4424 Sandstone Dr41011 City of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
DEC 012010
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
63 -Do
Date Received:
Staff:
ViD
2010 COMMERC�IjIAL PLUMBI G�PE� MIT�j�APPLICATION
Date: 10 Site Address: t" 1 i 1 VCS
Tenant: t '
Suite #:
J
PROPERTY
OWNER
i(J )
Name: 11) ` q I Phone:
CONTRACTOR
0.
Name: Wen 2 � --PIni /O / l Ikv•
Licens±e #: OU/(. 5- i
Address: 1 1 0
L 4 f2 ! State: MA/Zip:'.._.___9'1X
i)((€,kYLP'76kYCity:
Phone: �1 S2-) 6 Emailil/anY)710)_, p Ill . l;�t y1
TYPE OF
WORK
New Repla
`j Repair " Rebuild _ Modify Space _Work in ROW.
— _
/�JALjn�t'
Description of work: 1-l'.'I /1 1-I9Z
PERMIT TYPE
COMMERCIAL %'
New Construction Y Modify Space
Irrigation System ( yes / no) ( RPZ I PVB)
allowed by Public Works)
to picking up meter.
_ _
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size
Meters Call (651) 675-5646 to verity that tests passed prior
_
Domestic: Size & Type
Fire: 1
Flushometers _Yes _No
Avg. GPM High demand devices? _Yes _No
COMMERCIAL FEES:
$55.00 Minimum (includes
State Surcharge) OR Contract Value
on ALL new buildings and boulevard irrigation systems
than $10,010, the surcharge is $5.00
the surcharge increases by $.50 for each $1,000 Permit Fee
Permit Fee requires a $5.50 surcharge)
$ x 1%
Required
- If the Permit Fee is less
= $ Permit Fee
- = $ Radio Meter Read
= $ Meter(s)
- If the Permit Fee is > $10,010,
= $ State Surcharge
(i.e. a $10,010-$11,000
Following fees apply when installing a new lawn irrigation system.
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Water Permit
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $ , 00
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.bopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I
understand this is not a permit, but only an application for a permit, and work is not to start without a permit th e r will be in accordance with the approved
plan infthe case of work whic r; • uires a review and approval of plans.
x
Applicant's Pr ted Name Appli
FOR OF
Required IliiRough t ., Air Tet
Page 1 of 3
C~~~ ~#,rJJSl~S~~'' . r ; v..~.~ ? ~~-~~-n.,,~ - i : ~ ~ .
MECHANICAL PERMIT for City U~ni~
~~7/9o CITY OF EAG~IN pEaMIT# f
G~~~' ~~Q p° 3830 PILOT KNOB ROAD, EAGAI~, MN 5512Z RECEIPT # ~
DATE I S- 9 O PHONE 45481 ~0 ` ' DATE: x- ~ Q
Site Address D BLDG. TYPE WORK DESCRIPTION
Lot Bbck 2~ub ~S~ New Const. ~
Mult.~- Add~n ~
Cbmm._~ Repair
Name ' a~r ~
~ Address v~ ,
? c City~~~l ~ ~Phone FEES ~
. RES. HVAC a104 iV1 BTU -$24.00 ~
Nam O ADDITIONAL 50 M BTU - 6.00 ~
c Address (RES. HVAC INCLUDES A/C ON NEW ~
CONSTRUCTIDN) ~
~ City ~~i(~/1,~;~_t F~1.dPhone 'T~WNHaUSE 8 CONDOS - ES. RATE APPLJES a
IIIINIMUM RESIDENTIAL F - ALL ADD-ON 8
- TYPE OF WORK RE~AODELS (INCLUI~~,~ S PIPING) - 12.00
GAS OUTLETS (MINIMUM - 1 PE~I,PERMIT-
Forced Air M BTU $ NEW CONST.) - ~.SOEA.
Boiler M BTU $ COMMlIND FEE • 1% OF CONTRACT FEE
~ Unft Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES ,
L~ Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 ~
~ STATE SURCHARGE PER PERMIT - .50
Vent CFM $ (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) ~
Gas Piping Outlets # $ • ~
Other R~'lov6 /D, ~ Ga~~oN IANx $ ?
CommJlnd. Coritract Pric:e ~ oo'~ x 1~. $ ~ ~
f sr~SrAtl NGW PERMIT FEE:
~
lo v40 (~~4 LL~+J TOTAL• ~ ~ OR: C T1~0 F~~~.>~ r%I ~G!'.-•.
3a~.s i ~ -
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, �u�. 2. 2015 3: 38PM No. 2093 P, 1
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Clt Of ��. Il j Permit#;
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3830 Pllot Knob Road � Permlt Fee: �
Eagan MN 55122 � ' i
Phone: (651) 675�5675 '�� �� �� � oate Received: y��`��
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Fax:(651) 675-5694 I Staff: �
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2015 CO I MERCIAL BUI �����
IV� LDING PERIWIT APPLICATION �
Date: � o� � SiteA dress: �� � ��S,L���[�I.�CC� �,J'�. W � ���
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CALL BEFOR�YOU DIG. Ca I Gopher S#ate one Call at(651)454-0002 for protection against underground utility damage.
Call a8 hours before you intend fo dig to receive locates of undergtound utilities, www.aooherstateonecall.ora
I hereby acknowledge that this info ation is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City nf Eagan;lhat I understand this is not a permit,but only an appiication for a permit,and work,is not to start without a
permit;that the work will be in accordmnce wdh the approved plan in the case of work which requires review and approval of plans.
x � �/�-J x
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AppNcsnt's Prinfed Name , Appl c nt's i na �e
, ' Page 1 of 3
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DO�OT WRITE BELOW THIS LINE � � � ��
SUB TYPES
Foundation 'I Public Facility Exterior Alteration-Apartments
✓Commercial/Industrial � Accessory Building _ Exterior Alteration-Commercial
_ Apartments � Greenhouse/Tent _ Exterior Alteration-Public Facility
Miscellaneous ' Antennae
WORK TYPES
_ New Interior Improvement Siding Demolish Building*
_ Addition _ E�cterior Improvement �Reroof _ Demolish Interior
_ Alteration _ R�pair _ Windows _ Demolish Foundation
_ Replace _ V1�ater Damage _ Fire Repair _ Retaining Wall
_ Salon Owner Change ', *Demolition of entire building—give PCA handout to applicant
DESCRIPTION ' � �
Valuation -88��DOD� Occupancy � MCESSystem
Plan Review ✓ I Code Edition Z D/S M515G SAC Units
(25%_100%� Zoning P� City Water
Census Code Stories --" Booster Pump
#of Units Square Feet PRV
#of Buildings � ' Length r Fire Sprinklers
Type of Construction �_ Width --'
REQUIRED INSPECTIONS
Footings(New Building) ', Sheetrock
Footings(Deck) , Final/C.O.Required
Footings(Addition) ' Final/No C.O.Required
Foundation Other:
Drain Tile I �� PooL• Footings _AidGas Tests Final
�j Roof:_Decking ✓nsulation _Ice&Water " Final Siding:_Stucco Lath _Stone Lath _Brick
Framing ' Windows
Fireplace:_Rough In _,�ir Test _Final Retaining Wall
Insulation ' Erosion Control
Meter Size: �, Concrete Entrance Apron
Final C/O Inspection: Schedul� Fire Marshal to be present: Yes v No
Reviewed By: ��� , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES ',
Base Fee I.33 S6.7� Water Quality
Surcharge �, ��• � Water Sampling Fee
Plan Review I� ��d:pjcl Water Supply 8 Storage(WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S8�W Permit 8� Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Irrigation) ' Street
Park Dedication ' Water Lateral
Trail Dedication ' Other:
Water Quality ' TOTAL �9�t-7g '�a�
', Page 2 of 3
Jun. 2. 2015.a_.3_39PMom � Tax�.�No�2Uy33y49P, 3
� , - -
� . � 3 � �3�
�� ��� � •
� •Sir�ce 1929-
4550 Main Str�et NE,Minneapolis,MN 55421*(763)572-0660,Fax(763)572-0230
' DETAILED WORK ORDER
PROJECT MANAGER: ' LlOyd Carr �
JOB NUMBER: I 215036 �'
JOB NAME; Rahn Elementary
JOB ADDRESS: �, 4424 Sandstone Dr
Ea an Mn 55122
OWNER: Burnsville Schools
CONTACT PERSON: ' Glenn Simon
Office#; ' 952-707-2035
Mobile#: I
GENERAL CONTRACTOR:
ARCHITECT/CONSULTaNT: SR)
Tom Kaiser
Mobile, 269-615-4095. O�ce, 763-533-2727
ROOF TYPE: g�R o ns anvi e ys em
DECK TYPE: �� Concrete and Metal
ELEVATION: ' 14'
CARPENTRY: Extend expansion joints, add cedar to parapets, new cant on
some of the edge details
wAaRAnfn: 2 0 year
SQUARES: I�, 645
INSULATIOt�&.THICKNESS: 1.5" Iso Base and Tapered iso, all Johns Ma�vi e producfis.
BASE FLASHING: yna ex
PERIMETER SHEET M ,A�: Yes
COUNTER FLASHING: !I Yes
Jun. 2. 2015 3:39PM � No, ?093 P, 4 .�
�' ' �" '� � [ 3iz3
www.centralroofine.com i Tax I.D.#41-0737497
. ' � �
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•Si�e 1929-
4550 Main Str�et NE, Minneapolis, MN 55421*(763)572-0660,Fax(763)572-0230
I, PRE JOB INSPECTION
JOB NAME: a n mentary
ESTIMATED START ATE: 618/15
TYPE OF WORK: Tear Off and RR BUR
ROOF SYSTEM TO E USED: Johns Manville
START TIME: ' 7.00
SET UP ITEMS:
CRANE � HILLS '� YES X NO
SPOT 40' TRAILER: YES X NO
DUMPSTERS: , YES X NO
TRASH CHUTE: YES NO X
SAFETY STANDS � UARD RAILS: YES NO
TRANSPORT: YES X NO
TANKER: YES X NO
JOB SHACK: XES NO
MECHANICAL NAME: YES PW#
ELECTRICAL NAME: YES PH#
PLUMBER NAME: ' YES: PH#
SCUTTLE HATCH A CESS: YES NO X
SAVING METAL: YES NO
REPL,ACING METAL: YES NO
METAL CO�,OR:
ROOF RAMPS YES NO
CONE STACKS: ' YES x SIZE
PLUMBERS STACK�; YES x SIZE
WHEN TO SIT DOW WITH FOREMAN: Done a preconstruction meeting on site.
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INSPECTION RECORD ~ 3`'~
' CIT~' OF EAGAN PERMIT TYPE: ~ ~
3830 Pilot Knob Road Permit Number. ~
Eagan, Minnesota 55122-1897 Date Issued:
4 (612) 681-4675
SITE ADDRESS: APPLICANT:
a~~~
~3D
PERMIT SUBTYPE: TYPE OF WORK:
. .
.~it,fi
~~ii I li~,
, ~~ti~~~l t tl 1 t;,, ^
. ,~,~i , ~ a,~,
~ tl~rsl
~ , i. ~ •~l it l l I~ I W t I i•~~ l; i a~ llyd i i ~ ~~l'J~: I N~+ I~LS R~( ~ ~ li (i. {~i I1i:, ~
~ • ~
~ ~
~,~c g , 90_y~~
Permit No. Pertnit Hol er Oate Telephone N
ELECTRIC ~ ~ /f~ 9~ O ~
fd~v'~a-~ S~ ' 7~7 95 SG
~ PWMBING _ S,L?-a~S9
H~~ s,~ S 8~-~~6~
Inspectlon Date I p. Commenta
FOOTINGS jl~~ C~4g
FOUND ~G l,~ ~
lfS ~ %Y!r!S ~ ~S~
FRAMING ~
ROOFING
PWMBING ~1I'/~ 0? . e' r ,
PLBG ~ 27- ~s dl~~ 4 C.~G S~ vr
AIR TEST l - ~ ~ ~3 ~ ~
ROUGH ~ p y S'/ ~ Or'r1
HEATING . ~Z r.Q ~
GAS SVC G-~ ~S I~ C''v 0.3 < "
TEST _ 9- ~w e Q~
INSUL / ~ ~
GYP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG g~~s
FlNAL HTG
ORSAT
TEST
BLDG FINAL f
g 9~- f~~
BSMT R.I.
BSMT FINAL
~ ,8;3 ~c ~
~ ~
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~
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C~`tt ~ e 0~ ~CCIi~Q~tC~ ~ .
~~t~j ~agatt -
~c.~axt~tcrct ~ ~~pi~g ~i~C~rccN,~
, This Certif~catc iss~ed pursuant to tlu reqarr+ements of the Uniform Building Code
ceitefying thar at the tin~e of issuance this struclurr was in compliance with the various
o~dinances of the City ~g~lating 6uilding construction or use. For the following: `
Use ~uxi~a~o~: H~ Tf` F~, ~TIY BWg. Permit No. z7i~o
~'Y'n'P~ F. Zaiin6 Disaia p Type Const.
Owar d BuildinR~ q'1'YY'(. i7iST_ ~q ( Ad~ea~ ~
g,~~ ~Gl~?G RANt1S'IT1~: TR'1Z1R Lowlit7~~6~~1 ~Q
~ / / }
i i ~ ~ Dre: J % ~
BuiWing ~lfficiaY
POST IN A CONSPICl10US PLACE
~
CITY OF EAGAN Remarks
Add'Ition Section 30 r Lot Blk Pelcel - ~
ow~~ sc~~ec 4424 Sandstc~ne Dr~.ue scate Faga~., hfN 55122
; - # ; ~ r. /1 r r ~ •y0
Improve nt Date Amount Annual Years Payment Receipt Date
STREET SURF. 19]j 8~50. 1~ Paid .f ,J dG
STREET RESTOR.
GRADING
SAN SEW TRUNK ~~3 `Z9 • ~ 5 P3~d
#SEWER LATERAL 197~ ~
WATERMAIN
#WATER LATERAL 2.~ ~ O2. O PAJLC~
WATER AREA ~ 9'~J~ .OO . O ~ O
STORM SEW TRK 1983 18 900. 0 1260 . 00 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER.
sac . 00 7-23-73
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: E' ~
3830 Pilot Knob Road Permit Number:
Eagan,Minnesota55123 Datelssued: N/~i6/A~ ~
(612) 681-4675
SITE ADDRESS: , „ ~ ~ , ~ , , , APPLICANT:
I~~ ~ •~~l1~ ~ I~fl~l. I~~ f~,~ 1'}l l{ 1 I i ;;{Ci~`~ Ctflll~ {H!i f~.fl
!~1 ~ i ~ ~ I -_~LJ~.i ~n,T.(~3'Li ~Q i ~ . ~ . ' 1 I ' l? 1• i ' .
PERMIT SUBTYPE: TYPE OF WORK:
i~t i t ~~,1~• ~~~i~ i ~ I r~ I::
~ ~ I I,~i' r~ ..t .
• •
~ i+flhl! Ili~ <<~~i t I'1+~
1 I N~11
s~ rs..~.~ ~ rti~ira i i ~ r~~ r~ i n~~ ; ~=~~~~i
~ ~
~ ~
Permft No. Permk Holder Date Telephone ~t
S/~N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
inspection Date Inap. Comments
Footings I
ti I~[~ ~
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
WeII
Pr. Disp.
a
!o ~7 S /v.3Co
~ 47578 ,82~ ~ ~o , ~~p°°
Requesl De~e Fire No. Fough-in Inspec~ion
Fequiretl? ? Reatly Now 1~(NIII NoNly Inspector
'S_ Ves G No H'hen ReatlyP
I~licensed contractor ~ owner hereby request inspection ol above electrical work at:
Job AOaress ISVeet Box or Foute No,) Ciry
~~1 sAtild S~O~J~ ~,Er r~~ ~AGA
Sec~ion No. Township Name or No. Renge No. CouMy
~lor
Occupam ~PRINT) Ppone No.
~ T ~ S~h~aoL
Pawer Suppner AaarBSs
Elecvical ConVac~or ICOmpany Name~ ~ ConVactor5 License~
JNo.
/
aibng ress IConVec~or or Owner Making Installation) .
/~76 V • ~ s'Sia~
Aufionza0 Signature ~ConvactorlOwn a%m91^stallation) ' P~one Nu
MINNESOTA STATE BOARD OF EIECTRICITY TMIS INSPECTION FEOUEST WILL NOT
Gtlpps-MlGwey 610g. - Noom Sl)J BE ACCEPTED BV THE STATE BOARO
i821 Unlvertky Ave., SL VeW. MN 55106 UNLESS PROPER INSPECTION FEE IS
P~one ~612) 6i2-0B00 ENCI.OSEO.
