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3830 Pilot Knob Rd - Municipal CenterINSPECTIQN RECORD C1TY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: -(612) 681-4675 SITE ADDRESS: APPLtCANT: : ? ? } ia,a? ?:i? . • :?,?;ra f r. r TO H PERMIT SUBTYPE: , I ? I rY 1-- L (?+l?) t•Yil 4E,f?N TYPE OF WORK: -------------------- Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBI?VG F{VAC inapection Date insp. Cvmments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEFT ROUGH HEATING GAS SVC TEST INSUL GYPBOARU FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. E3SMT FINAL DECK FTG QECK FINAL . INSPECTION RECORD . CITY OF EAGAN PERIIAIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i nr YMnR Rn t i lf1 . f .' , , ' a PERMIT SUBTYPE: TYPE OF WORK: ,!Ii ; ?a6 if MAN! t'iti l Rf'lEARKS: NI)f+F LOAD -BEARING 4JAt.LS 'IN 7Ntl ST(1RY C?F POl it:F bFPrt ANf? BASCMENT OF MilNlr,.[RAl f,ENfkR ? ? Parmk No. Permit Holder Uab Telephone # ELECTRIC PLUMBING HVAC InspecUon Date Insp. Commenta FOOTINGS FWND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYP BOARO FIREPLACE FIREPLACE AIR TEST FINAL PIBG FINAL HTG ORSAT TEST BIDG FINAL ASMT R.I. BSMT F1NAL OECK FTG DECK FINAL . , .. - L..-. ' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 IN5PECTIUN RECORD PERMIT TYPE: Permit Number: 7 Date Issued: SITE ADDRESS: , „ r ` "" . I Nl14t 141) .1 F { ! ??tJ . . PERMIT SUBTYPE: TYPE OF WORK: iill i I It i br .s?-.: ,•s1 J•?? INSPECTION .. . D• ? ;.? :?? ,. , , ?. ? • ,.,?,,;? , ?, ? ? , ,, ; ? - APPLICANT: rnl_•1 .,tii dr% 410 P" 00 . Permit No. Permft Holder Data Telephone N ELECTRIC O&ra? 711 3 7 *1W W94, 1' PLUMBIN . /U 7 9j?' ?(? HVAC Do??J ? Inspectlon Delle- Insp. Comments FOOTINGS FOUND FRAMING ROOFlNG ROUGH PLUMBINCi PLBG AIR TEST 4S ? y? /?- ROUGH HEATING 70 fS GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AtR TEST FINALPLBG Il'1Jr'/? I???1 FINAL HTG ORSAT TEST BLDG FINAL ? BSMT R.I. BSMT FINAL DECK Ffd DECK FINAL Wtrdficate vf Cccupan?? (M4 of wagatt Me4partmcnt of leaiiiaig 3nocctiax This Cenificate issued pursuant to the requir+rrreeRts of the Uniform Building Code certifying thal ai the time ordinances of the Cety ipliance with the various For the followireg: u5e ausifwao«n: PLTgLIC FACII.ITY swx. Nrmit No. 25860 0--Ua-r rype B2 /A3 zoninE oiw;u P Type consi. VN owmer ot euiwinq CITY OF F.AGAN Mdeaa 3830 PIIAT KWB RD, EAC-W a„ia;qff,aa,m 383¢TM iQVOB RD t.,,;ry 10-02200-012-26 ' PQST IM ?BI L?TMp?N 11 S.A. s •? .. : ?.. Wetilicate of cccupanc? (FU4 of ftean "t .? ??* 380KTdo« 77tis Certifcatt issued pursuant to the requirerrunts of the Uniform Building Code certifying tirat a1 the tiine of issuance fhis strucluir was in compliance with the various ordrnances of tht City rrguluteng birilding constructiore or use_ For the followiag: u%eClkoificr;on: P[TRi.T('. FACTT.i'1'Y saa. rerma No. 25M O-AP-C7 TYPX R? 1A3 Zani¦a Diatria P 7YPe Const. IN OwnerofBuild'ina{:TIY CF EAGAN Addiess I330 PTTfYI' KM RDo 1? 'W Brilding wddnss l,onlity 1Ok!?2[Y)-[l12--9; f t : : prc. ? / / •,•?? ? / POST IN A CONSPICl10US PLACE (LA O-U ??. S1TE ADDRESS J6'3 0 Pj&* ` Unit # Permit # L B a c4* , ? 3 5 ,? o °-0 INSPECTION INSPECTOR DATE COMMENTS ~A2 - o ,?? -?g-9 n+ m bo w - I?-? s p T A.e,u? S r ? n 1?N S e..? ?i J INSPECTIUN RECORD Control No. I ? ` GITY OF EAGAN PERMIT TYPE: Kf! i 1 U ! !EH 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: i e/0}? 91 (612) 681-4675 SITE ADDRESS: Io T, 912 e Loc K: . '0% APPLICANT: 3634 PtLOT KNOB Rt1 F C i BUILOIMB CD11TR SEGTION 22 (61Z) 462-0866 PERf??J?V)BTYaP?1. r T Y TYPE OF WORK: A L Tt R A 1 Y pN DE+ERIPTIUM COUMCI! CHAMfleR9 K1 MAIiRti: !'EHIRJI PlEf. 6 PI Afl REVIEN FEE AI2E 41AlVfD. PermR No. Pwmlt Holdw DMs Titephone M SJVY PLUMBIF/G HVAC ELECTRIC ELECTRIC Inwpocdon Oou Insp. Commants Foodn9sI Foundetion Framing ROO" RouBh P1bg. Fbuqh FHy Isul. Fi?ePlaoe Rnaf Htg. Orsat Tesl Flnal Plbg_ Plbg. irspector - No4ify PlumDer Corrst. Meter EngrJPlen ?. Final Deck Flg. Dedc Fin81 Well Pr. Dfep. CITY OF EAGAN Remarks Addition Section 22 Lot , Owner Street 10 State EArAN MN 5S 17 3 -??9(., Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 $6080. 00 $304 . 00 20 - ? SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA ? 1977 $6080.00 $405. 33 15 STORMSEWTRK 1018 1986 15443.96 10 29' 60 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PARK D// - a G , • Q P.? 4?lt?q,v,c.?i d 4 CIT7 OF EAGA!! WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eogan, MN 55122 DATE: ? i` -; ;-' •' Zoning: No. of Units: ? Owner: _ Address: //1 - Da?Q? D/,?-- aZ(o Site Address: - ? Plumber: Meter No.: Connection Charge: -?- $ize: - Account Deposit: ; • ` ^ • Reader No.; Permit Fee: I egree M comply wiN+ the City of Eagan Surcharge: Ordinanees. Misc. Chorges: Total: BY Dote Paid: Date of Insp.: Insp.: 10 o2200 oi 2 2 Ca NoTIcE STATE OF MINNESOTA DEPARTMENT OF LABOR & INDUSTRY DIVISION OF CODE ENFORCEMENT 443 LAFAYETTE ROAD, ST. PAUL, MINNESOTA 55155-4304 612-296-4530 - 296-4531 a This Location Has Been Inspected And The Following Recomme a io (s) Should Be Complied With As Requested By State Boiler Inspector. r a -c "0'* _.n_t 6 (see ther si e or ex narion) ooaooaoooao Other Reason Datp " ? ' ?,...? a Time For Reinspection Call - , LI 50035-02 (4(90) (A) Post A Current: ? Engineers License/ ? Certificate (B) ? Repair/ ? Replace Safety Valve (C) ? Repair/ ? Replace Low Water Cutout (D) ? Repair/ ? Replace Leaking Piping (E) ? Repair/ ? Replace The Boiler Mudleg (F) ? Replace/? Clean Gage Glass (G) ? Replace/? Plug Leaking Tube(s) (H) ? Repair/ ? Replace/ ? Adjust The Burner ar Controls (1) ? Replace Gaskets On • (J) ? Repair/ ? Replace Refractory (K) Other ? 1 CASH RECEIPT CITY bF IAGAN ' 3795-PILOT KNOB ROAD ? 4 diV ?;7 'O%? :6 YVhite-Payers CoPY Yellow-Posting CoPY Pink-File Copy /v ?C/x ' .1- ( $ DOLLARS 'eo ? CASH ECK Thank You BY _ / N° 3628'7 C 1994 GOBS 481 LITFfO IN U.S A, ..?._ ..,, . . , ._ . ---__,1..,....' POLICE FACILITY ? . .: - ? Ccv#tftCQt¢ df CCC1tpR1iC? CM4 of cFagan ?c}iartmcnt of iouilbiag 3u60ectioa This Certifrcate issued pursuanl to the requrrements of the Ur+iform Building Code cenifyrng that at the tince of issuance this stnucturp was rn compliance wirh the various orrfi?rances of 1he Ciry regularing building construction or use. For the fo!(owing: uxcwir.m;on: PL1BL-IC FACIL.ITY awg.Pefniit r.o. 24768 oaw-r rype 8 I f B2 /I3 zma?6 0;a,&id PF ryp?co?, I I-N SPR a.ors.iw.E rITY OF EAGAN Aam= 3830 PIL.OT KDIOB IRD. EAGAN B.i,m„g naa? 3830 PILqT KNOB ROAIi.?,rryI.10-02200-012-26 Due. ?r?• /?_J BUIb1Yg OffCId POST IN A CONSPICUOUS PIACE SITE ADDRESS 2 0'? Unit # Permit # L / "Z- B ?6 Sect./Sub. f aa-- INSPECTION INSPECTOR DATE COMMENTS lq 7,IX ?? ???y IMSPECTION INSPECTOR DATE COMMENTS 8r?,l?y {? fb G •J SITE ADDRESS 94Z ' Unit # Permit # L Sect./Sub. a)- INSPECTION INSPECTOR DATE COMMENTS lU??q Az ? I'LA !o/ y? . WG ?1J_ ?/?/?1 I INSPECTION INSPECTOR DATE CQMMENTS r , SITE ADDRESS 38,?d 2 ',' lo i?? Unit # Permit # L B ?G Sect./Sub,i?Lzn?? v?.2 4183 5 s 9 INSPECTION INSPECTOR DATE COMMENTS 134 _ , -/ - ?? ?G? G- S or••e Ga ••. ?G/Z P4 r i' o Sj •• c . e e G r es /' ,: 5 f z? -sy (.? G S o r Go „? ?l -G cp I L r ?, . • l - (r " c" GJ u % X?i? 1 q- y r.? u.., C ds :e- )rW N ,,•.?r ,o- ,. r-e r ar c/ 'l i,_2::-?G l? Jr r?. rS C?•. b l'v «i e 424 o-Z -q " a s t f TL" e ? ??.vrw??:?°??,?'',????' - 1,.?• oo//-r/fv oq • o8i' INSPECTION 1NSPECTOR DATE COMMENTS - s- ,?-, !e ~ 14 a A e - ,,(3 ,?''/?-5?l '? a?' c'? d?h •s uG ? 7es ? ,(3 „ , 2 /L- as .Q e - ? a v Psi . . . .. ? _ ._.? CITY OF EAGAN 3795 Pilot Knob Raed Eogaw, IKN 55122 .: e? 0?_ ? C3 • PHOIdL: 454-8100 BUILDING PERMIT Reteipt ?t FAGAN Te N wed for 141pdICIPAL CENTEiZ Est. Volue $745. 7QQ Oate ,J. tinP R 19--L? 5ite Addrcu '3SI0 F let Knob Road Erect Occuponq g-? Rk . Lat -' Biock _1.6_ Sec/Sub. S ction 22 Aiter p Zoninq PF Parcel # 1--I?}?)7(]1] 017 76 ? Repafr Q Fire Zone :,IA E l LT u r T f C n aroe p rpe o ons . W Na? City of Eagan ??ve U # Srories ? ^ddress 3795 Pi1ot fLnoU Road Demoliah ? Length?_ C; i-apan 55 12? phone 454-3100 Grode ? Depth15tl-Sq. Ft. A -------?- ?--- _9 Nar.,e VornnVAk Cnnnt - Co , Tnc - uu Addross 070 Ran[-li Viaru T.ARN ? ri... *r„1 a_ S54G7 oti. 55cl -I S l0'7 1 hereby ocknowledge ihat I hove read this opplication ond state thut the intormation is correct and agree to comply with all applicoble State of Minrxsoto Stotutes ond City of Eogan Ordinonces. Sipnoturo of Permittea A Building Permit is issued to: Vo•ronyak Const. all work sholl be done in occordance with oll oppliaoble 5 of Assessment Water 8 Sew. Pol Ice Fire Erq. Plannet Council Bldq. Off. APC Permit T.1n i vali Surcherpa ?? ? ? ?? Plan check .3nlgi3t-A SAC ( * Water Conn jJglApe4._ Water Meter 'rA Rood Unit 'Zin "-Ild Totol $? t17 i 50 Inc. 1 *$400 '..'aived on the express condition thnt innesota Stotutes onA City of Eoflan Ordinances. Buildinp Offidol Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. c??03? kcsoc. 2v?c. ?o-3-?s? w.u .. wn D'np. Sewer Eisc.;e l , g"I l? -g'? a tr ?t,l ??5?} - I?-453 G1E ??V In"ction Dats Insp. Other Footingt S-fo-S 5-I1-83 5-13 -?315-?3-$3 5-?4-$3 Foundation Fremina Rouyh Plbp. Rouph HVA Inwlstion Finaf PI6y, ? Finai HVAC Final Water Desaibe Location: 2 D YVell /?l ? Sewer ? Pr. Dkp. - Receipt ` MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print /egibly 1. Date 2. Installation Cost 3. Job Address Lot Bik. ' 4. Owner `t `Ax J L o 6a" Permit No. ? - Fee S/C Tot. Tract 5. Contractorl Phone ; 6. Address ? 7. City State Zip 8. Building Type: Residential ? 9. Work Description: New 91 10. Describe 11, Fuel Type No. Equioment 9TU - M. Ea. Forced Air No. Equipment CFM i Mfg. A r Handling: Boilers 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 oomply 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 Commercial 0 Institutional ? Add .Ef Alter ? Repair ? Receipt PLUMBING PERMIT Permit No. -? CITY OF EAGAN Fee FiII in numbered spaces S/C Type or Print legrbly Tot. -7w 1. Data 2. Installation Cost & r:, 3. Job Address -ghm f i &-f'f 61(.4 Lot 02 B I k. Tract?- - ? 4. Owner - / T -;' ---%L A 5. Contractor Phone 8. Address 7. City State 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. ? Fixtures Water Clpset No. Fixtures Ce l/D i fi ld Bath tubs n e sspoo ra Septic Tank ? Lavatory Softner Shower Well Kitchen Sink Urinal/9idet Laundry Tray Other 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 N ordinances and codes governing this type of work. 5igned for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 7-iy g`?r ? ?-?-f ???-?T 7 / %'- -Y3 y ' ? ?? ? , ... r??•?.f? FP 2-8 !I-zi• 8'3 . ?' , CITY OF EAGAN Fiemsks- AdditiDn Section 22 Lot Bik Paroel 10 02200 012 26 Owner ? '- ' 7'1 Street State EAGAN MIV 55123 ?' ,' f ? a?•' ! r' : f ?' TIW r.Y? ll i ? 1 1? Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL A= b ac ' .' ;"/'-- V.'ATERMAIN WATER LATERAL J ?-? !?t WATER AREA V STORMSEWTRK 1018 1986 27399.02 1826.60 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LiGHT WATER CONN. 9UILDING PER. 4$91 G.T 7-123 12-5-77 sAC 1125.00 12-5-77 SAr- 7 6-8-83 OF EAGAN Rema?ks Additio Section 22 Lot Owner ? Street -5iA/ SS Lld I /<-J 91q? Improvement Date Amount Annual Years Payment Rece' Date STREET SURF. ? 54 _ v STREET RESTOR. GRADING r SAN SEW TRUNK 2 ,?' G ? SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN BUILOIN ER. SAC RK . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for , O%i Est Value Date ••Y '.'3 Site Address ? :(A R1) Lot - Block 2,3 Sec/Sub. 5ECIEN 11' Parcel No. Name '. T TY (1F F/?(;AN = Address " ."10 PI:AT KA10P1 Rp ? City A"; A k Phone 4 54-6101.) , o Name TRi'CTIWN C0, ; I' ST o u Address City . t A.; ?. Phone `` 5`•'-.,'?.?? 1 Name _ Address City _ ition and state that the all applicable 5tate of Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. ,19 OF FICE USE ONLY On Site Sewage Occupancy MWCC Syatem Zoning on sice weu (nctuau conse City Water (Allowable) PRV Requfred ik of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS Ertgr./Assess. Planner Council Bldg. Off. Variance FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment Pt Parks TOTAL ?? r Permit No. Permit Holder Date Telephona #t Plumbin9 /. H.V.AC. Electrlc Softener Inspection Date Inap. CommentS Footings I Footings II Foundation Framing Roofing Rough Plbg_ P /f Rough Htg. Paz/ Isul. Fireplace Final Htg. [1174 , Final Plbg. Bldg. Final cert ocr- Temp. LP Deck Ftg. Deck Final Well Pr. Disp. (Itrtif'trate of Mrrupttnry Citp of (Eagan iorpurtmrnf nf iiutlbing jwrninn This Certificate issued pursuant to the requrrements of Section 306 of 1he Unijorm Buildrng Code certifyrng that at rhe time of issuance this structure was in compliance with the various ordinances of 1he City segulating building cortstruction or uce. For the fo!lowirrg: ? Ciu"wation TNTF.RT(1R TMPRnVF.MF.NT gldg. Rum No. 19091 Oocup-y Type Zooing pisvip Type Const. OwnaofB„ild;ng CITY OF EAGAN Addren 3830 PILOT KNOB ROAD B.. „? 3830 PILOT KNOB ROADLoW;ty L012, B26, SECTION 22 NOVEMBER 15, 1988 B g OtC ' POST IN A CONSPICUOUS PLACE urNOrw u.l.w. «- , - , (tertiftrafp uf (Orrupanry Citp of Qlagan lePp81't1ttMtf Df i11?mng jWPtttD1t This Certifuate issued pursuant io tlre requiremenu oJSection 306 of 1he Uniform Building Code certifying that at the time of issuance this structure was irt compliance wrth the varioles ordinarrces of the Crty regulating building construction or use. Fos the following.• uBCcW";fickoo INTEItIOP i 5C,`, ; Occw-rTYx zxng wvu.a rype cam? Owner of Bwlding + TY r? t? F, . , r• Addrae ?' 63 3 1 ;N, 0 BuMwS Addrm ?i.tii ?2, ?2 ?n?vErq?3r ; Dau: Building Official POST IN A CONSPICVOUS PLACE ' PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE ` el PHONE: 454-8100 Site /jddress lot Block SeciSub Name ? ? Address '" " ' ? ' ? t y c - City r' ? ? ??' PhOne ' ? Name c Address p Cityr - ' , . Phone',. c=' C FEES COMM/IND FEE - 1% OF CONTRAGT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S!C IF PERMIT PRICE GOES BEYOND $1,000.00) , ?- 4?_c(' L SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # ( - ' ? RECEIPT # zw? DATE: BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair ' Other RES. PLBti. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 " Ki!chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drams - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Oisp. - $10.00 Rough Openings - $1.50 ' FEE: ?'' • r STATE S/C: ?- ,..----GRAND TOTAL: ??.. ? f ? ?e? 1 y874 ? ? 0? z Reques'r%te ira No. Raagh-in Inspectlon RequireG Ins ecfion OtherThan R ugh-In ? 1 (VOU must call inspector w n reatly) 1 a Ready Nav Will Notiry Inspector ? Ves No Date Reatl I 'censed contractor ?owner hera6y request inspection of abova electrical work at: Job Address (Street, Bm or Routa No.) 4 o 7 8 l f 4 A d *' Ciry 5 4, vrl E . ' o n- Section No. Township Nema or No. Range No. Caunly L Q/?C ?Q Occupent(PRINT) P?ane No. an. (8/-4?740 a PowerSU lier /+tltlress O G YLL Elecl al ConVector (Company Neme) ' Coniractofs License No. ? &ej 4-,- k - F 4 .> InG G alOo3 Mailing Atltlress (Contrecror or Owner Makinp Installetion) 70 ?? 5 x . 9 N? AufhpfYitl.SigOgure (Coniracm00wner Mekin Iletion) Phone Number l ` ?? MINP&SOTA STATE BOARO OF ELECTPIfIITV THIS INSPECTION REOUEST WILL NOT Grlgga-MlEwey Bltlg•' Raom 5-128 BE ACCEPTED BY THE STATE BOARD 1827 Univaralty Ave., St. Peul, MN 551M UNLESS PROPER INSPECTION FEE IS Phona(612)6i2-0B00 ENCLOSEO. AV REQUEbT FOR ELECTRICAL INSPECTION'a/??// ee-ooooi-os / 0019874 ? Sae i6amuctlona br completing this form on back ol yailow capy. "X" Below'Work Cokered 6y This Request ??•u,?•. ?' e Add Rep. Type of Buildin9 Appliances Wired Equipment Wired Home Range Temporary Servica Du lex Water Heater Electric Heatin Apt. 8ullding D er Load Management Comm.Rndustrial Furnace Other 5 eci Fartn Air Condttioner -eAt Other (specity) Cantractors Remerks: Compute InspecNOn Fee Below: # Other Fee # Service Entrence Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Am s 0 to 100 Amps Trensformers Above 200-Amps beve4 QQ-Am s SI O5 i1 =0 Inspactor's use Only: TOTAL SD Irrigatlon Boams 14-4 7 v S acial Ins ection Alarm/Communication THIS INSTALLA710N MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED W THIN 18 MONTH3. I, the Electrical Inspector, hereby Rough-in oete certi}y that the above inspection has been made. Finei oat OFFlCE USE ONLY ThIS request voltl 18 monHU irom Xo REQUEST FOR ELECTRICAL INSPECTION 383 O ee-00001-07 ? See InsWCions iw compleHng ihis torm on back ot yelbw capy. ,p ^ n " Below.Work Cdvered by This Requ ?f"-`? ? F 0??1 X ??? ew Atl . Rep. ' 7ypeolBuilding AppliancesWired EquipmeMWired Home Range Temporary Service Duplex Water Heater Electric Heating -? Apt. Building Dryer Other (Specity) Comm./Industrial Fumace Farm Air Conditioner ane, (sceGM Contracror5 Remerks: / Compute Inspection Fee Selow: # Other Fea # ServiceEntrance5ize Fea # CircuilslFeetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transfortners Above 200 _ Amps Abqve 100 _ Amps Signs inspectorsH' TOTAL Irrigation Booms Special Inspection AIarMCommunication ? Other Fee r I, the Elechical Inspector, hereby flOUyn-m . certity that the above inspection has been made. F,nei • oace OFFICE USE ONLV This request wid 18 manNS hom 9398 3 - 0? -oia- p ReQuest Date ' . Fire No. Roug?-In Inps6nbn ReQUiretl V9' ali n h tl MsO?1on Olper.inen Rougroln - I ( i speclor w en rea must y) ? qeady NOw Q Will Notity Inspecbr ? Ves R] No Dete ReaO ' Y.? .' ItX licensed contractor- ] own6r; :hereby request inspection of above electrical workat .1? . : - .bb Fntlress (ShaeL Box or Rome No.) Qry _,.?. 3830 Pilot Knob - d Ea am Seclion No. Township Name or No. Range No. County - DakOta -= Occupam(PRWT) PM1OneNO. ' Ci of Ea an Power $uppiier _ , Atltlress " N A Elecmcsl ConUacror (COmpeny Name) -' Contractor5 ISeense No- y F.lar-fr' CM110 . Mailing qtltlres5(GOnVactor or Ownur Makmg Inslalletibn) ' 400 elbv `AVe.. Suite E St. Paul MN 55102 - Amhoruee Signature ICOntticlOdOwner Making InstallaUOn ) Phorie NumbOL " 224-258 5 MINNESOTA $TATE BOARD OF ELECTRICITY ' THIS INSPECTION REQUEST WIIL NOT Griggs-Mitlway BIOg. - Room S193 6E ACCEPTEO BY THE STATE BOARD I821 Unlvereity Ave.. Sl PeuF. MN 55100 UNLESS PflOPER INSPECTION FEE IS Phone(612)642-0800 . ENCLOSED. _ ?1?195 ' REQItHST FOR ELEitTRICAL INSPECTION EB-DOq'11-08 ji Sil{m,1Njmons io GomOi? this form on back ot yellow copy ?1'1117`f 44d"1??• Itl 3:1 0 r. 3 -? `'X" Be/Ow lNork C,ovvred by This Request ew Add Rep. TypeofBUiqjoq AppliancesWired ;.EquipmentWired Home? ? . Rarsge Temporary Service Duplex - 1 ° W3ter Healer Electric HeaNng Apt Building '• Dryer Load Management X Comm./Industrial Furnace Other;(Specify) Farm . ? Air Condifioner Other (spectly) Controcto05 Remarks'. ' Pre-Action fire system Ans.B,05,B02,113 Compute Inspection Fee Below: Lc3a VOltage Orily. Reddy ricw., Our job #653 # Other Fee # ServiceEnlrenceSize Fee R Circuits/Feeders Fee Swimming Pool 0 t0 200 Amps 0 Amps Trensformers Above 200 _ Amps ioo Amps Signs . .; „ <5..- Ins0ector's Use Only: O TOTAL -` Irrigation Booms; Special Inspection 1( Alarm/COmmunication ' `1( Q THIS INSTALLATION MAY BE QNNECTED IF NOT DDIS( Other Fee CON tETED WITHIN 18 MONTHS. I, the Electrical Inspecfor, hereby` Rouq o ' oate _ certify that ihe above inspection ha5 been made. ' - pinai / - o ?. _ OFFlCE USE ONLY This request voitl 16 montfis imm ' Th; erfue= w;d 52(o Sg e --m:. ? ? ? . io-ozzoo oi?-z? 61tz18s Neq- est Date Frre No. Rough-in Inspection ired? ReatlY Now [??AYff?otlfy InsOec- .?' O ves . tor When R¢aay nsed Electrical Contractor ?e I herebv Fe0test inspectfon of above ? Owner eiacM1ical work iewtalled et Sv t ress. Box or Route No. City ? l1 - ' . c, a Section. Township Nartre or No. Ranpe No. Counry O cupant IRtINTI Pho? No. C Power upp er AAdress Electri I nVa r ICOmpa V N Contrac[o,'s License No. Mailinp Address (Con[ra ror or Owner Makiap Instailation) ? - AuNoriz Si atu (Contra or wner Makiag Irr>?allation) " one Number z THIS INSPECTION qEQUEST WILL IVOT YINNESOTA $TpTE BOARD OF ELECTAICITY Grigms-Midway Bldp. - poom N-191 BE ACCEPTED BY THE STATE BOAflD UNLESS PROPEP INSPECTION FEE IS 1827 UniversiqAve_, St. Paul, MN 55106 PMb f672) 297-211111 ENCLOSED. 5?C= ? REQUEST FOR F1.ECTItlCAL INSPECTION Ee-°°°°i-°'/ ? Seo i'afrucaions tor complefinp Uis form m 6aek of vallow eopv. ?1 a le? ..X.. Below Wnrk Covered by This Request ?•?? 6 Add peO. TYPa ol Builtling APYtiancea Aired E9uipment Wir¢d Home ?nge Temporary Service Duplex Water Heater Lightiny Fixtures Apt. 8uilding Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Cwiditioner Bulk Milk Tank Pdfm ONxr (Spo-6fV1 Other ISuec41y1 t r yecity Oth¢r Olher I/ISOYCUOO FPB 8@fOW f Fee ServicaEntrenceSize N Fee Feeders/SUbfeetlers # Fee Circuits (1 to 200 A s 0 to 30 Am s 0 to 30 Am Above 200 qm - 31 to 100 Amps 31 to 100 A - Swimning Pool Above 100-Amps 7 7 Ahove 100_E+m ' Transiortners Irn'gation Boorrs Partial- Other_Fee ' I'AQOOI Signs Special Inspection $ mS.-0 TOTAL? ?GG ppuph-in Date 1. the ElecViml ? nsDector. Aereby cartity lhat [he apova Final p^1e? '?' inspectian has bcen made. ?pb mpesl roid /8 rtrontlm hom This request voitl 18 months from ?/?G/?i} • ? ? ?`? D `6 61a5 Remuest Date Fire No. NouNh-in InsUection Reu?? reA? E]Heatly Now (XWiiI Nmify Inspec- 1/1a/a$ Kk°s Q N ior Wh eatl V I EXLiAnsed Elecvical Convacto, El OWOP.! 1 har y reqaest inapa 'on of aDOVe ^^n / electrical work insballed et fX L? j Street ACdress, Boe or Houte No. ? 3830 Pilot Knob Rd. City / ? eciion o. Townshi0 Name or Nn. Range o. Counly Dakot-A OccvpaM (PRINT) Cit of Ea an Phone No. Power SupPlier Address ElecVical ConVactor (Company Name) HiliY F.1 rtrir?Tn ,r 1 Cnn[rar,tm's License No. 040445 r MailinB ?+dJress ICOnlrer.tor or Owner Making Instailationl A, uJRelized S?B? (Conh ctor wner Makinp ns[ a ionl V? Tim Philli s Phone Numb¢r 452-1565 MINNESOIA STATE BOAND OF ILECTRICITY Griges•MidweV Bltlg. - floom N-191 7827 UniversitvAve..St. Peul, MN 55104 Pnane f6121 642-0800 THIS INSPECTION flEQUEST WILI NOT BE ACCEPTED BY THE STqTE BOAHD UNlE55 PPOPEH INSPECTION FEE IS ENClOSED. ? REQUEST FOR ELECTRICAL INSPECTION ee-aoooi-os .. ?h'de nsRuctions for complating this torm on back ol yeltow copy, D ,6?615 50'?/V Below'Work Covered by This Request us'0 i4viyf Addl Ne0. TVVe ol Bulltling APUliancea Wired EquiNnieN Wired Home Range Temporary Service Duplex Water.Meater. Liyh[iny Fixiures Apt. 8uilding Dryer Electnc HeaUii Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm Otne? Pt`?:? Y Iher ISPeclivl t . uccily Othcr 011u:r ompute Inspection Fee Below p Fea Service EnbanceSize tt Fee Faeders/5ubieeders N Fca Gircults U ro 200 qm s 0 to 30 qm s 0 tn 30 An Above 200 qmps. 31 to 100 Amps 31 to 100 Am s Swimmin Pool Above 100_Amps AAove 100_Am>s Transformers Irrigation Booms Purtial-'Other- Signs Speciallnspection 5 TOT j 15.5 Remnrks 18389 ? . o FEE , Nouph-in inal Q -?. L ? U^?? tri InsDe , ¢reb?y certily thet the bova insvaction has been rtnBtle. lOiarequastvoiAiemonlhslrom 1 •va? ? -6 ?3 ? . ? ?•/?,? Re uest Dare ire No. Rough-in Inspection Re Iretl7 ?GleatlyNOw WillNOGty inSpeqw h Ves 7- Na en Reatly? licensed contractor ? owner hereby request inspection of above electrical work at: bAtlOres?lree or oul No.? m Ciry ? ? U SeIXion No. i TownShip Name Or No. Range No. County Oc ant f ' RINT? (1 Ll?1? ? P?5. -R'CO P Pdtlress 3 ? \ . ? f ? ?/-S5 ElecVic Comra or IGOmpany Name) Contrattor5 License No. `c - I L'A g7 MaWli g A tlr s 1 tr ?o? or Owner Making COD( ? Stall ton) ? 55. 1O ?K L AutM1Orizetl Sgnawr ? nUacto er Ma'einq nstallation) T NumDer P.,one - 14 ?S MINN OTA STATE BOARD OF ELECTPICITY THIS INSPECTION REOUEST WILI NOT GrIB9s-Mitlwey BIEg. - Room 5413 BE ACCEPTED 6V THE STATE BOARD 1831 UnimnHy Ava.. SL Paul. MN SSlOa UNIESS PROPER INSPECTION FEE IS Phono(61Y) e4241600 ENCLOSED. .EQUES'? o ? eECTR?CAL?NSPECwc?N L 1237S "X" Below'Work CdvQred by This Request ew Ad Rep. Typeofeuilding AppliancesWired EquipmentWired Home Range Temporary Service Dupiex Water Heater Eleciric Heating Apt. Builtling Oryer Other-.(Specity) Comm.llndusirial Furnace Farm Air Conditioner he (syqci ( _ Gonvacrorg Femarks. ? U Compute Inspection ea Belo . # Other Fee # ServiceEniranceSize Fee # Circui15/Feeders Fee Swimming Pool 0 to 200 Amps ? o to 100 Amps OS. Transformers Above 200 _ Amps AbDVe'1o0, Amps 13, SignS mspecmrs Use Onyi ?? TOTAL • SQ Irrigation Booms ?' Special Inspection Alarm/Communication THIS INSTALLATION BE O D ISCONNECTED IF NOT Other Fee COMPIETED WIT MO S I, the Electrical Inspector, hereby certify that the above inspection has been made. Rouqn;m ? F;,,ai f oate f?? oa?e G?? /? ? OFFICE USE ONLY p This request voitl 13 monlhs Irom ? 3 4- 5 51 ? ?? E U ONLY This requeat void 18 months from volidanon dole prinkd in this box. 1? ? ,r-)a4?5 ly(02ce PLEASE PRINT OR TYPE IO ? D o o- ?a - a ReqoeslQok q S Roogh-in inspeclion reqoired2 ? Yes No (Yo. mual coli iFre inspeaor whm reody) 1 Inapedion Olher Than kough-i qRev?dy Now 0 Will Call Daro Ready I, icensed confractor ? owner hereby request inspedion of fhe above eletlrical work at: Job Pddrtss (Shaet, 9on, ar Roule No.) ?830 Brc-0T K4-,0c3 Z-a Gih E4 G,4-xj Zip Code 537 Zf Section No. Towmhip Name or Na. Rvnge No. Fire No. Counry Occupoin eZ LTY o? F,4?4y-J Phone No. PowsrSopplier Pddress Elechiml Contratlo. (Comporry Nome) Contraaor L?mnse Na. Masier Gc Na (Plvni Elen. Only) M(D- on.,Tlt?R?-? F-cacZ-/uc cAorz-3? Mailing Fddrees (Conlmtlor or Ovmer Performing InsMllafion) +Z ? o? is D ,4Y--- Avlhon?nhn?r Pe ine l -an? f? Phone No. EB-OOOOIA-10 6/95 S7ATEBOARD COVY-Sfi INSfRUCTIONSONBACKOFVELLOWCOPY REQUEST FOR ELECTRICAL INSPECTION a"' ` IIII I I?? II I IIII ' innesota y ar 21 UversR Av?e. 8 , R?? 12 ,?. Paul, MN 55104 2 3 4 6 5 1 8 * Pfi one 8121642-0800 r?? Home ex Dup pf. Bldg. Olher: New Addn o ercial usirial Ind Farm Remod Re air Air Cond. Hfg. Equip. Water Htr. Load Mgmt. Other: D er Ran e Elec, Heof Tem . Service )(" above Nre work mvered by this request. Enter remarks in ihis space ond on the back of fhe white copy only. 'WI(L.E Ev2W iTl, 2.E 9,40..T1Tt45 [?,S Calculate Inspection Fee - ihis Inspxlion Request will nai 6e accepted withaut the correct fee: Olher Fee 8 Service Enkance Size Fee # Circvils/Feeders Fee Mo6ile Hame Park $fall 0 to 200 Amps ' 0 to 100 Amps O. S}reet Lig./TroHic $ig. Above 200 Amps Above 100 Amps Tmnsfofiner/rienefaMf INSPECTORBUSEONLY TOTAL ?Q $ign/Oufline Lfg. Xfmr. c?O ,G O. ? Alarm/Remote Con}rol 7 $Wimmin9 Pool I herz <erli tha11 ins fiealednml Insbllanon desmbed herein on Ihe dahs ?ated Irrigtition Boom Roogh.ln Dak ection S ecial Ins p p Fi l DWh l Inves}igafive fee rw ?? / X? THIS INSTALLATION MAY BE ORDERED DISCONNECTED I NOT COMPLETED WITHIN 18 MONTHS. 4^3 4 _ 6.4 92 1 ? • OFFlQE E ONLY This requesl void 18 monihs Irom validvtion dvre pnnted in Ih?6? ? O ??9 G •-` ? ,., . PLEASE PRINT OR TYPE Rpues=Dak_ 9 Rou9hin Inspecfion reqoired2 ? Yes h d l h Inspecfion OMer Thon Roogh-In: eady Now 0 WIII Cvll D i R d ` R ? m reo y) e inspenor w (Yau must wl t eo a a y: I, icensed cantrador ? owner hereby requesf inspedion oi ihe o6ove elecirical work at: Job Address (Slreet, Box, or RoWe Na.) 8 3o PKAz- Kraa c3 tt'P CiM G? 054 Zp Cade ,.5- r 2 z Sedion No. Township Name or No. Range No. Fm No. Caanry D4K(sl Oauponl CtT `t o f E ?4t?.) Ph No. ?' ?o U PowerSupplier Address Eleclnml Conkawr (Compony Name) ?1?iD-}?oit7- ?ccu Conlmcbr Limnse No. ?!0t z ? Mosbr Lic. Na (Vknt Eletl. Only) Malliiddnss (Conhaclor or Owner PeAorming Insmllafionl /S D " E 6AYj ANho' ?w1um?Conha?erP s on? • PMneNO. 4sz-3q4 SP EB-OOOOlA-10 6/95 STATEBOAROCOPYVEEINSfflVCTION50NBACKOFYELLOWCOPY ssi ?II I II kq s U 4 6 4 9 REQUEST FOR ELECTRICAL INSPECTION?f Minnesota State Board of Electriciry 1821 Univer.sity Ave., Rm. S-128, t. Paul, MN 55104 2 s Pnone (siz) e42-0800 /// ? 6 ' Home Dupe Apt. Bldg. Other: New Addn ommerciol Indushial Farm Remod Re ir Air Cond. Hlg. Equip. Water FNr. Load Mgmt. Other: D er Ron e Elec. Heat Tem . Service "X" above the work covered by this requesf. Enter remarks in fhis space and on the bock of the white copy only. t.,?vt_? w,a.x.,1 r ?,?.?. Pr?n-r1r,m?s Calculafe Inspection Fee - ihis Inspection Request will not 6e a<cepted wifhout the correcF fee: Olfier Fee # Service Enhonoe $ize Fee # Grcvits/Feeders Fee Mobile Home Park $tall 0 l0 200 Amps 0 to 100 Amps Q. 40 5heet Ltg./TraRic Sig. Above 200 Amps Above 100 Amps Transformer/Genemror INSPECTOF'SUSEONLV . \ TOTAL Sign/Oufline Lig. Xfmr. ? 3 0. Sa Alarm/Remote Control Swimming Pool I hemb ceni t+ar 1 Ins echd the elechiwl InsM tion de ed Mmin on the doks stokd Irrigation Boom Raugh-In ome edion S ecial Ins p p Fi l O t Investigative Fee na _ a e ? THIS INSTALLATION MAY BE ORDERED OISC E WWITHIN 18 MONTHS. / 'E 8 9 9 4 0 Flequest Date Fire Rough-in Inspeclion ' Required? ?Reatly Now ? WII Notiy Inspeclor 3 1 89 ? ves Krvo wnen aeadr? I lX licensed contractor ? owner hereby request inspection of above elec[rical work at: ,bC Address (Streeq Box or Route NoJ City 3830 Pilot Rnob Rd Ea an Section No. Townstiip Neme or No. Range No. Counry Dakota OwupaM (PRINT) • Phorre No. City of Eagan Power Supplier Atltlress Eleelrical CoMraelor (COmpany Name) CAritrac[or3 Liwnsa No. Hilite Electric, Inc 040445 Mailirg Atldrees (ConVador a Owner Mekng Inatellation) 19 Shawnee Rd, Ea an, MN 55122 Awho' Sign u?CaMra k g In afian) Phore Number 452-8886 MIN 5'F h €LECTFICRV THI$ INSPECTION REQUEST WILL NOT G'IggsMlEway Bltlg. - Raom 5173 BE ACCEPTED BV THE STATE 60AR0 7821 Unlvenity Ave., St. Peul, NN 55106 UNLESS PROPER INSPECTION FEE IS PM1One (612) 662-0BW ENCL0.SED. -?/REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-m ? See inswctlons br complenng [his fortn on back of yellow wpy. 'l• q/ E8 9 9 4 O `X" Below lNork Covgred by This Request e Adtl Rep. TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) g Comm./Industrial Furnace Farm ' Air Conditioner Olher(specify) Contraclor§ Remaft: Furniture panels Compute Mspection Fee Selow: # Other Fee # ServiceEnhanceSize Fee # CircuttsiFeeders Fae Swimming Pool 0 to 200 Amps 0 to 700 Amps U.UU Transformers A6ove 200 _ Amps ? Abwe.loo _ Amps Signs Inspector5 Use Only: j 7pTpL Irrigation Booms 25.$0 Speclal Inspection ? Alarm/Communication Other Fee .50 I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-In ?e F„?i P oe?e ? ?q? [ OFFlCE USE ONLY • Tha requesf voitl 18 rtwnths from 5 J?'"?' 7 E 8 9 9 51 4 ia ??' ?? A/? - flequest Date R. ., Rough-in Inspection Requiretl? ? Ready Now ?Will Notity Inepeclor yeg 11 No When Refldy? I? licensed wnhaclor ? owner hereby request inspection ot above electrical work at: Job A¢d ree) & or Route NaJ ? Ciry Pilot Knob Rd Eagan Sedlon No. Township Name or Na. Range No. County I Dakota Occupant(PRINT) Plwrre No. City of Eagan 454-8100 Power SupPllar P4tlress Eleclrkal Conlraclor (COmpany Name) Coniracfor9 License No. Hilite Electric, Inc 040445 Mailing AEdress (COritradm or Uvner Making Inslellation) 1953 Shaw ee Rd, Eagan, MN 55122 Autho' S naWra (CO or 91 kirg aGOn) > Phone Number ? 452-8886 MINNESOfp-STRTEBaAfic4ELECfPICfiY ? THIS INSPECTION REQUEST WILL NOT GAggsNidwey eld9. - poom S'Tl3 eE ACCEPrED 8Y THE STATE BOARO 1821 Univerally Ave•. SL P.I. MN 55109 UNLESS PROPEfl INSPECTION FEE IS Phone1812) 6020800 ENCL0.5ED. REQUEST FOR ELECT SPECTION ea-0oom a? ? See inslmdions tor completing this ic. k af yellaw copy. 9,9 5 1 X" Below Work Cavered by This Requesf e Adtl Rep. Typeofeuilding AppliancesWiretl EquipmentWired Home Range Temporary Service Duplex Water Heater Elearic Heating Apt. Building Dryer O[her (Specity) Comm./Industrial Furnace Farm ' Air Conditioner Other (specify) ContracloB Pemazka: Compute Inspection Fee Below: # Other Fee # ServiceEnlranceSize Fae # CircuitsiFeedere Fae Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs InspecMOrg Vw Only: TAL irri9ation Booms l O 15 50 Special Inspection Alarm/Communication X Other Fee I, the Electrical Inspector, hereby R°°9h"" r °aW certify that the above inspection has been made. F;nai OFFICE USE ONLY This request wltl 18 monihs iro. 91 , /0.389? 8 72501 ?ia a ? i;z s? Repuest DaTe N 2? 1 1 Fire o. '. Rougn-id Inspeclion R tl' nReatlyNow ?,i^ pec[or ot OV. , 99 ?,XNO eQYes en ReaOy I X;licensed convactor Downer hereby request inspection of above electrical work at: Job Atltlress ISVeet Box or Route Na.l City 3830 Pilot Knob Road Eagan $ecnion No. Township Name or No. Range No. Counry Dakota Ocapant (PRINTI Phone No. City of Eagan 454-8100 Pawer Sup0lier AtlEress Elemncal Conhacmr (COmoany Name) Gontractor5 Lirense No. Corrigan Electric Company 039549 8 Mailing atltlress IComracmz or Owner Making InslallaLOn) P.O. Box 4b, Rosemount, MN 55068 Autn r Signature iContrai er M g Installation) . ?,? ? Pnone Number 423-1131 1 MINNESOTA STATE BO b ECTRICITV 1MIS INSPECTION REOUEST WILL NOT Grlggs-MiAway BIEg. - Noom 5-173 ' BE nCCEPTEO 8Y THE STATE BOARD 1821 University Ave.. SL Ppul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 692-0800 ENGLOSED. REOUEST-FOR ELECTRICAL INSPECTION ? See'nstmctions lo, complenng this lorm on back ot yellow copy. ? "X" Below Work Covered by This Request ea-ooom-oe 3 $ ew dd Re . Typeof8uiltling AppliancesWired EquipmeniWired Home Range TempOrary Service Dupiex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm.tlnduslrial Fumace Farm Air Conditioner Oger 1 GonVactor 's Remarks: Lp,.. L?*"}I(?'S U(seaf Compute lnspection Fee 8elow: # Other Fee # ServiceEnhance Size Fee # Ciraits/Feeders Pee Swimming Po01 0 to 200 Amps ,X 0 to 100 Amps Transformers Above 200 _ Amps e 700 _ Amps Signs Inspector's Use Only. l 6 7pTAL SO Irrigation eooms lJ . U , ` .J Special Inspection AiarMCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee p COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oare certity that ihe above inspection has been made. ??cZ OFFICE USE ONLY Tbis request void 18 months Imm f'5 ? b r`-/0 79 ? Rd 9 uest Dafe ^ ?-3?? - ? Fire N .. Rough-in Inspection e uiretll `/ ? ReaOy Now p?Wiil Nolity Inspecror ??Wh F tl 9 / 1 VBS ?NO en eB Y Iy'licensed contractor O owner hereby request inspection ot above electricat work at: JoE Atltlress (StreeL Box or Route No.) 3830 dolL-o7 City 04-64 ?cj Settion No. Township Name or No. Renge No. Counry P4-40 T Occupant IPRINTI ?-- l T Phone No. Power Supplier AOOress Elenrical Conlractor (Company Name) Gonirectork Licanse No. IL1T/t OYO??S Manmg Atltlress (COnVecror or Owner Making Instellation) Alo?d naWre ICO aclo r Me g s[allationI Phone Number MINNESOTA STATE BOAHD OF ELECTIi1CITY U TMIS INSPECTION REOUEST WILL NOT Grigge-Mitlwey BWg. - Raom S173 6E ACCEPTED BY THE STATE BOARD 1821 Univerairy Ave.. 5t. Peul. MN 55104 UNLE55 PROPER INSPECTION FEE IS Ptwne (612) 8634800 ENCLOSED. 0:1_ REQUEST FOR ELECTRICAL INSPECTION compleNng this form on back of yellow copy K 3 ? See insWCtians br 6 J '.Y,:Se/ok Work Covered by This Request ?'" $+a. ee-ooooi-oa ew qdd Rep. TypeoFBuilding AppliancasWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating ApL Building Dryer O[her-(Specify) Commllndustrial Furnace Farm Air Conditioner OtM1er(syecify) ConVaclor§ Femarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0[0 200 Amps 0 to 100 Amps ,OQ Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspecror9 Use Oniy: TOTAL IrrigationBooms ?y 2,?•,s? Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Oiher Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, here6y Rou9n-in oate ?, ` !B? certify that the above inspection has been made. F,nai oa? ?j OFPICE USE ONLV ? Tnis reQuest void t8 months trom 2- - 4 4 8 ? OFFICE USE ONLY This request void IB momhs Gom wlidaAOn dak pnM? in ihis 6ox. . ' PRINT OR TYPE PLEASE Rey.esf 1 Rough-in inspecfion requiredY (:I Yes 10 N. Inspection Olher Tfwn Roigh-In: E] Ready Now [3 Wiil Coll I (70o most mll the inspectar when readyl Cate Reody: I, n licensed conirador [] owner hereby request inspedian of ihe above elecfrical work af: Job Addrese (Streel, Box, or Roure No.) Ciry Zp Code oT \?'zsbS?S QJ I;Z- - ? a.h SS\ Sertlon No. Tovmahip Nome or No. Range Na Firo Na. Counp Oa?panl I' 1 o!d c? R F F Pha No. / Z- 89 - Z Powr $oppller Mdress A/s EI ' I Cantracror (ComoanY Name) oMracbr limnse No. Moshr Uc No. (Plvnl Elecl.Only) ' D O/ Conrcotlor or Owne Per(o?ming Installntion) Moilin8 Address ( / AuIhSigrw ??er,Per(o?min9lnsmllation) ' PhaneNo. Q"i2DZ r7??' EB?06J-10 yi5 STATEBOAPUCOGY•SEEIN5Tfl11CTIONSONBACKOFVELLOWCOPY F{ I1111111111111111111111111111111111111111111 M2?Uorv rst? B a REm. 5-1?8A?'PauP MNT55104 6? +t 0 2 52 4 4 B 6* Phone (61'2) 642-0800 ?'?7? Home , Duplex Apt. Bldg. Other. x New Addn Commercial Indushial Farm c Remod Re oir Air.Cond. Hfg. Equip. Water Htr. Load Mgmt. Other. D er Ran e Elec. Heat Tem . Service "X" above fFe work covered by this request. Enfei remarks in fhis space and on the bock of the whife copy only. Calculote Inspection Fee - This Inspecfion Reqvest will not be accapted wilhout fhe cortecf fee: OTher Fee # Se`vice Fnhance Size Fee A Circvils/Feeders Fee Mo6ile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sfreet Lig./rraffic Sig. Above 200 Amps 100 Amps Tronsformer/Generafor INSPECTON'SUSEONL ? TOTAL?