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3966 Sibley Memorial Hwy INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: niFa~~)Rrni HUv PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A • i,n 1~4I ia l I i'+ ~it:~ll t hl fl i, ~ J PermR No. PermR Holder Date Telephona # SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspectfon Date Insp. Commants Footings I Foundation Framing Roofing 'KA? Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Fnal Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Finsl Deck Ftg. DeCk Final Well Pr. Disp. - - ~ , . GC- - - - - - ~ ' ~L ~ ` - - - - L~~ I~ ~ - - J~ - - - -2 3 ~ • - _ - ~ - . . - __•h~~.-,` L• . • ~ ~ ~ . - : i ~-70 5 ~ C° ~~~Y""O Leweiz 4{~ Pe,4 te CITY OF EAGAN Include 2 set5 of plans, 1 1 site plan wfelevations & BUILDING PERMIT APPLICATION I set of energy calculations. r/Q,+,V$k 1q 'T QNG - For A/~/ ~t/ G- ,S~ aluation Date site Address : ' 3 F`j~,,~? }~u/Y oFF'ICE uSE ONLY LOt 0 3d BI.OC.}C O(V .SeC. /SUb • S Fci°o vk~ l EY'@Ct OCCLlpat7G'y Pareel 0 0[~ a 0 6)30 Alter ~ Zaning S Repair Fire Zone owner: TC ~ l~e ~pe of oonst. Nbve # Stories Address: 4/0 / T Dennlish Front ft. City/Zip Code: 57- Grade Depth 7 ft. pnom 73 d' 3 APPROVALS FM Contractor: GUA~Lhce ~C~1~1~ Assesssnents Pen-iit ~ ?t7 Addr~SS: Water/5ew~er SUr'Chc~Y'CJ2 r r . , Police Plan (heck Ci•ty,/Zip Code: y Fire SAC Phone En9 - Watex .^_arrs. Planner Watex Meter Arch-/~hg•: Council Road Unit Bldg. Off. Address: APC City/Zip Code: Phone # : TOTAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Perrnit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: Mt'M(It, I at Ht-JY , ,„td•, 1 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . .A i<<r~ I ~ : ~ , . • ~~~ii~.~~ i td 11 i ~ J PermR No. Pem?it Holder Date Telephone M S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Dete Insp. Comments Footings I Foundation Framing RooNng Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Orsat Test Final Pibg. Plbg. Inspectior- Notify Plumber Const_ Meter Engr./Plan Bldg. Final ja 9 Deck Ftg. Deck Final Well Pr. Disp. Receipt ' ~ 'MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee~ Fill in numbered spaces S/C Type or Print legib/y Tot. ,1 - 1. Date 2. Instailation Cost ; ' J f , ~ 3. Job Address Lot BIk.~ Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial 10 Institutional 0 9. Work Description: New ? Add O Alter ? Repair ? 10. Describe I / P L L Fuel Type 11. No. Equioment 8TU - M. Ea. No. Enuipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt MECHANICAL PERMIT Permit No. • CITY OF EAGAN ° Fea ' Fill in numbered spaces S/C Type or Prini legib/y ~ ' . Tot 1. Date 2. installation Cost i_ 3. Job Address ' Lot Blk. Traci ' • 9`70 Si b 1'Y)eM t wy. 4. Owner ' , ~ 1 , i , ; • ' i- 5. ContractorJ ( % / : i?! l / l t i ~ Phone~ f ! ~ 6. Address 1 ~i l . v I =1- f - , 7. Gity State ' l t Zip 8. Building Type: Residential ? Commercial L] Institutional D 9. Work Description: New C7 Add ? Alter O 13epair ? 10. Describe Fuel Typei o ~ . 11. No. Enuinment STU - M. Ea. No. Epuipment CFM Forced Air .`Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. , Signed: for Rough Ffnal Inspections: Date 1Insp.~ Date Insp. This is your permit w~~heh nu'mbered and aPProved. Approved CITY OF EAGAN 454$700 Receipt ~ MECHANICAL PERMIT Permit No. • , • CITY OF EAGAN . . Fee ' Fill in numbered spaces S/C , Type or Prinr /egib/y Tot. • 1. Date 2. Installation Cost 3. Job Address 39 70 Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New O Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No, E.quinment 8TU - M. Ea. No. Epuipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ^ , . .r~ . . ~ ~ y / - ~ ~ ' % ~ /y~P~. z s,~~ . ~~0~ ~ ~.r~ ;%~.;.~~s ~~o..-G ~ ~c ~ ~ L"~-- ° ~ ~ CITY OF EAGAN : 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~I r ^ ~t~ , • PHONE: 4548100 ~ ~ 1 BUILDING PERMIT Receipt # Tqb be wed im Est. Volue 11 Date 19 Site Address Erect ? Occuponty - Lot Block Sec/Sub, Alter (r} Zoninq Parcei No. Repoir ? Fire Zone ~ Enlarye ? Trpe of Const. W Name Move [3 # Stories ~ Address Demolish ? Length City Phone Grode ? Depth Sq. Ft. i_ Approvals Foes o Name Address _ _ Assessment Permit ' 5 4 5 0- City Phone ` `98 ' Water a Sew. SurcFrorpe Polite Plun check ~W Name ' r,i;l. Fira SAC WW ~ Address L Erq. Wofer Conn. ~ W City Phone 3 3~- 7•'' Plonner Water Meter Councfl Road Unit ~f. ~ 1 Fxreby ocknowledye that 1 have ?ead this application ond stote that g, the intormation is torcect ond ogree to comply with oll opplicable Stote of Minnesoto Stotutes ond City of Eogan Ordinonces. ^PC Totol Si9naturo of Permittce A Building Permit Is issued to: on ths exprcss condltfon thao oll work sholl be done in ocoordonce with oll applicable Stote of Minnesoto Stotutes ond City of Eopnn Ordinances. BuildinQ Offlciol . m . e a , 0 . 0 E ~ ~ ~ d ` ~ rb x ? ~ ~ ~ `v t?. _ r, d 3 ~ ~ , ~ ~ U ~ c3 C c v IL = o ; . . ~ e v .5 Z d = ? ~ ' ~ W fb ~ ~ ~ ~ d = ~i fA c LL U. IL ~ ~ ~ LL LL U. ~ T ~1 4 INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: , -111. . I,~~ . ~ ~ Ii PERIIAIT SUBTYPE: TYPE OF WORK: ~,~~ir~ r~ I I i l- A1 tII1N ~ , , ~ i ~ • ~ ~ fii~, , ~ ~ i , i INSPECTION D• • DA •~11 1 4!~ ; I IVl11 i i pqtt }rl t f'/{hnlt I f 1 I IIt1I r11 1 1 I. hti I i:i I'1l1{<f U F J L Permit No. Pertnit Hokbr Date Tebphone B S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Inap. Commsnta Footings I Foundation Framing Roofing Rough Plbg. Rou9h Htg. Isul. Fireptace Fnal Htg. Orsat Test Final Plbg. Plhg. Inspector - Notiy Plumber Const. Meter EngrJPlan GTfiYa;, ~ / aldg. Fmel /~1y ' Deck Ftg. Dedc Final Well Pr. Disp. INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 11 3830 Pilot Knob Road Permit Number: 4' . Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: Mt plftfr t A? Ilt-ly ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • 1 I fdf•,1 R ~ ' J ` Pertnit No. Permit Holdx Date Telephone t ELECTRIC ~ PLUMBING HVAC Inspwtlon Date insp. Commenta FOOTING5 FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ~ BSMT R.I. BSMT FINAL DECK FTG DECK FINAL , ~ . . - 4r, ~ . • C~;e~tt~tate vf cccupanc~ (Fi~ ~ "an ~ r- ~ment of isximing axotetion This Certificate issued pursuant to the tequirernents of the Uniform Building Code certifying thai at the ti?ne of issrrance rhis structure was in compliance with the various ontinances of tlte City regulating building constructiore or use. For the followrng: ux c.iamrcanmL MZI7'AID MIq[•- 7 Y"S TM SWIM ewg. Pe.mic ?ao. 25545 pooup-y Type 7,oning pistrict Type Const. owner at euiwiog UPP MIM IrIW CIEP Aahess 49fY) SdY 164 N NFSi }M Building Address l.ooliry 1D-(] IQ[Y~~1S 1~K A~ ~ Daic. . amwing O" POST IN A OONSPICUOl1S PLACE U s swin .a riTriESS.~,.,,.a , - , CITY OF EAGAN fJ0 17363 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 ~ Receipt # . I N'f ERI OR To be used for jMpR a Est. Value $60,040 Date DEC 7 ,19$9-- Site Address 3970 sIDLEY ME?lORIAL HYY Lot 2a3 Block 6 Sec/Sub. SEC'fION 19 OFFICE USE ONLY PdfC21 N0. Occupancy - FEES Zoning - W Name l1PPER l~IDLTEST wG NT CORP (ACtual)Const - Bldg. Permit ~o•~ o Address 1106 S~DADYAY, BO]C 834 (Allowable) - Surcharge 30.00 City NEW 111,M Phone 452-9056 # of Stories - Length _ Plan Review o Name sag~n Construction, Iac Depth - SAC,City ~a Address 1771 Yankee Doodle Rd S.F.Total - SAC,MCWCC F City Eattan Phone - 452-0555 S.F. Footprints _ F On Site Sewage _ Water Conn ~ W 'LEU Name On Site Well - Waler Meter Address MWCC Syslem _ a W City PhOnB Ciry Water _ Acct. Deposit I PRV Required _ S/W Permit I hereby acknowlege that i have read this application and state that the eooscer Pump - 5/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Treaimem Pi Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: EA N CON3TRUCTION. I Pianner - park Ded. I on the express condition that all work shall be done in accordance with all Council appGcaWe State ol Mmnesota Statutes and City of Eagan Ordmances. gid9. pff. _ Copies Vanance - TOTAL 4~' ~ Building Official Permit No. Permit Holder Date Telephone # WATER SEWER PIUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Commenis Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Freplace Fnal Htg. Fnal Plbg. Const. Meter Pibg. Inspector - NoGfy Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. PERMIT # - • . . MECHANICAL PERMIT RECEIPT # CITIf OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE C~ C pa s PHONE: 454-8100 Site Addrer 3'70 Mfw'"W BLDG. TYPE WORK DESCRIPTION Lot 81ock ec%Sub ~ % Res. New ~ Name ~IoN l. ~ • Mult Add-on ~ '~'i Ca i R A k 0 Jic ,S. Comm. Repair ~ Address Other K t~ l~\~ K= c Ciry ~ leca r~+ ,.d t~ t~ Phone S - U,S, jt.+)~rH ~ FtTr?T~ FEES ~ Name RES. HVAC 0-100 M BTU -$24.00 c Address 3?70 t &ti 11.4 . ADDITIONAL 50 M BTU - 6.00 p City ~ n ~I n"j Phone (RES. HVAC INCW DES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERiVIIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE 4 --/'t~-';~' S/C: ' SO SIGNATVWE OF PERMITTEE TOTAL• 6 I' l 8 FOR: CITY OF EAGAN CITY OF EAGAN i O$4v 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDING 'ERMIT , rtece+pt # Te M wod hr Est. Volue Dote ~ , 19 ~ - - 5ite Add?ea ' Erect ? Occupancy Lot Block bSec/Sub. 1, Remodei 11 2oning Repair ? Type of Conat. Parcel No. Addftlon ? No. Stories , Move ? Length W Name Demolish ? Depth ~ Address Int Impr. ? Sq. Ft. City Phone Install El _ Approvala Feas Name ' - Addreu Assessment Permit City pho Woter E~ Sew. Surcharye ~ Police Plan Revlew ~W Name Firo SAC Address Enp. Water Conn. tW City Phone Plonner WaterMeter Countil Roed Unit I hereby acknowledye thot 1 how reod this opplication ond state that Bldg. Off, ii Tr. Pl the informotion is oorrett ond ogree to comply with all opplicoble APC Pa~ Stote of Minnesoto Stotutes and City of Eogan Ordinonces. Var. Date Copies Sipnaturo of Permittee Tatal /1 Building Permit Is iuued to: on tM express condition Iha+ all work shall be done in accordnnte with oll applioeble Stata of Minnesota Statutea ond City of Eagon Ordlnances. Buildinp Officiol Pormtt No. Pwmk HoIdK Daw Tslephone Plumbiny H.VA.C. ENewa 6 '/(~~~I Softwsr Irupeetion Oate insp. Othw Footings 1 Footlnpsll Foundatlon Framiny ~ i Rooflnp Rough Plby. Rough Hty. Inwl. Fireplacs Flnal Htg. Final Plby. Finsl ~ c.wocc °I 2 6 WatN iba Location: Well $wrer P?. Dfsp. cinr oF EAw?N 3795 PWt Kwo? Rasd fagan, lY1N 55122 ' PHONEs 454-8100 BUILDING PERMIT Receipt # Te 6e w"d ier Est. Value Dcte , 19 Slte Address Erect ? Occupancy Lot Block $et/Sub. Alter p Zoninq parcel # Repoir ? Fire Zone Enlarpe ? Type of Const. W Nu., Move ? # Stories ; Address Demolish ? Length b Ci Phone - Grode p Depth Sq. Ft. Noffm Approvols F~es ,o • Nssessment Permit v~ Address ~ Cit , Phone Water 8 Sew. SurcFarye ~ Police Plon check ~Z Nome Fire S/1C Address Erq. Woter Conn. ~ W Ci p?~~ Planner Water Meter Countil Rood Unit 1 hereby ocknowledge that I have reod this opplication ond stete that eldq Off. the intormotion is wrrect ond ogree to tomply with oll applicable APC Totol 5tate of Minnesota Stotutes and City of Eagan Ordinonces. Sipnoture of Permittee A Building Permit is issued to: on the exprcss conditlon thnl oll work shell be done in accordonte wlth all opplicable State of Minnesota Stotutes and Ciry of Eayan Ordinorxes. Bulldiny Offitiol $ 0 2 d Z `m r V Y ~ Q E ~ `o d ~ ~ CC « ~ 0 ~ J E d c d I -f Z 9 ~g LA o ~ YI1 ` o u o ~ •d . = W g ~ U. LL U. ~ eac ~ LL LL IL ; ~ ~ ~ CITY OF EAGAN y2 12668 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 1 BUILDING PERMIT Receipt # -7 j Tobeusedfor IVT. IMPR. Estvalue $2, UUO Date SEP`1'EI•iBi~R 23 198ti SiteAddress 3970 SIBLEY hiPI9Qi2IAI, HWY Erect ? Occupancy a2 Lot z Block 6 Sec/Sub. SECT 19 Remodel ? 2oning CSC Parcel No. 10-01900-020-06 Repair ? Type ot Const T TN Addition ? No. Stories ~ Name U.S. SWIM & FITNES CT2 Move ? Length = 4801 Yd $1 ST Demolish ? Depth 3 Address Int Impr. ~ Sq. Fr ° city BL;~SGTN Phone 893-1319 lnstafl ? DZVF:RSIFIED CONST Approvab Fses o Name ~ i Address 6601 GR.AND AVE S(7 Assessment Permit a32• S 0 iE ciry IMPLS Phone 869-2070 water & Sew. Surcharge 1.00 Q Police Plan Review ~ Z Name Fire SAC ¢ = Address Eng. Water Conn. < W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that the gldg. oft. 9/17/86 Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature oi Permittee Var. Date Copie TOtal ~ c..