3079 Neil Armstrong BlvdINSPECTION RECURD
'CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: '• "' `° :• '
Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675
SITE ADDRESS: APPLICANT:
?i7i'A OE t! ARMSTROME: RLVf1
F'AfiANDALF Ct=NTFR 7NDt)S'{/t?Al F'AftF'
PERMIT SUBTYPE:
f f N i'tl
( 1;1 P) s96-6460
TYPE OF WORK:
c AhlElf d ll x 1 Ci! }
INSPECTION D, • D•
? ... , ? ,
i ,? 1
Psrmft No. Permit Holder Date Telephone #
ELECTRIC
.6. ?k. N CIA c .e.t• f?l'14.=?.?.?'. . ? ? ? 5? ?'?-$oZlo
PLUMBING
HVAC
Inspection Dato Ins . Comments
FOOTINGS
FOUN?
FRAMING
ROOFING
RQUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TES7
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG _ q.?
?/ ?
FINAL HTG
ORSAT
TEST
BLDG FIINAL
BSMT R.I. v ?
BSMT FINAL
xc?c? c ?a A61? 0?/97
DECK FINAI
7-1 ,t h ks 3- ap, o 0o
uti ts ?' PS'? c,? r?S? oh 3-? o oow 1.
T+?
q . ?
SITE ADDRESS ?Unit # Permit #
L B Sect./Sub.
INSPECTION IHSPECTOR DATE COMMENTS
"?Z77
G ue " cr? r :r ?s o
3-1c,ecoju6
I"o i , .
{ L° 4,? 1? ?' ?d
?•S /Z'? 8/lg/4 7 ,
Y Q-41 7 ?
?/-9? /-5-0 Azly
3172 Spruu Street
St. Paui (Little Canadsl, Minnesota 55117
484-8264
Tats & Irts»ction
Tank i`ac ? `? ? ? W ? ?40 • ' U/Q?
Piping Test
Leak Detectors Installed ? yes O no
Tests Inspected By `-'7fAM ?
Tests Inspected By f
? -
Company Name
-,
?
Date -
Losetion of Installation 30? ? N C-VCI .•-? f??
?-
Notes 6U f ?? ?, "t 1 1 R- T
Tssts & Inepeetion
Leak Deiectors Installed p yes p no
Tests Inspected By
Campany Narne ? ? .
Tests Inapected By
I Comoanu Name L I
[ Loeatian,aR Installation I 'Z -,yG _ %r-... A ...._ _ ?_?s . A....., w? ? . _ %-a.- /1-. r.} n i
Municipal Notice of Well Permit Application
Dakota Counry Environmental Management Department
Water and Land Management Section
14955 Galaxie Avenue West
Apple Valley, MN 55124
Tel(612)891-7011 Fax(612)891-7031
DATE: Mazch 20, 2001
TO: Tom Colbert/Wayne Schwanz - EM
FROM: Water and Land Management
RE: Well Permit #: 01-643892 - 643894
Municipality: Eagan
Fax #: (651) 681-4694
Well Type: Monitoring
Environmental Specialist: Luehrs
The Water and Land Management Section of the Dakota County Environmental Management Department
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 Environmental Specialist listed
above or our office at (612) 891-7011. 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 applicanYs observance of and compliance with
all applicable state, county, and municipal laws and codes.
Well Contractor: Boart Longyear
Date application received: March 19, 2001
Anticipated Drilling Date: Time:
Anticipated Grouting Date: Time:
Property Owner: Amoco
Well Owner: Jacobus Company
WELL LOCATION:
PLS Coordinates: ne 1/4, se 1/4, nw 1/4, nw 1/4, Sec 11, Town 027, Range 23
Street address: 3079 Neil Armstrong Blvd
PIN Number: 10-11475-010-01
WELL INFORMATION:
Diameter: 2
Casing depth: 21
Total depth: 25
Static Water Level:
Aquifer:
COMMENTS:
a? l?Q;l . r?
