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1984 Rahncliff CtCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us cop., PERMIT Cif of Evan Permit Type: Sign Permit Number: EA096691 Date Issued: 10/27/2010 Site Address: 1984 Rahncliff Ct Lot: 006 Block: 2 Addition: Rahncliff 1st PID: 10-62725-006-02 Use: Valvoline Description: Sub Type: Temporary Work Type: 60 days Feet Inches Description: Length: 3 0 Height: 8 0 Sign Message: Width: 0 0 CUSTOMER APPRECIATION DAY SgFt: 24.00 10 Days Sign(s) Are To Be Placed: 10-28-10 & 10-29-10 Location: On pylon Elevation: 0 Electric: N Double: N Comments: Fee Summary: SI - Base Fee (Temp) $25.00 0720.4089 Total: $25.00 Contractor: Owner: Valvoline Instant Oil Chang Box 14000 Lexington KY 40512 - Applicant - 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, Applicant/Perrnitee: Signature Issued By: Signature 41+ City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink tag Tse 7 i Permit #: " l i �.:-C _/ Permit Fee: > Date Received: Staff: 2010 SIGN PERMIT APPLICATION Submit two (2) copies of drawing showing proposed sign and site plan or building elevation showing location on property. Pylon signs are a Conditional Use and subject to all conditions, regulations, and fees required for conditional uses. Temporary Advertising signs --complete both sides of the application. SIGN TYPE DIMENSIONS OF SIGN & SIGN MESSAGE Awning Feet Inches Feet Inches Feet Inches Length '3(3 x Height la x Depth Building x x Canopy Total Square Feet: AL I] Construction Lease Sign Message: t -- ') ODUA Cfh,,, tai) Monument "` Pylon 1 7 Temporary Location on Structure: Setback: Elevation: (}?7 p XTemporary Use Days Other <{'j� j Has Electricity Is Double Faced Date: k ' / /()0V"/ j io Applicant is: Owner 1 Tenant Sign Company / Contractor Address where sign is to Tenant or Business Name: Tenant Contact Name: located: ----1-g-94-4011,16 (, (1-i, Cr be p c , t. , �i,�J %�/? j ii Ck I V C,I ;1r\ C 1 /1 S I't-A. - ) i t (P.I/1c^,"A 1 j /11 Glicv k ( � c\ i ,L. (,c,,. Telephone #: tr.'s VS." 1., 7 Sign Company / Contractor: Address: Property Owner: Telephone #: City: State: Zip: Telephone #: Address: City: State: Zip: 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 I have read this application, state the application is correct, and agree to comply with Eagan, MN laws regulating construction and placement. Applicant's Printed Name Applicant's Signature /4 Fee: $25.00 # of Signs: 1q6-( 6-( R 2010 TEMPORARY SIGN PERMIT FOR SPECIAL BUSINESS SALES (maximum of 3) q97l Sizes of the Sign(s): 1. 3X ? 2. 3. • Total Sq. Ft. of all signs: :-)11‘ (All 3 signs cannot exceed 25 sq.ft.) First Day of Placement: /0'/2'1///v • Signs can be placed for 10 days out of a 60 -day period which commences the first day a sign is placed. Sign Permit Expiration Date: /) /d9 /i • Sign permit(s) expires 60 days from first day of placement. 10 Days Sign(s) Are To Be Placed: /0 -I: 0 `� O ' X `' Sign(s) will be attached to: building elevation X° pylon monument • Signs must be attached to the building or to an existing monument or pylon sign. • Sign(s) will be attached using the following method: • Signs must be placed securely and in a sound manner to ensure safety of the public & in accordance with reasonable standards employed by sign makers. Person responsible for placement / removal of sign: / l'' ► C'n��� Telephone #: 6c, t _ °I— 36.50 Management Co. (if applicable) , e -o i0' 7G- ( r �� Approval of the building Owner or Management Company may be required. Check your lease or call your Management Company for additional information. r ._ >/t�) -3i A..)),Telephone #: 6.) 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.c opherstateonecall.orq DO NOT WRITE BELOW THIS LINE Work Type: _ Change Existing _ CUP / Ftg. Ins. Move X 60 Days New Description: Aluminum pan Banner Board Canister Channel lit letters Channel lit / raceway Flex Face Inspections Fees F.C.O. Aluminum 1/ Footings $ Halo -lit / Reverse Channel Y Final LED / Electronic Plastic cutout Plastic molded _ Routed REVIEWED BY: Vinyl graphics Planning Building Inspections 0 t -e_ C C-1 ( /Th 717:Nes REVIEWED FOR CODE COMPLIANCE BY: CITY OF DATE: 21:-2IID -CODE ENFORCEMENT I Qgzi l r- CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 13152 ??-- PHONE: 454-8100 BUILDING PERMIT Receipt # Tobeusedtor Est.Value ?a33,O00 Date •(AN;JARY 29 ,19 j7 Site Address 9 ?_ , 19 9 b RAfINCI.I r'F Erect ? Occupancy Lot '- Block 1 .?R"-,'_::iCf,I Fr Sec/Sub C'i. Remodel ? Zonin 9 f-S Parcel No . !li?i) Repair ? ? ?? ?` Type of Const. . Addition ? No. Stories I Na Move ? Length 2-30 _ me ' Demolish ? Depth 7 d o Address Int. Impr. ? Sq. Ft.-L ?..? S# p t] City Phone u ii 1-- 4? d 3 Install ? CU r.YC A PPro vals Fees i 1- Name - - ?- • ? , •• V? Address 12 U G Y 1.3 ? city :.,''v Phone 890-630U ? ? W Name '_ ' NO`PC?? E1. ?? Address /i,.• `-? -_-.)_:,•ir•.:?'_F' .?iAY i W CitY -- 2;1. ,;'iPEiaine 934-86y fs Assessment _ Water & Sew. Police Fire Eng. Planner Council 1 hereby acknowledge that I have read this application and state thatthe Bidg. Off. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O?ances. APC Signature of Permittee Var. Date ? FOT2D CO ` 'JC Permit 4 2,894.25 Surcharge 166.5U Plan Reviewl• 447. 00 SAC 5, U00.00 Water Conn. N / A Water Meter k+lA RoadUnit 1,94y.00 Tr. Pi. 1,440.00 Parks 4,082.00 Copies • 7 5 TOtal '' ? A Buiiding Permit is issued to: pi . k' . &%•) TLF on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CjppW-Z,d b-VOr. PermR No. Permit Holder Date TNsphone N P???? a P? H.V.A.C. Electric 9 -LJ. 204 SC C 7 ? I,c.`111 _.14,, ?1104 7 ? Inspeetion Date Inap. Comments Footings I FooHngs II Foundatbn Framing ij' 'L7 ? Lf? ?.2 T ClJV /8 GG?? Roofin9 Rough Plby. ? Rouyh Hty. '?s 8 2,)? Insul. Fireplace Final Hty. Final Plby. Bidg. Final Cort. occ. Dsck Ftg. Deck Frmg. Well Pr. Disp. ? '!' ' : < ?`? '?'4' ^?t .• .. , ,r.. < .;.,' . _. . . :r PERMIT # ,(? ., Pe.?'r ? 1C.• ? Cv,?,, b ? t, .? MECHANICAL PERMIT ?1 • ' • ? RECEIPT CITY OF EAGAN # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: ooa PHONE:454-8100 Site Address 134 - 1 91,0 at... l,? t Ct BLDG. TYPE WORK DESCRIPTION Lot Block ? Sec/Sub ? ' : - ' ?#- Res . New ?. , Name ti-•?? ?`''"'??-- o? Mult Add-on ? D ig Address ' v: \ Comm Repair c Ciry Phone 31-?E3 -1 Other Name rn A, V?? FEES RES. HVAC 0-100 M BTU -$24.00 ?? Address ???" `'?` H w t ADDITIONAL 50 M BTU - 6.00 p City t•J• Phone - 50 ??"-- uJ (RES. HVAC INCLUDES A/C ON NEW V CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT ( - ) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - 50 Vent CFM $ . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other ; o 70 ? <,? 1 i FEE: J ` ., ; • ) ? l ?ac ?; ?.,, S/C: ' S SIGNATURE OF PERMITTEEy , ? i ? ? p 0 1?0 0-f TOTAL: _ ?/ f???? SO FOR: CITY OF EAGAN 5 ee ?vote o n aAC?, ?o t? ; O 3 L,4ta- - (,td / - 375,00o 6 i u N• k/• ,?xQQit, a?eo? )4U urj??iao, /4-T /a/, 60p ,6 TG( ,?S-- a? --F2 b-?? 'D•9- . Q? /?'x • ?? s - aq- $7 b.4 , PERMIT # MECHANICAL PERMIT RECEIPT # •' • G CITY OF EAGAN ,% 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7 CONTRACT PRICE: (xSG PHONE: 454-8100 Site Address 'BLDG. 7YPE WORK DESCRIPTION Lot Slock ? fSec/Sub Res. New Name Mult Add-on Comm. Re air ?c Address i-- P Other c City tJ ? Phone ? Name , r r- H c Address F ' C T 3 ' p City Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM -? ?ydr, iJJ,:FEE: ??a?? i?7r ;'-'c; ?' s/c: ra` TOTAL: FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - $24.00 - 6.00 1.50 EA. - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN CONTRACT PRICE: Site Address Lot Name 0 m Address c City -- ? Phone ? Name 3 Address ? _ i O City - Phone FEES COMM/IND FEE - 1% OF CONTRACT 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) OF PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 41- PHONE: 454-8100 PERMIT # RECEIPT # DATE: Ct ?D ? BLDG. TYPE WORK DES IPTION Res. New Mult. Add-on Comm. V Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 -;1- Floor Drains - $1.50 44-Water Heater - $1.50 Whirlpool - $3.00 Z_Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMM ?Sokener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 , 14 . C?. iTAE51C: ?- FOR: CITY OF EAGAN GRAND TOTAL: (AMMMi (Itr#ifiratt uf (Orrupttnry titp of (eagan Dp}iMl'tUtPtt# Af llitlbtltg IItS,pPt'ttDri This Cert?'ficate issued pursuant to the requirements of Section 306 of the Uniform Building Code cenifying that at the time of issuance thts structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• Ux Classifiation "'?•?'-'-'.t??" Bldg. Rrmit No. 13152 OCCUpsnCy Typt .,'x2r ti'4 TAning DiSViCI 'Iy,pc CoOStVF SPP-UK .1;:' ,tZ`? :? ?3l?T°??; Owner of Bw7ding Address PTL,F4 , _ ??i?4? , Building Addrea [.ocaliry Building Oft'icial Dats: ME 1y 1987 POST IN A CONSPICUOUS PLACE ?., . - . ? ? ? . ' . . . . . . . ?i; ` . . . . . .. . . .. . . . ? . ? ? .. . 3 . . . ? . ' . . . . ? .. . ? ' . r ? '-} . . ? . . . . .. .. ?'s; , ' ? ,fi . .. . . ' . . . _ . ' . . . . . . . " . . . .. . . .. . ...'. .. _.... . .,.....: k ._ ...., (I.ertif tratt uf COrrupttnry titp of Cagan 19ppttl'#riiPt[f Df B1tllbiltg Jtts}1PttiDtt This Certificate issued pursuant to the requiremenls of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• u? cl?s?ti? '?"???'_:`. aiag. remiit No. 13152 r Occupsncy Type Zorong District 'B T? nst. V .`? ? Coj.: Owner of Building ' Address Buildi Address ?? ?8 tY Date: .Am, fjy ?gs Building Olficial POST IN A CONSPICUOUS PLACE r.: ? ? ' A ., , (gtxtif iraft of Orrupttnry titp of (tagan aP}tatritPttf of l1tflbttlg jttS,}tPtftAli This Certificate issued pursuant to the requirements of Section 306 oJthe Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating bui/ding construction or use. For the following.• ? Use Clessification '.:..? Biag. hr„it Na. 13152 oocup.ncy 7ype zoning niurict 1y,pe Cbn.L Vi+T MRTN: owner of euMng ? FEI", Ml 3 naaren 8148 PMLSBtlRY ATe S0. MkM Building Addrm I`-?96 Rq-?"3„LTi F CT LDmliry L 1, B 1, RAR^7Q.IFF 1 ST A+)V Date: 0aIDM J: 1987 Buildieg Officisl ' ? t ., c,. POST IN A CONSPICUOUS PLACE i ` .. . . . j ?i??_ . . ? . . . s ;c ' , r ,. . ..?V .4 t A :...;Y? ? . _. . .. ; ._ _. ? . .' %'. .. . . . . .. . . _ . . ' ,?. .? .?_ . .. . PERMIT # ' • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address N`' L BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub ?. R N ew es. ? m Name Uj ,,-, - ? Mult Add-on m c Address Cit Phone " Comm. ?- Repair , y Other ? Name r -2- . P? ? FEES c Address RES. HVAC 0-100 M BTU - $24.00 p City ' Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK _ ADDITIONAL 6 ti4 BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping OuUgts # Other ??G f i 7_ I G J. n s7. a FEE: ? S/C: SIGNATUtIE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN CONTRACT PRICE Site Address ?- - Lot Bloc PERMIT # > PLUMBING PERMIT RECEIPT # r.inr oF EAGaN 3830 PILOT KNOB ROAp, EAGAN, MN 55121 DATE: <i Sec/Sub m Name fVIG[?(I/ltt: irr( cc AddrPss3 c City L. !; =?,- Phone Name 3 Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New ?-'Mult Add-on Comm. V`Repair ' NQ FIXTURES TOTAL Water Closet - $3.00 $ " Bath Tubs - $3.00 U `- Lavatory - $3.00 ? Shower - $3.00 - Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 `= - -L-Floor Drains - $1.50 Water Heater - $1.50 1Ah+n4sel - $3.00 '-- , , ?- Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 . ? FEE: - ,? . - STATE S/C: ? GRAND TOTAL• _ ., . . ?. ,. _ __ . . PERMIT # ?5 .?- •' .? ??- , MECHANICAL PERMIT . ?•r RECEIPT # CITY OF EAGAN ??- ? pvv3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? 7 CONTRACT PRICE: PHONE: 454-8100 Site Address ??' ??-a?. ^ ? ?: f Ct Lot _! - T BJock ? qec/Sub y Name o Address t ?3tiS k - t? ? 1)? .-` c City Phone 33 Name 01 (, • As } 1,t c Address y ? p City Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other ?ee C?cta?ccuE?? 1?.,A.. r.?<. v:.`ti•_?? t 1-•>f M BTU M BTU M BTU M BTU CFM B LDG. TYPE WORK DESCRIPTION Res. New ? Mult Add-on ? Comm. Repair - ? 3 ? J Other FEES RES HVAC 0-100 M BTU $24 00 . - . ADDITIONAL 50 M BTU - 6.00 (RES: HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PERMIT 1 ( - ) - .50 EA. COMM/iND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLfES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE ALL ADD ON & - - REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $ 50 S/C IF PERMIT PRICE GOES . BEYOND $1,000) FEE: -- S/C: SIGNATUR' OF PERMITTEF-- ? TOTAL: ? - FOR: CITY OF EAGAN CONTRACT PRICE: 5ite Address % Lot Bloc d ? ? c ':f:, ,. . . ., ; . PERMIT # MECHANICAL PERMIT RECEIPT # CITY OFiEAGAN t 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 04-8100 Sec/Sub IOL g ?•., , ..5 -,? Phone - 5 - Y3-1 IName'-A, ? c Address v 1- 0 City Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other K4_'f,2 FEE: S/C: TOTAL• j G? 50 BLDG. TYPE WORK DESCRIPTION ? Res. New - Mult Add-on Comm. ? Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 • ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 19/o OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 ' MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 '(ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) 711? ,1--- 'u SIGNATURE OF PERMITTEE / FOR: CITY OF EAGAN a a+.1 ? 4 .`?'? ;? . , ? s?,i• ,-;?.. ;,< PERMIT# _ J MECHANICAL PERMIT RECEIPT # CITY OF EAGAN l --? ? ? ?j ? ? ? • ?3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: , 11 ? F ; .fpHONE: 454-8100 Site Address _...i..,.,.?r ??-?- Lot Block I Sec/Sub i j ? Name Address c City Phone Name ? t c Address p City Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent. CFM Gas Piping Outlets # Other FEE: ? i sic: TOTAL: f / D) U-?-? BLDG. TYPE WORK DESCRIPTION Res. New X" Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMIT`TEE FOR: CITY OF EAGAN PERMIT # a ?- ? MECHANICAL PERMIT ? CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?•'?? ??? ? CONTRACT PRICE: 0_3 pHONE: 454-8100 Site Address Lot ? Block ? Name m Address c City Phone ? Name c Address p City Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent. CFM Gas Piping Outlets # Other -? • -+ - r-' ?J A FEE: S/C: TOTAL: BLD T G. YPE WORK DESCRIPTION Res. New Mult. Add-on Comm. ? Repair Other FEES RES HVAC 0-100 M BTU $24 00 . - . ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER PEkMIn 1 50 EA - - ( . . COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $ 50 S/C IF PERMIT PRICE GOES . BEYOND $1,000) . .. 1,/? ...?t.'\. / . ? ??C' l.- ?.-'?.. SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN , PLUMBING PERMIT CITY OF EAGAN CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN r55122 PRICE PHONE 4548100 Site Lot. _ Name ? Addre, c City _ ?uaiauy? a??a.• ' . N. Phone _ JV'T a T 411 -1G• J. Addres City ?' Phone FEES COMM./IND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) . ' ' f? .! I ;/?* 45i FOR: CI OF EAGAN R-10-Z- ??-i9-?D l?t?l?• 7 - ?w For Office ? OnJ?- PERMIT # RECEIPT # 5 I DATE: 1151S,12 BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on - Comm. ?- Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinaUBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 R? uflh Openings - $1.50 M ??,?C 6ackflotii PERMIT FEE: . val ve on 4rtr STATES S/C: 50 spl y 1 i ne GRAND TOTAL: 2.0• 50 fY OF EAGAN Remarks Cpd'3T' lT=•ove Hcquisition Addition, Cedar Grove #2 Lot i9 n aik 8 Parcel 10 16701 191 08 Owner Street State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? - - - STREET RESTOR. GRADING SAN SEW TRUNK /(* (p I 7 .#. SEWER LATERAL 1972 2237.58 Z PiC3. WATERMAIN .?. WATER LATERAL &V 1972 WATER AREA STORM SEW TRK STORMSEW LAT 1034 1986 1735.98 115. 73 15 CURB & GUTTER SIDEWALK STREET LIGHT ?. WATER CONN. 144 1117 ;t BUILDING PER. SAC 64 PARK 3? ? k (Itrtifiratt of (Orrupttnry Citp of eagan Eppnrtmmi of lutlbing Jtis,ppriina This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the dme of issuance this structure was in compliance with the various ordinances of the City regulating building co?rstruction or use. For the following.• ?RGTAL uae classifintioo CX?I slag. Ptn?ec Na. O-uP-Y TyPe Zouing District Type Const. Owner of Building W PFT-POLEUr : Addregs `5 l42:i F.I.LLJI' ME* X, 1MY1. Building Address ??ity 1, I, B 1, RA.tY-;I.I1 St o,te: JCJNE 1+5, Building Official POST IN A CONSPICUOUS PLACE ?? BUILDING PERMIT To be used for !LAW11"%5" "'`AU Est. Val Site Address ?? ?? ??HN"CLI-F C'P Lot 1 Block 1 Sec/Sub. ilAIL'i Parcel No. Receipt # Np 13151 $217,000 Date JAiNUARY 29 19 87 1ST W Name- - -,j PETRGLEUM 3 Address 814'3 ?ILT,5BT1F;Y AVi; SU ? City Phone o Name •G• AS'i^LEFORi7 CO INC o¢ Address 1200 ' ? fi'ti' Y 13 ? City i.. `V i_', w Phone 890-63U0 F W Name ? ? Address i Wz City Phone I hereby acknowledge that I have read this application and statethatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of E?gan OrfJinances.- ? Signature of Permittee Erect t nc Occupancy Remodel ? Zoning ?Z 13 Repair ? Type of Const. gZt] Addition ? No. Stories Move ? Length 60 Demolish ? Depth sci Int. Impr. ? Sq. Ft. d Install ? ? Assessment. Water & Sew Police Fire Eng. Planner Council Bldg. Off.- APC Var. Date_ Permit _ T _ `!?? • ?v Surcharge 1023.50 Plan Review 427.25 SAC 1,25U.00 Water Conn. N A Water Meter 14/A RoadUnit 36U.00 Tr. PI. !y/A Parks Copies Total $ 3. U U U. l 7 A Building Permit is issued to: '- G. aSTi'=jFC3`t'-' CO I N"- on the express condition that all work shall be done in accordance with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Building Official ` CiTY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 t?4'e.'r'?z „l?? ss/8 ? - ?.?, u/ < COi.si?i Permil No. PermR Holder Date TMephone N Pit £ 9 H.V.A.C. /8O Elect?ic 1-7 ??J?.? ? ?? ? ?? -, w; ?. • ? ?G ?- ?? ,? ??, ; ?? ?cCf ?6 s?? -75 . /Y [''? Inspectbn Date Insp. Commenb Footings I '? ? ? = ?? j / w ' ? ' ??? • 4J? Footings II '47 1J? Foundatbn Framing 12- i XZ' Rootiny "'I'lP7 4J ?? XTZ U,) /47 GtJiC/ Rough Plbg. - ' 7 _ Rouyh Hty. Insul. Fireplaee ?Cc- i Flnal Hty. ( G? ' - 5r ?LI L ? Fleal Plbg. Bidg. Final Cert.Occ. Dsck Fty. Deck Frmg. Well Pr. Disp. . i !f vq4. 558-3- ?qj," ' . CASH RECEIPT ' _ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 i_ r, DATE 19 RECEIVED FROM AMOUNT $ I & DOLLARS too Ej CASH F-I CHECK FOR x T FUND COOE -AMOUNT Thank You B Y White-Payers Copy Yellow-Posting Copy Pink-File Copy • `? " • CAS}i RECEIPT ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ , I & DOLLARS +oo F? CASH Q CHECK FOR at'Ur'J ,??_ _ -21?j FUND ? CODE qMOUNT Y ?f ?._. . _ C ?J ? ) Thank You'? BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 * ?. . .? RECEIVED . FROM AMOUNT $ I. . DOLLARS 1 oo []CASH ? CHECK POR ' • . ' .i / ? ? ,... ^oV BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You ? BLDG. PERMIT N0. 01-3210 ,- B1dg. Permi 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. . -?;. TOTAL , ITY OF EAGAN ?:. Permit No: Date: '7 _ 30 PiK.'. Knob Road Meter No: 3g,-6- $-a Size: P7"1?6 ? .O. Box 21199 Reader No: Date: gan, MN 55121 °wner. '•., , ??- L; c-h C'n iteAddress: 2ahnrl if1 rt T 1 10 P,a'in?