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3980 Sibley Memorial Hwy CITY OF EAGAN t'~'I 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~r PHONE: 454-8100 90~ 7~ BUILDING PERMIT Receipt * To be used for Y~~gO!y~yr~ Est. Value +~0r~ Date ,19 Site d ress 14~ S;DL.°.`: M1::ltt7i~2Iw1. tiVY OFFICE USE ONLY On Site Sewage Occupency R' Lot Block Sec/Sub. / MWCC System Zoning Parcel No. 10"0; 900"'4kV6"`g~ ~az ~i Ce On 5ite weU (Actuary Const a Name City Water (Allowable) z Address 1106 :j BROADWAY, Ar.'X 834 PRV Required # of Stories 507 35 9-9004 Baoster Pump Length ° City P'!:3 11U4 Phone Oepth .0 Name PIEkRIF1F;LF? NOlr!? Il1PibMWZN'[S S.F.Total Uo` Address '-~22 AUpTCH AiiE S Footprints_F. P City 1'LC0''!1"9T0*hone '11'i-S7l6 APPROVALS FEES Engr./Assess. Permit 208.00 W Name ~ Z Planner Surcharge ~ x ~ Address `W City PhOne Council Plan Review ' Bldg. Off. SAC, City I hereby acknowledge that I have read this apptication and state that the Variance _ SAC, MWCC information is correct and agree to comply with all applicable State ot Water Conn. Minnesota 5tatutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to:.-',F.'r:RI!~?F.~ NQM~€ kM~'. Treatment P1 on the express condition that all work shall be done in accordance with al I applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official TOTAL _ Permit No. Permit Holder Dats TeIsphone #t Plumbing H.V AC. Electric Softener Inspection Dats Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well . Pr. Disp. ; 1 Y (Sertifiratt uf (Orrupanry Citp of (fagan Dppar#mpnf n# liuilding lWrrtinn This Certifcate rssued pursuant to the requirements of Section 306 of the Uniforrn Building Code cernfying lhat at 1he t+me of issuance rhis structure was in complianee with the various ordinances of the City regularing building cvnslructlon ar use Fnr the following.Use Classificuion T N T. I M P R.- G T. A D R A G S Bldg. Rrmii xo. I 6 0 2 5 OccuWncY TYPe B 2 Zonirtg Distria Type Conu. Qwner of Building 11 MM C p~~ 1106 S. ~11C 834.~' 1[~M s,,;iaing naa~ L.scylAll, B7, =CN 19 _ n8,e: AI3G(1ST 3, 1989 ~ -Buildlng Officiff POST IN A CONSPICUOUS PLACE 1 PERMIT # R•MECHANICAL PERMIT RECEIPT # C CITIf OF EAGAN 3930 PILOT KNOB FiOAD, EAGAN, MN 55122 DATE CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot -'-Block %Sec/~ub ~ t' II RBS. New ~ Name Mult Add-on m Comm. k Repair ~ ~ Address Other C h'` r , ' c City Phone FEES Name RES. HVAC 0-100 M BTU - $24.00 c Address ADDITIONAL 50 M B7U - 6.00 03 Ci~ , . (liES. HVAC INCLUDES A/C ON NEW Phone CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA. TYPE OF WORK COMM/1ND FEE - 146 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESlDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE 20.00 Vent. CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other g 1 1 ~ / FEE: S/C: SIGNATURE OF PERMITTEE 1TOTAL~1 • ~ FOR: CITY OF EAGAN , For Offke Use Only: / MECHANICAI PERMIT PERMIT # ¢T ~~r C~ CITY OF EAGAN RECEIPT # ~ 3630 PILOT KNOB ROAD, EAGtAN, MN 55122 :;'i . CONTRACT PRICE PHONE: ~4-e1oo DATE: ~ Site Addr BLDG. TYPE WORK DESCRIPTION Lot Block ' Sec/Sub ' 2 Res. New ~ Name t Mult Add-on m Comm. ~ Repafr ~ Addr ~ L ,1' ~ . c City Other i FEES ~ Name - RES. HVAC 0-100 M BTU - $24.00 c Addr r\ L ADDITIONAL 50 M BTU - 6.00 39 p City Phone ~<<~ (RES. HVAC INCLUDES AIC ON NEMf CONSTRUCTION) TYPE OF WORK GAS OUTLETS (NIINIIAUM -1 PER PERMIn - 1.50 EA. COAIMIIND FEE -196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Unit HBater M BTU WNIMUM RESIDENTIAL FEE - ALL ADaON 8 Air Cortd. M BTU REMODELS - 12.00 MINIMUM-COMMERCIAL FEE - 20.00 VeM. CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Qutl@ts # ' (ADO $.50 S/C PER EACH $1000.00 OF PEHMIT FEE) Other PERM FEE: ~ JC S/C: 51GNATURE OF PERMITTEE ' TOTAL: ~ 052 FOR CITY OF EAGAN e.r-. ~ CITY OF EAGAN p. 3830 Pfbt Knob Road, P.O. Box 21-199, Eag , MN 55121 131 8S PHO~dE:454-8100 BUILDING PERMIT ~ Receipt M " To be wed for IN1' I tr`PR• Est Value 410, U uCl Date FEBK U a.R Y:' ,19 ~7 Site Address 3484 S I B.GEY NIr;,IU R I AL HW Y Erect ? Occupancy Lot r IBlxk 07 Sec/Sub. SECT 19 Remodel ? Zoning Parcel No. Repair ? Type of Const Addition ? No. Stories cc Name PFtYSIC:ZANS i~Ir.T e EXERCISEMove O ~ength = ` Demolish ? Depth o Address iAME .1~ Int Impr. ? Sq. Ft City Phone 4 5 4- 4 9 9 0 Instau 11 o Name SAME Approvals Foes Address Assessment Permit ~ City Phone Water 8 Sew. Surcharge 5•~1 ~ Police Plan Review F = Name Fire SAC ~ Z Address Eng. Water Conn. < W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state Matthe gldg. Off. Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. APC Perks e Signeture of Permittee •Var. Date Copi y8 ,5 (j Total A Building Permit is issued to: YS IC LANS l3i ET & EX~KC I: on the express condition that all work shall be done in accordance with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Building Official . PermN No. PemnR HoWm Dsle T~onw k Plumbiny H.Y.A.C. , ',~J Ekwtft ~S7 Softener Inspeefbn Date Inep. Comments Footfnya 1 Footlngs U Foundation Frsminy RooMnq Rauph Plbp. Rouyh Nty. Irnul. Flroplace FInN Hty. Final Piby. &dy. FMaI CO?t Occ. Deck Fty. Dack Frmy. WMI Pr. Dlap. @^ j ~ , ` , . . - r .-~-r.,-r t+.o-, • PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT Y- 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: G J,~ a; PHONE: 454-8100 Site Address BLDG. TYPE WORK QESCRIPTION Lot Block ec5ub Res New Name C , . = w e Mult Add-on ~ Address Comm. -1 Repair ~ Other c City Phone FEES Name ` - <1 RES. HVAC 0-100 M BTU -$24.00 c Address n'*r^ u`ADDITIONAL 50 M BTU - 6.00 O City Phone (RES. HVAC INCLUDES A/C ON NEW _ EQNSTRifCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air ~ M g~ APT. BLDGS. - COMM. RATE APPLIES - TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boiler M BTU' MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BT~1 M(NIMUM COMMERCIAL FEE - 20.06 Vent. CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other g . . - FEE: S/C: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN C1tI1~i~'~~A?i~~,_ T. , z:w-'i .rr•.:pyt.^~s' y,X~:~,+~a.^'p'~?.',.wx~,•-yE: -"w: ;•.v:.. _ . CITY OF EAGAN 44 17580 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551F1 PHONE:454-8100 BUILDING PERM(T Receipt # ~ LNTERIOR To be used tor IMPROVEMBNT Est. Value $5+000 Date MARCH 6 , 19 90 Site Address 3986 SIBLEY MBMURIAL 13VY Lot 051 Block 6 5ecr'Sub SBCTtON 19 OFFICE USE ONLY . Parcel No. occuPancy - FEFs Zoning cc Name ~~Tt Yand*rarde (AcluaqConst _ Bldg. Permit 72'~ Sib •y !l~eworia Hwy 2. ~ ; Addfess {Allowable} - Surchar 0 City "~Q Phone N of Stories - 9e Lenglh _ Plan Review ' Concep[o in Liviag o Name oevtn - snc, ciry 13108 Grand Ave Address S.F. Total - SAC, MCWCC ~ City ~Tnaville phone a90"2106 S.F.Footprints - F On Site Sewage _ Water Conn ~ W Name on sae weu ~+W - Water Meter Z AddreSS MWCC System mZ Acc1. Deposit <W City Phone Cny Water _ PRV Required _ SMI Permil I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature ol Permitee APPROVALS Road Unit A Building Permit is issued [o: Covicepts in Livins Planner - Park Ded. on the express condition that all work shall be done m accordance with all Council applicable State of Mfnnesota Statutes and City ot Eagan Ordmances. gldg pn. _ Copies Variance - TOTAL 74.50 Buiiding Official ? ' - ' Permit No. Permit Holder Date Telephone # WATER SEWER PIUMBING ?11L~ • f f H.V.A.C. ELECTRIC Inapection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. ~ Rough Hlg. Isul. Fireplace Final Htg. Fnal Plbg. y~ Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final Detk Ftg. Deck Fnal Well Pr. Disp. . ~+..+VU~+/ ~a~R~[: . . , . . .7..,:.-f, Wr :.+AY'S^.~S CITY OF EAGAN M•~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PNONE: 454-8100 BUILDING PERMIT Receipt # To be used for Oa4TyQ& Est. Value S QQo Date AeR 23 I, 194L Site Address Lot ~L Block 6_ Sec/Sub. -RECTIOH 19 OFFICE USE ONIY PdCC@I N0. Occupancy - FEES Zoning _ z Name -101~1r V Uiil RAlR~lF (Actual) Const _ Bidg. Permii 72-00 3 AddfeSS 11I 135131 (Wlowable) ~ Cjt BliRldSVil.1_iR - Surcharge y Phone 892_UQSA # or scories _ Lengih _ Plan Review Zo Name SA1~ffE oepm - SnC, cicy 00 ~ Address S.F.7ota! - SAC, Mcwcc City PhOn@ S.F. Footprints _ ~ On Site Sewage _ Water Conn W Name on site weu W Water Meter ~ ~~-y Address MWCC System a W City Phon@ Ciry Water _ Acct. Deposit PRV Required _ S/W Permit I hereby acknowlege that I have read this applieation and state that the Booster Pump - SnN 5urcharge information is correcl and agree to compiy with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Treaiment PI Signature ot Permitee { APPAOYALS Road Unit A Building Permit is issued to: JOW yANDERMRAE Planner - Park Ded, on the express condition that all work•shall be done in accordance with all Council applicabte State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Off. _ Copies Building Official Variance - TOTAL 74.50 Permit No. Permit Holder Date Tekphone # WATER SEWER PLUMBING H.V.A.C. ELECTRiC Q ~ Inspection Date Insp. Comments Footings I Foundation . Framing _ ROOfing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. prsfat Test Fihal Plbg. Plbg.lnspedor-NotifyPlumber Const. Meter EngrJPtan Bldg. Fnal Deck Ftg. Dedc Final W~II Pr. Disp. ~ . . - ;li~~d~'1s~ ^t~:"l ~ n,YL~_in 1~-'---'----~ . . . . , . . . . . . . . . ,....r . . UPg$& F'~Y1L axLY CITY OF EAGAN 166" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 f - BUILDING PERMIT Receipt # Tobeusedfor LNT zPtkIR Est.Value ~#d0*C'uai Date 1UNE 14 , 1949 Site Address 1984 SIDi.EY MY-i0R7AL 116Y OFFICE USE ONLY Lot L' '0 z Block 06 Sec/Sub. 5ECT• 19 Parcel No. occuPancy A"3 csC FEES JoI~ & Boa vAx~x ~anZ Zonmg ~ o0 ¢ Name (Actual) Const - Bldg. Permit 5 30.OQ o Address 14017 lRMIER I.Fl (nibw~~) _ urcharge City Phone - # of siories - ~ 8'YILLE 4522i~Q (a) ~ ~ Review Lengih _ Pl , o Name ~B y~E~ ~~DE Depth - SAC, City ~Q Address $A~ S.F. Total - SAC, MCWCC ~ Clty PhOf1e 432-$843 (H) S.F. Footprints - On Site Sewage _ Water Cann ~ W ;iA'IttE 8I S HfiP W W Name On Site Well - Water Meter i? AddreSS 13813 FFtCNTIER LN MwCC System aW City Vj~3•~ Phone 338-~E799 (B) City Water '400t °e~it 121 (H PRV Required 51W Permit I hereby acknowlege that I have read this application and state that e Booster Pump - g,W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permftee APPROVALS Road Unit A 8uilding Permit is issued to: BOB VMIIIEB AARpE Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pK. _ CoPles 37-2. U.UCi Building Official Variance - TDTAL Permft No. Permit Holder Date Telephona # WATER ~ SEWEA PLUMBING i H.V.A.C. ELECTRIC Inspection Oate Msp. Comments Footings I foundation Framing Roofing ~ Rou,h Plb,. Fiough Htg. IsuL . Fireplace Final Htg. Fnal Plbg. Const. Meter Pibg. Inspector - Notify Plumber Engr./Plan Bidg. Final GJ Dedc Ftg. Deck Final Well Pr. Disp. - -e • , . x° • m'~ . ~ (gextif tra#"t o# (Orrupaurg Citp of eagan EPpFII'tttlptd Af 1whymo jwPtttot[ This Certificate issued pursuant to the requirernenLr of Secdon 306 of the Unifornr Building Code certtfying tiiat at the time of issuance this structure was in complrance with the various ordinances of the City regulating buiding construction or use. For the following: use a.wfi.tion INf. IMPR.-GWID SI.AM SPOEaSr-t1PM elag. ttnWi No. I6637 Oocupncy Type A3 Zoniag Diwrict OIC 7)'~nne owm of 8~dding .xM a eos vAIM A&RDE ,,ddmw 14017 Faarr= iarE. B'vIU.E , Bwlding naarm 3984 StB[EY nN. Hw. L-hty I051, 806, SElCImCN 19 ~ ~i pM, AUQJST 34, 1989 euaa„g offid POST IN A CONSPICUOUS PIACE a r • - _ - . . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 4~ Eagan, Minnesota 55123 Date Issued: ~ % ~ % (612) 681-4675 SITE ADDRESS: APPLICANT: F~i MEMilF2I A) iiuv • I i I 1 iiid 1~ i I. ~ i.~, , l PERNIIT SUBTYPE: TYPE OF WORK: INSPECTION DA • DA ! tdf%i I't I,h, f 1NA1 :i I i, i; 1{ f• Pt f f', 1~1 2 r 14 II ~ l ~ 1~ ! ~I! itifd ~ I I111,11l; I FI1, Ill; I 1! 4 II'1l fi! 1 t~~~. t L J Permit No. Permk Holder Date Telephone 11 S/VN ~ PLUMBING HVAC ELECTRI ELECT Inspectlon Date Insp. Comments Footings I Foundation ~tl n ~ - ~ - J Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Orsat Tesl Fnal Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bidg. Final Deck Ftg. Deck Final Well Pr. Disp. • - . . . . . ~ , . .:y.r . . . R,+.~~„~~. r.~, CITY OF EAGAN ~Ft~S~M SPOR'[S 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 • PHONE: 454-8100 BUILDING PERMIT~. ~ Receipt # I".4IUk To be used for LtIY}tUVEI'SEH'I' Est. Value $3,000 Date .TINB 20 , 19B-9 Site Address 3984 SIBLEY WMOBIIIL HKY Lot 0 51 Block 06 Sec/Sub. SECTION 14 OFFICE USE ONLY PdfC21 NO. Occupancy A-3 FEES Zoning C W Name Ja`~H & WB V~E~RDE (Actual)Const - Bldg. Permit 54.00 o Address 1~17 PROi+~'i'IFR Ltd (Allowable) - 1. St} Surcharge City BU RNsVILIX Phone 432-8843 # of stones - Length _ Plan Fieview , p Name sAM Depth - SAC, City ~Q Address S.F. Total snc. McwCC City Phone S.F. Footprints - On Site Sewage Water Conn ~W Name WAnM stsxap On Si1e Well - Water Meter Address 14013 FRON'fIER LN Mwccsystem - o~ ~ Acct. Deposit e W City $IJPNS~ L~ Phone b-' 2"2 212 Ciry water - PRV Required - SNV Permit I hereby acknowlege that I have read this application and state that the Booster Pump - S/1N Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: JJ~ ~R BOE V~~~kAA_FM' Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy. pff, _ Copies Building Official Variance - TpTAL Permit No. Permk Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inapection Date Insp. Comments Footings I 2EM FoundaGon Framing Roofing Rough Plbg. Hough Hig. Isul. Freplace Fin21 Htg. Fnal Plbg. Const. Meter Pibg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final wen Fr. oisp. _ _ _.