3990 Sibley Memorial Hwy 7
Receipt PLUMBING PERMIT Permit No. ~
CITY OF EAGAN Fee
Fill i» numbered speces S/C
Type or Prini legibly
Tot. - a
1. Date 2. Installation Cost
39 O ;~1 ~ _ ~
3. Job Address 4-+) - Lot OZ~ Blk. C•-7 Tract,>`-L'
4. Owner
~
5. Contractor ~ U~~CT Cy ' b~ Phone
6. Address If
7. CitY State Zip
8. Building Type: Residential ? Commercial ~ Institutional O
9. Work Description: New O Add ? Alter ~ Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet , fp~ ^ Cesspool/Drainfield
Bath tubs U~d $eptic Tank
Lavatory 1 j. cr~ ~ Softner
Shower Well
/ .
Kitchen Sink ~r ~IL•~
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date ~ Insp. li-~
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN ~i
• - ' 3795 Pilat Kwob Road Eeyan, MN 55122 • ' ~ . 8674
PHONEs 454-8100
BUILDING PERMIT Receipt # ~
Te be used for I'ITERIOR !]•1';OUEL Est Volue $500.00 Date tlovember 17 . 19 33
Site Address 3990 Sibley Meaorial Highway
~20 Q7 Section 19 Erect ? Occupancy
Lot 81ock Sec/Sub. Alter Zoning
Parcel # 10-01900-020-07 Repoir ? Flre Zone
?
a Name ~~i::der k:ollege Steve S!E KloCksien) EnMo~large Type of Const.
O # Stories
z Addross 3405 Rosewood Lan2 pen,ol;st, p Length
Ci Plymoutki 55441 Phone 559-509$ Gmde p Depth Sq. Ft.
o Name uer Approvols Fees
ou I~ddreu Assessment Permit • ~
u~ Ci Phone Water 8 Sew. Surchorge
Police Plon check
~W Nome
Fi?e SAC
Address Erg. Water Conn.
<W Ci Phone Plonner Water Meter
Council Rood Unit
I hereby acknowledge that I hove read this npplicotion ond stote that gldfl. Off.
the informotion is correct and agree to comply with all opplicoble ^PC Tota) L~
State of Minnesota Stotutes and City of Eagon Ordirwnces.
Siynoture of Pertnittee
K er ho ef;e
A Bullding Permit Is issued to: on the express condition 1hat
eil work sholl be done in accordante with oli appliooble Stote of Minnesota 5tatutes ond City of Eayan Ordinances.
9uildinq Officiol _
~ , .
$
0
S
d
~ Z
~
~ ~ ~ ' a •
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CITY OF EAGAN
• 3795 Pilot Knob Road
Eagan, Minnesota 'i5122
Phone: 454-8100
)MCIi. PI.bl, pERMIT No. 38,
3/20l80
Dote: Receipt No.:
?q~ Sibley l.em. TT3pSingle I
Site Address: Residential
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Name T. E. Part ento
New/Alter./Repoir
~
g Address 390$ Sirl';r Cost of Instnllation ,ot IiBted
Ciry Phone: Permit Fee
Name PIIZ81 i,'CCi1,
Surclwrge
~
Address bA0 Kennebec lyri~.•~
~ ' '
City Phone: Total
This Permit is issued on the express condition thot oll work sholl be done in acwrdance with ell applicable State of
Minnesota Stotutes ond City of Eogan Ordinances.
Building 4tficial
,
CITY OF EAGAN . T. ~ Remarks~~'~ Gmvp AQa ~cifnn -~rrr (-t~atBr /Q~
Addition SeCtion 19 Lo v elk Parcel 10 01900 020 07
Ownerdu{ street -~470 .~~1L wA/ state EAGAN MN 55122
14-90.-CA&I"T
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
V STREET RESTOR. PO 0 1 roG 1975 $3628.40 $362.84 10
GRADING
~1 H . 9c
SAN SEW TRUNK
SEWER LATERAL 2a=
~
WATERMAIN
yt WATER LATERAL
*15 'WVATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
8UILDING PER.
SAC
PARK
CITY OF EAGAN 8674
3795 Filot Knob Rmd Eegon, MN S5121 •
PHONE: 434.8100 L OU ] Si
BUILDING PERMIT ' Receipt #
T. be u.ed fe. INTERIOR BEMODEL En, yal„e $500.00 Dore November 17 , ~q 83
Site Address 3990 Siblev Memorial Highway Erect ? Occuponcy
Lor 020 Block 07 Sec/Sub. Section 19 Alter U Zoninq
Parcel # 10-01900-020-07 Repatr ? Fire Zooe
Enlorge ? Type of Const.
m Name Kinder Kollege (Steve S$ Klocksien)Move ? # Srories
z Addreu 3405 Rosewood Laae pemorsh ? Length_
Ci Plymouth 55441 phane 559-5098 Grade ? Depth Sq. Ft.-
p Nome Owner APProvala Fees
Address Assessment Permit 11.50
~ Cit PFwne Water 8$ew. Surchorge .50
G Pollce Plan check
~ Nume
Fire SAC
Woter Conn.
.
x~ Address Enp.
<W Ci Phone Planner Water Meter
Council Rood Unit
I hereby ncknowledge thot I have read this apDlitation ond state that Bldg. Off.
ihe informotion is wrrect and agree to comply with all aOPlicoble APC Totol 12.00
Stata of Minnesota Statutes ond Ciry of Eogan Ordinnnces.
Signoture of PertniMee ~
Kinder Kollege
A Building Pertnit is issued to: ' on the express condition thn~
oll work shall be done in accordarxe with nll applicable,5t ofJ/Minnesoto tutes and Ciry oi Eagon Ordinances.
Buildinp Official
T ~
This reQuest voitl if„f~ lQ -0 `qQ ~-62.O ~ 3q~ Z S
18 months fram ~ ~
A ~25•c~p
FaquPSt Dafe Fire No. Nouph- inInspection
flequired, []ReaAY Now ~.'dIiLLPio~ity InsPe~.
d v'~ 3 ~y~~ ? No tor When NeadY
kj-iw o-Electrical Contrar.tor 1 hereby request ins0ection of above
? Owner electrical work insfalled ax:
Sveet AdAress, eox or Route o. CitY
3 ,o )
ectmn o. Township N;ime 94 No. Ranpe N. Com ~J / -
Ocw an(~PF~~T) Phone Ne.
C CY P ~j 0 t' G
Power $up0lier Atldress
Elecnic Co [rac or (CO~pny,Namo) Contractor'sLicense No.
(LG/~e-L I~U 7~
Mailiny Address ICO h c[or or Owner MakinP Ins[ailationl
Au~zed ' nal red onhactor/ w Making Installationi Ph -e Numbcr
MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOT
Griggs-Mitlwey Bldg. - Noom N-191 gE ACGEPTEO BV THE STATE 60AHD
UNLESS PqOPEH INSPECTION FEE IS
1827 UniversitV Ava.. St. Peul, MN 55104
Phnne 16121297-27t1 ENCLOSED.
. REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-oa
, Sae insimc[ions for compleling this torm on beck oi yellow copV. 13 "X" Below Work Covered by This Request ~.7q '7 Z S
NawfAdJFAep. TYpe of Builtling Appliancns wiraa Equipment Wiied
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
' Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace ~ Silo Unloatler
Industriai Bidg. Air Conditioner Bulk Miik Tank
Farm Other peci y OtherfSOac7fy)
ther SGecifv Other Other
Compute Inspection Fee Below
# F¢e Service Entrance Size }1 Fee Feeders/Su4laetlers p Fee Circuies
I 0 to 200 Amps D to 36 Am s :SP"C7 0 to 3D t\m 5
A6ove 200 qin o5 31 to 100 Ainps 31 to 100 A s
Swimming Pool Above 100_Amps a~
Transiormers Irrigation &)oms 6 PertiaL'Other Fee
Signs Special Inspection
TO l FEE
71 ~ ~ ~~~Z( - ard ti snand;~ ~a
floueh-in "D~y ?nspectoq heroby
certify thnt the 3bove
final nspection nas been
made.
Thla requeat void 18 monlne Irom
This reQUest vaid
18 months from q3~a~-. ~
a
47163 3.6
enuest Date Fire o. Pough-in Inspection
~ Requrzed? E]fteady Now ~otify InsPec-
~ ^~J ~ ~ / ?~as ~vo tor When Ready
censed ElecVical Contractoc I heraby reQUest insOectioo oi above
? Owne, electrical work installed at:
Street Address, eox or Route NoA." City
~9 @ b~~ /r'ten~ , ~ - ~ e~?a?~Y°XI-/~ ~-'A-~'a sYN
ecuon o. Township aine or No. Ranpe No. Coa t~.
Occupxnt (PpINT) Phone No.
IV/1- u T /
Power $upplie~ Address
fj,! S ~ '3<nrrs N14 s-c",
Electrir I C ntr ctor IComp y Name) Con[ractor's License No.
T~ _4~. y 4 -
Mailing Address (CoMmc[ r or Owner Makinp Installation)
t~ivn.
Authorized ig [ure ContractorCOwner Making 7ns[allaiiun) I Phone Number
I LS-z-is6 ~
MINNE OTA STATE 90AflO OF ELECTRIGITV THIS INSPECTION REUUEST WILL NOT
Grjggs-Midwey Bldg. - Room N-791 BE ACCEPTED BY THE STATE 80AND
1921 Unive,sity Ave.. St. Peul, MN 55106 UNLESS PpOPEP INSPECTION FEE IS
Phone (6121297-2117 ENCLOSED.
t~?i3a~ REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-oa
See inatmctions tof com0l66 n9 thisjorm on back of Ye Ilow copy.
A- A7 3 "X" Below Work Covered by This Relest
.4dd Neo. Typa of Buiiaing Appliances WiroO ~ Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
ApL Building Dryer Hectric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial 81dg. Air Conditioner 8ulk Milk Tank
Farm oin„, o,. v einf:,(suecnv)
1 er Sueci Y Other Other
ompute lnspection Fee Below
p Fee ServiceEntranceSize q iee Fenders/Subfeetlers M Fee Circuits
0 to 200 Am s 0 to 30 Am s 0 to 30 Am D
'2Gq Above 200~ptm)s 31 to 100 Amps 31 to 700 qm s
~ Swimmin Pool Above 100 'UAmps Above 100_Am s
Transiormers frrigation Boorris .'b Partial-'Other Fee
Signs Special Inspection $ merks TOT{y. F
Ae J ` $
J J
Fough-in the actricel
a Inspector, he,eby
erUly thel tha abave
Final inspection has been
! mede.
TUis requast voitl 18 monttu irom
Thisrepuestvoid 0<~ 67 -3, 2-,z - 7~
18 monO's from
~j Jku~8 2,Q` O tn
~pquest Date Fire No. RouPh-in InsDer.tian
Pec-
! ff. / Re9wrBA? []ReatlY Now EK-11 ReddY
i~ ?Ves ?No Ior Whe
icensed Elec[rical Contrac[or I herab
y request inspection of above
? Ow'Cr electrical work installed at
S reei Address, Box or R,o/ute No. . City
'1YYG 1-~t'~t~ I3~ ,ail l
I CA ecUon o. Township Name Or No. IianBe o. County
-D4/<G(4- •
Occupant(PflINT) Phone No.
iPgrr ,,rjk 4jd,~, i, r~.
Power $upPlier . Address
;-is 3000 ' r hWq. r3
Elec[ricel ConVactor IComOany Namel Conirector'S License No.