•1 i rf - umber. Nh-ire ' I eonn. Ch. l'nmr:i:rri a 1 ct. Dep: rmit Fee: ? ` rcharge: "?e?dmply with the City of Eagan r. Plant C:jl Ordinances. eter. - is????`w ? gy ? C ..?w? ?? 7 3 76 ? WATER SERVICE PERMIT .,ctnr oF EnGaN.& SEWER SERVICE PERMIT .? '3830 PUot knob=Road 171 1?!O. Box21199 ' PERMIT NO.: Xagan, M N 55121 DAFE: ?Zoning: Cn>>rtcrr ; aI No. of Units: 'Owner. V, 1 1P.X Ri ?h f n `Addr@SS_1 11R4 Ah Rahnc'l i ff C 11 P1 r?hnrl i f .?. ? afi'{{ Site Address: ?F Plumber: `'7 "-c }? f??fote digging cali locQ u? i ie 1 agree to comply wRh t??arge: . ., Ordinances. ? t u t RE(?UIRED ?`vm% i t?,?{ Surcharge: , . : By Misc. Charges: Date of tnsp.: Total: 'Insp.: Date Paid: .t? F ? . .??. ?a r T'a :? ?V ?. ??? i CITY OF E/ICiAN Wermit Nfl: Date: 3830 Pilot Knob Road Meter No: Size: ' P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner. In I I 4' ^' SiteAddreSS: 1 18.1 `)(, ^ahnrl iff f`t 11 121 T ?=.z..?? ? `•f ! Plumber k1didre ' "Pr`'9`tt C'1 1 ? Conn. Chg: Zoning: ? .- `«?•? •7 ? - ' Acct. Dep: No. of Units: I Permit Fee: 141 ni' " Surcharge: I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. ' Misc.: BY ; WATER tir L SERVICE PERMI T , -".v...•-',f-' ' - FCITY F iEAGAN ? SEWER SERVICE PERMIT ilot Knob Road ? 3830 pERMIT NO.: `? 71? ! .O.Box21199 P 1 a _ 8 7 I Eagan, MN 55121 DATE: ; Zoning: Co=er^' ^' No. of Units: - I Owner: ' f 4 Addressl "1 - I Site Address: Plumber: A"r('siirE+ F+orha F?,???SZ P 7 ni?al I agree to comply wRh the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: , . Surcharge: . ;? By Misa Charges: Date of Insp.: Total: Insp.: Date Paid: V I ? CITY OF EAGAN , PermitNo: Date: -''7 ? ? 3830 Pilot Knob Road Meter Nb: Size: i P.O. Box 21199 Reader No: Date: j Eagan, MN 55121 I ! Owner i . , 'l ch ['n I SiteAddress: 200n Ra nc1.i.£ f_Ct ''?)-^cli££_L1 F1 ' Plumber. F'rC:i-d rn 1ffwrii , Conn. Chg: Zoning: Commerci.- 1 Acct Dep: No. of Units: Permit Fee: ? Surcharge: I agree to comply with the City of Eagan Tr. Plant J?` ' • "? Ordinances. Meter. Misc.: gy WATER SERVICE PERMIT ' CFrY 4F-E11GAN 3830 Pilot Knob Road 4 SEWER SERVI CE PERMIT P.O. Box 21198 '?`- - PERMIT NO.: :?714 4 Eagan, MN 55121 DATE: Zoning: :'nmmprr. i?I No. of Units: Owner. Vall .v Rich C'o address: ? Site Address:- 7000 Rahn l i fr (` i'2,I rr 1 i?f ? ? r,7 I Plumber. `TcGmirfl t°ech 7 n,yn 1/,?/Q7 1 agree to comply with theCity of Eagan Connection Charge: ? Ordinances. Account Deposit: Permit Fee: Surcharge: • 5 ry BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: ? - ? Date: '-19-87 CITY OF EAGAN Permit No: Size: 3830 Pilot Knob Road Meter Na P.O. Box 21199 Reader No: B???''r9/3 Date: ? i Eagan, MN 55121 J Owner. • ? ? Site Address: ? Plumber. Comr;erci a] Conn. Chg: ?y- .? i • Acct. Dep: "- Permit Fee. •?ag? lth the City of Eagan Surcharge: ? eS. Tr. Plant Meter. R? B?„???.,. e WL2??4'a MiSC.: c y 73 ? ? WATER SERVICE PERMIT AGkN SEWER SERVICE PERMIT ; CffY i 3830 Pflot Knob Road - • • pERMIT NO.: P.O. Box 21199 DATE: Eagan, MN 55121 r o,.?; a 1 - Zoning: No. of Units: Owner. ? Address: Site Address: Plumber ??R, harge: I a9ree to compry wlth ?6i???fC811 l6t,dl? ?S o ,{?(? sit: Ordinances. TELEPHGiVE - ELECTF??`???C. lc? . 0? REQUIRED Perm Wr Misc. Charges: ! By Total: Date of Insp.: Date Paid: . Insp.: '? /.I N 0 0 e? . a 1 ? Request Date , F e No. ougl-l n l n on Required Inspection Other Than Rough-In T u . t YOU mI inspec.?totr? when ready) 0 M Ready Now ? Will Not Inspector Yes lc? No Date Ready I'X licensed contractor El owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City -A Btrfl ? X41P4141ki Section No. Township Name or No. e No. lg County : : 171l P7q Occupant(PRINT) Phone No. a r*fl ? GE u. r*,s- S/Gic1 £ Pbwer Supplier Address Electrical Contractor (Company Name) Contractor's License No. / &L- T-ZtGM G- Mailing Address lContractor or Owner Making Installation) 4060 ? . ?,NJ • ?/ Authorizetl Signat re (ContractoriOwner Making Instaliation) Phone Number dS9o MINNESOTA STATE BOARD OF EL6CTRICITV THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (672) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Es-oooo,-oa ? See instructions tor completing this form on back of yellow copy. 1170130.. -`X° Below Work Covered by This Request ew ep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management x Comm./Industrial Furnace Other (Specity) • Farm Air Conditioner Other (specify) Contractor's Remarks: ?I . w Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abov,e 100 Amps \ SignS Inspector's Use Only: TOTAL Irrigation Booms U Special Inspection L? D Alarm/Communication ` THIS INSTALLATION MAY BE IF NOT ISCONNECTED ? Other Fee S"OZ4 • COMPLETED WITHIN 181 ONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final Date OFFICE USE ONLY ? This request vaid 18 months from ? ?.?? ,W?a7 ??D H 3 MO 2 . Request Date [Fire No. . Rough•!r. i ion Required (You must II inspector w ready) Inspection Other Than Bough-In ? R N Witl N tiT I d t ? ow y ea y o nspec or Yes N. Date Ready f icensed contractor p owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City Section No. Township ame or No. Range No. Count r " T-- Occupant(PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) . ALthorized Signatu e Making Installation) Phone Nu er ?;;? _ l MINNESOTA STA?eOF EL?E?CIT?? THIS INSPECTION REQUEST WILL NOT Griggs-Midway B5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Aul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REGIUEST FOR ELECTRICAL INSPECTION o??/o??. .::•°E??, ea-oooo,-oa ? See instructions for completing this form on back of yellow copy. ? 31102 `X" Below Work.,Covered by This Request ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service ' Duplex Water Heater Electric Heating ,Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Speciiy) Farm Air Conditioner - Other (specify) Contract?emark Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: , TOTAL ' lrrigation Booms ?'f , , - Ge? ? Special Inspection I ? v Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 181 ONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final ? Dat ,? .- r OFFICE USE ONLY ? This request void 18 monihs from K 0,72 7 ??-?e?? Request Date Fire o. R gh-in Inspecti Required? VReady Now p Will Notify Inspector ? Yes *o ' ?-- When Ready? I?s licensed contractor p owner hereby request inspection of above electrical work at: Jbb Address (Street Box or Route No.) 0 0 0 %:? */V4 -A-1 City Section No. Township Name or No. Range No. County Occupant(PRINT) Phone No. o /;I?--r u s w E s T- -'? Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. /71 /PS llfL Mailing Address (Contractor or Owner Making Installation) ! a? ?JG av.•r? . S.:' . 50fr/*---6- Authorized Signature (ContractonOwner Making Installation) Phone Number MIt1NES0T STATE BOARD OF ELECTRICITY' THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bidg. - Room S-173 BE ACCEpTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PAOPER INSPECTtON FEE IS Phone (612) 642-0800 ENCLOSED. /D ?P/Sl REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 / ? A????? ee ins ructions for completing this form on back of yellow copy. a?t°-?'?! ?? ??Be/ow Work Covered by This Request ew Abd Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service " Duplex Water Heater Electric Heating Apt. Building Dryer Other--(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (sNecify) Contractor's Remarks: _ r,j c ? ?. ? ? ?-jv2-t y? .?-?y PoFe? Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps SignS Inspecror's Use Only: TOTA? ' Irrigation Booms / ; ` s ? - Special Inspection J ? Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT Other Fee COMPLETED WITHIN 181 ONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has begn made. Final Date OFFICE USE ONLY 8lA0/50 7 3 0 8 7 / oo Request Date / Fi e No. R Ins ection TXJReady Now ? Will Notify Inspector ? /E`7°-90 ?Yes K.No WhenReady? I Cllicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Aoute No.) Z9 214H/V CLfGC Ciry eA6A1V Section No. Township Name or No. Range No. County ???0 7-A Occupant(PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Mailing Ad ess (Contractor or Owner Making Installation) ? 7 L7?9 A/ s`?ia? Authorized Signature (Contractor/Owner Making Installation) P'none Number ? d ? ? 436-1010 . 6t? 1411 MINNESOTA STATE BOAqO OF ELECTRICITfj THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 00190 G TIOR7 REGIUEST FOR ELEC:RICAL°iNSPECTION ? See instructions for completing this form on back of yellow copy. "JC" Below Work Covered by This Request es-00001-07 ew A ep. i''- TypeofBuilding AppliancesWired EquipmentWired - Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (speciry) Contractor5 Remarks: Compute Inspection Fee Below: Q? -i-L # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps j 0 to 100 Amps , v0 Transformers Above 200 Amps Above 100 Amps Signs lnspector's Use Only: TOTAL Irrigation Booms 1 J'U / _'5' S0 . Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee „6" 0 COMPLETED WITHIN 18 MONTHS. • I, the Electrical Inspector, hereby tif th t th b i ti h Rough-in Date cer y a e a ove nspec on as been made. Final - ip Dat , OFFICE USE ONLY . This reauest void 18 months from ' OFFICE USE ONLY This request void 18 months from validation date printed in this box. 853-660 ?4 9 D ` 0 D d 1r PLEASE PR T OR TYPE A C? R2ques ate Rough-in inspection quired? ? CAP'A o h d =herThanRough : eady Now Wil l Call en rea y) (You must call the inspector w I, I?censed contractor ? owner hereby request inspection of the T above electrical work at: Job Address (Street, Bo `, or Route No.) . ? City?p Zip Code /? SectionNo. Township Name or No. Range No. Fire No. County - Occupant Phone No. Power Supplier Address Electri Contractor (Compa Name) Contractor License No. Master Lic. No. (Plant Elect. Only) Mailing Address (Contractor or Owner Performing Installation) ???? `/ f Aut ized Signat (Contracto or Ow Performing Installation) Phone No. EB-00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY I I?IIII?IIII IIIII ii?l IIIII IIIII IIIiI IIIII IIII IIII ` *03536604* REGIUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity 1821 University Ave., Rm. S- 8,jPt. Paul, MN 55104 ?. Ph?one (612) 642-0800 ?05/ 92 Home Duplex Apt. Bldg. Other: ew Addn ommercial Industrial Remod Repair Air Cond. Htg. Equip. tr. * Load Mgmt . Other: Dryer Range Elec. at Temp. Service "X" above ihe work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepied without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee obile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps 0 Amps Transformer/Generator INSPECTOR'S USE ONLY ? TOTAL ' Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool I hereby certify that spe ed the electri? described herein on the dates stated Irrigation Boom Rough-In Date Special Inspection Investigative Fee Final - Dat ' ? THIS INSTALLATION MAY BE ORDE S NNE OT COMPLETED WITHIN 1 MONTHS. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ? II, See instructions for comple'ting this form on back of yellow copy. -71-777 100T!" 7 4 "X" Below Work Covered by 7his Request G.dd ReD TVPe of Building Appliancea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater . Lightin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader. Industrial Bldg. Air Conditioner Buik Milk Tank Farm otner SPeci v other (SPer.ify) t er SUecify Other Other - ompute lnspection Fee Below p , Ree ServiceEntranceSize # Fee Feeders/Subfeeders # Fee Circuits U to 200 Am s 0 to 30 Am s tC6 0 to 30 Am s Above 200 qmps 31 to 100 Arnps , 31 to 100 A s Swimming Pool 200 Amps Above 100_Amps Transformers Irrigation Booms PartiaL'Other Signs Special inspection ?j $ TOTAL Remarks QA,-ri?C7«Vv? sTk'//° ?'h G? -! E! !i1 -7P I 7F,n.1 7ie / I, the Elec ical Inspector, hereby certify that the above r a'?j?? jr7 inspection has been made. ! This request void 18 months trom T,his request void 18 months irom . ` C 13_9 7 4z, /, ai. %/ 7 7 7 e o 0 Request Date I Fire No. j ough-in InsVection R quired? QReady Now„WWill Notify, Inspec- - oyes ?No tor When Ready A Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Sireet Address, Box or Route No. Citv ectron o. Township Name or No. Range o. C unty C) 72 Oc pent RINT) Phone No. Po er upplier ?.? Address - 1K / O !2 Ele trical Contractor ICom any Name) Con ractor's License No. Mailing Address (Contractor or O ner Making Instailati n) ? .? Authorize ignatu ICon ctor wn ki nstallation) Ph ne Number 7r? ? ? 'z MINNESOTA STATE BOARD OF ELECTRtCITY THIS*INSPECTION REQUEST WILI NOT BE ACCEPTED BY THE STATE BOARD Griggs-Midway Bldg. - Room N-191 UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone (612) 297-2111 ENCLOSED. - - REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 ?G ?"? ? See instructions for comdleting this form on back of yeliow copy. ?? ? ?? ' X * "X" Below Work.Covered by This Request A Now Add Rep. Type of Building Apptiances riired Equipment Wi?ed Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin ' Commercial Bldg. Fumace Silo Unloader ' Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther Peci y ther Ispecifyl I t er Specify Other Other omoute Insvection Fee Below p Fee Service Entrance Size tt Fee Feeders/Subfeeders # Fea Circuits 0 to200Am s 0to30Am s 0to30An? s Above 200 qmp5' 31 to 100 Amps 31 to 100 A s Swimmin Pool Above 100_Am s Above 100_Am s Transformers Irrigation Booms , p Partial.'Other Fee Signs Special inspection TOT EE Remarks 00" H I, the Electrical Inspector, hereby certify that the above Final Date ? 40 been C2 --16 nma ? rhis request void 18 months from This request void ?11? p o7- 18 months from c? ?.9?37 G.- 7.(?,3i? 0 v.G.? /-? S.7_50 , Request Date Fire Nb. ReQUwed?Inspection ?Ready Nuw?Will Notify. Inspec- y0-?X Ves ONoi tor When Ready gLicensed Electrical Contractor I hereby request in ection of above el t ? O i k i l t ll d k wner ec r wor ca ns a e a : Street Address, Box or Route No?'; ? "' ' 00 P it - 14 -7 QO p ?H•v ection o. Township Name or No. Range No. County Occupant (PRINT) Phone No, ?Z LC Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. YWATI??71e Mai i g Address (Contractor or Owner Making Instai ation) - a g /'Yl,t) :5S'1a5 A riz d Signature IContr tor/Ownzr Making Installation Phone Number L 7 -- /030 MINNESOTA STATE BOARD OF EIECTRIC?J ? BE THIS INSACCEPTEDPECTBYION THE REQUEST STATE WILL NOT Griggs-Midway Bldg. - Room N•197 BOARD 1821 Universitv Ave.. St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. D "r, Z2 9 REQUEST FOR ELECTRICAL INSPECTtON ? See instructions 4or completin9 this form on back of Vellow copy "X" Below Work Covered by This Request .r. EB-00001-06 WR 7.52R 2?1 Now Hd Rep. `Type ot Building Appliances Wired Equipment Wired Home Range Temporary Service Dupiex Water Heater Liyhtiny Fixtures Api. Building Dryer Etectric Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Speci Y Other(Specify) ther Specify Other Other ompute Inspection Fee Below q Fee ServiceEntranceSize # Fee Feeders/Subfeeders # Fee Circuits 0 to200Am s 0 to30Am s Oto 30Am s Above 200 Amps? 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Partial-"Other Fee Signs Special Inspection $?? Remarks TOTAL E O'0 ' Rough-in J ? ? 'r r ? Final zl,,al Date T ? ?, the Electrical Inspector, hereby certify thet the above inspection has been made. This request void 18 months from This request void ?/?./?? 18 months irom Sf D 19229 t)I Requem-DazA-:_ Fire No. 'Rough i spertion Requir d e ady Now Q Will Notify Inspec- ? Yes ? No . ? [or When Ready ?sed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, 8ox or Route No. City-, ection o. Township Name 4jtfo. Range No. County /?-fJl f J Occu nt (PRiNT) Ph ne No, Powe Suppiier Pddress Elect cal Contra t (Company Name) ? ?r.?.` Contractor's License No. 7 Mailing Address (Contractor or Owner Making Instailation) ,?- 7 O?? c_ J7?. Authori nat re ( o ctor/O r Making Installationl - Phone Number ?-- MINNESOTA STATE BOARD Of ELE THIC TY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N.191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. qs7/ ?10' Req est Date Fire No. I Rough-in Ins on Required? )CReady Now p Will Notify Inspector ? ? 2.1 - ED Yes o ------- When Ready? Ix licensed contractor p owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City 4 ? N Section No. Township Name or No. Range No. County Occupant(PRINT) Phone No. rt- D Power Supplier ? A ?- Electrical Contrector (Company Name) Contractor's License No. MAL' Mailing Address IContractor or Owner Making Installation) -I- C "If- ? . Authorizetl Signature ( ontractoriOwner Making Installation) Phone Number T ?? ? -5- MINNESO?STATE BOARD OF ELECTflI?(TY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ? S 3o L REGIUEST FOR ELECTRICAL INSPECTION ee-ooooi-os ? S e inst uctions for completing this form on back of yellow copy. ?,.3 ?.3 3 8 ???Er'eIow?Work Covered by This Request ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: G.! t R? A1 9 90 A Compufe Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps SignS Inspector's Use Only: TOTAL irrigation Booms 5??-- Special inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT ? Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electricai tnspector, hereby Rough-in Date certify that the above inspection has been made. Finai Dat OFFICE USE ONIY This request vaid 18 months from -? CASH RECEIPT ?--_ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 5512?2 DATE 19? R6CRIVLD ?? /? _? IROM .? ' AMOUNT. : Fs -I ? I d DOLLARS sse ? CASH CD-L'IECK L N o 72829 Wh(te-Peysn Copy Yellow-Pwting Copy Pink-Fils CoPY Thank You BY ,. --? CASH RECEIPT ,.--? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DA7E 19 RECIRV? AMOUNT $ y DOLLARs feo vu- ? CASH ' 9j-CT-IECK FOR ?Alf ? FUND CODE AMOUNT .- „ Q . , o 3 /3 ? ? r c2 20 Thank You ev N_ 73764 White-Payen Copy Yellow-Posting Copy Pink-File Copy ??,?; ?= EATING TEST R6COI?D ` `?- / ,, ADDRESS r APT. FLOOR ?CITY?SUBURB OCCUPANT ` OWNER HEAT LO55 DATE HTG.,;INST. SOLD BY INSTALLED BY Eleetrieal Work By Gas Line By TYPE OF HEAT GA PA HW STEAM SPACE HTR. UNIT HTR. OTHER ?. __... &?;&S ?.ESIGN CONVERSION MAKE ? ' MAKE OF BURNER Model Model Serial Max. BTU Rcting INPUT MAKE OF FURNACE Model THERMOST T Va lve Limit Limit Setting . Fan Setting Pilot Type ? Pilot Make Pilot Model Pilot Timing L.W. Cut Off Prossure Percent C02 Input CFH ? Percent 02 Stack Temp. Percent CO -?' ONTROLS Heat Plug Vent Size KIND OF LINER SiZE?NONE Draft Hood ReguleTOr ? Filters Size N ber Chimney Location Inside ? Outside Chimney Construction ' Smoke Bomb ? Wiring ?i Draft Test Tag " Door Pressure L ghting insr- Date Tested Company Testing - Rouse Mechanical, Inc. 11348 K Tel Dr. Minneton , M 53 ? Cn ? ? ? ?? Name of Tester 1 ? e-' ; . , `_ _,y''., ?. %? ? ?, ????-?f ? HEATING TEST RECORD ADDRESS APT. FLOOR CITY SUBURB OCCUrANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY ,?o?-? ??cG? INSTALLED BY Electrical Work By Gas L• ine By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER ?•""'n' ' /?J r GAS DESIGN MAKE /J???hP/ MAKE OF BURNER _ Model 84?3-a ly'„13 Model Serial Is0110S? Y6 Max. BTU Rating - INPUT /S-o, vaa MAKE OF FURNACE Model E R'S1 ON CONTROLS I i THERMOSTAT ??7t Heat Plu Vent Size 7 Vaive KIND OF LINER f' ?-5 *S SIZE NONE Limit Draft Hood A, - Regularor 3 Limit Setting Filters Size Numb Fan Setting 7/?/e_ ???--"? ?? Chimney Loeation Insid Outside ' Pilot Type Chimney Construction Pilot Make ,A?6r V Pilot Model Smoke Bomb Wiring ? Pilot Timin ?V Droft C' Test Tag g L.W. Cut Off Door Pressure Lighting Inst. LIX - ?? Pressure Pereent CO Date Tested J - 2 ?/? Input CFH Percent 0 ?(°' 2 Q Stack Temp. Percent CO ? Company Testiny -Rouse Mechanical, Inc. / 11348 K Tel Dc L Minnetonka, MN 55343 Name o f Tester _ ?????"el? HEATING TEST RECORD ADDRESS /? ? ?d APT. FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE H G. INST. SOLD BY ? INSTALLED BY ;?Ae-M Elsctiical Work dy Gas Line By &;5:2 11zlet'13 TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN MAKE MAKE OF BURNER _ Model Pf)' If-0A}3 Model Sxial 11-0//a Sd YgG Max. BTU Rating - INPUT MAKE OF FURNACE Model ON CONTROLS g7 ? 7 THERMOSTAT Heat Plug Vent Size Valve v KIND OF LIN?R SIZE?NONE Limit Draft Hood Regularor ?as= 3 Limit SeNing Filters Size Number Fan Setting Chimney Location Inside Outside Pilot TYP Chimney Construction Pilot Make A Pilot Model Smoke Bomb Wiring Pilot Timing 3? >cC Draft 0 Test Tag L.W. Cut Off " Door Pressure -- Lighting inst. Pressure Percent CO 65- ? Date Tested G ? `k? Z Input CFH ?pp? Percent 0 2 ?? Company Testing -Rouse Mechanical, InC. Staek Temp. ?Cfcr Percent C0 6?? 11348 KTeI Dr. Minnetonka, MN 55343 Name of Tester HEATING TEST RECORD /I hd ? ? i ADDRESS APT. FLOOft CITY 5UBURB OCCUPANT ? ee_? OWNER -DATEHTG. INST. HEAT LOSS ? SOLD BY ?'??!.?'- A01 INSTALLED BY fe ?C Eleetrical Work By Gas Line By GL?G ?C4 TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVE ON MAKE MAKE OF BURNER Model Yg Id,4 40 8S-.2-0 Model Seriol _w2 Q g/ 6. -7 66 gr Max. BTU Rating INPUT ?Z 5^ oo? -- Z,o 3 670-d MAKE OF FURNACE Model CONTROLS ?W THERMOSj Y'•?? Heat Plu Vent Size ? g Va1ve ??? C KIND OF LINER SIZE NONE Limit •? `• Draft Hood_2?5 Regularor Limit SeTting Fi Iters $ize AAG Number 5!!? Fun Setting / 1P 66 ? Chimney Location 0-4Inside Outside i Pilot Type Chimney Construction Pilot Make Pilot Model $moke Bomb Wiring Pilot Timing 7 sP ? Draft J? Test Tag ? L.W. Cut Off ?- Door Pressure Lighting Inst. Gr/ / D T d Pressure Pereent C02 ate este Input CFH 22? Pereent 02 55?? Company Testing -Rouse MeChaniCal, InC. Staek Temp. Pereent CO 11348 KTeI Dr. Minnetonka, MN 55343 Name of Tester HEATING TEST RECORD ADDRESS ? n Ad J-? APT. FLOOR OCCUPANT f'c OWNER HEAT LOSS ?DATE? HTG. INST. - SOLD BY Znrcc<!J INSTALLED BY GGS? ?? Eleetrical Work By Gas Line By d? /?eC TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model 615- 23 Model Sxial o3a,/.,? a 2 Mox. BTU Rating INPUT ??? MAKE OF FURNACE i ? Model CONTROLS THERMOSTAT Va Ive Limit •'! Limit Setting _ Fan Setting - Pilot Type ___L Pilot Make - Pilot Model Pilot Timing L.W. Cut Off Prossure 3f ? ?Pereent COZ ?s Input CFH lUf^?? Percent 0 ????° Stack Temp. Pertent C02 ? Nome of Tester Vent Size K I N D OF LIN R A?f cs SIZE NONE Droft Hood ?G/ Regulator 325 3 Filters Size Numb / Chimney Location Ins'rde Outside k/ Chimney Construetion s $moke Bomb Wiring Draft Test Tag - Door Pressure ------ Lighting Inst_ / Date Tested ? - 3-7 Company Tesring -Rouse Mechanical, Inc. 11348 K Tel Dr. Minnetonka, MN 55343 I CITY ??SUBURB Q P.r'ROLEUM CITY OF EAGAN =.• ?? ?. -?, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 13152 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for CONiMERC IAL Est. value $ 5 3 3, 0 0 0 Date JANUARY 29 19 $ 7 Si'te Address 19 8 4,19 8 8,19 9 2,19 9 6 RAHNCL IFF Erect ? Occupancy ' Lot 1 Block 1 Sec/Sub. RAHNCLIFF CTRemodel ? Zoning ZST ADD Repair ? Parcel No Type of Const. . Addition ? No. Stories ¢ Name Q PETROLEUNi CORP Move 0 Length W 8148 PILLSBURY AVE SO Demolish ? ; Address l ? Depth S F m r Int. ° ci?,BLMGTN phone $$1-4483 InstallP ? t. Q ? Approvals Fees o Name M. G. ASTLEFORD CO INC 0 ? ,4ddress 1200 W HWY 13 ' Assessment Permit $ 2,894.2E ? C;ty B' VILE Pnone $90-6300 water & Sew. Surcharge 266.5( ?m Police Plan Review 1. 44 7. 0`l F W Name SAT.OON ARC NOT H.N Fire SAC_ 5,000.0( ?? Address 7693 C(?MMF.RC_F ? WAY Eng. Water Conn. N A a W City E PRATIR? 934-19898 Planner Water Meter N A 4,0111 Council Road Unit 1,949 . Ol I hereby acknowledge that I have read this application and state that the B?dg. Off. Tr. PI. 1, 4 4 0. ? l? information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci y o n Or ance APC Parks 4 i 082 - 0 ( 9nature of Permitteerr y?'??. Var. Date Si Copies , 1 ? 0 ' 7 c TOtal A Building Permit is issued to: M- G. ASTLEFORD CO INC on the express condition that all work shall be done in accordance with all applica Stat ? a St es and Ci ty of Eagan .Ordinances. ? Building Official Q FiUPERETTE CITY OF EAGAN - • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 13151 BUILDING PERMIT PHONE: 454-8100 Receipt # -7c-)?o To be used for COP9MERC IAL Est. Value $ 217 , 0 0 0 Date JANUARY 29 i 9 87 2000 RAHNCLIFF CT Site Address Erect ? B2 Occupancy Lot 1 Block 1 Sec/Sub. RAHNCLIFF 1ST Remodel ? Zoning Repair ? Parcel No Type of Const. 11II . Addition ? No. Stories cc Name Q PETROLEUM Move ? Length 60 Z Demolish ? Address 8148 PILLSBURY AVE SO I ? Depth 50 S Int. mpr. o city BLMGTN Phone 881-4483 Install ? q. Ft ? ' ¢ Approvals Fees o Name M• G. ASTLEFORD CO INC o? 1200 W HWY 13 ? ¢ Address Assessment 894.50. Permit ? C;ty B' VILLEPnone 890-6300 Water & Sew. Surcharge 108 . 50 Police Plan Review ' 4 2 7. 2 5 F W Name Fire z SAC 1,250.00 ? Z Address Eng. Water Conn. N A < W ciry Phone Planner Water Meter N A Council Road Unit 360.00 I hereby acknowledge that I have read this application and state thatthe gld Off g N /A Tr PI . . information is correct a d agree to comply with all applicable State of , . . Minnesota Statutes an City n Or ' anc APC Parks Var. Date Copies Signature of Permittee Total $3, 000. 25 A Building Permit is issued to: M. G. ASTLEFORD CO INC on the express condition that all work shall be done in accordance with all applicable StatQ f M„p innesota St es a City of Eagan Ordinances. Building Official PERMIT #: ? CITY USE ONLY ?•_.,._. RECEIPT DATE: _0 ? COMMERCLkI. PLUM$IN6 PERJET AMLICATION CITYOF Klk6AR 3$30 PILOT KFOB ftD EAsM, Mx 55122 651-6$1-4675 , INCOMPLETE APPUCATIONS WILL NOT BE PROCESSED Date: ?510 1 WORK TYPE New Bldg Add-on Repair X<'RPZ _ PVB * Irrigation system ' Must complete reverse side of application also. Required meter size is 2" turbo unless smaller size permitted by Publie Works DESCRIPTION OF WORK ?-Q S T 1a," 1< p 2- / To inquire if Pressure Iteducing Valve is required on new service, call 651-6$?i 4646- -- -METERS - Cali 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed Irrigation Size & Type _ Fire Size & Type _ Domestic Size & Type Dces this inciude high demand devices? _ Yes FLUSHOMETERS _ Yes _ No Site Address: t"I S4 `? g,?n d', Tenant Name: v 0.?` ? Was there a previous tenant in this space? _ Y?&N Installer Name: m?? IZA _ C , Installer Address: 1) ) D City: 01 ca, ?r ? FEES Contract price $ /Telephone #: ?5) -- (Area Code) If Yes, N ? C Telephone #: ? ? -- -) (Area Code) State: Zip Code 5,S_ %($50.00 minimum) Contract Fee $ sC), (D v Meter(s) $ Required on all new buildings & bo#levard irrigation systems Radio Meter Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, caiculate at State Surcharge $ 50 cents per $1,000 eontract ` L ( Total From R v rs $ To $ I hereby acknobetedge that I have read this application, state that the information is correct, and agree to comP1Y with all aPPlicable CitY of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan s es no liability for any damages caused by the City during its normal operarional and maintenance activities to the facilities constructed under t s pe it within City property/right-of-way/easement. ?. ? SIGNA RE OF P?PRMLT-T-EE--------- ?--- -- W?y n? ? CITY USE ONLY ? IREQUIRED INSPECTIONS: U.G. Air Test Gas Test Rough In L-MAR4 6 2001 ?i _ No Avg GPM Avg GPM Avg GPM PRV REQUIRED/ _ Yes _ No PLANS SUBMITTED APPROVED BY: , BUILDIN ,Y ?C?,INSPECTOR f ,. ,., _..-._ e_?...._. CITY USE ONLY PERMIT #: RECEIPT DATE: ol - 0 ? COMMERCL4I. PLUM$ING PEPJIT AMLICi4TION CITYOF E!l6m 3$30 PII.OT Kft08 RD- E46lkR, MN 55188 651-6$i?l675 . . Date: 3/?J /?D l INCOMPLET APPLIC;ATIONS WILL. NOT BE PR(OCESSED WORK TI'PE New Bldg Add-on Repair x RPZ _ PVB • Irrigation system * Must cornplete reverse side of application also. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK 2-- To inquire if Pressure Reducing Valve is required on new service, call =**ne 646 METERS - Ca11651-681-4300 to verify that hydrostatic, conductivity, and bacteria iests passed rior to meter In igation Size & Type Avg GPM Fire Size & Type Avg GPM _ Domestic Size & Type Avg GPM Dces this include high demand devices? _ Yes _ No FLUSHOMETERS Site Address: Yes _ No PRV REQUIRED _ Yes _ No I ? A,,h" cl?-o?? Tenant Name: 0 q1 i a--Q, =-,A- O`; ? Was there a previous tenant in this space? _ YX N. If Yes, N . InstallerName: W? Installer Address: ciry: ? FEES Contract price $ ?n X \ ? xl my-) Zip Code -<::6 VY 9 Contract Fee $ 50' QD ? Meter(s) $ Required on all new buildings & boulevard irrigation systems Radio Meter Read $ SurchargF: $.50 Minimum. If contract fee excee ?$1,000, calculate at State Surcharge $ 50 cents per $1,000 contract fee. Total From Reverse New Service $ Total $ I hereby aclrnowledge that I have read this applpcation, state that the informarion is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of E7,:ie sumes no liabiliry for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under rmit within City property/right-of-way/easement. ? - SIGNURE OF. PER,\4ITTEE CITY USE ONLY n REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Roug ;? I?jna?o o.? ' ? PLANS SUBMITTED APPROVED BY: , Bi71LDING INSPECTOR #: 651 - /a --? a, (n« coae) Telephone #: ? 6 3 - --?-57 - C) C) (Area Code) State: ($50.00 minimum) ? 'R -f:ITY USE ONLY -• ? . .?•?. PERMIT #: RECEIPT DATE: -2 q ' oj COMMFACIAL PLUM$IN6 fEPJM1T AMLICAITON C1TY OF Efk6AF 3$30 PILOT KROB RD £fl6u4R, MR 55188 651-6$1-4695 . WCOMPLETE APPLICATIONS WlLL NOT BE PROCESSED 11:5 l? 1 Date: 3 WORK TYPE New Bldg Add-on Repair X RPZ _ PVB * Irrigation system " Must complete reverse side of application also. Required meter size is 2" turbo unless smaller size pernvtted by Public Works DESCRIPTION OF WORK A_-C-sr?_ 1 a' ? 1 (\( Z-- To inquire if Pressure Reducing Valve is required on new service, ca11651-681-4646 METERS - Ca11651-681-4300 to verify that hydrestatic, conductivity, and bacteria tests passed prior to mnekins un meter Irrigation Size & Type _ Fire Size & Type _ Domestic Size & Type Does this include high demand devices? Avg GPM Avg GPM Avg GPM _ Yes _ No FLUSHOMETERS _ Yes _ No PRV REQUIRED Site Address: b c) Tenant Name: C)?,, OTeleph rf ? Was there a previous tenant in this space? _ Y XN. If Yes, Name: Installer Name: "M \ C` Installer Address: City: No (Area Code) t C ? ? Telephone #: 3 O C) (Area Code) State: m FEES Contract price $ Required on all new buildings & Surcharge: $.50 Minimum. If contract fee 50 cents per $1,000 contract fee. x 1°fo ($50.00 minimum) irrigation systems $1,000, calculate at Total From Reverse Contract Fee Zip Code Y 9 Meter(s) $ Radio Meter Read $ State Smxharge . $ '-.5 C) New Service $ Total $ -150• -75 C) I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to norify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance acrivities to the facilities constructed under t' p it within City property/right-of-way/easement. ?-- _ SIGNA RE OF PERMITTEE ?a.?.. P ? ?'?????? - CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test Rough In Final I ` MAR 1 6 2001 PLANS SUBMITTED APPROVED BY: , BUILDII4 NSPECTOR CITY OF EAGAN SIIBJECT: CONDITIONAL DSE PERMIT (PYLON SIGNS) APPLICANT: Q - PETROLEIIM LOCATION: LOT 1, BLOCK 1, RAHN CLIFF 1ST ADDITION EXISTING.ZONING: RB (ROADSIDE BIISINESS) DATE OF PUBLIC HEARING: APRIL 30, 1987 DATE OF REPORT: APRIL 20, 1987 REPORTED BY: PLANNING DEPARTMENT APPLICATION SIIMMARY: Separate applications have been submitted by Q-Petroleum and M.G. Astleford requesting two pylon signs along Cliff Road on Lot 1, Block 1, Rahn Cliff lst Addition. The first sign is 8' wide, 27' tall and has 120 S.F. of signage area. This interior lighted pylon will serve the muffler shop, Rapid Oil Change and Big Wheel Auto Parts Store. Code permits 125 S.F. per side and a 27' maximum height. The second sign is for the Q Superette and car wash that is attached to the auto center. This pylon would have 66 square feet of interior lighted signage. The height is undetermined but should match the other sign if both are approved. East of Lot 1 is Outlot D that has over 500' of street frontage along Cliff Road. These proposed signs would not effect the opportunity for that area to have additional pylon signage. If approved, these pylon' signs shall be subject to: 1. A 27' maximum height. 2. No additional signage area other than this proposal without another public hearing. 3. To all other applicable Sign Ordinances. 4. The one time sign fee of $2.50/square foot. ?.. ? s ? N' z O y V w .,? h i V ` . h1ElN6KE D15Ctwn?T ,FiAPtP OIL Q1iW 6E Okslue: -?oN _ . N ? ? • ? ; ? orwa? c+,ce . ' . • - _ . - . , : (CLIFFROAD). . . [LLUVI, PYto . . ,t S16NNOE -• - - _ - - -- - -- ? ---------- - - - - - - - • - _ . -? ?-.- - ? illlil I I ? ? < • ?u?ar? nwos. " ' ?SINGLE FAGE ILWM. 4°?1 1N/?LLHTa.S1GN5 ? ? ?wc??C.i?ce • ss'd' - ? . ?? - ? , ? 1 . .. , ' • • • ' ? .cuor - . ? 1 or - a. . } C_ :=i . . . ' ? `? AP(D? ?: • i •. ? .? • ' : 'a • ; ? ' 1 .? ' CAR WASH• ' K? ' • MEiNE ' BIQ WHEEL1 .. . .?Oll,i , ' •? : .• `: . ? • .: MUFFLE? CHANE? ? 1 ' ? K C+A' Oql3Q.ifrlmL4R hVW /{Qi. I . ?.? 'wy R? ? •.. .? ? ? ? ? f ? 1' ' ?' ' j0 _ Q SUPERETTE • . , r+aw? "ar ?+w r ? I . . . • " ? . , , : . 1 . . ' I 1 1 . • ? ? .. . ' • . ' 1 9u?naaw+nrt . • . . . a ? , . ?? , . . .. ?---.-=---------?:----=--- --?=- - -?------- - -?---------- ------------ --- - . ---- ? ? • __ ? _. ...? , . ? -- - o _ d W-i _ f?o' ar __ .d __ 30ALE . !". ,:-e ,}Q??O` .. <L ' , • `:. _ :'1 ,-j ? -? , ? CAiE.' 1" ¦ 40?.0' ' RAHNGLIFFCO(JRT?` ' 4-? `?? ?? • . . • . _ _ . . _,_ ?,_ , r ?, • • ..... . .. » . -:?;•. . _ .... ? .,': . N sq. zuse , ? 1 1 1 ? i ? r • ? o ? ? 1 ' ? ? . 1 ?? -_'• ` :?. . 1 D . 1 1 ? ? ? ? + . ! I . I ? _: ' : • • - " .. ' , . . ; • ., _ ? • ?•. . ---- . -- " . . , : G:?I/.? . • ' ,? . . . . .?. . ... ? .. . .. , . ?. . . • . . . ' ?rK'?: 1?? . Mw ? ! `'dlJ?CK BOFiDEe F' • ? s ? S7R?A'sS . , . ??? ? ??? r ''?, Fi?D?Q? . _ ? ` ? ?' ? •'I ` , 66ACK GAR Fi i - ? SUP6RETT6 00? ? .... _ . 1.I '?? .???' ? . : • ? • 1;': . . .;?: ., .. .,??i. .. :?;• / \ 39i DRtCF c"?WC,E . ' , ? l`? d p 1111Gi3??l , iANt - ? I 2004 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 -16 s-o-slo Date J / l r L / OL" Site Address q WX-4-10-1 IfT C*• Unit # Tenant Name ??n&kllek Former Tenant Name Property Owner `i,L} `g "'o /tIm.1( Sfalp Telephone # ( Wt) q52 -? i(of Contractor ejAz Pitkinbir-iq ? IN. Address ? V . City 5-f P4-UL. State M dV? Zip Telephone # (&S/ ) The Applicant is Owner Contractor Other Work Type _ New Bldg Add-on Repair RPZ PVB _ Irrigation system * ` Rain sensors re uired. Jerr Wobschall to calculate fees. ? V 6 Description of Work , To inquir if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Ca11651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to nickine ua meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" displacement $155.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1% _ $ Base Fee $ Meter(s) Required on all new buildings & boulevard irrigation s st?ms $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ State SuiChlige If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee -------- - ------ - - -- - ---------- - - ---- - -- - ------------------ - -- - ---------------------- - ------------ - -- - ------------ Following fees apply oniy when installing new irrigation system $ Water Permit Contact Jerry Wobschal] at 651-675-5024 for required fee amounts $I , Treatment Plant , ?` - ? $ Water Supply & Storage ? ., O04 NOU ? State Surcharge ---------------------------------------------- --------------- --------------------------------- ?------------------------- --------------------------------------- o BY b ? TotalFee I hereby apply for a Commercial Plumbing Pernut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. l GeEC->0V-y er , ApplicanYs Printed Name Applicant's Si atur CITY USE ONLY PERMIT RECEIPT DATE: ci ?. COMMERCL4L PLUM$IN6 PEftMIT APPLICATION CITY OF £A6AN 3$30 PILOT KN08 RD E46AN, MN 55182 651-681-4675 INCUMPLETE AP!'LIL/1IrlOlv'S, t!'?ILL NOT f3E PROCESSED Date: WORK TYPE New Bldg Add-on Repair RPZ _ PVB * Irrigation system * Must complctc rcvcrsc sidc of application also. Rcquircd mctcr sizc is 2° turbo unless smallcr sizc pcrmittcd by Public Works DESCRIPTION OF WORK V-,;L c> • To inquire if PrPSSUre 1Redacing Valve is requirg*-?BbLme?V::service,.cal16'S1-681=4646 METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria'tests passed urior to picking up meter Irrigation Size & Type Avg GPM ' Fire Size & Price 3/4" displacement $149.00 Domestic Size & Type Docs this includc high dcmand dcviccs? ^ Ycs _ No Avg GPM FLUSHOMETERS _ Yes _ No PRV REQUIRED Yes No Site Address: r? CA Tenant Name: J C0,30 Telephone #: (Area Cocie) Was there a previous tenant in this space? _ YXN. If Yes, Name: Installer Name: C, \-y nM- C ?.. Telephone (Area Code) Installer Address: City: Q; State: rl(1v_1 Zip Code Y 9 FEES Contract price $ x 1% ($50.00 minimum) Contract Fee $ _'_5 o. C) C) Required on all new buildings & boulevard irrigation systems (Acct # 9220-4509) Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 contract fee. Total From Reverse Meter(s) $ Radio Meter Read $ State Surcharge $ • 5 D New Service $ Total $ "5 b, _?s C-) I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan mes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under thit within City property/right-of-way/easement. V SIGNATCmE OF PERMITTEE ?' a '..Q_ S QU CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: , BUILDING 1NSPECTOR CITY USE ONLY PERMIT #: ? 9 _?_ b ? RECEIPT DATE: COMMERCIAL PLUM$ING PEfiMIT APPLICATION C1TY OF E4a!!R 3$30 i'ILOT KNOB ftD E46i4N, Mft 55128 651-6$1-4675 INCQMPLETE APPLICATIONS W! l. NOT BE PROCESSED Date: l,z? a WORK TYPE New Bldg Add-on Repair 2(RPZ _ PVB ' Irrigation system * Must complete reverse side of application also. Required meter size is 2" turbo untess smaller size permitted by Public Works DESCRIPTION OF WORK To inquire if Pressure Reducing Valve is required on new service, ca11651-681-4646 METERS - Ca11651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed urior to piclun¢ un meter Irrigation Size & Type Fire Size & Price 3/4" disnlacement Domestic Size & Type Does this include high demand devices? _ Yes _ No Avg GPM $149.00 Avg GPM FLUSHOMETERS _ Yes _ No PRV REQUIRED _ Yes _ No Site Address: I 9W4 t` a-?n Gl -?