-ca??.?\ Sign/Outline Ltg. Xfmr. C l ?S -O D Alarm/Remote Confrol ? J $wimming Pool i ha.a ca tha? I' eleclnml inakllofion daaibed herein on fhe dobs sfaMd Irrigation Boom p -n o?h eciallns edion S p p Inves}igative Fee Fi ? Dai I THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. This fequest voiA 78 -4onths hom O ri !37813 to ozzoo o1z, zcp 3Zq9 J Henuest Date Fire No. RouBh-in Inspecuon Repuired7 ?ReaAy Now 0 Will Notifv Inspec- `?r 913 0 Yes JJLNU lor When Reaay ? Licensed Elecvical Convactor I hereby rxquest insVaction oi ebove [?J Owner alectrical work installed at $ireT AdAress, Boz or Routo No. f c Ciry 0 `e? G?F.? ecbon o. Township Name or No. ange n. - C ounb ? j YA;X'&,0 r4 Orcupant(PRINT) /!r/ L dG E Phone Nu. 45tf'-^S-lo o l.cr /R N !/ , Power Supplier a ^wd A tlress lm r'4 IN ElACtrical Cnnvactor ICOmpany Namel Comraclor's Licensri No. "' S- Z. MailinB ?+ Jress IConVar.mr or Ownar Me iny InstuflaLON d'E !? l?iui?+r/ 5s Aut ized SiBrature IContra od0 r king I allationl P ne Number THIS INSPECTION REQUEST WIIL NOT MINNESOTA STATE BOAHD OF ELECTNICITY Griggs-Midwey Bldg• - floom N•191 BE ACCEPTED BY TNE STqTE BOAHD UNlESS PPOPER INSPECTION FEE IS 1821 University Ave., St. Peul, h7N 65104 oe....e Ix191947.9111 ENCLOSED. ? - ^ REQUFST FOR ELECTRICAL INSPECTION Q EB-00001-03 ' Sea insb.?tions for cornplating this torm on back of yellow copy. V 1 ?? a?FVork Ca ered by Th; s Request New Add RaP. Type of euilding APpliances Wired Equipmeni WireE Home Range Temporary Service Diiplex WaterHeater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader ' Industrial 81dg. Air Conditioner - Bulk Milk Tznk Farm thnr bPecifvl Other (SUecify) ther Sueci y Ot vr Oth,.r Compute lnspeciion Fee Below Y Fen SarvicaEntranceSixe H Pee Feedara/Subfeeders N Fee Circuits 0 to 100 qm s 0 to 30 Am s 0 to 30 Am os 701 to 200 Amps 31 to 100 Amps 31 to 100 Am s Above 200 qmps Above 100_Amp6 Above 100_Amps Transtormers Remote Control Circ. 570 tia l%Other Fee Signs Special hispection W TA i riiwlk.W?, L PEE ? flouen-in . inai I Oato p - I. Inspectaq horeby certity that tha nbove Vec ' been m Th15 fpOUC51 v01d ? ??? ?/i..0.y/ 18 mm,ths imm ' U ??? ? ? ' 0 3 6 121 ? 02?- ?? ? Raquast Da?e Flre No. oug -In Ins n Repuiretl (YOU u mspactor when reatly) Inspeclion Other T?an Rough- ? qeatl Now otity Ins ecmr 1 O ? V ? N y p es o Data ReaG I Q;Illcensed contractor ?owner hereby request inspection of above electrical work at: Job Akrass (Siree oz or Route No.) ? ? - Ciry 6 1 ?--?C 0 Saction No. Township Name or No. l Ranga No. County O(PRINn ? Phone Na. = Adtlress ? v tLe ? o nactor Name) ,C..p. y C' n' ' niractor's License No. ' C erSC? ?.S-9c ett G Malling AtlGrass (Contractor or O+ner Making Installation) e2X \L ??I F_ 1 S53 FNhorize gnaWre (COnt rlOwner Makin nstallation) Phone Number MI NESO SiATE 80ARD OF ELECTRICffV THIS INSPECTION REQUEST WILL NOT Or189a-Mid BIEg , Noom 5•128 BE ACCEPTED BY THE STATE BOARD 1821 Unhrenity ., 31. Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS Phone (812) 802-08110, ENCLOSED. i7 7Y3 95 REQUEST fOR ELECTRICAL INSPECTION 0- 6 7'21? See instmcNOns for completing this form on beck ol yellow capy. "X" Below Nlork Co'vered by This Request 4 d M"?EB-0000 0 ? ?.`,,'`? ? °?v ,.p. e qdd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Servica Duplax Water Heater Electric Heating Apt. Building Dryer Load Management Comm./lndustrial Fumace Other (Speciry Farm Air Conditloner Other (specAy) Conlractor's Remarks: Compute lnspection Fee Below: # Other Fea k Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps Q 0 to 100 Amps Transformers bove 200 Am s 0-Am s ,3Q Si ns insaectors use omy: f3QW OTAL Irrigation Booms 5 ecial Inspection Alarm/Communication T}IIS INSTALLATION MAY BE ORD ISCONNEC7E0 IF NO Other Fee COMPLETED WI7HI ONT . r I, the Eleclrical Inspector, hereby certity thet the above inspection has been made. flough-in Frw ( oate ?Y AV oate OFFICE USE ONLY This requesf wltl 18 monNs from AZ6 2007 COMMERCIAL BUILDING PERMTT APPLICATION ?C-F f?ESSR? City Of Eagan 3830 Pilot Kno6 Road, Eagan Mn 55122 rfJ Telephone # 651-675-5675 Plans are considered public information unless you state they are trade secret and why, • Structural Pians (2) sets • Civil Plans (2) • CertifcaleofSurvey (1) • CodeMalysis (1) " • PrajeclSpecs (1) • Spec Insp 3 Testing Schedule (7) " • Soils RepaR (1) . Meter size must be eslablished • SAC detertnination - call 651-602-1000 • Soils Report (1) . Certificateof5urvey (1) . Structural Plans (2) . Architectural Plans (2) sets • HVAC uniGS req'd. on 61dg elev. / site plan Civil Plans - (Z) . Landscapin9 Plans (2) . CodeAnalysis (1) " . EnergyCalculalions (1) " . Emergency Response Sile Plan (1) . Spec. Insp. & Tes6ng Schedule (1) " • ElectricPowerRLightingForm (7) . PrajedSpecs (i) • Master Exit Plan (?) • SAC determination • ca11 6 51-60 2'f000 . Fire Stopping Su6mittals . Fire SuppressionlAlartn Fortn . CodeMalysis (1) " . ProjeCSpecs (1) . Key Plan (1J • Master Exii Plan (1) • Energy Calculations (1) not ahvays" • Elec. Power& Lighling Form -(1) not always" • Meter size must be established-if applicable • SAC determinaiion - call 657-602-1000 CaV1 MN Dept of Health at 651-201•4500 for details regarding faod & heverage or lodging facilities. •* Contact Building Inspedions to see if it is required and For a sample. - 'x• permit for new building or addition wii] not 6e processed without Emergency Response Site Plan. Date -L2L- /?/ G 7 Construction Cost YP Z1, oDd SiteAddress 3SS3fl P.1-1-07' ytNOd ?2V3 UniUSte# TenantName c.?Ty (9F F?}f?4rN 'FormerTenantName Description of Work WdJS ?Vr 0"?,,e S Property Owner ? ?-F?.,? 5a Telephone #( Applicant is: 3KOwner -ZL- Contractor Contractor iF A Contact #: ( ) -GA-nJ p,+216 /I i6iPT Address State CitY - Zip Telephone #( ) X? 3 2IF Arch/Engr ?I U?' rU '`? H `J E Address I I l? ? I?? i State Registration # Cih' Zip Telephoue # ( ) Licensed plumber Installing new seweAwater service: Phone #: I hereby apply for a Commercial Building Permit and acknowledge that the inYOrmahon is complete and accurace; tnaz the worK ww oe m wnformance with ffie ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pemtit, 6ut only an application for a permit, and work is not to start without a permit; that the w rk will 6e in accordance with the approved plan in the case of work which requires a review and approval of plans. P NUL G2?uA? ? Applicant's Printed Name ApplicanYs Signature DO NOT WRITE BELOW THIS LINE Sub Types / ? 01 Foundation t8' 26 Public Facility ? 30 Accessory Buildittg ? 14 Apartments ? 27 CommerciallIn dustrial ? 32 Ext Alt-Apaztments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Niiscellaneous 0 29 Antennae ?. 35 Ext Alt-Puhlic Facility ? 37 Nail Salon W ork Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 3z Addition - ? 36 ? Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair / GY 33 Afteration ? 37 Demofish (Btdg)* ? 43 Reroof ? 46 Windows/Doors ? 34 ROpiacement `Demotition Building - Give PCA handout to applicant Valuation 060 ? Type of Const Width Plan Rev 100%= 25%'=' Occupancy MCES System SAC Units Zoning P r-_ City Water Nbr. of Units Stories Booster Pump Nbr, of Bltlgs .-?-' Sq. Ft. -- "" PRV J? Fire Spnnklered v?s T- Length Required Inspections _ Footings (new bldg) _ Fireplace _ R.I. _ Air Test _ Final _ Footings (deck) _ Insulation _ Footings (addition) _ Sheetrock Foundation ?maUC.O. Drain Tile ? FinaUNo C.O. ' _ Driveway Apron _ Other Roof Ice Pr Decking Insul Final Pool Ftgs Air/Gas Tests Final ? Framing _ _ Siding _ Stucco Lath _ Stone Lath _ Final Windows Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes ?No Approved By: Planning i C.• Building Inspedor Base Fee W 0.iyieQ C'v}y Surcharge Plan Review SAC-MCES SAC-City SNJ Permit SIW Surcharge Treatrnent Plant Trealmenf Plant (Irrigafion) Park DedicaGon irail Dedication Water Quality Water Supply 8 Storage (WAC) Financial Guarantee Stortn Sewer Tiunk Sewer Lateral Street Water Lateral Other Total 5ewer Trunk Water Trunk ?,?; (, 4s--? Nanie: r_C -7 B F 5*cx,4 +C Phone #: Last ' First CITY OF EAGAN 651-681-4675 Foundalion Onl New Construction Interior Im rovement • SWCtural Plans (2) sels • ArchilecWral Plans (2) sets • ArchitecWrel Plans (2) sets • Civil Plans (2) • Structural Plans (2) • CodeMalysis (1) " . CeNfipteofSurvey (t) • CivilPlans (2) • ProjectSpecs (1) • Code Malysis (1) • Landscapin9 Plans (2) • Key Plan (1) • ProjectSpecs (1) • CodeAnalysis (1)" • Master Exit Plan (1) • Spec. Insp. & TesGng Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils RepoR (1) • Spec. Insp. & Testlng Schedule (1) " • Elec. Power & Lighdng Form (1) not always" . Metar size must be established • Meter size must be establishad • Meter size must 6e esWblished - if appilcable . ProjectSpecs (1) 1 • EnergyCalculatlons (1) 1 • Electric Power & Lighfing Form (1) l . Master Exit Plan (1) 1 1 • Fire Protection Plan (1)" 1 L • SoilsReport (1) d . MClES SAC determinatlon letter • MGES SAC determination lettar • MC1ES SAC determinatlon letter call 651-602-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MIV Department oF Health. Call 651-215-0700 for details. DATE: WORKTYPE: _ NEW ? REMODEL CONSTRUCTIONCOST1fBZ 01--l 0 SITEADDRESS: 3 3/J ?t?9T n?on r? TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: Street Address: 3 g.3 n y/ L 6 ;:1- ivod nc xi--, DESCRIPTION OF WORK T?Frrzoc,c-?r ?t , FoA_ If,.> 4NAa' i;/ PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER City:. C4-!'?AnI' State: C 1-I?O2- SUITE #: Zip: Company. c..p.vss?criozr ??sr??7-s a2e, Phone#: ( 74-3 StreetAddress: / 5/la0 2_3 mna46 Wo City: PL-?/ "te u v r/ State: ",i/ Zip: .s-s'yf/7 ? Company: G' Phone #: ( 5?Z 51V.F3 Name: ??L 44 Regis6rarion #: Street Address: 7$40 L(/ 1517 t!l .Srr 5:e?ra- City: ? State: Zip: fs?i2? CYJ Licensed plumber installing new sewer/water COMMERCIAL ? e_ ai $ ?3 2002 BUILDING PERMIT APPLICATION 1-3 I-0 ?- '%a?,_ ? 1k a ( 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. ? ?/ ?¢?-- SignatureofApplicant: Gt'/C-l_q ` :?,q ?,(!? _avyc Updated 1I02 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Faciliry Q 30 Accessory Bldg. ? 14 Apartments x 27 CommerciaUlndustcial Q 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. u 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Fou ndation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair /X 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION CensusCode 4 5S7 Zoning Q•F sq.8. SAC Code # of Stories sq. ft. No. of Units ? Length sq. ft. No. ofBldgs. Width sq. ft. Const. (Actual) "?4 Basement sq. ft. MC/ES System ? (Allowahle) First Floor sq. ft. City Water ? UBC Occupancy ?? sq. ft. Fire Sprinklered ? MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation 0 Plumbing ? Stucco/Stone APPROVALS Planning Bu ilding ? Engineering . ? Variance ' VALUATION $ D6D a-a Permit Fee Surcharge '-AI . U 0 Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park DedicaHon Trails Dedication Water Quality Other Copies Total 70 c,? q 2007 COMMERCIAL PLUMBING rExMiT nrrLicaz7orr CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 / 67) Date??/?4 Site Address Unit # Tenant Name Former Tenant Name Property Owner (.i/ Telephone # (Cy ) e?;/? ??OCD Contractor Address S t!:? e? R? City T/ ?? State ?t„ Telephone # ?/'s? ??0 ? ?? License # Expires: 2 UC0 Z The Applicant is _ Owner Contractor _ Otlier Work Type New Bldg _ Modify Space _ Irrigation System** Yes No Work in public r-o-w / easement? RPZ _ PVB: New _ Repair/Rebuild A Replace _ Remove Rain sensors are re uired on irri ation s stems ? G`vG /VG GS LL/° Yi^ ?[U C? Description of Work :4 o inquirc i Pressurc ReAucing Valve is required on new service, ca SIfi75-5G46 Meters - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oickine up meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public W orks Fire Size & Price 3/4" meter $174.00 . Domestic Size & Type Avg GPM Includes high demand devices? _ Xes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 niinimuror (includes State Surcharge) , Contract Value $ x I% _$ Penxut Fee $ Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read $ State SurcLazge lf ermi e is less than SI,000, surcharge is $.50 If oermil fee is morc ihan S7,000, surcharge is Y.50 Tor each $1,000 owed. Following fees apply when instailing new lawn irriga? s Water Pennit Call the Cily's Engincering Departmen4 651-575-5646, forrkp?#??d?2e?ap7oytug Ij U Treatment Plant )QN n 9 7uui g Water Supply & Stonge $ State Surcharge $ Total Fee I nereuy appty ]or a Commercial Ylumbing Pertnit and acknowledge that the infortnation is complete and accurate; that the work wifl be in conformance with [he ordinances and codes oC the City of Eagan and with the Plumbing Codes; that I understand this is not permit, but only an applica[ion for a permit, and work is not to st? wit out?a pelmit; that t work will be in aecordance with the apyroved plan in the case ork w ich requires a mview pproval of plans. ,L/ uti-/S A 12,./ ApplicanYs Prin[ed Name ApplicanPs Signature -lIloA • Civil Plans • Cedificale of Survey • Code Analysis • Projed Specs • Spec. Insp. 8 Testing Schedule " • Soiis Report • Meter size must be established 1 1 1 1 1 1 2005 COMMERCIAL BUILDING PERMIT APPLICATION 40 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 (z) sets (2) (?) (?) .. (?) (7) • SAC detertnination - ca11 651-6 02-1 000 • Architedural Plans (2) sets • Archdecturel Plans (2) sets • Slruclural Plans (2) • Cnde Anatysis (1) " • Civil Plans (2) • Prqect Specs (1) • Landscaping Plans (2) • Key Plan (1) • Code Analysis (1) " - Master Exit Plan (7) • CeAficate of Survey (1) • Energy CaiculaGons (1) not always" • Spec. Insp. & Testing Schedule (1) *' • Elec. Power 8 Lighting Fortn (1) not always" • Meler size must be established • Meter size must be established-if applicable • Projed5pecs (1) • EnergyCalculations (7)'" 1 • Electric Power & Lighting Form (1) • Master Exit Plan (1) 1 • Emergency Response Site Plan (1) • Soils RepoA (1) d • SAC detertnination - ca11 651-6 02-1 000 • SAC determination -call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required *'* Permit for new building or addition will not be processed without Emergency Response Si[e Plan. Date --/I--/ 23_ / 0? SiteAddress ?SS3v PEt-or GGt, Tenant Name C:+-"t"'-( O F F,4[, 2GR 26 -e4-?? Construction Cost ? / Z,--o Uoit/Ste # Former Tenant Name Description of Work 0s-c? I&, 1 c0 F L- Property Owner Telephone H ( ) X Z q Contractor 2L C- I"40L G'/2 ?-K/?-sn k CR27 Address S f-m t= State Zip CirS' Telephone # ( ) Arch/Engr Address State Zip Registration M City Telephone # ( ) Licensed plumber installing new sewer/water service: Phone #: I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv 1 of plans. -? L P, Applicant's Printed Name App cil ant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments 21'? 27 Commercial/Indu sVial ? 32 Ext Alt-Apartments O 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous 0 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New Er 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applieant Valuation 4 Mds . °? Type of Const .?.s- • B Width Plan Rev 100% _ 25°/a _ Occupancy ? MCES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Unks 6 Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Required Inspections _ Footings (new bldg) _ Fireplace _ R.I. _ Air Test _ Final _ Footings (deck) _ Insulation _ Footings (addition) _ / Final/C.O. Foundation ? FinaVNo C.O. Drein Tile Other _ Driveway Apron _ Pool _ Ftgs _ Air/Gas Tests _ Final /Roof Ice Pr Decking _ Insul _ Final _ Siding Stucco Stone ? Framing _ Windows Approved By: Planning Bu ilding Inspector ---------------------- Base Fee ---------- ---- -------------;-f -- 0 gp -------------- ----- af6 i8 ----------------- Coy Surcharge 0 • &-W 450 Plan Review 0' 00 SAGMCES SAC-City SNV Permit SIW Surcharge Treatment Plant Financial Guarantee Treatment Plant (Irrigation) Storm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Trail Dedication Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Tatal o• rP? So 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 • Structural Plans (2) sel . Civil Plans (2) . Certiflcate oi Survey (1) . CodeAnalysis (1) " . Project Specs (7) . Spec. Insp. & Testing Schedule " . Soils RepoR (7) . Meter size must be established d 1 1 1 d i • SAC determination - call 657-602-7000 • •,vrcrncecmrai rians • Structurel Plans . Civil Plans • Landscaping Plans • Gode Analysis • GertiFlcate of Survey • Spec. Insp. 8 Testing Schedule • Meter size must be esta6lished (2) sets • Arohitecturel Plans (2) sMs (2) . CodeAnalysis (1) (2) . ProjectSpecs (1) (2) . Key Plan (1) (1) `• • Master Exit Plan (1) (1) • Enargy Calculations (1) not always" (1) " • Elec. Power & Lighting Forzn (1) not always" . Meter size must be established-if applicable . ProjectSpecs (1) • EnergyCalculations (7) ?' • ElectricPower& Lighting Form (7) " . Master Exit Plan (7) • Emergency Response SRe Plan (7) . SailsReport (1) • SAC determination - ca11 65 7-602-1 000 . Fire StoppinG Submittals 1 1 1 1 d . SACdetermination-ca11 6 51-602-1 000 Call MN Dept of Health at 651-215-0700 for details regazdutg food & beverage or Iongmg racIunes. Contact Building Inspections for sample and if required '*• Pemut for new buildiag or addition will not be processed without Emergency Response Site Plan. Date Site Address Z Tenant Name Construction Cost or7o 5S ? ? YJ_j-DT- (,CNOLS 96 UniUSte # /) C?- Former Tenant Name Description of Work ?? ?F?c? ?-?QLT.%.onJ " ?C?f•d?}?,J [? FF-Fc? ?/I?' Property Owner C -E( (?E li,46A/2 Telephone # ( ) Contractor 4i ) L 61?&Aim /A412f15 ?ielG- Address State Zip City Telephone # ( ) /??? ( Arch/Engr Address State Zip Registration # City Telephone # ( ) Licensed plumber installing new sewer/water service: Phone #: L_) I herehy apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to sfait?yc?itliout a permit; that the work will be in accordance with the appraved plan in the case of work which requlres a revie'?and approval of plans. P"L_ Applicant's Printed Name Applicant's ?ignature ,` OFFICE USE ONLY Su b Types ? Ol Foundation ? 26 Public Facility 0 30 Accessory Building ? 14 Aparhnents .,0' 27 CommerciaUIudustrial ? 32 Ext Alt Aparhnents ? 15 Lodging ? 28 Greenhouse C] 34 Ext Ak-Commercial ? 25 Miscellaneous 0 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New oRl"' 35 Int Improvemen! ? 38 Demolish (Interior) ? 44 Siding ? 32 Adddion ? 36 Move Bldg. ? 42 Demolish (Foundati on) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appiicant Valuation ?04,0 ? Plan Rev 100% ? 25% Census Code 45-1 SAC Units - 0- Nbr. of Units 4p Nbr. of Bldgs 1 Required Inspections _ Footings (new bldg) _ Footings (deck) _ Footings(addition) _ Foundation Drain Tile _ Driveway Apron Roof _ Ice Pr _ Decking .? Framing Approved By: Base Fee Surcharge Plan Review SAC-MCES SAGCity S/W Pertnit SIW Surcharge Treatment PIaM Treatment Plant (Irrigation) Park Dedication Trail Dedcation Water Qualiry Water Supply & Storage (WAC) Planning Type of Const i .' 8 Occupancy 13 Zoning Stories Sq. Ft. Length r Width A-PPROZ . ( lk? o ? MCES System City Water Booster Pump PRV Fire Sprinklered _ Fireplace _ R.I. _ Air Test _ Final Insulation /FinallC.O. ? FinaUNo C.O. Other _ Pool _ Ftgs _ Air/Gas Tests _ Final Insul _ Final _ Siding _ Stucco _ Stone _ Windows CrAd? Building Inspector # 0.50 Financial Guarantee Storm Sewer Trunk Sewer Lateral Sewer Trunk SUeet Water Lateral Water Trunk Other Total 4:O. S O . 3830 i'?r'lbf- ktiol,tW, PAT GEAGAN Mayor PEGGY CARISON CYNDE.E FIELDS MIKE MAGUIRE MEG TILLEY Council Members THOMAS HEDGES Ciry Adminismrot MunicipalCencer: 3830 Pilot Knob Road Eagan, MN 55122-1897 Phone: 651.675.5000 Fax: 651.675.5012 TDD: 651.454.8535 Main[enance Faciliry: 3501 Coachman Poin[ Eagan, MN 55122 Phone: 651.675.5300 Faz: 651.675.5360 TDD: 651.454.8535 www.ciryofeagan.mm THE LONE OAK TREE The symbal of strength and growch in our <ommuniry May 14, 2004 MR ROBERT STORM NORTHLAND CONCRETE 12026 RNERWOOD DR BURNSVILLE MN 55337 Deaz Mr. Storm: The CiTy of Eagan has received a proposal from American Masonry in the amount of $15,875 to repair the parapet cap between the mechanical area and the roof to the south of our Police Department. Since receiving this proposal, we aze assuming that you are reluctant to proceed with repairs until presented with further evidence of your responsibilities. Conespondence to you dated February 17, 2004 states, in part ........"This parapet cap has the same problem with the drip edge not extending past the wall surface below as identified in the plans and specifications." Correspondence dated September 6, 2002 from the original Architect, Dewey Thorbeck, commented on the drip edge inadequacies as well. In an October 17, 2002 memo you aclmowledge items A-F summarized in a letter to you from our City Attomey dated October 2, 2002. Item B states that the entire parapet wall must be repaired. This area in question is part of the parapet and is not conshucted for this facility as indicated in Detail 6/71. We aze, therefore, requesting that you reconstruct the roof/parapeUwall as indicated on the original construction documents or repair the facility at your expense to the details more recently submitted to our office by American Masonry. Please contact me at 651-675-5699 at your earliest convenience with a time line for resolving this issue. Thank you. Sincerely, bwe . Dale Schoeppner Chief Building Official DS/j s cc: Barry Badinger; 3DI, 60 S 6th Street, Minneapolis MN 55403 Dewey Thorbeck, Thorbeck Architects, 1409 W illow Street, Minneapolis MN 55403 Mike Hart, American Masonry, 7701 E River Road, Fridley MN 55432 Howard Noziska, Encompass Inc., 14850 Mar[in Drive, Eden Prairie, MN 55425 Robert Bauer, City Attorney ?? I? r 1-o (_? 1 o c,L I ? -e b3 a c?-4? V? COMMERCIAL BIIII.DING Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 L, 0 _14_??? Telephone # 651-675-5675 FAX # 651-675-5694 ) ?=5353y -7_ -t- 4 11 - 0 3 1? I o .v-?) Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) sets • ArchiteCUral Plans (2) sets • Architedural Plans (2) sets • CivilPlans (2) • StruduralPlans (2) • CodeAnalysis (1) . Certifirateof5urvey (7) • CivilPlans (2) • ProjectSpecs (1) • CodeAnalysis (1) " • LandscapingPlans (2) • KeyPlan (1) • ProjectSpecs (1) • CodeMalysis (1) • Master Exit Plan (1) • Spec. Insp. & Testin9 Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always'" . Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always" • Meter size must be established . Meter size must be esta6lished • Meter size must 6e established-'rf applicable d . ProjeCtSpecs . (1) ' 1 . Energy Calculalions - (1) 1 • Electric Power 8 Lighting Form (1) b . Master Ezit Plan (1) l 1 • Emergency Response Site Plan (1)'"' 1 1 • SoilsReport (1) b . SAC detertnination - call 651-602-1000 • SAC detertnination - call 651-602-1000 SAC determination - call 651-602-7000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Con[act Building Inspections for sample and if required when it statzs "not always". ** • Permit 1'or new building or addition will not be pmcessed without Emergency Response Sile Plan. Date ? l (s l 03 c0 , D?o Construction Cost 420 SiteAddress 3630 A( oT KND(j 2J E aGNN UniUSte # Tena t Name 617'Y OF W64n) Former Tenan t Name A) !{¢ Nv W v ? Descri ion of Work F/g 6 4P 5 0/? ROO F% o?D i2F TH £ PropertyOwner U'Y% OF ?e46AdJ Telephone#( ) Contractor /vdFTfFL ANTP ` 6NCRfTf Address 120 2- G IPI a£/Zwc10 L) /Jg. City /3dR State -M rJ Zip s5337 Telephone#(qS.Z) r7/,9^/(0_s-0 Arch/Engr I)I{4 Registration t1 Address City ; n State Zip Telephone #( JUL 1 5 2003 U, Licensed plumber installing new sewerlwater service: Phone #: ., I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan and the Statc ol' MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the W:_ires a re??icw and approval of plans. ? ?aBeRr d? STa,e? Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundarion ? 14 Aparhnents ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition X"33 AlteraUon X34 Replacement Public Facility (.?27 Commercial/Industrial L 28 Greenhouse ? 29 Antennae C] 30 Accessory Bldg. ? 32 Ext Alt - Apts. ? 34 Ext Alt - Comm. C 35 Ext Alt - PF ? 37 Nail Salon ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System ? Census Code ? Zoning City Water SAC Units - O^ Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV ? Nbr. of Bldgs ? Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new hldg) / FinaUC.O. _ Foo6ngs(deck) ? FinaUNo C.O. _ Foorings(addirion) _ Plumbing Foundation HVAC _ Drain Tile y/ O er Roof _ Ice & Water _ Final _ ?oof'? _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Fina] _ Windows (new/replacement) _ Insutauon _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge 1 o v? Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies ? Other Total JUL-15-2003 11:59 FROM NORTHLRND CONCRETE TO 6516755694 P.01i02 Uy?[ ? (?„5/ - ? 75- 6? 9 ? ' NORTHL4ND CO/VCRETE & MASONRY 12026 R/VERWOOD DRlVE BURNSVILLE, MlV 55337 FACSIM/LE COVER SHEET TO; DALE SCkOEPPNER FROM: soa SroRM DATE: 711512003 IF ALL 2 PAGES (/NCLUDING GOVER SHEETJ ARE NOT RECEIYED, PLEASP CALL (952-890-7650). THANK YOU. AIOTES: DALE, SEE A77ACHED SHEE7 FOR CERTIFICATE pF INSURANCE. TNANKS.80B NOR7HLAND CONCRETE.B MASONRY PHOIYE:952-890-1650 FAX:852-890.1699 JUL-15-2003 11:59 FROM NORTHLRND CONCRETE TO 6516755694 R4„; CERTIFICATE OF LIABILITY INSURANCE ___ ?»?....? ....., e.v 77cal?co_n1M 7wS CERTlFICATE IS ISSUED AS p Ray Smith Insurance Agency Inc 9955 - 59th Avenue North plymputh, MN 55442 INSURBRS AFFORDING CoVERAGE P.02i02 6wTE IMtNDOMwI OR NAIC k waurEn American Contract Systems, InC. IN£URERn: St. Pau7 Compam es t••OD 5710 West 36ih Street msu?ae: 52. louis Park, MN S5426 INSURERC: INSUREA 0: INB?AER E /tf1VFRAf ES ?TUCte ?ini?e TH E PO LlGIES OF INSURANGE LIyTE6 BEL OW MAVE BfEN ?+^SuEO TO TME IN SUAEV NAmtIUao LMENT W ITH R O uvc rvn -c •.+ ESPE.T TO W HICN ?- .-•?-- •--- THIS CERTIFICA7E MAV - BE iSSUED OR AN Y RE QW REMENT, TERM OR CONOITION OF Mh' C9N7Rp,CT OR OTHER O C N I$ SUBJECT TO All THE 7ERM ExCWSION$ AND CON S OITi0N5 OF SUCH Mq v PFJ 7HE INSURANCE AFFORDE 2TAIN O Br THE POLiC1E3 DESCRlBEO H EREI , PO lIGE , S. AGGREGATE lIM1T5 SHOWN MA Y NAVE BEEN REDUCED 8Y PAIA CWWS. 14SP G YPE OF INCUGANCE POUCY NLIMWK VOl1CVEFFE,CiIYE P04CYE]fNiNTiON ymrt5 Y CE e s 1 000 00 r l'E06303593 06/14/2003 06/I4/2004 N ??RA , eENv+nLu.aHur M E 7?Tm 5 ZSO,OO LOMMERCin?GErvERK LNln. amu P E.ny ene pma 1 3 10, 00 R X cwMS n?noE a te i D tUldAD?INIUqv E 11000100 A 7? Retroact ve a G EMTE 000 00 = 2 6 ILAG R , , /19/9 OP GG 5 Z OO o A CT$•CODU?/ ? Fy, GErvtwqppE61.TELIMiTA0PL16s 7( poucr j? lOC F „Rwuce„su•aw,r 7E06303593 06/14/2003 06/l4/2004 rvEliS?GlEWA17 r dc*?? 1,000 00 wrvV PyTp tLLOWNEOAUT09 IPEIUI7Y LCnI ' 9GMEWLEDAUT05 A NIpF.DAUT05 INfU?/ lKh?t) x NON•QWNEOmuT09 f.TyUAMAG4 4 CAWOAAMAIGIC 3 (7v aaJdmq - AUi00N.M-EAACCIDENT C @wMOElU04nV 07ME0 Tyu+ EA ACC 5 wNVaU70 M+TO O"'4T1 AGG S a?y?y9pp?UyMU{y TE06303593 06114/2003 06/14/2004 6!Cr+0U:URRENGE s 9,000.00 u X? E UMBRELLA FORPI A60PEGtiTE s 9 000 00 iMSnuo occva c R 0.GTTVE OATE 4/19/46 = I q a oEOUaLE i X RETENTION S 10,000 MNA 6309116 O6/14/2003 O6/14/2004 ! x WCyTAM aTr-lQg s ylp???p?y;{pNAIID 100 00 4 Etnpww3e61 unail3rv E.L.EnC);ncemCiur , S f A ANYPROiRiETOP/PIRTNEWGKiCUTNE OFFiCEMnE?FFJ?cwoEDt E.4D?5 E•EAE1r+tnY L 100,000 H eS,Uexllbaundef 9?acX PnWsarvs ost, L•.L.GIS 6-POLICUAIT l' S00,00 ? OTM[A ? ? OESCPIPT10NOiOPER/.TfOWIIDC1 TIor/L/VEMCLEflOW1USIONSIIGDEOBVF,HpqG9PNENTIIIPEGALPfiOV1?a1GN9 MN 55122) IS NANED AS AN AODITION4IL INSUREO. OAD EAGAN , . HE CITY OF EAGAN (3630 PXLOT 1(NOB R I I _ ? -- ? ? ..? ? . ___...._ . SHOULO ANV 00 fME ABOVE OEGG4igE0 o0t7GER 9E WNLElLEO 9FGORE 7NE OmIRATqN CAT6IWREOF. THE K,SUING iM6xm0.VNLL ENOiwY0RT0 MNL 30 p^1'bWRITTWNpTICETOTNECERtIFCp.TENOIDERNAMEOTOTMGLER, Northland Goncrete & Masonry Co• BIITFFILUAETOIMILSYCMUOnCESlu" R1PaSENOOBUGAT10Na4Ll?BRtt1 i Attn: Bob Strom 12026 Riverwood Orive OFPNY KW?l1PONTNEIN:UPER,RSAGEN150A0.EPREGENTATNEg- BurnSV'S17e, MN $5337 &LITNOAM4eAfP++i96WATIVE J 5- StevEh HO1 Y15t )7A ` ,ocoRn zs (zoo+ros) 'AA?iVKV MVnr??v+??v?? ?av? TOTRL P.02 STATF OF MINNESOTA Department of Administration Our missian: To improve Ne quality and productivity ofMinnewta govemmem. December 6, 7995 City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 RE: Hydraulic Passenger Site: ^. E_agan City Hall ' 3830.Pilotxno-bRoad? Eagan, 55122 - Elevator ID# 55-03116-01 Dear Sir/Madam: Minnesota Statutes Chapter 183 provides that the Department of Administration, Building Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUILDING CODES AND STANDARDS I???../ Jerry L. Saarenpaa State Elevator Inspector jls/rkr (CE-2) c: Reid, Douglas Michael, BO, City of Eagan Schindler Elevator ElFortnCE2 Building Codes and Standards Division, Facil'Uies Management Bureau, 408 Metra Square Building, Seventh and Robert Streets, St. Paul, MN 55101; Yoice: 612 296-4639; Fax: 612 297-1973 TTY/TDD: Twin CiNes 612197-5353 or Grealer Minnesota 800 627-3529 and ask for voice number ? . . .. STATE OF MINNESOTA Department of Administration Our mission: To improve thc quality and productivily ofMinnesota govemment. November 17, 1995 Schindler Elevator 10952 Bren Rd. East Minnetonka, MN 55343 RE: Hydraulic Passenger - Elevator ID# 55-03116-01 Site: Eagan City<Hall; 3830 Piiot Knob Roatl; Eagan, MN 55122 `- - - ---_ r Dear SidMadam: The Minnesota Department of Administration, Building Codes and Standards Division is required by Minnesota Statutes to inspect new and reconditioned elevators, escalators, dumbwaiters, moving walks, wheelchair lifts and manlifts (endless belt lifts) to assure that they are operating in a safe manner. Recently, an inspector from the Division's Elevator Safety Section inspected your facility and found that the items in the attachment to this letter describe noncompliance with the Minnesota Elevator Safety Rules. In order to operate this equipment, it will be necessary that you immediately comply with the directives issued. The references used in the directives are one or more of the following: M.S. 16B.59 to 16B.68; M.S. 183.001 to 183.358; Minnesota Rules Chapter 1305; Minnesota Rules Chapter 5205; Minnesota Rules Chapter 5226; American Society of Mechanical Engineers/American National Standards Institute A17.1 Safety Code for Elevators and Escalators, and American Society of Mechanical Engineers/American National Standards Institute A17.3 Safety Code for Existing Elevators and Escalators. The ANSI codes are availabie from the United Engineering Center, 345 East 47th Street, New York, NY 10017. These directives must be completed within thirty (30) days from the date of inspection as indicated on the attachment to this letter. Notify this office in writing, so compliance can be verified and a letter of approval issued. If you require further information regarding this letter, please contact me at 612r297-4398. Sincerely, _ ,RVDING CO S AND STANDARpS erry L Saarenpaa ? State Elevator Inspector jlslrkr (CE-1) c: City of Eagan Schindler Elevator ElFortnCE1 Building Codes and Standards Division, Facilities Managemen! Bureau, 408 Melro Square Bui(ding, Seventh and Robert Slreets, St. Paul, MN 55101; Voice: 612 296-4639; Fax: 612 297-1973 TTY/TDD: Twiie Cities 612 297-5353 or Greater Minnesota 800 627-3529 and ask for voice number STATE OF MINNESOTA Department of Administration ELEVATOR INSPECTION REPORT BUILDING CODES AND STANDARDS DIVISION - ELEVATOR SAFETY SECTION November 17, 1995 Schindler Elevator 10952 Bren Rd.East Minnetonka, MN 55343 RE: Hydraulic Passenger - Elevator ID# 55-03116-01 Eagan City Hall; 3830 Pilot Knob Road; Eagan, MN 55122 THIS ELEVATOR SHALL NOT BE PLACED INTO SERVICE UNTIL ALL WORK IS COMPLETE Our missian: To improve the quality and p,oducfi?iry No. Rule Description or Comment of Minnewla govcmment. 1. 1305.5106 (b)(c) (6) Inspections and tests. It is unlawful for any person, firm, or corporation to put into service any installation covered by parts 1305.5107 l0 1505.5118 whether the installation is newly installed, relocated, or altered materially without lhe installation being inspected and approved by the Department ot Administration ... (c) Approval. A certificate or letter of approval must ba issued by the Department of Administretion, Building Codes and Standards Division, Elevator Safety, for the installation when the entire installation is completed in conformity with this code. The installation must include all enclosures or shaks, gates, doors, machinery safety and control devices, and all otherappurtenances necessary. . 2. NEC250-57 and NEC250-43c and 430•144 PROVIDE GROUND WIRE IN DISCONNECT AND TO CONTROLLER. 3. 7206.2f PROVIDE FIRE EXTINGUISHER MOUNTED ON WALL IN MACHINE ROOM. 4. 702.2c PROVIDE PIPE STRAPING ON SPRINKLER PIPE SUPPORTS. 5. 211.3a PROVIDE 3-POSITION FIRE SERVICE PHASE II KEY SWI7CH •- ONlOFFlHOLD. 6. 111.963 PROVIDE SEPARATE KEY OTHER THAN PHASE 11 KEY SWITCH KEY ON BASEMENT & BASEMENT REAR CALL BUTTONS. 7. 100.6 REMOVE BOLTS FROM TOP OF SHAFT - CUT OFF. 8. NEC362-8 PROVIDE FASTENING OF GREEN ON HOISTWAY VENT. 9. 1305.5108e9 PROVIDE 2-WAY COMMUNICA710N •- MAKE FUNC710NAL. 10. 112.3a REDUCE FRONT DOOR PRESSURE TO 30# OR LESS. 11. 1305.5110a and 5205.0460 Subparts 22 and 23 PROVIDE KEY SWITCH FOR HOISTWAY VENT IN LOBBY AND LABEL "FACE PLATE HOISTWAY VENT OPENJCLOSE KEY REMOVABLE IN CLOSED POSITION ONLY." 12. AUtOmdtic: THIS IS AN AUTOMATIC ELEVATOR. REMOVE KEY FROM 1ST FLOOR PUSH BUTTON AND PLUG HOLE. Building Codes and Standards Division, Facilities Management Bureau, 408 Metro Square Building, Seversth and Robert Streets, Sl. Paul, MN 55101; Vnice: 612 296-4639; Far: 612 297-7973 TTY/TDD: Twin Cities 612 297-5353 or Greater Minnesota 800 627-3519 and ask for voice number STATF OF MINVESOTA Department of Administration 13. 725-76a Our missian: To impmve ihe quali[y and producfiviry af Minnesott govemment. 14. CE1 NOTE: PROVIDE 15 AMP CAR LIGHT CIRCUIT. COMPLETE CORRECTIONS AND NOTIFY THIS OFFICE IN WRITING UPON COMPLETION. All code corrections must be completed within thirty (30) days. A letter must be provided this offce stating compliance has been met. Building Codes and Slandards Division, Facilities Manageneent Bureau, 408 Metro Square Buirding, Seventh and Robert Streets, St. Paul, MN 55101; Yaice: 612 296-4639; Fax: 612 297-1973 TTY/TDD: Twin Cities 612 297-5353 or Greater Minnesota 800 627-3529 and ask for voice number /O 022A0 01Z ZG Minnesota Deparhnent of Labor and Industry August 18, 1992 Steve Hanson Assistant Building Official City of Eagan P.O. Box 21199 Eagan, MN 55121 RE: Passenger Elevator - Report ID# 011-84 Sitee 3830_Pilot-Knob_ROad?Eagan, MN Dear Mr. Hanson: Code Administration and Inspection Services 443 Lafayette Road St. Paul, Minnesota 55155-4304 (612) 296-4530 Boiler Inspection (612) 296-2193 High Pressure Piping (612) 296-1189 Elevator Inspection (612) 297-1953 Fax The Minnesota Elevator Safety Code provides that the Minnesota Department of Labor and Industry issue a letter of approval for all elevators, dumbwaiters, escalators, moving walks, wheelchair lifts and manlifts (endless belt lifts) before they can be put into service in Minnesota. We have received a letter stating that all recommended corrections have been addressed at this time. We will acknowledge that certification. This letter will serve as official approval for you to operate your elevator. If at any time we find that the recommendations were not corrected, we will take action to assure compliance with statute, rules and adopted codes. Sinc , / Chuck Sullivan Chief Elevator Inspector Code Administration and Inspection Services CS/Imv(CE-4) cc: Lagerquist Elevator B. James Berg, Director Code Administration and Inspection Services An [qual Opportunity Employer qN& oF 3830 PILOT KNOB ROAD. P.O. BOX 27799 VIC ELLISON EAGAN. MINNESOTA 55127 htoyor PHONE: (612) 454-8100 TMOMAS EGAN DAVID K, GUSTAFSON PAMEIA McCRFA 7HEODORE WACHIER December 18, 1989 c a?uM?c?« THonnns r+eoGEs GN Admin'shoror EUGENE VPN OVFRBEI(E CHy C? B JAMES BERG, DIRECTOR OF CODE ENFORCEMENT MN DEPT OF LABOR AND INDUSTRY 443 LAFAYETTE RD ST PAUL, MN 55155-4304 Re: Elevator Inspection Dear Jim, Please find enclosed a copy of the letter indicating final inspection approval for the elevator at 3830 Pilot Knob Road, Eagan, Minnesota. If additional information is required, please contact me. S'ncerely, eve Hanson Assistant Building Official Enclosure SH/mg THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIiY jo O Z2o cD . ? ? - Minnesota ` Department of Labor and Industry ? December 6, 1989 City of Eagan 3830 Piolot Knob Road Eagan, MN 55112 RE: Passenger Elevator - Report 011-84 Location: 3830-Pi ot Knob Road; Eagan, ivIiv To Whom It May Concem: oIZ Z(? 