~...,`,,,`,a,~,. ..,..}a~~e,n=.~•s GRANDSLAM SPORTS ' ~ter#t#ir~#r ~rru~~nr~ titp of Qfagan Eppttrtmrn# n# wudbing JwPrti,mT This Certifrcale issued pursuant to tlie requirements of Section 306 of the Uniform BuiTding Cade cerlifying that at 1he time of issuance this structure was in compliance with the various f ordinances of the Ctty regulating building construction or use. For the following. rJ'( ~ ~ INTERIOR 1MPROVE 16680 ux a.sarc.ma, Blag. rLrmii rw. A- CSC Owmof 14017 FRONTIER LANE ~~~Mrv 3984 SIBLEY MEMORIAILOCI~TtyY L051, B6, Section 19 ' • ~'t ' ' ` ~~C-~ ; Doc SEPTEMBBR 1, 1989. s*~d~ oa,d.1 POST IN A CQNSPICUOUS PLACE i . r c:.. . - _ * . . . _ . . . ~ . CITY OF EAGAN ^ ^ ~ ~ • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 6UtLDING PERMIT aeceia # To M YMd fN . .i., Est. Vaiue Dote 19 ` Sita Addreu $9$4 SIBLBY tr1EM EiWY erect ? ocaipancy Remodel ? 2oning Lot _ L Blxk_ 7- Sec/Sub. Repair ? Type of Const. Percel No. -10-01900-011•-07 Addition ? No. Stories Move ? Langth W Name Demolish ? Depth ~ Address Int Impr. ? Sq. Ft. City Phone Install ? Neme APpemrob iNs Address Assessment Permit City Phone Water 3 Sew. Surcharge G Police Plen Fevlew - ~uW Name Fin SAC ~ Add?esa Erq, WaterConn. ~W City Phone Plonr?sr WaterMeter Councii Road Unit I hereby ocknowlsdfls that I haw rood this opplication ond stote that Bldg. Off. ' Tr. Pl tM inlormotion is oorrect and ogree to comply with all oppiicablt A~ Parks SroM of Minnesota Stotutes ond ICiry of Eogon Ordir+oncss. . Var. Data Copies Sipnatun of Permittu ' . Total A Buildlnq Pennit Is fssued to: a+ tM •zpress conditlon thot dl work sholi be dorr in occordonce with oll oppliaobls Stoh of Mirx+esoro Stotutes ond City of Eoqon Ordinonas. 0uildinp Officiol •dsIa 'Ad igMes IIoM ~ieM :uoi~aol o4lsmW '641d leYld '83H IoUld vatidwld •iesul '63H 46nob f~l - , bf~-~"? Sb~ 'd41d 41Snoa aulyooa sulwsigi uopopunoj 11 46u1;00d I aBupoozi wypp •dsu~ qoQ uo~I*Ddgui awtj0$ ~l+1~M3 7- 7 J 7 37 ~ . 7 } B-l9WnId ~ Ou006161 WC AWH Muu9d 'ON lIWs*d CITY OF EAGAN S`~6~ 3745 Pile1 Knob Rood Ee9on, JYlli 55122 PHONEs 454-E100 ~ BUILDING PERMIT Receipt # TT.'1?;I:1~ rn~?~ ~ JP.'1Ur-~•Y 10 Te be uwd foeEst. Value Dare , 19 3 9`-' 2 sI T3 LEY l IjiY . Site Address Erect ? uponcy __CC Lot Block Sec/Sub. • Nlter L-0' Zoninp Porcel # 1111- 0 1 01 07 0 3.3-- Repolr ? FI?e Zone i'. V I~'IC . T n'.I . Enlorga ? Type of Const. oc Nome " Move p ~t Stories z ^ddress 3 n~~ ~ S I FL:' P'I:'i i~•:'' . Demolish p Length Ci ~ i',X2Q Phone 452-937 0 Grode ? Depth Sq. Ft. Approrals fees °C Nome ' u~ Address Assessment Permit ' J ~ Cit 'IJC)~' '`T r' i i Phone Water 8 Sew. Su?charge Police Plan check GW Nome Fire SAG XE Address Enp. Water Conn. -W Ci phone Plonner Woter Meter Council Road Unit I hereby acknowledge thot I have read this opplication and stote thot gldg. Off. the inlormation is correct and ogree to comply with oll opplicoble ^PC Total y ~ Stote of Minnesota Statutes and City of Eoyon Ordinonces. Sipneture of Permittee /1 Building Permit is issued to: `F, v T`tC ` on the express condition thnr oll work shall be done in eccordance with all npplicable Stote of Minnesoto Statutes end City of Eapan Ordinances. Buildiny Offfcial : ~ 0 2 0 2 m` « « p E m a N C ~ O Z O D E ~ ~ a M e d Z E d ~ d ~ Q 3 p .Y OC ffi ° a $ = o~ > E c . s 6 ~ N W ~ LL LL U. ~ 0 c LL LL LL ~ ~ ~ d . s r , . . „~.~.~v • _ .r _ ~ CITY OF EAGAN . : 1 6 * 7.~ L '41 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 1lk-T I MFR Est. Value $23,000 Date , 19 Site Address 3930 STBI."X HEEtCIRIAL i?WY Lot 051 Block 06 Sec/Sub. SEC'f. 19 OFFlCE USE ONLY Parcel No. occupancy - Fees Zoning W Name Upl'ER 1!:ZDi,+SST l1G41T (Actual) Const _ Bidg. Permit ~~3`* 3 Address.. (aliowatie) - 21.54 507 r S - ~L Surcharge ° City ~`''b` Phone #orscories - :17.(}0 Length _ Plan Review o Name t'_L'Fi6.tFI:.[.i'; -110t;E 1n?,OVEMFHTS Depth - SAC.ciry ou q Address 9748 16TH AYE S4 S.F. Total - SAC. MCWCC ~ City 8LOOPINGTQN PhOne 88-1-5716 S.F.Footprints - On Site Sewage _ Water Conn WW Name pHILIP H MILI,ER pnSiteWell - WaterMeter Address 3922 yIHL.EY t!~3 HWY MWCCSystem - ~ ~ Acct Deposit <W City K•ACAN Phone 452-1770 cirywater - PRV Required _ S.,W Permit i hereby acknowlege that I have read this application and state that the eooster Pump - gnN 5urcharge infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: h:: ; j i f F Le "",,:Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State ot Minnesota Statutes and City of Eagan Ordinances. gldg. pry. _ Copies Building Official Variance - TOTAL 2 '50 Permit No. Permk Holder Date Telephone # WAnfi k - SEWER PLUMBING H.V.AC. ELECTRIC InspecUon Date Insp. Comments Footings I Foundation Framing Roofing Rough PIb9. _16- Rough Htg. Isul. Fireplace Fnal Hig. Final Plbg. Const. Meter Plbg. Inspector - Notity Plumber Engr.IPlan Bldg. Final Dack Ftg. Declc Final Well Pr. Disp. (Urfifiratie nf tOrrupttnry titp of (Eagan appal'bmt d iltotrig itt8pPttiDtt This Certi, f'icate issued pursuant to the requirements of Section 306 ojthe Uniform Building ~ Code certifying tHat at the time of issuanee this structure was in compleance with the Parious ordinances of the City regulating building constructian or use. For the following., use ctasifimuon IlVT. YO= M0P sieg. ramk No. 16172 OccWmncY "fyPe Znning Ilislricl Type Cnnsl. Owner of Building LTM MWESr MM•' Addrecc NW UM ' e.Uaig naa.m 3980 SIffiM MD0IAI:" WY.,.,c,;ty LOS I. B06, SDCTT0N 19 ~ aau: APRIL 27, 1989 Suilding Offirial POST IN A CONSPICUOUS PLACE . . . . , . _ w . . . . _ . .r:~w:7,.;~.~ UPPER LEVEL ONLY CITY OF EAGAN Ng lu63/ 4RAw~'~C.~ SPa=7'5 3830 Pilot Knob Road, P.O. Box 21-199,p agan;~M# N 55121 BUILDING PERMIT PHONE:454-8100 Receipt (2~ To be used for i::T IMPR Est. Value $60, 000 Date J1JNE 14 , yg 89 Site Address 3984 SIBLEY MEMORIAL HWY OFFICE USE ONLY Lot 051 glock 06 Sec/Sub. SECT. 19 P8fC01 NO. Oceupancy A-3 FEES Zoning C$C w Name JOHN & BOB VANDER AARDE (ncwaq consc - eidq. aerma $460.00 g Addtess 14017 FRONTIER LN (Allowa6le) - Surcharge 30.00 ° Cjty B'VILLE Phone 452-2190 (B) itotSiories - 230.00 Length _ Plan Review , o Name BOB VANDER AARDE Depih - SAC, Ciiy ga Address SAME S.F. ratai - ~ City Phone 432-8843 (H) SF.Footprints snc,MCwcc ~ - On Site Sewage _ V`later Conn IN Name WAYNE BISHOP OnSiteWell - WaterMeter Address 13813 FRONTIER LN MwCCSystem y B`VILLE Phone 338-8799 (B) CityWater _ ~I.DeO~ir CIt 432-1212 (H~ PRVRequired _ SMlPertnit I hereby acknowlege that I have read this application and state that t e Booster Pump - SiW Surcharge inlormation is corcect an agree to com y with all a plicable Slate of Minnesota Statmes and i of an inan Treatmem PI Signa[ure of Permilee APPROVALS Road Uni1 BOB VANDER AARDE Planner - park Ded. A Building Permit i sued to: on Ihe express c ition thal all work shall be done in accordance with all Counal applicable Siate ot Minneso Statutes and Cily Eagan Ordinances. BIdg.Off. _ Copies $720.00 Boilding Official Varianca - TOTAL GRAND SLAM CITY OF EA,'~AN N2 17580 3830 Pilat Knob Road, P.O. 8ox 2~199, Eagan, MN 55 1 PHONE:654-8~0 BUILDING PERMIT Receipt # INTERIOR $5 000 MARCH 6 90 To be used for IMPROVEMENT Est. Value . Oate , 79- Site Address 3984 SIBLEY MEMORIAL HWY pFFICE USE oNLY Lot 051 glock 6 SeclSub. SECTION 19 P2fC01 NO. Occupancy - FEFS Zonin9 - 72•DO W Name Robert Vanderarde (ncmaqconst _ eidy.Permit 3 Address 3984 Sibley Memorial Hwy (Afiowable) _ ° EaQan surcnarge 2.50 City PhOne # oi Staries - Lengih _ Plan Review a Name Conceots in Living_ oePm snc,City 0 Address 13108 Grand Ave S.F.Tolal _ ~ City Burnsville Phone 890-2106 S.F. fwtprints _ SAQ MCWCC On Site Sawage _ Waler Conn ~ ew Name OnSiteWell - WaterMeler AddfB55 MWCC System - pccL Oeposil aw City Phone citywater - PRV Pequired _ S/W Permil I hereby acknowlege that I have read this application and state that the Booster Pump - ShV Sumharge information is corcect and agree to comply with all appticable Siate of Minnesota Stawtes and Ciry of Ea9 n dJ~ances. Treatment ai / Signature ol Permites APPROVALS Road Unit li1 1Vlil Planner - ParkDed. A Building Permit is issued to: on the express condition that all work shall he done in accordance with all Courwil applicable State of Min,/n~esota Statules)and.~Cit,y ol Eagan Ordinances. Bldg. off. Copies r 1/ul Ol fA.' y~f I lA Variance _ TOTAL 74. $0 Building pfficial GRAND.SLAM CITY OF EAGAN No 18933 . 3830~Pildt Knobtioad, P.O. Box 21-799, Eagan, MN 55721 . PHONE: 454-8700 BUILDING PERMIT Receipt # C, I7~ C Z~~ 0014114TCIAL To be used for jurERiCR DERUVEMENr Est. Value $5,000 Date APR 23 , 79-21- Site Address 3984 SIBLEY MEMORIAL HWY Lot 051 glock 6 Sec/Sub. SECTION 19 OFFICE USE ONLY Parcel No. occuParcy - Fees zoning - W Name JOHN VANDERAARDE (AcNap Const _ eldg. Permit 72 . 00 o Address 113 135TH ST (Allowable) - Surcharge 2.50 City BURNSVILLE Phone 892-0080 xoisrories - Lenglh _ Plan Review to Name SAME Deplh - SAqCiry ~Q Address S.F. Total - SaC. MCwCC City Phone S.F. Footprinis _ On Site Sawage - Water Conn ~Q Fz Name OnSiteWell - WaterMeler a W Cd~ress phone MWCC System - Ciry waler Amt Deposit PRV Requiretl - SM' Parmil I hereby acknowlege thal I have read Ihis application and stata that the Booster Pump - ~yy Surcharge iniormation is conect and a ree to comply with all applica6le Sta1e ol Minnesota Statutes and City, f Ea an Ordinances. _ Treatment PI Signature of Permitee APPHOVALS Road Unil A Building Permit is iss d lo: JOHN VANDERAARDE Flanner - park Ded, on the ezprass condi~i that all work shall 6e done in accortlance with all Cauncil applicable State of Minnesota Stalutes and-~C.,~ily~ )oi Eagan Ordinances. g~y_ pry. _ Capies BuiltlingOlficial ' oMiqO,l,~.! IIIJI ' Variance - TOTAL 74.5o LOWER LEVEL ONLY CITY OF EAGAN N~ 16680 GRANDSLAM SPORTS 3830 Pilot Knob RoaiJ, P.O.Q3ox 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt # / INTERIOR Tobeusedfor IMPROVEMENT Est.Value $3,000 Date .TUNR 20 , 1 9B2 SRe Address 3984 SIBLEY MEMORIAL HWY Lot 051 glock 06 Sec/Sub. SECTION 19 OFFICE USE ONLv PefCBI NO. Occupancy A-3 FEES Zoning CSC a Name .70HN & SOB VANDERAARDE (Actuap Const - Bldg. Permit 54.00 W o Address 14017 FRONTIER LN (Allowable) - Surcharge 1.50 City BIIRNSVILLE Phone 432-8843 #of smries - 432 6863 Length _ Plan Review .00 Name SAME [)epth - SAQ Ciry Address S.F.TOtal - SAC,MCWCC - City Phone S.F. Footprinis _ On Sile Sewage _ Waler Conn ~w Name WAYNE BISHOP on sitawen wW - Water Meler 1:~ Address 14013 FRONTIEB LN MwCC System - qGcy Deposit aw City BURNSVILLE Phone 432-1212 CiryWater - PflV Required _ SM Permit I hereby acknowlege ihat I have read this applicalion and s[ate ihat the Booster Pump - SNJ Sumharge information is cortect and gree to comply th all applicable State of Minnesota Statutes an it of Or ' ces. Treatmmt PI Signature of Permit e z~~ APPROVALS Road Unit A euilding Perm s~ sued to: JOHN OR BOB VANDERAARDE Planner - park Ded. on the expres dition Ihat ali work shall be done in accordance with all Council - applicable S of Mqinnesota Statutes an-tly ~City Iof Eagan Ordinances. Bldg. Off. _ Copies Building icial~~nL~~' 'll?~ Variance - TOTAL 55.50 ~ ( coruH ) CITY OF EAGAN N° 10536 3830 PiIM Klrob Road, F. Q. Box 21•199, Eagan, MN 55121 , PHON'~: 4548700 C / BUILDING PERMIT Receipt # HEALTH FOOD Te M w.d Fe. CT(1RR/CNA!`K nABN.vaiue $20,000 pate JULY 10 1985 sirendareu-_ 3984- SIBLEY MEM HWY Erect ? Ottupency BZ 1 .7 c SECT 19 Aemodel ? 2oning Lot Block ec/Sub, Repair 0 Type of Cormt. PerceiNO. _10-0'1900-011-07 pddition ? No.Storim m P& L LIMITED Move ? Length Neme Address 1327 CREST RIDGE LN Demolish ? Depth Int Impc ? Sq. Fe. City EAGAN phone 452-7630 mstall ? CUSTOM WOODS AYOrovak Feas ~ Name qddma 14209 EWING AVE Assessmenr Permit 0.50 ~ City BURNSVILLPpnone 894-4348 Water85ew. surcnaroe 10.00 ` Polica PlanReview 70.25 ~W Neme Firo SAC ~,y-~ Address Erp. WaterConn ~W City Phone Plannsr WaterMetar Council Road Unit I herebv ockrrowledge that I hova read this appl' tion ond state that Bldg. Off. 7/8/85 7c PL fhe informotion is conect and og to compl with 11 aPPlic bl Srofa of Mimxwro St and i of Eaga Ord' ~nces. APC Parks Var. Date Copiea Sipnatum of Permift Total A Buildinq Permit Is Issued to: CUSTOM OODS on the Qxprus coridit~ thw all work sholt bs done in accordanee wirh II applimbla tate of Stotutet and City ot Eoqon Ordironces. Buildirp Offldal CITY OF EAGAN A1- ~ 3830 Pib! Knob Road, P.O. Box 21-199, Eagan, MN 55121'v 13188 BUILDING PERMIT PHONE:454-8100 ~bs?~ ~ Receiptu Tobeusedtor INT. IMPR. Estvalue $10,000 Date FEBRUARY 9 ~y87 Sitenddress 3984 SIBLEY MEMORIAL HWY Erect ? occupancy Lot 011Biock 07 secisub.SECT 19 Remodel ? Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories W Name PHYSICIANS DIET & EXERCISE Move ? Length z SAME Demolish ? Depth a Address Int. Impr. ? Sq. Ft ciry Pnone 454-4990 Install ? . o Name SAME Approvals Fees z 133 4 nddress Assessment Permit $93.50 $ ~ Ciry Phone Water & Sew. Surcharge 5.00 Police Plan Review F = Name Fire SAC Address Eng. Water Conn. < Ciry Phone Planner. Water Meter Council Road Unit Iherebyacknowledgethatlhavere tM1is9p ' ationa s etha h information is correct nd agree t c p h all a' ica le S Bldg. Off. Tr. PI. Minnesota Statutes an C' of n ' ances. APC Parks Signature of Perminee 1 Var. Date COpies Total $ 48 - 5 0 A Building Permit is issued : PHYSICIANS DIET & EX RCISE on the express condition that all work shall be done in ac,ordance with all applicable S te of Minnesota Styjutes ind City of Eagan Ordinances. Building Oificial , "C- °9 GLAD RAGS CITY OF EAGAN r" 16025 3830 Pilot Knob Road, P.O. Box 21-199, G MN 55121 ~T 1~? PHON E: 454-81 p0 1 BUILDING PERMIT kgan, eipt # q C7C0~ To be used for II•NjpROVEMENT Est Value $20, 000 Date - a`3 ,1g89-- Site Address 3984 SIBLEY MEMORIAL HWY OFFICE l1SE ONLY Lot 011 glock 07 5eC/Sub. On Site Sewage _ Occupancy B-2 Parcel No. 10-01900-011-07 MWCC System _ Zoning On Site Well _ (ACtuaq Const rc Name UmmC GiTy Water (Allowable) w ,z, Address 1106 S BROADWAY, BOX 834 PRV Required _ u of Stories a City NEW ULM Phone C507) 35 9-9004 BoosterPUmp Length Depth a0 Name MERRIFIELD HOME IMPROVEMENTS s.F.7otai ~a Address 8622 ALDRICH AVE S FootprintS.F. w~ CityELOOMINGTONfihone 881-5716 qppROVALS FEES W W Engr./ASSess. Permit 208•00 Name 10.00 ti Address Planner Surcharge a w City Phone . Council Plan Review 104.00 Bldg. Off. _ SAC, Ciry I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to compry with all applicable State of Water Conn. Minnesota Statutes antl City ~of~a g~an Ordinanc s. Water Meter Signature oi Permitfee _/!Tti4ljyj~ Road Unit A Building Permit is issued to:__M'.$RIFIELD H . ZI`1P-- Trealment P7 on Ihe express condition that all work shal I be done in accordance with all applicable State of mnesota Statutes and Ciry f Eagan Ortlinances. Parks TOTAL 3zz.~~ yy~ 8uilding Official ~ I I_~._ \ CITY OF EAGAN 3795 Pllot Knob Road Eogee, MN S5II3 NO • 8765 PHONEa 454-8700 BUILDING PERMIT Recelpf # O ~ Te ba wed fer TANNING ROOM Et, yai„e $500.00 pate JANUARY 10 1y 84 Siro Address 3982 SIBLEY MEM. HWY._-_ Erect ? Oc ncr Lot Block Set/Sub. \SeC9 ~ Alter Zoning Parcel # 1 0-01900-030-06 Repoir p Fire Zone Enlorye p Type of Const. s Name R& V INC. (TAN ME EAGAN) Move ? # Stories Z Address 3982 SIBLEY MEM. HWY. Demolish ? Length_ ~ ci EAGAN phone 452-9570 Grade ? Depth Sq. Ft.- s WALLACE RUEDY Avprorals Feas o Name Z~ Assessment Pertnit $11.50 Addrett u~ Cit BLOOMINGTON ph., Water 8,~ew. Surchnrge - SO Police Plan check ~w Nome Fire SAC Addreu Eng. Woter Conn. <W Ci Phone 7lonner WarerMeter Council Road Unir I hereby acknowledge ihot I have read this oppiication ond state thaf Bldg. Off. the information is correct and agree 1o wmply with oll opplicoble :~Iz uu State of Minnewta Statutes and Ciry of Eagan Ordirwnces. APC Total Sipnoture of Perminee A 6ulldin9 Permit Is issued to: R& V INC. on the express condition that oll work sholl be done i cwrdante oll appliwble Sfateof Minnesofo Statutes ond City of Eugon Ordinances. Buildin9 Officiol ~w O• ~ 4-P- e76 S CITY OF EAGAIQ Include 2 sets of plans, 1 site plan w/el.evations & ~ 'BUILDINC; PEPNIP APPLICATION 1 set of e nP-r~`1 cal.culations. To Be Used For Z~ Valuation ';'DO ^J Date L ~O- P'7 site Aaaress: WVz OFFICE USE ONLY i,ot ~ sloctc ~L (geq~,Ysub. Erect Occupancy Parcel S'F Alter Zoning Repair Fire Zore 19 - 0 I~y o 0- 030 - O(o~arge Type of Const. owner: A~o/ rx'- ~%,-:A j~,o•-~„bve - # stories Addres5= 3~iED- 2~~% DPmolish _ Front ft. City/Zip Code: Grade _ Depth ff.~ Pharie APPROVAT,S FEE'S ~ Contractor: Assessments Permit N- S-0 Address: ~ water/Sewer Surcharge i7 _ Police Plan Check City/Zip Code: Fire SAC _ Phone ~4• Water Conn. Pl.anner Water Meter Arch./Eng.: ~ Council Road Unit Bldg. Off. Pddress: APC City/Zip Code: Phore TU'i'AL ~ Z. • f~ YOGURT Sxor CITY OF EAGAN N~ 16172 3830 Pilot Knob 19~xad, P.O. Box 21-199, Eagan, MN 55121 ' BUILDING PERMIT PHONE: 454-8100 Receipt # ~ ! c~ To be used for INT IMPR Est Value $23 , 000 Date Lc , 79_~ Sile Address 3980 SIBLEY MEMORIAL HWY Lot 051 Block 06 Sec/Sub. SECT. 19 OFFICE USE ONLY P2fC0l N0. Occupancy _ FEES UPPER MIDWEST MGMT zoning - $234.00 w Name (Actuap Const _ Bldg. Permit o Address (Allowable) - Surcharge 11.50 City NEW ULM phone 507/359-2004 xoisrories - 117.00 Langih _ Plan Reviaw ~o Name MERRIFIELD HOME IMPROVEMENTS oePm - saqcry ~a Addfess 9748 16TH AVE SO S.F.iotal - SAC,MCwCC ~ City BLOOMINGTON Phone $$1-5716 S.F.FDOtpnnis _ On Site Sewage - 'Nater Conn FW Name PHILIP H MILLER onSiteWeil - WaterMeter Address 3922 SIBLEY MEM HWY MWCCSystem - q~~ Deposit aw City EAGAN Phone 452-1770 CiryWater _ PRV Required _ SNJ Permit I hereby acknowlege ihat I have read this application and state that [he Booster Pump - SiW Surcharge - information is correct and agree ro comply with all applicable State of Minnesota Statute5 and City of Eagan Ordinances. / Treatment PI SignatUre of Pertnitee ~~,iyp APPROVALS Road Unit A Building Permit is issued io: ~ NT,~lanner - park Ded. on the express condition that all work shal be done in accordance with all ~.ncil applicable State of Minnesota Stal es a iry of Eagan Or nces gid9. pn Copies ~ Variance - 70TAL $362.50 Building ONicial CITY OF EAGAN Np $173 9795 Pibt Kaob Roed Eagon, MN 55123 PHONEs 454•8100 BUILDING PERMIT % ' " Receipt # S~ To ba wsd Ior INTERIOR REMODEL Est. Value $2,600 Dote June 21 _ 1 q 83 Sire Addreu 3980 Sibley Memorial Highway Erect ? Occupancy B-2 S U COIBlxk~' Sec/Sub. Section 19 Airer ,y$ Zoninq CSC parcel # 10 01900 Oll 07 Repair ? Fire Zone NA Enlorge Q Type of Const. NA a Name Carlos Co. /Parranto Realty Move ? # Srories z Aadrea 3908 Sibley Mem. Hwy. Demoiish p Length NA ci Eagan 55122 pF,om 454-1600 Grade ? Depth NA Sq. Ft.- ~ B. Bodelson/Bodelson Music APProrols Feea Nome p o~ Address 1376 E. Slgfild St. Assessment Permit 38.50 v~ Cit Eagan 55123 phoM 454-7412 Wafer & Sew. Surcharge 1.50 Police Plan Check Gw Nome Fire SAC Address Enp. Water Conn. <W CI Phone Plunner WaterMeter Council Raad Unit 1 hereby acknowledge rhot I hove read this opplicotion and state ihat Bldg. Off. the informotion fs correct and ogree to comply with oll opplicoble APC Totol $40.00 State of Minnewta Statutes and i of E ga Ordirances.. S7pnaturo of Permittee . o e son B o e son fusic A Building Permit Is issued to: on the ezpress cordiNon thm all vrork sholl be done in accordarxe wifh all op ble St e o~ innesotu tafutes ond City of Eogon Ordinances. Buildinp Officiol ~ g(r7 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & . ~ BUILDING PERMIT APPLICATION of energy calculations. To Be Used For ZV144.n;of 4010 aluation ~ ° D ~A-0 J$j Site Aaaress: 3 q 86 S;b1Ev /hew F}r ~y FFzce usE oru,Y Lot pA slorx o`t sec./sub. SC-40ct1 ( Erect occupancy Parcel p O 1 Q~ o<< D~ ~ter ~ Zoning S' Repair Fire Zone Qaner: d f)Cs l- o ~~9e _~YL~ of Const. NSove # Stories Address: 4 4~a nf~ -p-a Demlish Fmnt ft. 3 ' Grade Depth ft. city/zip coae: E& a n ` 1 Phone # : '15 - ~ co DO APPROUAIS FEES r- Contractor: ~pL4-e-" -7~- Assessments Permit Address: F- 5 i.:q Water/Sewer Surcharge ~ t Police Plan Check Gity/Zip Code: q„ w S 5 ~~J Fire SAC Phone {^hu'I 7 H/Z En4• watex conn. Planner Water Meter Arch./Eng.: Council Road Unit Bldg. Off. ~ Address: APC City/Zip Code: .one TOT ~ ~ CITY` of EAGAN N°- 3832 BUILDING PERMIT M2G;._CEN~e/~ 3795 Piloi Knob Road Ownem a.l./Y:..C,. .M................_ ..1....I... a...... 5....... Eagan, MinnesoYa 55122 Addrese (v=e:en:) .3..`I..~.'..E~...~.-..~.AY...-../..41.eMt.../t.Wy 459.8100 suuae= Addreae ...~Y..~L.~..... ..W...!..CJ f..d....~.~i.~.[5.A ..~'.e.. Dale 4..`.. ~ . J~' DESCRIPTION Siories To Be Used For Fson! Deplh Haigh! Esf. Cost esmi! Fea Remazks - ~ 0- 9,G0 ~n.ter~oF .Q/7" 7lc0° ~ j pO~ LOCATION ~ Slreei, Aoad os olher Desexipiion of Locaiion I Lo! Bloak Addition os Trae! Thb pezmit does not au! orise ihe use of sireeSa, raada, alleys or sidewalks nor does it give the ownes or hb agen! the righ! 2o creale anp silualion which is a nuisanee or which presents a hazard to the heellh, sefeip, eoavenienee aad general melfaxe !o anyone in the communifp. THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS SN PROGAESS. Thfe ia So cerlifP, lhaf.................................................. has permission !o erec! a........................................................... _upon the above described premise subjec! !o the provisions of all applicable Ordinances for the Ci2p of Eagan. 1 . Pe: • - _0~~ . Mayor a ~ Building Inspeclor.~I~ yj/ 'rvj7 a- eoavA6 s K 05782 5/ , • ~g ~~2 eo ReQUes:'~te ir reNo. Rough-in Inspeqion Requiretl? G Reetly Now jj~%lill No~iryInspeIXOr (7 9'z ? Ves No W~en ReaQy9 IX licensed coniractor owner hereby request inspection ol above electrical work at: Job Atltlress (SVeeL Box ar Poute No.l Ciry ~~o Sec6on No. Township Name or No. Range No. Counl ~ CJT Ocmpam IPRINT~ j~ Phone No. 'T E L ti-/ i V'ss - qI 3' Power $upplier qtltlress Ele[vical Conj[ac~COmpany Namel Contrector5 License No. N L C:4 c7 Mailing Aptlress IConhacto ar Owner MaNmg Installauon~l T L / AuIDonzea Si nalure IComrac[oriOwner Masing Insiallation) P~o~F- MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION REOUEST WILI NOT Griggs-Midway BICg. - poom 5173 BE ACCEPTED BVTNE STATE BOARD 1821 University Ave.. SL Paul. MN 55100 UNLESS PflOPEfl INSPECTION FEE IS Phone (612) 642-0600 ~ ENGLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-oooo,-oe ? See instructions lor completing iM1is lortn on Dack oi yellow wpy 0 (011 782 ~':4~ "IBelow Work Covered by This Request ew atltl Rep. TypeotBulltling AppliancesWiretl EquipmentWired Home Range TempOrary Service Duplex Water Heater ElecVic Hea[ing Apt. Building Dryer Other (Specity) Comm./Intlustrial Fumace Farm Air Conditioner Omer (syeciry) Contractor's Remarks. pu7 /h hEi ? y~~ETF~ ~OGL~ An(> ~;5cvnnE~-- ,coF r~/~7.~L SR4c'!-c Compute Inspecfion Fee Below: ~ # Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 t0 200 Amps r' - 0 to 100 Amps Transformers AbOVe 200 _ Amps A6ove Amps Signs inspector's use onry: L Irrigation Booms Special Inspection Alarm/Communicatlon THIS INSTALlATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee p COMPLETED WITHIN 18 MONTHS. I. the Electrical Inspector, hereby Rouqn-m oaia ` certify ihat the above inspection has Final oaie i. been made. OFFICE USE ONLY This requesi voitl 18 monms Irom T~, eu~~~~ ~o~d lQ c~ l~ olYoo ~(o s s(o •oo r~-0 6 21 Reqt,Date Fire No. Houph-in InsUec[i~~n y Of a, Required? CRe.tly Now ggli~ll NatifY InsOec- ~y~~ ~ tor When Ready KicSnsed Elec[ncnl ConVactor I hereby repuestinspaetian of above ?'Ownqr electrical work installed et StrecLAtldress, Box ar Route No ~ M, Cfrv ~ eclion o. Township Name or No. Range No. Cµ~ ~m\v OccupantlPRINTI Phone No. ElG: M d{ti.~ ' Power Supplier Addross Etec r' al,~ nvactor ICompa y Name/) ~ Convactor's License No. a'L Mailine Address (ConVact r or Owner MakinO lnstaflation ' . lu- Aathorized SiB^a[ure (Contrector Owner MakinO In I ationJ Phone Number ok-e i.. 4F - z ' I (a~ ~ MINNESOTA STATE BOABD OF ELECTBICITY THIS INSPECTION NEQUEST WILI NOT GriB9s•Midway Bldg. - Room N-191 gE ACCEPTED 8V THE STATE BOARO 1821 Universitv P.ve.. St. Paul, MN 66104 UNLESS PNOPEH INSPECTION FEE IS , - - - . ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi.oa ~&ft ' Se¢ instructio.s for completing this farm on back of yellowcopv. 0 '"X" fltJow Work Covered by Thrs Request 16 (o SS Cp New.P.dd Rap.~ype oi Building Appliences Wired EquiOment Wiretl Home Range Temporary Service Duplex Water Heater Li hting Fixtures Apt. BuilAing Dryer Electric Heatin Commercial Bldg. Furnace Silo Unlouder Industrial 81Ag. Air Conditioner Buik Milk Tank Fafm Ot er peu y Other(SUecity) t er SpecifY Offier - Othpr Compute Inspecrian Fee Below p Fee Service Entrenee5ize k Fae Feeders/SUtifeeders # Fea Gircuits 0 to100Am 5 0 to30qm s OS-ft 0 to30Am - 101 to 200 Amps 37 to 100 qmps 31 to 100 A s Above 200 Amps Above 700-Am s Above 100_Am s Transformers RemoteControl Circ. Partial%Other Fee Signs Special Inspection S Re~n~/rks TOT L EF , a Hough-in D~1e~ I,the Ele cel Inapector, hereby AiIV that tha abave Final e ' spection hes baen r meCe. This reQUest void 18 months from ~9 4 8 4 ~ , Request Date Fire . Fiough-in In pion Requi ? fieaGy Now otify Inspector s ~ NO When fleady? 