41jk (n,Y) E eo-/~rc. -ltC-- ~ 7?4-
MailinB Addre s (Contractor or Owner Makin0lnstailation)
go 3c Sf C°. z~i
Authorized SiBnature IConha~ct1o/r1n/Ow Making Inslallaiion) Phone mber /
Ca o , I f.t ~
MINNESOTA STATE 90ARD Of ELECTBICITY THIS INSPECTION REQUEST WILI NOT
OriBSS•Midway Bldo. - Noom N•191 BE ACCEPTED BV TNE STATE BOARD
1827 Uoiveraity Ava:, SL PauI..MN 66104 UNLESS PROPER INSPECTION PEE IS
e..--- ime, oo, o~, I ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
' See instmctions tor comple<ing this form on back oPyellow copv. "c~ VK/
X" 6L~Tow Work Covered Gy Thrs Request 3Z. 3-714
AddPP.f Type ol Builtling Appliances Wired Equinmant Wired
Home flange Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. Building Dryer Electric Heatin
Commercial BIAg. Fiimace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peciFy Orherl5per.ity)
t r Suecity thor Other
Compute lnspection Fee Belaw
N Fee SarvicaEntronee5iza H Fae FeeOers/Subfandere H Fee Circuits
0 to100Ams 0 to30Ams waoOto30Ams
/s Cp 101 to 200 qmps 31 to 100 qmps 31 to 100 qm s
Above 200 qinps Above 100-Amps A6ove 100-Amps
Transrormers Remote ConSrol Circ. Partial;'Other Fee
Signs I Special Inspection S jay-~ T A~EE~Pe/~SS~~ !J ~LL ~l~ be9N 3uSCJ O
Rough-in Da~ ^ the Elecvical
~3nspec[oq hereby
certity that tha »bove
Final Oale
cnon has been
mede.
This request voitl 18 ninnths lrom
U17C41
This request void I S months from ~c~ ~ 7~CoZ 7
Date of this Request s 38792
I, uP§.Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: c)
Street Address or Route No. ~tv_
Section Township Range ounty Which 1s occupied b&~ _43~9
(Name of Otcupanq
Is a roughin inspection reqmre n this job? No ? Yes ~ Ready NowX Will Call ?
Power Supplier S Address '
h .~Go `71
Electrical Contractor Contractor's License No. _
Mailing Address ~ / ~ ~y 7 pL~ s'i" ~pc~tl/ ' ~
trica -ontract ~ Ownar Makin This Ins[allatlon)~~
Authorized Signature ~ ' Phone No.
(Electrlcal G ltra or or Ownef Makln hls Installatlon)
1/~ ~j'~ ~ O n n ~i ~O~~,p This inspection request will not he eaepted hy tha
~J ~a (I ~r~~~S Q ~ State 8oard unless proper inspectian fee is enelosed.
Minnesota Swte Board of Electricity • /~~l.~a -7
1954_Vniversity Ave., St. Paul, Minn. 55104-Phone 645•7703 ~
EQUEST FOR ELECTRICAL INSPECTION ~ ~ ~
CH BELOW WOAK COVERED BY THIS REQUEST .
Type otBuilding New Add. Rep. Check Appliancea Wired For Chect Equipment Wued For
Home Range 1:1 Temporary Wiring ?
Dupldx Watex Heatei ? I,ighting Fixtuxes ?
Apt Bldg. Dryer ? Electric Heating ?
Commemial Bldg. ?'K ? Fumace ? Silo Unloader ?
Industri3i Bldg. ? Ai[ Conditioner Bulk Milk Tank ?
Fazm ? ? ? List List
Othec 0 ? ? Rereers~ Peheers~
~
Cf3MP[)TE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feede &S ~ s: # Fee Cucuits: # Fee
0 to 100 Am s. 0 ~ mi es 0 to 30 Am res O D: 0
101 to 200 Amps. 31 Am res 4be7 31 to 100 Am res j I QO
Above 200 Amps. Above ~N Amps. Above 100 Amps.
Transformers Remote Control Circ. Patdal oi other tee !50
Signs Special Ins ection Minimum fce S d
Remazks 'f' TOTAL P ~t ~ ~CJ
I, the Electrical Ins ec or, ere y c~fy th2~Jt' i~ abaCe~i ' been made. ~p -~7~
(Rough-in) Date /0
(Final) e
This request void 18 months from '
Q~ 55 CITY C~' EAGAN Include 2 sets of plans,
d~ ~ - 1 site plan w/elevations &
BUILDING PERM.IT APPLICATION 1 set of energy calcu].ations.
To se used For kDMm DE16aU G- Valuation 2,9670. Date
site Adaress 3990 S,'e~~v ,u~M. 1+wv oFFice usa CNLY
rAt sloctt sec./sub. -ttect occupar,cy
rarcei Ia -cAao oJo 0 7 Alter zoning L' S
Rapair Fire Zone
Raner: (9Cd9F L///3~.~00/1/ Enlarge _Type of Const.
/ # Stories
Address: /If;`( ps[iplish Fmnt ft.
city/zip coae: crdae - Deptn ft.
Phone APP%7VAiB Fb'ES
Contractor: Assessnents Permit '-00
Pddress: ldater/Sewer Surcharge ~
Police Plan Check
City/Zip Code: ZW6-fqljl Fire SAC
FY~g. Water Conn.
Phone Planner Water Meter
Arch./En9•: Council Rnad Uni.t
Bldg. Off.
Address: APC
City/Zip Code•
Phone TOTAL ~
cirr oF Er?caN
3795 Piloe Knob Raed Eogan, MN 55122 N4 5576
° PH6NE: 45¢8100
BUILDING PERMIT APPLICATION Rxeivt
To 6e umd fer RMDE1-1Wi Est. Value 2e000.00 pae 12/19/ , 193~
Slte Address 3990 Sibley Mem. Hwy. E~ ~ ~~~ncy A-3
Lot 81ock ~$ec/Sub. ~ Alter ~J Zoning C5C
10-01100-020-07 Repuir ? Fire Zorre IIS
Porcel #
Olaf Waldon Enlarge ? Type of Const.
w Name Move ? # Stories
Z Address (Fox'meP Mr. Steak) pemoitsh ? Front NA fr.
~ CI phone Grade ? Depth NA ft.
o Name Steven Parranto Aporove4 Feea
ot Address 17~V2 DeVelopment Assessment Permlt 9-00
V~ Ci Eagan, 55122phane 454-6463 `Nater&Sew. Surchorge i-nn
Police Plan check
Fw Name Fire SAC
i~ Addres Eng. Water Conn.
<w Cf Phone Planner Water Meter
Council
I hareby acknowledge thot I have read thls application and state that Bldg. Off.
the informotion ls correct and agree to wg with all applirnble APC To~~
State of Minnesota Stotutes of gon Ordira es.
Signature of Pertnitt ' J
A Building Permir is issued eo: even Parr t0 on the express rnndition that
oll work sFwll be dorre in accordance t '111- li I ate ot Minnesota StMutes nnd City of Eagon Ordinances.
Build'ing Official- ~
cirr oF Eac,AN
' 3795 Pllot Kno6 Raad Eagae, MN 55122 N2 5576
•f ' PHONF: 454-8100
BUILDING PERMIT Receipt #
~
To be used for - - Est. Value ~ . ~ ~ ^ • ~ ^ Date 19-
SMe Address ~q M Si'6127• H17. Erecc ? Ocwpancy
Lot Black ---~-Sec/Sub. / Alter ? Zonin9
Parcel # 10- 07701-020-07 Repoir ? Fire Zone
Enlarge ? Type of Consf.
w Name Move ? # Stories
; Address Demolish ? Front ft.
b Grade ? Depth ft.
Ci Phone
o Name ADDrovals Feea
o~ Address 3'7)•2 '-^-,clOn=i''nt Assessment Permit -
u~ Ci 'CR . 5'1?~ Phone 1: J1V-~~!F % Water & Sew. Surcharge '
F Police Plan check
Fw Name Fire SAC
~zAddrew Eng. Water Conn.
aw Ci Phone - Planner Water Meter
Council
I hereby acknowledge that I have read this application ond state that Bldg. Off.
the inTormation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
r
Signature of Permittee. ~ ~~r,-: n[.:.•~:Ti:O
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Stotutes and City of Eagan Ordinances.
Building Officiol
~ - :
Parmk # Dafa Issued PemMtn
Plumbing 3~50 0
Lnu~
Mechanical
INSPECTIONS DATE INSP. RougMln Final
Footings Date Inap. Date Insp.
Foundation Plumbing
Frame/ins. MecFwnical
Finol
Remarks:
EAGAN TOWNSHIP
~
~ BUILDING PERMIT 2318
Owaex ......A v..(..~..........`c.` Ea9aa Township
Address (precenl) ._~.9._.....°...~..~........".:" Towa Hall
Builder /--l_'........ . 3 0 70
. De:a ......91. . /
Addresa
DESCBIPTION
5iories To Be Used For Froa2 Depfh Heighf Esf. Cos! Pazmi! Fee Remeske
//G/ se-a I 79 d~1Kin/.F O._ Z--~-r2~
~
LOCATION
Slrae2, Aoad os olhax Deseriplloa oi Locafion I Lo! Slock Addifion or Trae!
,6~-C 11- h4~ I
This permit does not au2horise the use of slreets, roads, alleys ar sidewalks nor doea it give the owner or Lis egent
the rigbf !o crea2e any sifuaSion which is a nuisence or which presents a haaasd !o !he healfh, satefy, coaveaiencre and
general welfare fo anpone in the communilp.
THIS PERMIT MUST BE KEPT ON TH£ PAEMISE WFIILE THE WORK IS IN PROGAESS.
This is !o eerlify, ihat......!L~~.....~.~..~...-2•----------- haapermisaion !o ereet the ebove dene:ibed 4Lemise su6ject to the p=ovisions of the Suilding Ordiaanee fo: Eagan Township adopted Apsil 11,
1955. O ~
Per
v`..°.~.`.`._°-'
C~IF§ sman of Tnwn Board 4is ~3i . Building Inspec lor-•
~
cy \ ~
.
~
~ ~
~ ~
~ ~
~ ~
.
_ ~V
~
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERNffT APPLICATIO set of ener.c~! cal.culations.
'ib Be Used For 1'tMOV• Valuation 14002*41C Date kO/~ ~~3
site Adaress: `'Sm`1o S(PL:~y MR,r)wOFFICE USE ONLY
LotOZO B1ockC)j Sec./Sub..sEAtOVI Erect Occupancy
Parcel IU"'O(`lo O Alter ~ Zoning
Repair Fire Zone
Qsmer: STEUE \Enlarge Type of Const.
6 l,au~sk
Move # Stories
Address: ~.63,tiVccb LW Demolish Front ft.
City/Zip Code: R,l,/~(XJC~-} ~?lN Grade Depth ft.
Phone # : APPROVALS FEF'~S
0 wA €r
Contsactor: sments Permit ~ ~Sd
Acldress: Water/Sewer Surcharge ~ . sC:)
Police Plan Check
City/Zip Coclec Fire SAC
Phone En4• Water Conn.
Planner Water Meter
Arch./Eng.: Council Road Unit
Bldg. Off.
Address: APC
City/Zip Oode:
Phone # : 'LCYI'AI. ~ a ~
f t
~ ' l ' ~ ,
. ~ ~ . ~ •i , ~ 1 ~ ~ _ ~ ~
~
- ! - - `
~ 1
i ~ Fa~L~
.Ji~~AI~ ~ ~ Fc7-~~l -~~i:.~J• ;ry-.,..~.r ~~r~ ` ~ 3 -
0 t Qt2.E:Y _
Y ~
~ . k_V . . , ~ , . j . ~ . . ~ . . ~
F
..e ~ . :
f t<r - ~ . E
:BNK ~
• , J, i~ i
. y
_ r
~,_Gr=k IF
' - ~,~t~ ? ~ ~ ! ~
~
~
i; . . , .
