESTION: Co...Indae.n pi lM1e slmreM snit i;ke9nM,rewlang in ne..so an&. vemihng SKIN CONTACT: Causes modenk skn MiNtion. EXPOSURE CONTROLS/ PERSONAL PROTECTION INHALATION: IMMbng to respiratory Mad in high Loncentretwo EYE CONTACT: May mum moderate eye lndalron PROTECTIVE EQUIPMENT: CHRONIC EFFECTS: Nona known EFFECTS/CARCNOOENIGTY: Nona IkNd undo OSHA WPC, or NIP. ROUTES OF ENTRY: Rows, of on" for sued. and (quids Include eye aM skin contact Ingestion and inholi 13. COMPOSITIONIINFORMATION ON INGREDIENTS EXPOSURE CONTROLS' Use In a oeg venglalM area, RESPIRATORY PROTECTION: NonenomWylaqukad PROOULT CGBPOSITIOM % ACGH RV 03HAPEL. PROTECTNEGLOVES: Butyl robber Neutrons. Nltule pfri PVC. CAM EYE PROTECTION: Gaggles. 9savn neoslgwN 1.050 NA NA OTHER PERSONAL PROTECTION EyewaM1 neuroses and aoMy shewev must be aceiy acoomi eSaa-BS-0 EQUIPMENT: 6awm Mlayphwp+ale 1050 NA NA VENTILATION: General metlvniwl usher lose exhaust as needed it mist or vapors cause IngaUpn 6~9 4 MPeN'IRa• i 1a5o NA xA PHYSICAL AND CHEMICAL PROPERTIES w+az-g 14. FIRST AID MEASURES APPEARANCE AND ODOR; Light ydlee squid. 81pM1chledneed.r BOILING POINT IFp NA ICI NA VAPORPRESSURE: Same es oaer INGESTION: OO NOT INDUCE VOMITTING. Mae mow. Get immediate meenl attention. VAPORDENSITYII 9.45 lbli 95 legal SKIN: Gel meaYVl auenObrt SOLUtgtDYINWATER: Compou INHALATION: If Inhaled. move order to Mesh air and Beek metlkel aaenthn. SPECIFIC GRAVITY; 1.112-1.152 EYES: Immetllaeyllueh.... With lsrgeamouro doodler foral 1...116 minutes. Get bumadlate VOV Covent 181: HE medkMl attention. PH: 12.7-137 NOTESTOPHYSK:IAN: None. gli. FIRE AND EXPLOSION HAZARD DATA 10. STABILITY AND REACTIVITY PLASH POINT gli Now (CI: NA METHOD: None P0LY%IO G!NTK) STABLE OUS DEC: Ciic N. FLAMMABLE LIMIT9IN AIR HAZARDOUS DECOMPOSITION: Oddes of ddsCar and Hydrochloric Add. INCOMPATIBILRYIMATERIIIL3 TO Strong edits and oxkezeN.Oryank melee. - ER%None AVOID): -UPPER(%): None CONOI110N&HAZMOS TO AVOID; Edmme had. tltrecl wn0ght SENSITVRYTO MECHANICAL IMPACTIYINI: NO SENSITIVITY TO STATIC DISCHARGE: SensulMty b posits dkchzrge a not expected. Page 1 afe Page 2of4 333 Hollenbeck St. Emergency Phone: Rochester NY 14621 INFOTRAC: 1-800-535-5053 D~~ Information: 585-336-2200 OUTSIDE US: 1-352-3233500 Rochester Mi■dl`and Corpo2 Lion MATERIAL SAFETY DATA SHEET REVISION DATE: 07/05/2000 REVISION NUMBER: 4 DATE PRINTED: 03105/2007 PREPARED BY: Walter Friedlander 1. CHEMICAL PRODUCT PRODUCTNAME: SEE THRU PRODUCT CODE: 117689 NFPAMMIS HAZARD CODES(minimal=0; slight=l; moderate=2; serious=3; severe=4) Health: 111 Fire: 0/0 Reactivity: 0/0 Special/Protective Equipment: None/B HAZARDS IDENTIFICATION EFFECTS FROM ACUTE EXPOSURE: INGESTION: May cause severe irritation. Causes vomiting, nausea, and diarrhea. SKIN CONTACT: Possible dryness; irritation with prolonged contact; possible systemic effects such as nausea or dizziness with prolonged or repeated contact. INHALATION: Inhalation of spray mists irritating to nose and throat; possible nausea, dizziness. EYE CONTACT: May cause mild eye Irritation. CHRONIC EFFECTS: 2-Butoxyethanol is readily absorbed through the skin; frequent or widespread contact may absorb harmful amounts. Repeated overexposure may cause damage to liver, kidney, and red blood cells. EFFECTS/CARCINOGENICITY: None listed under OSHA, IARC, or NTP. ROUTES OF ENTRY: Routes of entry for solids and liquids include eye and skin contact ingestion and inhalation. 3. COMPOSITION/INFORMATION ON INGREDIENTS PRODUCT COMPOSITION % ACGIH TLV OSHA PELs CAS# 2-Butoxy ethanol c5 max. 20 ppm 240 mg/m3 111-76-2 50 porn FIRST AID MEASURES INGESTION: Drink several glasses of water or milk. Contact Physician. Never give anything by mouth to an unconcious person. SKIN: Wash with soap and water. INHALATION: Move person to fresh air. Aid breathing if necessary. EYES: In case of contact, immediately flush eyes with plenty of water for at least 15 minutes and get medical attention if irritation persists. NOTES TO PHYSICIAN: None. FIRE AND EXPLOSION HAZARD DATA FLASH POINT (F): None (C): NA METHOD: None FLAMMABLE LIMITS IN AIR • LOWER None - UPPER ("/o): None SENSITIVITY TO MECHANICAL IMPACT(YIN): NO SENSITIVITY TO STATIC DISCHARGE: Sensitivity to static discharge is not expected. Page 1 of 4 333INilenWMB Emmganay PhMN SUPER LIME-SOL, Liquid Phosphoric Acid Foam Cleaner ///n~~]~~~~~~,,///aaa Racho"rNY 14621 INFOTRAC: 1.60033x5053 / Mfte"Stinn'5e5-]3&RW 011Te1CE U514152-0213900 axhde•nxmaM CwpwalHa+ -LOWER(%): NA UPPER (K): NA MATERIAL SAFETY DATA SHEET SENSITIVITY TO MECHANICALIMPACT(YM); NO REVISION GATE' 05821200] REWBbN NUMBER: 2 BE SITIVITYTOSTAPCOISCHARGE: SonalOvllyWeWnCdKO.moNmlexmcted. SUITABLE EXTINGUISHING MEDIA Pmduclwll nn bum. DATE PRINTED: 05MG007 PREPARED BY. EHSS DEPARTMENT FIRE F1eHTING PROCEDURES: Conceive material. Avoid exposure W mbt and spleaMa Cool CHEMICAL PRODUCT manned mmeWma With ureter spay after exWMgulshing Are. Flro- Oghlms should weer mlhmnteined breaWhm app eralus and Ma PRODUCT NAME. SUPER LIME-SOL, Liquid Phosphoric Acid Foam Prate<d•edaungwnenaMrors, chemical fras Cleaner ACCIDENTAL RELEASE MEASURES PRODUCT CODE: 105650 SPILL PROCEDURES' NFPAIHMI3 HAZARD COME$m1Nm", coil modeanaQ, smroma3:sevam•4) SMALL SPILLS: Ptak up WHIM absoboM annual Flush residue with water. LARGE SPILLS: OMe b contain. Plrk up M9h ebembent meWNl. Put In SUliable c.Naner far disposal Flush Health- 313 FE: NO remeind.r WIII.Eer. Reaggvity: III Spaa1NllRmteative Equipment: AWC PERSONAL PRECAUTIONS: NA ENVIRONMENTAL PRECAUTIONS: NA HAZARDS IDENTIFICATION METHODS FOR CLEANING UP: NA EFFECTS FROM A CUM XPOSUR HANDLING AND STORAGE INGESTION: Beverebum to c membyBMS of mouW,throet mMbeahve arand. Cause, burns Me mot Neason May be leWllswellovrotl. May be fatal pr muse MlrWnesa if IN HANDLING BETAKEN DANGER. CpmmnlreletlaWlc sound. Avoid [mdact wHm ayaa mg. Skva at, .resIn skin ew encE. No. bed s stogr Xnam IN RANDLING NO AND ANDSTORAGE: Usair vaefle MOlnal canbinermmkve Ons Stare lnamol, dry mser Folenal tadereeo,W SKIN CONTACT: I. mme sea .d modmele skin Mblion. PrPlsngetl cpaeU muses severe bums who-0 mry not be prevent lrtihllon by ve wep. Mix Mlx anM With weler. On not muse coWi conlainen FOlbwkbel directions Imnea painful or p visible e INHALATION: Mine am leb IndMbMpro mucous cominterenes. respiratory treQ endlung buue May cause OTHER PRECAUTIONS: Keep out of reach aftlMllden. do a loam end ran,"" peeeB. SPECIFIC C USIBS USE(S): NA EYE CONTACT: Cause. uaea severe eye ["age.. e.on. Coarseness roaye tissue and may muse severe damage and blindness. EXPOSURE CONTROLS/PERSONAL PROTECTION CHRONICEFFECTS: DenneWa Pmvible raapiretary damage tWm inhnetlm of dust ormlNt EFFECTS/CARCINOGENIC": None listed under OSHA, WRC, or NTP. PROTECTIVE EQUIPMENT: ROUTES OF ENTRY: Bonuses Wentry Wr cal and liquids include We aMMd skin rolled, Iagandon and Inhalation T COMPOSITIONANFORMATION ON INGREDIENTS d. PRODUCT COMPOBIDON % ACO]N TLV OsHAPELa EXPOSURE CONTROLS' Showere. Eyawes, meffam. CASN RESPIRATORY PROTECTION: None nor ly refused.Us. approved NIOSH mapirelory pobec0cm it TLV...del or saver PMyhoda add 60 t MMN 1 mM exposure is likely. ia9!-3x2 PROTECTIVEGLOVES: Rubber or pleafic G. s recommended to nualroloss skin Wool. EYE PROTECTION: Goggles, Faro shield, FIRSTAIDMEASURES OTHER PERSONAL PROTECTION Rubber boob Appropriate protective cioMlrlg as nesdeG to Prevent akin contact EQUIPMENT: INGESTION: Oonolnducnourni Wg. 5lovAy tlnute uiN l-2 plessmMvsebromlkend seek metlWaf VENTILATION: Nmsrequlred General machenlml andlnkeal exhaust as needed lfmist w wpm abuse Brennan. Nov giveanyMMgbymmu Wanummnsdausp m. Indiana, SKIN: Flush Win weterfor A lean 15 minutes" IM mmavlrp all conlemteeted cloWlg and shoes. Gal madlml atiemmn if Indianan pemse, PHYSICAL AND CHEMICAL PROPERTIES INHALATION: Iftlh.1W.gm.wng aqb I.fmRMaIL Gal medical nlentian if respirelory lmkallon Oeveloq or if breeWng becomes dmculi APPEARANCE AN D ODOR: Clear rod. Odnleas. EYES; ImmedlNtely Rush &"a wlih large amounts ofwasur AV at least 15 minutes. Getlmmediale BOILING POINT IF): 245 appak. (C) NA medical a3e n VAPORPRESSURE: A.wnter NOTES TO PHYSICIAN: NO.. VAPOR DENSITY (AIR-if: Aswstar SaUBILfIY IN WATER: NA 5. FIRE AND EXPLOSION HAZARD DATA SPECIFIC GRAVITY: 1.33-1.30 VOC CantenT(16h NE FLASH POINT(F): Nam [CI: NA VOV Barnhart HE METHOD: Nola EVAPORATION RATE: Las. gun Ww PH: 0 FLAMMABLE UNITS IN AIR Page i of 4 Page 2 o1`4 333 Hallenbeck St. Emergency Phone; Rochester NY 14621 INFOTRAC: RMC nformation: 585.336.2200 OUTSIDE US:1352- 23-3500 Rochester Midland Corpo2tion MATERIAL SAFETY DATA SHEET REVISION DATE: 08/04/2006 REVISION NUMBER: 6 DATE PRINTED: 0 3/0 512 0 0 7 PREPARED BY: EH&S DEPARTMENT 1. CHEMICAL PRODUCT PRODUCT NAME: ULTRA STRIP PRODUCT CODE: 118083 NFPAMMIS HAZARD CODES(minimal=0; slight=l; moderate=2; serious=3; severe=4) Health: 312 Fire: 0/0 Reactivity; 010 Spacial/Protective Equipment: ALK/C HAZARDS IDENTIFICATION EFFECTS FROM ACUTE EXPOSURE, INGESTION: May be harmful if swallowed. Causes vomiting, nausea, and diarrhea. May cause bums to mucous membranes of mouth, throat, and digestive tract SKIN CONTACT: Prolonged contact causes severe bums which may not be immediately painful or visible. INHALATION: Mists or vapors may cause nose and respiratory irritation, headache, nausea, dimness. Possible tissue damage. EYE CONTACT: May cause blindness. Causes severe eye burns. May cause permanent eye damage. CHRONIC EFFECTS: Dermatitis. Possible respiratory damage from inhalation of dust or mist EFFECTSICARCINOGENICITY; None listed under OSHA, IARC, or NTP. ROUTES OF ENTRY: Routes of entry for solids and liquids include eye and skin contact, ingestion and inhalation. 