LQNE OAK RQONE: OAK RD:_ p?ope?Fy ? Commentx';
a
, .Taz Pm ?101
NEIL ARMSTRaNG BLVD 16? 551
101147501001
?
Hoosc?#z? Streef Nart? '
! 3079 ? NEILARMSTRONG BLVD
AF ?
a ? sat,o?5?n?
l?aa?
1011475 0196 ? ?
; NEIL ARMSTRONG BLVD
' 1 1 ? AMOCO 2ND ADDITION
. '. .. '. :
'. LeQ'aIYCYCSCI9CtIDI'e""att 3? C.:?? .
3079
33
ARMSTRONG BLVD
??CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BuiLozNG
Permit Number: 0 3 0 6 2 7
Date Issued: 0 8/ 13 / 9 7
SITE ADDRESS:
9079 NEIL ARM57RONG BLVD
LOT: 151 BLOCK: 5
EAGANOALE CENTER INDU57RTAL PARK 49
DESCRIPTION:
(AMOCO OIL
rmit Type
rq? 7 y p e
G
REMARKS:
UNAT7ENDED FUELING FACSILTY
S& W PLBR - DAKOTA PL86
FEE SUMMARY:
x?? ??
?? 41?. ' ?.?
?Z
VALUATSON
Bsse Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
CONTRACTOR:
? F H CO
1601 E WWY 13
BURNSVILLE MN 55337
?612) 890-6450
I
? St
co)
COMM./IND.
NEW
5-1
II-N
I-1
23
10 '
1
1,670
322 SERVICE STATTON
$1,137.25
$739,21
$75.00
$950,00
100
1
$2,901.46
- Applicant -
28906450
204
$150,000
CI7V 5AC
$ & W PERMT7
S & W SURCHAR6E
TREATMENT PLANT
PARK DEOICATION
TRAIL DEDICATTON
LANDSCAPE GUAR
Total Fee
$100.00
$100.09
$.50
$420.06
$13,568.00
$3,371.20
$5.000.60
$25,461.16
OWNER:
AMOCO QIL CO
3506 W 80TH ST
BLOQMINGTON MN 55437
(612)896-4525
APPLICANT/PERMiTEESfGNATURE - I D??SR?A?° f .,?-
1997 BUILDING PERMIA PF?L115 AN ION (COMMERCIAL) The fallowing are requiretl wkh appropriate certfication for all now construction:
2 each: architeGurel plans; mech. 8 elec. plans; fire sprinkler plans; SWGural plans; site plans; lendsceping plans; grading/drainage/erosion wntrol
plan; utflity plan
1 each: set of spacifications; set of energy wkulations; elecMcat power & Iightln krtn; Special Inspactions 8 Teating Schedule
Letter from MCNVS (phone #222-6423) indicating SAC determination - j-,4)C P'l G?i pH{!"?'I
Code analysis indiceting: wdes used; occupency claaafications; aetbacks; maximum elbwable area as per Buflding end Clty Codes along with sq.
R. per floor; typa of eonshuction (synopsia of mnatruction componenb) & arry occupancy or eroe seperation walls;
' occupancy loads; exit synopsis with a diagrom indipting exking loatls from each room or erea, travel paths 8 ell rated
aorriAOre; plumbing fixtures; and parking.
DATE:
WORK TYPE: +" NEW REMODEL
DESCRIPTION OF WORK: N'4'TTgt-?o Fur LS-,L G F/-?-e-(L.l T'7
CONSTRUCTION COST: I SO, OcC") TENANT NAME: +"t woCp L9(L- Cp •
SITE ADDRESS: :S
LOTM6BLOCK S SUBD. CA4N0ALr, CT? („Upug-?„?? ?Atp .D.#
PROPERTY Name: LIkoco Qil_ C,o. Phone#: 6- SZS
OWNER u.. ,M..