,
p;•.; ~i.i(~- ,ti?td~ ~ ~ :
i'
I
i ,
,
Administrative offices at:
KINDER 3405 Rosewood Ln., Plymouth, MN 55441
Phone:559-5098
KOLLEGE
DAYCA•
10
~ 11e ~63
1q5Vj~--ClM wA5 VNDIL, u.-OJL4D l.~ow 'Pc-~As~ Z~v?~.~ `C{l~
~NSP~cc~ C,M C-u~ itn.uA'~tdJ f64-Nl
5~1DJt-D F1.1,-~ ~-IlS ~z-~~?L-'< <
tF L(N Y1~,* T-o G~~ n kcC!Fz--SS TU 1 Y15 ~ b`~ l Az L,cc~<. -TtO I S
LoU-A~D
,-c Z R-I~?~T. -LfiL~)O CAn l.Ja> °Cf~?~r.fL~
~ Lc
L?,h2 c0A1'1r?1v1 .
JI)RYLK- tfll 4~70L- +NL- C.G~ P~-rrC1cv) ~
A GOOD BEGINNING...
i
Beturn to: Seate of Kinnesota
, Departmene of Public lielfare -
Licensing Division
INYERACENCY REQUSST FOR INSPECI':Oti5 FOR Centennlal Office Suilding
St. Paul. Minnesota 55155
CROllf DAY CARE/DEVEI.DP?'1 TAL A~IEVE~1~T CENTERS
J~cal Health Inspector
~(fG T,~
3~Q5 P!u? ~D Local Suilding Code Znspector
64Ga#J IV PJ .+S'SrZZ' s~?t°c'l Ftre Inspeccor
FRDH: YVAAlN6 I~ l 'WVI"A-Licensing Consultant Date: ~
Prioz to issuing a license, verification is required ehat a facility !s in compliance uith
appropriate state or local coeles for health, building anO fire. Please.complete the
sppropria[e sectlon and return [o che Licensing Division vith any orders at[achee.. A aorv
of arders ahould be provided [o Che program. • ~
Day Care dgr Pro sed use: D.4^
NaTe of Facilit :
Phona :
Na~ne of Pro zam:
Ad~ress: •7
CGN' c y zip coun[
=!!t~~/.~
i
5 Phone: ~
CFD4AV34strecp, L5t it
Con[attprr'ress: Zi~,
L ~E ci[y
prea tobe use,': Nuribers anA Age Banges o° Participants: Facility p'ans io
BasemenC 6 vks. to 16 mos. il serve han?icappe,':
f~
Firs 16 mos. [0 22 qrs. ye
c N~
Secon~l ~ 2'~ yrs. to 6 yrs. ~
Other L I specify. 6 yrs. to 12 yrs.
over 12 yrs.
HEALTH RSQIJEST: [I Licensee Not licensed Aopl3cation le`t or m3ile,' :i N/'
No orders necessary a[ time of inspection 4lajor orAers issue?
Minor orders issueZ Major revisions needed before license can be issu^4
Date:. Com^ents: Reverse side.
Signature:
,~(r BUILDING CODE REQU£ST: [I Not applicable: facility 1s located in a non-e0de area of sta[e.
r~ Date of referenAum wte removing code requirements
Da [e : .
Signature and Title of Local Officlal
An lnspection is requizeA for all proposeA facilities located in a code area vhich invro?ved
neW conscruction, major renovating or chan e i_ occupancY i.e. any facillty not currently
used for the proposed usage. Inspections shall be in accordance vi[h the E-3 Occupancy
of [he Minneso[a Unifoxm Building Code.
Facility meets requtrements .
Facilicy does not meet requirements and cannot be occupleA until orders are met•
Facility does not rneet zequirements, but may temporarily be oeeupieti pending
completion of orders, until
Signature of Building CoOe InsQector:
Certificate Nianber: Date:,^_
Comnents: Reverse side.
~ FIRE CODE REQUEST: A fire inspecelon !s required foz all proposed facilities. ,
Facilities located in an area of the state under the Uniform BuilOing Code must meet the
E-3 occupancy requirements of thac code !n adAition to applicable fire coAe requitements.
(If ro[h codes adAress a apecific area, the UBC takes precedence ovez the fire code.)
FacilSties located in an area of the sta[e not under the Uniform Building Code musc meet
applicable fire code requirements.
In eSther instance, the Minnesota Uniform Fire Code applies.
Facility meets requirements of the fire code. Facillty does not meet requirements of the fire code and tannot be occupie~
until orders are met.
Facility does not meet requirhments, D-~t may temporarily be occuoied pendi-.--
eompletion of orders vntil •
Signa[ure of Fire Inspector: Date:
• e....
- Co^cnents: Belov. " CO!iMfE.`: TS:
, Return to: State of Minnesota
' • Department of Public Yelfare
Licensing Divlsion
INTERAC°.s1CY REQUEST POR INSPECt13l1S POR Centennial Office Building
CROUP DA CARE/DEDEI.OPM°.NTAL CHIEVEHEr12 CEN'fERS St. Paul, Minnesota 55155
TO. G~ ate/Local Health Inspector
~ cal Building Code Inspector
Sywtre(lncal Fire Inspector ~ ~
FROM: ~ Licensin Consultant Date:
Prior t issuing a lieense, ve ieation is required that a facili[y is in compliance vith
appropriate stete or local cacies for heatth, building anc! fire. Please eomplete the
approprlate sectlon and return to [he Lieensing Division vith any orders at[achea. A ao^v
of orders should be provitlefi to the program. Dac Care
Na~ne of Facility ~lv ~~~E Proposed use* DA~ ~
PhonA:
Name of Pco ram: ~
AdOress
street city ZiP coun[ti
/~D~v
Con[act Person ~PL~~oc~~cn`-t"~' "~~Aa.~,~, ~n ~~~e~(,` O
pr~~ress ~q0J+ 1~-~JiiwvviJ L)v YI..MV'^iL~.l ~.~`CY I~ stree[ ci[y z3c
Area to be use-': Nunbers ana Age Ranges o` Participan[s: Facility p!ans to
serve han?icappe~':
Basement rl 6 wks. to 16 mos. Yes
First 16 mos. to 2~ qrs•
-
Secon't ~ 2~ yrs. to 6 yrs. No
O[her specify 6 yrs. to 12 yrs•
over 12 yrs.
r~ ~ ~
HEALTH RE4ll5'ST: [J Licensed Not licensed I~ Application le.`t or maileA
No orders necessary a[ time of inspec[ion Major or0ers iswe? ,
Minor orders issued HaJor revisions needed before license can be issue-'
Date; ComTents:
Signature: -
r licable; facility is located in'q..rlWin-c e area of sta[e.
BUIL?INC COD., REQUEST: Not app ~
Dete of referendun wte removing code requiremencs
Signature and Title of Local Dfficial DaCe:
An Snspection is required for all proposed facilities located in a code area whicti invro!ved
nev construction, major renovating or chan e in occupancy i.e. any facillty not currently
used for the proposee usage. 2nspec[ions shall be in aecor!4ance with ehe £-3 Occupancy
of the Minnesota Uniform Building Code.
Fac111[y mee[s requirements
P Facili[y does not meet requirements and cannot be occupied until orders are mec.
Facllity does no[ mee[ zequirements, but may temQorarily be oetupleA pending
completion of oraers, until
Signature of BuilOing CoOe Inspector:
Certificate Nmnber: DaCe' ~
Comnents: Reverae side.
gIRE CODE REQUEST: A fire inspectiore is required for all proposeA facilitdes. ' .
FacSlltSes loca[ed in an area of the seate under the Aniform•Buitding Code must meet the
E-3 occupancy requirements of tha[ code Sn adAition to applicable fire coAe reqviremencs.
(If to[h codes adAress a specific area, the UBC takes precedence over [he fire code.)
Facilities loca[ed in an area of the state no[ under the Uniform Building Code musc meet
applicable fire code requirements.
In either lnstance, [he Minnesota Uniforn Fire Code applies.
Facility meets requiremenis of the fire code. Facili[y does no[ mee[ requiYements of the fire code and cannot be occupied
until orders are met.
Facility does not meet requirem=nts, b:t may temporarily be occupied penCi-.~
. completion of orders until
Signatnre of Fire Inspectoz: Date:
Co.^.snents: Belov.
co&r~.~.rs:
I~. ~
J4.7
0i9o0 oAo 07
EAGHId TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE• January 69 1971 NUMBER 690
OWNER• Mr. Steak Address 3990 Sibley Memorial Highway
PLUh1BER worv-.,t Ptixnhing .c wpar;ng TYPE OF PIPE cact iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dweliing No. of un£ta
~aac
Location of Connectiona: Connection Charge
Double Permit Fee 20.00 pd 1/6/71
Street Repaira
Total
Inspected by:
Date
Remarks•
By
Chief Inspeceor
In consideratlon of the isaue aad delivery to me of the above peLmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toc•mship, Dakota County, Minneaota
gy ~~./~1~~~~?
Wenzel Plumbing d HeatinA, Inc.
- 1955 Shaa_-ne Rnad,~ySt_ Pan 1 1
Pleaae notify when ready for.inapection and connection and hefore any portion
of the work ie cwered.
\
S9-C . / I
/4 01900 Da0 O7
EAGt1N TCIWNSHIP
3795 PiloC Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNIIT FOR WATER SERVICE CONNECTTON
Date: January 6, 1971 Number: 531
Billing Name: Mr_Steak Site Addresa: 3990 Sihlr+y Mcmnrial-_
H~°ohWgy
Owner: Mr. Steak Billing Address samn
Plumber: Wenzel Plumbine d Heatine Inc.
Location of Connection Meter Size Coaaection Chg.
ouble
Meter No.21129577 Permit Fee ?n nn aT 471
Meter Reading~ Meter Dep.
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence RE•DIJPEC! IF FLL i'OZ
t2ultiPle xo, vnits L;+'rl!3130?ERL`! IMSTAU[D iti~E-I'ERS.
Commercial xc
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tUe proposed work in accordance with the rules and
regulations of Eagan Towaship, Dakota County, Mlnnesota.
8,,:
Wenzel Plumbing d Heatinz, Inc.
Please notify the above office when ready for inspection and cottnecCion.
, ddIA #rtll tooo
- MASTER CA1tD
~ LOCATION V (
OWNER
STRUCTURE AND ~~i
IAND USED AS /F/ (r
f-'
Issued To
Permit No. issued Contractor Owner
BUILDING Y9 • ~ . p, 7 h
PLUMBING 41146, 20 AA)aM~Is
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
- L~
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
• Approved
Items (Initial) Date Remarks Distance From Well
FOOTING ~ ~ SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK -
CESSPOOL
DRAINFIELD ~
PLUMBING
WELL
SANITARY SEWER
..e-
N
~
11-11171 Violations Noted
on Back
GOMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS ~
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
~ ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
NON-COMPLIANCE. 6UILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION •
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the abwe in which I have no interest present or prospective, and that I have reported herein
all significant conditions oLserved to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS:
~
. ~iy
j0 ~~?oa o~a or
mc.,O.A.u.,,~
12
minnesota department: ofi heahth sA,,~~ ~
O 717 s.e. tlelaware st. minneapolis 55440
. . . ' . (612) 296-5221 CP . .
9 . ~ . . .
. . R
~A`y~'s~(C~+/~Y y+i~'
Av~t~y~oft ' . ~ . . _ . ~ . .
~ . ~ ~ • ' . ' .
~ boop f4p, Vols"r4 WA Rt+« n&%%Ws
= on wmkt"ti" of
~I!.
iioiI M
+rr~:~ OUS&W ftr
~ ~~!?~It~A.