~p~~17/c~+0 REQUEST FOR ELECTRICAL INSPECTION F''~-'~z,.`'~q ee-ooom"C~m
~ ( ? See inslmdions lor completing ~his form on back ol yel!~w copy F'~
~p 0
5 7 8 "X" Below Work Covered by This Request ~~y~
e Atltl Rep. TypeofBuilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Oryer O[her (Specily)
CommJlndushial Furnace
Farm Aii Conditioner
Other (specityl CanVac~or5 Rema~ks:
Compute /nspection Fee Below: ?~~K P/COB~'S ~ .S'~~/S'O.eS
# Olher Fee # Service Enlrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 100 Amps
SignS lnspector5 Use Onty: TOTAL
Irrigation 8ooms ~ ~ Q CO
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY 8E ORDERE~ DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in a~e .~,7_a
certity that the above inspection has F;nai oe~e L
been made. -
OFFICE IISE ONLV ~
T~is reques~ witl 18 manihs ~mm
~
0- ~2~`59 394 p~o3 - o-o ~
Feque Date Fire No, Rouahdn Inspection ReqWretl In ion Other Than Roug~-In
(~'ou must c~dll Inspecl hen reedy) . Reatly Now ~ Will NMity Inspector
? Yes No Oa~e ea
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Adtlress (Stree6 Bo~ ar Route NoJ Ciry
y `~Z~" eJ ~ ~l ~l.1~~
Seclion No. Township Neme or No. Range No. County
Occu AI Phone No.
Power u0P er Atltlress
Elect~°y C^ontredor (COmpeny Name) Contractor's License No.
I~(~fY1 ~J~
Melling Atltlress ( rector or Owner Meking Inslalle n) r~ ~
L l LJ
Au nzetl Signat e(COntre r/Ownar Making Inslalianon) Phone Number
3~3
MI ESOTA TATE BOARO OF EIECTHICITV .THIS INSPECTION REQUEST WILL NOT
GHgge~ Bltlg. - Room 3428 BE ACCEPTED BV THE STATE BOA
1821 Unlve~alry Ave., 51. Peul, MN 55704 UNLESS PROPER INSPECTION F
Vhom (fit2) 602-0800 - - ' ENCLOSED.
~/~~~0~ REQUEST FOR ELECTRICAL INSPECTION ~°Md ee-ooo,o/i-os "
~ See ins~mctions lor wmpie0ng Mis lorm on back o! yeliow copy, i ~ .
r ~ ~ Y7'u~.3'S~
Y
"X" Be/ow Work Covered by This RequesP ~ r?~,iyy.~
Ne Add Rep. Type of Building ~ Appliances Wired ~ Equipment Wired
Home Range ~ Temporary Service .
Duplex Water Heater Electric Heatin
Apl Building Dryer Load Management
Comm./Industrial Furnace Other (S ecify)
Farm Air Conditioner
Olher(specify) ConlradorsPemers',
ins-ta~.~ r~- ~n offic~ cubi ~
Compute Inspection Fee Below: ~
# Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Am s 0 to 700 Amps
Transformers A6ove 200_Amps e 100 _Am s
Si ns Inspecror's Use Only: TOTAL
Irrigation Booms ~Q , p
S ecial Inspection
AIarMCommunication THIS INSTALLATION MAY B D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTH5.
I, the Elechical Inspector, hereby R°°qn-in oa~e
certiy that the above inspection has Finei / ~ oa~e ,
been made. 3/-
OFFlCE USE ONLY
This request voltl 18 monihs from
S iI 9 ,C~i ~ 95 ~ 3~ a7o5Y %
1 8 7 9; R~,~,~. '~1~~c~ c~ ~cs~c~~ ~
0
R quest ~e' Fire No. Pough-In Inspection Requiwtl I ction Other Than Roughdn
~ O~~~ (Yau mOust cell inspec~or n ready) Raatly Now ~ Will Notity Inspec ~
Ves No e a
I icensed contractor ? owner hereby request inspection ot above electrical work at:
Job Atltlress (SMaet, 8oz or Fou~e No.) Ci~y
a~ ~ ~
Sectlon No. Township Name or No, Range No. C unty
V
Occupanl (PRINT) Phone No.
PowerSUppliq~ Address
r~
E rical~ o tacbr (Company Name) Con~acl s License o.
` , ~ l t~ ' G`~a o
M AtlOress (C nlra r or Owner Makinq I~
~g ipn)~
O ` ~
•
hotlze ignaNre (Co a wne Ma g I talletion) P Number
~ 5--a~ a~
MINNES STqTE BOAfl LECTRICITY HIS INSPECTION REOUEST WILL NOT
Grigge-Midway Bldg. - paom 5-1R8 BE ACCEPTED BY THE STATE BOARD
1821 Univeroiry Ava., St. Gaul, MN 5510a UNLESS PROPER INSPECTION FEE IS
!'hane (61P) 892A800 ENCLOSED.
f REQUEST FOR ELECTRICAL INSPECTION ~y"°~~'~q
~ 1~ 7 9 ~ w$ee i~rstnfdbns tor mmpleling this lo`m on back o~ yelbw copy. ~~~z~
"X" Below Work Covered by This Request ~
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heating
Apt. Building Dryer Load Management
CommJlndustrial Fumace Othar (S eci )
Farm Air Conditioner
pih0r ~speCily) Contracror's Ramarks: .
Compute Inspection Fee Befow:
# Other Fee # Service Entrance Size Fee # Circufts/Feeders
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200-Am s Above 100 -Am s
SignS inspacmr's Use Ony: 7
Irrigation Booms ~ ~ ~ U~ ~
' S ecial Inspection
Alarm/COmmunication 7HIS INSTALLATION MAY B 'DISCONNECTED IF NO7
Other Fe ~ COMPLETED WITNIN 18 MONTHS.
I, the Electncal pector, here6y R°"qn-m os~e
cerlify that the above inspection has Final oa~
6een made. y Y -
OFFICE USE ONLY
Thls repues~ vdtl 1B monihs imm
~
5319'31 o°~
Repuett Oa~e ire No. Roug~-In Inpseclion Re0uIre0 Inspec6on Othx Than Raugh~ln
S ~j p~ (Yau mu?sl cel~ cpector when reatly) ~ ReeOy Now ? Will Notity Inspepor
~ ~ ? .NO Oa1e ReaEy
I icensed cOntractor owner hereby request inspection of above eleCirical work at:
JoD P.tlOress S[reeL 6 or Foule/~a. Ci
S1,2 ~3uds~'cNe
Section No. Townshlp Name ar No. Ra~ge No. Cou
~~v~~
Oy,wlri~PR yT) , ~ Phone No.
1 ~7
Pawer Supplier Atltlress
Ele v Co~ctoriCOmDany Name) Conv ors License No.
rl ~ ~ ~ ~'~9- o a q'~3
Ma~l/inq~AOtlress ICO/nlr/a~clor or Owner M Ing Installa~ion) ~
10 v V •
Au[honzed Slqn re fConhactorr wne a'e~n ns[allation) Phone Number
~ S~S~
MINNESOTA ST0.TE 80AAD OF ELECTHtCITV THIS INSPECTION REOUEST WILL NOT
Griggs-Mbway BIOg~ - Foom Sd]3 BE ACCEPTED BV THE STATE BOARD
1821 Universily Ave.. SL Paul, MN 55104 UNLESS PROPEF INSPECiION FEE IS
PM~w (bt2) 6aY-0800 ENGLOSEO.
REQUES7 FOR ELECTRICAL INSPECTION k~~},a ea-oooa~-oa/
~ See Inst~ctions br completing ihls form on back of yellow copy. ~~~~I~/ L.~
~ 519 31 y "X" Below Work Covered by This Request '"~-,~.i ' ~P`r T/
- ew ep. Typeof6uilding AppliancesWired Equipmen[Wired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.llndustrial Furnace Other (Specily)
Farm Air Conditioner
Ot~er~syecify) Co ac~or's Remarks:
~xrr F'?rte~ A-/~R.•~
Compute lnspectian Fee Below:
# Otner Fee # ServiceEmrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps ~
Translormers Above 200 _ Amps bov 00 _ Amps
$iJlIS . Inspector's Use Only. 7~Tp
~ Irrigation 8ooms ! ~ ~3 p.~
Special Inspection ~ 3~'~~
Alarm/Communication THIS INSTALLATION MAY B E DISCQNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 5. ~
I, the Eleclrical Inspector, hereby Rough~in ' f oa~e~
certify that the above inspection has Final ate '
been made. ~ !s/rL
OFFICE USE ONLY ~
This ~request vo~E t0 months irom
0~~1~~~Z=607 ~u Q75 ~858 ~a7o
Reques~ Oa~e Flre o. . A nspection Reyuiree Inspeclion Olher Than Fough-In
usl II inspecbr when reatly~ ~ qeaEy Now ~ Will Notify Inspec[or
~ ~es ? No Date Reatly
I I~'f~icensed contractor ?owner here6y request inspection of a6ove electrical work at:
Job Atldress (SireeL 8ox or RoNe No.) Ciry
v~.
Sec~ion No. Towns~ip Name or No. Range No. Couniy
D
Occupent (PRWT) Phone No.
Power Supplier Atltlress
Electncal ConVactor ompany Name) Conhaclor's License No.
Mailing Address ConVactor or Owner Making Instalietion) ~
D
Authonz qnaWre (GOntrac~otl0 n r Makin stall ion) Pho~ Number
4~~
MI ESO A STATE BOARD OF EIECTHICITY THIS INSPEGTION REOUEST WILL NOT
iggsM wry BIEg. - Paom 5-128 BE FCCEPTE~ BV THE STATE BOARD
1821 Univerel~y Ave., SL Paul, MN 55100 UNLES$ PROPEfl INSPECTION FEE IS
Phone~612)842-0800 • . . ENCLOSED.
(
C~ REQUEST FOR ELECTRICAL INSPECTION e~~y
V~ ~ Sea insimctions tot COmple~ing this form on back ot yellow copy.
~O~C~ "X" Below Work Covered by This Request ~
Ne Add ~ ep. ype of Building ~~Ap~pliances Wired Equipment Wired
Homa Range Temporary Service
Duplez Water Heater Electric Heatin
Apt. Building Dryer Load Management
~ Comm./lndustrial Furnace Other (S ecify)
Farm Air Conditioner
Other (specify) Contractors Pemarks'.
Compute Inspection Fee Below.~
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Am s Above- 0-Amps
Signs InspecmYS Use Only: f JU TO~L S
Irrigation Booms ~
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ISCONNECTED IF NOT
ther Fee COMPLETED WITH MON 5 ~
I, the Electrical Inspector, hereby Rough-in oa~e~
certify that the above inspection has ~ ~9
Final ~a
been made.
OFFlCE USE ONLY ~
This request void 18 months iran
~~896
p- D3o00 - D O- 75 ~°'~j
epuest Pate Fire N0. Rough-in InspaCfion
' ~ ~ Requiretl? ? Reatly Now ~Will Notify InspaCtor
?Yes Na W~enFeeGy?
I p licensed contractor owner hereby request inspection of above electrical work at:
Job Atltlress (Street, Box w Pou~e No.~ Ciry
y a ~ s~ti e~~z F
Sectbn No. TownsM1ip Neme or No. Range No. Couny
LO~/~
pccu (PRINT) P~ore o.
~'le ~ 7
Power pplier Atltlress
~ ,~1~~ ~vr-c ' o~
Eleqrical Contraclor (COmpany Neme) Contr ~or5 License No.
5 / ~
Maning Atlaress ~COnirec~or o Owner Ma nq Inslaila[ion~
OQ~"L ~ ru v+l~-~ .K,~
1 nz nature 1 redar/Own aking In lion) Phone umber
~ /
A1INNESOTA STATE BOAPD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT ~
GNgpa-Mldwey BIOg. - Hoom S-t]3 BE ACCEPTEU BV TME STATE BOARD
IBZ1 UnWerBlry Ave., Sf. Paul, MN 55106 UNLESS PFOPER INSPECTION FEE IS
PMne (611) B6bUB00 ENCLOSED.
a 2 REQUEST FOR ELECTRICAL INSPECTION ~°'"°~'a~ ee-aooo~-oe
T/d~ ~ See inslructions lor completing this brm on back ol yelbw copy ~~~/~S `2/
6 9 6 2 "X" Befow Work Covered by This Request
ew~Atltl Re~. TypeofBUiltling AppliancesWired EquipmeMWirad
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Gomm./Industrial 'Furnace
Farm Air Conditioner
Opi G - ~ ConVac~or~R~eN ~ ( ~ /LT ~
Q /T
Compute lnspection Fee eelow: ~c ~ ~i~~ ~ 5~.v lfi4l~
# Other . Fee # Service ntrance5ize Fee # Ciraits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to-100 Amps
Trens~ormers Above 200 _ Amps Above 100 _ Amps
Signs Inspec~or§ use OnN~ ) TOTAL ~O
Irrigalion Booms ~
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspeaor, hereby Rough~in na~e
certifythattheaboveinspectionhas Final oam
been rnade. r f0
OFFlCE USE ONLY - ~
This requo5i witl 18 mont~s trom
010 8
0/.p- ~~J~p - o/o - 7s a~~
Reques~ Da[e ' Fire No. Rough-in Inspection NOTICE: Vou Must Call ElecVical Inspector
Requiretl?~ H A Rouqh-In Inspec~ion
? Yes Is Required.
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (St p Box or Route Na.) Ciry~
~ ~ a ~3 ~r{ r-
Sectio No. To nship Name or No. Renga No. Co
Occupant~PRINT) Phona Na.
~ ~ cu ~~or ..Q. ~ = 3
Power Supplier , Address
ElecVical Conlractor (COmpeny Name) Contraclor'S icense No.
~ ~
Maiiing Adtl~s (CoMradoreO ner Makin ~
~~lat~on~ /
L
U
Auth zea ' Wre [rac~o erMakin Installa~ion) Phone Number
~ i ~ V ~ CJ
MINNESOTA STATE BOAR F ELECTHICITY THI INSPECTION RE U T WILL NOT
Gr1gg5-Mltlway Bldg. - Room 3493 BE ACCEPTED BV THE STATE BOARD
1821 Unlverel~y Ava., S~. Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
7/~~ p~ 'REQUEST~R ELECTRICAL INSPECTION ee-ooom-oe
/ ~ ~ See insVUClio r mmpleling Ihis form on back of yellow copy. /Q ~J oU
~y ~ o~ O
M Q 8 Q 'X" Below Work Covered by This Request ~
ewAou~p. Typeofeuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Induslnal Furnace Other (Specify)
Farm Air Condi[ioner
Olher (specily) Contracbr5 Remadcs:
Compute Inspection Fee Below:
# Olher Fee # ServiceEnVanceSize Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps ~ 0 to 100 Amps
T~ansfofiner5 AbOVe200_Amps Above100_Amps
Signs inaPedork use OnN: TOTAL ~b
IRIJ3t10f1800R15 ~
Speciallnspection '
Alarm/Communication ] THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecror, hereby Rough-in / ~ oa~e
certify that the above inspection has Final
been made. ,~1.-`2'
OFFICE USE ONLV ?
This request wltl 1B monihs from
sa~r9~ i~6~5 ' ~ ~~°~ii
~ ~ 41
Repuest Dete ire No. Ry;7~-in InspBClim
~ Raquired? ? Ready Now~ill Notltylnspeclor
? Yes o Whan ReaOY?
I ~ licensed contractor owner hereby request inspection of above electrical work at: ~
Jop AtlEress ~Sheet. Bw ar RouIB No.) ~hY ~
~
Seclion No. Townshi0 NamB or o. Range No. Counly
Occup t~PRINT) P~ane No.
/~P ~ c o - 7 l
Power upplier Atltlress
7'.~ F.a~2 7~0
Elecincal Coniractor (COmpany Name) CoMrflcto~B License No.
Mailirig Atltlress (COnt tlor or Owner Making Ins~llafon)
C C
Authoriz Signalure ~Convacmr wner Making allalion Phone Number
r L(~ , 6 _
MINNESOTA STATE BOFR OF ELECTFICITY ' THIS INSPECTION REQUEST WILL NOT
Grlgga-Midway BIAg. - Room S1'!3 BE ACCEPTE~ BV THE STATE BOARO
18Z1 UnIVMeHy pve., SL Paul, MN 55100 UNLESS PROPER INSPELTION FEE IS
pryp~p (g~y) SaZ.p9pp ENCLOSED.
q~~8 ~ REOUEST FOR ELECTRICAL INSPECTION ~°""`~a e-0oooi-oe
Q ~ See inshuclions ~o~ mmpletiig ihis lortn on back ol yellow cnpy. ~ d' f
~ 6 8 9 41 "X" Below Work Covered by This Request
ew dtl Rep. 7ypeolBuilding Ap~~iancesWlred EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Oryer Other (Speciy)
Comm./Industrial Furnace
Farm Air Conditioner
~ x Olher ecny) Contrec~or5 Femarks: ~ C~G ~~I ~ ~w~'~
Campute Inspectian Fee Below: s" ~ P~i
~ s ~/t~
# Other Fee # ServiceEntranceSize Fee # Circuits/Feede~s Fee
Swimming Pool 0 to 200 Amps 0 to 70o Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
Signs ~nspeciw§ use onN: TO7AL yrQ
Irrigation Booms [ ~ ~
Special Inspeciion a,
AIarMCommunication TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 MONTNS.