443 Lafayettc Road St. Paul, Minnesota 55755 (612) 296-6107 Telecommunitation Device for thc Deaf (612) 297-4198 FAX (612) 297-1329 On January 20, 1984, you were notified of corrections that would have to be made to the above-cited installation prior to final acceptance. To date we have not received correspondence providing information regarding the status of the conections. Our correspondence indicated that the installation was not approved for permanent service. Without information regarding abatement of the issues raised in our previous inspection, we will not provide final approval. If you believe a reinspection will be required, please send a letter to Chuck Sullivan or myself. Mr. Sullivan's number is (612) 296-1189; my number is (612) 297-1727. Please note that our zip code has been chariged to 55155-4304. cc: Lagerquist Elevator Chuck Sullivan An Eqoal Opportunity Employer Sincerely, Q: 3830 PILOi KNOB ROAD, P.O. BOX 21199 vIC ELLISON EAGAN. MINNESOiA 55721 M? PHONE: (672) 454-9100 THOMAS EGAN DAND K. GUSTAFSON PAMEIA McCRFA 1HEODORE WACHTER December 18, 1989 CouncJ Memben 7HOMA5 HEDGES ciry rwminimrna EUGENE VAN OVEftBEKE CJfy CIeM B JAMES BERG, DIRECTOR OF CODE ENFORCEMENT MN DEPT OF LABOR AND INDUSTRY 443 LAFAYETTE RD ST PAUL, MN 55155-4304 Re: Elevator Inspection Dear Jim, Please find enclosed a copy of the letter indicating final inspection approval for the elevator at 3830 Pilot Knob Road, Eagan, Minnesota. If additional information is required, please contact me. S'ncerely,, eve Hanson Assistant Building Official Enclosure SH/mg THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY TEIEPNONE: 18121 296 -6107 March 2, 1484 n?Du? U ti 0 Mr. Dale Peterson, Chief Inspector City of Eagan 3830 PiloC Knob Road Eagan, MN 55112 S[7g=; Passenger elevator Dear Sir: !N R[PLY qFFER TO PHONE 612-296-2116 Miruiesota Statutes provide that the Miruzesota Departrent of Labor and Industsy inspect and approve elevators and manlifts before they can be legally used in Minriesota. A safety investigatAr fram the Occupational Safety and Health Division recently inspectel your facility and detsrmined it n-eets the req,; resnents of the Minnesota Etevator Safety Cocie. Very truly yours, DEPARI= OF LABOR AND IDIDUSIRY &64z-e-?? Ivan W. Russell, Director Occupational Safety and I3ealth Division I47R/WHW: ek cc: W.B. Wuori Lagerquist MnlP, Out Sfolc. ????p11 ? F? p'A QnJrSi 91(dA STATE OF MINNESOTA DEPARTMENT OF LABOR AND INDUSTRY 444 LAFAVETTE ROAD SAINT PAUL 55101 lD .. AN EQI.)A:. QRFG'N.':'! "TY E=6St?L!J'f?n 2000 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN 651-681-4675 3?' og5so? 8 -?1-00 ?R--lzi?-U() Foundation Onl New Construction Interior Im rovement • SUUClu21 Plans (2 sets) . Architectural Plans (2 sets) • Architectu2l Plans (2 sets) • CivilPlans (2sets) • SWcWralPlans (2sefs) • CodeMalysis (1) " • Certificate of Survey (1) • Civil Plans (2 sets) • Projec[ Specs (t set) . Code Analysis (1) •' . Landscaping Ptans (2 sets) . Key Plan (1) • Project Specs (1) . Code Malysis (1) •' . Master Exit Pian (1) • Spec. Insp. 8 Testing Schedule " • Certifipte of Survey (t) • Energy CalculaUons (1) not always" • Soiis Report (1) • Spec. Insp. B Testing Schedule (1) " • Elec. Power & Lightlng Form (1) not always" . Meter size must be esta6lished . Meter size must be established • Meter size must be esWblished - if applicable • ProjectSpecs (1) 1 • EnergyCalculations (1) •' 1 1 • Electric Power & Lightlng Farm (1) •' 1 1 • Master Exit Plan (7) 1 1 • Fire Protection Plan (i) '• 1 1 • Soils Report (1) ! • MC/ES SAC detertninaGon ielter . MC/ES SAC determinaUon letter . MGES SAC determina6on letter call 651-602•1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE: K?' /`7 ' Q"J WORK TYPE: NEW E RMODEL CONSTRUCTION COST: I) I,_'?'O DESCRIPTION OF WORK: TENANT NAME: FORMER TENANT NAME: SITE ADDRESS: /J'lcC. Name: PROPERTY Last OWNER Sheet Address: SUITE #: ? 1 4 V .1 v "O LOT ? BIOCK SUBD I?WCI-GL{??. Y Phone#: (? Ciry State: Zip: Company: ?C, Phone#: 6 49 ??Z p coxT ucrox S ., o Stree[ Address: ? A? city ?D/S srate: l?n zcp: ARCHITECf/ ENGINEER Company:_ Phone #: ( ) Name: Regishation #: Street Address: n C1L'y / ?ZTi ( .S(3LC' 7in• Licensed plumber Installina sewer/water: Phone #: Meter Size: I hereby acknowledge that I have read this application, state that the information is correct, and agree to e of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bidg. ? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Ait - PF WORK TYPE ? 31 New ? 34 Repair ? 37 Demolish Bldg. ? 43 ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 ? 33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) ? 45 ? 46 GENERAL INFORMATION Census Code SAC Code No. of Units No. of.Bidgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq, ft. First Floor sq. ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building ? Insulation Engineering Reroof Siding Fire Repair Windows/Doors sq.ft. sq. ft. sq.ft. sq.ft. MC/ES System City Water Fire Sprinklered ? Plumbing ? Stucco/Stone Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Traiis Dedication Water Qualiry Other Copies 5L. Uo Total ? VALUATION:$ % SAC SAC Units Meter Size PERMIT ? G'ITY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 41`.2253 3/si(96 BUILDING 031665 03/27/98 3830 PILpT KNOB RD LOT: 12 BLOCK: 26 SECTION 22 P.I.N.: 10-02200-012-26 DESCRIPTION: ?<-...? O"uilding,Y.Permit Type °Bu'ilding Wb-rk 7ype r?6en sugC4de rx ? t w,,?. ? .-. . . ..:f PUBLIC FACILITY ALTERATION 437 ALT. NONRES. 't€?"???? r'+l??6?''3 p?r??? ?}??S?3Yt t?jl4fx? LF?._`_I "`? ) D ?d L ?w REMARKS: CM+.r iov0.?,?,?i?n?.i...? ? ?Pt nri• ? FEE SUMMARY: VALUATION Base fee $.00 Surcharge $3.50 Total Fee $3.50 CONTRACTOR: $7,000 OWNER: - Applicant - CITY OF EAGAN 3830 PILOT KNOB RD EA6AN MN 55122 (612)681-4600 I I T hereby acknowledge that I have read tFri:s 6'pp3ication and stiate th&t th-e inforfltiation is corract ,snd agree tu comply,u3th ail applicable State pf Mn. ? Statutes and City of Eagan Ord3nances. ' J APPLICAN7/PERMITEE SIGNATURE ? 1?}IAfI. i? ? r15 UED.?IGN R 1G( 1998 BUII.DIN(i PERMIT APPLICATION (COMMERC CITY OF EAGAN 3of ? 681-4675 -?3.ffg 2 e? Submit following to obtain necessary permit ? Foundation Onl New Construction I terior Im rovemen sWctural plans (2 seb) archkedurel plans (2 sets) architeGUral pla cNil ptans (2 sets) structurel plens (2 aets) oode enalysis (7) " Code analysis (7) " civ(I plens (2 sets) project specs 0 aet) soils report (t) landaceping plans (2 cets) Key Plan projeclspecs (1) codeanetysis (t) ° energycalculations (1)rwRahrays" Spedal Inspections & Testing Scheduk " soils ieport (1) Elecfric Power & Lighting Fortn (1) not aM'ays " SAC detertnination letter irom MCANS - SAC determinetbn btter finm MCANS - SAC detertnination letter from MCANS - eall 602-1000 cell 602•1000 call 602-1000 Spedel Inapectlons & Testing Schedule (7) " Prolect specs (1) enerpycelwlations (1) " Elettric Power & Li htin Form 1 " Contact Building Inspections for sample Food 8 Beverege or Lodging facilities: Plan must be submitted to Minnesota DepaRmerK oi Heatth. Call 215-0700 for details. DATE: .? -02 3-+ ??P WORK TYPE: _ NEW ? REMODEL DESCRIPTION OF WORK: L,'kpz 0Jz??I CONSTRUCTIONCOST: ?7i?pO TENANTNAME: 6 f iF ay aa-- ? SITE ADDRESS: pl I o t K?dA d. SUITE #: LOTOAZ BLOCK a?, SUBD. sevZ?i.?yt a? P.I.D.# Name: ?c3-43x? C-r.i?( U L Phone#: PROPERTY Last F'vst OWNER StreetAddress: 3e36) Pc?(&'t- City 9c3-YL. State: Zip: ??r3YL9 . c°-- Company: ? r Phone #: CONTRACTOR Street Address: License # City Statc: ARCHI7'ECT/ ENGINEER Company: Phone #: _ Name: Regimation #: Street City Sewer 8 water licensed plumber (only if instelling sewer 6 water): State: Zip: Zip: I hereby acknowledge Mat I have reed this application and stete thet the iniormation is corred and agree to compiy vrith aIl applicable Stme of Minnesota Stetutes and City oi Eagen Ordinances. I /,?/ ? ?t.??2?-C???' .,' SignetureofAppliwnt: L?/?fie/?,L222? ` C?TY OF EAGAN 3 30 Pilo? Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: PermitNumber: g30ZDJNG Date Issued: 10 J 0 8/ 9 7 SITE ADDRESS: 3830 PILOT KNOB RD LDT: 12 BLOCK: 26 SECTION 22 P.I.N.: 10-02200-012-26 DESCRIPTION: rmit Type COMM./TND. MI3C. ?Type 7ENANT FINISH 437 ALT. NONRES. ? c $. .. a, REMARKS: NON LOAD-BEARING WALLS IN 2ND 57tlRY OF PtlLTCE pEp7 AND BASEMENT OF MUNICIPAL CENTER FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $.00 $1.50 CONTRACTOR: _ applicant - BAILEY CARLSON ' 26819399 798 GOIDEN MEADOW RD EAGAN MN 55123 (612) 681-9399 rm 3nf ormAt, 3on is 8'"ersc Stat?? a rsd City Qofe ;'?`? APPLICANT/PERMITEE SIGNATURE $3,000 OWNER: CITY OF EAGRM 3830 PILOT KNOB RD EAGAN MN 55122 (612)661-4600 =610 kj;A_frn.?.d= ISSIIED B : SI ATUR 997 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN soisld 681-4675 , \ . C0V L?19 The following are required wdh appropriate cert'diration for all pgyy Conshudlon: Al .:ll' - ' ? 2 eech: erchiteGural plens; meoh. 8 ebc. plana; fire sprinkler ptana; sWCturel plans; sKe piens; landscaping plana; gradingldrainagNerosion wntrol plan; utllity pWn ? 1 each: set of specifiptions; set of energy eelwlations; elecMwl power 8 liphting fortn; Special Inapedions & Testing Schedule • LeNer from MC/WS (phone #222-8423) in0icafing SAC determination ? Code anatysis indicating: codes used; oaupancy dasaiflwlions; setbacks; maxlmum albweble area as par 8uiltling end Cily Codes along with sq. ft. per Floor; ty{ro of construetion (synopsis of conatrudion eompanenta) 8 eny occupancy or area separation walls; occupancy loeds; axit synopsis with a diagram indicating exitinp loada from eaeh room or erea, trevel petha 8 all rated eortidois; plumbing fuRures; and parking. DATE: ( -/ I- 9-7 WORK TYPE: NEW ? REMODEI DESCRIPTION OF WORK: N°"J e'O "f0LA-? j r»T fV7VA6, GCT! CONSTRUCTION COST: 2, 6?ct?) ^ TENANT NAME: SITF AIIIIRFSS• 3e530 K.-1oc3 LOTo 2"' BLOCK aL SUBD. ? a- ? P.I.D. # PROPERTY Name: PhOne #: OWNER Street Address: City: State: Zip: CoNrw4CTOR Company: BAit_.CY ? ?neLSo?,./ Phone #: &?,61 9325 Street Address -726 r`12 Ciry: zip: ARCHRECTI Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the information is ect and re co piy with all applicable State of Minnesota SNatutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New 0 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS --&- 19 Comm./Ind. Misc. ? 20 Public Facility 33 Alterations 0 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq.ft. sq. ft. Footprint sq. ft. Planning Building ? 21 Miscellaneous ? 35 Tenant Finish ?0 37 Demolition MCNVS System City Water Fire Sprinklered Census Code SAC Code Census Bidg. Census Unit Engineering Variance ? ? ts _L Permit Fee Surcharge ,?/ Plan Review n?'G MCNVS SAC City SAC Water Conn. SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: °k SAC SAC Units Meter Size Valuation: $ 3 PERMIT ? \? ti Y OF EAGAN 38?Pil t K b R d PERMIT TYPE: no o oa Eagan, Minnesota 55122-1897 Permit Number: B U I L D I N G 0 2 5 8 6 0 (612) 681-4675 Date Issued: 0 6/ 2 0 J 9 5 SITE ADDRESS: 3830 PILOT KNOB RD LOT: 12 BLOCK: 26 SECTION 22 P.I.N.: 10-02200-012-26 DESCRIPTION: Building'°Permit Type PUBLIC FRCILITY B.uilding Llo.rk Type ADDITION ?UBC OcCupancy`, 8-2 A-3 Construpt3pn Typ,e V-N Zorring P Building stories 2 J. _ ..t Y' . .x- .. !? ,_? . _. . i .... ., REMARKS FEE SUMMARY: VALUA7ION Base Fee Surcharge SAC SAC % SAC Units Total Fee $.00 $1,050.00 $2,550.00 10@ $3,600.00 $2,500,000 CONTRACTOR: E & V INC 26818202 12600 INOUSTRIAL PARK BLVD PLYMOUTH MN 55441 OWNER: - Applicant - CZTY OF EAGAN 3830 PSLOT KNOB RD EAGAN MN 55122-1897 (612)681-4600 I hereay acknowledge that I have read this inYormation is correct and agree to comply Statutes and Ci.ty ofi fagan Ordinances. APPLICANT/ E NITEE GNATURE - application and state that the with alI appl3cable State of Mn. INAa g?ri.? 1rd ISSUED BY: IG URE I CITY OF EAGAN 9.10 1995 BUILDING PERMIT APPLICATION (COMMERCIAL) ?`j? '; ???• ?i'L' 681-4675 The tollowing aro rcquired wRh appropriale certifiation for all = wnstruMion: ? 2 each: architectural plens; mech. & elec. plans; fire sprinkler plans; structural plans; sile plans; landswping plans; grading/Erainage/erosion wntrol plan; utility pian ? 1 each: aet of specifications; set of energy calculations; electrical power 8 lighting fortn; Special Inspedions 8 Testing Schedule ? Letler from MCIWS (phone #222-8423) indiwting SAC determination • Code enalysis indicating: Codes used; occupanty classfications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per floor; type of Construction (synopsis of eonsfrudion components) & any occupancy or area separation wails; occupaney loads; exd synopsis with a diagram indicating exitirg loatls from each room or area, travel paths & all rated cortidors; plumbing fixtures; and parking. DATE: ?1?I r 2S, /5ss WORK TYPE: NEw ? REMODEL h?fOpRy/?>?vayr•rc?ree?, /?,?ci»?,?...???'? ?v/???.e?e? //.ecc DESCRIPTION OF WORK: / CONSTRUCTION COST: Z, Sea,ooo TENANT NAME: Ci r y SITE ADDRESS: 3B3o Pcar if',dap .4? 10L ?. :"*" LOT ? BLOCK .? .In SUBD. J'A P.I.D. # PROPERTY Name: ?i?s' •F GAtdN Phone#: 6fl- y6Oe OWNER `"" a""°' 5treet Address• 383 0 ?le',o.-4 /1.P CIty: j6;0 4 dN 5tate: 'y* Zip: ss/z z- ia 9') cON7RncTOR Company: Phone #: G,F/- 92' z - Street Address:--??Q3os2-10> X4111f /4?'- CItY: EAtiB.r ARCHITECT! Company: -tH,*z 13 r-c,c f1??.r• Phone #- cP7/- 79?.f ENGINEER Name: Registration # ?BS/ Street Address- City: •owu. State: ya Z;p: ssyos Sewer & water licensed plumber: = - ?k" hat I have read this application and state that the information is correct and agree to comply with all a'pp?rCatS12-Sfa -? m esota Statutes and City of Eagan Ordinances. MAY 2 6 199S Si9nature ofApplicant: sre'rrr?_"?'_ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 1.8 Comm./Ind. WORK TYPE ? 31 New 32 Addition GENERAL INFOR MATION Const. (Actual) --/L (Allowable) UBC Occupancy 3-7 ,A-3 Zoning # of Stories ? Length Depth APPROVALS Planning Permit Fee 5urcharge Plan Review MCNVS SAC City SAC Water Conn. S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Oed. Water Qual. Other Copies Total: % sAc SAC Units Meter Size ? 19 Comm./Ind. Misc. ,0 20 Public Facility ? 33 Aiterations 0 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq, ft. Footprint sq. ft. ' - .. ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MC/WS System -?" City Water X Fire Sprinkiered -?- Census Code SAC Code _T Census Bldg. Census Unit o Building Engineering Variance Valuation r? iv5D 2ss? 0 3,r 250 10? ? g ? i ? J ? •.„ ? Metropolitan Council Working for the Region, Planning for the Future June 7, 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 Eagan City riall Addition & Remodel iocai.ed within the City of Eagan. This project should be charged 3 SAC Units, as determined below. Charges: Council Chambers 2116 sq. ft. @ 1650 sq. ft./SAC Unit Office 2840 sq. ft. @ 2400 sq. ft./SAC Unit Training/Conference 160 sq. ft. @ 1650 sq. ft./SAC Unit SAC Units 1.28 1.18 0.10 Total Charge: 2.56 or 3 If you have any questions, call Jodi Edwards at 229-2113. Sincerely, ? qt)? Roge W. Janzig Flannar, Mur.icipa1 Serv?c^E Ser_ti-en Wastewater Services Department Environmental Services Division RWJ:JLE 950607S1 cc: S. Selby, MCWS Carolyn Krech, Finance Department, Eagan 230EastFYfthStreet St.Paut,Mfnnesota 55101-1634 16121 291-6359 Farz 291-6550 TDD/71Y 291-0904 MetrolnfoL7ne 229-3780 . M F4uol OPPOft..ttJ E^Pbller PERMIT ? Control No. 1133 CI'TYOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 3830 PII.DT KNOB RD LOT: 012 BLOCK: 26 SECTION 22 DESCRIPTION: COUNCIL .. rBi uilding Permit Type ; Building"Work Type ' •? ?. i i CNAMBERS PUBLTC FACILI7Y ALTERATTON !,- f?_ REMARKS: PERMI"f FEE & PLAN REVIEW FEE ARE WAIVED. FEE SUMMARY: VALUATION Base Fee $.00 Surcharge $12.00 Total Fee $12.00 PERMITTYPE: eurLuiNG Permit Number: 0 014 7 2 Date Issued: 10 / 01 / 9 2 $24,000 CONTRACTOR: - Applicant - E C I BUILDING CONTR 24520555 1771 YANKEE DOODLE RD EAGAN MN 55121 (612) 452-0555 OWNER: CI7Y OF EAGAN 3830 PIItlT KNOB RD EAGAN MN 55122 (612)681-4600 L T hereby acknowledge that I information is correct and Statutes and City of Eagan have read thi agree to comply prdinances. ?QMie w APPLICANT/PERMITEE SIG URE s application and state that the with all applicable State of Mn. 1 ISSUEI) B : SIGNATURE PERMIT N REACT[VATE._ ' 4,11. CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 _? II '?? ,". - a-0 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 nat picked up by last working day of month in which re uest is made or lot chan e is re uested once ermtt is issued. Date 9 / S / 92... Valuation of work,3 Z-4,COo, Site Address: 3830 ?"-07' "pg Rc% SiREET SUITE f Tenant Name: (cartanercial only) G'17`/ oF =.46AN LOT 0 I Z BIACR Z<P SUBD. N/A P.I.D. M!O OZZcc Oi 2 2Ca Descri tion of work: R?h?oo?t_ Gouucr4_ eH,er.i Bezrc-s The applicant is: ? Owner tff Contractor O Other coes«sne> Name 61W oF ?.aUaN Phone G81= 4t?00 Property LAST F,R:T Owner qddress 1830 Rc.oT KuoB Rp. STREET STE M City ?aGAi.J State MN Zip SS IZ I Company 13U1c.pfuG, Co?T2ac.7aR-5 Phone 452-0sss COntr8Ct01' Address 1-1-11 '7AwIC.CG Dz50pc.E QD. License # Exp. c;ty Qfj im. state MN zip ssizi Company _ C(-?=GTR?Ntc (14TERiov--5 Phone 29Z- 1035 Architect/ Engineer Name Registration N Address 40 HACICUgw 5r. City 51 .State MW Z;p 55I07- Sewer 6 water licensed plumber w /A . Processing time for sewer & water permits 1s two days once area has een 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. Si nature of A licant: ?; ? g pp .,..-. OFFICE USE ONLY BUILDING PERMIT TYPE O 01 foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. 0 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. WORK TYPE ? 31 New ? 32 Addition )9 33 Alterations 0 34 Repair a . ? 11 Apt./Lodging? ?. ?016 ?' Basement Finish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 6arage/Accessory ? 18 Comm./Ind. O 14 Fireplace ? 19 Comm.JInd. Misc. O 15 Deck W20 Public Facility El 21 Mistellaneous ? 35 Tenant finish O 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning d 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 [I Dra9ntile 37 ? Insulation ? fireplace Permi t Fee ak vaimcca,: g Z4,000. O0 Surcharge Plan Review 1?r-_vii5„t aRs WaivG-o. License MWCC 5AC City SAC Mater Conn. Mater Meter . Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Cop1es Other Tatal: O 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units CONT1tAGTOR'S MATEE,IAL & TEST PART "A" GENEBAT. PRACEDURE . UPON COMPLETION OP WORK. INSVECTION AND TPSTS SMALL 6C MAOB BY 7118 COHTRAGTON'S PBYRl58NTATIVE AND WITNpSSBD !Y AN OWNBY'S MCPpBSBNTATIVC ALL D8PlC75 SXALL B8 COPPEGTED AND SYSTEN LEPi IN SEYVICE BBPOYE CONTRACTOY'b YBN PINALLY LBAVE TH8 103. A C811TIPICATE SNALL B! PILLEO OI17 AND SIGHED !Y EOTX REPRPSENTATIVL'S. [OpIP3 SNA4. !! PR6VMC0 PGR APPYOVING AIRHORRIlS. OWNLYS AND CANTYAC- TOR: r! IS UNO2PSTOOD THE OWNBR'S YEPPPSENTATIVB'S SIGNATUR6 IN NO WAY ?P61UWCC5 ANY CW4 AGAINST CONTNACfOY POY ewLrr YATlWAL i00q WOYWANSNIP. OP PAILURE TO COMPLY WITH AiP110VING AIITNOY17y'S NBGUIqW9M'8 OP lOG6 ORDINANC6& PItOPfiNTY NAMB- - - - ? - p?7g / c1'T Y HfqC.?, W S?PT-i:7 ,93 PIIOPERTY ADDIIPSS 3S30 Xc. 07- a13 ?d?31? ACCEPfBD BY AiPYOVINC AIITHORITYI'S1 NAMlS ?- AGDAPSS PLANS iNSTALLATIOH CONPORNS TO ACCEPTED PLAHS: ref ? NO 0 . 6QUIVMENT USED IS APPROVlD . Yu ? Mo ? IF HO, STATB DEVIATIONS ' NAS PERSON IN CHARC! OP FIR! EQUIP4EN1' lBEN IN5T4UCfED AS TO IACATION OP f:ONTROL VAWBS AND GRE OF 'fMlf NEW BpU1PY8NT1 YY ? NO 0 IF NO, EXPLAIN INSTRUG 7'lONS H'lS A COFY OF INSTYl1CT10N AND MAINTENANCB CHAAT OEEN LEIT AT PLANTI Y[s ? no ? . IP NO. 6%PLAIN F'LA'xHISUI•9?.w thsrr401"41 rmc umil anhr IM clnr aw inmcaua er no mn•euon w rer.leon mtbrW In Dur1&0 t+ie, At WUOY IucA Y ' )' rnntr en Wo.-ofp. - F9uxh nt ftowx not lerw Uum 75(1 r.PN fur 6.Inch plye xnA umller, 1000 OP8 far &-Inch pipe, 1400 6PH toi lOdME pipe. AnJ t000 GPY for R" Iwh Pi1+•. K`hen .uDPp' c:uannl analuce Wpn4uetl Oov nrte, o0lxln nwxlmum avMI1n4N. , 'r[?i`S'1` HSURONTATIC: H)'dmsln4c lrnt. dwll 4e mxtle :it wl lew tlmo 300 P81 fur tWo huun ae iOPW aOOVd oYpe Pewun In asele af 160 PBl. • Dlfteremlal ar>'-nlne "IC! CIi1Vk1Plt 0PII lIC llfl apCO dY,hl{ ICYI lY Dr1YC11{ AAIf111(!. AII 1GOY&SrWM OIpIn( Ie11Yafe MVI a0IODVM. DF.$CRIP` I.EAFAn}:: \rw pllw LJd wilh ruhLer vukeledJulnn. nh'vll. If Ipe ."rnmam.nin ?s saIMfaebny. Nve IIWs or no lexko[e ot lhe plnb. 7Te ' nn.nunl nf lenk??Re a[ Ihe Julnl. nMll nut exceeA Y quurb iwr huur qr ]00 jnlnW Irtnpec11ea1y ot plN Clampn 7M IcaNnyc xbnli Oa Cb- . . IrlLuica m r np )nim.. If rucn IaOm¢e u.xun At'a fmv Ju1nu Ihe InsIaIhUOn el?11 M conslCeraE uanaGsfwetuq' mE necew?ry rapxin F ?ON nmAr. \ew pilK Ixid vilh exulkrd lexd ur IenC.rvOntiwl< 1ilInlx hhnll. If Ue workmmnshIV 1n MUxfaatary, Mn Iltlla o, m Ibiknie at t!e ? NAbVv. An>' }rine hurin[ Nakn[e or mure Ihrn n•.uini a.qr' ?M ^«nins.. wwu w.emairva. t.e.wr. .a.u nnt exc.eA 1 on. (IIW. W mau- . ., ure) IKr luur 1wr Inch of OM ClAmeler' Yer yAnt. YTO lexkxte wluall W ObtrI4ute0 ooW a11 )olnb. If .ua0 Ieniu/e ui•urw Wnwal eu- ' Urciy nt n fnw wlnU, the In1lxllnUOn rhnll La eon.lAercO mi.iUxprluq' unA nanwnry nple, nwM. . 1•]2C]IATIP: GtaGlhd, 40 PBf dr Orouun an0 menaure aron wmcn Mell ml eineC l{f P81 la SI Enun. Tat Oratutuh JAC1b at nofmW wmer Inrel xntl elr Drewura mA meamro aIr nro•wn drop wMch Mall not eawW 1y{ Ptlt 1n 24 MurY. PAAT "8" - UNDERGROUND PIPING PB¢OS BLDGS. ' ? LOCATION . WP6 1'YPES ANO CIA53 ' TYPL JOINf ?DER- (jROU[,jp CONPOYMS TO SUNDAYD Yu Q no 0 ' IP NO. 8%PUIN . ' PIPFS AND R D N CHOWGE CIAMP[0. STAA s?O IlBD IN YG ? No 0 9GINTS w y? IT C iovm . IP NO. C%PLAIN TEM FLUSHING . HYDRQSfATIC . LEANAGE . REQUIRED , . NEW UNDERG40UND PIPING FLUSHPA ACWRDING TO STANOAAD rp 0 .. . DY IroMPANY) XOW PWSNING PfAW WAS OlTA1NlD: rY4.N wAi{N ? 11M1 M YfOVOM ? /IY rUm Q TNROUGX wNAT TYPB OPlNING. FWSMG ' NT4 aYtI. ? OMII MR E3 L6AD-INb PLLLSHBO ACCORGING M ANDMD TO ? TEM OY (GOMPANY) . XOW PLUSHING PWW WK OlTAINBD: ' ruwc wiru ? tAnc am owron G no ?crr Q 7'H10UGM N'HAT TY/8 OVBNING: Y CONtI. i0 IWNC[ t WLOi ? Mfll rIR Q IW? Nw p • . - ? . . . .. Mued Y Y$.A. --- _ }IYDROSTATIC ALL NEW-IINDER-fROUND FIPINC HYDiOSTA77GLCY'fl578D AT . TEST . ? roe xouas ; ----------_. 7'OTAL AMOpNT OP LEAKAGE MMSIIYBD LEAKAGE -... caLS. xoups _--.-. TEST , - - -- _....-- - -'---- ALLOWA9CE LErKAGE ' GALS. NOORS . Nl1M6PR INSTALLBD TYPE AND 4AIC8 HYDRANTB ALL OPPJIATB SATISPACTOYILY . . . . . ru? ra? CONTROL IPAN?Op51'ATH RBASONVeS LlIR WIDB OPEN: Yn ? MO Q ' VALVES X D NT O? eI A G ITH T O N Fl OL Y M S N H S E F PApTNENT ANSWEAING A[AYMI Yu ? 11o Q NTERCM ¢MLE W pH , DATE L617 IN Se0.VICe - REMARKS PAR7'S A& B ? NAME OFSPRINKLeR CON'fRACfON POY p0.0pfiRTY OWN@R (SICNBD) TITGB FOR SPRINKLlR CO7NTN'AG70R tSIGNBU) DAT9 SIGNATURES ? ?'CSTS WITNESSED EY TITLE DATB PART "C" - SPRINK[.ER k WATER SPMY ABOVECROIJND PIPING (PILL OUT SEPAPATE PART "C" POR EACH YISER) LOCATION i seaves ewcs.: . .TESTS HYDR05fATIC: ALL P[PING. ? REQUIRED ? PNEUMATIC: DRY PIPINC. DRAIN : ................... ............................. EQU?MBNT OPERATION: ALL. -_____.____ I SPRINKI.EAS -.______.._._. _ .'__ _..__...._.. ... _.......__..._...._. MAKE MODEL 512E p11AN77TY TEMPE0.ATUi8 '..._RATING OR SPRAY i --'...___ ---- --- . - .. NOZZLES PIPE AND ' MATERIAL AND KIND CONFOPMS TOSTANDARC FITTINGS IF rvoNe. exruiN -' ALARM VALVE ---------------- - A L A Y M 0 E V 1 C E ---MAXIMUM TIYB TO OPEMT6 THYOUGH TEST PIPE OR FLOW TYPe MACE _ MUUEL MIN. . SEC. - ---- - - INDICATOR . . .'._____. -.-_......_..._. .? __.__.... ?_ • - _-. , OPERATING TEST RESULTS: ' 'I'IME TO T0.1P DRY MAKB MODlL SER. Po??, T1IROIIGH TEST PIPB ' WATER AIp ! ?yTER ALARM . NO. AtR WITHOIIT WI TH i PRESS. ?PC56: REACHBU TEST OPERA'1'ED PIPE O Q p ?? . Q. o. D. ovrcer PROPBNLY _ MIN. 58C. MIN. SCC P.S.I.? P.S.T. P.S.I. MIN. S6C. YPS NO VALVFS ? ? i 'P NO. WN OPENATION: PM6UM?nC ' ' ? 4[CmIC ? NYNAUNC ? PIPING SUPeRVISHD: yp 0 ha C) 08THCfING M6qA WP8RV158D: y4 ? Mo ? DELUGE pppS yALV! OPERATE PROM THE MANWL TRIP ANO/Op pL40T8 CONrROL STATION61 . ytl ? MO ? ? - IS TX8P6 AN ACCBSSIBLE PAQLITY IN EACH CIACUIT PON TESTiNGI Tp ? Mo 0 IP NO. lXPWN PRFr1GT[ON VALy ES OOCS EACN LIRNR OPliATB DO¢5 PJ1CN CIIICUIT OPBYATfl MAXIYUY TME TO MAKB N008L SuPlRVISIoN LOSS ALAPMt VALV6 YLLGi6i OPBPATB PELBAE& ' YBE NO YB8 NO MM. SEG ALL PIPING HYDROSTATICALLY TFSTED AT PSI WN HOURS ORY PIPING PNEONATICALLY TPSTEO: Ye! ? no ? 'j'Ef'fs EQUIPMENT OPlRATPS VMOP9iCY: Yi! 0 NO Q IP NO. STATE REASON ' DAAIN TFST: PEADING OP GAGE LOCATBD NEAp WATOY SUPPIY TEST VIPfl: oMDUAI PIItl55UP8 WR ALV! IN TEST P P! OPlN WIUL STATIC VR85511RC P61 P51 v 1 BLANB NUMBBP USeD ?l ?.OGITIONS NUM!!R R VHD q'ESTING W61.DED OR BRALED PWI:I6 ru ? MO ? IF Y6P, PO YOU CRRTIPY AR THT. NPRINKI.P.R CO\TRACTOfl THAT TNP. WCIAF.NB OR PRALBRB ARE ?UAWYICD POR WCLO- (?`??(L"i ?' 1NO OR ARA'!.1\(1 1?1 ACPpRDANCE WITN 7'N8 AE p LIRBYMNT9 OP ABNR BOILRR A\D PRFAtlUR6 V&BXEI. f:bDE. PECTIU\ 7X. 4CALIFICATIOH 8TA\DARD POR W&LDlYO AND B8Ai1VG PBOCBDURBB, NBI.DERe, BRALEPM, AND W&LDINO AYD SRAEING ' UI'ISftATORF-1901 RUITION. Tff ? ]IO Q REMAM . MTE LBPf IN SPJIVICe WITH ALL CONTpOL VALVlS OPEN. . . NAM! OP SPRINKLBR CONTIIACTOY R e(SW 1 T TL8 PART "C" SIGNATURES " POp SPRINIfLER COM'AACfOR 1816N9D) resn wrmesseo ev a wra sHEET i or' z Inspection Reporr No ....................... REPORT OF INSPECTION ' , . A , . c arison AUTOMATIC FIRE PROTECTION COMPANY 11986 Riverwood Drive, Burnsvilla, Minnesote 55337 (672) 894-3250 Conferred With Inspection Convact Bureau File .. ...................... :........... No......................... No......................... AEPOR7 TO City of Eaoan BUILDING OA LOCATION Same' STREE7' CITY & ZtP INSPECTOR Myron Cortte nnTE 11I08/90 GENERAL 1 . a. Is the building occupied? ' b. Is occupancy same ss previous impection? c. Arr all rystems in semice? d. Are all fire prorection sys[ems same as last inspeccion? e. Is hazud complerely sprinklered? X f. Are all new addiiions end building changes propedy protecced? X S. Is all uock or atorage proDedy below sprinkler piping? h. Waz pcoperty free of fires since last inspec[ion? (Explain any fire on Page 2) X i. In nreu protecred by wet system, does the building appear ro be properly heated in all sreas,induding blind a¢ics, perimecer zreaz and are all exrerior openings prorec[ed againu emrance of cold aid ? X 2. CONTROL VALVES (See Section 16) , a. Are all sprinkler system maimconvol velves open? b. Are all other valves in proper position? c. Are all contiol valves in good condition and sealed or supervised? X 3. WATER SUPPLIES (See Seaion 17) a. Waz a warer Flow resc made and resula satisfsctory? 4. TANKS, PUMPS, FIRE DEPT. CONNECTIONS a. Are Fire pumps gravity tanks reservoirs and pressure tanks in good condirion and properly maincained? X , , b. Are fire dep[. connections in sazisfacrory condition, couplings free, caps in place and check valves tighd X 5. WET SYSTEMS (See Section 13) . a. Are cold weather valves open or dosed as necessary? X b. Have anti-freeze sys[ems been tested and leFt in sazisfactory condition? c. Me alsrm valves, warer flow indicators and retards in satisfaciory condition? 6. DRY SYS1'EMS (See Section 14) a. li dry valve in service nnd in good condition? X b. Is eir pressure and priming water level normal? c. Is air compressor in good condition? . . d. Were low poincs drained during fall and winter inspections? e. Are Quick Opening Devices in urvice? X F. Has piping been checked for stoppege within patt IO years? X g. Hns piping been checked for proper pitch wichin past 5 years? x ' h. Have dry valves been trip tested satisfacrorily u required? . i. Are dcy velves adequately protected from freezing? j. Valve house andheater coadi[ion satisfumry? 7. SPECIAL SYSTEMS (See Seaion 18) a. Were valves tested ss required? X b. Were all heat responsive systems tesced and results sa[isfactory? X c. Were supervisoty features tested and resul[s satiafaztory? 8. ALARMS - a. Wazer motor and gong resz sacisfaaory? x b. Electric alum rest sarisfac[ory? c. Supervisory alarm servim resc sa[isfactory? 9. SPRINKLERS - PIPING a. Are all aprinklers in good condi[ion, not obstrucred, and free o( rorrosion or loading? b. Are all sprinklers less than 50 years old? c. Are excra sprinklers readily available? streiners satisfacrory? d. Is condi[ion of piping drain valves check valves hangers pressure gauges open sprinklers , , , , , , e. Are all sprinklers of proper remperature ra[ing? X f. Are portable ?re excinguishers ia good mndi[ion? X . g. Is hand hose on sprinkler systems sxisfaaory? 11 X "Explain "No" snswers ou Paw 2 #Not Applicable REV. 10-67 REPRINTED 2/1/80 aR ` ? REPORT OF INSPECTION carhm'AUTOMATIC FIRE PROTECTION COMPANY SHEtT 2 01' i 11986 RlverwooE Orive, gurnsvflle. Minnewie 56337(612) 894-3250 Inspecuon Report Inspection Contract Bureau File No ................................... No........................ No......................... 10. - Daze Dry Sysrem Piping fast checked for sroppage. lL Date Dry System Piping lasi checked for proper pitch. 12. Dare Dry Pipe Valve las[ trip tested 13. Wet Syscems: No? 1 Make and Model? 4° ButtPrfly Val vP 14. Dry Systems: No? . Make and Model? 15. Special Systems No? Typr Make and Model? Condition? Onen Secured Closed SiKns CONTROL VALVES 1G No? Type? Yes No Yes No Yes No Yes No CnnJition City Conneuion Controi Valve Tank Control Valves ' Pomp Control Valves Seaional Convol Valves' d Sysrem Control Vatves X x Good n. WATER FLOW TEST Wecer Pressure? 75 CIT'Y PSI TANK PSI FIRE PUMP P51 Warer Flnm TccO Y03 /If nnne madr. W1,01 Test Pipe Locaced Size Tese Pipe Preuure Before Flow Pressure Pressure Afcer Test Pipe I.oca[ed Size Test Pipr Pressure Before Flow Pressurc Pressurr Aftcr Riser 2" 75 0 18. Heae Responsive Devices: Type? 19. Valve No ....... ............... A.... .... B...... _C.... .... D.... .... E.... .... F........ Valve No_ .... ................ A.... .... 8........C.... .... D.... .... E.... .... F........ Valve No ...... ........... ..... A.... .... B........ C.... .... D.... ....E.... ....F........ Valve Na.:.... ................A.... ....B........C.... ....D.... ....E.... ....F........ eauiomen[: No? Tvoe? "No" ansaers. Tyoe ot tesN Valve No ..... ...... .......... A.... .... 6.... .... C.... .... D.... .... E.... ....F........ Valve No ........... ........... A.... .... B.... ....C.... .... D.... .... E.... .... F........ Valve No ........... ........... A.... .... B.... .... C.... .... D.... .... E.... ....F........ Valve No ........... ........... A.... .... B.... .... C.... .... D.... ... .E.... .... F........ Location? Tese Resmts? 20.. Recene changes in building occupanty or Fire protection equipmene ' Added head undPr ducts, addPd 2 hPada in ma haniral rnnm., Pl9Pr1 ; F1PA(IC AddPd wa77 hafflP tn kaPn watar niit nf rarlin rnnm 21. Adlustments or correaions made. Ej' . u ed 3 heads• wo ' ra 'o o airwav for fu ure storaae area 22. Desirable Improvements. - B 11 & ho n Ghould 6 inG a77 d for lo al alarm "Expitin'No" answers on Page 1 in Irem Nl9 REV. 10-67 REPRINTED 2/1/80 City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK ink For Office Use [� _ Permit #: / S Permit Fee: _ Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 1/4/2016 Site Address: 3830 Pilot Knob Road, Eagan MN 55122 Tenant: Eagan City Hall Suite #: J Resident/Owner Name: Phone: Address / City / Zip: Contractor Name: Northern Air Corporation License#: MB003184 Address: 1001 Labore Industrial Court, Ste B City: Vadnais Heights State: MN Zip: 55110 Phone: 651-255-3538 ( _I/i--.-- /96:5-�- Contact: Marc Tolvay Email: mtolvay@nac-hvac.com /7-,p. 0 Type of Work New Replacement Additional 1( Alteration Demolition remove duct fired furnaces and install 2 hot water reheat coils, supply & return piping, insulation. Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. Permit Type RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement —Air Conditioner 7Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank (_ Install / Remove) Other _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State includes State Surcharge Surcharge = $ TOTAL FEE $100.00 Residential New, COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value $ 9,800.00 x .01 = $ Permit Fee $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge 0 = $ Surcharge = $ 4" C'7 TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Marc Tolvay Applicant's Printed Name FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening Applicant's Signature fr - REPORT OF INSPECTION . artson AUTOMATIC FIRE PROTECTION COMPANY ?i???i?iE?8:07G1iF`?ii?5i4?18{Id76Kd?e76R3Ct7C I6121 894-3260 Inspection Report Cunferred Wich Inspection Conrtact Bureau File No ........................... ... ................................... No......................... No....:.................... REPOR? TO Eaqan Clty BUILDING ORLOCA'I'ION same SrttEer 3830 Filot Knob Road CITY & STATE Eaqan, MN INSPECTOR - G. RUSk ATT. Z1P 55122 DATE 11-21-88 L GENERAL a. Is the building occupied? b. Is o[cupancy same, as previous inspection? c. Are all systems in service? ' d. Are ali fire protec[ion,sysrems same as lut inspection? e. Is hazard completely sprinkfered? . f. Are all new sdditions and building changes properly protec[e& g. Is all stock or smrage properly below sprinkler piping? , h. Wu property freeof fires since Iut inspection? (Explain any £re on Page 2) i. In area5 procec[ed by we[ system, does the building eppear ro be pcoperly heated in all areu, induding bfind aaics, perimerer areas and are all exterior openings pro[ecced against ennance of cold aid 2. CONTROL VALVE$ (See $ection 16) a. Are all sprinkler system maimcontrol valves open? - b. Are all other valves in proper position? c. Are all concrol valves in good condition and sealed or supervised? 3. WATER $UPPLIES (See $ection 17) a. Wes a water Flow cest made md resula suisfacrory? 4. TANKS, PUMPS, FIRE DEPT. CONNECTIONS a. Are fire pumps, gravity tanks, reservoirs md pressure mnks in good condition and properly mainrained? b. Are fire dept. conneaions in satisfectory conditioq couplings free, caps in plue md check valves tighd 5. WET SYSTEMS (See Section 13) . a. Are cold weather valves open or dosed as neceuary, b. Have anti-(reeze sysrems been rested and lefr in satisfacrory condicion? c. Are alerm valves, wazer flow indicarors and recerds in satisfaciory condition? G. 8. 9. DRY SYSTEMS (See Section 14) a. 1's dry valve in service and in good condition? b. Is air pressute md priming water level norinal? c- Is eic mmpreswr in good condition? d. Were.low points drained during fall and winter inspections? e. Me Quick Opening Devices in xrvice? f. Has piping been checked for stoppege within past 10 years? g. Has piping heen checked for proper pitch within past 5 yeazs? h. Have dry velvea been [rip tested satisfurorily at required? i. Are dry valves adequately protec[ed from &eeiing? j. Vaive housc md 6eazer condition suisfurory? . SPECIAL SYSTEMS (See Section 18) a. Were valves tesced u require& b. Were all hea[ responsive systems cesced end rcsults satisfaccory? ' c. Were superviwty fea[ures resced md results satisFactory? ALARMS a. Wacer moror and gong cest saoisfacrory? ' b. Electric alarm test suisfazrory? a Supervisory alarm service [est secisfacrory? SPRINKLERS - PIPING a. Me all sprinklers in good condition, not obstrucred, and Free of corrosion or loading? b. Are all aprinklers less than 50 years old? c. Me extra sprinklers readily availab4? d. Is condition of piping, drain valves, chttk vaWes, hangers, pressure gaup,es, open sprinklers, strainen e. Are all sprinklers of pmper remperaeure rating? f. Are portable fire exainguishen in good condition? g. Is hand hose on sprinkler syuems satisfscrory? - R X X X X Y Y X R X X X X ' X X t Y. i. 'Ezplain "No" answera oo PaQe 2 ' tNot Applicabte REV. 10-67 REPRINTED 2/1/80 . ? REPORT OF IIVSPECTION Garrison' AUTOMATIC FIRE PROTECTION COMPANY SHEF7 2 01: i (612) 894-3250 . Inspection Report . Inspection Contrac[ Bureau File No :.................................. No........................ No......................... 10. Date Dry System Piping last checked for sroppage. 11. Date Dry System Pipinp, lazi checked for proprr piech. 12. Dare Dty Pipe Valve laz[ aip rested 13. Wet Systems: No? OT10 MakeandModel? 3" Waterflowl4. Dry Sysrems: No? Make and Model? 15. Special Systems: No? Typr Make and Model? Condicion? T S Oven Securrd Closed SiKns ROL VALVE CON 16. No? Type? Yes No Yes Na Yes No Yrs Nn Cundition Ciry Connttcion Control Valve Ori2 Gate X Tank Control Valves Pump Con[rol Valves Sectional Conttol Valves L Sys[emControlValvei Ori2 UtteYfl X X GOOCI 17. WATER FLOW TEST WarerPressure? CITY $0 PSI TANK PSI FIRE PUMP PSI Warer Flow Test? (I( none made. Why?) Test Pipe Located Size ' Tesr Pipe Piessure BeFom Flow Pressure Pressure After Tesc PiDe Locared Size Test Pipe prrssurr Before Flow Pressure Preswrr Afrer at riser 2" 80 65 80 18. Heat Responsive Devices: Tyve? Type ot trsd Valve No ....... ............... A........ B...... _C. ....... D........ E..... ... F........ Valve No............. .... .... A.... .... 6.... .... C ........D.... .... E...... . .P........ Valve No ....... ............... A........ B........ C. ....... D........ E..... ... F........ Valvr No.................. .... A.... .... B.... .... C ........D.... .... E...... .. F.... .... Valve No ....... ............... A........ B........ C. ....... D........E..... ... F........ Valve No.................. .... A.... .... B.... .... C ........D.... .... E...... ..F........ Valve No ....... ............... A........0........ C. ....... D........ E..... ...F........ ? Valve No.................. .... A.... .... B.... .... C ........D.... .... E...... .. F........ Auziliary equipmenr. No? Type? Location? Tesr Reswes? 19. Ezplana[ion of any "No" answers ? 1-a Basement i sprnkled only. 20. Recent chanp,es in building occupancy or fire prorection equipment. 21: Adiustments or conections made. 22. Desinble Improvemenes. "Ezplain "No" ansaers on Page I in Icem N19 REV. 10-87 REPRINTED 2/1/80 REPORT OF INSPECTfON 4C 4r k ?•?~ carlsonAUTOMATIC FIRE PROTECTION COMPANY 11986 Riverwood Oriw, Burnpllla. Minnewp 65337 (612) 894-3250 ' JHE4T 3 OF 3 Inspection Report Inspection Contract Bureau File No ................................... No............ :........... No......................... 10. Dere Dry System Piping lu[ checked for stoppage. i ll. Date Dry System Pipiog lazt checked for proper pitch. - 12. Dare Dry Pipe Valve lazc trip tested 13. Wet Syscems: No? ?41?,_ M ke d Mod 1??3 ` L r-- ..14. Dry Sysrems: No? f Make and Model? - 15. Specia! Sysrems: No? ;" . Type - . Make and Model?' Condition? CONTROL VALVES Open Secumd Closed Signs 16. No? Type? Yes No Yes No Yes No Yes No Candicion City Comection Conerol Valve iank Conaol Valves ` Pump Concrol Valves Sectional Control Valves System Concrol Valves 17. WA1'ER FLOW'TEST Water Preuure? CITY PSI TANK PSI FIRE PUMP PSI Wazer Flow Tesd Uf none madr. Whv?I Test Pipe I.ocued Size 'Tess Pipe Pressum Brfore Flow Pressure Prcssurc A(ter Tese Pipe LocatrJ Sizr Test Pipr Pressurc Brfore Fluw Pressure pressure Afmr ?? t ! 18. Heat ResPOnsive Drvices: Type? Type of cesd . ? Valve No ....... ......... _.... A.... .... B.. ..'_C.... ....D.. ...... E........ F........ ? -.. ? Valvr No............. .. ...... A.... .... B....... . C. ....... D.. ...... E...... . .F........ ? ? Valve No ....... ............... A.... .... B.. ...... C.... .... D.. ... ..E.......F........ Valve No................ ...... A.... .... B....... . C. ....... D.. ...... E...... .. F........ Valve No ....... ............... A.... ....B.. ...... C... .... D.. ...... E.._.... F........ . Valve No................ ...... A.... .... B....... . C. ..... ..D.. ...... E...... .. F..... _. Valve No....... ... _.......... A.... .... B.. ...... C.... .... D.. ...... E....... F.... _.. ? Valve No ................ ...... A.... .... 8....... . C. ...... :D.. .._..E..:... ..F........ .? : Auxiliary equiDmenr. No? ? Type? ? Location? ? Tesc Reswcs? ? •- 19. Explanuion oF any "No" an_wers. 20. Remn[ chsnges in building occupancy or fire proeec[ion equipmena -. ... , . „ ... ?." -21. Adjuscmen[s or mrrections made. 22. Desinble Improvemen[s. r. .. "-- ' Fzplain "No' answen on Psge 1 i¢ Icem iM19 . REV. 10-67 REPRINTED 2/1/80 ? REPORT OF INSPECTION 1 ? SHEET 1 OF , 611986 arlSOn AUTOMATIC FIRE PROTECTION COMPANY Filverwood Driva, BurnwllN, Minneqte 55337 (672) 894-3250 Inspection Report Conferred With Inspection Conuut ? No............................. ................................... No......................... REpORY TO BUILDING OR LOCATION .?^°R . STBEE['_? ,?.'S o - . C1TY & STATE Y "t INSPECTORPV--V&c. A7T. ZIP DATE 1- GENEAAL . a. Is che building occupied? b. Is occupaucy same as previous impection? c. Arc all systems in service? d- Are nll fim proteaion sysrems same ss lut inspection? ,-. e... Is hazard mmplerely sprink4red? C. Me all ncw addiiions and building changes propedy prorected? S. Is all uock or srorege pmperlp below aprinkler piping? h. Wu properry free oE fires since Iast inspeaion? (Explain any fre on Page 2) i. lo areas proteaed by we[ system, dces che building appear ro be properly heamd in all areas, induding 61ind u[ics, . perimemr areas and aze all ex[erior openings prota[cd against entrance of mld air? 2. CONTROL VALVES (See Section 16) a. Are all sprinkler sysrem r.iaio-mnvol valves open? b. Are all other valves in proper position? c. Are all control vafves in good condition and sealed or supervised? 3. WATER SUPPLIES (Sce Section 17) a. Was a water floa test made and results ss[isfac[ory? 4. 1'ANKS, PUMPS, FIAE DEPT. CONNEC'CIONS . a. Me fire pumps, graviry tanks, rexrvoirs and presmrc mnks in good condicion and propedy maincained?. b. Are Fire dept. connections in suisfazrory coodition, couplings free, caps in plaze and che<k valves tight? 5. WET SY51"EMS (See Seaion 13) - ' . - a. Are cald wemher valves open or closed az necessary? b. Have anti-(reeze fysteau been msted and left in saziefactory condition? c. Are slazm valves, water flow indicator's and rc[ards in satisFaztory condition? 6. DRY SYSTEMS (See Section 14) . a. li dry valve in xrvice and in good condicion? b. ls sir preuure and prising warer levd normal? c. Is air compreasor in good condition? d. Were low points drained during fall and winter inspeaions> e. Me Qui<k Opening Uevices in xcvice? (. FIa4 piping been che[ked for stoppage wichin pes[ 10 yeazs? . g- Hss piping been checked Eor proper ?piKh within psst 5 yeus? ' . h. Have dry valves been vip tested satisfurorily as required? i. Aredry valves adequately protec[ed from frcezing? j. Valve house and heuer condition satisEutory? 7. SPECIAL SYS7'EMS (See Section IS) , . _ .. - . - , a. Were valves tested aa requircd? ' b. Were all heu responsive systems cested and resul[s satisfu[ory? c. Were supervisoty Feamres resred and msults mtisfactory? - 8. ALARMS . a. Wazer mocor and gong cest suisfactory? b. Elearic dum [est satisfacrory? c. Supervitory alum service cest satisEactory? 9. SPRINKLERS - PIPING a. Me all sprinklers in good condicion, not oFst`ucted, and free of corrosion or loading? - b. Are all sprinklers leas than 50 years old? - - c. Me exm aprinklen readily available? d. Is condicion of piping, dnin valves, check valves, hangers, pressure gauges, open sprinkkr; straioers sui . e. Are all sprinklen of proper [empenture rating? E Are pocrable fire ezcinguishers in good condition? g. Is hand 6ose on sprinkler systems satisfacrory? ,i.. Bureau File No ......................... ? ? .?w .i a... r ..?.- ? .? r? ? E ,.- •Ezplun "No' w«en on Pw 2 tNor Applicable . REV. 10-67 REPRINTED 2/1/80 nnrvni ?r ?L??rn?.i.vi? ?p OZ?AD Q12 Z(p ' 's"UT' °N = °FIRE PROTECTION COMPANY 71988 Riverwood Drfw, eurnrvllle, Minnewte 56337 (612) 884-3250 Inspection Reporc Conferred With Inspection Conuact Bureau File No....: .................... ...: Dale Neglei.tner... i•ro.:.... S..42.......... No......................... 'Fir'e"hiarihall REPOR7'TO EdpBp C'ItY HdIi " BUILDING OR LOCATION ?SErtlentSIRHE[' . . C1TY & STATE INSPECTOR 11-YZ-9I ' A'CI. ZIp DATE 1. GENERAL - '. n. ls ahe buildiagoccupied? Is oavPaacy same aa previous inapeaion? . , c. . Am dl sy3tems in xivice? , d. Am all. fire procettion systems seme ss Isst impeccion? e. ]ahazerdcompletely,sprinklercd? SEF1G) , - f. Are-all new addicions and building changes properly procecmd? g. li all atockor scorage properly below sprinkkr piping?' h. Wts property free of fires aince last inspecrion? (Explain any fire on Page 2) i. In ueas yrotecred by ae[ systenr, Jces zhe buildirg appepi to be propcrly heated in aIl arcu, induding blind attics, perimecer areas end are all exrerior openings protecced agains[ entrance of cold eid 2.CON17tOL VALVES (See Secoion 16) c. Am all sprinkler sys[em main control valves open? b. -Are all other valves in proper position? c. Ateall conttol valves in good tondi[ion and xded or supervised? .?•?JS.. WATER SUPPLE$ (Sce Section 17) , .•. a. .Wss a watv flow teat made and results satiefacrory? `•'4:!,ti-i1`ANI4S, PUMPS, FIR& DEPT. CONNECTIONS a. Am fre pumps, gravity tanks, reservoia and pressure canks in good condition and properly maintained? b: Am fire dept. conneccions. in setisfactory condicion, couplings free, caps in plue and check valvrs tighN 5. WET SYSTEMS (See Seaioo 13) ' . a. Are cold weazher valvesopeo-,er.4ln ed as necessary? - - b. Have anti-freem sysrems been tesred an m suisfazcory condieion? '[. ' Aie alarm valves, wa[er flow indicatori and.re in sadsfaciory condition? 6. 7. 8: 9. . . 'Expliin "No" awwen on Pa¢e 2 " #Not Applicable _....... ?.,.,;_?,__. REV..,10-67.,.REBRIN7ED.2L1/90 ._.. ?,:.:,?, . ..' --•.-...e-. . DRY SYS1'EMS (See Section 14) . a. Is dry valve in scrvicaand in good condicion? b. Is air pressure and priming wuer level normal? ' c. , Is air compreswr in good condi[ion? d. Were low points drained during fall and win[er inspections? e.. Am Quick Opening Devices in.urvice? . . E Hss piping been checked for sroppage wiehin past 10 years? g. Hu piping been checked (or proper picch wiehin pest 5 years? A., Have dry valva been wip cesced sazisfactorily as required? i. Are dry valves adequuely proac[ed from freezing? ' j. Vdlve houu md heacer condition ucisfaaory? SPECIAL SYSTEMS (Sre Seecion 18) s. Were valva teated m required? b. Were all heat responsive.aystems tesced and resulrs satisfauory? c. Were superviwty feamres tested and resula sacisFutory? ALARMS a. Warer moror snd gong cesc sazisfauory? b.Electricelum test satisfncmry? CFF u,Q? c. Superviwry alerm service test aatisfeceory? SPRINKLERS - PIPING ' a. Arc dl sprinklen iri good condition, no[ obscructed, and (ree o( mrrosion ar loeding? b. Are all spridclen less chm 50 yeas old? -c. Are exva sprinklers readily available? . d. [s condition o( piping, drain vslves, check vafves, hangers, pressure gauges, open sprinklers, strainers e. Am all sprinklers of proper temperanue racing?L Are pomble Fim extinguishers.in good condition? ?g. ls hand Iwx on sprinkler sysmms sacisfazrory? xEPUxr ur INSeEc'iiON , ? al"IS011 AUTOMATIC FIRE PROTECTION COMPANY `tiH¢FT 3 oP 7 . . ekII986 Riverwood Drive, Burnsville. Minnesots b5337 (612)894.3250 . ? -- Inspection Re.porr Inspeccion Concrace Bureau Eile ? No ..............:..:..............:.. - No........................ - No......................... t ....,: .? 10. Dare Dry System Piping last checked for seoppapGe. ' 11. ? Due Dry System Piping lasc checked for proper pitch. ,42. Da[e Dry Pipe Valve lasa.aip tesced ','.. 13. Wec Syscems: No? Y Make and Model? • wet 4„ Sx5 _ ?. 14. . Dry Syscems:. No? .. ? Make and Model? - " ? ? IS. Special $ystems: .. No? . •TYpe , . 'Malce and Model? ' Condition? ? ' CONTROL V V A S ' Open Secured Closed Signs :. i L E 1G No? Type? Yes No Yes No Yes No Yes No ConJition City Connection Control Valve Tank'Control Valves Pump Control. Valves . Sec[ional Convol Valves Syscem Conccol Valves 17. WATER FLOW TEST ?D7aterPressure? C[TY? PSI ? TANK.PSI FIRE PUMP PSI Witer?FlowTesd ? -YES . Uf none madr_ Whv?7 ? ' , :Test PiDe Lo[aced 'Size Tes[ Pipe pressure Brforc Flow Preuure Pressurr Aftrr - Trat Pipr LocatrJ Size Tcsr Pipe Prcssure Be(om Fluw Pressure Prrssurr .. A(eer 18. ? Hest Responsrve llevices: I'yoe? Type oC resd . , ? ,. - . . VaIVe No ........ ..... _....... k.... .... B:..... _C.... .... D_... ... E....... F........ . . . ' Valve No.............. ..... :.A........ B........ C ........D.... ? ....E...... ..F........ ? - ? . Valve No ........ .............. A.... .. _B........C.... .... D..... ... E........F........ Valvc No......... ?..... ..:...A........ B........ C. ....... D..... ... E...... :.F........ Valve No ........ . ? .............. A.... .... B........ C..... ... D..... ... E...__F........ ? ? . Valve No............... ....... A........H........ C ...,.... D.... .... E...... .. F........ Va1ve-No.... _.. ... .......... A.... .... B........ C.... .... D..... ... E.......:F........ ? Valve No ............... .......A........B........ C ........ D.... ... .E...... .. F....... : , ? Auxiliaty equipmenc- No? _ Type?? Location? Test Resuits? 19. Explanazion of any "No" enswers. I (lE) Basement is thp anlv aroa cnrinlrlar_ ' BB Nn nut5111e atA.,n fnM the 6uilding • r7jT6ight 8 Hexntype-s€-aaam=(Farr-Ata ' 20. Recene changes in buildiqq occupancy;or fire prorection equipment. - . , ... i 21. Adjustmenn ot corcections made. , . ' " . 22. Desirabk Improvemenn. - . , BuiTding ehoE.ld ha?rdnlP a enrinklnrs en the rect of fTnen ... ., --............ , _. . ?:. - .. - • Fzplain "No" answers oa Page 1 idltem aYl9 . - ? . ....; ?..,?,?.,.....,.,.?_-..s...?_,?..,.,?.,.?.,_.._..,.,-.-.??.-.. , ;1i, C BIl?Il?Ji'1 AUTOMATIC FIRE PROTECTION ,COMPANY P.0 Bt7A 436, SAVAGE, MINNESOTA 55378 (612) 884-3260 City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 '_;CITY.. nF FAGfaN . 3E334. PILU7 KNOB Ftf)AD L • -EAGRIV ? .?.t.-t ?.{.7?! _. • ? ? n3'r ., ?? Y G?'?.'. NiIYI\4Ll\ ?d IyAA!.. i JtVSPECTIOPJ PER COfJ'fRr',CT woRn cOMPi.Eir_-n -10 DarE LESG F'REVIUIF FF?t'iME1'dTS .+**HMOUNl' DUE_ T'HY S ItJVU2C:E*'i'k -u•?#? 'fOl'AL. JUE INVOICE 0,?;'i?7aQs_??? `- t c'."31 /91. T5 41 TERRY„GI1,?t?!^;? ' , ]? l ` i'? F s f? tt . .. }}+ . . CONrriAcT ariQUN'I' ! COMP1_FZ7E AM"f.CQMPLE7c 9"-i.5O IGi?.OG =`.'.50 _.-------97.5v 100.U0 99.50 $99.50 o:oo $99.50 $99. so al 44-I0 120 o-I :,. "' ' ? .?.. - ? ? ? ` . . . .. .i. ..-/ i;•,;,: ?r,,_.-,,?,?c..?:,, A /? : ?c- /v? ?•- , ? ??? A,.& _ ?- • PLEASE PAY FROM THIS INVOICE MUM , `. 'n REPORT OF INSPECTION [ sHEETl°FZ CO arlson 11986 Riverwood Drive, Inspection Report Conferred With No Tom Weber . AUTOMATIC FIRE PROTECTION COMPANY Burnsville, Minnesota 55337 (612) 8943250 Inspe I Sn 1 ntrac[ No ............ Bureau Filc No REPORT TO ° ' °? "' "' y °" BUILDING OR LOCAT[ON STREET 3501 OBC mdfl Od crrr& sTATE agan, inneso d 55122 INSPECTO? _J• Nelson ATT. ZIP DATE 1. CENERAL ? Y?es I N.A.$ ? No* a. Is the building occupied? b. Is occupaucy same as previous inspection? c. Me all systems in secvice? d. Are all firc protection systems same as ]ast inspection? e. Ishazurdcompletelysprinklered? asemen 011 y f. Are all aew additions :md building changes pmpcrly protected? g. Is all sbck or srorage propedy below sprinkler piping? h. W as property frec of fires since last iuspection7 (Fxplaio any firc on Page 2) i. In areas pcotected by wet sysmm, does ihe huilding appexr to be properly heated in all areas, iocluding blind atGcs, perimc[er areas aud are all exterior opcuings protecicd agaiust en[rance of mld air? 2_ CONTROL VALVES (See Section 16) a. Are all sprinkler system maiu control valves open? b. Are all other valves in proper positlon? c. Are all control valves in guod conditiou and sealed or supervised? L.oe M ed 3. WA1'ER SUPPLIFS (See Section ]7) a. Was a wa[er flow tes[ made and resul[s salisfactory? 4. 5. 6. SPECIAL SYSTEMS (Sce Scction 18) a. Were valves tested as required? b. Were all heat responsive systems lested aod results satisfacmry? c. Were supervisory feaNms tested and results salisfaclory? _ TANKS. PUMPS. FIRB DEPT. CONNBCLIONS x. Are fuc pumps, gcavity tanks, reservoies and pressure (ankc in good condition and properly maintained? b. Are fire dept, con¢eqions in satisfactory cundition, wuplings free, caps in place and check valves qght? WE'C SYSTEMS (See Sectiou 13) a. Are cold weather valvcs open ur closeA as necessary7 6. Have an[i-freeze syecemc been [ested and left in satisfaclory wndilion? c. Are alarm vaWes, water flow indicalors and retards in satisfactory condi4on7 DRY SYSTEMS (See Sec[ion 14) a. Is dry valve in scrvice and in good condilion? C C/`T T flti C T V iS b. Is air prassure and priming wa[er level normal? a Is av compressor in good coudition? d. Were low pnints drained during fall and wintcr inspec[ions? c. Are Quick Opening Devices in service? L Aas piping bee¢ checked for Smppage within pas[ 10 years? g. Has pipi¢g 6een checked for proper pitch within pasl5 years? h. Have dry valves been Irip tested satisfactodly as required? i. Are dry valves adcquately protected from freezing? j. Valve house and heater condition satisfactory? ALARMS a. Water motor and gong tes[ satisfactory9 b. Electric alarm test satisfactory? ( t1L1 c. Supervisory alami service tesl satisfac[ory? SPRINKLERS - P[PINC a. Are all sprinklers in good wnditian, not obstmcted, and free of corrosion or Ioadiug ? c. Arc eztra sprinklcrs readily availablc? b. Are all sprinklers Icss than 50 years old? d. Is condition of piping, drain valves, check valves, hangers, prassure gauges, open sprinklers, strainers satistactory? e. Me all sprinklers of pmper tcmpcrature ratiog? E Are portable fire eztinguishers in good condition? g. Is hand hose on sprinkler syetems salisfac[ory? ;EVEN IS NOT APPLICA 'Explain "No" aoswers on Page 2 $ Not Applicable - ? REPORT OFINSPECTION C arlson AUTOMATIC FIRE PROTECTION COMPANY 72488 Xenwood Avenue, Savage, MN 55378 (612) 8943250 SHEE'P20F2 Inspection Report Inspection Contract Bureau File No............... No .IS.._41 ............ No..... _ ................... 10. Date Dry System Piping last checked for stoppage. 11. Date Dry System Piping last chccked for proper pitch. 12. Date Dry Pipe Valve lasl trip tested. 13. WetSystems: No? One Make and Model? a" Ruttarfl,y, 3° R75PP 14. Dry Systems: No? Make and Modcl? 15. Specixl Systems No? Type Make and Modet? Coudi4on? CONTROL VALVE Open sccured closed sig ns S 16. Na? Type? Ycs Nu Ycs Na Yes Na Yes No Coudition City Connection Control Valve Tank Conhol Vaives Pump Conlrol Valvcs Sec[ional Con[rol Valves System Control Valves - •,. warbxrLUw rESr Water Pressure? CITY PSI TANK PSI FIRE PUMP PSI Water Flow Test? (It none made, WhV?) Test Pipe Localed Size Test Pipe Pressure Before Flow Pressure Pressure ALtee Test Pipe Located Size Test Pipe Pressure Before Flow Pressure Pressure After at Riser 2 ia. neat Kesponsive uevices: iype? '1'ype o[ tesC! ValveNo ............... .. ..A...........B C....... .D...... ..E._.... .. ...F.... ..... ValveNo ..... ............ ..... A....... ...B ........ ...... C..... .....D...... E ... .... F.,.......... ValveNo ............... ..... ..A..........B ....C.............D......E...... ....F___..... ValveNO ............. ... .A...._.. ..B ...C._.... .._D... E ..F.......,. ValveNo ............ . .. ..A...........B ..... .C.......... ..D ....E....... .....F_......_ ValveNo. ,...,...... A...... . B. C.._.. .....D.......... . ..H ....... ....... F.............. ValveNo . .......... .. ........ .... A........... ..B ._C..............D ...8......... .....F............. ValveNo ................. A ...... ..B C.... . ...D_...... . E ....... ....... F_.......... .. Ausiliary equipment: No? Type7 Location? Test Resulcs? 19. 8x lanation of auy "No" aasweis. Afarm is direct to oolicedispatcher. Jpf -IIIRICfIleau. Ivlll r J alca iia? ?rvv ncu?a ? v? ? ???? •.v... 20. Recent changes io building occupancy or fire protection equipment. 21. Adjustmenis or corrections made. 22. Desirable Improvemenis. " Explain "No" answels on Pagc 1 in Itcm #19 pI@X FIRE ALARM TEST/INSTALLATION io - 0a020 o - D/a N43"IMM - ? ? pqGE-OF Simplex Tlme Recorder Co. ACKNOWLEDGEMENT Gardner, MA 01441-0001 U.S.A. eopc. j?7 1 f/ / ? SEO.Y c&# ANCH_ SER/ICEATCU6TONEANUMBEN SRE.WDPFOJECTNO. TtiMPoVRLMTE 1FCOMP.MIIE NpN?81LL SVGCOOE MIH 1R?CT _BF ! ?i ? is?;e.?P ?r /I @ 16 A? t' I"i ? % HNIE INSP.DAIE edI S C U510MEPP.O. M!D/pi C1 6TO?0iC011iNCfI UME?PItlH? IRII,OR^ VF' U j `? ? ?ECOW 5 D ?- O D S LBN-OT TiUV-OT wItLES RDDPE98 WAIIWINTYCOOE l8fi-RRi 1MV.qEO. lBfi-OT TMV-OT FRRIVAL G fY S TATE ?P TLPCOOE L8R-PEQ TPAV-HEQ IH(i-OT TMV-OT UEPAFTUPE L ?J /J ?/? / A? L `l '/ ?'J /?//? . • -• MANUFRC141flER HOOElNO. SF AIK NQ WIXt16dMi.NO. SEW @lCFHO. `rveasiaH?una- PO WER aaewm.wrwnan no. ?ocxenaRe?aw -oeaureocui QOBIEMLMAfY1 ?SEIECINESIGNAIS ?LODm ?PRE-9GNPL O URCE ?Y ?N lbY ?N 6ATTERIES VaTqGEW1iHCHFRGEH0 ONOFM _VOLTS R ew"w'?E "?w^^ow?"?o? E?RMGRd1ND N SETo- zoxETaoua? OUBLE ?Po ?NOTEY- VOLTWrtHWTCHApGENO0W/. _%CHppGEDCO ?(- ? y NDI?ONSIL71IXW ONOIEi LYFIaRM ?1qTE11 ?!/l?ONA OM01E11 MOfiM OMOTES CU?S(TOMFA O/PHiAnnG INSTnUCTI(N19 P?VIDW ttY. ? p STRIn t SqH?T?Iq?E-{ /?- _ /q 111• l ? /i C? !iZ .Pi r ?..7 ? TEL NO. ( , ? WNklUt CI,i FlREAWiMIICBi.4ENO..STAIECFAIIFIC?fIUNN0. r OI? A V! .?? sffrqrAnuirq. TMESU?nDCSUVwen[ouivMexrronnnssrs?wnsresno,wo SIGNALS SOUNDED PER CUSTOMER REQUEST ?wn?rvne'owsoN -uoxm owy m ? Y M:N cusr. iNii. • A• • MF?R SERIRL D?R pppqqElFAgEpEyqFS,NCWpRq??pgp$iVlDUTCMES ANNUNCIATOR S? n, . X, MOLDERS [9t?aw ?mr. 1 ?rare. ?wn ,,,DEL ,I ,C ? ? ?C ( ( Hvnrx+ou?iuM ELEVATOFi NEGLLTOPPoM/JiYFLO0f1 Q , ? hom ?Nore. ?rua FIRE RECALL ?INCNlD ?GM%1M. ?CRT VOLTRGE NO.OFZdlES UNIIbFDMS LTON.T9WATE0.00fl flECP 1 . me Q o ?W+or ?? ? r 5Nwow? ?ratEs ?xiA s.nm?wnnau.rwur ?r Erm . Aux muwvresrCBaB arerase, nnwrror1wno?s: wwo?nsxurooww ?a w HVAC , . Fl1NC110t19 rJ9PoLL5W 11EMDTEACK ?? ` ^ SNUTDOWN ?,j tldn/ ?NOTE• -'DOT'. wrmw?wrau?vuv .L`TV ?N ? • ? ? ? • : ? •' CITY CRYNESPJN6ETOAIwnu OFFlCUlLC01lTACTEO ?. CONNECTtON OR ? noW ? ewre « CFlIIRILYONROItlNG cm?sroHSetornoue? rn.IEccwr 2. STATqN ?wrw ?rare• artoFSemnce asEnvIcE ww.w?oevr.icwrru?sunoH cn.eus?eraicerrtwusrAnoN 3. D THE •OF PEFOPHERAL DEVICES TESTED ARE MODELND. TIEFIXLON4IGTMMSPOIIOEF6 r?umnk?sr ITEM PRODUCTI.D. QTV. INV.I.OC./SEd NC SC. UNRPRICE TOTkND ? i°?' ovoEVCEII rww xsrea Ho.acxrxonsiESr? wcnna+ 1are? ? 1 mems :3 _j POW9i81PPlYVJLTM£N?IE? LOCN110N NOTEII 1N.TRIEIOP4 ? C- ?? ? w /5 /S ? «a ? C1U1qtliVOLTA0EN0TE? LOCA1qN lq1E? 3 .YIIILt1N8 ? _ _ / ,/ _ ?XdW ONd1NOFMAT NDTE? LOC?1qN ' NDIE? WCf0E19AW = ? ? ?v ?x N,,N,?? &TIEAEEWLTME NOIEt LOCNl10N NDTEt - - - ? NORM FpM5TE3?ED NOTEt LOGMIN NOTEt pIIiIES - - ?raiw 8 sr?ueissr _ - - omEn rwrer wcanon nmeS xJIlliEvu 7 PRIMEAS NOTES CRf'S NDIEII OTIpi NOTEII ?? --- ?Y ?N OY ?N _ - ml? - FAILURES D SYSTEM DEVIATIO ' O • A STANDA RDS: M None N As Follo • - • . fully) RFJ.ATEO TR flflATEO CALL I .. rao?s.?cooE a?w?ux -aos?wre ?rv.oa?r? .asn- ? - llbE COMIWUAIqN SIIHTAOV-0X2 M-662-9 8-91 AUTHORITY HAViNG JURISDICTION ? ? S,SimpleK 4002 Fire Alarm installation and Operating Instructions uPyehlPV?l zot,_ EnT,yfew? ?PUr. r pV ?T S+w'?C E nf?? , ii ? Upy.r ?r?J f/?v - . . i•? , ?Sr yf?,? itC? / ? k i'I`•fl le v!l F , ?p?ty??'F Sc?. d? ? ?5n;? QfiC old r+e,h ?rN aek„a PAh./ rjo,tT Smoke? E 1995 $,mpier lime RecorCer Lo Nil specit¢atans aM o1iMr mlomutwn slqwn were Nue^: d5 0l P^`:a`.: ^ nv ={ e..^:.. .. . .-?. , l.• ? 3 t? S b 7 ? ?Q FA4-21-751 (574-009) Ed 3 95 ? CEC/MN FIRM OF THE YEAR - 1993 October 26, 1994 Mr. Bill Adams Plumbing Inspector City of Eagan 3830 Pilot Knob Road Eagan, Minnesota 55122 RE: Domestic/Fire Water Service Eagan City Hall BKBM Job No. 94277.16 Dear Mr. Adams: Bit PROFESSIONAL ENGINEERS 219 North Second Street miu Minneapolis, MN 55401-1460 (612) 333-7101 Fax: (612) 342-9482 During our telephone conversation on Wednesday, October 12, 1994, you had mentioned that the existing combined 6" fire protection/2" domesric water service may be reused since the Eagan City Hall is an existing building. You mentioned this knowing that reusing the existing 6" fire protection/2" domestic service would be a variance from Code. Code requires that a combined service be four dmes greater diameter than the domesdc water service. BKBM discovered that the minimum static pressure in the 12" main on Wescoft Road is 61 psig. The minimum required pressure to serve sprinklers on the upper level is 37 psig. This leaves 24 psig for line losses. BKBM believes this is acceptable. Due to our October 12, 1994 telephone conversation and the pressure available in the main, BKBM will reuse the existing 6" fire protection/2" domestic water service as is. Ii you have any questions, piease ieelfree [o contac[ me. Sincerely, BAKKE KOPP BALLOU & McFARLIN, INC. i1 t-ify U, C 6V, 11-? " Sateesh V. Cherukuri, P.E. svc:j cc: Dan Weatherman - Thorbeck Architects, LTD. czwa?svc Direct Line: 342-9466 BAKKE KOPP BALLOU & McFARLIN, INC. An Equal Opportuniry Employer J U N- 2 1 - 9 4 T V E 1 S : 2 B T H Q R 8 E C K A R C H I T E C T S L T D P.01 CUDE REVVIE'W SA(3AAI C1TY HALL UaldwB OCCUPANCY pROUPS: COD85: 1940 M9aneseta Building Code 1988 Un?rnm B ' ' Lodt 82 LYry Ftal! A3 Council Chambers &Commynity goom BU,R,DIIdt3 AREA: LzwerLvet 8,195 SP Entry Leve! 13,171 SF UpperLevel 13.1?5 sR 35,211 Sp g2 OPltce Areas 31.711 SF A3 Crnmcfl Chambers! Community Room 31500 SF CONS'I4tUCTiON (UBC Table 17•A) u:K 8rct. Searing Walls N 1nt. $cazing Walls N $xt, Non-Besring walls N Sauctural Frame N PemiaAent F'Srtitipns N Shaft Encloeures 1 Floors-CIgsJFlom N Roofs-C18sJRaofs N ExL L)oors dc Wdwa. N Exterior Non-Bearing Walls ate of Unppbected Non-Com6uamble Consdvccian CUaidors: 14irfire rosisdVe 7uno 17,1994 A39UMffi.4 IOLICS AND CY1`Y HALL BEPARATS BUIIDINGS CONSCRUCITON TYPE II-N ALW WAISLE ARSAS: $ASTC NBC Ta61s S-C) 82 18,000 9P A3 i9,500 SF AZd.QWABLE ARSA 24CRSASES: Fer'I?xm, ries (p8C SOS (b)) 82 18,006 x 2. 36.000 SP For 4eesrAtiem en Theea jjdM ggC $06 (a) 2} 82 36.OO0 x 2- 72,000 SP Fer Aie.m,ntie sQ 'bnklqn S)Mram NHC 306 Ic1) sa 72,000 sa x z. 144,000 sp RATIOS 82 97,711 / 144,000• .22D2 A3 3,500 / t3X0 - = Totel . ,4795 a 1 oCCVparrCY s2paRaztotvs (USCxabks8): 82/A9 - NOna Post-It"brand fax transmittal memo 7671 I dorpeaes ? i ? ?w- ?ww^ w?ar?r.w • i .. .. r. ..., ».,ir. .. ..nm....ro..e .. ? . ? ? ro . ...n,,.:?n.y.,,,i.:..,..w.i..c..?..,...w R=979a 6128718088 06-21-94 03:28PM P001 #06 06-12795 04:02PM FROM CITY OF EAGAN 1+ i , ---?._1dty ofaegon ? ?>r; ?1l82 ?i? ! . i• ; i,'.?? ,; . '. . . : ? x,;,! •,r?, Eing Wmfiiiil€ii fit rheckj I*InR: s: ?di' l?pbl?Ml{6M P001/005 CI'fY OF FACAIV 3830 Tl1AT KNOn Rt1Ap BJICAN, MtNNFSOtA SSt2Z Ulfire # (612) 681-4Gnn TI?p ? (612) 45053c Fa: ? (612)RRI-4612 1)A'1'F. L // z-/g5 77117F? ? # vir r.prx io ? /? / 6 _? ? ur? ._ fFor'labt lflik For it@r{tR Re Camnienl s ? 11ish PHorily PKIL w tv ci v fi i+NsG eMYwr 1Maif r+c lranamseba biha ohovs oddrMSwa. If you did nol tecefve all of the papns in pnnd aaWGon, piease ?ontad us, thsnk you. ntE LoriE onK TREE,,. T{IE SYMBM OF HtRF.NOt11 AND 6ROWT{I 1N OIfR COMMUNIIY ' Eqwl OppafuMlrlAlllrmelive 11cport Emalover TO MAINTENANCE ._ . i C9 vP? /00 06-121-95 04:02PM F&OM CITP OF EAGAN TO MAINTENANCE P002/005 SUN-12W93 MQIN 13488 THORHECK ARCHITeCTB LTD p.01 I ?VY? 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R-B79G I 27 OB'12-88 03:I4PM P002 405 , 06,12-95 04:02PM --FBQM C.1TP OF EAGAN TO NA]NTENANCF ?005/005 ' UN-12-93 M0ilN 1 S 9718 THORHECK q IT T3 LTD aP.03 JUN- $-95 rsa ir.o5 pt V, (EAGAN) ref Ru, ?UFcFl,uL uuF , A N ' . o Cf1t OT EWAIA3V - ! M+?LL PA4Ni? MWUW= ?'{i'??Ipu? aA ?- ,?'. ?lOOf?? 8W L•I?W? _ _ ATFN: pkm r&yW 1ho &ll?vrio? BtPI omd tapbK ?.. lw a6•. Ur 41 •/?" ? W DYI Defle9' ?'?? ? 27 06-12-G5 03:15PN P003 liUB ir, Multi-Year Energy Consumption Analysis April 5, 1991 Organization Name: Eagan, City Of Organization ID: Building Name : Municipal Center Building ID . ------------------------------------------------------------------------- Energy Use Data Normal Heating Degree Days: 8114 Reported Weather Fuel Elec Total Fuel Elec Total Year Sqft Factor MMbtu MMbtu MMbtu Cost Cost Cost 83-84 27726 0.978 1675 1228 2903 8963 26916 35879 84-85 27726 1.080 1623 1658 3281 8513 36403 44916 85-86 27726 0.974 1668 1709 3377 7940 37074 45014 86-87 27726 1.196 1313 1849 3162 5520 39137 44657 87-88 27726 1.086 1485 2003 3488 6273 41807 48080 88-89 27726 1.037 1759 2051 3810 7308 42625 49933 89-90 27726 1.092 2205 2316 4521 8904 48717 57621 -------- -------- ---------- --------- ------- ------ ---------------- ----- MBtu per ---------- SqFt ----- State Your C hange From Normal ized Energ y Usage Bu ilding Average Usage First Year Mbtu ------ per Square ---------- Foot ------- Year ----- Type ---- (S) ------- (X) -------- Usage ---------- 180 -- 83-84 PUB 108.07 103.37 x 84-85 PUB 109.96 123.02 +19.00q 85-86 PUB 101.73 120.23 +16.31q 86-87 PUB 103.51 123.33 +19.30% X 87-88 PUB 105.18 130.41 +26.15% X 88-89 PUB 100.47 139.76 +35.20% X X X 89-90 PUB 94.66 170.38 +64.82qe S S S S X S 90 - - ------ ---------- S ------- ? 83 84 85 86 87 88 89 84 85 86 87 88 89 90 . 1316 County : Dakota 1316001 Current Building Type: PUB ---- ----------------------------------- Projected Annual Costs at 1983-1984 Consumption Levels ? ---- Fuel --- ---- Elec --- --- Total --- Proj. Saved Proj. Saved Proj. Saved 7956 -557 26962 -9441 34918 -9998 8006 66 26639 -10435 34646 -10368 5758 238 25993 -13144 31751 -12906 6372 99 25631 -16176 32003 -16077 6563 -745 25521 -17104 32084 -17849 6058 -2846 25831 -22886 31889 -25732 ------------------------------------------------- -- $/SqFt -- Your State Cost Average (X) (S) Cost per Square Foot ------------ ----------------------- 1.29 0.90 X -- 2.09 1.62 1.01 1.62 0.86 X X 1.61 0.$1 X X X 1.73 0.87 1.80 0.86 X 2.08 0.81 S S S S S S S -- 0.81 ----------------------- ? ? ? ? ? ? ? 83 84 85 86 87 88 89 84 85 86 87 88 89 90 MINNESOTA ??? ? APR I I 1991 Department of J'?! _ Public Service 790 Am«ican cencer Apfll 1991 150 East Kelloyy Boulevard St. Paul, Minnesota 55101-1496 (612) 296-7107 D2af $If/M1d8111: FAX (612) 297-1959 Thank you for submitting the fuel and electric consumption data for your building(s). From this iriformation, we have generated the enclosed muki-year energy cost and consumption report(s). This multi-year analysis provides a summary of your building's annuai energy use for each year of reported data, and compares each buiiding's energy use and energy cost to a state average for that building type. A detailed explanation of the mufti-year analysis report is also enclosed. We hope this analysis is usefui to you in ident'rfying buildings with the greatest conservation potantial. Buildings with energy consumption above state averages obviously merit further scrutiny. However, buildings with consumption at or below the average may still have great potential for cost-effective conservation measures. State averages are benchmarks of existing condkions and include many older and inefficient structures. While tracking your energy consumption and cost is an important first step to increasing energy efficiency in your buildings, other programs are also available to reach your energy conseroation goals. The Department of Public Service offers an 809'o grant for a maxi-audit that will identify conservation opportunities in your buildings. Low-interest energy loans (as low as 4%) are available to implement the measures identified. If you have any questions about the analysis of your building(s) or any questions about grant and loan programs, please contact Susan Medhaug at (612) 297-2103. Sincerely, -Z? Mike Roelofs, Manager Energy Analysis & Support P. S. If some of the information in the enciosed report appears to be incorrect, it may indicate a change in building function, or a possible error in data processing or reporting. Please contact our office about reconciling any information that appears to be inaccurate or incomplete. AN EOUAL OPPOFiTUNITY EMPLOYER Printed on Fiecycled Paper to Save Energy .41W 006 Multi-Year Energy Consumption Analysis Summary Description Building Data Section This section (top of page) identifies the organization name and number, building name and number, county location and current buiiding rype. - Energy Use Data Secfion The upper left portion of the analqsis contains the data reported ori the Fuel and Electric Consumptiori Report (F&E). Year - There is one Iine for each of the past seven fiscal years with data. If a line is blank, it means we didn't receive the F&E, or were unable to process it due to inaccurate or incomplete data. Reported Sqit - This is the reported gross floor area of the building. Weather Factor - The weather factor provides a measure of the relative weather conditions for a specific year. A number larger than 1 means the year was warmer than normal, and a number less than 1 means the year was colder than normai. By multiplying the weather factor times the Fuel MMbtu, you can compare fuel consumption of different years as if they had occurred under the same weather conditions. This process is called normalization. Because studies have shown that fuel consumption is largely weather dependent, and electrical consumption is only slightly weather dependent, the normalization process is only applied to the fuel consumption. Fuel. Elec and Total MMbtu (million Btu) - These values are derived from the consumption irformation reported on the F&E. The reported usage is converted to MMbtu to provide a standard for comparing different types of energy usage. Fuel. Elec and Totai Cost - These are the actual costs from the F&E Proiecied Annual Costs The upper right portion of the analysis presents projected annual costs for each year. In effect, these are the base year consumption levels multiplied by the cost per MMbtu in each of the following years. Weather conditions are accounted for by adjusting the base level fuel consumption according to the weather factor for each of the following years. After the projected annual costs are calculated, they are compared to the actual costs incurred during that year. The saved column presents the projected annual cost minus the actual cost. A positive value indicates savings, while a negative value indicates a relative increase in consumption. Consumption and Cost Index Section Tnis section, located across the bottom of the page, compares individuai building consumption and cost with statewide averages for that building type. All comparisons are made on a"per square foot" basis. Year - This is the year of reported data. Buildina Tvpe - This is the reported building rype for the year of reported data. Mbtu/Sqft - State Averaqe (S) - These are normalized values (Thousand Btu/Sqft) for the specific building type. In order to make a direct comparison of the state average with an individual building, the state average must be determined on a Btu/Sqft/degree day basis. It is then multiplied by the normal degree days for your region. This allows you to compare your consumption and cost with the state average as if they had occurred under the same weather conditions. Mbtu/Sa.ft - Your Usage (X) - This is the total energy usage for your building divided by the gross floor area, Uke the state average, the heating fuel use was normalized to reflect average weather conditions. Mbtu/Saft - Change in First Year Usage - This is your normalized building energy use hc ange from the base year level. A negative value shows a decrease in consumption, white a positive value indicates an increase in consumption. $/Sqft - Your Cost LX) and State Average Cost (S) - These values are total energy cost divided by gross floor area, both for your individual building (X), and the statewide sample of similar buildings (S). Graph - Normalized EnergkUsacLe - This graph simply plots Mbtu/Sqft, both state average (S) and your usage (X), for each of the past fiscal years with accurate and complete data. It provides a visual comparison of your historical energy consumption with the state average. Graph - Cost oer Square Foot - This graph plots the $/Sqft values for your building and the state average, similar to the normalized energy usage graph described above. It provides a visual comparison of your historical energy costs with the state average. Special Note A detailed description of the specific calculations invoived, and/or a table listing conversion factors for all fuels and electricity can be obtained by calling Nary Avila at (612) 296-8490. SLmanazy of Reported Ehergy Use in Your Buildirqs for the 1989-1990 Heating Season Ozyanization Name: Eagan, City Of Number: 1316 Page: 1 -- Ptimaty FYiel - - Se=da iy F1e1 - - Electricity - 7bt al Huilding Na1ne Nmtu/ScIFt Cost/Sqft M:Ytu/ScIF't Cost/ScIF't NIlDtu/S4I''t Oost/S4Ft nDtL/SIFt Cost/S1Ft MuniCipal Center 86.85 0.32 83.51 1.76 170.37 2.08 Huilding Type: ATB (1316001) Pub Works Garage 56.26 0.21 20.12 0.44 76.38 0.65 Building Type: GAR (1316003) Fire Hall #1 157.30 0.62 37.28 0.75 194.59 1.37 Building Type: AJB (1316004) Fire Hall #2 120.60 0.48 17.35 0.33 137.95 0.81 Building Type: HTB (1316005) Fire Hall #3 79.68 0.34 34.29 0.63 113.97 0.97 Building Type: PUB (1316007) Fire Adni.n Bldg 107.05 0.43 49.76 1.10 156.80 1.53 Buildirxg Type: PUB (1316008) Averages (normalized for Dakota County) Bui.lditx3 Types: PUB PUBC EOtJC GAR HOSP ISQ PUMP REC RES NDotU/SqF't: 94.66 191.89 133.07 87.89 228.80 122.20 236.89 95.79 109.95 Cost/SqFt: 0.81 1.48 0.71 0.61 1.41 1.48 2.36 0.77 0.81 Simmiary of Reported Enexyy Use in Your Buildings for the 1989-1990 Heatirlg Season Organization Name: Eagan, City Of Nimiber: 1316 Page: 2 - primazy Fuel --- - Seconda ry F1ie1 - -- Electricity - Zbt al Building Name I+BDtu/s4Ft Cost/Sqft NDtLl/ScIFt Cost/S9Ft Mytu/S4Ft Cost/ScIFt M:Ytu/SqFt Cost/S4Ft Water Treatrmazt Plant 94.41 0.35 473.17 6.63 567.58 6.98 Buildirig Type: P[AfP (1316009) Park Bldg-Rahn Park 170.22 0.74 65.07 1.21 235.29 1.95 Building Type: REC (1316010) Park Bldg-Goat Hill 116.16 0.50 32.17 1.13 148.33 1.62 Huildimg Type: REC (1316011) Park Bldg-Trdpp Fv.1n 150.41 0.62 5.79 0.20 156.20 0.82 Building Type: REC (1316012) Fire Station #4 109.91 0.43 27.78 0.58 137.69 1.00 P+,; lding 'Iype: AJB (1316013) Fire Station #4 79.86 0.32 14.52 0.31 94.37 0.64 Building Type: R7B (1316014) Averages (normalized for Dakota Cauity) Buildinq Types: AJB PUBC IDUC GAR H06P ISQ PUMP REC RES N2Dtt1/SqFt: 94.66 191.89 133.07 87.89 228.80 122.20 236.89 95.79. 