's~ of #ta• ~IV61090. 1-t J* $WvQv*a*t amit V* re"tw~
sooooowy ~~~lea
9t'i~ ~r~ ~t e?~bl~~.~ ~at~. ~a~ ~ ~r w~
~a:'~' ~ `~~?~t~ ~e~~ E~,~ ~'it~'.~~~~~~~t'# ~
sky
- = A V" 9U ~ ~11i"tiAl" tO
Y" un" w reswo to' Ovr 144*vw0ti+~ *4**"vAd
*U* tir0vorvn
~~~~i~~ - ,
~ '~?~~'r
"ty ~ ~14"s P,,It, *
- "d
~4ae
; .
an equal opportunity employer ~_!3 . ~ ~ . . . . . . .
• - . ~ MI!v'NF.SOTA DEPeIFTMETT OF '3EALTH
Divisi.on of EnvircnmenEal Health
REPORT ON PLANS ' . . , . .
Plans and Specifications on Flurnuinr for Mr. SCeak Restaurant
Location Bagan
Date Ecamined July 6, 1979
Prepared and Submitted by LSdSP1 Engineers Inc., 814 Endicott on Fourth IiuildinQ,
St. Paul, Minnesota 55101
Dat^ Reccived June 22, 1979 Plan File No. A-4423
Owr:ership - James Deirning and John Flanagan, c/o RVK Architects, 349 Prior Ave. No.,
St. Paul, Minnesota 55104 Scope - This examination is limi.ted to the design of this particular project only and
inso°ar as t:ie provisions of the.:linnesota Plumbing Code, as amended, apply ar.d does
not cover the water supply or sewerage system to which this plumhing system is
connected.
Requirements -
1. Dishwashing Machines - Every dishwasher in a building for public use shall discharge
to the drainage system through an air gap. If a floor drain constructed without a
backwater valve is installed on the horizontal dishwasher branch, the dishwasher
may be connected directly to the drainage system. The water supply to any dishwasher
in which the supply opening is located below the spill line of the.machine should be
protected with a vacuum breaker (see A'IIID 127(1)(1) of the Plinnesota Plumbing Code).
2. Bar sink sha11 be properly vented. _
' Conclusion
These plans and specifications comply with the provisions of the Minnesota Plumbinq
Code, and are recommended for aoproval with the understanding as stated in the
preceding paragraohs, and with the usual reservations as stated on tne appended
sneet, entitled "Infor:.iation Relative to ?lan Examination." . ,
~ ~w..,~ ~ ~ ~~z•ti`R'-,I~
V _
' Paul T. Panagos, P.E.
Approved: ~ Public Health Engineer
Section ot Water Supply
and General L'ngineering
c~~%
1'a~1B. Johnson, P.E. Senior EnginBer
Section of Water Supply '
and General Engineering
' . 4
MINNESOTA DEPA1tT1NEI5T OF HEALTF?
Division of Environmental Health
Plumbing Inspections
Special care should be taken to insure that the material
and installation of the plumbiag 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 conplies
with the Code. Provisions should be made for applying an air
test at the time of the roughing-in inspection as outlined in
MFiD 134 of .the Code. In order to facilitate this work, there
is attached a sel£-addressed card which should be returned,
indicating the name of the pltmmbing contractor so that arrange-
ments can be made for the State Health Department to be notified
by him as to the time that the installation will be ready for
test and inspections.
No acceptance of the plumbing installation can be given until
the inspection and test of the roughing-in work (IED 134(d)(1)),
finished plumbing (MHD 134(d)(2)), and the inspection of the
completed installation have been made by a representative of the
State Health Department and found to be in acccrdance with the
provisions of the Code.
, MINPTESOTA DEYARTMEIdT OF HEALTH
Division of Environmental Health
Infosmation Relative to Plan Examination
The examination of plans and apecifications for water supply and sewerage ayatems
(Regulation MHD 136(a)), plumbing systems (Regulation MHI1 139(a)(1)), and
awimming pools (Regulation 111I3D 141(c)), is made to provide informatioa concerning
the sanitary features of projects presented for conaideraYion in accordance witr
the above regulations of the Commissioner of Health. The approval of such plans
is given upon the supposition that Yhe survey and other data on which the design
ie based are correct, and thaC necessary legal authority has been obtained to
construct the project. The respoaaibility for ttae design of structural featares
and the efficiency of equipment must be taken by the engineer or architect who
deaigns the project.
Watez supply plans are ex:.mined with regazd to the location, constructiou and
operational features of the deaign and maintenance of ali parta of the aystem which
may affect the safety and sanitary quality of the water. Exsminatioa is based on
the standards of this Department.
Plans of sewage disposal systems considered by this Department are limiYed to those
syatems that can utilize soil absorpYion. They are examined with regard to the
fea[ures of design which concern locatien, conetruction, operation and msiatenance
of the system and which may affect the public health. The examinstion is based
upon iafosmation contained in the bulletins entitled "Tentative Standarda for
Deaign of Small Sewage 6lorka," July 1962, and the recommended "Ordinance and Cade
Regulating Indxvidual Sewage Disposal System," 1971.
Plans on pluinbing systems axe examzned only insotar as the provisione of the
Minnesota Plumbing Code apply.
Swimming pool plane are examinzd with regard to the featurea of location and design
which may affect the safety and sanitary quality of the water for puhlic ba[hing.
The examination is based upon Regulation MFM 141, Public Swimning Pools.
The Conmissioner of Health reservea the right to withdrew his approval of plans if
construction of the project is not undertaken within a period of two years. The
fsct that plans have been approved by the Commisaioner of Health doea not
necessarily mean Chat recommendations for alterations or additione may not be
offered at some later time when changed conditions or advanced knowledge make
i.mprovements necessary.
. . . ^~.'~bD pis~? . . , . ' . . . . , . . - f:~ _ . . i;
. . f . ~
. ; . . . ' . _ - . 'Y
r minnesota department of healt:Yi" iy .
717 s.a. delaware si.` p.q. 6ox 9441 • minneapcl'rs 55440
.(672)6235000 . ' . . . , ; . .
_ . _ . - _ .
, . . ~ r~. . . ,r[3 '
. . . . . . . i. ' . . I. °.*w ` '
, ; . .
_ Y Y
. xove~[ber 270 7483: '
Mr. ~tovJF, [loelulea ~ • • t- ~ ` y ,'i
t fi Kin4 [ 11ege Da~y Care C"tsr
f ,
y l
~ Bttg~tn,
l~~m~90t.a 3122
. , . . . . . i x
~ t
IDear-:0k~, 1Clackele!!:
. ' . . . l . ".Y
~.sebj•et>: Fluoes~ roT R1AQOt XG~.3.lgil.l~iy`~lt'Y EoAYsQF xs,cdb.s~' •.s::
I~igan. i[#aa.a~t[ • :;„.t
•-4 , r. _ 'a ~
:~ie are: e~selaei~, a,~aap,~ c,f-aur report v~6rveriin;~, tf% d~mi~6Rke~r of,~r3a~ar' ,
and ie~teaffiaatl0as,. PA', Vue' a~Do9~t-du~ig~nated grvjeil.
. .
, c
Y05lP a~ttiR~LSoa Ss+ direated ~!A~ .aLLarsi~e9 9bEitep9F~E psrtiaatlljg t~="r -
l.n~ao~6n or E&a plwrbing.. it Sa lioipofLea~ ~aL'wi reesivs t~! i
SaPor~qnLian f.adiaated -ip ai*der, • tAYL lba
made: .r
" ?he Pl#aa qRd e1P~2fio#Libas'appoar Lo'"bd ~;n Qso_.t~f.ql eg~As;~z11iCi rri~h X
4he etegd~rae of tAib bapartaea~:. , Nd.en ~e RrRj ~a~L-:,a~?bs'~f~P3a~ep..,,P3,~e~-
o,omeun$~Ee wSth 'Char~a S. Sol~neiaer #it eet 1~b~i+o3,1~a4 DSst~4~t
OY~.ee 3!i 'MinreaaDo2le, 1e 0r4sr~°t,J~1t ha m4y ~ ~:~Pect+t~s~.,.G~.?
_ ,
Zf you kare any 4if.fpna in ray~aaQ ;>~s ths `issfacn+atiaa cotatideiee@ i„~L.;~4~'~ .
reporEr.Pleaoe aontect Mi1t Ha113n at.673/123-~514. X,•
; .
r
_ . . :
,
. ' 3 . . . . . . . a.~4 ~
. . - . . . . . . _ ' . . ? .
' ~ ; • . Wtr~"L. bnglUa4, ~Bs t~iff` ' ' •
, Eion c,~ .'`te~f'
~
. ~e9 ,,Q~{1!~#i2 1Sr~~l~}q~ ~ ~ vk , ,n <
_ _ - . 4 . .
"".BL~lk~R$110f
? ''q';.
co: ~a2e Peteraon, Plumbing -Inapw.tor
,
. ,
. -
' • ~ ~ ^
. . . . _ - . ,:s.r
. . . . ~ .
. . . . . . - -
. . . ~ ..i. . . `t,.i '
. an aqual •opPortunity emp(oyer
•
. - . . ' . . . . - . . _A
_
. MINNESOTA DEPARTME27T OF HEALTII
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on Plumbing for Kinder Kollege Day Care Center Kitchen
Location 3990 Sibley Pfe;norial High<<ay, Eagan, idinnesota
Date Examined Novem6er 4, 1983
Prepdred and Submitted by Steve Y,locksien
Date Received October 28, 1983 plan File vo. A-7271
Ownership - Steve Klocksien
3990 Sibley Memorial Highway, Eagan, Minnesota
Scope - This examination is limited to the design of this particular project only and
insofar as the provisions of the Minnesota Plumbing Code, as amended, apply and does not
cover the water supply or sewezage system to which this plumbing system is connected.
xequirements -
1. The three-compartment sink shall tiave 2-inch trap and drain lines, and 3/4-inch
water supply branch lines.
2. Provide vents to protect each trap at all fiYtures.
3. Piping materials shall comply with the Minnesota Plumbing Code.
4. The water piping systan shall be disinfected in accordance with MHD 130(g) of
the Pfinnesota Plumbing Code.
5. The plumbing system shall be tested in accordance with MHD 134(d) of the
, Minnesota Plumbing Code.
Conclusion
These plans and specifications comply with the provisions of the Minnesota Plumbing
Code, and are recommended for approval with the undetstanding as stated in the
preceding paragraphs, and with the usual reservations as stated on the appended
sheet, entitled "Information Relative to Plan Exa-nination."
. U';Il. 6 J `
Miltcn R. Bellin, P.E.
, Public Health Engineer
Section of 4Tater Supply
and General Engineering
4,41 _~~Gr9bo- p2o-O 7
/
' . minnesota department-of h ealth ` . 717 s.e. delaware st minneapo 4
~ y~ Qa. 3sew
...•(612).823-5000 : . . ' . . . _ " . . . . . . $ .SLtP~~11~::1~1001CiO~II . . . ' . . . . .
K~tas~ xo12a~ Tkfy l3m eaatat-
, a99ft 33biay NMNV3aT 8l,gh+mY . .