_Q_Q C?D ,( ? Tenant Name: o-N \ Telephone #: 7 S a - Ia" -7 (Area Code) Was there a previous tenant in this space? _ Y?N. If Yes, Name: Installer Name: r?-\ R_(J+\Q r\ Telephone #: ? ? "3 -- 1 () C) ? (Area Code) Installer Address: 00) _9,? ?2 p City: 6 `o, State: Zip Code q FEES Contract price s 1 % ($50.00 minimum) Required on all new buildings & boulevard irrigation systems (Acct # 9220-4509) Surchazge: $.50 Minimum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 contract fee. Total From Reverse Contract Fee S `5C_) • (DC) Meter(s) $ Radio Meter Read $ State Surcharge $ New Service Totai . S0 $ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan uxnes no liability for any damages caused by the City during its normal operational and maintenance activiries to the facilities constructed under thi it within City property/right-of-way/easement. SIGNAKTRE, OF PERMITTEE v CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ A'u Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR s -43 &6fo ?13 1986 BOILDING PERNIIT APPLICATION - CITY OF EAG9N NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAI?IILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MQLTIPLE DWELLIAiGS - RESIDENTIAL. RENTlI. DNITS FOR SALE IINZTS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND q '-)Urr--nLTrc- To Be Used For : COM Mi= tzc.. rA L Valua 5ite Address Z". 4AAw 6ez Lot ? Block ? Pareel/Sub ?2/?.H ?•.t Cc- ? ?- F ? ST Owner Address tion: Z I1,00 n Date: OFFICE IISE ONLY Ereet ? Oecupaney 5•7- Remodel Zoning (" 13 Repair Type of Const SL hl Addition # of Stories .1 Move L,ength coo Demolish Depth SD Int.Impr. Sq Ft 3000 Install . City/Zip Code Phone Contraetor Address City/Zip Code Phone Arch./Engr. Address APPROVALS FEES Assessments Permit g5+, s Water/Sewer Sureharge ?Ob. la Police Plan Review Fire .X SAC IZSO, Engr Water Conn tiUN Planner Water Meter N/A Council Road Unit NJk Bldg Off ? Treatment Pl 3GD. APC Parks N/k Varianee Copies ? 9'OTgi. t? ?- City/Zj.p Code Phone # NOTEr ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER 1KUST DESIGNATE GIHICH 1DDRESS TS DESIRED. NO CHANGFS WILL BE 9LLOWED ONCE BOILDING PERMIT IS ISSIIED. I ?-7, ooc7 ? J?D &54. S° ? C-)u rZ S= ?- ?ZS Z? - -- ---- ? v p 7- C-7- . -?-?? , ? pA, a K, . ?- -12?? D (qR (l .. ? ?. ? • ? ??-, ?. (c)(5.a 92-1. ? `2 S(LI) 3oo ExTERa4R ENVELaPE n?EMIAL rRaNSMarrancE PAGE 1 ? BIQ WHEEL-RAPID OIL-MEINEKE . ;' %=3NEET ? _.. Site Address LOT 1 BLOCK 1 f2AHNCLIFF IST ADD'N. Owner M G ASTLEFORD CO ... : ? Controctor M G ASTLEFORD CO INC ' Phone 890 6300 Date 11-9-86 ? 8ui1ding Type (check ona) One antg 'Pwp Family Owelling ULI Other ., . .. _ Assetbly 4Qescri@e ty" trm TaOle 3 or Ares (A) U-Value U x A !ww e Ft InsulAtgd area . 10.500 .0533 564, 9 Fr in ?.. ? :, ,... . . Stc l i ts . _ . .,. t er d scribe Iddscri$41 . ,, a 10,500 ***?** . 564.9 t a s T . U-Va1 A A M :;i? m t ?*** .0538 _ 3 1 . _ _ R ui rea u-" r . xt: .06 1 2' CONC BLK W/ ,R I G I D I N 6313 22 05834 339 . 923 IpjUj4jed pml . , Fr i a ?. 1 s T T ERM, 17 ,& ,41 73,344 Docrs?T eSTEEL SERVICE DR (INSUL) 119.33 149 58,473 ,__ ._ , _ ,. ...... ...._:_ _ O.H. DooRS (iNSU?) _ 837,33 ,49- 410,293 .. Ftre lace uall. ' ' ?.. ? ? . ,. . , _ . _ . .. . _ Fa ndati4n Wa11 oovQ rade _ ? d . , ? Foundation Nlndaws Y Other Uescribe ' L - 2, ' _ 44 40 .371 Other describe ' ? Other deseribe a Totat s 7546 , 666 922 ,901 5 Avera e U-Va1ue t1xA / A fran Line 4 **?*** ?=3 6 R uireQ U-Value 4raia text *,?'**** .23 I€ l.ine 2 is qreater tha n Line 3, or Line 5 greater than Line 6. complete tha followin to de erini alt rnative U-Yalue for totel exterior envelo e. ? T Area (Li r,e 1) + Ar?a (Line 4), + ? . .9 8' UxA (Line i) + UxA(Line 4).: + Q 9 Aa-ea (Line 1) x Q-Vatue.'(! ine 3) x ° ****** > 10 Area (Line 4) x U-Value (ltne 6) x ° ****** w a u 11 "BudgEt,". Line 9+ Line 14 ****** 0 12 Alternative t!-Yalue. Line 11/Linc? 7 ****** If Line 8 is greater than lins 11, al;-er assemblies as rsquired so Line 3 does not exceed Line 11. lfl CONTRACTOR'S MATERIAL & TEST CERTIFICATE PARTS A& C- SPRINKLER & WATER SPRAY ABOVEGROUND PIPING (Fill Out Separate Certificate For Each Riser) PROCEDURE UPON COMPLETION OF WORK, INSPECTION AND TESTS SHALL BE MADE BY THE CONTRACTOR'S REPRESENTATIVE AND WITNESSED BY AN OWNER'S REPRESENTATIVE. ALL DEFECTS SHALL BE CORRECTED AND SYSTEM LEFT IN SERVICE BEFORE CONTRACTOR'S MEN FINALLY LEAVE THE J08. A CERTIFICATE SHALL BE FILLED OUT AND SIGNED BY BOTH REPRESENTATIVES. COPIES SHALL BE PREPARED FOR APPROVING AUTHORITIES, OWNERS AND CONTRACTOR. IT IS UNOERSTOOD THE OWNER'S REPRESENTATIVE'S SIGNATURE IN NO WAV PREJ- UDICES ANY CLAIM AGAINST CONTRACTOR FOR FAULTV MATERIAL, POOP WORKMANSHIP, OR FAILURE TO COMPLV WITH AP- I PROVING AUTHORITV'S REQUIREMENTS OR LOCAL OROINANCES. I PROPERTV NAME DATE Q-Superette 5-21-87 PROPER7Y AOORE55 2000 Rahncliff Court, Eagan, Minnesota ACCEPTED BV APPROVING AUTHORI'TV('S) NAMES The City of Eagan Comemrcial Risk Services ADDRE55 PLANS 3795 Pilot Knob Road, Eagan 6550 York Ave. S., Edina, MN INSTALLATION CONFORMS TO ACCEPTED PL.ANS: VES NO ? EQUIPMENT USED IS APPROVED YES ? NO 0 IF NO, STATE DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE OF THIS NEW EQUIPMENT? VES ?RC NO ? IF YES, GIVE NAME. IF NO, EXPLAIN. I NSTR UC- TION$ HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS AND NFPA 13A BEEN LEFT ON PREMISES? YES IX NO ? IF VES, GIVE NAME. IF NO, EXPLAIN. HYOROSTATIC: Hyd?ostatic tests shall be made at not less than 200 P51 (13.8 bars) for two hours or 50 P51 (3.4 ba?s) above static pressure in excess of 150 P51 (10.3 bars). Differential dry-pipe valve clappers shall be lett open durinp test to TEST Provent damag6. All eboveg?ountl DiPin9 leeka9e Shall be stOpped. DESCR IP- TION PNEUMATIC: Establish 40 P51 (2.8 bars) air pressure antl measure tlrop which sha11 not exoeetl lih P51 (0.1 bars) in 24 hours. Test pressure tanks at normal water level antl air p?essure and measure air pressure tlrop which shall not exceetl lV2 PSI (0.1 bars) in 24 hours. TESTS ?"?VDROSTATIC: ALL PIPiNG. , s REQUIRED PNEUMATIC: DRY PIPING DRAIN EQUIPMENT OPERATION: AI.L, SERVES BLDGS: LOCAT ION I MA![E N4GaEL SIZE QUANTITY TEMPERATURE RATING SPRINKLERS GEP1 F-950 112 25 165° oR GEM Dr Pendent 112 5 165° SPRAY NOZZLES MATERIAL AND KINO CONFORMS TO NFPA 13 STANDARD PIPE AND Ip NONE; ExPLA1N FITTINGS A L A R M D E V I C E MAXIMUM,TIME TO OPERATE THROUGH TEST PIPE ALARM VAIVE TVPE MAKE MODEL MIN. SEC. oR FLow Vane Notifie WFD INDICATOR r OPERATING TEST RESULTS: TIME TO TRIP TIP TIME WATER ALARM MAKE MODEL SER. THROUGH TEST PIPE WATER AIR ppINT REACHED ppERATEO DRV No, W?.'pUT :n^D. WITH Q.O. O. pRE55. PRE55. AIR PRE55. TEST • OUTLET pROPERLV PIPE ;ZN. 3EC. MIN. SEC. P.S.I. P.S.I. ' P.S.I. MIN. SEC. VES- NO VALVES iF NO, EXPLAIN _------ . OPERATION PNEUMATIC- O ELECTRIC ? MYORAULIC ? PIPING SUPERVISEDe` VES_O NO O CETECTINti MEOIA SUPERVISEp: YES ? NO ? OOES VALVE OPERATE FROM THE MANUAL TRIP ANO/OR REMOTE CONTROL STATIONS? YES O NO O DELUGE & 15 THERE AN ACCESSIBLE FACILITV IN EACH CIRCUIT FOR TESTINGI YES O NO O PFiEACTiON IF NO.':EXoLA1N ? VALUESr - tQd Eecn Gfca.ait oc ^rate Does Nch Circuit Operate Maximum Time To ' Cr M " ,_ Su rvisicn Lou Alarm? . -Valye AeleaseT _Operate Release: r MAKE , ODEL YES NO YES _?? NO i`vttle-? SEC. ALL. PIPING HYOROSTATICALLV TESTED AT P51 FOR HOURS DRV VIPING PNEUMATIGALLV TESTED: YES ? NO O EQUIPMENT OPERATES PROPERLV: , YES ? ' NO 0 TESTS IF NO. STATE REA50N ' GAGE LOCATED RESIDUAL PRESSURE WITH VALVE IN DRAIN TEST: READING OF , NEAR'WATER SUPPIY TE5T PIPE: TEST PIPE OPEN WiDE STATIC PRESSURE P51 PSt ? v NUMBER USED LOCATIONS NUMBER REMOVED TEST BLANKS WELDED PIPING VES, ? NO ? IF VES.`... DO VOU CERTIFV AS TME SPRINKLER CONTRACTGR THAT WELDiNG PROCEDlJRES COMPLY Vi1TH TME REQUIRE- MENTS OF AWS 010.9, LEVEL AR-3? YES NO ? WElO1NG 00 VOU. CERTIF,V THAT TNE W[LOING WA'5 PERFORMED BY WELDERS QUALIFIED IN COMP IANCE WITH THE REQUIREMENTS-OF AWS 010.9, LEVEL AR-3? YES NO G _ -.x . DO YOU'CERTfFY THAT WELDING 1NA5 CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUAUTV CON- TROL PROCEDURE TO INSURf THAT ALL Di5C5 ARE RE"i RIEVED, THAT OPENINGS IN PIPING 'ARF SMOOTH, ` THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVEO, ANp TNAT THE INTERNAt?Oii?MeTERS OF NO ? ' PIPING ARE NOT ;PENETRATED? ' YES DATE LEFT IN SERVICE WITH ALG'CpNTROL VALVES,°OPEN: ". REMARKS L NAME OF SPRINKLER CONTRACTOR , CAEtLSON AUTOMATIC FIRE PROTECTION COMPANY , FOR P PE V 06vNE TITLE ? SIGNATURES , FOR 5 RINKLER CONTR T ft (5 NE TESTS WITNESSED ??'' ? YTITI.E,?/ ClGcl DAT???? Ff, AGOITIONAL EXPLANATIONS AND NOTES y? ? . ? ? ,. , .. .. _ r:, .. " ? --.. ?:??•':; ,. , . -?- .. 3 ? l()r 1986 BOILDING PERrlIT lPPLICATIOH - CITY OF EAGAN C4Ltk NOTE: ALL CONTRACTORS MQST BE LICENSED WITH TBE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MUI.TIPLE DWELLINGS - RESIDENTIAI. RENTAL DNITS FOa SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS enSD"Arrer INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, Q?J,, ' $2, 000 LANDSCAPE BOND ? J"c1TY D If- hnn GA2- W?S!-4 i AUTo pA2TSf ??uFFL-GL.5(4°Pj ?,4P1(J afli To Be Used For: ?rr?,?t•t?%.? ? Valuation: 533000, ISate: ??- Aa Site AddrC U / /v o , S / 7R, (516 , OE Lot Block Erect Remodel Parcel/Sub Repair Owner & Cvfi Address ,?1""iI'?evocy /QE/G City/Zip Code ??dGbrs, ??s 1`i?? <$">14o Phone 8291 '° I o ? &3 Contraetor AZ Address /,)- 00 W213 1 City/Zip Code Phone _ ??90 ° lv S'1 Arch. /Engr . Address Z02 tece' Ii09-1 Addition Move Demolish Int.Impr. Install APPROYlLS ? Oceupaney B,Z /H.4 Zoning IZ F3 ? Type of Const Q'w SPftamb4k. # of Stories I ? _ Length Z3o Depth -7o Sq Ft l ?-4vo FEES ssessments Permit 'K ater/Sewer Sureharge Z(o?,?_' olice Plan Review t 447, Fire ? SAC 5000. Engr Water Conn N/a Planner Water Meter W A Council Road Unit Ll Bldg OfF -- ? Treatment Pl G 440, APC Parks 4Z• Variance Copies _ ?OTAI. City/Zip Code ?,f??i?i?'2??/?dG.r ??S°S"?5/? . , 1--?,0-'?• '15 t Phone # ?j2 NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNATE TaTHICH ADDRESS IS DESIRED. NO CHANGES WILL BE lI.LOWED ONCE BIIILDING PERMIT IS ISSIIED. - I?C r `t ? I ?; .? . -- 4`5 ?3, ??? 433 x -7 5 Z?? ? Z8 14 Zs ? '2 u2c4-lr-,,Cc)? ycAu P??re.,, Z-C,?q 4- , Z? ?z- - I- 4?? (o ZS , t?40FFCCQ ol U N/?k N utrcr _._. I ? 49 --------- T pc 1? 2 x v= ? 4?"? ?--------____ 9Z?t???x . ?44^ 4-Ov2 .6p82 , \-?, (? • `?'?.:._'?2o L-C?...r?l , ?-? 13' Z ? u F?c?c?- - 1-? • ?- F3I??! F-5 • 2 P-\n c) ?-4 - 4 F2• Z- Q So x (.oc) = 3ooo C.W. ?o x SS ? 2? ? o (, o )4, =- 3300 13. w, KC-) • 40 40 = I(.oo 2? ?c 351 1CZ TY?C c?(= CoNSTt2c.?c.Ttot.t ALi-UAf- -?2 t_.E V- ?-p ?Z 5,oco 4 Sloo C, If5i f??t-4 i.a cc:? ?? g3?o ?OGoZ -75 x 2. (5) = 30,? ? a4 000 (00o ? I? ?2s- ? ??? , S 9 ??? 4p. MEMO T0: JAY BERTHE, POLICE'DEPT.- " , TOM COLBERT, DIRECTOR OF PUBLIC.WORKS . . JIM STURM, PLANNING DEPT. KEN VRAA, PARKS & RECREATION DEPT. JOE CONNOLLY, WATER DEPT. ' JON HOHENSTEIN, ADMINISTRATION . • FROM: DALE PETERSON, DEPARTMENT OF PROTECTIVE INSPECTIONS . . DATE : .: ? . .. .• ? . . . _ _ .. _ . . . . . ".ri MEMO T0: JAY BERTHE, POLICE'DEPT._ , TOM COLBERT, DIRECTOR OF PUBLIC WORKS JIM STURM, PLANNING DEPT. KEN VRAA, PARKS & RECREATION DEPT. JOE CONNOLLY, WATER DEPT. • ' JON HOHENSTEIN, ADMINISTRATION FROM: DAI.E PETERSON, DEPARTMENT OF PROTECTIVE INSPECTIONS .. . . DATE : ' . . ' , . . . . '. j : . . . . . .• . . _ . . _ . . . ' . . ,!. : ? ?? . . . . . ?? ?? , . , • MEMO T0: JAY BERTHE, POLICE' DEPT.. .,', . TOM COLBERT, DIRECTOR PUBLIC WORK,S JIM STURM, PLANNING DEPT. KEN VRAA, PARKS & RECREATION DEPT. JOE CONNOLLY, WATER DEPT. •. ' JON HOHENSTEIN, ADMINISTRATION FROM: DALE PETERSON, DEPARTMENT OF PROTECTIVE INSPECTIONS . DATE: The preliminary construetion ? plans for ?C 1xEC1M CoMPLE)C are in our plan review section for your review and comments. . q Please return this form to Steve Hanson with your initialed comments and the date of review. Failure to return form to Steve within five (5) days irill be : considered your approval. . .? ? ? ?. z.-: ?a. . 1.;s:,. ra.?s".c?,..? -.. -;.,i;w?. . . . ? .? .__ . ...t? . ? :...,?..: __. r.,.:...- ? .. ?,...?.....:... ----•. , - . . ? - - . .' - Thank you. /JS . .?,? . ?: ? ;'? ' A `_ . ?.. .. : _ . :` . ?? r a .. S, . k Y"?? n + 'n -' ?.. k? i' ?L ; : ? ? N'i'?/? ' .?• s?? ?? ? : . . - . , ' . ? ? . , ... . . .. .. ?: . . . ? ' . . ? . . ... .. . . . . . . . _ . . . i ?-? . - . ' ' - . . ? . . . . . . . I J l L' .'?y ti.. A S L.a.bt 6 L? ??. . , - -?< r . ' . ? . { - . . r 4 PA1e1liNG .? r. ?_ -u ?-?:=1; : P?a?? ??- s? ?,4? ?? ???,?.? ? , : r ??. ? e? . ? NLQ ? . . ' . , . : . . . .. , ? . . .. . . . ; . .: . , _ ,. . , . . ..; _. , . . . _ .:. - : :: . :. , ._, ., „ .,. .... ?. _ . ,r.:.a„ ..?..,:?;..:.. ?? ?;- ,. ; JAY BERTHE, POLICE-DEPT. TOM COLBERT, DIRECTOR OF 0 KS JIM STURM, PLANNING DEP . KEN VRAA, PARKS & RECREA JOE CONNOLLY, WATER DEPT. JON HOHENSTEIN, ADMINISTRATION lfl CONTRACTOR'S MATERIAL & TEST CERTIFICATE PARTS A& C- SPRINKLER & WATER SPRAY ABOVEGROUNO PIPING (Fiil Out Separate Certificate For Each Riaer) PROCEDURE UPON COMPLETION OF WORK, INSPECTION AND TESTS SHALL BE MADE BV THE CONTRACTOR'S REPRESENTATIVE AND WITNESSED BY AN OWNER'S REPRESENTATIVE. ALL DEFECTS SHALL BE CORRECTED AND SVSTEM LEFT IN SERVICE BEFORE CONTRACTOR'S MEN PINALLY LEAVE THE JOB. A CERTIFICATE_ SHALL BE FILLED OUT AND SIGNED BV BOTH REPRESENTATIVES. COPIES SHALL BE PREPARED FOR APPROVING AUTHORITIES, OWNERS AND CONTRACTOR. IT IS UNDERSTOOD TME OWNER'S REPRESENTATiVE'S SIGNATURE IN NO WAV PREJ- UDICES ANY CLAIM AGAINST CONTRACTOR FOR FAULTV MATERIAL, POOP WORKMANSHIP, OR FAILURE TO COMPLY WITH AP- PROVING AUTHORITV'S REQUIREMENTS OR LOCAL ORDIFANCES. PROPERTV NAME DATE Q-Petroleum Com lex 5-21-87 PROPERTV ADDRESS 1992 Rahncliff Court, Minnesota ACCEPTEO BV APPROVING AUTHORITV('S) NAMES City of Eagan Commercial Risk Services aoo PLANS ?79 5 Pilot Knob Rd., Eagan, MN 6550 York Ave., S., Edina, NpV INSTALLATION CONFORMS TO ACCEPTED PLANS: ? ? YES NO EQUIPMENT USED IS APPROVED IF NO, STATE DEVIATIONS FiAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION • ?I O NO OF CONTROL VALVES AND CARE OF THIS NEW EQUIPMENT? ' VES IF'YES, GtVE NAME. IF NO, EXPLAIN. 1 NSTR UC- • TIONS HAVE COPIES OF APPROPRIATE iNSTRUCTtONS AND CARE AND MAiNTENANCE V NO ? ES ? CHARTS AND NFPA 13A BEEN LEFT ON PREMISES? IF YES, GIVE NAME. IF NO, EXPLAIN. HVDROSTATIC: Hydroatstic tests fhall De matle at not less than 200 P51 (I3.8 bars) for two hours or 50 P51 (3.4 bars) above static pressure in excass, of 150 P51 (30.3 bars). DifferentWl tlry-plpe valve clappera shall be left open during test to TEST Prevent tfamage. AU abwegrouod piping leakage shall be stoppsd. DESCR IP- , TION PNEUMATIC: Establish 40 P51 (2.8 bars) afr pressure antl measure drop whfch shall not exceed Sth P51 (0.1 bars) in 24 hours. Test p?essure tanks at normal water level antl air pressure and measure air pressure tlrop whlch shsli not axceetJ 14s P51 (0.1 bars) in 24 hours. TESTS HVDROSTATIC: ALL PIPING. PNEUMATIC: DRV PIPING DRAIN REQUIRED EQUIPMENT OPERATION: ALL, SERVES BLDGS: IOCATION MAKE MODEL SIZE QUANTITY TEMPERATURE RATING SPRINKLERS GEM F950 112 121 165° oR GEM 46 112 2 165° SPRAY NOZZLES MATERIAL AND KIND CONFORMS TO NF 13 STANDARD PIPE AND IF NONE, EXPLAIN FITTINGS A L A R M D E V I C E IuIAXIMUM TIME TO OPERATE THROUGH TEST PiPE AIARM VALVE TVPE MAKE MODEI MIN. SEC. OR FLOW rn,oIcATOR Vane Notifier WFD 3? ? ,: OPERATING TEST RESUlTS: TIME TO TRIP TIP TIME WATER ALARM MAKE MODEI. SER. THROUl3M TEST PIPE WATER AIR ppINT REACMED OPERATED DRV WITHOUT WITH AIR TEST NO. Q. O. O. Q. O. D. PRE55. PRE55. PRE55. OUTLET pROPERLY PIPE MIN. SEC. MIN. SEC. P.S.I. P.S.I. ' P.5.1. MIN. SEC. YES NO VAIVES IF NO, EXPLFIIN. OPERATION PNEUMATIC ? ELECTRIC ? MVDRAULIC ? PIPING SUPERVISEDi YES ? NO D• DETECTINO MEDIA SUPERVISED: YES 0 NO 0 DEIUGE DOES VAIVE OPERATE FROM TME MANUAL TRIP AND/OR REMOTE CONTROL STATIONSt YES ? NO O & IS THERE AN ACCESSIBLE FACILITV IN EACH CIRCUIT FOR TESTIN(i7 YES D NO O IF NO, EXPViIN PREACTION VAIVES ooes Each CI?cuit Opsrats Ooes eech Circuit Operote Maximum Time To MAKE MODEL Su rvision Loss AlarmT Valve Release? O rate Release: YES NO VES NO MIN. SEC. 2 HOURS ALL PIPING HVDROSTATICALLV TESTED AT P51 FOR DRV PIPiNG PNEUMATICALLY TESTED: YES ? NO ? EqU1PMENT OPERATES PROPERLY: YES ? NO ? TESTS 'F tiG. i;TaTE rcEAs.^,.tv ORAIN TEST: READING OF GAGE LOCATEO RESIOUAL PRESSURE WITH VALVE IN NEAR WATER SUPPLV TEST PIPE: n TEST PIPE OPEN WIDE FMI ( STATIC PRESSURE e (,J P51 NUMBER VSED LOCATIONS NUMBER REMOVED ? TEST BLANKS WELDED PIPING VES JR NO ? IF YES... 00 VOU CERTIFV AS TNE SPRINKLER CONTRACTOR THAT WELOING PROCEDURES COMPI,V WITH TME REGiU1RE- MENTS OF AWS D10.9, LEVEL AR•3? `1E5 V NO ? WELDING DO VOU CERTIFV THAT THE WELDING WAS PERFORMED 8V WELDERS QUALIFIEO IN COMPLIANCE WITH THE REQUIREMENTS OF AWS 010.9, t.EVEL AR-3? YES iff NO O 00 VOU CERTIFV THAT WELOING WAS CARRIED OUT IN COMPLIANCE WITM A OOCVMENTED QUALITV CON- TROL PROCEDURE TO INSURE THAT ALL OISCS ARE RETRIEVED, TNAT OPENIN(i5 IN PIPING ARE SMOOTM, THAT SLAG ANO OTNER WEIDING RESIGUE ARE REMOVEC, ANO THAT THE INTERNA IAMETERS OF PIPING ARE NOT PENETRATECi YES ?? NO ? OATE LEFT IN SERVICE WITN ALL CONTROL VALVES OPEN: REMARKS NAME OF SPRINK ER CONTRACTOR CARLSON AUTOMATIC FIRE PROTECTION COMPANY FOR PROPERTV OWNER (SIGNED) TITLE SIGNATURES FO 5 IN E CONTR R(51 J ,TESTS WITNESSEO BY J ?...- TITLE DATE j ADOITIONAL EXPLANATIONS ANO NOTES CITY USE ONLY PERMIT #: Cl 09 RECEIPT DATE: APPROVED BY: INSPECTOR C014I1VIERCIAI. bIECHANICAI. PERMIT APPLICATION CITY OF EA6AN S$SO PILOT KftOB RD EA6M, MN 55188 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separGte permits are not required for each dwelling unit DATE: 8?c?i0?0 J SITE ADDRESS: l9g-'l AAA& OWNER NAME: UIOLM(!/h.L &Q11 Q PHONE #: - V o? -/o? 7j;j ?REA `C?O I L ZJcl1 TENANT NAME (IMPROVEMENTS ONLY): I/?,iw.??, ?1?kA?Q? WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: .,?In??n.? INSTALLER: ADDRESS: rJ 0 PHONE#:??.,- I (AREA CODE) CITY: Ag=?? STATE: m 1'J ZIP: WORK TYPE: New construcrion Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of W When instal[ing/removing underground tank, Plumbing linspector. Fees 651-681-4675 for 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $?Q7. ? x 1% _$ (o?. Od State surcharge TOTAL `?- 1?- (Base Fee) .,?