109.95 Cost/SqFt: 0.81 1.48 0.71 0.61 1.41 1.48 2.36 0.77 0.81 (0 0220o Ol Z ZCo Multi-Year Energy Consumption Analysis April 19, 1990 Organization Name: Eagan, City Of Organization ID: Building Name : Municipal Center Building ID . ------------------------------------------------------------------------- Energy Use Data Normal Heating Degree Days: 8114 Reported Weather Fuel Elec Total Fuel Elec Total Year Sqft Factor MMbtu MMbtu MMbtu Cost Cost Cost 82-83 83-84 27726 0.978 1675 1228 2903 8963 26916 35879 84-85 27726 1.080 1623 1658 3281 8513 36403 44916 85-86 27726 0.974 1668 1709 3377 7940 37074 45014 86-87 27726 1.196 1313 1849 3162 5520 39137 44657 87-88 27726 1.086 1485 2003 3488 6273 41807 48080 88-89 27726 1.037 1759 2051 3810 7308 42625 49933 ----------------------------------- ------- ------- -------------- ----- MBtu per ----------- SqFt ----- State Your Change From Normalized Energy Usage Bu ilding Average Usage First Year Mbtu per Square Foot ----------------------- Year ----- Type ---- (S) ------- (X) ------- Usage ----------- 140 -- X 82_$3 PUB N/A 83-84 PUB 108.07 103.37 X 84-85 PUB 109.96 123.02 +19.00% 85-86 PUB 101.73 120.23 +16.31% X X 86-81 PUB 103.51 123.33 +19.30% X 87-88 PUB 105.18 130.41 +26.15% 88-89 PUB 100.47 139.76 +35.20% S S S 100 -- X S S S ----------------------- I I I I I 1 1 82 83 84 85 86 87 88 83 84 85 86 87 88 89 1316 County : Dakota 1316001 Current Building Type: PUB -------------------------------------------------- Projected Annual Costs at 1983-1984 Consumption Levels ? ---- Fuel --- ---- Elec --- --- Total =-- Proj. Saved Proj. Saved Proj. Saved 7956 -557 26962 -9441 34918 -9998 8006 66 26639 -10435 34646 -10368 5758 238 25993 -13144 31751 -12906 6372 99 25631 -16176 32003 -16077 6563 -745 25521 -17104 32084 -17849 ------------------------------------------------- -- $/SqFt -- Your State Cost Average (X) (S) Cost per Square Foot ------------ ----------------------- N/A X -- 1.81 1.29 0.90 X 1.62 1.01 X X X 1.62 0.86 1.61 0.81 X 1.73 0.87 1.80 0.86 S S S S S S - - -------------------- ? ? ? ? ? ? ? 82 83 84 85 86 87 88 83 84 85 86 87 88 89 -- 0.81 :. 0 MINNESOTA Department of Public Service L2APR 0 W MINNESOTA 1990 Energy Division (612) 296-5120 Dear Sir/Madam: April 19, 1990 900 American Center 150 East Kellogg Boulevard SL Paul. Minnesota 55101 Recently, you submitted fuel and electric consumption data to our office for one or more of your organization's buildings. From this data, we have generated the enclosed multi-year energy cost and consumption report(s). The multi-year analysis presents a building's annual energy use for each year reported, and compares it to the first year of reported data and to state averages for that building type. A detailed explanation of the information presented is also enclosed. By illustrating trends in energy consumption, this analysis can be useful to you in identifying buildings with the greatest conservation potential. Buildings with energy consumption above state averages normally merit further scrutiny. However, differences in age, size and use of buildings may explain some variances from state averages. Comparisons among your own buildings and to previous years' energy use may be a better indicator of conservation potential. Monitoring your energy consumption and cost is an important first step to increasing energy efficiency. The Energy Division can also help you to set goals for energy conservation, and provide the funds you need to meet those goals. Through the Cost-Share Maxi-Audit Grarrt Program, you can obtain an 80% grant to identify conservation opportunities in your buildings. And a low-interest Energy Investmerrt Loan can finance the cost-effective energy investments that are identified. For more information regarding these programs, call (612) 297-2103. We wish to thank you for your continued cooperation in providing your energy use data. If you have any questions about the multi-year analysis or have corrections to the information presented, please contact Naty Avila at (612) 296-8490. Sincerely, Brian E. Pierzine Engineering Analysis Manager Energy Division Enclosures AN EqUAL OPPORTUNITY EMPLOYER . .? eo Multi-Year Energy Consumption Analysis Summary Description Buiiding Data Section This section (top of page) identifies the organization name and number, building name and number, county location and current building type. Energy Use Data Section The upper left portion of the analysis contains the data reported on the Fuel and Electric Consumption Report (F&E). Year - There is one line for each:of the past seven fiscal years with data. If a line is blank, it means we didn't receive the F&E, or were unable to process it due to inaccurate or incomplete data. Reported Saft - This is the reported gross floor area of the building. Weather Factor - The weather factor provides a measure of the relative weather conditions for a specific year. A number larger than 1 means the year was warmer than normal, and a number less than.l means the year was colder than normal. By multiplying the weather factor times the Fuel MMbtu, you can compare fuel consumption of different years as if they had occurred under the same weather conditions. This process is cailed normalization. Because studies have shown that fuel consumption is largely weather dependent, and ele.ctrical consumption is oniy slightly weather dependent, the normalization process is only applied to the fuel consumption. Fuel. Elec and Total MMbtu (million Btu) - These values are derived from the consumption information reported on the F&E. The reported usage is converted to MMbtu to provide a standard for comparing different types of energy usage. ' Fuel. Eiec and Total Cost - These are the actual costs from the F&E. Profected Annual Costs The upper right portion of the analysis presents projecteci annual costs for each year.. 'In effect, these are the base year consumption levels multiplied by the,cost per MMbtu in each of the following years. Weather conditions are accounted for by adjusting the base level fuel consumption according to the weather factor for each of the following years. After the projected annual costs are calculatetl, they are compared to the actual costs incurred during that year. The saved column preserrts the projected annual cost minus the actiaal cost. A positive value indicates savings, while a negative value indicates a relative increase in cenaumption. C,insumption and Cost lndex Section This section, located across the bottom of the page, compares individual building consumption and _cost with statewide averages for that building rype. All comparisons are made on a"per square foot" oasis. Year - This is the year of reported data. Buildina Tvoe - This is the reported building type for the year of reported data. Mbtu/Sqft - State Average (S) - These are normalized values (Thousand Btu/Sqft) for the specific building type. In order to make a direct comparison of the state average with an individual building, the state average must be determined on a Btu/Sqft/degree day basis. It is then multiplied by the normal degree days for your region. This allows you to compare your consumption and cost with the state average as if they had occurred under the same weather conditions. Mb?S?cft - Your Usaqe (XQ - This is the total energy usage for your buitding divided by the gross floor area. Like the state average, the heating fuel use was normalized to reflect average weather conditions. Mbtu/Sqft - Change in First Year Usage - This is your normalized building energy use hc an2e from the base year level. A negative value shows a decrease in consumption, while a positive value indicates an increase in cohsumption. S/Sqft - Your Cost (X) andState Averac,e Cost (S) - These values are total energy cost divided by gross floor area, both for your individual building (X), and the statewide sample of simiiar buildings (S). • Graph - Normalized Enerqy Usagg-This graph simply plots Mbtu/Sqft, both state average (S) and your usage (X), for each of the past fiscal years with accurate and complete data. It provides a visual comparison of your historical energy consumption with the state average. Graph - Cost per Sq,uare Foot - This graph plots the $/Sqft values for your building and the state average, similar to the normalized energy usage graph described above. It provides a visua.l comparison of your historical energy costs with the state average. 5pecial Note Adetailed description of the specific calculations involved, and/or a table listing conversion factors for all fuels and electricity can be obtained by cailing Naty Avila at (612) 296-8490. Summary of Reported Energy Use in Your Buildings for the 1988-1989 Heating Season Organization Name: Eagan, City Of Number: 1316 Page: 128 --- Primary Fuel --- . Building Name Mbtu/SqFt Cost/Sqft Municipal Center 65.79 0.26 Building Type: PUB (1316001) Pub Works Garage 66.33 0.26 Building Type: GAR (1316003) Fire Hall #1 143.74 0.58 Building Type: PUB (1316004) Fire Hall #2 134.90 0.54 Building Type: PUB (1316005) Fire Hall #3 111.08 0.47 Building Type: PUB (1316007) Fire Admin Bldg 118.72 0.48 Building Type: PUB (1316008) Averages (normalized for Dakota County) Building Types: PUB Mbtu/SqFt: 100.47 Cost/SqFt: 0.86 -- Secondary Fuel -- --- Electricity --- ------ Total ------ Mbtu/SqFt Cost/SqFt Mbtu/SqFt Cost/SqFt Mbtu/SqFt Cost/SqFt --------------------- --------------------- --------------------- 73.97 1.54 139.76 1.80 19.54 0.43 85.86 0.69 26.36 0.56 170.10 1.14 19.35 0.36 154.24 0.90 23.28 0.44 134.36 0.91 59.28 1.28 178.00 1.75 PUBC EDUC GAR HOSP LIQ PUMP REC 171.65 102.02 96.10 215.53 118.54 279.87 88.41 1.15 0.68 0.62 1.48 1.47 2.81 0.72 Summary of Reported Energy Use in Your Buildings for the 1988-1989 Heating Season Organization Name: Eagan, City Of Number: 1316 Page: 129 --- Primary Fuel --- -- Secondary Fuel -- --- Electricity --- ------ Total ------ Building Name ---------------------- ---------------------- Mbtu/SqFt ----------- ----------- Cost/Sqft ---------- ---------- Mbtu/SqFt Cost/SqFt Mbtu/SqFt --------------------- ---------- --------------------- ---------- Cost/SqFt ----------- ----------- Mbtu/SqFt ----------- ----------- Cost/SqFt ---------- ---------- Water Treatment Plant 108.86 0.42 450.52 6.57 559.38 6.99 Building Type: PUMP (1316009) Park Bldg-Rahn Park 178.64 0.79 70.23 1.29 248.87 2.07 Building Type: REC (1316010) Park Bldg-Goat Hill Pa 121.86 0.50 36.55 1.26 158.41 1.76 Building Type: REC (1316011) Park Bldg-Trapp Farm P 155.34 0.64 5.61 0.18 160.95 0.82 Building Type: REC (1316012) Fire Station #4 133.18 0.54 16.11 0.33 149.29 0.86 Building Type: PUB (1316013) Fire Station #4 85.27 0.36 7.37 0.17 92.64 0.52 Building Type: PUB (1316014) Averages (normalized for Dakota County) Building Types: PUB PUBC EDUC GAR HOSP LIQ PUMP REC Mbtu/SqFt: 100.47 171.65 102.02 96.10 215.53 118.54 279.87 88.41 Cost/SqFt: 0.86 1.15 0.68 0.62 1.48 1.47 2.81 0.72 ', I c? DzzDO oi 2 Z(V Multi-Year Energy Consumption Analysis Summary Description Buildina Data Section This section (top of paqe) identifies the organization name and number, building name and number, county location and building type. Eneray Use Data Section The upper left portion of the analysis contains the data reported on the Fuel and Electric Consumption Report (F&E). Year.- There is one line for each of the past seven fiscal years with data. If a line is blank, it means we didn't receive the F&E, or were unable to process it due to inaccurate or incomplete data. Reoorted Sqft - This is the reported qross floor area of the building. Weather Factor - The weather factor provides a measure of the relative weather conditions for a specific year. A number larger than 1 means the year was warmer than normal, and a number less than 1 means the year was colder than normal. By multiplying the weather factor times the Fuel MMbtu, you can compare fuel consumption of different years as if they had occurred under the same weather conditions. This process is called normalization. Because studies have shown that fuel consumption is largely weather dependent, and electrical consumption is only slightly weather dependent, the normalization process is only applied to the fuel consumption. Fuel, Elec and Total MMbtu (million Btu) - These values are derived from the consumption information reported on the F&E. The reported usage is converted to MMbtu to provide a standard for comparing different types of energy usage. Fuel. Elec and Total Cost - These are the actual costs from the F&E. Proiected Annual Costs The upper right portion of the analysis presents projected annual costs for each year. In effect, these are the base year consumption levels multiplied by the cost per MMbtu in each of the following years. Weather conditions are accounted for by adjusting the base level fuel consumption according to the weather factor for each of the following years. After the projected annual costs are calculated, they are compared to the actual costs incurred during that year. The saved column presents the projected annual cost minus the actual cost. A positive value indicates savings, while a negative value indicates a relative increase in consumption. Consumption and Cost Index Section This section, located across the bottom of the page, compares individual building consumption and cost with statewide averages for that building type. All comparisons are made on a"per square foot" basis. Mbtu/Saft - State Averaae (5) - These are normalized values (Thousand Btu/Sqft) for the specific building type. In order to make a direct comparison of the state average with an individual building, the state average must be determined on a Btu/Sqft/degree day basis. It is then multiplied by the normal degree days for your region. This allows you to compare your consumption and cost with the state average as if they had occurred under the same weather conditions. Mbtu/Saft - Your Usaae fXl - This is the total energy usage for your building divided by the gross floor area. Like the state average, the heating fuel use was normalized to reflect average weather conditions. Mbtu/Saft - Chanae in First Year Usage - This is your normalized building energy use chanae from the base year level. A negative value shows a decrease in consumption, while a positive value indicates an increase in consumption. S/Saft - Your Cost fX) and State Averaae Cost fSl - These values are total energy cost divided by gross floor area, both for your individual building (X), and the statewide sample of similar buildings (S). Granh - Normalized Enerav Usaae - This graph simply plots Mbtu/Sqft, both state average (S) and your usage (X), for each of the past fiscal years with accurate and complete data. It provides a visual comparison of your historical energy consumption with the state average. Graoh - Cost oer Scruare Foot - This graph plots the $/Sqft values for your building and the state average, similar to the normalized energy usage graph described above. It provides a visual comparison of your historical energy costs with the state average. SAecial Note A detailed description of the specific calculations involved, and/or a table listing conversion factors for all fuels and electricity can be obtained by calling Naty Avila at (612) 296-8490. 10 ozzoa o(z zco Multi-Year Energy Consumption Analysis July 1, 1988 Organization Name: Eagan, City Of Organization ID: Building Name : Municipal Center Building ID . ----------------- - ------------------------------------------- - --------- Energy Use Data Normal Heating Degree Days: 8114 Reported Weather Fuel Elec Total Fuel Elec Total Year Sqft Factor MMbtu MMbtu MMbtu Cost Cost Cost 80-81 81-82 82-83 1316 County : Dakota 1316001 Building Type: PUB -------------------------- Projected Annual Costs I at 1983-1984 Consumption Levels I ---- Fuel --- ---- Elec --- --- Total --- Proj. Saved Proj. Saved Proj. Saved 83-84 27726 0.978 1675 1228 2903 8963 26916 35879 84-85 27726 1.080 1623 1658 3281 8513 36403 44916 7956 -557 26962 -9441 34918 -9998 85-86 21726 0.974 . 1668 1709 3377 16753 31074 53827 16892 139 26639 -10435 43532 -10295 86-87 27726 1.196 1313 1849 3162 5520 39137 44657 5758 238 25993 -13144 31751 -12906 ----- Mbtu per SqFt ----- -- E/SqFt -- ----- --------- State Your Change From Your State Normalized Energy Usage Year Average Usage First Year Cost Average Mbtu per Square Foot -- -- - - - (S) (X) Usage (X) (S) Cost Per SQuare Foot 130 - - S 80-81 N/A N/p - - ------ - - ------ X ----- - - 1.95 81-82 N/A N/q X 82-83 N/A N/A g 83-84 128.22 103.37 1.29 1.10 X X 84-85 113.93 123.02 +19.00% 1.62 1.02 S 85-86 118.27 120.23 +16.31q 1.94 1.05 86-87 125.95 123.33 +19.30q 1.61 0.99 x ioo -- I X SO 81 82 83 84 85 86 81 82 83 84 85 86 87 s s s s I V_VTT_F_f -T 80 81 82 83 84 85 86 81 82 83 84 85 86 87 -- 0.99 l U o zzcx? ? ? Z Z?, •? Summary of reported energy use in your buildings for the 1986-1987 heating season Organization Name: Eagan, Number: 1316 City Of Page: 1 -- Prima ry Fuel --- -- Secondary Fuel -- --- Electricity --- ------ Total Building Name: Mbtu/SqFt Cost/Sqft Mbtu/SqFt Cost/SqFt Mbtu/SqFt Cost/SqFt Mbtu/SqF t Cost/SqFt Municipal Center 56.65 0.20 66.68 1.41 123.33 1.61 Building Type: PUB Pub Works Garage 2.98 0.01 Very low usage. 13.99 0.38 16.97 0.39 Building Type: GAR Fire Hall #1 116.71 0.42 26.46 0.74 143.17 1.15 Building Type: PUB Fire Hall #2 126.61 0.45 6.13 0.25 132.15 0.70 Building Type: PUB Fire Hall #3 77.17 0.29 18.84 0.37 96.01 0.66 Building Type: PUB Fire Admin Bldg 93.35 0.34 44.11 1.03 137.46 1.37 Building Type: PUB Water Treatment Plant 99.98 0.35 388.54 1.74 488.52 8.10 Building Type: PUMP Averages (normalized f or Dakota County) Building Types: PUB PUBC EDU GAR HOSP LIQ PUMP REC Mbtu/SqFt: 12 5.95 174.95 191.95 100.64 235.53 129.72 339.62 169.06 Cost/SqFt: 0.99 1.08 0.87 0.66 1.48 1.50 3.20 1.35 , . ? ------ - - ? FUEL AND ELECTRIC CONSUMPTION REPORT: FY 193.?-?. TO 19-U.. Complete one form Iar exh buildinp A BUILDING NAME NAME OF ORGANiZAT10N DATE Munici al Center * New Since 1979 Cit of Ea an BUiLDING a0DRE55 ADDAESS 3830 Pilot Knob Road 3830 Pilot Knob Road GTV COUNTV ZIP COOE CITV COUNTV 21P CODE Ea an Dako[a 55122 Ea an Dakota 55122 O FLOOq qqEA IN SQUARE FEET CONTACT PERSON TEIEPMONE 7 p 27 726 s. ft. Jon Hohenstein 454-5100 =i Q NEATED ANEA- SQ FT. M COOLED Ai1EA - SQ FT. BUILDING USE CODE ISEE TABLE 1 OTHER SIOEI mo 27.726 s. ft. 27,726 s. ft. Hl - Cit Hall, H6 - Police Station *City Ha11 Offices moved to new Municipal Center 11/83, incrementing established PD use. Instrucnonc Wmo'ab Iroa yocvm 01 fuM conwm011041 82 accm41My aa poasrola. vqKNe tM IuM trD„ uaW ov tM ruN coW all Ima. iM fuN caG nympn peScnEsf Inx; luel tYW and InO umlf ol msqura. EIlttrICItY, wwh . . . . . . . . . . . . . .... . . . . . . No. 6 fuel oil, aallonf ...........................31 ........io H..a co.i.ton,............ .................... ai Natufal 9+?. tnOrmf ... ...... ..... .... ..... .... .21 ? Sory Coal. IOnf ?_ N?tu??? Va/. CCF ................................ .............................. =_ NituralpY, MCR........... '?treet vccam. Mlbs ............................51 ............... 23 ....: Solar.noun ...................................32 Nalural9u.CR ........................... .. 14 . . WInE, MwA ....................................33 AaPaM (lVG).9a11ons ..........................i3 WooG CMIOf.tOns ...............................56 No. S fuel 011. 9altont ... .... . ..... .... ... . .. .. . . 31 WooO 0e11e1s. tons .............................. S) No. 4 fuH oll. 9allonf ...........................12 WOOE orlQUelf. tons . . ... . . . . ... . .... .. ..... .... S! O. ue1o11.9allonf ...........................J7 Wnte wooa.tons ..............................59 Otn*r(MBTU) ................................SS B the WN uW tomw unEV the haaCinq of OTHER, antv the cod numWr 55 and fpecitY Ne Iwl rype. For the unin of mapun convert the unin as stipWatW Irom the supolior to MBTU usinq the conwnion fxton u littstl In the Mat4AuEi Manud w othff anqinNrinq nhnntl tui Entw the Srorage u0Witi" of a¢h fuel tVW for tne Cuildiny Ennr the Year the dan It beiny tamoletsd fw. EMM the monN1Y aumtitin umd, i1 it it mfquraU, and Mo cmt tornfDOntlinq wiN the auantity uW. OthKrvip entN the Purchgfp ousntitin and tortt tf mue tnan two luelf are utW make ths idtlitional cooiM of this form. PFIMARV UNIT OF MEASUAE SECONOARV UHIi OF MEASURE FUEITVPE Nat. Gas CCF FUEITVPE N/A ? . PFtMAqV STORAGE CAPApTY ' $ECONDAAY STOMGE WPACITY FUELCOOE ZZ FUELCODE onln Yeu aantn Uxo Cost uanal UeeA CoN J"iy 1984 437 243.43 AuQust i984 671 371.37 s.otsmuw 1984 714 396.53 aioor 1984 1324 731.47 ' r+ovwor +9 84 1647 908.82 0ecsm°" 1984 2708 1469.46 JaOp"y 1985 2894 1549.26 Fowusry 1985 1733 929.54 Msrcn 1985 1172 630.09 ,a.1 1985 865 462.21 Mw 1985 1094 560.76 '"ne 1985 503 260.26 r.w ral., FY 84-85 15,762 $8,513.20 3830 PILDT KNOB C InstrucUOnc ComOleN thit tKnpn oA eiseVical confumDlwn i11CCUrstNy as pptuble Enter [he yNI MK !hs OitY is pqirp compiKp f04 Ufg Ih* qlne mppths &nA YYr for tMif t.CUOl1 U "r I d h e uw m f e WI cOnlumDCron lKlion. EntN tM dBbital MM9Y COnWm? ln ktlowatFMOUrt Enpr [he total Noenic Odl for q?eh monlh. 1f tne Oaildmg hat a tlemand mei 'n r n . s re l ? m??imum 4ilo?+wtt tl?mJnO far exA montn. Entv the powv 4etor ?iw. d it is mcludstl ie IM utililV metonnq, Montn Year F^srOY Muximum Mdo+atlNOUra Dwnanp Robratle Poiiier FKta Cofl (S) JulY ?e84 50,720 3 719.26 •oawe 1v84 59,680 4 436.02 ??w,inbor ?984 45,520 3,487.09 atoom 1984 39,520 3 022.51 NovM?Gr 1984 33,600 2 534.44 DeCemper 1984 30,880 . Januur 19 $5 36,320 2,636.99 FaGUUY 1285 29,280 2,138.82 Marcm 19 85 30,640 2 4 . 1 Agril 19 85 37,360 2 9 .09 ?o MaY ' 19 85 49 e 040 V? June ,g 85 3 . 5 7 Uy 42,960 2 5. 95 :o W? vear Toul F 84-85 t 485,520 36 4 3.43 D W N ? C7 2 O J ? m I ? W J m Q ASSEMBLV BUILDINGS A1 Aimory A2 - Autlitonum A3 • C0l1f4umJSt3tlmm A4 . FiNtlhouse/Gym A5 Lecturs Hall EDUCATION BUILDINGS 81 Co11inia, 82 • Univertity 87 • MiK. Etlc. 81Cq. CARAGE BUILDINGS C1 - MainteMnpGarpe C2 • Varking Garape HOSPITALS Ol - Notoital 01tlg. 02 • HoeO?taVNursmq Mpma Complex TABLE t PUBU C CAAE BUILDINGS- EI Climc E2 M*Cical Offin Bldg. E3 Miic, Medit. BICg, EO Nurfing Homo OFFICE BUILDINGS F1 . Olfi[e Builtlinq MANUFACTUAING BUILDINGS G1 Mxnine Slwp G7 - Wanhouw PUBIIC BUILDINGS Mi Ciry Ma11 M2 CourthouN H3 Firo Statwn HI . Jiil HS libra,y N6 - Police Sution RESiDENTiAL BUILDINGS ? I Aoartment Bld¢ : ?2 Darmitory 13 Mist. Rsfitlen. Bltlq. OTHER BUILDINGS J1 l.quor Smn J2 Pumpnour J3 Sawaqe Trsltment/Oispoml Plont J6 - Wanr Trptmsnt Plinc J5 L.h Sution JB • Warming Houq J) Park Rmreation . 18 • Muuum J9 - Publia UtJiry J14 Misnuanwuf MAiL COMPLETED FOfiM TO E N 000 7807L i n,aa Mmn*WU OtOarlmMt ol Ener9V anE Economic Develoomsnt Ene.gy F.nance Dirisian 900 Amonun Canter Bwltlmq 15p E. Kelloqg BoWerard 5f. Paul. MN 55101 5121 ::71 2i011 s o so C? oZzaU o (2 Z ('?) TOWN OF EAGAN 3796 PILOT KNOB ROAD ST. PAUL, MINNESOTA 55111 DEPARTMENT OF INSPECTION AND Total Fee CollecteE APPLICATION RECEIPT NO. ZONING pERMITNO. Cha<k If DOUble FB8 O ?y/ ?O ? C Estfmate0 Cost of WOrk / / ? Date of ADPllwtion Nama of owner 4EAAAN /°/IWN/GAA C, A6-4•p5 • qadress 379s/°-?l?e ?i Name of Licensea Comractor ?//,'-`K+/)d/T1OJdNs ASSOC. /dC? qaaress Work to be tlone Numbar-sw Straet ??,r ?No ?? Sitl Connecting Streets on Premises at: Ward Lot Block qCtlition or Tratt Structure: .dsaY/ow1 New OI gr? Brick ISt.na Frame Brick Veneer Stucco Cem.8lock IMetal BuiIG Install ?tl I AI[ar I Repair Move Wreck Hang Work to Ce Done; Staries Front Depth Height Built oi To De uSeE foY Natura of Work: Builtlinq Masonry or Fin. Cement Air Contl. efrigeration Blacktop Plumbing Sign Piaster-Stucco Elevator r W Ventilation heet Metal astittin9 Fence G 5 Burner Drlveway a?m Air Ht. Rooting Steamfitting Other (Name) PLASTER-STUCCO-DRV WALL SIGNSanOBILL80ARD5 GASBVRNER N.S.P.PermitNO. Date6?? ? Erect New SI n Number of Bumers to be: Installetl Repahatl No. Vtls: Int. R9pdIrOltlSign Alteretl Convertetl Illum Traae rvame ?AN - ExL . Non-Illum. GasUNtD"rFotaec¢ SIZe?NOpPC, B.T.U.lnput ??_ Roof Gas SuDPlY Piping to be Installe0: y>!C Ft. Prolacting Type of Heating Plant: Steam Warm Air Norizantal Hot Water Vapor No. PLVMBING Vertiwl Connectetl LoaA B.T.U. " 0 r Closet Combinetl Horii. Vert. 3 ProOOSatl Ven[ Flua 512e (Oiam. In Inches) tub Othar Chimney Flue: Dimensi0ns TyOe of Cons[. N al Ramarks: we? T t o h. Sink TTING eCial ApPli?tiorts S Sink MECHANIGAL STEAMFI p Sihk It Warm Air Heating Plants: No. em Dishwasher LaunEr Tr. PiPe- Pipelass Steam 8oller Drk. Fntn. pan System X Not Water Boiler Mist. Fix. PYessure SyStam Nigh Pressura Boilar Gas Stove Gas Opn Motorizetl Unit Heater , prb s Na. -2 Unit Ventilator A.C. Unit GDAK/ O 1?uE 46NCC7 s N Steam Hot Water Haatar Gas ?r . TraEe Name lze o. Incin. Manufatturer NF Steam Ratliator Gas Wat. HeMer Diam. of Gra[e ?-- Inthet Hot Wate? Ratliator MISC. Gas B.T.U.Input?,/75CKfHeaS Los l"Odo Fl D Oil Input Gal Per Hour oor r. . Flr Dr Gar . . . Cch. Bas. Con. Warm Air Heattng: Gravity Ratin9 SepTankCesipoo Forcetl Ai k W Se Sew H or Ventllation Dut! $q. FL Cap of H W Ratliat0! . ou D?n Ret q f 2tl l 8 Y- D Sq.Ft.Ca OfSteamRatlidt. . . Rn. Wat. e on f p r Ganeral Sheat Metal H. P. LeaUers No. Miscellanaous The unCersl9netl heraby makes appliwtion for a permit to Ea work as hereln s ietl,pgree do pll"'}vpyc In stricyaacqrd?j it? orEinances an0 cotles of the ordi cesbntl of rtie T6w ,gf Eendn/d APpfoVetl: In50adol 15kA D H no wark is tlone above the foun0atlon for a peliod of six (6) pate: from Sne aate of issuance. ?3 ALL PERMITS VOIO unless work is campletetl antl 7inal inspection matle witnin one (1) year of issuance. ? MEMO.,TO: DENNIS HEIN, PROJECT MANAGER, VORONYAK CONSTRUCTI CO., INC. FROM: DALE PETERSON, BUILDING OFFICIAL, CITY OF EAGAN DATE: APRIL 13, 1983 SUBJECT: CITY HALL ADDITION - PARKING LOT AND DRIVEWAY SUB-CUTS Enclosed is Assistant City Engineer Hefti's authorization to change the driveway and parking area sub-cuts. He has also included several.related specifications for your reference. If you have any questions, feel free to contact Engineer Hefti here at 454-8100. CC: Richard M. Hefti, Assistant City Engineer City Aall Addition File Parcel File DSP/bar -- ---------°- -- - - - (o o Zzo o dl z - z(o MEMO T0: DALE PETERSON, CHIEF BUILDING OFFICIAL FROM: RICHARD M. HEFTI, ASSISTANT CITY ENGINEER az-6L DATE: APRIL 12, 1983 SUBJECT: NEW CITY HALL DRIVEWAY AND PARKING LOT CONSTRUCTION Pursuant to Tom Colbert's request, I have reviewed the design thickness for the bituminous pavement and gravel base as pro- posed for the driveways and parking lots surrounding the new City Hall. Consequently, I feel that a desYgn section of .2" _ of bituminous over 6" of Class 5 crushed aggregate base is sufficient to serve the intended use. Subsequently, I have completed new specifications for bituminous pavement and gra- ding and gravel base to be implemented within a change order to the contract. A copy of these are attached. As a result, the sub-cut over the entire driveway and parking areas will be 8". In addition, Ed Kirscht is completing drawings of grade changes for the east parking lot to accommodate storm sewer construc- tion which was omitted from the original site plans. This storm sewer will be installed by City forces after the grading of this area is complete and before placement of the gravel base. 2 am anticipating these to be completed by tomorrow morning. Please contact the contractor regarding this information, and if you have any questions regarding this matter, please do not hesitate to see me about them. RMH/jach i ' SECTION G- GRADING AND BASE Special Provisions G-1 DESCRIPTION This work shall consist of preparing subgrades and con- structing aggregate base for the new Eagan City Hall facility driveway and parking lots within the limits as shown.on the plans. . 1.A. Specification Reference ' Unless otherwise noted or modified herein, all sections of the General Provisions for this specification shall aPP1Y G-2 MATERIALS 2.B. BASE The aggregate base materials_for th'is project shall be to Class 5, 100% crushed aggregate quarry rock. . , G-3 CONSTRUCTION REQUIREMENTS The thickness for aggregate base for the driveways and parking lots shall be 6 inches. Tolerance of aggreqate ' base shall be 1/2 inch, plus or minus the design cross- ' section and grade. Where water is reguired for work outlined herein, it shall be furnished free by the Owner at loading stations designated by the Public Works Department. 7 SECTION G- GRADING AND BASE General Provisions G-1 DESCRIPTION This work shall consist of preparing subgrades and con- structing one or more courses of aqgregate base. 1.A. SPECIFICATION REFERENCE All references to MnDOT specifications shall mean the 1978 Edition of the Minnesota Department of Transpor- tation's "Standard Specifications for Highway Construc- tion" for Sections 2112, 2116 or 2211 as applicable. G-2 MATERIALS 2.A. BACKFILL The aggregate backfill material shall consist of sand, gravel, crushed rock, or any combination thereof, meet- ing the following requirements: SIEVE SIZE PERCENT PASSING 3" 100% 2" 80-100% #40 0-50% #200 0-15% 2.B. BASE ] The aggregate base materials shall conform to gradation classifications as set forth in MnDOT 3138 for the class of aggregate specified in the Special Provisions and as shown on the Plans. G-3 CONSTRUCTION REQUIREMENTS , The subgrade shall be inspected, checked and approved by the Engineer prior to placement of aggregate base. The aggregate base shall be compacted by "specified den- sity" method to 100% of Standard Proctor Density. G-1 j SECTION P - PAVEMENTS Special Provisions P-1 Description This work shall consist of constructing hot plant-mixed bituminous surface over a prepared base for the drive- ways and parking lots for the new Eagan City Hall facili- ty within the limits as shown on the plans. - I.A. Specification Reference •. Unless otherwise noted or modified herein, all sections -of the General Provisions for this specification shall . . app1Y- P-2 Materials -• The hot plant-mixed bituminous material shall conform to specifications for a 2341 plant-mixed bituminous , materials. fti:' : z ,. P-3 Construction Requirements The thickness for the bituminous surface for the drive- ways and parking lots shall be 2 inches. A prime coat will not be required. SECTION P - PAVEMENTS General Provisions P-1 DESCRIPTION This work shall consist of constructing one or more pave- ment courses of hot plant-mixed bituminous-aggregate mix- ture on a prepared subgrade. 1.A. Specification Reference All references to MnDOT Specifications shall mean the ` 1978 Edition of the Minnesota Department of Transporta- tion's "Standard Specifications for Highway Construction" for Sections 2331, 2341, 2351, 2361, 2356 and 2357, as applicable. P-2 MATERIALS The aggregate materials shall be BA-2 mineral aggregate for base courses and BA-1 mineral aggregate for surface courses, both in accordance with MnDOT Specification 3139. The bituminous naterials shall be AC-1, 120/150 penetra- tion, in accordance with MnDOT Specification 3151, except that 80/100 penetration AC shall be used for 2351 and 2361 surface courses. P-3 CONSTRUCTION REQUIREMENTS 3.A. RESTRICTIONS Bituminous pavement shall be placed only during daylight hours and over a dry road surface. Mixtures may be placed when the air temperature is 33°F or more and ri- sing, but shall not be placed when the air temperature is 40°F or less and falling. Mixtures shall not be placed when, in the opinion of the Engineer, the wea- ther or roadway conditions are considered unfavorable. No bituminous pavement shall be placed after November 1, without written permission from the City. No bitumi- nous pavement shall be placed until the base is approved by the Engineer. 3.B. SURFACE TREATMENT A bituminous tack coat shall be applied at the rate of 0.05 gallons per square yard to existing bituminous sur- faces and to the surface of each course constructed other than the final course,-with the application being done in accordance with the provisions of MnDOT 2357. P-1 P-3.C. MIXTURE PROPORTIONS The percentage of bitumen by weight is estimated at 4.5% for base courses and 6.0% for wearing courses. When requested by the Engineer, the Contractor shall fur- nish a job-mix formula for wearing courses prepared by an independent testing laboratory before any paving opera- tions begin. Such testing shall be at the sole expense of the Contractor and shall meet the approval of the En- gineer. 3.D. COMPACTION Compaction shall be obtained by the Specified Density, Method for all base and surface courses. Each course shall be uniformly compacted to a minimum density of 95% of standard Marshall density. 3.E. THICKNESS AND SURFACE REQUIREMENTS After compaction, the thickness of each course shall be within +/- 1/4 inch of the thickness shown on the plans for that course. Materials used for any excess mixture will be excluded from pay quantities. 3.F. CONSTRUCTION JOINTS The longitudinal joint in the center of the road will be made last and shall overlap any previous laid bituminous course longitudinal joint by at least 6 inches. Trans- verse joints in adjacent strips shall be separated by a minimum of 5 feet. Connections to an existing asphaltic mat shall be_allowed only after the existing mat has had a vertical joint prepared for final connection. A uni- form coat of RS or RC bituminous material shall be spray- ed on the existing surface to be matched into. P-2 MEMO T0: TOM HEDGES, CITY ADMINISTRATOR ,. FROM: DALE PETERSONv CHIEF BUZLDING OFFICIAL-`;? DATE: JANUARY 29, 1986 SE: SORPLIIS BRICBS TCM Construction Company, contraetor of the NW Bell Telephone Equipment Building at 3801 Pilot Knob Road is requesting permission to buy the surplus bricks stored near their construetion site. The bricks were purchased in 1978 at the time the lower half of the Municipal Center was construeted. The reason for purehasing extra briek at that time was at the suggestion of the architect in order to guarantee a matehing brick veneer for the proposed second floor addition. City staff cannot find any reason to keep the approximate 4,000 bricks that are left. At the time of purehase, the allowed price was $135 per 1,000. The estimated value of the brieks today is about $250 per 1,000. I recommend that the brieks be declared surplus property and possibly sold to the contraetor for the telephone building. This would meet the wish of N.W. Bell to color mateh their building with the nearby buildings. DP/js t aho oF LI &? (a 2&r? ?- ?-- 3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOM4UIST EAGAN, MINNESOTA 55721 ^'1OY°` PHONE: (612)-454-8100 THOMAS EGAN JAMES A. SMITH JERRV THOMAS THEODORE WACHTER Februar 28 1985 y CouncilMemben , THOMAS HEDGES CIN Atlminatrator EUGENEVAN OVERBEKE .. Clly Clerk „ SUZANNE PAQUETTE ADMINISTRATIVE ASSISTANT VORONYAK CONSTRUCTION, INC. 3070 RANCHVIEW LANE MINNEAPOLIS, MN 55447 Re: Eagan Municipal Center Dear Ms. Paquette: ` Your letter of January 22, 1985, to Dale Peterson, has been referred to me for review. The City shares your desire to make the final payment and to close this contract. However, we will do so only with the approval of Boarman Architects, Inc., whose responsibility it is to ensure that all contractual obligations have been met. Please refer to the letter from Svend Anderson, of Boarman Architects, Inc., to Bob Coruzzi, of your firm, dated January 18, 1985. A copy of this letter is enclosed for your review. We would appreciate it if all pay requests would be processed to Boarman Architects for their approval. Again, the City shares your desire to finalize this project and would appreciate whatever assistance you could provide to that end. Sincerely, E.Nt. VanOverbeke Finance Director/City Clerk EJV/jj cc: Svend Anderson ?Dale Petersonl Enclosure THE LONE OAK iREE.. .THE SYMBOL OF STRENGTH AND GROWiH IN OUR COMMUNITY - ---------- - - BOARMAN ARCHITECTS INC. , 710 Chamber of Commerce Building,l5 South Fiffh Street ? Minneapolis, Minnesoto 55402, 612 339-3752 January 18, 1985 Mr. Bob Coruzzi Voronyak Construction, Inc. 3070 Ranchview Lane Minneapolis, MN 55441 RE: Eagan Municipal Center Eagan, Minnesota Dear Bob: , On January.ll, 1985, I made a one year review of the Eagan Municipal Center and found the following items were deficient for the one year guarantee: 1. There has been a roof leak over the planning, engineering, and record room No. 213. 2. There has been a roof leak at north skylight in the lobby room No. 202. - 3. There are loose cedar boards in the Tobby, council •. chanber and the entry concourse rm. 141 in the lower level. 