3. COMPOSITIONIINFORMATION ON INGREDIENTS PRODUCT COMPOSITION ACGIH TLV OSHA PELs CASO Ethylene glycol butyl ether 5-10 20 ppm 240 mg1m- 111-76-2 50 m POTASSIUM HYDROXIDE 1-5 NA NA 1310-56-3 Ethanolamine 1-5 3 ppm 3 ppm 141A3~5 6 m g/& Ethylene glycol phenyl ether 1-5 NA NA 122-99-6 FIRST AID MEASURES INGESTION: DO NOT INDUCE VOMITING. Drink several glasses of water or milk. Get immediate medical attention. Never give anything by mouth to an unconcious person. SKIN: Flush with water for at least 15 minutes while removing all contaminated clothing and shoes. Continue rinsing until "slippery" feeling is gone. Get medical attention if irritation or bums develop. INHALATION: If inhaled, remove to fresh air. If not breathing give artificial respiration, preferably mouth-to- mouth. If breathing is difficult give oxygen. Get medical attention. EYES: In case of contact, or suspected contact, immediately flush eyes with plenty of water for at least 15 minutes and get medical attention immediately after flushing. NOTES TO PHYSICIAN: None. FIRE AND EXPLOSION HAZARD DATA FLASH POINT (F): None (C): NA METHOD: TCC Page 1 of 4 333 Hollenbeck St. Emergency Phone: Rochester NY 14621 INFOTRAGt 1-800-535-5053 RAMC Information: 585-336-2200 OUTSIDE US: 1-352-323-3500 Rochester M/dland Corporalion MATERIAL SAFETY DATA SHEET REVISION DATE: 0511012007 REVISION NUMBER: 7 DATE PRINTED: 0 5/1 012 0 0 7 PREPARED BY: EH&S DEPARTMENT 1. CHEMICAL PRODUCT PRODUCT NAME: ULTRA MARATHONS, Floor Finish PRODUCT CODE: 116084 NFPA/HMIS HAZARD CODES(minimal=0; slight=l; moderate=2; serious=3; severe=4) Health: 1/1 Fire: 0/0 Reactivity: 0/0 SpeciallProtective Equipment: None/B 2. HAZARDS IDENTIFICATION EFFECTS FROM ACUTE EXPOSURE: INGESTION: May be harmful if swallowed. Irritation of the mouth, throat, and stomach. Causes vomiting, nausea, and diarrhea. SKIN CONTACT: May cause moderate skin irritation. INHALATION: Inhalation of spray mists irritating to nose and throat; possible nausea, dizziness EYE CONTACT: Causes eye irritation. CHRONIC EFFECTS: None known. EFFECTSICARCINOGENICITY: None listed under OSHA, IARC, or NTP. ROUTES OF ENTRY: Routes of entry for solids and liquids include eye and skin contact, ingestion and inhalation. COMPOSITIONIINFORMATION ON INGREDIENTS PRODUCT COMPOSITION % ACGIH TLV OSHA PELs CAS# Diethylene glycol ethyl ether 1-5 NA NA 111-90-0 Dipropylene gtyool methyl ether 1.5 100 ppm NA 34590-94-8 Tributoxy ethyl phosphate 1-5 NA NA 78-51-3 FIRST AID MEASURES INGESTION: Do not induce vomiting. Drink two glasses of water. Call a physician. Never give anything by mouth to an unconcious person. SKIN: In case of contact, immediately flush skin with plenty of soap and water for at least 15 minutes. Get medical attention. INHALATION: If inhaled, remove from area to fresh air. Get medical attention if respiratory irritation develops or if breathing becomes difficult. EYES: In case of contact, immediately flush eyes with plenty of water for at least 15 minutes and get medical attention if irritation persists. NOTES TO PHYSICIAN: None. FIRE AND EXPLOSION HAZARD DATA FLASH POINT (F): None (C): NA METHOD: TCC FLAMMABLE LIMITS IN AIR - LOWER NA Page 1 of 4 MATERIAL SAFETY DATA SHEET VigorOx@ Liquid Sanitizer and Disinfectant MSDS Ref. No.: 79-21-0-10 Date Approved: 08/06/2007 Revision No.: 15 This document has been prepared to meet the requirements of the U.S. OSHA Hazard Communication Standard, 29 CFR 1910.1200; the Canada's Workplace Hazardous Materials Information System (WHMIS) and, the EC Directive, 2001158/EC. 1. PRODUCT AND COMPANY IDENTIFICATION PRODUCT NAME: VigorOx@ Liquid Sanitizer and Disinfectant SYNONYMS: Peroxyacetic Acid Solution, Peracetic Acid Solution GENERAL USE: EPA Registration No. 65402-1 VigorOx liquid sanitizer and disinfectant has been formulated for use in the circulation cleaning and sanitizing of equipment such as tanks, pipelines, evaporators, fillers, pasteurizers, and aseptic equipment in dairies, wineries, breweries and beverage plants. VigorOx liquid sanitizer and disinfectant is for sanitizing of inanimate, non-food contact surfaces (general environmental surfaces) VigorOx liquid sanitizer and disinfectant is for use in the disinfection of hard surfaces in general commercial and medical environments. MANUFACTURER EMERGENCY TELEPHONE NUMBERS FMC CORPORATION (303) 595-9048 (Medical - U.S. - Call Collect) FMC Peroxygens 1735 Market Street For leak, fire, spill, or accident emergencies, call: Philadelphia, PA 19103 (800) 424-9300 (CHEMTREC - U.S.A. & Canada) (215) 299-6000 (General Information) msdsinfo@fmc.com (Email- General Information) Page 1 of 12 333 Hollenbeck St Emergency Phone. Rochester NY 14621 INFOTRAC: 33r 1-800-535-5053 ~ Information. . 5 5855--336-2200 OUTSIDE Ol1TSIDE U US: 1-352-3233500 Rochester Midland Corpo2don MATERIAL SAFETY DATA SHEET REVISION DATE: 01/30/2007 REVISION NUMBER: 5 DATE PRINTED: 0310512007 PREPARED BY: EH&S DEPARTMENT 1. CHEMICAL PRODUCT PRODUCT NAME: HI-VIS 20, Viscous Gel Oven Cleaner PRODUCT CODE: 102180 NFPAIHMIS HAZARD CODES(mmimal=0; slight=l; moderate=2; serious=3; severe=4) Health: 3/3 Fire: 0/0 Reactivity: 1/1 Special/Protective Equipment: ALKIC HAZARDS IDENTIFICATION EFFECTS FROM ACUTE EXPOSURE: INGESTION: Severe burns to mucous membranes of mouth, throat and digestive tract. SKIN CONTACT: Prolonged contact causes severe bums which may not be immediately painful or visible. INHALATION: Inhalation of mist will irritate mucous membranes. Can cause damage to mucous membranes of nose, throat, respiratory tract and lung tissue depending on severity of exposure. EYE CONTACT: Causes severe eye bums May cause permanent eye damage. May cause blindness. CHRONIC EFFECTS: None expected in normal use. Long term overexposure to some glycol ethers by skin absorption or inhalation may cause kidney, liver, or blood effects based on animal testing. EFFECTS/CARCINOGENICtTY: None listed under OSHA, IARC, or NTP. ROUTES OF ENTRY: Routes of entry for solids and liquids include eye and skin contact, ingestion and inhalation. , COMPOSITION/INFORMATION ON INGREDIENTS PRODUCT COMPOSITION % ACGIH TLV OSHA PELs CAS= POTASSIUM HYDROXIDE 20 NA NA 1310-583 Diethylene glycol butyl ether 2 NA NA 112-34-5 FIRST AID MEASURES INGESTION: Dc not induce vomiting. Slowly dilute with 1-2 glasses of water or milk and seek medical attention. Never give anything by mouth to an unconscious person. If vomiting occurs, give additional water. SKIN: Flush with water for at least 15 minutes while removing all contaminated clothing and shoes. Continue rinsing until "slippery" feeling is gone. Get medical attention if irritation or bums develop. INHALATION: If inhaled, remove to fresh air. If not breathing give artificial respiration, preferably mouth-to- mouth. If breathing is difficult give oxygen. Get medical attention. EYES: Immediately flush eyes with large amounts of water for at least 15 minutes Get immediate medical attention. NOTES TO PHYSICIAN: None. FIRE AND EXPLOSION HAZARD DATA FLASH POINT (F): None (C): NA METHOD: None FLAMMABLE LIMITS IN AIR Page 1 of 4 HI-VIS 20, Viscous Gel Oven Cleaner - LOWER NA -UPPER NA SENSITIVITY TO MECHANICAL IMPACT(YIN): NO SENSITIVITY TO STATIC DISCHARGE: Sensitivity to static discharge is not expected. SUITABLE EXTINGUISHING MEDIA: Product will not burn. FIRE FIGHTING PROCEDURES: Corrosive material. Avoid exposure to mist and splashes. Fire- fighters should wear self-contained breathing apparatus and full protective clothing when fighting chemical fires. ACCIDENTAL RELEASE MEASURES SPILL PROCEDURES: SMALL SPILLS: Reclaim as much as possible. Pick up with absorbent material. Flush residue with water. LARGE SPILLS: Dike to contain. Pick up with absorbant material. Put in suitable container for disposal. Flush remainder with water. Releases of some glycol ethers may be CERCLA reportable. PERSONAL PRECAUTIONS: NA ENVIRONMENTAL PRECAUTIONS: NA METHODS FOR CLEANING UP: NA HANDLING AND STORAGE PRECAUTIONS TO BE TAKEN Avoid contact with eyes, skin and clothing. DANGER: Concentrated, caustic material. Do not IN HANDLING AND STORAGE: breathe dusts or mists. Store indoors. Store only in original container and keep closed. Store in a cool, dry area. Store in a well ventilated area. OTHER PRECAUTIONS: Do not reuse container. Empty containers may retain product residue, follow MSDSllabel precautions even after container is emptied. Contact with certain food sugars can release hazardous amounts of carbon monoxide gas in enclosed vessels. Read and follow label instructions. SPECIFIC USE(S): NA EXPOSURE CONTROLS/PERSONAL PROTECTION PROTECTIVE EQUIPMENT: Em1wr EXPOSURE CONTROLS: Use in a well ventilated area RESPIRATORY PROTECTION: Not normally required. If product is used in a manner which creates dust or mist above recommended exposure limits, a NIOSH/MSHA approved respirator with dust1mist filter may be needed in the absence of proper environmental controls. PROTECTIVE GLOVES: Neoprene Nitrile gloves. Rubber gloves. EYE PROTECTION: Goggles. Face shield. OTHER PERSONAL PROTECTION PVC boots. Rubber boots. Rubber apron. Plastic hard hat. Appropriate protective clothing as EQUIPMENT: needed to prevent skin contact. Liquid may penetrate leather shoes and cause delayed burns. Eyewash fountains and safety showers must be easily accessible. VENTILATION: General mechanical and/or local exhaust as needed to meet exposure limits if mist in air. Corrosion resistant equipment recommended. PHYSICAL AND CHEMICAL PROPERTIES APPEARANCE AND ODOR: Dark brown. Viscous gel. Mild solvent odor. BOILING POINT (F): 220 F (C) NA VAPOR PRESSURE: Less than 39 mm Hg VAPOR DENSITY (AIR=1): Undetermined SOLUBILITY IN WATER: NA SPECIFIC GRAVITY: 1.24 0.01 VOC Content NE Page 2 of 4 HINTS 20, Viscous Gel Oven Cleaner PHYSICAL AND CHEMICAL PROPERTIES VOV Content NE EVAPORATION RATE: As water PH: > 14 10. STABILITY AND REACTIVITY STABILITY DATA: STABLE POLYMERIZATION: Will Not Occur. HAZARDOUS DECOMPOSITION: Hydrogen halides INCOMPATIBILITY (MATERIALS TO Avoid contact with concentrated adds; may cause violent reactions. Avoid contact with AVOID): aluminum, zinc, other soft metals or galvanized metals. CONDITIONSlHAZARDS TO AVOID: None. 11. TOXICOLOGICAL INFORMATION ACUTE TOXICITY: NE EFFECTS OF CHRONIC EXPOSURE: NE OTHER TOXIC EFFECTS: NE 12. ECOLOGICAL INFORMATION ECOTOXICOLOGICAL No data at this time INFORMATION: CHEMICAL FATE INFORMATION: No data at this time. MOBILITY: NA PERSISTENCE/DEGRADABILITY: NA BIOACCUMULATIVE POTENTIAL: NA OTHER ADVERSE EFFECTS: NA 13. DISPOSAL CONSIDERATIONS WASTE DISPOSAL METHODS: Dispose in accordance with Federal, State and Local regulations. 