1 c,Ised crontractor ? owner hereby request inspection of a6ove electrical work at: Job AtltlresS (SVeet Box or Rout N Cuy ' 9 Secibn No. Township Neme a Nql` Range No. Counry OccuPant(PRINT) 614 Pirpnp ryo. 0 Power Supplier dress ElecVical , = CoMracror6 License No. 6520 WEST LA1E87fiEET /p Mailing Atltlress (Cornracvor or Installation) MINNEAPOLl3, AN 65428 AuthorizeC ' ure (CO ha ing In elion) _ Plqrie Number Q MIHNESOTA STATE BOAflD OF ELECTPICITY THIS INSPECTION REOUEST WILL NOT GtlggMAidwey Bldg. - poom 5193 BE ACCEPTED BV TME STATE BOARD 1821 University Ava., SL Paul, b1N 55104 UNLESS PROPER INSPEGTION FEE IS Phona (612) 692-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooom-o~ _ ? See Instructions for completirg ih¢ fam on back ol yelbw copy. E,-9 5 484 ~X° Below Work Covered by This Request e Atltl Rep. TypeofBUilding AppliancresWired EquipmeniWiretl I Home Range Temporary Service Duplex Water Heater Electnc Heating ildin Dryer " Other (Specify) Comm./Industriaf Furnace Farm ' Air Condkioner ONer (speciry) ConVacrorS Remarks: Compute Inspection Fee Be/ow: Other Fee # ServiceEnlranceSize Fae # Ciroults/Feetlars Fea Swimming Pool 0 to 200 Amps il~ 0 to 700 Amps Transtormers Above 200 _ Amps A6ove 100 _ Amps SjynS Inspector§ Use Onry: TOTALy Irtigation Booms Special Inspection n ' Alarm/Communication Other Fee I, tf18 Electrical Inspector, heraby Rough-in Datoj ~_L e ~ 7 tl certity that the above inspection has F.i o a ` heen made. ~ (`FFICE lI3E ONLY ~ This request voitl 18 monihs imm ~Wuest void 18 months from ~R 54461 '4 • • Date of this Request Apri1 1979 I, as C} Licensed Electrical Contractor O Ownet, do hereby request inspection of the above electri- cal ;~;Adv in `Eagan Strressor~o"uteNo.~3988 Sibley Memox'iel $t~q_~_ - City Section Township Range County Dakota Which is occupied 6y Three Tailors (Name af Occupant) Is a roughin inspection required on this job? No bd Yes ? Ready Now3W Will Call ? Power Supplier Address Electrical Contractor Cors3gan $Lectric Go. Contractor's L.icense No..A3%61 3065 (COmpany Name) Mailing Address 1b 3t. fi• Roeemount M1na. 55068 (Electric Contr ctar or owner Making This Installatlon) Authorized Signature Phone No. 1~1 (Elec rical Cfo~,~ntmctf Owner Maki g Thlz Installatlon) . ° - ~VATE ~~A~pyD COPY T' nspection request will not be accepted by the _ SWte Board unless proper inspeetion fee is enclosad. r. Minnesota State Board of Electricity 54 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION R 54461 K BEI;OW WOitK COVERED BY THIS REQUEST - ype of Building New Add. Aep. Check Appliances Wired Fm Check Equipment W'ved For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Wa[er Heater ? Lighting Fixtures ? Apt. Bldg. ? Dryer ? Eiectric Heating ? Commercial Bldg. ?[k ? Furnace ? SJo Unloadex ? Inilustrial Bldg. ? ? ? A'u Conditioner ? Bulk Milk Tank ? Farm List pJ steam boiler pList )y Othet 0 ? ? H peie~s) HeheI31 COMPUTE INSPECTION FEE BELOW Seivice Entrance Size: # Fee Feeders&Subfeeders: n Fee C¢cuits: tk Fee 0 to 100 Am s. 0 to Am eres 0 to 30 Am eres 2 ~ 101 to 200 Amps. 31 ro m 31 tv 100 Am eres Above 200 Amps. Abo s. . A6ove 100 Amps. Transfoimers Rem Co Pattial ox otiier fee Signs ' Special lns tion Minimum f Remarks TpTAL EE2.0a $.50 I, th8 Electrical Inspector, hereby certify that the above inspection has been ma e. ,(Rough-in) f Date (Final) ate U' 7' - This request void 18 months from ~ Reques~ Da~e Fire No. Pough-in InsOection Repuire0? ? Reatly Now ill Notity InapecMOr ? Ves ~ When Reatly7 J 4censed contractor O owner hereby request inspection of above electrical work at: Job Atltlres5lSVee1, Box or RoutB No.) City Seclion No. Townsbip Name or No. Renge o. County i r Oi (PRINT) Phane No. ~ Power SupPlier Adtlress CC) Elecvical ConVa or (COmpany Name ConvactorS license No. - • ~tf•~G , d' O /O Meiling Atltlrass (ConVactor or wner Mekl InsWlletion) Autnoriz tl Signal re Vacror/Owner Making InstallatI Phane Number MINNESOTA STATE BOARD OF ELECTFIQTV THIS INSPECTION FEQUEST WILL NOT Griggs-MlEway Bldg. - Foam S173 6E ACCEPTED BY THE STATE BOFRD 1821 UnlvenHy Ave., Si. Paul. MN 55100 UNLE55 PROPER INSPEGTION FEE IS Phome (612) 662-0800 ENGLOSED. ~ 8L REQUEST FOR E~,,ECTRICAL INSPECTION s=~•`:?~~; ee-ooom-o7 ~ See inslmctio~'s im compleling ttiis lortn on back ol yellow copy. r~ 'X" Be/ow Work Covered bY This Req uest ewAdd Rep. TypeaBuilding AppliancesWiretl EquipmeniWired Home Range 7emporary Service Duplez Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm.llndusirial Fumace Farm Air Conditioner Olher(specily) Contraclar5 Remarks: CoA7pute Inspection Fee Be7ow: I` Olher Fee # ServiceEntrenceSize Fee # Circuds/Feeders Fee - Swimming Pool 0 to 200 Amps 0 to 100 Amps ~ Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspector's Usa Only~ T P 7`ep Irrigation Booms / Speciallnspection ~ Alarm/Communication THIS INSTALLATION MAY B RUERED ISCrONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby Rough-in , re ~ certity that the above inspection has p;nei ~ oaia ~ been made. OiFiCE USE ONLY This requesi voitl 18 months from Requir ? L Featly Now Will NotiTy lnspecbr ~ VnIldcontractor Reqm Fough-in nspection es ? No `~'hen Reatly? I l? owner hereby request inspection of above electrical work at: Job adtlress (Street. Box or Route No.) ` Ciry ' 3 , Section No. Townsnip Name a No. nge No. Gouny OccuOant(PFINT) Phone No. ~ Po•ker Sapplier nOtlre7ss_, Eleclrical Conhaclor (COmpany Name) ConVactoYS License No, . 71 O Mailing AtlOress (Convactor a O.aner Ma4inq I allatqn~ ~ Authonzetl gnature nt ector/Owner MaWng InstallaUOn) PM1One Number MINNESOTA STATE BOAflD OF ELECTPICITY THIS INSPECTION REOl1E5T WILL NOT Grigge-MlOway BIUg. - Hoam 5113 BE AGGEPTEO BY THE STATE BOARD 1821 Unlverslty Ave.. SI. Paul, MN 55104 UNlE55 PROPER INSPECTIDN FEE IS Fhone(BlT) 641-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION "~c EB-0 ~o~a ~ ~4°i / ~ ins ns lor comyleting this form on back oi yellow copy. .y clio ~ 15 7 9 3 7^O'x„ Below Work Covered by This Request 9 ew Rep.' 7ypeotBuilding AppliancesWired EquipmeniWiretl Home Range Temporary Service Duplez Water Heater Electric Heating Apt. Building Oryer Other (Specity) Comm./InduSirial Fumace Farm Air Conditioner Other (spe<ify) Conirector9 Remarks'. Compute Inspeciion Fee Below: # Other Fee # ServiceEniranceSize Fea # Circuits/Feeders Fee . Swimming Pool D t0 200 Amps 0 to 100 Amps p~ tiTransformers Above 200 _ Amps Ove r Amps Signs Inw~tas Usa Only: Irr igation Booms ISpecial Inspection .~s//Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCORNECTED I~OT Other Fee COMPLETED WITHIN 18 MON I, the Elecirical Inspector, hereby Rouqn-m oa~e2 / certify ihat ihe above inspection has F~nai oai been made. OFFICE USE ONLY ~ Tnis request wia ie monIDS irom 3 4 4-1 1 1 ~ /~~O LV This req.esl vald 18 monihs fmm wlidofion daro pnnhd in Mis box~~ I~1 //(A r17 t (e ~`~~Y q ~~f oJ PLEASE PRINT OR TYPE D5 ` (/YO Reqvest Dok Rough-in inspection reqoired2 ? Yes No Inspeaian Other Thon Rovgh-ln: Q Ready N Will Coll A- p'au mu8 call lhe inspenar when readY) D.I. Ready: I, licensed con}ractor ? owner hereby request inspeciion o ihe a6ove ecfrical w . po lobPddmascet, ,,opRguleNoJ Ciry ~ Ip e Seaion ownahip Na e or o. Range No. Fim No. Co ry 1 Phone No. P07 $upplier ALdresx EI mi Con cror ~ pany ome) ' Conhatlor liceme No. Mvner Lic. Na (Plaro E(M. Only) Mailiig Pddress ( nfmeor or O.mer ehorming Insmllattan). AuMonxed ignoNra(Conkaeoror nerPe n InsMllafion) Ph ZO MOOOO1h10 6195 STATEBOARDCOPV-SEEINSTflUCT10NSONBACKOFYELLOWCOPY REQUEST FOR ELECTRICAL INSPECTION III~I~I IIII,IIIIIIII - II II I I III II I I II Minnesota Unrv rsity1eAvef Rmt SI 8iciry aul, MN 55104 ~~R~ ~U x 0 3 4 4 4 7 1 * Pnone (siz) sa2-0eoo ome Duplez Apt. Bldg: Olher:- New Addn Commercial Indusfrial Farm Remod Re air Air Cond. H}g. Equip. Water Hfr. load Mgmt Ofher: y, 61" D er Ran e Elec. Heot Tem . Service JG "X" above ihe work covered by fhis request. Enfer remarks in this space and on ihe back o/ t whife copy only. Install approx. 550' of conduit @ perimeter of roof. Refeed 5- existing siqns, refeed & reinstall 27- deicing cay~b~lesin downspou}t~s}. Inslt7a~l~l flood light & ~olcu~te Qspectl or~ Fee STFi4~~erPReaqJe#wiPR6RSgcrfegf~dtVRHout the torrecf lee: OlFier Fee # $ervice EMrance Size Fee # Circtids/Feeders fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sheef Ltg./TroHic $ig. Above 200 A - ove 1 Amps Transformer/Generotor INSPECTOWSII NLv TO L Sign/Oufline Lig. Xfmr. Alarm/Remote Control ~ Swimming Pool ~ I hen caT ~hot I ins ed v ecfical ins ofion describe on IFro dabe slafed Irrigation Boom Rouqh ~ Db Speciallnspecfion finol Investigafive Fee " * THIS INS7ALLATION MAY BE ORDERED DIS ONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 24C~0"~ 215 6 2 a-~- ReQuesi Daib Fir¢ No. Rough-In Inpsetti0n RBquireE I Inspection Offier Than Fou 4 ~ ~Vau mu91 call inSpeMOrwhe etly) ~ qeady Now i I Nollly Inspecfor 9 ? Ves No D.I. Read ? ~ I ;ensed contractor 0 owner hereby request inspec ion ot abo e lectrical work aC Jo0 Atltlress (Slrael Bo ar Ro NOT City 7 Secuon No. Township Name or No. Range No. Couny OccupantlPRiN Phone No. P er Supp ~ r V5CAl G racmr IGOmpan%N6 WEST LAKE STREET• Comret4 e-e~o ~ Mailinq Rtltlress ICOnV1ctor or QW/p(,fy n a I L ~ q(JIVIH [f l.. , MN 55426 AuIDonzetl Si I on r ner Ma~t tallati Phone Number a MINNESOTA STA BOARD OF ELECTPI ITV /Li THIS INSPEG ION REQUEST WILL NOT Grlggs-MiEway BIdB. - poom 5473 9E FCGEPTED BV THE StAtE BONRD 1821 Univ¢rsity pve.. 51. Vaul. MN 55100 UNLESS PflOPER INSPECTION FEE IS Phone(6tt~64Y-0B00 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION 'q~~, EB-00001-OB ? See insnmcii.ns tor complefing this lortn on back ol yellow copy. 4 M 3~.• Yi (~p f "X' Below Work Covered by This Request ~4•`~..:~P' d~a N21562 ew 7 Ckr TypeofBUilding AppliancesWiretl EquipmeniWirad Home Range Temporary Service Duplex Water Heater EleCtric Heating A t. 8uildin Dryer Load Management Comm./Industri I Furnace Other (Specity) Farm Air Conditioner Other(syecify) ConVacrorS RemaM1 OO'f ~ Compute Inspecfion Fee Below: ' M Other Fee # S ntranCeSize F A CirCUits/Feetlers FB Swimming Pool 0 200 mps to 700 Amps Transiormers Above 200 _ Amps bove 700 _ Amps SignS Inspecmr's U. Ony: ~ TOTAL Irrigation Booms Special Inspection 3/ O Alarm/Communication THIS INSTAIlLATIO~M ORD F,D DISCONNECTED IF N Omer Fee COMPLETED WITHI NT I, the Electrical Inspector, hereby RougM1-in 4 • Date certify that the above inspection has Final ~ oac been made. OFFICE USE ONIV Thi's request void 18 months tmm ' rk- f U ~J A( l/(7 ~3 0~, / 9e L~~ ~ ~P M 5 Request Date 14 ire No. Rough-in Inspection Re uiretl? NOTIGE: Vou Musl Call ElecVical Inspector q If A Fough-In Inspedion ? s Is Required. I•ensed niractor ? owner hereby request inspection of above electrical work at: Jab s t, Bae or Route No.l Ciry ~ Section Na. Township Name or No. Range No. CAUnry OccupaM (PRINn Phone Poo. POwer Supplier Adtlr¢ss Electrical CoMrador (COmpany Name) Contrector5 License No. Br-RNDT ELECTRIC SERVICE, INC Malling Addres e ~ ~ SVITE Q Aulhofi etl Si o M ~ Phone Number 8 MINNESOTA ST E BOARD OF ELE ICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway Bltlg. - Foom S173 BE ACCEPTEO BV THE STATE eOARD 1821 University Ave., SL Paul, MN 55106 ' UNLE55 PROPER INSPECTION FEE IS phone (612) 6C2-0800 ENCLOSED. C~` REQUESTFORELECTRICALWSPECTION esooomoe r~ See insWCtions for completing this form on back oi yellow copy. pp I+I . , L~ X" Below Work Covered by This Request ~ ew Add Rep. TypeofBuiltling AppliancesWired EquipmemWired Home Range Temporary Service Duplex Wa[er Hea[er Eleciric Heating A L Building Dryer Load Managemem Comm.Andustrial Furnace Other (Speciy) Farm Air Conditioner Other (speciry) ConUaclor's Remarks: 11{/ i ~y[.tOv Compute Inspection Fee Below: # Other Fee # ServiceEnlranceSize Fee # C' uits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps Si9ns Inspec1or5 Use Only ~ TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY R SCbNNECTED IF O Other Fee COMPLETEO WITHIN 78 S. I, the ElecUical Inspector, hereby Rouyn-In Date, certify that the above inspection has Final a~e ry been made. OFFICE USE ONLV ~ This requesl voi0 18 months from K - 0 71 0 / 126. ; qeyL~t Fi No. Raugh-in Inspection / Required7 ? Raatly Now Notiry Inspector ? Yes W~en Ready? I' ensed. contractor ? owner hereby request inspection of above electrical work at: jjw b0 AtlEress (Straet Box r Fau ^ City t $ec'on No. Tawnshlp ame or o. Fange No. Counly OccupaM PRINTI Phone No. ~ de-;Ame P pplier Atltlress Electncal GonVaaor(Co Contractor's License No. a~ewesrw 8E Mailing Atldress ICOnhactor or Owner Maki ) 1DWAPa18. MN W423 Authonzetl Signat nVacror/ ner Ma ing a ion) Phone Number Q MINNESOTR S AT BOARp OF ELECTRICITY iH15INSPECTION REQUEST WILL NOT Gtlgg+-Mldway Bltlg. - Room S-173 BE ACCEPTEO BV THE $TATE BOARO 1831 UnivenHy Ave., St. Peul, MN 55106 LINLESS PROPER INSPECTION FEE IS Ghona (81216,1]-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 / ? See instmdwns lor completing Ihls lorm on back of yellow copy. /Q / QJA~ fL~ _ ~ / V-y ` Below Work Covered by This Request ~~w-1~ ~0771 X ew.A Aep. . TypeolBuiiding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heatinq ApL Building Dryer Other (Specify) Comm./Industrial 'FUrnace Farm Air Conditioner ~ Q Olher (specily) Contreclor's Remarks: ' Compute Inspection Fee Below: ~ t1 V } -i/ ~(lj. ~ 5,1 J;~ # Other Fee # Ser ice EnlranceS' e Circuit Swimming Pool ro 200 Amps to 100 Amps ldpww Transformers bove 200 _ Above 700 Amps SignS Inspector's Use Only: TOTA Irrigaiion Booms ~ Special Inspedion / Alarm/Communication THIS INSTALLATION Y BE ORD ED ISCON ECTED IF NOT Other Fee COMPLETEO WIT MO t ~I, the Elecirical Inspector, hereby Rouqn-in ~ oat L certify that Ihe above inspection has F;,,ei ~ oat been made. OFFICE USE ONLY • This request vaitl 18 monihs lrom 7/~ ey9 4 9=1? 