- - A Buildin Permit is issued to: J I V.ti}2S I i? I ED CONST 9 on the express condftlon that all work shall be done in accordance with aIl applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official % J PermR No. PormN Holder Data TN~pl~on~ M Plumbiny H.V.A.C. Electrlc SMIMM InspscUon Dau Inap• Commen4 FooNnysl Foodnysll Foundetion Frominy RooHny rRo-ugh lbp. ty. e Final Hty. Flnet Plbp. Bklp. Find /-scS'~~ C./~ • CMt. Oec. Dack Fty. ~ Dock Frmy. We11 Pt. Disp. i ~ r;~r:t~~i~-i~~iyv : O 7` . , PERMIT # 0 • , ~ ' , , ^ , `l , MECHANICAL PERMIT RECEIPT # _ CITY OF EAGAN , ~ 3830 PILOT KNOB ROAD, EAGAN, INN 55121 DATE: CONTRACT PRICE ~'y" PHONE: 454-8100 Site Address i N':: `,'p-1M BLDG. TYPE WORK DESCRIPTION Lot - Block Sec/Sub Res. New m Name MuR Add-on Address ` P, ' Comm. Repair c City Phone Other Name ~ • ~''1 FEES c Address RES. HVAC 0-100 M BTU - $24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - GOMM/IND FEE - 20.00 Air Cond. M 8TU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000.00) Other FEE S/C' 4•~~ SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ . ! I.l i i M11r7lnt fZtlt( PERMIT SUBTYPE: TYPE OF WORK: i i~i,.., ~ i,,~ ~•11 . r, i . I INSPECTION D. • DA f II i i I It, ' .,i 1 fd i I i11!,.;: ; i: ~t i" : I Nfil I'I Ftl, t I Hr"I tI ! 1 Nrt! ,f J'lll'ii I! 1.1 1'11I I', Ar:1 I:1 r M +144't 1 I a11'1ic I t0, M L I i1 I i4(1AI I4s11t1. F- ~ L Permk No. Permft Holder Date Telephone 0 S/W PLUMBING HVAC ELECT ELECTRIC Inspection Date Insp. Comments Footings i Foundation Framing S10 / 171r~? e / r c~ Rooflng Rough Pibg. Rough Htg. Istd. Freplace Flnal Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final `5/.21 / ( Deck Ftg. Deck Final Well Pr. Disp. cirr oF EAGAN =795 'ilef Knob RoeJ Ee9aw, 1NN 55122 NO 7465 PHONE: 454-8100 BUILDING PERMIT gMpC)EL ' ' Receipr # lSL' Te w wod fer TAPIMING SALON Est, Value $1500 Dote August 24 19 82 Site Addreu 3970 Siblev Memorial HwY. Encr ? pccuponcy, B'2 Lot 030 glak 06_ Sgc/gub, Section 19 Alrer ~ Zoniny CSC porcel # 10 0I900 030 06 Repolr ? Fire Zone NA Enlarye ? Type of Corrst. III Spa W Ncrne Robert Fletcher Mrn,e p # Srories ~ ~ Nddress 6_944 llth St. N. Demolish ? Length NA . G St. Paul 55119pxm 738-3464 6rode ? Depth Nk Sq, Ft. 01 Wallace RuedY APP.ovals F.es ~o Name ~u ~fe~ 6201 13th AV@. S. Assessment Perm+t 25.00 1.00 ~ Ci RiChfield ph~ 866-0340 Water b Sew. Surcharpe ~ Police Pian check °G Noma ~ W Firo SAC YE Addross Enp. Woter Conn. <W Ci phone Plonrer Woter Meter Cauncil Road Unit I hereby ocknowledge thot I haw read this opplicotion ond stote that gldg pff. the intormotion is correct and ogree to comply with all opplicable $26.00 Stats of Minnesota Stotutes and City of Eoqan Ordinonces. APC Tocal Sipnaturc of Permittee /1 Building Permit ls issued to: Wa11aCe Rtl@d on the express conditlon thni a!I worlc shcll be dor?e in occnrdante wlih oll e cable Stote o i a Stn City af Eagan Ordinonces. Buildinp Officiol I . : ;-~r~,ayp+~...,q.~c~. ~-,+r.. . . - , : _ . - • - HOUSE_ H EATING TEST RECORD ADDRESS / lAPT. F,~ CIT~ SUBURB OCCUPANT p~~ ~ ~fif 5 HEAT LdSS QATE HTG. IHS SOLD BY INSTALLED BY Electrieal Work By Gas Lins By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER CONVERSION , MAKE OF BURNER Model Model ~ . sq-wial Max. BTU Rati INPUT MAKE OF F Madat , f7 CO~JRQLS THERMOSTAT '`UN~ W ' • ~~I~Plug Vsnt Siza Valve KIND OF LIN~ SIZE ~ NONE - Lim1t Draft Hood R• ~laror 1 o x ~ Limit SofFiny ~D Filter: Si umbsr Fan Setting Chimney Loeation Insida Qutside ~ Pilot Type ~LLC7; VZI V C Chimnsy Construetion . Pilot Make Pilot Model Smoke 6omb Wiring P ilot TiminQ D?aft ~ A022829Iy Tesf Tap . L.W. Cut Off Door Pressure `f Lightiny Inst. Prossure ' ~c Percent COZ ~ Date Testsd ~ f Input CFH 0 Peresnt 02 Company Testing Stoek Temp. 0 Parcent CO Name of Tester Form 235 ~ -46%E HEATING TEST RECORD . ~ ~ . ADDR E55 AP7. FLaQR CITY SUBURB OCCUPANT~ OWN6rR iz S HEAT L055 DATE HTG. I ST. SOLD BY G G 1 INSTALLED BY Efectrieal Work By Gas Line gY ~ lG ~C TYPE QF HEAT GA FA HW STEAM SPACE HTR. UNIT F~. OTHER MAKE ~AS DESIGN p~oi?ve oN AKE OF BURNER Model 6 ~ - Serio) y 3 Mox. BTU Rating INPUT MAKE OF FURNA CONTROLS THERMOSTA ' Yt &'6&_MQat Plug Vent Size Yalve T{ '1~z ~ KIND OF L1NER S1ZE---__N0NE Limit Draft Hood ` Regularor~/._///~~T~L 3Z-~-3 Limit Satting Filters 5iz K~lumber Fan Setting 2Chimnsy Loeation inside Oufside Pilot Type _~G~~D/?/C _ Chimnay Construction Pilot Make Pilot Model Smoke Bomb Wiring Pilat Timin9 Draft 12 f~ ~~lftf 444- Test Ta9 L.W. Cut Off Door Pressure Lighting Inst. Pressure T!/ //alc_ Pertent C02 ~ Date Tssted ~ lnput CF4i Z~ Percent OZ Company Testing ~~G Staek Temp.3gsp Percent CO 4~217-~ Name of Tester Form 235 HOUS HEATING TEST RECORD AQDRESS E A~PP/+J(,j- ~IJTE/~APT. FLOOR _QJY SUBURG&rIl/ OCCUPANT9.IMU4S hW~$~.7'#~ C,6,NT_CiZ~ OWNE A Z AT~ t5hjl CC= tr~+~ HEAT LO55 DATE HTG. INST. SOLD BY INSTALLED BY~~~ Electricol Work By Gas Lins By y t/ TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DE51GN CONVERSION MAKE IA~ ~ MAKE OF BURNER Model Modsl Serial y Mox. BTU Ratiny INPUT 4~2014QQ) MAKE OF FURNACE Model ~ CONTROLS ~ THERMOSTA7 Heat Plug Vont Size ~-7,r ONE Valve KIND OF LINER E N Limit Droh Hood giia Limit sMing Filters Size ber Fan Setting s~ Chimney Loeafion Insids ~~-Outside Pilot Type ~ Chimnsy Construdion Pilot Maks i N' Pilot Model Smoke Bomb Wiring ~ Pilot Timing DraFt ~ Tsst Tap ? L.W. Cut Off Dow Proasure Lightiny In¦*- S Pressure a/Yr Peresnt CO ?-77) C Date Tested [ v `9 ^ o`( Input CFH !7t0'.3 Percent 02 Company Tssting Stack Tamp. J Percent CO Name of Tsster ~ieg 11-i oA-19 U5,62 L4 Form 235 -W ` ~~l'~.?V if. s= - ' - - - ~ - -~~V- - • ~s ~~erft#tr~t~e uf (~rr~~rttnr~ ~y Citp of (Eagan Eppttl't11tPlif of lltdbtilg ]WPtYtQtl ~ ' M Cert*a6e issued pursuant to the requirements of Sectiorc 306 ojthe UnijormBuilding Code certifAW tkat at the time ojissuance this structure was in complia:ce with the uarious ~ ordinances of the Cfty regulnting butldirig consbuction or use. For the following: _ 77~T7r~~rTrry[I UxClaseificHi~i ti - 7~1~S~++~l~S ~li~ ~.lVn BWe.PermitNo._il~-S7.YS~-- I~ OctuPwwS'TyM Zaniiq[Dievfet --'Iy'peCane~ OrnerolBulldint iT _C`WTM % FT'PIQF?.S.'C wdd.4201TW_BI~CT qTLRTfY'iU1lTY?iYl~ euimna AaaKM_ 3970 SIE~FV DMEul IaWVf.~.utY T. R_.6__E=--19--- Dete: ~ME 11'1'~u• -26i 15 II' Buildin6016cial ~ ~ :Y. - r ~POST IN A CONSPICUOUS PLACE . Tmzz-r--r~-^-aaa•msm ~uszz-mr_mr-~~a~n.*_=mm~~ir._rm-._~=-^----ffi:~*sr~ . ..,t~ ~ - ' ~ . ~ ~i,.~,.~ ~ -,,:'~~.R„~ ~ r V.W_ CITY OF EAGAN , SEINER SERVICE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: Na. of Units: pwr1er Eagan Gonst,Cn, 7nc Address: Site Addross: 3970 Sibley M morial Hwv 10-019(10-o20-0{~ PI umber: 5-17-84 43352 200.00 pd 1.'r.. te eenMy ~N6 Hu C*r oi Eava. Connectton Choro.: 850.00 pd OrJimnea. Account Deposit: Parmit Fes: Surchorpe: gy Misc. Chorpes: Date of Insp.: Total: Inyp,; Doh Poid: CITY OF EAGAN' SEWER SERVICE PERMIT 3830 Pilot Knob Rosd , PERMIT NO, P. O. Box 21199 ' Eagan, MN 55121 DATE: Zoninp: No. of Units: OwMr. Ea an Const Co Ia Address: Site Addfess: 3970 Sible Mesaorial I? 10-01900-020-06 Plumber. . p~ 5_17-84 43352 854.00 pd Cor?n~ctlon <]+orpet 1a9rM M eonlpl! wieh !Iw Gh? of lys" Ordinseam Aocount DeDosit: Permit Fee: Surcharoe: ey Misc. Choroes: Dote of Insp.: Totat: Insp.: Doto Poid: .,~-v._-. ~ CITY OF EAGAN SEIMER SERVICE PERMIT 3630 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: ~ Owrwr. :ri 'uslji. , Co IriC ~ Addresr. Site Address: 3970 Sibley Tie:~lari.sl Iiwq 10-01900--020-06 i ~ Plur»ber. j 5-17--84 4 - P ~ 1.s•« to aanpy wiM e6e Ger of Eye¦ Conneccian Chaqe: 854. QO Ordinenua. AtcourK Deposit: ~ 1 Permlt Fee: ; Surchorpe: ~ gy Misc. Charges: . Dote of Insp.: Total: Insp.: Datr Poid: CITY OF EAGAN • ° 3830 Pilot Knob Road SEWU SERVICE PEItMIT P•O.Box21199 Eagan, MN 55121 P~~T NO.: Zoninp: DATE: pM,ner - ~i , No. of Units: cO IT1C llddress: Site Address: Sible Memorial EIcay j)-.rj c- Plumber. 1. )0_r20.--(}'; ;52 ~ .on* te Ordieen OMWY city ef Eep* Cm+tdion Choroe; 35 ri. 00 ; WARN1NG Account DeMwf: Before di ~'""ft F°'': gging cai! Ioc-l utilitiessu~roe: ey Date of 1 ~Misc. Chorpm I"ap.: ~ ~`t 1 A ~AYotal: Yvote Paid: I ~ =70731 - . 1!~ Requeet Date Flre a. Rough-in Inepection ~ Require0? ~Aeady Pbw ? WiA Notity II ?Yes No WhenFeaEy? I)q licensed coPtractor ? owner hereby request inspection of above electrical work at: Job Atld2ss (Street, B. orAOUte Na.) JAV Ciry 3RGia 5, 61e /tl em. !+W E n Sec[ion No. Tawnship Neme ar o. R ge No. County Ocapant (PRINT) Plrore No. Sc ~+acQ --~nac sr ~ g9f~- / Pow¢r Suppller Atltlress ~ Eleclncal Contraclor(C pany Name) / ContraLcto/r§ LJCenae No. Mailing Adtlreas (COMracfor or Owner Making Installeilon) 11006S ~s a, S Pu[horized SignaWre Conha /Owner M nelallation) ~ Phone Nu~m±ber 1AINN ~0.TE BOAflD OF ELE THIS INSPECTION REQUEST WILL NOT Gtlggs-MlEway Bltlg. - Rppm 5773 BE ACCEPTEO BY THE STATE 80AFl0 1821 Unlveralry Ave, M. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS PMne (612) 692-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Eaooom-o7 . ~ See instruc[ions far completing this krm an beck af yellow capg ~V 5y5 ~ ~Q 731 X" Below Work Covered by This Request ew Adtl Rep. Type of Building AppliancesWired EquipmentWired Home lAir a Temporary Service Duplez r Hea[er Electnc Hea[ing Apt. Building r Other (Specify) Comm./lndushial ace Farm onditioner 01her(aGecBY) ConUaccor5 Remarks: Campute Inspection Fee Below.• # Other Fee # ServiceEnuancesize Fee # Circuits/Feeaers Fee • Swimming Pool 0 to 200 Amps 0 to 100 Amps Transfortners Above 200 _ Amps Above 100 _ Amps ( Signs Inspedorg U. OnIY: TOTAL Irriga[ion Booms Special Inspection ~g Alarm/Communication ~ D•F/ O[her Fee I, the Electrical Inspecto, hereby pough-in oaie certiry that the above inspection has FinM ~ kk,j been made. . E USE ONLY wid 18 rtanMS Irom 0-m If 713/E-2 Construct ion aa?*3 9? ~~O 40 5 ~ s eon Other Than Fough-In Requ st Dai Fire No. RouglG n Inspeili Fequired In cti 4/19/95 (vou must cei~firsipmo~ nan reaay) ~ReaaYNOw I-IWiIINOtilylnspector ? ves No Date Fead ~~x~t I5dlcensed contractor ? owner hereby request inspection of above eledrical work at: Job Atltlress (SVeat. Box ar Route No.) City 3 970 Eagan Sec[ion No. Tawnship Name or No. Range No. Cof"skota Occupant (PRINn Phone No. U S Swim & Fitness Power Supplier Aatlress Electncal Conimctor (Company Name) Comraclofs License No. Mayer Electric Corporation `_'_'11205 Mailing Atltlress (Contrector or Owner Making "on *Tash's m8te~.' #AM02745 5328 Hanson Court Minne aolis MN 55429 AoL IfEtl 'gnature (ConVa Owne ta ng Installalion) Phone Number ~ 537-9357 m.C-l28 BE ACCEPTED BV THE STATE BOARD MINNESOT ITV I II I I I 11111111111111111111111111111 THIS INSPECTION FEWEST WILL NOT 1, mn omua UNLESS PROPER INSPECTION FEE IS Phone P-0900 ENCLOSED. ` REQUEST FOR ELECTRICAL INSPECTION / ff`"~~ ee-oooai'-ds ' ~l ~/'//~3 ~ See Inslmctions lor completing this brm on Dack of yellow mpy. 4~ r O~ I lJ 95 "X" Below Wovk Cavered by This Request wr,.~ . Ne d'd ReP' Type of Building Appliances Wired Equipment Wired . Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Load Management Comm./Industrial Fumace Other (S eciry) Farm Air Conditioner OtM1er (speciry) Contractor's Femarks'. fllL,n1SY1 & install if13t '1 peY Compute lnspection Fee Below: QllOL0--1RSC811 new fixtures, etc. # O[her Fee # Service Enfrance Size Fee # Circuiis/Feaders Fee Swimmin Pool 0 to 200 Amps 0 Am s Transformers Above 200 Amps Above 1 -Am s SI fIS Inspector's Use Only: ~ TOTAL Irrigation eooms ~ 20.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WI7HIN 18 MONTHS. I,'the Electrical Inspector, hereby ROUghin . , Dale certify that the above inspection has Ffnai oata bEen made. OfFICE USE ONLY This request vaitl 18 manths irom Thi:`fzquest void ~ ~ O i/~ ~l/~/ ~ • 18;ni}nths ~mm I ~l ~ l~ Sc~~~ ~ yi9a P~ uest De Fire u. Poupl~-in Invuectinn 9urtetl? C:]ReaAV NowWili Noli~V. In ? sec- V ~V~s N. or When FeadvO ~ LicenseA Elecvical Contractor 1 hereby request inspection ot above ? Qwner elactrical work installed at Str , ~ess. eox or Houte No. CadARV)L1'x M AG~- City 8 15 i k' G'sf.ra,2,` L J9' •c.i ecLOn o. Town>hip N mo or No. flanyc No. Countp Or.cupant (PFlINT) Phone No. E & Cawer SupDlier .4dAress F~lectricxl ConVactor ICOmpany Namel Contrartor's License No. 7Q~y ~ C l?c7R I' t O N '6 , li Z 'f 0 $ S' Mailine AdJress ICOnvacmr or Owner Making Instailationl ly y '~JC~ ~ Vb 4 G Lf .S n/ BQUCKL ,y ~ ~J SJ~ ~J ~cE/l.R• /t2i17.