1, the Electrical Inspector, hereby Rough-in oere
ceAiry that the above inspection has F;nai
been made. , ~
OFFlCE USE ~Np
TNS reQuest vdtl 18 months from
p
~~3a~~
a 68 3~~j' ~ ~o
Repuesi Dare Fire No. RougRin Inspeclion
Required7 / ? HeaGY Nwv ill Notiry Inspeciw
~j ~ ~ ? Vas ~'FJO When ReadyT
I 0 licensed contractor ~wner hereby request inspection of above electrical work at .
Job AtlOrgss (Street Bar or Raute No.) Ci~y
d~ ..ci ~ ` 1z ~ .~t~
Section No. Township Name or No. Rdnge No. Couny
, 69 Kc~
Occ ~(PRINT) Phone No.
1.e, 2~ c ~ , 9 - ~3
wer upplier Mdress -r~
o ~ /~?c~/~ J d
ElMncal ConVaclor (Company Name) A Con[rect r5 License No.
/ l
Mailing fWtlress ( onh or or Owner Making In Iia~ion) ,
; ~ ~l p
A t~ori ig~ure~mlOwner Ing Inslall i . Pho9gqfJymbe~
W J~
MINNESOiA STATE BOARD OF LECTNIGRY THIS INSPECTION REOUEST WILL NOT
G~Iggi-MlGway Bldg. - Hoom S1]3 8E ACCEPTED 8V THE STATE BOARO
1BIl Universlly Fve., 5~. Paul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS ~
Phone(612~662-0800 ENCLOSE~.
4/ REQUEST FOR ELECTRICAL INSPECTION Ee-ODOD106
~o.,, ~ C' /r3ao 5L
See mstructions br comple~ng [his torm on back o1 yellow wpµ
~ 6 8 9 31 X" Below Work Covered by This Request
ew dd Rep. TypeolBuiltling AppliancesWired EquipmeotWiretl
Home Range Temporary Service
Duplex Water Hea~er Eleciric Heating
Apt. Building Dryer O~her (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Ol~e spe ' Contractor5 Remarks: ~
C ~
Compute lnspection Fee Be/ow.'
# Other Fee # Service EMrance Size ,,,,E. G„ # CircuiisiFeeders Fee
Swimming Pool 0 to 200 Amps 0 ta 10o Amps
7ransformers Above 200 - Amps o Amps
Sig05 InspeciwY Use Only: ~ T TAL f'~.
Irrigation Booms !~p' y
Special 7nspection
Alarm/Communicalion THIS INSTALLATION MAV BE ORDER SCONNECTED IF NOT
Oiher Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby Ro~n-m oe~e
certify that the above inspection has pinal ,r Date ~
been made. .
oFFice use aN~v .
This request voi0 18 monMS~M1Om
2 1~1 3 6 9 OFFlC/Q USE NLY This request void 18 monihs fram validaRon date pnnlad in this b/oxJ. /-y
~ ~ ~i//7~10 .2~lOV
n~/ ~
PLEASE PRINT OR TYPE -~~O S O
Reqoest Dare Ro~gh-in insv~ion requimdt ? Yez ~ No Inspeclion OlherThan Raugh.ln~. 0 Ready Now [~Will Call
O S/ 15 / 9 ne„ m~~+ ~an ~n< m,~+o~.ne~ ~ay~ Date Rmdy:
I, ~ licensed contratlor 0 owner hereby request inspection oi the above elecfri<al work af:
kb Address (Sheet, Bo~, or Route No.) ~iry Zip Code
4424 SANSTONE EAGAN 55121
Seclion No. Tawnship Name or No. Range No. Fira Na. Couny
p~po~~ Phone Na.
RAHN ELEMENTARY
Pavrcr Sopplier ~d~~•
Elacbiml Comracbr ICompany Nume~ Conwnur Linrve Na. Most<r Gc No. ~Plan! Eletl. Only~
Prairie Electric Co. Inc. CAO 1452
Molling Pddass (Commcbr or Owner Pedo~ming Inslollofion)
6595 nval lvd. Suit Eden Prairie, MN 55346
AWhon: 'gn re (CoMru er Perbrmirg Ins Phone No.
EB- lA 0 6/ 5 STATEBOMOCOPY•S NSTRUCTIONSONBRCKOFYELLOWCOPY
~I~I I ill RE~UEST FOR ELECTRICAL INSPECTION~~~ ~
I I Minnesota State Board of Elechicity
1821 University Ave., Rm. 5-128, St. Paul, M 55104
s 0 2 7 1 3 6 9 * a.hone (st2) ea2-oeoo 26933 ~/7
Home Apt. Bldg. Oiher: New Addn
X Commercial Indusfrial Fartn X Remod Re air
Air Cond. FNg. Equip. Water Hh. Load Mgmt Other.
D er Ran e Elec. Heat Tem . Senice
"JC' obove the work covered by this reques~. Enfer remarks in fhis space and on the bock oi the white copy anly.
WIRE BUIL?ING AUTOMATION SYSTEM PER POINT LIST
Calculafe InspecFion Fee - This Inspecfion Request will no16e accepfed without Ihe mrrec~ fee:
Olher Fee # $ervice EMronce Sae Fee # Cirails/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 1 0 to 100 Amps 5. 00
$freet Ltg./Traffic $ig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'SUSEONLY TOTAL 30.50
$ign/Outline Ltg. X{mr. q~
Ala~m/Remote Conhal
Swimming Pool i hereb cam ~hw i Ma si~~a ~ ea h..e~~ o~ ih~ eare::ai~d
Irrigafion Boom pough-In Daro
Z peciallnspedion 3~.0
me~ ~urc
InvesfigWive Fee r ~
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF N T COMPLETED WITHIN 78 MONTHS.
y ~ ~ y ~S'c~,,,,~~~-,~ ~
MASTER CARD
i°~,.,~/
~ ~ LOCATION ~~y~~~ s~ ~
OWNER Q,(j~~~~
7
STRUCTURE AND •
LAND USED AS
Issued Ta
Permit No. Issued . Coniractor Owner
BUILDING ',,~'1 ~f ~Q
JeNL-L_~-
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I
~ Approved
Items (Initial) Date Remarks Distance From Well
f-OOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANI7ARY SEWER
~ _ Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPOftTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOL4TION5
. PERMIT NO. DATE OF INSPECTION
CONDITIONS Of CONST?UCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE ~ ? NON-COMPL~ANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
. ~ ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ~ COMPLETION Of CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPIIANCE. BUILDER WILL COMPLY
WITHOU7 DELAY.
ITEMI2ED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECT~ON ~
REINSPECTION REVEALED
CERTIFICATION - I certify that I hava carefully inspected the above in which I have no interes[ present or prospective, and that I have reported herein
atl significant conditions observed to be ac variance with ordinances of tha Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
Bl11LOING INSPECTOR OATE
COMMENTS:
~
, PERMIT C~ ~ ~
CITY OF EAGAN
3830PilotKnobRoad PERMITTYPE: Buz~ozN
Eagan, Minnesota 55123 Permit Number: 024250
(612) 681-4675 Date Issued: ~ 2 g~ g q
SITE ADDRESS:
4424 SANDSTONE DR'
LOT: 1 BLOCK: 75
rrnnn [~iGL~j~
I J
P.I.N.: 10-63@00-010-75
DESCRIPTION:
(ROOFING)
B'~iildingx.Permit Type MISCELLANEOUS
~uilding Wo.rk Type REPAIR
~
? ~
. J
,~~b,~ ~ i
\ q Tt
VA ~ L~~"
4
\i 1~ e~
f _ ~ r-'1^
y-~, ~ ~ ~ 1~..~~~ ~ c`frz% ~I L+i:J
i~n~~ ti_
A
REMARKS:
RAHN ELEMENTARY SCHQOL
FEE SUMMARY:
VALUATION $340,000
Base Fee $1,479.50 ~
Surcharge $170.00
Total F'ee $1,649.50
CONTRACTOR: - Applicant - OWNER:
MCPHILLSP9 BR03 ROOFING CO 27792062 IND SCHOOL DISTRIC7 191
2590 CENTENNIAL RD 100 RIVER RIDGE CT
N 5T PAUL MN 55199 BURNSVZLLE MN 55337
(612) ~~e-zesz
I herebp ackrtawledge that S have read this application and state that the
information is correct and agree tn comply with all applicable State of Mn.
L Statntes and City of Eagan prdinarrces. ~
~ ~ ~ ~ .~1°~.i rn.d
APP ICANT/PERMITEE SIGNATURE ISSUED B SIG ATURE
INSPECTION REC~RD
ClTY OF EAGAN PERMIT TYPE: s u x ~ o x N c
3830 Pilot Knob Road Permit Number: 024250
Eagan, M i nnesota 55123 Date Issued: 0 7/ 2 8/ 9 4
(612)681-4675
SITE ADDRESS: ~ or : i B L 0 C K: 7 5 APPLICANT:
4424 SANDSTDNE pR MCPHZLLIPS BROS ROOFTNG CO
CEDAR GROVE 47H (612) 770-2062 ,
PERMIT SUBTYPE: TYPE OF WORK:
MISCELLANEOUS REPAIR
DESCRIPTION (ROOFINC~)
. .
FRAMING ROOFTNG
FINA1.
REMARK3: RAWN ELEMENTARY 3CHODL
~ ~
L J
~ ` CITY OF EAGAN
~ 1994 BUILDING PERMIT APPLICATION ~~~~G, f~ D
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date a 9" / / Valuation of work~J?~b. 0~-Q ~
Site Address:_~~/dy Sq-nusF~vL ~V~iV-~
STREET SUITE #
Tenant Name: (commercial only) I\AR6~1 ~~wne,~,~`~a,v./ $'cha-e-~
LOT BLOCK ~ SUBD~~~ P.I.D. #
Descri tion of work: ~'-Y'C~~
The applicant is: ? Owner Contractor ? Other (Describe)
Name ~sD~ 141 ~.-NSU;I(~ Se).oo~.S Phone
Property LAST FIRST
Owner Address Ic~ R~ R,~ ~s~
STREET STE p
City $w,rNSUl1~c 5tate 1^~f~ Zip SS337
Company 'Nk~ 5 Bros Rea~°1u ~ Phone 7"70 :IOGZ
Contractor Address ~??,SyO ~..~,x,~va.~ Dr License # N~- Exp.
City ~~~Q State /n~ Zip SS/(3 y
Company k1n~ ~vc~;~-e.~s Phone ~a~- ~~73
Architect/
Engineer Name Registration #
Address ~ WesT r'~}a.
City S~- P.~ State ?~'~t~l Zip S~Jr~~Z
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ~
Signature of Applicant: f~
OFFICE USE ONLY ~ ' ~
,w .
BUILDING PERMIT T1(PE -
? O1 Foundation ? O6 ~uplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ~ 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Deinolish
? 32 Addition ? 34 Repair ? 36 Move
GENfRAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1, sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint 5q. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee vai„~t;«,: g
Surcharge
Plan Review
License
MWCC SAC
City SAC .
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
?
CITY USE ONLY
L ~ BL Jr RECEIPT '
SUBD. ~Q~ DATE: Iv~~ ~.l
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? all commercialfindustrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unft.
DAi"E: 7-19-95 CONTRAC"f PRICE: szo, oon _ on
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: Gas / oil burner replacement
FEES: ~ 525.00 minimum fee gt 1% of contract price, whichever is greater.
. Processed piping - $25.00
~ State surcharge of 5.50 per $1,000 of p~.i~ fee due on all permits.
CONTP,ACT NkICE x 1°~ Szoo. o0
PROCESSED PIPING
STATE SURCHARGE __,Sn
TOTAL Szoo.so
SfTE AUDRE5S: 4424 Sandstone l~rive, Eaaan, r?N 55122
OWNER NAME: IsD i91 TELEPHONE 895-~200
TENANT NAME: (IMPROVEMENTS ONIY) Pahn Elementary School
INSTALLER: PBBS Equipment Corporation
ADDRESS: 3329 Mike Collins Drive
CITY: Eagan STATE: r1N Z~p; 55121
PHONE 6s6-7227
n
SIGNATURE: ~1
~SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
~ B~ RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL}
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? single family dweilings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
INSTALLER NAME~
STREET ADDRESS:-
C~T1': STATE: ZIP:
PHONE ( )
?
CITY USE ONLY
L BL ~ RECEIPT ~
SUBD. DATE: ~ ~S
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit.
DATE: ~'~"9-5 CONTRACT PRICE: Z~ Sa~~ Ocl
WORK TYPE: _ NEW CONSTRUCTION ~ INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: I~OT M1ATt= K~l P~ N~.
FEES: ~ 525.00 minimum fee pC 1% of contract price, whichever is greater.
. Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of pg~ fee due on all permits.
CONTRACT PRICE x 1% ZN~•OC~1
PROCESSED PIPING
STATE SURCHARGE
TOTAL 2~1 5 ~SO
SITE ADDRESS: y~Z 4 S~ N~TO Nt t~ ~
OWNER NAME: ~~'d I TELEPHONE
TENANT NAME: (iMPROVeMeNrs oN~r) ~ L 1-~-~ ~
INSTALLER: ~~~NLR~ A/I~ f1i~P
ADDRESS: 7-r'~ S O i,J /~S.S p ~L J D
CITY: ~ ~ STATE: ~ N ZIP• ~3
PHONE ~ a b $
1 ~ C~~.
SIGNATURE:
SI ATURE OF PERMITTEE CITY INSPECTOR
cirY use oN~r
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
INSTALLER NAME:
STREET ADDRESS:
~~TY: STATE: ZIP:
PHONE ( ) I
?
CITY USE ONLY
L ~ Bl ~ RECEIPT ~ 9~
SUBD. ~
P~.(,LO~iv .3C~ DATE: ~
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
` ? multi-family buiidings when separate permits are fl2t required
for each dwelling unit.
~;iE: 'S~~o~~ ` 7S CCNTRr^,CT °P.I~E: ~G/v~ ~
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: ~ 7'~~
FEES: ~$25.00 minimum fee Qr 1% of contract price, whichever is greater.
~ P~i6i.vabbu ~ifN~i~y' y~~.vv
~ State surcharge of $,50 per $1,000 ofaD`efm~fee<due on all permits.
CONTRACT PRICE x 1% /Yv
PROCESSED PIPING
STATE SURCHARGE . ~~7C~~
~i'
TOTAL
/~D ~
SITE ADDRESS: ~~`G~
OWNER NAME: }~c>,P~v1lllC~~~~ TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY) ~~K ~ ~~~G
INSTALLER:
ADDRESS: 'y~~~~
ciN: ,}~,~L STATE: /LI/v ZIP: 3/vY
PHONE ~4~7•-~~J~~`J
/ ,
SIGNATURE: ~ ~ ' / l'
51GNATURE OF PERMITTEE CITY INSPECTOR
I
CITY USE ONLY
~ L BL RECEIPT
SUBD. DATE:
7995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
nu~-Oi1 aif co~7di~i~r~iny r',ddwri air axi:iiariyer, i.e. ilanee system, EtC.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: ZIP:
PHONE ( )
~ OFFICE USE ONLY
L BL ~ RECEIPT T
SUBD. ~e~~ ~v ~ DATE' ~/ys
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . all commercial/industrial buildings.
~ multi-family buildings when separate permits are p4t required for each dwelling
unit
DATE: ST,I S^ CONTRACT PRICE: D~~ `
WORK TYPE: _ NEW CONSTRUCTION . ADD ON REPAIR
DESCRIPTION OF WORK: ~'e ~~N ~ T7'671
IS WATER METER REQUIRE~? _ YES ~NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE, FLUSHOMETERS TO BE INSTALLED?~YES _ NO.
FAILURE TO PROVIDE'THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEMI _ YES ~NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: 525.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of oermit fee due on all permits.