5; 9 9 P 2 829 j i-,' 40;L Recjuest ~le Ire No. Rough-in In ? No W~en Re on D~b Requir ? Fieady Naw Notity Inspec[or Q s edy? I t6e ' nsed contractor ? owner hereby request inspedion of above electrical work at: Job AdE (Street. Bm~ or Raute_NO.~ Ciry ~Seclbn No. Township Name or M. Range No. • County pant (PRIM Phone No. ~ Power Supplier Atltlress Elearicel CanvaE-MMi@f~Ml'e~l~(bl~e/~{ ~n. Contreclor5 License No. c~-:Mti~fpVQGlll/lviH V ~BW, Maling Atltlrass (Cont2ctor or Ovik,estallatlon) Auchonzed Signatu2 (COMrac[or/ ns~elle' ~ Number bIMNESOTA STATE BOARD OF ECT CT' TM INSPECTION REOUEST WILL NOT GriggsMitlwey Bltlg. - Room 1114M BE ACCEPTED BV THE STATE BOARD 1821 Unlversiry Ave., SL Vaul. NN 551 W UNLESS PROPER MSPEGTION FEE IS Plioro (812) 642-0B00 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION E13-00001-07 ? Sea ineucl,~onsl4completirg ihis form on badc ol yellow copy. 0 / '~1~-~1/c9 P. 5$29 'X" Below Work Covered by This Request e Add Rep. TypeotBuilding AppliancesWired EquipmeniWirea Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Buildin Dryer Other (Specify) Furnace Fartn Air Conditioner Other (spedry) Cantraaor§ Femarks/OOfJ' ll E~ J, Compute lnspection Fee Below: # Other Fee # Servica ranceSize Fee # Circuits/Feedere Fee Swimming Poal 0 to 200 Amps -OZ to 100 Amps 76 Transformers Above 200 _ Amps DOL Amps SIgnS lirepacror9 Use Only: UV pTA~~ Inigation Booms Special Inspection AIarMCommunication - ~ LO Other Fee I, the Elecfrical Inspector, hereby Rough-in ate `,3-a certiiy that the above inspection has Final Dale been made. OFFICE USE ONLY This request voi0 18 mon[hs ho. Th;s wqtie o;d 8 moMh" trom - #*7 Z(-0 FL,~i s 1 Ll 0350 r/ Repue~at Date Fire o: Rouph-in Inspedion R p ireA? DNeatly Nuw,Zy W.II Notity Insper,- -)!S- - ~Yes ?NO tor When Reatly Licensed Elec[rical Contrector i hereby reQUest inspection of above ? dwner electrical work instailed at: Sveet Atldress, Box or Route No. Ciry ~ ecLOn a. ownsnip . me or No. fl.nge Na. Couury OccuDdnt (PHINT) Phon¢ No. L > Power Supplier Atltlress 5 3a,~ Electrir.al Contractor lCOmVanv Namal Contrartor's License No. 40142 C~~PH-1427 E~r~~~ Zo. 3 Maili ~ AdJ~s (ConVac[or or Owner Making Instailatlo `3 P~4t L 1, Ss o Au orized SiBnfllurv~onh ctor/ ner aking InstallaY n) Ph e Nuniber MINNESOTA STqTE BOARD OF ELECTRICITY THIS INSPECTION NEpUEST WILL NOT Grie9s-MiEwev Bldg. - Noom N-191 BE ACCEPTED BV THE STATE BOAflD 1821 Universitv Ave.. St. Paul, MN 66104 UNLESS PNOPEF INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. e REQUEST FOR ELECTRICAL INSPECTION a-naoooi-ocs ~ y, See instructions for completing this torm on Deck oi yollow coFy. ~ ag 350 "X'' Below Work Covered by This Request Ftld Nep. Type ol BuilCing Appliancea Wired Equipment Wired Home Range Temporary $ervice Duplex Water Heater Lightiny Fixtures Apt. BuilAfng Dryer Electric Heatin Commercial Bldy. Fumace Silo Unbader I I Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Otnvi par,i v ihcr l5pecffv) t er Uecilv ther Other ompute Inspection Fee Below p Fee ServiceEnhenro5ize tt Fee Fexders/SUbfextlers # *Alb,ve Circulls 0 to 200 qm s 0 to 30 Amps 30 Am> Above 20 rpF~y ~ 31 to 100 qinps' o 100 qm s Swimming Pool Above 10 Am s 700_Amps Transformers Irrigation &ooms $Partia6'Ot ee Signs Speciailnspection $ .Nemarks OTA ~ 3-1 O-W SQ V ~ NouBh-in /y ( e I, the cVical Inspector. Y ertily that the above Final ~w insoection has been ~aa. ThiarepuesivolG7Bmonllntmm Thjs req4est void 18 months from /O 0/9040 03 0 o b e -7a O 83585 Date'of this Request I, as 11 Licensed Electrical C tract t? wner, do herehy request inspection of the above electri- cakwiring installed at: Street Address or Route No. t City~L Section Township Range County ~ Which is occupied byl~ OerKi4/ ame of Occupant) Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call l~ Power Supplier Address Electrical Contractor Contractor's License No. _ Co a y ame) Mailing Address 3 r mg. ( lec ri I Contrector of Owner Making Thls InStallation) ~ Authorized Signature Phone No. ( C Making This Installation) Minnesota State Board of Electr' ' ~,B ~ 195+1 University Ave., St. Paul, Minn. 55104-Ph 5-7703 REQUEST FOR ELECTRICAL INSPEC O 83585 CHECJC BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances W¢ed For Check Fquipment Wired Foc Home ? ? ? Range ? 7'emporazy Wuing ? nyplex Watei Heatei ? Lighting Fixtures ? Apt. Bldg. ? ? 11 Dryec ? Electric Heating ? Commercial Bldg. ? Fumace ? Silo Unloader ? Industrial Bldg. Air CondiUonex ? Bulk Milk Tank ? Farm ? ? ? pList List Other ? ? ? Her~ars~ Heieis~ COMPUTE INSPECTION FEE BELOW Service Enlrance Size: # Fee Feeders@Subieeders: # Fee C'vcuits: # Fee 0 to 100 Am s. 0 to 30 Am eies 0 to 30 Am eres 101 to 200 Amps. 31 ro 100 Ampere 31 to ]00 Am e:es Above 200_Amps. bove 100 Afp~ Above 100_Amps. Transfolmecs Remota,C n~ 1" Partialor othecfee Signs Special ras tio . Minimum fee $5.00 Remazks C0O O` . 51 TOTAL FE 7.s0 J f~ I, the Electrical Inspector, hereby certify tha[ the above insyection has been ma . ~ (Rough-in) ~..2 (Final) • ?~'t e ~ /b' This request void 18 months from . This rnquast void 18 monihs imm C56-599~ir Hequesi16atn Fire No. PouPh-in Inspeccion Requiretl? ~Neatly Nuw ill No~ily, InsPec- ^ 3 , ?Yes ?No r When Rendy ' ensed Electrical Convactor 1 hereby requeet inepaction ol ebove Owner electricel work inatelletl al: Sveet Address, 9ox ar Route No. Ciry 39 S ectwn o. Townsnip Neme or o. Hange o. County Oc~',yPnnt (PNIU:r) hon o. % 1; IA-A-5 dL 9X~ Power Sp O~Oiier Atltlress Elecvical Cyo recmy ~C~omyany Name) A Cnntractor'S License No. Zolfh ~4-~'<N ,~d' Mailinp AdJrass (COntractor or Owner Maki InstallatioN E [ 4 AuthorizeA Si awre IConna<tor Owner aking Insonl Phone Number t Ilati MINNESOTA qTE D OF ELECTflICITY TNIS INSPECTION REQUES WILL NOT Gripge-Mitlway BItl9• - Room N-191 BE ACCEPTED BY TNE STATE 9pqqD 1811 UnivsraNV Ave.. St. Peul, MN 65704 UNLESS PPOPER INSPECTION FEE IS wnn..o16191fi62-ONOO ENCLOSED. -?1~~87 HEQUEST FOH ELECTRICAL INSPECTION ea-ooooi-oe ~ See fnstruetions for eomplelinp ihis lorm on beek o1 Vellow copv. ~ -9 "'X" Below Work Covered by Ihis Request AAd Nec. 'Typs ol BuiltlinB Appliancee Wired Equipment Wired Home Range Temporery Service Duplex Water Heater Lightiny Fixtures' Apt. Building Dryer Elec[ric HeaUn ' Commercial Bldg. Fumace Silo Unloader Industriai 6fAg. Air Conditioner Bulk Milk Tank F8flll ther Peu y ther lSner.ifyl t er ueci y Ner Other ompute Inspecti on fee Below p Fee ServieeEnlreneeSixe M N. Feetlers/5ubloeders # Fee Grcuits 0 to200qm s Oto30Am 5 Om30Am s Above 200 qm~~s 31 to 100 Amps 31 to 100 Amps Swimmin Pool Above 100_Am s Above 100_Am 5 Transtormers rngation Booms m~0 Partial.Other Fee Signs SVeciallnspection ~ S ~iD.sD TOTAL FEE 1 Rouph•in Lf c^ 1~,113theDe Electneel J( CtOf, 11BfBEy tertify that the nbova Final ~4t e t ins0ectio~ hea Caen . ~'V~ meda. T11IS feyueet'rola 18 monihs Irom 4 7 6 Request Date Flre No. IRoughin Inap on Fequiretl~ ? fleatly Now Natiy Inspecbr f ? No When RefltlY? I O IiCl!nse c tra r? owner hereby request inspection of above elecirical work at: Job Add ( r or Route Na. Ciry ~ Secl No. Townah'p Nema or M. Renge No. ouny OcwpeM (PRINT7 Phorre No. PowerSUp e Adtlress Elecincal ConiraIXrn ( ConhactoYS License No. MailingAdEress(Conha r ' n) MMMM ~ Authonzed Sgnat onhacto Owner Making letio Phone Numbar MINNESOTA STA E BOAHD OF ELECTNICfTY THIS INSPECTION REQUEST WILL NOT Grigga-Mitlway Bltlg. - Naom S173 BE ACCEPTED BY THE STATE BOAHD 7821 UnNerelty Ave., 3L Paul, NN 55106 UNLESS PqOPER INSPECTION FEE IS Phane (812) 612-0800 ENCLOSED. UEST FOR ELECTRICAL INSPECTION ee-oooo1-o7 ' ? See ins[ructians for completing this form on Gack oi yellaw copg n C OPI I M46 "X" Below Work Covered by This Request Range Temporary Service W(specffy) AppliancesWiretl EquipmemWired Water Heater Electric Heating Dryer Other (Specify) Furnace Air Conditioner Coniracror§ Remerks: C j p J ~y~ rJ~ ~7 (TC7 ~I~r~ Compute lnspecUon Fee Belaw: ac # Ofher Fge # ServiceEmranceSize Fee # Cirouits/Feeders Fae Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 _ Amps v Amps SiJns InspeclorsuseOnly: TOTAL O/1 Irtigation Booms Special Inspection AIarMCommunication ~ Other Fee I, the Electrical Inspector, here6y Rough-in ( Pal, -2` IT4 ~ certify that the above inspection has Fi„ai oa ~r? been made. , /G V OFFlCE USE ONLV This raquest voitl 18 mantbs hom 2004 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and com onents to be used Date_hL-/ 13 / o`, Site Address: 392N 560e,.1 ~1-~Mcarl,~ Tenant / Building Name: (a"fc.-ncQ SLLrn j pQAS The Applicant is: _ Owner ~ Contractor _ Other PROPERTY OWNER Address: City: State: Zip: CONTRACTOR '5}'1 ve-\d Cct '~-cfpkalonk ine- MN License No. C- O/ N Address: y3 '^1 a W ~lOuNcsl ccVc Qcl City: kc(en y,i\~S State: Zip: 5S11 Z Phone ESTIMATED COMPLETION DATE: FIRE PERMIT TYPE: ~ Sprinkler System of heads _ Fire Pump _ Standpipe Other: WORK TYPE: New Addition Alterations X Remodel Other: DESCRIPTION OF WORK: ~ Commercial _ Residential _ Educational Other: qt~ txc~ 1~0 u(Q S v C l S t n ~52M2/L~ Please continue on reverse side PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ 900 C9 x.Ol % Pernut Fee • If Permit Fee is $1,000 or less, add $.50 $ State Surcharge If Permit Fee is over $1,000, add $.50 per 1 000 Permit Fee 3/4" Displacement Fire Meter - $155.00 $ TOTAL FEE: $ S0 -,SZ0 I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work wil] be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. TZOBL-RT Applicant's Printed Name Applicant's ign e DO NOT WRITE BELOW THIS LINE ~i. a -r-WFZ~(ITOHt311Q t-~ ~"f a ~ ~IO~T?~"R~31~Y'"' ~ "4 ~-r~Si ~'s,r~DIs11$ ~03~jw.a-- ~ . b'• `~-.,1& k, ~ _ i 't .c~. i , ~ t x . sd ...`~..tt~e.~:. ~13-,.,~`•' ~ zx~; j' `~7~~-+'i! ~i ~~+~'i"'a'~:~~1~',~'~"~~- ~i~c-~ ~h ~`sK~~~. TYlP 4,541, CondlhdnS O~IsSU~nCe ~ ' ~ , ~ - t~ ~I~~~~~-r~~~ r 15X5 a ~fi~ g"Y`~s~ 09 #d . 3fak ~M 3,i`ry~gJ ~Pet~i?u~Agp~oued b w ~ #~~R~ Y ~ ~ s " ~ ~,,D e .W;1, . MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT OF PLANS Plans and specificationa on Plumbing for Health Food and Juice Bar Location Eagan, Minnesota Date Examined August 5, 1985 Prepared and submitted by Custom Woods, 14217 Ewing Avenue South, Burnsville, Minnesota 55337 Date Received August 2, 1985 Ownership Scope - This examination is limited to the design of this particular project only insofar as the provisions of the Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which [his plumbing system is connected. The examina- tion of plans is based upon the supposition that [he data on which the design is based are correct, and that necessary legal authority has been obtained to construct the project. The responsibili[y for the design of structural features and the efficiency of equipment mus[ be taken by the project designer. Approval is contingent upon satisfactory disposition of any requirements included with this report. Inspections - Special care should be taken to insure that ihe material and installation of the plumbing system are in accordance with the provisions of the Minnesota Plumbing Code. It is necessary that the State Nealth Department make roughing-in and final inspections of the plumbing system to determine whether it complies with the Code. Provisions should be made for applying an air test at the time of the roughing-in inspection as outlined in Minn. Rules p. 4715.2820 of the Code. In order to facilitate this work, there is attached a self-addressed card which should be returned, indicating the name of the plumbing contractor so that arrangements can be made for [he Sta[e Health Department to be notified by him as [o the time that the installation will be ready for test and inspections. No acceptance of the plumbing installation can b.e given until inspection and test of the roughing-in work (Minn. Rules p. 4715.2820, subp. 2), finished plumbing (Minn. Rules p. 4715.2820, subp. 3), and inspection of the completed installation by a representative of the State Health Department indicates compliance with the provisions of the Code. ReQuirements - (OVER) Authorization for construction in accordance with the approved plans may be withdrawn if construction is not undertaken within a period of two years. The fact that plans have been approved does not necessarily mean that recommendations or requirements for change will not be made at some later time when changed conditions, additional information oc advanced knowledge make improvements necessary. Approved: rguk v /0nJ-J A?ilton R. Bellin, P.E. Patrick M. Simpkins Public Health Engineer Engineering Aide Section of WaY,er Supply Sectio? of Water Supply and Engineering and Fngineering 4 Requirements: 1. Use of 50-50 solder or flux containing lead is now prohibited by State law on potable water distribution systems. Solder containing less than •2 percent lead must be used (Section 326.371). 2. A statement that the plumbing system shall conply with the Pdinnesota Plumbing Code should be included in the specifications (see Minn. Rules p. 4715.0320 and p. 4715.0330). 3. Verify piping materials for water supp7y, waste and vent comp]y with the Minnesota Plumbing Code. k• The vent for the floor drain near the sink and lavator,y shall rise vertically before offsetting horizontally. 