Street Address: Z5?0 ld _ AE?tk STi?f PAGfK
ao4-
City: bLDdMk4'r0r'-S State: A4 I'J Zip: SS A-Z
CONTRACTOR Company: Ed`14 Co - Phone #: ?`?0 sO
Street Address:
?
city: ?'U P-"-kSq t L,L t2i: Z;p; 5 53 3'1
ARCHITECT/ Company: ?L?• DGSLG. --S Phone #:612-1 ZZ - ZZ6
ENGINEER
Name: Registration #:
??? Street Address: G[ (Z
J ? 9 City. f?P1.??.t?[,?,?auS State: ?_ Zip: `?S 4(b
Sewer 8 water licensed plumCer (only if instaliing sewer & water): v??? A P?U mll:?-l`-d6
I hereby acknowledge that I have read this appiication and state that the ir}!Gry(?atiofi?s co/rect aryd agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. // ?{? /
Signature of Applicant:
OFFICE USE ONLY
M1
BUILOING PERMIT TYPE
? 01 Foundation ? 19 Comm./lnd. Misc. o- 21 Miscellaneous
18 Comm.llnd. ? 20 Public Facility
WORK TYPE Uti'l?T TF7NNa-V ?rNLy 4::?LITY
31 New o 33 Alterations o 35 Tenant Finish a 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const, (Actual) E i?l
? Basement sq. ft. MC/VNS System ?
(Allowable) First Floor sq, ft. City Water
UBC Occupancy J??K sq. ft. I 1 Fire SQrinklered
2oning ? 4Atn i>?, sq. ft. Census Code 22
# of Stories sq, ft. SAC Code 30
Length sq. ft. Census Bidg. I
Depth Footprint sq. ft. Census Unit ?
APPROVALS
Planning
Building
Frh Engineering Variance
coo
valuation: g 15-0
Permit Fee
Surcharge
Plan Review
MCNUS SAC
City SAC ?Q.Q.0C)
Water Conn.
S!W Permit ?.
S/W Surcharge .So
Treatment Pi. :00
=Road-Um't
Park Ded.
Trails Ded. ?l. 3?1, 20
Water Qual
Other
Copies
Total:
% SAC
SAC Units
Meter Size
- . .. . .. . . t l? :A: .:...)?:i°
. ....'....I..r ?':'::' ...?..:`.n:...i
i' : ... ?.l.l-1;.::r....
. I ._ .....? . ,?., ..
... ... ,.:'? .... ? ::. ?. ?...:`
?,..
...:-, ...... . . ?.?.
. ?' :. I ? : ?. "i. . .?.. i
..'.?? ? _.. ? ._. ...i.l I . ...?.i:.
... ?.. .. ., ..... r.: . ... ..
......... . .... _I.??_ _... . ..' ".... ..?..? ... ? . .. 1.?? I
. '(,F, ?. ._ .... i... ......_/
...?i..l'?i.'i??.? .....
..I.%'. ...
.. . _. . l , . . , . . .... . .::..Yf
CITY USE ONLY
L 1$1 BL ?CEIPT #:
SUBD&aKa? ?"'• tJ ?• ?? RECEIPT DATE:
1997 f'LUM$INfi PERMIT (COMbi£itClikL)
CITY OF £A&!kN
S$SO P1LOT KNOB ttD
EAfitkN, IbIN 55128
(61E) 6$1-4675
Please complete for: all commerciaUindustrial buildings
multi-family buildings when sepazate building permits are not requ'ved for each dwelling unit
backflow preventer to be installed in commercial areas or residential boulevards
Date: q" Work Type: New Bldg. _ Add-on _ Repair ?.G. Sprinkler
IsWaterMete Req ired? ' Yes No WaterFlow /6 GPM
Ta inquire if Pressure Reducing Valve is required on new service, ca11681-4646.