CONTRACT PRACE x 1% a~~ ~
STATE SURCHARGE ~ S~
%
TOTAL o7~P~
SITE ADDRESS: ~ yya- y ~a 5~~ ~/r~V e -
TENANT NAME: A ~Y h h F~~ e.~r~ JC~en ~ STE. #
OWNER NAME: ^ S~ do I~ i s'I""rl ct'
INSTAILER: ~ ~ •J ~ ~ P"~h 9
ADDRESS: , V .4.1g
CITY: `1~ /`~Gt cf I. ////7 . STATE: /~/67 Z~ 6SIG 3
PHONE 7 ~I?~ ~ SIGNATURE: - ~ ~
APPLICANT •
OFFICE'USE ONLY
METER SIZE: " DATE: S//7~~j',S INSPECTOR:
,S
/7
cinr use oN~r
L BL RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681~675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES - EACH NO. TOTAL
Shower ~ 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existin9 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ~
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS•
CITY: STATE: ZIP:
PHONE ( )
CLA1M VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CiiECK PAYABLE TO : rxn .vF.NnFxT RCHOOL DTSTRTCT 191
ADDRESS: ion unvFU urnr.F !1hiiRT
Bi1RNSVTT.T.F. MN 55337-1613
ATTN: DAVF. ~AR~ITNAT.
LOCATION 4G~4 SANTIST(1NF. DRTVE
lo-0'~n~0-010-75
RECEIPT#/DATE 69a~8-08/OS/96 -
REASON FOR REFUND (1{7FBDAVMFNT nF nT.iiMRTNf: PFRMTT FRRS
TYPE OF REFUND ELECTRICAL PERMITIt 3211-9001 $
PLUMBING PERMIT 3212-9001 $ 74. 50
MECHANICALPERMIT 3273-9001 $
SURCHARGE 2155-9001 $
WATER CONNECTION PERMIT 3713-9220 $
SEWER CONNECTION PEAMIT 3743-9220 $
ACCOUNT DEPOSIT 2252-9220 $
UTILITYACCT OVER-PAYMENT 2250-9220 $
CURB BOX DEPOSIT REFUND 2253-9220 $
CONSTRUCTION METER DEP REFUND 2254-9220 $
WATERUSAGECHARGE 3711-9220 $
OTHEA: $
$
5
TOTAL $ 74.50
1 declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
AUGUST 6. 1496
Sig tur c~ Date
~ ~ l -
~ PERMIT t:(~ o3qagg
CITY OF EAGAN
3830PilotKnobRoad PERMITTYPE: Bur~orN~
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 2 5 0
(612) 681-4675 Date Issued: 0 4/ 10 / 9 5
SITE ADDRESS:
4424 SANOSTONE DR
LOT: 1 BLOCK: 75
SECTION 30
P.I.N.: 10-03000-010-75
DESCRIPTION:
' ~ (RAHN ELEMENTARY)
Buildzrrg` P,ermit Type PUBLIC FACILITY
8uilding Wdrk Type A~OITION
, UBC Occupancy'.w E
Construction Type II-N
2oning P
Suilding length 83
Bui.lding LJi,dth ; 40
~ Building siorias 1
Sq.uare Feet ' 3,635
~z~-.~':~~~~~~.,:-..r,:_ _
- i: ~
t. . . .
_ _ _ _ _ :d~ _d
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
VALUATION $1,1~1,000
Base Fee $3,741.50 CITY SAC $400.00
Plan Review $2,431.98 WA7ER CONNECTION $3,000.00
Surcharga $540.40 TREATMENT PLANT $1~,488.00
SAC $3,4~0.00 Total Fee $15,001.88
SAC ~ 100
SAC Units 4
Subtotal $10,113.88
CONTRACTOR: - Applicant - OWNER:
ROCHON CORP 25599393 IND SCHOOL DISTRICT #191
12866 HWY 55 1@0 RIVER RIDGE C7
PLYMOUTH MN 55441 BURNSVILLE MN 55337
(612} 559-9393
I hereby acknowledge that I have read this appl3cation and state that the
ihformatian is correbC and agree to comply with all appYioable Statp of `Mn.
~ Statutes and CiGy of Eagen Ordinanqes.
` ~C ~i ~~u~n ;~,~~r,~~ m ~
APPLICANT/PERMITEE SIGNATURE PSU D B: SI TUR
' INSPECTION RECORD
, CITYOFEAGAN PERMITTYPE: e~z~ozNe
3830 Pilot Knob Road Permit Number: 025250
Eagan, Minnesota 55122-1897 Date Issued: g 4/ 18 / 9 5
(612)681-4675
SITE ADDRESS: APPLICANT:
LO7: 1 BLOCK: 75
4424 SANOSTONE OR ROCHON CORP
SECTSON 30 (612) 559-9393
PERMIT SUBTYPE: TYPE OF WORK:
PUBLIC FACILI7Y ADDI7ION
DESCRIPTTON (RAHN ELEMENTARY)
. „ .
FOOTIN6S FOUNDATION
FRAMING ROOFING
INSULATION ROUGH IN PLBG
ROUGH IN HTG FINAL PLBG
FINNL HTG FINFlL
REMARKS: A SEPARATE PERMI7 IS REQUIRED FOR ANY PLUMBING tlR ELECTRICAL WORK
~ . ~
~ _ _ J
~ CITY OF EAGAN ~i ~G~ i~~
~ 1995 BUILDING PERMIT APPLICATION COMMERCIAL
~ 681,4675 ~ ~ ~-~t~'~ ~
The following are required with appropriate cerfification for ell pg11c eonstruGion:
. 2 each: archltecturel plans; mech. 8 elec. plans; fi2 sprinkler plans; structurel plens; stte plans; landswpirg plans; gradingldrainege/etosion control
plen; utilily plan
. 1 each: set of specifiwtions; set of energy cakulations; eleckiwl power 8. lighting tortn; Spedal Inspectians 8 Testing Schedule
. Letter from MCNVS (phone #222-8423) indiwting SAC detertnination
. Code anaysis indicating: Codes used; occupancy GassificaGons; setbadcs; maximum allowable area as per Building and Ciry Codes along Nrith aq.
ft. per floor; type of construdion (synopsis of consWCtion companents) & any occupancy or area separetion walls;
ocwpanq bads; exft synopsis wdh a diagram indicadng exking loads irom each room or area, travel paths & all rated
corrid6rs; plumbing fatures; and parking.
DATE: 3 WORK TYPE: ~!ew `lREMO~EL
DESCRIPTION OF WORK: ,~'v~/f~""~ ~ ~~"yo° ~L
CONSTRUCTION COST: ~O: zSv.a, TENANT NAME: ~ 5D
SITE ADDRESS: G,i.~ s_.~rr.a-i~-Y ~!~l~,aL. 44'Z4 54~+.7 xTar~~ a31v~
-
LOT BLOCK SUBD. _/f
Qr~inn P.I.D. #
~
PROPERTY Name: ~ S D Phone
OWNER
Street Address~ R-I v~'~- R~n4'~ G~~"~
City: `~'n-~.slfu-~E State: w?~ Zip: S~~'a 7
CONTRACTOR Company: R° ~''~''¢-+~w^' Phone Ss~-53 53
Street Address~ ~ 2'~ ~ ~ ~ ~
City: ~~-Y~'v1,0~'r~• ~N Zip: ~'S'~~-I
~oc,~ Phone 2Z'7`7773
ARCHITECTI Company:
ENGINEER /~R-I~-
Name: - ~ 1~~~- ~I -Tt-..
-E~Lc
/~-rn1~N~(L Registration
Street Address~ ~ W~ S~ ~ ~'FT~ ~i'
City: S't A ~ State: w. ~1 Zip: SS
Sewer & water licensed plumber:
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appliqnt v" ~
OFFICE USE ONLY ~^'~,r.~ ~
a....~-'.^ ' ,,,J,:'~.
BUILDING PERMIT TYPE
? 01 Foundation ? 19 Comm./Ind. Misc. ? 21 Miscellaneous
? 18 Comm./Ind. y~' 20 Public Facility
WORK TYPE
0 31 New o 33 Akerations ? 35 Tenant Finish
32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. MC/WS System v
(Allowable) ~ First Floor sq. ft. 3 Lo3S City Water ~
ti6i, Occupancy sq. ft. Fire Sprinkiered ~
Zoning P sq. ft. Census Code
# of Stories I sq. ft. SAC Code ~
Length ~3 _ sq. ft. Census Bidg. _L
Depth _~L Footprint sq. ft. Census Unit o
APPROVALS
Planning Building Engineering Variance
Permit Fee ~ Valuation: $ D 6d - 3 S 3~ So
Surcharge S 4. y ~ >
P{an Review Z`/ 3.4 0`' ~Sf
MC/WS SAC 3'/ Oo ~5~~-t/ ~ /oo Ja~sa
City SAC S'O~ /QO,1- y j ~z o 0 ~'i. c a~t,
, Water Conn. 3GMU - 7S~~C'-/ - v_~e ,~cSiC~~O -z~°`L ~,t,~
S/W Permit - ~a, fi~ SJ„~ e Or% ~i,a-P ' J
S/W Surcharge - ~~Q;k~ c„as ~~r~=~•e~ 37~//, S
Treatment PI. ~ 37-Zxy ~
iZ~sd Un~t
Park Ded. - Soo t p6oY~ 1~~/VP UCJ~~
trails Ded. - = io y
Water Qual. .
aPeeS ? Ctiec~ ~~oM ~p~~ I
~
Total: ~SBo/,~~ ~ 2~Z2,~/} .IZ~S'~f,37' fp~o~ ta~P <o~%c~e~
°k SAC /I~a
SAC Units ~
Meter Size
~ Metropolitan Council
Working for the Region, Planning far the Future
Wastewater Seruices
January 9, 1995
Mr. Joe Voels
Construction Analyst
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Voels:
The Metropolitan Council/Wastewater Services determined SAC for the
Rahn Elementary SchooT Addition'& kemode3 locate3 at 4424 Saadstane
Drive within the City of Eagan.
This project should be charged 4 SAC Units, as determined below.
SAC Units
Charges:
Classroom
1991 sq. ft. @ 30 sq. ft./child @ 18 children/SAC 3.69 or 4
If you have any questions, call Jodi Edwards at 229-2113.
Sincerely,
~ ~ a~
Roger W. Ja ig
Planner
RWJ:JLE
95010959
cc: S. Selby, MCWS
Carolyn Krech, Finance Department, Eagan
Michael Klass, Wold Architects
~
~ ~ ~
~ ~
230 East FYfth Street St Paul, Minnesota 55101-1634 (612) 222-8423 Faac 229-2183 TDD/11'Y 229-3760
MEMO ~
city of eagan.
~ >
` .
TO: JIM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR'
DALE WEGLEITNER, FIRE MARSHAL ~
BILL AKINS, ELECTRICAL INSPECTOR
PUBLIC WORKSIENGINEERiNGlUTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
RICH BRASCH, WATER RESOURCES COORDINATOR
PEGGY REICHERT, DIRECTOR OF COMMUNITY DEVELOPMENT
SHANNON TYREE, PROJECT PLANNER
MIKE RIDLEY, PROJECT PLANNER
FROM: DOUG REID, CHIEF BUILDING OFFICIAL -~j~
DATE: Z ~~`~/~S
RE: PLAN REVIEW
The preliminary construction plans for ~Ay~? ~~'~~NTi9~ y
are in our pian review section for your review and comment. ~~/~n~f~~ ~s~ru.°~ QSM~OF[~Nt~
Please return this form to Dale 5choeppner with your signed comments and the date of
review.
If you have any objections to approval of these plans, please notify this department and
resolve any problems with the affected parties. If you are requesting that the issuance
of the building permit be held, please fill out the proper hold request form.
COMMENTS:
A
~
ignature a
PLAN.REV
RELEASE OF HOLD
Project Name/Number/Location: ~ta~Yl w~e?n't'0.~'1/
Ad~~~~4h ~1- ~K+2r~ior Re?+1ode~~'~9
Legal description: L B Sec/Sub o+~ ~rbS~onF Dr,~¢.
Parcel
Reason for hold:
Release hold on: ~ Issuance of building permit
Certificate of Occupancy
Other (please explain) -
~ .~M,, o K
z-Z7-9~
Sig ture of Person Rele ing Hold /Date
; ~
% ~
Revi wed by Micha its h /Date !
RELHOLD.FIY ~
LTS#I
. MEMO
:a~:::=;,
city of eagan
. :
TO: JIM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
JON HOHENSTEIN, ASSISTANT TO THE CiTY ADMINISTRATOR
DALE WEGLEITNER, FIRE MARSHAL
BILL AKINS, ELECTRICAL INSPECTOR
PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS
GENE VANOVERBEICE, FINANCE DIRECTOR
RICH BRASCH, WATER RESOURCES COORDINATOR
PEGGY REICHERT, DIRECTOR OF COMMUNITY DEVELOPMENT
SHANNON TYREE, PROJECT PLANNER '
MIKE RIDLEY, PROJECT PLANNER
FROM: DOUG REID, CHIEF BUILDING OFFICIAL ~j~
DATE: Z ~~y/~~
RE: PLAN REVIEW
The preliminary ~ construction plans for ~~H~ ~~~~N y
are in our plan review section for your review and comment. ~q~n~f~~ 4s~r~'°~ ~f11oOa~Ny,
Please return this form to Dale Schoeppner with your signed comments and the date of
review.
If you have any objections to approval of these plans, please notify this department and
resoive any problems with the affected parties. If you are requesting that the issuance
of the building permit be held, please fill out the proper hold request form.
COMMENTS: ~~0
~r~Y1 9~S ,
igna re a
PLAN.REV ~ ~
. MEMO
. city of eagan
~~x~~ ;
TO: JIM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEITNER, FIRE MARSHAL
BILL AKINS, ELECTRICAL INSPECTOR
PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
RICH BRASCH, WATER RESOURCES COORDINATOR
` PEGGY REICHERT, DIRECTOR OF COMMUNITY DEVELOPMENT '
SHANNON TYREE, PROJECT PLANNER
MIKE RIDLEY, PROJECT PLANNER
FROM: DOUG REID, CHIEF BUILDING OFFICIAL
DATE: Z ~~y/~~
RE: PLAN REVIEW
The preliminary construction plans for ~A~~ ~~'~~N ~i9r~ y
are in our plan review section for your review and comment. ~9~n~r~~ 4 s~*~-"°~ ~SMO4fL~NC~
Please retum this form to Dale Schoeppner with your signed comments and the date of
review.
If you have any objections to approval of these plans, please notify this department and
resolve any problems with the affected parties. If you are requesting that the issuance
of the building permit be held, please fill out the proper hold request form.
COMMENTS: ` / C~'v'~`'"t'`~"`.~
7i~'S~1~
i na ure a e
PLAN.REV ~ .
~ MEMO
= city of eagan
1~~~~~`' ' , d'
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TO: JIM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
JON HOHENSTEIN, ASSISTANT Tt~ THE CITY ADMINISTRAT
DALE WEGLEITNER, FIRE MARSHA
BILL AKINS, ELECTRICAL INSPECTOR
PUBLIC WORKS/ENGINEERINGIUTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR '
RICH BRASCH, WATER RESOURCES COORDINATOR
PEGGY REICHERT, DIRECTOR OF COMMUNITY DEVELOPMENT
SHANNON TYREE, PROJECT PLANNER
MIKE RIDLEY, PROJECT PLANNER
FROM: DOUG REID, CHIEF BUILDING OFFICIAL -~j~
DATE: Z ~/5~/-r'1S
RE: PLAN REVIEW
The preliminary ~ construction plans for ~A~~? ~~~~N ~i~ Y
are in our plamreview section for your review and comment. ~R~d~T,~ ~s^~fu"°.~ QSMJOCLI.y[~
Please retum this form to Dale Schoeppner with your signed comments and the date of
review.
If you have any objections to approval of these plans, please notify this department and
resolve any problems with the affected parties. If you are requesting that the issuance
of the building permit be held, please fill out the proper hold request form.
COMMENTS: ~e~ ~ ~ SDC y ~
eo~%~f a.. f.tlA-G ~~v~S.t .basG~ ~1'1~ Mi.~cc ~~~G//~ti/1a~nst
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PLAN.REV ~ .
MEMO
~ city of eagan
, _
TO: JIM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEITNER, FIRE MARSHAL
BILL AKINS, ELECTRICAL INSPECTOR
,~t~BUC WORKS/ENGINEERINGNTILITIES/STREETS `
GENE VANOVERBEKE, FINANCE DIRECTOR
RICH BRASCH, WATER RESOURCES COORDINATOR
PEGGY REICHERT, DIRECTOR OF COMMUNITY DEVELOPMENT
SHANNON TYREE, PROJECT PLANNER
MIKE RIDLEY, PROJECT PLANNER
FROM: DOUG REID, CHIEF BUILDING OFFICIAL -~j~
DATE: Z ~~y/~~
RE: PLAN REVIEW
The preliminary ~ construction plans for ~A~~ ~~~f N~'9r~ Y
are in our plan review section for your review and comment. ~//~~~f~~ ~sK~u.d~ Qs.+~~~,w~~
Please retum this form to Dale Schceppner with your signed comments and the date of
review.
If you have any objections to approval of these plans, please notify this department and
resoNe any problems with the affected parties. If you are requesting that the issuance
of the building permit be held, please fill out the proper hold request form.