5. Water supp]y to the bar sink shall be 3/4 inch in diameter. . f~~~ . . . . . . . . . minnesota department of heaith _ - ~ 711 s.e. delar are st, ' p.o. box 9441. minneapolis 55440 O le12l6215000 . - $tptember 24; 198$ nepsro,ose or Agrieult,ae . . 90 Nest Plnto Boulevard. . . 9t. P'anl, !EllmMOta 55109' 8ent1`enfladlas: . . ° subj.es o. Plm.etm tor i~.t4i? so.# .e'asoo, 8E Asp& lAoft ve are sne3mssag a eoff oP onr rspart co.ertgg to exar7.wtion ot plsas atkt sWlTi•atxoas on tbe atiore-desigpatoQ ProJeFSs. Alqo imelnaed fr a coly of bhe reporto traarsittsl la6Lor "d pUnf to to tcssrvaaded ; to`Che profaeL avaer. IT IS THzPRWSCY' OiiIER•8MSFMIHILITY 1rt? RRTAIY TO PLlI11L .A2: TEI Ptt00.tEeT IAC'ATI{711. Your aLtentiaa is direeEad #o the statemeat yertriains to issapution of tht plmabinS. Zt is inpefrtatt Lhat ve reaeiva the ia4smrmtian indiastad fn orQ+w that the neceseary InspeGtf" ary M ade, Yt yo+z h4ve any tneatfsns S~ ragtrQ.to piwmbinB inappotiona, p].oase cant,pct Horlaa P3taniqr' st 6;.2l623-5320. If pou Mve' aiy Quutione in reiprd to the iQfmrastioa emb#tinsd in ' tlyts,: rsyo;t. Dlaqoe aa+wueiette vio Fatriek 8lay1iin9 at 612f623-535T. " . . . . ' / . . . , ; , ' . , • . _ ~ ` ~ • .8lnaerely, 7oxrs, . , . ~ . . di7ry L. EnglDnda P.E., i7Aiot Bection ot fiaCes 8uyp]Y % and ~lWnaerlag , . Qiis!!6^d;gh Etlcioste'm ' . cc: kro3aet Oaaer Mr. iiilltsa Mae. Pluabing Inspeetox. 4bstkm Woods , ' ' ao equal opP9rtunity employer . . . . ~ . . _ . . . , . . . .r- . - ! . . rt~ . . . . . , _ . ' ~ ' 0 19m1 `ps 1 `'bG; minnesota department of health ` 717 s:e. delaware st. minneapolis 55440 ~ (612) 623-5000 ~~~r 7, 1983 !Er i Mtre Hoacman LiadEllan • . , P.~g3II 1 s . . Dfaa Mr. 6 !lra. L3IId~eaa Oa ?ec.ewDer S. 19830 m1 3aspaation ws CoaduoCid ai' the Cedarral};Sn3ok 8hop locested at 3922 Sibley Mescrial HighraY: Ea8m, Hifineaota. This in- sPection sms conducted to deeermino the correotiaaw meeaaeary to hning !tlsis. ' Paaility l.nto aompliaace xitD t5s Rules of thia Depprta~ent 8overait?E food end baaerfte:estaDlishaunts. T!a following ie a liet of violaCimc's aoted wbich mist ba correated bafom"a 2iaaaae x311 be iseued; ~ M. !lillc emd nilk producta Por drisTciag purpoaes ehaLi be pro¢ided to the consmaer in aa unopeaed, commercially,filled package not excee#:tas cn. $int ia capaoity, ar Era,va rbwm a comm.resaUy fSU.a contsiner a'torad in a menhani¢a23,y refrigernted bulk oi'lk diapenier. 02. A:1 poYentiaLly haurdons f'oods muat be held at a tespernt-ure of 4O° F or belax an 150t F or abow aY all tinea. - Imnadiataly dis- tontinne the heatiag of-patenti,al.ly becardoue,Poods auah as nhiii: in the fadge warmer and provide oalq aQuip'maat ahScb meets the standarda oP cbna2ruat3cm of the Watioael Sanitation, Fuimdation (NSF) for iait3al featxaS and for hat ho7.dbg oF potept^.ially bazsrQous food itms. : 09. b11 Pood aereice parromel engaged in food prepaatiaa andlor utansil olemasiag must vear effective, ta3r syet~niate at,a;11, "tims whfle oa duty. OK. Replnce the tora gaaket oa the Fioxes4 tmde3rtotmter roPrigeratar. , 05. Ths thras com*artmtaL baxt.glasa xaehing si;nlc ia not dwnigned es a swtaurmt +rtenail oleaasiae 3ink and :.optaot be used PaT th3s purpass. Romove the exieting bar e2tilc amd.provide an NSF apyroved ttsree aomyartsant aleasil eleawsiog vinlc orita iategreily fttaclnd drqiabonrda st both ends. Baar in miad'`thst. siok aampartasats. must De large aaongb to parmit the acaoamodation of the largest so].ti-uea food utanail fnlly submerged. 06. Provide'a chem4cal test kit ar sanittzer tost paper to QsEermiar the etrangta af the eaaitiasr eomeatrafiiou usWn the nrnutl uteasil o1oaAe1a8 Pnocsdura• ' ' . . . . . 4. . . 07. tlnwrapped eingla ssrvir.e strars eust be sanitarily storad aad diatributed by meane of•.e diepoamr. an equal opportunity employer , Mr. ~ Mrs. Norman Lindman December 7, 1983 Page 2 08. Pronide aingle aerviae diaposable hand towels at the kitchen haadwashing lavatory. , 09. Provide and uee reatraints for all C02 compreased gas cylinderg. 30. The installation of a pass-through Smediately above what is in- tended to be the griddle/fryer area poses many potential problems mhich must be resolved before theae cooking devices are placed into sexroice, these are: a) Ttis pass-through entends too low to afford any back-aplash protection to the wall bahind the cooking area. b) The prsetice of the cook reaching over a hot griddle or fryer to place food items onto the pass-through shelf is noi only cveibersome with the exiating arrangemeat but also presents a safety hazard. c) 'Phe ].arge paes-through area may disrupt the normal air flow raquiramenY for the removal of greases, heat, and odore through the meohanical ventiilation exhaust canopy. 11. When the caoking equipmant ia instal].ed, assure that the fire ~ extinguishiag system is inetalled in the mechanical ventilatioa exhauat caaopy in the manner preseribed by ixal and State fire coaes. Tha foregoing items vrust Le correated by December 20. 1983. A reinapection will be conducted oa or shortly after that date to determine if the establish- metrt meate the requirements for lfcensing. This Dapartment will germit business operat4ona to continue contiagent upon meeting the aforementioned orders by the establishad deadline. If you Y,ave any queations concerning this matter, pleasa communicate xith us at (612) 623-5342. Yours very truly, James J. Witkowski. R.S. CHS Consulting Sanitarian Sectioa of Eavironmental Field Services JJH:mjt ce: iDale Peterson, Bld. Inspector ' "v.s / "minnesota department.,af"health 717 S:erde4aware st: • pA, boz 9447 m'snneapolis 5544tl (siz)fi2s soao ~ , . , , may 7' 1984 ' lk+. RiChastiE ll1CE`BrtDy, t.I;A. • Gooro Ktata 8 Gbmpenq. Znc. . , 18340 Hiiuaetouka D~eP~ev+ma, E~ ; 55$91 n. REt Ik,a6s-tiru remei$eli9$s Cadervele 3aack.3hoqr CednrYale Shopp3t19;.. , -:E:iIItl2'r E8$aq: Hin134dCta... . . , . . . _ . . . . . . V~ . Y. " N+s have z+essaiml aud i^eviared the aupplamaatsl P1ens,aa8 spaaif3ESa"mns, co"riisg tLs propeaa8 a];tea*¢ticae to tAe paaa-Ehaat at t"s Cbdarvale Saaak 6hop. As a reault of the reaiew of tL~ee prnir aitr mwtiag and disawisian of Nry ;S, 188q$ ralative. tib, th~s-propo~al. y!!uare bwrnby, s}uthorsa*d io begsn, comftvwtsm of thie prpj.et.-' - iihea eoasstruetian ia aomFiated?-pleaee aosamirith X* ia aa+ifi+r that , a fitia3 an-aiOr iuapection may 1» aoadncted. . . ' If qcou 1?aas' ok4atiom ooncercis8..#hie mattar. F?ease feel frea :to . commnmicats kith ms mt (612) 828-5550. ; YWMG verjr trulq. ` . • , . . . _ ' . 4 w V.' ° _ _ . . _ _ Silmes J.~iiitkaxski, . , _ w . __.,...,~_....pbE ~"aios~i.l.t7tn8 ~+aaltarfap 8WOs of tniviroamauta2 Pia1d Sdrvieee . ry. . . . . . _ . .:2. . . . . . . . . . . . . . i ° . . . . . . . . . ' ,rJawamjt cc: Dale Petereon an equal opportunity:employei ' l f~ J. ..S . . . , ^ ; : ' F,.x Y ; rninnesota depar#rnent Qfi "healtft , . ~ = . . 717.s.e.delaw8rest:., p.o.,box9441 minpeejSOlis55440: ~ , y.. ~ .J6721823_5000 , . . . , i: • . . . . . . .Y.-. . . . . . . , . - . . , . . . . . . . , . x . . . , ' . _ . . " . ~ . . • ik.. ~DV~ '.F. . . . - . " , ^ . . ~l.. . . . : .n > . . ~SS~ MNra~~M~ ~.L`~. ' . . ~~~Q Sl~~ . ' . . ~ ' ~ DRlp}1II~,YrII9 . M' $5$21 . ~ . ~ , . . ' . ' ' . . x,•. . .i. . . ; . . , - . . . y . ' ' . . ' . . . . . ~ Qo_ haa rlM1v'ad aDd ~?Slwad the ir~1~M~tsi ~ aaa . . ' : ~ ~ spmffimticas eowriag modif ' 1,iaao to tbs fd~r~sl.r FaOd ~a~riir~nt 3~l4d ~ r+ " Binasiw~la:, Aa e vasu].t oi' ~ r~~a+? t° ~,p'`2nm ~ om-~ ~ $its sfti.aptteqs:pS this oetabl[shmout tmduestad Dy tli~ -V'bi~JM'tm0Vt.:: ;tie tw~ww=tSit i'4+iiavf~8 ecaants Lo oEfis*: - . . : , . , , . . 3. !ha iasttl3a~iam,of a ttm c9sputMea4 utsnsi3 KaaMnB iata~yra~~ly:a~tae`ha~d'~qfnbowd.~ the rSsht . . s1Ai is appr~ed: P2~l~ r~rsuxb thet t~ Sfa1r 3s t~a . i ~4d to formarAet~' i n T •~u ' i y ~'NBF4, ' L . . . . : ' ~ . 20, AE PRYV~Otl{~31 ~tZl/C1Uo8oaY YII 1+/cQ1bft1d tq9 O~ 0,.1;4 -1- ' - I. fCi' lfCk~~R O~ - ~i ~ ' . . y . . . . . . . . . . . . . . y*U M'M bWRW #itMri=d•'EG 3it$~1'la~~~~:Q~''~~;'~~~~• ~ 1`s[ CfDmooLsd.r P3.rO,q COmi~l~@tL'! li~~= ~i . '~Z13't` ~t $3037. 4~ l1.' t'Q j;kipAOt~9l1, lWy? Ddi dftditOR".' . ad,~stsopislar* ,sa~sk. te tb.- px~r a ` ao~¢srain8 p~ss tmvqnBh exwa, a3ttw t]s~loKi~L ~tioa fiw your t&ayidaavtica prlor>!o aay c?msttRSOtichd~ a~lta:as:,~turta~is~ of ~eoklug,:+qttipap~4tz" ,1. Asamve tlikE tbo ~ 81gtiaea faft.t30 eqmi;a~s ~P th* - oa~9Y ~s' ~aE . ~~6 ~P~t tn ;ths AottM a!' the exceat f"t (4)~ 42eo,..t}my ths'di~ana~ #ro~ !he bottds tef t!u ~oP~r to tha floor ~t~C, t7).• (Sq +mpo]a~rs _ . . . . .Y . . 2: . Hs ~.l peratc tDe yroP.#r instal]atian of MsL.. teil . . Nte~tt~8? 61ssr itlrt~ F~a "~.~`n~st•n1.7s~,~to.~t~1 , . . ~ , . : . iff *L"9 ~91"WI„NbUtt Ii'..'847t _ PRtm' Sut"'CiQn f1'?, Lm6 ii'lls+ ~ ~ . . . . . . ' 9 . . . ~ ~ ~ . . . - . ~ . : . . . . ~ . . , . ..i . . . . . A; . . fi~~ , 1 . anequalopportunrtyemployeri ~ ~ , , , , I9r. Itichard HoCarthq March i, 1984 Page 2 Ne vill anticigate that equipnettt spaciffcaiions and drawinge will be prooided in advance of the pasa t6rou$h pro9ect. If you t3ave any questions coacerning the iaformation contaiaed in this repart, please communicate with me at (612) saa-ssse. Youra verg truly, Jamea J. kitkowaki, R.S. GHS Consulting Sanitarian Section of Environmeatal Field 3arvieea Enc. JJW`.;mjt cc: Dale Peterson David Hrown PAIIL H. AAIIGE t~C~4S60CIATEB, p. A. ATfORNEYS AT LAW lBOB SIBLEY MEMORIAI H16HWAY lAGAN 48T. VAULI, MINNE80TA 50124 PAUL H. NAUOE Ae[A Coo[ 612 BRADLEV BMITH T[L[INON[ 4E4-4224 KEVIN W. EIOE DAVID G. KELLER Jllly 16, 1981 RICMARO J.KRAMBfiER Burnsville Realty ~ao- d (O 3982 Sibley Memorial Highway Eagan, MN 55122 Re: Sign Pexmit Renewal Fee Dear Sirs: Please be advised that as attorneys for the City of Eagan we arF demanding that payment be made for the sign renewal fee far past due from your business. The amount due is $10.00. Please contact this office if you have any questions, otherwise we expect that the amount will be paid within tfie next ten days in order to prevent further legal action. • Sincerely, Paul H. Hauge skk ~.e: Thomas L. Hedges PAIIL H. HdIIGE & AssocrATEs. P. A. ATfORNEYS AT LAW 9900 BIBLCV MEMORIAL M16NWAY EA6AN (8T. PAUL), MINNESOTA 55122 PAUL M. XAUGE AmsA Coo[ 612 BRADLEY SMITH T[tCPXOM[ 434-422A KEVIN W. lIDE DAVID G. KlILlR pICNARC J. KRAMBEER July 16, 1981 ~o.a~9ao. D~2o-;Od Ben Franklin ~ 3990 Sibley Memorial Highway Eagan, MN 55122 Re: Sign Permit Renewal Fee ?ear Sirs: Please be advised that as attorneys for the City of Eagan we are demanding that payment be made for the sign renewal fee far past due from your business. The amount due is 540.00. Please contact this office if you hace any queations, othenuise we expect that the amount will be paid within the nezct ten days.in ~ order to prevent further legal action. Sincerely, Paul H. Hauge• skk /cc: Thomas L. Hedges Y • GRAND SLAM SPORTS 8r ENTERTA/NMENT CENTER August 10,1990 Mr. Tom Hedges, City Administrator Eagan City Hall 3830 Pilot Knob Road Eagan,iwN 55122 Re: THE DUGOUT TEEN CLUB - GRAND SLAM SPORTS & ENTERTAINMENT CENTER Dear Mr. Hedges, Because of the demand for such an activity, GRAND SLAM SPORTS has decided to conduct teenage dances at its °DUGOUT TEEN CLUB",which will be located in the lower level of the Cedarvale Mall. An alcohol, drug and tobacco free environment will be strictly maintained at all times. The club intends to enforce a dress code and there will be tLQ, live entertainment. Music will be provided by a disc jockey. Entry to the Club will be by membership only. Membership will not be available to persons older than 18 years of age. A copy of a membership application is enclosed. Upon the approval of an application for membership, which will cost $1.00, the Club will issue a laminated identification card to its members. Memberships will be non-transferable. So that the Club will be able to assist the City in the enforcement of the curfew, a separately colored card will be issued to persons under the age of 16 and they will be expected to leave the Club by 9:30 p.m. A teenager must apply for membership in person Monday through Thursday. Thereaffer, the membership card will be mailed to the applicant. No memberships will be sold at the time of the teenage dances. GRAND SLAM will reserve the right to limit the number of inemberships. Further, the Club will reserve the right to revoke a membership should an individual violate the policies or procedures of the Club, or otherwise engage in unlawful or unsatisfactory behavior. Cedarvale Mall - 3994 Sibley Memorial Hwy., Eagan, MN 55122 (612) 452-6569 The teenage dances will be conducted on Fridays and Saturdays beginning in September, 1990 from 7:30 p.m. to 11:00 p.m. Strict security will at all times be enforced by the Club. Uniformed police officers, if available, will be present and the Club will provide additional security personnel who are employed by GRAND SLAM SPORTS. GRAND SLAM SPORTS looks forward to providing this entertainment for local teenagers. We intend to conduct a first-rate operation and will at all times extend our fullest cooperation to the City and its Police Department. If any of you have any questions concerning this, please feel free at any time to call Bob or John Vander Aarde at 452-6569. \L-ry truly yours, GRAND SLAM SPORTS 8c ENTER INMENT CENTER e B encl. aP mt~ ~ GRAND SLAM SPORTS 8r ENTERTAINMENT CENTER 2-he DuAout Zeen CCud C Membership Application Membership # Name: Address: Phone: DOB: Age: School: POLICIES & PROCEDURES *771B DUGOUT TEEN CLUB WILL E1VF'ORCE A DRES.S CODE, WHICH WIIL INCLUDE: No Tank Tops » No Torn or StuddeQ Clothing - IVO Yia4s or Bandataras *THE DUGOUT IS A DRUG, TOBACCO AND ALCOHOL FREE ENVIIZONMENT! '"MANAGEMENT RESERVES THE RIGHT TO REVOKE MEMBERSIUP FOR U7VSAI7SFACTORY CONDUCT! - - - I have read and agree to obey all policies and procedures of the club. Signed: Date: Cedarvale Mal! - 3984 Sibley Memorial Hwy., Eagan, MN 55122 (612) 452-6569 A 0511 46 461 , ~ r ~ :+c. ':t tk. . atr~ s y~"C+%• t.,. _ . w.