- .3, 1 -'r? S calculate at $.50 for.each $1,000 Base Fee $ l Ca (( ) h6? IG T OF PERMITTEE v?2-blol ??) Updated 1/O1 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # S DATE: . , ..:.:.......................:..:::: - IZE?rbEN?TAI:; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ --------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON x(L _ SHOWER 3.00 REPAIR _ WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: _ KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: _ HOT TL1B/SPA 3.00 WATER HEATER 3.00 LOT: BLOCK SUBD. _ FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: _ OTHER WATER SOFTENER 5.00 CITY: ZIP: _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE # SUBTOTAL $ ST. SURCHARGE .50 S ZGNATLTRE OF PERNiZTTEE TOTAL: $ ?C?MME.RGTALJ.iNDUS:TRIAI::: PLEASE.COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPAR.ATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: 500.00 FEES OW?VER NAME: Valvoline Rapid Oil _ sITE aDDttESS: 1984 Rahncliff? Court LOT: 00(c BLOCK 0o?- SUBD ' r? 7- /77 INSTALLER: B1^2ddh1 Plumbing, Inc. ADDRESS 7916-73rd Avenue North CzTY: Brooklyn Park, MN Zip: 55428 PHONE 424-2646 FOR: CITY OF EAGAN l% OF CONTRACT FEE. STATE SURCHARGE _ $.SO FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ .50 (SIGNATURE) $ 25.50 CITY USE ONLY SUBD. APPROVED BY• ? , INSPECTOR Contract Price: $ 2000 PLUMBING PERMIT (CONMRCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: all commerciaUindustrial buildings multi-family buildings when separate building permits are not required for each dwelling unit installation of backflow preventer in commerciai areas or residential boulevards Date: 101,51ZUUU Work Type: _ New Bldg. _ Add-on _ Repair ` U.G. Sprinkler 1) Descriprion of Work: L ?J5 i?c. L rJ z ?J lzt2Z ?/9c. UL 1% 2 To inquire if Pressure Reducing Valve is required on new service, ca11681-4646. FEES 1% of contract price or $30.00 minimum RECEIPT #: RECEIPT DATE t U PLUMBING PERMIT # ?-- ,/ RPZ (, -c)_--1 --.), !E--, x 1% _ $ COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM Base Fee - $ 30.00 Water Meter: 2" Turbo - $897.00 unless plan approved for smaller size $ 1-1 /2" Turbo - $ 726.00 Service: _ existing (if coming off domestic line) OR _ new If "new service", cantact Jerrv Wobschall. Finance Consultant, to confirm addinQ fees For: Water Permit & Surcharge - $ 50.50 Water Supply & Storage - $ 840.00 Water Treatment Plant Charge - $ 492.00 cc: Diane Downs, Utility Billing - underground sprinkler permits BaseFee $ 3U, U(i State Surcharge $ ? 50 Total Fee $ 3 U. S c? State Surcharee $.50 minimum; calculate at $.50 for each $1,000 Base Fee I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this petmit within City properiy/right-of-way/easement. SITE ADDRESS: -,, c5c) c) i261 C'v? 2 i TENANT NAME: 1-kg v i3 5 5 i ia T? v?, TELEPHONE Z- i? 3 Z (AREA CODE) INSTALLER NAME: 1'2(- vln i3 i.J v.?/ l z.v ?.41 c, TEL• EPHONE 5 Z -/ 5 G S' (AREA CODE) STREET ADDRESS: / 9 5 5 5 i?a ia ?-.? rvg ? iZ v n.? CITY: /? ,-) d, ? STATE: /n ?.J ZIP: .,?5 i Z Z S ? $ $ $ PERMITTEE L 1?? gL ? OFFICE USE ONLY RECEIPT #: ? nl SUBD. ? ` DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAM 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? aii commercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dweliing unit. DATE: 2v"2- 7 l rP CONTRACT PRICE: ?-?? ?= d O WORK TYPE: NEW CONSTRUCTION ? ADD ON REPAIR DESCRIPTION OF WORK: AjV & / a ), `- I -, IS WATER METER REQUIRED? _ YES ?/_ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER3 TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. tF SO, YOU MUST APPLY FOR A SEPARI4TE U.G. SPRINFCLER PEt2MIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgnnd fee due on ali permits. CONTRACT PRICE x 1% 0, dO STATE SURCHARGE , Sr O TOTAL ? 30,: S-e SITE ADDRESS: ?? ? ? ?? ? ' (:f (f -r ( ..---- /` ? TENANT NAME: / ?' ?Q-/ E'- t ?'D • _ STE. # OWNER NAME: A V a INSTALLER: ? ? ? ., S' ? ? ? 'k a ADDRESS: CITY: STATE: l iYIZIP: 5?5 f d PHONE 7 7 I SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: s-?- " DATE: Z- ZG-.a WSPECTOR: 1311 ?-?` ?-? "?a a a- PROPERTY ADDRESS: LEGAL DESCRIPTION: ?**********?****?**?**x*?**********# **IOT?': PAWFW OF M AT TIME OF * * APPLIcATIoN DoFS No?r aoKSriTUM * APPROVAL OF PF•ftMIIT. * * INSPDCTION OF SE.WE2 ArID/OR %1TIIR ? IPETALLA'1'TONS WIIZ NOT BE SCEIED- * * * UIM LJNrIL PERMIT HAS BEEN * ? * APPFZOVID. x* ? -www_w__wwwxw_ww_w,?_- .?????????w-w . P ease-Print) `. 1) IF EXISTING STRLY.'IL'RE, DATE C ? . PRESENr ZONING/PROPOSID L'SE: 5R CONP'MCIAL/RETAIL/OFFICE (7 INIDL'STRIAL INSTIZL'TIONAL/GOVERNDENT IF ORIGINAL.BUILDING PERMIT'ISSL'ANCE: (Nbn Year) 0 R-1 SINGLE FAMILY R-2 DLPLEX (Two C?nits) ? R-3 'POWNHOLTSE (Three + Units) ( Units) ? R-4 APAR'I'MENT/CONIDOMINIOM ( Units ) 2) ?•?i4Tv??ri? - IVANIE: A/G • ADDRESS : '7 Ely CZTY, STATE, ZIP: S PHONE:_ 3) u ?: ?• ? NAME=- ?.grrt ?? ?L.i/L? /??_../ - : ADDRESS : _ ? a F zo ?? -?-,? ?h' ? " ? CITY, STATE, ZIP:_ PHONE:_ MASTER LIC,ENSE# 1)-?-5--/ Plumbers License: Active bcpired , Not recorded II Staff Initial 4) •• • iD+- NArE: PHONE:_ Y X 1- - ti`f ?7 •5) :? v • ?. ? a: • ?+- : a • ya - ?,? . ? CONNECTION T0 CITY SEWEFt ? CONNDCrION TO CITY WATII2 (YTfM .- 6) 5 .? •I" ? PLEA.SE HOLD APPROVID PERMIT FOR PICK-CP BY ONE OF ABOVE P MAIL PROVID PERMIT 70 1, 2, 3, 4, ABOVE (Circle one) ' 7) r. r• u• ? 3I 4v1 ' CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ADDRESS: CITY, STATE, ZIP: : FOR CITY USE ONLY w . i .. ? PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLLDE SL1RCHARGE) $ S sZJ WATER PERMIT (INCLLDE SL'RCHARGE) . $ ~-? $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ?-? ACCOLNT DEPOSIT - SEWER $ $ °---' ACCOLiNT DEPOSIT - WATER $ ------- --- $ WAC $-5 SAC $ $ TRLNK WATER ASSESSMENT - $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ ' LATERAL BENEFIT/TRLiNK WATER ' $_ $ WATER TREATMENT PLANT SLRCHARGE ? - $ $ OTHER: $ TOTAL RECEIPT RECEIPT DaES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PLiBLIC Q NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST AS O DI ION . . A C N T SUBJECT TO THE FOLLOti7ING C'ONDITIONS: APPROVED BY: TITLE: DATE : . `7 ? ...,? ? 41 x********************:x************? ? C I TY O F E A A i? ???: PAYMF?T? OF FM AT TIME OF * APPLICATION DOFS WT QOIENZVIE ? * APPROVAL OF PF•RNBT. * APPLICATION FOR PERMIT . * * INSPDCTION OF SEWM AND/OR MM ? .. ,*f INSTAT T.ATTONS WIIL IVOr BE SCEiED- * * SEWER AND/OR W ATER CONNECTION ?UILID UMM PfftblIT HAS BEEN ? • • * APPROVID. ? , . . * _._.. ? ************************************ . P ease Print) ? 1) PROPERTY ADDRESS : ?pDv , 4 A • " LEGAL DESCRIPTION: (1.ot/t3lock/6ubclivision or Tax Parce IF F.XISTING STRL'CZL'RE, DATE OF ORIGINAL BL'ILDING PEE2MIT 'ISSL'ANC,E: . ' (Nbn Year PRFSSEUr ZONING/PROPOSFD L'SE: 0 CONMEf2CIAL/RETAIL/OFFICE Q INIDL?STRIAL 0 R-1 SINGLE FAMILY 0 R-2 DLPLEX (Two LTnits) n INSTITUTIONAL/GOVIItNMENr CD R-3 TOWN-iOUSE (Three + Units )( Linits ) . ? R-4 APARTMENT/C0NIDOMINIUN! ( Units ) 'Z, . . . . M-I?+2 NAN1E:- ADDRESS: -7 CITY, STATE, ZIP: GG,?.. PHONE: 3) • u ?: ?• NAME. For City Lse _ ??.,??Pi Plumbers License: ADDRESS ::2 ,f? 2 - ,? Active - CITY, STATE, ZIP: I E?cpired c-?-G Not recordea PHONE: -e/Z 9- MASTER LIC'ENSE# Staff Initial 4) •?& ? • NANE: ADDRESS: CITY, STATE, ZIP: IW-,727PA/ PHONE: •5) :? v ? ? a• ? a?• : a • ya - ?? ' ? CONNECrION T0 CITY SEWEf2 CONNECTION TO CITY WATII2 ? Q'I'HEft '. : .. 6) ?? •_'y • iq PLF.ASE HOLD APPROVID PERMIT FOR PICK-OP BY ONE OF AWVE -.-- \ P MAIL APPR PERMIT Z?0 1. 2r 3, 4, ABOVE (Circle one) 7) r. r• u• ^ ? ? ? ? • ti; • ?- ?•i: w ? • • r • e i- u ? ? - a i:?• . u ?• ??• • ?• " • • • a• • ?• R* • ?:?. ? ? ::? «:r• •,na? ? ? i ?? • •• :?• • ? ? •. PERMIT # ISSL?ED Pd w/Bldg. Permit c $ $ $ $ $ $ -- $ $ $ c $ Z FOR CITY USE ONLY FEES: s v $ $ $ r - $ - $ $ $ $ $ $ S SEWER PERMIT (INCLUDE SL1RCHARGE) WATER PERMIT (INCLUDE SL'RCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLLDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRLNK WATER ASSESSMENT TRLNK SEWER ASSESSMENT LATERAL BENEFIT/TRLNK SEWER LATERAL BENLFIT/TRLNK WATER WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ $ ,?/' D 7J TOTAL - 74? f 0 : ?/Z ?J RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSLTED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING C'ONDITIONS: APPROVED BY: TI TLE : l? DATE : lkdtV oF cagan ? March 8, 1993 TOTAL MART INC STORE MANAGER 2000 RAHNCLIFF CT EAGAN MN 55122 Dear Sir/Madam: THOMAS EGAN Mayor PATRICIA AWADA SHAWN HUNTER SANDRR A. MASIN THEODORE WACHTER ' Council Members THOMAS HEDGES City Admininsirator EUGENE VAN OVERBEKE City Clerk The Eagan City Council has adopted an ordinance pertaining to outdoor storage and display. As a result, outdoor storage/display is not a permitted use. This ordinance requires a Conditional Use Permit for all outdoor storage/display. In an effort to allow existing businesses time to comply with this requirement, the City Council allowed until March 2, 1993 before enforcement would begin. For your convenience, I have enclosed a copy of the new ordinance which defines outdoor storage/display and lists minimum requirements to be met. Conditional Use Permit applications are available at City Hall should you wish to apply for this permit. Until then, please remove all outdoor items within 10 days from the date of this letter as they are in violation of the City Code. Please inform me of your intent and provide a schedule of compliance as soon as possible. If you have questions regarding this matter, feel free to contact me at 681-4685. Sincerely, Michael J. Ridley Zoning Administrator /js cc: Total Minnesota Inc., Loc #2685 & 2677, Denver, Co. 80201-0500 MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (612) 681-4600 FAX: (612) 681•4612 TDD: (612) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Afifirmative Action Employer MAINTENANCE fACIIITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE: (612) 681-4300 FAX: (612) 661-4360 TDD: (612) 454-8535 ?/ f3 1 f?P,Hi-4 c-L I r-r I Sr MEU° o ° o UUM wAfUE QORV° oL QOMMM Twi, ckL-S Rrea December 23, 1986 Mr. Dale Peterson Building Inspector City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Peterson: This letter is to inform you that the Metropolitan Waste Control Commission has made a SAC determination for the Q-Petroleum complex to be located at Cliff Road and Rahn Road within the City of Eagan. It has been determined that 10 SAC Units should be assigned to this project. This determination was made as follows: SAC Units Charges: Car Wash (Self Serve) 3.00 Auto Parts Retail 3550 sq. ft. @ 3000 sq. ft./SAC Unit 1.18 Muffler Shop Automobile Service (Fast Service) 3 Service Bays @ 2 Service Bays/SAC Unit 1.50 Rapid Oil Change Automobile Service (Fast Service) 4 Service Bays @ 2 Service Bays/SAC Unit 2.00 Total Building: 7.68 or 8 Q-Petroleum Service Station Gas Pumping 1.00 Retail 1.00 Total Buildinq: 2.00 or 2 Total Charge: 10 If you have any questions, please call. Siritrerely, k, Donald S. Bluhm Staff Engineer , DSB:RWJ:blm ccs S. Selby, MWCC W. R. Johnson, MWCC inialter Brandt, M. G. Astleford Company, Inc. 350 Metro Square Building, Saint Paul, Minnesota 55101 612-222-8423 N r'.l Gv4q--,: PS 06013-01 (08/79) DIVISION OF STATE FIRE MARSHAL 1248 UNIVERSITY AVENUE ST. PAUL, MINNESOTA 65104 TELEPNONE: (612) 296-7641 ? STATE OF MINNESOTA MILhCh 10, 1997 DEPARTMENT OF PUBLIC SAFETY 'Control No. Mn. Rage& Hauge?? M.i.nne.aata Petha2e.rc!-7 lnc. , 53 33 Untiveu.ity Avenue ,,Minrceapot-iA, MN 55421 Q Petho.P.eum Sexv.tc2, 2004 Rahn C.C.i.ji Count, Eagen, MN. Re : InztatZatian ai thnee (3) StJi,- i'3 bte et tan hd with p.Lping ancl ., ?:.?:d pen.a21L.b jJ ? h ?? 4 z2%tii$. °op@l'iat,i.0 i2.6. To Whom it may Concern: The plans for the above installation have been reviewed pursua.nt to Minnesota Statutes, 1974, Chapter 299F.19. Preliminary approval is given for the aforementioned project subject to compliance with the provisions of Minnesots Statutes, State Fire Marshal Regulations, and local ordinances and permits. Construction shall be in conformance with the standards contained in National Fire Protection. Association Pamphlet 30, Fla.mmable and Combustible Liquids Code (1973 edition as amended). Fiaal approval will be given following an inspection of the facility by either your area State Fire/Arson Investigator and/or local fire authority. Approval of the project described in this letter does not relieve the applicant of responaibility to other Federal, State or local agencies regarding adherence to regulations or the need to obtain necessary approval. Questions concerning this project should be addressed in writing to our office for a formal response. Pleaee refer to the control number listed above in all future correspondence concerning this progect. Yours verp truly, Wes W?er, r-? `? ; ? ? b y: Ra a State Stik , ? J. ,(,1L 0 e Fire Marshal A Gei 2 J• Ca dezjP.2arca Specia.t.%zt A COPY DISTRTB'OTION; White-Facilitp, Office, Pink-Codes/P a? ns Specialiet, Yellow-PoII'rution Control Agencp Blue-Fire Departmeat, Green-Ceatral ?Td-Fire/Arson Invest-iga-tor, AN EGIUAL OPPORTUNITY EMPLOYER kL ? E ?I'"?• `` q,? minnesota ?d:epartrnent?-'af he?lth .`? ? O 71?7 s.e. delaware st. ?,. P.O. box 9441: minneapolis 55440 ? . (612) 623-5000 • •' : ' . . , . ,. s . m$?' 1187 .? . . . • ,.,. .. ,-. ? - 'i?' •'? iasr4 iseVrpQ??t??.:. . ? . . . _'. f ? '... : ? ? ? . . f71.1 ?`? ?i1Y"y, ???vv lbuE.h . - . ? -???ne*ota ,59420 ? ,,. , ? ?, . . .,,. 4 , . . . . . . . . . - . .. . r . . ?. . . . . . . ..? ?. . -:. ,.?. r . . - . . . ... .. . 4 j ?j Q . .? . . , . . .',. . .?t ? ir?fi3`dF???: #t . . . , . . _v?.. ? ,. . , .. ? . , . . . . ? Y ; ? . . .. ? ?{ .'? , A,E. ,. .. _ ,? . . . . _ . . . tl?7 w e A* is s{ng. at6?y 6f '04( ' r i0i.7i t ,to1Nk iTIg 41n exf.lfiTifiMtiVn of .. . . . . . e IS. ? _ H R. P1R 4,I±M.T ? O 4?iV..p7 oJebti ? iT t'abt? ._?A?sl ra 4 i i .' m ,th ? ? ? . .'.? ' . .,. e y r? p Q ^ 4?r? j { p?q ? ?r t!!4 r !?: f`?1?fiNS Ai ?' P?JT?ebp!• LV?±?Ti ? ,. fi?i?7T'SJlRS1BlF?I? iW,?EI/?lN .? t , ?a ?+????p.vrtai.0tng:.,..'}?, ..,?? ?''t?'to t(F?.' '?4ta?r?.Fied ?i.??t r atF4n4iQn is..???rec ' . .. . . ?? "?`? Yf , 1? !s .?ailPT YR41..&? tiia?r,R4? . i,.?eiYt-t}A¦e 3f?fY1 y the:,pl{AR(+N!'i?\ .ybv bv . . i?sT??.4idf 1 ? . y ? , ? ?R1?i }:i5at. 4he n\?V'E'.ssWiy.iF7s0eWt i'1J17 fi0ay: be.3YLRde.,, . .. 11W#4M`J4?G?Fd-1 !.? _'.'. .. . ' .. an f itatiotts appe?r to .be.-1n gewrera'? cc?ri??ar?iancs w, tl?. ' - Of iS ?*r?tnent.,. Whert" thB pt'oject iS C?M teted, p1edse .. ? „ . .. c,9M%w10.,P4te `w#th-4? E" i ronmenta I ;Mea a.th tanitari.an .qn, a&.Metrooci7iten '..0ffica: i'n- Minneapolis (612f03-5336) ,An.arder_thAt they? may make finsi . If Y448ily qu-esti"s? 1 1A r?ga?i^d fq 0 uio ifio ?nSpectio0, p'iease ? ?"t.W entI4.Stahley *:? 412l623-5328: ;I ?'l# 4?o#iuns in, r+?ciaird td'=tltie ?ir?f'??ation cQntair?ed ir? '?t?is : . :` -. . '?+???±? ?t?t ?tt? `8artY_' at ?12/623;-5357. - .. : : ? -;. . . eire1y Yours, , . . - ? . , .. .? . . . . , . ? . . . ? .. . v ., , .., ,. . , , .: . . :? ... ., . , _ . . . , . , . : • . , ,,; . .. . ° . .._ ;. . 6ary L. Erigtund, P.E: s Vtief ' . . . . ... . _ :: Soct3on af .t?aier.;. Suppl?r ? .. . ? ? . . . , . . . . . . , ., GLE rmR8;,kss0 , , Oc los??ros v ?!'. ?'n4 ??ig# . ?. . ?. .. ... ' +. '. • .: .-. ' ' . - > : . ' . , . .? . . . lM.111bi1t.? ili?ii.pectW'{ . ? :. .: . , i ? !{it?- P Wi 1? . . ... . • . . . . . , . . . , :.. , . .: . . . .. - . ., .. , . . . . , . . .: . . .- ? .- . .: . . . . ' . ? . . . . . . . . . . . . , _ ,. . . . ?. . ,. : ' . . . . .. . ... ,... . ..:. , .. ... . i, . .:.. .at • ' v art equai oppwtunity'e.mpioy?K ., . . ` . , . . . . . . ' . MINNESOTA DEPART`fENT OF HEALTH Division of Environmental Health REPORT OF PLANS Pians and specifications on Plumbing for Q Gas Station and Convenience Store . Location Eagan, Minnesota Date Examined April 23, 1987 Prepared and submitted by K. K. Design, 6112 Excelsior Boulevard Minneapolis, Minnesota 55416 Date Received April 10, 1987 Ownership - Q Petroleum Corporation, 8148 Pillsbury Avenue South Minneapolis, Minnesota 55420 Scope - This examination is limited to the design of this particular project only insofar as the provisions of the Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which this plumbing system is connected. The examina- tion of plans is based upon the supposition [hat the data on which the design is based are correct, and that necessary legal authority has been obtained to construct the project. The responsibility for the design of structural features and the.efficiency of equipment must be taken by the project designer. Approval is contingent upon satisfactory disposition of any requirements included with this report. Iaspections - Special.care should be taken to insure that the material and installation of the plumbing system are in accordance with the provisions of the Minnesota Plumbing Code. It is necessary that the State Health Department make roughing-in and final inspections of the plumbing system to determine whether it complies with the Code. Provisions should be made for applying an air test at the time of the roughing-in inspection as outlined in Minn. Rules p. 4715.2820 of the Code. In ozder to facilitate this work, there is attached a self-addressed card which should be returned, indicating the name of the plumbing contractor so that arrangements can be made for the State-Health Department to be notified by him as to the time that the installation will be ready for test and inspections. No acceptance of the plumbing installation can be given until inspection and test of the roughing-in work (Minn. Rules p-. 4715.2820, subp. 2), finished plumbing (Minn. Rules p. 4715.2820, subp. 3), and inspection of the completed installa.tion by a representative of the State Health Department indicates compliance with the provisions of the Code. Requirements - (OVER) Authorization for construction in accordance with the approved plans may be withdrawn if construction is not undertaken within a period of two years. The ract that pians nave been approved does not necessarily mean that recommendations or requirements for change will not be made at some later time when changed conditions,"additional information or advanced knowledge make improvements necessary. Approved by: ?JtAon M R. Bellin, P.E. Public Health Engineer Section of Water Supply and Engineering ? &VI John E. Barry Engineering Aide Section of Water Supply and Engineering 4 Requirements: 1. Verify that the.island ventang:conforms.to Minn.,Rules, p. 4715.2650. Specifically, the vent pipe must include a point of drainage and be sloped 4-inch per foot. 2. Verify water meter is 12 inches above,the..floor. _7 MEMO TO: `DIAN$ DOWNB# IITILZTY BILLING CLERR . , FROM: EDWARD J. RIRSCHT, SR. ENGINEERING TECH DATE; FEBRIIARY 26, 1991 SIIBJECT: STREETLIGHT ENERGY COSTB RAH N CLIFF 18T ADDITION LOT 1, BLOCK 2, 2000 RAH N CLIFF CT., Q SIIPERETTE LOT 2, BLOCK 2, 2000 RAH N CLIFF CT., Q SIIPERETTE LOT 3, BLOCK 21 1996 RAH N CZIFF CT., CAR WA88 LOT 4, BLOCK 2, 1992 RAH N CLIFF. CT., MIIFFLER BHOP LOT. S, BLOCK 2, 1988 RAB N CLIFF CT., BIG WHEEL LOT 6, BLOCK 2, 1984 RAH N CLIFF CT., RAPID OIL Thi's memo is to inform your department to start to invoice the energy cost with the next utility billing for Rahn Cliff lst Addition. Rahn Cliff lst Addition has an area of 2.13 acres at $3.45 per acre for intersection (non-continuous) streetlighting = $7.35 per quarter. $7.35 divided by six properties equals $1.22 per parcel per quarter. The City is currently being billed by Dakota Electric for the energy cost for the above listed subdivision. Edward J. Kirscht Sr. Engineering Tech cc: Michael P. Foertsch ? EJK/jf IL1 I I I?7 I I V V 44: 6 94( i i ?n in i n ? ir_ r-r?n n-I-n nrn i-s- -I-r n i IVill vl `JL_`>?