14. TRANSPORT INFORMATION Please refer to the Bill of Lading/Receiving documents for up to date shipping information. 15. REGULATORY INFORMATION PRODUCT COMPOSITION % TSCA: EINECS: Canada DSL: CA PROP 65: CAS# POTASSIUM HYDROXIDE 20 Listed Listed Listed Not Listed 1310-56-3 Diethylene glycol butyl ether 2 Listed Listed Listed Not Listed 112-345 PRODUCT COMPOSITION % CERCLA: SARA 302: SARA 313: CAS3 POTASSIUM HYDROXIDE 20 1000 lb Not Listed Not Listed 1310-5&3 454 Diethylene glycol butyl ether 2 Not Listed Not Listed Listed 112-345 Page 3 of 4 ' HI-VIS 20, Viscous Gel Oven Cleaner PRODUCT COMPOSITION % Canada WHMIS: CASO POTASSIUM HYDROXIDE 20 Listed 1310-58-3 Diethylene glycol butyl ether 2 Listed 112-34-5 The following components of this material are included in the Massachusetts Substance List and are present at or above reportable levels. PRODUCT COMPOSITION % MARTK: CASs POTASSIUM HYDROXIDE 20 Listed 1310-58-3 The following components of this matenal are included in the New Jersey Substance List and are resent at or above reportable levels. PRODUCT COMPOSITION % NJRTK: CAS# POTASSIUM HYDROXIDE 20 Listed 1310-58-3 Diethylene glycol butyl ether 2 Listed 112-34-5 The following components of this material are included in the Pennsylvania Substance List and are present at or above reportable levels PRODUCT COMPOSITION % PARTK: CAS# POTASSIUM HYDROXIDE 20 Listed 1310-5&3 Diethylene glycol butyl ether 2 Listed 112-34-5 16. OTHER INFORMATION This information was complied from current, reliable sources and is believed to be correct. As data, and/or regulations change, and conditions of use and handling are beyond our control, no warranty, express or implied, is made as to completeness or continuing accuracy of this information. END OF MSDS Page 4 of 4 .6 r---.---,g---------- i ` I Pr ttlcei;(Jsgr, L 7 i Per mi # 4,01 City of Ea~aIl ROn y ~~cL I - q E~EKI I Permit Fee 3830 Pilot Knob Road 6- Eagan MN 55122 ( ± m` kEU Phone: (651) 675-5675 y~ ^ ( u~ Date Received: y Fax: (651) 675-5694 2011M 08'k, !d~ f~ 1 )uc~` I LJ ~L ic/Y ( Staff: I rw~ -----------------I 2008 COMMERCIAL PLLU BING PERMIT APPLICATION Date: 7/18 /0t Site Address: 1000 A0614 Rd Tenant: r AKd A4"W 949e4ecj SuiteM PROPERTY Name: Phone: OWNER CONTRACTOR Name: Me'fiEt)~I~Tq~/ /NP(,"10"t 4or LL~iicyce~~rl 60SSl~N Address:~0 (Ng34JA06%W l4 S. City: OEV T7(11111i State:MPJ Zip: srry Phone: 941-5V1-1 010 Contact Person: lW R&dCA TYPE OF New _ Replacement _ Repair _ Rebuild X Modify Space _ Work in R.O.W. WORK Description of work: PERMIT TYPE COMMERCIAL _ New Construction Modify Space -Irrigation System C_ yes / .Cno) RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM _ (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 183.00 Avg. GPM High demand devices? _Yes _No Flushometers_Yes *,No PRVRequired -Yes _x _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR contract value $ 330 me>t' x1% _ $ 3300 Permit Fee Required on ALL new buildings and boulevard irrigation systems Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 (J' $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage State Surcharge TOTAL FEES 3 a r b0 I hereby acknowledge that this information is complete and accurate; that the work will be in confornance with the ordinances and codes of the City of Eagan; that I understand this ,s 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 ..w ?~AS CA. X Applicant's Printed Name Applicant's Signature FOR OFFICE USE M € Approved By: ' Date Required Inspections. Under Grotough In ir.Test . =Gas Test Inal " =1 Page 1 of 3 it City of Eap C /G 7 EN I Farm 111 1 fl" ~~C-C~ (,i]:LOAl7 /+iY/f. Perm e'-~ 38390 Pilot Knob Road -y L 1 ~,(f /A t~~ Itl Ea an MN 55122 T qG i.! D C( Date ived: WII Phone: (651) 675-5675 2 0 o/ +n f.`2 i ~f~f JUL 2 9 2008 Fax: (651) 675-5694 ~T V ~7 g 1' Staff: i )ZO ______J 2008 MECHANICAL PERMIT APPLICATION Date: '7AtAP SlteAddress: /Dan APO/Iu Rs✓ Tenant: r4eA CA /*44W J34kee!j Suits RESIDENT / OWNER Name: Phone: Address i City / Zip: ~ CONTRACTOR Name: /NCYRo h 14v /I40cA4Ji~4I,,Ak AW- _ License 003%V / ZIO Address: /WO &J41N/N(~'(AN 4ye s• _!~d z) 3-2 / -7/[/ City:fibrN 1OiR1rE _State:AJA/ Zip: ec3,vy Phone: Rf2 9olill"I - 700 Contact Person: &NI Ad G4 TYPE OF WORK New -Y-Replacement _,~"Additional k Alteration -Demolition Description of Work: AeAe L7-09 wrr 4ou I- AgAy "♦<N 4'bgx fw04( . "NOTEfBotti-roofmountedandgroundmountted/nechahkaiLeguipmenflsrequ~redto.x( , be screened by CIty Code Please confacf the Mechari1ea11rrspector orryorie ofYhe >P.,Iarrreers`orinforltladon'otr. arinitted.s'cre r n -inefhrids;f i PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction _X Interior Improvement Air Conditioner Install Piping _ Processed _ Air Exchanger Gas N Exterior HVAC Unit HVAC units must be screened 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: $50.50 Minimum Add-on or alteration to an existing unit (Includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installationtremoval OR Contract Value $ /3S~oop x1% $50.50 Minimum (includes State Surcharge) $ /$S0 Permit Fee - If Penni g is less than $1,000, surcharge is $.50. - If Fermi Fee is > $1,000, surcharge increases by $.50 for each /r L) Q State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge) l~ ~~j $ -/-TI-/. TOTAL FEE 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. b x`~o IS CA, x Applicant's Printed Name Applloa is Signature FOR OFFICE USE' A + „ Reviewed By Date - RequlredInspectipns: r Under Grounded Rough In + Av Te tGas`Servlce Test Irt floor HeatFlnal FROM FAX NO. :651-636-7745 Sep. 23 2000 01:05PM P1 -----------1 nN n j permit - - i Clt~ of Satan I Permit Fee: I 1 I 3630 Pilot Knob Road I Date Received: Eagan MN s5122 , Phone: (651) 675.5575 staff: _ - Faff: (651) 675-5684 2008 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION` 1~ ,4A~u0 Kota Dete: do _ Slte Address: J F~FiyG~ ~1EAdo`''ItE~Y suitell:^~ Tenant: Phone! PROPERTY OWNER Name: Address / City / ZIP: - Applicant le: -owner -Contractor ~ ~~~S1p pEwGso[,~q, ~4Bd~s~ ~,dtrr JYJ~fa~ TYPE OF WORK Description of work: ) TAG Construction Coat: -00' Estimated Completion Date: 5I11E6lI Fl'IfE 19,69m61 ow _ ucenss CONTRACTOR Name: q31Z w15SThct!tia [AKE ocd Address: dEAI 1¢1461 _ State: WN zip: City: Gs/- 6t!`- 7 5 4' -Contact Person:_ 4oer vqz o A Phone: WORK TYPE FIRE PERMIT TYPE Sprinkler System of heads LIP) New Addition Fire Pump Alterations Standpipe _ Remodel Other: Other. DESCRIPTION OF WORK: Commercial Residential JEducational - FEESib000 x156 Includes State Surcharge) OR contract Value $ $50-50 Inl m r$ 10.00 Permit Fee - If Ectc3it F9a is leas than $1,000, surcharge is $.60. State Surcharge - II permit Eafl Is> $1,000, surcharge Increases by $.50 for each die `O $1,000 permit Fee (l.a. a $i,ool42,o00 Permit Fee requires a $1.00 surcharge). $ lJri 7 - TOTAL FEE $ .tP- Fire Meter 3/4" Displacement Fire Meter - $183.00 TOTAL FEE •Requlrelltents: 2 complete Bets of drawings and spa""' long, cut sheele on materials end oomponenta to be used stem permit and acknowledge that the information is complete and accurate; that the work will be In I conformance for t Fire Suppression SY that I underatand this is not a permit, but hereby a" only with the ordinances and codes the City of Eagan and with the Mlnneeol a in or Codes; roved plan in the case of work only an application for a permit, and work [k is Is net to start without a permit; that the work will be e in accordance with the app p which requires a review and approval of plans. - x afwr 1fowz.9 x ApPllcanYs Printed Name AP 2006 FIRE SUPPRESSION SYSTEMS PERMIT 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 co onents to be used Date 9 / l0 / 0609 Site Address: 10100 4'4ellD if d Tenant / Building Name: F&AIC# 119,E4Aq&✓ tf~,ffe rr The Applicant is: ` Owner Contractor Other PROPERTY OWNER Address: City: State: Zip: CONTRACTOR 1F1,V F10 #07tl1'/O4l' MN License Address: y392 41C-.Sr XglAp Z40 /;y City: /M611Ey Nley State: MAI Zip: S"f//z Phone 9: ESTIMATED COMPLETION DATE: FIRE PERMIT TYPE: Sprinkler System of heads //0 , Fire Pump _ Standpipe Other: WORK TYPE: _ New _ Addition Alterations Remodel Other: DESCRIPTION OF WORK: Commercial Residential Educational Other: - Please continue on reverse side PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ x .01 = $ g~ Permit Fee If Permit Fee is $1,000 or less, add $.50 $ S State Surcharge If Permit Fee is over $1,000, add $30 per $1,000 Permit Fee 3/4" Displacement Fire Meter - $167.00 $ TOTAL FEE: $ S SO 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. e,9EA11 /{OTI~~.4 Applicant's Printed Name Applicants Signature DO NOT WRITE BELOW THIS LINE ® r City of Eapn Permit S j(1 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2008 MECHANICAL PERMIT APPLICATION Date: ")-d'1-O7 S Site Address: 1000 r~l(o TJ( Tenant: Suite RESIDENT / OWNER Name: Ike,-„CjCX~> t~jr-kPrj Phone: E75/ ~1Ub -`3600 Address/ City/ Zip: C)IZIC)L~ L CONTRACTOR