- Bigari.: tld ; 55m '
' Dsar I3~. t itr~. l~OOkq~4a ,
1988& nn J.stspl4+ti~ 1~1~ owdvcted oP tte Kiadtr
xo11ep tkqp Cers i'm#rr 1ecated at 9990 8iblsy`N"Mfal gighMay~ IIwnr s`
Vinsogota. iblo insqeciica xai oanatetsd to dateainiw, the Corr+.aueioas
¢s"eawy tc bs+inb tEts Paoility, iztto cdmDlisam with E2u1 8ai" bP tkt-r
. Deparumt gwwm1uK Daasaa8 !slab33ebntn'to. . T-M:lial],oxitig: iua U'i~s:~
triolatims nrrftQ nbich waat .be'. correaW: D9 the deoplian*6 is'bo.assipo~- ,
01. Assur~ that a12 ~ibod aer?iee tliqal.~ncnt ie it? goal +wwkiag srdo*~ .
sad D'mtar,ti~v tp to t'hs, is~ter•,* uperati6n" trlteaia, lwaFora='
. bsgiM1ft'Mith fond aersicrcpaMtiesta (le.a. re!'rigaator.`'VMMSO.
. eta.). . ,
OSt. Hipair ail tron.~E'and a38e expond arMas oP kitcheu acuatars by
sppljrbg ~ap~lnttia lawtoaN wa~ai~]~. and fisiiabla8 tberi. ~:aee
x~S~ '~L!eYw++f"~•. , . . . ,F 4'k
' _ . . . . . . . . . , . . t . .
03. Pinatsrs tAet whhm.LLe Pvmbitat of efttllv33t; Sar+ drY 61oraP of` .
foed 3tmr'is aad*,tha# salfiotnat 9"l,riag Sa providid to:
, aeaiae tlmt e:21 £m8 eontaiavrs ars starO a, aieimnm IIe3l~?t of
sis ineheg fsoa ttsb floor. ALsoo tba sCtiTv3aivrovidod' %uat
spat tha acaaQarde of nopetpnctim of tlis >ftticaal Suitatton`
. Fb~ndstion (NSP),
. F~. &tal nll annstlar openiQo ist velle ead otber mtrudtttres +dsav
pigws and catiduito pass ehrcu6l? so Os ta!s13a3:?ate Dat"xtlel .
ineeet and . radeat harharap Arrae.
QS. The mc2ran9.esl veaEi3atfoa axbatsst"c3aoP7? wEioD xas tae~sl7.e~'`
does aot eomfarrm with Standard No. 2 t4snoPiee and AooQSS of tbs
HI6P. '!he axietipg caadpy muet be- remored froa tba' ~eSRc~ea aad .
neplaoed vith me vhinb sae4s1hE,staridaIIds of aasstrueEioa of
the W. Additi.oaally, the z"uirosouts ot the eity of &e8na
BufLd`3ag Cod* aud.Pitrr oodo eannvixg monarsW kitchm vom4L'w1t3,9n.
sy$tems must alm be net. 0oxv1y Dy Fs*Uis:9'1. 1984,
081install a sp3asli a3iiQ3.d betgeaai tke claan er1 drainDoerA oiv tYa.
fi'htw ormpapumt utoaeil alaaAfti" sisk aad the` a!ljaceat _bead-
MsDin6 Sa*aCaa'Y•
. ,
`
07. Prav3d+s aony es8 iin82e bbx-et" towlm at t!r t?sndrlhtng.
"2a4atostss Si? tihe kitahsn_and totLst=r.omU.
an equal opportunity employer
t9r. & rtrs. stephen Ktoeksetn
3aauarq 13, 1984
Page 2
08. Eusure that a31 fixtures in the empYayaes toilet room are3 in
good wvrkfu,g order and the €o11oW3ng items are correated before
placin$ rthie facilitq into service:
a) conduet a thorough arsd eomplete eleania$ to the enti.re
toi.let rooLa;
Dp provi3e fiot and cold xater teapered bp meaas af a nfx3n$
valva or a aambination faucet 3t the tandaaching lavatorp;
a) repain the inoperabla ventilation;
d) Provide a ooeered craste receptaele; and
e) Qravids soap aad siug2e service taweia.
09. Sustall a coved haae ti.le aL alI xall-floor jcunatures in the
kitclen area as discvesed.
10. Rspair the ecall im the frollowing axreas as directedc
a) resaaae the oedar shakes from the side eral2s at the paas-
throu$h azid provide a smooth, easily aleanahle, snd noa-
absorbeat w81i surPace in that area;
h) iastail rt mnra durab7.o wall surPaee behind the three compart-
r-ent utensi], clsaasimg s3sxk and the kitchen hands+ashing
iswator}*. The application oF ceramic tile os Glaeboxwl caall
gaael is re+ao=ended;
c) ias2aii an approved back aad side splash shteld behiad the
kitchsu range. The materiel ussd muat be duraDle, easiZy
clsanable, non-absortxaaat and capable of withstanding ieat
extrames. A eustam fabTieafed stainleas steal splash ahield
ic reeommended far #his area.
11. JIt is ots uaderstanding that an existing raoa wi21 aventually hc
aasverted to a remote dry faod storcroom. Ahen e£fectiug chauges
to this room, assura that the follo+ring conditioas ure met:
a) s21 skoresoem shelving meets NSF stendards of construeticm;
b) that f,loos covmring material used meets this Departmeat's
mioimwe requiremente of being 1/8 iuch cor.merci.al gra3e
thickuess, smooth, grease reeistazai, viuyl os vYayl asl»stos
tile;
c) that a correspoad£ng coved t11e be iastalled a# the fiaor-
ltdll iLII30tLLPE8-,
d) that the concrete blaak wal:i ?,e initially sea3ad -oith a block
sealer and thea painted daith a light co2ored, high glaae,
aname2 paiat or epo:cy resin material so aa to pra3une a mi.nimum
oF an "arW$e peel" s•.irfaqe;
e) that the remining wa].ls taud ceiling laave $ypsum board
apT•litd; be tape8 aad painte3 as 1a8isated in itefa (k;
f) that ahieldad or enclosed lightiag af at least 10 foot
caadles be provide3 in a11 areas of the stareroom.
14r. & F4rs. Step3sea Klockaeia
Jaauary 13, 1984
Page 3
9"he Foregoiag items must be corrected bq Februsry 1, 1984, ualess
otherxisa noted. A reinspect3aa will be coaducted oa ar imadiately
after that date to determiae if satisfactory compliance has been achieved.
Additionalip, wse vi].l evaluata the prppoaed reinstallation of the
jmitoris2 stak and washer aad drpes fac3.lities at this tims.
Please 2dota. Na xill permit the canEtauation af 4ood service
activities duriug the rapl.acemant of the canopy with the foilowisrg
stigulations:
a) thai constnuetfoa acCivities she11 no# be oagoing during
periods o£ food greparatioa activity in the kftchea; and
b} that i`ood aerv3ce to inciude the tttarmali2aiion of faod
items be rmetricted to a minimusn to preclude the generation
of exaeesive greasee, odars, condeneation, fumes, $ases, or
patential f4ra haserde.
Yf qou have anq questioas cmceraing this report, please €eel free
to cammunieate with me at (612) 628-5558.
Youra very truly,
James J. Nitkovs3ci, R.S.
CHS Cansultin$ Sanitarlan
Seation of EYsvironmeatai P3eId Services
JJW:m't
cc:al.e Peterson, City of Eagan
Y.ronne Dovick, MN Department of Helfare
minnesota department of health
717 s.e. delaware st. minneapolis 55440
O (612) 496,5221
~'~ii~ YDt ~3EY\~
3
<Wt) 1°nWftbzc
aJe s3~e 'Md+aaft ca eopg eaf Qur ;mprrxt ctrv'g~:jna ax exa~,..iuwz oY Pf;M ag~z"i s€Pc.a~ft"tjstka
oxi CNO a~:aas~~~,ea4~at~u roiect. ~Usz encSawcl ia A ciDpy as` 33sa :.=t aivA Y'-AAr"&tw
28Y4u' tts bv fOmw~ to t33fj PStrj~ a;^ntF.
TOW Uc=EiM i,s c3uvciea 3o Qe a#tnei&tz atatb~'-.fmt Perw-Ans £p 3sw4etSou
aY E:-V ~a?t~:<,~:r~. It iSt 5.:a~tfAAt RLlat :va uscdre We !MfO-:°"tfOa 44404fra! a-n
sa=w UW1 Ewe sasc*U46-Y ;asgaeti= ~Zay ~-t ,.:~a4e.
'."M i:1us mf VpQdftatw~zs ame&r Sv;AS iz 'gmners4 Ocn#on:ruar.e vlk'a tt4 str~d&rds
xa# t;~ia o3ap~s~t:ae~t. "r•.~a t:~e r.rYjeet 4a w.tt
iaa axa1o,. Ua ^.N vay .aalt finst ixoqgeetim
S8 yvcs zaT+a =y TAMticaa #sa ~:,;za to t:zo warn:at'a?sn Oat*}u~.a'iu 4>As raj~mta
rlEepere r.smact2aaJ T. vgn44-06 at (6 ; L) 3t315°ran4.
%'cY:k,YS FL.a7 Mr
(mrYL. eMJvf32'"y r-~em+y
~1.`ecffn {Af 'c'raw- 4tv;ly
K-`vdL9r=*m
ett Uov# F'ani#ma. ~Yer
iiiP1L 4.:=zra~ Co`$+'#Tw
".:.'3)$ I-V~:.'Stl?'A
bsk$Ct9v v"'
an equal opportunity employer sjIb.@
- ~
00268
Council Minutes
September 20, 1983
~
PARR RIDGE TRONR tiIATERMAIN - ROBERT B. LEHIS SANITAR% SEfiEEt
CONTRACP #83--13
Bids have been received for Contract #83-13 and it is recommended the low
bidder, S. M. Hentges & Sons with the total base bid of $45,725.00 be
approved. Egan moved, Wachter seconded the motion to approve the lou bid and
award the contract to S. M. Hentges & Sons. All voted yes.
MARJOffiE J. BRANDT - WAZVSR OF PLAT
The application of MarJorie Brandt for waiver of plat covering Lots 4 and
5, Block 1, Country Home Heights Addition to shift the center lot line between
the lots was presented to the Council. Mrs. Brandt was present and indicated
that her intent was to ehange the line to include the garage on the lot with
the house. The APC recommended approval subject to conditions, and upon
motion by Wachter, seconded Egan, it was resolved that the application be
approved subject to the following:
1. All necessary easements shall be dedicated to the City as recom-
mended by City staff.
2. All applicable ordinances shall be complied trith.
All voted yes. R 83-58
0' U 7
BINDER KOLLECB - CONDITIONAL IISE PERMIT
The application of Kinder Kollege, Znc.'for conditional use permit to
allow day care facility in the former Mr. Steak Restaurant in the Cedarvale
area was presented to the Council. The Advisory Planning Commission at its
meeting on August 23, 1983 recommended approval of the application, subject to
certain p'rovisions. A representative of the applicant was present and
answered questions of Councilmembers. Councilman Egan queried whether a
shopping center is an appropriate location and it was noted that the Silvzr
Bell Shopping Center location where a Montesorri School was proposed included
a play area where the main traffic pattern around the building would have
taken place. After discussion, Wachter moved, Egan seconded the motion to
approve the application sub,ject to the following conditions:
1. The hours of operation shall be from 6:00 a.m. to 6:00 p.m., Monday
through Friday.
2. This use shall meet all State licensing requirements.
3. This proposed newly-created 1ot shall Se sub,ject to the Park Comm:s-
sion's review and com:nent.
4. All aoplicable City Ordinances sha11 be met.
All voted yes.
8
f- ~
lis~cth 7, 199g
8tewo Parrea~~~ and '
Riak ltraau
alc Weaxe1 P'lvmbing
snd ldeating# Inc.
$600 Kenz+ebea Drive
Eagan, Misneaota 56124
Dear $irgz
Rez Platns And 5pec3fiaetiana 4n Plumb3,npt fer 2dicole StatfaA
Naw 8ar Add3.t3on, Eagan, M$nnesota
'"We are enclosiag s capq vf aur repcart +acvering an tmaa3.natimz of
pJans and spxeifieat3.ons on #he abone-dQeignated psojeet.