Fly-YXy
1% of contract price or $25.00 minimum Contract Price:
X i% = S
COMPLETE THIS AREA IF INSTALLING UNDERGROUND SPRINKLER SYSTEM
Service: -Z Existing (if coming off domestic line) OR , New e o
Backflower Preventer Permit Fee$ 25.00 $ ?5
Water Meter 1" @ $185.00 or 2" Turbo @$846.00 $? 8 5
If "new service" add Water Permit $ 50.00 =
WAC $ 780.00 =
Water Treatment $ 420A0 =
City Installed Tap $ 300.00 =
Permit Fee
State surcharge is $.50 per $1,000 of ermit fee or minimum of $.50 per permi[ State Surcharge
Total Fee
I hereby aclmowledge that I have read this applica6on, state ttiat the information is correct, and agree to comply with all applicable City
of Eagan ordinances. Ii is the applicanPs responsibility to notify the property owner that the Ciry of Eagan assumes no liabiliry for any
damages caused 6y the City during its normal operational and maintenance activities to the facilities constructed under this permit within
Ciry property/right-of-way/easement.
SITEADDRESS: 3 0 7y 1?L:Er-ll- ltl?lY STl2Br?U Z31-V p
OWNER NAME: " "
INSTALLERNAME: -r-z.. I,-.b TELEPHONE !o Z-j b
STREET ADDRESS: V.0-A}I?i L-41-E--L
CITY:
STATE: N/ NIL/ ZIP: ?j )? Z
OF PERMITTEE
CI'fI' USE ONLY
COMMERCIAL PLUMBING PERMIT -1997
METER SIZE
!r
?
Domestic
Irrigation
PRV _ Yes _ No
UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLl)
$
REVIEWED BY:
,C31
Huilding Inspector
Dat I
To determine meter size
* See if it is indicated on back of Building Inspections cazd
" Enter address in PiMS Screen 301 to obtain S& W permit #
' Check PIMS Screens 110 (Remazks) '
' If gallons per minute are less than 25, a 1" meter will be requ'ved. If callons per minute are more than 25, a 2" turbo with suainer
wiR be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed
Plumber does not know GPMs.
Before selline meter
.
* Check PIMS Screen 320 for auurovat of inspection results. No meter will be sold before all sewer and water inspections are complefe
on a new service. If new service lines aze not required, one check may be written for meter and permit costs. Write meter type and
size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. ii
* Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utiliry' Billing Clerk.
Miscellaneous Information
* The installer is to wntact Building Inspections at 6814675 for inspection of the inside water line and backflow pre'venter. The Central
Maintenance Division may be reached at 681-4300 for water tum-on.
* If ineter is over 5/8", notify Central Maintenance so they can tell you iFthere is one in stock before plumber goes o'ver [here.
,
JS/Forms.blJ/plbg pcrmit (camm) 1997
u'? CITY USE ONLY
L BL 16'
SUBD. ?I?+??.bL?s-? ?, ?d'. IY,F`Z• ??
717a 3 d
RECEIPT#: EO / (0 (?o
RECEIPTDATE: '7//`SA7
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 P{LOT KN08 RD
EAGAN, MN 55122
(612) 687-4675
Please complete for. . all commeraaUndustrial buildings.
? multi-famiy buildings when separate permits are = required for each dweiling
unit.
DATE: cI/?.? ,__ CC?fVTRAC i PRICE: 1.--
WORK TYPE: V NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: .$25.00 minimum fee g_r 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of cermit fee due on all permits.
CONTRACT PRICE x 1% ZS??
PROCESSED PIPING
STATE SURCHARGE
TOTAL
, S-P
w5`D
SITEADDRESS:
OWNER NAME: TELEPHONE#: ?9D- 'g?
TENANT NAME: (InnaROVeMeNrs oNLv)
INSTALLER:
4-
ADDRESS: :2
CITY: STATE,?,/. ZIP:??
PHONE #: -?? - ? SO d
SIGNATURE: IJu.c..
SI E O RMITTE CITY iNSPECTOR
/ L19-?/5 BL ! ?? /J /?
4 , RECEIPT#:
S 77
I
SUBD. l:? !f?
- RECEIPT DATE: 9 7
1997 PLUMBING PERMIT (COMMERCIAL)
cirr oF eacaN
3830 PILOT KN08 RD
EAGAN, MN 55722
(672) 681-4675
Pbase complete for. . all commerciaUntlustrial6uGdings.
• muki-family build'mgs when aeparate pertnib are = required tor each dwelling unit.
• bedcflow preverrter to be Mstalled in commerdal arees or resideMini boukvards
DAIE: -7/aYh 7 WORKTYPE: NewConst. _ AddAn _ Repair
DESCRIPTION OF WORK: _1..u5 H05e111b ,e or4?1 ?,
IS WATER METER REQUIRED7 es'-_No. qRE FLUSHOMETERS TO 8E INSTALLED7 _ Yes L?No
UNDER6ROlIND 3PRINKLER SY$JW
INSTALLING METER? _ Yes NEW SERVICE? _ Yes ?No WATER FLOW: GPM.
Pressure Reducing VaMa may ba required tf hutatling new sarvice - contad City'c Engfnearing Department et 681-4646.
PAILURE TO PROVIOE THE ABOVE INFORMATION WILL RESULT IN A OELAY OF METER ISSUANCE
FEES
Minimum fee of $25.00 or 7% oT corihaa price, whichever b greater. Minimum Stete Surdierge of $.50 due on sll permits.
CONTRACT PRICE: $ 1 ?cxcjz-?- x 1% _ $ 'a's-` L?
COMPLETE THIS,AREA'ONLY IF INSTALLING.,UNDERGROUND SPRINKLEkSY,STEM - ?
BACI(PLOW PREVENTER S 25.00 = $
WATER PERMIT (new service onty) 50.00 = , S
WAC (per connection) 780.00 = S
WATER TREATMENT (per connection) 420.00 = $
CITYINSTALLED TAP 300.00 = $
METER: 1" = $185.00 , 2" TURBO =$896.00 = $
PERMR FEE $ ??• ?''?
FIGURE SURCHAR6E AT 60 CENTS ROR EVERY $1,000 OF PERMQ FEE DUE STATE SURCHARGE $ - SCi
TornL
$
I hereby acknowledge that I have read this application, state thst the infortnation is aorred, and agree to compy with all appACable Clty of Eegan ordinences.
It re Me applicant's responsibilHy to nMify the property owner that the City W Eagan assumes no 4abilriy for any damages causetl by tAe City during ib normal
operetionai and meintenance eaivities to the facilides canstruGed under this permR within Ciry propertylright-of-way/easement.
SITEADDRESS: 307--/ MGj X-i..iSTr , R[Y -
TENANT NAME: N J-L.("iC_U STE.
OWNER NAME:
fNSTALLER.NAME: . AKc)T".? PIIk.,_ TELEPHONE#:L2?5-'-/ - _ `/S-
lel
STREETADDRESS:
CITY: Fi4r. ,A tif STATE: /q AJ ZIP: S:5-7 ?- ?--
T C.? Ro-?
PPLICANTS SIGNATURE
OFFICE UEE ONLV -REVEReE 910E
OFFICE l1SE ONLY
PLUMBING PERMIT (COMMERCIAL)
METER SIZE
Domestic
Irrigatlon
PR( _ Yes _ No
trcILITY CONNECTION fAPPLIES TO NEW SERVICE ONLY1
$
Building Inspector
7,7
.
Date '
• See 'rf it is indicated on back of Building Uspections card
• Enter address in PIMS Screen 301 to obtain S8W permit #
• Chack P1MS SCreens 170 (Remarks)
• If gailons per minute are less than 25, a 1" meter will be requfred. If gallons per minute are more than 25, a 2" turbo with
strainer wiil be required. This infortnation is to be supplied by the designer of the system. Consuk. with Plumbfng
Inspeetor H Licensed Plumber doea not know GPMs. ,
Check PIMS Screen 320 ior ao°roval of inspection results. No meter will be soid before all sewer and water inspections are
complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write
meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utiliry Billing Clerk.
Enter meter size, type, receipt #, date 8 amount paid on PIMS Screen 110. Copy of receipt should be given to' Utility Billing.
Clerk. '
The installer is to contact Building Inspections at 681-4675 for inspeciion of the inside water line and backflow preventer. The:
Public Works Department may he reached at 681-4300 for water tum-on.
If ineter is over 5/8, cali Public Works and let them know so they can tell you 'rf they have one in stodc before plumber goes:
over there.
cirr use oNLv
L IV-15BL ? RECEIPT #: 1 / .?? 0? 5
SUBD. e? - C..? Jn.d' • RECEIPT DATE: ?/? ?
1997 MECHANICAL PERMIT (COMMERCIAL)
ciTr oF encnN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)687r4675
Please complete for: ? all commercial/industrial buildings.
? mufti-family buildings when separate pertniGs are not required for each dwelling
unit.
?
DATE: ? CONTRACT PRICE: tq6/ 066)
WORK TYPE: ? NEW CONSTRIJCTION INTERIOR IMPROVEMENT
-pwv,oE bft(R- -tb =?t?(,3)UnplPvgraunr? sibYcy'
DESCRIPTION OF WORK: t-z,nLt-c ao bi .
FEES: ?$25.00 minimum fee or 1% of contract price, whicKever is greater.
? Processed piping - $25.00
D State surcharge of $.50 per $1,000 of aermit fee due on all permits.
CG'NITRA(`TPPICFx4% 00 2-
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER
TENANT NAME: (mnPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
cin:
PHONE #:
Val , If
)of1b PX.
TELEPHONE #: 93I"3
"PetrbleUM Mc?ivltecname Co,
?3M- SIt"Pt
STATE:
12-
G
ZIP: s3-1i7
SIGNATURE: C? ?J
SIGNAT E OF PERMITTEE CITY INSPECTOR
3 Tbs. k.S P; °O
.10
41 .BIkS
r L I1µ Contzaet No:
GqQdde- Projeet No: 1?-R9-FF
' stty oF ¢agan Submittal Date:
C2TY OF EAGAN
crWra x WATER PRRMIT RELEASE FORM
PROJECI' DESCRIPTION: Ar/ r.cc i,6icL?sl'd,?I
- 3ne' Urwinonn J
, - - --
Substantial Completion of Sewer & Water
. Date of Occurrence
STEP I, PERMTSgIO!? Tn Wnnu itv
SANITARY SEWER WA?ER MAZN
?=K Lines Iamped and Acceptahle Lr Pzoperly Chloriaated 8 Flushed
Deflection Handrel Test Passed Entize System Yseasurs Tested
Hanhole Strvetures Properlq Entire Systam Conductivity Tested
Constructed (cstg. dr eover, rings, All Valve Soxes Acoessible,
cone, 1 ft. sections, final rim atraight 3 keyed
setting, & build and ixrvest) All Valves Opened or Cloaed as Approp.
_ Infiltration Sest Baeteria test completed
SERVICES
D(C All Wye Locations confirmed
All Curb Boxes Exposed, Set to Ptoper Grade 6 lSariced w/£ence Post
? Required Service Risers Televised
COMMENTS:
STEP II: FULL USE YERMr'!' (OCCilYANCY)
Lines Lamped 6 Acceptable
? CB Structures Praperly Constructed
(cstg & cover, rings, 1 ft.
? seetion, imert, final cstg.
I setting 6 build, DL-DR correctly
set rings 6 cstg. set in full
bed of moztar)
J, pprons, Dissipators 6 Rip Rap
properly Snstalled
COMMENTS:
RECOMMENDATION: I herein verify that the tests and inspections indicated above have been
successfully completed. pny deviations or exceptions are described in my comments. With this
considered I recommend that permission to hook up or permission for occupancy be granted as
appropriate to the above indications.
Signed
- P ect Inspecto
Confirmed by: ?? ?