COMMENTS: ~;~'~-l.0 2~°'~~'~I`'~ °..~.~-f~--~'G~ ~"~A
~.,Ju-~, .~~.-~--~~J
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PUW.REV
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WOLD ARCHITE.CTS
ANU ENGINEERS
W O`D G V:'ESr FiFrN $TREET
Sr. Pnu~, MN 55102
G12.227.7?73
rnx G12.223.564G
TO: Attendants
FROM: Dan Waarvik ~~~I ~
DA7'E: March 8, 1995
COMM. NO: 4103
SUB)ECT: Pre-Coawuction Meeting Notes - February 2$, 1995
Attendants
Jeff Wellman, Rochon (559-9393)
Randy Nikuneq Western States Fire Pro[ection (572-8560)
Dale Schceppner, City of Eagan (681-4633)
Bob Vitali, Rahn Ctits[odian (895-7305)
Dave Cardinal, ISD #191(895-7235)
Lynn Bishop, NAC (490-9868)
Jce Casey, Gephazt Electric (484-4900)
Dennis Hale, ISD #191 (895-723~
Mazilyn Kjorlieq Rahn Pcincipal (8957?3~
Dan Waarvik, Wold (227-7773)
Tim Auger, Wold (227-7773)
Wazren Hintzman, Wold (227-7773)
Jenifer Jirele, Wold (227-7773)
Eric Linner, Wold (227-7773)
1. Introductions were made.
2. Rocbon (General ConlraMOr) provided list of subconvactors, projec[ed conswdion
schedule (including cri[ical path chart), signed construdion contraM and bond forms.
These were distributed to appropriate pazties.
3. Work seq~ence di~cus;:,d. Rc.hon :ndi;,ated baz jois[ shop drav.zngs were being
produced. Baz joist delivery sc6edule will determine consvudion start. Owner
announced last day for students is 6/8 wi[h building available for contractor on
6/12/95. Asbes[os work [o be azranged by Owner - sc6eduled for eazly June.
3. Designated responsible persons listed:
Owner. Dennis Hale
School Principal: Mazilyn Kjorlien
Building Chief: Bob Vitali
General Conuactor: Jeff Wellman, Rochon
Projec[ Manager: John Spielman, Rochon
Superin[endent: To be annouaced
~ ~ ~ ~ . Memorandum to Attendants
Page Two
Mechanical Contrac[or. Lynn Bishop, NAC
Fve Protecfion: Randy Nikunen
Electrical Contractor. 7oe Cazey, Gephazt Elecuic
Architec[:
Projec[ Manager: Eric Linner, Wold
ProjeM Architect: Jenifer Juele, Wold
On Site: Dan,Waarvilc, Wold
Mechanical Engineer: Warren Hintmian, Wold
Electrical Engineer: Tim Auger, Wold
Swctural Engineer: Hazold Bakke, BKBM
4. Procedures and processing of field discussions regarding minor changes/clazification
on site via si~ed drawings. ASI's will be issued by Wold as requved. Contractor is to
proceed with work and promptly submit costs if any. Proposal Reques[s will be used
when firm prices aze required for Owner decision prior to commenci¢g of work.
5. Submi[tals will be processed [hru [he general wntrador. General contrac[or will
thorougiily review prior to submission on drawings, provided one reprodua'ble and one
blue line cut sheets for mechanical and electrical, provide 10 copies. Mechanical and
electrical submissions to be sent direcdy to mechanical and electrical engineer.
Structural to be sent to BKBM with copy of transmittal to Wold. App6cations for
payment to general con[ractor by 251h, [o Architect by fust of month. Owner writes
checks on 3rd Friday of month.
6. Contrador indicated he has adequate supply of documents.
7. Wold reminded contractors, pazticularly mechanical and electrical, to set up clean set
for as-buil[ drawiug. They become very important [o owaers at end of projec[.
8. Use of premises storage azeas discussed. More precise schedules and requirements
will be made after the beAnning of construaioa
9. Owners stressed very sVOngly [he absolu[e requirement [hat THERE WILL BE NO
CONTACI' BETWEEN CONSTRUGTION PERSONNEL AND STUDENTS AND
STAFF. Smoking is also proldbited per state law.
10. Contractor may use water and power from the site.
11. Security procedures discussed. Fencing si[e access, adjacent public fields noted as
concerns. Monitoring of security and safety will continue thru construaion project.
12. Contrac[ors reminded to maintain proper housekeeping of site.
13. Construction meeting schedule set for 11:00 a.m. on alteroate Thursdays. First
mee[ing date to be announced.
cc: A[tendan[s
cj\mar\4103
~S~nplex FIRE ALARM TEST/INSTALLATION
PAGE - OF
Simplex Time Recorder Co. ACKNOWLEDGEMENT
Gardner, MA 01441-0001 U.S.A. aooK» O~
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Contract No:
Pro~ject No: 95-BP-F
Submittal Date: /n - /Fi - 9ri
city of eagan
CITY OF EAGAN
SEWER ~ WATER PERMIT RELEASE FORM
PROJECT DESCRIPTION: ~,AMN ~L~/YJ SCHoo~-. ~~_Q~(~~~~-OIO"~'47 ~
t,vATC!'c SE~?~,C~
Substantial Completion of Sewer 6 Water ~"~5 ' 9~'
Date af Occurrence
' STEP I ti PERMISSION TO t100K lJP
SANITARY SEWER WATER MAIN
Lines Lamped and Acceptable ~ Properly Chlorinated & Flushed
Deflection Mandrel Test Passed ? Entire System Pressure Tested
Manhole Structures Properly Entire System Conductivity Tested
Constructed (cstg. 6 cover, rings, 7! All Valve Boxes Accessible,
cone, 1 ft. sections, final rim straight & keyed
setting, & build and invert) ~ All Valves Opened or Closed as Approp.
Infiltration Test N(~ Bacteria test completed
SERVICES V
_ All Wye l,ocations confirmed
_ All Curb Roxes Exposed, Set to Proper Grade & Marked w/Fence Post
_ Required Service Risers Televised
COMMENTS:
STEP II: FULL USE FERMIT (OCCUPANCY)
STORM SEWER STREETS
Lines Lamped & Acceptable _ ~Material Tests Checked 6 Passed
_ CB Str~ctures Properly Constructed (Conc. compressive strength 6 Air
(cstg & cover, rings, 1 ft. Content, Bitum. Extact 6 gradation,
sectioti, invert, final cstg. gravel base gradation).
setting 6 build, DL-DR correctly _ Utility Structures 6 Lines Clear
set rings & cstg. set in full 6 Free of Debris & Gravel (Gate
bed of mortar) Valves keyed)
_ Aprons, Dissipators 6 Rip Rap
properly installed
COMAIENTS:
RF.COPIMENDATION: I herein verify that the tests and inspections indicated above have been
successfully completed. Any deviations or exceptions are described in my comments. With this
considered I recommend that permission to hook up or permission for occupancy be granted as
appropriate to the above indications.
' Signed
ProJect I ctor
Confirmed by:
ublic Wor ,s epartm rt
WPS.1S&WPERM.FM
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~ MEMO°
- city of eagan ~ _ .
` TO:~ THOMAS A COLBERT~ DIRECTOR OF.PUBUC WORKS ~ -
FROM: WAYNE SCHWANZ; SUPERINTENDENT`OF~UTILII7ES. ~s` ,
' DATE: ~ MAY 2,1995
SUBJECT: LEAD COPPER TESTING Q RAHN SCHOOL ~y`~Z`~ ~~~<.~,;D~,
O =.03poo. a2!t~. ''•7;5.
~ .
On April 20, 1995, wa taok a first grab semple irom the drinking fiourrtain'at`~Rahn:.Schccl:
The sample was processed through MVTL Laboratories in New UIm~:Minnesota: -On~Ap~il ;
30, 1895, we received .the report on that sample. Sample showed Iead corrterrtbat-::005
m~igranns per I'der, and the copper corrterrt at 0.078 milBgrams per I'rtsr. This is well•w'ithin .
the guideltnes set by 1he Health Departrr~ent and is very comparable•tn.the results we~found
in the rest of the system irom the fi0 samples the City is required to test y.early. `
In 1895, the Minnesota ~epartmerrt aF Health inidated a:new Iead;corrtaminatiori~corthrol
ruling affecting publie.schools. Under the new EPA standards;• all~~scho:ols:~in:`tlie~
.Staite of
. Mi.nnesota which. have their rnm private wells to supply domesGc~water.mustte~tfor^lead
. .
and copper at e~e.ry tap wRhin the school at least onoe yearly: <Schoolsnwhc receive~tfieir •
. weter irom pubGc water suppr~es may use the ~ead cx~pper results;thst~.the~citysreceives•rrom • :
theti~ anrx~al testing. Based on these fa~, all schods in Eagen. fF;~eoretieally wouldi pass~ths:.
lead and oopper rule and would.be safe. The guidePnes also suggest-that: schools;;once°~
or twice.de8y, flush the taps whidi are used to supply drinlting'water to~the:sfuder'it§: ~;Ttiis
would be not only the drinking four~tains, but all the taps in the kitehen where:.cooking:is .
done. This ruling:seems to c~ver all the schools loc~ed within tFie Ciry :of Eegan: ~ ~
~ , r
1 am under tl1e opinion tFiat the water in the sctwol.drinking.four~teins.in the•.City~ of~.Eagan~~~
are well within the limits af lead and.copper as allowed by the:$t'ete•of Minnesota;Health; ~
Departmerrt. However, I would suggest thffi if we do receive requests from~~an:indivldual~~.,.. ~
school or concem firom a parent then the utility would test that water.;and mak..e•tFie~'resultsu±' `
kno~rm. Hawe~vee';.toyearyr testtliese schools seems to be an added~expense that~may'irot.
he necessary..
If you have any fi.irther suggestions or guidelines irnolving the.lea~ end.;cgpper:rule~as;it;:e
~ pertains to the schools here in Eagan, please send dicection as`to~l~o~V°yo.u ;vvould:lilie"me-: ~
to continue to follow up on this problem. The two solutions~seem?tc,qe~testing every~ .
. school at least once to assure that.there are no lead and:oopper.in•tlie~sysCems, oF~.to wait
unttl we receive specfic complei`rts regarding each Indtyidual sehool and~tFien deal witli~it• .
at that time. '
C~oW~ S
Superirrte dertt of lRilitles ` ~
~s/ll . •
. ~ .
.
SfA E OF MINNESOTA '
Department of
Adll'11I11StMtl00 ' LETCER OF AGREEMENT
DELEGAT[ON OF STATE BUILDING CODE ADMIMSTRATION
FOR PUBLIC BUILDINGS - MINNESOTA STATE SfATUTE 168.61 Subd. la
~y~ '~7~i;,, .
~ .
' ry
86$}~`.
MUNICIPALiTY, drck one (city, counry, township)
City of Eagan
~ Dste: 9J12/94
7b Im~xove the quality 3830 Pilot Knob Road
~°"'"''""Y Bagan MN 55122
or nu~a.
govemment. ' .
~ PR03ECe: Rahn Elementery Add/upgrade .
LoCATION: City of Eagan
COUNTY: Dakota ~
DESCRIP,TION: 2300 SF Addition/sprinkler bldg.
ADDRESS: 4424 Sandstone Dr ~
*rwiiiriiiaa*iiraf#iaawrra~~afrrr~ilisaai .
' ASSIGNED PROJECT NUMBER: 940464 Date xcce~ved: 9/Iti94.
• irrb#~rf ~lair *Ni #M+briii?aifHiii*4#~~~wfY
This letter shall serve as a contractaal agreement pursuant to Minnesota
Statute 16B.61 Subd.la, between City of Eagan
aad the Commissioner of AdministraNon for transfer of S.tate Building Code
administration from the Minnesota Department of Administration to the
~ municipality for the "Pnblic Building" or "State Licenaed Facility" project
described in this agreement • ~
THLS AGREEMENT MiJST BE RETURNED WITHIN L5-WURI~iG
DAYS. ~ •
PsFormAG Yage 1~ ' ~
Bki7dlwg Coda end S~andards Divisios, AacilJdes A[anagement Bursan; 408 Met%Squars Biiildex~ .
Semeth and Robert Sb^ests, SR Paul, MN SS101; ~Poiee: 6Ia 196=4639; Far.. 6I2 297'I973:
Tl'Y/lDD: 11vLe Citiss 612.297-5353 or Greater Mlweesota 800 657-3519 and.ask for wlce,rrtamber •
STA ~OF MINNESOTA - . .
Department of ~ -
Administration . ~
Project: Rahn Elemeatary Add/uPgtade Rrojecf 94Q464 ` '
4„ Dacription: 2300 SF Addition/sprinkler bldg.
. , . .
Locstion: City of Eagan ~ .
a 1. Duties of Mnnicipslity. Pkase check the daties you are willing to contract (a or b. must tie:;: -
- initiskd by Stete Building InspeMor). '
!
~ a. Attend to sll aspecb of Stah Buildiag Code administrshoo, iacluding:
~ 1. relimioary plsn review with Bailding Codes end'Stsndards Division Plao
ar m~sao~: Review StatPwhen required by the Building Coda snd Staudsrds Division.
1b improve Ne a+lity . ~
md pradu~tivity ~
orna; 2. Plan Review of building and grounda with municipal^plsn.review
rnmments,
dsignen respooses, and state plao review spplication form_signed by ~
dcsignnr.and torwarded to the Building Codes and Sfaodrrds Divisioo.
3. Interpretadons, spplication, and enforcement ot sil wde prnvisiona.
4. Issosnce of sll permib.
5. Doeumentstlan on file of all eqnivakoca end modiicadons to code as
required by UBC 105 and 106.
6. Mainfain all rxords.
7. Issaance of certifiate ot aceupancy witti a cupy ioforming Ne Stste
Building Inspector when urvices are compkted.
~ b. Attend to all required inspectloos ot said baildiog inclading:
1. Issosuce a( sll permita. '
2. Msintain aU recorda.
3. Iasusnce of cerdfieete o[ occopsncy wlth a copy informing the State
' Building InspecWr when servica sre campkMd. .
IN WITNF~S WH&REOF, the partia hsve caused tleb agreement to be.:duly ezecuted
intending to be boand theroby.' ~
~ AP ROVED:' APPRO :
f : ~ . ~ .
~.py ~ .
~ ~ BUILDI FFiCIAL DAT& STATE BUILDING'INSP •.OR .
APPROVED: . • DATF: 13 ~
~ ~
MUNICIPALMANAGER/AD llvISTRATUR DATE~
~ PaFormAG Psge 2
B~etlding CoAss and SMndard+ Divisioq Faclllties d[axagemmt Bursarr, 408 Metro Sqaare.BYiWing,
Serertdi and Robsrt Sbrett, SR Pa+rl, MN SS101; lbice: 612 296-463lt;;Far. 6l2 397=3973
T7'Y/TDD: Twin GYtlss 612 297
5353 or Grea4er Mlnneaola 800 657-3529 axd~aak jor~voice.naraiber.
~ ~ /D 0300o D/D 7S
d
EAGAN 10WNSHIP
3795 Pilot Knob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PERt~IIT FOR WATER SL~RVICE CONNECTTON
Date: April 7. 1969 Number: ~4F - C«._~m
Billing Name: Site Addresa: '
Owner: Rahn Road School Billing AddressR~hn Rp,~~ G._ P vi
Plumber: Upper Midwest Pi4in~
Location of Conuection Meter Size Connection Chg.
Meter No. Permit Fee 7•50
Meter Reading MeCer Dep.
Meter Sealed: Yea Add'1 Chg.
NO 1bta1 Chg.
Inspected by
Date
Buildiag is a: Remarks:
Residence
Multiple i~o, Units
Commercial
Industrial Hq:
Other Schaol Chief Inspector
In conaideration of the isaue and delivery to me of the abwe permit, I
hereby agree to do tt~e proposed work in accordance with the rulea and
regulations of Sagan Towaship, Dakota County, Minnesota.
BY~~t~~s /Y
Upner Midwest PininA
32~ Northaast Taft St., Minneapolis 554
Please notify the above office when reedy for inspection and coanection.
, ~
~ ~ /D 03DOd O/D J5
EAGAN TOWNSffiP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DnTE: April 7, ~969 m1tffiE~ 368
OWNER:~~ Road School Addsese Rahn Road. St. Paul
PLUMBBR Upper Midwest Pipi.ng Typg pg plpE Heavy Cast Iron
DESCRIPTION OF SUIID ING
Iaduatrial Co~ercial Reeidential Multiple Dweliing No. of unite
Sehool
Location of Conneceions: Connection Charge
Permit Fee 7•5~
Street Repairs
Total
Inspected by:
Date
Remarks•
Sy
Chief Inapector
Ia consideration of the issue ated delivery to me of the above peimit, I
hereby agree to do the propoaed work in accordance with the rulea and
regulations of Eagan Toc•mship, Dakota County, Minneaota
BV~~~/ J i -wI_
Upper Midwest Piping
~2~ Northeast Taft St., Minneapolis
Pleaee notify when ready for inspection and conaection aad before any portion
of the work ie covered.