Your attenti0n is. directed to the attashwd etaetexient peratining
td fnspeet3en of the plumb3.ng. It is 3anpurtant that we receive
tb4 infox+mataon 3ndieated i.n csrder thexC the neesaeary anepeetic+rte
may be ma4e.
If yoti hava ung Quas64ons in rogard to thm i.nfeFina#ion mentafmQd
3n. t#tiR rapQrt, pY.aas* csontact TrswA PBnages at 813/296-5828,
. 7C9wIR VItFy tlr't9$9,
gtli 7.~f
S@O'timn of G1Ettir S1Apply 7t7Sd
ft610AUrO* '
@+sf Wt#rzbl I>1umb37tq attd Reat3,ngs Sttw.
Aa2~s Pat+erson, PimAin Ynspeator 12 1
11 f ~ ~
086,
. - t ~ . A .
'1Y
. t '
/
MINNESOTA DEPARTMENT OF FIEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and Specifications on plnmhing for ?u;rniG srarion NPw nar naaition
LoCation F.aaan. Minnesota
Date Examined December 31. 1979
Prepared and Submitted by Wenzel Plumbinq and xeatinq, Znc., 3600 Kennebec Drive,
Ea an, Minnesota 55122
Date Received December 28, 1979 Plan File No. A-4751
Ownership - Steve Parranto and Rick Kraus, c/o Wenzel Plumbing and Heatir,g, Inc.,
3600 Kennebec Drive, Eagan, Minnesota 55122
Scope - This examination is limited to the design of this particular project only
and insofar as the previsions of the Minnesota Plumbing Code, as amended, apply and
does not cover the water supply or sewerage system to which this plumhing system is
connected.
Conclusion
These plans and specifications comply with the provisions of the Minnesota Plumbing
Code, and are recommended for approval with the understanding as stated in the
preceding paragraph, and with the usual reservations as stated on the appended
sheet entitled, "Information Relative to Plan Examination."
~
, Paul T. Panagos, P.E.
Public Health Engineer
Section of Water Supply
A proved: and General Engineering
}`~y
(E-Lti. • ~ CL~ : ' .
'Paul B. ~ohnson, P.E~
Senior Engineer
Section of Water Supply
and General Engineering . ,
. 8
. MINNESOTA DEPARTASENT OF HEALTH -
R, Division of Enviror.mental xealth
REPORT ON PLANS -
Plans and specifications on Plumbino for."-Nicols StationiNew Bar Addition
Location_gazon. Minnesota
nate Examinea December 31; 1979
Preparea and submittea by Wenzel Plumbing and Heating, Inc.
3600 Kennebec Drive, Eagan, Minnesota 55122
Date Received December 28, 1979 Plan File No. A-4751
ownership - Steve Parranta an3 RicY. Kraus
Scope - This examination is limited to the design of this particular project only and
insofar as thP provisions of the :Iinnesota Plumbing Code, as amended, apply and does
not cover the water supply or sewerage system to which this plumbing system is
connected.
}~4C~3?7FJF5@~6XxX " .
Conclusion
~ These glans and specifications comply with the provisions of the Minnesota Plumbing
Code, and are recommended for approval with the understanding as stated in the
preceding paragraphs, and with the usual reservations as stated on the appended
sheet, entitled "information Relative to Plan Examination."
+ ~ Qaul T. Panagos, P.E.
Public Health.Engineer
Section of Water Supply
and General Engineering
4
M2NNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
Information Relative to Piaa Examination
The esamiaation of plans and epecifieations for water eupplp and eewerage ayetema
(Regulatioa MHD 136(a)), plumbing aqateme (Regulation MHD 139(a)(1)), and
awimming poola (Regulation MfID 141(c)), is made to provide information concerning
the sanitary featurea of projecta preaented for coneideration ia accordance with
the above regulations of the Conmiaeionez of Aealth. The approval of euch plans
is given upon the euppoaition that the survey and other data on which the deaign
is 6ased are correct, and that necessary legal suthoritq has beea obtsined to
construct the project. Tbe responsibility for the design of structural featurea
and the efficiency of equipment must be taken by the engineer or architect who
designs the project.
Water supply plans are examined with regard to the loca[ion, conatruction and
operational features of the design and maintenance of all parte of the system which
may affect tbe safety and sanitary qualitq of the vater. Examination is baeed on
the etandarde of this Department.
Plans of se'.Jage dieposal syeteme considered by this Depaztment are limited to thoae
eyateme that can utilize soil abaorption. They are examined with regard to the
festuree of design which coneern location, conetructioa, operation and maintenance
of t6e aqstem and which map affect the public health. The acaminstion ia based
upon infoimation contained in the bulletins entitled "Tentative Standards for
Deaign of Small Sewage Worka," July 1962, and the recommended "Ordinance and Code
Regulating Isdividual Sewage Dieposal Syatea," 1971.
Plans on pluinbing eystems are exemined only i.neofar as the pronisione of the
Minnesota Plumbing Code applq.
Swimming pool plans are examined with regard to Che features of location and desi.gn
which may affect tbe safety and sanitary qualitp of the vater for public bathing.
The exmmination is based upon Regulatioa MFID 141, Publie Swimming Pools.
The Commiasioner of Health reserves the right to withdrew hie apQroval of pians if
consttuction of the project ia not undertaken within a period of two years. The
fact that plana have been apprwed by the Cammiseioner of Health doee not
necessarilq mean that recommendati.ons for alterations or additioas may not be
offered at some later time vhen chauged conditioas or advaneed knavledge make
improvements aecessary.
{ '1 . . . . . . . r'
. MINNESOTA DEPARTMENT OF HEALTH ' - .Division of Environmenta: Iiealth . REPORT ON PLANS
Plans and specificacions on Plumbing for Nicols Station New Bar Addition
Location Faeon. Minnesota
Date Examined December 31, 1974
Prepared an8 submittea by Wenzel Plumbing and Heating, Inc.
3600 Kennebec Drive, Eagan, Minnesota 55122
Date F.eceived December 28, 1979 Plan File No. p-4751
ownership - Steve Parranta and Rick Kraus
Scope - This examination is limited to the design of this particular project only and
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.
$~~2-~~alXasxxx .
Conclusion .
These plans and specifications comply with the provisions of the Minnesota Plunbing
Code, and are recommended for approval with the understanding as stated in the
preceding paragraphs, and with the usual reservations as stated on the appended
sheet, entitled "Information Relative to Plan Examination."
~ Paul T. Panagos, P.E.
public Health Engineer
Section of Water Supply
and General Engineering
. . .
4
7 ~
minnesota department of health
O 717 s.e. delaware st. minneapolis 55440
(612) 296d241 ,
3600 eAm4$IfOe iutlsb
~rmfii~sksant
ka@t klUmb'17fg fOY MC'dlf SLBYii>A .`49vr uaY' aJ4&t3OTti d,d&=
We aeO +4u8iosing a empy uY mix. xogun4 comina an ex=faatsoa ai apq+dflMtfwas
cri t'6s ueacsre-d*WpAtea lwojact. lsba 6uc10ss4 fc u wpy ai !ho rapmt acu re=omktW
iattaa eo Le torwmrdad to tiAm projact naner.
I 'asm mtteatf+,n as directed to th+s attacu$e piaaxemerat prrxtatiing to iuvpKticwu
a' i.hr g,luAbM&. It it 9-AyOrSattt ti:ac ^Q IeeMmirO tas i¢frfM:sC#Ou 1.4ac&erad JU
ardcr tmat t.e nresury fispoatf€m Ezsytss9 =na.
°.:'ac yrd,aaa assal 4ecfltegtions agpqar trc ~e fa geaurai ceAtansau" with efae staft4atft
of thia+ Dsgartusent, .4:'4u t3ae V&Vjeat fa cmaplttsaS, pYem csmmtaa3aate wifils
J42 Ai ttizon%k4 Siutftu3m £s auc L3ti'4artct ut'tkee in . i,nftagQiis~
in orter taa4 bts r.W fta3 iu"etiem,
U Yaia :;aava ataq quesRiaat t,n taw'.asu Eo tue Lntor~~,ation c"falutu Sn this av;A*;,
p2e"e oontAct s7E1Ll T. r$RBv.S f1$ (bkZ) 296"53"M
t:ary:o~ 'p.$4s
:ect$~ou of *ater StIPglp
4sao- cymarsi Ea~iss
radonw"
. eGe s&te'+e ktvaots, ownmr
"ck z:r:c^ or*:cw ?
Dste Pedesw"
La%an :-UmblU hrgsaetmae
an equal opporfunity amployer qMjP@
. .
, MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
. ~REPORT ON PLANS
Pians and Specifications on Plumbing Por Nicols Station New Bar Addition
Location Eagon, MiririOSOta
Date Examinea Deeamber 31, 1979
Prepared ana submitted by Wenzel Plumbing and Heating, Inc.
3600 Kennebec Drive, Eagan, Nlinnesota 55122
nate xeceivea Deeember 28, 1979 plan File rro. A-4751-
Ownersnip - StC'VB Parranta and Rick Kraus
Scope - This examination is limited to the design of this particular project only and
insofar as the provisions of the Minnesota Plumbing Code, as amended, aF~)ly and does
not cover the water supply or seweraqe system to which this plumbing system is
connected.
8~q~z~~xxx
Conclusion
These plans and specifications comply with the orovisions of the Aii.nnesota Plumbing
Code, and are recommended for approval with the understanding as stated in the
precediag paragraphs, and wit, the usuai resercatior,s as statea on che appended
sheet, entitled "Information Relative to Plan Bxamination." ~z Paul T. Psnagos, P.E.
Public Health Fngineer
Section of Water Supply
and General Engineering
4
' . MI*INESOTA DEPARTM£NT OF HEA:,TH
Division of Environmental Health ' . .
REPORT ON PLANS
Plans and specifications on Plumbing for Nicols Station New Bar Addition
LocationEagon. Minnesota• -
Date Examinea December 3.1; 1979
Prepared and submitted by Wenzel Plumbing and Heating, Inc.
3600 Kennebec Drive, Eagan, Minnesota 55122
Date Received DeCember 28, 1979 Plan File No. A-4751
Ownership - Steve Parranta and Rick Kraus
Scope - This examination is limited to the design of this particular project only and
insofar as thP provisions of the Minnesota Plambing Code, as amended, apply and does
not cover the water supply or sewerage system to which this plumbing system is
connected.
~9C~7F&s~~]C.~sXxX -
Conclusion
These plans and specifications comply with the provisions of the Minnesota Plwnbing
Code, an3 are reco:nmended £cr approval with the undersLanding as stated in the
preceding paragraphs, and with the usual reservations as stated on the appended
sheet, entitled "Information Relative to Plan Examination."
~ Paul T. Panagos, P.E.
kublic Health Engineer
Sectiori of Water Supply
and General Engineering
4
. , ;
minnesota department of health
717 s.e. delaware st. minneapolis 55440
O (612) 296-522I
L>aq Ys i~ie~n
mJeSSse1 14umbia$ uud 's€8ating' Tuc.
3400 W emeebea urfve
Eugnnj E,.,-funeamtm $51r6
ixentfezaena
s::et Plumbiag tot t+;9cots "atatiau :3ew var Ar;atfan= Za&aa
idc arQ trac,tastiZ a coPy of a°as xeport care•.iziz an esa=inaeion o£ pJas&s ansd spedficaGiom
on the a:aove,3eaiguatstf prtject. Alae enclvssd ae a capy ai tile fepaat axul traaswi4ta3
Zetter 'Co'ba Ytwwardaui to tbe prejascA esSCaer.