4. The emergency exit light in the council chamber does not work. 5. The exposed block on the exterior south wall by the - police entry has never been painted as per detail 1/A6. Paint to match brick.. The council chamber signage has been corrected with the owner providing $60.00 for material and 7abor (copy of letter attached) which will have to be deducted from the $1,000 retainage which remains on your contract. Immediate attention to these matters would be appreciated so that your contract can be finalized. If you have any questions, p7ease give me a call. Sincerely, Svend Andersen lkm Enc]osure cc: Dale Peterson 0'? LL 6r2 -'-)- ( a r - - - - EPA Use ^ Minnesota Pollutlon Cantrol Agency /Y Y? Salid and Hazardous Waste Dlvielon UNDERGROUND STORAGE TANK NOTIFICATION FORM ???? Program Davelopment Section - UST MpCnuse %jo(, 620 Latayatte Road North (Read instructions on reverse side) St. Paul, Mlnneaota 65155 Transaclion Type(s) Type ol Installation; il lederal lacility, give GSAit; il intlustry, give SIC code. M Notification 0. ? BulkStorage ? IndusMy pi Govemment B ? Change in Status ? Service Station ? A9ricultural OF-I lher (SpeCify) ? DataCOrrection ? Uliliry ? Residential GSA/SIC C. Name of Inslatiation D. Name of Owner (Corporatioq Individual, or Agency) F C/ y- C' w Fe?A Y S[reetA dress ';3,_5'?w3;;o P,'/o `t ll.w od A'd MailingAd ress 3P3o -t Counry City State ZipCode f1 /? 7'/9 ?q ?i Phone (include area code) Name ol mery Contact (it diHerent irom owner) ?Giz? ysy - ?lon 9 Range Section Quarter Quarter Ouarter Ouarter Owner Phone (include erea code) Emergency Phone (inclutle area code) a aa Nw 7,7 YsS? _?;700 16?) E. Use code numbers listed on reverse siae for items marked with'. i / ? ? b d di o i ? ?J . ? m?n c,' ? ?? a ? I Zl .g° m¢ a\aD m' y p? am p?' c c c? ?°i ?' y ?° ??' ? `a m U i o . a ` ? ry. "m pf O' .. w . a .'7 7 _ 0 01 0 D 7 _ / o ? o ? 7 ! P o 0 o - u y ? a u ? 4 -- 0_ o 0 0 -- 1 - - - _" _ _{ --{ - - - - - _ - - - ? i _ ? _ { i - - - _- _ - - - ? - ` i - - -- - - ?- ? } r - , - - - -- - - - - - --- _ _ F.Commenls: c ? a ? ? '(7?°? ? _ yc ? / Q i a ` o -r ?F A E s m CL+^-o•. i i T?'? Qm 41°i - -- ,- - - _ _-? I - - - - - - ?--- }- , i C ? - - G• Under penalty of perjury, to the bes[ of my knowtetlge, I certify tha, Ihe ? ? informalion provided is Irue 8 correcl. Piin[ed Name l Z E? h Title _ ? ?? ? _ ` ; ? I - - - ? ? i? 51 alure ?...??G+? ? ?,?" Date /a ? a J'- 87 PO-00410-01 (7/85) _ .:,. . . > ??. h.y . . .. __ ' . .. WV=0tG DBpMi7.W?t d RSLwff9 ' . . " - . ,AtFtCov3t for Obtainlng FiasE3 &o9Yiemnt af Cos'i'tttet artth the Sts? of Wnr=:a and eray of 1za Padilca9 or Qauasn,re*r.4a! &ubd6vEslans ! Nsre m miwocux Bill Richmond Electric Co. 6d? ??' aar,?+ ?a ecaose 622 Seventh Av. No. att«basraW20= nuo= ?Citr, eo-an a vicet vA= . . Mpls. siwe rI am Mn. 554i1 . (612 l 332=1424 Check the box which dsscrirss yaur involvampnt in th;s projact (read de°nittons on other side) ? Prirtre Contracior ? CoiatrectOr ? $vbCOntrBCtqr PiFvi ?b=w . Wair.d oe mnsea 'wmo= ParaJ ot 0ACMJ%W 3830 P i 1 PRart sa MemO Of Wrexta Gcv°-+rxnw'sl Lrw" Is dGti."i wqk ww D«ww 7a49 amaint d ean:racT Miard sO Qx9 Addn e! }AL'u?83'h?. grx m. "= urii CRY.10r+n or WLi ai17c0 TP OGfd same Did yau pay ov supe:viya t`w payrnant of pc;acn3 eretpl0yad on this Cantr,BCt? Q Ves ? KO If yan, dsd ycu w;;',s4a4C M;nriz•o2a incama tax'rom ths wa;as ' of each smployp3 sr F6QUit$tS br PoiiRR630?Ft S4B4Ui8 290.227 El Ye3 ? No Hava vou fifad e!E raqu!r3Q vo;qh')DIding returns and depo5ited ILiinn2SO.e .ez withheld with the Dapar,mzn; of Rov?^ua es r2qu"ueG by fl9inr,e.a!o S:m£uYes 230.92 and 290.97? Was (.?? A;o , Do you 0uEhcriza t4o Ds,artrV :t 2o ir€crm th; ?ri,?.a cartreao: ' upon i.'s raqu3;*, v.haihar y?ur fcrrf tC-13^. hE? b:???t ccrt;'ied? El Ya s ? No If yCU are a subcorirac*.a;, lis; your prime cenfractor's busin=ss name and sddress. Name: (i you . rZ E co-8;ac:w c- W:-= t::r, skip th 2 nExt ,^ECtio:: of this ferm a,.d 5i6n belorv. - -- -- If y0U A;3 3 p'OT,E CC^;,•i.C4Cr, fIil ir. the r.2m25 and EddiQ$$,-$ Of c^!i yCU' EUtCOf:iiLCi^yr5. If y0w f1$zei 1110iB &j)F}C2 :0 J:Fii `(oUr subconY;ec:ors, ?ttacn a sl,aa?cie sheai. Afs¢yos must m,!ach c-ar:i£e9 Wid?iaits ol your suheonteectorr and sl6n bslovr. Natnt anC atlCross 4v ? Nama cnC oCtlr6:a I ? D.L.Smith 12665 Dodd Court .Bf1Sem011llt Mn... FF(1(.A ? Nemgend 3C4'?'YS9 NampanQaddr¢37 ! ? Nama arta addreos NamG a^A esCre9a -1 CmCkro Undar itm 9sna"„t^s o• rnmtrtAl lit?4.',Ry fot wilYu7i enatiNSO p lalou slasmCnl, thEt ltkf oLWYe st6t3m6n4 p0 tN@ GM CCR"..Ci l0 CM CCSt Ot my bqWWP OP4 !3:!'?5}. Stpn ?.? Pres. 1-22-90 ? rwr c*n=ra r,na - osa CWtI4l=t0 o9 Cam;,94arres art4h pAinnezota 5:..utea M .€2 eqsd 2"i,.09 BdscZCf O:i th8 f3^'S e!3iM in tha.abcve aYid8Yli E71d ihE i8C!S in (he (;?g5 and recordS 01 fhQ flBCRRTEn! C' RSYflnUB, ft E.`Y"13 hay ,.opo4y ci:imp?isd w:ih e!! of Ma provisio ;s a? Pf!nnesota Sla!u+s 290.52 re:t:ing to the ;wfs"hc4d;ng ot irmma [aY or, wagos F:;d to em;,layeas and Wnr,ascta $ta;u;e 290.97 reiating to contra.,^t ser:tco$ w'?r,t!m S'.&'Q ef AAirmaseta er a:; ef its g,.Y3'ISRoRtaj cr pcti!itsi a:bd;virtir.s_ s?- a a?.?'?°vx?n' 7ciu'= ?.^_ o: ftcverx,e rsnr+..sx.:5vr .. 57ANGARD SUBCONTitACT AGREEMENT 1A1YOri'IAN"f N0'1'ICE LABOH AND b1ATkR[ALS ??????.??ri:??.•riJurl?) Prnpared 6y the 5tund•rrd Furms CmumiUeti ,LuuIJ Lr +.u:n:lud ??'1:•.. Hui/?k•rsDirisrun-Sulxnntrua'furDirirp(m 1uWissub.?tholract '1 -viiO ASSUCIATED GENERA4 CONTHAC'1'ORS OF ?I1NNL•'S0"PA wherc upplicaLk. . ?`??? IBNO Ediliua THlSSU1fCONTMCf,M+dethis-27th d+Yuf JULY ?1 D' hmnnrl F?PCtT'1C Comoanv Inc. 622-7th ,,,__p L Smith 12665 Dodd Court Rosemount W H P. REAS, The Cm?tractor haz hemlofore enterod into a cunlract dxtad _- i"iii Fiii` ".•,•~ o••"? E89df1 MN 55121_u(_ -heroinnRercdled the Owi 19 89 Ly ?uid Lctwrcn ' Ave North MinneapoCis, -f?35a1f_- ._._Lcrcin+lla•r iulleJ di; <+?ulr+cl?ir MN---SM6--._.--'--' LereinalicrcJllsJtLcSulKVnlralur. W;,hCitv of Eagan _.._ (inttrt (ull wlJr?s?) M[ lo perfonn certain Inlwr+ndlunii>h cert+in materid, at - --Uty nf Faaan. MN 55141 e?= ?rcnitects.____ n?i?+c«< - ---..-... hrrci?wllrrealled IhePrulect. Purxuant m plans, druwiugs aMl apeciflcations prnparnl by ? Lc cuulr:u?. iLv pluin. Jr.?wiugx w?d ur Enginn•r wLich ronlr.kl cousistin4 ??( tlm invil:Wtiun lu hidAcfs , lAe instruMiun to Lid?fcrx. Ihv propoul, ? specilkations. the general cunditiuns. ;Le sixcial Lvndilions. the LuuJ. i(nn)t wid airy iuLlrnJy ur ainrnJumnlc INns. -are kwn•IRafter calldttivelS'itlferred [u as the Crikeial Cunlrvcp aiid-J-- W IiEHEeS, The Contrucwriws mrle svWL61e w t6r Subcontrutordl o(the a6ove ducumeNs, wid the Su6wncr:uwr ahull be mspowtl.le fur uLUtining copir. peAinrnt tu hif w•urk; and W N@IlE{S, The abore havr 6rrn carclully eumfneJ by tlm Su6canlrocWc ... ,. .... TiIE SUBCONTMCTOR AGNEES AS FOLLOWS, 1.1, funnish YII IYYaL in+teriYl, akill wkd eyuipment necns+ary or rcqulred and W per(urm dl lhr wurk nnce.suD' fur: (iten+miimcribe "'"'k °uvurcd by this Sh.bcnntrycl). - Furnish all Labor, Materials and Equipment to install concrete slab 21' X 9' , per specifications. 2. 7o pay fur dl materials, sl:ills, lalwr mkd equipmrnt umd fn or in connection with Ihn pedurmxnre ultLis Suhcuntrucl, whru uud u%lddis°r cluims rmfum 6remne due, md ?o save ?md pro?ecl d m Project, the Owneq and the ConlracWr (rom dl cluims uid mccLuuici LL'l15 Oil AccU111111L?'fCUf. LIII W lh (umivh .etis[aclury evidence to t6r Contr:uror when ynd if reyuired, thyt he hye cumplied wilh the aLuve reyuirnnuws. 'ILis pruvisiw? +?w?? uot Le con,uh?•J :.. a wWvrr of the righl oEthe Sulxonlraclur W fik and enW?ce a lien cltim ?ins[ t6e Uwner in the evenl o(the Cuntru:wr i Lihm• ?u yY ???r Su6tvntrrtoz 9. "fu begin the work u(Ihis SuM:untrac[ u sonn iu the Prujxt Is re+dy (or such wmk oS witLin---'----t"?`"?? tluy, :dier being Ymlified in writing 6y the Contncwc Tu cumpkta the wark ofthls Subeontrac[ Ys mqWrcd 6y jo6 progrr, orwithin the Culluwuig time limits: Starting Date: As per Bill Richmond's Schedule - Gompletion Date: As per Bill Richmond's Schedule ? a. Tu pruccrd with tlu: work In an)• unlnrly and rerwnaWn wqunncn dlrncmd by the Cantrw+wr unJ w uLWe by t6. Cwmructuri J"isinu m to the alldmrM uf+lI slur:yse ynd wurlung spu'r un Qle PrujecL . 5.71wtnnextensiunoftimeuf1xdurmunaceuftLix5u6cantrw:tshullbereav6niaedhytheCuntractnrwitLuW lLi•wriUcucmns11? n ILr 1 C.'sitsctur. !f, 6uecever, 5u'wwLLriuNr is'klayed in the per(onu+uce or avnnpleliun uf the Suhcrwtrac[ x•urk Gtr reuwiu L.ynud Lis conUul, prrLmnance ur mmpleliun uf siid wurk sh:Jl be exlended xkurdingly pmviJed the cause u(the Jclay ic uf a tYpc w11urt6 iu tLe Cuutr:kt Uuvumrnla wLirL juslilies an eatension uf lime kr cmnplvtiun uf the Genrrwl CunltuU. 6. 7o sava h+rmlets the Cwrttaclnr+nd dl uther>u6cuntnuton Gom uny und dl lusces ur d'+m+gt• lincludiuy witLuut IiwitiuK dic g.•u.•ruliry uf dic furrgning. Icg+l fees anJ JishunemrNs pwiJ ur incurnd bY the Cunlructur to enfume the provisimix uf diis ?wrugraph) iwe:uiuucJ Ly t1h,liiilure.ift6u Sulx.outr:umr tucurry uut the prurisiun+uftLis SuLcuntr:u:l wJexs xuch (uilnm rcsults Gum cwuses Ix•yuud lLe cuNnd ohbe 5ulxvuu:cb bensive f"r?""?'ly i"i°1'?' °r L"J prcruth ur for 7. 'Ib o6tuin, mtintain :u?d pay [or auch workeri comprnsalion insurwke e bu6?v? ?eJxir +g? ??? °??'''1 ? ?? grnrral liu6ility insuruice, c»mpmheiuivr +ubmubik liability imunnce, p ?lin8 h di11110KC IO ?llU?l@ltY OCCYTIIf? YPllll. 111 Uf JLOYt thC PfUjCCI, WIIYI I11111IY In 1?OnOUI1I1f Y/ 1R"I l'yVal W IVIC gfCYW f Uf IIIUftl ]pCC1fmII lO IIIC CL•Iltll'JI CUOIfi1CI Uf 11WSn apttiYkd bcluw: 50U,UUU. e:?a,v.?.??? Budilylnjury LaLilllyll?cl?ilbBAummobiles 5 . , s 500.000, Ea?•iiuW.•??„« a 500,000- A,;,;,vti;,l. s 250 ? 000 u?.Y?n?„?? Pruperty Dauc?c liubility . . 250000. r .. _ ASKrcyxla S $ 100, D . ?::cl,o?:urtu??cti ,' Property llamy[c-Autu , OlLnrs: "-'"-- hus cumplird wi161Lis suiJ iuaur+uce lo bu ixs4ed by ufinanciull?? res?wnsiblc wmpwnyorcompunics; W fumisL tlie Cuntr:utur sWiaGk?tury evi?leucc ihat it paragrnpL: uud lo oLlain and 6mtish tn the Cuntrxwr un undrrt:Jcing 6y the insurvnee cumpany issuing u:wh such pulicy tLat weL iwilir;; will uut Ix cunrrllcdesceplx(terfiheen(l5)J+yxnutia:WtheContnetor o(itslnleNiunWxudu. LdLcr ?nu1ilu ur ?:dirrwix, uuJ 7'hr Sulr.vnlrycturagrees to usvune cntirc revp„n.ibility ynd IiuLiliry fut all Janmges or injury tu ull penmns, w Y°?'' to all prnpt•rt); arivng aut uf it, rnsuhinA Irom ur Vn +ny wamu•r connected with.lhe exav:wion ul dic wurk providcd fur in tLis SuLanL? I? ir iLe1sun ? Ix• resuhiny Gom 16e use by l6e Sulxronlroelur, his ugrnls ur rmpluyees. u( wUlerlals. eyuipmrnl. inalrwnenl'+litiaa ur u1Lrr yrupcrl7', w uwnrJ 6y dte Cunlrxwq the Sulwmdr:xtur ur ihird panics, mnJ the Sulxvmlraclor agm-eti lu iuJenulity auJ savc harwlr'a the Cuutr:u:lur, Lis agiun +nd empluycrc Gom all such eLims incluJinq ,ithuw Ikmiiing Ihe generalityof the fureguiny, d+ims 16r wLich 16c Cuntr:.cwr muY Le ur muy b.- rluuned W Le, lublr.mJ k yA fcex und disbuncwenle paiJ nr incurtrd tu en(uren the pruvisiuns uf Ihis p:uugmph wnd Ihe Sulkvulruowr furtLcr ugrcve 1%o uLlmu. niaiNaiu wnJ pay lur wch µnrr:J Iw6ilily iusueuier cuverugr aa will iusure Ihe pnirisiuns uf t4is p:u:q;ryh. !S.'lii :u'a'pt re>puusiLilily Cur all tIAlllJbl' Ca111C1I LY ILl' SUbcVNIVicIOf IU L'IL'JII JII fOfIJtY9 tiOlll'lI II)' IIIC SIIIK'1111I1:ICIlIf JOII IU pndrrl ILr wurk pedunneJ by the 5ubvvnlraclo4 it Leing wulerstuwl diat the staidunls td' protcetiun s6all nul Lr Icss l6un ILuse spwficd iu flLe Ccm.r.,l 1'omtr;ul ur reyuirc(i by IaN'.:md Wbu reslwtuiblc Llf JIIY IIL'fCfI1Vl' Ut IIIipfllpCf WO/A U( Illill•fl]I Ci16[lI L)' Its fJIIUft' fY W IIU. II JII)' IIlal411f JI'IN'". h.'I\VCYII ILr. $uLwiidrAcWr:wd+00111cr subtuntrxlnr as lo which is resiwusiLlc Iur:wy ilcm ufdamaKe. ILe disp W e sLall lx su6w illL-l tu ILe CuuU'xaior G,r dt risiua aud his d. tcnuiuai iun as to respunsibilily 4.'fhr S?dnuntr:ktur sLall tuke ull .++I'ely prccautiuna with rcxpeM tu his wurk, skmll eumply widi:Jl s:Jety mc+sures iuiiiat.J hy div G.ulraclor:wJ fl'Ip1R'tI Il)' lLe CUIIIf"I DO1U111C1115 8nJ WIlF1 AII dp(1IIC:1IIItl 6Wf. URIIIILICNS, rules, reguLtimns wid luw(ul uderx ul'wty puLlic oW 6urity Ilnr ILi• salily a( prrwus or pnopx rly . I ; W. Sot w assiKn ur xuLdrl N— suha•ontrxl or yny put thereofanJ nol to astign any manry dur or t0 6eenmr due Lercundcr widwut tn x uLWning !hr xriUrn nonsrat ol the Conv.tur hen•iu. 1L Ti 6-, buund 1OtLr Cunlraetor hy Iho trnus u(Ihu CrnrralCuNrx4 town(unn tu and tueumph• wii L t6e pmviiions of tLe C.•n.•r:d Comtrua•I,1o funoisL.uch +Lup drnoiugs ur samplo. a> may bc rcquircJ, and tu assumr tuwynl the Cuulractnrall Ihc oLliguliuns:wd n•spuusiLiliiics ded du• Contrmtur ne.nmr> in:uoJ lythr Crnvral Cuntrurt wuud thr Uwnrr IIKUILrJS ILP}' Jltl:1ppL1'YLIC IO IV16 SiIFMYIIHlLOI. WIIClf JIIY plV VWUII UI IVIt• Gc14•1'gI CUIIIlM'I U.x'uiuruts I'a4wrru ILr Ownrr.wJ Ihc Cunttutur i. incunsiatent widi any prnvision ufthis Agn•ruu•nl, lhis SuLcwotruc( shall gwrrn. I? Tu rinpluy uu prnun wlnn?emplaymenrt nn ur in wnnectinn wilh this SuLcuntr:u.4 nny bc n6jectimmLlc to 16c Cunlraclar uuJ W teuwvc alp, w.h prnun wLen u6jecteJ 1t, by the Cuulrulur; nll upou «awna6le gruunde. 1'1.'fL..t the Cunlraclor ur Lis aua hurizeJ reprmeutativr ahdl hav.• the rigM lo unlor in wriliug dm uwi..ion Ou addition uf iny Pa,'Is ul tLv wurk ur nw, riu6:.s unui ted frron Or uJdeJ no t it: Ceuural Cuntraci bY the AsLiael und/ur Owuer, dul lai: :alj?nc wrnts sLull Lr w:iJe iu 11"• Cuutrn't prin• lin- aurh umiti,d Of :I(LL'lI N'OfA U! IIIJIYlGlI0:a1?1I III.II OOl•[Lf1 WOfA YI18II IIC JIIUWINI Of L`IIJIIgCS IIWIIL' V)' IIu• SIILtlo11IfaGul, Of pJ41 lor Ly Qic Cuutr.u•!ur UN I.1i55 A NU U`Yfi l..{ UTHOHf"L E U tlY'CI I I? CUNTHACPOH OH HIS AUTHUIiI"LEU N@ Yll8tilN7:d1'I VF: lN W NI'f IN C UB FUlib: TI I L•' 1VUIi K A N Uk114 Clid\CCS AI/G tlN:CUN. . . 'l'u gicr uutice [o the Contractur,d:dl cl:wnx foreatras, fur rilensums of [ime and for dam+gr f.ir Julayx urulLenvise; prompdy unJ iu xav>nl:wce wi?h the Cuulr;icl Uucwnents. H. Tn ALi:tin end furnisL lu d,c Cwntr.mlor and maiidain iu eBcrot doring Ahe li(c u(I Lis SulKrmlr n. i1n?yuex??J w W du in ILv sparr pn??iJed L.law u+urch' Iwnd iu lann und with sunties a«rpluble lu the Cuutrwtur auJ in an umuwN equul w lLe 5ulKrmtrm:t pricr. runJitiuucJ upH,u :.ud cnvurulg 111u ISilhiid prd'nnnwmr u(and cumplianer a-itL:Jl the tenns, pmvisiunx mid cunditimis uf this SuAcnntrucl. the prcmiwn thcmfure tu 6e yuid by -_?-' baoJ rcyucsird ibnd nnl (CLeck Ou.) l'uk,, tlu• CrOeral Condiliuns reyuirr il, nuthing lwroin rhall give the Cuntractor the rigld W Jesignule that tLc &md Lr execWed b) u slxrific vumty ur pl.,cure'I I10111 J SpI•l'ILl' Jg@III. 15. ?11 d?1Af:1114Y ??Il' SO61U111Yd? 1 ?V 1?1C SJIIIL• C%ICII? ??l'J? ??11' CUII?I'L[?U! 1)II?)?I?ylltY? ?1IJ?UBYJII?CP Ilf WOf?( Yllt?l•f ??1C CCIICf:t? ?.Ill?lfW'?? ?N? 111:111)• CYI:111 fU l'odIdIOcc Il5 \YOfIC LgWO)I JII ticiCL't) III IIWtL•ll:ll Uf WOlAlllilllll1i1 Pllf YpVf1UfI VPOIlC S'l'Lf IIUOI IIIC (IdIC OY YIYY:(]I'JII<'l' UI ILC Pnl)CCI O! J lIUrIIUII dhrreu( Ly the ( Ix'ner. l6.'fh.?? in rasr ?h?CvF.rn.•?ruc?i?nlull Lil In ona?.?i. repiaee ?ncl!ur rc-execule G??dlc ?rc d:.16.rive wurk dnn,: ?udlur mol?.•riala furnish. d underoIii. Sul.untrucl. ?? Lrn ?nd il'myuircd b? dic Cunlrovlor, ar sh+ll Iail lu ivmplcW ur diliqcn0y, pnwecd wilL 16is Sulxmntrucl widuu ihc uonn, Lrrrin pmvidcd fur, the (:mnlautnr upun Ihrer Jayi untire in wriliug In die Su6conImctOr shall havr Ihu ripfd tn curnr1, replauc audlur rc-ezecw., ,to L I'.wh.%ur Jrl'ective wOrk. ur in Iakr uver Ihis Su6cvutrua4 uud Wnpicle s4[nc eithcr IhrnugL its uwn eniplUyL•L•f Of IIII'1111FI1 :1 CIIOIf:ICIOf Or Fl1IMUpIfYCIof UI IIa CIIOICC. LlNI IU cLarpr lLe eu.t therru(tn the tiubconir,awr, together witL wty IiyuiJalyd Jamages caused by ? drlay iu ILe ped'urmmum uf Ihi, tioL.vulrml. 17.'1'I?.d iu cuau u(deiSu II i ?n 1 Lr pert u(ihe Sulx•anhuctur wider Ihe lennx o(this SuL.:uw nut. t6.• muturiiJ und .ryuipmrul of ?Ln S?Jn.?ntrar?or sLall b,4 . li un ILe ??+I? (uf J?r use n11Le Cuulroelur in cumpl.•tiug the wurk cuvrred 6Y tLis Subcvnlr;u•1. 16. Tu cumply wilh aII Feder:J wui Slate laws, mdes, und mgulAlinns and yll municipal urdiuunms und rogulutious LIlcctivr wL,m U;, work wnJer f6is Sulxnntract is lu 6e pedormed. uud tu paY aII ioats and eapenses emwreted witL sucL cnmpliwnce. tn pny all Iues uud l:uc.. incLudingsuk•s anJ us.• cuos, anJ AaO p8y:lII Ie%L'f 1111pUfCII II\':lllY SWIC Uf Fl'dV(JI I:1W fUf iYl)' YIIIpIII)'1I1C11I1pAUf011CP. 11l'unlutl\. UIII ehv fC1Ui•IOVIII IIIINIs oY HIIY SIIIIILIY pul'pNISI' Jltld tO lU flll%L dII 11[ll'ffllR' fl'iIUYI] illl(I IIIIIIfI11JIlU0IU IIIL' 1ppfllpf41I1' ICACfJI. ftJIC W III IIIIIIIIl9pM1Iag,•UPIa6, N'IIL fCSi),'CI IU:III IlI the IliCCgq111F ILC fJ10C i1f (1IUU4`I tiIl' SIIIAVIIII:LL'IOY NAY 111IJ1'I ILv CU11ll:ICIUS a11(I W IWIII [IIC CUOtNCIU(, tliCll OIIII'1'S11V%:uI. I140u18111I ILL' UWnCf Lfll'111ICSf I(OIII JII)' 811(I:III IOS]Uf Uf Jawago uccaswued bq thr Ulure uldhc Suixrontrxtm tn wmply wiUi the lerms uf l6is paragrupL. Ib Tii pay all royalties anJ licen+u lers: W delrnd all xuits or el:tims rur iidringemrnt of uny p:dent riqLls im'olerd iu du? wtak u( Ihe Sulcoutructur und, r diia Sulxnntrae4 uud W sxve Ihe Cuntrulur anJ u1Ler su6cnnirulurs harnJe» f}mn luss, cusl ui' expeuse on arewnd of sucL usu ur iulFingrmenl Ly likc Sub'uulracloc 30. II auy p:ut uf ILe Sulxoulmctur i wurk dupcnJs (ur pruper exrentimi or resulls upom i6r wud uf dir CnM,a. 14 ir. auy ul lior sulkvulrclur or :wy UIIICf )CpJfeIC 1U11Ili4fUf OII III! PfUjt'CIr IAB SIILLWIIIlill'IU/ YIIYII IIISEIPL'I1111{I rl11111pIIY fl'pWfI III tIIL• GIpIf:1l'Wf aII)':IppJYL•III llllCfl'pAllC4•S oY 1Io16cls iu such %car1 th.d reuders it unwitaLle Il,r such prulxr rkeeutiun :md resulls. Fuilurc uf ILe Suluvntrarlor so lu iusptrl auJ repwrt sliall I vuslitulr au arrrptanar of dic wurk uf the Cuulrxn Or, uther sulxronUUCwrs ur uther separate conir:x.'turs as fit wiJ pnip¢r W receive his wurA. T14L CU\TKiCTOIi AC1tEES AS fU1.LOWS: A. Tu rmplug aud dxs hcr.•Ly cmpluy Ihc Sulxrontructor In du the wurk dcacrilx:d in puragr.ipL 1 6crcol', suLjrct lu tLr pwrixioms uC ILis SuLcuulnu'L B. Jr?,?QPa11,fh?cU? subL-Ulli?:?,WJ r?rtii??(?u??ll11.fJ??it?h(p 1 ?ubA prompt prdomiance uf thic Sulxvutruct, xuLjecl luull the Wnnc und cmoJitiww ho•n u(, ILe xum '-_.?50? UVl1SdIL?F1V5dLGli-- ..__Dullurx. ul d lS- ------'- --- _.). C. Tii include in Contractor i mnnihly estimatr tu tLe OwneS the value u(dl work, lubur und malrrialx uf the 5u6cuwmclur prupvrly incvrpdrated IIdU IFIC YfUfei'1. 10 YCl`Uf1I811CY WINI IVIf pfUV1Ylu115 Uf lI11f SUVCOOII'YCI ftil WIIIIII C]IIIf1aIC5IlY\'1' IWeu furnishcd LY 11c SudKUUh':ufvr.uiJ apprucrd by ILo Co,.i:ucwc Upuu Ic:lrlllllg IIOI IIIC BnIIUnIOI CYfI1I1C1I dtIC fur the Subcuntnwtor is Jilli rcnt lrmn thc uinunnt rrque>14-d Ly tbr Su6cuutrat n1r. Cuwrador sh,dl immcJiart•ly w udvise Su6cuW r.kanr:md (urnixh surh inlonnatiun us the Cuutractur m:ry Lnvc Inr dic dilirrcncc, mnd su luug u" 16r SnLruidracinr io nut w d.•IuuJt h.rrunder. lo pay [he 5ulanutrnetu5 within 7 days upwn recript Ihercof IFum thv Owurr, Nu• awonut receiveJ Ly iLe Cuuhavtor Ou .,icr.wd ul dhe 5ul,cwnlractur. s wurG tu Ihe rxlcul uI llll' SUbC00[fAC[O! f I(1IL'fC]l ILeRIP, LYI tp p:lY ILC S1ILLOId(:LClnf W 1[}IIIi IlU pIaY1 UPiUV)tlul W I III t'vTlJirJ mUO[LIy raum nr tu iLr CanU'acw , m d ex ? ? o#?!'eJ b he ci?i/ecl im payment. 15tt1 of Pt'2V l0U S r.,t??nia,tnc? :lhe._$fon£h _ r?.???,???c•iii n•?,??.•,t .rL.-iveai?Y._.ry??n}h . ?i??,•. '11.al iI bIIUWC[I LY IIk: Ci•Ill'I:tI COIII!]CI. I)OYIpCl1I fIIYII LC 1?:1lIB OII ACq]WIL OI IIIVI'11I0!]i w:Jcf1AI5. U! Cl?lll(lllli911'Ti4t Yurui7iurairJ iu LLr I'rujccl 6.1 d.•II\l'!l'lI .1111I fYIIJLIy SIUII'd lI ILt'sIIC Uf ilI )UIIIC OIAI'f IYC8IIU11 JbfL'C(I 4p011111 WI1I111g: tiUCII lAtY111f11If W I1L' IIIit1Il' 111 YIYVfIIJOCI' NIIjI IIIP {Cfllb' JfIII cuuJit inro kA thc Contrxt Dw:umeuts." U. Fiu:J paymrw iucludiug ull retrution beeumes duc und payaLle wlthin 30 eLiys alior Archilecli MlIILCJIIUII uI I111:1I pil\'IpV oI. M JII I11114Y IIN' Sulwunloe-hor sLall Iw peid tu IIk exlcu[ thul the Cuntr:utur h" been paid un die 5ulxontr:utur's acaownt. E. 11 ui Litruliuu uf diepWes is pmvided (ur in the Ceimral Cuntrucl. any dispute arisiug Letw'rru tLe Cuntianur uud l6r SuLnowmAur tmdar dii. Sulx.untrwt, including the bn:ach thrrruf. slr.Jl Ix setdud 6y ar6itratinu in the manner pruvidrd lirt in Ihr Crucrul COutra,t. F. If nutificatiuu ul':wy claims 6ava been mude nguinxt the $uLi.unhuelur ot the Cunlrartur arisiuti uul ul InLr,r nr w:drri;d. Iinrni+L,J ILe• Prujrcl in' UII:CMI]P JII JCC'UUIII OI YIIY {1LI1011) Uf IAiIUR:S IU1?:ICI IlV IIIC S116CU0t(8CtU1' 111 tFIB ?IClIUYIOUIIIY' III IIII\ Sulxnulr:e?l, t6o- CunMuiur wut: ul lii. ?li>rn•l'um. witLh"dd Irwn .uch umuuul? utheM isr JUl' U( W Ill'COIIII' 1I11C hl'(CYIIIIL'rJ 111111 AdL'(l1I4IU IU CU V P( S811I CIAI lll\ i111J ill)' U11t1111 l'A1klI151'6 AI I\II'F Uf IU i1115P 111 cunm•reion therowitL lxnditig IcIW se4lcment IhereuC This right uhhe CuntruWr s6all uut Ix• eiuiusiv.+ uf uny udicr rigLu ul t6v Cuutr.ciw Io-rciu ur 6y Iyw pra,i.lyd. G.'I'Ln- Isilure o(lhu Cuntr"Wr lu make puyments aa und when Leruin pruviduJ .L:JI, iu udJilinu lu ull u1L.r rigbls: entid, tInS,d L,uulr:mlur lu cuspxud II v%urk unJ ahipmrnls duriug the mnlinuwme uf such defuuh nu ILe par[ uPILe Cuntr+ctur, und sh:Jl (urlhrr cWidc Ihc tiuL.owraclur lu au e:fcu.inn -I tijor lur tLc pedurmance uf lhc work iovercd by lhls Suhamlmct , 1 L P:xei-pt in yn rmtrgancy ur lu riJnrce safely reyuirementi, md In issue ur give ony inalnicl iuus, urdcn ar Jirrcliuns tu auy ciupL n rr ur wurAmun of iLk• Sulxoutr:LLwr uther llw, penuus SuLcontracdur Lnx desigsnled:u die pnnuns at tLe wurk.iic Laviug sulH:rvisury respmaibility (ur duc 5ulxnutr:wa wurA. l.'fhis Subrunlru:t,tugetherwflhridero-- - .1al!:u'LwJLrrewur eu,ho.J herrwilL) aud maJC ll pID(I Ih'f1YjI? l'UIIYIII111PY IIIC l'11I1R UII(IfhIJ111I1f1gYI lIll' p:11'lll9 JIIII )11pN'!lIYICf PII\' pf1Uf pf(1'111S:1I] Ilf i114YcIllo111%. 7'lll? CON'f0.1('l'OHS ANU SUItCONTHACI'OIlS AGMEE AS FOLLOWS, "I'Lr punies agrce tu givr wriuru uutice for services reudered urcyuipment IumishuJ belwvcn ihc signawrics W ILis ugruvmcnd duriug Ihc uwnth (olln+ing th.i mmuh in w6ich the rl.nm ocxurred. No extras allowed without priur auuroval from Bill Richmond General Contractors. 1 1'ITN4:55 \1'1lEftEOk; Thr Cmntruwr uid SuM.ronlrocror bave heruunlo se[ their hwids mid se:Js in duplica[e die day and yrur lirst wriuen uLuve. (SEAW Bill R'chmond Electric COmpany, IIIC__(SEAL) Nrnecrun B) In prr>encr ?u By ? In p[ettncr of ??- ? ?• SIANUMD WORKERS' COMPfN5M10N \ EMVL01'ERS' lWIL111 CONIPACT CQNTpRCI AOMIN16TPATON. ? EMPLOYEE BENEFIT ADMINISTRATION CO. 8441 Wayzata Blvd. Suite 200 P.O. Box 59143 Minneapolis, Minnesota 55459-0143 Phone (612) 544-0311 C E R T I F I C A T E O F C O V E R A G E The Certificate is issued as a matter of information only and confers no riqhts upon the Certificate Holder. Thie Certificate does not amend, extend or alter the coverage afforded by the Contract listed below. NAME AND ADORESS OF CONfRACT NOIGER CONTRACT PERIOD: FFDM : 04/ 18! 1909 SMITH D L TO ; 04/18/1990 12665 DODD COURT COhlTFACT N0. : 04-037396 ROSEMOUWT MW 55069 This is to certify that the Contract of Coverage described herein has been issued to the Contract Holder named above and is in force at this time. Notwithatanding any requirement, term or condition of any Contract or other document with respect to which this Certificate may be issued or may pertain, the coverage afforded by the Contract described herein is subject to all the terms, exclusions and conditions of such Contract. TYPE OF COVERAGE LIMITS OF LIABILITY PART ONE STATUTORY WORKERS' COMPENSATION PART TWO Bodily Injury by Accident $100,000 each accident EMPLOYERS' LIABILITY godily Injury by Disease $500,000 contract limit Bodily Injury by Disease $100,`000 each employee Should the above Contract be canceled before the expiration date thereof, the Plan will endeavor to mail 30 days written notice to the below named Certificate Holder, but failure to mail such notice ehall impose no obligation or liability of any kind upon the Plan. Certificate Holders Name and Addresa: - ---- ----? Bill Richmond Electric Co. 622 - 7th Ave. No. Mpls., MN 55411 Aqents Name and Address: MOkFISEY L AS50CIATE 7707 144TH ST W Date Issuedn5/15/1989 APPLE VALLEYr MN 55124 %? r7 ?:MES[NUIIVf EBA 314 CG (4/88) • 440DEL 0 (A?.3y5ac? ?- SERIAL NUMBER T 8°? OoI Lo SS '7-7 DATE /? - 7 - ? ? . _ ' `. `TES7ER 7U' U*!°?x.c.?. - CUSTOMER EaqPA)_ . 1 VITNESSED BY <. ' . WITNESSED 8Y TIME KW YOLTS AMPS N2 7JATER 7EMP. DIL PkES. rA o o -?? 'aao8 y6o lPb j70 ?a&)oe 5?00 ?p /7s 7 ? v ,4,y?- K%A / o ? ya o ? o ??r o 7 5 //.'3p ?y Kw /a`a yav • /eO ? Sr - ! Nk? /.2 /07 : a? , .?o?' Yo o CPo ,9-0 7 s? i?y/lw 1a? . a :3t) ? v / o p 7 ? ? ae cg /: C a 4(0 0 CeC7 /v- O . 7? iyyKw ?ao ?`oo YOLTS HZ HIGH TEMP. CUT OFF BATTERY CHARGER OIL PRESSURE REM07E SWITCN OVERSPEED CRANKING LIMITER LOW OIL PRES. CUT OFF ??O _ J 0 ? ' checcec? tJ? a(,.o? VDC g? s? .4rTS b /c 3 ' -? / ?IbPT 0 /C 3r 5 5 e c ?ccrF.> ARTHUR DICKEY ARCHITECTS, irrc. TRANSMITTAL '. ¦ ?\ 4930 FRANCE AVENUE SOUTH ? -? M[NNEAPOLIS, MINNESOTR 554141794 FAX (612) 9243950 • (612) 920L3993 DATE: 29 November 1989 TO: CITY OF EAGAN Attn: Doug Reid FROM: MARY B. HUSTAD, A.I.A. RE: EAGAN GENERATOR ITEM(S): NUMBER DESCRIPTION XX 2 Change Orden No. 2 for review and signature . Upon execution, retain white copy and return other to us. Thank you. PURPOSE: AS YOU REQUESTED FOR YOUR INFORMATION XXXXX FOR YOUR APPROUAL AND SIGNATURE REVIEW AND RETURN REPLY TO SENDER OTHER (SEE REMARKS) REMARKS: ARTHUR DICKEY ARCHITECTS, [NC. 4930 FRANCE AVENUE SOUTH MINNEAPOLIS. MINNF.SOTA 55410 612-920•3993 CHANG ORDER PROJECT EA6AN MUNICIPAL CENTER PROJECT NO. 88704 NEW GENERATOR ADDRESS 3830 Pilot Knob Road DATE 26 October 1989 Eagan, MN 55121 CHANGE ORDER NO. Two (2) TO: BILL RICHMOND ELECTRIC COMPANY CHANGE ORDER BY Owner 622 Seventh Avenue North Minneapolis, MN 55411 YOU AR[ DIRECTED TO t;AKE THE FOLLOWIfJ6 CHn.PJGES IfJ THIS CGtlTRACT: 1. 5upply and install two incandescent light fixtures with switch. 2. Install one 110 duplex receptacle. ADD: $ 215.00 This work is to be installed in the generator housing. The original Contract Sum was. . . . . ,. . . . . . . . . . . . . .y 54,759.00 (Jet change by previous Ch ange Orders „ . .. . . . . . . . . . . . . $ 245.00 The Contract Sun prior to this Change Order was. ..... .. .? 55,004.00 The Contract Sum will be (increased) (q??otst?x3c???C ¢c?alxac?qa?k by this Change Crder . . . . . _ . .. . . . . . . . . . .r 215.00 The neva Contract Sum incl uding this C hange Ord2r will ba .. . •5 55,219.00 The Contract Time will be jcict?qt?eet,xsc???c (stecaaaacscacekk (unchanged) by . (___)days The Date of Completion•as of the date o` this Change Ordar is. . ( 30 )da,,s ARCHITECT. CONTRACTOR OWNER Arthur Dickey Architects, Inc. Bill Richmond Elec ric o. City of agan B BY BY ? ? DATE?L7'??71Yj°] DATE /? -3b --?? DATE 12/5/89 ARTHUR DICKEY ARCHITECTS, INC. El =U ARCHITECTURE : D Q:7Q PLANNING : ° OCT 2 6 1989 ? - ? INTERIORS ? 25 October 1984 CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Attn: Doug Reid RE: EAGAN MUNICIPAL CENTER: NEW GENERATOR Dear poug: Enclosed please find a letter from Bill Richmond Electric Company with a proposal of $215.00 for the added outlet and lights you requested. This price is within the normal range of costs for this work. Please let me know if you wish to pursue this added work so we can issue a Change Order. Thank you. Regards, "I', ?. "???2'? Mary B. -lustad, A.I.A. MBH/tgl enc. 4930 FRANCE AVENUE SOUTH m MINNEAPOLIS, MINNESOTA 55410 •(612) 920-3993 • PAX (612) 9203950 5 ? j 332 622 SEVENTH AVE. N0. • PHONE M-1424 • MINNEAPOLIS, MINN. 55411 , . INDUSTRIAL WIRING ' • COMERCIAL WIRING •CONTROLS p?tTH'JR DICKcY . REMODELING A?CH?TEGTS, JNC' • ELECTRIC HEATING October 11, I9L?Q r" •HORSEPOWERSPECIALISTS OCT 2 4. 89 . I r`` . - Arthur Gickey Architects 4430 France Fve. • Edina, MN 55410 Aitention: Mary Hustad Regardir.g: rit,y ef Eagan eear Mary, Ide are oleas2d to oFf2r `or your consideration the following quctation: (a) Supply and install two incandescent liaht fixtures witn with Switch. . (b) Install one reczptacle. This work is to be installed in the ger,erator heusing. The cost for the above mentioned work is two hundred fifteen ($215.00) dollars. ?r you have any questions please feel free to call. t Very truly yours, r/ William L. Richmond WLR:hh !m-mq= ARTHUR DICKEY ARCHITECTS, INC. JOB ;?? 4930 hRANCE AVENUE SOUTf1 QCT 0 61989 OBSERUATION ` EWA MINNEAPOLIS. M11INNFSUTA 55410 REPORT 61?•9204993 O OWNER ? CONSULTANT p ARCHITECT ? FIELD PROJECTtA&,AIJ MVhJIUpAL 61WT?-,4? Nf-W PROIECT NO.O2)10+ pBSERUATION NO. Uvte, (I) OBSERVED BY MU?j HvtS.}"vj, I7ad.4e, jAr.oln CVj- WI e.tn5jvj" . D,4TE Oc;f- 4'1 I°Ib°) TIME WEATHER"• L641.TEMP: RANGL 5CP EST. PERCENT OF COMPLETION CONFORMANCE WITH SCHEDULE 'OBSERUATIONS l• ?wGti?' UWO t?olnsih?, Gw?? ?wr}?rrwrtic. -IyA?sFv s?.,?tu-+ cv?i i? ?olu?c. 4v1rAIGGrYGA 11-%GLt ?I100?-1i1?pS ull) ?iG GW??(ple?GO1 "f1?ls ?cr. 'Vo1 b.'+11 I?t iu? Li,-j k.?ow LA^U'+ 1? qvwl Wi11 d(,C,wl t-t. poiiv-, rrl 6*? '-XnVVA" 00 6)6v,o16-t-}w 6.,iII 6t, [e-E-}- A,+-si-lc, Ur+Le-'>s fl-?, U" di-t? p?rwi?G . ?j. ',?Il ?v,c?ic?n?at `}'I.,Grk" 1? dlnw.y?e„?5 G•?? '?"? 6e. ?,,,? ITEMS TO VERIFY '}'o VX/i Fvl fi l 1 G-" {w +.,XII -i'!?.-lt'c -(,c1 10 OVIt.?.? -f.tlz i'?nrk? ?wli a INFORMATION OR ACTION REQUIRED I. pr i w -?/cv?n li?-J'?U?tc' -b 'Add ovic- 110 ci U y.izx cxr?-I- G? -h-20 1viCUviC46t?clrrl' Ilc?yris (?c?c%IUir, IOiw,pv?a?ctus). (iCi= b(M!? ?l.tc?? 7S?rG f"1(?1??1M? Vr?? ?IGInwiONC1? ?,/?nl? Sl??{°7 ?f?li .???JYn') 1 i cFi? ??? v?.l?if`( (cor.r('p• 2. 17at? w i l 1 fi,? ? I-f- ICP w?.?cs GrG ?v+??ot ?Gy JL?Z fiV+?tvtii??t'a? Vlrt ? I ??? I?,vi of I 2 Gis sW,-,Acc1. Wi.?. 3. A,?u-,i?ev}- i..,?ll JP +? G???,uG?i 4f- ?r?+e,-pr3?u ?uaw? -tu yzrdr 4- ?Er,vid„? tiow -f•??vw.?.ri?.,? ? ?.,Q,??cs s?,c,.??at ? ?s?l, G?-r?! '?^? In?? I?n-?? i-t? s?r??af ??n? . ??,:- ---. ?.?._ ? ?- r- 4 October 1989 .4RTHUR DICKEY ARCHITECTS, INC. ocT o 6 1969 CITY OF EA6AN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Attn: Doug Reid RE: MUNICIPAL CENTER GENERATOR Dear poug: ARCHITLCTUR[ 9 PL:1V\'IVG M le IKTLRfORS IM The enclosed Application for Payment No. Two (2) is correct and payment is hereby certified as follows: BILL RICHMOND ELECTRIC C0. - $42,231.30 Please make check payble to Bill Richmond Electric Co., and forward same to our office for processing. Thank you. Sincerely, Mary B. ustad, A.I.A. MBH/t,g1 enc. ,. . . , :1!?:?? !. )?_)1.'Tk{ ? AilAALAPO[_IS. A11A'\E?OT:1 ???ID ? f61?19?D-=99? ? F:AA (61'_) 930_39?Q APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCl1MfNT G702 (Instructions on reverco .;de) ,?-,E oNE of I•uA s 1P1 (OWNER): Clty of Eagan rKO1ER:Eagan Municipal Center Generator APPUCATION NO:TWO Distribution iu: 3830 Piolot Knob Road ? OWNER P.O.Box 21199, Eagan, MN 55121 vERiooTO:Sept. 27,1989 ?ARCHITECf o coNTRncroe FROM (CONTRACTOh): B11I R1Chrt10(Id E12Ct1"1C C0. VIA (ARCHITECT): AI'thUT' D1Ckey ARCHITECf'S ? 622-7th Ave. No. 4930 France Ave. So. vROIECr No:88704 O Mpls., MN 55411 Mpls., MN 55410 coNTw+cr Foa:City of Eagan - New Generator CONriu+Cr DnTe: June 7, 1989 CONTRACTOR'S APPLICATION fOR PAYMENT CHANGE ORDER SUMMARV (:hange Orders appnoved in previous months by Owner TOTAL ADDITIONS DEDUCTIONS npproved this Monih Vumber Date Apprrned One 9-13-89 $ 245.00 ToTALS 245.00 Ne1 change by Chan.,,• Orders 245.00 The undersigned Contr.iclor certifies that [o the best of the Contraclor's knowledge, infnrmation and belie( ihe Work covered by this Applicaiion for Paymenl has been rnmpleted in accordance with the Contract Documents, that all amounts have been paid by the Contractor (ur Work for which previous Certificales (or Paymeot were issued and payments mceived (rom the Owner, and thai curren?pj? Application is made (or Payment, as shown below, im miinettion with the Cunttacl. Conlinualioo Sheel, AIA Document G703, is attached. 1. ORIGINAL CONTRACT SUM ...................... y 54759.00" 2. Net change by Change Orden ..................... f 45.00 ? 3. CONTRACT SUM TO DATE (Line 1±2) .............. f 55004.00 ' 4. TOTAL COMPLETED b STORED TO DATE ............ E 54104.00 (Column G on G7113) 5. RETAINAGE: a. 5% of Completed work 52705.20' (Column D + E on G703) b. 5% of Stored Material $ 0. 00 ' (Column F on G703) Total Retainage (Line Sa+Sb or Total in Column 1 of G703) ..................... E 2705.20 6. TOTAL EARNED LESS RFTAINAGE ................... S 51398.80 ? (Line 4 less Line 5 TotaD PREVIOUS CERTIFICATES FOR 8. hcrein is now due. ARD N HOLb I PAYMENT (Line 6(rom prior Certificate) ......... f 9167.50' ENT PAYMENT DUE .......................... S 42231.30 ?' ?ICE TO FINISH, PLUS RETAINAGE ............. S 3605.20'? _ '.... HOW MINN ??Ic J rcaa une ol ...::ti..., . CON NOTARY PUBUC ? ,? •i ANOKA COUNT9[ate o Mi nnesota COUfItYOL' Anoka ..'•?. ?yres Nov y?Jb? d and sworn to bef r e t? his? 28 d.i?• of 52pt. 1989 ? o ary Public: .c?v.?•' fiyC __ ? ? Date: - -e"3 My Commission expires: ARCHITECT'5 CERTIFICATE FOR PAYMENT In accordance with Ihw <'onirac[ Documents, based on nn-site obsrrvations and the d.iia comprising the ahuve application, the Architectcertiiics to the Owner that to 'he hrct of the Archilect's I.nuwledge, information and belief the Work has progressed as indicaled, the quality nl ihe Work is in accordance with the Contract Uocuments, and the Coatracror is enliilk•d to payment of the AMOUNT CLHfIFIfD. AMOUNT CERTIFIED ................................. E 1Attach expfanation if amount certi/ied dillers Irom the ,mounl applied lor.l AHCHITECT: By: " Datc•: ?4, This Certificate ' not negotiable. The AMOUNT CERI ll IFD is payable only tu the Contrador nam d herein. Issuance, payment and accepianceof payment arewitliout prejudice to any rights o( the Owner or Coniractor under this Contract. AiA DOCUMENT G 7 02• AI I I I n.V ION ANO CfR71FlUTE FOR PAYMfNI • MAY 1'1H f f DiTION • AIM - z 1983 /I llll AMFRIGN INSTINII UT ARCMITECTS, 1735 NEW YORK AVENUt, N.W., `w%ASHINGiON, D.C. 20006 O I "I S4O I ZO C'-7 G702•1993 ?-7 k4 CONTINUATION SHEET AfA DOCUMENT 6703 (insvwr:nnaonrrwrx+iAel 10111 ' o/ Pmda• AiA Dor umi•nt (:)112. APi'UCAf IUN AND CERTIR(:Aif fOR HOLYMENT, torRaMin` AvPUvmoN NUMeiw: Two CpeIrKW%y{ened CrASBquun is sUached. AVPLIGTION fiATEt September 28, 1989 In Trbuldiorv beler. amuuMs are staleJ lo Ihe neatesl dollu. PERIOD TO: September 27, 1989 use Gelumn t oo Cu.+ir,ru »hMe wnable rduinage Im Iine ilemt M" applf ARCHfTEGT'S PItOIECT NO: $$704 ? H C D E f G M I ITIM O(SCYWIIGNO; WORK SCNFWILU wORKCOhwlETfO MAIfilAlS IQ'TAl t IMIArJCE 26 41NwGE NO WW[ ??ENiIY fOMMllltO lG - CI lOh!+?SM fAOMPIifV1pUS wl•PtIC?t10N TNISPERI00 SiOkFD AN91tOQlD IC' Gi • 10 ? fl INOf IN DOiFI 70 IMTf 10f E*i) Labor $ 6690.00 $ 2500.00 $ 3290.00 $ 5790.00 ? 86.6 $ 900.00 $ 289.50 Demolition 1155.00 800.00 355.00 1155.00 100 57.75 Concrete Slab 1950.00 1950.00 1950.00 100 97.50 ? Transfer Switch 13400.00 13400.00 13400.00 100. 670.00 Generator 26114.00 26114.00 26114.00 ? 100. 1305.70 Misc. Electrical Mat. 5450.00 4400.00 1050.00 5450.00 100 272.50 EXTRA 9-13-89: Propane tank 245.00 245.00 245.00 ? 100. 12.25 1$ 55004.00 $ 9650.00 44454.00 $ 54104.00 $ 900.00 $ 2705.20 zp n Aw oocu.w!rt cM•,Mn n,??()" ANo ctn?jKArt ro*Mrh*Nr • I.wr nu tana+• A..•• 6 no OM MYRKAN IMIII1,081 W,+C f11110s, 1115 Ww roa AvuMw. M w, wwwv.croM. U.C. Xmor Gm Nq STATE OF MINNESOTA LO??? CODEADMWE&INSP. ERVICES(61D?Z?R?91 443 LAFAYETTE ROAD, ST. PAUL, MINNESOTA 55155-4304 CERTIFICATE OF EXEMPTION 175480 Boilers and Pressure Vessels Location: EAGAN CITY OF Insurer: HARTFORD 3830 PILOT KNOB RD EAGAN MN 55123 6cpirationDate: 05-01-95 Owner: EAGAN CITY OF PO BX 21-199 EAGAN MN 55121 This is to certify that the boilers and/or pressure vessels as listed below, owned or leased by the above named insured, have been inspected by the insurer's authorized inspector in accordance with Minnesota Statute 183.57, and are theretore exempt trom State Inspection provided the objects listed below continue to be insured and any Inspector's recommendations are complied with. LAS7 INSP MN NUMBER OBJ NUMBER OBJ MFG OBJ DESCRIPTZON 01-29-92 NB322660 BUCKEYE AIR TANK WELDEO REPAIRS TO BOSLERS REQUIRE AN "R" CERTIFIED COMPANY TO MAKE THE REPAIRS TOTAL OBJECTS 1 DISPLAY NEAR THE BOILER OR PRESSURE VESSEL OR IN THE PLANT OFFICE OR BOILER ROOM PAGE 1 LI-50028-03 (10/92) s--00 - °1 q Contract No: 94 - I } Project No: 1.-q % Submittal Date: //- CITY OF EAGAN SEWER & WATER PERMIT RELEASE FORM PROJECT DESCRIPTION: f5ii? Z17z"G''T?' Substantial Completion of Sewer & Water /1- 5-C74 Date of Occurrence STEP I+ PERMISSION TO F100K UP SANITARY SEWER A Lines Lamped and Acceptable ? Deflection Mandrel Test Passed Manhole Structures Properly Constructed (cstg. 6 covei, rings, cone, 1 ft. sections, final rim setting, & build and invert) X Infiltration Test SERVICES WATER MAIN ?C Properly Chlorinated & Flushed k, Entire System Pressure Tested )C Entire System Conductivity Tested ? All Valve Boxes Accessible, straight & keyed ? All Valves Opened or Closed as Approp ? Bacteria test completed ?C? All Wye Locations confirmed ? All Curb Roxes Exposed, Set to Proper Grade & Marked w/Fence Post Required Service Risers Televised COMMENTS: !y .? 4Y4? CY f.