Name: it ~M rn ~1, ~iov, License 70 Address: City: t) State: Mr) Zip: 550-7 S Phone: I LI51 7a:)q Contact Person: 1 TYPE OF WORK New -Replacement -Additional Alteration Demolition Description of work: O X1571A)b ROM bluff L b ~rNae -NOTE: Both roof mounted and ground mounted mechanical equipment is required to " be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screwing methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement _ Air Conditioner -Install Piping Processed Air Exchanger - Gas Exterior HVAC Unit ' HVAC units must be screened 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: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ at , L~c~L7 x1% $50.50 Minimum (includes State Surcharge) $ r~i S 0 Permit Fee - If Permit Fee is less than $1,000, surcharge is $ 50. If Perrni Fee is > $1,000, surcharge increases by $.50 for each ' SQ State Surcharge $1,000 Permit Fee (i e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ cam- S~• SU TOTAL FEE 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 x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In -Air Test Gas Service Test In-floor Heat Final i o o+~~ use 1 - - i q I I City of Eap 10 at ~r L0" Permit# ~~Cl / f S I S(/ ' 3830 Pilot Knob Road D Permit Fee: I Eagan MN 55122 Phone: (651) 675-5675 1 Date Received: Fax: (651) 675-5694 Zo ~(M a~ `3 I I j Staff: I t-----------------I 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date: (ZI 0 Site Address: Lixc ►444) goo-' Tenant: Roi W D Suite M PROPERTY Name: Phone: OWNER CONTRACTOR Name: NeYRt It-r&j Alit gwwhit ceej: COZr/Z PM Address:7X0 4 gtQj(nWsty: Edw AlidkiC State:4millli/ Zip: X. Phone: rZ f f// 7/t O Contact Person: A R44 S CA TYPE OF -New _Replacement -Repair Rebuild X Modify Space _ Work in R.O.W. r WORK I A44,v Description of work: L&Xoillli Z ` a~.v►1~ )NS-t4~G/ I 7Q11w PERMIT TYPE COMMERCIAL New Construction modify Space _ Irrigation System yes 1 _ no) RPZ I _ PVB) • Rain sensors required on irrigation systems • Avg. GPM _ (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 183.00 Avg GPM High demand devices? _Yes _No Flushometers _Yes No PRV Required Yes No - COMMERCIAL FEES: ~y $50.60 Minimum (includes State Surcharge) OR Contract Value $ a d X1% = $ • v Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $~tale Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ Wit - ' 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 apphcation for a permit, and work is not to start without a permit, that the work will ccordance approved plan in the case of work which requires a review and approval or lans. x Tahj uStA x Applicants Printed Name Applic Ys Signature -.S - hOR OFFICE USE-1 Approved By` Date 47 O f^ Required Inspections:` Uncle rGround Rough in AIrTe"st Gas Test YFinal Page 1 of 3 ' or lTes I I I City of Ea~a~ In 11 ZQ09 ; Permit#: '90b 7` ( I 3830 Pilot Knob Road 5 / ; Permit Fee: Eagan MN 55122 C( 6 U~Cl l Dale Received: Phone: (651) 675-5675 1 Sd Fax: (651) 675-5694 i Staff: I 2009 MECHANICAL PERMIT APPLICATION Date: Z Site Address: Tenant: 'QM l~l/ W 94 Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: ~ CONTRACTOR Name M~E'~Kr7 I ,e°TJM/ T gkA*jj e+i ~ ICcen~t;: en-ra ~M Address: 72Vo 1UAdk f A16 Cw &At S I City: L~i~M P.a%aiL State: ,W Zip: d T3 qq Phone: ?rz f f/I 701 O Contact Person: A/ ,4S 44 TYPE OF WORK New Replacement ,Additional _ Alteration _ Demolition Description of work: 0 ✓T r f a-' Q ri•~ =NOTE: Both roof mounted and ground mounted mechanical equiffmat&js-required to .-'be screened by City Code. Please eontact the Mechanlcal/nspectornrone at the, Planners for Information on- ermined screenln hlethT6ol- 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 L Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: i $70.50 Underground tank installation/removal OR Contract Value $ ;;Coo x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. t Ay - - - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). ~ $ ~J FEE 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 it; that the in accordance with the approved plan in the case of work Mich requires a review and approval of plans. - x I~`Iiw) CA x Applicant's Printed Name Applic ri Signature :rOR OkFICE U8E Revfewed BY - Date' 1 z7 O Required Ilaspectlons Under Ground _ Rough In ° Air Test ,,Gas Service Test ° - In floor Heat ~inai - J zteriorHlAC,Screening'Inspection QE.''° q' = x. s ]N7~ntnt i Via. I / City of Eapn Permit 5V 3830 Pilot Knob Road I Permit Fee: I Eagan MN 55122 j Phone: (651) 675-5675 I Date Received: I Fax: (651) 675-5694/p/ f~/ I C ~2Q / l 7 -7 j Staff: I t-----------------I 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 9 Site Address: 62CC) R,/~U 1 L 0 9d Tenant: / e".)ca MM i"I- e4ktti) { -(CP Suite PROPERTY Name: Phone: OWNER ~q S CONTRACTOR Name: MQ L(G BPD( T/k``) 1yk(,{WlC 4Zf4k,-%Ot7cen7se#: P111 Address: ~~73~c7 l~N~ J 1 d SCity: Cb 7H4C2f'E State: ~J zip: ~53~ Phone:/~ 7~I70(0) Contact Person: ~nJS TYPE OF New Replacement Repair _Rebuild _ Modify Space - Work in R.O.W. WORK Description of work: PERMIT TYPE COMMERCIAL _ New Construction ~Modify Space Irrigation System yes / _ no) RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM _ (2° turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 1$ 83 00 Avg. GPM High demand devices? _Yes _No Flushometers Yes _No PRV Required _Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract value $ •r1 x1% r' rx> ~ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Persil Fee (i.e. a $1,001-$2,000 Persil Fee requires a $1.00 surcharge). _ $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ .:~v 'v I hereby acknowledge that this information is complete and accurate, that the work will be in confornance with the ordinances and codes of the City of Eagan, that I understand this is not a permit, but only an apphcafion 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 ~ A SC(A X ( 1 7 .2P~C Applicant's Printed Name Applic nPs Signature , r re Approved By r? Date FOR OFFICE USE ~i Sur e~M R equir"ed Inspgctlonsi . 4_. Under Ground Y Rough In A(rTest = _GasTest -Final„`-k' Page 1 of 3 For Office Use I r q • City Ohf_~e I Permit I V Permit Fee: / i 3830 Pilot Knob Road Eagan MN 551220 Date Received: Phone: (651) 675-5675 i I Fax: (651) 675-5694 Staff: j - - - - - - - - - - - - - - - - - J 2009 MECHANICAL PERMIT APPLICATION `S"'~ Date: Q6 za ` 17c`).. ` f t"~a Site Address: j 0000 14 ~ C ~ ~ ® FLAr l~7 Tenant: _ei21: t j c t-~ 0ArP g;Dy✓ tea Y Suite RESIDENT / OWNER Name: S'q m A4, 1-6J AWT Phone: Address / City / Zip: CONTRACTOR Name: YgM5_, JV TGy~k License ? i H 2, q S Address: G-r(Z^jr-Q> SC, City: Q~. C:'' Y► Ca~'fU 0 State: M`lv Zip: S Phone: ° r L i S ;5 ► Contact Person: t, `Sj5U ; . TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: 9,600C't= i5'ca ~ n~ v 1-713, c4oPO-A E'Y0, NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL _ Furnace New Construction Interior Improvement i _ Air Conditioner Install Piping Processed _ Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ 17 _ x1% $50.50 Minimum (includes State Surcharge) _ - If Permit Fie is less than $1,000, surcharge is $.50. $ 176. Permit Fee - If Permit Fee, is > $1,000, surcharge increases by $.50 for each = $_-A. Sic State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). r~ ~y $ 176 TOTAL FEE 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 C x_(' l~ Applicant's Printed Name Applicants Signature FOR OFFICE USE Reviewed By: zir? Date: Required Inspections: -Under Ground Rough In _Air Test _Gas Service Test -In-floor Heat -V(inal Exterior HVAC Screening Inspection Use BLUE or BLACK Ink Aft I For Office Use Permit {'d t~ .Cit of Eal"In 3830 Pilot Knob Road I Permit Fee. 1 J I r 1 Eagan MN 55122 I Date Received: ' Phone: (651) 675-5675 I I Fax (651) 675-5694 a CX M 3 O3 ; Staff' ---.--------------v- 2009 MECHANICAL PERMIT APPLICATION Date: / 0 Site Address: l o a d APD[ t Tenant: rV-C-^XN M L..> BA G( Suite RESIDENT/ OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name:/~P7 C ~/~et &7fiW*,fS' License X 3.5/Z Al Address: '73,1v~4~'i.)N(I° ti ~ S City: e2sL,y State: A1W Zip: S, 31V Phone: 9J-Z f4(1-7010 Contact Person: Ry"'i )&-s C-4 TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: C (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 -Y-Lnstall Piping - Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump - Under/ Above ground Tank. (r Install / _ Remove) Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbin Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ / -7 400 x 1% $50.50 Minimum (includes State Surcharge) 170, 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 $ ?,S-0 Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). /71. S-0 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.aopherstateonecall.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 tart 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 c7 rte.) j ~t S CA X Applicant's Printed Name Applica is Signature FOR OFFICE USE Reviewed By: _ Date: b Required Inspections: -Under Ground Rough In Air Test -Gas Service Test In-Floor Heat Final Exterior HVAC Screening Inspection l ' ~J WF7 Use BLUE or BLACK Ink For Office Use I /~r Permit #:G City of EalElan Permit Fee: r . 