03UO0 O/b 7~
Sept~ber 14, 1973
Independent School District #191
1i1~2~ Sandatone Drive
st.rau~., r~t 55~.22
Gentl~nen:
In checking our records we find that we have not asaeas~ your property for
the water area asaessment which is generally done at the time oY connection.
S haae now com~ted the charge £or your water area assessment which ia
listed on the eztclosed atatement.
Should pou decide to p~y off this asseasment please ai~ the eaclosed
waiver of hearing Form and return ft to us within the next 30 days.
IY additional information is needed glease feel Peee to call me.
Very L'ruly yours~
SPECIAL ASSFSSMENT DEPARTMENT
Ann Cioera, Asaessment Clark
N~?closures (2)
~
STATF.OF MINNESOTA
Department of
Administration
6.ma~..
~'o~,1~E'
~y~`~`~",
$C~.'_-,.,..9"'0,, '
~ :~/.i^2JILEliL'N4,y~~%i
`~~~W ~
l
~ PLAN REVIEW / BUILDING INSPECTION AGREEMENT
3
~j -
COPY TO BUILDING OFFICIAL:
z~ .
,,.c; iase*,.~::
Reid, Douglas Michael Date: 9J26/9a
o~~ m~~~~o~: City of Eagan
To imprm~e Ihe quality 3830 Pilot Knob Road
and pmduclivity
of Minnesaa
govemmeN. Eagan MN SS12z'
Project Title: Rahn F.lementary Add/un~~rade
Location: City of Eagan
Description: 2300 SF Addition/sprinkler bldg.
Date Received: 9/12/94 S~~, 3 ~7 Q 10 5
Assigned Project Number: 940464
Dear Building Official:
Attached is a copy of the notice to the Architect / Designer of the project described above
as to the agreement reached beriveen the Minnesota Building Codes and Standards
Division and City of Eagan delegating building code
administration to your office as per our agreement on this project.
Yours truly,
BUII,DING CODES -STANDARDS
~~Cyyi~`'"~ /~i~i~u-."~`.._ ~
Stephen P. Hernick
Ssp~rvzsa:, Plwn ::~vies:
SPH: p
Attachment PaFormRl
Building Codes and Standards Division, Facilities Management Bureau, 408 Melro Square Building,
Seventh and Robert Streets, St. Paul, MN 55101; Yoice: 6I2 296-4639; Fax: 6ll 297-1973
TTY/TDD: Twin Cities 612 297-5353 or Gre4ter Minnesota 800 657-3529 and ask for voice number
. .
STATE OF MINNF.SOTA
Department of
Administration
.~"~~'~'9T~;>.~,
~o o~,
,~s_. . o~
1 /`~1
PLAN REVIEW / BUILDING INSPECTION AGREEMENT
, , ~~i
'<`?'ty~~l~kdjl~?~:` ARCHITECT/ENGINEER:
o,,, ~;s,;o,,: Wold Architects & Engineers Date: 9/26/94
To improve Ihe qualily 6 W Sth St. Suite 520
md pmduc~ivity
ofMinnesota St.Paul ~IN 55102
gov<rnment. ~
PROJECT: Rahn Elementary Add/upgrade
LOCATION: City of Eagan
COUNTY: Dakota
DESCR~TION: 2300 SF Addition/sprinkler bldg.
aDD1tES5: 4424 Sandstone Dr
* ASSIGNED PROJECT NiJMBER: 940464 Date Received: 9/12/94
~~*«:c.*****a~*~«**~o~**t~,,*****:*~*~r*:*~.*
An agreement has been reached between the Minnesota Building Codes and Standards
Division and City of Eagan , whereby the
PLAN REVIEW AND BUILDING INSPECTION
will be done by City of Eagan
Please submit all plans, specifications, and appropriate fees to
City of Eagan
You must follow their submittal process and fee schedule.
Please refer io our assigned project number for their tracking purposes.
The City will also 6e responsible for issuance of the certificate of occupancy.
Sincerely,
Stephen P. Hernick
Supervisor, Plan Review
SPH:p
c: Building Official PaFormRI
Building Codes and Standards Division, FaciliHes Management Bureau, 408 Metro Square Buildirtg,
Seventh and Robert Streets, S1. Pau~ MN 55107; Yoice: 612 296-4639; Fax: 611297-1973
TfY/TOD: Twin Cities 6I2 297-5353 or Greater Minnesota 800 657-3529 and ask for voice number
~ OFFPCE USE ONLY
L BL RECEIPT ~ ~
SUBD. II~ - ~I~~(~ O - d~0 - ~J` DATE: ~L~`s/
1996 PLUMBING PERMIT (CQMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please comptete for: • all commerciaUindustrfal buildings.
? muRi-family buildings when separate permits are pQS required for each dwelling
i unit.
DATE: 3- ~ D-~lp CONTRACT PRICE: O
WORK TYPE: _ NEW CONSTRUCTION ~i ADD ON _ REPAIR
DESCRIPTION OF WORK: ~~rfQ~~e ~ S~ n~ -
IS WATER METER REQUIRED? _ YES %~NO. IF SO, PLEASE PROVIDE THE FOLLOVNNG:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLEDI _ YES NO.
FAILURE TO PROVIDE THIS iNFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES,~NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi(LER PERMIT.
FEE: 525.00 minimum fee or 1°h of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all oermits. n~~, / 0 ~`~i/ S~
q o iC ~-we~R.~~ T
CONTRACT PRICE x 1% S ~ Q-(>
STATE SURCHARGE ' S v S~/~ 9(p
TOTAL ~OC~. UC7
SITEADDRESS: ~ y~~'y -S4nrIS~o/~2 ~~~vP.
TENANT NAME: ~i~~',~~V~~~C ~9 f l~c~n ~~em, STE. #
OWNERNAME: ~vrhsv~~/~e Sc~ioo~ n~Sf/'~~-l-
INSTALLER: W/ l~ `~'n C. f-/o/'ri ~
ADDRESS: ~ ~ S 7 ~vr.0~ ~v E -
CITY: S~O~ ~ STATE: l~[2_ ZIP: ~~_7J~
~ PHONE ~I ~-~H ~ SIGNATURE: ~ ~l
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE INSPECTOR:
CITY USE ONLY '
L BL RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
~
FIXTURES EACH NSL TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x _
Kitchen Sink 3.00 ;c =
Laundry Tray 3.00 _
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 x =
Floor Drain ' 3.00 x =
Gas Piping Outlet ' min~mum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener _ 5.00 x =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprillkle~ " home under const. 3.00 =
Alt2fation3 ' to existlng 2U.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: y y~~ Sana~ctn r~ ~ l~r.
OWNER NAME: _ L~ ~/'hs v i~~e So~i oo~ D, ~ 7r' ~ cY-- /`I/
INSTALLER NAME• ~~~~~n'l C ~'~o~"h ~e..
STREET ADDRESS: ~ o.S`"7 /lvr~~ v/~ v~2
CITY: S~i q~ o~ STATE: /yn ZIP: SS` 9
PHONE 1 y qti- ~3 y~
~ ~ ~'r~~
3~~
OfFICE USE ONLY
L ~ BL _ RECEIPT
sus~. l~ -6300~ - G/D- ~'S ~ATE:~~ 9
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please oomplete for: ~ all commercialfindustrial buildings.
~ multi-family buildings when separate permits are p~ required for each dwelling
unit.
DATE: I ~ .i ~-~I ~ CONTRACT PRICE: ~7~
WORK TYPE: NEVV CONSTRUCTION PA~ ON REPP.IR
DESCRIPTION OF WORK: L`~ ~-~~~1 4' ~-4 ~ ~ E~
IS WATER METER REQUIRED? _ YES ~ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE TH1S fNFORMATiO1V W1LL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of wntract price, whichever is greater. State surcharge of $.50 per
$1,000 of pg~ fee due on all permits.
6,~~~819701f ,
CONTRACT PRICE x 1% S 5""G ~
STATE SURCHARGE A '~iyl9
; ~96
TOTAL ~y,y,
SITE ADDRESS: y 5"r n c~s l c I? E' n1' ~ ~ 9~ ~
V-~.~
TENANT NAME: ~ /1 i" ' STE. # S ` "
OWNER NAME: r S U~ I~I I
INSTALLER: ~'n' ~ g~ ~~iQ~i C'. l-~r~ 1'n e ~ p~v m~~/' ~
ADDRESS: I~C? I2 lZ d c~ L r~
CITY: ~~~./'n s'vi STATE: Iy~ ZIP: s-' 7
PHONE ~ ~ 7 ` ~ ~ 7 SIGNATURE: ~`~`t~ ~ ,
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
CITY USE ONLY _ •
L BL RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ~ TOTAL
Shower 3.00 x =
Water Closet 3.U0 x =
Bath Tu~ 3.Q0 x =
Lavatory 3.00 x =
Kitchen 5ink 3.00 x =
Laundry Tray . 3.00 x =
Hot Tub/5pa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * oakota Cty. iicense 50.00 =
{new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
Alterations * to e~isting 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
51TE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: ZI P:
PHONE ( )
CITY USE ONLY
UBD. BL ~ RECEIPT 9
~[~y.L ~O RECEIPT DATE:
199? ~LUM$IN& ~£RMIT (COblhi£RC1AL)
C1TY Of ~kfiAN
3$SO ~ILOT KNO$ RD
~4fiAN, bIN 55188
(618)6$1-4675
Please complete for: all commerciaUindustrial buildings
mulu-family buildings when separate building persnits aze not required for each dwelling unit
backflow preventer to be installed in commercial areas or residential boulevazds
Date: 10-29-97 WorkType: NewBldg. x Add-on Repair _ U.G. Sprinkler
Is Water Meter Requ'ved? Yes No Water Flow GPM
To inquire if Pressure Reduciog Valve is required on new service, ca11681-4646.
~~~5
1% of contract price or $25.00 minimum Conhact Price: $ 200 . 00 x 1°/a = $
COMPLETE THIS AREA IF INSTALLING UNDERGROUND SPRINKLER SYSTEM
Service: _ Existing (if coming off domestic line) OR _ New
Backflower Preventer Permit Fee $ 25.00 $
Water Meter 1" @ $185.00 or 2" Turbo @$846.00 ~
If "new service" add Water Permit $ 50.00 = $
WAC $ 780.00 = $
Water Treahnent $ 420.00 = $
City Installed Tap $ 300.00 = $
m~
Permit Fee $ ~S
Sta[e surcharge is $.50 per $1,000 of ep rmit fee or minimum of $.50 per permit Sta[e Surcharge $ ~ 5 0
Total Fee $ ~ ~ . S C~
Install water cooler '
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all apphcable C~ty
of Eagan ordinances. It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any
damages caused by the Ciry during its normal operational and maintenance acrivities to the facilities constructed under this permit within
City property/right-of-way/easement.
SITEADDRESS: 4424 Sandstone Dr.
OWNERNAME: Rqhn Elementry School
INSTALLERNAME: The Plumbing Place Inc. TELEPHONE#: 835-3687
STREETADDRESS: 5355 Hyland Place
CITY: BloominRton STATE: Mn. z~P:55437
f ~ ~
~ ,p~ SIGNATURE OF PERMITTEE
p
I
CITY USE ONLY
COMMERCIAL PLUMBING PERMIT -1997
METER SIZE PRV _ Yes _ No
Domestic
Imgation
UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLl~
$
REVIEWED BY:
Building Inspector Date
To determine meter size
* See if it is indicated on back of Building Inspections~card
' Enter address in PIMS Screen 30] to obtain S&W permit #
* Check PIMS Screens 110 (Remarks)
* If gallons per minute aze less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer
will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed
Plumber does not know GPMs.
Before sellina meter
* Check PI~S Screen 320 for aoproval of inspectior. resul's. No meter will be sold before all sewer and ~tiater inspections aze cernp!ete
on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and
size on receipt, code ro 3716-9224 (meter portion only), and forward copy to Utiliry Billing Clerk.
' Enter meter size, type, receipt date & amount paid on PIMS Screen 110. Copy of receipt should be given to UtiGty Billing Cierk.
Miscellaneous Information
' The installer is to contact Building Inspections at 681-4675 for inspecflon ofthe inside water line and backflow preventer. The Central
Maintenance Division may be reached at 681-4300 for water tum-on.
" If ineter is over 5/8", notify Central Maintenance so they can tell you if there is one in stock before plumber goes over there.
JS/Forms.bld/plbg permit (comm) 1997
~ yau 54~dS~,~~
,
EAGAN TOWNSHIP
BUILDING PERMIT 2572
Ownar .....~P.... ..-r.~........1 Ea9aa Township
/
Address (Present) Towa Hall
Builder ....l..C!'ri'.".:v----~°~- ~Q~g ~7/
Daie
Addreas
DESCRIPTION
5lorias To Se Used For Front Depth Heigh! Esl. Coa! ~Permit Fee Aemarks__.. )
~ ~S ~ - i~=,~-
~ ~
e~"~ /a ao ~ 7~.e~e DR~-.C~ _ .
LOCATION
Slreel, Road ar olher Descsiplion af Localion I LW Block Addifion os Traof
!0/~.1~7/ ( C .J s~.C i ~ ~
_7~~
This permi! does no! auffiorise !he use of siraels, raads, alleys or sidewelks nor doea i! give !he owner ox Lis agenf
!he righlYO creafe any siluation whieh is a nuisance or which presents a haaard !o fhe heallh, saiely, convenieace and
general welfare !o anpone in 2he communily.
THIS PERMIT MUST SE KEPT ON TH$ PREMISE WHILE THE WORK IS IN PROGAESS. J
This is !o eer2ify, ihal..._~ l.~...~- .'.'._._...'haspermission fo ereei a_-~.~.'_r'.!:"""""""..,.~` ..............."'......_wpon
!he above described premise s jeei !oelh
provisiona of !he Suilding Ordinaaee for Eagaa
T,~
o
ndfiip adopled Apsil 11,
1955. -
< ,~~1 ~O'
- --...l.~.`:`.:`^:'::......_...... Per ....................._!.17-^.^~`:........1?..~..~~°.~"':.-~-°.° - -
.
Chalrmaa of Tnwn Baard Bvildiag Inapecior
~
EAGAN TOWNSHIP
BUILDING PERMIT N° 1848
Owner ...._..../-~'----`"u-=`-`=--'.n.....~..~.Y.l..---°----..__........__....°---- Eagaa Township
Address IPreseni) ""'---'..d~!r.°.=r"."`.:e"~':~ Towx Hall
Builder .....~r...iJ
aaa:ess L~ 3.vP a8:e .....~.~°f--~.~I..6~.
- - a....._-...?~.:...__
DESCRIPTION
Siories To Be Used For Froni Depih Heighf Esi. Cosi ermi! Fee Remazks
~~a~.. rA--~-P-^-'L_ l/`f/S~OS~ ~ ~ °C P/za~Gf~
LOCATION
Slreef. Road or ofhex DescripSion of Loeafion I Lo! Block Addifion os Tracf
_ ~ ~ o,o ys ,e ~3000 0,0 ~s
This permi! does ao! auShoriae ihe use of slxeefs, xoads, alleys or sidewalks nor does i! give !he owner or his agenf
!he righ! !o creale anp siluation which is a nvisence or which psesenls a haaasd to ihe healSh, safeiq, eonvenience aad
general welfare !o axyone in ihe communiip.
THIS PERMIT MUST BE K~P~ ON THE PAEMISE WHILE THE WORK IS IN PRO ES .
JSr ___'____________.has ermiseion !o exeei a_.""".....`.L'O' .
This is 3o eariify. Shal .................................~~..1 p '........................~.........._upon
!he abova described premise suhjec! !o !he provisions o£ !he Building Ordinance for Eagan Township adopled Apr91 11,
1855. ~9 ~ ~
- J~'' ' -l.`"~.~:_'.._.-_-........ Pez .~(~-~~-t_
~ChaiYman of Tnwn Board Building Inspecior
a '
~(v~~ °-a
2005 COMMERCIAL PLUMBING PERMIT APPLICATION
CTTY OF EAGAN
3830 PII.OT KNOB ROAD, EAGAN MN 55122
651-675-5675
?ate ~.a / ~ t / ~S
Site Address ~ a~ H d,} ~n t Unit #
Tenant Name t Former Tenant Name
Proper[y Owner ~ 5 ~ 1 Telephone )
Contractor ,
Address Rti $ k` c,~t Nw $u;~-e.. ~o~ City Ytc..~ ~r.`c~~~3'~^
v
State w~.. Zip S;i l I Z Telepbone )
License # OoL~O A~ Expires: n c t 3 1
The AppGcant is _ Owner Contractor _ Other
Work Type _ New Bldg _ Mo ' Tenant Space ~RPZ PVB _ New Repair/Rebuild Replace
_ Irrigation sys[em Work within ublic right of-way/easement _ Yes _ No
Rain senaors are re uired on irri ation s stems
Description of Work Y' C(J (,a-e.C_ ;,S ~ c 7t Z 'I-sS ~v p'; ( C r
To in ire if Pressure Reducing Valve' required on new service, caIl651fi75-5646
Meters - Ca11651-675-530D to vecify that hydrostafic, conductiviTy, and bacteria tes[s passed prior to oickine un meter.