~+1 Au[ rized SiOnature (C r or/OwnerMakine I suallatioN Phone Number 0_1~ ° (-,516 1 - 7 S MINNESOTA STqTE BOARD OF X&ICTRICITY THIS INSPECTION REQUEST WILL NOT Grigas-Midwey Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 UniversitY AVe., St. Peul. MN 66104 UNLE55 PflOPEN INSPECTION FEE IS NCLOSED. Phona 1672I 297-2711 E REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 1 1 2p See instruclions for completing this form on back of ~ p yBIIOW 40py. l~ p Covered by This Request New Add RaP. Type of BuildinA APPlI.lnCBS Wiretl Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhtin Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fatm Othar uecify Other ~SUecifyl - t er Suecify Other Ourer Compute lnspection Fee Below p Fee ServlceEntrenceSize H Fea Faeders/$uhfeetlnrs N Fee Circuits 0 to 100 Am s 0[0 30 Am s 0$7S 0[n 30 Am p 101 to 200 Anips 31 to 100 qmps 31 to 100 qm s Above 200 Am)s Above 100_Amps A6ove 100_Am s Transionners Remote Control Circ. Partial%Other Fee Signs Special Inspection $yV 0 TOT FEE Ijemarks y ~f~oK(:S ° A BouHh-in Datc I,the Electrical Insuacbr, hnreby carlify Net the above 'Final Dtl1e y ins0eclion hes been f~7 meda. i This repuest void 18 months fiom rr wia 55 t ! ! 1'~B 19~q 1 La~~ 0 a.o.~oo flequest Date Fire No. Rouph-i~n? InsOection ~qeatly Naw ~ Will Notily. Inspec- - R 9/4/85 ~Yes ?No torWhenReady CC J.icensed Eleclrical Contractor 1 herebY raGUest inspection ot above ? Qwner alectrical work imlalled aY Sheet Add,ess, Box or Route No. City _398§ 5iblem Mem Hwy, Cedarvale S.C. Eagan ecuon o. Towrehip Name or No. Pangc No. County 3~~U Dakota Occupant (Mi1NT) Phone No. , NdUtdllSt Power $upplier Atldress Elecirical Gon[ractor (GOnqanry Name) Contmcmr'S License Na. Hilite 40445 Mailirq Address ICoMractor w Owrer Maki,g IRSlailationl AuMori ii~ Si namr Contractor r Makinq Insla ation Phone Number ~ MINNFSOTp gTqTE BOARD OF ELEGTRICITY THIS INSPECTION REQUEST WILL NOT GriWA-MidaieY gldB. -Race, N-191 BE ACCEPIEO BY THE STq7E 8pqR0 1827 UniversitY Ave., St. Peul, YN 65706 UNLESS PROPEN INSPECTION FEE IS Plq. 16121 297-2111 ENCLOSED. REQUEST FOR ELECTWCAL INSPECTION Ee-ooooi10 PC, , See. instnct:ons Z tw le4"m this fo~m on beck of yel low coov~ ~ I 4 I~~ ~ ""X'" Belor~Work Covered by This Request @d ReD. Typ¢ oi Buildi" APDli ancea Nired Equipmant Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. 8uiiding Dryer Electnc Heatin Cortunercfal Bldg. Fumace Silo Unloader Industrial Bidg. Air Cwditioner BWk Milk Tunk Farm O[he. ceu tnei Isueci(vl t .r Sueufy Ihe. Othe, omNute lnspection Fee Below k. Fea ServiceEntrence5ize k Fee Feeders/Subfeeders N Fee Circuits 0 ro200 0 to30qm Oto30An. A6ove 200 qmps 31 to 700 Amps 37 to 100 q Swimming Pool Above 100-Am Transfortners Irtigation Booms Partia6'Other Fee Sigis Special Inspection ``20. 5 0 TOTAI E Aertmrks D . RouBh jn 1, the E cttical I inspector, a y cartity that the above final . 4~i5G "Moection has baen r ~ ra ~da. ,ro.re4was+void ,amonthstatn This repuast void 0 ~ ' a s-Ft y ~E 9 Y~i 18 tinnths tmm : c , _03p . M{' ~.a2.s2 -~-s ~ s«+ • i5~ ao.oo Raq st Unt, ire No. Rouch-in.lnsuection A Uuiretlt ~!?eatlY Now QN.'ill Notitv. InsOer aA1~ 17 - g~ ~Ves ? No ~Ior When Ready ~Licensetl ElecVical Contractor I here6y repaest inspeet~on of above ? Owne,r elechical work installed at: SvEe[ Address, Box or Route No. CitY 377D S r~OLk'~ Mx~ruR l~~ ti,n~ N ecvon o. I Township Name or No. Range . Coun Occupant(PRINT) , Phone No. -fit ,v ME 73 $ -3 6 Power $uppliar Address Electrical Contracmr ICOmpany Namo) Coniractor's License No, .oa.s' ,Ec, 87J~ Mdiling AtlJ,ess ICOntractor or Owner MakinB Instaila[ion) ' (I/Ll3 ,750 v L/?s BRan~CG P .4K Aytho(zed Sipnarora (CO or Owner Ma ing Instailation) Phone Nwnber cS"6 ! - 7 c5 THIS INSPECTION HEQUEST WILL NOT MINNESOTA STATE BOAPD ELECTflICITV GriBes-Midwey Bldg. - Room Nd97 BE ACCEPTED BY THE STATE eOARD UNLESS PqOPEH INSPECTION FEE IS 1821 UniversitY Ave., St. Vaul, MN 56104 Pnmw (6121297-2711 ENCLOSED. /.v.taREUUEST FOR ELECTRICAL INSPECTION ee-oooo -oa ~ See instructions tor completing this form on back ot yellow copy. V~1~ 7~ ier X'" ~eIA~INorr, overed by This Request ' e Atld Rad. Typy of Building APOliancas Wired EQuinment Wired Home Range Temporary Service Duplex Water Heater Liyhting Fixtures Apt. Building Dryer Electric Hea[in Commercial Bldg. Fumace Silo UnloaAer Industrial Bldg. Air Conditioner Bulk Millc Tank Farm Other oeu v tner Isneci(vl t er SVecify Ot er Othi,i Compute lnspection Fee Belaw A Fee ServiceEntrenceSize # Fea Feadnrs~5uGlaeders tl Fea Circuits 0 to 100 Am s 0 to 30 qm s 0 to 30 Am s 101 to 200 Amps / 31 to 100 qmps 31 to 100 qm Above 200 Amps Above 100_Amps Above 100_P.mps Transiormers RemoteControl Circ. Partial~'Other Fee Signs Special Inspection 9, ~,48 ~~L ~ TOTAL F yn ks 1~v~~~ ~ 'tHni)%+- Rou~uS ?-r"~.siqL~ lDiJAW aouen-in ? r o ce , ma eiec icai :7 Inspectur, hereby ' carti(y thatthe above Final sVection has been T~rade. This request voitl 18 mon[hs hom • ~ ~a-a~-8 ~ ~~o E~~~ Rev,rt Date F Na. Rougn-in Inspedion q~{ Requiretl? y Now ? W II Natify Inspeclor A~ ? Yes When ReadY7 IIN licensed contractor ? owner hereby request inspection of above electrical work at: iob Addfess Isreel, eu or aome No., City Sactioh No. 7ownship Name or o. Range No. Coun_ ry Occupant(PRINT) ~ Phone No. u. s. s~u..rr 9~ ~iT~ss Power Suppller ` Atltlrew Eldcn,iwlC;ntraqor(CO~m~Name) / Oe'7"QJ7 N I r ? Mailiig Atltlress (CaMwqOr a Owner mg Ins Ilatqn) 1 ,S 4 ~ U~ Authorizetl Signature (COnUac[or/O.me~ eking Insiellet n) Pho. Number MINNEhW ATE BO U OF CTRICT' THIS INSPECTION HEOUEST WILL NOT Gdgga-Midway eltlg. - Room 51M BE ACCEPTED BV THE STAiE BOPRD 1821 Unlvereity Ava., SI. Poul, NN 55106 UNLESS PROPER INSPECTION FEE IS Phom (812) 662-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION r : eaooom-07 See InsVUCtions br completing thie Form on back of yellow copy. ~ i a- a 7_ g~ ~ 2S , `X' Below Work Covered by This Flequest ~Qq~f'3 a"Atltl Rep. Typeof8uilding AppliancesWired EquipmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heating - Apt. Building Dryer Other (SpecNy) 4 Comm./Industrial Furnace Farm ' Air Conditioner Other (spedry) Cornrectar5 RemarksyA)57'~LL Compute lnspection Fee 8elow: # Other Fee # Service Entrance Size Fee # Cimui[slFeeders Fee • Swimming Paol 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps SignS Inspectar9 Use Onty: TpTfAL , Irrigation BoomS I y~ r~v !-di S, Special Inspedion ~ V wA Alerm/Communication Other Fee I, the ElactriCal InspeCtor, hereby RwghAn oece certify that the above inspection has Flnel been made. ~ OFFlCE USE ONLY • ~ This requeel void 18 rtronths hom T"i~~'~ f~o a18 !v o14oa-~3e- o(D 31`7Z-7 ~ o5f Zo < o p Pequas[ Date Fi~e No. Raugh-in Insper.tion ~y - fleqmretl? ~Ready Now,y~Wili Notify Insper ~ 3- g yes ? N. ~~ur When Roadv ensed Etectrical Con[ractor 1 hereby rapuest inspection of nbove Owner r^~w~ ~ L electricel work installed ot Street Atldres ox or ouIe-Np.L~ ^ ~~.~0~~(~ ~v Ci[V 34~v s ~ rI ecuan 1 1 Towns ip Name or No. anye No. Cow~ ?/~A fC D 72 ,Occvpant (PflINT) Phone No. Y-Aly F, FLEfC E 3 8r - 3Lit 6 Power Supplier Atldras5 o Ele rical Convactor ICompany Namel Contractor's License Ny On,'S J:Gt-G-~ ' o O T 27S Mailing Address IContracmr or Owner Manking Instailetionl ^ tf "7T?3 S' Q/Q A o~ KL 'A:~t Authorized SienaWre (Co ctor wrer MnkinB Insiallation) Phone /Number - V D L _ ?81 d- ~ MINNESOTA STqTE BOARD ELECTXICITV THIS INSPECTION flEQUEST WILL NOT Griaes•Midwey BIdB. - poom N-791 BE ACCEPTED BY THE STATE BOAND UNLESS PflOPEN INSPECTION FEE IS 1827 UniversitY A~e.. St Peul, MN 5510 . 1c11~ oov i'll ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-es See mstructions for completing this form on back ot Vallow copy. Y m ~ Be w Work Covered by 7his Request 3 1~ Z~ e Atld flep. Type ot Building Appliences Wired EquiNment Wiretl Home Range Temporary Service Duplex Water Heater Liyh[iny Fixtures Apt. Building Dryer Electric Heatin Cummerc~al Bidg. Furnace Silo Unloader Industriai Bidg. Air Conditioner Bulk Milk Tanl< F3Ym Uther oer,i y }her ISpeciNi [her pncify Ot er ONer Compute lnspection Fee Belaw P. fee Service EnhanceSize !f Fee Feeders/Subfeeders N Fee Circuits 0 to 100 Am s 0 to 30 Ain s 0 tn 30 Am s 101 to 200 Amps 37 to 100 Amps 10, O- 31 to 700 A s Above 200 qmps Ahove 100_Am s Above 100_Amps Transionners Remote Control Circ. Partiaf /Other Pee Signs Suecial InsVection TOT V19 ~t,~~~ Ff,E ~AWW Rouyh-in Date I, the Elecbical ~ Insnactor, hRraby Final 4 cartifVthat thenbo ~;uo msaection 1 mad ThiS repurest vnid 78 months hortr ~C/-' ~ Tfiis reQUes[ voiC 16 month¢from 09-7-N 7 He.quest Ua~a Fire No. ReQU Rouphrt"ed? in Inspection ady ~dwg] Will NotifY ~nsPer 8.-15 -84 ?Yes CXNO Iar When Ready LicenseA Elecvical Contractor I hereby request inspaction of above ~OZVner electrical work inatelled et S}reet Add,ess. Boz or Route No. 7 O •~l Cilv Cedar Ave & Hw 13 Cedarvale Sho in Ctr an ecuon o. Townshio Name or No. anBe No. ~;roupty _-~aoa Occupam IPRINTI Phone No. Nautilus Health S a Pawer $upplier Atldress ElecVical Coniractor IGOmpany Name) Cnn[rectors Lir.ense No. MailinB ~+ddress ~ ontrnctor or Owner Makine Instailation) 1 13205 Industrial Park Blv Minneapolis, MN 55441 Auth iza $ignature (Co [rdctn ner inB Installation) Phone Number , 012 559-3820 ,MINNESOTA STATE BOAND OF ELECTRICITY THIS INSPECTION qEQUEST WILL NOT Grie9s•Mitlway BidB. - poom N-191 BE ACCEPTED 9V THE STqTE BOARO 1821 UniversityAVe..S(. Paul. MN 56104 VNLESS PpOPER INSPECTION FEE IS icioi vozoI I i ENCLOSED. ' /I ~ REQUEST FOR ELECTRICAL INSPECTION ~ ~E9-00001-09 ' Ill, Sae instructions for eompleting this farm on back of yellow copy. y I~~ f g~ I/~~' f ! " " X" Relow or overed b y This Fe quest + Adtl BeO. Typa oi BuilGing ApOliances Wiretl Equipmem Wired Home Range mporary Service . - Duplex Water Heater yhtinp Fixtures Apt. Building Dryer Electric Heatin XX Commercial Bldg. Fumace •,Silu Unlonder Indusirial Bidg. Air Conditioner . Buik Milk Tdnk Farm Otner or, v tnur ISper.iiv; i r Sucdrv t er h-, Tem Control Campute lnspectronFee Below ' q Fee Service EntranceSize q Fee Feetlers/5u1bleeders # Fae Circwfs 0 ta 200 Am s 0 to 30 Am s 0 co 30 Am> Above 200 qmps 31 to 100 Amps 31 to 700 Amps . Swimming Pool Above 100_Amps Abave 100_Am s Transiormers Irrigation BoonisPartial-'Other Fee Signs Speciallnspection flemarks S ~Q.50 T r ~ S~n, ) Pool unit & combustion air Roueh-in Date I, Kcxl InsPector, heroby ca~1j fy [het [he above Final pbfpection has been a~7 ~beda. TNarepuesivoidl8monlhstmm ~ , - This ies es ~y 18 Tonll,s from ,~l~ ~5 r (7(~!)C- Ck~ (Xp A 45489 v 9 Hequest Dale Fire No. Rou ?ph-in Inspectii~n Req iretl? ~Reatly Now Will Nntity Inspec- ~f~ ~ yus ?No Inr When Feady Licensetl Electrical Con[ractor I hereby request inspec[ion of above ^ Owner elactricel work installed at: Street Address, Box or Route No. Ciry 3 O ' r acUOn 140. Township ame or No. Ranye No. Cow ty OccupantlPqlNTI ~ Phone No. i 1 Power Supplier Address ~ Elacuical ConVa tor (Com any Namel ConVar.tor's License No. ~ u m3, O-2X- Maitinp Address IConVactor or Owner Mnkind Inslallationl ( O ~ ~ AuMorized S~gnamre ICOnttec r~Owner Makfne Installaiion) one Number 63~- J`~8zo MINNESOTA STATE BOAND OF ELECTRICITY THIS INSPECTION PEQUEST WILI NOT Griggs-Midway eldg. - floom N-781 BE ACCEPTED BY THE STATE BOAND 7827 University Ava., St. Paul, MN 55704 UNlESS PflOPEP INSPECTIpN FEE IS Plqne 16121 297-2111 ENCLOSED. REQUEST FOR ELECTRIC719WlCTION ;-~4y es-ooom oa ~ / See insiruccions for completin9 Uis torm on back ot vsllow copy. -Al/pk? 489 '"X" Below Work Covered by This Request Cf' 7~, S AAG Xap. TYOe of Building Appliancea Wiretl EquipmeN Wired Home Range Temporary Seirvice Ril, Duplex Water Heater Liyhtinp Fixtures Apt Building Dryer Electric Neatin Commercial Bidg. Fumace Silo Unloader IndusVial BIAg. Ai~ Conditioner Bulk Milk Tank Farm Other oeci y Other ISi~erityl t,r Sueci y Othe, Othe, ' ompute lnspection Fee Belaw o p Fee ServiceEntrenca5ize k Fee Fendars/Subineders N Fee Circvits U to 200 Am s ( 0 0 to 30 Am s(720 0 tn 30 Am ns ~b Above 200 Amps. I p O 37 to 100 Amp p 31 to 100 qm s Swimming Pool ~ Amps Above 100_Amps Transiormer Irrigat~on oorr~s Partial•'Other Fee Signs Specialinspection S Remarks ~ TOT EE .J flouBh-in y~ . Dnle 1 t Ele Inspec[ur, hereby certify that the nbove Fiml ~ u" e insveetion has baen mada. TMa mquaet vad 18 maMRS trom 14;e'5V570 0 5( -~I `6015 2 4.