3830 Pilot Knob Road r I I~,~ la Eagan MN 55122 Date Received: Ttflj. ~j(} Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: - - - - - - - - - - - - - - - - - J 2011 COMMERCIAL FIRE ALARM _ ~PERMIT APPLICATION* Date: bI13111 Site Address: 1bQ0 fAQDIIID C.lxl.C~ Tenant: 'm X, Suite Name: LID r,04K-t- Phone: X951 - [ W -_1t--1L4 PROPERTY OWNER Address / City / Zip: Applicant is: Owner x Contractor TYPE OF WORK Description of work: ~Vmec*iyyk I,ew ftrgyj fiD ~j ,6~ Fire \0t1CVC1V\ PA~VJ► Construction Cost: ~y~ • Estimated Completion Date: Name: TrQ*z:. War n-\ License 1-5COLD -t CONTRACTOR Address: 5~ ~ T~i7U?C 3 "T City: 6Ujrft kh1XA State: C~Iy Zip: 5533 Phone: Contact: Email: New Remodel WORK TYPE Addition Other: Alterations DESCRIPTION OF WORK: Commercial Residential Educational FEES $55.00 Minimum (includes State Surcharge) OR Contract Value $ x1% - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Permit Fee If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) ~rJ Surcharge = $TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x C jAet,(1 ~Awq Xn x Applicant's Printed Name Applicant's Signature 14 FOR OFFICE USE Reviewed By: y Date: Required Inspections: Rough-In Final Fire Alarm Test Use BLUE or BLACK Ink For Office Use 1 Permit D3 I f b City of EadH Ok&--k- /11 a *s.e2r Pennit Fee.- V 6 'd 3830 Pilot Knob Road I I ~x7~ Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff. i I 2011 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 9' 24- 7-0 11 Site Address: I CX)6 ftAllb Tenant: P Suite F Name: Phone: PROPERTY OWNER Address /City /Zip: Applicant is: Owner Contractor TYPE OF WORK a Description of work: Construction Cost: Estimated Completion Date: Name: T''3hlnS6!3 rb ak, it &_r,'1 fkk License -7's c0321 CONTRACTOR Address: 4(7-00 QJ45'ff 764q Sf` City: ~C,II-ice t State: $4 H Zip: ~,J(J357 Phone: Q~;Z - jB3 S7- q7 O O Contact: le Email ~,"AJ~the O KL. Z' ~~~#N&0KcCCaWt FIRE PERMIT TYPE WORK TYPE - Sprinkler System of heads ,New _ Addition Fire Pump - Standpipe _ Alterations _ Remodel Z other: Other. 144sal lt-10- wA- lt4ftd A 5y*-w1 Other. DESCRIPTION OF WORK: Commercial Residential Educational FEES $55.00 Minimum (includes State Surcharge) OR Contract Value $ LI 50, CO x1% - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ JrfJ ~00 Permit Fee - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee v 0 (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) 6, Surcharge I A0© TOTAL FEE 3/4" Displacement Fire Meter-$204.00 k Fire Meter i 00 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 accorda he approved plan in the case of work which requires a review and approval of plans. I 1 x Applicant's P nted Name nrs Signature J /0 M/ wl 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 FOR OFFICE USE REQUIRED INSPECTIONS ydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: t Permit Reviewed by, L Date: / _ z tx Use BLUE or BLACK Ink For Office Use I I ~J I I Permit#:V City of Evan C Permit Fee: 3830 Pilot Knob Road I ✓ e 1 I Eagan MN 55122 1 Date Received: I Phone. (651) 675-5675 u~ I Fax: (651) 675-5694 Staff 2011 MECHANICAL PERMIT APPLICATION Date: 1 j O, Site Address: t fp ta~-;-c C~ A-1 Tenant: ir-_~ fJL V) M 9,4 D C t1 v---1'- Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Name: r F t,1- 'Nl C 4~ ( License q S ~-I t~ L4 S CONTRACTOR Address: City: I~LNN iy9 po -y5 State: P- Zip: i 31` ~ Phone: Contact: TtD C> Email: New Replacement Additional Alteration Demolition TYPE OF WORK Description of work: (N-DP hJ Y.yu IZ'< ~ Yl. ! / O i7 NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement { PERMIT TYPE Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit -Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ 3 _x1% al $55.00 Minimum (includes State Surcharge) 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 W (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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be i onformance 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 i o to start out 7rmit; 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 _ sJ,(~ U x _ Applicant's Printed Name A cant's Signature FOR OFFICE USE Required Inspections: Reviewed By:~ Date: Underground Rough in Air Test Gas Service Test In-floor Heat Final HVAC Screening M h Use BLUE or BLACK Ink For Office Use I `-F RECEIVED," r,5 I Permit City of Eavap 3830 Pilot Knob Road FEB 18 701 Permit Fee:_______f`L~ i Eagan MN 55122 I Q l ~l~ 0 I Phone: (651) 675-5675 Date Received: I I Fax: (651) 675-5694 Staff: I 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Z 1~ I Site Address: _ / 000 ~allo Y `11h~ A 1~r4IZ1 Tenant: Suite Resident/Owner Name: Phone: Address / City / Zip: Name. *?T dAW N1Q 1 L s4 W !;License L 0699's Contractor Address: fjyU1ce yaUZ Z1^. City: 9-doPed State: A A; Zip: EK73 fj q Phone: *7',0 /d Contact.fy t N1 1 AIX !s 111CN Email: d"%. 1/41 WEiVII-H 4s New Replacement Additional _A_ Alteration Demolition Type of Work Description of work: kE-Ocj ? NT I~_ L 1 ~Q NOTE: Roof mounted and ground: mounted mechanical equipment is required to be screened by City Code. Please: contact theMechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement Permit Type -Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump Under/Above ground Tank Install / _ Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES ~s Contract Value $Q x .01 $55.00 Permit Fe6-Minirnum S $70.00 Underground tank installation/removal = $ PD . 00 Permit Fee `If contract value is LESS than $10,010, Surcharge = $5.00 = $ 5'. Op Surchargek `"If contract value GREATER than $10.010, Surcharge = Contract Value x $0.0005 **If tine project val ,atior i over $1 million., please call for Surcharge $+5 . p0 TOTAL FEE 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 1 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 o~ . IM , 1/ J➢ 01hryf &V~ x- 04 Applicant's Printed Name Ap ' ant's Signature FOR OFFICE USEf Required Inspections: Reviewed By: `SX Date: Underground _J:!~'Rough in est as Service Test In-floor Heat inal HVAC Screening Nov. 24, 2014 3; 07PM No. 0091;LUtP. 23t�CKInk jFor Otrice Use r^ ^ j C�t� �f�a�an � Pe���: ��-��� ; ' v`�'' ► 3830 Pilot Knob Road � Permit Fae; Eagan MN 55122 � � Phoree:(651j 675�675 � D�a Received; � Fax;(651)675 5694 � g�.�. � �....���`—^�.���.�.-��.�J 2o�a COMMERCIAL PLUMBING ��RnniT AP��.ICAT�oN ❑ Please submit twa (2)sets of pians with all commercial applications. p�; 11-24-14 S�q�dress; 1000 APOLLO ROAD EAGAN MN 65121 �RENCH MEADOW BAK�RY Te�artE- Suite#: .� .. J'���.; ;.:;;:;:Prope'r'�yc,r. - ��I"����':��4'1n►'�ie�:-�'�:;:�` Name: �LOYD EGGERT 651-286-7874 .�� Phone: ,�� - ':.��: •���'-�'�='"�=i--';s':- Name: M�TROPOUTAN MECHANICAL CONTRACTOFt��ense#: PC642833 :;���.;�.:;�� .;-:::�;:,:: .. ,•,�..':;: ��>a,:::•;:,�': .'Con�ractpc�:�:;: Add��: 7450 FLYING CLOUD pR ��� EDEN PRAIRIE 55344 . ; ;'�:=�,::.' State: MN ZiP: ���'•���',���" Ahohe: 952-941-7010 kerry.nicholls@metromech.com .�� .��', Email: :'��.;; ���TypE�of WOr(C�4 .�New x RepJacement �Repair _Rebuild �Modlfy S�doe _Work in R.O.W, ,;:;�;,:�;.. ��r pescription of work• -�,� ,�.. .,.. ;,. =;" `'�' :�,:`",,,.;;:�.��s� COMMERC/�lL �(ewConstruction � Modisyspace ":J,;;.`, � '1Riga6on System�yes/_,no)L RPZ/_,Pv6) ,,°;.`"�:':;'•:�r"��.:":;::`.: • Rain ser�sors requlred on imga�on systems �� PET�11ti<,T����.�: . Avq.GPM (Z"turbo required unless smaller s�e allowed by Public Works) ,� _Meters Cal�(651)675-6646 tp veritythat tests passed rto ickin u eter. �'s' - „ Domestia:Size&Type Fire: 1 ;„`��;:`i'•,���;�t '���'�r';�;, Avg.GpM�_High demand devices�_Yes�No Flushometers Yes,,,,_,No COMIVI�RCL4L F,EES Contract Va(ue$ x.p� $55.00 Permit�ee Minimum 55.00 =$ PErmit Fee "(f contcact value is I.�SS than$10,010,Surcharge=$5.00 5.00 ""'If contract value is GREA7ER than$10,010.Suncha �$ Surcharge" rge=Contract Value x$0.0005 60_00 '""11 the proJect valuatlon is over$1 million,please qll for Su�har'ge =$ TOTAL FEE Following fees apply when installing a new lawn irrigation system $ water Permit Contactthe Citys Engineerlrtg Departrnent,(651)675-5646,forrequired fee amounts. $ Treatrnent Plant $ Water Supply 8 Stordge $ State Surcharge _$ 60.00 TOTqI,FEE CALE.BE�OR YOU DIG. Call Gopher State�ne Ca11 at(fi51)454.p002 tor protection egainst undercJround ub7"dy damsge, 1 1 hereby acknowledge that thiS Infotmstion i��p��and axurate;that the work will be in Contortnance vvitl�the ordinances and codes oi the City of Eagan; that I undetstand thfs Is not a permit, but ony an appliq6on for a p�rmit, and work is not to StarE vdithout a permit, th2t the work wiJl be In accotdance with}t�e approved plan in the case of wortc whic�requfres a review and approval of ns, KERRY NICHpLLS x x ApplicanYs Printed Nanne Applicant's Signature ', ����� - .:,j�• . :. :��.• .r�� �-.�r:�...,:, I ,FOR�°O' ��:::;,:��;;.;: �:�:; ::,,��� ��•�:;. ::,:.:;�,;,;,,..�. :,;. , . . �FICE'f:ISE_r�.�_. ::: .�;;�';i:; ;,As ;�.:.;::��:i.w, /� r ;.,:� . ;,,�,,:s 'i��'i .i.ir;.,,;=:` .�. �lr :>i': ��i:::i:,;;:, C,�;',::.`::�:;; . . I . .... . � �c n �;'; - �'�. ' � .�i�. 1 �.�_•..N:::� 'y1'y`�:��/p��, ��:�.. �.`I;,.,V.1�p��VO{7-0.. .1.� �1�:1." ~��:v ,.�,. ..�.�-r; •,. ::�;�-,�.: ;,:- ;�,., Y,�;��'.. �Date: � . �:�x:i: :�i��:1.� .;Gr�;i7'.jie�. .•d' i�: ti:'y';:I�i�1f�.!'� �oy`ri=`"i,i„ _I� . .11 1. r��Cl[��.��•rA�'.�,�..�Nn `;`I.Y .�. .4`.4���lii�.V.�'V�.�� � �,�,�_ �,...,::"•�.,.�;, .;� :.';..; �.:�.;� � ` :��. Requaed:�lnspectio�s?�-.��,s,: �,.untler.,Groiind:�,:i.,:'y •�:�.r.-:�:�� i; ;,;,,;, �,.-;��: - _ • , , � �_.. �,:M�.,A�r�Tesf;�'�;: .,G`as:iT'est :����,`. � ... �,�:«:�:'-:_ ;:�:;_.��:��W�.:�� ..ti,,. -��,. ;;,:� —R°ugb�"lii _, .�� �Fir�af�. ��•�PRV.;Reqi�ired� ��Yes� No ;.}i:�� y,1',^'::ii;�:.p;} -,4;�„,i,' .1;�8�•;_>':�:;����;{;t;;o: •,c•i � {;. :, . , ;:';:, :� ,. . : • . '' .� �.; .. . • � •..�.� ^�.. �.., *h°'. Y rSf�.•'� B .�• � . �rn'„��:� �..r)'Z�n�,. �.'�; . . � •�Me�er'�� ^% � /�..w�11 � , •..�, ri,^"2,:�1��1.;�i��l.�i��.;:...r,;�i�::F'a?.J:�'�Ir�.l:.,�,, vf�.'.�.y,•.I;�.'!Mf.�.�1 y,�a. :9:. � p• a�e�"IteMS �••��•w•MeterJS�ze�. �� ,,..R �;"`-:>:�: - .-.-. ...�.. .,, .. ....., �������-t,�..:, �.. �;.::�.�.,��,;;.; .ad�o;Reaal;s��:�.�.,:• anometer;`��` �:��r�:�>,-'S ;;,;',, �;.�. .. ,•:-. : ,,. ,..,,,,..