,'Public Works Department
GkMaterial Tests Checked 6 Yassed
(Conc. compressive strength & Air
I Content, Bitum. Extact & gradation,
? gravel base gradation).
_ Utilitq Structuzes 6 Lines Clear
& Free of Debris 6 Cravel (Gate
Valves keyed)
S7P5.ISSWPERH.FH
6127860769
OCT-06-1997 68:24 BELRIR
cm SERCO Laboratories
6127860769 P.01i01
,-Pa 79 Q?La tZ
),??? ? 5, d??
1931 Wpcl CovMY PaaE CS. SI. P9yi. Minn?la 55113 PnOnr (612) 679-7175 16X(87a536.71 79 .
LAHORATOk2X AI7AT.YSIS 1tEPORT NO: 73296
10/02/97
B@lAir DATE CoLLEC'].'ED: 10/01/97
2200 o1d Hwy 8 DATE RECEIVED: 10/01/97
New Brighton, MN 55112 COLL£CTED SY : cLIFSIT
DELIVERED BY ; CLIENT
SAMPLE TYPE . WATER
Attn: Dean Brentenson
CLIENT'S YD: 16398 7205 A1nOCo
SEACO SAMPLE NO:
SAMPLE DESCRIPTYON:
aNa.vYSxs:
------------------------------------
Total Coliform Bacteria
107597 107607
7205 7205
AplOCO ASIkpCO
-
Absent ^
Absent
Page 1 oP :.
All analyses were performed using EPA or other accepted methodologies_
Samples thaC may be o7C an environmentally hazardous nature may be
,returned to ypu. Other samples wi11 be stored for 30 daxs fxom the
date of this report, then disposed qf by SERCO Laboratories. Please
contact me i€ other azXangements are tsaeded. This report may not be
zeproduced, except in its e»tirety, without prior written apprvval
fTOm 5ERCO I,aboraLories_
Report submitted by,
*,e C?' O
Carol Davy
Project Manager
POSC-IY F27c Note 7571 oeta 24, pages?
Tan /
L From ?
co.?oe ? co.
E ir
Phone u Phono M-7&0 -/ p0
Fax ll FVl
a means "not detected at this level". 1 mq = 1000 ug.
TOTRL P.01
C0, > /
TA?I:
Municipai Notice of Wetl Permit Application
Dakota County Environmental Management Department
Water and Land Management Section
14955 Galaxie Avenue West
Apple Valley, MN 55124
Tel (952) 891-7011 Fax (952) 891-7031
DATE: May 2, 2002
TO: Tom Colbert/Wayne Schwanz - EM
Faac #: (651) 6814694
FROM: Water and Land Management
RE: Wel] Permit #: 02-H189053.
Municipality: Eagan
Well Type: Sealed
Environmental Specialist: Rutten
The Water and Land Management Section of the Dakota County Environmental Management
Department has received the following permit application for the well described. If you require further
review of the applicafion or if you have any questions or concems about it, contact the Environmental
Specialist listed above or our office at (952) 891-7011. 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 pertnit. Please note that permit issuance is always conditioned on the permit applicanYs observance of
and compiiance with all applicable state, county, and municipal laws and codes.
Wel] Contractor: Boart Longyear
Date application received: May 2, 2002
Anricipated Drilling Date: March 21, 2001 Time: 8:OOAM
Mticipated Grouting Date: Time:
Property Owner: Amoco
Well Owner: Jacobus Company
WELL LOCATION:
PLS Coordinates: ne 1/4, se 1/4, nw 1/4, nw 1/4, Sec 11, Town 027, Range 23
Street address: 3079 Neil Armstrong Blvd
PIN Number: 10-11475-010-01
WELL INFORMATION:
Diameter: 2
Casing depth: 46
Total depth: 56
Static Water Level: 50
Aquifer: Unconsolidated Sediments
COMMENTS:
? ? •'. ':( ?.
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Ple3se.complete'for:
,
2COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
commerciaVindustrial buildings
multi-family buildings when sepazatc permits are no[ required for each dwelling unit
q-p . S o
Date 1? l UL
Site Street Address a o-7 y AI-2d 4cYh1-1rovlq WJd Uni[ #
Tenant Name (if applicable) k/u:eT k Fuel Fj,- -SPg?utc-r PreviousTenan[Name
Property Owner (i,, ' c Y F u?1 F I?? i Struj,f-(5 c;o^ Telephone #(iT(It) a1& 7
Contractor Z.A NL - ?e't'coI -euw? Ala`N'len6nrt
Street Address 3/01 S , n St - City m !J_
stete )N ziP S S 4 ? 3 Telephone k( b/ d) 3 3 i-?Ss?
Bond #: Expires: Fl ' a y- ?
The Applicant is _ Owner Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement 4,!ffnstall Piping _Processed _Gas
Nature of Work: u ' B B
"'When installing/removing underground tank, cal! for inspecfion by Fire Marshal and Plumbing Inspector
P¢finit F¢05: 570.50 Underground tank installation/removal
$50.50 Minrmum (includes Stare Surcharge)
or
ContractValue $ x? !1%1/ `c $ PermitFee
D (l; ?-
a ?
If Rermit fee is $1,000 or less, add $.5 J ? $ State Surcharge
If ep rmit fee is over $1,000, add $.50 f NOV e2 2006
every $1,000 pe rmit fee $ 7 d' ?U Total Fee
I hereby apply for a Commercial Mechanical 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 [he Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without it; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plana rms? -0
<}ame< R LucSe.v
ApplicanPs Printed Name ? ApplicanPs S' nature
: / 6
Approved SXL i f1'e m S?npector Date O
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2
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o su;n `s
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STACINC NtEA . • . . ? ? ? . `.
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B(iUll:h0U5 PAVIIIC
I\ ?`Cr.'??c = "1r?5-1e?1 (1) a?a?f:??o:..•? [?:rS.l p° ? I
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ance'Cc
Use BLUE or BLACK Ink
For Office Use
Permit#: I .-l0 Z 0
City of Etan —y/, 01
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
J
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all
commercial applications.
Date: /2-/-3°//6 Site Address: 3079 ,vfft 11-1-14577LDNG 11•57-1/D
Tenant: J,A-1-0e S {�1/7 }/ Suite#:
t ", Name: S€4#L/1rLL£�i - Phone: 1/4 ••Zai g .05�
# - r y• , Address/City/Zip: 111915 W.BREI-D!#)/,P�.11 l/Ltv14 +c uk , WI f5.522-4
' "" ; N, Name: IN/l(/Al. PL'lIzOLUA{ 5'> -4, License#: too*
Contr ctfl ° Address:: t68Z 34'x` r41 - City: ...._ /A ffflL '
=
State: # N. Zip: S54Z! Phone: 7`3• 7$o • 3/9
v :14 Contact:JbL T/4 IS Email:j fhe1SL'tit 1 -Co n1
�" j; ✓ New ✓ Replacement Additional Alteration Demolition
gtxuPLJF
GE Flet,D/SPbVShEr� 4bb £cf rl/N!yst/m_Tk
*&Type Work ANDOeTsEc:rRoof d gra _ t Inctorhafnoircaialnf �ioo � � rt#o:®w �;.md`bf {
" i : ®x to xct the
NCOMMERCIAL
°
Furnace New Construction Interior Improvement
Permit T e —Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
x Heat Pump Under/Abov round Tanis ( Y Install I_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES
Contract Value$ 57, 5-25.
• x.01
$60.00 Permit Fee Minimum $/5'• ZS.
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
=$ 1.5•7 G Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =$ 341 ' DI TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only a 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 _1C -- �1 I S x ..
Applicant's Printed Name A.1.lic.nt's Signature
FOR OFA „ z 4 : °
Required lnsr edt4. ions v :. ci, = ed By v .',..t.,. r :
yUnderground Rough In :: Air Tess�ryn ) s "p; , st}n` In-fl e rP. G
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