Itaus stteoticsrx is cttaveted ta tkce attacked statement pertabAng 4o iuspestima
oY the g+lta:aiain& YY id ffc:+part=t tita.4 wa Mtaiva tite °.MfMtsta4itru aadittited 9sa
arEtw Wat the neceasarq bispect€oa ataq bs .naitc.
14je ysiazs aaft Vocii$cat9cna a~.*diear to oe 3n Zenerai con£orraartce cvIt?a ttl.:e atandardw
off thia L-Myatrt:aeat: ,4hea the gLaject is eo=pietedo PEeaea couaos+OMicate Willz
3Ls ti; itssas; eki, Sanftaa4a:a ia ow;'Letre}salatsss r4stricY a?ifiee Sn=, AnuexpoL*
in ancter tbat 3s nsay~ makca ifnal €aspect3fln.
YY yot4 naee aaxy qusatiaae b aegasa to t:w iutorn.atioa contaia: tin tt:ia s'e}wrts
p3ea8e eerntatc8 w'au1 T. kam;yos at (bA?) 29°a-532&.
'i ausu„s vary trurg,
Gasy L. Ea;2undo 2.14; U5e4
uectiaa o# rraler 3zspp3gr
aad aeacrat ingsaeeriag
mmcloswxm
ec~ Steve.-Fawanta, Gwner ?
23ci: 4taus? unnw
L'aie Petemur+
Lapu iAomGbis Tisap+tetor
en equal opportunity employer .4EDo.@
-~qq
minnesota department of health
O 717 s.e. delaware st. minneapolis 55440
(6121 296-5221
. May 1, 1980
Wenzel Plumbing and Heating, Inc.
3600 Kennebec Drive
Eagan, Minnesota 55122 .
Gentlemen:
Re: Plumbing for Nicols Station New Baz Addition, Eagan
We are enclosittg 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 forwazded to the project owner.
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 appeaz to be in general conformance with the standazds
of this Depaztment. When the project is completed, please communicate with
Jim Witkowski, Sanitarian in our Metropolitan District Office in Minneapolis,
in order that he may make final inspection.
If you have any questions in regard to the information contained in this report,
please contact Paul T. Panagos at (612) 296-5326.
Yours very truly,
~SL/CZ'w~
Gary L. Englund, P.E., Chief
Section of Water Supply
and General Engineerixig
Enclosures. ,
cc: Steve Pazranta, Owner
Ric& Kraus, Owner
Dale Peterson
Eagan Plumbing Inspector
an equal opportunity employer O
b[EMO TO: DIRECTOR OF FINANCE VAN OVERBEKE
FROM: CITY ADMINISTRATOR HEDGES
DATE: JUNE 17, 1981
SUBJECT: WATER BILL FOR NICOLS STATION
A Mr. Waldeland (telephone 831-2727) who is the owner of the building for-
merly occupied by Nicols Station contacted this office this morning and
had several questions regarding a final water and sewer billing that he
received recently for Nicols Station. His questions were as follows:
1. Was there a deposit that the final billing should have been sub-
tracted from?
2. Why is a final bill received for utilities one year after the busiriess
closed?
3. How diligent was the City in attempting to collect the bill, realizing
that Nicols Station had filed bankruptcy during the summer of 1980?
4. According to Mr. W aldeland in a conversation with Mrs. Olson,
there were to be bills received during the year; however, the only
billing received w as a recent bill.
Could you follow up on this matter with Lorna Olson and then resolve the
• issue with Mr. Waldeland the early part of next week. He will be expecting
a telephone call on June 22 or 23.
Keep me posted!
c
ity A ministrator
. ,
BEA BLOMOIIIST THOMHS NEDGES
?fi)ON ' . Cli~ AOMCiI$IFTIUR
. THOMAS [GPN C~~y OFEAGAN - °`"`E eOLkE
MARK PARRANiO Cliv CLEPH
JA6iE5 A SMlin . . .
iHEODORE WACHiER 3796 PILOT KNOB ROAO
couIciL rnemaeas EAGAN. MINNESOTA
55122
. PMONE 454-0100 .7anuary 3, 1980
'+Ma,
Mr., R. L. Kraus
Mr. S. J. Parranto
Nicols Statinn
9~ 90 Sihlev Memorial Highway
Eagan, MN 55127~
Dear Mr: Kraus and Plr. Pzrranto:
In official action that was r_aken by the Eagan City Council at
a regular meeting held on Wednesday, January 2, 1980, your appli-
cations in the business name of Nicols Station for an on-sale Liquor
license and Sunday liquor license were granted.
The licenses are granted on a yearly basis and, during the fa11
of each year, you wi11 be notified by the City and sent the neces-
sary applications and forms for your. yearly liquor license renewal.
If you tiave any questions regarding either of the applications,
or approval by the City Council, please feel free to contactthe
City Clerk-Treasurer or myself at.any time.
Sincerely,
, `6MNJ k
Thomas L. Hedges rA-
City Administrator
TLY. / hnd
TME LONE OAK TREE THE SVMBOL OF STRENGTH AND GROWTN IN OUR COMMUNITY.
0,7
~
t
i'
CXMITIi„NdL USE Pi:iP4IR' A'0.
- .
- - CZTY OF E;Gf,N
3755 PYLOT k'1+u3 ROHD
E:,Gi,u, rM75oTA 55122
The Council oY the City of :;agan hereby grants to Steven Parranto 6
Richard Rrans of 3990 Sibley Memerial Hwy e Conditional Usz I'ermit
pursuant to spplication dated Jul 6 1979 for the follow-ing purpose
On-Sale Liquior at 3990 S361ev Memorial Hwv. sub9ect to theL,r_be3nQ no
adveitisinq to indicate.that liauor is_sold on t e_pLggiggs a+,d.thaLalL
applicable liquor ordinance requirements 6e met.
Dated: August 21, 1979 Fees :aid: 75.00
By'
I-:apcr
Attest: . . .
Clark ~
/U-D/96~ -~~~-D7
Heturn to: State of Mlnncwta
Depariment of Public Welfare
Licenaing Dlvision
IN?ERAG°.s1CY REQUEST TOR IIiSYECTIDNS TDR Centennlsl Office Building
CROUP DAY CARE/DEVE3AP1d°.S1iAL ACHTEVC!!F?1T C@7?ERS St. Paul. Minneaota 55155
70. State/Iocal liealih Inspeetor
Local Building Code Snspector
Seatellvael FSre Inapeccor /
FROH:'//7 f rt I Y 7V"rF CK Licensing Consultant Datet ~I/~~/
frior/to iasuSng a licenpe, verificatSon is reqvired thst a faciliey !s !n eosepliance vith
•ppropriate state or local coeles for healih, buildieg and fire. 4lease. eompleee che
appropriate section and return to the Lieenaing Division vith any ordera atcachee. A oopy
of orders ahould be provlded to the progrem. •
Dac Care
--Name of Facility K~r ~e C E A'P Proposed use: DA~
c-'
- NeTe of Proqram k Phone:ySZ- ! ( 5 ~ Address SRqd S~b1e~~ ~etY\ ~L0VCl F~-
s[reet. ~ tity ~ iiN county
Contacc Person ST2V 'L OC Je Pt\ KkOC -S~Pt'1 Phone: 145Z-?739
Ad ress: s[ree[ e1[y ziq
Area to be used: NunDers and ABe Ranges of Partlclpants: Faciliiy plans to
Sasement fl 6 vks. to 16 mos. serve handicapped:
Firsc FJ~~ 16 mos. to 2= yrs• Yes
Secon Z} prs. to 6 yrs. N~
. ~i L~ . . . . Ocher apecify 6 prs. to 12 yrs•' . . .
over 12 yrs. HEALTH REQUSSY: LicenseA Not_ licensed Aoplication le`t or mailed N/A
!to orders necessary ac time of inspec[Son Hajor oraers issued , Hinor orders issuet Hajor revisions needed befoze license can be issued .
' Date: Comnents: Reverse side.Signature: . ~ HUILDINC CODE REQUEST: [I Not applicable; facility is located in a non-cOde areaof scace._
Date of referene!ucn vote removing co~le requlremencs
Signature and Title of Local Official Dace:
An inspection is requireA for all proposed facilities locatet in a eode area vhich invro!ved
neW consCruCClOn, mayoi renovating or chanRe in, occu9ancy i.e. any facillty not curren[ly
used for the proposed usage: Inspections shall be Sn accoreance vith the E-3 C"upancy
of the Minneso[a Unlform Building Code. .
Faeillty meets requiremencs Fac114[y Aoes not meet zequiremencs and cannot be oecupied until orders are mec.
~ Faeility does noc meet requirements, but ay t mporarily be oceupied pendln$
complecion of orders, until . ~
Signa[ure of Building Code Inspector:
CertSficate Nmbers /1U4 ~Ce: ^ ~ ^ Comnencs: Reverae side. .
pIRE CODE REQUEST: A fire inspection. is required for ell proposea fecillU es. -
~ Facilitles loca[ed Sn sn area of the state under the lfiifoim Building Code mus[ meet th-
E-7 occupancy requireaen[s of that code in aldicion co applicabte tSre code requiremen[s. . (I! [o[h codes adriress a specific area, the UFiC [akes precedence over [hefirecoc'e.)
Facilities loca[ed in an area of the ntate not under the Ihiiform Bnilding-Code mus: meec- appllcable fire code requirements. :n el[her SnsCance, the Hinnesota Unifo7*n Fire Code applies. . -
Facili[y meets requizements of the tire code. Facility does no[ meee requiremencs of the fire code and eannot be occupied uncil orders are mec. . .
Facllity does not meet requirenenes, b;;c may cempozarily be occupied pendi._ .
eomolecion o` orclers vntil-Signatvze of Fire Inspector: n~Xtz__G~, ze&4~ Da.te: Co^nents:Belov. . - , . . CO`fL\IS.
dwes
IRRAE PRO'iEC110N IN
324 HARDING STREET N.E. 331-1411 MINNEAPOLIS, MINNESOTA 55413
07
Date: July 24, 1987
To: City of Eagan
3795 Pilot Knob Road
Eagan, MN 55122
Attentinn: Protective Inspections
Ladies and/or Gentlemen,
Transmitted herewith are copy(ies) of "Report of Inspection" and/or
"Dry Pipe Valve Trip Test" for:
1 ) Kinder Kolleae
2.)
3.)
4.)
5.)
6.)
7.)
8.)
For your files.
Very truly yours,
NiIDWtST FIRE PROTECTTON INC
RBPORT OF 1NBPECTION
• Iwp.ctioo Coev.et, NlwP~o4oo MeOOrt)>,` Na.._......._._._ i
Coofenad WiW , - . . 8umu Fde ~o
' . No.
~
, . n
: RBPORT ~'0... NU~~..... w . : . BUILD[NG OR LOCATIbN.... h
...._..'e-. IN9PEC70RD..ICAO~5~.-OI
CITY k BTATE _ ..f.../.v.`.~..._..._......_:........... . DATE...~......:.q~.~.~.~..__.'.'~.............. ic
U %
1. CENERAL Ya N.A.2 Na• y
I ILe buildin[ ceewVied saeordio[ b infotmsdoo furoi~6ed bY avron w owoer'sPrr yr
~ ~ ~ ~ z
notoBvaL ..................................................................'.te.:......... ~
A,~4 od,ype~• prcvip~ io~peefioe aeeording b inlormatioo fumuhd bY o.ner or
~
ownar'~roore~muUwT ~ ~ ~ ~ ~ q
e. Art all ~Ystams ia ser~ias!.................................................................. 00000 0
S
~ d. Are JI fin DrobetioO rys4w Mme Y IYC insDeetioo aOOOedinL b infOrmatioa (twY6ed AY y .
ovoer or owon i roDreronutiraT . . ~I> . . ¢
. . 9
A
a. L buildin[ oomplaWl svriotlerd! .