>.... °,=' _ -,M �taff: • Page 1'of 3 C!tyofEaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAY 1 12016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: I3149131 1-1D-34° 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: 5/11 /2016site Address: 1000 Apollo Rd Eagan, MN 55121 Tenant Name: 661 ce,tio LJ Rich Products (French Meadow Bakery) (Tenant is: New / 1 Existing) Suite #: Former Tenant: B01 and B02 AXTC Industrial, LP C/O CBRE, 952-924-4696 Name: Phone: Address / City / Zip: 4400 West 78th Street Suite 200, Minneapolis, MN 55435 Applicant is: Owner / Contractor Description of work: Build one office space Address: 1000 Apollo Rd City: Eagan State: MN Zip: 55121 Phone: 651-286-7873 Contact: Tim Anderson Email tanderson@rich.com Licensed plumber installing new sewer/water service: c"friformatio 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.Qopherstateonecall.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 I i Applicant's Printedme Applicant's Signature Page 1 of 3 Dbt f\0\k> 1c DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100% V) Census Code # of Units # of Buildings Type of Construction Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage D B REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Occupancy Code Edition Zoning Stories Square Feet Length Width Roof: _Decking Insulation Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Insulation Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: e/o , Building Inspector Exterior Alteration—Apartments Exterior Alteration—Commercial Exterior Alteration—Public Facility 1-M -5") Siding _ Demolish Building* Reroof _ Demolish Interior Windows Demolish Foundation Fire Repair _ Retaining Wall *Demolition of entire building — give PCA handout to applicant Z3 Zo d S MSG, ( A-Poa x Zoo /7- 7 ( / MCES MCES System i.J/k SAC Units Afo eleosiSe !N IASL et- ate. �- City Water Booster Pump PRV Fire Sprinklers t/ Sheetrock Final / C.O. Required ✓/ Final / No C.O. Required Other: Pool: Footings Air/Gas Tests _Final Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control Concrete Entrance Apron " Yes No Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality /03. zs� so (? . l / Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL: /72.3C Page 2 of 3 Use BLUE or BLACK Ink tt �1 �n For Office UseJ �)h Cid of Lallll c' Permit#: / L(v v q/ ( �r Permit Fee: O 7 l 3830 Pilot Knob Road E �5 i Eagan MN 55122 'v t;�. Date Received: it'll Phone:(651)675-5675 • Fax: (651)675-5694 �"r Staff: / L 2016 MECHANICAL PERMIT APPLICATION ❑ Pleas sub it two(2)sets of plans with all lcommercial applications. Date: /� �� /�o. Site Address: ! i �' 0 '4P u 00 G Tenant: '`�'k-, 4,` Suite#: Resident/Owner Name: Phone: ,...; Address/J City/Zip:F- Name: -.-e C� License#: Contractor Address: V °1,t City: �.� vl- � State: M kJ/ Zip: 31519,2_1) Phone: (,1 2_ 26 L -1351 Contact:6/thh 4C ,(yj getA-- Email: C,Gt 61 eC G4JIr.. r11../4-- - New Replacement Additional Alteration Demolition Type of Work- (.7Description of work:, (:)^P�V.. 4'0 Az.L i wN 14 w_ 11.4i 1— NOTE.Roof mounted``andd ground�mv.ounted.me anrcal equipment is re tred to be,screened by Git Code Please contact the Mechanical Inspector for information on permitted screening methods t` i RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Permit Type -Air Conditioner Install Piping Processed Air Exchanger p( Gas y`✓ Exterior HVAC Unit . . _ Heat Pump Under/Above ground Tank (_Install/_Remove) ;.. —Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ JO 90 x.01 $60.00 Permit Fee Minimum / Z $75.00 Underground tank installation/removal, includes State Surcharge =$ ' ©"0 Permit Fee =$ ...„4"/ r 00 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ f, 6 7/ , 0 TOTAL FEE 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 th case of work which requires a review and approval of plansJt*tJ x 6l �t il%`€1) '141/-1, (1R Applicant's Printed Name Applicant's Signature FOR OFFICE USE r' : Required Ir'1, ''' ions Reviewed By �; � '� � ��, � Dae Underground Rough In Air Test, Gas Service Test , In-floor Heat„, 4. Fi al HVAC Sc eenin ,, Use BLUE or BLACK Ink *b • a� r For Office Use �7� �� Y C Permit#: / °g/ s` Cit of Eaau - . . :.. / .. Permit Fee: L!'o'g.6 3830 Pilot Knob Road Eagan MN 55122 JAN Phone:(651)675-5675 O 2O17 Date Received: �' 3 0 ��� Fax:(651)675-5694 7 Staff: 1 2015 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: \\ato\f7 Site Address: \C\pQ l;cpot‘p 'ZcA. k , uviR. �03 Tenant: 2\\ZS G .\1%.rt, it Suite#: , Name: Phone: Property Owner ' Address/City/Zip: • Applicant is: Owner Contractor of Description of work: C\aACe, OIR� 5, .‘...•\ n� lt\ .\kt g . dS o mow:, �CQCe .¢.d Q.(( Type of ork Construction Cost: VI aQ`14' Estimated Completion Date: 'a4-111--/ Name: Ih�a ne!The Prutativn License#: C08 833 3rd Street SW,Suite 3 AddCity: 1 Address:Contractor ; Naw Brighton,/AN 55112 State: Zip: Phone: �V .-S�DZ��1oS3 Contact: 1:t.i\ 4,,,N Email: h� i(A\''CI c42.YUZA' FIRE PERMIT TYPE WORK TYPE X Sprinkler System(#of heads 1S ) New Addition — Fire Pump _Standpipe Alterations X Remodel — Other: Other. DESCRIPTION OF WORK: . Commercial Residential _Educational FEES $60.00 Permit Fee Minimum Contract Value$ r? Qao x.01 Surcharge=Contract Value x$0.0005 =$ loCY'c Permit Fee If the project valuation is over$1 million,please call for Surcharge =$ 4 O lD Surcharge $100.00 Residential New(includes State Surcharge) =$ loO,t(p TOTAL FEE t 3/4"Displacement Fire Meter-$270.00 =$ Fire Meter _$ I().8lo 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. X A'n `moo, TCpr . ,► x��� P111111111111111.1.— Applicant's Printed Name Applicant's Signature .144..0101£49,0100.1011164 WYMAN V VV i'-OR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm _____ Drain Test _ Rough In ____ Trip ' Pump Test Central Station Final Conditions of Issuance: . , , _ 3 a f I Permit Reviewed by: /...-------* I.- Date: 1 / / 1 , . . , 6, '', . , _ L'( t Use BLUE or BLACK Ink pig1y r I }j pA 7n''�tt ;(J(/L FEB r For Office Use n / ill City of ELLia11 f ! o 6 20 Permit#: '41 Vi4. ' 17 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received. &‘-'la .�f 7 Phone:(661)675-5675 Fax:(651)675-5694 Staff:______/ j 2017 FIRE SUPPRESSION/ � / SYSTEMS�yPERMIT APPLICATION Date: a-a-1 /T.._.f Site Address:/� r C)C J '`x)1:\(._"- i ( } Tenant: : nes Alar i:/1� ` Suite#:....... ... ._ )' - Name: _� Phone: Propefft Owner Address/City/Zip: i Applicant is: —Owner Contractor ) - Description of work. y.,� 1 .;Type of Work - C.-) Construction Cost Estimated Completion Date: Name: - - "'._..c-�. 'P-L:_..;r� License#:C/,1[_A- •'. :- actor" Address:1 e*r."T.� .4 1 \ tr -City:l1 16( 'Th _ \Cr State:1\J ) zi Phone:4-,l 'tel„, ...—'3c"(.e_} �`� �.¢,,.... �ontact:rC � \ Email:�. t , TVA"_La-_i �--5d. • �� FIRE PERMIT TYPE (s WORK TYPE j_ ,kc/Sprinkler System(#of heads l! � New _Addit1ion _Fire Pump Standpipe Hlterations Remodel Other. _Other DESCRIPTION OF WORK: Commercial Residential Educational FEES $60.00 Permit Fee Minimum Contract Value$ (6' `-'' '✓ x.01 Surcharge=Contract Value x$0.0005 =$ ( ::i�""- Permit Fee If the project valuation is over$1 million,please call for Surcharge <..c, 1 =$ 9 Surcharge 1$100.00 Residential New(includes State Surcharge) =$ — -- TOTAL FEE 3/4"Fire Meter-$290.00 /, .._._. ...............__...... � Fire Meter ' =$ _$ -4114:2----4L 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 fora 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. �• xi 1 ` " , Applicant's / ittt^'_' y .` Applicant's PrinteLaame Signat FOR OFFICE USE • REQUIRED INSPECT NS ttydrAstaGc Ftavr#{arm [ CSS��# Aa Jn Thp Pule')Test C rat.t.Staiitsn Fm l Cand 6or CI Issyarie: parent RftoeWed by, -" ��,1 f 0 Use BLUE or BLACK Inkftik3C11 For Office Use D :::: / / +I41' Cit of Ea al / , ,. �l `- 3830 Pilot Knob Road 7 Eagan MN 55122 RECEIVED Date Received: S-/ Phone: (651)675-5675 1' Fax: (651)675-5694 JAN 2 5 2017 Staff: J 2017 COMMERCIAL BUILDING PERMIT APPLICATION Date: 1/25/2017 site Address: 1000 Apollo Road Tenant Name: Eines Marketing (Tenant is: X New/ Existing) Suite#: B03 Former Tenant: unknown z ray CBRE Phone: 952-924-4600 Name: Address/City/Zip: 800 LaSalle Avenue Suite 1900, Minneapolis, MN, 55402 Applicant is: Owner X Contractor Description of work: interior remodel of existing space 72 000.00 Construction Cost: The Baine Group, Name: y p License#: 14700 28th Avenue N., Ste. 30 Plymouth �� Address: City: y .� '" State: MN zip: 55447 Phone: 763-231-8183 ° � Contact: Joey Zimmerman Email: joeyz@bainey.com -- Tushie Montgomery Architects Registration#: 22920 . . Name: • a Address: City: 7645 Lyndale Avenue S., Ste. 100 Minneapolis -�::� — � . ., s . state: MN zip: 55423 Phone: 612-861-9636 tmiarchitects.com - Andrew Krenik andk Contact Person: Email: y @ ...... ,".tit" h ' plumber installing new sewer/water service: Phone#: r Licensed T f a ' , u�a ,. r r a a Ts Fc11.11! s. s: +r� ddt s ` x` g a . :---p*: , e`444:t.'''-;.,'r �: s "7 ,. t . i iu. ���uy w £ .. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x LG I. Con c \ x /// Applicant's Printed Name App' ns Si r- Page 1 of 3 LC /Coo0) J_ 6(' ' Pr-iiU 6) SUB TYPES DO NOT WRITE BELOW THIS LINE 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 V 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 171 p00• e--4?--• Occupancy $r 5.1 OM) MCES System 1./ Plan Review V Code Edition 1-LIS Met SAC Units A 1-- (25% (25% 100%%/ ) Zoning j„ -I City Water v` Census Code Stories f Booster Pump #of Units d Square Feet Id,31/ PRV #of Buildings 1 Length Fire Sprinklers ✓ Type of Construction 7 .f3' Width REQUIRED INSPECTIONS Footings(New Building) v/ Final/C.O. Required Footings(Deck) Final/No C.O.Required Footings(Addition) Other: Foundation Foundation Before Backfill Pool:_Footings _Air/Gas Tests _Final Drain Tile Siding:_Stucco Lath _Stone Lath _Brick_EFIS Roof:_Decking _Insulation _Ice&Water _Final Retaining Wall —7 Framing /30 Minutes 1 Hour Erosion Control Fireplace:_Rough In _Air Test _Final Concrete Entrance Apron Insulation Meter Size: Sheetrock Electronic Plans Required Windows Final CIO Inspection: S, ul"e Fire Marshal to be present: ✓ Yes No 0,� Reviewed By: (I7 / , Planning New Business to Eagan: e S ,, "rtdi'"t �""'` o 5 ;/ Reviewed By: (- �' "7 , Building Inspector FEES Water Quality Base Fee 4$1/4. 