Irrigauon Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size Price 3!4" displacement $t61.00
Domestic Size & Type Avg GPM Indudes Ligh demand devices? _ Yes _ No
Fluahometers _ Yes _ No PRV Required _ Yes _ No
Permit Fe¢ $50.50 menemum (includes State Sarcharge)
Contract Value $ x 1% Permit Fee
$ Meter(s)
Required on all new buildings & boulevard 'urieation s~ems $ R2di0 MCter RPad
If pernut fee is $1,000 or less, sunharge is $.50 $ r s18YE SilTC~13[gC
If permit fee ie over 51,000, sutchaige is $.50 per $1,000 of the Permit Fee
Fallawing fees apply only when instslling new inigation system $ Watei Permrt
Call Jmy Wobschall a[ 651-675-5024 for required fee amounu
$ Treatment Plant
$ Water Supply & S[orage
$ State SurcLarge
e~_ Total Fee
I hereby apply for a Commercial Plumbing Permit and acknowledge that the infomiation is complete and accurate; th work will be in
conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I undersfsnd this is n a 't, but only an
application for a penniy and work is not to start without a pemvt; that the work will be in accordance with the approved p an in e case of work
which requires a review and approval of plans. l
~~~~~-a5~
ApplicanPs Printed Name ApplicanYs Signature
CITY U5E ONLY
REQUIRED INSPECI'IONS _ U.G. _ Air Test _ Gas Tes[ _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new bui[dings ~ boulevazd irrigation sys[ems- $141.00
• RPZ's must be tested every year and rebuilt every five yeazs. Test results should be mailed to Paul Heuer at the City of Eagan.
• A minimum fee pemut per address is required for the following RPZ's: new, rebuild, reaair, remove.
• Water meters include copper horn/strainer, remote wire, and touch-pad meter.
METERS RE UIItING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $125.00 4-120 1-1/2" irrig3ti0n syst $ 135.00
displacement sm commercial turbine*" Public Works
maximum must approve
cantinuous meter size
10
2-30 3/4" lawn irrigation $161.00 4-160 2" turbine lg irrigation syst $ 931.00
masimum displacement residential ~@
continuous sm commercial produc[ion lines
15
3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs ova $ 1,849.00
bldg to 24 imiCS 65 units
maximum sm commercial &
wntinuous & ]g comm bldgs
25 irrigation systems
5-100 1-1/2" bldgs 25-64 units $429.00
maximum displacement &
continuous most comm bldgs
50
METERS REQUIRINC> 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE . PRICE GPNI ME'TERS USE PRICE
5-350 3" turbine very Ig irrigatian $1,182.00 6-500 4" componnd +3D0 unit bidgs & $3,563.00
syst & productian very Ig comm bldgs
lines
1/2-320 3" compound +Z00 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00
very Ig comm bldgs very !g comm bldgs
15-1000 4" turbine very Ig irrigation $2,226.00 , , y
syst
~ & praduction lines
Commeuts
• To schedule inspection of the inside water line and bacldlow preventer, call 651-675-5675.
• To azrange for water turnon, Ga11 65 1-675-5 300.
cr, Maintenance Division Clerical Technician, lavuary2005
~ J
200~FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 Fax # 651-675-5694
Requirements: 2 complete sets of drawings and specifications
cut sheets on materials and com onents to be used
Date ' ~ / ~ / (
Site Address: ~ w ~ ~ ~G ~d~~ ~/?V~
Tenant / Building Name: 1`a ~(Q k^Q/`'~ ~'l y~
The Applicant is: Owner Contractor Other
PROPERTY OWNER
Address:
City: State: Zip:
CONTRACTOR ~i'b.~e~'S /?~,~?c.~i Z~ MN License ~U S~
Address: ~i9hr.-j6~9 City: ~~k
State: / Zip: S.s3/~v Phone ~lO~^ ~y~~~vd
ESTIMATED COMPLETION DATE: S ! v~ ~ ! ~ 7
FIRE PERMIT TYPE: ~ Sprinkler System of heads Fire Pump _ Standpipe
Other:
WORK TYPE: _ New _ Addition ~ Alterations _ Re}~d;~ M~ D
U)
_ Other: I nl ~~~~~z~~
DESCRIPTION OF WORK: ~ Commercial _ Residential _ Educational
_ Other: ~ nPIN S,d?~l/I ~~e/S
a r wr ?~G~ ~I ~i,,.~' D`T0~'r~.
Please continue on reverse side
PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ I~ 36~, x.O1 v~ Permit Fee
• If Permit Fee is $1,000 or less, add $.50 ~ $ -s~ State Surcharge
If Permit Fee is over $1,000, add $.50 per
$1.000 Permit Fee
3/4° Displacement Fire Meter - $161.00 $
TOTAL FEE: $ ~D~ jp
I hereby apply far a Fire Suppression System permit and acknowledge that the information is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the
Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and
work is not to start without a permit; that the work will be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
,D~v~~ C~?~~f
ApplicanYs Printed Na e Applicant's Si ature
DO NOT WRITE BELOW THIS LINE
REQUIRED INSPECTIONS
Hydrostatic _ Flow Alarm _ Drain Test Rough In
_ Trip Pump Test _ Central Station ~ Fina1
Conditions of Issuance:
Permit Approved by: Date: ~ ! / ~
- r77~~~ g~
,
+ 2007 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3530 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Plans are considered public information unless you state they are trade secret and w.
. . • - . . . -
. Structural Plans (2) sets • Soils Report (1) • Architeclural Plans (2) sets
. Civil Plans - ~ (2) • Certificate of Survey (1) • Code Anatysis (1) °
. ~ Certfirate of Survey (1) • Structural Plans (2) • Prqect Specs (1)
• Code Analysis (1) " . Architectural Plans (2) sels • Key Plan (1)
. Project Specs (1) HVAC units req'd. on 61dg elev. ! site plan . Master Exit Plan (1)
. Spec Insp & Testing Schedule (1) ° • Civil Plans (2) • Energy Calculafions (1) not always"
• Soils Report (1) • Landscaping Plans (2) • Elec. Power & Lighting Fortn (1) not always"
. Meter size must 6e established • Cotle Analysis (1) • Meter size must be established-if applicable
J - ~ • EnergyCalculations (1)
. J - ~ ~ • Emergency Response Site Plan (1) ~
J • Spec. Insp. & Testing Schedule (1) " ~
J • Electric Power & Lightiag Farm (1) " )
J . ProjectSpecs (7) )
~ J • Master Exit Plan (1) )
. SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 . SAC delermination - call 651-602-10D0
• Fire Stopping Submittals
• Fire SuppressioNAlarm Form D r~ I I;1 ii
. Meter size must 6e established
Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilities. AP
Contact Building Inspecfions W sec if it is,equired and for a sample. ' R 1.~ ZOO~
Permit for ~ 6uilding or addition will not be processed without Emergency Response Site Plan.
Date 03 / 27 / 2007 Construction Cost $834 , 786
SiteAddress 4424 Sandstone Drive UniUSte #
TenantName Rahn Elementary School FormerTenautName N/A
Descrip6on of Work Interior remodelinQ and updatinR
PropertyOwner ISD No. 191 - Dennis Hale Telephone#( 952) 707-2035
Applicantis: _ Owner X Coutractor Contact#: (952 ) 895-R723 (,~ff Sandnas)
Contractor CM Construction ComDanv Inc
Address 12215 Nicollet Avenue South ~ City Burnsville
State MN Zip 55337 Telephonetk(952 ) 895-8223
Arch/Eogr Wold Architects & Engineers Registration #
Address 305 St. Peter Street City St. Paul
State ~7 Zip 55102 Telephone #(651 ) 227-7773
Licensed plumber installing new sewerlwater service: Phone
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in
conFormance with the ordinances and codes of the City of Eagan and the Sta.te of MN Statutes; i understand this is not a pertnit, but only an
application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
.Teff Sandnas
Applicant's Printed Nazne ~ nt's Signature
. ~
<
DO NOT WRTI'E BELOW THIS L.INE
Sub Types
? Ol Foundation ~~26 Public Facility ? 30 Accessory Building
? 14 Apartments ? 27 CommerciaUIndustrial ? 32 Ext Alt-Aparhnents
? 1~ Lodging ? 28 Greenhouse ? 34 ExtAlt-Commercial
? 25 Miscellaneous 29 Mtennae ? 35 Ext Alt-Public Facility
u 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? /33 Alteration ? 37 ~emolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
PI 34 Replacement 'Demolltlon Builtling - Give PCA handout to applicant
Valuation Type of Const ~ Width
Plan Rev 100%= 25%_ Occupancy ~ MCES System ~
SAC Units Zoning City Water
Nbr. of Units Stories Booster Pump
Nbr. of 81dgs f Sq. Ft. PRV
Fire Sprinkiered VAJ Length ~r
Required Inspections
_ Footings (new bldg) _ Fireplace _ R.I. _ Air Test _ Final
~ _ Footings (deck) _ Insulation
_ Footings (addition) _ Sheetrock
_ Foundation Fi~al/C.O.
Drain Tile ~ FinaVNo C.O.
_ Driveway Apron _ Other
Roof Ice Pr Decking _ Insul _ Final _ Pool Ftgs Air/Gas Tests Final
~ Framing _ Siding _ Stucco Lath _ Stone Lath _ Final
W i~dows
Final C/O Inspection: Schedule Fire Marshal to be present. ~ Yes _ No
Approved By: Planning Building Inspector
Base Fee S. ~3~, %S
Surcharge SO
Plan Review 3~
SAC-MCES
SAGCity
SIW Permit
SIW Surcharge
Treatment Plant Financial Guarantee
Treatment Plant (Irrigabon) Storm Sewer Trunk
Park Dedication Sewer Lateral Sewer Trunk
Trail ~edica6on Street
Water Quality Water Lateral Water Trunk
Water Supply & Storage (WAC) Other oq
Total 88~• ° ~
zoo~ COMMERCIAL MECHANICAL rE~iT arrLicaTiorr b I`~~- ~ U
City Of Eagan nl ~C~
3830 Pilot Knob Road, Eagan MN 55122 ~
Telephone # 651-675-5675
Please comp~ete foc commerciaUindustrial buildings
multi-famil buildin s when se arate rmits are not re uired for each dweliin unit
~ Date_~/ ~~i
Site Street Address `-F~2`'I ~Idl~, ~py~~i Unit #
Tenant Name (ifapplicable) ~~~1 ~1 Y`(~.C1t'n,r}~ Previous Tenant Name
PropertyOwner _~v[{1~~IlQr 19¢ Telephonek( )
Contractor J~p~' ~1(' Qr'~~, p `c~^l~n
Street Address ~5. 5.~.~~~~ ~ L~ City ~~~~I P(~ ii
State ~ 4~ ~ Zip Telephone # ( ~I ) 1. ~ "I~
Bond Expires:
The Applicant is _ Owner ~ Contractor _ Other
Work Type
_New Construction ~u Interior Improvement _install Piping _ Processed _Gu Ex[erior HVAC Unit**
*`HVAC uniu must be screened
UoderlAbove ground Tank Install Remove
When ins[alling/removing tank(s), call for inspec[ion by Fire Marshal and Plumbing Inspector
Nature of Work: ~1~(1~j-{'~..~1 ~ fL~~( ,
Permit Fees $70.50 Underground tank installatioNremoval
550.50 Minimum (includes State Surchazge)
or
Contrac[Value $~Sv,~.~ x t% _ $ g5~•~ PermitFee
r---
$ SffiteSurcharge
To calcula[e~surcharge
If Permit Fee is less than 51,000, surcharge is 50 cents.
If Permit Fee is> 51,000, surcharge increases by E.50
for each $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit
Fee requires a $1.00 surohazge). •
$ SO~, SO Total Fee
I hereby acknowledge that this information is complete and accurate; [hat the work will be in conformance with the ordinances and
codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permi[,
and work is not ro start without a perznit; that [he work will be in accordance with the approved plan in the case of work which
requires a review and approval of plans.
~ yv,n ~ ~'.S~oD ~ _ ,
ApplkanYs Printed Name ---------------~PPlica_ ' Si---ture---------------
~__~~g-~-~~~
Approved By: , Inspector Date:
Required inspectionr. _ U.G. ~ R.I. ~ir Test _ Gas Service Test _ Infloor Heat ~~~t 2 1 2~~)
~p Scotf 6`~
CGc~c/~
~ M I N N E S 0 T A
'
DEPARTMENTorHEALTN
Protecting, »zaintaining and improving the health ofaUMinnesorans
August 16, 2007
Independent School District No. 191
100 River Ridge Court
Burnsville, Minnesota 55337
Gentlemen/Ladies:
Subject: Food and Beverage Equipment at Rahn Elementary School, Eagan, Dakota
County, Minnesota, Plan No. 08D201
We are enclosing a copy of our report covering an examination of plans and specifications on the
above-designated project. The plans and specifications appeaz to be in general compliance with
the standards of this department: Please see the enclosed report for additional changes and/or
comments. Tt is the project owner's responsibility to retain the plans at the project locafion.
This review does not pertain fo the Engineering design (i.e., plumbing, swimming pools,
service connections, sewage systems). A separate report regarding the Engineering Review
will be sent.
Ten working days pnor fo completion of the project, please contact Mr. Calvin Mathews with
our Metro district office at 651/643-3425 in order to arrange for a final on-site inspection.
If you have any questions in regard to the information contained in this report, please contact me
at 651 /201-4512.
Sincerely,
a Huseby, REHS, Pla eview
Environmental Health Services 5ection
P.O. Box 64975
St. Paul, Minnesota 55164-0975
laura.husebv~health.state.mn.us
LMFI:ajk n ~
Enclostue ~ ~ ~ ~ ~-1 ~ ~ ! II l;
cc: Wold Architects and Engineers
Mr. Dirk House, Plumbing Inspector ~ A~G ~ 0~dQ~ I'r
Mr. Bill Adler, Minnesota Department of Health b'"'
Mr. Calvin Mathews, Minnesota De artment of Health -
P }':1~;._.__------- -
General Infoimacioa: 651-201-5000 • Toll-free: 888-345-0823 • 1YI15 G51-201-5797 •~v~heal[hstate.mn.us
An egtta[ opporruniry emplayer ~
MINNESOTA DEPARTMENT OF HEALTH
Division of Envuonmental Health
REPORT ON PLANS
Plans and specifications on food and beverage equipment t~Rahn Elemeutary-School, Plan No. 080201
L,ocationi 4424 Sandstone_ Driv_e, Eagan, Dakota County, Minnesota -
- - - -
Date Examined: August 16, 2007 Date Received: August 13, 2007
Submitted by: Wold Architects and Engineers, 305 St. Peter Street, St. Paul, Minnesota 55102
Phone 651/227-7773
Ownership: Independent School District No. 191, 100 River Ridge Court, Bumsville, Minnesota 55337
Phone 952/707-2035
The following are corrections or requests for additional infotmation necessary before conshuction of your
project:
Scope of project; remode! of school kitchen to add three-compartment sink, grease interceptor,
handsink and salvage chemical delivery station in dish room. Plans dated 2/12/07 reviewed for
compliance. Wald Architects and Engineers architect of record, Mr. Robert Rippe and Associates,
Inc. consulting. A search on NSF website on August 15, 2007, determined that a fabricator listed as
NSD-Certified in spec~cations submitted is either: not cer6fied or has another name with NSF.
Two Rivers fabricators indicated on equipment list; Low Temp fabricator would not be approved
at this time unless more information is provided. Exisfing finishes to be matched for patching
demolished walls and floors.
l. Equipment Standards - General Requirements:
Food and beverage equipment shall meet the applicable standazds of National Sanitation Foundation
(NSF), Edison Testing Laboratories (ETL), Undetwriters Laboratory (UL) to NSF standards or
Canadian Standards Association (CSA) to NSF. The proper sticker, fabricator information and
em6ossment identification sLall be displayed on the equipment.
2. Three-Compartment Sink:
Provide a three-compartment sink(s) far this establishment with dual integral drainboards. As
indicated in plan submitted.