*, 6ro . ReQUes( Date - Flre No. Fough-in Inspection / Raquiretl? Ready Now ? Will NoliN InsPector y ? Yes No 'Nhen Ready? I-licensed contractor ? owner hereby r. uest ins ection of ab ve electrical work at: Job Atltlress (Street. 9ox or Route No.) ' Cily ~CV C-f 5/t0W!1U C1L1( Seqion No. Township Nama or No. Range No, County D ~oT~ OccuDam (PRWT) Phone No. S. S4J / d- ~C f X.1 ~~.SS Power Supplier Adtlress Elec~ncal Gonlractm (GOmpany Name) Gonlrector5 License No. /L, tTl~ f~.Lr~7-1'Z!C a ~a ~VS Mailing Atldress (Contractor or Owner Makin9 Installation) AulJ hor~ $gnature ~CO n r~er Makinq Installation) Phone Number ~ MINNESOTA STATE BOAflO OF ELECTRIC THIS INSPECTION PEOUEST WILL NOT Grlggs-Mlaway BIEg. - Room S173 BE ACCEPTED BV THE STATE BOARD 1821 Unlveralty Ave., 51. Paul. MN 55109 UNLE55 PROPER INSPECTION FEE IS Plwne (612) 862-0800 ENGLOSED. ~ jt~~v ? REQUEST FOR ELECTRICAL INSPECTION es.ooom-m i Q.5 f~~// ~ See instructions br com0feting ihis form on Eack oi yellow mpy X" Bebw Work Covered by This Request ~ ~ 0152 l ~ ~ ' e Atltl Rep. TypeotBuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Elec[ric Heating ApL Building Dryer Other (Specify) Comm.llndustrial Furnace Farm Air Conditioner Other(specity) Con[racmr5 Remarks: LIGHTrNG KCT46Fir Compute Inspecfion Fee 8elow: # Other Fee # ServiceEnirenceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps O l0 100 Amps ,Q Transtormers Above 200 _ Amps Above 100 _ Amps Signs Inspectors Use Oniy: TOTAL Irrigation BoOms ~ f)6 ~S ~j d Speciallnspection • Alarm/Communication TNIS INSTALLATION MAY BE ORDERED CONNECTED IF NOT Other Fee .$Q COMPIETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rougn-in oate certify that the above inspection has F;nai oa~ been made. ~ OFFlCE I1SE ONLV This request vob 18 monihs fmm 3 2 415 RepGest Oafe rte No. Rauq`-In Inpseetion flequiretl Inspection Other Than Rouqh-ln (VOU Tu31 Cdll iO6pMY0r W11B1n rG3Oy) ~ Reatly Now ' ill Notify InsOeqor ) J p~ ~S~ ~ ~ y 1 1,.7-iYgs ? No OateReaOy licensed contracror ? owner hereby requesl inspection of above electrical work at JaE PtlCress (Sireet Bw or Foule Na.) Cpy o f ' I CMG V-~ E Section No. Townshlp Name or(J No. Range No. Gounty Occu/payntlPRINTI Phone No. Pawer $upqier AdEress Eienncal ConVactor IGOmpany Name) Conlredo7rs License Na. t:J'T2. il . c 196 U.J-?s Mailing Atltlress ICOnVaclor or Owner Making Inslallation, ~ - z e~ Putnoni Slgnature ICOnhactorrOwner Makinq Installauon) Zi PM1One Number ^ . ~1 7 Y MINNESOTA STATE BOAND OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grlggs-Mitlway BIOg. - Room 5173 BE ACCEPiED BV THE STA1E BOARD 1021 University Ave., St Peul. MN 55104 UNLESS PROPEP INSPECTION FEE IS Phone(61Y)6C2-0800 ENCLOSEO. RE~UEST FOR ELECTRICAL INSPECTION ~ee-oaoo See ins+~acti'Slor compleiing this lorm on back ol yellow copy ~r 5S' ~3 241C .J X" Below Work Covered by This Request ew Rdd Rer~` TypeofBuiltling AppliancesWiretl EquipmentWiretl Home ftange Tamporary Service Duplez Water Heater Electric HeaGng Apt. 8uilding Dryer Load Management Comm./Industrial Furnace Other (Spacify) Farm Air Conditioner Oiher (specity) Comractor5 Remarks', Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Pee Swimminq Pool 0 to 200 Amps D to 100 Amps hanstormers Above 200 _ Amps Above 100 _ Amps SiyOS . lnspector's Use Onry: O ~ TOTAL Irrigation 8ooms Special Inspection . Alarm/Communication THIS INSTALLATI Y B DI . NNECTED IF NOT Other Fee COMPLETED WI M I, the Electrical Inspector, hereby Rough-in ~ oa~ certity thai ihe above inspection has F;nai oa~e been made. ' OFFICE USE DNLY Tnis request void 18 montM1S irom CITY OF EAGAN - 12668 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 Np BUILDING PERMIT . PH(iWE:454-8100 Receipt p / / V / 7obeusedfor INT. IMPR. Est.Value $2,000 Date SEPTEMBER 23 1y86 SiteAddress 3970 SIBLEY MEMORIAL HWY Erect ? Occupancy B2 Lot 2 Block 6 Sec/Sub. SECT 19 Remodel ? Zoning CSC Parcel NO. 10-01900-020-06 Repair ? Typeotconst. TIN Addition ? No. Stories w Name U.S. SWIM & FITNES CTR Move ? Length 4801 W 81ST Demolish ? Depth o Address Int. Impr. ~ Sq. FI City BLMGTN phone 893-1319 install ? ao Name DIVERSIFIED CONST Approvala Fees $a Address 6601 GRAND AVE SO Assessment Permit $32.50 ~ city MPLS phone 869-2070 Water&Sew. Surcharge 1.00 ~ Q Police Plan Feview. ~ W Name Fire SAC Address Eng. WaterConn. a w Ciry Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe eidg.ort. 9/17/86 Tr.PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eag Ordinanc .APC Parks Var. Date Copies--,, ~ Si9nature of Permittee TOtal A Building Permit is issued to: DIVERSIFIED CONST ! on the express condition that all work shall be done In accordance with all applicatile S Eof Minnesota S tutes nd Ci, ty of Eagan Ordinances. r Building Official U S SWIM & FITNESS CITY OF EAGAN N2 17363 3830 Pilot Knob Road, F.O. Box 217799, Eagan, MN 55121 PHONE: 454;81% --7 BUILDING PERMIT Receipt N INTERIOR Tobeusedfor IMPROVMENT Est.Vatue $60,000 Date DEC 7 , 19-a2- Site Address 3970 SIBLEY MEMORIAL HWY LOt 2&3 BIOCk 6 S2C/SUb. SECTION 19 OFFICE USE ONLY PBfCel ND. Occupancy - FEF.S Zoning _ a Name IIVPFR MTDWF.ST MANAQF.MF.NT CORP (ACtual)Consl - 81dg.Permit 460.00 w z Address 1106 S RunanwAV, ROX 834 (Allowable) - Surchar 0 9e 3n.on City NFw itt.M Phone 457-9056 x of stories _ Length _ Plan Review . o Name gaQan Construction, Inc peDth - SAG Cily 'o Address 1771 Yankee Doodle Rd S.f.Total - Up C{ty Eagan Phone -.A~52-O555 S.F. FootOrints snc, MCwcc ~ _ On Site Sewage _ Water Conn r w w Name On Site Well - Water MBter z MWCCS stem Address Y - Acct. Deposil aw City Phone crywater - PRV Required _ SNJ Permit I hereby acknowlege ihat I have read Ihis application and state that Ihe Boosler Pump - SM! Surcharge intormation is correct and agree lo compiy with all applicable State of Minnesota StaWtes and City of Eaqan Ordinance 7reatmenl PI SignaWre of Permitee APPROVALS qoad Unit A Building Permit is issuad to: EA AN CONSTRUCTION, IN Planner - Park Ded. On ihe express Condilion that all work shall be done in accordance with all Council applicable State ol Minnesota Statutes and City ot Eagan Ordinances. Bldg. 011. _ Copies Building Otticial mk1~ QQQ variance _ 7orqL 490.00 ~ CIT1dOF EAGAN N°_ 10 8 4 6 3830 Pilot Knob Road, P.O. Box 21•199, Eagen, MN 55127 PHONE: 4548100 BUILDIN(i PERrAZ TILUS Receipr # Te M wed for HF.AT.TH CLUB Est. Value $44,000 pOte AUGUST 21 1y 85 SiteAddress 3970 SIBLEY MEMORIAL HWY Erect ? Occ.pancy Lot 2 elock 6 Sec/Sub. SECT 19 Remodel N 2oning Repair ? Type of Const. Parcel Na. Addition ? No. Stories a Name U.S. SWIM & FITNESS Move ? Lenyth Demolish ? De th Z Address 4801 W 81ST ST incimpc ? sqPFt. ~ c;iv BLMTN Phone $93-1319 i„$teu ? EAGAN CONST INC Avvrovals Fsaa g Name o~ Address 1771 YANKEE DOODLE RD As:essment Permit - City EAGAN phone 452-0555 Warer S Sew. Surcharge 22 • 00 Police Plan Review 128.00 ~W Name FOWLER HANLEY Fire 3AG iE Address 1207 HARMON PL Enp. weterConn. ~W City ~L'S Phane 332-872$ Plonner WaterMeter Council Road Unit I hereby ockrwwledge fhot I hava read this applicofion and state that gidg. Off. $/21/85 Tr. PI. the inlormotion is corrett and ogree to wmply with oll applicoble APC Stcte of Minnewta Statutes nd City of Ea9un Ord' a s. Pe'ks Var. Date Copies Sipnature of PermiMea Tota1 $406.00 A Buflding Parmit is issued to: EAG CONSTRUCTION INC m the exprcss corditlon thot oll work sholl be done in accordance wilh a (I'jop~pliw~ble of- -i-n-nesata $tafutes and Cfty of Eapon Ordinances. :Idinp Oflicial ~ CITY OF EAGAN Include 2 sets of plans,- ~ ` 1 Gertificate of Survey 4 '7 7 9lP ~ BUI G PERMIT APPLICATIONo^ 1 set cf_ energy calculations.• / Zb Be For Valu tion Q(-~C - Date Zf> 4j Site Addr i EfZ OFFICE USE ONLY Iot a Block 47 Sec./Sub. -4ae-f" Erect Occupancy ~ Parcel # : /p p `q00 ,J1 D O ~ Alter Zoning S' Repair Fire Zone Owner: ,!/,9d~i ~v5 Su/IM y= ~fi/rSS' Enlarge _ Zype of Const. grpa,i)!(X"~~ - Move # Stories Address: ~?g qv d~ v Dennlish Fmnt n/a, ft. City/Zip Code: ~7 a n 3~5 % 2 Grade Depth A/-'C ft. Phone APPROVAi,S FEES 6ip ~ Contractor: FAc,4,.)~ar. st l ~jh,~c. p-sessments Permit 16313 t4ater/Sewer Surcharge ~q/~ Acldr2ss: ~'i I ~~,v t c q~c3 rk~ Police Plan Check 91 / City/Zip Code: rAc AN Mrv Fire SAC 5rr o0 Fhg. Water Conn. Phorie l,G (-4- SjJ4 -c;oSB 2~ planner Water Meter Q1- Council Road Unit Arch•/Eng•: ( Bldg. Off. AddZ'~2SS: IZ07 1 I -1,492Mn N AC E APC City/ZiP Code: (Y~ Pc S t~ tN.u ~'jCEI f7 a Phone TOTAL ~ ~ ~ ~1 . \ , ~ ~ ~ ~ ~ j ~ ~ (I ~ ~ ~ ~ a ~ _ ~ ~ ~ ~ ~ ~ , ~ ~ ~ ~ ~1`~ ~ 4, ~ ~ CITY OF EAGAN 3630 Pilot Knob Road, P.O. Box 21-19kEagan, MN 55121 N ? 9078 PHONE: 45~-8700 BUILDING PERMIT HEALTH CLUB Receipt To ba wad ior ilsoonow Est. Volue $ 5 8 0. 0 0 0 Dote MAY 17 _ ~ q 8 4_ 3970 SISLEY MEM HWY Erect O A-3 SiteAd~ress 6 SECT. 19 ? ccupancy CSC Lot Block Sec/Sub. Alter [~C Zoning Parcel No. 10-01900-020-06 Repair ? Fire Zone Enlarge ? Type of Const. I I I SPRINK s Name NAUTILUS SWIM & FITNESS µove p # Srories ; Address SAME Demolish ? Length_ b Crty Phone Grode ' ? Depth Sq. Pt.- Nama EAGAN CONST CO INC Apprmals Faef O z~ SENECA RD Assessment Permit $1,633.00 v~ Address City EAGAN Phone 454-5982 WaterBSew. Surcharge 290-00 Police Plon check S16-50 GW Name FOWLER HANLEY Fire SAC 1 OS0.00 i~ Address 1207 HARMON PL ~ Eng. Water Conn. 'W City MPLS Phone 332-8728 plunner WaterMeter Councfl Road Unit t hereby ackrwwledge that I hove read this applicotion and srote that gldg. Off. Ihe informafion Is correct and agree fo comply wilh oll opplicobla $tote of Minnewto Statutes ond City of Eagan Ordinonces. APC Total ~ 789 • 50 Slgnuture of Permittee A Building Permir Is issued to: EAGAN CONST CO INC an tha expreu condition thni oll work shall be done in accord e wi I applicoble ate 'nnesoto $tatutes and City af Eopan Ordinonces. Buildinp Offlciol ~ PLUMBING (COMMERCIAL) ! Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Date Site Address Uni[ # Tenant Name For Tenant Name Property Owner Telephone # ) ~ Contractor Address CiTy State Zip ~ Telephone # The Applicant is _ Owner Conuactor Other Work Type _ New Bldg _ Add-on _ Repair RPZ PVB Irrigation system * ' Jer Wobschall to calcula[e fees. Re uired meter size is 2" tur6o unless amaller size ermi[ted b Public Works Description of Work To mqwre if Pressure fteducin Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydmstatic, conductivity, and bacteria tests passed orfor to oicklne un meter Irrigation Size & Type Avg GPM Fire Size & Pdce 3/4" disolacement $156.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes ~No PRV Required _ Yes --PIo 7 Permit Fee ,$50:50 menimum (includes State-Surcharge) 1 Contract Value $ x.Ol% Base Fee $ Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read 1f base fee is $1,000 or less, surchsrge is $.50 $ $Y3.[E SuTCh8TTP0 If 6ase fee is over $1,000, surcharge is $.50 per $1,000 of the.Basei?e€ _"~'__s--•~ fl N' I ~ I S Following fees apply only when installing n tv~'rdi ~gation'system $ Water Pemtit Cantact Ierty Wo6scha1l at 651-675-5024 for reu+rea r~~a Z003 U $ Treatment Plant L $ Water Supply & Stomge gy $ State Surcharge $ . Total Fee I hereby apply for a Commerciat Plumbing Permit and acknowledge that the information is complete and acwrate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is no[ a permit, but only an application for a pemut, and work is not to start without a permi[; tha[ the work J~"ilbe in accordance with the approved plan in the case of work which requires a review and approval ofplans. ~Lic~J A[t~El ApplicanPs Printed Name a re CITY USE ONLY REQIDRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: ~ P BUILDING INSPECTOR General Information , , . • Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $157.00 • RPZ's must be rebuilt every five years. A minimum fee pernvt per address is required for RPZ rebuilding or repairing. • Water meters include copper hom/shainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM -METERS• USE PRICE 1-20 518" residential $121.00 4-120 I-1/2"' • iitlgation syst, $ 781.00 displacement smcommercial turhinet* maXimum , . ' must receiye continuous approval to from Public Works 2-30 3/4" lawn irrigation $156.00 4-160 2" turbine ]g irrigation syst $ 982.00 maximum displacement residenual , & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $200.00 1l4 to 160 2" compound bldgs ovet $ 1,860.00 bldg to 24 units 65 units maximum sm commercial & continuous Ba lg comm bldgs 25 irri ation s stems 5-100 1-1/2" bldgs 25-64 units $484.00 maximum displacement & conrinuous most comm bldgs 50 METERS REOLJII2ING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbiue very Ig irrigafion $2,329.00 syst & production lines Comments , • To schedule inspectian of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, cat1651-675-5300. cc: Maintenance Division Clencal Technician Updated l(03 I~ ~Db~bCA 9 dtVOF aaqe101 3830 PILOT KN08 ROAD, P.O. BOX 21799 . 9EA BLOMQUIS7 EAGAN, MINNESOTA 55721 Mayor PHONE: (612) 454-8100 THOnnns eGnN JAMES A. SMITH JERRV THOMAS THEODORE WACHTER CDUnCiI Mempyrs April 19, 1984 THOnnnsHEOGEs Clty Atlminishofor . EUGENE VAN OVERBEKE Clry Qerk MR LARRY GRELL GRESSER INC 1971 SENECA RD EAGAN, MN 55122 RE: NAUTILUS HEALTH CLUB Dear Larry: A question has been raised as to whether the proposed health club meets the intent in requirements of State Buildinq Code, Chapter 55. Paragraph 1.15502 D2, Building Accessability, would exempt the proposed facility from the handicapped code provided the occupant load is less than 100 on all other floors but the main floor. The most restrictive calculations of UBC Table 33A would put the mezzanine pool area and the lower level at an occupant load for exiting at 101.56 people. The lesser restrictive exit loading would put the occupant load at 88.56 occupants. Therfore, I feel that it is reasonable to exempt the facility providing the existing restrooms on the main floor have grab bars for the handicapped added to the water closet stalls. Sincerely Dale Peterson Chief Building Official DP/js CC: Tom Hedges, City Administrator Parcel_ File ` _ . iHE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN ':iW 19 ~Z B Cv Fowler Hanley Inc Engineers-Architects August 6, 1984 Mr. Dale Peterson City of Eagan Department of Building.Inspections. Eagan, Misuiesota 55121 Dear :+Ir. Petersort: Same concexri has been expressed regarding the adequacy of the roof joists at Cedarvale Shopping Center. Zhe area in question is aver the new Nautilus SWim and Fitness facility under construction. i have verified the size of the structural mzmbers in the field and with the supplier of those members. Calculations show that, with the pmposed loads, the roof joists and beams are adequate. Stresses and deflections do riot exceed allvwable values established by the Unifoxm Building Code. If you have any questions, please oontact me. Sincexely, Fanjj,$[j HANT.F'V , IN ~ • Brian DeVries sn/ms MIKE FvWI_E2 1207 Harmon Place 0 Minneapolis, Mlnnesota 55403 9 Tetephone (612) 332-8728 E ti CLAIM VOUCHER - REFUND REQUEST CITY OF EA6AN CLAIMANTGUARDIAN FIkE yM.-JErTIQNIjLrs_________ ADDRESSg (~j?40T1 ,&M3jJE S~TACY. PSN - - - - - - - - - - - Location 3970 SIBLEY MEMORIAL AIGHWAY -10=01400-051-06 1) Receipt No./Date 05=12-44 L24106 Reason for Refund PERMIT NOT RE-4---- UIBED FOR-FIBE PBOTECTION SYSTEMS_ - - - Type of Refund Electrical Permit 3211-9220 $ Plumbing Permit 3212-9220 Mechanical Permit 3213-9220 $ 25.00 Surcharge 2155-Q220 Water Connection Permit 3713-G220 $ Sewer Connection Permit 3743-9220 S Account Deposit 2252-9220 Dtility Account Over-paqment 2250-9220 0 L h e r:------------ S - - - - TOTAL $ 25.00 I declare under penalties of law that this accoun[, claim or demand is just and that no part of it has been paid. GN TURE 7,/''-~ ~ DATE I ` ' . y . 'A~:w:S.5:9^w"S.. .e%:w+.s:w' .`:.v.u.e.edY:. o .1.^wh~? . ~.w lY~~" S4~'~3 8 ? 3-SV~3~s"y~`4~3~'~ ~a.$ ~ ~ „?`~~'&'3 ' xYa c c s t3 d32~ S $ 3trx' Yx ~.E .Fxfs3<o-< r, € H~ ;4 Z £~Ebr~,~ ~~,<w•a.y~}~.~~, ~ ~s~ a € s..: 1994 MECHANICAL PERMIT (COMMERCIAI.) C1TY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COD%ffiRCIAI,/INDUSTRIAL BUIIrDINGS. ALSO COMPLETE FOR APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. - DATE: S' lZ-' clq CONT'RACT PRICE: $ 2-15 NEW BUII,DING ~ INTERIOR IMPROVEMENT WORKDESCRIPTION: A-t)U q' 2ULG4'rG N '~:WS SORWI~(&"cJ t~i~ A'RS FEEs 1% OF FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHAItGE $.50 FOR EACH $1,000 OF YFEE• ~ TOTAL $ STI'E ADDRESS: 3c1q7O S~6 r-A~ ?Mt,~mdz\4(. l-~wv OWNER NAME: (A5. Sl,t)tm TELEPHONE TENANT NAME: (IMPROVEMENTS oNL7) INSTALLER: VuRet lArAJ ~~l~'E ~~OT'~C T~O~ . ~~I~C.- • aDDxESS: 850_7 240 MF, CTI'I':_V-[8-C>I STATE: rVU ' ZIP CODE: J~JD~Ci TELEPHONE `7-)C1 GNATU ' OF P RMIITEE CITY INSPECTOR ~ - r $ t . .:........q.... , : . ......ii ,yy,;~ ,~~~Y~'.~hV~p~~i ~~i..~ G~~ipY. 3~'~ 9 'Y~'cj ~6^~ ' ~ 33 »M~.£.~ Y S4i~ 6~LY~~1SS 3f.~°L C ~ 3-~ ~i~~~~.C~' b~ . ~ ~ #~d'.x f 3 3£ t^~jE k a o< ~ ' . . d •'cr"r,.w.45F£i~a-..ti~3'a`P ~~`."°`.~t~; ~n.r~e~'«`°r.a. . : ~ ~ a':~ `w'. r': ,.,,Ry>~~.~.M . c 1994 MECHAHICAL PERMIT (RESIDEN'I7AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNIT. - - - - - NEW CONSTRUCTION ADD-ON'A/C ADD-ON FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTU $ 24,00 ADDTTIONAL 50 M BTU 6,00 GAS OUTI.ETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (Exts~nnvG coxsrxucrtoN) $ 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE . SIGNATURE OF PERMITTEE /a oi?oo oao ac 4 ~ EP.Gt1N TOWiISHTP 3795 Pilnt I::tab Road St. Paul, Mie*eso*_a 55111 Telephone 454-5242 PM9IT FOR WATER SERVICE CONA'ECTION Date: October 27. 1967 Number: 16 Billing .1ame: DCR Co. - A~n/Pda{~,~ ~ Site Addreas: Hwv. 913 Owaer; above Billing Address3900 Siblev Mem. Hwv.. St. P. P1,mber: Conaolidated Plb¢.. Riinneauolis Location of Connection Meter Size Connection Chg. Nfeter No. Permit Fee 7.50 Ed. 10/27 Nleter Reading_ i•ieter Dep. MeCer Sealed: Yea Add'1 Chg. NO Total Chg. Iaspected by Date Building is a: Hemarka: Resideace Multiple Wo, Units Comuercial Ir.dustrial X Ep; ~ Chief Lnspector Other Ixi coasiderstion of the isaue and delivery to me of the above perrAt, I herebq agrea Co do tbe proposed v?ork in accordance with the rules and regslatioas of Esgan Township, Dakota Couaty, Minnesota. B'j: Please notify the above of€ice when ready for inspectioa end conaection. ' ~4 D/900 0 30 0 6 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERRUT FOR WATSR SERVICH CONNSCTION Date: September 2 1971 Number: 707 i Billing Name:DCR Cedarvale Addition Site Address:Sibley Memorial H Qhwav Owner: DER Billing Fddresa 3900 Siblev Memorial Highway Plumber: Wenael Plumbing d Heating, Inc. Location of Connection Meter Size J, ~ Connectiaa Meter No >i~?ai9 Permit Fee 10.00 d 9/2/7 50 Meter p 9 71s Mepe eChg. 60.00 5/8" Met i pd bta1 Chg. inspected y Date Building ia a: Remarks; Residence t2uitiple Ko, Units ~".`I:riO (;f-li!~PrCTIOf! FEc FOf; Commercial'°°x ey~~},jlO)1'LRLY. IPaSI'ALLiD Istdusttia 1 By: Other Chief Iaspector In coasideration of the isaue and delivery to me of the above permit, I herehy agree to do the proposed work in accordance with the rules and regulationa of Eagan Townahip, Dakota County, Mianesota. By: Wenzel Plumbing d Heating, Inc, Please notify the above office when ready for inspection and connection. ~ ~ /D B/900 030 o b EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTIQN DATE:September 2, 1971 NUMBgR 868 OWNER:DCR Cedarvale Shopping AdditijMTHBB Sibley Memorial Highway PLUMBER Wenzel Plumbing d Heating TypE OF PIPE Heavy Cast Iron DESCRIPTION OF BUIID ING Industrial Commercial Resideatial Multiple Dwelliag No, of units xxxx Location of Counections: Connection Charge Permit Fee 10.00 nd 9/2/71 .50 pd 9/2/71 Street Repaira Tatal Inepected by: DaCe Remarks• Sy Chief Inspector Ia consideratioa of the issue and d"elivery to me of the above permit. I hereby agree tio do the proposed work in accordance with the rules and regulations of Eagan Tocanship, Dakota CouuCy, Y4innesoCa t BY Wen2e1 Plumbing d Heating Inc. 1955 Shawnee Road. Eagan 55122 Please notify whea ready for.inspection and connection and before any portion of the work is covered. Cities Di i~ ta1 Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ' I ~ ' S"f /~J =:3'. t~. , ~~i ~Sj• I _f i ~ ~ Y,.a wv r , ; _ ~ ; ! ~ ~ - - , --1 ~ ~ . ~ ~ rX';l •,va ~ i . , , . ~RCfrL+.bM i 1 1 - - I t--~ ~ ~ i - F- ~ • 'l ~ ~ t 2 ,!C r P.t, ~ - ' - ± ~ ! , i ; ; ~ - L_ - ----r ~ t ocf/C~' r - ~ , ~ w L.l.S i ~ , ~ i ~ - , k, - -r-- ~ - 'p - ~ , I I - - - . ~/G i ~ 2 X ~ S,- - 1 - - - - ~ ~ -~o _ - ~ _ /d i . i$ 'f - ~ C~ ~ T , - r - ~d ~ P~Ju~ I r~+y~ ~ ~h c~.e~v ~/X~!__' _ 1-, c ~ -l~~i° _ ~ _ ~ _ -r ; ~ ~ ; ; ~ r ~ - -t---- - ~ ~ . ~o ~ . - ~ ~ -i _ t414~.L . r-,~7a ---t ~ t~~. ~Q.~ 1L ; - i - ~ . . 'r -I - - - - _ _ 7b .Z~• d D . ~ ~C ~ - - - - - ~ - ~4 ~ - - ' - ~ i ~ ~ t ~ jc -1c.oo, - i Dr4w~ ca:ul;d '•rr~~ er.s IT ~ ~ ~ t -l . ' r - ~ ~ ~ ! , ' ! ~ ~ ~ ~ --.fi- 4 - ~ r_ . ~ . ' . ~ , R I t -r-,r .i y. J . ~ ~ ~~C/~'N .i~~, • ~ ~ ~ Y•~ iw '~F J 1989 BIIILDIIiG PERMTf lPPLICAiION CITY OF EAGAN, 1 13 43 SIN6LE FlMILY Di1ELLINGS !!DLlIPLE DWELLINGS COl84ERCZAL 2 3ETS OF PLAH3 2 3ETS OF PLlN3 2 SETS OF IHCHI7ECfURAL 3 8Ef3ISTEAED SITE SORVEYS REGI3T6RED 3IlE 30AVE23 - 6 STHOCTORIL PLANS 1 SET OF BNERGY CiLCS. (CHECH 1TITH BLDG DIV.) 7 3ET OF SPECIFIC9iI0NS 1 86! OF EBEHG2 CiLCS. 1 3ET OF E6ESGT CALCS. WULTIPLfi DxEl.LINGS RENTAL i1NTfS FOR SALE Dl1ITS # OF DBIYS FOTEs IDDRFSSFS FOH CORNER LOT3 - CONTRACfOdBOMEOWNEA MST DESIfiBATE TiSICfl ADDHFSS IS DFSIRED. HO C$Ati6ES YII.L BE ALI.OflED OPCE BOILDIPG PEAlSIT I3 ISSDED.. SEi1ER 8 NATEA PEBMIT FEES AAD ?CCOONT DEPOSIT l6FS iiII.L HE IRCLODED WTfB !8E HDILDIH6 PEIUZI'P FEE. PADCFSSING ?I!!E FOA SSWEA EAD 1iATEA PEA!lITS I3 TiiO DIYS OHCE l PEAMIT BA3 BEEq COMPLETED INDIClTI1vG A LICENSED PLOMEA. PENALTY, APPLIFS WHENs PEflMIT IS NOT PAID FOR IN SAME MONTH IT IS AEQUESTED. LOT CAANGE IS REQOE3TED ONCE PEAMIT IS ISSUED. ~£C ~ 1989 4a ~ S4)To He Used For: ~~E3E Yaluation: Coo, ccO Date: MALL 31te Address v5 Swiln P OFFICE OSfi ONLI (MOVr- D(=-GIL~ TZ~oFwC> ~+O ~ZEp(.AE'E 061 LoL-,-,a.~ :1.__ Block ,2~PoX)(- fttzE~)rWPc Occupaney FEES rP-cM TwrN e irtY T 5-1 1 t,,~ To ~o~occ~ Zoning Parcel/Sub ,~.o~~hn IQ Setual Const Bldg. Permit y6a.oo ( c~ Alloaable 3ureharge _3o.00 Owm6r U S JG?kM g~`r~ESS 1 of stories Plan RevieK Length SAC, Citq Address Depth SAC, MWCC S.F. Total Nater Conn City/Zip Code MN FooEprint S.F. WaLer Heter Acot. Deposit Phone On aite aexage S/il Permit On aite well S/ii Surcharge Contractor ~Co t:~S t_ ~"-.)C MIdCC Syatem _ Treatment Pl. ~T/~ CiEy ~rater Road Dnit Address 1-?71 ~ivYE=t I.~b~F KoR~ PRV required _ Park Ded. Booster Pump _ Copies CiLy/Zip Code I a ~ 30BTOTAL tPPBOVALS Penalty Phone Planner 577; Council n/ ercn.~~. n?~,~ siag. orr. ~~~7 Yeriance Eddress City/Zip Code Phone ~ t . ~3 1985 BUILDING PERlIIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACiORS lIUST BE LICENSED NI7H THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS 'I-I~q-LTH 440~~ o0 To Be Used For: C p, Valuation: Date: ~ I I~F IS2~ GE:DarrzvA,'-E Site Address: -~TLMEt? c:~ Q.,,s.) Cw LLLANwvS OFFICE USE ONLY Lot: ~ Block iO Sect/Sub l~ Erect Occupancy Remodel ~ 2oning Parcel # ~ 0""fl U a 0-D (o Repair _ Type of Const Enlarge 0 of Stories Owner V~ Sc.:5k nn. Move _ Length S T Demolish Depth Address l{Rp ( (k) RI ST Grade _ Sq Ft City/Zip Code-~„nw~~-[1N ~N Phone APPROVALS Contractor ~AC-.~ Ca hz.~sT It%z Assessments Permit 25Ca, 22 Water/Sewer Surcharge Address 1[Lr, ?,600Police Plan Review T2g. Fire SAC City/Zip Code 1cl~ I Engr Water Conn Planner Water Meter Phone d~ z:~- Council Road Unit Bldg Off :a - Parks Arch./Engr.~w 4A1qN%( APC Treatment Pl 7~~ T Variance Address _tapJ C-~i lp- TOTAL City/Zip Code rnpt-,4 `~S40a, Phone p ~ . r . • • ~ ~ v 1986 BpILDING PEA1lIT 9PPLICATIOg - CITY OF EAG9N HOTS: ALL CONTRACTOHS MUST BB LICENSBD fiITH THS CITY OF EAGAN SINGLfi FAMIILY DiiELLINGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENEAGY CALCULATIONS MOLTIPLS DWELLINGS _ RESIDBNTI6L RF1iTAL 08ITS FOH SALS DNITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SDRVSY - CHECg ftITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COHIMERCTli. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: INT, QL=,h10LC-L Valuation Ztp2p Date: Site Address ~!Ajj 0 S51 bi'vq M"t Ap OSE ONLY Lot r~ Bloek Erect Oceupancy 92 2 - Remodel Zoning CS c Parcel/Sub Gti -v dL - dRepair _ Type of Const -I&V Addition ak of Stories Owner i_ ~i;,)as (Jite . Move _ Length Demolish Depth Address sZ'~'3 Int.Impr. ~ Sq Ft Install City/Zip Code Phone EJ'~ s I 3LC) APPROVAIS FSFS Contractor Assessments Permit 3ri•S~ Water/Sewer Sureharge ~ Address I~~~ Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone - 7iJrlo Couneil Road Unit Bldg Offq•17g(. IA-A Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOYAL g3~ City/Zip Code Phone # , HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOIiNER MUST DESIGNATE HQICH ADDRSSS IS DESIEED. NO CHANGFS HIL.L BE ALLpiIED ONCE BIIILDZNG PEFJUT IS ISSQED. : ~ ~ ~ ; T I -i. ~ ' . . . I , ~ y . 1' - - - . • ' I ~ ~ I i r ~ ' ~ ~ . \ .I. . ' _Y . . . _ . ~ a. - " ,K ~ ! _ I - ~j - ~ - ~ - ~ a ~ i- - y 1 -.-.i ^ ~ y ~ + _ f--~ lk. ._i ~~J~/I i' /`~.~-i I' ~ . ~ ~x . '_"l I' - i ~ ~ i _ -i- ~ ~ ~ ~ 1 1 --'1 ~1~~ ~ ~ t ~ ~ ~ 1. ~ ~ a ~ ~ ~ ~ ~ ' . ~ ~ i_ . I ~ - i- - ' . - _ . - - - - - _ . . _y _ - _ - - _ ~ - - . , ~ ; - _ _ - . _ = - - - - _ _ _ - ~ - - - _ ~ _ - \ - - y . . . i , ~ , ~ PERMIT CA -7 7 \J CITY OF EAGAN 4-0"54 ~ 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 023214 (612) 681-4675 Date Issued: 0 4/ 0 4/ 9 4 SITE ADDRESS: 3970 SIBLEY MEMORIAL HWY LOT: 51 BLOCK: 6 SECTION 19 DESCRIPTION: r-~. (PASS-7HRU IN WALL) Bu"ilding'vermit Type COMM./TND. MISC. Euilding Wbrk\Type ALTERATION I ~ REMARKS: FEE SUMMARY: VALUATION $500 Base Fee $15.00 Surcharge $.50 Total Fee $15.50 CONTRACTOR: - Applicant - OWNER: DIVERSIFIED CONST 29297233 S SWIM & FITNES3 7010 HWY 7 970 STBLEY MEMORIAL HWY ST LOUIS PARK MN 55926 AGAN MN (612) 929-7233 (612)452-0044 I hereby acknowledge that I have read this application and state thaY the information is correct and agree to comply with all applicable SCate o'F Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATUfiE ISSUED B SIG A RE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 023214 Eagan, Minnesota 55123 Date Issued: 0 4/ 0 4/ 9 4 (612) 681-4675 SITE ADDRESS: Lo r: 51 B 1. 0 C K: 6 APPLICANT: 3970 SIBLEY MEMORZAL HWY DTVERSIFIED CONST 5ECTION 19 (612) 929-7233 PERMIT SUBTYPE: TYPE OF WORK: COMM./IND. MISC. ALTERATION DESCRIPTION (PflSS-THRU IN WALL) INSPECTION . D• FOOTINGS FRAMING ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL HT6 FINAL . - - - - - . . . _ - . . _ . ~ F L - . - - . _ - - - . . . . •i'. , . . , i l. .f , r ~ CITY OF EAGAN X14 1994 BUILDING PERMIT APPLICATION M 681-4675 ^ , '0 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation af work . Site Address: STREEi SUITE p Tenant Name: (commercial only) ~i/Yl A~iB- d/T~/ZcS~IV- LOT ~ BIACK ~ SUBD. ~ 19 Fp. I.D. # Descri tion of work: ~(,0~ ~ y(.iQt/ G37 The applicant is: ? Owner fq/rontractor ? Ot (Describe) o0 Name Phone Property LAST FIRST Owner ~ ~ Address STREET STE # City State Zip Company 0~4 . P h o n e G~ ~ r Contractor Address ~QZ~J License # Exp. City ~~U/~ State Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip 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 plicabl tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY dr r R ~y BUILDING PERMIT TYPE r ` : • ; O 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish ? 92 5F Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 17 Swim Poal ? 03 SF Additian 0 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 0 20 Public Facility ? 21 Miscellaneous WORK TYPE 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish O 32 Addition ? 34 Repair ? 36 Move GENERAL 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 Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code Census Bldg APPROVALS Census Unit Planning Building Assessments En9ineering Variance REQUIRED INSPECTIONS ? -Site 0 Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee veimc;a,: 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 Oed. Trails Ded. Copies Other Total: SAC % SAC Units ' PERMIT c P-¢3p14 ~ CITY 06 EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 025545 (612) 681-4675 Date Issued: @ 6/ 0 5/ 9 5 SITE ADDRESS: 3970 SIBLEY MEMORIAL HWY LOT: 51 BLOCK: 6 SECTION 19 DESCRIPTION: (BALLY'S U S SWIM) B`uilding--Permit Type COMM./IND. MISC. 18uzlding Wark 7ype REPRIR r- ~ ~ Ak ~ ~ f ~ ~ ~ . r , REMARKS: ROOF & ROOF OECK FEE SUMMARY: VALUATTON $112,000 Base Fee $947.25 Plan Review $615.71 Surcharge $56.00 Total Fee $1.618.96 CONTRACTOR: - Applicant - OWNER: E2 CONST 25319385 UPPER MIDWEST MGMT CORP 9303 SCIENCE CENTER DR 4900 HWY 169 N NEW HOPE MN 55428 NEW HOPE MN 55428 (612) 531-9385 I hereby acknowledge Chat I have read this application and state that the informatian is correct ancl agree to comply with all applicable State of Mn. L 5tatvtes and City ofi Eagan Ordinan-ces. J ~l 14 R~~ 4,1 r~ APPLICANT/PERMI NA URE ISSTED e SIG TURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 025545 Eagan, Minnesota 55122-1897 Date Issued: 06 J05 J95 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 51 BLOCK: 6 3970 SIBLEY MEMORIAL HWY E2 CONST SECTTON 19 (612) 531-9385 PERMIT SUBTYPE: TYPE OF WORK: COMM./IND. MISC. REPAIR DESCRIPTION (BALLY'S U S SWIM) INSPECTION . D. FOOTINGS FRAMING ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL HTG FINAL REMARKS: ROOF & ROOF DECK F. ~ . . ~ L CITY OF EAGAN 41) ~l' 7 ~0 _.~y~~.~~ 1995 B!lILDING PERMIT APPLICATION (CQMMERCIAL) ' ~ . 681-4675 e ~~~~D W~j`y The A~-Ilowing are required with appropriata cert~cation for all new consMuction: QPR ~ Q ~95 ~ 2 each: eichiteaural pians; mech. 8 eke. plans; fre spnnkler plans; strudural plans; sHe ans; landswping plans; gradin ldr3inageleresion cont;.+l plan; utiliry plan - - - - - • 1 each: set of specrfications; set of energy xlcu;ations; eRCtrical power & lighting form; Special Inspections 8 Testing Schedule ~ Letter from MGVJS (phone #222-8423) indiwting SAC determination ~ Code analysis indicating: Codes used; occupancy classfications; selbacks; maximum allowable area ss per Building antl Ciry Cotles aiong wtth sq. ft. per floor; type of construetion (synopsis oT construdion wmponents) 8 eny occupancy or area separation walls; oecupency loads; exk syno0sis wkh a diagrem indicating exiting loads fiom each room or aree, travel paths 8 all rated corridors; plumbing fixtures; and parking. DATE: &z,L /U. 1995 WORKTYPE: _ NEw REMODEL DESCFIPTION OF WORK: .--4~-f- aa~C~ o,~Fi2 i'ooL ~m~! CONS"fRUCTION COST: TENANT NAME: ~+CC.~ s Ll •S S..u 'c'~ ~iSS SITEADDRESS: SAEfT LOT -UL BLOCK I_ SUBD. P.I.D. # PROPERTY Name: U~9F.2 IV~to,,,,fs; l~-tzpphone#: OWNER Street Address• ~90t~ yle-WLa1 1 l09 ,~10 . City: State: Zip: SS4 z~ CONTRACTOR Company: ~ONSTQcJGT•m.~ Phone#: 511 U- P. 5Z7-7oBti Street Address-2 `Sn -1~-~ r.x f CE.... r Q^ City: r~?~...., ~at . SS ~Zc~ ARCHITECTI Company: K ~ - ~ ~~5~ - 1^x •Phone #ENGINEER Name: LE~ Registration Street Address• Sle-=r--o ~ . City: State: . Zip: SS L1 b ~ Sewer & water licensed piumber: I hereby acknowledge that I have read this application and state that the information is corcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: - OFFICE USE ONLY ~ .w , - - s"" BUILDING PERirifT TYPE ? '11 ~=oundation CP419 Comm./Ind. Misc. ? 21 Miscellaneo:;s u 18 Comm./lnd. ? 20 Pubiic Facility WORK TYPE ~ 31 New e 33 Afterations ? 35 Tenant Finish ~ 32 Addition cW-34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Aliowable) First Floor sq. ft: - City Water UBC Occupancy sq. w. Fire Sprinklered Zoning sq. ft. Census Code 5~3 7 # of Stories sq. ft. , SAC Code 30 Length sq, ft. Census.Bldg. i Depth Footprint sq. ft. Census Unit o APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~/Z, O ~ o Surcharge Plan Review MCNVS SAC City SAC Water Conn. Sl1N Permit ' S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units ` Meter Size °08..08.95 10 :50AM m84ARMRN & ASBOCIATES P42 ' 4 J~YFI-0B-1995 03=05 HIN ST PFdJL. 612 659 7507 P.02 V V Y V ~ Y/ i IY M~ V/+ R/~{ N~ r x W xi Y N 3 K'rim r y24 T ~ n~ecLU.a~racrv~r~u.~r tkw f • OihLnr VLZ zlPc*: /P- A!t/pSlollt p1f~0lS1~1 ' Ad~aH. ' 9bnalanhm~ymeceee: . rompftpou am wo& a Nu ri+ev1 wdm whkd. _ . ~ ; ~ I ' tI tbqr+a~a a~d ~ttsa MOU etmyu w. wff~. it b ~ jndpMec ~ tlu int~re~d woA~ wao 8eud upen m~' Paesm ~ Lw ~ j!t~r1~ y ' Y, pY~u41tlW1~~Y1111e w1Yl YIi ~1 1~!`l1vYWWV ~ M~ ~ ~ 2 " . . si, n) ' Au+ I 1?. ' , • Pr~t~ittla~u ipMombp' x:CIbnUOwnet . , Atobk~ I . ~ i I 06, 08. 9E 08:59 AM P02 R=96% FROM BOARMAN/&/ASSOCIATES 612 339 6212 06-08-95 18~3~A1~'P~2 #09 ~06_08. 95 1D : 50akM WgOARMAN a. ASt90CIATES P03 JIJN-08-1995 09~0.5 HIH 5T PpU_ 612 659 7507 P.03 VIIL~ingdon 1luelin8den p~laati~ & ~rIr9AIDtnid ~eidemwep~lw~b 'si.~wa. ~ snt~-ir~c• • ° . ~'Iik"~ , ":I ~f,:~ . ~N. rr~ s. 109s ~ : ; ' , ~ Ta. • aaWg us swim ana axtnm onzS: Atm: scove Ptarper . ~ • : 4801 WesF $Ist Sneet, Suite 112 PROJECT Nd: 4111 95-t7687 Bloontingtox4 NtN 55437 • Y• PkflJHCT: BtV.L'Y'S LTS 5iN[M ANi7 FIT1VB55 COPYTD: ~ CST.)ARVALB $HOPPING CENTER . . . ~ HIGHWAY 19 AND 79 FURNiBEED BY: . EAGAN, MiNNBSQTA .1.~~. . MAGNEIXC PAYtZIQ.E MXAMlNATCON OF M1JCTl7RA4 WBLTJS ~ ' • i19~:~iu Ai• ~+O- urt~ 1~ ATInTT' . , .r.;~,..;:~ Aate Of Irispection - May 8, 1995 ~ Saope of Zaspeccion - Magaetic pnrticle examinadon nF atructural~'~lds ~•'t ~~";~~~,r:' • • acccxd~ng to the prc+cediu+ez in, A57'M ~ 8704 . "Magnetic Perricle B•xean3nalion" ar?d the acecptenes , standards of Faragragh 8.15 af SactLon D1.I-9¢ of tk+e AWS Structural Wplding Gade. ~ , . , ,'~'r;!':;~~`•'ic Pqutpmeztt/Matexials Used - parker IUesearch Pmbe ModPl •pAA00 • Visihle Fted Magnede ' Powder, Satch Nu?;tber-,~ 42no68 , %N•:i.•' ~ ~,y,T~:. '.:~V~", [nspectian Persox~d - Dean Ausrin, SIV1'•TC-1A, [evel II'Ter~u~{d~t~,"l;?,,~f,_.,•;'~ y , w I Laeatjotl of Lnepectian ~ . Pxnjec[ SiLe a.~ x ' = i . ~,'..'e'. "s'',~~ I snecdo Result~ ~IffiA UBCtP~ ~ ~ ~ ~ ~f,.; iN'`, • ~':"y;;i;~i • ~ ~7 Poal Area Ftoof Reusfascement Magnetic particle exsmination of the a~a ~tef,< welds (egproximetely s9ej jaixring thc: plates'~ta $ie•>;,. _ bottam chards of the bax joisle (tOp not acce*ble";`'%'• with deck nn) - Setlsfectozy =,No appandtt weld,.!;•,~,a~~M,• def2CTS . '•;i,:'<' ; As p 1319ritnl pmteeikn to s9icoiti IM puWit iM oUtsaNesl 610411deaden xepevls ue 9d6ro1lfeA C tlro eeeGdeelY111kntluUEn E$ Clten% aod W' : Cor Publlatlan ot atetemmu, eonalnslans or extracuum !rom or cagidiaf agr ftpWa m Rxrvmd Prrtdlni ow tft UAltW apPCwL;: O6. og~ 85 aee ~es po R-96% FROM BQARMAN/8/ASSOCIATES 612 339 6212 D8-08-95 10:53AM P00T 06.,08.95 10:50AM *SOARMAN ~ ABBDCIATfio p04 eiz r~ r a.0a JLN-08-1995 09:86 HIH St PPUI.. . . ~I.t~l"l~[~011 AItOJ'rsCP NO: 4111 g5y0697 DA'1S: May 8, 1445 ~ PAaB: Twa ~ MAGN877C PAJt'I'ICLS MWINATPOAf OF MWG"TURAL VYBLDS _ , ,f•: . .;F. ~ ' '•Ai . . It was aoted during our irispection that the slag shauld be remnvnd from the welds prior to puinting. ' The magnetic particle examinstioa of the structurai wP1dB xeparted a'hove showe that the Welds which were inspecced meet nce requirements of the A,W5 Suuctural Welding Code. ; HUNTfIVGDQN ENGINEBRTNG NVD BNVIftONMENTAG na,Aa c, Pittera . , Level I[I 0CF/J1un/0687 . . , ~,~,f . ' • •°••r` . Y ' 1. . . y+ t . ? . • ..1 N! _ n. M e reutuW pew¢ctlen to clienu, the pu6{k eotl a~Ives,+Jl iiunUn{Oen raperu oR wbeGaed nihe aonMlentLl intenwdane! rdimu, 94 aufirofttian. tor pabllaqan o[ uetemanLs, oonctusiom a' eRlreclione Wm or xagxrdiae vur rapens is rmcivtd peodlas eor 9kC wlitcft mPao°°L , , ..•;f:klM. 111 .p•i.,;~:'IMa:~ll~ r. O8. 08. 95 08:89 A}[ P06 a€-08-95 10 35 AM P006 #09~ R=96% FROM HOARMAN/8/ASSOCIATES 612 339 6212 - • OB.. OB. 95 10 : 50fiLM mSCpRMAN S. ABSDCIAT,Wo P0.5 , 7Uiq-88-19w fd9:06 NIH 57 PAUL 512 659 7587 p.03 • Huntingdon Honlllydon 8nglna~l~ ~ gyrw~y~ 6Bd CYamadl Avaue , 114 Paul, Minnawu 39i141776 TQ.- Baflyr's US Swim and Fftnesb DATIB; May 15, 1995 ' Attn; 5teve i3arper 4801 Weat 81st Srreet, 5uite 112 PRQJSC!' NO: 4111 95-8701 13toarnington, MN 55437 PROJ$GT: BALLY'S US SWIM AND FlTN$5S COPY 7p; CEDARVAL$ SHOI'P1NG CENTER HIGHWAY 13 A1VD 77 gi.TRNIgHW gyy EAGt,N, MINNIE5(?TA MAGIVHTiC PARTICGE EXAMINATtON DP STEiUClLlRAL W$m8 Date of Inspectian • May 11, 1995 Scope af Inspection - Magnetia partfsle examiration of stxucturai wqldg accaxdizsg to thr pxoaedum in ASTM 8709 . "Magnetic Farticle Examination" and the acaepYetsce srandaYda of Paragraph $.15 af Section D1.1-94 of rtce AWS Stxuctural weiding Code. . Equiyment/IVIaterlals USed - PaY'kex Research Pmbc Model DA-400 and tXry vis;vre Red n'capwdC Powaer, sarci, ra=aer . . . . 94MO65 " Tnspection Persannel - Willxam 1Velson, SNT•TG1A, I.evel II Teclnndan Location of [nspaction - Projeet gite izalS Area fasnecterl InsRg„erian Results ' Poc+l Area Roof Fteinforcement Magnede psrticle exantiriati= of Spproxisaatel 4t1' • of ~trat w~as (304~0) ja3~sing the plates to t1u bartorn chazds of the bar jnisrs - Setiefactory - No , apparent weld defects ~ e?s amuluai pretemlen ie elicn% inc pubtle aml eu+.elwx, au Munlfegdon mporu oro RularoinaQ as [ha canlldeMlal lnfwmauon ef dleou, and au9mmacka Wr publkMhn a7 nuMAfmIG eonclaefoac ar ettreeum [rom or rega,dlnR wr raporta is xmerved pendMp our pr10L xrLtm appyyl. , . R=97% FROM BOAkMAN/&/ASSOCIATES 612 339 6212 P005 #09 O 6. O 8. 9 5 1 O : 5 ~ AM *B O A 1 2 M A N & A S 6 O G I A T E S P O 5 7UN-OB-1995 09:07 HIH 5T PRUL 612 654 7567 P.06 . ~ . . . Hunthgd.on PROJEGT IVO: 4111 95•4701 DA18t May 25, 1995 , PAGE: Two MAGNB7IC PM'I'ICLE EXAM[1VA77dl+f QP 9TAt1GTLJRAL WEGUB RRMAATtR• . ; • . The magneti¢ particla examination nf the struntutsl we[ds reported aUave shnws that the welds which were inspected sneet the requirsmeacs of the AWS Structural welding Code. EIUNTINGDON ENGINEERINa AND ENVIRONMENTAL David C. Fitterex . Level TIC DCF/Jkm/0701 . I `..f" , ; . . ; .44~ \ .,J.iyQr•.x•9\ ft , . . ~;.~,•Y . ~ ~N, • 14 O dltllWl pi0017C{IOII l0 [IitnlR, lh0 pUblfC II+id Mu%&M, MI IfuAtingdnn rcpprla an! Yu6mlttad n llmraelldepqh! tnta~e11l3aq Ot~ md ~atheeWlleu Iu puUlkMioa e/ at~temcnR, cortdLti(ans a eurac[ions hom or ropsWing eut repona L reeemd pendla; oor pebtwrmu SFFUML • ' jb Pn'+.TwM IIIII nx~...• rnraL a. e6 R=95% PROM BOARMAN/&/ASSOCIATES 612 339 6212 ~R ~pO~bR 1bv53AV P006 #09 •-,.05. 05. 96 04: ?BPM *90ARMAN e+ ASNOCIATES P02 ~ + ' ~ . YH1OI1tL IIIBa11CR'ID! "D a78iI110 fC1[NDVI,E tp tOeetAavlen rltA t!w 'OaidtiiAMY !er gPecial =nnp°°tiian and 'teotinp"y , PROJICCl' lin VALC.`( ~s V. - 5L~UI PAQJBC'[ NO. LOdRSIm1 '~I^ (1) _ K MqNIT NO. ~ srse i sr: a~ oauuvas gype af Aaport l?..sened O~ IN t0 ~ I I ' srsxa sca;ou~ i~t . t° R1POer=~ This schedule to br t111rd oat and includod ie the pYO'}toE epaclLicaeLon. In[prmation unavaLlable at thtL time to br fillad out wMen spPlyinq tor a buildinq parmit. (3~ Posmib No. to ba psovided by the Buildinq o[licial. (Z) Vsp desoriptions ytr U.E.C. Sactlon 306. 181 speoial Snsyoeser, rooeinq Agene or Psbriaalos. (4) rtsn onrieroaerd to perfosm earvieae. I acAro~,saaa~rs 8P03.1 epprepsiate rog*.=--nrmt siqn ttWI~: OwnaYI • Dates=!~ Centrartar 712xn ! . N2 c.eNS'1" _Patas Archltieei+ rini DaEe$ g~A$ 10 istua ~~Dptoi~~aLL ~ $s I ^tl?tins oata• • BIs patai rhs f. L :srm: n.te+ sar rsrml' ti•tes ri !Sm„ DaEe• Pirm: • The lndivldual naaems et sil p"spectipe spocial lespettorm and !he +rork tl+ey ineena to pMrrw louot 6e idlnlifiod on !he rsvarN ¦ide Ot Chie tasm. Leponds 8pl a Stsucinral lnqirnr oT Aoeord !I ¦ 8proial tnepeator i SR . ftrting 7yent ! m !'abricstor I , ReeepCad !OS she snildiM bepartmeM By bste: - ` '.O 5, O 5. 9 B O 4:? B P M * 9 G A RM A N ~ A 6~ O C I A T E B P O 1 . . ' . . . . C3 . ~ , . . : B K P R ' . . 14CMITECiL'0.E . . . IhiF111pROFilfd~ . . ~ - FAX COVffit SMBiBT ~ DATB:. . ~ , TAM COMM. A9ZNc TO: C)OMPANY: ~ PAX: .881- FRoM WMPANY: BbAAAlAN RROUS P1+iSTSR RUDIN & ASSOCCATSS 1NG ppg; 612 339-621Z . NIrMBBR OF PA(#BS, INCd.UDIN'G CD'VBR 9HSa'C ~ •COMI~N'1S= ~ ~ . ~ BOA RMRN KKOOS PFISTER RU DIN & ASSOGIA'TES . , . , 21: North Second Sereet • Minnaapol!s wnnrwta 55401 • Phonr 612•339-3751 ~ FnN h 11.339.6212 . qPR.14.1995 8:17RM P 4 i FROM :,H. L. DalSin Co. PHONE N0. : 612 884 4342 + L. D . ssi-xoOF B.L.Dalsin Roof ing (,abz) r,1X 884•4342 Commercial Itonfing * ReRooftng * Sheet ,hleta] * Srnce 1944 8824 Wcntwarrth Avenuc South Bloominglon, Minncsota 55420 qpril 14, 1995 F-'? Cor;n'uction 9303 Science Center Dri•; e New Horye, Minnesrne 5,438 Aiicncion: Crais; Ekberg RL: Ballv': U.S. S~riin and 1 itness Pcol Kuof Ke_.uration DCar Craig, A5 pia' }our rCyucst this !cmr addresses .he Fiuildin!, Inspettot'S qucstiun eonccrning the Ronf Insulati0n to be , ins[alled ar the above pj c;9c::t. In Pnriicular, does rhe Roof lnsulation nieet thc U B.C. 1 b4 and!or UI.1256 The roofing syszrm is [o be insiallyd in xecordance witli che Project Plans ¢ind SNcCili:nfiOns daluel 1127/95 by Boarman Kroos Pfisicr Hudin and Assueiares. Please review ihe feUoN+ing clari:icntiols. RObP 1NSUL:ITION The first layer will be Polyi'socyanurxte 2 Iayers 2" thick. This produc[ by Atlas Corporation (AC Foam i[) meets the raquirements of UL1256 and t}tcrcforC UBC 17-4 (see attached sheet). 1'he second layer sha11 be l;^" Perfite T3oard by Schuller (see atcached sheet). ROOPTNG Four (4) Plies GAF Corpo:aiion iype lY Pibergless Fclt +ulid moped in xpecial S;eep .4sphalt I'oliowed by an .4sphait mld Gravel Swtacing, GAf specification 1-0-4•G (sce attacheLl sheet). If you heve naY 9uestions pleasc call nt any7ime. IF Sincerely, BF..RN:>KJ] 1.. DALSIN . MI Nl' r HF'K. 14. 177D tla tohu•i r ~ FRDM : B L Dalsin Co. PHONE N0. : 612 _ 884 4342 . - . _ GAFGLAS" Specifications I-0-4-G/P6, I-0-4-G, and NN-0•4-G ~ i ~ Speciiications ~ I General ~ ApDllcatlon recommandations detailed an pages 1 Y20 sh:ll apply in atldi6on m ~ Nomxdi~6is 0 , the fQllowing recommenaations and specifiCations. ; mAAu.vueie RonllMUltllon ppplltatlon of Haofing Mem6rane Startinp at the low point o1 the roo1, mop lour piles of GAFGLAS Piy; lapplnq 2dCh SheAt 271/r IncheS OvBf th0 prCCBding sheet; solidy moppinp to the untlerlying substrzte to prodde lour plies over tlle entire roof area. ° Asphell AequiremeMf Interply moDOings of ftoofinp Asphatt must be applied in a cominuous tilm er.tl . shall cansist of approaimateiy 25 vauntls per 100 s0uare leat of roof area with a o~o~ tolerance nol to exCBed 20% pluS of minus. The appropriala asphatt tor the slopes Involued must Ce used. er. ny,• x" Slope per loot Asphalt iype . ax• Up to 3' Skep ASTM Type III ! FlOWus On Slapos up to'h inco per!oot, flat ASTM Typa 11 may 4e useC ezcept in Flonda, Tasas, New M&riCO, Arizona, and CalHomia. ' SuAecinp Ovdr lhdlntl2 surface, apply 2 u0if0rm C02tlnq 21 the nominal mle of 60 North, Sauth & West Zanes pounds per 100 square feet of Rooting Asphah into wNCo, wMle hol, appy not ' Nan•nailable cecks or insulalea tlecks up to 3 inche5 par foot SSoDe. PaurCd less tnan 400 Dponds cf graval or 300 pounds of slag for each 100 svuare het ~ concreta, precasl concrete, acczplahle roal insulation. at ro0t area. Ir, lhe NOrth 30tl South ZOnes, the tap oUUnr!g Sh311 bB SDBCI81 ~ Rooting Bi!umen or Flat Asphatt on slopes up to V: incn par fcot an0 Sleap ~ Malerlals Roofinp Aspnalt or slopes from'n inch to a maeimum of 3 ir,ches per Pom. GAF Matariais Corporauon nsphaNConcrete Primer (when appiSCable) In Ihe WB6t ZOOC On sWpes up 10 3 inchBS pN faot. the top p0utinp Sheil ba i GAFGLAS Py (4 plies) Steep Roofing Aspnalt ~ GAF Materials L'orporatlon Roofing hsphait Interylies If SpecialtnsimElions Pour Coat 1. for roof slopes of 1 ipch per toot Cr iflOr¢, dll plies must Ce 6ack-nai!Bd 4 M9«9ait $uAacing inches in from the back etlge of the felt into waatl nailnrs. (Sae'Instailation on ppprozlmate Welght per Square 505-6251bs. Steep Roofs; page 10.1 2. For insulated decks, t0ere are some resvictions. See'Roor Insular,on; pZpES10-11, . I1L ClacsNlption UI.CIass _Suhslrote Slope _ Insulation A--'---..... G 3' 3A UL ChaA Ney t.5ubstreta Co Combustiple ana Noncombustihle CpmGustihle = wood Ganks, 6oords, etc., plywood imin. 'tu inr,h thicBness). orientetl straid boam (min.'!: inch thickne;s). NC = Noncombu5tih18 OOty NonCOfnbustible = Steel, poureA or preC35t 5'.ructural concrete lipnlwei9ht inSUlating concrete, gypsum,. StruCNral wood fioerb9arJ, etc. 2. Slope MaHimum slope alloweJ, in inChes por foot. 3. Insulatian 3A = OFtional, GAFTEMP'° Pedite, Isotherrn R anU COmFoSitC Insulations. r_ ~ Guarantees Availa6ie_._._..._..........._.._ . Speculcation Llberry6uaranlees.... I.p-:-f,IPfi 20. 15 yr. 2+10: 1C, 5.5, 54r. I I-0,4TG and Ntd-0-4•0 r, . , sin Co. PHONE N0. : 612 884 4342 r ACFoam Roof Insulation Products II ACfuav product cores are state-of-the-art polyiso ioam produced through the use of ~ A HCFCs. Polyiso, the most widely used and accepted foam insulation product in use today, provides superior fire performance characteristics and the ability to retain high R-Values. Designed for use in commerciaf roof applications, ACFoam products are available in a wide variery of facers, thicknesses and R-Values. Each ACFoam product is manutactured for excep- tional strength, using dimensionally stable tacers to add toughness lo the Uoards, and meet the high yualiry standards expected from Adas Energy Products. !I ~ ~I ACFoam•ll, the universal Atlas insulation Tapered ACFoam is used to attain positive P4!.;~` product, features the Adas dosed-cell polyiso drainage while maintaining the highest thermal ~`0~ core integrally laminated to heavy, bfack (non- efficiency available in a tapered system. asphaftid, fiber reiniorced felt facers. Tapered ACFoam is specifically recammended ACFoam-II is specifically recommended for for hot asphalt or coal tar BUR, modified hot asphalt or coal tar BUR, modified bitumen bitumen and single-ply membrane systems (see and single-ply membrene systems (see BUR, BUR, Modified Bitumen, and Single Ply Sys- Modified Biturnen, and Single-Ply Systems tems pages 7, II, 9, and 10). pages 7, 8, 9, 2nCI 10). Complun«>: • Federal S,aecrficalion H11.61974GEN and HH-I-1972/3, Clasi I. Compliances: • Melro-Dade County, ilarida Producl Control No. 93-06307. • Fetkral Speciflcaiion NH-1-19;:/GfN nnd HH-la 972R, Class i. . Gliiomia itate Inwlation Qualiry Sund'srAS anJ Tllle 15 Foam • Melm-Dade Counlg Fbrida Vinduct Contml No.93-0630.i. Flammability Criieria (License YTC 71311. • Galilomie Sface Inswaiion Qualily StandarJt and Tille 25 Foam . yOCA, IC80, and SBCU Seclions on Foam Insulalion. Flammebili:y Criteria µicense O7C 1231). . CCMC No, 12464-R. Meets CA14/CGS9 Standards. • BOCA. ICBO. and 59CCI Saaions on Foam Insulation. • CCMC No. 12464-R. Nee:s UN/CGSB Slandards. FM Slndard 4450/4470 Approwl: Tapered ACFOam is approvM (or Class 1 insulated s:eel, wood. F.N Slandard 4450/4470 AppowL concrece and gypsum joof deck Conslruaion for Iwth 1.60 apd 1-9V - ACFaam-11 i, apProvtd ior Gass : insutafed srrel, wooJ, wrnirie Windstorm Classiliwpons imay be mopped oF mechaniwlly ias- and gypsum ioof deu constmctir,n (or 6olh 460 and I-90 wind- tened 10 <oncrtle roof deckL Reiee to FA1 Approval Guide (or Aeiails sbrm ClassEiicatiom;mry be mopped or mtthanically fastened b on spttilic systems. concrHe roof dreki. Reir: m FM Approval Guide ior deNils on spe. UL Standard 1256 Clnvficaliun: ciiic sysicros. - ~ Insulaled metaJ (le<k cons~NClmn assemblirs - Con>tmCion M1.U UL Standard 1256 Classili<ation: and n1:3. Insulaied imlal deck:onslmclion a55emblies - Consimclion r120 and a I:3. Ul Standard 790 Clusi(iolbn: Class A with most root menbrane syuems. See UL 9uilding Ataie- UL Standard 790 Clacaificaliom rials pireclory. ?x<s A wiih most roof.T~mbrene ryvems. Scc l4 Bvild;ng.Naie- Ul Standard 263 fire Besislance Clasuficalion: nals Dirccmry. _ Some das>dacations fa fire resniance am P225, 1`230. P232, VNI, UL Standard 261 Fire Pesislance Classificalion: p?;., p:54, ?SOH, P570. P514, PiUI, P770, P71 I, P'I 3, P: i i, SoiM, r"sd!IiiaYons ior fiie reas~ancu are PL'S, P230, P732, P247, p71 i, P%I A, P715. P720. P801, PBta, P815, Pel P8l8 and P819. P[Sa, P259, P508, PStO. PS:+. PiCI, ?i 10. Pi I1, P:71. P715, 5re UL Firc Resistante Direaory lor upda¢d IislinRs. Y71; . P718, P? 15. P'20. 7601. P81 J. P81 i, P8 V. PAIB and P81 Y. See Ul f ur RPSiSIan(i Dnedory for updated liainps. FkOMr :r S. L. Da 1 s i n Co. PHONE N17. : 612 854 4342 u.:... ~ . ` ~ Manvilie 1/2` Retro-Fit Board For Built-Up, Modified Bitumen : . and Single Ply Roofing Systems ( ~ ; k i Thermal Vaiues Thermal Conductance Thermal flesistance Thickness . ("C' Vafue) ("R" Value) 0.76 (nominal) ~zApplicable Standards 'h" Retro-Fif Board has been rated in Factory MuluaJ tire and wind resistant systems for BUR, Single Ply and Modified i Bitumen constructions. This tos6ng is specific to the root deck, insulation, fastaner, fastener patlem and fhe membrane. Space limitations preclude listing all apprwad combinations. For current inlormation on Manviile FM approved systems, contact } a Manville Disirict Office, District Technicaf Services Departmerrt or Sales Representative. Retro-Fit Board is also ctassitied by Underwriters Labora- ~a' ' tories, Inc. and is approved insulation for the following Class A s . roof construclions. Contact Manville for more details and r additionalapprovaliistings. BURConstructions Description 1. Any Ciass .4 BUR membrane covered w,th asphalt and 'h" Refro-Fit Board is a high densiry homogeneous panel 9~~1 surface over an exisfing Class A, B or C roof construction. ~ sed efTibiane h ghPnsu atlng palueedblperlite-an ended w ih seecdted binders and fibers. a secnd I layeoger UIVaGard P emierg , UltraGard Go d~ F sco- Advanfages Foam, Fes-Core or Fesco Board in new construction. High Perfurmance. Secause it is pedite-basetl, ~/z` Ratro-Fit Modlfied Bitumen Constructions Board has many of the physical and performance charaderisUcs 1. DynaKap, DynaGlas or DynaPly membranes with base of Fesco 8oard roof insulation, including excellent strength and sheat covered with asphalt and gravel surface over an existirtg handfeability, and good dimensional stabiliry. Class A, B or C roof construction. Eaee ot Nandling. ln the 2' x 4' size, the product is wrapped in ba e sh etaoveRa~ex spng C ass AD, g oP~~ f~mbonst uction. 18count packages (144 sq. ft.) for easy handling in tho warehouse, 3. DynaKap Fq or DynaGlas FR membrane with 2-3 pfies o( on the job, and during shipping, There are ten packages per glass lelt over an axisting Class A, B oi C roof consiruction. Unilift (1,444 sq. (t.}, Larger sized boards are only available bulk 4. DynaKap, DynaGlas, DynaKap Fq, DynaGlas Ffi or UniliR. '/z" Retro-Fit Board is shipped from three plants and can DynaPlymembrane systems with '/z' Retro-Fit Board as be mixed wiih other insulations. a second layer over UI1raGard Promier, UltraGard Gold, Application Fesco-Foam, Fes-Core or Fesco. Retro-Fit Board is useU for applying a new built-up or Single-piy Constroctions modified bitumen roof inembrane over an existing BUH 7. Any Class A membrane loosa laid, mechanically attached or system where minimal additional thermal value is required. luIly adhered over an existing Class A. B or C root construction It is also used as an underlaymen[ for lully adhered, mechanicalty fastened, or ballasted EPDM or other synthetic antl coverad with ballast. rubber single•p!y membranes. Reiro-Fit Board r.annot be Technical Data used with PVC single-ply mem6ranes without an intermodiate slip shoet. The product is not recommendeci for use directl PhySiCal PropeAies Values 7est Methods over steei ~fecks. y Water Absorption, 9b by Vol- -iT Sizes 2 hrs. 3.5 max. ASTM C209•84 24" x-18' (.6lm x 122m). 49" x 48" ft22m x 1.22m) and ~:p' x 96 C So~Pression Resistance, (122rn x 2.4am), wi;h nomfnal thickness of (12 Consolidationpsi 24-40 ASTMCt65-83 5mm). Laminar Tensile Strengthpsi 4 min. ~ . ASTM C209-84 F l e z u r a l S tr e n g l h p s-i 60 min qSTM C203-85 I 74 I - PERMIT cR z4004 t CITY OF EAGAN .51101Gq 3830 Pilot Knob Road PERMIT TYPE: B u r Lo z N c Eagan, Minnesota 55123 PermitNumber: 023541 (612) 681-4675 Date Issued: 0 5/ 0 9/ 9 4 SITE ADDRESS: 3970 SIBLEY MEMORIAL HWY LOT: 51 BLOCK: 6 SEC7ION 19 DESCRIPTION: Bwilding Permit 7ype COMM./IND. MISC. Building WdCk Type TENANT FINISH i . i ~ / ~ ~ .r ~g _ _ _ REMARKS: SEPARA7E PERMITS ARE REQUIRED FOR ANY PLUMBIN6 OR ELECTRICAL WORK FEE SUMMARY: VALUATION $4,000 6ase Fee $63.00 Surcharge $2.00 Total Fee $65.00 CONTRACTOR: - Applicant - OWNER: DIVERSTFIED CONST 29297233 U 3 SWZM & FITNES5 7010 HWY 7 3970 SIBLEY MEMORIAL HWY ST LOUIS PARK MN 55426 EAGAN MN (612) 929-7233 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Mn. Statutes and City of Eagan Ordinances. L ~ ~ SIGNATURE ISA SUD B: SI N TA I 1 I YJJ INSPECTION RECORD CITYOFEAGAN PERMITTYPE: auzLoiNG 3830 Pilot Knob Road Permit Num6er: 023541 Eagan, Minnesota 55123 Date Issued: 05 J09 J94 (612) 681-4675 SITEADDRESS: LoT: 51 BLOCK: 6'4PPLICANT: 3970 SIBLEY MEMORIAL HWY DIVERSIFIED CONST SECTION 19 (612) 929-7233 PERMIT SUBTYPE: TYPE OF WORK: COMM./IND. MISC. TENANT FINISH INSPECTION . FOOTINGS FRAMTNG ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL WTG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICHL WORK I L - i ~ CITY OF EAGAN I~D] tu1994 BUILDING PERMIT APPLICATION 681-4675 t:;Ay 0 5 ~ggy 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 ch nge is requested once permit is issued. Date Valuation f ork G~O• co Site Address: °770 61'14~/~ C70 ~%V* STREET SUITE # Tenant Name: (commercial only) ~Vi/YLA'va LOT ~L BLOCK SUBD. P.I.D. k Descri tion of work: The applicant is: O Owner Contractor ? Other (Deseribe) Name Phone Property LAST FIRST Owner qddress ° STREET STE # City State Zip Company OvV 5 Phone , Contractor Address Lice se # Exp. City f~JC1/~ State Zip Architect/ Company Phone Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Pracessing 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 al pplicable State of Minnesota Statutes and ity of Eagan Ordinances. Signature of Applicant: Ij =n I OFFICE USE ONLY . ` } 14 1 BUILDING PERMIT TYPE ~ ~ ? Oi Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 11 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch O 09 12-Plex ? 14 Fireplace Zr 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ,0 35 Tenant Finish 037 Demolish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWLC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Faotprint Sq. ft. Fire Sprinkler Length On-site well Census Code L/Y 1 Depth On-site sewage SAC Code ~ o APPROVALS tensus undt T Plann9ng Building Assessments Engineering Variance REQUIRED INSPECTIONS O .Site ? Footing U Framing ? Insulation ? Wallboard ,E] final ? Draintile ? Fireplace Permit Fee veiuatson: g 00 c;, Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units PERMIT ck_b ~ITY OF EAGAN 3830PilotKnobRoad PERMITTYPE: auiLoiNG 3 Eagan, Minnesota 55123 Permit Number: 021203 (612) 681-4675 Date Issued: 0 6/ 15 / 9 3 SITE ADDRESS: 3970 SIBLEY MEMORIAL HWY LOT: 51 BIOCK: 6 SECTION 19 DESCRIPTION: NURSERY RESTROOM Bvildin`g--Permit Type COMM./IND. MISC. ;Building w1ork Type ALTERATION . ~ ! r ~ ~ ~ i : j~..- h 'IN\ C~~ REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED FEE SUMMARY: VALUATION $5,000 Base Fee $72.00 Surcharge $2.50 Total Fee ;74.50 CONTRACTOR: - Applicant - OWNER: RYAN CONST INC, R J 2$664632 BALLY'S U S SWIM & FITNESS 6511 CEDAR AVE S 3970 SIBLEY MEMORIAL HWY MINNEAPOLIS MN 55423 EAGAN MN (612) 866-4632 Z hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of fagan Qrdinances. AltI~ ~.Od,(~ ~ IlloCl AN PERMITEE SIGI ATURE ISSUED YTGNAT RE INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuiLoxNG 3830 Pilot Knob Road Permit Number: 021203 Eagan, Minnesota 55123 Date Issued: 0 6/ 15 / 9 3 (612) 681-4675 SITEADDRESS: LoT: 51 BLOCK: 6 APPLICANT: 3970 SIBLEY MEMORIAL HWY RYAN CONST INC, R J SECTION 19 (612) 866-4632 PERMIT SUBTYPE: TYPE OF WORK: COMM./IND. MISC. ALTERATION DESCRIPTION NURSERV RESTROOM INSPECTION . .A FRAMING FINAL REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED I ~ _ . ~ I REACTIVA?E V`'LC~Is~O~V?[~D f i TY OF E,x1~a~?iv PERM.IT A1 3 BUILDING Fi:RM T APPLICATION , J U N 0 2 1993 681-4575 ~ 77 -7~ S ~/~~3 ~ 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 Z- Yaluation of work ~`nn Site Address: C e- a STREET SUITE M Tenant Name: (commercial only) 'g~ IAT BIACK SIIBD. P.I.D. M ! Descri tion of work: CWl. 'S The applicant is: ? Owner ',9 Contractor ? Other (Deccribe) Name i7,~-- - Phone Property LiSt FIRST Owner Address STREET $TE x City 471~'4 Lq,,, State /y'n,' Zip Company Phone C011tf8CtOf Address License # Exp. City State /`Ji~ 2ip SS4-z3 Company _ Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Weg^1z-1511 10~/fsC~, Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appl icant: GFr1CE USE ONLY BUILDING PERMIT TYPE I 0 Oi foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 19 Comm./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility ? 21 Miscellaneous WORK TYPE O 31 New ,10'33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition 13 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Mater UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump i of 5tories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS ~ Planning Building Assessments Enhineering Yariance REQUIRED INSPECTIONS C y/cDS 12FSj /2oplY/ i~;~ ,yr,4e5e$y A!eEA O Site ? Footing )5rframing ? Insulation ? Wallboard 9+CFina1 - ? Draintile ? Fireplace Permit Fee oo Vsluatim: Surcharge a 5z; 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 - . , e~ e4"Or~, 1971 SENECA ROAD • EAGAN, MINN. 55122 • PHONE 454-5982 General Contractors May 17, 1984 p~-0 6~O City of Eagan 3795 Pilot Knota Road Eagan. DSn. 55122 on tness Center 5Ce;99i Dear Dale, L ~y nd a check in the amount of $3,789.50 for the Attached fi building permit on the above xeferenced pro,ject. Ne nnder- stand this includes two SAC nnits. As we indicated to vou ~ over the phone, we understand that these are your calculations and not those of the hietro Sewer Roard. Ne have discussed this with the owner and architect and they have agreed to pay additional SAC charges if the htetro Sewer I3oard were to ' deem it necessary. Sincerely, Construction Co., Inc. IEy..D D Grell LDG/cu cc: Tom Zumwalde David Akradi Greg olson ~ PERMIT ~`'Z ~ ~ITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u z Lo x N c Eagan, Minnesota 55123 Permit Number: 023091 (612) 681-4675 Date Issued: 0 3/ 14 / 9 4 SITE ADDRESS: 3966 SIBLEY MEMORIAL HWY LOT: 51 BLOCK: 6 SECTION 19 DESCRIPTION: ~ (ROOFING) Building-_Permit Type COMM./IND. MTSC. Building Wb.rk Type ALTERATION J \ ' i / ~ ~r ~~~511~ REMARKS: CEDARVALE FEE SUMMARY: VALUATION $10.000 Base Fee $117.00 Surcharge $5.00 Total Fee $122.00 CONTRACTOR: - Applicant - OWNER: RAYCO CONST TNC 27816092 UPPER MIpWEST MANAGEMENT 3801 5TH ST NE 4900 HWY 16 205 COLUMBIA HEIBHTS MN 55421 EW HQPE MN 55428 (612) 781-6092 (612)535-4914 I hereby acknowledge that I have read this applioation and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan qrdinances. IL - aun 1~~:r,l I I APPLICANT/PERMITEESIGNATURE - - _I SUEOBYSIG ATURE - - ~ INSPECTION RECORD CITY OF EAGAN PERMITTYPE: euiLoxNG 3830 Pilot Knob Road Permit Number: 023091 Eagan, Minnesota 55123 Date Issued: 0 3/ 14 / 94 (612) 681-4675 SITE ADDRESS: Lo T: 51 B L 0 C K: 6 APPLICANT: 3966 SIBLEY MEMORIAL NWY RAYCO CONS7 INC SECTION 19 (612) 781-6092 PERMIT SUBTYPE: TYPE OF WORK: COMM./IND. MISC. flLTERATION DESCRIPTION (ROOFING) INSPECTION . FOOTINGS FRAMING ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL HTG FINAL REMARKS: CEDARVALE F- - - L - - - CITY OF EAGAN $ ( 7_L, Q0 ~ 041 1994 BUILDING PERMIT APPLICATION 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 3 / 1'-I Val uati on of work $G , 1 au~. oO Site Address: 3~&6 Slb)ay Memor;al STREET SUTTE it Tenant Name: (commercial only) Cje!arm~e Ma~l LOT 0~1 BLOCK ft_ SUED. In P.I.D. # _F.(l `1 Descri tlon of mork: 12e1' ('rS'C Y'oc7-F SeCM o~'M~J AY~C~Y' 1~C W i~ Car 1i51e. EPDMrtbber- The applicant is: ? Owner E4 Contractor ? Other (Describe) Name Uj4~ M~d i,. yes1- MQna~r6~,f'sl-' Phone (61a) 53t-114 )'-4 Property asT FIRST Owner qddress '1900 1-iwy I~„~ ~~~,te ~05 STREET STE k City 'N~) Hfx~ State MN Zip 55'-4~ Company Rov Co CCnSfirUC-t-im, "$nc _ Phone f co~a~`1 g1-~d qa Contractor Address 3901 6rh s-t- hfP_ License #0CO3-z~P(o Exp.f%(' 1'`l1`r City Colvmbio }-}ef~)hiS State M14 Zip 55qa1 Architect/ Company Phone Engineer Name Registration # Address ' City State Zip 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 applica6le State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ` t.;BUILDING PERMIT TYPE , 11 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? OS 8-Plex E3 13 6arage/Accessory ? 18 Caimn./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? OS SF Misc. ? 10 Mult1. Add'1. ? 15 Deck ? 20 Pu61ic Facility 0 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demol9sh ? 32 Addition ? 34 Repair ? 36 Move GENERAL 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 d` of Stories Footprint Sq. 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 REQUIRED INSPECTIONS O .5ite ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile O Fireplace Permit Fee 1 I ' . - v,u.ti,,,: $ 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