7s-- Storm Sewer Trunk Surcharge .5 b • i—" Sewer Trunk Plan Review .5Se. 3 1 Water Trunk MCES SAC '"""" Street Lateral City SAC ..._ Street SSW Permit&Surcharge Water Lateral Treatment Plant _ Other: Treatment Plant(Irrigation) Park Dedication r Trail Dedication TOTAL: 3 ' /1/ Page 2 of 3 LC Fj1 ES USE :Letter Reference: 170111A5 Address ID:356292 Payment ID:398786 i / —( Date of Determination: 01/11/17 Determination Expiration:01/11/19 Greetings! Phase see the determination below. Project Name: Enles Marketing Project Address: 1000 Apollo Road Suite#/Campus: B03/Corporate Square B City Name: Eagan Applicant: Joey Zimmerman,The Bainey Group, Inc. Special Notes: None Charge Calculation: Office: 1202 sq.ft. @ 2400 sq. ft./SAC=0.50 Warehouse: 9514 sq. ft. @ 7000 sq. ft./SAC= 1.36 Total Charge: 1.86 Credit Calculation: (Grandparent 1970) Office: 11,024 sq. ft. x 80% usable space x 30% @ 2400 sq. ft./SAC= 1.10 Warehouse: 11,024 sq. ft. x 80% usable space x 70% @ 7000 sq. ft. /SAC=0.88 Total Credit: 1.98 n' AC: -0.12 —or— 0 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: cory.mccullough@metc.state.mn.us. Thank you,McCullough Cory SAC Technician Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram o ) Robert Street North St. Paul,MN 55101-1805 ne 651.602. 000 ) Fax 651.602.`i5 0 l 1TY 651.291.09€4 l rr� trocaur ll.org 1 . a l t) 1`: i An Equal O rtrt.' Em plot tT C; t,. ` n Use BLUE or BLACK Ink, l VP For Office Use �� ��a ` Permit /q/c?6 City of Eaial z .� t` ) p-L R -r''aE: -- Permit Fee: &:71 3830 Pilot Knob Road W Eagan MN 55122 2_ 1– 17Phone: (651)675-5675 FEB 01 2017 Date Received: Fax: (651)675-5694 7 Staff: J 2017 MECHANICAL PERMIT APPLICATION ® Please submit two (2)sets of plans with all commercial applications. Date: 2-1-17 Site Address: 1000 Apollo Road Tenant: Eines Marketing Suite#: B03 s. - ..x ' Artis REIT Name: Phone: Residen Owner x . ; . ,... Address/City/Zip: 4:-:';'''---.1',77,4'..'''''':'''''' Absolute Mechanical LLC Name: License#: Address: 7338 Ohms Lane City: Edina Contractor r g�,, State: MN Zip: 55439 Phone: 952-831-0001 Mark Kranz mkranz@absmech.com Contact: Email: New Replacement Additional X Alteration Demolition Type of Work ; Description of work: Replace restroom fans, prove restroom fan, provide foriiftexhaust x} OTE:Roof •unted .....4;-,,„--L;,_d m unte a anical 'i•m t s r J to:be Sc -e ed v ' qty ' Code Please;con ct e, echanical lnspec o or info i•n ,0;), rm1 edyF clue i '1.....-0,-9- s RESIDENTIAL COMMERCIAL Furnace New Construction X Interior Improvement ermit Type —Air Conditioner Install Piping Processed ft, al F; Air Exchanger Gas Exterior HVAC Unit rt" Heat Pump —Under/Above ground Tank (_Install/_Remove) kk. 1 , e Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ 4,250.00 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ 60.00 Permit Fee _$ 2.13 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ 62.13 TOTAL FEE 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 Mark Kranz x W-/qa.frij Applicant's Printed Name Applicant's Signature OR OF,F CE ' E - <".-Required Pp,ectwns i e, evY.'!4::.:::,_;:,,,,,,-et.,„ ® t e •er round Ro In ir es Gas Se" iceIPA� floor Heatin creenin etl. Cif— q-- Use BLUE or BLACK Ink For Office Use ` `1 Permit:ee' fit of E� ,alPermit : 3830 Pilot Knob Road RECEIVED �� `. Eagan MN 55122 Date Received: �:/' --7'` Phone:(651)675-5675 _ Fax: (651)675-5694 FEB 0 12017 Staff: IF J 2017 COMMERCIAL PLUMBING PERMIT APPLICATION Please submit two (2)sets of plans with all commercial applications. Date: 1/26/2017 Site Address: 1000 APOLLO ROAD Tenant: ELNES MARKETING Suite#: B03 Name: ELNES MARKETING Phone: 763-231-8184 F= tZ K r A _-4° Name: BLAYLOCK PLUMBING COMPANY License#: PM 063200 NA!� i 1. r7t 0-a ado Address: 7731 4TH AVE S City: RICHFIELD State: MN Zi 55423 4f¥, 1 ' y p p Phone: 612-869-7531 Email: robin@blaylockplumbing.com New Replacement Repair Rebuild ✓ Modify Space _Work in R.O.W. Description of work: ri&install 1-toilet, urinal, lay, laundry tub,6 gal w.h.,floor drain,onepart ss sink,sink ri COMMERCIAL New Construction X Modify Space Irrigation System( yes/ no)(—RPZ/ PVB) .�4' ' `{:, • Rain sensors required on irrigation systems ,gyp# ,-rmt • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) . Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers_Yes_No COMMERCIAL FEESContract Value$7,850.00 x.01 $60.00 Permit Fee Minimum . $60.00 PVB/RPZ Permit(includes State Surcharge) _$ Permit Fee =$ 3.93 Surcharge Surcharge= Contract Value x$0.0005 82.43 If the project valuation is over$1 million,please call for Surcharge =$ 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 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. Nsy\to\g,) ,t. xRICHARD BLAYLOCK x -ve‘ Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r • For Office Use rc, Permit#: /7 //0 Cityof' Eaaan I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: t 2017 COMMERCIAL BUILDING PERMIT APPLICATION Date: 3/2 -O`'/? Site Address: Tenant Name: C ih. 2j14rKe.)1,`fr7 (Tenant is: K. New/ Existing) Suite#: /_/ Former Tenant: Name: !h C Sta x.: -kLC f. 4 :a. Phone:t%Sl `J%` �31�!% Property Owner `� 1 Address/City/Zip: lGo0 4,,e,0/7,- /2d [c-r 0.-s,- MA 5-lZ-/ Applicant is: Owner Contractor T ° e of Wor Description of work: fh,5///c /'d„ 6-0,i7?�;_e -e.` 4/f T rc c�,._. 1 yp 4 v _ 1 Construction Cost: `3-7$® Name: re.,-7, 64,r d✓ ,(t. License#: Contractor Address: City: , ; State: Zip: Phone:C's/- Z7 ? - 3o c u 1 1 i ,/ > Contact:7.-€/, /3 ,ir Email: -€.''',' I ,' repr(i/.$_ ca-.�-i ..... .... ,. ,.M., ,._ 1e. i Name: Registration#: Architect/Engineer Address: City: I I State: Zip: Phone: i Contact Person: Email I i 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 1 L.,_____, __ ,_ _ - conclude that them are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applic5nt s Signature Page 1 of 3 //,00 ,/ viz. ® �`DO NOT WRITE BELOW THIS LINE / // L) J SUB TYPES • Foundation Public Facility Exterior Alteration—Apartments y' Commercial/Industrial _ Accessory Building Exterior Alteration—Commercial Apartments Greenhouse/Tent Exterior Alteration—Public Facility Miscellaneous Antennae WORK TYPES New 2C 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 Ii�00• is."/ Occupancy 5 . ' MCES System AS- Plan Review Code Edition Zoic 01,33_ SAC Units (25% 100% f) Zoning City Water Census Code Stories i Booster Pump #of Units Square Feet PRV #of Buildings l Length Fire Sprinklers ✓ Type of Construction zr•F Width REQUIRED INSPECTIONS Footings(New Building) Final/C.O. Required Footings(Deck) V' Final/No C.O. Required Footings(Addition) Other: Foundation Foundation Before Backfill Pool:_Footings _Air/Gas Tests Final Drain Tile Siding:_Stucco Lath _Stone Lath _Brick EFIS Roof:_Decking _Insulation Ice&Water _Final Retaining Wall V Framing 30 Minutes 1 Hour Erosion Control Fireplace: Rough In _Air Test Final Concrete Entrance Apron Insulation Meter Size: Sheetrock Electronic Plans Required Windows f Final C/O Inspection: Schedule Fire Marshal to be present: " Yes No Reviewed By: ki 4-- , Planning New Business to Eagan: Reviewed By: �'' , Building Inspector FEES Water Quality Base Fee /4 x' 3-1' Storm Sewer Trunk Surcharge f. a Sewer Trunk Plan Review it t,4C- Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit& Surcharge Water Lateral Treatment Plant Other: Treatment Plant(Irrigation) Park Dedication Trail Dedication TOTAL: Z�'• 7l Page 2 of 3 THE BAINEY GROUP INC. CONSTRUCTION DATE: THURSDAY,APRIL 06,2017 TO: CRAIG NOVACZYK CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN,MN 55122 FROM: JOEY ZIMMERMAN RE: ELNES MARKETING— 1000 APOLLO ROAD, SUITE B03-PERMIT#EA141199 Dear Craig, This letter is to confirm that that our client, CBRE, has eliminated the exterior ramps, guard railings and interior bollards from our permitted scope of work for permit #EA141199 for the project at 1000 Apollo Road, Suite B03. If you have any questions or concerns, please do not hesitate to contact me at 763-231-8183 or joeyz@bainey.com. Sincerely, ,./P41 "'l.f Joey Zimmerman Cid `wiz Vice President Client Sign re The Bainey Group, Inc. Chelsie Johnson/CBRE By April 5, 2017 Date The Bainey Group,Inc.Construction Services 14700 28TH AVE.N.#30,Plymouth,MN 55447 763-557-6911 www.bainey.com From:Melissa Richardson Fax:(763)559-0222 To:6516755694@rcfax.con Fax: (651)675-5694 Page 3 of 6 05/18/2017 2:08 PM Use BLUE or BLACK Ink 1 For Office Use �Cityof :::: t/ 3 P7Ai fl 3830 Pilot Knob Road / jEagan MN 55122hV` e: ✓;--�g Phone: (651)675-5675 Date Received: Fax:(651)675-5694 ® `J 1 MM 1 8 201/ Staff: I I 2017 COMMERCIAL BUILDING PERMIT APPLICATION Date: 5/17/17 Site Address: 1000 Apollo Road Tenant Name: Rich Products Corporation (Tenant is: New/ X Existing) Suite : Former Tenant: { : CBRE/Authorized Manager for AX TC Industrial II, LP 612-501-1137 r7—..fi,:i„,7,7,7.77,777,7,.7.r-- '; S Name: Phone: Property owner Address/City/Zip: 800 Lasalle Avenue Suite 1900 Minneapolis, MN 55402 z ; Applicant is: _Owner X Contractor Tear off existing roof and insulation and replace with Mechanically fastened EPDM 9 =Type of Works Description of work: z $575,000.00 r,2„,.,:,,,,,, , ,4.:,,,,,x6i.. ..:mi::,,,::,,,F,k, Construction Cost: Name: Flynn Midwest LP • License#: Address: 15525 32nd Ave N. Plymouth Contractor City: y k : 55447 763-559-0222 I state: M N Zip. Phone: f'F contact: Dan Lewis Email: dan.lewis@flynncompanies.com I Name: AMBE Ltd. Registration#: T- ,M s y Address: 7201 Ohms Lane Suite 150 Minneapolis Art hitect/Engi Leer : city: P MN 55439 612-309-6366 • State: Zip: Phone: Wendell Finken Wendell@ambeltd.com ..:.,.; ; : :-.. ; Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans aind supporting documents that ou submit a considered to bie public info»at o7po}ti s`of ;. the information maybe classified as non public Ifyou�providespeclfio reasons`that would permit`the,Ci to .,, ;:. ,.,:, conclude T°1:�th are tradesecrets _ 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,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 appli tion 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 w k which requires a r view and prove]of plans. x Dan Lewis Applicant's Printed Name App Sign e Page 1 of 3 A . A / 000 /r90 (l i2 f DO NOT WRITE BELOW THIS LINE i IL0,v 7 SUB TYPES Foundation _ Public Facility _ Exterior Alteration-Apartments Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse I 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 Jr 400•"' Occupancy 3, 5 f MCES System /VA Plan Review /14)VE Code Edition 2 0IS-M"G 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 1T•4 Width REQUIRED INSPECTIONS Footings_New Building Deck Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Concrete Entrance Apron Sheetrock Other: V Roof:_Decking ✓nsulation Ice&Water Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick—EFIS Electronic As-Built Plans Required 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 M rshal to be present: Yes 'v/ No f ` , AZReviewed By: /v A , Planning New Business to Eagan: � Reviewed By: eAte-fro• , Building Inspector FEES Water Quality Base Fee 3/ V31 - 7S. Storm Sewer Trunk Surcharge 2$7•Sb Sewer Trunk Plan Review 0 • a..tr Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit& Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: ii Trail Dedication TOTAL: 7,I 1 ! , !/O Page 2 of 3 n . (!'tt p , For Office Use j/r $ n t : ',,.• �J Permit#: !i O 1 (_..,,t 0,„„ Permit Fee: i�5'C Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Z��� (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694R 0 Staff: buildinginspections�a}@cityofeagan.com L ___ __ 2018 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 3/7/18Site Address: 1000 Apollo Rd Tenant: Rich Products Suite#: Resident/Owner Rich Product Corporation Phone: Address/city/zip: P.O. box 649 Buffalo, NY Name: MN Total Refrigeration and HVAC License#: Contractor Address:949 S. Concord St City: S. St. Paul State: MN Zip: 55075 Phone: 651-457-7804 Contact: Craig Welna Email: info@trsmn.com X New Replacement Additional Alteration Demolition Type of work =. Description of work: Install new 24' x 88'walk in freezer NOTE:Roof mounted and ground mounted mechanioiddlItliPmentlIkrequired to be screened by City . Code. Please contact the•tV chanical Inspector for1n ormatlon dr erwnitted screening methods; RESIDENTIAL COMMERCIAL Furnace X New Construction Interior Improvement Permit Type —Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank ( Install/_Remove) _Other RESIDENTIAL FEES1 .. _ . . $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$50 000.00 x.01 $60.00 Permit Fee Minimum 500.00 $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee =$ 25.00 Surcharge Surcharge=Contract Value x$0.0005 525.00 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.citvofeaoan.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. x Crl I (A.) ,v)4 x CA/7- �P�Y‘-� Applicant'siinted Name Applicant's ature FOR OFFICE USE Required Inspections: Reviewed-Ey:jt: '. S Underground Rough In Air Test s rs a Test ; '1h-floor Heat Final..: HVACS .Wing For Office Use Permit#: ,p� * � ► � i a a i ® E AG N Permit Fee: 6,0 -fJ v Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 -. T.-� Payment Recvd: X Yes _No (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 C.U....1 Email: buildinginspections(c cityofeagan.com I Plans: Electronic Paper Plan submittal:eplansa..cityofeagan.com JUL 2 3 2018 L 2018 COMMERCIAL PLUMBING 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: 7/19/18 Site Address: 1000 APOLLO DRIVE Tenant: RICH'S PRODUCTS Suite#: Prope OWrifr Name: Phone: 44;,, • Name: METROPOLITAN MECHANICAL CONTRACTORS License#: PC642833914 Contractor Address: 7450 FLYING CLOUD DRIVE EDEN PRAIRIE State: MN Zi 55344 . • City: p NZe Phone: 952-914-3214 Email:ilKRISTA.KELLEN METROMECH.US New Replacement .(Repair —Rebuild —Modify Space Work in R.O.W. T0#6i*Iiie4 — — — " Description of work: (4)ANNUAL RPZ TESTS, INCLUDING(1)OVERHAUL 1, C MMERCIAL New Construction Modify Space 33 Irrigation System(—yes/_no)CIL RPZ/_PVB) • Rain sensors required on irrigation q 9systems • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. - Domestic:Size&Type Fire: 1 s„ ''; Avg.GPM High demand devices?_Yes_No Flushometers_Yes_No COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum 60.00 $60.00 PVB/RPZ Permit(includes State Surcharge) _$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ 60.00 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.citvofeagan.com/subscri be. 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 wolfs hich requires a review and approval of plans. t KRISTA KELLEN Ax Applicant's Printed Name A 'ca s Si gnatu FC R OFFI S j -• Appro `y • � 3 Date: N, Rech in11fictiortccl#Mound ired� Yes st Dater .elated i, s eter Stze . ' Raft: \` inntf ".:. Page 1 of 3 / For Office Use `` ,fl.,I11 Permit#: / / ti ► , "S-Ce .0., EAGAN 1�-L�. ::ltFse vEal JUN 04 2019 Payment Recvd: _Yes No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 I Plans: Electronic Paper Plan Submittal:eolans@cityofeagan,corrl L 2019 COMMERCIAL BUILDING PERMIT APPLICATION Date: 6/4/2019 Site Address: 1000.Apallo Rd Eagan Tenant Name: Rich's Products (Tenant is: New/ ✓ Existing) Suite#: Former Tenant: Name: Capital Partners LLPPhone: 952-897-7829 Property Owner Address/City/Zip: 900 2nd ave S Applicant is: Owner ✓ Contractor Type of Work Description of work: (2) Restrooms Refresh Construction Cost: $15,000 Name: Ryan Co. Inc. License#: Address: 108 Broadway St W. City: Osseo Contractor MN 55369 763-424-6444 State: Zip: Phone: Contact Matt Hornibrook Email: matt@ryancompany.com Name: Registration#: Architect/Engineer Address: city: State: Zip: Phone: 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 maybe 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 yvww.citvofeaoan.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.gooherstateoneca9.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. xMatt Hornibrook Applicant's Printed Name Applicant's gnature DO NOT WRITE BELOW THIS LINE j /S.5-C.-D-C( /t SUBTYPES 000 of (0 (<c,( Foundation — Public Facility _ E erior Alteration-Apa,ments ✓ Commercial I Industrial — Accessory Building _ Exterior Alteration-Commercial Apartments ____ Greenhouse I Tent Exterior Alteration-Public Facility Miscellaneous Antennae — WORK TYPES New /Interior Improvement Siding T DemOlish Building* Addition _ Exterior Improvement — Reroof ____ Dem fish Interior Alteration — Repair Windows Dem 'lish Foundation Replace — Water Damage Fire Repair _ Retai frig Wall — Salon Owner Change *Demolition of entire builds -give PCA handout to applicant DESCRIPTION Valuation (SIoDO 0-6 Occupancy 'j -1, P. / MCES System //A- Plan Review ✓ Code Edition 20/5" Mtn SAC Units D/Vif ctswaa;< !Al (AZ-04 Dec..t-D (25%_100%j Zoning City Water y. Census Code Stories Booster Pumilil #of Units 0 Square Feet PRV ! _ #of Buildings I Length Fire SprinklersI ✓ Type of Construction . I3 Width REQUIRED INSPECTIONS Footings_New Building_Deck_Addition Drain Tile — Foundation 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!; '" Reviewed By: C B (o . Building Inspector FEES Water Quality Base Fee Z& S.--' 5-a Storm Sewer Trunk Surcharge 7 • re, Sewer Trunk Plan Review /7 2-•S-$ Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant -- Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: 5-- S Page 2 of 3 ! . . / s7E-Dy RYAN COMPANY GENERAL CONTRACTORS - INC. COMMERCIAL/INDUSTRIAL 108 West Broadway,Osseo,MN 55369 (763)424-6444 FAX(763)424-1135 April 26, 2019 Mr. Tim Anderson RICH'S PRODUCTS 1000 Apollo Road Eagan,MN 55435 RE: BATHROOM REMODEL Cell: 651-202-0943 Rich's Products Email: Tanderson cr rich,corn 1000 Apollo Road Eagan MN Dear Tim, We offer this proposal to Upgrade the Men's and Women's restroom at the above facility as follows: MENS BATHROOM Description: Remove existing stall and urinal partitions Remove existing sinks and save for reuse, Remove existing plam countertop Re-paint walls and door frame Furnish and install new tile wainscot on all walls(besides block wall)up to 6'(assumes up to$4.00/SF tile) Furnish and install new plastic stall and urinal partitions Furnish and install new dual bowl vanity countertop Reset existing sinks Install one (1)new 18"x 36"mirror OPTION 1: Wainscot walls with FRP in lieu of tile wainscot to 8' high OPTION 3: Remove existing tile, grind old adhesive(required)replace bathroom floor with Full Flake Epoxy flooring with Polyaspartic or Eurethane top coat /3-..s-go(1 WOMENS BATHROOM Description: Remove existing sinks and save for reuse Remove plam countertop Furnish and install new tile wainscot oil all walls (besides back)up to 6' Re-paint walls and doorframe Install one(1)new 18"x 36"mirror Cleanup OPTION 1: Wainscot walls with FRP in lieu of tile wainscot to 8' high OPTION 3: Remove existing tile(required)replace bathroom floor with Full Flake Epoxy flooring with Polyaspartic or Eurethane top coat Exclusions: Premium time labor, moving or removing (hidden)obstructio'I's, unforeseen conditions Sincerely, /batt f foray, a Matt Hornibrook #35-1922c