3. Handsinks:
Each handwashing sink shall provide water at a temperature of at least 110° F through a mixing
valve or a combination valve.
Hot water at handsinks located in schools or daycare facilities shall not exceed 120° F.
4. Plumbing - General Requirements:
~
All plumbing plans shall be approved by the Minnesota Department of La6or and Industry (DOLn
or delegated ageut. Submit complete plans for review to that department. City of Burnsville.
A separate on-site inspection will be conducted by the Minnesota Department of Labor and Industry
plumbing inspector or delegated agent to determine compIiance with fhe Minnesota Plumbing
Code. City of Burnsville.
t Rahn Elementary 5chool
August.l6, 2007
Page 2
Food and Beverage Equipment
Plan No. 080201
All plumbing equipment shall be installed in accordance with the Minnesota Plumbing Code for a
commercial establishment.
All hot water generating equipment (water heaters) shall be of adequate capacity to meet the needs
of the anticipated demand of the establishment.
Ensure grease trap/grease interceptors are sufficiently sized.
Each interceptor and separator shall be so installed that it is readily accessible for removal of cover,
servicing and maintenance.
Interceptors and separators shall be maintained in efficient opeiating condition by periodic removal
of accumulated grease, scum, oil, or other floating substances, and solids, deposited in the
interceptor or separator.
All pipe chases that pass through walls shall be tightly sealed and covered.
All utility pipes shall he endosed in wa11s or ceiling.
5. Other Code Reqairements:
All other approvals from loca] units of government shall be obtained prior to construction beginning.
This includes building construction inspections, zoning appxovals or other regutatory approvals.
Si erely
a Huseby, REHS, Plan iew
Environmental Health Services Section
P.O. Box 64975
St. Paul, Minnesota 55164-0975
laura.husebyna healthstate.mn.us
-ill -lit
City of Eaafl
411110010
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
DEC 1 4 2015
Use BLUE or BLACK Ink
For Office Use
I -C//3
D /l,'`(
Date Received: 14-7C
` C
Permit #:
Permit Fee:
Staff:
2015 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 111,0 /IS Site Address: '' a y S
Tenant Name:lb'r MI
� % ,6, Former Tenant:
�r. &ate / Mk) 551
(Tenant is: New /
Existing) Suite #:
AIM
I�I�PfO aW21.44-
� � n
�'�'�����til'�:
Name:
Address
Applicant
TA#44.+.644:14,&-i- SLkobt 1. 4v c.4' *11 I Phone: ls-g- le,R' - e2006
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/ City / Zip: I b b et / r "". CN..g lAnti5vl
t
is: I Owner ✓ Contractor (GHI\)
��Type
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i i
Descrpton
Construction
of work: tGunc. ,C« YeSTi' 0.411i >'0 2 l�1/ /L hri. • /Cbto �
J dry /
Cost: If Est I000
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frac
Name:
Address:
State:
Contact:
ROC C-ovv L T'wc'.hr• License #:
Set be &6 V0City: Gb Viit�
M Zip: SS Phone:
If a a 3 -Sty - 606(0
4-04\ C)1.orl Email: OA`bDA,, %\AOj C -O'1. C_.... '1
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A[C 11 /EkAi
ngine '41
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'I lily �;
Name:
Address:
State:
Contact
i4Tc` r z 4 .. Registration #:
t
85b1 &Ile". Ve..ILI ed. 3City: 6' � Va•/
Mid Zip: SSW 2.-7 Phone: ''(03 gel 5- 31 SI
Person: 14.&- e.'5 Email: /I'%' e5g) a4s'• C.o,i't
Licensed plumber installing new sewer/water service: Phone #:
S {•y�y a�W. +� 21YS �`" f=_
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CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
690--(-`76
Applicant's Signature
Page 1
r
`74-bq Dr
DO NOT WRITE BELOW THIS LINE
3193
SUB TYPES
Foundation
Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
✓ Addition
Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25% 100% ✓)
Census Code
# of Units
# of Buildings
Type of Construction
/Public Facility
Accessory Building
Greenhouse / Tent
Antennae
✓Interior Improvement
Exterior Improvement
Repair
Water Damage
BSotceo
0
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
/
Footings (Addition)
1% Foundation
Drain Tile
V Roof:'"Decking Insulation
Framing
Fireplace: Rough In Air Test _Final
✓ Insulation
Meter Size:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Ice & Water " Final
Exterior Alteration—Apartments
Exterior Alteration—Commercial
Exterior Alteration—Public Facility
Siding _ Demolish Building*
Reroof Demolish Interior
Windows Demolish Foundation
Fire Repair _ Retaining Wall
*Demolition of entire building — give PCA handout to applicant
2c15' /19BG
Sheetrock
MCES System
SAC Units O/I2-rro—t—
City Water ✓
Booster Pump
PRV
Fire Sprinklers
Final / C.O. Required
✓ Final / No C.O. Required
Other: f/ '570PJ#/ L
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall
✓ Erosion Control
Concrete Entrance Apron
Final CIO Inspection: Schedule Fire Marshal to be present: ✓ Yes No
Reviewed By: , , Building Inspector
Reviewed By:
• , Planning
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
4t o -v
3,38V.3q
Water Quality
Water Sampling Fee
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL DI 4 •
Page 2 of 3
Rale Schoeppner
Chief Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122-1810
Dear Mr. Schoeppner:
November 10, 2015
13-M3
The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the
wastewater capacity demand for Rahn Elementary remodel to be located at 4424 Sandstone Drive within the City.
The City will be charged no additional SAC Units for this project, as determined below. * The rules allow for these 4
net credits, where the SAC credit was from a Non -Conforming Grandparent Demand, to be left site-specific. These
net credits will be available for 5 years from the date of permit issuance for future growth on the site
Charges:
Office
1990 sq. ft. @ 2400 sq. ft. / SAC
Meeting
4028 sq. ft. @ 1650 sq. ft. / SAC
Classroom
1757 sq. ft. @ 540 sq. ft. / SAC
Credits:
Classroom/Meeting/Office (Grandparent 1969)
3565 sq. ft. @ 540 sq. ft. / SAC
4959 sq. ft. @1650 sq. ft. / SAC
1528 sq. ft. @ 2400 sq. ft. / SAC
Total Charges:
Total Credits:
Net Credit:
SAC Units
0.83
2.44
3.25
6.52
6.60
3.00
0.64
10.24
-3.72 or -4*
The business information was provided to MCES by the applicant at this time. It is the City's responsibility to
substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a
redetermination will need to be made. If you have any questions email cors.mccullough(a�metc.state.mn.us.
Sincerely,
Cory McCullough
SAC Program Technical Specialist
CM: Is: 15110964 (5307, 389198)
Determination Expiration: 11/10/2017
cc: Peggy Fleck & Amy Griffin, City of Eagan
Shane Butler, Wenek Construction, Inc.
File, MCES
390 Robert Street North I St. Paul, MN 55101-1805
Phone 651.602.1000 1 Fax 651.602.1550 1 TTY 651.291.0904 { rmetrocouncil.org
An Equal Opportunity Employer
METROPOLITAN
COUNCIL
Citi of Eaoafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
9093MBJ
RECEIVED r G,.
FEB 01 2016\� ( t;
Use BLUE or BLACK Ink
1
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
® Please submit two (2) sets of plans with all commercial applications.
Date:
1/18/2016 Site Address: 4424 Sandstone Drive
Tenant: Rahn Elementary School Suite #:
Name: ISD #191
Address / City / Zip: 100 River Ridge Rd Burnsville, MN 55337
Phone: 952-707-2000
Name: NAC Mechanical & Elec ServicesLicense #: MB003184
Address: 1001 Labore Industrial Court City: Vadnais Heights
State: MN Zip: 55110 Phone: 651-255-3516
Contact: Mike Bjokne
Email: mbjokne@nac-hvac.com
New Replacement Additional ✓ Alteration
Description of work: School Mechanical Renovation Upgrades
Demolition
44f2 e
jaia 1; `"s '
RESIDENTIAL COMMERCIAL
Fumace New Construction 1 Interior Improvement
Air Conditioner ✓ Install Piping Processed
Air Exchanger Gas 1 Exterior HVAC Unit
Heat Pump Under/Above ground Tank ( Install / _ Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
=$
TOTAL FEE
Contract Value $ 45,068
_ $ 450.68
$ 22.53
_ $ 473.21
x .01
Permit Fee
Surcharge
TOTAL FEE
J
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x Mike Bjokne
Applicant's Printed Name
x
Mike Bjok
ly signed by Mike Bjokne
=US, E=mbjokne@nac-hvac.com,
C Mechanical & Electrical Services,
ike Bjokne
9016 (11 19 1437'99-06'00'
Applicant's Signature
4*
tityofEaQaIi
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
9093M BJ
RECEIVED
FEB 01 2016
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
3C39 Lc)
57>
Date Received:
Staff:
2016 COMMERCIAL PLUMBING PERMIT APPLICATION
Please submit two (2) sets of plans with all commercial applications.
Date: 1/18/2016 Site Address: 4424 Sandstone Drive
Tenant: Rahn Elementary School Suite #:
J
Name: ISD #191 Phone: 952-707-2000
NAC Mechanical & Elec Services PC642594
Name: License #:
1001 Labore Industrial Court Vadnais Heights MN 55110
Ff� Address: City: g State: Zip:
Phone: 651-255-3516 Email: mbjokne@nac-hvac.com
4 New Replacement Repair Rebuild x Modify Space Work in R.O.W.
_ _ _ _ _
Description of work: Renovation of Existing Space
COMMERCIAL New Construction if Modify Space
Irrigation System ( yes / . no) ( RPZ / PVB)
_
'' • Rain sensors required on irrigation systems
• Avg.GPM(2" turbo required unless smaller size allowed byPublic Works)
� q
Meters Call (651) 675-5646 to verity that tests passed prior to oickino uo meter.
Domestic: Size & Type Fire: 1
/ - Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No
COMMERCIAL FEES Contract Value $ 21,000 x .01
$60.00 Permit Fee Minimum 210.00
= $ Permit Fee
$60.00 PVB/RPZ Permit (includes State Surcharge)
= $ 10.50 Surcharge
Surcharge = Contract Value x $0.0005 220.50
If the project valuation is over $1 million, call for Surcharge = $ TOTAL FEE
please
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. \
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Mike Bjokne
Applicants Printed Name
xMike Bjok
ily signed by Mike Bjokne
=US, E=mbjokne5nac-hvac.com,
C Mechanical 8 Electrical Services,
ike Bjokne
2016.01.1814:49:15-08'00'
Applicant's Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MAY 022016 a-
r5
Use BLUE or BLACK Ink
For Office Use
Permit#: / g!L/
Permit Fee: / g_g
Date Received: L.-
Staff: 461
2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 4/25/2016
Site Address: 4424 Sandstone Drive
J
Tenant: RAHN ELEMENTARY Shite #:
Name: Independent School Dist. #191 Phone:
Address /city /zip: 100 River Ridge Court, Burnsville, MN. 55337
Applicant is: Owner ✓ Contractor
Description of work: Relocate sprinklers to new Ceiling and remodel
Construction Cost: 12, 700.00
Estimated Completion Date: July. 31st ' 2016
Name: Breth Zenzen Fire Protection
License #:
C126
Address: 8053 Sterling Drive Suite 101 City: St Joseph
State: M Nzip: 56374 Phone: 320-363-0900
Contact: Rich Email: rich@bzfire.com
bzfire.com
FIRE PERMIT TYPE j1
i lS
Sprinkler System (# of heads _) (Jr/
WORK TYPE
New 5ddition
S/ Alterations Remodel
Other:
DESCRIPTION OF WORK: Commercial Residential
Educational
FEES
$60.00 Permit Fee Minimum
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
$100.00 Residential New (includes State Surcharge)
Contract Value $12,700 x .01
_ $ 127.00 Permit Fee
= $ 6.35 Surcharge
_ $ 133.35', TOTAL FEE
3/4" Fire Meter - $280.00
=$
Fire Meter
= $ TOTAL FEE
**Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a pemiit, but
only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work
which requires a review and approval of plans.
x
Applicant's PrintecTName
Ap ant's Signature
FOR OFFICE USE ____
REQUIRED INSPECTIONS
setic
Drain Test Rough In
Central Station Final
Conditions of Issuance:
P
7/8/2016
3830 Pilot Knob Road.
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675-5694
Fire Permit Rahn Elem.jpeg
RECEIVED
'JUL 11 1016
Use BLUE or BLACK Ink
U
f For Office Use l "
� r '
NV' `� 1 Permit# 1 s! ' 1 ) I
NV'
1 4 t7
(et"Permit Fee: I
I 1
Date Received: 1
I
I
Staff: 1
I
-�J
2016 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: t Site Address: t{7,2 ti` 5wrLS AMtJ r D
Tenant: 4 40€ swell!J
Name: ."--11.5 Phone:
Property Owner
Address City / Zip: /06 R`., tr '-t 4, (1'T SWRg)St), 1, Imo .5:c337
Applicant is: Owner ?( Contractor
Type of Work
Contractor
Description of work -T.Sjtn.Gd 64t
Construction Cost Estimated Completion Date.
Name: if {�{ rua2S IFcr1�cC TtL License#: dod 12
Address: /2 701 C1xo w s;a: A u £ City: .J t� Lz usS U L
State: the
Zip: S"S Phone: 7..5-Z ‘.4'03 'S S
Contact; Email:
Work Type
New
Addition
Alterations
K Remodel
Other.
DESCRIPTION OF WORK: 7( Commercial Residential Educational
FEES
$60.00 Permit Fee Minimum
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ ?IC* 0 x .01
= $ Oct, 620 Permit Fee
= $ r{ , q c Surcharge*
=s 74,0E TOTAL FEE
'"'Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Alamtpermitand cknowledge that the information is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes: that 1 understand this is not a permit, but only an application for
a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review
and approval of plans.
x /" M?k! k Moo its x "� L
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE / Reviewed By: :DA-- .tom""
Required Inspections: _Rough -In J .Final _ Fire Alarm Test
s 7%1.2714
https://maiI.google.com/mail/u/0msearch/Frank.Moore%40ajmelectric.com/1556ecea16829b d?projector=1
1/1
443 Lafayette Road N. IftMINNESOTA DEPARTMENT OF (651)284-5005
St. Paul, Minnesota 55155 INDUSTRY 1-800-342-5354
www.dli.mn.gov LABOR 8t
Division of Construction Codes and Licensing
REPORT ON PLANS
Plans and specifications on plumbing: Rahn Elementary, 4424 Sandstone Dr,Eagan,Dakota County,Minnesota,
Plan No. PLB1511-00137
OWNERSHIP: ISD 191, 100 River Ridge Court,Burnsville,MN 55337
SUBMITTER: ATS&R Inc., 8501 Golden Valley Road, Suite 300,Minneapolis,MN 55427-4472
Plans Dated: October 29,2015
Date Received: November 17,2015
Date Approved: December 8,2015
SCOPE: This review is limited to the provisions of the Minnesota Plumbing Code, as amended. The review is
based upon the supposition that the data on which the design is based are correct. Approval is contingent upon
requirements included in this report. A copy of the approved plans,specifications,and this Report on Plans
must be retained at the project location for future reference.
INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements of
the Minnesota Plumbing Code. No plumbing work may be covered prior to completing the required tests and
inspections. The contractor/installer must obtain an inspection permit from the Minnesota Department of Labor
and Industry when an installation is for a state owned facility,Minnesota Department of Health licensed healthcare
facility, or a project in an area where there is no local administrative authority. To schedule inspections, contact
the state plumbing standards representative for your region. For your regional inspector's contact information,visit
our website at http://www.dli.mn.gov/CCLD/CCLDContactus.asp
REQUIREMENT(S):
1. Verify that the existing water supply and waste systems are sized to accommodate the added fixtures(see
Minnesota Rules,part 4715.3800 and part 4715.2310).
2. Valves shall be installed permitting the water supply to each room or individual fixture to be shut off without
disrupting any other portion of the building(see Minnesota Rules,part 4715.1800, subpart 6).
NOTE(S):
1. The scope of this project consists of remodeling an existing building. The plumbing installation includes a
floor drain, a single compartment sink,a lavatory, and a flush valve water closet.
2. The building is served by existing municipal sewer and water services.
Authorization for construction in accordance with the approved plans may be withdrawn if the plumbing
installation is not undertaken within a period of two years. Plan approval 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.
This information can be provided to you in alternative formats(Braille,large print or audio).
An Equal Opportunity Employer
Rahn Elementary
Plumbing
Plan No. PLB1511-00137
Page 2
December 8, 2015
Approved:
g16,7/ 6t, s-2z;ffm44".6
Bradley Williams
Public Health Engineer
Plumbing Plan Review and Inspections Unit
651/284-5836
cc: ATS&R Inc.
ISD 191
City of Eagan Building Official
File