~,. ::tt f~IF'.~ .~.c . ~l~ ~ .^.w '.:w,~~ ..x . _.i..~. _ ? ch'. s y, '__v ~'ri~° ~ A rr. Y,. . . ; •t. • .,t~,t`~'S~,. ~ _ ~ 6 . !N.'~fi'~,~.~ '~@? d+ } x~3 . " d ~i /fw'Syt,' ' • ~ i t~G~~,~ av; . e v 5'~ n k!:, h~•~. ~iH~(f i.--~:~' - V~v'•~.- ~~y~ ~f.~' ...-1~~4~....:?,~;~~y~ i,'~`.~li'~'~~.. r,,~.. .,+GS1YS '.F'r:~1Ci,~iyly '~:f <+~rtTi.. , }r tr; ~ ~ . . ' 1?~..--~~ •~'~5 ~ . • ~ ` . ' . y.; ~ .'qY~ 1j , "t ~ ~....11~11~5~ ~;rh11'J~ 'i ~'~e f a('tY~1~t ~j(~3i,'.,. ,`ryti„~.f~~ r,i~.'. 1~ i~l.i Y, a V, a i t ~~V~d l1 9 e..W q; , ~"`~.6! ,!;'r~ ir A: . 1, r,•,,, h~~r.. ;f \ • .,:~y', F~;' ~ i~/ ? ','~S' :1.~ Vr ~~~y;.~: ' . r '~{~!,,,1 S' ~ . r'. ~-f s{~ l t~ ~V~~'.. ~~~;~~ir Nr' ~~i~y' t'~ Vc~ /,;Y • 'ri~f~ ti nl v, ,qlt ,~jv~a§i: ~~~~a.~~'~ai%"~ ~•.;~Y:, r„,~ ~.f:> "r , . . . , tNr s)*c ~ _ ~ _ • ~~ZP lCt~+ ~ 7 e.~ A r s~ 4'~ ~ ~ ~t~ t ~ .11J. d~'~~ ,rx _ .~,""'.7rr~ . . r~ ~ - - _ • • " . ' " - - ' ' - - - - - - ' - Cn 'Zs•~ mcw'~> MINNESOTA F612r448-5300 4 Chaska, MN i; APPLICArION CERTxFICA'xE FOR rIKE RETARbANr COArING 4=45,, Formula Tested by Southwest Research Institute Test Method ASTM E-84 V- Flame SPread 25 Fuel Contributed qp Srooke lleveloPed 5 Covera8e rate Per 8allon N aA 100/SF Class Rating if applicable ClaSS "a" The undersigned certifies that lQ gallons of 6-3 Fire retardant was purchased for use on area described as J ~~4` ~6 ~ ' ~ ~ + • . i Located at 'Dimensions of area to be Created . 41' ~ Total sf of area ~ 11, Applicator cerCi.fies Chat work was done according tv manufacturer's directions ~ Y~•~ Number of coats applied ~u GNATI! OF SUPPLIER SIGNATURE OF APPLICATOR Mirmesota Fire-Chem ti ~ a~ 123 Co lumbia Cour t Nor th Z--z.l~r 5~~, Address Addres~ y . 8/9/89 l ~ ~ • r~ ~~r ate U Date h, o .,1~y Si ;r?s)> a 3 J Ii4'~'$~tf,•, ,`~t'~~~,',~~t2-~F: fisS~~w~'%~ ;}`~~r~~`w'S",~~,4~,,,, <;f~~'i~~~j.~~. ~~I'~?~ `t ny? ~ aj fF isJ. ~'~YltC ~'iy ,~~;r: :~i,, +1~ ~'9;. 3, ,t;.,,~ . t:; ,i; ~.7,J,'`` -.V 4 t~•. .:r; ~.~..-fi. ~n ! A~~ q .a,:yr/r i;; lr~ A 4~ r. a 'A- ~i,/r ':M.'~ ~::a ~~r }•'S ~ss A`-'. ~ k ~;~;r.~•4,'A~'U! ; ;11: •~~~r, aR , ..~~w~~~,u~ `_:~A ,s~°~~ II ..i^ As •~rp,~°,'~.- .v;.rn.~ s .,~r,,;,;',~, . aA , ~;1i yA~ y~R~ " /~7~ .~,~'~ati ~e e~.~y~. .eSy ~ .b~v~~' °a.~.4. v ~r. .e. .~i , ,y > a;~ ~ ."~'~J( -j':'~ ~ `<j,~r ~61i'*' ;`S~~ ~y';: • V~ ~'~it;: . ~y~^'~ ~(;;Z ~ti t ~i[jt,,. r.;=~f ,~g .-.g..'.-°:} ~'C ~i? ,~.1 ~.v ~ KS',~ . . , ~ ,~Y,~;; ~ ,~'~y~Y . . ~ '~.r . ,.4,. -f6r~,' ~l, : $rh . u~+~5~~,r,,..~`S~r ` _'~~.~`'3' t ~~~hw W.n: .q''d~,.. ~+`~'';C~ •,N,'~" ..ti,,~~'~• . _ . ~~Y$~":f~ .a. ~2 ~.~>Y'it,~~... ~ -a' . .~~.~c) i.oES 461 urun iN u.5~a - . ` j ~'~w`!~ 'k :i "'E ~v~'` '~S - ~ r j . T''•~ ,~r . y~~ f ~ -~yk- ' ~ p . :'N~ y ti~ :~y,• ~7 ~~`.fitilatifii.c~ ~ ~ + - ~yi~5. - - ~ _ r. ~ . 0, yy,y~' *;.~,x 1-v ~T 5 k, ~~4 `f. y.. ~ ~~s(~, , ~ ~'s-~ y~ r~•- f ~~~W"' ~;,f.. . ~•~t'?' ;R~ ts'i,. ~Yi'..:. ...'•ryi'•:~~~. . ~;:--.a..~~i'J" . 5( .ry,:l.. . 41~f,1. ':1 . 4~~~1 ~ ,'f~i~1 . ~ ~4~L1 ~i.: Y r111 .i4~ •A~.J~~r'~. ~ 1'~'~AI~JJ .n~. ,t ' :r,• , Ih'r ! r ~ t~Y . r ~ •~rn~ ~ 'r~ r ~ v;; ( , I ,.t• r <1 ~r .`§D'.. :-r .-r~! ,.cr~,~A~:- r' 4:;,1,~, ~.~,r, r N~ ,t,ic ~ .m•~ r, ;~rynl,~ ~..n, ~~~u,.,,F M ~ x . . . ~4, ! t •N~ - _V. , , f.l : ~ ,:R~"' t V ,hM,y.• ~1 V 4`fiY+ A y ~ _4~•• g..~i ~ ..r 'El.~~ l#., . ~~....I~ ~ ~t)>• "s4i~`a~{-:~u~' . r a~`~:~E,,• . r .F;a~.«+~L 'i~v '~x } 9 a#;' • ~1~~; j&'~~ ` ~i~i,~ 9 1. s ? ~ • ~ ~ ~ af a s s~i ss~2 ~ ,'i:m ,A~~ s _ 5 1 ~ i53~ . ' n~1'h S _ ._t'. y~~ . . . '~J ,1'~ ~r~- s y1~ y,~r,~ ~ i~i ~!i 1 `3Jfx .;t~~ryir~ f ~ F~~ r 7_'~;7 p,~ MINNESOTA FIREoCHEM g ~ ~ 612/448-5300 ~ W . Chaska MN 1\\\~` j~!~~~ APPLICATION CERTIFICATE FOR I'TRG RETARDAN'P COATING F'ormula Tested by Underwriters Laboratories of Canada Test Method ASTM-E-84 ~ Flame Spread 25 Fuel ConCributed 15 Smoke lleveloPed 20 Coverage rate per gallon 190/5` Class Rating if applicable Class "A" The undersigned certifies that 23 gallone of 20-20 fire retardant N-S was purchased for use on area described as ~~"/y /J S 4 /~.Jr Za2.s~~ ~i-.~~ ~'1 ' Located at acs~'JA t/44-JZ7' . ~ Dimensions of area to be treated ;7W Total sf of area R Applicator certifies that work was done according to manufacturer's directions Number of coat applie I',~• ~ ' " / , ~ / ~ i ~ L ~ C ; ~ ~'~c.~ ~ 016NATUB9 OF SUPPLIER SIGNATUIZE OF APPLIC TA OR ~ ` . ~ ~ i 1 ry Minnesota Fire-Chem - ~ . i ~x 123 Columbia Court North ~LS / Address Addr ss 2 Date Dat W ,AI n' ~ . " ~q'3~..;•. ;~~F~i.~~a~r., ..:sr ~~~°s~?,:,,, ,~~i"~~fJ ~'N€ffw1~j - ; w'::~~ ,L~f~'~'~~:~r ;,.~t~°F'AD> if A ~ v- .~`f~ ti ~ ~;i~';rr. ~~.{~/A v.~~f: ^ v~,: h`; .`A ,~fr ;i~; ~4• A.,,~ ti,. . l~I'sl_4+;~` t~•t fiv ~f 4'- ti:::.. } q.i ! F~„ a ry . x~ i n.4~ ~1;~~ i..-.. :•~r.~ . p l {f }!'t~,+ ~ r ,.~'!t•~~7~ r~,,.. ~V~1 ~r~if .,..:.A.. 4Mti Ae~ ..:S~A . 'f;`,rlrr,~~ Y.. .~d~~wM1.~. : ~ 5,r,af:•' ~~~;y~,~a ~~A ;~~,~~iti'S?C { . .,e~r+5;~q~ : . SUJA ~ y . A~1 . .C .A b~ 4 •~~r ~y .sr : . / .l'i . `{;!i l:li' . ~ Hj t`YI ~ ~ Tl ~~yj? i { i t:l;'li ik ~`ir~ V. S• . ~`v~{.~ 1~f~ .~j.*~. 'i[.,:N ~fs .j.,+ t~~:ry~~~ "N~{y. -:~T~~GA ~tf~~~~"5 j•), sN3,~ ~tQx•~y,~ til ~~-o,~ ~{i S. r,~. - .1G~~ p~(¢?.,'~`~ . .5y .7~.~ ~ ,t:/Y~ f. r~ ~j~~ i:~. ^l~_qt~, , ' ~.~."~l%G(~• ,~a~ Y~'~?Y"..'.f x` • F~~ -y" 'tSr~~1F'~ . i. ~'OIEOm'r ~ ~~KM%~fi-`~`F~l.n f.~~'jhii•,:Ir _ '~'~0 _ .,t, ! .y,.•y~, 1~ r,.7 ! .`~l• . . . ~~_i•' . - ~ ~ - _ . ~ . . : ~GOES hGi Lifn0 iN r . A.:iia~ll-:_ • ::LL "~_~7wl~HiSyt~.'~..~a.I~.-.}'Y~Yf.'illi.. ..•l~{:~~..5-'. ~ r...zt.:. :~ior,.~ . . _.ir. ~r ~„r_".~~..ef~~i~- y~..r~7~i~S~w`s.::~r-sew~~:• 'ri-~. ~-•".f~4S~ ktn~. _ u~a-.~i;~r::aJAi''w.ai.~'~ .y44~-J t y ity oF eagan 3830 PILOT KNOB ROAD. P.O. BOX 21199 VIC ELLISON EAGAN. MINNESOTA 55721 M~ PHONE: (672) 454-8100 TMOnnAS EGnrv DAVID K. GUSTAFSON PlUv1EtA McCRE4 AEJYll 27, 1989 7MEODORE WACH7ER , CoundiMemOen THOMlS HEDGES Gty Mministrotoi EUGENE VAN OVFRBEKE MN DEPT OF HEALTH aNCieM 717 S E DELAWARE ST P.O. BOX 9441 MINNEAPOLIS, MN 55440 ATTENTION: GARY ENGLUND, P.E. CHIEF SECTION OF WATER SUPPLY & ENGR. RE: FRIDAYIS YOGORT SHOPPE 3980 SIBLEY MEMORZAL FiWY LO51, B6, SECTION 19 Dear Mr. Englund: This is to advise that the final plumbing inspection of the aforementioned facility was completed on April 14, 1989. Attached, please find copies of the inspections made by the City of Eagan, Building Inspections Division. Sincerely, William Adams Construction Inspector (Plumbing) WA/js Attach. THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN i L r ~ minnesota department of health 777 s.e. delaware st. p.o. box 9441 minneapolis 55440 O (612)623•5000 April 24. 1989 Palm Brothers, Inc. Food Seroice Equipment and Design 2727 Nicollet Avenue ` _k Minneapolis, Minnesota 55408 Gentlemen/Ladies: Subject: Plumbing for Cedar Vale Yagurt Shoppe, Eagan, Dakata County, Minnesota. Plan No. 91156 We are enclosing a copy of our report covering an examination of plans and specifications on the above-designated project. Also enclosed is a copy of the report and transmittal letter to be forvarded to the project owner. A set of the identified plans and specifications is also being returned to you. IT IS THE PROSECT OWNER'S RESPONSIBILITY TO RETAIN THE PLANS AT THE PROJECT LOCATION. Your attention is directed to the attached statement pertaining to inspection of the plumbing. It is important that we receive the information indicated in order that the necessary inspection may be made. The plans and specifications appear to be in general conformance with the standards of this Department. When the project is completed, please communicate with an Environmental Health sanitarian in our Metro District Office in Minneapolis. Minnesota (612/623-5337), in order to schedule a , final inspection. If you have any questions in regard to plumbing inspections, please contact IIonald Stanley at 612/623-5328. If you have any questions in regard to the information contained in this report, please contact Serry Smith at 612/623-5643. Sincerely qours, Gary L. Englund, P.E., Chief Section of Water Supply and Engineering . GLE;GGS:paw Enclosures cc: Project Owner Foehringer Engineering, Inc. / William Adams, Plumbing Inspector an equal oppoAunity employer . ` L ° MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT OF PLANS Plans and specifications on plumbing: Cedar Vale Yogurt Shoppe, Eagan, Dakota County, Minnesota, Plan No. 91156 Prepared and su6mitted by Palm Brothers, Inc., Food Service Equipment and Design, 2727 Nicollet Avenue, Minneapolis, Mianesota 55408 Ownership: Date Examined: April 14, 1989 Date Received: March 21, 1989 SCOPE: This examination is limited to the design of this particular project only insofar as the provisions of the Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which this plumbing system is connected. The examination of plans is based upon the supposition that the data on which the design is based are correct, and that necessary legal authority has been obtained to construct the project. The responsibility for the design of structural features and the efficiency of equipment must be taken by the projec[ designer. Approval is contingent upon satisfactory disposition of any requirements included in this report. INSPECTIONS: Special care should be taken to insure that the material and installation of the plumbing system are in accordance with the provisions of the Minnesota Plumbing Code. It is necessary that the State Health Department make roughing-in and final inspections of the plumbing system to determine whether it complies with the Code. Provisions should 6e made for applying an air test at the time of the roughing-in inspection as outlined in Minn. Rules, p. 4715.2820, of the Code. In order to facilitate this work, a self-addressed card is attached which should be returned to this office. The name of the plumbing contractor shoutd be indicated so arrangements can be made for him to notify the State Health Department that the installation will be ready for a test and inspection. No acceptance of the plumbing installation can be given until inspection and testing of the roughing-in work (Minn. Rules, p. 4715.2820, subp. 2), finished plumbing (Minn. Rules, p. 4715.2820, subp. 3), and inspection of the completed installation by a representative of the State Health Department indicates compliance with the provisions of the Code. REQUIREMENTS: 1. The water supply branch lines for the three-compartmeat sink must be at least 3/4 inch. 2. Solder material used to join potable water copper pipe must contain less tban 0.2 percent lead. Verify compliance. Authorization for construction in accordance with the approved plans may be withdrawn if construction is not undertaken within a period of two years. The fact that plans have been approved does not necessarily mean that recommendations or requirements for change will not be made at some later time when changed conditions, additional information or advanced knowledge make improvements necessary. Approved by: Gerald G. SmIth Public Health Engineer Section of Water Supply and Engineering 612/623•5643 1989 BITILDIAG PEAHTT IPPI.IUTION CITY OF EAGAN SINGLE FAMILY DWELLIRGS lDLTIPLE DiiELLING3 C0MPSERCI6L 2 3EfS OF PLiNS 2 SSfS OF PLlNS 2 SET3 OF lRCH13ECTURAL 3 HEGISTEAED SITE SQRVEY3 flEGISTERED 3TlE 3QAVE23 - i STHIICfQRAL PLANS 1 SET OF EREAGY CALCS. (CHECg iiT!'H BLDG DIV.) 1 SSf OF SPECIFICATIONS 1 88'I 0F EBEBGS CALCS. t SET OF ENERGS C9LC3. MULTIPLE Di1Ei.LINGS AENP9L ONITS F08 S,I.E ONITS I OF 06133 AOTEt 1DDHES3E:4 FOS CORHER LOT3 - COR?RlG'IOAlHOlEOflREH !lOST DESIGNAtE iTHICH ADDAFSS I3 DESIRED. li0 CBJNGFS WILL BE JLLL01tED OACE HOII.DING PERMIT IS SSSITED.. SEiiER 3 WlTEA PERMIY FEES !AD ?CCOUNT DEPD.4IT r6ES iTII.L 88 IliCLIIDED itlTB T6E SOILDIN4 YERMIT FEE. PROCESSING TIME FOR SEi1ER i1QD WdTEB PElMITS IS TiiO DgYS OHCE A PERMIT 8!5 BEEN CONtPLEiED INDICATffiG A LICENSED PLU!ffiER. PENALTY APPLIES {iHENs PERMIT IS NOT PAID FOR IN SAME MOHTH IT I3 REpUESTED. LOT CHANGE I3 REQUESTED OHCE PEEiMIT IS ISSITED. TeN Au? t n~ PQa uear C,vT - u1:>PER LSvEL on! LY Gr,c~° - To Be Used For: ' .}5 )Fn ~,hrmar{.Valuation: ;°/Dff Date: 39 84 St M~a~ k}-ksy, Site Address- OFFICE IlS6 OHI.Y Lot Block Oeeupaney A^ 3 FEFS 2oning GSC- farcel/Sub Od~40 05-I bCo Actual Const Bldg. Permit Allotirable 3urchsrge 30. Owner -5a}fI/ f rpob 114nei~r /4ar/-C/ # of stories Plan Aeview ;1,30.