/ IVIL-IV I l/I I I?/-\1 V`)I ?JI ? I I\/1 V i m ? ? ? ?. L L / ? ir? ?i_? -,- r- ?n ? (:? i, -??1 - vvr\i S 8 9° 5 0' 2 4"W 417.13 v?i. i ? -?- ?-- G - ,..5J00 ? C. - pRAiNnGE - B ? UtIUTY EASEMENt . PEP -RAHNCU FF i5r GDr. ',ONc SlGN ::ZC? ? r SiGN I r - - - ? - - - 7 CONCRETE CURB- I I . ? . I C6TCH_ , . G• BASIN : ?, . 1 ^? ? I IC r - ;1 i r ? W f- ? c ? I ? ?CONCRETE PAD i W --- -y C?NCRErE i5LCN05 7COrvCRETE CRB . ? N 89•17,07"E C 0 M MO N . . ? / . / ? -.T? 72.50 CANOPV< ? ?I P -_4 ? 04-? EL E M E N T _i1CC L- ` I PGVEMENi --/ ? . L \ ??.\? ?) 3 W .?--Bf 7UMINOUS ? ? T v ~ I CONCRE7E 51DEwALK`\ ?y ,CONCRETE APRON ENTpy?` ?\x! CONC?ETEiSlANCS'( \? n / " a' ??JENTAY _ ? \\\ M I Q ~ EX15TI G PUMFING STATION !?/1 N / - 97.7- - \ _ ? 2.OI ? M I i w o ? 4,x e' coMCR[*[ ?os?J? 7 / - 500 ? r? N 89•i7,a7,?E -230.00-- y? 1 J? N. o ? 2' i %? ???°n z ? \ ? R \! ' ?eo.oo? , ao.o '? •' ? I\??UNI'T o SO.OD? ?. ??. 60.00,\. EXiSTING\ ? t ` ?D ?i ?.??.• ??_? ? \\EN7RV`, ? I wt ? p ?, olxosGOluM?? ?j. \ ? \ ' BUILDING 3 rW p J O I? W ^ ? o W i ?aNP. UNIT V? O? I?' ? W Q a ' X C% 1Q' 7 O?. UNIT p. . ryB9°i7 C E ro o.l n p '• ? ?` ' o . . ? i 'c' p ', ,, `' \?. ? . z f?? ¢ CONCREtE 5rc?waLK ANG o \UNIT lJ L.? ?HOP, ? ? •, ?KPP?T ?QIL? z v ??+? , dSOVERN Oi? N n? Q M ?.(i TGNK o n \ \ \ \ \Ek!S.TING BUILDING ?/ ENTRV m 4i25 TAyvc \5\ \n ?. 40.00 ? ? . 3. . N 89•1707' E - \ 3 \ 7,. ` l. ?? LiMiTE? COMMON Z \ 'q 2 NB9'??'0 E?<B.67 ?\ N N89'17'07??E F M m ? W, 60.00? ELEMENT FOF' Uh1T O?a 6'0 o e\ I \ . O O N \Ex!STING BUfLDrNG . r w M w" N O ?w ?Tf?.? \, 70 -Z--? / ? E%ISTING BUiIDING \ \• n ,? ? o Q ? ? O ` I '36 ' EXISTING BO O?`• \ ? ,- , --. ? 2 O 2 .2 ? Y' i \ 7? 3 ? BUILDING\\??\ M I I j c O ? ,???I 'L' ? ??,? I ? \ \ \ \ \ \\ \ M I u I i ? V+ o N89•17'07 E IIOAO ? ? _ p - UNIT, AP OC o,;.ke ??,C-r?CRETE SLdE ; 60 ? ?•O _ N?_ _„?Q _ _ ...OG QO? ? ,°SOC h B9' 17 p' .. E r.. rBENCH `"' P TVMMO,!5 PnvEMENT . ti . ? ?on ° ` COMMON ELEMENT MARK--, / oi^ y0 MIQ '? NYDRANT 1 - - ? CONCRE 7E CURB __ _AO--- ( _ - - - - - - -?- - - _ ?-- _ , 114.89 s p6. C S_ 7 I 89 ° 17 '07"E 330.00 QC " 3C0g0? I ' o ? ool?-- ? -- ? =2?.o0 V/ I O -?D4Z?vdGE B l,i?L+Tr EA'EVE R ?200?2 PEq RGHNCLIFC 1$- ADDI110h' ?nl% I V ? ?.,.. . . . . . . . , . . ? ? . . . : ? ' . . ' . '. ' ?; ARL:?O! A?Ii'ia o ` -F T?RE F'F'ti??To - ? ? . . ? . . ? :+,? *.?,:+;:t:.o-::?.::¢::+::?;:?:?::f:,+..+..?.:..?:..o-..?.:?...?•a?:?:?:?::?:? :?:+::?:.?:+..?.?..:a: ?.r..?.?:?.:?::a::+::?:;?::?.?:*::+::+:k::+:??::?::?::*:a?:t? k•:+?:?::*:?::¢_:?::+::?:;?::?;:4;,?.:?::f::?:?::?:;+?:?:?::?: . . ? :AVAGE l • MN?>-. 55378 ? 1 2-r.sl4-.;?50_ __ _ - ???-- : HYDRF,UL I C ,L?ES:[ GN I•NFURMAT I ON . SHEET . ? . - . , . ,? . . NAME Q FETROLEUM i_ bMF'LEX . . . DATE 3/ I1 J:37 :. ., . L.,,QC:AT.; I C1N :1 984; FiA 6-ihJl:•.1.. I FF Ql_IURI? . EAGAN, M?o55.i37 :' BOTC.Lf%Nia.. FtAP',ID.AJIL HANyE. . ? . . , SY=:i'Eh'I .NOa,.. I r?if?TFAG?'??R ` ' Ni o ?a a A`.TEFi=??iLi?.f_?MFANY,a. I ?I?: ,' C 4.tNTF't?11?:1' 'N?'i:, r-?7c.?? . CRLC UL.A?ED.. BY DAV I D HEWI fiT , ; , . ; ? _ . . , . . . . ?"IkAW T IVii hJ O a 1-uF- i -, Ci iN'1TRui_ TI ON .;( <? C;iaMEsU,_:T I BLE ( X) NON-;-?COMBU=:T.I BLE .: ,. , 'C:E I L I N?"? WE I iaHT... 13-0 ?.. tJF.;CUPANt=:YREf?A I,R GARAt;E. , , , . __ - - _- - -- -- -_- ??- ?:? . - - - I (.k'.) NFPAi? : ( } LTIa HAZ.a .. .??RU *HI?Z o,GPa i } 1 t :,3 2 ( Xi) 3 t .,) E?X o MAZ Y ) ?IFP?1?'•?i , NF?'?1? 2.3 i??:. F. T ?";I_?FtE . y . i :???F?VE . .. , , ?, ? :=' ) ?=iTI?dEFt ?.. , , :? . ?. . T . 11 ).SPECI FI C : RUL I Nr MADE: F?Y , DATE ? : . ? , E - i"1 '. AREA i=IF SF'R I?lVKLEF2 .OF'EFiAT I Cdtil ], C0t,:t TYPE - • ? . _ ?DEM.; Y T''? ?. ?3F'h? ? o ? i . '( X i WE'T C ?. 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FFy' - F'hl , ?. . 4-:'?:> Xy ?39: e 471 _ ?DA,= ,:?7?>?tX5F'i' .'??i'a ?ii." 1 L/ e i:ac) .+aJ:ELi?.: I?TY 17:.e:? 1 . . , .< -? o cj , . PE `_ FIDR .H'T:o OF _ 1 r: 0 41 . _ . : : .., . .. . . . . ... . .,. . . . . ;; . . .. . . . . .. .?, ..., . . ... . .? , . , _ . ., ?.. ?; `" , , j. . .. . ? ,, :.. . . , . . . _ .,. ; ,. , ? - . ... 0 o ?t:.jOf- i ?''"? ? ,,,+?3'.n 0 ? . , , .. _. - . . -• . : . , _ .. ta [iC? .. . t1Eu I?'. i TY f7. 5LI ... . /1/??•??? .C? . ., . ,: . - ?? e-. 3'.e.:?l? ' . . . ' ' .: • ? . ? . . ? . .. . ? . .. . .. - ... -. v . . . , . . .. ? x... " ?: . ? .,. r . . ' ...: , . . . . .. . - ' .. • . . .. .. ._. . , ? - + - .r - . - ?w ? -r ? ? . . .., - - ,. • : ?' , . . . . . . - .. . . . .i.. '. . . : ". . . , 0 a? C)0 ?C".- j .tC.) -='JE 'Y p ?0, e 1 G j5'7 ? 1?' ,4 2 . .. . r }?S A: o lry ?_l??_?" ? u'4i ' . .c?( 1 I s.. n t;,'1 a ? ? . VELOL Z"rY`= 17' 5 5/ ' :.. S• „ : t r < -?' /,.? ?, 21.: 5 . ; ? y e ? . , ., 5 . ?3 ?, PE= F a?F? 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LaAl'E A;% 1 i:i 8 7 F'AriE : 1-1- L +.:?:?::t ? +.?•:?:?w ?:?+::?.??. 4c;:i.:a?t??a a?:? +:•?•:?:? + ?r.a-?,+ ? ?r:?:? + •?.?•:?.+..a?.fi:ad' +.*:+::? OWER? LEVE _? _ . .?.?- - --- ? A ? f A. , EI'DU I U ? . ?`HY??RL? `? d; . : P I F E F'T . ' PT ., F'..???W °.L?Tr1 F'ITTIN?? F7"?a?; • . F?E' F?J' t>:+.a?a;:¢: NuT?? (yT i:!T ? ? ?? /;F. L EN??T?i'1 T??f:, ?'F . . . : . . . ,. . . _ _ - -, _ - - ?_ - ?. . :. . . .. . .?i ,. ' q ,I? ?..1 1 '.'T ?.n / , l- r= . 35 , . . .. . , .. ,.. ? ^ , . . BA.,;;E .. , . . . . . , ?. ? ? . . . . .. .. . . . . :. . ,- . ..._ -.??... ? . . .. . „-. .. . , _ .;,:. , , . . . .. F . . . }-?3 14t:? :1 E 11 a'? ., ,-?i a t7ta ? d ?'??4- U?:>?T . ? ESE 1 T ?..i.o z . ? . , 4.5e 2?.' -=7 . . . . VELCfCTTY - 3 *4 52 _ ? . F , . ,, ' ? ? I ?.ti I?r L?.? 12 , , . ' . ( y . 128 M1 ! P~?L? . " 1G ? ? ??`I l T O?? Z. /? V ?E= H? F . . . , yp . , ? „- ? - -- - --- ? _-?-_--__? --- - -r--=-- , . . , f 7 r•'? n'. 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GPh'i' hEQ.I.JI REL, ' 2r, ° a 96 'F.,3I kErdU I FtELi 5?I 64: RT 'BpSE OF R IS*EFf , SUNiMARY . !., C:..FACTCtR .._IG;??ia.'-:' : i?iVEF+:h?IEALi.:?,•,j?,?. . . l-IfDERG,Ftf1l:r. ?,,44:r , . . . . ,. - -- ?____.?_____...___-?-__________?_???__??__?? W ?' WATER FLOW ..T:ESIT PUMF' UATA. .1'AINF.: t±R' RESIERVOIF? . .. A 6ATE OF TE'_=;T: ;AIJGn 1'31?=14 . . . ', RATEU a1AP T ! T.IME OF< TES7 .. . .. ` :AT' P?•l.... ??..., , .'. ? . ELEVa.::C, E ` ! STa.T. I C (F c, T ). 65 ? ELEU , 0. . ! . : . R RESa Dt,iAL t F' 8-T l . . ?•?: ? , . . . , . ? W?LL., , . . iFL13W 1220 . PFiobF FLOl+J ??F'M. t? . . -_•. ?i . . . ! ELEVAT Z ?.?I :1 F; . 1 ; . : . . . . , ?' ! L??C:AT I'i_?N tl c;C:OTTB:CL IFF' ?.?'OALt .- . , .. '! •c:OI IRl:=E OF I hlFORMAT;I OiV o.?_ I T1' OF EAGAN ? . .. , Y ,, . . , , . .. . . + i."biMMOD I TY CLRSS-- L:OCAT ION ;TORAC,E MT a - - AFEA A I:-=:LE-'WI.D!TN 0 ! S:TC-tFtAGE h1ETNOZi o.SOL. I D PT LED •. 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' ' . • . - - - _ _- __..?._ ?...:...,?..?....:.??....:..? '?..?.......??:?.? :....? ?.-?......?.??...?..?. ? .. ?. ?? . . _ ... ? ' ' . _ . . , ?9-ai'' • . " .. ; . l.Uio.30. ?CS 19.... -.. ' . . . ' AL'1 ' ? _ . .. . - . . • . .' _ ?, ' .. . ` , . -- ----------- . ^ 1A)"a?.50 ---- li -- ------------- ,. ,..ClPAlm-- .421a 19 ?1l.i?. '??i .. ?3_ t . ; ? 20 154 ? 0e G?r . , 0.00 ? . ':VEL.OCI"fY . 104 7 : , 121-> :G9, 0; ?:,.? t i.3 . .. • . . . ... . . ,1 ??_p 5s1 - .. .-. , 1 > 4 ? . • . . •'.. - - - -- - ? 124 e?/ 8 .., C=12s; i c? 5t ? -?.4 a0.?-' QA= 124 o _,:;-PT= 24 a 02 . . 9 . . . 2 tl.1.54 ? . 0.a`(:)c'a Q, V.E?;L?=n::17Y - 21'`a-67 . ,; .?.. . ,. ... . ' ?,: 2Y/1e'i7?.., (J a °7'.?.??F .L . . r . 1?..?,"o 5?7 ?'} ' '" /? Y a L8 , .. '. . . _ . . . . . ? . . .. - -- : ? ` 1 02 ; 7'?- .i?-1:c i T g c ? ; 5?? ,' 1 e,:??? , Ir Fa= ' i t720 7?'FT= ?? 8n 3C? - 1 :? 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'FIF?E PRI:T: , ,. . ? . . ;?•? ?? ,i.a .;I_1F'EF.ETTE ? ? ,JnB P:iO, 87..t:>LI: ' DATE F'A+aE /_} : ?SUF'ERETTE *.+,k=+.ta??. . . . . . .. ' ., . .. HYL7FiLl. j1q Ei=:1_I;V:- . F'TF'.E .. ?. . . . ,,P'1` FT ? . ? REF , FL+=i.i+t .. D:I A. F E? F'V ?+?:+.+ +•:+: :?l??'f E?,, ?:?::+?:t?:?:+: ;. ' F'OINT C,T. Li? ,:?/F ?'L.EN?3TH? Z?i?'.?. . FF.,.. :. FN .. ?. • -. --??? ; 34''l . 0 7 CS 1.4. ?. ? BA,,,E - : '?' , . . ; . . -•. - ?h., . . , . - .. . , -::?: , . _ . , . : ;. .. . . ., . . . - :. . : , . c_i . 0 1 1 4C> 1 E : d ,7? . . 5: , 00 . ' . . , 56`. 11 GiA.? =-c:> . 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C . . . . . . . . . . . . ., ' . , . , i . . .. ' t' ' ? ? ' . . . '. . ,. . _ . . ; . . , . . . .. . ? ,. . ' .. , . , ' . . , . ' " _ . . . . . ? , . . .. . . " . . . . . . . . . • . Y • " . , . . . . . . ? . . ? . .. ., . ' . ' . . .. .. . . .. ' . . . , , , . . ., . ... . :. . . . ? .. .. . .. . ? . . . . . . ' ' . . . . .? . ? ? . ? . ? ' . ' . .. ? ? . . ? ' ' . . . . • . . ? . .. . , _ ? ,. , . . . . ? . - .,. . . . .? :.1 ? ? , . l . . . -.. . _ . . .. ? . ' ' ' - .. . . . ' 't . . . ? . ? . . ? ? ' . . . . . . ? . , .,. . . ? . ,.. . ? .. . ' • . . . , . (1._ ? .. . - ? . . . .-'. ?' . . ' . . . .. . . . .f; . , ? . . . . . .. . .1. . . . . . . . _ .. , ? MINNESOTA EMERGEPICY RESPONSE COMMISSION r C/O OEPT OF PUBLIC SAfEFY STATE C/1PITOL BUILDIN(i HOOM 8-5 - ST. PAUL, 6 ^`° .?? (612) 396-01 Faailicy ic ..,,,.., . . ,.,,.,,.. Ownor/Aperator Name ?v Peqe Fam ? of p??i 1 OMB No. 2050-0072 TIe1° TVNO Nam 2000 Rahncliff Ct. N,,,,e TOTALPETROLEUM INC (303) 291-2000 EMERGENCY s'.«o ,?ao.., Eagan, MN 55122 M,,,,,aa,ess P. Q. BOX 500 DEN ?UL?AD?'°"°80 O1 AND cir Dakota 19-025-0024 NAZARDOUS CHENIICAL Counej Emeruency Contact INVENTORY N,ffe Torr?nv Berry I]iuic'n17 Manaaer T sPecific sic codal 5151 41 1 °un?,? 0 0- 5 3 5-? ?,? 4313 ? 446- 5500 iue l 8a? ? 482-- Injormoleon 24 t-w. ?w by ChemicaB FOR Status OE IIAL Dou Mast Distri t Mana er I g Nartw _ T,,,e g c ONI.Y °at•R??ved (612 )881-4483 61 ?9 - 24 Flr P?,one ( . Pmnortant: Read ntt %nS/rucfinnc holnra rmminlolino /'nrm ae.,.,.??.... oe.11..4 Physical , ,. Inyentory _ m Storage Codes and Locations Chemicat Llescription and t9ealth ax. Avg. Np. of Hazards D""y aallv Days (Non-Confidential) (chsck •° tn'i "a'iy) Amount Amount On-slls (code) (code) (day,) Stornge Code Storage Locations tSl 4 1/ 10 1 -1 ? a Trode ? Sec CAS l ti ?•? Flre Underqround storage tank located to Chem. Name DleSel fueT s`"'do" Rei°':. af cro.su.. ci?le of buil ding Reactivity 0 3 3 6 5 ? X Immedlslo (ecute Q ? ? ? ? Check a!! X Delsyed ichronlcl that appty: Pwe Mlx Solid Llpuld Gas 1 Trade 1? cAS[ P. n f secr Fir• e ` 1 Underground storaqg tank located to cnem. Name_ Unleaded aasoline s" ?" Re'..'. of Pr.S.u.o _side of building, Reaclivlty m MI EUM knmediato (acuto x Delayed (chronlc) Check ol! O ? ? D ? thar appfy: Puro MIN Solld Llquld Oa• GertlflcAlOon (Reart Qad rian a1oor comp!<ting alt xecrfonr) Optionsl AttAChmeMs (Check ana) 1 cortlfy uwder pendiy o/ law thtl t hwo pKSOnelly examhwd pnd am Iamlllar wlih /M IMarmdbn wbmlttod M ihb and a11 attsched documenls, and thal beced on my Inqulry of Ihose IndlvtduaU nsponalble tor obtalnlnp iM Inlamellon, 1 bslleve thal the submNt OR'jut?ton Is trua, accura end complete. ? have altached a slte plan 8 George Wol ff Safety Enqi neer Reta i 1 4 ' _S : aii ns sue o oaa m a?ia a ? Nartm and olllclal IIt1o of ownwlciperalar OH ownu/opbralw • au1Pwrized roproaonlr11w Siqnature O e slq e br vl : -11- Continue Ilat on rwvors• IQ needsd PS-04004-01 (12187) Tier T'wo Facility Nlama VFacil.ity ERC 1.0.0 Chervtical Qescri tion p- Physica8 and N?a?th Hazards (?? i1B thal .a,iyl {nventory MaX. Av?. No. oe Ds1y paily oay: ?mouni Amourot On-slt• (cOae) lcode) (dsy,) $tora e Codes anc! Locations g (Non-Confidentiai) Seorage Code Srorage Locations cns l?? ..??L? ns:??i ? crrem. Nam. Leaded g,asollne e??;l*•" A.aceaviry ? ? 3 6 5 B 1 4 os?.?.??nq.s -orage tank to side x Nnrvrdlatq laculo ?( OoBayod gcPwoMcj Q ? ? ? ? CAeck afB fha/ appJy: Pwo ^qOx $o1W LW#uW Q'ars cns?g]'? p 0 6 6 1?9 s:«.,0 Fi•• Underground storaqe tank to side Chem. Name GasQ]ine - Premium Scnklare Holoa" orP...su.. Qf buildinq No Lead R..c»vnr 0 4 0 3 3 6 5 _ . x knr,,.dl.to (.c,l. x oeloyed actwa,ic) ' Chsck all ? 0 ? ? ? ebar opplyr . Rr• MiM saw L Iquld Gas CASL 1_ I_ 1 1 (?? g?`"rsl ? Fkw i i Chem. P1ams o?r'P?ir::uflr:a.s. aoaccivoiy knnrdlai• tacuts ? ? ? Chstk aU D El /baf apply: RrG Mlx &o1M Llquld cias Oolryed Icitronlc) CASI I I I I B 1 ?._L_J n ?crit? Fir• Chem. Name oi ?ossu ; ees• Heactfvlty knmedlaVe tacute) " DeYeyed (chronlc) Check all ? ? ? ( ? ? thor apply: ?-J Pure M0K Solld Llquld Ga• '000' Alaks rdditiwwl onpiee o/ 11rie brm d mvro apace is nesdecl. PAGE 0 F„ --f/V 59, lM0 T0: TW-68LBERT, DIRECTOR OF PIIBLIC WOR&S JDi STQRM, PLANNING DEPARTMENT ? BILL AKINS, II.ECTRICAL INSPECTOR CRAIG RNODSEN, ENGINEERING TECH FROM: DOIIG REID, BOTLDING INSPECTIOHS DEPT DgTE: 5/a2 8/8 -2 ' The Proteetive Inspections Department will be performing a final inspeetion for occupancy of on Please return within 48 hours with your approval or denial. Failure of response within that time frame will be determined as approval. It will be each departments responsibility to contaet the construction firm with neeessary requirements before final inspection and notifying the Building Inspections Department when all requirements have been taken care of. Thank-You. DR/3s 07 APPROVAL: DENIAL: (SIGNATURE DATE) ? (SIGNATURE & DATE) le waJ lL Gl r. G? X-tS rl D r eL? ? o,r? ? S vl D f ?o rr ?C ?.t , P C o u t r<4 v k d,?? +-ke 1?sso-clo?.of 6a V?l re ? '(' ? '? GCJ lEi0 T0: TOM COLBERT, DIRECTOR OF PIIBLIC WORgS JIIi STQRH, PLANNING DEPARTMENT BILL AgINS, II.ECTRICAI. INSPECT08 CRAIG gNQDSEN, ENGINEERING TECH FROM: DOUG REID, BUIL.DING INSPECTIOHS DEPT DATE: 5/p2 8/ 8 7 The Proteetive Inspeetions Department will be performing a final inspeetion for oeeupaney of /?7851?19V.RG&r1nji+'t 1. on a13 ' ? Please return within 48 hours with your approval or denial. Failure of response within that time frame will be determined as approvaZ. It will be each departments responsibility to contact the construction firm with necessary requirements before final inspection and notifying the Building Inspections Department when all requirements have been taken care of. Thank-you. - DR/js . APPROVAL DENIAL: SIGNATURE DATE) (SIGNATURE & DATE)' G? HM0 T0: TOM COLBERT, DIRECTOR OF PIIBLIC WORKS JIM STORH, PLANNING DEPARTMENT BILL AgINS, II.ECTRICAL INSPECTOR CRAIG RNODSIId, ENGINEERING TECH FROM: DOOG REID, BIIILDING INSPEGTIOHS DEPT DATE: 5/a2 8/8 -2 The Protective Inspections Department will be performing a final inspection for occupancy of an ? `?j' • Please return within 48 hours with your approval or denial. Failure of response within that time frame will be determined as approval. It will be each departments responsibility to contaet the construetion firm with necessary requirements before final inspection and notifying the Building Inspections Department when all requirements have been taken care of. i 4 ?1, : . city oF czagcln ? ? r ,-,?:§- 01? C,' / THOMAS EGAN Mayor January 28, 1993 PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Council Members THOMAS HEDGES City Admininsirator MR GEORGE MARTIN MEINEKE DISCOUNT MUFFLERS j1992 RAHN CLIFF COURT f EAGAN MN 55122 EUGENE VAN OVERBEKE citv cierk Dear Mr. Martin: 1 want to thank you for taking the time to send me a letter expressing your concerns regarding the schedule for the Cliff Road (County Road 32) improvement near your place of business. Although this is a County road improvement project, I have asked our staff to review your concerns so that I could provide you with some information that may be helpful in planning your business program. The County's contract specified the project to be completed within 80 working days. With the late July start and an early winter, they were not able to complete the project in 1992. In addition to weather, there were several delays from utifity companies (gas, telephone, electric, etc.) associated with the relocation of their major transmission and distribution facilities that the County or the contractor did not have control over. There are only seven working days remaining for project completion. It is anticipated that they will begin as soon as weather permits early in the 1993 construction season. There are no incentives for an early completion, but there is a$500 per calendar day penalty for late completion. The only work remaining pertains to some minor concrete center medians, sidewalks, trailways and general boulevard restoration followed by the final bituminous surfacing overlay on all disturbed street segments. I have been told that these remaining activities will not significantly affect traffic or access to any of the businesses. I share your concerns over the disturbance and impact that this project has had on your business. Our staff will be working closely with Dakota County to ensure that it is completed in a timely manner. Once completed, we hope that it will help to provide better access for you and other businesses for greater volumes of traffic in the future. MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY 3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND 6ROWTN IN OUR COMMUNITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122•1897 EAGAN, MINNESOTA 55122 PHONE: (612) 681-4600 PHONE: (612) 681•4300 FAX: (612) 681-4612 Equal Opportunity/Affirmative Aciion Employer FAX: (612) 681-4360 TDD: (612) 454-8535 TOD: (612) 454-8535 . . Page 2 Again, thank you for contacting me and I hope I have been able to provide you with the information you had requested. P(ease feel free to contact our Public Works Director, Tom Colbert, if you would like any further detailed information regarding this County project. Sincerely, - Thomas Z;:?; n Mayor TE/jj cc: Thomas A. Colbert, Director of Public Works ADMINISTRATION Tom Colbert, Public Works Ho11y.Duffy, Admin Pat Goagan, Police Karen Finne an, Admin Jon Hohenstein, Actg Comm Dev Kris Hageman, Recycling Daie Nelson, Fire Kristi Morast, MIS Gene VanOverbeke, Finance Mike Reardon, Cable Ken Vraa, Parks & Rec Admin Intern Jim Sheldon, City Atty k-25 ?.? C?"5?- AD-AS? ? ?? s ? . G I'I"Y (.7F EAGAr.l jF1N 15a 1993 MUNT G TPAi.. CEN1'EFe: ... EAC;FlNq MN 25121 , ? . • , A! TIY 5 MI"'1-Y.0.1'0I 7 EIJAlV . I . ' . . . . ' . . ' . . '. De?•lh" MF` May'C7Y" ' i l: own a busi.Qea s... tiei.neRe Disco!tnt h1uffl.er-i --located c,n I - the 8W cor-nEr- of G1 iff Rd ancl 35c in Eagapo . We ar~e` r???+?!ir•a13Y car?c?r-ned r?w th?.? ?aer??iing "c?.???n?.?l?::?ti.ur?" cai= ? r..oad wor-F:: he;r-O dur=ing 1993. .. 'i`he 1992 wor-k stae-tec1 iri ia•t.e July 'and in late Nvvember- •the South sid?.y & t:hc fiahn k:cl/Cl:cff Rii intetsen•l:ican was sta.ll incomplpty. Due ta the ser-a.c?us imppct last year-i wat-k: hacJ on sa.1 es I wc7ul d 1 ike t o k: ncrw t he sc hedul c f o r- th is yeat- a n ci alsra i•4= the contr-za?ct car-r-ies 40y penal±a.es +ar- late comp"seti.nry or° . i. rrcc r7taves forr an ear:c y+GofYIE? lE.at1 C?!"t o Fr-artb::lyx T'm yer°y concer-ned ataoui: the futdr-e of my . bu=annws,:i•t= •th:is yepr-s Wcar-k pr-oceecEs at the same sna:i.l? ???e we , ubser-veci 1a+?t, yoor°e , . l: leaof:: f!ar-war-d to hepr-in_y from vot.te rur°s tru:ly ? C:aec:)r ?- !"lar-t i n r i?einek.c? Disc.ount•. MUffler-s , . , 1992 Rahnclif-t= i;r-t - Eayan4 t°In 55122 o c.??? , a . , . ' 2004 COMMERCIAL PLUMBING PERMIT APPLICATION ` CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ?k -? C? Date OT / 0a` / d ?4 Site Address ? q$ 4 R Unit # Tenant Name ? q ? Jp\?? Former Tenant Name Property Owner Op, ? `)&) Telephone # 0 (v3 ) ? T`? - 1 ? ? ? Contractor cb p Address City LS State (Y"N fl*N Zip Telephone # 'o The Applicant is Owner Contractor Other Work Type _ New Bldg _ Add-on Repair Z PVB Irrigation system * * Jer Wobschall to calculate fees. Re uired meter size is 2" turbo unless smaller size ermitted b Public Works Description of Work -N-?e5 _?- Z:,- / ?,)C,>,-l? ? & P, c 2 To inquire if Pressure Reducing Valve is required on new service, ca11651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed urior to aickine u p meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disnlacement $155.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract value $ C) x 1% _ $ ??. D0 Base Fee $ Meter(s) Required on all new buildings & boulevard irri ation svstems $ Radio Meter Read Ii base fee is $I,000 or less, surcharge is $.50 $ C) St1ie SutChaige If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee ------------------------- ------------- --------- Following fees apply only when installing new irrigation system $ Water Permit Contact Jerry Wobschall at 651-675-5024 for required fee amounts $ Tre t!g ? M ? ? 1 e J $ WaStorag $ stat0 5 2004 F ---------------------------------------------------------------------------------------------------------------------------- $ ? ? ---------------------- Tot I hereby apply for a Commercial Plumbing Pernut and acknowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in ?rdance with the approved plan in the case of work which requires a review and approval of plans. ?? _.,> a ry\.-2 ? r v S Q? . Applicant's Printed Name Appl' 's Signature --5 a M Q S ?? 5 n? ??! ? .. . .. • 50 /'e 2006 COMMERCIAL PLUMBING PERMIT APPLICATION ?? • CITY OF EAGAN 3830 PTLOT KNOB ROAD, EAGAN MN 55122 651-675-5675 _ ,. Date 0 (e?f C-?. Unit # Site Address Tenant Name Former Tenant Name Property Owner v 0.? J i:_->, ? ^ -'?- 10 ? m\Zj`^'_Vk Telephone # (70) _S-t(?'- /f° -7 ? Contractor k ? -- ?• (,Y\ qcKQ'^ k C Address b'2> L•?j, \}Sn QD? S? n`?• City State (y\ C\ Zip 5?4-4 q Teiephone # -$(10 License # O PR-1 (o I C?-n Expires: 3 I lz (?o The Applicant is Owner Contractor Other Work Type New Bldg _ Modify Space _ Irrigation System** _ Yes No Work in public r-o-w / easement? ? RPZ _ PVB: _ New Repair/Rebuild _ Replace _ Remove Rain sensors are re uired on irri ation s stems Description of Work ?9-10 _? ` `\_ _??SN`-Z A ? To inquire if Pressure Reducing Vaive is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire . Size & Price 3/4" meter $167.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers Yes No PRV Required _ Yes _ No Permit Fee $50.50 nzi ' :uni (includes State Surcharge) Contract Value $?J C) x 1% 00 Permit Fee - $ _ Meter(s) Required on all new buildings & bou)evard irri¢ation svstems $ Radio Meter Read $ ' S C) State Surcharge If permit fee is less than S1,000, surcharge is $.50 If permit fee is more than $1,000, surcharge is S.50 for each 51,000 owed. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- Following fees apply when instailing new lawn irrigation system $ Water Permit CaU the Ciry's Engineering Department, 651-675-5646, for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge ? Total Fee I hereby apply for a Commercial Plwnbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is n a permit, but only an application for a permit, and work is not to start without a pennit; that t}?e work will be in accordance with the approved pian in the case of wo hich requires a review and approval of plans. -:50, M 2 S PO S QC Applicant's Printed Name p?cant's Signa ur ?d?2g ` 2005 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 * Ei?? 50 Date ? / ? / 015- Site Address C;tooo oVt ? Unit # Tenant Name Former Tenant Name Property Owner (,?jkn C_,J.,I,Qz Ao6 Telephone #(? l) '? R6S E V I L L E Contractor Address 65 SO? ?SS?, o,?,,,, ' City State ST PAUL. MN 55117-1092 Zip Telephone #(?? ??? l????? License # Expires: t ' 1)05- The Applicant is Owner Contractor Other Work Type _ New Bldg _ Modify Tenant Space RPZ PVB _ New Repair/Rebuild _ Replace _ Irrigation system Work within pub 'c right of-way/easement _ Yes _ No Rain sensors are re uired on irri ation s stems Description of Work TjmU ?..`,? u-_ To inquve if Pressure Reducing Valve is required on new service, ca11651-675-5646 Meters - Ca11651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to nickine un meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" disnlacement $161.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers - Yes No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1% _ $ Permit Fee $ Meter(s) Required on ali new buildings & boulevard irrieation svstems $ Radio Meter t'Zead If pern-ut fee is $1,000 or less, surcharge is $.50 $ State Surcharge If permit fee is over $1,000, surcharge is $.50 per $1,000 of the Permit Fee ----- - ------ - ------------------ - ---------------------- - -- - ------ - ------------------ - ---------------- - ---- - ------ - ---------- ------ - ---- --- Following fees apply only when installing new irrigation system $ Water Permit Call Jerry Wobschall at 651-675-5024 for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge $ ?- ------------------------------------------- -------------------------------------------------------------------------------------------- ------------ ? Total Fee I hereby apply for a Commercial Plumbing Permit and acknowledge that the informarion is complete and accurate; that the work rvill be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in ac?ordance with t?e approved plan in the case of work which requires a review and apprpval of plans. ?_ 11 J-To ?j r%j / C'PE Applicant's Printed Name Applicant's ature City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 ???3 ca / n..rN• ii:? W Fax: (651) 675-5694 4' 2008 FIREWORKS SALES AND STORAGE APPLICATION Applicant reauirements 1. ?An application must be completed and returned at least 30 days prior to outdoor sa/es and/or storaqe of fireworks. 2. -An applications for indoorsales of fireworks must be submitted between April 1st and June 1st to obtain a permit. 2. ---A letter from the property owner granting permission to the applicant to sell andJor store fireworks on the property shall accompany the application. 3. -A floor plan designating the area where the fireworks will be sold and/or stored shall accompany the application. 4. -A list of the fireworks that will be sold and/or stored along with the name, weight, quantity, and material safety data sheets (MSDS) shall be included. 5. A copy of the certificate of insurance coverage as per City of Eagan City Ordinance No. 387, Chapter 6, Section 6.53 Fireworks is required. 6 The Fire Marshal or his/her designee will inspect the proposed location for selling and/or storing fireworks to determine if it is a suitable location. 7 A criminal record check will be done on all applicants. 8. A copy of the City of Eagan license (permit) shall be displayed by the register. Date: 6''144 Business Name: C"1$ A4,(wo ?6(Z5 Telephone#: (4CJ1) NSZ I2Z Display Address: Applicant Name: Street Address: f E. clIf Za'a o?? _ State: MN Zip: 6,5337 Retail seller selling exclusively consumer fireworks: _ Yes ? No ? Indoor Sales Outdoor Sales Dates: to to to Please check the selections that applv to this permit Outdoor Sales $410.50 --X/ All other retail sellers $100.50 (includes: $280.00 Fireworks Permit; $128.50 Tent Permit; $2.00 State Surcharge) Sign Permit $ 25.00 Temporary outdoor event means an exhibition or sale with a duration of 10 or less continuous days which does not occur more than once every 30 days and more than three times per year or a combination of 20 days total in a calendar year. (See Outdoor Sales of Fireworks). Fireworks are regulated by MN Statutes 624.20-624.25. In addition to these state laws, all displays, sales, storage and use of fireworks shall comply with City of Eagan Ordinance No. 387, Section 6.53 Fireworks and NFPA 1124 Standards. I understand and agree to comply with all the provisions of this application and the requirements of the issuing authority. App nt Signature Telephone#: (L-64 wn'7V Fireworks Application Page 2 of 9 Tennessen Warning License Application Da-5?°s N11arK? e- PahnGl k? Ct• Minnesota law requires that you be informed of the purposes and intended uses of the information you provide to the City of Eagan (the City) during the license application process. Any information about yourself that you provide to the City during the license application process will be used to identify you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to supply information requested by the City, it may mean that your application will not be considered. All individuals in the City who need to know information will have access. ? ?lu-OS Applicant Signature Date Authorization and Consent for Release of Information I, cJC.641' Lc(; 54ums , freely and voluntarily authorize the City of Eagan to conduct an Name of individual authorizing release investigation to obtain the following information for the purpose of determining my eligibility for a permit to sell fireworks: Name: SinUZiY15 c? LC'e. Last First Middle Date of Birth: (,-'[Y-& [ Driver's License #: 1? I1 I I Z?3q I ZDq State W I also release the City of Eagan from any and all liability for its receipt and use of information and records received pursuant to this consent. I further acknowledge that I have carefully read this release, fully understand its terms and legal significance, and execute it voluntarily. Executed this <<' day of 1"Iaa , 200_Z. Si ure • ? . ., ?•', Fireworks Application Page 3 of 9 The Police Department has conducted a criminal background check on the aforementioned applicant. Comments: cxN-N TC? E)?-? c .r--?-- epresentative Date Conditions of Issuance: Background check completed and approved by EPD: Zoning approval Facility inspection complete and all violations corrected Insurance policy approved Need Site plan, sign permit and written permission of property owner Building Permit Application for Tent License approved by (/ Yes No (/ Yes No Yes No L,--'Ve's No --4.-Yes No Yes ? o Date approved: MEMORANDUM EAGAN POLICE DEPARTMENT 3830 Pilot Knob Road Eagan, MN 55122 651-675-5700 651-675-5707 FAX DATE: May 22, 2008 TO: City of Eagan - Darrin Bramwell FROM: Sgt. Steve BolluyC? SUBJECT: Background for Fireworks Application - Oasis Market (RahnCliff Ct) The Eagan Police Department has conducted a background investigation as authorized by the applicants Authorization for Re/ease of Informafion. A review of the applicant's criminal history, local police contacts and/or records, driving status, and warrant history was completed. After completion of the background for the license applicant, the police department rinds no cause to deny the application. Cc: 08-2519 A(ID Distributing, fnc. 2367 University Ave West St. Paul, MN 55114 651-641-0930 Item Description Dazzler Kids Delight All Star Boomer In the Mix The King Boomer Mix it Up Sizzler Grams Qty per set Total Weight in Grams / Set 1735 4 6940 250 12 3000 397 12 4764 630 4 2520 2135 4 8540 545 4 2180 992 4 3968 Grams 31912 78.5 LBS Weight of each product 14.75 0.47 1.04 3.42 17.50 3.11 22.75 Total Weight Per Set 59.00 5.67 12.50 13.67 70.00 12.44 91.00 264.28 . . . , . . . . .. . ? ? . .. , ??.v?uulc',;. . .. ?WR ?rr ,i. ? ? Y .?v.--./,y..,. AV T ' , . ! T?+vl A M E R C 1f . . - ; . ? ,. , .?.? ?„ ?. m.... ?. o..».,,...» ?.. ?.,.. ?, C ? . ? i :. : . Wa ?. . .. _ ? ? R?An NG1.FPFr- x ?. . ? ? ? a .... : ?? - ?;?....?,l.. . ,.. ??:,. „_..... ? PEr c+.ear?.? P n PER u N s F ?q. Ft N, cH l P+r ,?_; fi.?KYP' YltAGIK? N A r tl e W ? . ...., . `w.? .. 06/04/2608 14:13 6514529233 TWIN CITIES STORES PAGE 02 ?r OASIS ,6!?M??? AR1?E?' TWr1v C[TILS STORE5, ZNC • TwTN CtTrES AVANTI STORcS, LLC 1800 EAST CWFF 1.ZOA?b #2 BtnRNSVI[,t,E,MN 55337 PHoNE: 952-641-$900 ,7FAx: 952-641-6498 June 4, 2008 Czty of Eagan Fue Mazshal Dear Daxxn, This Ietter is to inforzn you that Oasis Market #5685 aocated at 2000 Rahncliff Cou.rt has perniission to sell frewoxkS. Scott Sto Pzesxdenx 66/64/2608 14:13 6514529233 TWIN CITIES STORES PAGE 03 Z 1vL.rLAt0 ur, 114OVtcvirv1-:t 1.ISTE1) 6EL,OW IiAVE BEEN 13SUED TO THE iNSURE(7 IVqMED ABOVE FOR THE POUCY RERIdD INDICATED NOTWITN$TAIVDiNa ' . REQUIF2EMENT, 7 EFtM OR CONbiTIOM OF ANY CONTRqCT OR OTHER DOCUMENT WlTH RESPECT TO WHICH TWIS CERTiPICRTE MAY ' SE ISS UED OR MAY PEli1 AIN, THE INSURANCE AIEFORDED BY THE POLICIES DESCRIBED WEREIN IS SUBJECT TO plll THE TERM$ EXCLUSIONS AfdD CONOITIONS OF SUCH POLfC1ES, AGGREGA?E LIMITS SNOWN MAY MAVE BEEN REDUCED 8Y PAID CLAIMS. , POilIGYNUMBER P EFF@CTIVE P UCYlXPI TI LIMi75 6ENlRAL GABIUTY EACH OCCURREIYCE $ 1.000,00O A X COMM$RCIAI GENERqR I,IABILITY L63994 6/1512007 6/1512808 pREMI$EB Ea xxwence) a 250,000 CLAIMS MApE FK OCCUR MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1i000,000 GENER4L, AOGREGA7E a 000 OEN'L AGGRSGRTE LIMIT APPI,I@8 PER: PRODUC7S • CQMP/OP AGG $ 3,000,00 X AOUCV pR 1,4C AUT Otiq081LE LIABIUTy A X ANv AUTO L8399A? 6/7 5/2007 6115I2008 C4MBINED SING(,E LlMIT (E8 eCCldenQ $ T1QOO,OOO ALL OWNEp RUTOS SCMEDULEO AUT08 ° BODILY MJURY (Per pereon) $ x HIREp RUTOS x ?bI1.Y INJURY $ tJON-OWNEp AUTOS (P? acGtlent) PROPERTY DAMAOE $ (Per ac0aam) GAR qGE t,fABlLIPY AUTQ ONLY - FA ACCIDONT $ A AU?O EA ACC $ OThIER THAN AUTOONt,v: AGG $ IHNBRELLqLIqg( (?Ty ?ACNOCCURREIJCB $ 1O,OQQ,OO A ft UR ?C4AIM8MADE RANSFERQA.167205 6/1$/zd07 6)15/j0a$ q?REGp? UCTiBLE errrROH $ None $ WORKERS COMPEN6AT10N AND X C 8TAT 5 O?H- EMpLOyFRB'LIABIUTV A ANY PROPRIETpfr/PpR'fNERlE)CECUTIVE L63994 6l1rJ1Z0d7 6/75/2008 E.L. EqCHACCIDENT $ 5001000 QFflCERANEMBER EkQLUORp? ? E,L, DI9El+3E -Rq ?MPlOYE $ S Q10? SF+?CIqC pROV1310NS below E.L. pl$EASE - POLfCY LIMfT S 50 r OTNER A l Uquor Liablllty L63994 6175/2007 6/15/2008 1,0o0,0(o A Property L63884 6115l2007 6/1512008 $ee Attach9tl Pspe DEBCRIPTIUN OP OPEIiAnONS ! 60CA7'IONS f VEryICLEB f EXCLUSIWIB nopW BY ENDORSBMENr ( SPECIAL PROVISIONS City of Eagan 3830 Pilot Knob Road Eagan, MN 55122- SMOULn p,N/ OP THE AgOve oEeCRISED POIICIES 6E CANCELMD BHRORp THE EXpatqTION OATE Ti1EREOP, THE ISS{)INq IN9URER WILL ENGEqvOR TO MAII. 30 DAYS WRITTEN NOTtCE 70 TFM GER7IFICATe NOLDER NAMED TO 7'F1E LlFT, BUT FAlLURE TO DO SO SNAl4 IMP09H NO OBLIGATION OR {.IA6ILRY OF ANY KINtl UPON THE IN9U!!!R, ITS AGRNTS OR Atl'1'f70RIZAA REPRESENTATlVE __.„-•w. 1oa) FEB'-05=2'008 06:02 From: To:6516755910 Pa9e:2/2 ? ....,,., - j ? . ? .? 7 . '•?. , , ' ?'' .': : ' ,??t " , •• ' Y`itis:: 1:. . . . - ...... .;y: [: ; i?•,• .14 /?'' ? ETY -,?,T , ?rlyi?J!1S ? • ^ r??.r•eµ'?: ., t+ i. ? . •.? 1'?'H?f?((??'' 'r'?:??`?,;;,.?. vN0336 1.?? • :?'?'a'1 t .. y,? .l' r _ ?J?1?1?.7•a , '• • r,! .1i,ry? , t ' ,:r? ?r=)??? '? n}(\._? ?? 1'? Y+?,? ??1??: • , n•? T `a 1?M'.- ' ?' . - • ",,? . ?.F ? J• i 't ti• , ,: , . ? • Djkte Prapsred: March 21, 1999 , - ??- ? ? , • • , ??',???• ti.?,'•- ?? ` ?" ' ?•r' '. '::..'`'?':;r, , - ' ? .'. ' ' '?' • ? '??s ? ?? ?•' : ? . - • ? ?i }'. ;?t, v.. . iY?••,„?' . ' ,•."?y':? ? ? ?, ?, y ?, ?• ?t. 'r ''i? '? r'' , ?` ?. ..,?'f.. _ . • ' . . -._? ;'Lp i' .. lprnzardti . r .a.?::.. KnardA YuS ?r /''?QmpQGVY ? ?• . . ' . ?.? ,+. . ., ,Y .? . ConZ?w t? ' ?:f'?;i.• PS'rdtech?a'?c . cvaipasiti='• a??e. 0?.?olde?tier aad tiiei •"`'•?-?-. igzited. fiheae it«m aro, ciaesi?aa as vx0336 1?•?burn i? oa?mer F'tcetivorra.-by ?p ?T.S..D e?t'tm Na chemic?! compasi?aa io exposed d?uiag normai??dfin8 aad ?01? ? ?????epo???.tiae - . • ? , • ? . . ?y?? SatubWty In W ater: Stigbt . • ? _ ? : ,: #~ • ? , : ? ; aa ', .. . • ?;. i .a`. A?PpUrttnce itnd Odvr: All PYt'ote "c catopoeinoa ii coqtsined la.& caidbvard ., , •.,.: ...? c . zmwg' Lt ?I?;?;?' ?: . Eiti ngui3hing Nledia: nood with wstac if a inu11 sm ` . , ?`: • ?,; ?. ouat af*worb is mrrvhrr,d, SpacW:Fire Flgbting Pracedures: Do aot ueo . v?5rewnr3cs ar0 ?D?Oa ?'?" derice? ?°uu! in+olved, auow tbem ta Wrn aad Arovm of' ?tRin thcir ow? oxYB l?rgo. IIauanul F[re aad Elvtion . ? ?r?e:. ?P 8+?rde. F3revvor]cu winbura apidly m•the eve? o£fire. . . `?,' - , • >? ?'_!? ,.,, '," Stability: Stablo 14°L', i CObditf01L1 to Avoid'• Ynco Ati ??° ?? ,. mP bWtY {M$ttriaIe to Awid): F.xpoaure tv water mBy ca,ao Itor?u, tp,??loz'?ta: ?` .: •, a???.,t•?r ?? ?. How,dvus bcgvwpotitiou ar $yproducia: 5moke;, n*ogen oaadcs, amd eitfia 74dee ms b .' . ?rdaue Po?mer?#ton: ?V'ilI nat occ?u; • ; . Y q?Produced:ia.a ?re,. Iff'?? R=rad: EXpv=e to . ?shed itam9 doCa no! pose au3' bealth haumd.` . f .7 r . • bmundona Stepa to be Taken ia Csec 1VLtemnl b ReJeaued or SpitlCd: No =oloa8 or opm 2auie9 in ' vf e' ed matftial: CarefullY Pic,k up aad plece s}riI1ed it? in'cerdboard c?urtow. 3 ?Y ,. .`? cvmpooition with a aatu?l•fibQt lmssls, ? vP B?7' ?08?' ?,., Waste AiapoaW 1V,[stbvdc Dispoea by burain8 in " OzoPUuzo witb nioo •: and ? cd regLilat > ona. . ,.: ? ? r ?. ti ,;:?r,• ?:. ??:. .. ? F. Prccaut?oo' to be x?een `• ?: " . ..:.,• , f ', : '??: ia IIandling and Storfug; Avoid vpen flames, ?mo '' .?ad'hi t 120 degreea F), Koop 9hiAA;,aB .urton,q eool ead dry ? >? Sb A?? (?' e? ;• • '1• ? : ?? ,??; .? ' • • qr' • . 1' ?. ., ?*fR+1'Ytofw nsntanNwN? !Y!,.•: , _ ATr- +??J?wd N.L? i_? ?•.:. _ ? ? . • . ? * r ? ?. ---• ----- - - ,,. . 200,4 Applicntion f'or f irEworks Sales And StoraqE City Of £aqan 3830 Pilot fCnob +?ond, £nqan, MN 55122 TelEphone #: 651-675-5675 f'nx #: 651-675-569,4 8?5 ? ioo. Applicant requirements 1. This application must be completed and returned at least 30 days prior to sales and/or storage of fireworks. 2. A letter from the property owner granting permission to the applicant to sell and/or store fireworks on the property shall accompany the application. 3. A floor plan designating the area where the fireworks will be sold and/or stored shall accomparry the application. 4. A list of the fireworks that will be sold and/or stored along with the name, weight, quantity, and material safety data sheets (MSDS) shall be included. 5. A copy of the certificate of insurance coverage as per City of Eagan City Ordinance No. 378, Chapter 6, Section 6.53 Fireworks is required. 6. Fee upon application for retail sellers selling exclusively consumer fireworks-$350; all other retail sellers-$100 per vendor annually payable to the City of Eagan. 7. The fire chief or his/her designee will inspect the proposed location for selling and/or storing fireworks to determine if it is a suitable location. 8 A criminal record check will be done on all applicants. 9. A copy of the City of Eagan license (permit) shall be displayed by the register. Date: 6111w ? Applicant Name: LL , AG?t?1 ?`?-? ? S J Street Address: axX City: L State: y r 1 r V Zip: ? Telephone #: (46) Business Name: Display Address: ?. S Telephone#: ( 6?j' ?S Retail seller selling exclusively consumer fireworks: /A Yes _ No Indoor Sales Outdoor Sales (See Outdoor Sales of Fireworks) Fee: Outdoor Sales -$350.50 All other retail sellers -$100.50 Ficeworks are regulated by MN Statutes 624.20-624.25. In addition to these state laws, all displays, sales, storage and use of fireworks shall comply with City of Eagan Ordinance No. 378, Section 6.53 Fireworks. I understand and agree to comply with all the provisions of this application d th AquirgrVentstof the issuing authority. Applicant Signature 1`1rew6rks Appiication Page 2 of 8 TennsssEn Warninq LicensE Applicntion Minnesota law requires that you be informed of the purposes and intended uses of the information you provide to the City of Eagan (the City) during the license application process. Any information about yourself that you provide to the City during the license application process will be used to identify you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to supply information requested by the City, it may mean that your application will not be considered. All individuals in the y who need to know information will have access. ? W OWO? ?- ?// Applicant Signature Date Authorization nnd Conssnt For Relense oF Informntion t, , freely and voluntarily authorize the City of Eagan to conduct an - 9", , Q ol a)NIame-o-f individual auth ' release investigation to obtain the following information for the purpose of determining my eligibi{ity for a permit to sell fireworks: Name: ob& V(-, I L ? L st Firs Middle Date of Birth: Driver's License #: State ? I also release the City of Eagan from any and all liability for its receipt and use of information and records received pursuant to this consent. I further acknowledge that I have carefully read this release, fu(ly understand its terms and legal significance, and execute it voluntarily. Executed this day of Y , ? Signature Fireworks Application Page 3 of 8 The Police Department has conducted a criminal background check on the aforementioned applicant. Comments: O K Police Departm nt epresentative Date Conditions of Issuance: Background check completed and approved by EPD: ? Yes No Zoning approval ? Yes No Facility inspection complete and all violations corrected A Yes No Insurance policy approved ? Yes No ? License approved by A A4U Date approved: o? 0 2009 COMIVIERCIAL PLUMBlNG PERMIT i - - - - - - - ---------, I Permit #: 990-1.6-9 j I I ? Permii Fee: I I ? Date Received: I I ? Staff: ??p I ` ----------------J APPLlCATION Date: (5 Site Address: _ c, Tenant: ?) c, ? v t) O` '?, o, ,v\o, 0 - - ....? ,.. PROPERTY OWNER Name: (J Phone: 35 -7-2 I C)Q CONTRACTOR Name: M,,c? ?.? ?C (J License#: Address:9 1 b5 KDE-City: 0)6-<(\? State:N L--',Zip: 55CM Phone: -2 b- Contact Person: 1'1l I LQ ?U(' ? ?,tn TYPE OF WORK New _ Replacement Repair Rebuild Modify Space Work in R.O.W. - - - - - Description of work: oe-& `A\,2 02- PERMIT TYPE COMMERCIAL 73,7 7777777 _ 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 toverity that tests passed prior to pickinq up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 203.00 Avg. GPM High demand devices? _Yes No Flushometers Yes No C 4 FEES: $50.5 Minimu (inciudes State Surcharge) OR Contract Value $ X 1 qo Permit Fee Required on ALL new buildings and boulevard irrigation systems 4_$ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 =$ Meter(s) If P i - erm t Fee is >$1,000, surcharge increases by $.50 for each $7,000 $1,000 Pe;mii Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). _$ State SurChBrge Following fees apply when installing a new fawn irrigation system $ w . ater Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ "SO S(.J I hereby acknowledge that this information is complete and ac t h cura e, t at the work will be in confor I undersfand this rs not a permit, but only an application for a permrt, artd work is not to start witho?t plan in the case of work which requires a review and approval of plans. / ?,-- X Applicant's Prmted Name ice with the ordmances and codes of the City of Eagan; that )ermit; that the work will be in accordance with the approved Si SV\- Page 1 of 3 i ? i--____- - -- - - _- - _-i I Permit #: I I ? ? I ? Permit Fee: ? Date Received: ? I ? I ? Staft: I `_____-----------J 2009 COMMERCIAL PLUMBING PERMIT APPLICATION Date: J Site Address: HM 2Ckh 1'dr \W aCRfi Tenani: \JCk\066-\Q, U t ?Suite #: PROPERT Y Name: ?j?? (31.Y? ?(\C • Phone: 959-3'?7 "? /(X) OWNER ? CONTRAGTQR Name: 01 J- C?A-,4 License #: ().59?3?DPm , Address:,wU qD ?: )C:Z ,U1P-filbDESt Q6Eity: E(C.UNQ- State: mk? Phone: 7&J 74Q -&?Pt 7 Contact Person: TYPE OF New _Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. - WORK - ? ? Description of work: \ ` `? K . L,? PERMIT TYPE COMMERC/AL w? ?' U `1`?? ?__U 7?7 lu, , _ 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 pickinq up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 203.00 Avg. GPM High demand devices? _Yes No Flushometers Yes No M R FEES: F-5 Minimum 'ncludes State Surcharge) OR Contract vaiue $ x 1% _ $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 _$ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 =$ Meter(s) - if Permit Fee is >$1,OOQ surcharge increases by $.SC for each $1,000 $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). _$ State Surcharge Following fees apply when installing a new lawn irrigation system. $ water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounis. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ I hereby acknowiedge that this information is complete and accurate; that the work will be in I undersfand this is not a permit, but only an application for a permit, and work is not to start plan in the case of work which requires a review and approval of plans. X d? l? X Applicant's Printed Name Al with the ordinances and codes of the City of Eagan; that iit; that the work will be in accordance with the approved Page 1 of 3 Date: Tenant: City of Eaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2011 MECHANICA PERMIT APPLICATION 9Site Address: r J 0 hb L c vcc.A Suite #: Phone: Address / City / Zip: Name: G.V. HEATING & AIR INC. License #: Address: 5182 WEST BROADWAY City: CRYSTAL, MN, 5429 State: - Zip: ne. Contact: Email: New x Replacement Additional Alteration Demolition II n -7 Description of work: rt?l. hee i„:,7a & e21 I j (z i & to i 6lr// / : t� / fI-I RESIDENTIAL Fumace Air Conditioner Air Exchanger Heat Pump Other COMMERQ1AL New Construction VInterior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank l- Install / _ Remove) RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)] $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ t,G TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal $55.00 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 $ I J 10_— x 1% = $ 55 . Permit Fee = $ Surcharge = $ 5, — TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not tont 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. rriiec-e x Applicant's Printed Name x Appli nt's Signature /+ t 198y Att: Building official on infra -red heater installation Good day, GrncW1 1007 Re: combustion air exclusion for the replacement infra -red heater. We have been selected to replace the existing waste oil burners that currently does not have combustion air at the Valvoline store with a SPACE -RAY LTU -75 model heater that they are providing, I assume that the frequency of which the overhead doors are being opened eliminated the need for it in that the doors open twice for every customer many times per hour introducing and was not required. To that end I would like to know if these units will be able to be installed will be able to continue using the combustion air from the space and will not require a direct duct. Thanks for your ruling on this matter so we know how to proceed and we allocate the correct amount of time for this project, could you please let us know at 763-535-2000 or reply with an email if it is convenient to coolheat@isd.net Sincerely, Scott Follese' Golden Valley Heating & Air City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED DEC 2 1 2011 Use BLUE or BLACK Ink For Office Use Permit Permit Fee: 6 o�/ Date Received: /`� /7 / Staff: l 2011 MECHANICAL PERMIT APPLICATION Date: Q .S Z, II Site Address: 1 ? 4 Pthd .Jir (mei- Tenant: o 1s Suite #: ENT ! OWNER CONTRACTOR Name: Address / City / Zip: Nil Name: S)1 Address: State: ml Zip: Contact: F Phone: 457 75-01— 7tA License #: •C r 3 Or OS Additional Iii' 1 Phone: New Replacem nt TYPE OF WORK Description of work: Alteration Demolition JOTE:;Roof mounted and groan mounted mechan cal equipment is required to be area ed by City Code. Please contact the Mechanical inspector for information on permitted screening methods. RESIDENTIAL Furnace Air Conditioner Air Exchanger _ Heat Pump Other COMMERCIAL New Construction I\ Interior Improvement _ Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) COMMERCIAL FEES: $75.00 Underground tank installation/removal $55.00 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 TOTAL FEE Contract Value $ 47NA CO 1/U.x 1% = $ Permit Fee = $ Surcharge = $ 45s co TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will Eagan; that I understand this is not a permit, but only an application for a permit, and work with the approved plan in the ca a of work which requires a review and approval of plans. x �Jn M • oQ it4 App scant s Printed Name g X11 FOR OFFICE USE Required Inspections: Underground Rough In ' Air Test Gas S x in conformance with the ordinances and codes of the City of not to start without a permit; that the work will be in accordance Appli Signatu Reviewed By: rvioe Test In -floor Heat Fina Date: ( Z- HVAC Screening City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE r BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 COMMERCIAL FIRE ALARM PERMIT APPLICATION* Date: 13 -Mar-13 Site Address: 1984-1992 Rahncliff Court J Tenant: Eagan Retail Center I Suite #: roperty O n Name: Address / City / Zip: Phone: Applicant is: Owner X Contractor Type of Work'., Description of work: Monitoring of sprinkler system Construction Cost: $497.50 Estimated Completion Date: 21- _ r -13 ontractor Name: Metro Alarm License #: TS004 1 Address: 3921 West 143rd Street City: Savage State: MN Zip: 55378 Phone: Tom cell 612-685-3734 Contact: Tom Bonwell Email: tom@metroalarmco.com New Addition X Alterations Remodel X Other: Upgrade DESCRIPTION OF WORK: X Commercial Residential Educational FEES $55.00 Minimum *If the project valuation is over $1 million, please call for Surcharge Contract Value $ 497.510 =$ =$ =$ 55.00 PermiFee x 1% *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be sed I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate; that the work will be in conforms ce 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 application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan " the case of work whigb quires a review and approval of plans. x Thomas R Bonwell Applicant's Printed Name FOR OFFICE USE Required Inspection; Applicant's Signature ed By: 02/27/2015 12;19 6123311161 OLSEN FIP.E PAGE 01I01 ��� �G�l;��_S � _^ Use�LU�or BLACK Ink � , — —i C ��-f-. � For Offies Use• I � , / ,� �- 3�� , ' <��r',f r��'�m� Cl`�C--��f}��� I Permit#: - ��� Clt� �f �a�a� � � � � Permlt Fee: I 3830 Pilot Knob Road I �_ �_ Eagan MN 55122 � Date Receiwd. Phona:(661)676-5675 � I Fax:(651)675-6694 � Staff; � � 1 � ----------�-----� 2014 FIRE SUPPRESSION SYST�MS PERMiT APPLICATION* Date:�°,��`�� Site Address; 9 t Tenaot• i� Suite#: Name: Phone: Address/City l,�ip: Applicant is: Owner �Contractor ��Pns&!�/�, .ci � i "No Y<<i d�i►, DeSC�iption ofwork:�Y�� �� �-�-.�t � ni �i s��id _ Construction Cost: Estimated Completion Date: 3_an�is � �- / Nama:� C yi` tnTP�rnr'l Llcense�: �C�,�� r ' Address: r�l f.(��f SlL�L �¢:�� City: �!��ni7�fDn�i'� �-` T State:„f�,��Zip: ��/�J Phona: l�l�� 33%-r,�f 1 : Contact; i Email: ��' � FIRE P�RMIT TYPE WORK TYPE �Sprinkler System(#of heads� _New _Addition Fire Pump _Standpipe �C Alterations ,,,,_Remodel Othe r: Other: DESCRIPTION O�WORK: 7�Commercial ,^Residential _EducaGonal .v,,, � P�mi�- . C l,0?9�3 > F��S ��(11(7 G-f�<�"D n �� 1T m �/�G�•f�� Contract Va1ue$ � S� x.01 $55,00 PArmit Fee Minimum �`"i�-�P��� � �'�5 ��°��' 'If contract value is LESS than$10,010,Surcharge=$5.00 � _$ ���UU PeRnit Fee �`If contract value is GREATER than$10,010,Sur�charge=C�ntract Va1ue x$0.0005 �$ S.C�? Su�charge* ""'If the project valuation is over$1 million,please call for Surchange _$ I� .U►� TOTAI.FE� 3!4"Displacernent Fire Meter-$260.00 =$ Fire Meter _$ TOTAI.FEE 'Requiremenfs:2 complete sets of drawings and specifications,cut sheels on materials and componenls to be used 1 hereby epply for a Fire Suppre�sion Syatem permit end ecknowledge that tMA itlfon'NetiOn i5 COmpl6te�ttd etCU�eIC;lhat the work wlll be In canformance with the ordinences antl eodes otthe City ei Eagen and Nfith the Minnasota Building/Firs Codes;lhat I undsrstand thls I�not a permlt,but only an applica6on for a pertnit,and work is not to start wlthout a permit that the work will be in aceordance with ine epproved plan in tne casa of work wnich require6 a review and approval of plans. _ �� i ,, �� � X ( ?�• 7 X v. � . •�� Applican 's Printec�me �pficant"s Signature ' ' . � � ,;'% .r ,� t�� , �-, ( �°�3 ��- � �� �.����,, ' +` �- � w � �w��� �� � �..��.- �. _., ���,� � F �� . ����}R t�F�1�E U�' 'i ti wi� �u�C� �-- �lG�� ` ���un)ui �`�+i���u�aiiuiiVi4��;p n,'� : ���P���u���ii tir� =��ri i' ,,, ��� �i_ ' �u{ � ,�.. i:.r -� <. � "l���(�t' � ` �. ,;�-.:�S(��?i, 1 il�'�lii� ° ��iiryF �ridiilNi,�'�''���- ����-, , +`-���C����u n i""o���•�n��� �n�'_�` `'_�lue���u�r � k ����,�ti0��!IHi�Ch�7ta0a�niuUwa��� ,� rns�< �;�'���I�i���i� �6��uIN��` -� ��I'��`. �191�i(N� � ��w ���� + Fi��l��R�D iW�vF'E�TI� '��� �� ��;��a � ���� � �����a�,��'�������; � ax ���rNi�;ui�;a���;�;;:���'IWJ������l�ll� � ��� ����t�illifiPs�phi�iqliiibl0�' = ���il�il�iil(rq1HI�N��va:'�t �� ,�,, .� � �I��ipMw�� : : �-��� ����ia� _ �='� ;Flydt�sta �1��,'dG���� � FI�f��c�� �1��,��r�tiu�����r T�st .. �i��� ���� i� � e��!�i � �-�., = ,y�iu�"�� :: ,.���: �-������ � -- -����i�i�i�ii�tio�io����,���i��r��u�'�H: i���i����_ �� � . n ; ���tltiiti�u�����i�iJ'�K�TTS���ii�G.u�; =�.° c����'����i���(�G�'�u�i'�u�� ��, .,. ��l�ii�i�iui��aNi��� � �° t�6�u�'`�'����� � ��u�"�m���-°�-.� �� �S � ����?�'E�i'1 {{i}il�" � tTlc'�: ° s � i,�i��iii�ia��uti�li�liAalltiiie���� +�'������3i�i�!r � CoiHflm � eu'��`u� �:, �I�III�I�� a d!�ik��'.�``"� »�_ i dfl� 'x' : �.���''�'a�� �1� ��k'M1�II�it�R�yi�����1(l�a�.�;lln�li : : �. �h `k -. a1�W�i,� ".... ��,�,�5� �c�r��r��c���c�f[ssc���'������� � �� � III �l����x � � � �� � � �� ,� � m �I` - ���) '� � �r -� � �i��` - �� � �i�r���� �. , ��. sti �t�''k b �' �i�l'�. ��i(� . 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"�'(��� �u�,.; ' m,� � ,��. �... a w``�,�, r�r � a� p n� a�iuF ; : ��{��� � =��' � ' , �-��I�I���= � �i ��'�" i �!��1������ul���a������ ��)0 i���'��;� ���hl�� �,.._������ �i�ihl�Vi � � �.,: ���u�����h)iryilun ' `: ,�� � , � `�m��y�����llil����l�` ��� � ����Iali���i�(I��V�I � ' ''��� � M�.��y� �� i��(M�������'�i.�� - �c��r�,.�r�?��r '�I��i�� �' .: ��.�III��N$'P^�'� .:'� F . ����N11�RG* � y � i}.�`�''' . �� - : . . 3.�a�d o � ^,a� � � `'�`s�.� _ ' r�td�dil�,h�_ �� m��aiiria��li��dlto�t�P��h��"��llu � ' �G�1I�INIhi�i�sry�.�� � ���a��m�' ,.. - ��, �, ei !��Id.`�H!�i� _, �, �iibui(V��1N� � W��� �. �;�a�.� � �I( ��N��i t =� Y ..di For Office Use (� ��/ oi7l Permit#: l V T `�7 1 3 t #. E AGA N V' J" �, Permit Fee: �U , O 0 n �.« "'° Staff: . ��� — Payment Recvd: Yes _No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 I Plans: Electronic Paper Plan Submittal: eplans(a�cityofeagan.comG 6 Q !I tr L ti 2018 COMMERCIAL BUILD MIT APPLICATION Date: Jtl2/✓ Site Address: /ii �� �iv ^�'��� i Tenant Name: v a. )g l�ol�ri (Tenant is: New/ Existing) Suite#: Former Tenant: q Name: ,//,,,,i(/o I. n Phone. �(� v �) l� Owner �� Address/City/Zip: OC) ��i/ 1/0/,',-N-e LA/ C.r?,y))v9'f� 10 7 Applicant is: Owner Contractor s. T , Description of work: ,.,l r1 J) ' M vp9 rfiv) S ritli /32Jo-- �-� \. `� Construction Cost: `- , Name: �UJ�G' --- riS 'L/��,,, ��. .._... �� �..-.-.--.. �.f l License#: Address: l /'"I I 4f'' �i...ie-- City: ‘-/ki i& E State n Zip: ��� Phone: '7,0'19 ?3L Stsq Contact. /Lpe/ Emaily� '� Gvn>s�l'G4i�41i 41/1* ell.. ..ae- .- ..... -- Name: Ag 0e6,7)3,h Registration#: . �Ic '� �S> u1i ' ►Address: lInc ,„_ .�A Ss 41 52. '(� 322_6 ' State: Zip: y/d Phone: Contact Person: w�'\ 'J' �� Email. v1i —4 of - r Licensed plumber installing new sewer/water service: Phone#: NOTE: ;.t `1c t considered the. J$ c ��Q �{- dna 6l info S e aj i � vt _ �.. that permit the`'Ci til "-.-➢t that th b s '.'�,x #-, 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(6.51)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 ordinan and codes of the City oif Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a p it; 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 /� ►y1 "I PPca Applicant's Printed Name Applicant's Signa re . /g8tt exhoe_ ii*- -PC- cfr • / 501/3 . DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Public Facility _ Exterior Alteration-Apartments s Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial _ Apartments _ Greenhouse/Tent — Exterior Alteration-Public Facility Miscellaneous Antennae — WORK TYPES New Interior Improvement Siding _ Demolish Building* _ Addition _✓Exterior Improvement _ Reroof _ Demolish Interior — Alteration _ Repair Windows _ Demolish Foundation Replace Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation /40 0C C. r'° Occupancy 15 MCES System N A- Plan Review Code Edition 1t fS loci SAC Units 25% 100% '� ( _ _) Zoning City Water Census Code Stories Booster Pump #of Units ti' Square Feet PRV #of Buildings 1 Length Fire Sprinklers Type of Construction 4 • R. Width REQUIRED INSPECTIONS Footings_New Building_Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation _Ice&Water _Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans Windows Fireplace: Rough In Air Test Final Final/C.O.Required Pool:_Footings Air/Gas Tests _Final Y Final/No C.O.Required Final CIO Inspection: Schedule Fire Marshal to be present: Yes 1/ No Reviewed By: L":S. . , Planning New Business to Eagan: ile) Reviewed By: Cr,,n , Building Inspector FEES Water Quality Base Fee l'" '1 S Storm Sewer Trunk Surcharge 7• 6-C' Sewer Trunk Plan Review /1,2-•1/ 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: j ,/ Trail Dedication TOTAL: ¢Zo• ' .71 Page 2 of 3