(/rA-72-f STEP II: FULL USE PERMIT (OCCUPANCY) STORM SEWER _ Lines Lamped & Acceptable _ CB Structures Properly Constructed (cstg 6 cover, rings, 1 ft. section, invert, final cstg. setting h build, DL-DR correctly set rings & cstg. set in full bed of mortar) _ Aprons, Dissipators 6 Rip Rap pxoperly installed COMPIENTS: STREETS _ Material Tests Checked & Passed (Conc, compressive strength & Air Content, Bitum. Extact & gradation, gravel base gradation). _ Utility Structures & Lines Clear 6 Free of Debris & Gravel (Gate Valves keyed) RECOMMENDATION: I herein verify that the tests and inspections indicated above have been successfully completed. Any deviations or exceptions are described in my comments. With this consiclered I recommend that permission to hook vp or perm s j? for occupancy be granted as appropriate to the above indications. /r Signed rroj Confitmed by: _ lic Works"Department HP5.1S&WPERM.FM A) , q,24 oo -ora -02 (9 MEMO TO: JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR FROM: DALE SCHOEPPNER, SENIOR INSPECTOR DATE: JUNE 21, 1995 SUBJECT: CITY HALL WOOD BLOCKING Dan Weatherman contacted me regarding the existing wood blocking for the mechanical equipment. It does not appear that it is fire treated and will be exposed in the plenum ceiling. i have reviewed this with our Buiiding Inspectors and we have determined that due to the small amount of material in question, the removal or covering of the material did not appear to be warranted. Should you need further information, please let me know. c? ,h ? enior Inspector???? DSls cc: Doug Reid, Chief Bullding Official Dan Weatherman, Thorbeck Architect city-hal.woo CITY USE ONLY J P 12-4 2-u o .5-3 PERMIT #: ?_t RECEIPT DATE: 3 - I ` ' U ?Z YOOE COblMEiCllkl. PLQM$INfi PERMIT APPLIClkT10N CiTY oF fAsAP 5830 PILOT KAOB {iD E!l6AH, bIP 55122 651$81-4878 INGOMPLETE APPUCAAONS WILL NOT BE PROCESSED nate: ?-12- O 7 _ ? WORK 1'YPE New Bldg Add-on Repav RPZ PVB " Irtigation system • Jerry Wobschall to calwlate fees. Required meter size is 2" turbo unles s aller size permittcd by Public W?o!?y DESCRIPTION OF WORK _Z" G Q G G 7? To inquire if Pressure Reducing Valve is required on new service, cs11 651-6 81-464 6 METERS - Ca11 65 1-68 1-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oickin¢ uo meter lirigarion Size & Type Avg GPM Fire Size & Price 3/4" disolacement $152.00 Domestic Size & Type Avg GPM Does rhis include high demand devices? _ Yes _ No FLUSHOME7'ERS Yes No PRV Site Address: 3 gJ ? ?? C r+ ? ? N a?l Tenant Name: f, _ Was there a previous Installer Name: ? < InstallerAd City: !e t in thisI space7 _t? Y v N. If Yes, Name: Yes _ No Telephone #: ? (Area Coae) FEES Contract price $-7 x 1% ($50.00 min) Plbg Permit $ Meter(s) $ Required on all new buildings & boWevard irrigation systems Radio Meter Read $ S S-0 Surchazge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge - 50 cents per $1,000 contract fee. Sub TotaVl'otal ? $ Supplementary fees for new irrigstion system: Water Permit $ 50.00 Contact Jercy Wobschall at (651) 6814624 regarding fe tment Plant $ 540.00 er Suppty & Storage S MAR 1 9 2002 Surcharge s ? - ? Tota $ - I hereby acknowledge that I have read this application, state that the infortnation is coa and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicant's responsibiliry to notify the property owner that the Ciry of Eag assumes no liability for any damages caused by the Ciry during its nojmal operational and maintenance activities to the facilities constructed under th' permit within ' op /right-of-way/easement. SIGNATURE OF PERMITTEE IRRIGATION SYSTEM (CONT) CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Cias Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: ?? y' '3 - /9_ 05' , BUILDING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 (Acct Code # 9220-4509) • Water meters include copper hom/strainer, remote wire, and rouch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $118.00 4-120 I-1/2" 'vrigation syst $ 745.00 sm commercial turbine" •'must receive maximum approval from continuous Public Works 10 230 3/4" displacement lawn irrigation $152.00 4-I60 2" turbine lg irrigation syst $ 923.00 maximum residential & continuous sm commercial production lines 15 3-50 I" displacement very lg res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 units maximum sm commercial & continuous & Ig comm bldgs 25 irri tion s stems 5-100 1-1/2" bldgs 25-64 units $439.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & production lines very lg comm bldgs 1/2-320 3" compound +Zpp unit bldgs $2,264.00 10-1000 6" compound +400 anit bldgs $5,900.00 very lg comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig imgation syst $2,184.00 & production lines Commenu • To schedule inspection of the inside water line and bacldlow preventer, call 651-681-4675. • To arrange for water turn-on, ca11 65 1-68 1-43 00. cc: KrLv Forster, Mamtenance Division Claical TecLnician Updazed 10101 J (?' i7-7 3V, CITY USE ONLY 9- 30 -O I PERMIT#: q -I t RECEIPT DATE: COMb1ERCIAL PLUM$INH PMIT APPLICAT[ON CITY OF ER6RP 9830 PILOT KFOB RD J fJk8AN,1HN SSIEE 851-681-4875 ((yCOMPLEIE APPLICATIONS WlLL NOT BE PROCESSED WORK 1'YPE New Bldg Add-on _V Repair RPZ PVB ' Imgation system " Jerry Wobschall to calculate fees. Required meter size is 2" turbo nu less smaller size permitted by Public Works DESCRIPTION OF WORK To inquire if Pressure Reducing Vah•e ls requlred on new service, ca11651-6ri1-4646 METERS - Ca11 65 1-68 1-4300 to verify that hydrostatic, conductiviry, and bacteria tests passed prior to oickiua uo meter Irrigatiou Size & Type Fire Size & Price 3/4" disolacement Domestic Size & Type Does this include high demand devices? Yes No Avg GPM $149.00 Avg GPM FLUSHOME7'ERS _ Yes _ No PRV REQUIRED _ Yes _ No SiteAddress: T( o`t- Tenant Name: G i?4? pT ?t'?v ?jj Telephone #: _?? (o?="M ?" (AreaCode) Was there a previous tenant in this space? _ Y xJ?I. If Yes, Name: Installer Name: elfr? Er Teiephone #: d (Area Code) Installer Address: City: 06idf FEES Contract price $ State: A /I Zip Code S1??r a 1% ($50.00 min) Plbg Permit $ ,, o C) ? Meter(s) $ Required on all new buildings & boWevard irrlgation aystems Radio Meter Read $ 5-? Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge $ 50 cents per $1,000 conuact fee. ' S l/ . Total $ u i Supplementary fees if installing irrigsdon system: ? Water Permit $ 50.00 Trestment Plant $ 516.00 Contact Jerry Wobschall at (651) 687-4624 regarding fee Water Supply & Storage $ Sta[e Surcharge $ .50 Total $ ? I hereby aclmowledge that 1 have read this appiication, state that the infoima6on is conect, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibilityto notifythe property owner that the City of Eagan assumes no liabiliry for any dameges caused by the Ciry during its nocmal opererional and maintenance acdvities ro the facilities conswcted under this permit within City pr ,S tyight-of-way/easement. ? - SI ATU F P RMITTEE `p i953 CITY USE ONLY L ? ?. B PERMIT SUBD. ? c & l k?3 CISSUED: CHK CHG 5000 PLi1MBlAH PEtilYII7' (COM6ERCIkW I D - 1 L - U C7 CITYOF EA6AA 5$90 PD.OT HAOH $D $A6AP, !!F 55122 881-M1-4675 fNCOMPL ETE APPLICATIONS WILL NOT BE PROCESSED Date: 13 Ta, aw -P / WORK TYPE New Bldg Add-on V Repa'v RPZ PVB ` Irrigation system • Must comptete reverse side of application also. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK 11• To inquire is required on new servtce, calt ME1'ERS - Ca11 65 1-68 1-43 00 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oickina uo meter Irrigation Size & Type F've Size & Type Domestic Size & Type Does this include high demand devices? _ Yes _ No Avg GPM Avg GPM Avg GPM FLUSHOMETERS _ Yes _ No PRV REQUIRED _ Yes _ No SiteAddress: ?J?30 1'? W% k[Ny6 1?) Tenant Name: Telephone #: ?Yi y`75- (nrea Code) Was there a previous tenant in this space7 N. If Yes, Name: InstallerName: 1AILQ^ Telephone#: -"- 6S ai I i1`t ,S? ?,I (.?CO&) Installer Address: City: AEES 5?_- State: Zip Code Contract price $ a 1%($30.00 minimum) Required on all new buildings & boulevard irrlgation systems Surcharge: $.50 Minimum. If nco tract Fee exceeds $1,000, calculate at 50 cents per $ 1,000 contract fee. Total From Reverse Contract Fee $ Meter(s) $ Redio Read $ State Surcharge $ New Service $ Total $ -?v I hereby aclmowledge that I have read this application, state thaCt mE tion is correct, and agree to comply with all applicable Ciry of Eagan ordinarnces. It is the applicanPs responsibiliryto notify the properiy owner that the City of Eagan essumes no liabiliry for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this pemit within City property/right-of-wayleasement. c• !7 ? SIGKATURE OF PERMITTEE CITY USE ONLY REQ[IIRED INSPECTIONS: _ U.G. _ A'v Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: , BUILD[NG INSPECTOR ? OFFICE USE ONLY LO /Z L oAIP RECEIPT #: LlLiLL?.? I, SUBD. DATE' IUc? 7/l?J` I 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete for. . all commercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dwelling unR. DATE: 10, ""-)49? CONTRACTPRICE: WORK TYPE: ? NEW CONSTRUCTION _ ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all pertnits. CONTRACT PRICE x 1% ` STATE SURCHARGE •5 ? ?`"??'?`? r"-' ??? Sr° - TOTAL So2? SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: PHONE#: 11w ' 4 91? SIGNATURE: OFFICE USE ONLY STE. # ? ZIP; f'- METER SIZE: ' DATE: /D ,3/ 5p <- INSPECTOR: . (f,j&f, G4A4,v,? "?I d 3 5 1994 PLUMBING PERMIT (COMMERCuL) CITY OF EAGAN 3830 PILOT KNOB RD F?q9q EAGAN MIH 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMI?`,ERCIALJIIV'iltiSTRIA;. BilILDINvS. ALSfi FOR MuZTI- FAMILY BUILDINGS WHEN SEPARATE PEkM1TS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NM CONSTRUCTION V ADD ON REPAIIt woxx nESCiurzzox: CONTRACT PRICE: $??a , o o a FEE: L% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF "M FEE, MINIMUM FEE $ 25.00 coxixnc•r rxicE x i% $( sao. ov STATE SURCHARGE TOTAL SI1'E ADDRESS: $ o 0 $ -1.54I.00 %3o ? $>,oo TENANT NAME: STE. # UWNER NAME: INSTALLER: ADDREss: 3-C) CITY: STATE• ?W?/wv?,,,• ZIP CODE• 550?? PHONE #• L`FUe'l FOR: 1,e)", C TY OF EA AN ;« ? IA \ Minnesota Department of Health Division of Environmental Health 925 Delaware Street Southeast P.O. Box 59040 Minneapolis, MN 55459•0040 (612) 627-5100 July 21, 1994 City of Eagan c/o Mr. Eugene Van Overbeke, Clerk Eagar. City Nall 3830 Pilot Knob Road Eagan, Minnesota 55122 Gentlemen/Lad9es: Subject: Plumbing far Public Safety and Municipal Complex, Eagan, Dakota We are enclosing a copy of our report cavering an examination of plans and specifications on the above-designated project. A set of the identified plans and specifications is also being returned to you. It is the project owner's responsibility to retain the plans at the project location. It is the plumbing contractor's responsibility to contact the Minnesota Department of Health for inspections as discussed in the paragraphs in the report pertaining to inspections. If you have any questions in regard to plumbing inspections, please call Roger Foster at 612/627-5134. If you have any questians in regard to the information contained in this report, please contact me at 612/627-5120. Sincerely, ., ? Lewis E. Anderson Public Health Engineer Section of Drinking Water Protection LEA:dal Enclosure cc: Bakke, Kopp, Ballau & McFarlin, Inc. Mr. Dirk House, Plumbing Inspector An Equal Opportunity Employer MINNESOTA DEPARTMENT OF HEALTH Divislon of Environmental Health REPORT ON PLANS Plans and speciFlcatlons on plumbing: Public Safety and Municipal Complex, Eagan, Dakota County, Minnesota, Plan No. 950056 Submitted by: Bakke, FCopp, Ballou & McFarlin, Inc., 219 North Second Street, Minneapolis, Minnesota 55401 Ownership: City of Eagan, c/o Mr. Eugene Van Overbeke, Clerk, Eagan Ciry Hall, 3830 Pilot Knob Road, Eagan, Minnesota 55122 . Date Examined: Juty 11, 1994 Date Recelved: Juty 8, 7994 SCOPE: This examinatlon is Ilmfted to the design of this particular project only insotar as the provisions of the Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or seYveraqe system to which this plumbing system is connected. The examination of plans Is based upon the supposdion that the data on which the design is based are correct, and that necessary legal authorky has been obtalned to construct the proJect The responsibBity for the design of structural features and the efficiency of equipment must be taken by the project designer. Apprwal is corrtingent upon satisfactory disposRion of arry requlremerrts induded in this report. INSPEGTIONS: Special care should be taken to tnsure that the matertal and installation of the plumbing system are in accordance with the prwisfons of the Minnesota Plumbing Code. It is necessary that the State Health Department make roughing-in and ftnal inspections of the plumbing system to determine whether ft complies with the code. Provisions should be made for applying an air test at the time of the roughing-in Inspectfon as outlined in M(nn. Rules, p. 4715.2820, of the code. It is the responsibility of the owner, or contractor, as the awners ageM, to notify the State Health DepartmeM when the installation wHl be ready for a test and inspection. No acceptance of the plumbing Installation can be iven uM0 inspection and testing of the roughing-in work of the i completed instalaton ?by a 6rPepre eotative of he St9ateA Health Departmerrt Indtes compllar ce ?nnP'th the provisions of the code. REQUIREMENT(5): 1. If the combinatlon security fbdures have a buft-in bubbler, the bubbler should be tumed davrnvards or weided shu[. 2. For the coMiguration sham in Riser Diagram 15/M14, Fixtures FS and F84 must be individually vented. A common vent cannot be used with a double 'Y" ffttfng in a horizontal posRion. 3. Two addftfonal floor dralns are shown to dfscharge to the elevator sump shown on Detail 2 of Sheet M5. If these are comentional floor drafns and not floor drains for eleJators, these drains cannot discharge to the eleaator sump. 4. Floor drains farther than 25 feet from a vented waste pipe shall be vented (see Minn. Rules, p. 47151300, subp. 4). 5. All plumbing shali be installed In accordance wRh the Minnesota Plumbing Code. 6. Materlals used for the plumbing system shall comply with the standarcJs set in the Minnesota PIum6ing Code. 7. The water piping system shall be dfstnfected In accordance wfth Minn. Rules, p. 4715.2250. 8. The plumbing system shall be tested In accordance with Minn. Rules, p. 47152820. 9. Plastic pipe must be fnstatled In accordance with Minn. Rules, 4715.0580(F) and p. 4775:0600. Horizontal runs of plastic waste and veM pipe abwe-grade cannot exceedp.35 feet in total len?[h. Vertical runs of plastic waste and verrt pipe above-grade may only exceed 35 feet in total height wdh an apprcoved expansfon Joirrc. 10. Solverrc weld joiMs In PVC and CPVC pipe must include use of a primer which Is of corrtwasting color to the pipe and cement (see Minn. Rules, p. 4775.0810, subp. 2). & . ?• Public Safety and Munic(pal Complex -2- JulY 11. 1994 Plumbing Plan No. 950056 11. Pipe hanger and suppoR spacing shall be as specified by Minn. Rules, p. 4715.1430. Authorization for construction in accordance with the approved,plans may be withdrawn ff constructlon fs not undertaken wfthin a period of two yesis. The fact that the plans have been apprwed does not necessarUy mean that recommendations or requirements for change wlli not be made at some later time when changed condftions, addkional infortnatlon, or advanced knavledge make impravements necessary. MProved: Lewi" s'E Anderson Public Health Engineer Sectlon of Ddnking Water Protection 612/627-5120 ?-305 : (., 1-r 80 Jeaar84 ?-3i-oa CITY USE ONLY PERMIT #: RECEIPT DATE: -D, 3 ' C)P,PPROVED BY: aINSPECTOR 8008 COMMERCI!!I. MECEM1CAI. PERM1T APP1.ICATIOft C1TY OF E4HAN 3$30 PILOT KPOB ftD EAsAN, Mx 55 i sg 651-681-46'75 1-2-z - a ?-- .S?D Please complete for: all commerciaVindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: /-al-o2 E? Lb 3 SITE ADDRESS: // e OWNER NAME: a&, w? Fq o.v PHONE #: TENANT NAME (INIl'ROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: /V k(P c ), Q Yt 1 L l STREETADDRESS: ?9dD JtJ?ua?lQ /?ve. 'CJo. -- CITY: /V E,.rJ 14 op e- STATE: ZIP: TELEPHONE #: rZ(r 3 ' S-S?'S? -Slv o WORK T'YPE: New conshuctian _ Install U.G. Tank ? Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work:,o gm o -.Q i,us When installing/removing underground tank, call 651-681-4675 for inspection 6y Fire Marshal and Plumbing inspector. Fees: I% of contract price OR $50.00 minimum fee, wlrichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $,s0 0 o x 1%= $ sv°° (Base Fee) State surcharge .`?-p calculate at $.50 for each $1,000 Base Fee ? , TOTAL $ SIGNATORE OF PERMITTEE Updated I/02 4 L SUBD. / CITY USE ONLY ??BL APPROVED BY: RECEIPT#: /q RECEIPT DATE: 1996 MECHAIVICAL PEWN1T (COMbI£RCIlkL) CITY OF Efk&AN 3$30 P1LOT KNOS RD EAHAN, MN 551 EE (61E) 6$1-4875 Please complete for: all commerciaUindustrial buildings multi-family buildings when separate permits are not r uired for each dweiling unit DATE: `I-' CONTRACTPRICE: - It, q ,??? - -1 / , WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPT'ION OF WORK: f,,->? -F' "l?,o FEES: 1% of conuact price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE 3TATE SURCHARGE GrllGl?w ($.50 per $1,000 ofpeimit fee due on all permiu.) TOTAL 94? SITEADDRESS: P iV"'lch?ArV6 OWNER NAME: (?!J'? 01-? -?'i ?i ". PHONE #: -T - TENANT NAME (IMPROVEMENTS ONL1): INSTALLER: ADDRESS: ,lAA ?A #--- :5 CITY:-, STATE: ZIP: SIGNATURE OF PERMITI'EE CITY USE ONLY L D/ BL o6' RECEIPT #: '` 9-'v5 SUBD. 'b/ ?C/ DATE: /11/? 27 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? ali commercial/industrial buildings. ? multi-famity buildings when separate permits are = required for each dwelling unit. DATE: ?0?a--11 5 \ CONTRACT PRICE: C) (0'!?) WORK TYPE: 7C NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: o $25.00 minimum fee Qr 1% of contrect price, whichever is greater. . Processed piping - $25.00 • State surcharge of $.50 per $1,000 of p=33g fee due on all permits. CONTRACT PRICE x 1% JrF?S60-0 ww_? " U U PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: .50 5 8 v -'-, ? ??O \) ?-?n, ?• OWNER NAME: TELEPHONE #: TENANT NAME: !^ns. INSTALLER: rti Y',`l. ADDRESS: \CITY: STATE: ZIP: PHONE#: '\ 4''?t' \-A C\ ? SIGNATURE: :J J- SIGNATURE F PERMITTEE CITY INSPECTOR ONLY) PLEASE COMPLETE FOR ALL COMIVIERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: SecN-amhar 9. 1994 rONTRACT PR ICF: $ 559, 000 _ 00 x NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: A11 xVAC related work. 1% OF POFEE PROCESSED PIPING: MIlVIMUM FEE: STATESURCHARGE TOTAL FEES $ 5,590.00 $25.00 $25.00 ? $.50 FOR EACH $1,000 OF SRWT FEE. ?? $ 5592.50 ?5 SI1 E f1D17kF.SS: 3830 Pilct Knob Road OWNER NAME: City of Eaqan TELEPHONE #: 681-4695 TENANT NAME: (uMPxovEMErrrs orrr..Y) Rcmark, Inc. 278 Chester Street CTTY: St' Paul STATE: MN ZIP CODE: 55107 TELEPHONE #: 290-2540 ? . , SI ATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 .. „? ti? 1 ??n .ec.r #??ja.iki k,..?????;ii?a..?.?Yccj? Y fr°.?,r???.'.4??.r.J??G.?n?.??.?it:??`1Aw°,.t.4'ah`wi. ?kJ U?dm?¢CC?? II ? c .[ ?Y 4° S? $i. r? 'w ?[ - h 1 y,-e'1" F Y?'ry ?Y M?i . 1 3r ic t? h?"1 ^' ?n ? t K? t 4?s."`'?, ? m?' r??'ELI:?AND WATER S?PPL?'?N?AIVAGE7VIENT?°^?3•.???.s?d ?r?? h'< s.?` ?ti ? ? ° ,Pei?mit Nc _ WELL ]PERNIIT ? 9s 900: ? .-. ? ? . ......? . . ': . ? , a _ . ? . :. ' . .. ... . . . -. _ -: DAKOTA COUIVTY ENVIRONMENTAL 11SAIVAGED?NT DEPARTMENT ?` ,; *"7'° °?' ?: . ;;: ; . "4VATER AIVD i:AND MANA?'sEMENT SECTIOIV _ ; ;. ? ' ? 34955 GaLrie Ateouc, llppk Valiry MN 55174 . .. .? + • : , .'. ?.: .:; -.,.° .. Tdeph6ue (612)89170I1 WHEREAS, the NON-TRANSFERABLE PERMITTEE/DBA: Maher Well Drilling ISSUED TO: 19301 ADDRESS: 17530 Red Wing Blvd. REVIEWED BY:Luehrs Hastings, MN 55033 has submitted a permit application, has paid the sum of $108.00 dollars to the County of Dakota as required by Ordinance Nuaber 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to construct the Well described herein: An abandoned well with a casing diameter of inches, depth of feet, and completed in Unconsolidated Sediments, will be permanently sealed. The well shall be cleaned of equipment and debris, disinfected, neat cement pressure grouted and terminated at least two feet below grade. TAE WELL IS LOCATED IN THE MUNICIPALITY OF EAGAN AS FOLLOWS: WELL LOCATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS 3830 Pilot Knob Rd. City of Eagan City of Eagan 3830 Pilot Knob Rd. 3830 Pilot Knob Rd. Eagan, MN Eagan, MN NOW, THEREFORE, Maher Well Drilling is hereby permftted and authorized to construct the well described and located above for a period of one year from the date of this persit. Construction of this well is subject to all provisions of Dakota County Ordinance 114,.the Minnesota Water Well Construction Code and any conditioris attached on the reverse side of this permit. Given under my hand Wednesday, April 28, 1993 ATTEST ENVIRONMENTAL SUPERVISOR ENVIRONMENTA/`MANAGEMENT DIRECTOR l ? a ' "4 '. ... : . e6/as/93 ia:se naaoTa caurrv-wESrER4 SERV. crn. 001 MUNSCZPAL NOTICE OF 9?LLL PERMIT APPLZGATION DAltOTA COVNfiY LtQpIRONMENTAL MANACiEMIINT DHPRRTMlISNT WATBR ANp LRND MANAGEMENT SECTION 14958 Galaxi6 Avenue We8'C, t?pgle valley, P1N 55124 Tel (612) 891-7011 Fa7[ (612) 891-7031 AATLt Juhe 08, ?1993 Tbs Tom Colbert/mayne Schwaaa FROM: Water nn$ Lend i3anagnment RSt We11 Pernlit J: 93-9082 MunicipaLity : Sagan FaX #: (612) 681-4612 wea1 xypec seaiing xevfetver : Luehrs HbTICEi The t4ater and irand Mansgement Seatlpn of the Dakota County Envtronmental Hanegement Department has received the fOllowing pes7Git application for the we11 desaribed. If you x@gui7re futher review oP the appiiaation or if you have any gue6tions or conaerne about it, contact the Environmental SpeCialist 118teo ebove ar our oPPioe at (612) 841-7011. If thez'B i8 1]0 response Erom your offiae within 14 HoURS (exciuding weekends and holidayg?, we oriil aesuma that you have no ob3eations to the issuanae of tihe perm t. Please note that permit issuanoa is aiwa s aonditioned pn tha peXmit applicantiig abservanae oP enH aompliancs m?th all applicable laVs and ovdem. •A copy of the mell permit w311 be forwarde8 to your oi°fice when,aompietad. S4ELTi WNTRACTOR SNF'DRNATIDNS Haher Well nriiling • Applicution RecatvetA: 04 28/1993 Aatfaipxted Arilling/Sea?3ng p$te it ]Ct1oWn: Time: 0 7ACATION OF WELLs PLe Coordinatse sea , Toevn , Range qeii Locatl.on 3830 PilOt ICnOb Rd. PYOperty awner CSty of Eagan We11 Uwner C3ty oP Sagan PXD Number - - 698LL INP'C)RMRTION: Diameter Caoing dgpEh Tcytal depth SDPL ? ` Aquifer ?4?pJr?e?R C024MENT? : C?4C J B`94% 612 891 7031 06-08-93 02:39PLa P001 tF14 04i28/93 14:15 DAKOTR COUNTY-WESTERh! SERII. C1R. Ordinance No. 174: WELL AND WA7ER SUPPLY MANAGEMENT MUNICIPAL IUOTICE OF WEI.I. PERMIT AP?LICATION DAKOTA COl1tVTY ENVIRONMENTAL MANAGEME WATER AND LAfdD MAfVAGEMENT SE 14966 Galaxie Avenue Wes#, Appla Valley, Telephone {672} $91-7011 - Facsimile t61 DATE: 71ME: AM PM SENT: Fax e- TO: . 'jo.ti Co&?4 /G.4o-w? Lo 001 &V--Y6 (14 FROM: Z:3aiT. Lc,.cEGrc's ENVIRONMENTAL 5PCCIALIST ` ----..' ` REF6RENCE: / ? ?? ;qa N07'ICE: The Water and LSnd Management Section of the Management department has reoeived the following permit dascrlbed. If you requlre furthar revlew of thls eppilcatlon(s) oi concerns about it, contact the Environmental Specialis[ listed ab (612)gg7-7011: If there is no response from ytsur offico within and holidays), Water aiid lpnd Manesjement stsff will as&ume issuanae of the permit(s). Please note that permit issuance is aiv aPplicant's observ&nee of and complianCe wittt.all applieable la? welt permit(s? will be torwarded to your ofPice when completed. QESGRIPTION: rROPERN:owrvER _ C, fY a,vr wEU.or unrerann LOCA71pN OF WELL(SJ: ADDRESS mgSo P: /af Lt.9aG PUBLIG LANp SURVEY COORDINATES:.OF pF_UFiUF $I MUNICiPALITY: PROPEH7Y II] N0. WELL COMTRACT014: APPLICA714N RECEIVED -%?tg6 g_ SU9CONTRACTEd 70: _ PERMIT TYPB; NEW CONSTRUCTfOfd RECDNSTRUCTIDN REF PERMANENT SEALING_?L<,r.ANNUAL MqiNTENANCE: TEMPORARY REGIS7ERED-USE PRlMARY USE UF WELI(SI DEPARTMENT 455724 899-7031 Otner_ kota County Environmental plication(s) for the w0111s1 you have any questlons or s or our offica at telephone hourF (Axcludtng weekends ai you have no obJections s conqitianed on the permit and codes. A copy ofthe d9Zv Pormti RoQUired) VG RECLAIMEd-USE CASING DIAMETER INCHES; LENGTH Ia?y FEET; AQUIFER ? ? ??°`? .S •MCw? COMPLETEb; I ANTICIPATED DRILLiNG/5EALING UATElit Known); COMMF-NTS: R-94% pEPTH / !2J/ FEET; hidLE SCREF1JEpX; 612 891 7031 I 04-28-93 03:13PM P001 #16 ..' _ _ ? .? r?. e.. ?.. .. .. ._ I1` .r'.?. r?? 2tJy4 ry?rg„?„°`? ?h ?y ' 4 y? F 1 1? ? .• .. 4i+. iT:? L?+ S. .`• /??h'!o REQUEST FOR ELECTRICAL INSPECTION ? Y . eGe-oooo?.oal 1 See instructione,/or comple?i?q this torm on baek ol vellow coOY. ??`? 6 7 3 '"X" 8elow Work Covered by Ihis Request Fdd Nep• Type ol BuiltlinB Apoliancae WireE Epuionrent Wirea Li Air Conditi M Fee ServiceEntranceSixe N iee Fapdars/Subteetlers M Fee Cireuits U?Am s 0 to 30 Am s 0 tn 30 An! bove 200 qmps 31 to 100 Amps 31 to 100 Amps Swinming Poal Above 100-Am s Above 100_Amps Trans?ormer5 rtigation Boorns Partial.'Other Fee Jigns special InsUecLOn 5g,?? TOTAL FEE emarks Nauph-in Date 1, ihe Elechicai IIISPOCbq AerOby - certily thet the ahpve Final Drte inypection has been made. thhmuestrolUiBmontMtrom . . . . . . .. .. . .. ._ ... -,.. ? i Th g /! ?,.i s reaues[ voiA i 18' n[h t rtq s rom 32673??.?.??-?i ._?V (c c1 ? ?G ?-' Nequest Date ? F' e No. Ro-in Insyection Requ'redT ,?,/ ?ileatlyNuwJ[y?WillNOlify.lnspec- 1 l Yes ?NO or When Readv ?Licensed ElecVical ConVactor 1 heroby rsquest inepeetion ol eEOVa ? Owner eleetrical work insfalled af: Stree[ Address, Boa or R e No. 3e?-0 City E , action a. Townshio Name or No. Nanee No. - Coun O t IPRINT) w? d:?>10= _• / _ Phon Nn. ? ?? Po Sup ier Atltlre ?ooP ,7?XJ I ca1 Conhactor ICompany ame) Contrar,tor's License No. 0.3? o ^ MailinB AtlJress IConvactor r Owner Making Instailationl ? T GIL/!I?•/ ???/'? Auihorizetl Si tu n /Own kinp Installationl ?? Ph/on)e" ?Num er / / _ MINNESOTA STATE eOAye vF ELECTRICITY Grigga-Midwey BIdB• 'Room N•191 1821 Univerailv Ave., St. Peul, MN 65704 THIS INSPECTION flEQUEST W0.L NOT BE ACCEPTEO BV TME STATE BOANU VNlE3S PPOPEH INSPECTION FEE IS ENCLOSED. 38A0 <PJ.#?? ???,--- ? /0, 0;1a00- oi,_zb MEMO T0: TOM HEDGES, CITY ADMINISTRATOR FROM: DALE S. PETERSON, BUILDING INSPECTOR DATE: NOVEMBER 2, 1978 RE: ORR HOUSE SEPTIC SYSTIIM FAILURE The system was opened in two test areas. Number 1 test hole showed that no waste water was reaching a very inadequate seepage hed. Number 2 test hole showed that the waste line to the seepage bed was clogged with effluent. The septic tank will have to be opened and baffles replaced or installed. A new cesspool or equivalent must be installed. The low bid received to repair [he system was $800.00 From Wierke Excavating. DSP:t1G ? MF.MO T0: Tom Hedges FROM: Dale Peterson DATE: August 25; 1978 SUBJECT: Orr House Leaky Ceiling The leak is caused by a full septic tank and probably a full drainfield or dry well. The leak is also a result of improper venting of waste line into the attic and poor connection at the washer. 1) 'Ihe first priority is to pump the septic tank. 2) The second priority is to: a. add enough'pipe to carry vent through the roof. b. install a stand pipe.and trap for washer tonnection. 3) The third priority is to: a. vent fuel oil tank to the outside. b. extend fill pipe to outside. 4) The fourth priority is to build a new cover for the well pit. Joe Connelly, Joe Haluza and myself inspected and found these items that need doing irr the order listed to insure the health and safety of the tennants. All items.listed could cause illness or an accident. Joe and .Toe are willing to.do the work with city manpower if so ordered. The probability of installinq a new drainfield disposal system is quite great, but we can tell for sure by how fast the septic tank refills. Approximate costs: ' Pumping septic: $40.00 per load Materials and in house labor: $150.00 Dale S. Peterson Building Official June 15, 1978 MEt20 TO: Tom Hedges FROM: Dale Peterson RE: Orr House Repairs There are several areas where the roof is leaking. 'The house should be completely reroofed. In-house labor would not be feasible. The estimated cost for materials and labor would be $1,000.00 to $1,500.00. The fill and vent pipes of the fuel oil storage tank in the basement should be extended to the outside before occupied. This could be done with in-house labor. Two smoke detectors should be installed before occupancy, also done with in-house labor. Some minor interior and exterior repair should be done before redecorating if the building is to remain functional for any extended period. Dale Peterson Building Inspector dp lco c rmio ro: xoH HEncEs, cirr FHOM: DOOG BEID9 CHIEF BOII.DIHG OFFICIAL DATE: JQLY 30, 1987 RE: 3840 PII.OT SNOB ROAD - ORB PSOPERTY STORM DAMAGfi As you are aware, the above refereneed City rental property consists of a house, garage, barn and two outbuildings. The storm of July 239 1987 damaged the foundation on the west side of the barn. I would like some direetion from the City Couneil to either have the barn demolished and hauled away or to turn it over to the Fire Department for training purposes. In my opinion, I Peel the barn is not worth repairing due to its age and condition of the struetural members and the foundation. I am having the electricity removed from the barn and other outbuildings. In reference to the condition of the other two outbuildings, I would recommend the City remove these buildings as well because of the potential liability for the City. The buildings do not warrant repair. The house and garage were not damaged by the storm. Respeetfully submitted, Chief Bui ng OfPicial DR/js LEO MURPHV MAYON THOMAS EGAN MARK P/.RRANTO JAMES A. SMITH THEODOPE WACMTER COl1XGL MEMBEPS CITY OF EAGAN 3796 PILOT KNOB ROAO EAGAN. MINNESOTA 55122 PMONE 454•S1O0 rrt ii9 [t:? October 10, 1978 PHYLLIS: The enclosed checlc in the amount of $6548.16 is to pay the back installments'on parcel # 10 02200 11 26 which represents the Hollis Orr ProperLy. These are the Sewer Trunk and Water Area installments, Please call me if you require further information Sincerely, , G. Ann Goers Assessment Clerk TNOMAS MEDGES CITY ApMIN19TqATOR ALYCE BOLKE QTY CLERN THE LONE OAK TREE .., TNE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV. ? MEMO TO: HONORABLE MAYOR AND CITY COUNCZL MEMBERS FROM: CITY ADMINISTRATOR HEDGES DATE: OCTOBER 5, 1978 SUBJECT: HOLLIS ORR ASSESSMENTS, PARCEL O11 26 - 20 ACRES After reviewing the original assessments that were levied against the former Hollis Orr property which is now described as 20 acres of land owned by the City of Eagan it appears that the total amount of unpaid.green acre installments for sewer trunk and wa er area are $6,548.16. The unpaid balance of assessments $9,525.34. Therefore, the total assessments for the 20 a re parcel is $16,073.50. It appears there are several ways to consider payment of the assessments by the City of Eagan. One consideration is to pay off the special assessments through a special tax levy this fall col.lectable in 1979. A second alternative is to pay for the assessments through the appropriate trunk funds, a third alternative is to pay for the assessments over a period of years in the same matter as a property owner who spreads their assessments over a number of years according to assessment policy. A fourth consideration is to pay for the assessments.out of the water reserve fund in the same matter as the land was purchased and then pay that fund back with federal revenue sharing or general fund monies at some later date. The last alternative was suggested by City Council Member Parranto at the Council meeting on Tuesday and may offer the best cost accounting alternative of all the proposals. By adding the $16,073.50 for assessments to the total $100,000 purchase cost and paying the entire amount out of the water reserve funds, it ties the assessments to the land purchase representing a total cost for the land purchase. The $100,000 has been paid to Hollis Orr and the $16,073.50 for assessments would then be transfered to the sewer trunk and water area fund. At some later date, if the property is not used for a reservoir site and therefore a transfer is made on paper to the general fund, a total of $116,073.50 would then be transfered to the water reserve fund by means of federal revenue sharing monies or other general fund revenues. Zy Orr Memo Page Two October S, 2978 The following financial information represents the assessment breakdown for the unpaid sewer trunk and.water area assess- ments that were levied against the 20 acres. Parcel #10 02200 O11 26 - 20 Acres Original.Assessment Sewer Trunk 1973 - $6,080.00 Water Area. 1977 - $6,080.00 Totals Green Acre Installments UApaid Salance 1973 - $1,009.28 $4,256.00 1974 - 766.08 1975 - 741.76 1976 - 717.44 1977 - 693.12 1978 - 668.80 $4,596.48 1977 - $1,092.38 $5,269.34 1978 - 859.30 $1,951.68 Unpaid Green Acre Installments - $6,548.16 $9,525.34 Q_ City Administrato CITY OF EAGAN - 3795 Pilae Knob Road Eagan, MN 55152 N2 4591 PHONE: 4548700 " ? 555 BUILDING PERMIT APPLICATION $487 rteceivr # . - To be used hr Police Facility Dote D ec. 5 , 79--Z1 Site Address 38010 Pilot KnOb Rd. Erect N Occuponcy F? Lot Block Sec/Sub. 22. Alter ? Zoning_ PLLb1iC F8C Parcel # 1Q 022nn ()19 96 Repair ? Fire Zone _ 3 _ E l T t C t II n arge ? ype o ons . rc Name C1tV of ESgeII Mave ? # Stories 1 3 Address 3795 Pilot Knob Rd, Demolish ? Front 100 N. --- Bu- o Ciry F82 8IL Phone Grade ? . k. DePth p IName Hnnry 0 M;kkejgpA CO ?? Addreu 20 W 59th St. ? ,.;,,, Mpls ,,,,,,,e 861-2255 Nome Horne Architects Inc. qddreu _ 3850 Coronation Rd. „_. Eagan o1___ 454-2493 I hereby atknowledge thot I have read this application and state that the informatian is correct and agree to comply with all upplicable Stote of Minnesota Stotutes and City of Eagan Ordinances. Signoture of Permittee _ A Building Permit is issued all work shall be done in y Assessment - Woter & Sew. Police _ Fire Eng. Plonner - Council _ Bldg. Off. _ APC Fees Permit Surcharge 244.00 Plan check SAC 1125.00 Woter Conn. Water Meter Toral 1369.00 °1 on the express condition that of Minnesota Statutes and City of Eagan Ordinances. Buildirg Offlcial DATE Y77 SUILDING PERMIT APPLICATIOtd Znclude 2 aete of plane, 1 site plan w/elevations and 1 eet of enorgy calculationa. 11 2b be used for496/9'/J o00OL/&e--0t4?aluationx 4q7 SJ?s^ Site Addresx :??? ?? ?"? ? R ? • I,ot Block Sec./Sub. Oxmer D/- xFAG' N Address 7qr 009 ic,pT /t'Aves O49 L- Ai? ?li?rit. Parcel Ntnnber i? ??Ae?a 9i? a(, Telephone ContractoY ?Ze/? /C?SUovifiJ Telephone &f+/- Address 2 ?fi?/Ni?ecA/•?AG/S? /N $'S"{1j7 Arch. /mg. / 2?k? ??G?tli TE'c?Tf .`?.e?. Address 7dr-EO !!A/?r ?ii?i?_ EteCL Alter v Repair Enlarqe Move Tsemolish Grdde OFE'ICE US8 Date of Ap,proval & Znitial Assesament lY..,?. ??d 77 Water/Sewer Polioe Fire En9. Planner _ Council Rldg. Off. A.P.C. Te laphane 4"e5-V . g !??3 OFFICE USE Occupancy r 2-- Zoning Vgblre- Fw e.e !i 7 n? t Fire Zone 3 Type of Const. 7T" q of Stories / Front O f? Depth ? FEE3 Pexmit Surcharge - P2an Check ^ sac '7'Q ,,7,;-?1?. ?- water Conn. Vdater Meter TOTAT. , R CITY OF EAGAN N? 8118 7795 Pilot Knob Reod Eogan, MN 65113 ' PHONE: 431-8100 BUILDING PERMIT EAGAN ' Receipt # `?ro1 07 T. M wad fer MUNICIPAL CENTER Est. Volue $745,000 pate .Tune 8 1 q 83 Sim Address 3830 Pilot Knob Road Erect gq, Occuponcy B-2 Lot 012 elock 26 Set/Sub. SectiOn 22 Alter ? Zoning PF Purcel # 10 02200 012 26 Repah ? Fire Zone NA Enlarge ? Type of Consi. II N m Name City of Eagan Move ? # Stories z Addroas 3795 Pilot Knob Road pG11,oiish ? 80 Length_ Ci Eagan 55122 Phone 454-8100 Grade ? Depth 150 Sq. Ft.- ? Voronyak Const. Co., Inc. Name Avvro.al. Feo¦ a o" Address 3070 Ranch View Lane Assessment Permit Waived ug ??? Mpls. SS441 phone Water 8 Sew. SurcMrge 372.50 Police Plan check W81V2d ?Z NOrtb Fire SqC(4) 1700.00* Address Erp. Water Connj'laived iW Ci Phom Planner WaterMefer NA Council Road Unir Waived 1 hereby ockrwwledge tFwf I hove read ihis opplicotion ond stote thot Bid9. Off, ark Ded. Waived the information i5 mrreCf and agree fo comply with all applicoble APC l $Z •??z.50 Tot Stote of Minnesota Statutes and City of Eogan Ordinances. o Signature of Pertnittee .*$400 Waived oronya nc. onst. o., A Building Permit Is issued to: on the expren condifion thnr oll work sholl be done in accordance wi 11 op T' bl e of o? sqfo Statutes ond City of Eogon Ordirwnces. Building Officiol h- l To Used Fbr MUNICIPAL CENTER CITY OF EAGAN Include 2 sets of plans, - ` 1 site plan w/elevations & BUILDING PERMIT AL'PLICATION 1 set of energy calculations. Valuation $745,000.00 Date May 23, 1983 Site Address 3830 Pilot Knob Road Ipt 012BlOCk 26 S2c./Sub. Section 22 Parcel #: 10 02200 012 26 p,anpx: City of Eagan Address: 3795 Pilot Knob Road City/Zip Code: Eagan, MN 55122 Phone #: 454-8100 Contsactor: Voronyak Construction Co., Inc. Address: 3070 Ranch View Lane City/Zip Code: Mpls. 55441 Phone #: Arch./B1g.. Address: City/Zip Code: " OFFICE USE.ONLY Erect X Occupanc}! B-Z Alter Zoni.rx3 PF Repair Fire Zone NA Ehlarge 7.ype of Const. II N Nbve # Stories Denolish Front 80 ft. Grade Depth 150 ft. APPROVALS FEF-S Assessnents Permit Waived ?aater/Sewer ?Surcharge 372•50 Police Plan Check Waived Fire SAC(4) 1700.00 * gng. Water Conn.Waived Planner Water Meter NA Council Road Unit Waived Bldg. Off. Park Ded. Waived APC * $400 Waived Phone #: ? TOTAL $2,072.50 7 Sl? ?I No c?.?. Appiicant instructions: 1. This application must be completed and returned at least 75 days prior to date of display. 2. Fee upon applicaUon *$_ and must be made payable to City of Eagan. Name ofapplicant (Sponsoting Organization): Eagan 4th of July Committee, City of Eagan Address of applicant: 3830 Pilot Knob Road, Eagan, MN 55122 Name of authorized agent of apj?licant: RES Specialty Pyrotechnics Inc. Address of agent: 21585 286th 5treet, Belle Plaine, MN 56011 Telephone number of agent: 952-873-3713 Date of display: July 4"', 2007 Time of display: approx. 10:00 PM Location of display: Eagan Community Center Manner and place of storage of fireworks/pyrotechnic special effects prior to display: NIA - Delivered Day of Show. Type & number of fireworkslpyrotechnic special effects to be discharged: See Attached List Minnesota State law requires6y that this display be conducted under the direct supervision of a pyrotechnic operator certlfled the State Fire Marshal. Name of supervising operator: Erv Haman Certificate #: 60199 I understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or properlvr constitut9,24auincex Signature of applicant (or aget? )? ???Vate of application: 5114107 Required attachments: The foitowing attachments musT6e included with . .:. . _ - - .. . . a 1. Proof of a bond or certlficate of Insurence In the amount of at least $1,000,000.00 2. A diagram of the erounds, or:FaciliHes (iw indoor displays), at which the display will be held. This diagram (drawn to scale or with dimensions induded) must show the pdnt at which the flreworks/pyrotechMc speclal effects are to be discharged; the location of ground pieces; the loption of all buildings, highways, streets, communication lines and other passible overhead obsVUCtions: and the Ilnes behind which the audience will be resOrdined. For proximate audience (e.g. indoor) displays, the diagrem must also show the falbut radius for each pyroffichnic device used during the display. 3. Names and aoes of all assistants Matwill be paNcipating in the display. The discharge of the listed firaworks on the date and at the location shown on this application is hereby approved, subject to the following conditions, j,any: Signature of fire chief/county Signature of issuing Date: s?140'0 7 Date: 'g `? 11, 1 01 . ? . ,.a . __ ? City of Eagan July 4t', 2007 Lead Technician Erv Haman Assistants 7ackie Tilkalsky Dan Palmer Paul Haman Ben Raby Jon Slavik Product List 3" Shells 130 4" Shells 100 5" Shells 44 Multi Shot Cakes 4 ( a DOB ,;, License # 9/17/49 _. - B0199 11/18/69 n/a 7/10/79: n/a 5/1/80 .. i. n/a 3/6/77 n/a ll/10/82 ` n/a ,?. ,, . * j( ? 7 n' • . .,? ?'0.. \ I ffu. .st 1.; ? {?? ?:. , t -o k c::l\ \6 °1 2007 FIRE SUPPRESSION SYSTEMS rExMiT arrLicaTioN City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and components to be used Date Q / cD\ / ? Site Address: Tenant / Building Name: F-0, cc7C1 The Applicant is: Owner x Contractor _ Other PROPERTY OWNER Address: City: State: Zip: CONTRACTOR bV?DejC"? VVO{,e?T?(?1 MN License #: CSJ(A? Address: City: State: Zip: Pho e#a ESTIli1ATED COMPLETION DATE: FIRE PERMiT TYPE: ? Sprinkler System (# of heads Fire Pump _ Standpipe Other: WORK TYPE: _ New _)< Addition _ Alterations ? Remodel Other: DESCRIPTION OF WORK: ? Commercial _ Residential _ Educational Other: Please continue on next page PERMIT FEES 06 Contract Value $ jC? x .01 =$ J?? 2?? Permit Fee $50.00 Minimum 3/4" Displacement Fire Meter - $174.00 TOTAL FEE: $ . - State Surcharge To calculate surcharge If Permit Fee is <$1,000, surcharge is 50 cents. If Permit Fee is >$1,000, surcharge increases by $.50 for each $1,000 Permit Fee, i.e. a$1,500 Permit Fee requires a $1.00 surcharge. $ I'ire Meter $ ,o 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. ? , C ?`L?c=3nu ?(Y-\??? Applicant's Printed ame A cant's Signat Roughln uk .._ -. ? JUL-23-2009 07:42 From:, 6127214236 To:651 675 5694 P.2,4 ffl:7- Permit #City of Eaall 3830 Pilot Knob Road Pornnit Fee. I Eagan MN 55122 Date Received. Phone: (651) 676-6676 Fax: (651) 675-5694 staff- 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: /11 Site Address: 3aab Prw T k4i o r; ti:.ku Tenant Name: Gs r~ ° 'r.g~w, .J (Tonant is: New 1)xisting) Suite Former Tenant: PROPERTY OWNER Name: -t1 . F 'gyp. ak,./ Phone: (65 1 63 S 54147 Address /City l Zip: 183,10 Ei Lo 't' 14.403 R6 Applicant is, Owner Contractor TYPE OF WORK Description of work: --t-ok Construction Cost: % 57 i 00 CONTRACTOR Name: IAt.t..&Asci'r'r"'Ski:e- License (/AD D - Address: 1-k City: yd , r + a A 4 State: .w.J Zip: ! 9 2 40 4 Phone: (a't 1Z t t Contact Person: !3[r • i. ARCHITECT I Name: Lt,4AMj)4C p~e vF Registration ENGINEER Address: 'Lf o~ ER s-f -L C. ~f STt'? City: w. _„_141'4. t1 _ state: zip: 55-1Q Phone. (1''L 7. L ( ti S`f S Contact Person. Ilk A*- L '14 l(, Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information.' Portions of the Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate, that the work will be in conformance with the ordinances and Codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans., x PVc..rr LID (r if Applicant's Printod Name Applicant's 5161-mature Page 1 of 3 JUL-2,3-2009 07:42 From: 6127214236 To:651 675 5694 P.3'4 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Public Facility - Accessory Building Apartments Commercial I Industrial _ Exterior Altoration-Apartments _ Lodging Greenhouse I Tent Exterior Alteration-Commercial Miscellaneous Antennae Exterior Alteration-Public Facility WORK TYPES New Interior Improvement Siding Demolish Building' _ Addition _ Exterior hnprovomont . Roroof Demolish Interior. _ Alteration Repair Windows Demolish Foundation _ Replace Water Damage Fire Repair Salon Owner Change Retaining Wall *Domolitlon of ontiro building -give PCA handout to applicant DESCRIPTION Valuation ~~51 I . cD Occupancy MCES System Plan Review Code Edition SAC Units (25%_100%__) Zoning City Water Census Coda " Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (Now Building) $hootrock Footings (Deck) Final / C.O. Required Footings (Addition) Final I No C.O. Required Foundation HVAC Drain Tile / t/ Other: Roof: -Decking V/Inaulation -Ice & Water -Final Pool: _Footings Air/Gas Tests _Final Framing _ Siding: -Stucco Lath -Stone Lath _Brick Fireplace: -Rough In _Air Test -Final Windows Insulation Retaining Walt Motor Size: Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: _Yes No Reviewed By: Building Inspector Reviewed By: ---,Planning COMME _ CIA FE $ Base Fee Water Quality Surcharge Water Supply & Storage (WAC) Plan Review Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL Page 2 of 3 PROPERTY OWNER 1 Name: 1 Phone: Address City Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: 1 1 c--- 1 7 Construction Cost: CONTRACTOR Name: 'LL 1, C.,t License 4 I 'Z Address: I i City:'\ 1- IC Ii- State: 1 3 1 7) Zip: ,56/2 j 1 k i i N Phonet L I Contact Person: ,}),,L\c,- ...4.,_2 C L ARCHITECT ENGINEER Name: Registration Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. City of Eagan Tenant Name,c-j 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2009 COMMERCIAL BUILDING PERMIT APPLICATION 0 Date: Site Address: .)C, l C I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and co es 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 e n it that the work will be in accordance with the approved plan in the case of wbrk which requires.a review and approval of plans. ppli ant's Printed Name (Tenant is: New Existing) Suite Former Tenant: Appiicalci 's Signature k Use BLUE or BLACK Ink ForOffice UK Permit i 1/ f.--) Permit Fee: 0 Date Received: Staff: Page 1 of 3 SUB TYPES Foundation Apartments Lodging Miscellaneous WORK TYPES New Addition Alteration Public Facility Commercial Industrial Greenhouse Tent Antennae V Interior Improvement Exterior Improvement Repair Replace Water Damage Retaining Wall DESCRIPTION Valuation Occupancy Plan Review Code Edition (25 100% Zoning Census Code Stories of Units Square Feet of Buildings Length Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation Ice Water Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: Reviewed By: Cfl 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 c 4 DO NOT WRITE BELOW THIS LINE Final Accessory Building Exterior Alteration Apartments Exterior Alteration Commercial Exterior Alteration Public Facility Siding Reroof Windows Fire Repair Final CIO Inspection: Schedule Fire Marshal to be present: Yes I/No MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Building Inspector Reviewed By: TOTAL Demolish Building* Demolish Interior Demolish Foundation Salon Owner Change *Demolition of entire building give PCA handout to applicant Sheetrock Final C.O. Required Final No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests _Final Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Water Quality Water Supply Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: Planning Page 2 of 3 City otEap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Permit Fee: Date Received: Staff: 2009 COMMERCIAL�tPLUMBINGQPERMIT APPLICATION Date: 51- 2 .. Site Address: at 30 -5? >' or KNoIb Tenant: C/21- s Gsi a 4 CIA-- 14 I Suite #: PROPERTY OWNER t V Name: Phone: CONTRACTOR , ` Name: 1''t...3 ))Co LL C. License it: 0-S Iq, O 7 PM Address:93Sb Ian, tom` City: Mi rm.,G470. StateN Zip 3 Y3 Phone 9S-2 -1911-.S. SP `/ Contact Person: 8 r U < ''ts c.A ; TYPE OF WORK New Ieplacemenjt _ Repair Rebuild Modify Space Work in R.O.W. _ Description of work: c..L � �.pO w .. LS V� to -Ci �\J PERMIT TYPE COMMERCIAL } New Construction Modify Space Irrigation System ( yes / no) ( RPZ / PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter $203.00 Avg. GPM High demand devices Yes _No Flushometers No _Yes COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract ' : ue $ x 1% Required - If Permit Fee is less than = $ Permit Fee on ALL new buildings and boulevard irrigation systems 4 =$ 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 $ I hereby acknowledge that this information is complete and accurate; that the work I understand this is not a permit, but only an application for a permit, and work is plan in the case of which require a review and approval of plans. 1 ) me -Li Applicant's Printed Name be in conformance wi the ordinances and codes of the City of Eagan; that 'thout a 'ermit; t t the work will be in accordance with the approved x Applicant's Signature Page 1 of 3 04/29/2010 THU 13:46 FAX Date; City of Emil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax; (651) 675-5694 Tenant: c7(7 a IL 0001/001 Use BLUE or BLACK Ink For Office Use Permit ;"#: £ 374-76 Permit Fee: Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Site Address: 3830 Pitof ICnob Road C/4 10 City of Eagan Suite #: J RESIDENT/OWNER I Name: City of Eagan Phone: 651-675-5675 Address/City/Zip: 3830 Pilot Knob Road, Ea an 55122 CONTRACTOR NAC mechanical & Electrical Services Df'L�"�2�l2d1'� C�p/��?7/ Name: Lic se ft: Address: 1001 Labore Industrial Court City: Vadnais Heights State: MN Zip; 55110 Phone: 651-490-9868 Contact: Brad Atkins Email: batkinsOnac-hvac.com TYPE OF WORK New X Replacement Additional Alteration Demolition Description of work: IR(i/ 25 ("), s»7/ (;/ 9i / CcOlag NOTE: Roof mounted and g vund mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner ..�,r... Install Piping - Processed Air Exchanger Gas X Exterior HVAC Unit Heat Pump _ Under / Above ground Tank (__ Install / Remove) ---- Other " When installing/removing tank(:;!), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on _ or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $ TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ 3 • , 079. 00 x 1% �} ' _ $ 9 0 • 9 Permit Fee - If Permit Fee is less than $1,000, U $ Allik 5 0 Surcharge • If permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 3 9 . 2 9 $ 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 wili4ie In conf.rmance 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 wort(is not to • =rt 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: Brad Atkins Applicant's Printed Name FOR OFFICE USE X Applicant's Signature Reviewed By: Date: Required Inspections: ,•Under Ground Rough In _Air Test _Gas Service Test In -floor Heat "Final Exterior HVAC Screening Inspection 0 co// r,1 City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use /30/ Permit #: C Permit Fee: Date Received: Staff: 2011 COMMERCIAL BUILDING PERMIT APPLICATION Date: 7// Sl I Site Address: 3F' 3 o Pit OT Gov0/3 20 Tenant Name: -zTY OF EA-GA/kJ (Tenant is: New / > Existing) Suite #: Former Tenant: Name: C-7— 'rf ® / E/46-4rlt/ Phone: X Address/City/Zip: 3 3© P iL0 j i6vag Applicant is: X Owner Contractor tri Description of work: / IPO 00 Construction Cost: Name: Pc -.0 L f ' ( o -r --N_ License #: Address: City: State: Zip: Phone: >C ' 3 2.9 Contact: Email: Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting, documents that you submit are considered to be public information Portions,o the information may be, classified as non-public if you provide specific reasons that would permit the C" conclude that they are tradesecrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a perm t, and work is not to start without a permit; tha ie work will be in accordance with the approved plan in the case of work v 'ch requi �a review and approval of plans. x i 4fi1 L 6 2Prlit Applicant'sPrinted Name x Applicant's Signature Page 1 of 3 3830 A70 -1 - DO NOT WRITE BELOW THIS LINE //3/ SUB TYPES Foundation Apartments Lodging Miscellaneous WORK TYPES New Addition Alteration Replace Retaining Wall Public Facility V Commercial / Industrial Greenhouse / Tent Antennae i Interior Improvement Exterior Improvement Repair Water Damage DESCRIPTION Valuation 400 ► 04) Plan Review (25% 100%) Census Code #of Units # of Buildings Type of Construction 15 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Insulation __Ice & Water _Final ✓ Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: Accessory Building Exterior Alteration—Apartments Exterior Alteration—Commercial Exterior Alteration—Public Facility Siding Demolish Building* Reroof Demolish Interior Windows Demolish Foundation Fire Repair Salon Owner Change *Demolition of entire building - give PCA handout to applicant Z6b"% M5 8iG PF Sheetrock MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers / 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 Final C/O Inspection: Schedule Fire Marshal to be present: Yes " No Reviewed By: G , Building Inspector Reviewed By: (5)- , 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 Lc -45 vArreil(errs ace) 0 . a -o 3 •to -t) Q . 042 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL Page 2 of 3 City of Eaffall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 OCT 1 1 2011 61 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: II 2011 COMMERCIAL BUILDING PERMIT APPLICATIONf Date: l 01 (0 1? -0I ( f Site Address: 343 r ( a1 _rtok le -04-6(l' ��-Gpt ' Tenant Name: (Ay E _cp.`-1 (Tenant is: New / _L Existing) Suite #: Former Tenant: PROPERTY OWNER` Name: C Pally) 1�1 Phone: Address / City / Zip: J `/ Applicant is: Owner Contractor € F WORK Description of work: Thctott( a 1l...,1,1./1 a loAx t.1/►nyiltN eAttivali" te. Ut/L eld o (P lc{ e oft � C Construction Cost: �. (.,� Name: HIS ,1 v�171/l C&) �t.. L License #: Address:,1`AAC4 1U b 1cI r--194.�r� y`� , e . / lCity: ��Q_,:'1 State: N11� Zip: J JI)..2U Phone( ,9) 4d L f C�) Contact:0 t CN Id - Email: (✓t � 0'6 Fetbri Ca) + Low) Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Page 1 of 3 SUB TYPES Foundation Apartments Lodging Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100%V! City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 re_c. \\/,_j VVL) rin Use BLUE or BLACK Ink For Office Use��f7 Permit #: I 32- - Permit Fee: Date Received: Staff:? 2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: Tenant: +1 5 Site Address: N Name: Phone: Suite #: PROPERTY OWNER Address / City / Zip: Applicant is: Owner Contractor / TYPE OF WORK Description of work: mn �- Lss(. D (,'le t-ef_._2e Construction Cost: Estimated Completion Date: '?7v-. CONTRACTOR Name: ( )i 4 ea,n j i License #: C ; t -f Address) ( t5, -)s City: State: Zip: 0'5:5 `11'"'2 Phone: 6,If I Contact: Z57 FIRE PERMIT TYPE i�Sprinkler System (# of heads Fire Pump _ Standpipe Other: i-) Email: ` J �� . � WORK TYPE New `)?& Alterations Other: Addition Remodel 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 $C .00 x 1% $ E,c_S.(J' Permit Fee = $ �"j�CT� Surcharge = $ OZ7 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; 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 y� CZ L -'t -- C T � Applicant's Printed Name X C.;_. Applicant's Signature a -SD e: ck • kf-yvo.b /d3279 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 FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Trip Conditions of Issuance: Flow Alarm Drain Test Rough In Pump Test Central Station Final Permit Reviewed by: Date: 3 I id 1 .° City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED pPR 02 2014 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: «� - i'.f Site Address: Tenant: ResidentfOwner Contracto Name: c & Address / City / Zip: Name:tvt-vc- f� ► _t) _: i c �-� r/ < ( _1 arc_ �! License #: fl Address: leo i 4. c;-P3e2/ . - I ` -i—y—f49 r,Yr T City: (%+c.IcLet his fit State: Iy1.1` Zip:S Contact:CL-e-._:: \tom vL Phone: Zf 2_,r Suite #: 9(7 Phone: t j' I L- cT c Y Email: Il i s' .� t' fi! — ff i1 Mr New V Replacement Additional Alteration Demolition Type of Work Description of work: V_e " . F •[ .4" (�� `sir—x NOTE: Roof mounted and ground mounted mechanical equipment is required to be, screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. Permit Type RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **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 RESIDENTIAL Furnace Air Conditioner _ Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas T Exterior HVAC Unit _ Under/Above ground Tank ( Install / _ Remove) TOTAL FEE Contract Value $ x .01 Permit Fee Surcharge* TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. c X��c J" l c \ 4_ Applicant's Printed Name FOR OFFICE USE Required Inspections: Underground R ugh In l Applicant's Signature Reviewed By: _ Air Test Gas Service Test In -floor Heat HVAC Screening' I City of EaRall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 L Use BLUE or BLACK Ink For Office Use I Permit #: /iW,3/ / OS Permit Fee: Oj fO ,lv1) Date Received: (0//y Staff: 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: � cR—‹\- Tenant: Name: Name Address: \ cClt-F 61. ; Q --C- ity: Type of Work Phone: Suite #: License #: State: \i—i!5 ` ; \j Phone: Email: New replacement — Repair Rebuild Modify Space — Work in R.O.W. Description of work: 50 f(,N" COMMERCIAL New Construction Modify Space Irrigation System ( yes / no) ( RPZ / PVB) • Rain sensors required on irrigation systems Permit Type • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES $'55.00 Permit Fee Minimum Contract Value $ x .01 _$ *If contract value is LESS than $10,010, Surcharge = $5.00 = $ **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 = $ Permit Fee 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 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection ag I hereby acknowledge that this information is complete and accurate; that the work will be in con • ance 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 no' o start without a permit; that the work will be in ac nce with the approved plan in the case of work which requires a review and approval of plans. $ t underground utility damage. \ TOTAL FEE v_. Applicant's Printed Name FOR OFFICE USE x Applicant's Signat Approved By: Date: Required Inspections: _Under Ground Rough -In Air Test _Gas Test _Final Meter Related Items: Meter Size . Radio Read Manometer PRN., Required: Yes Staff: Page 1 of 3 ''�, Sep. 16. 2015 10: 04AM Wenzel Plumbing No�5616�uEP�� LACK(nk -----------------, � Fo�Offlce Use . � 1 ' � Permit#: ✓� �� I Clty of�a�aIl � jPermit Fee: � 3830 Pilot Knob Road � � �a a MN I g n 55122 I Date Received; � I Phohe:(651)675-5675 � � �ax:(651)675•5694 � Staff: � . L-------�--------� 2015 COMMERCIAL LU BIN IT APPLICATION P M G PERM (� Please submit two (2)sets of plans with all commerclal applfcatfons. Dafe:�' /��"l7 Slte Addtess: ��r.�0 U i`o� �i�o(+� �� Tenant' ��T O� � /✓ Suiie#: , Prppetty Ownef� � Name: �'y' o�' ,�.4 Phone: d5/-6'�7,5`��d 7�" C S� !�►� . �� Name: d✓�E/1/?�'L -/�L✓•hso r��i�D�l.��LLc License#: Contractor Address: �it : State� zi : Y � P , � � •� Phone: Email: 7�/pe of Work. —New X Replacement _Repair _Rabuild _Modify Space _Wqrlt in h,O.W. ,� • � Descriptioh of work: �t�iP%v�'� �G�'9�0� COMMERCIAL �New Construction X Modi y Space - ��'��E�''�"� _Irrigation System(_yes/_no)��iP�/_F'VB) • Rain sensors required on irrigalian systems Permit Type . Avg.Cv'PM (2"turbo required unless smaller size allowed by Public Works) , iNeters Call(651)675�5646 to veritytf�attests passed nriorto nickina uu meter. ' DQmestic:Sixe&1"ype Pire: i Avg.GPM Nlgh detnand davlces?Yes No Flushotnetera Yes No COMME'RCIAL.I�EES Contract Value$ x.01 $60.00 Permit Fee Minimum,includes State Surcharge =$ Permit Fee �If contract value is G�iEATEfi than$2,010,Surcharge=Contract Value x$0.0005 =$ Surcharge= If the project valuation is over$1 miUion,please cal►for Surchsrge �� TOTAL FEE Following fees applywhen Installing a new lawn Irrlgatlon system $ WaterPermit ConCact the Citys�ngineering Department.(651)6y5�646,for required fee amounts. $ '�realmenC Plant $ Water Supply&Storege $ State Surcharge _$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)k5a•0002 for prutection against underground utilify damage. 1 I hereby acknowledge that this inrtotmaEion is compiete and accurate;that!he work w11 be in conformance with the ordinances and codes of the City of Eagan; that I undefstand this is not a permit, but only an application for a permit, and work is not Eo start without a permit; that the worlc will be in accordance wlth the aqproved plan in the case of work which requires a review and approval of pla . x �f'i�L— �<G�G/,� x Applicant's Printed Name AppllcanPs Signat�re FOR�OFFICE USE , ' ' ' � � � � . . ' . Approved B.y: � .� � �� ' �Date: . , Requi�ed Inspections: _U,nder'Groun�d .._Rough=ln _Air�'sst Oas Test _�inal �pRV I�equiredc_Yes_No Meter Related Items: �Uleter Size ' �Radio�Re�d .Manomete'r Sfaff: ' ' � Pags 1 af 3 Use BLUE or BLACK Ink ;----------------, For Office Use I 1 City of Eap I Permit#: I I I Permit Fee: 3830 Pilot Knob Road t I I Eagan MN 55122 I I Phone:(651)675-5675 "' Date Received: I Fax:(651)675-5694 FEB j 2816 i Staff: I L------------------ 2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 2/2/2016 Site Address: 3830 Piolet Knob Rd. Tenant: City Of Eagan Suite#: Tr Name: City Of Eagan Phone: ;r Address/city/zip: 3830 Piolet Knob Rd. Eagan, MN 55122 Applicant is: Owner ✓ Contractor T r Description of work: Generator enclosure CO2 system Upgrade ` 2/15/16 Construction Cost: / stimated Completion Date: 17--, Name: Nardini Fire Equipment Co. License#: TS000686 405 Co. Rd. E West St. Paul C Address: City. fi MN 55126 651-483-6631 `� State: Zip: Phone: contact: Mark Van Guilder Email: mvanguilder @nardinifre.com FIRE PERMIT TYPE WORK TYPE _Sprinkler System(#of heads_) _New _Addition _Fire Pump _Standpipe _Alterations ✓ Remodel ✓ Other: Generator Eldosure CO2 system Other:Upgrade system DESCRIPTION OF WORK: _Commercial _Residential _Educational FEES $60.00 Permit Fee Minimum Contract Value$City Project X.011 Surcharge=Contract Value x$0.0005 Per Darrin Bramwell _$ Permit Fee If the project valuation is over$1 million,please call for Surcharge _$ Surcharge $100.00 Residential New(includes State Surcharge) =$ TOTAL FEE 3/4"Fire Meter-$280.00 =$ 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. xMark Van Guilder x Applicant's Printed Name Applicant's Signature t �� Fd ICE U � . REQUIRE N3 ti dp' ` "0 k s of Isoce ,_ y AM 17 t n� OF HIP IN- , fermi iewed � � � � s r Use BLUE or BLACK Ink --, For Office Use I Permit#: CiU of Eap I c 1 Permit Fee: 3830 Pilot Knob Road 1 Eagan MN 55122 I Date Received: Phone: (651)675-5675 Fax:(651)675-5694 I Staff: FEB u ;i 2016 1-----------------J 2016 COMMERCIAL FIRE ALARM PERMIT APPLICATION Date: 2/2/2016 Site Address: 3830 Piolet Knob Rd. Tenant: City of Eagan Suite#: Name: City of Eagan Phone: Address/City/Zip: =- Applicant is: Owner ✓ Contractor D escription of work: Replace conrol Panel in Generator Elclosure Construction Cost �� - qE"stimated Completion Date: 2�15�16 Nardini Fire Equipment Co. License#: TS000686 Name: �t 2 can Address: 405 Co. Rd. E West city, St. Paul State: MN Zip; 55126 Phone: 651-483-6631 Contact: Email: g Mark Van Guilder mvan uilder nardinifire.com New Remodel Replace lace old control panel Addition Other: p p — — a ✓ Alterations DESCRIPTION OF WORK: ✓ Commercial Residential Educational FEES City Project Contract Value$ X.01 $60.00 Permit Fee Minimum =$ Per Darrin Bramwell Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge* If the project valuation is over$1 million, please call for Surcharge _$ TOTAL FEE "Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xMark Van Guilder x Applicant's Printed Name Applicant's Signature ( S Fe ew@ > *City of Eap,au 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: --5(11( Permit Fee: Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 4/11/2016 Site Address: 3830 Pilot Knob Road, Eagan MN 55122 Tenant: Eagan City Hall Suite #: Name: Phone: Address / City / Zip: Name: Northern Air Corporation License #: MB003184 Address: 1001 Labore Industrial Court, Ste BCity: Vadnais Heights State: MN Zip: 55110 Phone: 651-255-3538 Contact: Marc Tolvay Email: mtolvay@nac-hvac.com New 1 Replacement Additional Alteration Demolition Description of work: Replacement of RTU #8 and #1 on city hall building. RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE RESIDENTIAL Fumace Air Conditioner Air Exchanger Heat Pump Other s a� COMMERCIAL New Construction _ Interior Improvement Install Piping _ Processed Gas 1 Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ 54,108.00 =$ x .01 Permit Fee = $ c Surcharge TOTAL FEE =$ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Marc Tolvay Applicant's Printed Name Applicant's Signature City of Eago 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 71* Use BLUE or BLACK Ink For Office Use � /3 Per , t :_. Per ee: Date Received. Staff 2016 COMMERCIAL BUILDING PERMIT APPLICATION ©ate: 7/29/2016site Address: 3830 Pilot Knob Rd Tenant Name: City of Eagan Property 0 Name: City of Eagan Addres (Tenant is: New / / Existing) Suite #. n/a For r Tenant: Phone: 651 675 5675 City'' zip, 3830 Pilot Knob Rd Eagan, MN 55122 Appiicant is: Owner ' ' Contractor Description of vork: Please See Attached Construction Cost: Con rector ® 5.1%e Name: Jackson & Associates BC649368 Address: 1817 Buerkle Rd City: White Bear Lake MNState: mm Phone: 651 395 4120 (91D,'---14.(103' Contact: Rick Dunham Email: rick(jaaroofing.com Architec Name: N/A ngtneer Address: State: Zip Contact Person: Phone: Em Registration a i Licensed plumber installing new se'er''water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of he information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. w,, vw.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 21 permit, but only an application for a permit, and work is not to start without a permit; that the work wiil be in accordance with the approver plan in the case of ryock which,r@quires a review and approval of plans. x RicK Dunham Applicant's Printed Name Applicant`s Signature Page 1 of 3 ~�� (�,\ \ v� K `�� `� \ 'z^ � \-,�/� �� "-o/ DO NOT WRITE BELOW THIS LINE SUB TYPES /Foundation Public Facility Commercial Industrial Accessory Building Apartments Greenhouse / Tent Miscellaneous Antennae WORK TYPES New Addition Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25% _ Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile ~^ Roof:Deckng Framing Fireplace: Rough In _Air Test __Fimal Insulation Meter Size: Interior Improvement Exterior Improvement Repair Water Damage Occupancy Code Edition Zoning Stories Square Feet Length Width Insulation Ice & Wate Final Final C/O Inspection: Schedule Fire Marshal to be present: Reviewed By & . 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 buildirig give PCA handout to appticant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final /C.D.Required Final / No CO. Required Other: Pool: Footings ___Air:SnsTesm Final Siding: Stucco Lath __Stone Lath Brick Windows Retaining Wall Erosion Control Concrote Entrance Apron Yes Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Pant (Irrigation) Park Dedication Trail Dedication Water Quality 0 Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL: Su/��— 01/02/2018 23:20 65199487W. JANECKYPLUMBING PAGE 01 For Office Use, 5-'1• I r . Permit 0: E AG A N •.. .... Permit Fee: a Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 TDD:(651)454-8535 I FAX:(651)875-5694 Stet buildirtainspectionstTatvofeaaan.00m L '' 2018 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: -7yr 17 ,)Site Address: .77,g 30 F.3 c (� - Tenant: r (�/4"" �; __Suite#: ' fr 1, a;' Name: Phone: _ :. ; :,::,:, MYd9 to(1-1/W1.34444Seri' /L( nee#: O5 R'l )``11 ;,: ;..;;i,. .�' Nam _ '`, r,':>1'.. AddressJ77C9_ p4/2.4GIz-•) ( Có Alf.5 g 2ip:5.57 „.•'', Phone: SY Lt( g'>42.17 Email• i 4J& t.L°.a-GL :' ';` ''` "`.; _Ntw _lacement _Repair Rebuild _Modify Space _Work in R.O.W. °' ;:, ,.<. ;: , ': ` Description of work: U'-e.40 t -ZCi ))tth-1'' ,„:!,,,,„,,...:,..:,..,,,..':,,, ,.;‘$., COMMERCIAL New Construction Modify Space ,...:...c...,'. • _Irrigation System(_yes i_no)(_RPZ/_._ FVB) ;' ..w.`,, m!�:'' ,L.�. Rain sensors required on Irrigation systems 'Iit''Type :. • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) _Metres Call(651)675'5646 to verity that tests passed prior to pickings meter. ".;t Domestic:Size&Type Pre: 1 "^".'.'; :'^ ; `?'• A.. ., Avg.GPM High demand devices?Yoe_No Flushometsrs Yes_No COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $60.00 PVWRPZ Permit(includes State Surcharge) =$ Permit Fee =$ Surcharge Surcharge=Contract Value x 60.0005 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)8755646,for required fee amounts, $ Treatment Plant $ Water Supply&Storage $ State Surcharge =5 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 werrycltrofeaasn.cemrsubecribe. CALL YOU DIG. Cell Gopher State One Call at(651)464-0002 for protection against underground utNlty damage. I hereby acknowledge that this Information is complete and accurate;that the work will be In conformance with the• anon and codes of the City of Eagan;that I understand this is not a permit,but only an application fora permit,and work ie not to start without a permit that : •et will be In accordance with the approved plan in the case of work which requires a review and approval of plans X A-utrY J ign&c( 3x / )( Liii '4 ' , Ii App leant's Printed Name Apia!! nts Signet re y �:'. .. yyqq:Jct' ',.�{�,'1L `iii�" •I 'N r S+ '�y,�. (�,1 :"t �'"` :'IVIG 1��' ,e1 Page 1 of 3 r , For Office Use I /t,/ `7'7o 1Permit#: I a a , �. � +,. � EAGA I�° Permit Fee: I — �� f � .r Staff: I Cr Payment Recvd: Yes No I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5 MAY 2 7 2C Plans:_Electronic Paper j Plan Submittal: eplans( cityofeagan.com 2020 COMMERCIAL BdIIT APPLICATION Date: 5/27/2020 Site Address: 3830 Pilot Knob Road Tenant Name: City of Eagan (Tenant is: New/ 1 Existing) Suite#: Former Tenant: Cityof Eagan651-675-5300 Name: Phone: Property ownerAddress/City/zip: 3830 Pilot Knob Road Applicant is: ✓ Owner Contractor Type of Work Description of work: install of new picnic shelter Construction Cost: 50,000 Name: City of Eagan License#: Contractor Address: 3501 Coachman Point City: Eagan State: MN Zip: 55122 Phone: 651485-0803 Contact: Paul Watry Email: pwatry@cityofeagan.com Name: Coverworx Registration#: 46080 Architect/Engineer Address: 11800 East 9 Mile Road cid,: Warren State: MI Zip: 48089 Phone: 586-486-1088 Jason M Conn info@coverworx.com Contact Person: Email Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.000herstateonecall.orq 1 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 appro a lof plans. x Paul Watry x ki)� Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS INE / /4"VO irSUB FYPES 3 g (Q 1/, 16 — Foundation — Public Facility — Exterior Alteration-Apartments r Commercial I 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 Wail Salon Owner Change *Demolition of entire building—give PCA handout to applicant DESCRIPTION / Valuation �'J�0joco•0 D Occupancy t/ MCES System Plan Review i< Code Edition ?t.Zc7,4,74)8 C SAC Units (25%_100% X ) Zoning PE- City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction 1)-B Width REQUIRED INSPECTIONS X Footings_New Building_Deck Addition Drain Tile — Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control )C Framing 30 Minutes X 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation _Ice&Water _Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans Windows Fireplace: Rough In _Air Test Final Final I C.O.Required Pool:_Footings Air/Gas Tests Final J( Final/No C.O.Required Final C/O Inspection: Schedule Fire Marshal to be present: Yes >C No Reviewed By: , Planning New Business to Eagan: Reviewed By: A „,- 'fes.--•-1.-----* , Building Inspector FEES AC Water Quality 00y PFJ ELT (LfOLElf- E-0.07 . )' Base Fee 00•A's' Storm Sewer Trunk Surcharge ZS. 0 c,.) Sewer Trunk Plan Review 0•• • Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: Z e•- . ?U Page 2 of 3 . - -C,Y°4 ' For Office Use 'f 6 L- -?-- v. . Permit#: / / I *I : E AG A NPermit Fee: ��..� I Staff: 1 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 CelPayment Recvd: _Yes _No liI (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 j Ito —Plans: Electronic aper I Plan Submittal:eplans(d)citvofeagan.com 1 20201 -- BY 2020 COMMERCIAL BU . RAPPLICATION Date: 6/1/2020 Site Address: Eagan City Hall and Police Dept Tenant Name: Police Dept (Tenant is: New/ V Existing) Suite#: Former Tenant: �'' '`�r`: City of Eagan Mn Phone: d , ,:�� Name: Y *rop.',.:'1,:',:-..:,;<:-.'1:,.-",,,;', - .1./:‘,:;,:;; :•€.,:::6%. �'�►e ' Address/City/Zip: Eagan Mn f ± t 4, Applicant is: Owner V Contractor r z, r,.;,;,..,;`,,.';‘,:.,: .,- Deckr i ype ofk o� Description of work: Deck replacement and roof top patio r $20,000.00 Construction Cost: ,t.,-,,,,-5:-.,:,>','-',::„:,/:K.:,-,: ::Y13.it/:,:::::::./,', rv 4 JSH Construction LLC Name: License#: `r 1050 Industries Circle Howard Lake r , Address: City: ' state: MN Zip: 55349 Phone: 320-444-8788 Dave Jarl dave@jshconstructionllc.com 3 Contact: Email: City of Eagan x, Name: Registration#: Ar fedi iittleer Address: City: <' State: Zip: Phone: ' Contact Person: Mike Sipper Email: msipper@cityofeagan.com Licensed plumber installing 1pgw+i1sewer/water service +►ll Pone# nac rsubmit �c1000 .1,0 � d` y ,Ns Esteera s, � r+ , _c _... u 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.citvoteaaan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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, an. - ' • 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 a - -pproval of plans. ‘411,r0 David A. Jarl x ' . 1 Applicant's Printed Name Apr-cant's Signature DO NOT WRITE BELOW THIS LINE /6 / S g.' -- 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 tt�� N'!/ Valuation 7t,&e O••w Occupancy /5 MCES System 4' CST /M) Plan Review '' ., Code Edition 2.0 IS- ,t'/l SAC Units (25%_100% ) Zoning 17 F. City Water Census Code Stories Booster Pump #of Units 0 Square Feet PRV #of Buildings f Length Fire Sprinklers Type of Construction 2f'$ Width REQUIRED INSPECTIONS Footings_New Building_Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control ✓ Framing 30 Minutes ✓1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation _Ice&Water _Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans Windows Fireplace:_Rough In _Air Test _Final / Final/C.O. Required T Pool:_Footings _Air/Gas Tests _Final ✓ Final/No C.O. Required Final C/O Inspection: Schedule Fire Marshal to be present: Yes `/No `/ Reviewed By: , Planning New Business to Eagan: A b Reviewed By: CIG , Building Inspector C ` p11 FEES Water Quality �J cr (ift6f:2- ) Base Fee b•" Storm Sewer Trunk Surcharge P•d'O Sewer Trunk Plan Review 8. 4' 9 Water Trunk MCES SAC --- Street Lateral City SAC — Street S&W Permit&Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: !!}• A.7 Page 2 of 3