~ Length SACt City Address /L/ol? FryYI4«r L,,. Depth SAC, MWCC S.F. Total Water Conn City/Zip Code ~ikrnsuZ11A, AA,? Footprint S.F. Aater Meter wK 9cet. Deposit Phone L/5 J- ~ 1~i~ -`>3a-Sr4rY3 - Yf~' °33y On aite aexage S/1i Permit On aite vell _ 3lYI 3urcharge Contractor /50h MNCC 3ystem , Treatment Pl. City vaLer _ 8oad Unit gddregy /~/017 ,~04-6,U G~ PRC required Park bed. Booster Pump ^ Copies C1Y.y/Zip COde 44"' 3`5-3?7 sQ82CYTLL w11, i-~~- iPP804AL3 Yenalty Yhvne Planner tOTAL ~.94 Couneil Arch./Engr. Hldg. Off. Variance lddress J303 &Pnli`er 4v CiLy/Zip Code &,,rn sv~ (1 c ti/m n/ ff'i'- w u Phone # y32 - 3 - f 7 9~ 1 4 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. QiAR 0 2 RECo . To Be Used For: Al~r Valuation: Date: Site Address 56 OFFICE USE ONLY Lot 061_ Slock FEES Occupancy Zoning p, Parcel/Sub Actual Const B1dg. Permit Allowable Surcharge L, = Owner gl~ ~ ~ -1e-J4~ # of stories P1an Review Length SAG, City Address L~qC9p~j~[~t,;c i~i7pot"4 6 Depth SAC, MWCC / S.F. Total Water Conn City/Zip Code ~ IKy ry`~/ Z Footprint S.F. Water Meter Acct. Deposit Phone /5.~ ~ On site sewage_ S/W Permit On site well S/W Surcharge Contractor _~..pJ1G .o e~n 91•~ f44 MWCC System _ Treatment Pl. ' City water Road llnit Address PRV _ Park Ded. Booster Pump Copies City/Zip Code (J~lk dLjrj f~_2 7 SUBTOTAL / APPROVALS Penalty Phone z, 1()4 Planner _ TOTAL i K Council Arch./Engr. Bldg. Off. 1~3I5 Variance Address City/Zip Code Phone # . ~33 . . 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 14[TLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SITRVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. ' PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. . -~r'h"f~''J~ um to, ~'S r- `J To Be Used For: Valuation: L/LaO' Date: ~ Site Address 5C1~SY 4OFFICE USE ONLY ~ Lot 061 Block FEES n Occupancy Bldg. Permit ` . Zoning Surcharge Parcel/Sub 'J,p"ljryn,~q Actual Const Plan Review n / Allowable SAC, City Owner l/Wj'L # of stories SAC, MWCC Length Water Conn. Address X //3 /35'~ Sflcet Depth Water Meter S.F. Total Acct. Deposit City/Zip Code Footprittt S.F. S/w Permit S/W Surcharge Phone ~liF (D On site sewage_ Treatment Pl, On site weil Road Unit Contractor MWCC System _ Park Ded. City water _ Trail Ded. Address PRV _ Copies Booster Pump _ City/Zip Code SUBTOSAL APPROVALS Penalty Phone Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. VZZ Variance Address City/2ip Code Phone # agrees that all work shall be done in accordance with ~ (Signature of Contractor) a11 applicable State of Minnesota Statutes and City of Eagan Ordinances. I , L ?;Z~ S M"1'" Q~ 1989 B[1II,DIBG PERMIT APPLICATION ~ x CITY OF EAGAN b~ _e~ IC.416 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS CONAIERCIAL 2 SETS OF PLANS 2 SETS OF PL9N5 2 SETS OF 9RCHTfECTURAL 3 REGISTEAED SITE 5DRYEYS REGISTERED SITS 3QRVEYS - 8 STAOCTORAL PLANS i SET OF ENERGY CALCS. (CHECB WITH BLDG DIV.) 1 SST OF SPECIFICATIONS 1 SET OF EN6AGY CALCS. 1 3ET OF ENERGY CALCS. !lULTIPLB DWELLINf3S RENTAL UNITS FOR SALE i1NITS i OF DNITS HOTEs ADDRES3ES FOA CORNEA LOT3 - CONTAACTOR/HOMEOWNEA MOST DESIGNAYE H9ICH ADDRESS IS DESIRED. NO CfiANGES WILL BE ALLOBED ONCE BUILDING PERMIT I3 IS30ED.. SEWER & W9TER PERMIT FF.E3 9ND aCCOUNf DEP03IT FEES iiII.L BE IACLODED WITB TBE BUILDSNQ PERMIT FEE. PROCESSZNG TIME FOR SEWER AND WAT6R PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDIC9TING A LICENSED PLUPBER. PENALTY APPLIES b1FiEN: PERMIT IS NOT PAID FOR IN S9ME MONTH IT IS REQIIESTED. ~~aWEYz Lc~~) LOT CHANGE IS REQOESTED ONCE PERMIT IS ISSUED. *M JUN To Be Used For: Lnlc//~tLation: ~ Date: ,l> Site Address 35fr~ S`hrw r ~y~ OFFICE U3E ONLY Lot 061 Bl k,, Occupaney A_3 FEES \ Zoning Pareel/Sub y~ph,r,7r~~~,1~,~ Actual Const Bldg. Permit 5~/.oa ~ Allowable Surcharge Owner 44,e'l t, d of stories Plan Review Length SAC, City Addres j~l~~ 7 ~r6wL,' c, Depth SAC, MWCC S.F. Total Water Conn City/Zip Code .v4-,-,'-53133 Footprint S.F. Water Meter Acet. Deposit Phone On site sewage_ S/W Permit On site well _ S/W Sureharge Contraetor MWCC System _ Treatment Pl. City water Road Unit Address ~ro«~i'tr L.? PRV required _ Park Ded. Booster Pump _ Copiea City/Zip Code SOBTOT9L N-- kPPROVALS Penalty Phone 413J- Y~`/3- N3~-~/yt Planner _ iOTN. ~ Couneil i Arch./Engr. t?zUnt_ 3 "o Bldg. 0£f. ~Po~jo ` Varianee Address City/Zip Code ~,.._ilr~ S`s'~S7 Phone 0 `13V- 12 o V 3v 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACiORS N ST BE LICENSED 4fITH THE CITY UF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For; {~CTF~i,~ReST. Valuation: Date: 7- Site Address: e OFFICE USE ONLY Lot: / Block~ Sect/Sub Erect + Occupancy y-~ Remodel Zoning Parcel ll (d ^ O I gD~ Repair r Type of Const R Addition I1 of Stories Owner Move _ Length I I Demolish Depth Address Int.Impr. ~ Sq Ft cityizip Code Install ~a_9ar~ , Y~"1 r. 55/23 T// -1 Phone APPROVALS FEES D Contractor C,Lx,~:,7L1K OQC)Q<~, Assessments Permit Water/Sewer ~ Surcharge Addres y.209 ELt-i ;,o4 g_- Police ~ Plan Review '10,?S p Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone ~ Council ad Unit I Bldg Off Treatment P1 Arch./Engr. Cl„,-S-TOi-k unot(; APC Parks Variance Copies Address iOTAL City/Zip Code Phone II . - ~ 1987 BIIILDING PERMIT 6PPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLINGS INCLDDE 2 SEfS OF PLANS, 3 CERTIFICAYES OF SORVEY, 1 SST OF ENERGY CALCOLATIOHS ROTE: 9DDRESSES FOE CORNSR LOTS - CONTR6CTOR/HOME06iNER MIIST DESIGHATB WHICH ADDRBSS IS DFSIRED. NO CHANGES FiILL BE ALLOWED ONCE BOILDING PERMIT IS ISSIIED. H[ILTIPLE DWELLIAGS - RFSIDENTIAL RENTAL ANITS FOR SALE ONITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SIIRVSY - CHECg NITH BLDG. DfiPT., 1 SET OF ENERGY CALCULATIONS COMAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ar~~ IM(JuOma-~-2 Valuation: /(%&c-16 Date: 2~q Site Address :3~ OFFICS OSE ONLY Lot Block On Site Sewage Oecupancy p MWCC System Zoning Parcel/Sub ~A-2.(ii' ~ On Site Well , Type of Const City Water (Aetual) Owner ruii5i Cr.i} (Allowable) ' li of Stories Address C 2~P'2 VA1.e 5Wo61ayn. mY?L1 Length T- Depth City/Zip Code f~qCfl-N , SS12L S.F. Total ' Footprint S.F. Phone y SN 0 9PPROV6IS FEPS Contractor Assessments Permit Water/Sewer Surcharge S. Address Police Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOTAL SD City/Zip Code Phone # kmp 1989 BIIILDING P&ffiM[IT APPLICATION -`ITY OF EAG6N ~ SINGLE FAMILY DWELLIN63 I ~ V IW6 INCLUDE 2 SETS OF PLANSt 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSFS FOH CORNER LOTS - COPTRACfOR/HOMEOi1NER MOST DESIGNATE i1HICH ADDRESS IS DESIRED. AO CHANGES WILL BE ALLOWED ONCE BIIILDING PEHHIT I3 I380ED. MOLTIPLE DWELLINGS 8ENT9L DNITS FOR SAL& i1NITS t OF IINIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECH WITH BLDG. DEPT., 1 SET OF ENERGY CALCUL9TION5 COIR9ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS bD jly~ To Be Osed For: Valuation: !)o, Date: Site Address 39$y (pr,~o_ ip OFFICE OSE ONLY Lot gL Bloek Oceupaney 13 - 2- FEE3 Zoning Pareel/Sub I- i - Q Aetual Const Bldg. Permit aDS,o 0 C/° ~\PPER Mibwt37 maNaGsmENT coRf' Allowable Surcharge 10, D6 Owner t) m mc Il of stories Plan Review O`I , cv Length SAC, City Address ~~bt~ 5. Q~aa2~.,a. Pv.c~cx ~3~f Depth SAC, MWCC I S.F. Total Water Conn City/Zip Code (U ~b, (fL,,,_ M~. Footprint S.F. Water Meter Aect. Deposit I Phone ~-~07- 3Sq-]npy _ p~- On site sewage_ S/W Permit On site well S/W Sureharge Contraetor sMWCC System _ Treatment P1. City water _ Road Unit Address 'Kq~q PRV required _ Park Ded. ~ . Booster Pump _ Copies City/Zip Code nTOTAL '~22.00 APPAOVALS Phone Planner _ Couneil 9rch./Engr. Bldg. Off. 1~xt Ik> Variance Address Council City/Zip Code Phone 0 NOTE: Sewer & Water Permit fees and aecount deposit feee irtll be ineluded in the building permit fee. Processing time for sever and xater permits is txo days once a licenaed plumber has applied for a permit at City FIall. ' PERMIT ~ ~ CITY OF EAGAN ~ ~y 3830 Pilot Knob Road PERMIT TYPE: ~~~~IG Eagan, Minnesota 55123 Permit Number: 023554 (612) 681-4675 Date Issued: 0 5/ 10 / 9 4 SITE ADDRESS: 3984 SIBLEY MEMORIAL HWY LOT: 51 BIQCK: 6 SECTION 19 DESCRIPTION: r (GRANp SLpM SPQRTS) B,u'ildin-g'-Permit Type COMM./IMD. MTSC. BUild.znqWo'rh Type TENANT FINISH -4} ~ ~ ..:e) \ ( 'f.:,. . . / ~~~,~~r;°,~,~r_ i:. ` Z/ ~ C~#\`_~!~~1 Ll REMARKS: SEPARATE PERMYTS ARE RE.qUIREp FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $3,000 Base Fee $54.00 Surcharge 1.50 Total Fee $55.50 CONTRACTOR: OWNER: - Applicant - VANDERAflRDE JOHN 3984 5I6lEY MEMORIAL HWY EAGAN MN 55122 (612)452-6485 I hereby acknowledge that I have read this application a-nd state that the information is cprrect and agree to pomply with all appl3cable State of Mn. L 5tatutes and City of Eagan Ordinances. I J"'~ ~ APP ICANT/PERMITEE SIGNATURE ISSUED B SI NATUR INSPECTIOI~ RECO" CITYOFEAGAN PERMITTYPE: auzLozNG 3830 Pilot Knob Road Permit Number: 023554 Eagan, Minnesota 55123 Date Issued: 0 5/ 10 / 94 (612) 681-4675 SITEADDRESS: Lor: si BLOCK: 6 APPLICANT: 3984 SIBLEY MEMORIAL HWY VANDERAARDE JpNN SECTION 19 (612) 452-6485 PERMIT SUBTYPE: TYPE OF WORK: COMM./IND. MYSC. TENANT FINISH DESCRIPTION (GRAND SLAM SPORTS) INSPECTION . FOOTING3 FRNMING RQUGH IN PLB6 ROUGH IN HTG FINAL PLBG FINAL HTG FINAL REMARKS: SEPARATE PERMITS ARE REQUIREp FtlR ANY PLUMBING OR ELECTRICAL WORK F- J L b ~ i:;: ~ I~'1@~'~~ • ~ CI'TY OF EAGAN 1994 BUILDING PERMIT APPLICATION h"A'! 0 4 199~ 681-4675 ~ A~.? O ' 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 Yaluation of work 3IacD Site Address: 14`"" SiREET SUfTE S` Tenant Name: (commercial only) LOT t L BLOCK SUBD. DI~t I PI P. I. D. # .tl eCn 14 - ~ Descri tion of work: The applicant is: El Owner ? Contractor ? Other (Describe) Name 4IA6VA~ Crc,n1t-C ~ ptiAI _ Phone Property LAST FiRST Owner qddress 39f~15~`b~.~,~ STREET STE N City State /1A N/ ZiP ,~SrZz Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address ' City 5tate Z1p Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of AppTicant: OFFICE USE ONLY t .l ,1 BUILDING PERMIT TYPE 4 ~`.;'w - a.:..µ ° - . 1 ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? lfi Basement finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 11 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Camm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace .@1'19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations PY 35 Tenant Finish ? 37 Demolish 0 32 Addition ? 34 Repair C1 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 ~139 Depth On-site sewage SAC Code 34 Census Bldg APPROVALS Census uiit o Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? .Site ? Footing 0 Framing ? Insulation ? Wallboard E] Final ? Draintile ? Fireplace Permit Fee vea,ot;a,: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 5AC Units I ' ' i I ! ~ I I I ' ~ ~ e~ i ~ ~i ~ I ~ i I I I ~ I I 41 ~ I I ' P I E j ~ 1 ! ; ~ i .~-ga-L'Yi^ 'r Lt. j) I I •I ~I I, ~ t I ~ ~ . ~ 1989 BQILDING PSEMIT APPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLING3 14 t 7 zo INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWN&R MI1ST DESIGNATE iiHICH ADDRSSS IS DESIRED. HO CHANGES WILL BE 9LLOWED ONCE BIIZLDING PERMIT IS I3SIIED. M[JLTIPLE DWELLINGS RENTAL UNITS FOR SALE OBITS # OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT., t SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS 3 198g To Be Used For: /09uRl S40 Valuation: ~3 U00- Date: aw- ~ 1BLEY MEMOpFAiL NWy, DFFICE i].SSE ONLY Site Address S Lot _ Block Oecupancy :13-2 FEES 2oning Parcel/Sub ~ D 01`7DO OS I C>Co Actual Const Bldg. Permit ,2N, o0 o tUe Roww Allowable Surcharge II, yF Owner ~e,e _/7]~ a~v~r~'fi /?'J,7~C9 .o,p Eift # of stories Plan Review 1 , Uo v eed,jeoh4 apP/'dy ae.? Length SAC, City Address /y,oj,_~ Gj/m3 /YJd, Depth SAC, MWCC S.F. Total Water Conn ( City/Zip Code Footprint S.F. Water Meter ! Aect. Deposit ~ On site sewage_ S/W Permit ~ rne R~ bc'~^Q~ ~site well _ S/W Surcharge ~ Contractor /fo.xK o~@eve.ne+~f C System = Treatment Pl. t}Uc• So, City water Road IInit Address PRV~required Park Ded. Booster Pump ` Copies ty/Zip Code oori ! 7~.1 4r ~ TOT9L 'i 11-6 6 9PPROVAIS Phone - ~ 14 TE~VL Planner 7~N,q+vT' C¢aRiC(l,4ls D~~RP d' 01/0 CounCil Bldg. Off. ~'1 2~23 Varianee Address 3~Z7- ~Si6L~y /y/Pj7, 21wy Couneil : City/Zip Code /'Ni, S~T^/ZZ Phone # 177y NOTE: Sewer & Water Permit fees and account deposit fees will be ineluded in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. _ , _ _ ' . _ I _ , ~ _ _ - - - - - , ~ , _ _ _ - - - I - ~ ; . . . - , ~ - -r~ ~ ~ ; ~ - - ~ ~ ~ S . m ~f I ~ I P 4 i I~: y , ! I I ~ 1 CN\\ I I l~ 1 I : ~ ZI. . ~ I' ' ` i ' I •r l. i P/ ...~.t•I ~ -al ' j ~ , ~ . { I i I ~ I ~ ~ ~ ~ i I ; ~ I ~ I ~ ~ f-~~ • 1`71 I ~ a - i --7.- - ~ - ; ~ ; ; ~QKy 12 ; ,6.. ~ aX~ ~jy ~jz ~+h-~~"51a55 ZnSu.~at;bn, l0 0190D 03a o b MASTER CARD LOCATION S/~~p, ~/'/P/?/1 3 908 c iy.iranlQi0 . OWNER STRUCTURE AND - LAND USED AS Issued io Permit No. Issued Contracror I Owner BUILDING PLUMBING CESSPOOt - SEPiIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER I Appraved Items (Initial) Date Remarks Distance Prom Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMWG TILE PIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUM8ING WELL SANITARY SEWER Violations Noted on Back COMMENTS: