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3375 Mike Collins Dr `.Tl Use BLUE or BLACK Ink ; J/ JUL ~ 212 I For Office Use I s I Permit ~ 7 1) 1 CK of Eon r. E I Permit Fee: a C) I 3830 Pilot Knob Road Eagan MN 55122 I I _ I Date Received: I Phone: (651) 675-5675 / v 6 C4 Fax: (651) 675-5694 ' I Staff: I 2012 FIRE SUPPRESSI'7OtN SYSTEMS PERMIT APPLICATION* Date: 7 2 r 1i Z Site Address:-?-? o J ^/,e CD/l4 ~ i Jr/V e, Tenant: G Suite Name: Phone: PROPERTY OWNER Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: d ON to S n M Construction Cost: Estimated Completion Date: Name: V i V~ l nG) V i- or1L d, h 'c, 5C- License d CONTRACTOR Address: 1'30 / ~r2rI Ve. / City: Sr , Ad,,,/ State: A- lV Zip: 'l l ~ o Phone: 71 Contact: /d M C. h/`/ f t eA Email: `-r,' 6' k R ( S FIFE PERMIT TYPE WORK TYPE /1 Sprinkler System of heads New -Addition _ Fire Pump _ Standpipe _ Alterations _ Remodel Other: Other: o f el' ? DESCRIPTION OF WORK: Commercial Residential Educational FEES $60.00 Minimum (includes State Surcharge) OR Contract Value V00 x1% - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ ('f Permit Fee - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ -5-.00 Surcharge _ $ ~g -1 , TOTAL FEE 3/4" Displacement Fire Meter - $231.00 Fire Meter TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and With the Minnesota Building/Fire Codes; th 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 wit a approved plan in the case of work which requires a review and approval of plans. 1- x / 0M CA r"'Sl ~ x ' Applicant's Printed Name Applicant's Si ature 1 • 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.goi)herstateonecall.org FOR OFFICE USE I REQUIRED INSPECTIONS _Hydrostatic Flow Alarm Drain Test _ L~ Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed b Date: / . } i Use BLUE or BLACK Ink For Office Use Permit C' Ity of Ea ~aIl 3830 Pilot Knob Road Permit Fee. Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 1121 111 Site Address: 3375 MjVt C Tenant: thifas- rXeD62fAll Suite PROPERTY OWNER Name: - tt l Pam PUJI Phone: W AS4- Dso CONTRACTOR Name: Ut ffleg 1QYi(17G1'. ( License D161J4 FM Address: 220 W . 2,1 sr City: F,1©W044 State: MA) Zip: 954W Phone: q5 /5 t5 4-iti o Email: aec a Q(1 W xMi TYPE OF _ New , Replacement _ Repair -X- Rebuild _ Modify Space _Work in R.O.W. WORK Description of work: COMMERCIAL PERMIT TYPE + New Construction ! Modify Space _ Irrigation System (r yes / _ 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 orior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes No Flushometers Yes --No COMMERCIAL FEES: $55.00 Minimum (includes State Surcharge) OR Contract value $ x1% 05- DD Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 _ $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 = $ Meter(s) - If the Permit FFe Is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee ~~nn (Le. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) 5.00 State Surcharge Following fees apply when installing a new lawn Irrigation system. $ Water Permit Cali the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ lip-tO 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.gogherstateonecall.org I hereby acknowledge that this infornation 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 a permit; that the wv be in accordance with the approved plan in the case of work which requires a review and approval of plans. x~Ie~f x Appli is Printed Name Ica Signature FOR OFFICE USE Approved By: Date: Required Inspections: -Under Ground Rough-in Air Test Gas Test Final PRY Required: - Yes No Page 1 of 3 i' ?T ?f7? • ? y? Wertificate nf CccupancV 4rttv of Cftgan ze0wrtment .? ??? 386pemnn This Certiftcate isswed pursuant to rhe requrrements of the Uniform BWilding Code cenifying that at the time of issriance this structure was in compliance wrth the various arrtinances of tlte Cety regulating building constructios or use. For the}'o!lowing: u.ch.jr.tj.: 0M/INHINTMG Biag. Nm,;t No. 26248 pcapmcy Tjrpe Zooing Diwia Type Corac. Omw of 8mk;g LWTUG Aamm3375 MM OOIIN'S LXt. EWM P0.ST IN A COIVSPICUOUS PLACE R--• ?- ?t, Wertificate of Ccrupanq Witv of Cpagan Zepartmcnt of ioni[bing awdoccN" ,A This Certif'ecate issued pursuant to the roequirements of the Uniform Building Code certifying that at the time of issuance this structur+e was in compliance with tht various orriinances of the Crty regulating 6uelding corrstruction or use. For t!u folJoweng: Use Classification: MT? ?D ?ff SC-UNrIDG OD Bldg. Peim"t No. 1606 OccuPs^cY rype B2 Zoning Disuiix 7voe ? ? :?1. EAGM Owmer of Building ? ? Ad?ea? ?4 3375 1? fl0[.lS DEtIVE Bwupag Address ` L.acaliry Bwtffiag o??ial 12/4/Q2 PaST IN A CONSPICUOUS PLACE PLUMBING PERMIT CITY OF EAGAN CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PRICE 61/5-O-OC' PHONE 4548100 Site Add c City c Add 8 City Phone FEES COMM./IND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLUES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.INO./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) For C PERMIT # _ RECEIPT # DATE: ? Res. New Mult. Add-on ? Comm. ? Repair aher RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 ! Shower - $3.00 U1 la 5 1? ?- IGtchen Sink - $3.00 UrinaVBidet - $3.00 ? 1 t)&- Laundry Tray -$3.00 Q Al rit I I Floor Drains - $1.50 Water Heater - $1.50 YYhirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) SofUener - $SAO Weli - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 PERMITFEE: y. ?C ? STATES S/C: ?i ? GRAND TOTAL: ? J GL. CITY OF EAGAN 3795 Pilof Kwob Rood Eegan, 1blN 5512= , l PHONEs 454-8100 •$UfLDING PERMIT Re«ipt ?t T_ l- -J .__ 4FFICE/PI.ANT 20;000 Site Address 4 ZaR.Ind.Pk, 04 ' Lot Block Sec/Sub. Pa?l # 10-22503- (<?r)-2,i0)-04 m Nome ?...,?. ...... ??... "..,. . ?...?o , ?.... . = i' W. ttl St. ? Address °C Nome "pum UUrpvrsLivii 0 OL) Address ?. C? . BOX 150 F Cit 55440 PhoRe 936--455z- Name W W F w &K /lddress i W City Phone I hereby acknowledge that I.ve read this-Qpp?itation ond stote that rhe information Is correct n ogree tojcp?y/ with ol{ applicable 5tate of hAinnesoto Storute? and City, Of ngoN Qrdinqnces. (.,ctober 3 Dote , 19 Erect ? ' Occuponcy -red Alter ? Zoning i-1 Repair [3 Flre Zone 4A Enlarge ? Type of Consf. II MOvE 0 # SYOf16i Demolish ? ` Length Grade p Depth '? 1 Sq. Ft, Approva Is Fees Assessment Woter & Sew. Police Firo ? Enp. Planner Council Btdg. Off. APC Permit `•.,'.` ' Surchorye 360.M Plon check r 1 n.?? ? SA4,. 1J.c. L.; . . . Water Conn. •, Water MeteF.?:.T..Y Road Unit ? Totol Sipnaturc of Permittee ?j *? l--4'?` ? A Building Permit Is iuued to: on the express conditior? Ihnt ail work shull be done in accordante wifh oll opplfcable Stote of Minnesoto Statutes or?d City of Eaqon Ordinonces. Bu(Idinp Official ?3?: P cj4 Psrmit No. Parmit Holder Misc. Permit No. Holder E . /M ?!?`7- 3 t l 3?. ?s ?•c ?- I " 3 4S ? I/-z5- 3 Disp. Sevwr • EMctrie R IZlD2(A ol (iL Fl . /o-2043 Inspection Date Insp. Other Footinys Foundation Framinp RouBh Plh4 ? Rauph HVAC - ? Insulation .,?. Finsl Plbg. z JS. . D• 3 • l? Final HVAC 4 4 Finsl 1 water Ossaibe Location• ? W.ll ? ? /? • ssw.r ? ?% :i I/Y Y . ''Ss? 1 Pr. Disp. CITY OF EAGAN 3795 Pilot Knob Rood Eogon, MN 56122 PHONEs 454-8100 N" BUILDING PERMIT Recelpt # ? To bs ? for .?:?CI?)1`. r?:YI:? Est. Vnlue i1.A dote Sn`? r21':?ei' "- 19 Site Address `?Kt Go111tis Drive Erect p Occuponcy I : aga;?dale Ind.Pk.;i4 Lat Block Sec/Su?: Alter 0 Zoning PQrce+ # _ 03-(250-230)-04 Repair ? Fire Zone E l T f C - -°° Rental Services n arge Q ype o onst. oe Name Move ? # Stories Z ? l llddress ? Demolish ? Length !4' (816) 474-* 7000 riw. . Grade 41 Depth Sa. Ft. °C N01M uO U Addre: H r:... Assessment Woter & 5ew. Pol ice Flre Enfl. Plonnor Council Bfdg. Off. APC Permit Nome _ Address I hereby acknow(edge that I hove read this ap the information is correct d ogree to Corr Srote of Minnesota Stotues?ond City n! ? Signoture of Pennittee ? /1 Building Permit is issued to: " oll work shall be done en eccordo e ith all Buildinp Officiol Plon check _ SAC Water Conn. Water Meter Road Unit _ Totol $15 . 08 On the Express Condition thnt Stotutes ond City of Eapan Ordinonces. : ;;? Permit No. Permit Holder Misc. Permit No. Holder PYumbing H.V.A.C. Wall wate. Disp. $ewer Electric (nspection pate Insp. Qther Footingt ,y - Foundation Framing Rouyh Plbg. + Rough HVAC Inwlation Final Plbg. Final HVAC Final Water Describe Location: Wel I c Sewer ow aMa s??.•s , f?/ r? fl`? Pr. Disp. Receipt PLUMBING PERMVT ` Permit Na ? ClTY OF EAGAN Fee ?, ?? • •,. Fill in numbered spaces S/C ` Type or Prin[ legibJy Tot. ' c? 1. Date.!3?i1i31^y :iiJ,l'_'L«2, Installation Cost ?- , 3. Job Address 3375 f°11 ke CO1 l 1L? 'r1VQBik. r Tract 4. Owner UnitQ,q Rental Services, Irc. 5. Coniracior??\a.•c?.'.= ? L4 ?'?L??ha,- +?"'`Phone ?- 6. Address S (S°\ Vn.zl \ 7. City State ?\'•. Zip ? ` \` '•, 8. Building Type: Residential ? Commercialx Institutional ? 9. Work Description: New Add ? Alter O Repair ? 10. Describe u 11 No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet ?. Othe%(\? Laundry Tray ? . Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of wrork. ?. 1 Signed Fs for Rough F inal Inspections: Date tnsp. Date tnsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 .. . Receipt PLUMBING PERMIT Permit No. --7 CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prinr legibly 7ot. 1. Date OCtObe1" 5,19832. fhstallation Cost $24,00&00 3. Job Address 3375 Mi ke Col 1 iMA .?S`Z Bik. q Tract Drive -? ( 4. Owner Unitog Rental Services of Kansas Ci_ty, Mo. 5. Contractor 1II PlNESQTA MECHAN I CAL ,I NCPhone 489-886$ s. Address 509 Front Avenue 7. cicv St. Paul state Minnesota Z;p 55117 8. Building Type: Residential ? 8. Work Description: New)M Commercial U Institutional ? Add ? Alter ? Repair ? 10. Describe Install plumbing 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank ? Lavatory Softner Shower Well ? ? Ki#sheri Sink Urinal/Bidet Laundry Tray Other 9_ Floor Drains Drinking Ftn. Slop 5ink Gas Piping Outlets ?:. 12. I hereby certify that the above information is true and correct, and I agree to comp4y with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ? ' CITY OF EAGAN 454-8100 ..?L Receipt MECHANICAL PERMIT Permit No. ' CITY OF EAGAN ' - Fee ' Fill in numbered spaces S/C Type or Print legibly Tot. . • ? 1. Date 2. Installation Cost ' 3. Job Address Lot - Blk. Trac t 4. Owner 5. Contractor Phone 6. Address 7. City State Zip $. Building Type: Residential ? Commercial 0 Institutional ? 9, Work Description: New ? Add ? Alter ? Repair ? 70. Describe Fuel Type 11. No, Equi?ment BTU - M. Ea. Forced Air No. EQUipment CFM Ai H dii Mfg. r an ng: Boilers r Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. , Signed : for Rough Final Inspections: Date Insp. Date _ ___ Insp. This is your permit when numbered and approved. Approved CITY OF EAGA(11 454-8100 . , • ? `? J4)- . - Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN ' I/ - Fee ? - FiII in numbered spaces S/C Type or Print legibly T t . ' o . 1. Date 2. Installation Cost 3. Job Address Lot Z S Blk. ?_Tract 4. Qwner 5. Contractor Pho ne 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional 11 9. Work Description: New ? Add 11 Alter O Repair O 10. Describe Fuel Type 11. Na. Eauioment BTU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets [Approved reby certify that the above information is true and correct, and I agree to ply with all ordinances and codes governing this type of work. ed : for Rough Final ections: Date Insp. Date Insp. is your permit when numbered and approved. CITY OF EAGAN 464$100 Receipt MECHANICAL PERMIT Psrmit No. • CITY OF EAGAN . . ,' Fee Fill in numbered spaces S/C Type or Print /egibly . Tot. ' 1. Date 2. Installation Cost ` 3. Job Address Lot Blk. Tract 4. Owner )-litog Rental Services, Inc. 5. Contractor'. Phone 6, Address ` `• ? ` 7. City State Zip 8. Building Type: Residential ? Commercial ;C] Institutional ? ? 9. Work Description: NewV Add O Alter ? Repair ? 10. Describe Fuel Type`, . 11. No, F;uipmen* 8TU - M. Ea. Forced Air No. Equipment CFM Ai dli H Mfg. an r ng: ? , ? • <, . :: ? •.? Boilers 'A. Mfg. Mech. Exhaust ` tir?i?t-H??er? t' ? ? ? ? Mfg. Other Air Cond. 'WA. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Pinal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ? CITY OF EAGAN 454-8100 /4/ ?- ? . ? ? ..r? 'x PERMIT # /` Ir--;2 ' . MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ? 3830 PILOT KNOB ROAD, EAGAN; MN 55122 DATE: m Narrie A 1- e ? Address gb q'l c City - -?- Name 01V I T G G K6'ti rti ?_ eaA.o- ":321? /jlJKP ('vll:?.: " m 'v Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other K-? Mr: r?Nrv 1(`un„ FEE FoR 3 7x+y/t' Sy,; r S/C: .0100 ???•N4 TOTAL• r 7 r 1 ' A/ r- BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other /ND v s A. <- FEES RES. HVAC 0-100 M BTU -$24.00 ? L ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW GAS OUTLETS (MINIMUM - 1 PER PERiIAIT) - COMM/IND FEE - 1% OF CONTRACT FEE APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 1.50 EA. 12.00 ? MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADQ $,50 S/C IF PERMIT PRICE GQES BEYOND $1,000) Ob°= on,v,, Y ICaNATVF3E{QF' PERMf7TEE FOR: CITY OF EAGAN pu-:'wait'?'to'?? .4ou ?` p«:vt•? :r-?` '?1/761ti 1 " ME?CA ERMIT 1? T ? CITY OF EAGAN l? • ` 6 ?„ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 ,.,...-"-----•-- /rl ? _ ? ? -••--•- --- ---- BLDG.TYPE Res. Mult Comm. X Other ? rvame , - - ? Address . c Citytl od ih , .? PERMIT # RECEIPT # DATE: ! d _ WORK DESCRIPTION New Add-on Repair !• itl r 7' O Name C e N T A -. FEES RES HVAC 0-100 M BTU -$24 00 c Address 2 3 h S M' k r ru /I : ti . ADDI710NAL 50 M BTU ' . - 6.00 p Ciry Phone`'?sy (RES. HVAC INCLUQES A/C ON MEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEfiMIT) - 1 50 EA . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLJES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ - (ADD $.50 SIC IF PERMIT PRICE GOES Gas Piping Outlets # ? BEYOND $1.000) Other $ V FEE: '2" ? SD $/C: i IGNATURE OF PERMITTEE ?,.. TOTAL• ???; FOR: CITY OF EAGAN ? ? ?,/s?? ?' i ?? Receipt % MECHANICAL PERMIT Permit No. '- . CITY OF EAGAN Fppn,' l, S iU 7r ' _ ?,? FiJI in numbered spaCes S/C Type or Print legibly 0 - t . 1. Date 2. Installation Cost - ' ?- 3. Job Address?-%7?"M?u:c????ws Lotx??'-??Blk. ? Tract DR,?C , 4. Owner JlU ! T O Ck Ef N T 4? ,S tr• •? y? C?" S 5. Contractor ?L C?" riv C Phone J7" 16 6. Address 7. City }U A,•i (4 /j. ? State ? N Zip 8. Building Type: Residential O Commerciall'41 Institutional ? 9. Work Description: New ? Add Alter ? Repair O 10. Describe 11 Fuel Type No, Eauipment BTU - M. Ea. Forced Air No. Evuiament CFM Air liandting: Mfg, Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Qther en ?L Air Cond. Mfg. Gas, Piping Outlets 12. I hereby ceTtify that the above information is true and correct, and I agree to comply wit7 all ordinances and codes governing this type of work. Signed : ? `for Rough F inal Inspections: Date Insp. Date Insp, This is your pefmit wh? numbered and approved. Approved CITY OF EAGAN 454-8100 N CITY OF EAGAN Remarks Addition ?mandale Ind. Pk. #L. Lot 25 eik h Parcel 10 22503 2501 Owner Street State improvement Date Amount Annual Years ? Payment Receipt Date STREET SURF. STREET RESTOR. - GRADING SAN SEW TRUNK 1 0 140.56 62 2 41• *SEWER LATERAL 1972 WATERMAIN $E WATER LATERAL 1972 #WATER AREA 1972 .K-STORM SEW TRK ? 1972 3061 AD * STORM SEW LAT 1972 CURB & GUTTER SIDEWALK STREET LIGHT 5 10-3-83 WATER CONN. BUILDING PER. 47 SAC 806-25 39015 PARK CITY OF EAGAN Remarks Addition Eagandale Isld. Pk. #?! Lot 26 Rlk 4 Parcel 10 22503 260 04 Owner Street State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. -` ) STREET RESTOR. GRADING SAN SEW TRUNK 9f? *SEWER LATERAL 1975> WATERMAIN *WATER LATERAL 1972 # WATER AREA 1 975> # STORM SEW TRK * STORM SEW LAT 1972 CURB & GUTTER ' SIOEWALK STREET LIGHT -A- WATER CONN. BUILDING PER. QCA7 sAC 3806.25 39015 PARK CITY OF EAGAN Remarks Addition Eagandale Ind. Pk. #4 Lot 27 Bik 4 Parcel 10 22503 270 04 Owner?fl'- Street State Improvement Date Amounc Annual Years Payment Receipt Date STREET SURF. 1 STREET RESTOR. GRADING 1973 4e ' 10 77 SAN SEW TRUNK ? 1970 142.36 _,69_ 2 G3,9 SEWER LATERAL 1972 WATERMAIN .j£. WATER LATERAL 1972 WATER AREA 1972 • STORM SEW TRK ? 1972 1 (,g * STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. ?47 SAC PARK CITY OF EAGAN Remarks Addition-FAagaT?d-alE? T71d. PL{. A Lot 28 Blk 4 Parcel 10 22503 280 04 Owner _A L l 4• .,1y i r L $treet State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. .? STREET RESTOR. GRADING SAN SEW TRUNK /^ 3 q SEWER LATERAL WATEAMAIN 3F WATER LATERAL 1972 1 ? *WATER AREA *STORM SEW TRK 1 2 o( o 2 6 1 * STORM SEW LAT 1972 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNTI 526.SQ 39015 10-3-83 CONN. BUILOING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 StTE ADDRESS• INSPECTI4N REC4RD PERMIT TYPE: Permit Number: Date Issued: • 1 t? t: rt ? K r C. tI I. I 1 N'. (J{; NfE!( IN!)U',III IAI PERMIT SUBTYPE: ,, i•. ? .I tii ,?? ? a ,, APPUCANT: t>nkf. pa TYPE OF WORK: It NAMI i INI'.11 (IItQI 11I1i kFN1A! ) U! .`,l Ir 1 f' T L IlN INSPECTION D• • D• nt111 lt I f4 I, i. t,?, I I I•1/11 I I I;l, J 1 Nii! i 1 EIl1 I r, ItV MAkk`.t Mtr,'ANTNt F L ? DIS9.7910 Afa. I e/rs/9.5 a° Permit No. ermk Holder Dste Telephone # SNY PLUMBING HVAC ELECT ?'J7 ? ELECT a D Inapectlon oate Insp. Comments Footings I Foundation Framing Roofing Rough Pibg. Rough Htg- Isul. Fireplace Final Htg. Orsat Test Flnal Plbg. PI6g. InSpeCtor - Notily Plumber Consi. Meter Engr./Plan Z Bldg. Flnal Dedc Ftg. Dedc Final Well Pr. Disp. INSPECTIQN RECQRD ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ? i „, 7 7 ?.,,, APPLICANT: • , Nt t• F' 1: U, t I N'i Illi 0i•1#i t. .0 Al l t 1114 '. I LAl+ANUAI.t t:lNfFk lMt?tir, TkIAI F'ARk 14 (bl,') fj37-H.1I4 : PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . D. iI" oaM i rj?? t N t WAil A 1 t 0 rd 10111.11 1+11EIIi1# 1 N fl ( ?• I I PJ.11 I 1 It!+ kUMAftK3s 5l#W r;i'?NfKAC/[1R F L ? Permit No. Permlt Hoi r Date Telephone A C-LECTRIC PLUMBING HVAC • Date Inspsctlon Insp. Comments FOOTiNGS [ FOUND FRAMING RQOFiNG ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING ?sT "C INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL yvri.. BSMT R.I. BSMT FINAL DECK FTG DECK FINAL -Control INSPECTI4N RECURD No. CITY OF EAGAN PERMIT TYPE: Rl1I L DIMB 3830 Pilot Knob Road Permit Number. •? ???? Eagan, Minnesota 55123 Date Issued: i* /i.a/9x (612) 681-4675 SITE ADDRESS: i Ot: 26 +?rI Ls MCKE iol l TNS nft FA4ANOAL£ CEmffR l1iUl! aTR114I PERMI MSU??T?YPEN i sc Ht0Gf; 4 APPLICANT: qpt1S l;l3RP PANK $+1 (617 ) 436-4601 TYPE OF WORK: ADDY7TOi1 m m FPf'MAWs; RECEIPt # Permft No. Parmft Holder Dats TNephone ! SNV PLUMBiNCi HVAC G(k ELECTR f f EI.ECTRIC Inopsctlon Oab Insp. CommKnta Footlngs t ??Y1jPL • if G? Foundation i Freming Ropfmfl Hough Pibg. Rough fltg. Isui. Firepl8ce Fna1 Fky. O?eat Test Rnel Plbg. Plbg Irspecior - NotlRY Plunber Const. Me1er EngrJf'len Bldg. Finei c.c(•?+ Dedc Flg. Deck Finel Well Pr. Disp. INSPECTION RECQRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS• • I Ot s 20? E3t.?stk ? PERMIT SUBTYPE: rtlt I ios i i3' f 41 i s+, o ?. l u r. I r? Y , APPLICANT: 1Z f 4 1:3 -- 5 b J t TYPE OF WORK: t:F: ',1.t; i ; 114M At.l-i=RAT E11N M4 .1' T OEs INSPECTION .A • DA ?,??? ?. • t•M 11 ? t I#a'::i f i;<, , Permit NQ. Permit Holder Date Telephone # EtECTAiC PLUMBING HVAC Inspectlon Dete Insp_ Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FiNAL 2• D I• BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL 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: oNTh1 I.ul 1 1N:°1 1?1: 0 tt ni i c_r N,Fk [Nntlc:tn rnI PnFtK •a PERMIT SUBTYPE: TYPE OF WORK: :?. i r r1i A r I (IW , . . . i , IIaIFk iflFNfili INSPECTION D• . .• I y I I? iJ il l I: iJnt I 1 1.1, i F- ? Q L PermR No. Parmlt Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectfon Da" Insp. Commenb FOOTINGS ROUND 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 BLDCi FiNAL BSMT R.I. BSMT FINAL DECK FfG pECK FINAL ; CITY OF EAGAN 3830 Pilot Knob Road ; P. O. Box 21199 : Eagan, MN 55121 Zoning:.1. ; Owner: ' Add?ess: - Stte Address: ? 3 75 M 2's- 0 o 111 ? s Plumber: zr > ) +,r ?'n Meter No.: -- ' Size: Reader No.: - 1 e9r" M wmPlY wiNe the Ciey of Eagoa Ordinsseq, By Dote of I nsp.: CITY OF EAGAN SEWER S'E'RVECE PFRMIT 3830 i'ilot Knob Road P. 0. Box 21199 PERMIT NQ.: - Eagan, MN 55127 ' -? Zuning: - DAl"E; 3 ?} 1 -•, No. of Units: 1 Owner, Add?ess: $ite /lddress: ike c TLjr j?ZJ-lo B4 Plumber. ,?CW 1 eT C? 7 ,?,.. ? ?, 2900. u0 pct I Plfr wilh !Ae Ghr of Eagan Connectian pome: ,],.2_.?.2 S?? Oerlneneq, Acoount Depoait: Permit Fee: 1 D. 0 t? °? J B $urchorye; y M;sc. Ciwrye Date ot Insp.: s' ? Totol: Insp.: Dioft Poid: ? i WATER SERVICE PER141IT ~ PERMIT NO.: l t .. ? ° DATE: No. of Units: _ j e i,25-29 84 Eaian Connection Chorge: Account Deposit: _ Permit Fee: Su?chorge: Mlsc. Chorges: _ Total; -_ Dcte Paid: CITY OF EAGAN 7795 Pilet Rnob Reod Eegee, MN 5512= PHONEs 4S4•8f00 BUILDING PERMIT T. 6a utad fer OFFICE/PLANT Est. Vulue$720,000 N° 8547 Receipt # ?yJls- pate October 3 _ I y 83 Site Address 3375 Mike Collins Drive Lor 25-2$ Block 4 Sec/Sub.EaQ.Ind.Pk. II4 Parcel # 10-22503-(250-280)-04 W IN,m, Unitog Rental Services, Inc. ? Addreu 101 W. llth St. _ v.,..-.... r;... un _ roicN 474 _ ?nnn o IName OpI1S COTDOTBtlOri ou ~ Addresz P.O. BOX 150 ? r:..Mnls. 55440 0? .,__ 916-455£3 Name _ Address I hereby acknowledge that I¢ fhe in(ormation iz WrreCt dr Sfate of Minnesoto $tutute? Sipnofure of Permittea ? A Building Permit is issued fo: nII work shall be done in acca read this app tion and state that gree?_ fo?p with oll applicable nl I Erect gg occupancy B-Z Sprinklered Alter ? Zoning i-1 Repolr p FIre Zone NA Enlarge [3 Type of Const. ii Move ? # $lories Demolish ? Length 190 Grada p Depth 141 Sq. Ft25i39 ApProvala Feet Assessment Water 8 Sew. Police Fire (z9? Enp. Planner Council Bldg. Otf. APC pemit 17o?.vv Surcharge 360.00 Plan check 991.50 SnC 15225.00 Woter Conn..NA - Woter Meter NA Road Unit 2250.00 7otal 20,809.50 _ on the express rArditlon Ihnt City of Engan Ordirancea. Building Officicl %. ?.,;? 1-7 CITY OF EAGAN Include 2 sets of plans, L '? ???-{ 1 site plan w/elevations & ? ?- BUILDING PERMIT APPLICATION 1 set c£ energy calculatlons. Zb Be Used For; ?+-Valuation --11-1 ZO, UCO Date R_ ZI_63 site Paaress -33-15 M 1Y-E CoW rvL-;, i?P%4Y oFFzcE vsE oNLY rnt 25-?ZElock 4 sec./sub Erect ? occupancy L ? ? Alter Zoning Parcel #: )-oA- Repair Fire Zone Oaner: UN1-m(? Enlar3e _ ZtIPe of Const. ? Address: 10 1 V'U' V 5'?H ?,T. MOve # Stories D?lish Front ' ft. City/2ip Code: M0, Grade Depth Phone #: ? ((o ' a 1LF--[ 0 c0 )QU?, Cli)ZC Contractor: (- Adaress: onOC3 ff-A a Q.0- i?oX (SO City/Zip Code: V1,S Phorie #: 4 i?`Q 7ee Arch./EYig. : (t k' C1o- Address: City/Zip Cocle: one #: ? '- ?ac ( Assessments iaater/Seaer Police Fire Eng • Planner Council Bldg. O APC • ?o o.7-?p'3 -? Surchan7e ? Plan Check Water Meter ? Ftoad Unit ? 2450 - ?r?, ?1 r . 44eul aY-- ?. , ??? ?? ? ? 42 3-a? =/0 )- ? BUILDING PERMIT N° 8457 Reteipt # Te 6e wed Fe. FOUNDATION ONLY Est. Value NA Date S.Q Ptember 6 _, 19-83_ Site Address 3375 Mike Collins Drive Erecr ? occupancy Lot 25-28 BI«k 4 Sec/Su§.aQandale Ind.Pk.#4 qlrer ? Zoninp parcel # 10-22503-(250-280)-04 Rapnir ? Flre Zone E nlaroe ? Type of Consf. w Name UnitoQ Rental Services Move ? # Scories ; Address Demolish ? Length_ b Kansas City,MO ??h, phone (816) 474-1 7000 G.ade ?C Depth Sq. Ft.- Name Opus Corporation u? Address P.O. Sox 150 ? ???Mpls. 55440 oti,,,,. (936-4558) Nome I hereby acknowledge that ova read this oppl otion and state that the intormotion is rArrec a d agrEe ty?jomp with all opplicoble State o4 Minnewta $tatu es ard_Qity[oF?Ea Ordirwntes: Signoture of Permittee _1VL A Building Permit is istued to: L all wdi?ork sholl be done in occa Ig Officiol CITY OF EAGAN 7793 Pibf Knob Road Eagan, MN S5122 PHOHF: 454-8I00 Approvats Feos Assessment Permir _ . 15.00 Woter & Sew. SurcFwrge Police Pion check Fire SAC Enp. Woter Conn. Plonner Woter Meter Council Rood Unit Bldg. Off. II? APC Tmol p ua ..u i on the expreu condiHon 1hm oll ap ' ble SfQte. Min mta Srotutes and City of Eagan Ordirwnces. CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set c£ energy calculations. Zb Be Used Ebr Valuation f" J' Date ?•?p '?_ site paare.ss a-3,-I 5 MIY+i GOWNS,M• OFFICE USE ONLY Lor22 s?o?x ? s?./s?.Lf ?r ?c P 9 ?r oc??,,cy Parcel #: &SO -Ztb) -O?ter Zoning t?r Repair Fire Zone Raner: Enlan7e _ Type of Const. Address• Mo? # Stories Demlish Front ft. City/Zip Code: l? G+ MO Grade X:-_ Depth ft. Phone #: ?- AN 414 `7()00 APPROVATS FEES 7 Contractor: ONs (Opp Assessments Pernat Acldress: 1?{0O?f (?. ,???Q,fjp?,IJ?bpater/Seaer Surcharge olice Plan Check City/Zip C«le: lylrL-S, 11 N• 5 -riv Phone #: I36-45 ?'ht6 (?+ Arch./Eh9• • `17'IIFi P,ddress : City/Zip Cocle: _ Phone #: Fire Eng - Planner Council Bldg. Off. APC SAC Water Conn. Water Meter Road Unit =AL ( S 'D O 796 s s s ? Requesl Oate Flre No, Roug . ns io7i Required Ins ction Other Then Rough-In ? 5- (VOU m stca ?napecrorw en reatly) ? ?qeatly Now Will Notit nspeclor Ves No Date Reatl I;&censed contractor ?owner hereby re uest ins eciion of above electrical work at: Job Atltl w(SVeat, Box Houte No.) City ? ?G r M? CELLl.vs hr "? / Se lion No. Tawnshlp Name ar No. Range No. County -?/ 1!T-?/ ?? r Occup?(PRINTdM? ? M ??? ? Pn qOS' 6gas- S upplier Power Address (- -? .V -r-6"' j ElecUical Contracror (Company Neme) Contrector's Licetlsa No. CL) t A ?J fLJF--crWC c? C 4 Mal g Atltlress ConVactor or Ow sr Makin g Ins n) ? ? ? ecc c ? , . Au tl Signecure (COnire r/Owne eking Instel etlon) P? e Number ?a I) ?- 31 MINNESOiA STATE BOAH?v1F'EIECTRICITV 7HIS INSPECTION REQUEST NlILL NO7 Grlgge.Mldway Bltlg. - poom S-0RB BE ACCEPiED BV THE STATE BOARO 1821 ih ne (67Y)efi420800St. Peul, MN 55104 I UNLE55 PROPER INSPECTION FEE IS ENCLOSED. U"IJ6 pL 7i (p REQUEST FOR ELECTRICAL INSPECTION ' ea.ooooi-os jll? Sea insVUCCione lor compleling Ihis form on back of yallow copy. Jr11,s 19,5 "X" 8elow Wodc Cove.?ed by This Request Ne ' Rep. ' Type of Builtling Appliances Wiretl Equipment Wired Home Range Temporary Service Duplex ' Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Fumace Other (S ecify) Farm Air Conditioner X r (specify) Comraaofs Remarks: CaNSYRucrLO,0 TTKANLP-)< Campute Inspection Fee Bel w: k Other Fee # Service Entranca Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200_Amps Above 100 -Amps Si ns insveaors use omy: TOTAL Irrigation Booms 6 f S ecial Ins ection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee , p COMPLETED WITHIN 18 MONTHS. I, the Electdcal Inspector, hereby ti h h b i h Rouyn-in oate cer ty t at t e a ove nspedion as been made. oa?as OFFICE USE ONLY This raQUes( volG 18 monlhs trom / ??? 2 615,?a4. g4 9a? b 1 Repuest Oafe , Ire No. Rough dn InpseclionAequiretl (YOU must can inspector wnan reatly) - Inspection iher TM1en Rouqh-ln ? Reatly Now ? Will o?ify In cbr 0rVes 04- No Dat¢Reatl - ?? I licensed contractor ? owner hereby request inspection of above electrical work at: . Job Atltlress (Streel. Box or Poute No.) 3 3,7S `'r'1 i K(?- Co LLi t?1 ??ttii V? Ciry 6A G iR-iJ = ship Name or No. Ranga No. Counry, ^ ? OcwpanllPRINT) C -` ? ? t Q & L- Phone No. Power Supplier AdOress Eleclrical Conlracior (Company Name) LovEG ?t?l EL?c.?-?i C C?m t?N CoMracmr5 License No. C Ro -1\d'1 MaiLng AOtlress ICOnttador or Owner Making Installation) AulnaWre ?CO aaorOwn aking Installalson) 29 Phone Nvm?ar 24f p 8O' MINESOTA STATE BOAPD Of ELECTflICITY THIS INSPECTION REOUEST WILL NOT Gr gga-MiEway BItlB. - poom &113 BE ACCEPTED BV THE STATE BOARD 1821 Universlty Ave.. SI. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (611) 642-0800 ENCLOSED. ?,812G15 REQUEST FOR ELECTRICAL INSPECTION ? See inslructions (or comdehn9 mis form on back of yellow coOY 'X° Below Work Covered by This Request «a ?, ??q ?:'?? ew feiftl' ep. 7ypeofBUilding nppliyncesWire d EquipmentWiretl me Range Temporary Service plea Z Water Heater ElBCttic H08fing Apt Builtling Dryer Load Manegement Comm./Industrial Fumace Other (Specity) Farm Air Conditioner Otner Isyecilyj Confractors RemaAcs'. b. Q Compute Inspecfion Fee Below: ?L>. °p # Other Fee F ServiceEmranceSize Fee # Circuits/Feetlere Fee Swimminq Pool 0 to 200 Amps ? 0 to 700 Amps Ip ? Transtormers Above 200 _ Amps Above 700 _ Amps Sigr1S Inspeclor5 Use Only: TOTAL Irrigalion Booms ? ?j ? a (Q •b O Special Inspection Aiarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in ? zlm. oaia 3 /G OiFICE USE ONLV This repuest voia 18 momhs Imm W55374 G .L .W. C2k. ?/Oo °° Requesf te ir o. a RougM..,.wZ,secGan Required Inspeclion Other T n Rough-In / ( ? ? ? ? (Va mue? when reaCy) 0 RaeOy Now?Wi1lNatifylnspector ? Ves ? No Dale Reatl I? icensedcontractor. LDowner hereby request inspection of above electrical work at: Jo0 Atltlress (Slreel. 8or or RoNe No.) C L' V 0/L- Ciy -Lti ,[? S Saclion o. Townshlp Neme or No. FenBe No. Couny Occupant(PRINT) Phone No, v N Lr4)(1-- Power SuDPlier AdOress Elecincal Conlractor (COmOanY Name) Olympic Etectric Campany CoNractor5 Licanse No. Maaing ntltlress Co r 1 Edina, MN 55 AmnorizeE Sig IC o aking Installa0o Phone Nu be ; 7 MINNESOTA TATE BOARD ELECTHI ITV ' THIS INSPECTION REOUEST WILL NOT Gr189s-Mitlwey BIEg. - qoom 5473 . BE ACCEPTED BV TME StATE BOARD 1821 University Ave_ SL PoW. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSED. N55374 REQUEST FOR ELECTRICAL ONSPECTION ? See inshuctions for completing ihis larm an beck ai yellaw copy "X" Belaw Work.?vered by This Request E?B-00001-OB ?.?. ew Pqn_ Rep7ypeofBUiltling AppliancesWired . EpuipmentWired Home Range Temporery Service Duplex Water Heaier Electric Heating IlApt. Buitding Dryer Load Menagement omm./Industrial . Furnace Other (Specify) Farm Air Conditioner Omer (speciry) Coniracror's flemarks: Compufe Mspection Fee Below: /Ts? # 61her Fee # Service Entrance Siza Fee # CircuitslPeeders Pee Swimming Pool 0 to 200 Amps d- hanslormers Ab ove 200 - Amps A6ere-iBb' Amps V' SignS Inspecror9 Use Only. ,l TOTAL s Irrigation Booms f?,7i ?v 00 - Special Inspecfion . Alarm/Communication THIS INSTALLATION MAY BE O ERED DISCONNECTED IF NOT Other Fee . COMPLETED WITHIN 18 MO t I, thp Electrical Inspector, hereby certify that the above inspection has been made. Rou9n-i, Finai - eie OFFICE USE Ol TOis request voitl 18 monlhs Irom 9eec ? 12 ,? ?o Reduest Dete '- . - e N61 Rough-In InOSeclion Requiretl (VOU must call insp¢d or wh en reatly) Inspe ion Other Tfian Rougb-In 0 Reatly Now ? WIII Notl In pxlor ? / ? vea l(Y11o Date ReaO - I licensed contractor r> owner hereby request inspection of above electrical work at: .b0 Atltlress (SVeet. Box ar Route No.) 33 S ' oLL?NS 'b RiVE- Ciry c, AC> ? Sedion No. To sh10 Name or No. Ftarge No. County oA- R Occupanl?PRINT? (A? " o c? ? ?-a L Phone Na. Power SupPl'rer Atldress ectncal Convador ICompany Name) ? °? f ConVactor's License No. c f la'l ?.c ,? . ? R ? Meiling AGtlress ICO Vatlor or Owner Making Installalion) C • ? p In? JSS I a Auth riz ignaNr CanVac ;pwner Making Installalionl Phone Number _ !W.( `7Ra-S840 A NESOTA STATE BOARO OF [?ECRIC)TY . THI$ INSPEGTION FEOUEST WILL NOT gga-MlCway BIEg. - Room Sil3 BE ACCEPTED BY THE STATE 60ARD 1 UniveniTy pve.. Sl. Paul. MN 5510C UNLESS PqOPER INSPECTION FEE IS Phone(612) fid1-0800 ENCLOSED. Mel 296 0 REQUEST FOR ELECTRICAL INSPECTION ? See instmdions for completing Mis torm on beck ol yellow copy. "X" Below Work Covered by This Request ,6.,%EB?p' -08 ew ?Rep. TypeoBUilding AppliancesWired EquipmenlWired Home Range Temporary Service Dupiex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (SpeCify) Farm Air Conditioner Other(speciTy) GonvacNr's Remarks'. Compute Inspection Fee Selow: # Other Fee # ServiceEniranceSize Pee # Cirouits/Feeders Fee Swimming Pool 0 to 200 Amps ' 0 to iQQ_Amps p? Translormers Above 200 _ Amps Amps SIgf1S Inspectm5 Use Only: ?jJ TOTAL Irrigation 6ooms ? Special Inspection Aiarm/Communication THIS INSTALLATfON MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R°°9n,n ? oere certify that the above inspection has been made. Final j 2--'f" OFFICE USE ONLY ' This request voitl t8 monibs Irom Th's repuest void f 14 th ? ,mun s ram 0 616 2 4 G, A 6 , y C?;o? i?dZ ?t/D 9 Pequest Date Fire No. Rovph-in spec[ion Ren .red. / eedy Now ? Will Notity, Inspec- n Yes roiG?p ? 49`• mr When Ready EyLicensed ElecVical Con tractor I hereby raquest inapec<ion of above - ? Ownar elecYrical work installed aY Street Atldress, Box or Houte No. ? r75- `Ve . Cit ecllon o. Township Name or No. flnnge No. Cou y OccuGant?PRINT) Phone No. Power Sypplier ? Address ' ElecVical ConVacmr (COmpany Name) ? ~ Cnntracmr's license No. ? Mai m0 Addres IConvacmr or Ownar a king InstauatioN Q? Aut or'.e S? nat e.(C ctor/Ow er Ma ing Insta latinn Phone Number / INNESOTA STATE BOARD O ELECTRICITY THIS INSPECTION REQUEST WILL NOT +i99s-Mitlwey Bidg. - Hoom N-181 . BE ACCEPTEO 9Y THE STqTE BOAFD 1821 UnivarsitY Ave., St. Paul, MN 55106 . UNLE55 PFOPEN INSPECTION FEE IS Phona 16121 297-2171 ENCLOSED. y.Cf .86 REQUEST FOR ELECTRICAL INSPECTION EB-OU001-0 ' See instruetions for completine this torm on Caek af yellow copy. ? nR1R24, ""X" Below Work Covered by This Request Atld p TVpe o( Builtling AOPlian[ea WireE Equipmen! Wired Home Range Temporary Service Duplex Water Heater Ligh[iny Fiztures Apt. Building Dryer Electric Heabn Commercial Bldg. Fumace Silo Unloader Industrial BIAg. Air Conditioner Buik Milk Tank Farm Dthai Soeci v Othe?? 1Snecify7 thar Vecifv O[her Othor ompute Inspeciion Fee Below M Pee ServiceEnhanceSize p Fee Featlers/Subteeders N Fee Circuits 0 tQ200qms 0 to30qms ? 0 tn30Ams Above 200 Amps 37 to 100 Amps 31 to 100 A s Swimmin Pool Above 100_Am s Ahove 100_Amps Transformer5 Irrigation Booms Partial.'Other Fee Signs $pecialinspection 5 TOTA E ? Rerrurks ? L PE Hough-in Oate 1, the Elech al? Inspector, hereby Final ? certifV ' hat Ne abave 5 inspection has baen 2, , made. Thl6 reQUesl void 10 montRa from 9a s ?s Reque?l Oate ? Fire N Raugh-in Inspection Required? eaGy Now ? WII Notity Inspectar ? Y. ? No When Rea0y7 I I?.licensed contractor ? owner hereby request inspection of above electrical work at: Jab Atltlrass (Sireet, Box Or floute NoJ 33`75-7'r1'}(L L LL_i Ns '?)P'iV? Cfly ?li GA- (?) Section No. Township Name a W. Pange No. Counry `?A O R K ? Occupanl (PRINT7 i t o G E- t?J t. R? Phane No. Power Suppller Adtlress Eledrical Contraclw (Company Neme) L,? ?G R E, ?. LE.G+-KC_ C.u. CoMreqorE liceree No. o?} l?.1 31:5? Mailing Address (COnlrador or Uvner Makrg Instellation) Authonz neture onrcector rer Making NsUllation) Phorie Number `l o -SS y-1 CMINNESOTA STATE BOARO OF ELECTii?CRY THIS INSPECfION REQUEST WILL NOT Otlgga-Mltlwey Bidg. - Naom S173' BE ACCEPTED BV THE STATE BOARD , /821 UniversNy Ave., St. Poul, MN 55104 UNLESS PflOPER INSPECTION FEE IS Ptqne (512) 662-080p ENCLQSEO. REQUEST FOR ELECTRICAL INSPECTION . ee oooai o7 ? See instrudlons for crompletiig ihis fortn on back ol yellow copy. U P,; 0'3.2 5 8 "X" 8elow Work Covered by This Request e Add Rep. TypeoiBuildirg AppliencesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommJlndustrial Furnace Farm Air Condi[ioner Olher (speci(y) ConVaclor5 RamaM1S: Compute Inspection Fee Belowr # Other Fee # ServiceEniranceSize Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps p- Tfansformers Above 200 _ Amps Above 100 _ Amps ' Signs Insoedor5 use Only: 70TAL Irngation Booms d0 50 Speciallnspection Alarm/Communication Other Fee I, ihe Electrical Inspector, hereby certity that the above inspection has been made. R,ugh-in F;nai oete aq ? ?q ^ ? -07 OFFICE USE ONLV This requesl wid 16 monihs trom f? O? 617 6 6 Q? Raquest Dete ire No. Rough-in Inapectlon Requiretl? 4RImiTtly Now ? Will NOtity Inspecbr ?yas 04W WhenReaEy? Ix liQensed contractor ? owner hereby request inspection of above electrical work aC Job AGtlreas (Sireet, Box ar Raule No.) CL ?? C 5- Ciry ? ? A i 3 . i - .a iNS f G -p Seclion No. I Township Neme or M. Pange No. Cou "'k-3 P, i<,.+A- OccupaM (PFINI) ' toG EdA(tL Phom No. 4S -- os? o Power Supplier Atltlress Eleclriwl Contrector (Company Name) K 1 C l ?1 ConVaclorS License No. zx? o? G --? ?C 0 MaiVg Atldreas (COmrac[or or Owner 0.Aaking Installation) S . IQ L. P 5-S43 Z AuNOriz nature (C ractor/Own 'ng Inatallatlon) Phone Number 7 IEINNESOTA STATE BOAND OF ELECTNICIi`/ THIS INSPECTION REQUEST WILL NOT GNgge-Mitlway Bldg. - Room S773 BE ACCEPiED BYTHE STATE BOARO 1821 UnlvewRy Ave., SI. Paul, MN 55104 UNlESS PROPER INSPECTION FEE IS Phow (612) 642-0800 ENCLOSED. ?Jn jg? REQUEST FOR ELECTRICAL INSPECTION ?. eeaoam-o7 ? / ?-J See instryptlala kr cbnpleBrg Nis form on back M yellow wpy. G1V ,n?Q / ?7 6 6 X" Below Work Covered by This Request Me% Add Rep. Type of BUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) ' Comm./Industrial Furnace Farm Air Conditioner Olher(speciy) Conhacbr5 RemeMS: Compute Inspection Fee Below: # Olher Fee # Service Entrance Size Fae # Circuits/Feetlere Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps ,Slgns Inspeclor5 Use Ony: ?--? TOTA Irngation Booms ? Special Inspeaion iarrrVCommunication `i Other Fee I, the Electrical Inspector, hereby certifyihatthe above inspection has been made. RougMn - Fnai Date OFFICE USE ONLY Thia request wk 18 monNs fmm ? p 46i33 2 K C J ?'1? ? ? ?.. ?/ c , ReQUest Date F e No. oughin Inspeclion aqutrea? ?Y Now C WII Nonly Inepector ?? Q Ves '{/NO When Faatly? I$1 licensed contractor ? owner hereby request inspection of above electrical work at: Job AEtlrew (SVeet. Box w Roure No.) Ciry 3375 Mike Collins Drive Eagan Section Na Township Name or No. flange No. County I Dakota Occupanl(PRINT) Phone No. Unitog Rental 454-0560 Power SupOiier Atltlress ElecVical Comractor ICompany Namel Conirector5 Llcenae No. Lovegren Electric Company CAO-1127 Maiiing AGtlress Itontrector or Owner Making Installation, 5905 Lexington Av. N., St. Paul, MN 55126 Amnonzee Si re (COntt m.,Owner M Installation) Pnone Number - 780-5841 ? MI ESOTA STATE BOARO OF ELECTHICITY THIS INSPECTION REOUEST WILL NOT G ys-MlEway BIOg. - Room S-173 9E ACCEPTED BY THE STATE BOARD 1011 Univarslry Ava.. St. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS Mone(612) 642-0800 ENCLOSEO. qj- REQUEST FOR ELECTRICAL INSPECTION 6"' "?$?,q es?ooom.os ? See instmctions tor completing this form on Oack oi yellow copy. "iT?'?L K ` q f U 3-32 ? '7C"Below Work Covered by This Request ew Add Rep. TypeolBuilding AppliancesWired EquipmenlWiretl Home Range Temporary Service Duplez Water Heater Electric Heaiing Apt Building Dryer Other.(Specity) Comm./Industrial Furnace Farm Air Conditioner Other(specity) ConVaclor5 Remarks, Compute tnspectiort Fee Belaw: M 1 S C. W Or k # Other Fee # ServiceEnnanceSize Fee # Cirwits/Feetlers Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above200_Amps Abo 700_Amps Signs iinspecmra Use oniy: TOTAL trrigation eooms ab 'oc' 20 . 50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDEREU DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oaie certirythat the above inspection has been made. Final ' i. OFFICE USE ONLY Tnis requesl vaitl t8 rtwnihs trom 7 9 ? 12 Repuest Dete Fn o. I I Floughdn Wjseytinn Pepuire0 • ?Vau musl cell mspector when reaEy) ns tion her Tlian Raugn.ln qeaay Now ? Will Natity In3pac3or ? Ves No Date ReaEy I i' licensed contractor ? owner here6y request inspection of above electrical work aC Job Atltlrass (SVeet. Box or Roma No.) .3 -1 .s/?(),Kx- C-i?„?S p?. City 619 (;a fj Seaion No, Township Name or No. Range No. Coun? h K Q i?? Occupam (l tKNitoG ?NlA'AL-_ Phone No. Power Supplier AOdress Eleclrical Comracta (Gompany Name) Conttacmr§ Licanse No. Mailing qaeress IGOnVaclor or pwner Making Instailationl S o5 a N o N V. o,- S' V? SS 1?,? Nutnonzetl qnaWr ICOnva nOwner Making Installationl Phone Number r M NESOTA STATE B04RD OF E CTpICITY , TMIS MSPEGTION REOUEST WILL NOT Grlgge-MlEway BICg. - Room 5473 BE ACCEPTED BY THE STATE BOFRD 1831 Univaniy Ave.. St. P.W. MN 55100 UNLES$ PROPER WSPEGTION FEE IS Fhone (612) 642-0800 ENCLOSEO. ? 126 9 RE?UEST FOR ELECTRICAL INSPECTION ? See insimctions for completing Ihis lorm on Oack 0f yallow copy 'X" Be/ow Work Covered by This Request ?t? ? EB-00001-0 e Atla Fep. Typeofeuilding AppliancesWiretl EquipmentWired Home aange Temporary Service Duplez Water Heater Electric Heatlng Apt. Building Dryer ?oad Menagement Comm./Industrial Fumace Other (Specify) Farm Air Conditioner Other Isyeciryl Comracror's Remarks: R? Ru Li"'t E A c- ? R«+f n1 ?f- Compute Mspection Fee Below: r-? # Other Fea # ServiceEntranceSize Fae 8 CircuitslFeeders Pee Swimming Pool 0 to 200 Amps 0 to 100 Amps 00 Tanslormers Above 200 _ Amps A6ove 100 _ Amps Sigf1S Inspecmr's Use Only: TOTA L Irrigation Booms G?? c ?? - O Special Inspection c Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1B MONTHS. I, the Elecirical Inspecior, hereby ti th t th i b i ROu9h-'" oam cer ty a e a ove nspect on has been made. F;,,ei ( oate OFFICE IISE ONLY C.??• ?TFis request wi0 18 months irom • ReQUesl Date F No. Pough-in Inspection 11-24-92 Re9ypvi?No ? ReaEY Now 0 When Ready??ror I[R licensed contractor ? owner hereby request inspection of above electrical work at: Job Adtlress (SVeeG Box or Faule No.) Ciry 3375 Mike Collins Drive Eagan Seclion No. Township Name or No. Fange Na. County Eagan Dakota Ocmpant (PRINT) PYrone No. Unitog Power Supplier Atldre55 Electrical ConVactor (COmpany Name) Contractor5 Lbense No. Olympic Electric Co., Inc. CA01370 Mailing Atltlress (ConVactor or Owner Making Installation) 7103 Amund on Aven e South, Edina, MN 55439 Authorrzetl Signawre ( ract kmg Installati Phone Number ? 944-7400 ? - MINNESOTA STATE BOARD OF ELECTFIdTV THIS INSPECTION REOUEST WILL NOT Griggs-Mitlway BIEg. - Room 5-173 BE ACCEPTEO BY THE $TATE BOARD 1821 Oniversity Ave., SL Peul, MN 55106 ' UNLESS PROPER INSPECTION FEE IS Phone(612) 642-0800 ENCLOSED. //j/9,7-- REQUEST FOR ELECTRICAL MSPECTION ee-ooam.os -/ jl? See ins[mclions for completing ihls form on back of yellow mpy. ?T_I d98'??H ?., ? "X" Below Work Covered by This Request ? ? 52 .4 5 5 ew Atld Rep. TypeolBUilding 3\pp!iancvSWired EquipmeniWired Home Fange Temporary Service Dupgex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Commllndustrial Furnace Farm Air Conditioner Other(specily) ConhaMOrS qamarks: Campute fnspection Fee Below: # '- Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool D to 200 Amps O to 100 Amps 4.00 Transtormers A6ove 200 _ Amps Above 100 _ Amps SignS Inspector5 Use Only: TOTAL Irrigalion Booms (?J •O 15. 50 Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby th if Rocyn-m oaie y at the above inspection has cert been made. F;,,ai ? oa? ???p OFFlCE USE ONLY ? This mquest voitl 18 months fmm o ?7/T7? 0 ?.41 0 a5 ? ,,?? Request ate . Fira No. Rou -In n e ion Required (vou mua ca. mspoe[or nen reatly) Inspec,on herThan Fough-In ? Reatly Now ? Will Notily Inspector ? Ves 1 No Oale Featl I licensed contractor ?owner hereby request inspection of above electrical work at: . Job A tlress (Streeu. Box or Roule No.) 3 S ' £, aLL??'? Ciry ? f}GArJ Section No. Township Name or No. Range No. Coimty Occupan (PRIN ,) (. ,?o? L Phona Na. Power Supplier Adtlress lectnwl Contrecbr (GOmpany Name) ConVactor's License No, o QC-G E Comp, Mailing Atltlress (COntredor or Owner Making Installalion) oF? EXI to v, o'- S o ?SS1? Au?horiz ' nalur onlrec Owner Meking Ins[allation) ' Phone Number MINNESOTA STATE BOAHO OF ECECTAICITY iHIS INSPECTION REOUEST WILL NOT Gtlgga-Mldway Bldg. - Room 5428 1111111111111111111111111111111111111111111111111 BE ACCEPTED BY THE STATE 80ARD 1821 Unlverslly Ave., SL Paul, MN 55109 UNLE55 PqOPER INSPEGTION FEE IS Phane(612) 642-0800 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ea-ooaoi-os 10, See inslmctions for campleting ihis form an back ot yellow copy. "X" Below Work Covered by This Request Ne Add Rep. Type of Building ApRHiancesl^lired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Loatl Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specity) Cantrector's Remarks:l7 /? P S 'n r p p_ C? p Q?O S " (? l ` l P Compufe Inspecfion Fee Below: 4 : Wn (Z }?. afy jti S i Dc- aF Es wk L P i N G• # Other Fee # Service Entrance Size Fee # Circuits/Fesders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps , d Transtormers Above 200_Am s ove _Amps $IgnS Inspecror's Use Only: / OTAL Irrigation Booms . /??1, (s? ? ? ?? s? Special Inspection ?"? AlarmlCommunication THIS INSTALLATION MAY BE ORDE _ ONNECTED IF NOT Other Fee COMPLETED-WITHIN 78 MO 5. I, ihe Elecirical Inspectoc hereby ti th t th b i ti h Rough-In / ord r _J cer ty a e a ove nspec on as been made. F??ai ? Dat OFFICE IISE ONIV This raquest voitl 18 months Imm 0- 4 `-167 Io "OS15 Requ st Dai Fire No, ou - I specYOi4qequirea InspecUOn OtlrerThan Rougn-In o (Vou mu iall inspector when reatly) ? Ready Now ?dJill NotM Inspecbr ? Ves l?Ro Date ReaO I19licensed contractor Downer hereby request inspection ot above elecMCal work aC Jo6 Aatlress (Streel, Box ar Route No.) Cily 3 S = CoL.L oa.. Seclion No. Township Name or No. Range No. Counly DAr=v A OccupantJPRINT) Phone No. U Power Supplier Atltlress Electrical Contractor (COmpeny Neme) Conlractois License No. c. ??? Mailing Adtlress (COnirector or Owner Making Inste lationl Avc. F?uP. ?n S AumonzeC Signet (COnlradodOwner Making Inslallation) PM1One Number y? MINNESOTF STATE BOAFD OF ELECTHICITY THIS INSPECTION FEQUEST WILL NOT GMggs-Mitlway Bltlg. - Naom S-i]B BE ACCEPTED BY THE STATE BOARD 1821 Universlty pva., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 862•0800 ENCLOSED. 1 ?l6-/67 /o? 3?q5 REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os ? See Inslmctions tor compleUng this form on Lack of yellow copy. "X" Below Work Covered by This Request Ne Add Rap. Type of Building Appiiances Wired Equipment Wiretl Home Range Temporary Service Duplex Water Heater Elechic Heating Apt. Building Oryer Load Management tl/ Comm./Industrial Fumace Othar (Specify) Farm Air Conditioner Other (speci(y) GonVactors Remarks: w`i G\-pCA Compute Inspection Fee Below: # Other Fee # Service Enlrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers A6ove200_Amps o 00-Amps SI fIS inspedor's Use Onq: • O T TAL Irrigation Booms •'Lg? Special Ins ection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby erti th t th b i i h Rou9m1, oaie c ty a e a ove nspect on as been made. Finei ? Dat OFFICE USE ONLY This request voitl 18 months Irom REOUEST FOR ELECTRICAL INSPECTION ? 46341 ? See mstmdions for mmpieting ihis form on back ol yellow capy. "X" Below Work Covered by This Request #a'?^ti4a EB-00001.08 ? aw Atltl Rep. TypeofBUiltling I AppliancesWired EquipmeniWired Home' Range Temporary Service Duplex Water Heater Electric Heating Apt. Buildinq Dryer Olher (Specify) Comm./IndusVial Fumace Farm Air Conditioner Otherspecify) Conrtaclw9 Remarks: Compute Inspection Fee Below: # ONer Fee k ServiceEniranceSize Fee # Circuits/Feetlere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Si905 Inspeciw5 Use Only: TOTAL Irrigation Booms ?? O S SO Speciai Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certity that the above inspection has been made. Rough-in F;nai oare e I OFFICE USE ONLY This rvyuest witl 18 months Imm K j 6 3 4 1 Request Oate Fire No. ^ I RougRin Inspeclion Repuiretl? ?NOw `] Will Notity Inspactor Gye5 ? When Reatly7 I licensed contractor ? owner hereby request inspection of above electrical work at: Ja0 ddress (Streel. Box or Route No.) 33 75 "? Ciry <? G tJ Seclipn No. Township Name or No. Range No. Coun 1, i<." 1 ry6 WppM IPRINT Oc J V V i o P?one No. qS y- o s 6 a Power $upplier AOEress El??cal Conirector ICompeny Name ? I c aR? l uTp Co Conbactor§ License W. o - i Cfi ? , _ - t Maihng Atltlress ICOnVaclor or Owner Making Instella( 5 f ' °?- ? - 0 L ss 0 ? a o , , ( Authoriied aNre ICO ctonOwner g InstallaM1oni Phona Number c o gio NESOTq STATE BOAFD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT riggs-Mitlway Bltlg. - Roam S1]3 BE ACCEPTEO BY THE $TATE 80AFD 1821 Univereity Ave., SI. Vaul. MN 551 W IINLE$5 PROPEF INSPECTION FEE IS PMne (812) 642-OBOU ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ' See instructions for comocting this form on back of Vellow copv. ? y?223?S "1(" Below Work Covered by This Request EB-oaoot-oa 3R `l o`i Nfa4 Addj Hev. Tyoe of 9uilding AoPlioncea Wiretl Equiumenl WireA Home Range Temporary Servicg Duplex Water He2ter Lightiny Fixtures Apt. Bufldinq Dryer Electric HeaLn Commercial Bldg. Fumace Silo Unlo.ider Industrial Bldg. Air Conditioner Bulk Milk Tdnk Farm oNer nec? v tner (Sncr.liv) ? er unc,/y Other , Oth';r Compute lnspectian Fee Below # Fee 5erviceEntrence5ize N Fee Feedars/SVbleeders k Fee Cireoits - 0 to 200 Am s 0 to 30 Am s to 30 Am s Above 20 qarn ?s 37 to 100 qmps 31 to 100 Am ? Swimmin Pool ? Above 1003?'24Amps Above 100_Amps Transiormers Irri tion Booms . c? Partial%Other Fee Signs Speciall " $ T A Rertwrks 4 L FEE o _ l7S?s pough-in Final ? Oate ? , ? 6 nsoector, hereby certify tha[ the above i?spection has been made. TMSrequeetvoltllBmomOSfmm V- ' This reQUest void ??hO LArj -Zal 24 Il 3 l O ( 18 months from ? `l ? ?n? e0j'??`-?'PK'* 1 175•00 flequest Date Fire No. Rouyh -in Inspection Required? Ready Nuw pWill Nolify Inspec- ? ?Yes ?Nn r4r When Ready Licensed ElecVical Contr.nctor 1 hereby repuest insoaction ot above ? Owner elechical work installedaC Sveet Atldress, eos or Foute No. 33 S- &fftj'15;;r LLIIVs Ci[y 6/;G-L/?. ecbon o. Townshi0 Name or No. Range No. County OccupnntlPfllNTI U rv ? i p G- G D? o PU S Phane No. q3 6-'?yL??l Power Supplier AAdress Electrical Contractor IComuanv Numel ? CnMrartor's License No. ?G IG Maili Qr ss (C tractor or Owner Makiny Inslailationl ? JJAL r Authorized SiBnature (COn r ct r n Maki ng Instal tinnl .Phone Num er _ ? MINNESOTA SQqTE BOA?C,OF ELECTflICITY THIS INSPECTION BEI1l1ES1` WILL NOT 7827 U BE ACGEPTED BY THE STqTE BOAND Griggs-Midway Bidg. -@dom N-191 niversiry Ave., SN Peul, MN 56704 UNLESS PROPEB INSPECTION FEE IS Pn.- 16121 297 2111 ENCLOSED. r 0 F f I ir 1'1 t; M E C H A N I C A L Making 8ui(dings Work BetYer Since 1939 April 24, 2008 City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Attention: HeaYing Inspector Subject: Permit #: EA082647 Gentlemen: Yale Mechanical 9649 Girard Avenue South Minneapolis, MN 55431 Phone: (952) 884-1667 Fax: (952) 884-0295 www.yalemech.com Enclosed please find test report(s) submitted in compliance wifh applicable building regulation work done within your jurisdiction: Cintas Corporation 3375 Mike Collins Drive Eagan, MN Should there be any questions regarding this work, please contact Todd Jelle or me by telephone at 952-884-1661, and reference our Job Number J08-0278. Very truly yours, ?'A I1?(SY7'G?i,Y? ?Cg u9-? Thomas M. Rowles V.P. of 5ervice Operations /jek Enclosure: Test Report ?H LJU?? APR 2 5 2008 I?? COMBUSTION ANALYSIS DATE_ y_ ` Jo$ #: 3;b?3- OC97 CUSTOMER: C`I-A27- ML77dYCIPAI.ITY:? ?, Ann?ss: 375 f^,kG' C? TypE OF EQiJIPMENT: OF Repair. NewInstall:? Tag 0 Repair: Niake: New Iattall:= Model N: 5crialil: Ouipat: Inpv[: Type of Fuel: ? Type of DraR: Gas Pressure: Cl3igfi) S[andard (Med) (1-o`+?) Modulatine Eutner: - Yes No Test Tag installed: Yes No ANAI,XZER READINGS: Hieh (S[andard) Medium (if avpficab(el Low (if aoulicable) Oi 0z 0: COzco' C02 COCO CO Stack Temp: nS[ack TemP: Stack Temp: CONIlbIF1V7'Sc TYPE OF EQiJIPMENTc . Tag # Make: Repair: New Install:::= Model Serial N: Input OutpuC "iypd Giiuei: ^: D ?ft T•y^p?,. Gas Pressure: (High) Standud (Med) C?-°W? ModufaungBurner: Yes No TestTagiostalled: Yes No ANALYZER READINGS: Hieh (Standazd) Medium if a licable Lo (if onlica6le) pz 0, 0a w, co, co, co co co StackTemp' StackTemp: StackTemp: COMMFNTS: N: y J? / /'-t ?XJl? -• ?Inpm: yi:r?C7U Out'uc: ?c.YrCJC? ? Type of Fuel: Type of Draft ? Gas Pressure: ? 9 67 7 (Med) (14i6h) Standard v i ( -oW) ModulaRngBumer: Yu No Test Tag installed: Yu No AA*AI,YZER RF.ADINGS: ffieh (Siandard) Medium (if apolicable) Low (if aonlicable) oz o2 CPi . 0_ CQz 06z CO CO CO SlackTemp:2 6-5-StackTemp: StackTemp: COMMENTS: -_- TYPE OF EQTIIPMENT: Tag # Repair. Make: New Install: Mode1 #: Serial li: .. Inpue Outpur. iTieeofF•..^!: TireefDmft: . Gas Pressure: (Fligh)Standard (Med) (LOW) I Modulaling Suma: Yes No I..TestTaginstalled: Yes No - ANALYZER READINGS= Hieh (S[andard) Medium (if a nuficahle) Low (f annlicable) pi Ox 0z C0, COi C0, co co co Stack Temp: Seack Temp: Smck Temp: COMMENTS: . ' . YALE MECHAIVICAL 9649 Guazd Avenue Souch Service Technicianc Minneapolis, MN 55431 Phone: 952-584-1661 FzY: 952-SS5-0295 . J'_. Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 71 ? Cc) 1-k ?lo 1,41 '?O?3° oa7Z TSS 67. sv - - - - - - -----------, ? ? Permit#: ? J I ? Permit Fee: ? ? Date Received: ? i ? ? Staff: ? -----------------? 2008 MECHANICAL PERMIT APPLICATION Date: i'l 'DL? Site Address: 3376 M I KE (? o L- IxS? De T V E Tenant: CT),? -,A S Cae ppe4 TSc't,? Suitek: RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: Y?f License #: Address: ? ? ?16( S5Lt? ( 1S tOC(YlSA) G?DRl S 1?t•? Zi Ci p: ty: tate: Phone: Contact Person: Tt>D D SGuLfG TYPE OF WORK - New -X-Replacement Additional Alteration Demolition 2 ? NE vJ 's ? ? * ,70 2emL rte.L ?5rca ?, , . t Description of work: C. A PR S e 5 ia Ne- TO'S . Oy2 C G-T /z 6P[HC El7.EA! Pk_ NOTE Bvfh3a?fp kt1'?jcN,g[utrnd ??dtn ?ne??u??tm?nf dII??ti I 1 P 'A' S h N?19k 4 t t?,. .p xvl l r a or'???` e V4f ? r+J ?f dtJ ? ? h ' ` ' t ?Q ra ? ? ? {?? ? ?screer??rf f??? e ? ease c ?? , ?? ? ??net?vds??ur? ? - 1?ltrYeti?'sit i?,:?O,,,Fd?+r?brszfirrm€b??ti?hv?rati?" RESIDENTIAL COMMERClAL PERMIT TYPE Furnace _ New Construction _ IMerior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger _ Gas -:J- EMerior HVAC Unit ' _ HVAC units must be screened _ Heat Pump Under / Above ground Tank L_ Install! _ Remove) Other " When installing/removing tank(s), call for inspedion by Fire Marshal and Plumbin Ins ector AESIDENTIAL FEES: $50,50 Minirrsum Add-on or alteration to an exictinn Linit rinr.Iudas $.sn St??? Surr.harqel $90.50 Fire rep8if (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERClAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ Z700 x 1% $50.50 Minimum (includes State Surcharge) 77 Permit Fee _ $ 21 - If Permi F?e is less than $1,000, surcharge is $.50. ? State SUrCharge - If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ • $1,000 Permi[ Fee (i.e. a$7,001-$2,000 Permit Fee requires a$1.00 surcharge). $ g 7. s? TOTAL FEE I hereby adcnowledge ihat this information is complete and accurate; that the vrork will be in confortnance with the ordinances and codes of ihe Gify of Eagan; ihat I understand this is not a pertnit, bu[ ony an application for a pertnit, and work is not to start without a permit; that the Lwrk will be in accordance with the approved plan in Ihe case of work which requires a review and approval of plans. ApplicanYs Printed Name Ap anYs Signature r r1 L J Sojs Q 3830 Pilot Knob Road Eagan MN 55122 Phone: (657) 675-5675 Fax: (651) 6755694 `F5 -r?YS -----------------, I j Pertnit #: 21 1CI46 i ? Permit Fee: e,- V j i ? ? Date Received: ? i ? ? Staff: ? -J s° 2008 MECHANICAL PERMIT APPLICATION Date: Ca / 0?/0 F Site Address: 33 7 S MZKF d. 6LL L N`, 1D 2. y V E Tenanl 101 A (?, 00IZPO E-fl T-11?7o Sutte #: r \ City of Eauan RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: yA (-r. /V1 EC VI f{?51 [A?.- License #: ?? ) L-I ?5 " S Address: 9G`i9?i- r Q A 2? A?E Sa City: (?Leo/rtSNL'mO State: 14 0 Zip: SSL-f3 ? Phone: qS?" Qy9' l6?ll ContactPerson: "1DDD 5FL4-E TYPE OF WORK - New _)?,Replacement _ Additional _ Alteration _ Demolition Descripiion of work: C!NSfFr CT QlFRkRGFin 97,U t O(-- 5 rp Q PT LA NOTE•.Botti-raof mauntetl;and:groantt?rr?ounted•mechar?lea1 equlpfnentzlsarequilredto r` --be sereeoed by City Gode. ; Please contact the Mechanipal Inapector or one of the -Planrisrsior'intormaHonzoit " r?eitte"d=screenin"r»etiiods: RESIDENTIAL COMMEACIAL PERMIT TYPE Interior Improvement New ConsTruction Furnace _ _ Air Conditioner - Install Piping _ Processed Air Excharger _ Gas ?Exterior HVAC Unit _ HVAC units must be screened _ Heat Pump Under / Above ground Tank Install / Remove) Other " When installing/removing tank(s), call tor inspection by Fire Marshal and Plumbin Ins ctor RESIDENT/AL FEES: $50.50 Minimum Add-on or aReration to an existing unit (includes $.50 State Surcharge) $90.50 Fire rep8lf (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharg0) '1 N R TOTAL FEE $ COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Coniract Value $ ?00 ? x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If P rmit Fge is less ihan $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ State SUrCharge $1,000 Pertnit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). 5c)50 TOTAL FEE $ I hereby acknowledge ihat this information is complete and accurate; that the work will be in conformance with the ordinances and codes ot the City of Eagan; that I understand this is not a permit, but only an application tor a permit, and work is nol to start without a pe it; that the work will be in accordance with the apprwed 4p lan in the case of vrork which requires a review and approval of plans. X CV1R-?7 %??p'cIZSo? X ApplicanYs Printed Name ApplicanYs Signature Mike Maguire MAYOR Paul Bakken Februaxy 12, 2008 Peggy Cadson Cyndee Fields Meg Tilley ' COUNCIL MEMBERS Chad Anderson Yale Mechanical Thomas Hedges 9649 Girazd Avenue South CITV AUMINISTRATOfl Bloomington, MN 55431 Dear Chad, FYI: The City of Eagan requests remote test stations on duct smoke detectors that do not have roof access. Also, mechanical equipment must be screened. Please verify MUNICIPAL CEfIIEN compliance with the city ordinance. 3830 Pilot Knob Road if you have any questions, please feel free to contact me at (651) 675-5677. Eagan, MN 55122-7 S10 651.675.5000 phone $est reg3Tds, 651.675.5012 fax 651.454.8535 TDD Scott Peterson MAINTENANCE FACILRV Bullding InspeCtOr 3501 Coachman Poin[ Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAKTREE The symbol of strength and growth in our community. n F] M E C H A N I C A L Making Bui(dings Work Better Since 1939 Februuy 20, 2008 City of Eagan 3830 Pilot Knob Road P.O. Box 21199 Eagan, MP1 55122 Attention: Heating Inspector Subject: Permit #: EA081945 Gentlemen: Yale Mechanical 9649 Girard Avenue South Minneapolis, MN 55431 Phone: (952) 884-1661 Faz: (952) 884-0295 www.yalemech.com Enclosed please find test report(s) submitted in compliance with applicable building regulation work done within your jurisdiction: Cintas Corporation 3375 Mike Collins Drive Eagan, MN Should there be any questions regarding this work, please contact Todd Jelle or me by telephone at 952- 884-1661, and reference our Job Number 708-0185. Very truly yours, ? T'homas M. Rowles V.P. of Service Operations /jek Enclosure: Test Report FM?'P?? M?? 0 4 2008 COMBUSTION ANALYSIS DATE: oZ ? I ,`3 -c>f: JOB #: ?TOg-_rlj/?4?' - CIISTOMER: 1-m^{4s ADDRESS: 3,37,3' y'k? n//' Ok' dQq„ MUNICII'ALTTY: TYPE OF EQUIPMENT: ' TYPE OF EQUIPMENT: Tag # -3 Repair. Tag # Repair. Make: CeWp lp y New Install: X Make: New Install: Model #: ? m n'm ^ E Model #: Serial s: p$07 1s" 20l5(> serial #: Input: 13-00 Ou[put: o?OOa ? Input: Ootpue Type of Fuel: )414--r Type of Drafr. rko Type of FueL Type of Draft Gas Pressure: 3 ,5 Gas Pressure: (High) Standard (Med) (L.ow) (High) Sta¢dazd (Med) (Low) Modulating Burner: Yes No Modulaling Burner: Yes No Tes[ Tag installed: Yes X No Test Tag ins[alled: Yes No ANALYZER READINGS: ANALYZER READINGS: Hieh (Standard) MeAium (if aooGcable ) Inw (if aonlicable) Hieh (Standazd) Medium (if aonHcable) Low (if aoolicable) pt 8, 7 pz Oa Oi Oi Oz COi-L'27- COz COz COz CQ, COz CO 21 CO - W CO CO CO Stack Temp: 7,6.8 tack Temp: Stack Temp: Stack Temp: Stack Temp : S[ack Temp: COMMENTS= COMMENTS: TYPE OF EQUIPMENT: TYPE OF EQiTIPMENT: Tag # Repair: Tag # Aepair. -? Malce: New Iustall: ? Make: New Install: Model #: - Model #: ? Serial #: Serial #: Input: Ou[puC Input: Output: ? T-yyz oi ^uzC Tyi,e o: Draft T? re cf °cet: TY,:- af Dtaf[: Gas Pressure: Gae Pressure: ? (Fiigh) Standazd (Med) (l.ow) (filgh) Standazd (Med) (I.ow) Modulating Burner: Yes No Modulaong Burner: Yes No Test Tag installed: Yes No Test Tag insralled: Yes No ANALYZER READINGS: ANALYZER READINGS: Hieh (Standard) Medium (if applicable) Low if a licable Hieh (S[andard) Medium (if anolicable) Iqw (if anDlicable) Oz Oi Oi Oz Oz Oi COz COz COz C0, COZ CO2 CO W W CO CO CO Stack Temp: Stack Temp: Stack Temp: Stack Temp: Stack Temp: Stack Temp: COMMENTS: COMMENTS: YALE MECHANICAL 9649 Girard Avenue South Minneapalis, MN 55431 Phone: 952-584-1661 Fax: 952-854-0295 ServiceTechnician: J21/2007 2007COMMERCIAL PLUMBING rEiuvtiT arrLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 nate 1 i 1l i U'1 Site Address vy,?, u-.e C.lDWr5 D? Unit # Tenant Name _ Former Tenant Name Properry Owner CX*C?t s Telephone #k,;5i ) l.t"+k'?J QD ?,` ? Cnntrac[or ?j,IC?T?.S '?1?( aNA-GQ -k\(- Address City,-{ :,] lYL(„V 1 State ?n Zip Telephone#I(l(.17.)'Z?.-?U'?'1D11 License # Expires: 31 tUl ?- The Applicant is _ Owner ? Convactor _ Other Work Type New Bldg _ Modify Space _ Irrigation System** Yes No Work in public r-o-w / easement? _XRPZ _ PVB: _ New ? Repair/Rebuild _ Replace _ Remove Rain sensors are re uired on irri arion s stems Description of Work To inquire if Pressure Reducutg Valve is rzquired on new service, ca11651-fi7S-5646 Meters - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed orior to pickine un mefer. Imgation Size & Type Avg GPM 2" nubo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter 174.00 Damestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Ftushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Con[ract Value $ rJCJC?.I`? x 1% _ $ W 50 Prmit Fee ? $ Nleter(s) Required on al1 new buildings & boalevard imeation svsrems $ Radio Meter Read $ State Surcharge If oermit fee is less tM1an $1,000, surcharge is $SO I If pennit fee is more than $1,000, surcharge is $.50 for each $1,000 owed. ""'-"""-'""""_"""'_"""""""__'_"""""-"'"'"'""""""""__-""'"""'"""""_"'-"'""'-'"""_"""-""'""""""-"" "" Following fees apply when installing new lawn irrigation syetem $ V?ater Pemut Call [he Ciry's Engineering Depaztment, 651-675-5646, for required.feeameuRts ? ? ? ? 1 Treatment Plant $ Water Supply & Storaga JAN 1 9 2D0? $ state surcharge $ Total Fee 1 hereby appiy for a Commercial Plumbing Permit and acknowledge that the information is complete and accura[e; [hat the work will 6e i conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; thaz I unders[and this is not a pecmit, 6ut only an applicatio for a p t, and work is not to s1.. tart without a permit [hat the work wiL16e in accordance with the approved plan in the caseo? work which re es aA?w and ap r?a? of pl s. ?.Msnn71 ?11?IVlL? ? A?t?Cs PniiEed I%ihV- - "" ° Ap'p[ic"dnt's Signature 14% 3 caa CITY USE ONLY PERMIT #: ? uc;_1 I RECEIPT DATE: APPROVED BY: 17 INSPECTOR COMMEiCIAL M£CH4NICAI. PEiMiT APPLICATION CTfYoP EASiRN S$SO PILOT KNOB itD fAGAN, MN 5518E 651-6$1-4675 Please complete for: all commercial/indusUial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: 1 _5-:5 -I S? SITE ADDRES • r 11 • I i? (?`., ? S OWNER NAME: GUTAS PHONE #: - JUL 3(1 2001 ? (AREA CODE) TENANT NAME (LVIPROVEMENTS ONLY): WAS:THERE A PREVIOUS TENANT IN THIS.SPACE? _ Y? N. NAME: INSTALI:ER: CL?111V?I? [Y I ? L ADDRESS:7)4-OL V?1??1?„??1? kNg PHONE#: ?JC7__- (ARFA CODE) CITY: STATE: _MlZ)_ ZIP: WORK TYPE: New construcaon Install U.G. Tank ? Interior Improvement _ Remove U.G. Tank _ Processed Piping Specif?y N?ature of Work: Z?Y?l ?TM ?A? , Z NWhJ ?????V?.A When?instalrn %re n uWro... ndTWIW6 ? 7 o tn ectiD !b ?r? MarshaNand?~?? Plumbing Zinspector. g ? y Fees: 1% ofcontract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallarion = minimum fee Contract price: $ L?.m x 1%_$ Lr„? (Base Fee) State surcharge 1 ] Q TOTAL $ calculate at $.50 for each $1,000 Base Fee / Pi?"?? $' SIGNATURE OF PERb(ITTEE Updated I/O1 ? CONiMERCIAL BUILDING PERMIT APPLICATIQN ' CITY OF EAGAN ? c? ? 651-681-4675 0 I_'l -0 l Foundation Onl New Construction Interior Im rovemen; • SWCtural Plans (2) sets • Architectural Plans (2) sets • Arciiiteclural Pfans (2) se:s • Civil Plans (2) . SWCWreI Plans (2) • Code Analysis - (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Malysis (1) " • Landscaping Plans (2) • Key Plan (7) • Project Specs (7) . CoOe Malysis (t) •' • Master Exit Plan (t) • Spec.Insp.BTestingSchedule " • CertifipteofSurvey (1) • EnergyCalwlauons (t)notaiways-- • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power 8 Lighting Fortn (1) not always" . Meter size must be established • Meter size must be esWblished • Meter size must be established - if appliqble 1 . • Prolect5Pecs EnergyCalculatlons (1) (1)" 1 • Electric Power & Lighting Form (1) " 1 • MasterExitPlan (t) " MpY 0 7 2001 1 • Fire Protection Plan (1) 1 • Soils Report (1) • MC/ES SAC detertnination lelter • MGES SAC determination letter • M SAC determination letter cail 651-602-1000 ca11 6 51-602-1 00 0 salL? 1- - " Gontact Building InspecUOns for sample Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. dfl DATE WORK TYPE _ NEW ? REMODEL CONSTRUCTION COST U?. a SITEADDRESS 3315 M.Ap CoC" D? F11421?? TENANT NAME CL?? SUITE # FORMER TENANT NAME DESCRIPTION OF WORK Name: V iCf ?Bhone#: PROPERT'Y Last First OWNER Street Address City CONTRACTOR State Zip e G°O Company iv ?1q1 Phone # c-763 ) 3/5? OP8 Street CiTy State I Y I/V s Zip ARCHTTECT/ p / ENGINEER Company Phone #(?f O5ite b Name %?\ ? _Regishation # u 3 ? F Street Address City t A4 .o , State M t?) 6_ Zip -v v Licensed plumber installina new sewer/water service: Phone #: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ???(??""' 1v?`c"? Signature of Applicant: ??'? "" Updated 1/( OFFICE USE ONLY SUBTYPE 0 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments A 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF 0 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ^u 47 Repair ?, 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATIQN Census Code y?5 l SAC Code J'3 0 No. of Units No. of Bldgs. Const. (Actual) (Allowable) ? UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS IIdSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building :L -4-- sq. ft. sq. ft. sq. ft. sq.ft. MC/ES System City Water Fire Sprinkfered ? Insulation ?( Plumbing ?_ Engineering Permit Fee ?S?; ? .-l S VALUATION Surcharge L} ? . C;?- o Plan Review L cl MC/ES SAC % SAC CirySAC SAC Units Water Supply & Storage Meter Size S/VV Permit S/W Surcharge Treatment Plant Park Dedication Traiis Dedication Water Quality Other Copies C! L ? Stucco/Stone Variance s U6? 5;"q-z? ? Total 15 U g-9 Metropolitan Council lmproue regional competitiueness in a global economy Environmental Services May 15, 2001 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mc Schoeppner: The Metropolitan Council Environmental Services Division has deternuned SAC for the Cinta's Remodel located within the Ciry of Eagan. This project should be charged no additional SAC Units. It is the Council's understanding that bathrooms are being added for convenience, and no space is being added to the facility. If you have any questions, call me at 602-1113. Sincerely, Qecu A - Jo L. Edwards Staff Specialist &Wr-,?L Municipal Services Section JLE: (262) O1O515S2 cc: S. Selby, MCES Caralyn Krech, Finance Department, Eagan Linda Schon, Landcor Inc. www.mevocnuncil.orf; 230 Faet N7Rh Strcet Metro INb L1ne 602-1888 SL Paul, Minnesota 55101-1626 •(651) 602-1005 • Fas 602-113R • TTY 229-3760 1n Epua! OpportunLLy ErrplayFr CITY USE ONLY PERNUT #: ti ts a G L-??- PRV REQUIRED s- i (-) , 0 INCOMPLE7E APPLJCA110NS WILL NOT BE PROCESSED Date: WORK 7'YPE New Bldg X Add-on Repav RPZ PVB ' Irrigation system ' Must complete reverse side of application also. Required meter size is 2" turbo nu Iess smaller size permitted by Public Works DESCRIPTION OF WORK %lRG( o2 AD/q /(O,S/7eN2.5 To inquire if Pressure Reducing Valve is required on new service, ca11651-681-4646 ME1'ERS - Call 651-681-4300 to verify that hydrostatic, conductiviry, and bacteria testa passed prior to oickine uo meter Irrigation Size & Type Fire Size & Price Avg GPM 3/4" disolacement $149.00 Domestic Size & Type Daes ttris include high demand devices7 FLUSHOMETERS _ Yes ? No Site Address: 337 S , RECEIPT DATE: Avg GPM rr?roc?r? -M-AY 0 92001 D ? No -' Tenant Name: C/ni -?ZS Telephone #: (.4mCode) Was there a previous tenant in tlils space? _ Y_ N. If Yes, Name: Installer Name: ?5C'i f Z grZxs _?-?v? , Telephone ? ? 740 ? (Area Code) InstallerAddress: ?(? X}iLo.? ?.?• ^? ?i Or City: ?iyo?liii? ?a?-? State: ZipCode A FEES Contract price $ x 1% ($50.00 minimum) Contract Fee $ Meter(s) $ Required on all new buildings & boulevard irAgaNon systems (Acct # 9220-4509) Itadio Meter Read $ Surcharge: $.50 Minimum. If contract f'ee exceeds $1,000, calculate at State Surcharge S 50 cents per $1,000 contact fee. Total From Reverse New Service $ Yes No , S0 Total $ 97 I hereby acknowledge that I have read this applicarion, state that the infortnation is correa, and agree ro compty with all applicable City of Eagan ordinances. It is the applicant's responsibility to notifythe property owner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry during its normal operarional and maintenance activities ro the facilities constructed under this permit within Ciry property/righaof-way/easement. SIGNATURE OF PER T'fEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test Gas Test _ Rough In _ Final ,y// s-9-o( PLANSSUBMITTED APPROVED BY:./! BUILDINGINSPECTOR V COMMEitC1AL PLUM$lAH PER6iTf lkPP11CAT10N Cm'oPfr?eAN s8so Pn.or axos sn $akOAR, !!F 5318E 881-8$1,467$ •, ' t Metropolitan Council Improue regional competittueness in a global economg Environmentai Services Deceym er 29, 2000 --? /Cintas Corp 3375 Mike Collins Dnve Eagan, MN 55121- 1? ATTN: Mr. Klein Re: -W-a-stewater Volume Review for Pemut Number 656 - Located at 3375 Mike Collins Dr As part of the MCFS Service Availability Charge (SAC) policy, all industries holding an Indusiaial Discharge Pemut are subject to a wastewater volume review one year prior to the expiration of their permit. SAC is a"connection" fee which has been levied since 1973 for new connections or increased volume discharged by existing users to the Metropolitan Disposal System (MDS). SAC revenue is used to pay far the unused reserve capaciry poition of debt service for capital improvements. The wastewater volume review serves as a method for detecting wastewater volume increases from a facility. Clirrent wastewater volumes are converted to a SAC equivalent and wmpared to a SAC baseline value. Any increases over the baseline value, or the value for 5AC credits, wluchever is greater, have the potential to be assessed SAC. Three years ago, a wastewater volume review for your facility took place. At that time, wastewater volumes from your facility were noted to be above SAC baseline and/or SAC credit levels. Additional SAC was purchased for the increased volume. The additional pucchased units were addeci to your baseline value. This has now become the "modified" SAC baseline value for your faciliry. For Cintas Coip, the subsequent wastewater volume review for your facility has been completed, and a preliminary evaluation of wastewater flows indicates an increased use of the sanitary sewer, above the modified baseline value, equivalent to 68 SAC units. Please refer to the auached worksheet for the results of the review. Based on the 2000 SAC rate of $1,100 per unit, this increase will result in a charge of $74,800 due at the time of pernut renewal. A follow-up letter will be mailed to you four months prior to permit renewal describing two aptions regarding a potential5AC purchase. The fust option will be to purchase SAC based on the preliminary volume review results and SAC rate described above and in the attached worksheet. The second option will be to conduct a 30-day wastewater volume study to deternvne the updated SAC equivalent of wastewater flows. The SAC rate applietl to the results of the 30.day volume study will be the rate in effect at ffie start of the study. The 2001 5AC rate is $1,150 per unit. (The volume study option will be beneficial to your company if yon choose to initiate wastewater reduction measires to reduce or eliminate the amount of SAC due.) www.rnetrocouncil.org Metro Info Llne 602-1888 230 E:ast Fifth Street • SL Paul, Minnesota 55 101-1626 • (651) 602-1005 • Fax 602-1138 • 71Y 229-3760 An F.quat Oppurtuntty Employer Tun HIein December 29, 2000 page 2 With either option, a SAC Purchase Form will be enclosed with your industry's renewed Industrial Discharge Permit stating the amount of SAC due, if a SAC purchase is required. It should be noted tUat some cities use SAC determinations to assess municipal impact or connection fees which are exclusive of the SAC charge. If you are unsure as to whether or not these fees are appficable in your city, you should call the city offices to inquire. At this time, na money should be sent to our offices. SAC payment shall be made to the city at the time of permit renewal using the SAC Purchase Form. Diuing December, 1998, the Metropolitan Council adapted changes to the SAC progrun. These changes will, however, require legislative appmval prior ta implementation. Please be aware of the fact that the information contained in this letter is accurate under the current SAC policy. You will be notified in the future of any change in policy which might effect the status of tlris or future SAC reviews. Minnesota Technical Assistance Program (MnTAP) offers assistance to industries with pollution prevention concerns, including the reduction of wastewater volumes. If you are able to reduce the discharge volume of your facility, the potential SAC liability indicated in this letter could be reduced or elirninated. The services provided by MnTAP are free. For more informa6on, call MnTAP at (612) 624-1300. If you have any questions, please call Nanette B. Geroux at 651-602-4721. Sincerely, ,?g /v- W"? Leo H. Hermes, P.E. Indushial Waste Manager MCFS Industrial Waste Section Enclosure cc: Cazolyn Krech, Ciry of Eagan Sandy Selby, MCES Nanette B. Gemux, MCES LHH:pm f.. • S Metropolitan Council Environmental Services Wastewater Volume Review Industrial Discliarge Permit Renewal Company Name Cirnas Pemut Number Permit Facpuation Date SAC equivalent of the 7an. - 7une, 2000 Self-Monitoring Report (Total wastewater volume/total nwnber of operation days equals average daily wastewater volume. Fach SAC unit equals 274 gallons.) Modified SAC Baseline Value (MCES policy determined the SAC baseline value to be the SAC equivalent of the volume reported in the final self-monitoring report for 1991. The modifierl 5AC baseline value represents the SAC baseline value, plus any SAC units purchased after the 1991 baseline date, or the value for SAC credits*, whichever is greater.) 656 290 Units 222 Units This review indicates that the SAC equivalent of the current wastewater volume exceeds the modified SAC baseline value. The pernuttee has the option to conduct a wastewater volume study prior to permit expiration. The MCFS will make a final determination as to the pemuttee's 5AC liability based on the prelimioary volume data and the SAC equivalent deternuned firom the wastewater volume study. In the interffi, the industrial user has the option to undertake volume reduction measures to reduce or eliwinate SAC associated with this permit renewal. * MCES SAC purchased records may not be curnent, therefore, the credit value may be revised to account for unidentified credits, if the permittee can provide proof of their existence. December29, 2000 Review y Date ? - t Metropolitan Council Environmental Services Guideline for SAC Volume Study - Contact the engineer in charge of your permit before commencing with the wastewater volume study option. Special conditions, other than those specified in this guideline, may apply to your facility. - The wastewater volume study shall consist of a minimum of 30 continuous days of volume data acquired from the use of incoming water meter(s) and/or from a wastewater effluent flow measuring device. - Deduct meters shall also be used when losses to lawn sprinkling, evaporation, product loss, etc., exist at the facility. If these losses cannot be accounted for by meter, the pemuttee shall submit to the MCES engineering calculations estimating these losses and/or conduct effluent flow measuring from an MCES approved monitoring site. - All values used to determine the actual or calculated daily wastewater flow volumes shall be submitted for each day of the study. Also, indicate the daily activity taking place at the facility during the study (e.g. full operation, cooling water clean up). - Please account for any unusual events, such as a spill, that may have occurred during rhe volume study time frame. The results of this study shall be submitted to the MCES by February 28, 2001. MCES staff will calculate a SAC equivalent based on an average of the 5 highest daily wastewater flows. The MCES reserves the right to conduct additional volume monitoring if deemed necessary. I • PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BurLozNs Eagan, Minnesota 55122-1897 Permit Number. 030736 (612) 681-4675 Date Issued: 0 9/ 0 9/ 9 7 SITE ADDRESS: 3375 MIKE COLLINS OR LO7: 25 BLOCK: 4 EAGANDALE CENTER INDUSTRIAL PARK #4 P.I.N.: 10-22503-250-04 DESCRIPTION: UNITOG Building-Permit Type `$uilding Wi?r-k Type s? CensusCode fi ! l f - LVA ... . _ . . ....w ?v+ COMM./IND. MISC. ALTERATION 437 RLT. NONRES. t ? ?? / ?'f ? t `3i?? i t's`141t A".;a ,i.1 . ?? REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $124.75 $3.50 $128.25 '•ONTRACTOR: - Applicant - FRG CONSTRUCTION SERVICES 24235531 `28 151ST ST W ?'_"EMOUNT MN 55868 ('2) 423-5531 r-- `V79V00 OWNER: UNITOG 3375 EAGAN MIKE COLLINS pR MN t hereby aokn?awledge thatI ha?bewead-'?Chit al ?formation is carrect and agree to ogmp*_w: ? ?'aCutes ? nd City? of Eagar+ Or`din?a-h'ces: APPLIC NT/P R NA7URE - ic5t3arf en8 state that'"Ch#z all applicahle 5t$te pf Mtti. ? ? ..' ° 1997 BUILDING PERMIT APPLICATION (COMMERCIAL)::'? CI 681-4675 AN .3073 ? 7he following are required wRh eppropriate certifieation Por all nevy construction: • 2 each: architecturel plans; mech. 8 elec. plans; fire sprinkler plans; atruc[urel plans; sHe plans; IanEscaping plans; grading/dreinegelerosion wnVOl plan; utiiity plan • 1 each: set M specifications; set W energy calCUletiona; electriCal power 8 lighting fortn; Special Inapections & Teatinp Schedule ? Letter from MCANS (phone #222-8423) intlicating SAC determination ? Code anatysis indicating: codes usad; oceupancy dassifications; setbadcs; maximum albwable area as per Building and City Codes along xrith sq. fl. per floor; tyve of construction (synopais of construclion components) & any occupancy or erea separetion walls; 10 SOIL'S occupancy beds; exR synopaia wkh a diagram Indlcatinp exiting loeds fiom each room or area, Vevel Daths 8 all ratad REPORT corridors; pfumbing flztures; and paAcing. DATE: WORK TYPE: _ Nenr !f REMODEL T DESCRIPTION OF WORK: ??- CONSTRUCTION COST: ?2-od TENANT NAME: 337S SITE ADDRESS: Mrr_e: CoLCr/us Pk-c ve- OTCR - BLOCK? SUBD. L?a- ?? P?m• V P.I.D.# PROPERTY OWNER CONTRACTOR ARCHITECTI State: Sewer 8 water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Name: UlU rr-GG Phone #: ? .. Street Address: M! YL? CQU-r vL/S D ti-- City: State: 0"'10 Zip: Companv aAJS i - S'?2-J • Phone #: Street Address:33ZF- tJ ' city: fo SCA^ o J Ar,- rVl j Company: 5treet Address: zip: Phone #: Registration Zip: and agree to comply with all Signature of OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE , ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning -?-t<3 Comm.llnd. Misc. 0 20 Public Facility -ar--33 Afterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Permit Fee Surcharge Plan Review MCNVS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size Engineering ? 21 Miscelianeous ? 35 Tenant Finish 0 37 Demolition MC/WS System City Water Fire Sprinklered Census Code _yJ7 SAC Code T? Census Bldg. Census Unit O Variance Valuation: $ :z D€;o ^ 4 .r : R• 1? ? i??' ?. ?..r:.?.a • 6124547014 SEP. 4.1997 9:00RM UNITOG N0.233 P.212 ? • 9/3/97 Attn: Joe Voels Subject: Unitog Proeess Wastewater Treahnent System Tlus system is being installed to treat some accounts thaz contain lead. M,C,E.S. monitors our process wastewater discharge to make snre we are within the limits. The system consist of a batch tank, sludge cank and a dewatering dumpster. The water from these accounts will be segregated from the resi of the wastewater and pumped into the batch tank. Then the water will be treated with bentonite clay and a polymer. This will cause the lead to precipifdte out attd fall to the bottom of the batch tanks. I'rom there it will be pumped into a dewatering dumpster to dry out so we can dispose of it properly. 5incerely, Dan Myhre Plant Enguxeer Unitog Rental Services 'i:0 937E A7KE CO111N5 DRIVE FAGAN. MN 65121-2240 612/G54p„bp FN(:6124G7JJ074 + Y!..y,v;: % , i}:d? e e,, d} . ........... ?rS;:'.' ..._ . ._. .._r ?:.:; r . ?' ?:'i'f:'•.' .. ..,i?Ci? ? ? i ? i_UN fi, jil M1 f; i ?.icc::=' .._ . P?;1f..:r••d . - .' SEP. 4.1997 8:59RM 6124547014 UNITOG , , . QUALITY UNIFORM PROGRAMS QQ 3375 MIKE COLLYNS DRIVE EAGAN, MN 55121 612-454-0560 1-500-845-0029 ?o: ?J FAX?: F'ROM: li/ GLn 4xh /-e- ? n- L7_ O C, DA,TE: 7 7 N0.233 P.li2** This transmission consists of _;__ pages, including tlus cover page, Ifyou have auy problems with this transmission, please cAIl seuder at the nurnber shown above. 3375 MIKE COWNS DmVE EAG/W, MN 55121•22d9 612f45aD560 FAX:5121A$4•701A - 6124547014 . ? SEP. 3.1997 12:12PM UNITOG QUALITY UNa'ORM PRUGRAIVIS 3375 MIKE COLLINS DRYVE EAGAN. MN 55121 _ ro: L) rRoNr: \, l/G2h c t ?z h "o DATE: N0.269 P.1i4 ** T1us transmission coasists of __?__ pages, including tlus cover page. ** Ifyou have any proUlems with this transmission, please call sender at the numbez shown above. • ? ? ?e 3375 MI'dE COLWS DRNf E:GAN. m1N 55+21224S 612146d•0560 FA% 61245,37014 na3ice. CupyualS ua66i.•U. _ . l :. ?Gopyiiiu?dbYE " = cuorn:u?ae?: !v`,?'? N_4 i.'aLL pINff1JSlOtiS ARE aPPStQRIM0.iE BRSEtf3ON MDI 11 111HENStI1NS M[0 A 5-31l ~ RGVtst3-r aEttaWrNw ? DAtL/Br a 4 . iACFRR M}U pRC SUBJZCT TO VCRIFICATSill! AFIFR liANIIYftCYURf ' -.- . 4 . ..E . - .. _ - ,r_ . .;,5• , , _ . . N o 240' L, cm ? . _ .. . .. ? - , • '. ?' ? 1 -? ? o x ? X 9.0 v m I ; • }9 LS" 120' ? ? ? 90• . - z x rn:o ?dDkl???'?f9??. ;? - ? v?Ew A - A t srGa5R ?ASKtr ? _ `-- - 64.D ' I SP645P Si1Wd z ? 56.0. I irtHK. 7t69 GM. ?R f.{}AlE t I SPCW15 QOtTOH, URLI, iItIC[tNCSS i? 6 C[11.UR ii) UL Sf'FCiflFl ? j• ` ~• . ?•?• ? ?114 J y/ WIII OHYV{SCOVYIH ?nue.x wro<: i?`"?l ? ? iNPOLY ens fwrNUn tiprii 0199 .«.- • • •? , YQ Ml% b1 1 PRO('iEW/(?/(? •tte?n? cwr. M rirn , ew ? [UY I a F -? ? ;, , , ?t uoe.rww•.»? 4 X 95.69- .a.. ..., , YFIIILA4p71[o1oH -ItU.e 179u fbl?bll i i?? ?-- ?? CA9q[1TY?7o9oG dNS SiOCH Nd:75P?C6 O - no.nv..?r,,.c i., ? L ? 710 LAL L4.f1SEU ICtl' 70' C[WE ppl IM IAVx ?-- ? AIPHEIfJt? 16'-0' W HEIG T-AS SHOVN v??:.???° ....+wr . V1SI,qNa B?9nSHLT ?? ? °' ' 1622 VEIGHii L8S kFNVAY OP-LN HG: M1T£? 10/0?/95 1 P?2A' pe lm m(iuwt? om? .wow? v '?' ? ?'--_.?_-- ny 35 ' w?,o w 7 ' -.c b Si tt NE - A !•aau.oa, SVCG?SnB ?e?zriss o 1 Ot f . -•- ._.._._..__-_._ ._ _ . -- ? . 91'1 ss . .. . . - ,.. . ? ?9?,?0 . . . ,., ....._ . ...:. . . . ? '. .LS?G?Gr'! ?C{/! GC ^ ?/'JGe5,5 Npi E: J ALL 6iMENSIOYS ARC ppPRpXIFIqTC AND SUi1JCG Q ip VERfFICAiSUN AFIER HANUFhC7URC, a A ??'--0121A ---?? A m m N O L ) ? l z i v ti m ? V ? Q N ti ? 0 ? z ? ? 216 :7S 1 i2.G ? /a S fe U"a. 27a• 90' V I C iJ A - !-i ..a[u ou<swc .q.vrq ?° , N?Yx?uTl W I? I?U(L WIIL n- Il IIIIVO 10[wINN Nq - Y4?Y .,? Wiw IN1[1 j. •I. [I' ?_?_ a ni nnt M.rl.+c 1 :INIKMIIK IRT(RI? A fUlb RLI Ix(lSING [0 wi .M n...? ?. u„ vlbu/1 v[?qlS11ND w-na uvc auuJpeL io rpultg!. 8111.yU4 natfee. CppytvlflnatAculidt ?pYh?uedb'lt__ .? r( D' ?..?7 ?•<ryvr_....ii?d ? sr2z-D unsxcr ? 1 SP22-A STANU 2 ihNK, )U00 GALLO+V. WALt i SP48CO TII[CKHCSS L CoLOR I PCR MPL3CA1fON Yf??VLSSI/yG IP(MAICIWP.CAi)rll eoarMr i[ltno+G FRd1F11HIid11CW itaH fs[-.n i[l51on 0571 tdl•e,s] 11Q? ?roo ?nt c?u[ oottt? r,vn? wslnria a ensxtr i01 {(Mf ' : 30 W\M • 1[Y ?•?_i ar i W95t}Q1?-15 ' i------ + x 75.6:1 -d ? SEP. 3.1997 12:13PM UNITOG 6124547014 N0.209 P.4i4 o4e?? ov Lil ?i'' •R' { ¢ti qI ?1?17 ?r? 0 t 1 ?,y. 0 S?I A, ?i?---- 2 I I~ d R LF( I #??ytL? I ? mr mti 6 1 ? ? } ??4--p l? 0!2 rtirw wa f/ ?? • ? 6 l4'r'S6 a?jres po?? i`n T`o ?(aur SI ? ? i ? ] I ? I WaI/ S.jQ V r?L ui f 'I ' ! X" P!'oor ' . ! ` ' 14 Y re6arJ l ? j, 104q verr?Ga/s_ (@ 1's ??oo?' S?a (7, 2.-#Y re6ai Ho/'i?oy?R/S? tne ?nd a?e u2,i ot f??oor) 16'd B5ZI41b918 'OH XU3 ? x? S h tw,? Y 4'Xk'xY' d.ePp ? E1.0ox y S?atP.a ?+ d /a^ 4+ra.f Pr' Walls !? ` Eon ?a?;? rr+ E y 1` or-e a ?O.L1h1A 6b?SI (1Hd 56-E1-7f! J??ITY OF EAGAN 3830 Pilot Knob Road ? Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.T.N.: 10-22503-250-04 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number Date Issuetl: 3375 MIKE COLLTNS DR LOT: 26 BLQCKa R EACiflNpALE CEN'FER INDUSTRIAL PRRK #4 (WATEIx 7R[NGH) ermi.t Typp COMM./IND. MISC. id;rk 7ype ALTCRATTON Iz r,.. . w.?.. 4 t'- .,?;? A"'".s+•= I V? x s? ? ? k ??4?? a? :?r ,.3 ??t ?,: ? d&:, " CRo4 9/9.T surLnsNc 026540 10J17/95 REMARKS: FEE SUMMARY: VALl1A7I0N Base Fee P1an Review Surcharge Total Fee $224.75 $146 09 _ $7.54J $378.34 CONTRACTOR: ` Ap P l1 swttieNaoRe sHnw coNSr 7686 CORPORATE WAY EDEN PRFIl2IE MN 55344 (612) 937-82:14 $15,000 cant - QWNER: 29:378214 UNZTOG RENTAL SERVTCE5 3375 MIKE COLLINS DR EAGAN MN 55121 (612)454-0560 ? Z hareby acttnoWiedgj? GM?? I.'?r?ve r-ea+? ??€?s„aRr?ica'tizrn 4nt? ? ?a`?;t#+# irsfarmatxor? %s ??arract an€1'r agr€aio to `camply, ? . . „ Statut?z, and Gity ofi tagan AP ICANT/PER EE SIGfJATUftE ISSUED BY: SIG RE '4 v CITY OF EAGAN 1[4 1995 BUILDING PERMIT APPLICATION 681-4675 The fellowing are required with approprfete certlfication tw ell nyc construcGon: 43V..3? .? ? • . • ??I- J '?tY/? 0CT 09 1995 ` r' . 2 each: erchilecturel plans; mech. 8 elac. plens; fire sprinkler plans; struaural plens; site plans; landscaping ytans; gredingldreinage%eioswn control plan; ufiliry pWn ? 1 eech; set W specifiwtions; set of energy telcula6ons; electrkal power 8 Ifghting form; Special Inspections & 7estlng Schetlule . Letter fran MCANS (phone #222-8423) irbicating SAC detertnination . Code anaycis indicating: • Codes used; occupanq dassificatlons; setbedcs; mauimum atlowable erea as per BuiMing and Cily Codes along with-sq. A par floor, type of wnstruction (synops7s of cortsWCtion componeMS) & any ocwpancy w area separafion wells; oaupanq bads; exit synopsis with e diegrem indicadng euiting beds Trom each room or area, travel paths & all ratad wrtidors; plumbing fixWres; and parking. DATE: /fJ' WORK TYPE: _ NEw REMODEL DESCRIPTION OF V!!OrZK: w4Ar' `r<ycdl wal, ;', "'Z CONSTRUCTION CdST:.-0015b00 ? TENANT NAME: (Jn rZoG Reu?a.l Sc rJtceS SITEADDRESS: 3376- AUe l'aG?tisS Qr-iJe Fi6art, LlN 55121 LOT ? BLOCK _?_SUBD. ak, Y- P.I.D. # PROPERTY Name: [)n 1 &4 Pex4a 1 5C r vIGNK Phone #: `7?541-05-60 OWNER '^" StreetAddress- l'elj ys Jt°* fjWW City: Eia,/L State: V Zip• ss121 CONTRACTOR Company: Swe.dcH?eora-S?a u? Cox/ry,-6,4 Phone #: 937-87?'? StreetAddress• 71eg5- fet-n ora4e. WQy City: Edev1 Pra;rL?e . Aii N Zip: .$53514 ARCHITECT! Company: `n+e S?lI;?nH n A?kvlec4K Sroc. Phone #• 1794-6-1?a4q ENGINEER Name: G`44rle.s E S??//,? on Registration #, 9216 Street Address• t-200 Sim s-6ve Q hrLJC Su! L IZCJ City: /1.9inn?fon?a State: ,A"_ Zip: Sewer 8 water Gcensed plumber: 1 hereby adcnowledge that I have read this appliqtion and state that the information is correct and agree to comply ith all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ___L_---• • ?"" OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 18 Comm./lnd. WORK TYPE 0 31 New 0 32 Addition ?19 Comm./Ind. Misc. 0 20 Public Facility c?3 Alterations 0 34 Repair GENERAL INFORMATION Const (Actuaf) (Allowable) UBC Oxupancy Zoninn # of Stories Length Depth Basement sq. ft. First Floor sq. ft. sq. ft. sp. ft sq. ft. sq. ft. Footprint sq. it. APPROVALS Planning Building Permit Fee Surcharge Plan Review MCNVS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. 7rails' Ded. 'vvaier uuai. Other Copies Total: 96 SAC SAC Units e-:> Meter Size f w ? -.: 4. •. ???? 1 }? ; ' Q4 { ? 21 Miscellaneous ? , 0 35 Tenant Finish ? 37 Demolition ? MCNVS System Ciry Water Fire Sprinklered Census roae SAC Code Census Bldg. Census Unit , 3 7 30 ' i _ Engineering Variance Valuation: $ *W ? Metropolitan Council Working for the Region, Pianning for the Future Environmentai Senrices October 6, 1995 Mr. Joe Voels Constxuction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Voels: The Metropolitan Council SAC for the Unitoq Rental Collins Drive within the oN 'Aru to(A '4O? y4('Cy ? Environmental VServices Division determined Ser.uices JIURERM' at 3375 Mike City of Eagan. - This project should be charged no additional 5AC Units. Any increase in discharge will be deteated as part of the Industrial Waste Discharge Permit renewal process, and SAC will be collected at that time. If you have any questions, call Jodi Edwards at 229-2113. Sincerely, Ro r W. Janig Planner, Municipal Servioes Section Wastewater Services Department RWJ:JLE 951006SF cc: S. Selby, MCWS Renee Gutzman, Industrial Waste, MCEPE Carolyn Krech, Finance Department, Eagan Tim Bozikowski, Swedenborg Shaw Construction 230 EastFYfth Street St.Paul, Minnesota 55101-1633 (612) 222-8423 Fax 229-2183 TDD/T1Y 229-3760 An F?m( OPPa'hui+tN EmPlnyer' ?CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: p.I.N.: 10-22503-250-04 DESCRIPTION: cKVW BUILDING 026298 08/28/95 B;uilding''Permit Type COMM./IND. Building W?r_k Type ADDITION \ : , .. ..? , _. m. ?... , , ..,. x? a..., ` ._ - ?. ' .. PERMIT PERMIT TYPE: Permit Number: Date Issued: 3375 MIKE COLLINS DR LOT: 25 BLOCK: 4 EAGANDALE CENTER INDUSTRIAL PARK #4 REMARKS: S&W CONTRACTOR - FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $1,762.25 $1,145.46 $137.50 $850.00 100 1 $3,895.21 $275.000 CITY SAC $100.00 TREATMENT PLANT $372.00 ToL'al Fee $4,367.21 CONTRACTOR: - Applicant - OWNER: SWEDENBORG SHAW CONST 29378214 UNTTOG 7685 CORPORATE WAY 3375 MIKE COLLIN5 DR EDEN PRAIRIE MN 55344 EAGAN MN (612) 937-8214 (612)454-0560 I hereby ecknowledge that I have read this application and sCate that tha information is correct and agres Co comply with all spplicable 5tate of Mn. Statutes and' Gity af Eagari Ordinan-ces. L ? ?A CANT/PERMI SIGNATURE ISSUED : SI NATU E CITY OF EAGAN ?ZY / C? 1995 BUILDING PERMI75ATION (COMMERCIALj 6 1-46 The following ere required with appropriate certifiwtion for all naw construction: ?P` 17, C)-/ . 2 each: archilecturel plans; mech. & elac. plans; fire sprinkler plans; strucluroi plens; sde plans; landscaping plans; gradingldrainage/erosion L*ritrol plan; utility plen . 1 each: set of specifiwtions; set of energy calculations; electrical power & lighting fortn; Special Inspections 8 Testing Schedule ? Letter from MCANS (phone &222-8423) indicating SAC detertnination ? Code anatysis indicating: Codes used; occupancy dassi(iwtions; setbadcs; maximum allowable area as per Building and City Cotles along wdh sq. ft. per floor; rype of construction (synopsis of censKudian oomporreMS) 8 any occupancy w area separation wa715; occupancy loads; exit synopsis with a diagram indiceting exiting loads from eech room or area, travel paths 6 all roted eorcidors; plum6ing fiMUres; and parking. DATE: 7/1 g195 WORK TYPE: _ NEW _ REMODEL x A4c127onl ? DESCRIPTION OF WORK: 7920 fita r,Jaste_wal2?Treqtmeht? iYla,nftnoruP,???2_ ADDMDA) CONSTRUCTIONCOST: 2-794000 TENANTNAME SITEADDRESS: Faoq9K /YlN SSlzl STXEE} ` 81E• ? P.I.D. # G?9 ejANAAGL G'72..X;y6,19t- PROPER7Y Name: F3?selc+ Povt - ceHera? A„Ves 04aEo'l phone #:L614`?5`?`05bo OWNER ?"' °'"°' Street Address: City: 2sn4v? State: MAJ Zip: ?'? I z I CG+Z) CONTRACTOR Company: Sw ede bor o SGe.viJ Phone#: 937-8zi4 Street Address- . C? 7/62 r . p.r4fe L-L)4 City: Eden Pr ??r,-e? , a?nl 553? +{ ARCHITECT/ C\IfM\ICG \l \\ Company: ?hC S lilf r?a ?i GroY4 Phone #??' Name: Charles E. S?tllvan !o Registration#? ?'a? 9 NO, ?g 19 ? Street Address ??DO ?^''??n4 ? r"'e S?<-te rza City: LYlinnefD?.?qF State: t4Zip: ?S-53q3 Sewer 8, water licensed plumber: _lel?' I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applirable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BIsILDING PERMIT TYPE ? 01 Foundation ?.18 Comm./Ind. WORK TYPE ? 31 New c? 32 Addition GENERAL INFORMATION Const. (Actual) (Allrnvable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning 0 19 Comm./Ind. Misc. ? 20 Public Facility ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq , ft. sq. ft. sq. ft, sq. ft. sq. ft. Footprint sq. it. Building -PermRFee 4-7412•Z?r '?5urcharge / 37, s+? _ '?Plan Review !, 1 H5?9? f_ +?S SI?C g S0.oe ?f/ Other Copies Total: ?? `{; 3 17, 21 Engineering ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MClWS System City Water Fire Sprinklered Census Code y? SAC Code ?o Census Bldg. ? Census Unit o Variance Valuation: $ Z7-s, oo° ?-? ?'freatmentPl. ? .oo P4 c/ws - gs?,°''`? . b??•? Road !.1nit Park Ded. CrTr Sifi? Trai{s Ded. /4- Water QuaL T2f "?,--fNr O, - 3 72.",Li= 772--w -City SAC oa , eo Water Conn. S/W Permit W SIW Surcharge % SAC SAC Units i Meter 5ize PERMIT ??'?3W -kCITYOF EAGAN 3830 Pilot Knob Road pERMI7TYPE: BuILulNG Permit Number: 02 ., , ;; y Eagan, Minnesota 55123 (612) 681-4675 Date Issued: 1 L/1 q/g q SITE ADDRESS: 3375 MIKE CQLLINS Clft LOT: 26 BLOCKa 4 EAGANDALE CENTER INDUSTRIAL PARK #4 P.I.N.: 10-22503-250-04 DESCRIPTION: r--*..i (l1NITDG 8,u"ildi4.,,Permit Type ?uSlda,rfg Wis,rk Type f. ,. ? .? RENTAI) COMM./INfJ. MISC< TENANT FTNT3N L REMARKS: MEZZANINE FEE SUMMARY: VALUA7IQN Base Fes Plan Review Surcharge Total Fee $612.50 $398.13 $47.00 $1,057.63 $94,000 CONTRACTOR: - AppLicant - OWNER: OPUS CORP 29364578 UNITOG RENTAL SERVICES P 0 BOX 150 3375 MIKE COLLINS DR MINNEAPOLIS MN 55440 EAGAN MN 55121 (612) 936-4578 (612)454-0560 T hereky acknowledge that T have read thia applicat3trn an,d state thak the infarm.ation is c9rrect and agree ta compFy with all aPPliceble State of P9n. Statutes an aL,of Eagefi Ordirt.ances. ? Ar?rl.l J?_ A ICA /P RMI EE SIGNATURE ISSUED Y: S NAT'UE 'CITY OF EAGAN 14144 1994 BUILDING PERMIT APPLICATION 681-4675 ,?? ? ''?? x" i?'.4 SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site su veys, copy o en rgy calcs. GC i 19 1994 COMMERCIAL 2 sets of architectural & structural lans, 1 set of _ specifications, 1 copy of energy calc . --- Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work 940000 5ite Address:3'?15 MIY-e- (OWN2 DE. STREET SUITE il Tenant Name: (commercial only) _ ywO(l LOT ? BIACK ? SUBD. I 11? ?',„'f? ??fl??,l fAt}e ????"? # Descri tion of work: 1-*5&-eV,v1L ID0/J The applicant is: ? Owner Contractor ? Other (Deseribe) Name ?I C. e$ Ti M Phone 45-A-0%0 Property LAST FIRST owner adare5s _ 5 MIY.t?s <dvUx S DII- STREET STE p City EE-4 State M/J Zip 5 21 Company ? U ClDp t? Ohone 436-'E51Z Contractor Address _F.O•t?70YL, l50 License # Exp. City MINWe,?4?6 (A5 State MN Zip 55W Company V? ? Phone j?(o '' 4A?1 AI'ChIt2Ct/ E i Name Yg?nRegistration # 158%o ng neer Address ?.? . ??. l SO city M IWS state MJJ ziP 55 Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this ap lication and state that the information is correct and agree to comply ith all apcab State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: C? r OFFICE USE ONLY `.? •e?? '? ? ?? BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? ? 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 15 19 Coimn./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations )ff 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ?.Site O Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing Final ?Framing ? Draintile MWCC System City Water PRV Required Booster PumP Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments c? ? ,b" Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: v.tuaeim: SAC % SAC Units PERMIT X CITY,OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: I Control No. 1174 BUILUING 001506 10/13/92 SITE ADDRESS: 3375 hIIKL= CfJLLTNS UI? LQl`: 26 BLOCK: 4 EAGANDALE (:ENTER SMOUS"I'RIAL PNRK #4 DESCRIPTION: 1bq Permit Type COhIM.JIND. MISC. f3u,ildin6',Work l"ype AbD'ITIQN . l1BC Oacupana,r B-2 Building Length 46 Bui.lding Width 13 i r? L Q?I Y . REMARKS: RFr.ExPr # ?-q 3 FEE SUMMARY: VALUATION $80,000 Base Fee Plan Review Surcharge Total Fee $549.50 $357.18 40.00 ?$946.68 CONTRACTOR: - Applicant - OPUS COftP 29364581 9900 BREN ftD E MINNETONKA MN 55345 (612) 936-4581 OWNER: UNITOG CO 3375 E A G A N MTKE COLLTNS DR MN I hereby acknowledy-e that I havs read tha:s application and state T,hat the information is r.orrect and agree to comply with all applicable State oi` Mn. Statutes and City of Eagan Ordinances. L ?-?OVUA a 1 u APPLICANTlP, IMITEE SIGNATURE ? ISSUED Y: SIGI ATURE I PERMIT-4 REAi.?IVaPE CITY OF EAGAN . 1992 BUILDING PERMIT APPLICATION 681-4675 ? ncr o 1 RECa SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Qrx- / el 7- Valuation of work ?rdOi000 Site Address: M\y,e o)L_Li.5 -Dp^vC STREET SUfTE / Tenant Name: (comnercial only) 00k-'C-6Ca t,o, - _ A 4 F;C K * SUBD.6K,CYO , /N? i. op Descri tion of work: _0'^'`bVFEt- AD1 The applicant is: ? Owner 0 Contractor ? Other (Describe) Name uNVTD q C,0 . Phone Property LAST FIRST Owner Address _ 33?-5 Mkv.e Goui K?'s pL. STREET STE N City EFNcAvcti State Mt, Zip Company OPuS c.,ottp Phone 613m -`?-581 Contractor Address claoc> 'P504M--? 'e0 EksT License 1 Exp. City MwN?rbw?Y.P? State MN Zip Company OPus Phone Architect/ Engineer Name EeAc-A,-56O Registration N Address °ladd P>Pk? ? ??.ST City State MQ Zip Sewer 8 water licensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. 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 af Applicant: ° OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck WORK TYPE ? 31 New ? 32 Addition ? 33 Alterations ? 35 Tenant finish ? 34 Repair ? 36 Move ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ,U 19 Comm./Ind. Misc. O 20 Public Facility 021 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allawable) lst F1. sq. ft. City Water UBC Occupancy g-Z-, 2nd fl.•sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump ?1 of Stories Footprint Sq..ft. ? fire Sprinkler Length ? On-site well Census Code y 37 Depth 13, On-site sewage SAC Code , APPROVALS Plannirrg Building Assessments Engineering Variance REDUIRED INSPECTIONS ? Site ?0-footing ?Framing ? Insulation O Mallboard ?'?.Final O Draintile ? Fireplace Permit Fee voiuacio,: g E% Surcharge - Plan Review License MWCC SAC City SAC Nater Conn. Water Meter . Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: . SAC 76 SAC Units ,.... -r^f ??a > + r+ ` q,,ks i??.??• . ? . . . .. ? :..t:. ' 1. . yr ; , . . . '? •i: '£ i ?" PY ; .F t ? X 3K}. . . . S ?f ? 3.?.. t. 1 ' ?r 'f? Tt q?'. " ,... . r3,?0W ??- v w 1 ?? ? i' •, . ? x ? ° ?l' .•?: • . . ? ??bahl' -i . ? k ?b 1 I? 4 0?? C 4? ?• .. . ? `SY? J?,? ;. i , f ? ti. < "? i. c le ? ,• Y ?r ` V4'??kk?? k' t . ? r 1 ??? 4 .l E t?, a y r ?:i? +r{Ft ?F?,? ' ? ?' ?? ? ?" t•,:-?t? a> , / t •s'{?4`l.? *j ' ?Fi ? 4:iA ,Q z?v c ?,x 1 t ? dj ."ii+.tr , i a.; ;,f.• . ? 'a i r ? ? ;,? ) :• w,e . ?.... . _ .? . . ?Y.. . ? '?•; V,•?r.?+y?. ?n ? .e.i .:..? .C ?,j4.?r , y? ?A 4 r. Sr},{ ??Mr , . i . ti.. y , _ . .?. 'Y+f iML?i rx , ' , . . Y :x :?' . j :.!.?3...? .? . ? . ? i , ^ . . i .. y? ??'??? +? :•.1' , ;. i . ? A St' ? ,.. . - . .,r? t '. ' i r u 's ?il.w_ e q f rr: 1 C ?. • -? . lj'? r ? ? • ?? . tV { ` t /,x° q? ? '? f Y i ' • k? . ' . ?'?:y ?t1 i ? ' k t 5 ? i Y'-,i 4• ? L } r ?:. ? t i ?' ??? . Y ?@t ? iz - 4 ? ? ti / ' y?"1 F F i ! R??f ? 1 r r if ?3 ¢?? ??. t1 t ? ,• f ! ? r .y,' `? •r !?s ` ; < ? .. ; ? d . ?c SYV T13io ?t 5 ?? ? 1 y 11 f ? ? ? ? t t : ? QZ i F ! ?, . . 4t ? • ?•? r` , G? F , ?. ? + ` . .. ..: . . . y ' . 4 A t s, (( ?. . ( .;?x ,4 a I}? ? i ??, ?,5?a r ? '!• ? t ' .>?? k r, x ?t +` .. : ?.. ' ? x"' it, s? H. u i ? f t.tf :n^ 17,?"j, xA,??s?yy??yi A,`x'°.?s.'z? ? . ' 'l ' T , . "l+? H ?•n k .?e ~. ( i p.t ? h . f i ?. . . ,. . .. Y .,.?t„ . _ ?{ . b .. ?. ' j ' ly41 `J'+ if, f • • ? t. ` Cf' f . . . .. '.: 3. . ..?u•'?"?I Ml j CITY USE ONLY L -Jko- BL ? RECEIPT #: SUBD. (L.a'?P..+E[aKt CTit. fQy DATE: ??`3 9•1 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? mufti-family buildings when separate permits are ? required for each dwelling unit. DATE: ?/Z3?9S CONTRACT PRICE: WORK TYPE: X NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: ?ee-acrtTE /?00P4.0E %rl•vi'? FEES: o $25.00 minimum fee gl 1% of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,00r of ggma fee due on all permits. CONTRACT PRICE x 1% A/04 , PROCESSED PIPING "- STATE SURCHARGE 0S° TOTAL //?,p$D DO 7. g' g? SITEADDRESS: 33'IS 19i,rt CoL?.,,,ts p"zeLAr- OWNER NAME: I/tiiTDy ,P?,4,TfJc SR?«E TELEPHONE #: 4S`?'DS? ? TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: e5;? SvoPc Y? /"? c ADDRESS: ZZ'$ tyac Sv• CITY: ?6"/'j1c?A(-15 STATE: r?.J ZIP• PHONE #: 54t5-/V6 40 SIGNATU / L ? SIGNA URE OF PERMITfEE CITY INSPECTOR / 08%15 '05 12:26 ID:UNITOG RENTAL FAY,:612-454-7014 ? QUALTTY UNIFORM PROGRAMS ? 0 ?J 3375 MIKE COLLINS DRiVE EAGAN, MN 55121 612-454-0560 1-800-845-0029 TO: E?x IN: Zzz b`ROM: ? r r r l,? n i U r? l ?„L'Y t/c FC'.5 DATE; l ?- L .7 "" 'I7tis trenmnission consists of 6,_ pages, including this cwer puge, If you liave any problems wlth titis transmission, please cail seuder at shown sbove. 3376 MitE r.ouuN5 DPv; EaGNn. MNSS+': l71a4 o! 7ra:wpyop I0 07714!v17(11E PAGE 1 number 08i15 'Jb 12:26 FROM IGFi5 6UppLY I NG _ ID:UNITOC REN?AL TO I FAY,:612-454-7014 032 464 7014 1998iQtl-lb Facsimilv Cover Sheet ro: Company: Phone: Fax: From. Donaid W. Demuth Gompany: lw. Phone: 812-645-14B6 F7X: 612-545-1228 DBtE: Q Pa9ies inG/uding this cover page: g GommpltlS: hsrni PACE 2 1 67 it203 P, 01/06 08:16 '95 12:26 ID:UNITOQ RENTAL FAY:612-454-7014 PRCE 3 FROM i Gfi5 9UPPLY INC. TO 1 612 464 7014 1996i06-16 08i68 k201 P.fdZ/06 fi7'A'1'! PIRE MAqSHAL DIVISION Fi s N'o. : 96313 444 CEDaesrR6eT M•8•C.R. Corti , No:o BWh Iao-w. rowHSduRF DYOpessd Aaae ef su Esll. 1 aL rwuL, Mry 35101•¢168 Aaxe at Dro1im. Ap xoval i 0811013995 ?HONl: 07L1744100 rooi *1amaxroa STA7E OF EAINNE$dTA Augusn io, 3995 6EPARTANENT OF PuBUr. sAMRTY 461, ? '? 1985 '? cas supgly rr.c, C A? ? 2236 Edgewood Avo So. `? ; as SUP?Y MinneaPoxis, MN 55426 {nc. (B1afS4S-aa66 . ' REs IInitog F.toatal Serviaea, 7375 Mike Colliar orlwe, , ffiYgpri# !R(. llOlOli (612)454-0560 Installatloa of anr apgxoved aloovoground Ssooa galloa yy gae taak foz building plaxiC cupply_ Subjrct to the aCtachad uctes aud local apprcval. Tn w,hom it may concernt I The p.ans for the abovo installation havc been revieved pursuane ta MinuaBpta &tAtutsa, 1984, ChSpter 399P,38. I axa7.Sminaxy approval is given Ear the aforementioned gxojean suhjeot bo c lianas ,vith Che proviatona pf Misuiesata Btatutes, stare Firo Marahal Regulrtionm, aad laoal ordineacea and ysrruita. canatzuction ahall be iu eoafox;rnraaa witfl UPYA std. nro. 58, Staadard fer the SCOraqa and tiaadlxnq pP L,iguiPSed Patrnl0um aeeea, as Lacosporated by ?,riins?annta IInilCxtp ?'iro Code {1991 ddLC10St As amendsd) , I Fii1pl YypxOVal will be gSYSn falicwiu.v an inspaction ot the faaility by aijt•her yaur area local fira authoriCy or Deputy Ststa 81ro Marahal, I Anrova1 ot the gsojaoe derasibrd in this letter doae ixat rrlieva ttuA ayplloaat eF raspons3bi11CY to othez $e¢g,rg]„ fitata or 1 :W n? s'ogulaCiona oz the Aeqd tA abeRio aecexmary approva2. I QnasLlonG aOaCerniag tLia Aroiect tthauid be addroeaed '+n rriting eo ovr eTiliae !or s taxmul rueponse, ? . Ploaes re£ea ta the file nw11b6= liated ahove ±n all £uGure aerrnqpondteaco ?neuaernir?g this pxoject. Y44!! Yexy truly, ThAqtpp R, araca, $CI,C? Fire Flarshal Thomaa R. L.inhot! Deputy.StaCe Fire Mgrehal - Qtldo eDeoialist TRL M1 lQWAL OPPaRTUNITY aMPLOYEp QE;15 '?J5 ?2?2° F(iQM I pq'' $UPPLY I NC, FROM ?GF6 SUPPLY SNC aala: i?ISTALLER: SI7E LOCA7Ip1': C?mpdtU': t?f?SJr+/?'? ?iYC, C?mpany: rue?S Addres5: 'a'? „aa Address: 3375? C':y. Sta.e b 2ip: CitY. Stato & Z9p: Tt?=phone: e?/in-;Ef5-?5??ple Tdiqphon6' „gWZ- racE s 081?8 k201 P.03/06 013.3 r.1112/0S , RECErvEo ALL INSTRLL;TiOk5 ML'S7 GdMP!.Y N1TN FRIPiNESMA L'ti?PORM FYA$ CDOE 57ANGAp,p (N.F.P.A.'S$) ANO ANY AG6IiIDNAL LDL.'?1, t7E44REMENTS. ALl PLANS SLlBH21"fED S144LL Bfi LESSBt,E. I1f ??Ip AND CONPI.?F?. LILl..RESJL'f YN W. MATEESAI, REI?fF iiFTt1AH !E?"? ppa,ipFa Rellef YalvB CaDaeity n-3 '9-cfm 'Callk 5utfaee Are4 ?f Cnpacc'ity and nGwLber of tankts! _./r,%ie' /-/R, crY1G.axtc+.? .jrpe af protectiran from ph.vsical 48taaps eo tank and bpaLrtaifaneaa: rence _' Yaporizer type, TaciLton ane distxnce frop tank and bulkhaaa (Diraet,?1C_ Other fired. 15' FmaPr -r*ti++t. 7ypo of protrctian aqi9nst tamporinp; Fence'XLoeks oissancas so FiaAmBble/CGAIhGitib?e Liqutds tanics and dispen5er9 op 'ap, TyP9 Q'C ROt'T'QS{Ofl DYOtcCtion fnr uadiPQround tarks "d DiPinq .4 "saiT Raststivity 7est resu;ts for anderground tanks .44 wmtt tik to77orFna 1nParma*tap 9n velicste: (X ) f+lot p1at7 ai' property ShOkfnq 7ncatlon af adjacrnt <treett, h , I ng5, praparty lirtes and 'immadlaLe surrcurd4ngo, (;nc]ude dis ana vaporlZgrs]. • (?C ) Ap1nt cf trtrtsfer Sullehead) pipirrg and valvr aehrmatia,i () Locaiion of 3Ay pa?aer 1 tr.es, transtormers nad tank Yonu. 004 ? {'ti 3 Co;PlY1ng aecaTs. (e&yusr,,?qf r?.?ac B&?A14 isaaara - (X } infnrmatfon orr tank(a) usa term ort rcverse ytde vr atueh menufac shert, 1MhITDG RENTAL LIQUEFIED PfiTMLE!!1 rWS IitStALLATICK ItRTJI FAX: 612-454-7014 TO t 612 464 7014 1996,06-16 TO 11'12m62C lfi6l0lli-0d STArE FI?.f r,kRSAaL n3v15101+ 2^a5 3lpetox eu{ldiag 45C ltorth.Syndicats 3erAet St. Aau1. KN 851od Telephane: (6I2) 543-306U aus a 81995 Dfvision MN :-1 P1IRT Ii IIIFGRFfATSOH _ sq. fe, _-_...? Posis t 1TCCt build- a tank J 's Ca4a 08r16 '35 12:27 !D:UNITOC REN?AL Fp'?:612-454-7014 PACE 6 1 , , i FROM IOq5 BUPPLY ING. TO s 612 464 7014 1996'98-16 06 RIY{7M :SWB BLLPPLY INC. Z'O :21608ii 1109E.69-09 7 •.•??.wy .?wW Ai!! I$ks13f PRUM 'f0 PRfi.ir.xWY qppRQt'AL (F11161 4pAr¢Y31 sr6jeCi LO ffr.a7 inape4tiaa) . Ir,?orciatfRtr nn storaga 'kuRk must be swmitted tar eaelr tnnk 3heLt fOr ear.h tank on .w1Li.taak tnslal'titians, truuT I JIT ; . Nart,ep'ate a!tached wo s:or?pe tank: Tga (?Y ) Nn () 7ank Servir.s, fi5avsgrvunC IX J underground {}- TAnk Hdnufaeturer: ?,.y.Y ?.?rprr,5 7'/ Wetar CQAa=it. Y af Can-ciner: Desi p = - ? " ?.5. Ga'()a grt rrsst?-*: 3' p p.5.1. Qutsida Al:rface Area: Year o` MEnufaeiore: ? Squar? F! sehfal kucner thia Starace Tarok: 7dnk # ,q0?l: E.tarh anu,'acyurers daEe ShcFt t?? m {Tah1¦, rid5 S.aYgs9 :ink 64141 uwdiYlOQ ttter dZte t? tAlniir'2CLUret It? ves at?tach Y?a j) 1Ya ...... suppat,tqng data and rrtcst fh:ormdtien, Nur-CeP ,ri Re17ar" Yz7vps ??is T'8nk, « I Re71ef VaTve QJFChargc arassure 5at-ing; _ 7oi.s1 Ae17EF V32W capacfty tl:la 7ank: ?? 6"O P•S.T. . A}?r RDARIL5: I REVXEWED • AND Y? A?NO?EB Ofw?jEp??GN f 0 CONTACT LOCAL FRE AUT14ORtTY PRjOR 7O PROJFGT STA!'T. MINNESOrA srAr? MARSNAL ?;?7 teOOZ ' ' ? , 3 M201 P.04/06 iz Miia w.mSJp? Utt separate r , ? ? (-LIHf OF AD?pI%iN4 FROPlRTY 71H,T :iL S: LW1LT ttPLm "1:£ ?-- i / ?'^ • ?41 F I f t ra? . g e d ? ? : r ? YP Yd', r r yis?. ? I P >J , ! Y 6r ' ' t t? • ? d I4 Q C-?? SCALL ? p,?? ?? ?xlSilA(. Bt66- _D lp? NCYES L7RI5 Wgll+lLNT1 f!'C7fbNFCaRMTO},IFpk-g5 GIR'99 EbCCIW11 ?pLL i%7?LiCAS?E.SfAZE 4uZ1 LOc?L it6417 4Yf305 @. PIPIt1G 'lU 6E 117SSdLLILy ppR 6A5 $Upp:( tMC. 9:PlYC, ST418DAE., P9-Z : /TO? 8£ ¢ELOCRTEa ?Jcme 16.0034WC 118GVE ?`?p,pUiab PJR,pf'AMC 3T0RAA? -tk{;,K Ila" 1D Y 4lCpL 1{p?µTED ?P?. cnWteE;Te PllRS `.`JT? F?? C? R?/?&S E[T F1kED yAPOq{1i;5 ?k.t:rrat Pucipfx.n'1°*- ?S{9Tt -'TO SE LEFf 1L1 AU[[E ??'Rp11S7??d LLW-D=qv. FT4TiP'1 OaR OWG SD-RDI ?PR7PxAf-ME MiX6ATUPRODUC@ 139o SY9 ?1KT7RE a7 5 PSI WLE35ME " PLO`C pipll UMrTdG RENTp.i 5ERYICc-5 . IWC. 39Z'ra Y.4KF OEStl153 milaaF Eas eo ? D AYE. E0. °"?` unsea2a UN1• r ?D ?N -o? f? _Z C1 O f w Y ? N W pt r N a D m a ?1 Y r? v N q ? u ID a ? ? cirr use oNLv L ? BL ? RECEIPT #: SUBD. DATE: 8& 55 ?A a, 95 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: D allcommercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dwelling unit. ? DATE: /'D --;2- - CONTRACT PRICE: ef)D WORK TYPE: _ NEW CONSTRUCTION -?V INTERIOR IMPROVEMENT DESCRIPTION OF WORK: 2 C?C?`%vST /c yS. FEES: , $25.00 minimum fee 2L % of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of pgoW fee due on all permits. CONTRACT PRICE x 1% ?(p0, DD PROCESSED PIPING STATE SURCHARGE TOTAL , s'O e?e. sv / SITE ADDRESS: 3 3-7 S 1"-lle67- CoGG??' /?,el vE' OWNER NAME: //tiim6 TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLI) INSTALLER: C' 61?11 ADDRESS: A°Z /U CITY: STATE: /Ivy- ZIP: L??1/ PHONE #: S-2 / - 7Co "1? T ?-3-?? INSPECTOR CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FFFR ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required Q$3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESS: OWNER NAME: PHONE #: INSTALLER NAME: STREET ADDRESS: CITY: STATE: ZIP: PHONE #: ( I7r,e6o mE? i ,. fifvr- irruEp ?Jgy serial # _y7aQ q -? Chip # C 9 aQ Permit # `71 4- ? Address: 3 3 75 M11C6 eo ??,u 1 AGREE 70 COMPLY WITH CITY OF EAGAN ORDINANCES 5ignature: ,..? ?./ k) I lU& -??- (gd. -2,-- 7C/ 1// ? 0 I. P,rt-d ?? .#? CITY OF EAGAN CITY USE ONLY L? B ?L * MECHANICAL PERMTf RECEIPT #C. o°ZI la (a 3 5UBD. (612) 6814675 DA1'E (L 1??a2 RESIDENTIAL PLEASE COMPLETE UP PORTION ONLY FOR SINGLE FAMII Y DWEIS,IIVGS. ALSO, COMPLEi'E FOR TOWNHOMES/CONDOS WHEN TE PF.RMrrc AgE ggQUIgED gpR EACH DR'ELLING UNTl'. OR'NERc ADD-ON A/C FURNACE? SITE ADDRFSS: ADD ON (E7IISTING CO ON ONLl? $ 15.00 INSTALLER: AC: 0.100 M BTU 24.00 PHONE #: DTIYONAL 50 M BTU 6.00 ADDRFSS: GAS O - MINIMUM 1@ $3 EA. CT1T: ZIP: SURCHARGE $ .SD SIGNATURE: 1 1 TOTAL: $ NO PEBMIT kEQUIRED FOR DUCTWOBK ONLY! COMMERCIAL PLFi18E COMPLETE THIS PORTION FOR ALL COMMERCWLITTDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR APARTMENT BUII,DINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNPP. ?o-aas'o -3 -,2 66-01/ . 4? CliECK OUT REPOAT FOA DIUCT GAS BISSD AI8 EFATB& Date ?Z - -2 2 ` r??f Owner i) N/ / cC?- Addresa 3.:375 A/? C;, s DR1'?IZ Make Hnde 1 T?` a!$ Location of heater oc c ? Main Pipe Size Screwed or He2ded- ?G RL-WEa? Pressure Test. Street Press Lba. Air on Teat 2 S Length of time?hra. Length :30 feet. Approved by Inapector Check Out Controls Date :D, 1 " S1 Hand Va1ve Make 14 Po llcu Size ? TyFe 13A Gas Regulator Make n.¢X*,?eo? Size / Inlet Press S/b Qutlet Preme? Safety Shut Off Valve Fuel Inpu[ Valve Electronic Relay Pilot Valve if Used Make I4.vE -i wr1/ Make A4 A Xi4r7esi Make r" ? RF ? E Make MAX ! fRa L Make MA Xi,-I-RoL 31ze Size 1 K Modulating Control Low Limit Control High Limit Control Model U V M / /" ? Size ? z ` Size Make Pr- .v.%-? Model 4 l 9.Q.9l-- Make Model ). `4 aa 8E Damper Open Proving Switch Make Wo NC ywC /f Model I'4 y 36 Air Proof of Main Air Make LIEdE /AN d Model 44 4 3j?, High Gas Press When Required Make "- ' Model Test Air Intake Louvera Proven,..open teat ? K Main Air Flow before ignition,teet U K Pre-Mix Air Proof if used test Low Limit Control to Shut down Main Air Blmaer Teat ch? (Must ahut down at 40 degreea,) High Limit Control Teat C) K Pilot Turn Down Test Gk Modulating Control Obeervation Remarks: Uk" Low Fire Start Test ., High Gae Press Switch Test OuCSide Air Temperature 3 0 degrees Discharge Air Temp, rise on Max. input degrees. (Must be minimum of 100 degrees rise in temp, through unit on high input.) Flame Character Observation Remarks: High Eire b K Medium OK, Low Fire ok BTl7 input on high Fire /15- ¢? C_ l"/?4 BTU input on low Fire "]'Q? G F14 (Must have minimum af 20 to 1 turn down.) Test for C.O. (Carbon Monoxide) - High Fire 6 f< Medfum O K Low Fire c5? (There shall be no indication of CO at any input.) (Check on propane also if used,) Instruction Card Posted?Wiring Diagram `-?-?No. ? oj I/35 Remarks: Job Approved Inspectar Jo6 not approved and left off Reasons• Persons Present at test: Tested by D6?-tGsTrc MEGLj qii? C-R?N?t so ;44 f/ s ? RELEASE OF HOLD Projeet Name/Number 33-7s MiKe. ?o(I ?ns 1) 12 1?r_- . r,pGAN Mltin ssi?i ? lKd, PAR? Legal description: L 2s- Y? B 4 Sec/Sub r A6a N6 ALE 00h?4. a403? Mo,4- Parcel #:: Reason for hold: To {{a„t e k??4 ti + i ?0 ?-h.e . . ? 14n 5 4n? f-2CP:vc' ? 'ltf liOYYtL '?ec? •{'L?r? r 5' FYO? ?"?C ARcA '.4-ec. Release hoid on: ? Issuance of building permit Certificate of Occupancy Other (please explain) ? RELXOLD.FX LTSfI r. ,. , MEMO a_'t city of eagan TO: PAT GEAGAN, POLlCE CH1EF JON HOHENS7EIN, ASSIS7AN7 TO THE ClTY ADMINIS7RATOR DALE WEGLFI7NER, FIRE MARSWAL 61LL AKINS, ELEC7RICAL INSPEC70R PUBI.lC.WORKS1ENGlAIEERIKGlUTlL.ITlE.SIST,Rg?T.$. r GENE VANOVERCiEKE, FtNANCE DIREC70R RICH BRASCH, WATER RESOURCES COORDINA70R PEGGY REICHERT, DIREC70R 0F COMMUNI7Y D OPMEN'F? SHANNON TYFtEE, PROJEC7 PLANNER • MlKE RtDLEY, PROJECT PLANNER ? ? FROM: DALE SCHOEPPNER, SENIOR INSPECTO ? DATE: //Z 1119S RE: PLAN REVIEW Gor-ZG / !laoei? - y f.asaw?acE Cr/1. Z,6. P,c. ? i`*"Abl7lrsv The preliminary C>,-'- construction plans for N/TOC, are in our plan review section for your review and comment. . Please retum this form to mv attention with your signed comments and the date of review. If you have any objections to approval of thesa plans, please notify this department and resolve any problems with the affected parties. If you are requesting that the issuance of the buiiding permit be held, "please fiil out the proper hold request form. COMMENTS: --)40 )? uh ?: I 19'La., /ce?:ew Aas beeh Ce.•,lolefed F Seh+ ,4 QLa., ta v4; , ? gnature T"-pate- PLAN.fiEV -? Las gq,??.-?? Pk #y . __f---= PS 06012-01 (08/79) DIVISION OF STATE FIRE MARSHAL 1268 UNIVERSITY AVENUE y? g ? ST. PAUL. MINNESOTA 55104 TELePryONE: I6121 2D8-9941 ???q' YMiFy? STATE OF MINNESOTA November 16, 1983 DEPARTMENT OF PUBLIC SAFETY Control No. 83070448 Dick Shipway Gas Suoply Inc. 2238 Edgewood Avenue South Minneapolis, Minnesota 55426 Re: Unitog Rental Services,, 3375 Mike Collins Drive, Eagan, MN 55121 Installation of one (1) 18,000 gal. LP storage tank for motor fuel dispensing and building heating fuel. To Whom it may Concern: The plans for the above installation have been reviewed pursuant to Minnesota Statutes, 1974, Chapter 299F.19. Preliminary approval is given for the aforementioned project subject to compliance with the provisions of Minnesota Statutes, State Fire Marahal Regulations, and local ordinances and permits. Construction shall be in conformance with the standard contained in National Fire Protection Asaociation Pamphlet 58, Storage and Handlinq Liquefied Petroleum Gases (1972 edition as amended). - Final approval will be given following an inspection of the facility bq either your area State Fire/Arson Investigator and/or local fire authority_ Approval of the project described in this letter does not relieve the applicant of responsibility to other Federal, State or local agencies regarding adherence to regulations or the r.eed to obtain necessary approval. Queations concerning this project should be addressed in writing to our office for a formal response. Please refer to the control number listed a6ove in all future correapondence concerning this project. Yours very truly, Wes Werner, State Fire Marshal ? /re by: PatriState FiCodes Plans Specialist COPY DISTRIBUTION: White-Facility, Office, Pink-Codea/P ar ns Specialist, Yellow-P-o=ution Control Agency B1ue-Fire Department, Green-Central ??d-Fire/Arson Inves?tor, CC. R2g10n Supervisor qN EQUALOPPORTUNITY EMPLOYER t /3'- o%q" ? O ? \ 0 CO 'O 7 E.x,sr-<:; c;Ag ?-SRVfca iS °-+ tb. ? %D6 POLJh1C?S TC? 1S?HES FZC4c.?LATO+[r oN At,V P.Ppwnrcc.es _ l.ePvir'g Vo('y' hf7t11 7'O!? a O P-GNto-Trom REy , OF J81y?. Y ? Na ; 0 ? u? E?.Tez. --- ?72 ? cor??ECr rv r?c. 4AS PIP19G-k ? P,4LL Vl+1.VE '1? f''AXiTFCJL, 325 -3 'F AlVX- ?- ?'15 MBtt , tya?'nuRAL GAr LlNJT p GRAVV VENT, STANDYa ?IWT- I NERf.B!' CERTtFV T':,A' (?!s5 ?!_ a?;',ya5 ?RFI?AQtJ Bv MG ppD Trini I a!a a s;Fri3 €r,,t0 ?'A,+E? aLuMaERFO,:?+E.*aTr..P-_ MN- L,C-WS-tOATE-. ? -? GR MECHANICAL Plumbing & Heating Contractor 12055 Tilton i rai: • Rogers, MN 55374 (612) 428-2663 5Xt kstl ntG '-r ? EyClS?ll?lq '' : , ? f+Nl? G.?S ; ? N?53 ?.E'o.?aCR?Y L i/?cs 6i S6 20 . /8aon ?,oc l?lC30?El20cl.c/O ?.eo,e?,?c 7-?, ON C?.?c.P?r6 ?iE.¢S. 7`?NK /S //a ? ,??? O?G.C?/JLL <?...,yr?.. " .C O CfJ??a,•? . , ??7T M?KE COLG/??.? O.P?vc /N.Srr??C .G .OUr? /?s-o .C3?LJ /'9iXruR? /C?EI?/S6.t? /?//B? 3 ?r'J S.e.?o a/ CN?q NGEO ?G O CAT/O.? O F pi SF??/S?? .%N.L? DATE ic% rEs (// T.a.?is /.vsr, ?.c??c rio..i To Co.vf'e,er ro TivE / 98?'S E,l?ir/o.u OF ?.?i'/-'.o sg /J.uo Td /aL4 i?F??G/CStJQGE /QEe?!/GA.Tio?,? OF T.??C' ,_STAiT,? Oi Mi.v.u,Erorx? ?y7?/p T?/.¢ ?/sY Of" l2? ,..5-EG'?? ? rY fE.?cs- To t3c i,ur rM GL e: ? ?20b.ir0 Tin.4K ? l?/a?'c.2ixeP.os 0•?2 .9.¢dc.+c?ij .: o r .?.eor?.e s r /?? O?/J it/6 /<'-a.G O T ?G .<J i? sr,4,?oay s ysT?M ?' ??PaPU.t?'O /.?.c,f'T.4<trvTio.ci Fe?• U^/ / TO( /PE?c/T.?S G SEiP//?L',ES? /NC. ?375 /rO?KE COGG/NS O?/?? .EqyA[/ /"J?/ 8CA16: APPROVlC BY: DRAWN BY 'Ic DATE: RCV186D ?/'/?B?Do I , oa-i cSuA12fy, -Ync. I ( 2238 EDGEWOOD AVE. S0. DRAWIN6 NUMBBR MINNEAPOLIS, MN 55426 Z a s -a8' /NsT.4t L TiP?i.is?o.P r UN?aAP ..il. •SrA??o<i r/o rs,e ,??EC p/s??? JE? o?v y i< 7' CONCiE'FT.C SL A8 I -- I I ? r---- -_= - ii----- I? 11? ? S' E?,GAN .?„k cvvED INVOICE ?city oFecigan Equal Opportunity/Alfirmative Action TO: r EdE7fla?'? C't???;`?T non ULsa naet3 a=,eog iL!C,Z?J C6-yfl zzo J4ll0J L ? 53?4?S ilot Knob Road nesota 55122-1897 F6 1-4600 ? ? ?. ??4??. Date f' ? Con181ne Weate PeVar, ?[t IxluOlnp (J'J/ 10%PmYCMwmer ? Weste ,ga.pog??g PLAT(LOCATION: V AMOUNT DESCRIPTION S1r,[1[, 3!`-I7SnA.Y SGt!Eit SIIC CCIp-aS`,r 9 U:7EdS C $aG9o 2aL'C?C? L'!`."'?lW EJlrtm =Aa ZU^d PL41Cra 3^J3C3RDMII 29 FJCIIi;iS 0 $9<;0 :? ., ,?? ' L^:??,:1 I.QCl,u,.,QEic 3175 [3E[:? C'*&dBC'.u L':t%VEp PsC__^-.CSup = 5512l -a-• ?LCASL Cnd.I, d?wE t)ZIL] OH'.=12[Q3 G12-G01m46aG ga diocuUO TOTAL L+uy?e. ?meaw:uoooaooooooooooao Invofce Prepared By: DUSTL7C Nwl m63=M? C[P:tECH _ i name department WHITE - Customer YELLOW - Remittance PINK - Department GOLD - Finance ! TOTAL DUE UPON RECEIPT - 67ian/agtolo Metropolitan Council Environmental Services 5AC PURCHASE FORM The Metropolitan Council Environmental Services has determined that Company Name: Facility Address: Unitog Rental Services, Inc. 3375 P1ike Collins Drive Eagan, PM 55121 Community: City of Eagan Permit No.: 656 isrequired to obtain 27 Service Availability Charge (SAC) uniu at the 1994 rate of $$00 per unit for an increase in the volume of wastewater discharged to the Metropoli- tan Disposal System Payment of applicable SAC is a Pemut Condition described in Section 205.00 of the Wacte Discharge Rules for the Metronolitan DicMal System. Total amount due: $ 21,600 . Note: Payment of SAC does not relieve companies of charges assessed by wmmuaities for an increase in the volume of wastewater discharged through the locai sanitary sewer. r*rrr?rr?**sss*«***?r«rrr?**?ra??*u?:r**rr*srrr*r*rwrrr*ra**?rs*sr**s?rrrrrs?rr** VERIFICATION OF PURCHASE J IIAN 3 I 1996 To be completed by Community offical I verffy that ?! ? ?j? DUE BY ? (compaaY name) - has purchased ?-? SAC units on I)- `???1I ' (aate) Signed: ?l,V F2He.«r.?.? :rcCto?? C.?? l,lP?r? , (name) (dfle) representing: o r= (community riame) white original - to Company yellow copy - to Community (to be subautted to MCFS with monthly SAC report) pink copy - to Industrial Waste Section, MCES (to be submitted by company) ? MetrQpolitan Council Working for the Region. Planntng for the FLture ?p h \ August 31, 1995 ? x AGuy Leutem - Unitog Rental 3375 Mike Collins Drive F2pn, Mlt 5$I21 Dear GUy Lemm: ,30,4b ? ?CCp k ?.?, ° r 9- O ? ''\ ,? , . R- , `O . ? -e Y,-e- G14.4L?a? qe)g- ?ola S k 1YN 1?? Services ic, -ad5o3- C? Sa - oy ??? D5V0 T'his letter is a follow-up to the letter sent on December 30, 1994 i gN mb volume review for the Service Availabili C e SA s stem for Pernuer 6561?ted at 3375 Mike Collins Drive. In that 1et er, yo?u weie not?'fied tbat your firm has increaaed its wastewater discharge to the sanitar}, sewer and potentially could be subject to a SAC purchase of $21,600 (27 units at the 1994 rate of $800 per SAC uait) at the time your Indastrial Discharge Permit is renewed. At this point, you have two options. First you may purchase SAC equivalent to the increase in disc1ar'Se to the sanitary sewer based on the preliminary volume review. If you choose this option, a SAC Purchase Form will be enclosed with your xenewed Industrial Discharge Permit. The form must be bmught to the City of Eagau and be oompleted by a city representative indicating that SAC has been pnrchased. A permit condition in your renewed pernut allows 30 days for We SAC purchase. Your second option is to conduct a 30 day wastewater volume study. If you choose this option, please inform the engineer ir,ferenced below. The study must be completed and results submitted W the Metropolitan Council Bnvironmental Services (MCES) by pctober 31, 1995. Guidelines for completing the wastewater volume study are attached. Based on the results of the study, the MCPS will detemtina a pirnent SAC equivalent of your wastewater flow. The SAC iate applied to the corrent SAC equivalent will be the rdte in effect at the stait of the 30 day wastewatcr volume study. The 1995 SAC rate is $850 per SAC unit. The SAC iate is subject to change every January. To determine your firm's SAC liability, the MCFS will use the lesser SAC equivalent of the pieliminary volume review and the 30 day wastewater volume study. If a SAC purchase is required, a SAC Punchase Form wffi be eaclosed with your renep'ed Industiial Discharge Peimit, and the above described method for completing the form and purchasing SAC will be applied. It should be noted that some cities use SAC determinations to assess municipal impact or connection fees wLich sie exclusive of the SAC chatge. If you are unsune as to whether or not these fees ue applicable in your city, you should call the city offices to inquire. At this time, ao money should be sent to our ofrioes. SAC payment sUall be made to the city at the time of pemut renewal usiag the SAC Purchase Foim. 290EastPM Street 3tPaul,Mfonppta 55101-1693 (612) 222-8423 Fax 229-2183 1UD/I1Y 229-9780 M &ryN OAporemtly p~ Guy Leutem August 31, 1995 page 2 Please direct any questions W Mark Fieison at 772-7007." Sincetely, 9 I.eo H. Hermes, P.E. Industrial Waste Manager MCBS Industrial Waste Section Attachment cc: Dale Schoeppner, City of Eagan S. Selby, MCES \ Mark Pierson, MCES Qf \ Q \\ \f\ ? , e ? Metropolitan Council Working for the Region, Piannfing for the Fltiure Environmental Services October 6, 1995 Mr. Joe Voels Construction Analyst City of Eagan 3830 Pilot Knob Road Eaqan, MN 55122 Dear Mr. Voels: The Metropolitan Council Environmental Services Division determined SAC for the Unitog Rental Services Addition located at 3375 Mike Collins Drive within the City of Eaqan. This project should be charqed no additional SAC Units. Any increase in discharge will be detected as part of the Industrial Waste Discharge Permit renewal process, and 5AC will be collected at that time. If you have any questions, call Jodi Edwards at 229-2113. Sincerely, ? ? . Ro r W. Jan 12??y Planner, Municipal Services Section Wastewater Services Department RWJ:JLE 951006SF cc: S. Selby, MCWS Renee Gutzman,,,Industrial Waste, MCEPE Carolyn"'Krech,`::Finance Department, Eagan Tim Bozilcowski, Swedenborg Shaw Construction 230 East FiClh Strcet St. Paul, bllnnesota 55101-1633 (612) 222-8423 Fax 229-2183 TDD/11Y 229-3780 A. SPni ooPO.nwni o~ a - g.- 9 ? - -Q? (?- -?p- - - _ 3a?w C.l?e ?t ` g"r^-v-dC d?e.? ?zo?IfL ?O- ? t 2? ?? fa ? ? PU L rt o G> C ? K_ L . . . . . . . . . . 4!, . . _ _ I , ?....P ..?.,?..? I?.? ?--?.-?- • ?cz, ?? \ • • . oWILSONJONESCOMPANY G/50aCOlumnWrNeS InI11aIs Oate Prepared By Approved By 61GUE IN U.S.A. I 2 3 4 ? CfTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuILo1Ns Permit Numher: 0 2 6 2 4 8 Date Issued: 0 8/ 2 8/ 9 5 SITE ADDRESS: P.T.N.: 10-22503-250-04 DESCRIPTION: 3375 MIKE COLLINS DR LOT: 25 BLOCK: A EAGANDALE CEN7ER TNOUSTRIflL PARK #4 Building,nPermit Type Building 'lYbrk Type *. g; ? ` :... ~ F^ t ".#sa.r• . ? .? . i^ s YEKM1'1' • aw?F s ? ` ? Sr R COMM./2ND. ACJDITION 1 a gn? J 5??'?- ?yyr ? ? t?5a? X R w REMARKS: S&W CONTRACTOR - FEE SUMMARY: Base Fee Plan Review Surcharge 5AC SflC % SAC Units Subtotal VALUATSON $1,762.25 $1,145.46 $137.50 $$50.00 160 $3,895.21 $275,000 CITY SAC $100.00 TREATMENT pLANT $372.00 Total Fee $4,367.21 CONTRACTOR: -- Applicant - OWNER: SWEDENBORG SHAW CqNST 29378214 UNITOG 7685 CORPORATE WAY 3375 MIKE COLLINS DR EDEN PRAIRIE MN 55344 EAGAN MN (612) 937-8214 (612)454-0560 I hereby acknowledge that I have read this application and $ Cate`that °Che , informdtion is ao,rreat and agressto ?coinply with.allappkicatzYe,=9tate 'Statutes and City of Eaga'n' Or.dfnaince`s.: s.' ? ? MiPERMI;ff SIGNqTURE Y A60.?qjATU t RE ??- a CITY OF EAGAN N? 8547 . 3795 Pilef Knob Raed Eagaw. MN 55122 PHONE: 454-8100 ?yJ/S BUILDI PERMIT OFFICE/PLANT Recelpt # p1e October 3 _19 83 20,040 a Sica Address Ea? Ind.Pk. #4 ?. 25-28 glock 4 Sec/5ub.?------- Porcel # 10 22503-(250-280)-D4 W Nome "11` = Addrou 101 W. llth St. ? ??? Cansas CitY MO pi,o,,, C816) 474-7000 o Na? 0 us Cor oration ot Addrass P. ?• Box 150 "? ?i? pls 55440 Pha^e ?'F ralg arson ?W Name W 3Z qddress I herebY ackrawledge that 1 ve ree4 d to the inlormofion is correct n o9 State of Minnewto Statute a d Ciry SlOnoture of Pertnittee A Building Permit Is issued to: all work shall be done in accordnnc Bulldirq O(ficlal ?---- oll ond stote that ull opDlicable B'z Sprinklered Erect BK Occuwncy I-1 Alter p Zoning A N Repalr ? _ Fire Zone --_ - II Enlar9e ? TYPe of Const. Move ? # Storles ?- pei.wlisn ? Length 190 141 439 F ? Gro- ? Depth gq. t - Approvab Foe. Assezamente Woter &$w. police Fire Enp. ??- Planner Cpuncil Bldg. Off. APC Permit +'?" • "" surcnorge 360.00 plon check 991,50 SqC 15225.00 Wnter Conn..14A-- WoterMet8z25N0 00 Road Unit T?o? 20,809.50 _ on the express condiHOn Iha, Ciry of Eaflon Ordirwnces. f plans, evations & calculations. , ?ft. EE$ 1> `--' -? ? v 4? G3 ? a ? \ C Z ? ?As4p 9? 36YO S?6/Fy MTrn?r:a? f?yl?J?r .:.......... ...........ACCOUNT METER READING HISTORY(I)........................ . Account Number: 8990041901 Phone: ( ) . . Name : UNITOG • , Acct Status Site AC . . Site Address : 3375 1/ MIKE COLLINS DR • . EAGAN MN 55121 • . Meter Number : 01152689 Pri/Sec Func: MA/AD 2ndary ID : 08A48514 . . Avg Consump: 1114.11. . Date Removed : 11/30/1995 Service : WA Periods : 27 . . Date Read Reading Billed Rdg Consumption Billed Adj Read . . Flag Type Date Diff by . . 05/11/1995 94430 A 1430 05/25/1995 0 DCD . . 04/20/1995 93000 A 1401 04/27/1995 0 DCD . . 03/16/1995 91599 A 1545 03/30/1995 0 DCD . . 02/14/1995 90054 A 852 02/23/1995 0 DECD . . 01/23/1995 89202 A 1305 01/26/1995 0 DCD . . 12/19/1994 87897 A 911 12/29/1994 0 DCD . . 11/21/1994 86986 A 1287 11/24/1994 0 DCD . . 10/18/1994 85699 A 642 10/27/1994 0 DCD . ................................................................................ ................................................................................ Press a function key Modifying. . ............ ..........ACCOUNT METER READING HISTORY(I)........................ . Account Number: 8990041901 Phone: ( ) • . Name : UNITOG • , Acct Status Site AC . . Site Address : 3375 1/ MIKE COLLINS DR • . EAGAN MN 55121 • . Meter Number : 01152689 Pri/Sec Func: MA/AD 2ndary ID : 08A48514 . , Avg Consump: 1114.11. . Date Removed : 11/30/1995 Service : WA Periods : 27 • . Date Read Reading Billed Rdg Consumption Billed Adj Read . . Flag Type Date Diff by . . 11/30/1995 3645 A 7841/ 12/28/1995 0 UB . . 11/14/1995 2861 A 1248 11/30/1995 0 DCD . . 10/17/1995 1613 A 1358 10/26/1995 0 DCD . . 09/25/1995 255 R 0 09/28/1995 0 DIAN . . 09/25/1995 100255 A 1436 09/28/1995 0 DCD . . 08/16/1995 98819 A 1397 08/31/1995 0 DCD . . 07/14/1995 97422 A 1264 07/27/1995 0 DCD . . 06/20/1995 96158 A 1728 06/29/1995.' 0 DCD . ................................................................................ ................................................................................ Press a function key Modifying. .. ? /S 7 S? L /s??y? ?- ? V\ _ city of eagan 9 . FAX TRANSMIITAL ?i5 3830 PILOT KNOB RD V x ?1 EAGAN, MINNESOTA 55122 TO: FAX#-1-811y-y'ly- I9S9 DATE ATTENTION 30Lr n C_ ke v& TIME COMPANY U.,n' # OF PAGES TO FOLLOW FROM: CO-PAC V \)a%,,0\)2AeVe- PHONE # T? Comments: As requested ! For pubiication For review and comments High priority C OVe;c4L ^ Originals not forwarded PAX #: Administration/Finance/Parks (612) 6814612 Community DevelopmenUEngineering (612) 681-4694 Public Works (612) 681-4360 OFFICE #: Municipal Center (612) 6814600 Maintenance Facility (612) 6814300 TDD (612) 454-8535 Note M Facsimila [loerator. Please deliver this fax transmission to the a6ove addressee. If you did nof receive ail ot the pages in good condition, please contact us. Thank you. THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal OpportunitplAKrmative Action Employer Theae are being transmitted as checked below: 1' T??' ?' ?J? - Q 5 If.4tr kvorw 1?? C ?aj . `'?M+? `?}O?.L _ For approval _ For your use _ vaginals forwarded ? Metropolitan Council q'?q-?o ? q Workuig for the Region, Pfnnning for the FYtture EnvironmentaI Services August 31, 1995 ? ,? , Guy Leute \ Unitog Rental 3375 Mike Collins Drive Bagan, Mn 55121 Dear Guy Leutem: ?'? ? • s "? kp% ? 5 J ? ?R C `\ V ,a-adSo3- ?Sa - oy ?J L A i ,17 .? 11 This letter is a follow-up to the letter sent on December 30, 1994 regarding a preliminary volume review for the Service Availabiliry Charge (SAC) system for Permit Number 6561ocated at 3375 Mike Collins Drive. In that letter, you were notified that your firm has increased its wastewater discharge to the sanitary sewer and potentially could be subject to a SAC purchase of $21,640 (27 units at the 1994 rnte of $800 per SAC unit) at the time your Industrial Discharge Permit is ienewed. At this point, you have two options. First you may punchase SAC equivalent to the incmase in discl?az'8e to the sanitary sewer based on the preliminary volume review. If you choose this option, a SAC Purchase Form will be enclosed with your renewed Industrial Discharge Permit. The form must be brought to the City of Eagan and be completed by a city iepiesentative indicating that SAC has been purchased. A pemut condition in your renewed pemut allows 30 days for the SAC purchase. Your second option is to conduct a 30 day wastewater volume study. If you choose this option, please inform the engineer referenced below. The study must be completed and tesults submitted to the Metropolitan Councll Environmental Services (MCES) by October 31, 1995. Guidelines for completing the wastewater volume study are attached. Based on the results of the study, ihe MCES will determine a current 5AC equivalent of your wastewater flow. The SAC rate applied to the current SAC equivalent will be the rate in effect at the start of the 30 day wastewater volume study. The 1995 SAC rate is $850 per SAC unit. The SAC tate is subject to change every. January. To determine your firm's SAC liability, the MCES will use the lesser 5AC equivalent of the preliminary volume ieview and the 30 day wastewater volume study. If a SAC purchase is required, a SAC Punchase Form will be enclosed with your renewed Industtial Discharge Permit, and the above described method for compieting the form and purchasing SAC will be applied. It should be noted that some cities use SAC determinations to assess municipal impact or connection fees which u+e exclusive of tt?e SAC c6arge. If you are unsune as to whether or not these fees aze applicable in your city, you should call the city offices to inquire. At this time, no money should be sent to our offices. SAC payment shall be made to the city at the time of permit renewal using the SAC Purchase Form. 230 East Flfth S7eet SL Paul. Mlnnesota 55101-1833 (612) 2228423 Fax 229-2183 TDD/T1Y 229-3760 M £quu! ONpanmLLy Q~ Guy Leutem August 31, 1995 page 2 Please direct any questions to Mark Pierson at 772-7007. • Sincerely, I.eo A. Hermes, P.E. Industrial Waste Manager MCES Industcial Waste Section Attachment cc: Dale Schoeppner, City of Eagan S. Selby, MCES \ Mark Pierson, MCES e.f \ Q \\ \f\ ? Lv? ?-.?-- ? , ? sa5Lv? ? ?- ? Ld' _? . ? Metropolitan Council Environmental Services Guideline for SAC Volume Study Contact ffie engineer in chazge of your permit befrne commencing with the wastewater volume study option, gpeciat condiha?, other than those specified in this guideline, maY aPPIY W your facility. The wastewater volume study shall consist of a minimum of 30 continuous days of volume data acquired from the use of incoming water meter(s) and/or fmm a wascewater effluent flow measuring device. Deduct meters shall also be used when losses w lawn sPrinklinS, evaporafion, produd loss, etc., exist at the facility. If these losses cannot be accounted for by meter, the Permittee shall submit to the MCB$ engineering calculations estimating these losses and/or conduct effluent flow measuring from an MCFS approved monitoring site. - All values used to determine the acqual oZ calculated daily wastewater flow volumes shall be submitted for each day of We study. Also, indicate the daily activity taldng place at the facility during the study (e.g. full operation, cooling water clean up). ' Please account for any unusual events, such as a spill, chat may have occurred during the volume study time fiame. The results of this study shall be submitted to the MCES by November 19 1995. MCSS staff wi11 calculate a SAC equivaient based on an average of the 5 highest daiiy e•astewater flows. The MCES reserves the right to conduct additional volume monitoring if deemed necessary. RELEASE OF HOLD Projeet Name/Number 33-7s M;fcz Coll ?-is l) k) IL" E .. r-?A6,44 ssizi Ih?.. PAR? Legal description: L?Ls- zg B4 Sec/Sub I=A6A46a1E C????p A?04 No,µ Parcel #: Reason for hold: To ya.,< e 1,0.4 d, +; -t ? f,, ke,: r,, . ?/0, ns ctnd l-'ece;vc J'ir Cok v4.r4 eJ fLUHs Fvo.., -1,'/te e Release hold on: ? Issuance of building permft Certificate of Occupancy Other (please explain) RELNOLD.FX LTSfl r" , -' city of eagan MElVlO TO: PAT GEAGAN, POLICE CF9tEF JON HOHENSTEIN, ASSISTANT TO THE ClTY ADMINISTRATOR DALE WEGl.E1TNER, FI1tE MAFtSHAL BILL AKlNS, ELEC7IZICAL INSPEC70R PU9LJC Wt7RK51ENS'a1NEERIPIGluY1L1T1E.$!STnET.$. r GENE VANqVERBEKE, FINANCE DIRECTOR RICH BRASC1i, WATER RESOURCES COORDINA70R N1`- PEGGY REICHERT, DIREC70R OF COMMU7r7 S 1iANNON 7YREE, PROJECT PLANNER MIKE RIDLEY, PROJECT PI.ANNER (?f FROM: DALE SCMOEPPNER, SENIOR INSPECTO ? DATE: 7/Z l/9S RE: PLAN REVIEW Cra. ?•3. P.?. 405' The preliminary oL consUuction plans for btTlriv are in our plan review section for your review and comment. . Please return this form to mv altention with your signed comments and the date of review. If you have any objections to approval of these plans, please noNfy this department and resolve any problems with the affected parties. If you are requesting that the issuance of the buiiding permit be held, pleasa fill out the proper hold request torm. COMMENTS: A Id ?Ga., at ee.. -cemplef,e * .seh + 'A PLAn_ . J? ... a i L Y'. PS * ' , ., .. . . y// /J' `ti gnature ?_..-T?uaie-,- P1AN.REV d 4 ? Metropolitan CouncY' Working for the Region, P(anning for the FYiture 2?- y raf?.A?e (ft., August 14, 1995 Mr. Joe Voels Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Voels: The Metropolitan Council Environmental Services Division determined SAC for the Unitog Rental Services Addition located within the City of Eagan. This project should be charged 1 SAC Unit, as determined below. Charges: Storage/Maintenance 7920 sq. ft. @ 7000 sq. ft./SAC Unit If you have any questions, call Jodi Edwards at 229-2113. Sincerely, ?? - RogeW. Janzig Planner, Municipal Services Section Wastewater Services Department Environmental Services Division RWJ:JLE 950814SC cc: S. Selby, MCWS Carolyn Krech, Tim Bozikowski, I Finance Department, Eagan Swedenborg Construction SAC Units 1.13 or 1 230 EastFifth Streel St. Paul, Miiviesota 55101-1634 (612) 291-6359 Fau 291-6550 1'DD/TTY 291-0904 Metro In(o Line 229-3780 An Fqual Opportunfty Em/ikyer ( ?', _ city of eagan ? lu=Vlle TO: PAT GEAGAN, POLICE CHIEF 't/dIDN HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR? DALE WEGLEiTNER, FIRE MARSHAL BILL AKlNS, ELECTRlCAL INSPECTOR PUBLlC WORlCSlENGiNEERINGIUTILITIE5/STREETS r tivl GENE VANOVERBEKE, FINANCE DIRECTOR RICN BRASCH, WATER RESOURCES COORDINATOR PEGGY REICHERT, DIRECTOR OF COMMUNITY D APMENT----, ? SHANNON TYREE, PROJECT PLANNER MI =RtBtE'`?;'PROJECT PLANNER ? ? Fi20M? DALE SCNOEPPNER, SE IOR INSPECTO ? DATE: RE: PLAN REVIEW Gor-Z? / /?e- o«< • y S4SAN6 a«. C>Y2 . -?- 3. P,- . ?s iloej Abvneov The preliminary C>L construction plans for are in our plan review section for your review and comment. Please return this form to mv attention with your signed comments and the date of review. If you have any objections. to approval of these pians, please notify this department and resolve any problems with the affected parties. If you are requesting that the issuance of the buiiding permit be held, piease fill out the proper hold request form. COMMENTS: ` ignature Dat PLAN.REV , , ? - MEMO city of eagan TO: PAT GEAGAN, POLICS CHIEF JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL BILL AKINS, ELECTRICAL INSPECTOR PUBLIC WORKSlENGiNEERING/UTILITIES/STREETS GENE VANOVEiZBEKE, FINANCE DIRECTOR i RICH BRASCH, WATER RESOURCES COORDINATOR PEGGY RElC1iERT, DIRECTOR OF COMMUNITY DEVM-OPMEN ---, SHANNON TYREE, PROJECT PLANNER MIKE RIDLEY, PROJECT PLANNER Lf PROM: DALE SC}iOEPPNER, SENIOR INS?ECTO ? DATE: 7/z l/clS 3 3? 5? 0?4- ?a ?/, n1 r?i? d C J?? RE: PLAN REVIEW GoT'ZG / /?oocl- -y ?,4?/TO? ?l?b<Tlc?s The preliminary C>L construction plans for ? are in our pian review section for your review and comment. Please return this form to mv attention with your signed comments and the date of review. PIAN.REV If you have any objections to approval of these pians, please notify this department and resolve any problems with the affected parties. If you are requesting that the issuance of the building permit be held, please fill out the proper hold request form. August 7, 1995 Joe Voels City of Eagan 3501 Coachman Point Eagan, MN 55122 REF: lJnitog Rental Services, Inc., 3375 Mike Collins Drive, Eagan, MN. 55121 Dear Mr. Voels: This is in r2'erence to ycur review and approv2l of the constructien p!2rs & specifications of the proposed building expansion at our facility in Eagan. In regards to the building space that we have allocated in the construction plans for poten6al wastewater treatment system, it is our intention to use this area to accommodate treatment units if it is deemed necessary and required by the Metropolitan Council/Wastewater Services (MCWS). At this time, we are not required to install any waste treatment at the facility. However, in the future, if a treatment system is required, we will design the system to meet the design criteria set forth in the Uniform Building Code (1994 edition) and the storage requirements i? the Hazardous Material Classifications. If you have any additional questions regarding this matter, please call me at (816) 4747000. Sincerely, L NTAL SERVICES, INC., J hn Cher?- Environmental Engineer CC: Ron Bisek, Unitog's general manager at the Eagan facility Forney Henderson, Unitog corporate engineer 101 WEST IITH STREET KANS45 CITY, M064105-1856 8164747000 RELEASE OF HOLD ProJect Name/Number 33'7S Milee Co(/ ?h5 bllivr' , 6-A6fS4 M;hn sslJ-l ? lkd, PAke Legal description: L xs- Y o B 4 Sec/SubI= A6a N6 g 1-6 Ceh+z,- AAF4 No,µ Parcel #: Reason for hold: ?o l-?a?< ?wa?ati +%wcc. T? /?er.;<<u ?-h4 f/0,h5 QnC) /-2Cf?vc IGef l.o??eL4 cd 7?.fnS FYOrn 14e AR c A Release hold on: ? issuance of building permit Certificate of Occupancy Other (please explain) RELFIOLD.FM LTS#1 iia MEMO "Z? J C - city of eagan TO: PAT GEAGAN, POLICE CHIEF JON HOHENSTEIN, ASSISTANT TO THE C1TY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL BILL AKINS, ELECTRICAL INSPECTOR PUBLlC WORKS/ENS'aIMEF.,fUNG/U.TILITIE,$!$Tg€ET,,S_ ? GENE VANOVERBEKE, FINANCE DIRECTOR RICH BRASCN, WATER.RE50URCES COQRDINATOR PEGGY REICHERT, DIRECTOR OF COMMUNITY D SHANNON TYREE, PROJECT PLANNER MIKE RIDLEY, PROJECT PLANNER ? FROM: DALE SCNOEPPNER, SENIOR INSPECTO DATE: 7/Z l/'lS v ?/ RE: PLAN REVIEW Go?'26 ? l?coee? -?/ f.as.v?oAC? Cra. ??.o. P.C. A`s' ? U/,VitaC, ??b<n?v The preliminary ?L wnstruction plans for • are in our plan review section for your review and commenG . Please return this form to mv attention with your signed camments and the date of review. If you have any objections to approvai of these plans, please natffy this department and resolve any problems with the affected parties. If you are requesting that the issuance of the building permit be held, please fill out the proper hold request form. COMMENTS• A l? vh + : 1 fLu„ /ce?:?w Aos dee„ Ce!+Ylcf?'d ! .SQhT l4 pLa? ]I'a l/4i 1. ?i PS 54I-RAr 7-L6- /-r , • ? gnature aie- PLAN.REV • no4.s . ?1[16iNA(,) 1f 88ECI71L INBPBCTION AND T86TING SCSEDOLE (To Ee ased in accordance with the "GUidelinea for Special inepection and Teeting") 4 PAOJECT diAMS LOCATION BPECIAI. I118PECTZ017 BCHEDULE PROJECT NO. PER?SIT NO. (1) c cation Type of Aeport Aesigned Section Description 2 m e nc Firm 4 1101.5 1. FounvnrioN or+e12E7e T• QcR A•c.I. rovs r?ArrE .s 15t-As a+ GRAvE , A, .c.I• eovE. S UC AI. M 50 tC EIMFOeCING RA 1101.6 M?+e. fbuRE'D iNroCb Es. ?? 1 . 1. 10 IC 0 ..1. fi7A GK L E b 1 11 1'L.l11nV NOt?i+.8 7 . Thie ae;heciule to be Zilled oue and included in the project epecification. unavailable at that time to be filled out when applying for a building permit. (l) Permit No. to be provided by the Building Official. (2) Uee descriptione per U.B.C. Section 306. (3) Specisl Inapector, Teetinq Agent or Fabricator. (4) Firm contracted to perform eezvicee. Each appzopriate repreeentative muet eign be]ow: Snformation Owner: Firm: Contract ? Firms R-+-g?j A: chite ct : F irm: WAA6 +/N*q5 oe: n SBR: ? IgAA - (4' 22 •se • SI :r Firms 9- B'-5,5-' • ST: Firm: Date: TA:_ r-7 ? • Firm: .64r?• ?-.+i?k?T?G Date: ?--£f 7S ? TA: Firm: Date: F: Firm: Date: F: - Firm: Date: ? TDe individual namee of all proepective epecial inspectore and the work they intend to observe muet bs identified on the reverse eide of this form. Legend: 86R ? Structural Engineer of Record SI = Special Inepactor TA ? Testing Agent F= Fabricator Accepted foz the Building Department ey !!ate: ,Q ;.?;z 5o 3 2bc? oy mErROPourAn W R/T"e COf1TROL commifnon TW,n Ciries area 350 fl'IETROlOUflRE BLDG. 7TH 6 ROBERTITREET! IRIf1T PHUL fi1f155101 612222•8423 i3r4 June 19, 1984 City of Eagan Thomas Hedges, City Manager 3830 Pilot Knob Road Eagan, N6V 55122 RE: Industrial Discharge Permit for Unitog Rental Services; Inc. located at 3375 Mike Collins Drive, Eagan, MN 55121 Dear Sirs: Enclosed is a copy of the Draft Permit for ine facility indicated above for ihe discharge of Industrial Waste into the htetropolitan Disoosal System. If you have any objeciicrs to the issuance of sur.h a Permit, please notify the Commission in w.riting within fifteen days. If no objections are received from, you or the company, the Permit will be issued. Please direct any correspondence to 5teven Miller. Sincere]y, ? Donald R. Madore Ueputy Director, quality Control DRM:rw Enclosure n _ e.y?ie? Za r METROPOLITAN WASTE CONTROL COMMISSICN Permit No 0656 Spill Location Code 5E-00-00-EA DRAFT INDUSTRIAL WASTE DISCHARGE PERMIT Pursuant to the provisions of Minnesota Statutes Chapter 473 as amended and the Waste Discharge Rules for the P4etropolitan Disposal System 6 MCAR ? 6.010-6.019, permission is hereby granted to Uni .og RanYal Services, Inc. at 3375 Mike Collins Drive, Eagan, MN 55121 for the discharge of fndustrial Waste into the Metropolitan Disposal System through the community of Eagan to the Commission's Seneca Wastewater Treatment Plant. This Permit is granted in accordance with the application filed on May 16 , 1984 , Permit fees of 5 90•00 , and in conformity with plans, specifications, and data as contained in the application as approved, all of which are filed with and considered as part of this Permit. Effluent limitations, monitoring requirements, general Permit conditions, and other specific conditions are hereinafter set forth in this Permit. Effective Date: day of , 19 Expiration 6ate: day of , 19 Issued by METROPOLITAN 41ASTE CONTROL COMMISSION Chie Administrator or du y aut orized representative Date Page 1 of 6 METROPOLITAN 4fASTE CONTROL COMMISSION Permit No 0656 Spill Location Code $E-00-00-EA A. Effluent Limitations Parameters M41 C Loca Limitations on Total Discharge (mg/1 or other specified units) Cadmium (Cd) 2.0 Chromium-total (Cr) 8.0 Copper (Cu) 6.0 Cyanide-total (CN) 4.0 Lead (Pb) 1.0 Mercury (Hg) 0.1 Nickel (Ni) 6.0 Zinc (Zn) 8.0 pH-max. (units) 10.0 pH-min. (units) 5.0 MWCC local limitations for metals are the maximum for any operating day. pH limitations are instantaneous values. Page 2 of 6 METROPOLITAN WASTE CONTROL COMMISSION Permit No 0656 Spill Location Code SE-00-00-EA B. Self Monitorinq Schedule 1. Following are the specific sampling, sample compositing, and volume determination methods required by this IndustriaT Waste Discharge Permit. Representative samples shall be collected at each monitoring point by the Permittee in accordance with the guidelines listed in Appendix B of the Waste Discharge Rules for the Metropolitan Disposal System. These samples shall be collected once each reporting period on normal operating days. The sampling day wastewater volume for each monitoring point shall be determined as stated and shall be used to obtain a representative sample of the Permittee's total waste discharge by flow proportional compositing. a) i) Monitoring Point: Samples shal.l be collected from the monitoring manhole as indica e in e per i a a n. ii) Samp e Collection Met o: iii) VoTume etermination: iv) readings. Domestic waste concentrations shall be 530 mg/1 for Chemical Oxygen Demand, 260 mg/1 for Suspended Solids and 0 mg/1 for metals and cyanide. Notification will be provided by the Commission if and when the 530 and 260 mg/1 va7ues are revised. Page 3 of 6 METROPOLITAN WASTE CONTROL COMMISSION Permit No 0656 Spill Location Code 5E-00-00-EA 2. Parameters Chemical analysis for the previously specified sample representing the total waste discharge shall be performed for the following parameters: QH, Total Suspended Solids, Chemical Oxygen Demand, Lead, Copper, For EPA Categorical Pretreatment Industries, the parameters to be analyzed shall be in accordance with applica6le EPA Regulations. 3. Reporting Frequency For the duration of this Permit the Industrial Waste Discharge Report shall be submitted semi-annuallv to the Commission on or before January 15 and July 15. C. Compliance Schedule The Permittee shall complete additional pretreatment and/or operation and maintenance to comply with EPA Pretreatment Standards and/or MWCC Local Limitations in accordance with the schedule set forth in Attachment N.A. D. General Conditions 1. Industria7 Waste discharges from a Permittee shall be in accordance with applicable provisions of the Waste Discharge Ruies and this Permit. 2. The Permittee shall not knowingly make any false statement, representation or certification in any record, report, or plan required to be submitted to the Commission under the Waste Discharge Rules. 3. This Permit shall not release the Permittee from any liability, duty or penalty imposed by Minnesota or Federal statutes or regulations or local ordinances. Page 4 of 6 METROPOLITAN WASTE CONTROL COMMISSION Permit No 0656 Spill Location Code 5E-00-00-EA 4. The Permittee shall take all reasonable steps to minimize all accidental discharges including slugs, spills, and bypasses. Plans for the preven- tion and control of accidental discharges shall. be submitted to the Com- mission for approval within a specified period of time when requested by the Chief Administrator. In the event of any accidental discharges, spills, or bypasses whose quantity and nature might be reasonably judged to constitute a hazard to the Commission's personnel and treatment faci- lities or the environment, the Permittee shall IMMEDIATELY notify the Industrial Waste Section of the Commission at 771-8845 (office hours) or 454- 8928 during non-office hours and report the Spill Location Code along with other pertinent information. 5. Any change in the volume or characteristics of Industrial Waste intro- duced into the Metropolitan Disposal System which the Permittee knows or has reason to believe will have either singly or by interaction with other wastes, a negative impact on the treatment process shall be im- mediately reported to the Industrial Waste Section of the Commission. The Permit shall then be subject to modification or reissuance in ac- cordance with 6 MCAR § 6.012 D. 6. The Permittee shall pay applicable strength charges assessed by the Com- mission. 7. The Permittee shall install, operate, and maintain sampling and monitoring devices in proper working order at the Permittee's expense. 8. The Permittee shall allow the Chief Administrator to enter upon the Permittee's premises to inspect the monitoring point and to determine compliance with the Waste Discharge Rules for the Metropolitan Disposal System and the Industrial Discharge Permit in accordance with 6 MCAR ? 6.012 H2. Page 5 of 6 METROPOLITAN 41ASTE CONTROL COMMISSION Permit No 0656 Spill Location Code 5E-00-00-EA E. Specific Permit Conditions l. Pursuant to 6 MCAR § 6.014 A, all discharges, including batrhez, shall meet the limitations listed on page 2 of the Permit. 2. Pursuant to F MCAR § 6,013 (K), thP discharge of grease or oil in excess of 100 mg/1 that will or is likely to cause obstruction to flow in the sewer or other interference to the MDS is prohibited. 3. All wastewater pretreatment equipment (Bauer hydrasieve) shall be properly maintained and continuously operated. 4. All pretreatment screenings and settleable solids shall be properly dis- posed of in accordance with applicable federal, state and local ordinances. 5. The results of all wastewater monitoring conducted, at the specified monitoring point s of this Permit, shall be su6mitted with the Indus- trial Waste Discharge Report for that reporting period. If additional monitoring has been conducted beyond the requirements of this Permit, the Permittee shall compute a flow-weighted average of all required reporting parameters except instantaneous pH measurements. Page 6 of 6 r'y p Fire sensor Cl ///1d -//- - --- - Z E(2-20 ga.} (noninterruptable) ?- 120VAC a:- (1-coaxial cable) - 120VAC ?- _ _ (6-16 ga.) ' 0 24VAC 120VAC n p?cr "? 20 ga. 30 ¢NX1? ? ?S Conipressed ? ?a ?I a...rea• L?w? Dvct 4? 0 ,a0 VFire ? o 0 o 0 0 f'P??f'I valv 'P`P .36x 2? ola Dver ? --Filter Control Mixer Control Series #7000 Series #7100 •, ? ;" (droie. 1407.7) ? (drwg. 270704) O n - -$ O o b OWN4 Rs D??ee? d dryer control o .I'14te-5; () Standard equipment furnished by Energenics. V Optional equipment furnished by Energenics. --{- All wirine+ by local code unless otherwise noted. ? Single conductor, shielded (e.o. microphone cable). (c hiixed-air temp. probe - see drtiag. 2707.5. (z? Tumbler- inlet temp. probe - see drwg. 2707.6. ?a"j Excess Press alarm sviitch - see dr?ag. 1410.4. ,q 6lower-on signal 120/230'lAC to teriiiinal S'6. (5) Coolduwn signal 120VAC tu orange lead. _ ?6} Cund it ion ing-saiitch s ianal 1201'AC to bl ue lead. Dv c j_W 0XX P ? scntE: None DIMENS[ONS: -- ? p g15 N. Edgelawn D?? gY: FS ixconvourso A+ror9. IL 60506 , ?nnre:9-1-82 3+2•897-e977 xEVIsso- 10-1-83 Installation Requirenients: Wiring - Energenics' Mixed Air Heat Re-Use Systems 47275 - 171277 MFONAIATIONCOMAINEDNEREONISTHEPAOPERiYOFiHiSCOMPANYIS DRAWING NUMBER CONFlPENTIAL AND IS NOT TO BE USED TO THE OISAOVAMAGE OF THIS COMPANV. 2707• 1 0 ? C. -fz ? ? c.J1'' - *dtV oF eagan THOMAS EGAN August 29, 1995 M°Y°` - -- PATRICIA AWADA SHAWN HUNTER , SANDRA A. MASIN THEODORE WACHTER MR TIM BOZIKOWSKI CouncilMembers SWEDENBORG/SHAW CONSTRUCTION THOMAS HEDGES 7685 CORPORATE WAY ClryAtlminlatrator EDEN PRAIRIE MN 5344 E.J. VAN OVERBEKE Ciry Cleik RE: UNITOG ADDITION LOT 25, BLOCK 4 EAGANDALE CENTER INDUSTRIAL PARK #4 Dear Tim: This letter is in regard to the Special Inspections and Testing Schedule that was completed for the aBove- referenced project. Please review Section 106.3.5. and Chapter 17 of the 1994 Uniform Building Code for pertinent information regarding the required Inspection and Observation Program (as well as information contained in the Special Inspections and Testing Schedule packet that has been supplied to you.) I wish to emphasize the paragraph on hiring of the special inspector(s) and I quote: "The special inspector shall be employed by the owner, the engineer or architect of record, or an agent of the owner, but no,t the contractor or any other person responsible for the work." I will need verification that this requirement was adhered to before a Certificate of Occupancy will be issued. Please copy ?I test results/reports to me for review. Also as a reminder, the Special Inspector Final Report must be completed by ?II applicable personnel before a Certificate of Occupancy wiil be issued. If you have any questions, please contact me at 681-4683. Thank you. Sincerely, Joe M. Voels Construction Analyst JMV/js cc: Doug Reid, Chief Building Official Dale Schoeppner, Senior Inspector Dale Wegleitner, Fire Marshal MUNICIPAL CENTER MAINTENANCE FACILITY 3830 PILOT KNOB ROAD THE LONE OAK TREE 3501 COACHMAN POINT EAGAN, MINNESOTA 55122-1897 THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY EAGAN, MINNESOTA 55122 PHONE: (612) 681-4600 PHONE: (612) 681-4300 Fnx: (612)681-4612 Equal OpporTunitylAfflrmative Action Employer FaX: (612).681-4360 iDD:(612)454-8535 . 10D:(612) 454-8535 Certificate of Insurance TMIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANU CONFERS NO RIGHTS YPON iXE CEXTIFICATE HOLDEX. THIS CENTIFICLTE IS NOT AN INSUfl11NCE GOYCY GNO OOES NOT RMEND, E%TEND, OR RITEX THE COVEpGGE AFFOXDEO BY THE POLICIES LIbTED BELOW. This is to Certify that F UNITOG COMPANY, ET AL 101 W. 11TH STREET KANSAS CITY, MO 64105 ? LIBERTY Name and MUTUAL 8, t-E address of Insured. L J is, at the date of tlus certificate, insuied by the Company under [he poGcy(ies) listed below. The insu[ance afforded by tLe listed poGcy(ies) is subject to all iheir terms, exc(usions and conditions and is not altered by any roquirement, term or condition of any conhact or other document with respect to which this certificate may be issued. TYPE OF POLICY EXPIRATION DATE POIICY NUMBER LIMITS OF LIABILITY COVERAGE AFFORDED UNDER W.C. LAW OF LIMIT OF LIABILIN-COV 8 FOLLOWING STATES (Indimte Limit lor eech state) WORKERS' AL,AZ,AR,CO,FL,GA,IL,IN, 1/1/85 WC2-141-037684-014 IA,KS,MA,MI,MN,MO,NE,NJ, $100,000 COMPENSATION NY,OK,OR,PA,SC,TN,TX,VA MAqITIME COVERAGE-FOLLOWING STATES LIMIT OP UABILITV MARITIME COVERAG COMPREHENSIVE BODILY INJURY PROPERTY DAMAGE ? FORM SCHEDULE FORM ? EACH $ 500,000 OCCUNRENCE EACH $ 100,000 OCCUPRENCE Q? PRODUCTS COM. ? PLETED OPERATIONS I.I 1I HS G1-141-037684-024 $ 500,000 AGGPEGATE $ ]1OO,OOO AGGREGATE W - °D W Q iNOereNOeNi CON- COMBINED SINGLE LIMIT ? TxARORS/CONTRAC- BODILY INlURY AND PROPERTY DAMAGE TORS PROTECTIVE $ EACH OCCURRENCE CONTRACTUAL ? LIABILITV $ AGGREGATE ? O? M OWNED $ SOO OOO EACH ACCIDENT-SINGLE LIMIT-B.I. AND P.D. COMBINED j m M NON-OWNED 1/1/85 S1-141-037684-034 EACH PERSON $ < Q HIRED EACH ACCIOENT $ OR OCCURRENCE EAGH ACCIDENT $ OR OCCURRENCE C W 2 H 0 LOCATION(5) OF OPERATIONS 8 JOB #(Ih Applicable) DESCRIPTION OF OPEflATIONS: COVERING: ALL OPERATIONS, AS RESPECTS EAGAN, MINNESOTA PROJECT ?37.? e 651 f) ris ) zs - z 'W- '471x' f NOTICE OF CANCELLATION: (NOT APPLICABLE UNLE55 A NUMBER OF DAYS I$ ENTERED BEIOW). BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDl1CE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION OR REDUCTION HAS BEEN MAILED TO: I CITY OF EAGAN, MINNESOTA ? CITY HALL 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 L J ) TH ZED REPRE ATIVE (Ar2083(j OVERLA PARK KS DATE ISSUEO OFFICE This cerlificaee is azoculod br LIBErtfY MUTIIAL INSURANCE COMPANY as raapaefs sud insuranco as is dForded br Thae Cempany. N is ezwMed by LIBE2fV MUiUAt FIRE INSUMNCE COMPANY as rospocM such inavmnce as ia aHardod by Thol Cempany. BS 234 R12 Certificate of Insurance TH18 CERTIFICpTE IS ISSUED AS A MATTEX OF INFONMATION ONLY ANO CONFENS NO RIaNTB UPON THE CEflTIFICIITE MOIOER. iMIS CERTIFICNTE IS NOt AN INSUfll1NCE POLICY GND OOES NOT AMENO, EITENO, OX ALTEN THE COVEqAGE AFFOFDED BY TNE POLICIES lI5TE0 6ElOW. This is to Certify that F -? LIBERTY urrzlvc coNaaxY, ET AL Name and MUTUAL 101 W. 11TH STREET t-? address of YIM1' WNtt I4WMU EpBIM1. uBIx?Y WM114 fW1 iXSMAV[[ [Mp1ry . ANIW KANSAS CITY, Mfl 64105., Insured. L ? J is, at the date of this certificate, insured by the Compaoy under t6e policy(ies) listed below. The insurance atforded by the listed poticy(ies) is subject to all their terms, exclusionszand conditions aod is not altered hy a¢y requirement, cerm or co¢dition of any contract or other document with cespect to which this certifi'cate may be issued. TVPE OF POIICY EXPIRATION DATE POLICY NUMBER LIMITS OF LIABILITY x COVERAGE AFFOftOED UNOER W.C. LAW OF FOLLOWING STAiES IIMIT OF LIABILITV-COV B (Indimte Limit ior each stote) WORKERS' . ALsAZ>ARs00}FLsGA' ILsIN, 1/1/85 WC2-141-037684-014 IA,$S,A4AsMI,MN,MO,NE,NJ, $100,000 COMPENSATION , NY.OR,08,PA,SC,TAI,7%,VA o MARITIME COVEflAGEFOLLOWING STATES 1IM170F LIABILItthNRITIME COVERAGE coMV sIvE - BODILY INJURY PROPERTY DAMAGE FO? ? ? SCHEDULE FORM ,,. EACH $ 500i OOO OCCURRENCE EACH $ ],OOy OOO OCCURRENCE Q F ? PLEODUC?RAT? TED O IONS 111J85 1-141-037684-024 $ 500,000 AGGREGATE $ 100,000 AGGREGATE W J Fl , F yZj Q INDEGENDENT CON- r COM8INED SINGLE LIMIT Ur zi ? TRACTOns/CONTRA[- BODILY INJUftY AND PROPERTY DAMAGE TORS PROTECTIVE , $ EACH OCNARENCE CONTRACTUAL LIA8ILITV AGGREGATE p ? ,. ?OWNED $ JUU OOO EACH ACCIUENT-5INGLE LIMIT-8.1. AND P.O. COMBINED NON-pWNED 1/1/85 I ASI-141-037684-034 $ EACH PERSON < < HIRED EACH ACCIDENT $ OR OCCURRENCE ' EACH A<UDENT ? OR pCCURftENCE C W 2 H ? LOCAiION(5) OF OPERATIONS B JOB #(If Applicable) UESCRIPTION pf OPERATIONS: C09ERIgG: ALL OPERATIONS, 6S R85PSCTS EAGAN MINNESOTA PRt?TECT , NOTICE OF CANCELLATION: (NOT APPLICABLE UNLE55 A NUMBER OF DAYS IS ENTERED BELOW). QEFORE THE STATEO EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF $UCH CANCELLATION OR REDUCTION HA$ BEEN MAILED TO: ? CzTY QF RAGAN> MINNLSOTA CTTY HALL , 3795 PILOT RNOB Rp,A? Encax, MDrrssoTn ssiza ? WJiH ZEO REPR A71VE 2 8 0 PARK HS L J DATE ISSUED OFFICE Th(s canNi<afa Is asxuledby LIBERfY MIITUAL INSURANCE COMWANY as iaipaeFi imh irisurulico ea 1s aNerdvd by ihe/ Cnmpuny, if Is esacWSd 6y LIBEIffY MUTIIAL FIRE IN4URANCE COMPANY as raspacls such Imurenee as Is affordad 6y ihat Compony. 85234Ri2 ~ MWCC-736-1 E. INDUSTRIAL: SEWER CONNFCTION APPLICATION ?iIi??o C.O ? 2g3?37-?2 Compsny name ?? 3 3? a Cal?l KS Ifd'New building Locffiion address ? ?0. /? ?S ? Z?' ? ? Building addition N S???pM?,o Mailing address ? ?? G?+Qp'?S 'i`+ ? Existing building Y Company Representative -??aPq- 0.f`So V,- buS Co r p- rtie Phone number ` 3 U '14 S SS 1. Neture of business LA_L&?" r? `ti- u V'f ib'I- Yv` 2. Projected date for facility staR up AA aq- ,JCy 3. Total facility area a5 , 00 0 sq. ft. 4. No. of employees ?- ? 5. Operating hours per day $ 6. Operating days per year 7. Water wpply: a. Municipal water supply b. Well water supply e. Other (specity) d. Total water supply 8. Wastedischarge: a. Sanitery waste discharge b. Uncontaminated cooling water discharge 1.).... to sanitary sewer 14N 0 gal/day 2.).... to storm sewer - U gal/day c. Industrial waste discharge d. Total dischargeto sanitarysewer (8a+8b1+8c) 9. SAC unks: Total discharge (8d) SAC Units 274 34 a gal/day gal/day gal/day T, 3q °2- gal/day $oO gal/day = gal/day '1 55 3 eel/da„ $? ? '?s <`°) gal/day 10. SAC Charge: CG?) Crcrv?CL6 snc unis5 (9) Z? x Unit Charge *4 a5 _?'?a, 3 as S,C ChergJ *'29 od 11. Pretreatment: [Refer to Sections 5•5 and 5•6 of the Waste Control Rules afn'd Regulations.] Does the Company plan any in-plant treatment of wastes7 _V? If yes, describe ?awE-r h+?.a?? LV 12. Sampling & Flow Measuring: [Refer to Section 5-9 of point and descriDe flowmater and means of ;ampling l` h P r?„5-?ruo-k^c? Y` AMLAJi°, Waste Control Rules and Regulations.] Indicate location of sewer access NolL ?10 ,- scar'A_?l?`?? r?(1 ?L c? S• ?lcx,wn?. us 1 iI ?R t?r? 1.,e h L? ? . MWCG - 7%-4 13. Dischargequality: Present Absent (Checkappropriate box) ConstlLuaM ... ..... .......... Solids . . . . . . . . . . . . . . . . . . Organics ........ .......... Acide . . . .. .. . :.. . . . . .. . Caustics ........ .......... Tempereture(greaterthan 150°F) . . . . . .. . .... . .. .. . Cadmium ? .... . .. . . .. .. . . . .. Chromium ........ .......... Copper ........ .......... Cyanide . ........ .......... Iron . ........ .......... Lead ........ .......... Mercury ........ .......... Nickel ? ........ .......... Zinc ........ .......... Phenols . . . . . . . . . . . . . . . . . . Grease and/or oil .... . . . . . .. . . . . . . . Solvants . . . . . . . . . . . . . . . . . . Radioective wastes 14. Additional information, sketehes or descriptions may be attaohed for the purpose of adequately describingthe waste discharge. CERTIFICATION 1) This is to certity that t agrees to campy wfth the rules (COmpeny Name) and regulations goveming eonneetion to and use of the Metropolitan Disposal System, including obtaiaing an indus• trial discharge permit prior to the distc'h?arge af any ttater. y Company (Sig aLure of officiaq y?! 1??(y 'I 6 /o5& Date r'tln AyN_ ftrS. 2) Transmitted bl Signature Title Date 3) Approved by Metropof ?dn te C nt ol Com i sion Signature rne Date !, f..pYN.?1I2T'AN. ? Sw?MtlArtl ?'C p1,r?b? sr?4.? c?o.ys ?'?or ?Fo ? .yA,?-iA"}'? a? l?o (wP l?(JNCA- L.3" "? ??? `?nw?\S Jauto-+nc<. re9'?a- ? ?r¢u P.`?. 4?3 ? ?39 I?S77 YAAr30. $ ? Bqi ?z5-2 CONTRAGTOR'$ MATERIAL 8a TEST CEIiTIFICATE Pnxr "A,. cErretut PROCEDVRE _- tIPON COMPLETIDN OP WORk_ INSPERION AND TYSTS SNAU !8 M,\O8 EY TNB CONTNACTO3'S RP!?8511iNTJ11IV8 ANp WITN9$6Bp lY .UY OWNEiI'S agPRBli8N1'ATV6. AI,L pBPECTS SHAGL B8 COPREGTED ANO SV$TQM IPFT IN SE0.VICg BEPOR6 CONTRACi'Op•5 YBN PINALLY LHAVB TX8 JOS. A C81lT1FICATE SHALL BE PILLED OUT AND bICNPA BY BOTH RBpRgSCNTATiVPS. COPI[S SXACL D8 Pp6PAN80 POR APPROVING AUTXONITI85. OWNEPS AND f;ONTiAG TOR. IT IS i1NDEN5TOOD THE OWNEN'S REPPESE!liAT1V!'S SIGNATIIRE IN NO WAY P0.8JUOICPS ANY [L4N AGAINSI' CONTRACI'OR POR PAULTY /AATBRiAL POOR WOAKMANSHIP. OR PAILURE TO COMPLY wITX APPROVING .1UTHOYRY'S i9QU1R8N6Nf3 OR LOCAL OYDIN.1NC65. PPOPERTY ACDAM . ACC O Y APPRpVI Al1T OARY('S) NAMES AOORESS PI.ANS ?NSTALGTION CONPOYMS TO ACCEYr¢D PUNS: Y4 ? w0 ? Ml11PMlM USED IS APiROVED tY ? MO ? IP NO. SI'ATB DLNIA'pION% Nd5 PBRSON IN GHAiGH OP i1N2 EQYIp4EM BEEN IN57Rt1RED A6 TO LOCATWM OY CONTROL VALVE$ AND GNH OP'ryf15 NEW EpUIlM@NTt yy ? yp ? IN8TRUG IP NO, E%PWN TIONS HA+` ? LOPY OP INy'{y??OM ANO MAIMBNANC! LHART gC6N IHFC AT PGNTI ? ? ?Q ? 1P NO. B%PUIN FLL'MHSUL': Cluw ths repulreE rm[p vmil wIIt<r 1. c1aV - IMlentad by m pollxtbn ot fanlan matulM 111 OYrLLp Wp a putlly mah a? Y rnnla an plowro[(y Flvah at llawe m[ l. tMn 730 0191 fw Pinch pIq MA nMllae, 1000 OPN Mt 4MM OiM, ii00 aPN !or lbOqh plya. uM fOW OPH tor Sf- in?n wn ro n e, rn xunM>' -nnne nroducs .tlpnln[eA M. nba, oMrln mulmum avaname. iEST HYDROSTATtC: }iyynyMHc teeU '4911 pe medn at nat Nr tMn !OU PBI Por t- Mvrt ar 60p8[ .bme s4t(c yeeruee In azrns o! i69 P81. ? l It nnt?n d?y-pipe vnlva ctPVWn sTa11 La lelt nper Ourin[ Mat b pnwpt 4ma[s. NI lpev?" Olplne luk? Mall G?Dped D ESCRIP- LEAKACF.: .\'ew pIM Iala vilp ruGWe ?xakauCbintw sM11. If the wrkmnnM191a mtllfaclary. paw 11lW ar m Wkere e[ tM plnb, TM Ary1Vuilt il( IBMIIAR! pl LSC "111" rhRll nat a:apaC f amrta per )av pa 100 )ointa ImWeetWety e[ pq AbmaK. Tu tenlm¢e yull Oe db. ¢IDUL¢E i,vPr 811 MI11IR II AUCh IGIIqtg pptOA R( A(BF ]olnla the I,uWklbn lb1111 b! COMidl1'b tl11MtIM1010fy 11pQ 11(C<Wµry Mp11ft TIOp nuae. Sew nipe Ix1E vo1{6 enulkM latl w WE.muWIIWIe Mlnta nMll. If t!o ?arknunuMD b rWMClary. Mve IIINS or po lukw{e at tb. l i h ' u nw. Anf Wint ivin[ lulw[e w mure tifn w"41cht drlu" om "reeoint" slull M reMind. 7aYm{, dull nvt ezceed 1 w. (Ilnuld mexs. ure) per }wur per Irah M plpg dMmabr' per binL She Iwkn{e whntl bt dYtsfOUtN m•m a1/ )elrtH. ]f aYeB ]srtltate xcun xluxrt en- ClrelY xt x fer 1u1T4, tha ImlallR'lon, 001 Oa comICimME Ynw?tWfqCbrY a'W neeeusry ?iey nuWO. P\EL')fATiC: Fiptabllsh 10 p61 ele Nepun and mauuro Qrol, yhles Nmi11 mt ftNM IJ{ PB! In !1 honn. Set On bnb at mimai wxter level anE alr prmun ;M musun ale Orbeurc eiop wlMch wu mt aaawd lbj PBI 1n SI eoun. YAAT "8•, - UNDEAGAOUNU PIPWC aaens er.acs. LOCATION PIPE PES D TYP6 ) !1? UP7UEti- ? ? (s']ZQ(Np CONFOpMS TO $TANDARD Ttl? b0 IP S:Q E%pWN _ PIPES aNp OIMS NEEDING ANOIORAGyppp. STIE&PPRIC. ep IN Tu so ? ACCORDANCB WIiX ?.R J9INTS IP NO. PJ(PWN . . T'ES's REQUIItED H7.USHIIdG . HYDROSTAIIC . LEASAGE NLN/ UNOlRGROUND PIPING H ACCOAdNG 'f'O STANDAYO ? 8Y (COMPANY) Kr HOW YLU3XING rww WAS OSTtlNlR luwC w?i0 TAM[ M ttlRY012 ? IOi PUMP ? 7HROIIGH WXAT TYpp OPHNING? rLusmmvG xve. su+r. ? aesn nR ? LE10.1N5 FLUSH@D ACCqACMG ANpARp ? ? 8Y (COMPANY? V I HOW PLUSNING [IAW WdE OKAINlpi I ?UWC W?}Y i\Nt O{ QYn'OI\ 173AOllGH WHAi TYP6 OP6NINGi T COMM. TO Mn6i i lMCOI 0 Aft# . 7wW 1s II.SJ1. HYDROSTATIC ALC NEW UNDERGROIIND PIPINGAY DC06TAT(CALLY'[LSSHD AT I ,PES,I, %I F00. XOU115 TOTAL AAiOUM OP L2AKAGE lA&t4UA6D LEAI{AGE GALS- xouas TEST ALLOWA6LE LEAKAGE GALS. NOUPS NUMBE0. INSTALLED TYPE AND MAKB HYDRANTS ALL OP2MTE S.1Tf5Y.1GT0IULY /V(J?/L1-4?: Ttl 0 NO [] WATBR fAN7ROL VALVFS LEPT W1D8 OPEN: yu 0 Mp ? CONTR.OL IP NO. STATS RSASON VALVES yOSe THREAOS OP PIN2 DEPARTMENT CONNP.CTIDHS ANO HYDRANTS INTYRCHANGEABLE WITX THOSE OP PIRB DlPARTMENT ANSW6RING AGRMt xeb Q NO ? DATB LEpT iN SERVICE FiC' MARK$ pAR1,s A& $ NAME OP SPRINKLER CANTMCI'OR FOR PRpp80.TY GWNBQ (SWNEDy TITLB POR SPRINKLER CONTRACTOR (SIGNCD) DATB SIGNATURES TESTS WITNPSSBD 8Y TITLE DATB PART '•C^ - SPRIIMLR A WATER SPRAY ABOVEGROUND PIPIN6 (YII,L OUT SEPARATE P11RT "C" POR EACH AISPJ!) LOCATION 55rtvss BLOCS.: .j.Ey.n RYllRQ4fATIC: ALL PIPING. REQIIIRED PNEVMATIC: DRY PIPING. DRAIN: EQUIPMENT OPERATTON: ALL. - MAKE MODEL SRE pWM}}{y T6MPlRATURE RATING SPRIIVKLERS OR SPRAY I NOZZ[.ES p8E ANn MAl'fiR1AL ANO KIND CONFOGMS M STANDARD - FI'C1,ING$ IP NONE. 8%PIa1N i ALARM VALVE A L A R M D E V 1 C 6 MNfIM1lY T(6fE TD OPERATH THROIlGH TEST PIPE OR FLOW nPp MAKE MODEL YIN. SC4 INDICATOR i ? ozexanNC resr aE.suLrs: DRY Muce nfooec 5ea. TIMe 'ro 'rmp ! raIv THROUGH TPST PlP! • N'ATER AiR i ppIW nMe WATER auM AIR ' 1 p¢ACHED OPERATE? NO. WI CXOUT Wt? PGfiSS PR655. TEST PROPEALY PIPE PReee Q. O. O. G. O. D. O MiN. SEG MIN. SHG PS.1. ? P.S.I. P.S.I. MIN. SHC. YFS NO VALVES IP NO, GIN OPERA'TfONe ?n?11?x?nE ? WCfLLt ? MYOYUYL ? ' PIFING SIIPEPV45lDe YU Q r0 0 D8i8CPNG MCIXA SUP9RVISBd ytl ? NO ? DELUGE ppp,S y,U,ye OP2"TE PAOM TXE MANUAL TAIp aNDNR PBMOTB CANSROC STATIONSi yp Q no ? & 13 TXlRE AN ACCPSSIBLB PAtlGY'Y IN BACH GPCUR POi T85TINGt iY ? so ? IP NO. H%FWJN PREACltON VALV?. OOPS GCH CIANR OPBAATH OOPS E1CN QVlUR O?8GT9 MA%INGM l7F(6 TO M.iKB NODEL SUPCQVISION LOSS ALARMI VALVB ABL&148t OPCWTS lBLGS9, Y!S ND YBS !W WN. SlC. N.L PIPING HYUROSTATIGLLY TESfBU AT PSI 1'OY Ha1C5 DRY PIPING VNBLLNATIGG.Y T93TED: xY Q r0 {] 'j'ES'j'S pAU1PMENT OPBRATlS PROPBYLY, y? 0 MO ? IP NO. STATE A9ASON DWN TPSI': R&1DING OF GAGB LOCATflD NCA0. WATEH SIIP4LY TEST VIPH: RPSI UAL VRCSSUYB WRN VALV6IN'RSI' PIPH OPBN WID STATIC FRESSIIiE P31 P5I BLAW NUMBER LSED }ACaT10N5 NIIMlBR YBMOVBC TE$"jqpjG WELDED OR HRAZED PIPLV6 - vss ? Mo ? IF YEB, DO YpQ CERTTFY AB THE 9PA17QKL&M CONTRACTOR TNAT THR WELDF.3t8 OR SRA2&R8 ARS CVAL181ED FOR Wffi.D- GASICM INO OR BMEIV6IN ACCnRDANC& WiSH THE 8&pUIfl.E611INT8 OF A8H& HOQ36 AND PRE6XVA& OB98EL CODH. 8&C'CIUA' IF. QUALiFICATIOV STANDARD FOR WIDLDING AND BRAZIN6 FRO(.EOVA68. WHLDHItB. Ba?sep., AND WELDINp AND BRAZING l)PSMM?19l9 E?1TION. m? FO Q REMAM DAT9 LlPI' 1N SERVIC8 WITN AI.G CONTROL VlLLVFS OPEN. NAMe OP SPRINKLeR LONTPAC[OF POR MIOP BR (SIGNH TITLB PART `•C^ SIGNATURF.$ POR SPR1Nq.Hp COMRAGTOR (&GNlD) TBSfS WITNB558O-BY iR1fl DATB - CONTRACTaR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE . Upon ?nvletion of work, inspettion ard tests sAali be msde by the cantractor's reprerentetive and witnessed by an ownerzrapresentacivv. All . . t --' defeca shell be corretted and ryzTem left in servica before contrxtor's persannal tinally leave thejob. _.,i-: :... .: ,_. ..._: -.:._:..-.: __,...: _, _. . . . A cartififate shall be titled out and signed W bocfi represantatives. Copin shell be pnDared for epprovinq auiAwitin, ownen nM contnaor. ft is urrdersmod the owner's representative's signetura in no way Dreludicea any Gaim againrt coatreaor tor faulty material, poor workmanship; ot feilure to comply with apprwing auNori(y's requirartwnu or local ordinances. - '-' - - GROPERTY NAME DA , -. .. ..... ...; . . . .f.. . ?. . ', .:... •..:. .. . .. PROPERTV AODRESS 'J375 /WirE Oo?e_i..i S 2)FiFsal n At /...lwJ. / P.CCEPTED BV APPROVING AVTHORITY(5) NAMES L Ol ? J? ? ;A-J D T? L. ,L 15.c Aooaess PlANS T l A?A1 • INSTALLATION CONFOFM5T0 ACCEPTEOPLArvS (?YES L rj'NO EQUIPMENT USED IS AOpROVED ?E$ ?NO IF NO,EXPLAIN OEVIATiONS HAS PERSON IN CHARGE OF FIFE EpU1PMENT 9EEN INSTR VCTEO AS TO LOGATION O<yES [:]NO OF CONTROL VAWES AND CARE AND MAINTENANCE OF THIS NEW EQV IPMENT , IF NO, EXPLAIN -.?. .....?_.. . .. INSTftUCTIONS MAVECOGIESOFAPPROPLiIATEiNSTRVCTIONSAND CAREANOMAINTENANCECHAFiTS 5eVES [-]NO ANO NFPq 13ta BEEN LEFT ON PREMISES IF NO, EXPLAIN IOCATION SUPPLI[50LDG5. oFSVSrEM ?AJTAeC MAKE MOOEL YEAFi OF Of71FICE QUANTITY TEMPERATUAE MANUFACTURE SIZE FATING Ssu / B3 ?? Z3z 7405° SPP.INNLER$ oiae ccN=oR.+s ro BLFPA / s-aNcaa.o 5?Yes ?No PIPEAND FiTTIrvGSCCNFOrinnTD A-IFP•4 STANDARD bd'YE$ E]NO FITTINGS IF rvq [xPLAirv ALARM DEV ICE MAXIMUM 71ME TD OPERATE T}iR OUGH TESf PIPE ALARM VALVE TYPE P.KF M MOp[L MIN. SEC. OR FLOW - LOW SW/TCN A.,Io T F? li - INDICATOR ORV VAWE G.O.D. MAKE MODEL SEflIALNO. MAKE MODEL SERIALNO. TIME WATER ALARM TIME TO TRIP WATER AIR TRIP POINT REACHED OPERATED TFtRU TEST PIPE PRESSURE PRESSURE AIR PRESSURE TE5( OUTLET PROPERIY DRV YIPE M1N. SEC, P51 P51 PSI MiN. SEC. YES NO OPERATING TEST Withou[ ' Q.O.D. Wttn Q.O.D. iF No, Exv?irv vaLvE PNEUMATIC ?EIECTRIC YES ?NO = MGN1161 TR IF ?Nflr(10 OCu ?HYDRAULIC ? Y VFf I Inin OELUGE & i5 THEFE AN qCCE5516I-E FACIL{TY IN EAGH QRCUIT FOR TESTING IF NO, EXCLAIN PREACTION QYES ?NO VALVES OOESEACJ?GRCUITO?EFATE 006EACNClRNIT MAXIMVM71h?ET0 MAKE MODEL StFERV1510NLOS5All1RM ovEaalEVALvEREt.E.4sE oFEaarEaEtErisE YES Np . VES NO MIN, SEC. H VDROSTATIC= Hydros[atic tests shail be made at not less than 200 psi (13.6 bay tor tv.ohoun ar SO psi (3,4 bars) abowe stetic .. 1_ Pressurc m ezcessof 150 psi (102 Dars)for two hours:- Oihferontial dry-pipe valrs'cleppen shell be left open durirg test to prevenc dama9e. ' - All aboveg ound piping leakage shall be stopped. - - .- - -- - - ' - --. F WSHING Fl h e TES7 ow t : e required rate until water is dear s irWiCated 6y no tollec[ion of foreign materiaf in barlaP Dags ei Ou[IetS such as DESCRIF'710N hy ran?y end 6lowofFs; Flush at Flows not lesz tnan 400 GPM (7514 Umin) for 4-inch OiPe, 600 GPM (2271 Umin) for Sinch pipe, 750 GPM (2839 Umin1 for 64nch pipe, 1000 GPM (3785 L/min) br 8-inch pipe, 1500 GPM 15676 Vmin) for 104nch pipe and 2000 GPM (7570 L./min) for 12-inch pipe. When suo0ly cannot protluce s[ipulared flow retes, o6tain maximum available. ' . PN- EUMATIf : Establish 40 psi (2J bars) air pressu.e and measure drop which shall not exceed 1-X psi (OJ 6ars) in 24 hours. Test ' Vressure tan s at normal warer level and air pressure and measure air pressure drop which shall not ¢xceed 1-X psi (0.1 barsl in 24 hours. HLL PIPING NVDiiOSTATICALIV TESTED AT?45 P51 FOFi z' HRS. IF NO,STATE REASON DRV PICINC PNEUMqTICALLY TESTED ?YE$ ?NO pnUlo-FNT OocRATES PPOPER'_V F7 VCC n y/? DRAIN AEADINGOFGAGELOCATEDNEARWATERSUPPLVTESTPiPE: RESIWAL P RFS REWITHVqLVEWTESTPIPEOPENW10E $ V TESTS 7EST STATIC PRESSURE: ?S . PSI ? ? / ' ` V p$I Underqround mains and lead in connections t o syztem risers flushed 6efore connection made to sprinkler piping, f' ? VERIFIED B?' COPY OF THE U FOHM NO. 856 uYE$ ? ND OTHEq EXPLAIN FLUSHEO 9`/ INSTALLEA OF UNDER- GROUNDSPRINHLERPIPING ?yY?$ OND BLANKTESTING NUMBER USEO LOCATIONS nUMgER REMOVED GASKETS b WELDEOPIPING CYES ,dNO IF YES.. DO YOU CERTIFV AS TME SPRINKLER CONTRACTOR THAT WELOINC PROCEDURES COMGLY WITHTHE.REOUIUEbtENT50FATLEA5TAW5010.9,LFVEL qR-3 L?IYE$ ?NO DO YpU CERTiFV rtiqT THE wELDING wA5 PEFFORenpD BY wELDF_RS QUnLiFiED iN WELDING COMVLIANCE wITFi THE REOUiREMErvTS OF qT LEAST Aw5 030.9, LEVEL AR3 I. ? rE5 : n10 DO YOV CERTIFV T'+AT WELOING wa5 CARRIED OV' IN [pMPLIf.NCE WITH A DOCUrnENTED QUaLITV CONTROI PROCEOLIR[ TO irvSURE TtiAT ALL Di5C5 AaE FETRIEVED, TNAT OOENINGS IN PIaiNG liRE SMOpTH, THqT SLAG ANO OTHER WELOING RESIOVE aRE pEmOVEO, ANO THAT i'fE IN TERrv4L DiAmET[RS OF `yE$ lYC GIPING ARE NOT PENETRATED - HVDRAULIC NAMEPLATEPROVIOED IFNQExPLA1N OATA NAMEPLATE :?<VES ? NO c I-[ /i?irv pcGr?vitt WITN qLL CONTROL VHLVE50PEN: REMARKS ' ??b - O ? rvqmt Uh ??HINKLLH CpNi RACTpH <::? 6E?1 ij ?l /7--/ .Qe TESTS WITNESSED BY $fGNATVFE$? FOR PRDPERTV Owrv R,,?ONTRACTOR (SiGNED) TITLE NAL EXFLANATIDN AND rv DHTE OATE YSA Ba(_'v. ___'--_-__- - - ndustrial FIELD OFFICE 620 Plymouth 61dg. fei a 12 South Sixth St. ? ISk ? Minnea olis, Minn. 55402 nsurers Tel. (612) 339-0474 November 16, 1983 Mr. Dan Lockwood Goering Fire Suppression, Inc. 7768 West 78th Street Minneapolis, Minnesota 55435 Re: Unitog Rental Services 3375 Mike Collins Drive Eagan, Minnesota Prospect Dear Dan: I am returning five (5) copies of the sprinkler plans for the above captioned location with our stamp of acceptance. This acceptance is based on the rack storage of clothing in the rack area not exceeding 12 ft. in height. Any increase beyond 12 ft. would require a higher discharqe density, in-rack sprinkers, and horizontal barriers in the racks. Regards, INDUSTRIAL RISK INSURERS , T. B. Arch Senior Engineer .? TBA/nfw ? ii; i.iF.=:Ii;N TNFARMAI'ION . =:HFFT ; ;!ryffrir REN'TAL S'cRVfi_E: _ ._..._.. . .... - _..__ __ _. l,iHTF tt'.tli:: 275 MIF`,'E C:pL.IIN=: LiF.,EAt,E1N,MTNN. NOV J 71583 RECEiVED r =1 ,U?r, YAft'JCrTSi ;-METf11 L?FCK. Mf? ?1NFi WALL?: ., ?:Y57EM N[?. ; I i.1.;R rUEFiIN?:FIRE 3UP FRE3:?It7N ' i'GN'Tfifl?_'C Nu. `;?=,?? ;,i. '_rfE'D ?SY C+?rERING FIhE 11 ? SUFFFEu^ION,•.i ,....?, . DFOWING Nt!. 7 ;-i,n+ ?:.?,i,.f,?r?j,_.'NONICOMkt_ISTT FLE-_-- ru'riy 51:.Y i_Ff"TC:E1 - --- -._.. ---- - -- Y.:'FM riF.'.[i_N ? - -_- --- _ _.. ?---_--- --_- _--- . . . ___ . -.,,.:..... .. ._.._. ---------_--- - -- -- SFFC'TFIC! R_IL,INC+ `MPDE BY INLiUSTkIAL lsY. UATE 1012S!83 _._... __,__.___-------_ r,n;E: tW Sr RI Nf,:LER GREfiFl71 GN _----------------------- =:000 -_____...._--___--- - \ WE.7 F). F'G -...__...__. __......._. . Y. f:: Ih _ili[Ni;t tY ; _________.__-_-___------- --°--________-•-___---- ...._..---. __ ._ ...._ £aFiFA FEF; S°RINKLER :.225 I"IfiX. p'4', ,. ? l SF'RINkL:ER O Fi R'OIZL.E HOSF r°,I..I_["iWANi:E L;PM:,'INSILiE . 0 , 1=` \ MAk:E: RELIIlNL,E MuL'43!_ :;F' i.:?.:E AL l.it!J?i^dr9E--flPM:£+tFT?:IC?P __ _ -- - -\__.?. - TZF }/:II_- _; r-. _... K {.p{::Tfik '.^,C' I f? FNKL,ER fll._I..QWAN[.E C! \ TFMI-'F-:hA71lF?E 4!. f L:O 105 . . .. ....z= .r_•:-_. ._.:--. . .........:. . .. .-...__ .. . _.-.-: C:,lt_i !il_(aTI!-iN 31IMMARY, :: t. i+PM RF_'UIF,FL' 531.71- P8YCOUIREI:! 76.33 F`T: HFloF. OF F]SFR - _-!_INDER13ROFlMD t. F Fli.:q OR.. 110 _ ----- _ _..-- W.liEF, FCCiW';TEul`_ - -'----•- ---------_... \ Pt?MF C+(1TA _._...__._. . _..---'-------- . \ _ _._ -- I.l^1F:: ik f,t.::::-4:O1'i '"sl `` G<TIME 0 \ FUMF',RATED C+FM C) \ l'F:Nh CnF'l1CTTY C` c.;Airi. PS:( tiQ: \ F'UMPZRATED P:3I .'.O \ T:aNK EI.FVG1"f:COP: G ,E.v?fd.lfl!....ccl t PM ' LOb; T Ni; 3700 - ----------- _.._.._ .__..__..._. .___. !_.LFPr,Ti,_,N t, WELL rRctOF-FLOw-...,;.... _ _ ..---•- .-- _ ..--___________ _______ ----.-------- ---------------•---------- ----------------.____. !_C[::A'1`TON MTKEi''COL,t_INS DR, ?e YANKEE L1U4DGE RD. ?;:• ...... WOTF'R %ni -rocI . ? ?....,?. ,., . ..._f-.__ nair ia Sul?• C 400 ..fl,QO 1200 1600 200?.: 240Q"' .. . 2800 i2U0 36U0 rn. v.w,.e Co w i "., •-. .. ' y?. M Wdter Flow gpm L,tM, i? u?s.,, f ???. .,, >r tt< ; " " & f'1 ll. 1 TG .00 UNI fOli CiFFI E tt 1 FROM ?.? ?. . ..__ .._ . .. . .. ... _•`:E,-:^_REYnDDc.t) 7oTnL PIPE LENGTH.FRXC?'IGiv Lu=;S ELEV HhE::::"i_lr;t PT". F'S 7 FACTOR Fl..OUJ FLOW 17IAM. . FT. PER FT. ToTP,I_ I..Cic"_ F"s I NCiTE.S C: 7YF'! -_-. .. ...-.:- --?-•s- -__.- --•---= ?x-=_- --•--??- x-_?s?r.r ?-._,__. ._?: _?.____ ^ . ;_??,? _-- - -- ? - --- . - .. OO ..i12 O.E'U' S !sG ]8.20 18.40 I, 1 } 1.45 .00? 12.25 ? . ? r . . . „ ' ? ...-..g. r' ? ^ __"------- - -- .! .. ?i .. . . . -- --- -- - - -- ----___---. - -------- ?--- -? ------.. . ? ., . .. ._ t":N.. . 1 9:-74#>-3$?o0'-Y:<"5-2 a::Flf-C?4 TC:T. r:::!. L.E.Ni?7H = 14. ??(?i- 2E - 6.OOFUR TU7AL ?JF ' 2G.00 Fl'. - ---- -- --------------------------- 2f.3G- Y. ?1 _Of) 16.wr___. - ----- 7.'?'!?.(? "(Crt. Fi:. LEryr,TH ? 7y, p0+ 17-;.; L. QQFOk T K1L C1F' 1S.OO;FT?. ?? , ;- s . --° ---- .:..?-- . ? .. ? •• - ` --- -- - -------____ - -- , e.p? ? „ -"2 :'9C?""-1"1 t?$': l-ti?".L;Q,4.F_NGTH = 1.00* iT- 10.00FUR TGTFlL UF 11.06 F1". --------------------------------------------- - --------- iJ 17__.._ #'U Cr tH'titIA-alL. .. .? . ?.?.? ... y' : ?----_. -- ? - -- *`? ------ ------- --- - - L ? ?N .., / F?. ' - - --- --- --- --- ._ ..?..... -- . ._i17. 4 7 ,32; 80.76 181':26 ?6:90 ,...a31 .18 . pc, 17. c•v nDu PATN 1.2u. o rHr.NWn: L 1.7. Gr. jt0W -------------- t8: -'c,• 20. 07' .__.... ...__.__ ?.;.?= Y,-; (1l':Tf_tR F'Fl'i!4 #! A Ffit7M ; ? F' T . F"=: I --------- -- ---------------- ? ^ zQ.sa ii•:,.•a., 301.19 3.00 -------------------- 8.0U r079 ----------------- 2:, nDn PnrH --------- - - -- - ?;.,;?,,:•,ru.i , 1 v. , i24 . li7- - 4"L5--26 ti4 x1-43' -- `"5-- ? g - - - ------ ------- - 1; 73 ??? t:r7-F?UFl-Ffi?ti ---------------------------------- 7_ i,.:r. i-(H I i Jb!laL.tc „.. _ ` ' ` `- .. _- .:--- --- -- 6£i.76 53 6^r3 1 1 r? 24 ? ?? ____________________________ 15.'7,j ^S. ?1 ???>. 5r9 ALiD PATH _-- -- - - --- 9 CI-i!"??lAt.L _.?? n i- -3t--TF - ?? ?`?f?{+T{? f?P ---- F,B.-?t?•-FT:___ _ _- _-- _____ _ _--- , no . o0 SsE. 6.9 = --_ -?? - #r!&97.04 ? - -----5 ?.b-: QD _"`„rS. 1`Q7. EQ: LE--.NGTH -- -- "fOT. I.FNC.TH •- __ '_ _ _ ....,. 3q l??•* , ??. ? `? Y''•. ? lUl a. _ , . FLOtd FLDW 1 Tb 8q_ ? , ? _: + 1 E ' ?2 J (}OF?1Ri + J. T- 6. UoFpk -' ----------------- Y5 ,. t? x y? h a `i n? t. V qer??? c?cz ;';FT. PE _ UF FT. TCTFlL Lu=:-^. F'C;I NItTES C: F'SF'E TYF'I F7. 12.C>0 FT. 60 • ---SC?:7'C.r --- - ---I;'.CS. [) Sr'.HE1P4b.._- Act Pn"M Ncl. 2 (c:an hEF PRFS`ttlkc,- PT: P3I 1! . FkOM 4 TCi 202. ---- --- -- -=-,... _ ? . _ : . ___:.._ ._...._._ _ , -?. ._ .. . ?- .. ..._- . - ? .- . -- -?-- --.-_ _?e-.- :.---•--....-- -- - -?-_--? --_? . - ? - . _.... ..._._ _,,...::., ._._ ? ...... - - F;1''F F'f-?E?c•Lift?__k`-ACifjEG _--TflfiAl-_---ftffE-?CiW?TH-FftI-L'TSt:ti?t-L:f? 4---fLfV u;?L....!tkt:- --_.__ P'f. PSI FAC:TOR FLQW FLOW UIFlM. . FT. F'ER FT. TOTf1L LOS_: T fdl-iTF:S ?: ;-•:IFE 'I YP;= /. 9.90 5.60 17. 62 17.62 1.00 20.00 .103 .. 06 .00 !1.?F5_. St.t-E1 ? ' 7-?-,-;-. F0. I..FNGTM •= i 5, t70+ 17- 5. 4qFr!R 70TOL 0F 20.00 FT. ---- = „ ?` T- _ ___ --;,t ? r -= -- -----=----- ___ ??- 7 11 r& 'S 40 19. 67 36.29 1 ? ??1,G0 ? 193 '.ib .?7() 1?4 1'' ? ..t.H?l)4;) TGT E G? LENGTH??-'; 15 QQ+ 1 r 6 OUFOF T ??`QFY , ?Y bQ `;FT ' L R {z _ 141.12 5.60 21.05 57._;,i S.5SCI 15.(10 .11$ 1.70 .0(t 15.°2 TOT P-!, L_F..NGTH - 7.00+. ST- 8. C>uFOR TOTAL 'OR 25:OG FT. ? - .._ ` T ^ ? A __ ? ? YW t !.:: 15.92 J4 TOT? f Q.L_FNO7H ? 1T- 7$:4?F .c?q .66 l?C?D P4?1"H , <F 16 48 7.4 44FOk T P'T. 1 . _ r_HECiqp _ . 16, 1` 0n 00 78.44 ? -- --- ------ ___ _-___ - -_^_-___ . -------------------------°-------- - --------- --.__.__ .._..____... . _.__.,._ k --FAi TQF FGR {t? _ -7 , . t _ ,., ---- ? 3" ll ?A:.f ?awr . . ? ?.', . .. .-? ...... ........."" ".._ .. ! \ `??. @4 : . l,?b? Y L _ - I. ?TL`jL .._.._ . - . .._..._ .. . ........... ....-_«_...__.. _.... ...__ _ . .. ........ . __ ?.__?__.._ x? ? ?. , ?. , _.__. .._.,_._.._. . _ ' _ ` PflTH #k. 4 FFGM ,9 T`C? 1 d2 ' (1 y _ _._._ - - - - -----?-:-??-?- rtEf-". f?ctE`-.StJFlE K ACiDED T!]TAL _ PIPE;: LENGTH,FRIr_.TION l_OSS E.LEV Pt'<[:=SUhF f'7. F':=:I FFIC-TORi: FLi.ilJ FLpW DII;M. FT. FER FT. TO7Rl_ I..US'.=: F'SI NOTES C f'IF'E. IYF='E:: c '?s8a='-??sxi - 7:fa ? ra :? C WEU4 (l 11 0s 12?? 13 ? 1 r.90 17. 62 g 1 ??, 1.? ?, . l i .. , U . rrrT. E?7, I.FNGTH; 0+ iT- S. ?SOF OR O. FT, TA?: OF ,'114 70 O , ? , , ---- -------- 0;t 11.0:3 .UO> .00 -------------- 17.62 -------- -------------- -FA?_ TuR Ff R PA7HflR*? S iu ?• - . . ' .. ? . - 4? •? ?... . `. , r„ ? k a,v.?....1. .. . . `.- -- ---- - -- - - - Pp'! M # - A-FfiQP4?-•40719?_ o, !i --- -- K'EF PRESSUf2E S K AI"?PED TqTAI._ 'aRICTIUN FI,LEfdG TH ??; Li? S FLE'J FI;E.'3v:iikr. % ..l..YF?- .'__, _..--._._..' .............."_"".''_.?..__ :U 9.90 5.60 17.62 17:62 1.OQ: 11.UU 1G:, z l.l:: .Oi? 11.6,-: ,2O.c? _-HEI.i4C, : :. . 1S EO , 3b.22 1 .44t 03 .$ .00 il M ? 1200 SCHFD9U . ,. . - - - - '? ? - =- 777 --- - - - - - - - - - - -- -- --------? 3-9-,-2ti - J-:? -4 2 `-- ?===r-bH -?S05H :M61i4(r--- ..___... ___.__.---.....,...- ..... l.r 1...,71 S.E+O5IY.9F. 7S.a6 112..C)f1 ..k$$ 2.21- . ,SIt? 14.97 1._'r? _.'..fi??C'4i? !'f Vt>!._E^lGTH 4:00+ 1T- S.OOFaR TQTf?t: r?F_ 12:'60 FT. -- ^ ]??3 ^14.??7 ~1U.19'': 3''.;3 115:29 ? ."122 2?ll.l`?U 1.34 .C?C? lE•. il f1C?D FnT4 G l:cn.u S t:H. [?,,a. v 'f[i'f .M. I ENr,•TH = 1. p0+ 1 T- 10 . OpFOR , Ta?AL CiF: 11 QU', ?'T. -- - --- -- , . _ ------ --___._ __-- ---------------------.?______ _.._._. Gp ' .:'?;-; Sr;.?:i c00 115 28 >I+ .. a- - - - -" '_______"-------- -------- ----------_. IK-F f1CTi?ft FCiR ?,s N.? >? . Y J- ? a- ;;' „ - z; _51 s` 3 ?^fi?? . i .. ?w J , J , l' .. . . 4 4. . FATk' if 6 FftOM-;,+5-???C>?--, -- -Fao? a 3CtdCt-ar _- 4FF. FRE'=SUftE K ?#4FIDDEU` : TD7AL iPIotFTNGTN 1^RIGT'IflN Lu^aS `ELFV I?F<ESSURE ~ FT:- R$-I---FRET?JRs'?Fti.+w- ",'-F=1': PER--F?Fz--T[?TFk..---T??? -?o?---- •?n?°?- -F_:- ----P-IFF 1YF^'E-• y . _ . ._ _._..?..__.._ ._ . . . . .... .. 1?:? c,. 90 5.60 ; 17.62 17.62 1.60+, 20.00 . 103 :'. 0E. . 00 11.96. 120. n CifiE 1u1-:Fn L.?ENOTH- t'r?9k)+ lE - 2 uvPGk __ . __-- - _-------- --- ----- ________________ _________________----------- -- 1?1 11.96 5 9.37, 36.99 1 25 " 9.00, 7 .yC, C!p 12.92 12,).() '=t'HEC7n0 fr3T: F+]:LFN6TH--?--= ------ --------------- -------------- --------------------------------------------------- 10^ 12. 92- 00 ? .00 =:6.,49 ' = ---r---------- Y __ ---- ---- - - - --- - _ :.-? , ? ? ,; 1 ? . . . . . . . flG( aR . FOR ?(a7Hik6.,a l U p }6 ? r j 77- i'ATF-I tt 7 FRQI`1 16 TQ ....?.. .? . ..? F1EF: Pfi"^o1:n.1=1^-•DBFL+ F9TAL--rF?'?-E?+16ThF-Ffi-I-Fi-T-FON-L.{35.a-EkEV- PRE£+e14RE-- --- - --- F'7. F'S:I FACTGR FLOW FLOW DIFlM: FT. PEFt FT. 7GTF4L Lf_iti:_ FSI NCi7ES i.: F'IF-'f. I YPF ---- mccao==-,--r°°== _--?- 1 F, Y:-GE?--•----^- .. i 7- 61'-? k () C) . CHEL 0 ti --- - - 94 ? OQ 1? -'- - -- - 99 --- -- --____ : HED40 120 0 , 7 7. 1:4A . _ , . Z,?: 1.I.99 .. 5.60.'`. 19. 3g .rj5s,c,°i 1 I"OT , EQ. !_FNGTH ,- 6.00+ iT- 8. UQFf_1R T 104 A^_13.50 'fnT. E!:. LENGTH ,1 T,- ; 7 0 4t4FOR =1 ? l4':o4 .1U$ 1.52 o4 I3.50 oF in:'ao Fr. ?.00 lit1` 15 . 1. 24 ? ? 1.79 14 77 ADD FfaTH :'$ 1'.:??. U_+i:HF G40 ,. ..,, 7 . ?. , ---------------------- 09 . , OG 111.50 kEF. NkES?U y fILiUEU - Ti7TAt -f ?E1VC?TH Fi?Il.1-IUN Lu35 £tEV 4ftESS+}RE _ F'TPSI ??,FLUW FLDW ? DI ,zT ; PEI?'?FT T07AL L05S PSI NOTHS.; C FIFE TYPE . - ?y C'm 1-7.F:2 -1 62 '.-z-rv 7Z+CT=TV0 -- ---------------------------------------------------------------------------------------------------- ?5,3p--17.44 35.06 1.25 S.Cip .097 .48 .00 :1 .31 -•..?__-_.___.. - _.._...-_--,_..- - _________________-•-•----°----------------------- iG 17.31 4W'"18.16 53:22 1.x"g,0 11.pQ ,;??e099 1.09 00 12.40 120 ia i.:NF:It4u TOT.EQ.t_ENOTH? 6+3 UQF'pRTQTAL ?7F 11 7..=- t 4 G : s ?wJ?`V 4.?;? .x e Ya . lR - -- - ----------- 1c>1 i:=.ao .ao c>o 53.22 ------------------------------------------------------------------------------------------ u'-FnClnR F4R A T,NriB??x is. 12 a?}?. F'(1Thl # _+f-FR .,,"`22 _205 --- -. A ?R ? ae a 3 > _' '" ? r.r "'_""" " " . . _ . __ . _.? -c•-s kEF PFES?UR??` s K? ' ADLED T?JTAL'. P??' L?NaT1? F14IC7IqiV LGSS ELEV PFtES?3U'tE' ' ± ^ iE9i`-ftt. t-Ft.- S --f'?----ht8?'f°- L_- --F FPF fYF'E- ___,_??.?--- ?-- ---_____- ------ ------- ------------------ - -_ . - -_--: ..... 7.n.21 ng 60..,17.89" 17.L?9 1 ?5z,3.CiU '.6?8 .i?8 Uii . I s_). c?i --- - 120.0 '.•iy.HELi40 - - - - - - - - - - - - - Y2.;•---1C>.29 X??,?,7 s?? ?=,??3w 85 1' `1 8 G4 ,048 .38 .Ut? SO 67 - --- 1 i).C? HEDnC?---- -=- -----' ?«. ?:.,- -,.-_- :s -- -____--_---------- ---------°---______--- . ,, f .. < +u?„? r,. • r. ° f w ?ry?-^--rM`f'5- I3R --- .. q * : 1"01' ;±,LE.NGTW = I0.00+ 1T- 3.OOFOR T07f?L` OF 18.170 FT. , ^ -- Z,} __ _ •-- --°---- -- ---° --- --- 1V5 1. .51- 4M C' 7 +-'J?7'i'?'?: t > YY UU a?°Y .S?"_- tlV 1:? ;37 la1JLi h'('i?F'l. 1L1 _Y•.?V V:?_{i?l.?t,l....._ s "(OT,F,.C;.l_ENCtTFf K?#E.s t, 0+ 1T 10 (3(1FC1R 11 Qd FT __ 7 .,s. -- -+.-.±..- - - ---- -- ---- ---- ------_ ------____ 71 =r ;?- -• - +?=" ? ? . .>. ? ffFr- -?-:?. '+ `? x, ? ?C?----=v:-7c, , ?;s; •,?? ` `` " - - -- ---- - ---- ------------- ..::--------- ------- --- =_-------_..-------------------_--------.__________.__--------____-------- " .. i•. _ 1;. . ? . . ? . . " :.l. . . . r- K-FA,.FitR FCrR RftfiW#kY-°-; ?4 .37 , --- - - - w , e . ._? . •?. ?. ? . . ., . .. ., . . , ? . ' ?..r?.?_. .. . . . . . 31 ?..• . . . .: 1 .. ? '• S? ? N .. $ rvy?? f? ? . . . ..... ._? _ _ ... . . . ' . r' ,{ ... . ?'? y,f? yY . . ' . ; ` _.Y._._.._..._.,.? ._.._ . r r ll??? ___._. , . F ;:. k r . k;, §4 6fi3 . i. ` ---•---.n .•-.. .mw.T,?P?AR0.? ?9E!!', a's. S.? .w . _?_ '_' ___ .. ,?;tI?IMF;F°,Y CiF a ? A t • ?y..? F ? : ?,. v(h .?r ? . ; Fl F-'OT^Jl F'RFS4URE Y. FBCTuR ACiLtEL1 TO7AL : LEhGTH DIAMETEft FFTCTIUN Ln:-S ELEV P:_;x Fl..(JW FI..OW F7. ? IN. f'SI/FT FSS LOSS • - - - - -?- ' . + . - ,.. - . r r.??1.) ? p / ?7?Li`I C?6??1 •1 QQ .` +y t 3Yf Q . 4?9. U2+ . 1 1-? ? . li?t ...rl.c,rt) ,.. ' ?.-? , . -_- .?'?C???-•?-?-J+.?`."''??7 ?"' ?'EF?-? ___-__?.ffI1..T. .__ . t)`.!.- . ... . -C?f- _.-_ .______ ..__..__. qr.,s, 31.SO.00 83.55. 89.00 1`.442 .3v:9 ?4.r-:, 9,59 75 98.. .00 536. 72 130. 00 8.110 . 003 ._.. . nq ? ------ 1 ,V < 1 1 +'?? ? r, ? ? ? ? i :. C`? ... ,..:. t ? . .. r . _.?2 ... .,. se4,' ` . ! ? Yx" ? ?. ? . .. . ?,?i ?i? • ? ?' ? ?. ? - . _ . . . _ _ _ . ? . . .? . . < ? S. • r4?; __ ._ . ._._.?? r ?*.. .: _..: . al". .... -r, . ? ....._. . ? 7 } ? ' ?? ?l, . ... ? , _ - .. c: t ?AW G;.. s a1,- . 'My} ' , ta" s g.y? ? 'SNI< + I?v vµ? 4 y .. . ? '' 3 . ..,.. .. . ? y .' ) ^ t t? t ? rv ?`l } ? %6 4 4 :_' f x.4?N.,'1_?C Vt9( ?t$xF ia!r?Tf.' r?` . , . -^-^- ^--- .. . _ :.? - ?. ?. , u. . ? . ,? .??_.!-.__ :. ? . - . . . . . { 4 ? 4 ? R•._ 4 ???k^'. . _ J . ' Y? J{uk F k t. ' -119tvF) 2005 COMMERCIAL PLi7MBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 A 'Fj?)? ?q f ? l0 Date o /? z??,? Site Address VZ/ Unit # Tenant Name Former Tenant Name --?----'-- Property Owner Telephone #(&51) ' o 7?1 ? 4- Contractor 1i1,? f U.?I vi I Address l City State W Ma/ t 0 Zip Telephone #((Qsf) Lacense# IQ M Exgires: ? 5 "Lp The Applicant is _ Owner Contractor Other Work Type New Bldg _ Modify Tenant Space Z PVB New RepairBebuild _ Replace _ Irrigation system Work within public right of-way/easement _ Yes _ No 12ain seusors are re uired on irri ation s stems / ?/ ? ' ? & k w; gp- 5 ' -Ci Description of Work r L l C ( ' ? To inquire if Pressure Reducing Valve is required on new s'ce, call 651-675-5646 Meters - Ca11651-675-5300 to veri£y that hydrostatic, conductivity, and bacteria tests passed nrior to oickine uo meter. Irrigarion Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" displacement $161.00 Domesric Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Per[nit Fee $50.50 minimum (includes State Snrcharge) Contract Value x 1% _$ Pemut Fee $ -1--'? Meter(s) Required on all new buildings & boulevard irri¢ation svstems $ '----- ?- Radio Meter Read If permit fee is $1,000 or less, surcharge is $.50 f` $ $tatC SuiC}13T'g0 If permit fee is over $1,000, surcharge is $SD per $1,060rof tHe,Permit Fee Following Fees apply only wLen instal6ng new irriga?,ou sy tem $ r ? ? Watei Pemut Cail Jerry Wobschall at 651-675-5024 for required'fee amount s^ ? ? ?? t, $ $ _ Treatment Plant WateiSu l &Storage pp y ? $ State Surchazge '________"""""""' """"""""________ _ " ------- -'----------------------- '------------------------------°------------ ?j ---------- J? ?/''? $ V ? i JV Total Fee I hereby apply for a Commercial Plumbing Permit and aclmowledge that the information is complete and accurate; [ha[ the work will be in confomwce with the ordinances and codes of the City of Eagan and with the Plumbing Codes; ttiat I understand this is not a permit, but oaly an applica[ion for a pemut, and work is not to start without a permit; that [he work will be in cordance with the aproved plan in the case of work which requires a review and approval of plans. / /I CI,U'I MICWS _ Applicant's Printed Name Applicant's Signature CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED ApPROVED BY: , BUILDING INSPECTOR General Information • Radio Meter Read (requued on a71 new buildings & boulevard irrigation systems- $141.00 • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the Ciry of Eagan. • A minimum fee permit per address is required for the following RPZ's: new, rebuild, reaair, remove. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS REOiJII2ING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $125.00 4-120 1-1/2" iTijgation Syst $ 735.00 displacement sm commercial hubine"* Public Works maximum must approve continuous meter size 10 2-30 3/4" lawn irrigation $161.00 4-160 2" turbine lg irrigation syst $ 931.00 maximum displacement residenrial & continuous sm commercial production lines 15 3-50 1" displacement verylg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 units 65 units maximum sm commercial & continuous & Ig comm bldgs 25 irri arion s stems 5-104 1-1/2" hldgs 25-64 units $429.00 maximum displacement & continu4us most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PffiOR TO PICK UP METERS USE PRICE GPM METERS USE PRICE F 5-350 3" turbine very Ig irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very lg comm bldgs lines 320 3" campound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very lg comm bldgs very !g comm bldgs 15-1000 4" turbine verylgirrigation $2,226.00 SS'Sf & production lines wmrnenu • To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675. • To uxazige for water tum-on, ca11651-675-5300. cc: Maintenance Division Clencal Technician January 2005 it Metropo,lit$n Council Improue regional competitiueness in a global economy En.vironmental Seruices August 31, 2001 Tim HIein Cintas Corp 3375 Mike Collin_s Diive Fagan, MN 55121 Dear Mr. Klein: This letter is a follow-up to the letter sern on Decamber 29, 2000 regarding a prel'vuinary volume review for the Service Availability Charge (SAC) system for Permit Number 656 located at 3375 Mike Collins Dr. In that letter, you were notified that your fum has increased its wastewater discharge to the sanitary sewer. As a resutt, it potentially cou2d be subject to a SAC parchase of $74,800 (68 units at the 2000 rate of $1,100 per SAC unit) at the time your Induslrial Discharge Permit is renewed. At this point, you have two options. First you may purchase 5AC equivalent to the increase in discharge to the sauitary sewer based on the pielinunazy volume review. If you choose this option, a SAC Purchase Form will be enciosed with your renewed Indushial Discharge Permit. The form must be brought to the City of Eagan and be completed by a city represernative indicating that SAC has been purchased. A permit condition in your renewed pernut allows 30 days for the 5AC ptmhase. Your second aption is to conduct a 30-day wastewater volume study. If you choose tlris opkion, please inform the engineer referenced below. The study must be completed and results submitted to Metropolitan Council Fnvironmental 5ervices (MCFS) by October 31, 2001. Guidelines for completing the wastewater volume study are attached. Basefl on the results of the study, MCES will detemune a current SAC equivalent of your wastewater flow. The SAC rate applied to the current SAC equivalent will be the rate in effect at the start of the 30-day wastewater volume study. The 2001 SAC iate is $1,150 per unit. The SAC rate is subject to change every 7anuary. To detemvne your firm's SAC liability, MCES will use the lesser SAC equivalent of the preliminary volume review and the 30-day wastewater volume study. If a SAC purchase is required, a SAC Purchase Form will be enclosed with your renewed Industrial Discharge Permit, and the above described method for complering the fonn and purchasing SAC will be applied. It should be noted that some cities use SAC determinations to assess municipal impact or connection fePS which are exclusive of the SAC charge. If you are unsure as to .whether or not these fees are applicable in your city, you should call tt?e ciry offices to inquire. At this tmte, no money should be sent to our offices. SAC payment shall be made to the city at the time of pennit nenewal using the SAC Purchase Form. : www.meVOCOUncll.org Metro Info Line 6024888 230 East Fitih Street • St. Paul, Nlinnesota 55 1 0 1-1626 • (651)602-1005 • Faz 602-1138 • TIY 2293760 An Equa[ Opportunity Empbyer Tim Klein August 31, 2001 Page Z Please be aware of the fact that the infoimation contained in this letter is accuiate under the current SAC policy. You will be notified in the future of any change in policy wluch might effect the status of this or future 5AC reviews. Minnesota Technical Assistance Program (MnTAP) offers assisfance to indusiries with pollution prevention concems, including the reduction of wastewater volumes. If you are able to reduce the discharge volume of your facility, the potential SAC liabiliry indicated in this letter could be reducefl or eliminated. The services pmvided by MnTAP are free. Far more information, call MnTAP at (612) 6241300. Please direct any questions to Nanette B. Gemux at 651-602-4721. 5incerely, r'4 w' &"? I.eo H. Hermes; P:E.` Industrial Wa§te Managar MCES Inclustrial Waste 5ection Attachment cc: Carolyn Krech, City of Eagan Sandy Selby, MCFS Nanette B. Geroux, MCFS LHH:ptn f ?,. Metropolitan Council Environmental Services Guideline for SAC Volume Study - Contact the engineer in chazge of your permit before commencing with the wastewater volume study option. Special conditions, other than those specified in this guideline, may apply to your facility. - The wastewater volume study shall consist of a minimum of 30 continuous days of volume data acquired from the use of incoming water meter(s) and/or from a wastewater effluent flow measuring device. - Deduct meters shall also be used when losses to lawn sprinkling, evaporation, product loss; etc., exist at the facility. If these losses cannot be accounted for by meter, the permittee, shall submit to the MCES engineering calculations estimating these losses and/or conduci effluent flow measuring from an MCES approved monitoring site. - All values used to determine the actual or calculated daily wastewater flow volumes shall be submitted for each day of the study. Alsq indicate the daily activity taking place at the facility during the study (e.g. ful] operation, cooling water clean up). - Please account for any unusual events, such as a spill, that may have occurred during the volume study time $ame. The results of this study shall be submitted to the MCES by October 31, 2001. MCES staff will calculate a SAC equivalent based on an average of the 5 highest daily wastewater flows. The MCES reserves the right to conduct additional volume monitoring if deemed necessary. LA? `c C'?-ti?& o_?, ,, ?? ? COA+II1dERCIAL BUILDING PERMIT APPLICATION ' CITY OF EAGAN 1?? 0 G 651-681-4675 Foundation Onl New Construction interior Im rovemen; . SWCtural Plans (2) sets • Architettu27 Plans (2) sets • Archilectural Plans (2) se[s • Civil Plans (2) • SWUUraI Plans (2) • Code Analysis , (1) •• . Certificate o! Survey (1) • Civil Pians (2) • Project Specs (1) • Code Analysis (1) " • LandswPing Plans (2) • Key Plan (1) . ProjectSpecs (1) • CodeMalysis (i)" • MaStefExitPlan (1) . Spec.insp.&TesGngSchedule" • CertificateofSurvey (1) • EnergyCalcuiafions (t) nocaiways' • Soils Report (1) • Spec. Insp. & Tes4ng Schedule (1) " • Elec. Power 8 Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established -' a pplipGle 1 . • ProjectSpecs Energy Calwlatlons (t) ° (1) D (? 2 ? ( In I C ? ? ? i • Electric Power 8 Lighting Form (1) " ? 1 . Master Exit Plan - (1) 14j a Y {j 7 M01 1 • Fire Protection Plan •' (1) j.1` (?) BAC • MGES SAC det rmination letter • MGES SAC de[ertninatlon letter • MCI?s determinatio letter call 651-602-1000 call 651-602-1000 -ION ' Contact 8uilding Inspections for sample footl & beverage or lotlging racwues: rian mus[ oe suominea co mmnesota uepanmem ul neaIuI - cml oo I-Z Io-Wtw wl ucLeJIs. d? DATE S"?^ WORK TYPE _ NEW JREMODEL CONSTRUCTION COST .' SITE ADDRESS 33 15 ftcLP D2.-? Fm.d 41%? TENANT NAME ct :..Jtn Lt SUITE # FORMER TENANT NAME DESCRIPTION OF WORK PROPERTY OWNER Name: ?-D e c i kY._? ?-? V ? 1(.?Lone#: Last First Stree[ City State 6 r)-?G7- CO;v'TRACTOR ARCHITECT/ ENGINEER Company Zip (J0 (? r "Phone# ( 7763 ) 315 -Gd" f O Steet Address: C`1 6 7 ( t-U?? ass..yk 111 vKX.., City Stau ? v' !V S Zip Company M L C()Y `\ c?t Name Street Address Phone #(?j(;,,) Qa 7"' O S'4b Registration # 113 7 o City ? A A L1 Q a. Stau ,' y?) A Zip Licensed plumber installina new sawerlwater service: ' Phone #: I here6y acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?- ? „ n ? ? Signature of Applicant d ?( ? n n^^4^- Updated V. OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 todging ? 25 Miscellaneous WORK TYPE ? 31 New ? ZI 32 Addition ? 33 Alterations ? ? 34 Replacement ? ? ? 26 Public Facility ? 30 Accessory E31dg. : A 27 Commerciallin dustrial ? 32 Ext A!t - Apts. ? 28 Greenhouse ? 34 Ext Alt - Camm. ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors 36 Move Bldg ? 43 Reroof u 47 Repair 37 Demolish (Bldg) ? 44 5iding ? 48 Authorization 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code _3 C No. of Units No. of Bldgs. Const. (Actual) (Allowable) ? UBC Occupancy Zoning # of Stories Length VVidth Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit Building 1Y sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered ? insulation ?< Plumbing ? Engineering ? 5tucco/Stone Variance ??? -I VALUATION $ 15 S , C>Z?z? c? , S Lt a Z:?- o ? `-7 `?[ • (° S S/W 5urcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total 1SUg-`? % SAC SAC Units ? Meter 5ize 1Vletropolitan Council ? Improue regional competitiueness in a gfobal economy ? Environmentai Seruices May 15, 2001 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Enduonmental Services Division has detemuned SAC for the Cinta's Remodel located within the City of Eagan. This project should be chazged no additional SAC Units. It is the Council's understanding that bathrooms are being added for convenience, and no space is being added to the facility. If you have any questions, call me at 602-1113. Sincerely, ? - JodYL. Edwajrds Staff Specialist &Wr-?L Municipal Services Section JLE:(262) O1O515S2 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Linda Schon, Landcor Inc. www.metrocounclLorg Metro InFo Wne 602-1888 230 Eas[ Ftf[h Street • SL Paul, Mlnnesola 55 10 1-1626 • (651) 602-1005 • Farz 602-1l38 • 11Y 2293760 A. Fquul Opportunlty Empbyer Metropolitam Council it Improoe regional competitiueness in a glolwl ecanomy Environmentai Services May 15, 2001 Dale Schoeppner Building Official City ofEagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The tifetropolitan Council Enviraxuner.ta: Se:vices Di-v7sion has determined SAC for the Cinta's Remodel located within the City of Eagan. This project should be charged no additional SAC Units. It is the Council's understanding that bathrooms are being added for convenience, and no space is being added to the facility. If you have any questions, call me at 602-1113. Sincerely, 0 • Jo L. EdwaArds &Wr?L 5taff Specialist Municipa7 Services Section 7LE: (262) O1O515S2 cc: S. Selby, MCES Carolyn Krech, Finance DepaRment, Eagan Linda Schon, Landcor Inc. www.metracouncil.org Metro In(o Wne 602-1888 230 East F7fth Street • St. Paul, Mlnnesofa 55 1 0 1-1626 • (651) 602-1005 • Farz 602-1138 • T1Y 2293760 An Fqual ppportmi[y Eniployer . . ' Metropolitan Council Environmental Services ?I Wastewater Volume Review Industrial Discharge Permit Renewal Company Name Cintas Corpoiation Pernut Number 656 Pemut Espuation Date 12/31/01 3AC equivalent of the Jan. - June, 2000 5elf-Monitoring Report (Tota1 wastewater volume/total number of operarion days equals average daily wastewater volume. Fach SAC unit equals 274 gallons.) Modified SAC Baseline Value (MCES policy determined the SAC baseline value to be the SAC equivalent of the volume reported in the final self-monitoring report for 1991. The modified SAC baseline value represents the SAC baseline value, plus any SAC units purchased after the 1991 baseline date, or the value for SAC credits*, whichever is greater.) 290 Units 222 Units This review indicates that the SAC equivalent of the current wastewater volume exceeds the modified SAC baseline value. The pemuttee has the opfion to conduct a wastewater volume study prior to permit expiration. The MCES will make a final determination as to the pernuttee's SAC liability based on the preliminary volume data and the SAC equivalent determined from the wastewater volume study. In the interim, the industrial user has the option to undertake volume reduction measures to reduce or elimiuate SAC associated with thiis permit renewal. * MCFS SAC purchased records may not be current, therefore, the credit value may be revised to account for unidentified credits, if the permittee can pmvide proof of their existence. ? ??December 29, 2000 Reviewe0y Date !V ? it Metropolitan Council Improue regionni campetitioeness in a global economy 3 Environmental Services December 29, 2000 Cintas Corp 3375 Mike Collins Drive Eagan, NIN 55121 ATIN: Mr. HIein Re: Wastewater Volume I2eview for Pernut Number 656 - Located at 3375 Mike Collins Dr As part of the MCFS Service Availability Charge (SAC) policy, all industries holding an Industiial Discharge Permit are subject to a wastewater volume review one year prior to the expirafion of their pernut. SAC is a"connection" fee which has been levied since 1973 for new connections or increased volume dischargerl by existing users to the Metropolitan Disposal System (NIDS). SAC revenue is used to pay for the unused reserve capacity portion of debt service for capital improvements. The wastewater volume review serves as a method for detecting wastewater volume increases from a facility. Current wastewater volumes are converted to a SAC equivalent and comparecl to a SAC baseline value. Any increases over the baseline value, or the value for 5AC credits, whichever is greater, have the potential to be assessed SAC. Three years ago, a wastewater volume review for your faciliry took place. At that time, wastewater volumes from your facility were noted to be above SAC baseline and/or SAC credit levels. Additional 5AC was purchased for the increased volume. The additional purchased units were added to your baseline value. This has now become the "modified" SAC baseline value for your facility. For Cintas Corp, the subsequent wastewater volume review for your facility has been completed, and a preliminary evaluation of wastewater flows indicates an increased use of the sanitary sewer, above the modified baseline value, equivalent to 68 SAC units. Please refer to the attached worksheet for the results of the review. Based on the 2000 SAC rate of $1,100 per unit, this increase will result in a charge of $74,800 due at the time of permit renewal. A follow-up letter will be mailed to you four months prior to permit renewal describing two options regarding a potential SAC purchase. The first option will be to purchase SAC based on the preluninary volume review results and SAC rate described above and in the attached worksheet. The second option will be to conduct a 30-day wastewater volume study to determine the updated SAC equivalent of wastewater flows. The SAC rate applied to the results of the 30-day volume study will be the rate in effect at the stazt of the study. The 2001 SAC rate is $1,150 per unit. (The volume study option will be beneficial to your company if you choose to initiate wastewater reduction measures to reduce or eliminate the amount of SAC due.) www.meLroconnciLarg Metro [nta Line 6021888 230 Eas[ FIRh Street • SL Paul, Minneso[a 65101-1626 • (65l) 602-1005 • Fae 602-1 I38 • TTY 229-3760 An Equol Opplu*un[tJ Employer ? Metropolitan Council fmproue regional competitiueness in a giobal economy Environmental Services December 13, 2001 Tim Klein Cintas Corporation. 3375 Mike-Collins-Drive? Eagan, MN 55121 Re: Water Study Results and SAC Determination (Permit No. 656) Deaz Mr. HIein, This letter is in response to your 30-day water volume study received on November 29, 2001. MCES has deternuned that Cintas Corporation's' average total facility dischazge volume is 51,600 gallons per day (equivalent to 189 SAC units). Since Cintas' modified SAC baseline is 222 units, no additional SAC units will need to be purchased at this time. If you have any questions regarding this matter, please contact me at (651) 602-4721. Sincerely, Nanette B. Geroux Senior Engineer Industrial Waste & Pollution Prevention Section cc: Carolyn Krech, City of Eagan VZ Sandy Selby, MCES Paul Neubauer, MCES www.metrocauncil.arg Metro Info Llne 602-1888 230 East Fiffh Street • SL Paul, Mlnnesota 55 1 01-1626 • (651) 6024005 • Fac 602-1 l38 • 71Y 2293760 An Equul O?POMnlty Ernofoyer . `ropolitan Council ` ,rKing for the Region, Planning Jor the Future ,-' Environmental Services ' December 31, 1997 _ ra Mnp R FS, Unitog Rental 3375-IVlik6-Cottins Drive ? Eagan, MN 55121 ATT'N: Dan Myhre ? Z 1998 Re: Wastewater Volume Review for Permit Number 656 Located at 3375 Milce Collins Drive As part of the MCES Service Availabiliry Chazge (SAC) policy, all industries holding an industrial Discharge Pertnit are subject to a wastewater volume review one year prior to the expiration of their pemut. SAC is a"connection" fee which has been levied since 1973 for new connections or utcreased volume discharged by existing users to the Metropolitan Disposal System (MDS). SAC revenue is used to pay for the unused reserve capacity portion of debt service for capital improvements. The wastewater volume review serves as a method for detecting wastewater volume increases from a facility. Current wastewater volumes are converted to a SAC equivalent and compared to a SAC baseline value. Any increases over the baseline value, or the value for 5AC credits, whichever is greater, have the potential to be assessed SAC: Three years ago, the first wastewater volume review for your facility took place. At that time, wastewater volumes from your facility were noted to be above SAC baseline and/or SAC credit levels. Additional SAC was purchased for the increased volume. The additional purchased units were added to your baseline value. This has now become the "modified" SAC baseline value for your facility. For Unitog Rental, the second wastewater volume review for your facility has been completed and, a preliminary evaluation of wastewater flows indicates an increased use of the sanitary sewer, above the modified baseGne value, equivalent to 62 SAC units. Please refer to the attached worksheet for the results of the review. Based on the 1997 SAC rate of $950 per unit, this increase will result in a chazge of $58,900 due at the time of permit renewal. A follow-up letter will be mailed to you four months prior to pemdt renewal describing two options regazding a potential SAC purchase. The first option will be to purchase SAC based on the preluninary volume review results and SAC rate described above and in the attached worksheet. The second option will be to conduct a 30-day wastewater volume study to deterniine the updated SAC equivalent of wastewater flows. The SAC rate applied to the results of the 30-day volume study will be the rate in effect at the start of the study. The 1998 SAC rate is $1,000 per unit. (The volume study option will be beneficial to your company if you choose to initiate wastewater reduction measures to reduce or eliminate the amount of SAC due.) 2:50 Casl I'ifih Slract St. Paul. MinncSOta 55101-1633 (6121 222-8423 fax229-2183 TDD/TIY 229-3760 nll F>n1,d onrx,m1111r11 r:,111io?1r Dan Myhre December 31, 1997 Page2 With either optiorr a--SAC-Purchase Form will be enclosed with your industry's renewed Indusfial Discharge Pernut stating the amount of SAC due, if a SAC purchase is requued. It should be noted that some cities use SAC determinations to assess municipal impact or connection fees which are exclusive of the SAC charge. If you aze unsure as to whether or not these fces are applicable in your city, you should call the city offices to inquire. At this time, no money should be sent to our offices. SAC payment shall be made to the city at the time o: permit renewal using the SAC Purchase Form. If you have any questions, please call Nanette Geroux at 6024721. Sincerely, Leo H. Hermes, P.E. Industrial Waste Manager MCES Industrial Waste Section Enclosure cc: Dale Schoeppne City ofEagan Sandy Selby, MCES Nanette Geroux, MCES LHH:rjS Metropolitan Council Environmental Services Wastewater Volume Review Industrial Discharge Permit Renewal Company Name Pernut Number Permit Expiration Date December 1998 SAC equivalent ofthe Jan - Jun, 19 97 Self-Monitoring Report (Total wastewater volume/total number of operation days equals average daily wastewater volume. Each SAC unit equals 274 gallons.) 222 Units Modified SAC Baseline Value (MCES policy detemuned the SAC baseline value to be the SAC equivalent of the volume reported in the final self-monitoring report for 1991. The modified SAC baseline value represents the SAC haselire value, plus any SAC units purchased after the 1991 baseline date, or the value for SAC credits*, whichever is greater.) 160 Units This review indicates that the SAC equivalent of the current wastewater volume exceeds the modified SAC baseline value. The permittee has the option to conduct a wastewater volume study prior to permit eacpiration. The MCES will make a final determination as to the permittee's SAC liabiliry based on the preliminary volume data and the SAC equivalent detemvned from the wastewater volume study. In the interim, the industrial user has the optian to undertake volume reduction measures to reduce or eliminate SAC associated with this permit renewal. * MCES SAC purchased records may not be current, therefore, the credit value may be revised to account for unidentified credits, if the permittee can provide proof of their existence. Date ? ? Metropolitaaa Council Buildirtg communtities that work Enuironmental Services December 31, 2003 Cintas Corp ,. 3375-Mike Collins-Dr ? Fagan, MN 55121 ATTN: Brian Panettiere Re: 9dastewater Volume Review For Peamit Number 656 Located at 3375 Mike Collins Drive As part of the MCFS Service Availability Charge (SAC) policy, all industries holding an "Indushial Dischazge Permit" are subject to a wastewater volume review one year prior to the expuation of their pemut. SAC is a"connection" fee which has been levied since 1973 for new connections or increased volume discharged by existing users to the Metropolitan Ilisposal System (MDS). SAC revenue is used to pay for the unused reserve capacity portion of debt service for capital improvements. The wastewater volume review serves as a method for detecdng wastewater volume incmases from a facility. Current wastewater volumes are converted to a SAC equivalent and compared to a SAC baseline value. Any increases over the baseline value, or the value for SAC credits, whichever is greater, have the potential to be assessed SAC. Three years ago, a wastewater volume review for your facility took place. At that time, wastewater volumes from your faciliry were noted to be below SAC baseline and/or SAC credit levels. For Cintas Corp, the subsequent wastewater volume review for your facility has been completed. The preliminary evaluation of wastewater flows indicates an increased use of the sauitary sewer, above the SAC base]ine and/or SAC credit levels, equivalent to 52 SAC units. Please refer to the attached "Wastewater Volume Review° for the results of the review. Based on the 2004 SAC rate of $1,350 per unit, tYris increase will result in a charge of $70,200 due at the time of pernut renewal. The SAC rate charged is the rate in effect at the time of payment. A follow-up letter will be mailed to you four months prior to permit renewal describing two options regard'uig a potential SAC payment. The first aption will be to pay SAC basefl on the preliminary volume review results and the SAC rate in effect at time of payment. The second option will be to conduct a 30-day wastewater volume study to determiue the updated SAC equivalent of wastewater flows. The volume study option will be beneficial to your company if you choose to initiate wastewater reduction meati-ures to reduce or eliwiuate the amount of SAC due. A final enclosure is the "SAC Statement of Intent." Please complete and retum it to MCES by 7anuary 31, 2004. www.metrocouncil.org IDletro Info I,yne 602d888 230 East Fifth Street • SL Paul, MInnesota 55101-1626 • (651) 6024005 • Fax 602-1138 • TTY 291-0904 . An Equat Opportunity Employer Brian Panettiere December 31, 2003 page 2 With either option, a"SAC Punchase Form" will be enclosed with your indusUy's renewed "Industrial Discharge Pemrit" stating the amount of 5AC due, if a SAC payment is required. It should be noted that some cities use 5AC deteminations to assess municipal °unpact or connection fees wluch are exclusive of the SAC charge. If you are unsure as to whether or not these fees are applicable in your city, you should call the ciry offices to inquire. At this time, no money should be sent to our oFt"ices. SAC payment shall be made to the city at the rime of pennit renewal using the "SAC Purchase Form." Please be aware of the fact that the information contained in this letter is accurete under the current SAC policy. You will be notifietl in the future of any change in policy wlrich might effect the status of this or future SAC reviews. Minnesota Technical Assistance Program (MnTAP) offers assistance to industries with pollution prevention concerns, including the reduction of wastewater volumes. If you are able to reduce the discharge volume of your facility, the potential SAC liabiliry indicated in this letter could be reduced or eliminated. The services provided by MnTAP are free. For more informarion, call MnTAP at (612) 624-1300. If you have any questions, please call Robert W. Nordqnist at 651-602-4706. Sincerely, zv- wnk,-,? I.eo H. Hermes, P.E. Indusirial Waste Manager MCFS Industrial Waste 5ection Exiclosures cc: Carolyn Krech, City of Eagan Sandy Selby, MCFS Robert W. Nordquist, MCES LHH:ptn Metropolitan Council Environmentai Services AAt Wastewater Volume Review Industrial Discliarge Permit Renewal Company Name Pernut Number Pernut Expuation Date SAC equivalent of the 7an. - June, 2003 Self-Monitoring Report (Total wastewater volume/total number of operation days equals average daily wastewater volume. Fach SAC unit equals 274 gallons.) Modified SAC Baseline Value (MCPS policy determined the SAC baseline value to be tlie SAC equivalent of the volume reported in the final self-monitoring report for 1991. The modified SAC baseline value represents the 5AC baseline value, plus any SAC units paid after the 1991 baseline date, ar the value for SAC credits*, whichever is greater.) 274 Units 222 Units This review indicates that the SAC eqitivalent of the current wastewater volume exceeds the modified SAC baseline value. The permittee has the option to conduct a wastewater voIume sfudy prior to permit expuation. The MCES will make a final detennination as to the pemuttee's SAC liability ba.sed on the prelnninary volume data and the SAC equivalent determined from the wastewater volume study. In the urterim, the industrial user has the option to undertake volume reduction measures to reduce or eliminate SAC associated with this permit reaewal. * MCFS SAC payxnent records may not be current, therefore, the credit value may be reviseci to account for unidentified credits, if the pernuttee can pmvide proof of their existence. 1,?-,31---2 7 Date (?; ?r JA? ? 5 ZQ?$ - ? ?--- ------------- I For Office'Use ? Permit#: I I ?}-? I Permit Fee: C ,`J l J ? ? • Date Received: ... .?-. 5taff: ? ? L ? . -?....:... dI _•. _ c _ ________ L -.------ - 2008 v PLUMBING PERMIT APPLICATION Date: ` Z'1 [N SiteAddress: 7,5?15 {V\-.11Q.. LY Tenant: Suite #: RESIDENTfOWNER Name: Ck n?aS ?PCLA- 9(Arn1?J?Phone: Address/City /Zip: .2v?5-1? ??&-e LaLoan -3SI-4 CONTRACTOR arci ? ??Q?;ce Name: i ern'se #k: v ' Address: aJ 1nA0k??Q+A . . City: State: ti`OY) Zip: t6IOZ- Phone: a:-? ?4011, ContactPerson: TYPE OF WORK _ New _ Replacement _ Repair .-)L-Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMITTYPE RESIDENTIAL Water Heater ? Water Softener L i ation _Add Plumbing Fixtures RP /_ PV? ( Main _ Lower Level) Septic System _ W ater Tumardund New Abandonment RESIDENTIAL FEES: $50.30 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) J50 .50 dd Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) Water Turnaround (add $136.00 if a 5!8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) I$90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) FEES I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the cny or Eagan: that I understand this is not a permit, but only an application for a permit, and work is not to staR wiihout a permik that the work wili be in accordance with the approved plan in the case of work which requires a review and approval of plans. X ???? X ApplicanYs Printed Name App canYs Signature FOR OFFICE USE Reviewed By: Date: ° Required Inspections: _Under Ground _Rough-In _Aii Test ;;Gas Testi _Pinal Q>O-L 0 C.Gq,k?+ plavIs 2008 FIRE SUPPRESSION SYSTEMS PERMIT ?-----------------? I PermitN: p' ? ? L7 J S6--s ? I i I ? ,h I ? Permit Fee: 1?V ?0? I ? I ? Date Received: ? I ? L Staff: _ APPLI TAO(NI 2 2008 Date: 0* Site Address: 337 5-- MrKe4 1/i'n t Qr i'v (_ i Tenant: ?f %? a ? PROPERTY OWNER Name: ?- in te. S Phone: Address/City/Zip: 3375' /t/li V,< CnWnS Qr ?a .n Applicant is: _ Owner 4 Contractor TYPE OF WORK Description of work: 1' ?'?nk?C! v{rc ?( a ? Afe2rcw44PUL' Construction Cost: 20,600 Estimated Completion Date: 0 DS' CONTRACTOR Name: U i{'C ?'n 5 NkuVnn ?h ?- Ii'nkI License #: C oo %?- Address: 12e,) i (. 'li?r ?,x?.- ? 54- City: S{. Qr„ ,. ? State: Mi"J Zip: Phone: G, 5 I? S S CS- ?Z 3 7 ^ Contact Person: DcW iJ $( 1,. !ur ? FIRE PERMIT TYpE WORK TYPE ? ve K GrSd^? ? Sprinkler System (# of heads Sli New Fire Pump :XAddition Standpipe _ Alterations - Remodel Other: Other: DESCRIPTION OF WORK: Commercial Residential Educational FEES $50.50 Minimum (includes State Surcharge) OR Contract Value $ Z4? p? x 7% -$ Z 00, Qv Permit Fee - If P rmi F?g is less than $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ 10. W State Surcharge $7,000 Permit Fee (i.e. a$1,001•$2,000 Permit Fee requires a$1.00 surcharge). -71 TOTAL FEE $ 3/4" Displacement Fire Meter -$183.00 $ ? Fire MeTer $ ,n I O.O? TOTAL FEE 'Requirements: 2 complete sets af drawings and specifications, cut sheets on materlals and components to be used I hereby appty for a Fire Suppression System permit and acknovAedge that the information is complete arW accurat that the work will be in conformance with the ordinances and codes oi the Ciry W Eagan and with Ihe Minnesota B 'y?lding/odes; ihat I nderstand [his is not a permit, but only an application for a permit, and xrork is not to start without a permik that the wo 116?W acc r ce with t oved plan in the case of work which requires a review and approval of plans. ? N X DLlJ4 X ApplicanYs Printed Name ApplicanYs ig re ` i ~ ~ ~ ~ ~ ~ ~ I . . ~ _ _ _~,.;._._m_.:~ ~ , ~ Y . . . . . . . ~ ~ . ~ . . . . . . . . . . . . . _ _ _ ,w.:i, L~ ~ S Fri+rt 4 ' kr . . ~ . . . . . . . ' ~ . ' . . . . . . . . . ~ . ~ ~ . . ~ ~ ~ . ~ . . ' : ' : . . . . . . i _ , , ~ ~ ~ ~ ~ ~ ~ ~ ~ ; { . ~ ~ . ~ ~ . . . . . - . . . . . . . . . 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C~ h ~S~t'~,t~S_~rean 9 dtta r n . a t ~d ~ e~ ua~ heat thro u9~ out 'e ui ~:n inciudt , b Id n9 afi b I+n . , s es h 9 _ d pac ` . i ~r Pitch all s r, 1 ~nkler r/4 er t n # e eet w th the exce t on that dr branc Imes shall be itch d/: ~ . , 1.. . . ~ , . . . ~ . , . p P P 9 p . , p Y h p ~ ~ o et~iarcodin9, bandEn9 of pr e, or other~s Pecraf pp r e markers are i~ ncluded~ ~ ~ ~ t~en#~ ny~~oe apr~nlFfer P~p~n9. F i N . . ~ ~~ri nimu av r ifo e m rrt~ trr overali~~ i e ~DRlaWPi~81` rs are in`cluded in~ this"corftract.~~ ~ n ten feet. 12 AN SCA6E : ~ , ~,t~~:~ . ~ ~ . . , _ Q.9803 ~U - ; `~ogan ~I~ue Su~th Sla~t~rngfda, ~9rnne~~e 5543! ~m; f"bBne ; the s nkler p ~i iri i"~~n ~I A mi m c e s b a ta ed outs d undE p g s,,J c~rded in this contraet. pl1 iPin9 9 center li es are iverr from the underside of the roof deck, bottom of woad or concrete 13 k ; , , , . . . . ali outside underground sprinkler main. , , , r! SHEET fVO. ~ 0F t / _ , . oist, or undersitle f smooth or pan tYPe conerete cei(tn9s. it ps written thus ~ 1•2. , # ` ° All outside and fns~de spr~nkler piping is to ~e tesied at 2fl0 poclnds for 2 hoi ~ • ~ : ~Nt~~e ri rrn =inc(udet ~i Ie~ ~~i uur ts n this;contract. , g_ . ~ . . . .n t~ . , , , oclnds for 2 hours, Thoraughly flush , 20 INSURANCE CARRfER, r 1 t r ~ marns: ~ - No cuttEng, cor~.ng, urning, drillmg, or othenNise piercmg of structural members ~s mcIuded the a1 ou s de C~~~ ~ , , . 9 " : . . . Na'reinate alarm.faeal~ties,suCh as A.D.T. or Centrai Statian supervisvry ` sero'ice arer 'neEuded in th~ ' s sprinkler contract. A41 outside underground sprinkfer main tums are to be secured with retainer , > SYS7EM:N0./9LDG.4~0. ~d with retarner glands, rads and efamps, • C, ~ No oFSPRin~cLeas F ~ ` t°~~ac#~ 15 No palletized; or ski ded storage over twelve feet high, or solid piled storage over fifteen feet high, or thrust blocks. S :z' ~ X HOWN QMTMI EE SSH T t)thers are to insute and uarantee the comlete absence of ali combastible materials in blind s aces: 10 x is to occur in this 6 ilding. 9 P_ p 16 X No lower fevef sprinklec pratectiorr is provided for racked storage. f&g@: ZZ NO.Of SARINKtE4tS ~ . / / ON JOB , ` • ' No s rink4ers are ovided for Freezers Coolers outside eano ies or other areas sub'ect to freezin . ' ' ~ Pendent sprmklers are not required to center in cerlmg trles. 11 p P ~ ~ P~ 1 9 17 No spnnklers to be mstalled under overhead doors. 123 CONTRAGT No. , ~ City of Ea�au 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Date Received: Staff: 2010 COMMERCIAL PLUMBING PERMIT APPLICATION Date: %rc.5-'/U Site Address: g?.5- J72/7e-- CD LL /4/5 Z)R/ c Tenant: 0 /'/V 77'13 COg PO "77'OA/ Suite #: J PROPERTY OWNER Name: / /U 7,1-.5 e 0 RPOIZet1116 AI Phone: 6.67- ?5 O5 C CONTRACTOR r Name: ROW FE `s PL /4 Mt7 /3 i /l( License #: Address: a r. .� Li ilii City: P*t c State:// Zip: 5S1 _ Phone: 63/^2C d- 7/ 170 Email: TYPE OF WORK New Replacement Repair ,_ Rebuild Modify Space Work i R.O.W. — _ _ R P Z Description of work: PERMIT TYPE COMMERCIAL New Construction Modify Space _ Irrigation System ( yes / Y 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. � r� Domestic: Size & Type 1 Fire: 1 Avg. GPM High demand devices? X Yes _No Flushometers Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ x 1% Required - If Permit Fee is less than = $ Permit Fee on ALL new buildings and boulevard irrigation systems -* = $ Radio Meter Read $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ State Surcharge $1,000 Permit Fee (i.e. Following fees apply Call the City's Engineering when installing a new lawn irrigation system. $ Water Permit Department (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ .50 ! SCS .. 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 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 ip the case of work which requires a review and appr. A I of plans. X {,itr X 9:(Ld C14/ Applicant's Printed Name Applicants Signature FOR OFFICE USE Required Inspections: Under Ground __Rough -In ',__Air Test ,_Gas 'Test Final PRV Page 1 of 3 9528917031 JAN-08-2010(FRI) 11:38 Dakota County POD (FAX)9528917031 WATER RESOURCES OFFICE GROUNDWATER PROTECTION SECTION 14955 Galaxie Avenue • Apple Valley, MN 55124 952.891.7557 • Fax 952.891.7588 • www.co:dakota.mn.us MUNICIPAL NOTICE OF WELL PERMIT APPLICATION DATE: January 7, 2010 TO; Tom Colbert/Wayne Schwanz (EM) Fax #: (651) 675-5694 RE: Well Permit #: 10-767988 Well Type: Monitor well Municipality: Eagan Water Resources Specialist: Luehrs P. 001/001 The Dakota County Water Resources Office has received the following permit application for the well described,. If you require further review of the application or if you have any questions or concerns about it, contact the Water Resource Specialist listed above or our office at (952) 891-7557. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Boart Longyear Date Application Received: 1/7/2010 Anticipated Drilling Date: Time: Anticipated Grouting Date: Time: Property Owner: Well Owner: Cintas Cintas WELL LOCATION: PLS Coordinates: 1/4, SW 1/4, SE 1/4, SE 1/4, Sec 11 Town 027 Range 23 Street Address: 3375 Mike Collins DR PIN Number: 102250327004 WELL INFORMATION: Diameter: Casing Depth: Total Depth: Static Water Level: Aquifer: COMMENTS: t Dame aa4oka Cow1Y Parcel Lb b JMdaarefrvasPecm5eRPip E7 P00: 102250327004 13 House #: 3375 Ea Street M00_ [OWNS OR El Apt El csx EAGAN E4 Stake: MN Z9 Code: 551210000 E Acres 0285370685 E1 Sum Aaes: 07854 E7 Sq HG 34212024 O Section: li Township: 027 Ci Range: 23 QQ: 77 ®Lot 274 ® Plat PARK CENTER Oi3HSTRJAL PARK HO 4 0 Pitt 102250327004 City of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 111012 Use BLUE or BLACK Ink For Office Use Permit #: Atiffoo Permit Fee: 0 0 O 66/ Date Received: Staff: 2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* ?? Date: 6 /6/ 2- Site Address: J ✓ 7s / ` / K%co//,-4 / 4%/ ve I(( Cs Cot 16 v ra, /ion Tenant: Name: Cid f„S Co? 0%U.T/'dfl Phone: J Suite #: Address / City / Zip: Applicant is: Owner Contractor Description of work: �ysi-e1 vP yrase- to f114 G104/ San dcirvir Construction Cost: Estimated Completion Date: Name: Vi`(n u/4v1i!M a, fiC 46/'ik/erLicense #: C 0 p .5 Address: 430/ )14 A Ve. City: Sf /fid f State: /11V Zip: jj 557 3 0 Phone: 6s i - s .r ' - 33° v Contact: / O/t� CYII t' /e/I Ema'I: 14100,1 ASS. Ch r;$/e4 - Vk;� 91-,4kker. c '- FIRE PERMIT TYPE 2 y q Sprinkler System (# of heads _) Fire Pump _ Standpipe Other: WORK TYPE X New _ Addition Alterations _ Remodel Other: DESCRIPTION OF WORK: (` Commercial _ Residential Educational FEES $60.00 Minimum (includes State Surcharge) - 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 (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ /0 VS" Y x 1% =$ 1081/1 sy = $ 0 0 Surcharge = $ 1, O2 9.S 5' TOTAL FEE Permit Fee 3/4" Displacement Fire Meter - $231.00 =$ Fire Meter = $ V 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 l derstand 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 ty+approved plan in the case of work which requires a reviewand approval of plans. x Tom CL i S;e4 Applicant's Printed Name Applicant's Sign.ture .375 in; K6- Coithic /y OOD CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq tMetropolitan Council December 31, 2012 Cintas Corp - Eagan 3375 Mike Collins Dr Eagan, MN 55121 ATTN: Drake Dietz, Plant Manager Re: "Capacity Demand Review" for Permit Number 0656 - Located at 3375 Mike Collins Dr, Eagan, MN 55121 The Sewer Availability Charge (SAC) is a fee for wastewater capacity or demand, which has been levied on all customer communities by MCES (and its predecessor agencies) since 1973 for new connections, or other increased capacity demand by users of the Metropolitan Disposal System (MDS). SAC revenue is used to pay for a portion of unused (or reserve) capacity of MDS capital improvements. While SAC is a metropolitan fee on our communities, it is calculated based on the capacity demand of each specific facility. Typically, communities pass this fee through to the property owner or business involved. MCES directly administers SAC procedures related to industrial permittees of MCES. RECEIVED JAN 0 3 tot 3 EAGAN ENGINEERING DE'ARTMENT Environmental Services As part of the SAC policy, facilities holding an Industrial Discharge Permit are subject to a "Capacity Demand Review" one year prior to expiration of their permit. The "Capacity Demand Review" serves as a method to detect demand increases (indicated by recent volume measurements) from the processes of a facility and to encourage reductions if increases have occurred. Current wastewater volumes are converted to a SAC demand equivalent and compared to the "assigned SAC baseline" for the site. Any capacity demand increases beyond that baseline have the potential to cause assessment of additional SAC. Note also, that building activity may incur additional SAC liability. Three years ago, a "Capacity Demand Review" for your facility took place. At that time, wastewater volumes from your facility were noted to be below the "assigned SAC baseline" for this permit, so no additional SAC was required from the community and no change to the "assigned SAC baseline" occurred. A current evaluation of wastewater demand from your facility indicates capacity demand now remains below the "assigned SAC baseline." Please find enclosed a "Capacity Demand Review" specifying the results. Thus the community for Cintas Corp - Eagan will not be required to pay additional SAC based on this process review. If you have any questions, please contact Robert Nordquist at (651) 602-4706 or via e-mail at robert.nordquist@metc.state.mn.us. Sincerely, Leo H. Hermes, P.E. Industrial Waste Manager Industrial Waste & Pollution Prevention Section Metropolitan Council Environmental Services Enclosures cc: Jessica Nye, MCES Robert Nordquist, MCES John Gorder, City of Eagan www.metrocouncil.org 390 Robert Steet North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1138 • TTY (651) 291-0904 An Equal Opportunity Employer It Metropolitan Council Industry Name Permit Number Permit Expiration Date Environmental Services Capacity Demand Review Industrial Discharge Permit Renewal Cintas Corp - Eagan 0656 12/31/2013 SAC equivalent of the January 01 to June 30, 2012 Self -Monitoring Report. (Total wastewater volume/total number of operating days equals average daily waste- water volume. Each SAC unit equals 274 gallons) Assigned SAC Baseline Value (MCES policy determined the SAC baseline value to be the SAC equivalent of the volume reported in the final self-monitoring report for 1991. The assigned SAC baseline value represents the SAC baseline value, plus any SAC units paid after the 1991 baseline date, or the value for SAC credits*, whichever is greater.) 159 Unit(s) 223 Unit(s) Current wastewater volumes do not exceed the assigned baseline value. The permit renewal process will follow past procedures. This review is complete. * MCES SAC payment records may not be current, therefore, the credit value may be revised to account for unidentified credits, if the permittee can provide proof of their existence. Reviewe by www.metrocouncil.org 390 Robert Steet North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1138 • TTY (651) 291-0904 An Equal Opportunity Employer City of Ekon 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 13041 $ cow ov Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Receive"/ ' f Sta 2013 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 01/21/2013 Site Address: 3375 Mike Collins Dr Tenant: Cintas Suite #: Property Owner Name: Cintas Contractor Type of Work Permit Type Phone: 651454-0560 3 Name: Yale MechanicalLicense #: PC644631 Address: 220 West 81st St Phone: 952-884-1661 City: Bloomington Email: accounting@yalemech.com State: MN Zip: 55420 New _ Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: Tested one RPZ and rebuilt one RPZ 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 uo meter. 0 Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _ COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ 1,000.00 x 1% Permit Fee =$60.00 Required on ALL new buildings and boulevard irrigation systems -* $ Radio Meter Read *If the project valuation is over $1 million, please call for Surcharge Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Meter(s) State Surcharge $ 5.00 $ Water Supply & Storage $ State Surcharge _ $ 65.00 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.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 Angie Richardson Applicant's Printed Name x Applicant' Signature FOR OFFICE USE Approved By: Date: Required Inspections: _Under Ground _Rough -In _Air Test _Gas Test _Final PRV Required: _ Yes No Page 1 of 3 � D��� Use BWE or BLACK Ink �� ��.�t/vS �� A!`�D��� � For Office Use � G�t �f �a a� � � � t � I Permit#: �� I � � �CT 2 7 2�9�t � /_ �% ► 3830 Pilot Knob Road � Permit Fee: lU� � Eagan MN 55122 ' � � Phone:(651�675-5675 '�' � Date Received: � Fax.(651)675-5694 � i I � � � Staff: � I I .�����������������J 2014 FIRE SUPPRESSiON SYSTEMS PERMIT APPLICATION* Date: 10l23/14 Site Address: 3375 MIKE COLLINS DR Tenant: T �t V��L�S Y` � <� .���,� ' Suite#: � �� ������ �Name CiNTAS CURPORATION �� ���� ��������� � . � Phone: ��� �i O��x''�y'Qini'rre�°� s & � Address/City/Zip:� � � � Applicant is: Owner X Contractor �� ����,�...,�.,,�.1 � �a. #,.,a,�_,��..,�.�..�,.�..,..a.n,��...,���...�.�.�.�, , �' , � Description of work: �dd 12 heads under overhead garage doors � Typ�of Wc�rk — �� ' Construction Cost: 1835.00 Estimated Completion Date: 11/15/14 � ,�,�.��..�.�,. ,�,��,.�,.����,N...�.��. � Name: VIKING AUTOMATIC SUPPLY C00005 �. ---. License#: � ' Address: 301 YOF2K AVE ST. PAUL ��, � �OR�1'�C�tlf � City: � � State: MN Z;p: 55130 Phone: 651-558-3300 A ' �� Contact: �CN SZODY ZACH.SZODY@VIKiGNSPRINKLER.US ��.�..�:� Email: �� � ��ti���� o�.�����,��w.����,��,.����.,� � �` FIRE PERMIT TYPE WORK TYPE X Sprinkler System(#of heads�?) New X Addi i n ; _ _ to Fire Pum � � p _Standpipe _Alterations _Remodel Other: Other: ��.�b�.�,.����...�,.���.,,.��,..��,.�,.�.x���.�����.»�u.�.�� ��,.�,�„�, � � DESGRiPTION OF WORK: �Commercial �Residential ^Educational ������ �,...��..,. ��a��..,�..��,�.o�w�,,,�.��,�.e�..�.����.�,�.�m.�,���,.�.��..�.�.�.��.,.� 1835.00 Contract Value$ x.0'I � $55.00 Permit Fee Minimum 55.00 � "If contract value is LESS than$10,010,Surcharge=$5.00 -$ Permit Fee � "*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 =$ 5.00 Surcharge" ` "`"`If the project valuation is over$1 million, please call for Surcharge �� _$ 60.00 TOTAL FEE � .�.�.�.�..�...�..a�_,����.,�s.�.�,.�..ra.�..�.�.�_.....��_ �.�w..,.�.�,.����W,.���..�.�r,��..� ..�.� � 3!4"Displacement Fire Meter-$260.00 =$ Fire Meter � � � _$ TOTA�FEE � £x"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 , O,` ` X ApplicanYs Printed Name ApplicanYs Signa r w � . � �$l S� �FOR t7�F10E�U3� � � � � � � REC,�UiF�ED 1NSPECTIt�NS � � Hydrostatic �io`r,Afarm t7rair�'�est �; Rough le►' � Trip PumpTest �enfraf"Staiion '�Final ` � ' : � Conditians of Issuance: � � � � / � Permit'Reviewed b • t Oate; !� f�!� �� �,��, >..s�._a.x.a ��_�� � �.����� � For Office Use i Cit of�� �Il � Permit#: � ����'C � � � , , 3830 Pilot Knob Road i f ��.,�jl�(� � Eagan MN 55122 I Date Received: I � ,E ..•'............. L----------------� Phone:(651)675-5685 ���,:x �4.:,....x. ., Fax:(651)675-5694 ""'° Email:plannin9@citvofeaqan.com -,.ti�� r, � ,�.�_s� �i. ZONING PERMIT APPLICATION ❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. PrC��C�( Site Address: ���� � � C�� b'� � �� 1�'1f01't71�t1011 , Owner Name: )����� Name: ��� �..�f� Phone: � y�/ • �`�„j' � 7��(!� rnC�i d��O�Gt�l�i� ` �, Address: �, a City/State/Zip: � \ �, 3 ��Il#�C'� Applicant Signature: Date: ' Email address: �{,l(,°� �'1 � �' f�( �,�°J�/✓� ' ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: ❑ Patio ❑ Sport Court T�l'�#'�if�1/�rk ' �:Sidewalk ❑ Fence Description of work: f r/�!/l��{�� Y 1� �� .-v ��� � � ' �� P1�nrting S.etbac}�s;h�rd su�Face�ove�age, shc�relat�#�c��r�g, b[t�f�zone/�t : +��CS,'etc, pproved enied Date: lG � 1� Staff: o es: Revised Plans Approved: Yes/No Date: Staff: Engine�ri�tg Gradi�t�, drair��c��, u#ik�t�e�sern�?��x we#lands, eros�c�rt�r��rol; irri�rrc�uern�r���ir�#�e R��h�c�f iN�,�tc: Approved/Denied Date: Staff: Notes: Revised Plans Approved: Yes/No Date: Staff: , � � .. e � �QI'�ll11�1'h�S .. . ���: �� �; , . �� < , �� �', �;�,. ,, � I;' 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 � � ���� l ��,o�as�.L ��t� �C]NST'RUCTI01� � � � � , � , � � , ► , , , �v��,v`� ����E '��� 2504 County Road B W, Suite 2A Rosevil(e, M N 55113 �: C51.C3�.4J9C GoodmansonConstruction.com �' S G51.63G.52�� Date:�0/8/14 Proposa!Submitted Tv Wark To Be Performed At Cintas 3375 Mike Collins Drive Paui Pampuch Eagan,MN 55121 {651)454-05bp Aaron�ack gampuchp�cintas.cam bracka cintas.cort7 We hereby propose to furnish the materlals and perform the labvr necessary far the completlon vf.• Remove and Replace Cnncrete Sidewalk ➢ i�emo,haul away,and recycle all ald concrete. ➢ Re-grade as necessary. ➢ Install concrete per Goodmanson Signature Service. 1. Insta112"-6"of new class S recvcied cancrete base an�i pawer compact area 3 times. ✓ Over time recycled concrete rehydrates and becomes extremely dense therefore reducing issues such as frost heaving and settling. 2. install 3/8"steel rebar in 2'grid pattern, set rebar on 2"chairs. ✓ fiebar maximixes tensile strength and ensures that each section of concrefie will not move independently af other sections thus eliminating tripping edges and gaps between cancrete sections. Rebar outperfarms fiber tnesh and wire reinforcement. 3. 4,SOOp.s.i falkstone aggregate mix{no fillers). ✓ Cancrete mix is designed by Goodmanson Construction and#ested by engineers to resist cracking and eliminate surface scaling and rock pop problems. 4. Pour concrete at least 4"thick,firowel srnooth and lightly broom for texture. b. Cut cantrol joints 2"deep with a diamond saw. 6. Apply industria(concrete sealer to sfow curing and to prntect concrete agairtst satts,stains and weathering. 7. Fill#arm cavities with black dirt and grass seed if necessary. 8. Thoroughly ciean affected area, �f,.. -- Total install sidewalk section at main entrance(approx.S41.f.and 333s.f.j: ��`$6,470.00 Total ta remove and replace paver area with concrete(54s.f.}: $750A0 � Total to grind down lip at averhead door entrance(1.21.f.): $340.Q0 ,� ���� l.9 , � � ���� ,n�tia��_� � � �� � �� � ��` a� � � �� � ��? E� I � � I 1 � � I � I ��':� � ��� ; �a � ' ,,r,�,;s .�__ ,� ' . _ r,� ., -a� � _ i . 4 � _ % _ �f, � i ( L���IA�"a�*_� . �_ 1 a �t �,aa�s '� y�q "'�.� � �.w� .„„„� � ,. -r "Y� .�,.�:.., ,., �� � wt � . ,�. -,.�^�, � : , � ', ,..y,�� m,�s�3� > � . .:..� .� .��, .. , .,.. _ � . �^.. • -. ,��..._ . ,:, . ,� 2�.,�. �� .. K .�7�.' t."� � � �; +� � ,. _ ,,�°,� r t ?�s�� � �. 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" , `� , �...x' � . ,E ����� � � � � �� �� � � ,��� � u ,. ; , > � e � � � � � lXhM'-;�'��. �� � � � .. �, . s� �.. .. 5 _ � �, � � ..*' > � , tID� . ��. } � �t ����� ` � "� � � ��� ,�,��� _� �.���n., . _ . L _�_ � ���y t �� �_. _ :���.��:������.__ , - Use BWE or BLACK Ink �-----------------� � For Office Use • ' �-����� Clt of �� a� � Permit#: I � , � �.� � � Permit Fee: '� � 3830 Pilot Knob Road � � I Eagan MN 55122 i ,'�-,�J� � Phone: (651) 675-5675 � Date Received: i Fax: (651) 675-5694 � Staff: �1 � I � � `_�__����_�_�____J 2015 COMMERCIAL BUILDING PERMIIT APPLICATION Date: � '�(J, SiteAddress: �✓�� fh�•l�— ���if�,�_� Tenant Name: �e�ll��.s (Tenant is:__New/�Existing) Suite#: Former Tena�nt: ' Name: �tn� Phone: (a.J'[ '� "l/ ����b� Property�Owr�er �� � � / y� , Address/City/Zip: �37� rVj�GG �'1�l��l� r��• Applicant is: Owner Contractor Type of�lf/ork' Description of work: �l7� � o �1<�i''►'� � _ .�.-1 Construction Cost: �--J �[�'�J r r n !�, / r Name.� 1 K.G 1�'f ��G�.S T�Gc,�h►�i�ense#: Contractor Address: � l 3g f��`�� �' _city: �u�r 1sd•% State:����Zip:�_,�3�? Phone: 1� ��' �D•� � ��3 Contact: J Email:�J dcU��r�/J• �"� Name: _Registration#: h` Address: _City: Ar� .�#ectlEn ineer; 9 State: Zip: Phone:_ Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: I1►OTE:Plans and supporting documents that you submit are considened to be public inforrrrafio�. Portions af the information may be classified as non public ii you provide specific reasons that woufd permit the C�ty to <cancf�de th�t f�re ;>are tr�de�se�r��t�. � � '� . � 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 application for a permi d 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 re ' a rev' w and approval of plans. X �� �����,,$J�� I x l AppllcanYs Printed Name ', Applica , ature Page 1 of 3 „ D���� +�'''"1�k� �C� � t,� � � NOT WRITE BELOW THIS L"�NE ������ SUB TYPES Foundation Public Facility Exterior Alteration—Apartments � Commercial/Industrial _ Accessory Building _ Exterior Alteration—Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration—Public Facility Miscellaneous Antennae WORK TYPES _ New _ interior Improvement _ Siding _ Demolish Building* Addition _ Exterior Improvement _ Reroof _ Demolish Interior �Alteration _ Repair _ Windows _ Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall Salon Owner Change *Demoliti�on of entire building—give PCA handout to applicant DESCRIPTION � Valuation !,`r (�CO� Occupancy MCES System Plan Review � Code Edition 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 Width RE(�UIRED INSPECTIONS Footings(New Building) Sheetroc:k Footings(Deck) �F' I/C.O. Required Footings(Addition) � Final/N�o C.O. Required Foundation Other: Drain Tile Pool:__Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:__Stucco Lath Stone Lath Brick �Framing Window:s Fireplace:_Rough In Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: ConcretE:Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: Yes °�I�lo < , Reviewed By: � �- , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee �-fr�, 5 G� Water Quality Surcharge ��g��� WaterSampling Fee Plan Review Water Supply &Storage�(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit & Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL� � ��. ��� Page 2 of 3 " " Use BLUE or BLACK Ink ' I For Office Use � �� .G''� �� � � �� � C�4y Ol ���Qll �(� � � Permit#: � G �� � Permit Fee: �`` I 3830 Pilot Knob Road ,� � Eagan MN 55122 � n �\ i Date Received: ' I Phone: (651)675-5675 t�-' � I Fax: (651)675-5694 I Staff: ________"7_� �------- 2015 COMMERCIAL PLUMBING PERI�NIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 7 �� 20/,S— site Address: 53�S �l K� C. �/l��S �r. Tenant: ��/�T� S Suite#: Name: Phone: = ,� r #� Name:_�f�c-T� I �� �-, �l� � �-�—C-. �ic:ense#: (�(�G� S 7 S ��/ .�/ ) S- Address: �U�� C�!—�i�,v� �City: S1 f f�� � State:��N Zip: S�O� � Phone: 2--"703 --�� EmaiL• b �rn� S �s e �� �a�M-a��, c p � _New _Replacement _Repair _Rebuildl �Modify Space _Work in R.O.W. �u , Description of work: �c�ave 1'e ��c e ����.-��rt ��k'f v/cS. . COMMERCIAL New Construction �Modify Space . ����_ _Irrigation System(_yes/_no)(_RPZ/_PVB) k � ��,� • Rain sensors required on irrigation systems � ��t. • Avg.GPM (2"turbo required unless smaller size allowe:d by Public Works) � �� Meters Call(651)675-5646 to verity that tests passed arior to aicking ua meter. � � � y — _� � `� �� Domestic:Size&Type Fire: 1 �- �,���.. _ `� Avg.GPM High demand devices?_Yes No Flushometers Yes No COMMERCIAL FEES Contract Value$ �� o 0 0. '� x.01 $55.00 Permit Fee Minimum _$ Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge" **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 *'*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 conf'ormance 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 wo is no o 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 plans X �Se��' l��i�ef x _ _ Applicant's Printed Name Applic nt's:iignature � � . _. � , _ W.--- F�- �. � , �, . � v � - �� � _� _ e § r � , . . . �� � � - - Page 1 of 3 , � �� .� � , 1� �� i I �'�, s �� � �-��`f�° �7 �e s�r��`�i�n o-�� �c'k' lV(��lS' .��`f�i('opM t��S T�..ja 'TC� I eTS c�/�c� O/l� L/�t r� �. � cc�� ��"I��L �1 a M er�S� �U`T���>c (�-� ��S ��(,e� �c l�"� �� �/� ��u r-� �r n c� S � '����.� �� e /t-t�e11 S I a� �M °t� (s � o �� l�..w.S `TW� V 1�� n� 1 S c�/�� �!1 �'_ �l� t �� � G�tu` `T �'l"�_ i + r �j �`�Me� S r "`� � �,,, � (� �4v� �w a ��� \-e T S f I �S� � C�'� �� . ("�o� ,n1 5lnl� �f� tn � ��� C_.�nl�L� nne� 1 . � `� Use BLUE or BLACK Ink � C�c--��.- �----------------; � (j I For Office Use I i � � • Qd2 �l t'�'�-� � Permit#: /��O � C� � Clty 0�����Il � ��� ; � Permit Fee. 3830 Pilot Knob Road � I Eagan MN 55122 ,. � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 ��` �� �� `�� I Staff: � � �... �----------------- 2015 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: � $ Z-VIS SiteAddress: ���5 � � �e- �o'f�nf �r- Tenant: (.,t n��S Suite#: � Name: ��n +°�S Phone: Name: C� f'���" 1��v,r���� L L�. License#: b�6 S7S� Address: �P c�q ���W� J�t�ve- City: �` �a�� State:�"�� Zip: SS � 0`7 Phone: �o l2-7 0 3-'-7 o Z Co Email: ��/'n C's o s e��� ��.i`1 a: �. c�,^�1 _New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. �` �� , Description of work: re A�A�e -�'r x-�v re S aF..� . COMMERCIAL New Construction �Modify Space ���- _Irrigation System(_yes/_no)(_RPZ/_PVB) ��`���£ �`"' Rain sensors required on irrigation systems a ��� . • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) � r �«� � _Meters Call(651)675-5646 to verity that tests passed arior to picking ua meter. '"� �`` ��` � � � Domestic:Size&Type Fire: 1 � � _- ��, # � ' Avg.GPM High demand devices?_Yes No Flushometers_Yes No ��_� — — COMMERCIAL FEES Contract Value$ �G �� v x.01 $55.00 Permit Fee Minimum =$ Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge" *"If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 """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 CA�L 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 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 worlc will be in accordance with the approved plan in the case of work which requires a review and approval of p ns. X � s5��� �a('nC�S X Applicant's Printed Name Applicant's ignature --,.a�: . . e _. - �.. .� �__;� - - _��-��� _��. ._ ���� �=, ���`� � � = _ � ��' � ��. . _ _.. =� T , _ ; . . _ s = -r , �;_.�� . � M�� ` �8@ - � . 8 . � _ :� � : ' : � _ . .. � ._ _ Page 1 of 3 , 15-0495 CJR UseBWE or BLACK Ink �-----------------i /" i � For Office Use � �• � / �O��v �!�'�� / 1� V� �LL �11 �����e��.���! I Permit#: � �i�� � � j Permit Fee: /��'� j �! 3830 Pilot Knob Road JUN 1 51015 � �' '�I Eagan MN 55122 I -�� � �7 I Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 � Staff: �J�� � �-----------------� 2015 COMMERCIAL BUILDING PERMIT APPLICATION Date: � � !'�" I� Site Address: 3375 Mike Collins Drive Tenant Name: Cintas (Tenant is: New/ X Existing) Suite#: Former Tenant: Name: Cintas Phone: �������r " Address/City/Zip: 3375 Mike Collins Drive ' Applicant is: Owner X Contractor Description of work: Install Mezzanine Safety Changes Type of Wark � ' Construction Cost: �� Name: Yale Mechanical LLC License#: MB004822 COi1tl�Cttlt' ' Address: 220 West 81st Street City. Bloomington State: MN Zip: 55420 Phone: �952)884-1661 ' Contact: Clint Retterath Email: cretterath@yalemech.com Name: ���TT ^ hn SC7F1 ����" � ` Registration#: A!'C�ii�eCt/Ettgitt#�r Address: 3�a � �0.�e�r�� !��c�9. City: ��^�"�'e �c�r' l.ca�C< State:_1�1� Zip: �1�Q Phone: � �--' � �j'" �� a� Contact Person:��I�� .f l)��sG� Email: M �d�n��� � �a��o'^�'"` , C 8-'►-` Licensed plumber installing new sewer/water service: Phone#: NOTE:Pl�ns and sttp�tr�z��r�t��t�`y�t s��`� +c �:� , ' �r�it 1�i�,��F the ini�Orma��an rnay 6�t cl��+���r,��r,f��-;�wt��y�e►�:p!� ,���'' ��:�r!` �d: ��e+;�;��i ��` � 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.gophe�stateonecall.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; e work will be in accor 'h the approved plan in the case of work which requires a review and approval of plans. X ��►�-� ����r�.`� ppli s Printed Name Applicant's Signature Page 1 of 3 y � v�� �� � l� ������O NOT WRITE BELOW THIS LINE ���� �"' SUB TYPES Foundation _ Public Facility _ Exterior Alteration-Apartments �Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments Greenhouse/Tent Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition Exterior Improvement Reroof Demolish Interior ✓Alteration Repair Windows Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall _ Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION � Valuation Q� Occupancy �� MCES System �tS ,,�� Plan Review � V�S Code Edition �('j/5' /'KSBCr SAC Units ����;(..�� (25%_100%_) � Zoning City Water �I � Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) Final/C.O.Required Footings(Addition) �/Final/No C.O.Required Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick �/ Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: ✓Yes No Reviewed By: �► �C2. L , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee 00 , a5' Water Quality Surcharge �(j, SO Water Sampling Fee Plan Review Water Supply 8 Storage (WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S8�W Permit 8 Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL� /_703,S� �'T" Page 2 of 3 ♦` Use BLUE or BLACK Ink r----------------- I For Office Use � � �'� �`� �� � jl� C�U O1 �U U� i Permit#: 6 ^ �� � � � I Permit Fee: �U/(!/ L7� � ' 3 8 3 0 P i l o t K n o b R o a d I � Eagan MN 55122 1 P hone: 6 5 1 6 7 5-5 675 I D a t e R e c e i v e d: �` �l� I ( ) i i Fax: (651) 675-5694 � � � Staff: � �-----------------� 2015 COMMERCIAL BUILDING PERMIT APPLICATION Date: �� � ' �� Site Address: �� ��� /�• t�c ( � 1`� � �4 ', � i Tenant Name: �i n�� (Tenant is: New/�Existing) Suite#: Former Tenant: � u� �, r � � � �;� : ��� Name: �r r1 �-�e;S Phone: Pt'Q�f * �W�'1+��' vv Address/City/Zip: �?j'�S ��•� ������' �.,� �� X ��} � ���� � : �� �r.�. ' Applicant is: Owner �Contractor ���� ��.> �n ��� �K ���� .� Description of work:�,r i �� ,� /�'l � h�ata��h C� �'`�►���f�1114a1-1C �— � ��*�� � � �..� ����� Construction Cost:���,�� � ��` � � : t , ��� :� .�� Name:..LS l•yt�� biL�14.�? �.1��'icense#: � ��� � - r y� / � ��� ,, �.:.. Address: � �3 � �� r,�t!`U�/�'.�L�C` City: „��„M.Sf• /� �011 i' , � } � ���- .�3 7��,3 �� � �� State:�Zip: .� Phone: °�' ��. ��� ?.� . �^,,,� ��/� �� _ /_r ;: Contact: �� :�vn Email: R�����%�'M/�. C��. � /�^1 � � � '�� � Name: -�,G1t3.�r�'Li .� �1 ✓�, l.�V� � �� :� � � � �;, n�S7�s Registration#: � � ,. � � ��� _ ��� 3� ' � ����� ' Address: �CLSL/8' li��.�/�a'"L �� S City: ��rY1�14t�-1 `��iT`ch��E,��t:#lEt1g11'���C ��� � ,'/ G r� G ��� �, State:�W Zip: -�s I3 � Phone: �`4' 77v y� [ � �: ;', �, , � � �.� �:. �`� Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NU�f�PI� ��d s �arti �'�cume�s##��t� � e considered#+� ��+ �o � � x r�.� {���afo�� n �� e cl� s��e�l ���pub��� �����vi�le spe�r�c re� ��h�����a�r r�r�ft� � � � � � �� �;�� ��.�� x � � �.. �"� � �� x�._ � �/ t�@��#1 �� ��_ � � n ,Y. h i �; . _ ` �.. �". �. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. vwvw.gopherstateonecall.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' not to start wit�_a permit;th e work will be in accordance with the approved plan in the case of work which requires a re ' nd approv ans. ! �._..S��i > >s X ., X ApplicanYs Printed Narhe • " ^ Appli ' S' e Page 1 of 3 ��� '' �� 7� � � �U'I����5 DO NOT WRITE BELOW THIS LINE �� �� SUB TYPES _ Foundation _ Public Facility _ Exterior Alteration-Apartments Commercial/Industrial Accessory Building Exterior Alteration-Commercial Apartments Greenhouse/Tent Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New Interior Improvement Siding _ Demolish Building* Addition Exterior Improvement Reroof _ Demolish Interior Alteration Repair Windows _ Demolish Foundation Replace Water Damage Fire Repair _ Retaining Wall Salon Owner Change "Demolition of entire building-give PCA handout to applicant DESCRIPTION oe Valuation a�i��� Occupancy 8, �-1 MCES System ��_ �� � Plan Review ��S Code Edition o70/S M5�3G._, SAC Units O As��. F-/q,�, (25%_100%✓) Zoning �t- City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction �_ Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) F'nal/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick ✓Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron � Final C/O Inspection: Schedule Fire Marshal to be present: Yes ✓No c`"""-""'`-, Reviewed By: 7"{!CG � , Building Inspector Reviewed By: �, , Planning COMMERCIAL FEES Base Fee �5�.pQ Water Quality Surcharge 1�,SCS Water Sampling Fee Plan Review ��'(�, �b Water Supply 8�Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit&Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL�'766.�j'Q Page 2 of 3 Use BLUE or BLACK Ink �----------------, ���� ��ec�C i For Office Use I • � � Permit#: S � �l� �� �� �Il �.������ ; � � � � Permd Fee. e � I 3830 Pilot Knob Road � I Eagan MN 55122 ���i�r�EQ � � Phone: (651)675-5675 � Date Received: ` �' � Fax:(651)675-5694 Q�fi � � 10�5 � � i I Staff: __ . i����-_-_-_-���-_J 2015 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: Z�!✓ Site Address: �%������[�L/f/V7���� Tenant: �,/ICli4"�l!' D Q Suite#: ,� , �� �� � Name: Ga//l�T,� � C�GI��d�T/G� Phone � ; , s�, vv����� Address/City/Zip: ""/������iL��OLL✓/1lS��jl�'E ,��3���3 � z'�� _ ��`.� � \ �� ` z ;� � Applicant is: Owner Contractor ������� �,,/ /,,' �� ' _��� ' Description of work: �TG�/�/O/"'l���lV//�C�1J�'C�i� ��� � ����� � � y����: Construction Cost: � � — Estimated Completion Date: �� �S ���� �� : � ���.,� �\�`��` � ��� Name: � � " •� � � License#: �.�c�C�-� � \� ��` Address: %v°� `7c��j �j�� , City: ���G �� �' ��� ,j�/�/A /2/� /�— i State: �«1� Zip: �f/L� Phone: ldJl�.5�� -�2� �/ 3 �z� ,/ � ;,���.��'" � , Contact:��{�fTO��C�,�-iv,/� Email:G�12'.Qol D/J�.l�/.(�/� �KLP1'.U5 FIRE PERMIT TYPE WORK TYPE /� Sprinkler System (#of heads��) _New �Addition/"/GZZ • ���/� /� Fire Pump _Standpipe Alterations _Remodel ,� Other: Other: DESCRIPTION OF WORK:' �Commercial _Residential _Educational FEES $60.00 Permit Fee Minimum Contract Value$ �J�Q — x,01 Surcharge=Contract Value x$0.0005 =$ �% ' Permit Fe� If the project valuation is over$1 million, please call for Surcharge �5 _$ � � Surcharg� $100.00 Residential New(includes State Surcharge) _$ ��p �� TOTAL FEE 3/4" Displacement Fire Meter-$270.00 =$ Fire Meter _$ TOTAL FEE **Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X �,�io ��N���O„il/ X ApplicanYs Printed Name Applicant's Signature �� - � ���� ����������i��� �d ��� � �� � �� . tC , �� _:_ � �� . �� �� ���, j � , a �,., ��, : ������ ���>���� � c r r ; °` ... . ..: .. �. .. , �- Y; \\ :; , .,,.,,. , � . . : ����I��?1MSPE��'I�hE� ����rs �y �` ��� � „ �� , � � � ���s �F � f � r.�, � .. � F'Iydre�St�tic�,�� w ;� Flt��t Al�rr�t [�C'atCl•T�SC ��L�r����`. ���� :;.'���- �° � firip� ���� f ,���,:. 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O W � �I� �f �� �� ; . y��`� � � � � Permit Fee:�Q�L.,!� I 3830 Pilot Knob Road � � Eagan MN 55122 �E,Ci��V�'� � Date Receiv _ j Phone: (651)675-5675 � I Fax: (651)675-5694 N�� �9 1015 i star� I � � 2015 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION `. �ate: � ��� !1� Site Address: �-3��5 N��K� �-�LL-�NS �R' , Tenant: �I N'7`AS suite#: � �.w,:.a: .t.�. .��,,...m��.,.�x p...� .,.,� ,..�.., �rv,., �.w,�w.w.�,., ..m���.� ...,..w.,,,,. „,..a. � E, � E � � Name: Phone: ;; �� � Property Owner � � Address i City/Zip: " Applicant is: Owner Contractor rv ..,.K�.,...�,,.,�' .« .,.�.v.�„�,,,,.. ..,»av��. : . ,., �..,�,.�.,�,H. . ..,� u..., �,,. „W. .. ..,�.,,� . , ,. ,. _� %�* �EMOOEL �9-'T C�CD �c>,qO/N� n��K. DRoN'To /O PENOENTS�T � " Description of work: NEy�/'GflLJ/lll. �ZE/�'A7'L Z �'��N?5, REMOYE Z f{E�405 AT � Type of Work R�MovED c.��'�' v�2s. R Construction Cost: -���7�'.C'd Estimated Completion Date: �(/�s/�S � . .,..,�� w. . ...........�,.vA m.� .�.�..a.,,, ,.�u�. ., �..,....�,,.w . ,:_... _ .. a ...,.v m,,.,�.� p�...m.,,.�,�.A... .,,,, _,,.,,,�� � � � Name: EX I��ESS ��l:� �lZC�7`��-?7U/� License#: C-Q�� � � � � ` Contractor � Address: r�-�� ��5� �VE l�lE, �u�'� lo� c�ty: ����NE � 7 � 1�/llt`�/ S`S�F'�-"� Phone: �7lv��-78S—`3.3'�}'S `' � State: Zip: � � � � �!Nf Sf-lUr-L Email: J i m���PresS'�i�epro7�-7�i'�en. co�/ � � i Contact. ' �.ar... ..��,�,M,�. �.�q..�:� �.��....,. ��.. �_,.,:��, ��,.� .. .rv.,�� rm,.�� ��.,�n, �# � �: FIRE PERMIT TYPE WORK TYPE � � ��Sprinkler System (#of heads_) _New _Addition � � Fire Pump _Standpipe �Alterations _Remodel � � Other: � Other: ...... ,,, ,��,.,A,.,��N,.y,�.�� . �,��.., . ..,�...... .,., n............ .. s w.,,. ��.� .���., .,...., ,m�w...a„ ...�,.,�.�,.ri.,....m.. � DESCRIPTION OF WORK: �Commercial _Residential _Educational � w.��.,... .. . .,a_ ,,.��.�..�,,.. � , �,..., ,,�n�,�,�..,,�a�.�... € FEES f < $� �rmit Fee Minimum Contract Value $ �.7�� x.01 � �� �•�� Permit Fee � Surcharge=Contract Value x$0.0005 =$ � � � If the project valuation is over$1 million, please call for Surcharge ,_ � � _$ Surcharge � $100.00 Residential New (includes State Surcharge) _� ��r �� TOTAL FEE '�� >.. ,.. ....KK._.�,,.M.�..,�..w.,.��M..,.,.��,. ,.,��,��a�.. .. ,..,�_ �.,,.� ..,..w ..;.�,µ..,� ,a.w,... .4.,.,a,�,.�.s ��..w�. �,,.w,,� � 3/4" Displacement Fire Meter-$270.00 =$ Fire Meter � � � $ TOTAL FEE � ��,,�,��_ ...�.,,.��,,...,�,..�.,� .,..,.,,.,,.� .a�„�,��,�... .�.�,�,� ,, ,. w...�,�...�n.,., , ,. .. ,.���.,��...�� ..M�.x.�a,�,..., ..,�.���.�����,n ,��,��� **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 .�.tJt�G-t�( �, /G r��/-F"' X ���-� �r � � ApplicanYs Printed Name ApplicanYs Signature r • �� �J .�� � 1 . . ��� � . .�e s..a+-�,.��r«.o:i.. ...� ,u »,..,n.�a� _. . ..... -•,4�; as,.wa�. a:�+,a,„.a.ssu u,t. .E��..,.,.�• .�:, n�a�.w�a.Hv,,.ma FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough fn Trip Pump Test Central Station Final � Conditions of Issuance: � � � � � � � � � � � � � � � � Permit Reviewed by: Date: �/�/ �� �� , � �� �s, ��.�p.th�,�<* �,�.��.�.,�am�. ��.,�,a�, ., �„�����.�. ,: .R�.,�_�m .�����"-�.,��..�.��,,.�m� ;�,�,�., �-�� �,� � � TJJ 16-02 4 8 ���_ r�� Use BLU E or BLACK Ink �------------ ---i � For Office Use , � �� I I � ��� U����� ��j i Permit#: � � `�' � Permit Fee: +a� � 3830 Pilot Knob Road REC����� ' Eagan MN 55122 G�`S �� � � � Phone:(651)675-5675 Np� � 3� � '� i Date Received: `a3��� � Fax:(651)675-5694 � � Staff: '/ � � -----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: 11/i8/15 SiteAddress: 3375 Mike Collins Drive Tenant: Cintas Corporation #754 Suite#: R�sl+deltfi/C?�lttt@r Name: Phone: ; Address/City/Zip: Name: Yale Mechanical LLC License#: MB004822 Contractor Address: 220 West 81st Street City: Bloomington ' State: MN Zip: 55420 Phone: 952-884-1661 Contact: Todd Jelle Email: accountinq@Yalemech.com New Replacement Additional X Alteration Demolition '�'y� pf�(p� Description of work: HVAC for 3 New Offices NO'1�:R+�m+��,���}��1����������������+�� ��> , Code: P#+�+sec�����rt���Sr'�t���`�� .,,.. ,.. ... � �, RES/DENTIAL COMMERCIAL Fumace New Construction X Interior Improvement P6CRI�t TX�� —Air Conditioner _Install Piping _Processed Air Exchanger Gas _Exterior HVAC Unit _Heat Pump Under/Above ground Tank �Install/_Remove) Other RESIDENT/AL 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$ 8.500 x.01 $60.00 Permit Fee Minimum, includes State Surcharge $70.00 Underground tank installation/removal =$ 85.00 Permit Fee -$ 4.25 Surcharge* "If contract value is GREATER than$2,010,Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ g9.25 TOTAL FEE I hereby acknowledge that this information is complete and accurate;that the woric will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a pertnit,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 Todd Je11e X C ApplicanYs Printed Name Applicant's Signatur FOR OFFICE USE '� ` � ' � '� ��'��� '��� �„ �� �� � � ` ,�� Required Inspections � �; � � 12�Vt�r��>��►� °�� �,'� ; ��� N �: t3tadergraund �c�g � ������A�� �� �` �� � ��;�� � ���° � #�l�t i�ir TeS� ;�,�,�{"a�s S�es��T�`' �T������, � ��:�,��. �"��.. � �.� Use BLUE or BLACK Ink ----------, � For Office Use 1 Clt of�a a� ' ����J�� ; � Permit#: � � � i 3830 Pilot Knob�ad RECEIVEp i Permit Fee: ��` � � Eagan MN 55122 � Date Received: � Phone:(651}675-5675 pE(; 0 7 2015 I � Fax:(651)675-5694 � Staff: � �����������������J 2014 COMMERCIAL PLUMBING PERMIT APPUCATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 12�2�2��5 Site Address: 3375 Mike Collins Drive j�.��i"�tj �S� � Tenant: Cinta's Corporation Suite#: ' Property OWtle1' Name: Cinta's CorporaUon Phone: 651-454-0560 Name: Yale Mechanical License#: PC644631 Contractor Address: 220 West 81st Street C�ry: Bloomington State: MN Zp: 55420 Phone: g52-884-1661 Email: accoun#ing@yalemech.com Type of Work ❑New �Replacement �2epair Q Rebuild �Modify Space �Work in R.O.W. Description of work: Rebuilt RPZ serial#320178 COMMERCIAL New Construction _Modify Space �Irrigation System�es/�o)(OZPZl�'VB} • Rain sensors required on irrigation systems Permit Type . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) � �Meters Call(651)675-5646 to verity that tests passed qrior to pickinsa ua meter. I Domestic:Size&Type Fire: 1 I Avg.GPM High demand devices?_Yes No Flushometers Yes No COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum _ 55.00 —$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ 1.00 Surcharge' `*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 56.00 """1f 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. $ Treatrnent Plant $ Water Supply&Storage $ State Surcharge _$ 56.00 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. 1 I hereby acknowledge that this information is complete and accurate;that the work will be i nformance with th ' ances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit,�nd ork';is not to s rt„�!it out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and a prov I of lans. g � � � � X Lisa Wilson X v`� '�,P� � ApplicanYs Printed Name Applicant`s Signature FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-ln _Air Test Gas Tes# Final PRV Required:_Yes No Meter Related Items: Meter Size Radio Read Manc�meter Staff; Page 1 of 3 Cit of Eaali RECE"E1/ NOV 1 6215 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: Yet (10 2015 COMMERCIAL ,CrBUILDING�yIPERMIT APPLICATION ?2 Date: i I l 9 Site Address: 3g-25 /Y . id.5 Tenant Name: (Tenant is: New / )L.Existing) Suite #: Former Tenant: Property O trier { Name: C /1+'-c.._ Phone: Address / City / Zip: 337.5 /4 ,16._ C. lie & 1? Applicant is: Owner '� Contractor T �jyork Yip Description of work: ` i J Construction Cost: / 4 22c 0 COO 'a for Name: Ll.�r.ZSf` 'c�`-'1 License #: Address: ) /-3? ,Chf9c rl City: r�..5 ..9 'XI-- , State: At/ Zip: _Z 33 '7 Phone: 6 /a-- 3d S ? 7 7 Contact:�,�-& Email:4-Le.-4/1-14. C'�''�l } �►rc tect/Enginer Name: /, '/ (\z.).1-4,—_, zo ll ('SJt,-,-A Registration #:C.19(2.34// Address: )C2.5-16 -,---e‘n )J. -t -. S City: ,,,6220 n-+ , =-�1-t'.'T State: /%%/fr) Zip: -----57-1- 1 Phone: 6 ( 770 "?7 Contact Person: Email:, 1<,' ^_5)011 30©361 z,,,,,.,•%•: Licensed plumber installing new sewer/water service: Phone #: NOTE Plans and supporting documents the you submit are cons oder l to be pub n m dons off` e information may be classified as b public if you pro~:c easons that wo rmit City to conclude that they ~ ae 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.gooherstateonecall.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 whic• - - - review and ap • r• - . plans. ./.°11P- 61 Applicant gnature x k'd _�fJh �S1 Applicant's Printed Name Page 1 of 3 ,At D - 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%_ 1 00% V ) Census Code #ofUnits # of Buildings Type of Construction Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage /(or>eta cmc REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) ✓ Foundation Drain Tile Roof: _Decking Insulation V/'/ Framing Occupancy Code Edition Zoning Stories Square Feet Length Width Ice & Water Final Fireplace: _Rough In Air Test Final Insulation Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: CA' , Building Inspector _ Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building — give PCA handout to applicant ZO/S MBG -7 v' MCES System ✓ SAC Units b//,EW- City Water ✓ Booster Pump PRV Fire Sprinklers 'f 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 / IAA • 7 S Water Quality i2.yD q'�'b.3q Water Sampling Fee Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL if 1,G 9. G Page 2 of 3 Dale Schoeppner Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: January 13, 2016 The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Cintas remodel to be located at 3375 Mike Collins Drive within the City. The City will not be charged SAC as determined below. Charges: Office 3960 sq. ft. @ 2400 sq. ft. / SAC Meeting 68 sq. ft. @ 1650 sq. ft. / SAC Total Charges: Credits: Unitog Rental Services (SAC 10/83) Office 4858 sq. ft. @ 2400 sq. ft. / SAC Net Credits: SAC Units 1.65 0.04 1.69 2.02 -0.33 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 cory.mccullough(a�metc.state.mn.us Sincerely, Cory McCullough SAC Program Technical Specialist CM: Is: 160111A4 (5568, 390019) Determination Expiration: 01/13/2018 cc: Peggy Fleck & Amy Griffin, City of Eagan Robb Johnston, Bluedot Construction Services LLC Nanette Ewald, MCES Industrial Waste File, MCES 390 Robert Street North 1 St. Paul, MN 551 01-1 805 Phone 651.602.1000 1 Fax 651.602.1550 1 TTY 651.291.0904 1 metrocouncil.org An Ectual Opportunity Employer METROPOLITAN COUNCIL 0 va=, O ;,g°-;.0. CINTAS - Office Remodel 3375 Mike Collins Drive Eagan, MN 55121 rro 61,143-7773 REGISTERED CERTIFIED INTERIOR DESIGNED UNDER THE MINNESOTA STATE LAW. DATE 1016E015 No. Description Date DEMO PLAN PROJECT NO 001-150912 DATE 1 /11 /2016 8.1107 NA DRAWN DT AD101 1/Er' = 1'-0" -3L -t FiAa 0 7;77 ERE/X(1200M 1' I EXIST VE3ITEN EXIST SS:06AI= AlIMAL26121: ETA Sumo a s PPM cOMILY 1,,11<* WLLS AMC.° MU. OWO MESS 0 TERME W1PD gr, ST* V061E AMICABLE SMLL BE HPECODE BM IC PM -- 4, DOOR FRI.ES TO ItAid CM D43 HE. <32TLEEEETF=OITASE A - INECIESILDISI CINTAS - Office Remodel 3375 Mike Collins Drive Eagan, MN 55121 1'39 'ft et= Bum., AIN SSW LC CERTIFICATION I HEARST CERTIFY THAT TAO PUN SPECIFICATION OR REPORT YVAN PREPARED HT ME OR UNDER MT DIRECT SUPERVISION AND THAT I AM A ONLY REGIST.EN GOITRE/ INTERIOR DEMNER UNDER.. MINNESOTA STATE LAN MANNA IONNSTON, ELENA. PATE 10.18.2015 No. Description Date 1 Revision 1 122.2015 LEVEL 1 AND 2 OFFICE REMODEL & GENERAL NOTES PROJEET NO ON -15091Z 1211E015 10.44.00 PM DRAWN IET 11.4.1 Al 01 1/8'. = I-0" CLy of EaLall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use Pen -nit #: Permit Fee: Date Received: Staff: 2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 3 - I 6 Site Address: 337S MIRE C_.:4-,i1_1N_5 PR. Tenant: cel. MITA 5 Property Owner Type of Work Contractor Address / City / Zip: Applicant is: Phone: Suite #: Owner Contractor iN157-,444 PENIDE_AIT 502.INkZE ',ZS AT NEW AC, r/LE Description of work: E'I.1_1/J4_5 AY RCMCDEL ARE,. Construction Cost:S4 70- (-"e7 Estimated Completion Date: Name: k--XPRE5_5 FIRE PR6,7License #: Address: 30 AVE 1\1 E State MN Zip: -51.45-4 Contact: La -ZEN TE-NOZ,L2 FIRE PERMIT TYPE ><- Sprinkler System (# of heads 30) Fire Pump Standpipe Other: DESCRIPTION OF WORK: City: /31•A 1 E Phone: -763 -7e5---9345 Email: iOreirdi--)epre-5=57,47/-0-te-M9/7. <opi WORK TYPE Commercial FEES $60.00 Permit Fee Minimum Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge $100.00 Residential New (includes State Surcharge) 3/4" Fire Meter - $280.00 New XAlterations Other: Residential Addition Remodel Educational Contract Value $ 4 '7C) x .01 = $ 6 o, co Permit Fee = $ 2 ,4-, Surcharge TOTAL FEE j = $ Fire Meter =$ TOTAL FEE **Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 7/Et' p -7-kNoLo xz71- 9 Applicant's Printed Name Applicant's Signature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Trip Conditions of Issuance: Flow Alarm Drain Test Pump Test Central Station Permit Reviewed by: WALE MECHANICAL HVAC • PIPING • SHEET METAL • MILLWRIGHT • PLUMBING March 22, 2016 City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Attention: Heating Inspector Subject: Permit: EA134147 Gentlemen: f RZ52016 Enclosed please find test report(s) submitted in compliance with applicable building regulation work done within your jurisdiction: Cintas Corporation 3375 Mike Collins Drive Eagan, MN Should there be any questions regarding this work, please contact Todd Jelle or me by telephone at 952-884-1661, and reference our Job Number J16-0248. Very truly yours, Ronald M. Gundershaug V.P. of Service Operations /j el Enclosure: Test Report Making Buildings Work Better Since 1939 Permit # EA134147 COMBUSTION ANALYSIS itAR152010 DATE: 12/28/2015 CUSTOMER: Cintas ADDRESS: 3375 Mike Collins Drive JOB #: 165203 / 16-0248 MUNICIPALITY: Eagan TYPE OF EQUIPMENT: Rtu Tag # Rhc-1 Make: Carrier Model #: Serial #: Repair: New Install: X Input: Type of Fuel: Gas Pressure: (High) Standard 3.5 (Med) Modulating Burner: Yes Test Tag installed: Output: Type of Draft: Induced (Low) No No Yes No Quantity Size Belt Filter 1 Filter 2 Filter 3 ANALYZER READINGS: High (Standard) Medium (if applicable) Low (if applicable) 02 9.7 02 02 12.8 CO2 6.3 CO2 CO2 4.5 CO 17 CO CO 12 Stack Temp: 374 Temp: Temp: 348 Previous Unit Information: Tag # Make: Model #: Serial #: Location of Unit/Comments: TYPE OF EQUIPMENT: Tag # Make: Model #: Serial #: Input: Type of Fuel: Gas Pressure: (High) Standard Modulating Burner: Test Tag installed: Repair: New Install: ANALYZER READINGS: High (Standard) Medium (if applicable) Low (if applicable) 02 02 02 CO2 CO2 CO2 Output: CO CO CO Type of Draft: Stack Temp: Temp: Temp: Previous Unit Information: (Med) (Low) Tag # Yes No Make: Yes No Model #: Serial #: Quantity Size Belt Filter 1 Filter 2 Filter 3 Location of Unit/Comments: Service Technician: YALE MECHANICAL 220 West 81st Street Minneapolis, MN 55420 Phone: 952-884-1661 Fax: 952-884-0295 Revised 2/18/2015 City of Ea�o 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: f 6 /L/ Permit Fee: � e".7 Date Received: Staff: 2016 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications.� Date: -2001 e 1 tit� l f� lP Site Address: .�✓ < <' � (�! C Tenant: Ct a -t" Suite #: -J w Prope rt # Name: t P ' $ Phone: o11tractor Name: C r,.V { Fla u M 1 i n j LLC License #: f M 0 6 5- 7 5— Address: 6 09 ©I 4v & AJ City: 5/ P.-( State: /44 Zip:. S/O7 Phone: C,(Z-71)3 - 702-6 Email: Lrne5 O)zi h41 -1`t41.. rewt S e� New Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ Description of work: Pie .)I( fn k,/tiyr.- =isr /It'w �frtikrtor% swnk (e?<.N4i..rt- 4N Permit Type COMMERCIAL New Construction Modify Space Irrigation System (_ yes / X. no) (— RPZ / PVE>3 • 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 Dickins uD meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? —Yes No Flushometers Yes No COMMERCIAL FEES $60.00 Permit Fee Contract Value $ /► 7S-0. 00 x .01 Minimum $60.00 PVB/RPZ Permit Surcharge = Contract If the project valuation _ $ Permit Fee (includes State Surcharge) = $ Surcharge Value x $0.0005 is over $1 million, call for Surcharge = $ TOTAL FEE please Following fees apply Contact the City's Engineering when installing a new lawn irrigation system $ Water Permit 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 conform Eagan; that I understand this is not a permit, but only an application for a permit, and work is no accordance with the approved plan in the case of work which requires a review and approval of % ans Applicant's Printed Name Meter Rela Meter S x Appl roved By: ' Air Test adio Fteat e with the ordinances and codes of the City of start without a permit; that the work will be in eter` Page 1 of 3 0 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5676 Fax: (651) 675-5694 2016 MECHANICAL PERMIT APPL1 El Please submit two (2) sets of pians with all commercial applications. Date: Tenant: Akan Address: " 9" Use BLUE or BLACK Ink For Office Use P ;#: 569 p Fee: Date Received 612-5 1 Staff: AT ON Name: �. Phone: Suite#. Address / City / Zip: Name: Ad State: Contact Phone: Email: Add Demolition Description of work: RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, in $100.00 Residential New, includes State Surcharge Furnace Air Conditioner Air Exchanger Heat Pump Other New Constru+ Install Piping, Gas ion COMMERCIAL interior Improvement Processed Exterior HVAC Unit Under/Above ground Tank ( Install / Remove) COMMERCIAL FEE, $60.00 Permit Fee Minimum $75.00Underground tank Installation Surcharge Contract Value x $0.0005' If the project valuation is over $1 million, please call for moval, includes State Surcharge / Surcharge lr a 1 TOTAL PEE 1 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, ut 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 whi requires a review and approval of plans. 1 Property Owner Date: Ci:v o Eayll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAY 1 2 2016 Use BLUE or BLACK Ink For Office Use ti Permit #: ( `5 "11 c% Permit Fee: (J/ / . I Date Received: /1 /74:7 Staff: 2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION -5---/O-16 Site Address: Tenant: /NTA S 337..E MIKE C'LL_/NS DR. J Type of Work Contractor Phone: Suite #: Address / City / Zip: Applicant is: Owner Contractor EL,oc,47E E. -xis -771\1(S SPI (NKLE-12": r47 F!R5T F-ioof Description of work: c"Frie AREA Fes°. R EMo®EL,,.4 Construction Cost'. Z, 2.64'!> 041 Estimated Completion Date: 6 `_ 2--16, Name: EXPRESS FIRE F?O'rF T/o1.J License #: Address: 16-0 9/57 -AVE NEI *103 City: 04e6k/NE State: MN Zip: S5$4, Phone: 763-70--7`3+.- Email: /6 r" expr&sScevn WORK TYPE Contact: Zc'I N ?NcLj FIRE PERMIT TYPE ✓Sprinkler System (# of heads t l- ) Fire Pump Standpipe Other: DESCRIPTION OF WORK: i'Commercial FEES $60.00 Permit Fee Minimum Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge $100.00 Residential New (includes State Surcharge) 3/4" Fire Meter - $280.00 New _ Addition Alterations VRemodel Other: Residential Educational Contract Value $ 2-6c) ce3x .01 = $ 60• ®C, Permit Fee =$ =$ =$ I , 13 Surcharge 6 Ii ' 1 3 TOTAL FEE Fire Meter _ $ TOTAL FEE Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Lc'# EN 0. 7.11\1 oLp Applicant's Printed Name x Applicant's Signature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Trip Conditions of Issuance: Flow Alarm Pump Test / 36 Ks 0 Drain Test Rough In Central Station ✓Final Permit Reviewed by: Date: EAGAN 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-56751 TDD: (651).454-85351 FAX: (651) 675-5694 buildinginspections(a�cityofeagancom -' IV%ED JCI 22 2018 L For Office Use Permit #: Permit Fee: Date Received Staff: tsa�s�� (Loi, 1 2018 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: October 19, 2018 Site Address: 3375 Mike Collins Dr. Tenant: Cintas Inc. Resident/Owner Contractor Type of Work Permit Type RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge Name: Phone: Address / City / Zip: Name: Yale Mechanical LLC License #: MB004822 Address: 220 -w -81st Street City: Bloomington Suite #: State: MN Zip: 55420 Phone: 952-346-2344 Contact Steve Miller Email: smiller@yalemech.com New X Replacement Additional Alteration Demolition Description of work: Replace existing/broken unit heater with a new unit heater. 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 Air Conditioner Air Exchanger Heat Pump Other New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / Remove) Surcharge = Contract Value x $0.0005 • If the project valuation is over $1 million, please call for Surcharge You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www,citvofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wit Eagan; that I understand this is not a permit, but only an application for a permit, and work is n. to start witho with the approved plan in the case of work which requires a review and approval of plans. x Steven Miller _ $ TOTAL FEE Contract Value $ 3,180.00 _ $ 60.00 _ $ 1.59 _ $ 61.59 x .01 Permit Fee Surcharge TOTAL FEE x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Underground Rough In Air Test ` Gas Service Test In -floor Heat Final HVAC Screening the ordinances and codes of the City of permit; that the work will be in accordance Reviewed By: Date:l / (( limmilmommob TJJ 18-0302 For Office Use + • i\r CZIVET3 Permit*: 51 !11 ..'' '' NuL15 2019 Permit Fee: --3-3a.,• 1 �.... Staff. :a� 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: Yes No (651)675-56751 TDD:(651)454-85351 FAX: (651)675-5694 l Email; buitdinainsoectionsta)citvofeagan.corn L Plans: Electronic Paler Plan Submittal: ealansta citvofeaaan.carp Lin 6.,,,)?-49 2019 COMMERCIAL MECHANICAL PERMIT APPLICATION i/6 0 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: 7/15/19 Site Address: 3375 Mike Collins Drive Tenant: Cintas Suite#: Owner Name Cintas Phone: Address i city zip; 3375 Mike Collins Dr., Eagan, MN 55121 Name: Yale Mechanical LLC License#: MB004822 Contractor Address: 220 West 81st Street City, Bloomington State: MN Zip: 55420 Phone: 952-884-1661 Contact'. Todd Jelle Email: accounting©yalemech.com New Replacement Additional Alteration Demolition Type of Work Description of work: See Plans. NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City "9 contact . .. permitted screening methods. Code. Please contact°ttie Mechanical Inspector for information on , COMMERCIAL New Construction Interior Improvement - Permit Type Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank (_._-.Install 1_Remove) COMMERCIAL FEES 21 4fi0 Contract Value$ x.016 $60.00 Permit Fee Minimum 321 90 $75.00 Underground tank removal,includes State Surcharge =$ Permit Fee $ 10.73 Surcharge Surcharge=Contract Value x$0.0005 332.63 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.cltvofeauan.comtaubscrlbe. 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 Todd Jelle x Todd 7. 7e1Th Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required inspections: '3" /2")- //or�: _ Reviewed By: / Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening S Permit EA156711 CHECK-OUT REPORT/DIRECT FIRED MAKE-UP AIR HEATER owner Cintas Address 3375 mike Collins drive Date 11/12/19 Make Rupp Model RAM20 Serial# 3224437BTU's 11664e Job#180302 BELTS AND FILTERS TYPE QUANTITY B65 1 20x25x2 6 16x25x2 CONTROLS MAKE SIZE/MODEL MAIN GAS LINE HAND GAS VALVE Apollo 1 1/4" PILOT LINE HAND VALVE Apollo 1/2" MAIN GAS REGULATOR Na PILOT GAS REGULATOR Maxitrol 1/2" AUTOMATIC SAFETY SHUT-OFF VALVE Asco K3A652U AUX.GAS VALVE(400K BTU&+) Asco K3A652U PILOT SAFETY VALVE Honeywell V4046C1021 PROOF OF CLOSURES SW(1K MBH&+) Na MODULATING VALVE Maxitrol MR212D AIR SWITCH Cleveland controls RFS-4300-111 FREEZE CONTROL Na HI LIMIT CONTROL Honeywell LOW GAS CONTROL Na HI GAS CONTROL Na MANUAL FIRING COCK Na FLAME SAFEGUARD CONTROL Fire eye G6D19140430V27 TEST INLET OR OUTLET DAMPER x PROVEN OPEN TEST x TYPE Damper MAIN AIRFLOW BEFORE IGNITION/TEST x LOW LIMIT(FREEZE PROTECTION)SHUTS DOWN MAIN AIR BLOWER/TEST x HI LIMIT CONTROL SHUT DOWN BURNER OR UNIT/TEST x PIOLET TURNDOWN/TEST Na PROOF OF CLOSURE/TEST Na MODULATING CONTROL OBSERVATION REMARKS x LOW FIRE START/TEST x HIGH GAS PRESSURE/TEST 3.5 LOW GAS PRESSURE/TEST 1.8 OUTDOORS AIR TEMPERATURE 30 DISCHARGE AIR TEMP 130 FLAME OBSERVATION REMARKS HIGH FIRE X MEDIUM X LOW X BTU INPUT HIGH FIRE 1166400 TEST FOR C.O. HIGH FIRE 0 MEDIUM 0 LOW 0 WIRING DIAGRAM IN UNIT Yes REMARKS JOB APPROVED NOT APPROVED INSPECTOR TESTED BY COMP CARD# PERSONS PRESENT AT TEST