I L Aro a11 naw additiom md buildio[ che[a W'oDUiY Vb~~ ~ooordi[ ainlarmatioo fur- . v 2
ouhed bY ovner or owner's roPneeo4tiwi.........' . ~~/L . ~
p Is JI gtock or oWrw DroDee17 bdow .peinkln WVias /1................. !rl
W" DbVMY hea of Gne onw Irl idvKtion ~aoordin[ w io[ormatioo /urois6ed 67 owan ?1
I Gn
m o~er's nD~ubfivd (E[Dluo M7 fire oo seVarate e6eey. _ .........................._...ya.........................._. M
- i. in uemqo taeted bY wM mlam. doa, t6s buldio[ apG~r, b be D~D~1 be+ted in aIl
uer. inddin[ Mind .ttinx, verimeter uw..od .n .11 "terwr uDenina orot•eted .s.in.t 'k n
&
mGwoe o( oold airT
~
~ 2 CONTROL VALVES (8ee 8eetion 16)
• ~ ~ ~
w m rynp ar yetem main muGd vaIvr oDmT.....................................
6. M a11 ol6er valvas in DroDa oodSooT . . . . . ~ ~ ~ ~
.
~ Me Jl eont+ol oIvn in [ood aoadifian md dd m ~uVemsedT 00000...................
3. WATER BUPPLIES (BeaBecfioo 17) . ' Y N.A.i No•
~ Wu a water tlow iM mde md nndb rtidktn*YT ~ ~ ~ ~
1. TANKS, PUMPB, FfRE DEPT. CONNECT[ON6
. a Art fire pumq, pmnty taniu,'servoin md prerurc tanlu in cood eovAitioo ~nd peop.
edY m~inYined! _/Y..
'
b. M fin GCt. aomectioo. in rtidaatorf eondition. aouDlinV lree. raDs in Dloea "d eLeck .
,dva ti[htt . . . . . . . . . .
b. WET 6YSTEMS (8ee 8eetion 13) n~
'M aold--enther r.lvs o0~ ot domd r oseerarYi . /Y~........................ .
6. Have "ti-fneae mtam, 6eae teotad ud Idt in rWfaetory ooeditioN .......y.~ . AIA "
a Me alarm velvr. amar-0ow indialon md rcluds in rtid,ebe7 eoeditioei . ..............._.....C]....
3
6. DRY BYBTEM$ (Bee 8ealion 14) >
V 6 dry rd.e in nrvim ~d 'a food eoeditioni 2
b. L~ir prorun wd Drimin[ w&bt bvd oormdi ~
a 1n a'v oom rsor in ' ~ .
D food cood~Wn! 2
d. Wero low poinb drainad durin[ (&11 snd vin4r ivVKtioos! X
. . . . . . .
s. Aje QuiefcoVetint dsviae~ in wr+feet n
L Haw dq' •dvm bem friY te~4d "tidmlwUs " "7uindi m
M dry vd~ 'dWUatd7 Cmwted from (nsuniT
6. Mvd,ft hour md 6wtar oonditioo rtidMOeyT
Z BPECIAL BYBTEMR (9ee 6mWO 18)
. . . . . . . . . . . . . . . . .
~ e'ev~lvei ta~W u rWUIndT . . .
b. W. dl hrt n+0ogoe ry~n. tMW wd ~rulb rtid.elwyl. , .
~
4. WONVCII'IpITIMWA4YWmd 1YUIbNtWKfY4T .
8. ALARMS
.
.
c M .ater melor ud am[ tst rWfoetoq'} - . ~
..............................._J'y.......................... >
b. Is daatrie sI~ Wt wtlJwto71 "
a L wiverv6orl dstm Mrviw Iet rt{d.etoryT . . . . . . . . . . . . . . . . . . . . . . . ..../V.*4......... ~
' N
~D
MDWEST FIRE PR07 ECi'ION,INC.
324 HARDINQ STRF.ET N.B.
hhQNNNEAPOLIS. MN 53413
(612)331-1411
.
;
. . ~ . y" N.A,t No• .
9. ~BPRIN$LERB-P[P[NO
'
Iwdin[7.. . . • 00 ~ 0....
w OvM an m ewNtioo. aot obstruoud, und Ine ol rorrovoe or ~ ~ ~ ~ 'is
. CL
b. M ~JI SPrintlen Ir thu bU 7rr, ddL . . . . ~ ~ ~ ~ O
' a An~sitra sOrintlen ndOY widlONa1 . ,
d. L aooditio¢~d dPe[rdnio vah~.a6eek. vdvek hao[ers. PN40111113° Z's°'. oPen oWm- ~ y
~ .......................X~.....~~~~~...............,..
. .
WOIa. sE[~IYM YhIIaMO~'} . . . . . . . . . . . . .
• oe
s. H~v~ oDrinklen Eaw eMelied~fur:yroPa' esmpraWro rwtLnt' - . . ' . .
~
: . ~ . .
f: . M~:POruWo fin utfnN~~ ~.lo~ owdieiou! . . . . . . . . . . . . . . >
a ne.uanc.. x
O
. " , . - . , . *gidIn "•pIO••.wwen in Itsm 119 JNot Appli"We C
' . . ~
Z
Y
_ l~q
l0. Dote Drl'+Ttam Piciog 1'ut e6eeked for "bPVw. z
>
li. Da4 DrpOrlem PiViaLlrteheekd for DmWr P~. _ x
"
1Y. Da4 Dry-wM Ydve I.A triP tslad. M
y. . x:e. .1, .l v.e.......~<on...13:_.._ o
13. Wet Britemr NoT ~ Maka ~od Modd1.... R..
~
14. Dn' 87xtemc Not o Make md Moddt..............
x
~
.
!b. BwciaIBYstem:Not 7YDe
.........._......_.........Coodition?....... X
Make md ModdT
r
ODro,
Becured C7a~ed 6iN• Fl
x
18. CONTROL VALVEB No! '[yper Ym No Ya~ No Ye~ No Ys Na Coodilion ~
N
Cti.'t9ConnxtionCantrdV&l~a.... y
M
a
~ T.uk Coukol VJw .
r°
. .
PumV Cootrol V~hs . . . . . . . _.._.._...................................................r. _ .
. . ~
8eet5oos1 Control'V0Ivs _ _ '.......................y.._:._........
....+A~el1_.._..,.
n r ;
s~m v~ j - y . .....$~e
, L. o e ;4 Z F1 L r9-fLk vt
K'ATER-FLOR' TEST '
Water Pnruro!._......_....__ .CIT]..... PSI TANR....'!7=..PSI F[RE PUMP...~ . ......PB[
(If ntio< mad<. w6Y?)
Sise P'ewurc Fio. Praeurc 81ae Prerure Fl Prer
'feR Pipe I.oested- Te~t Pipe HelortPewuro Afur Te~t Ape 1-«a1ed Te,t Rpe Beforc Prerurc ~f4r
oa....... .
. .
16. He.t R.e. ~ rrx or ee.t! .
poneve Devices: TypeT
VsIveNol A........ B........C........ D.._....E........F........ VJreNo....................... A........ B........ C........ D....... E........ F......
VaIveNo...... ...A........B........C........ D........E........ F.... VdveNo A...._..B........C......_D........ E_......F_..... g
~
~ VdveNv A...... _5........ C........D.... ...E........ F.._.... ' VaI'veNo...... A........ C........D..... ..E..... .F._..... ~
Volve No.......... A........ B......_C....... D:......8........ F...... . YsIve No ......A........H........C........ D_......E........ F......,. ,.3
~
x
Te~t Rewla!._
' T
AudiarY WuiPmeat: NDi '1y'Pe?...... LaeationT
10. E:plmation o( ~ny "No" ~un~en • Z
C 7" a~ w+~i ,Ha ~~.A~ • o
I 'V ~~O ' ..yJ
20. Receat e6, ia MJldm[ ~P~aY Dr°tiou quiVmml.
41. Adiuatmenb or eomatloas mode. ~4IAn4_0.
72. Dedra6le imDrorammb.
DUPLICATE 'I'O:
~
;
~ BTREET' ..ClTY k BTATE _ .
~ ~ •fi:d•io ••No'• an~w«s in Item /iD ~ .
W
-
r.iuze sa.1
~ . _
SCREENS 26,29&34 RERL ESTATE.INQUIRY - NAME/RDDRESS/LEGRL XINF'N003
PRRCEL ID: 10 01300 020 07 ~ PLRT NRME: SECTION 19 TWM 27 RANGE 23
LEGRL: PT OF NE 1/4 COM 5W COR N
198.82 FT E 33 FT TO R/W
CEDRR AVE N 47D E 270 FT N
SPECIAL ASSESSMENTS 1aD 13M E 159,4 FT N 40D
SSM W 75 FT TO PT 40 FT SE
R/W STH #13 N 49D GSM E F'RR
R/W 448.8 FT N 40D 55M W c0
F'T TO BEG N 49D USM E F'ARR
FIRST DIVISION: R/W 150 FT 5 40D SSM E:_35
LRST DIVISION: FT 40 D 05M W PRRR R/W 150
FEE'CURRENT OWNER: FT N)D 55M W 235 FT TO
OLRF E R DORIS WRLDELAND HEG
90081i 19 2723
8434 GENNSYLVANIA RD # 109
PLOOMINGTON MN 55438
TRRNSFER TU SCREEN NUMHER:
PF8-5CROLL FORWRRD
S8- Sy9~
fire d¢partment
KEN SpUTHORN
Chib
DICK SCHWDELDECKER
. nsssteni rne1
DAVE DIIOIA
sity oF cagen Dluf~t ChO
3795 Pilot Knob Road 7HOMA$ EGAN
Eagan, Minnesota 55124-1318 Wyor
PhOn¢; (614) 454-5474 DAVIU N. GUSIAISON
PAMELA McCREA
TIM PAWLENTY
THEODORE WACHTER
Council MemOtrs
THOMAS HEDGES
City Mministmtor
EUGENE VAN OvEReEKE
Gry Ckk
February 23, 1990
Karen Kieffer
Daycare Licensing
Minnesota Department of Human Services
444 Lafayette Road
St. Paul, MN 55155
Dear Karen:
After receiving your phone call, Bill Bruestle (Building
Inspector), Bob Wieken (Heating Inspector) and I went to Kinder
Kollege at 3990 Sibley Memorial Highway. We met with the manager,
Tracie Weldon.
Ms. Weldon told us of the problems with a heater on the roof. The
unit was taken out of service. The other units were also checked
at that time and found to be operating properly and sufficient to
keep the heat level required. Peoples Natural Gas Company was
checking the carbon monoxide level in the building.
I feel this problem was taken care of in a quick manner by the
manager.
Sincerely,
Dale wegleitner
Fire Marshal
cc: Tracie Weldon
Bill Bruestle
DW/tp
FI\LK1aTf*r.0M
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GR04VfH IN OUR COMMUNIN
Equal Opportunity/Affirmafive Actfon Employer •
16i17i2607 16:05 EAGRN EN6+COM DEV 4 97634249936 N0.941 D01
g(~~ ~02 Q/7.
2oa7 COIVIMERCIAL BUIY.DING reaMrr nrrUcATiox
ciry orEapo . 1
3830 Pliot Knob bload, Eageo Ma 55112
Telepbooe # 651•675-467i
Plans are considered publtc intormation uMess you state they are trade secret and why. ~
. bauauro~ Flenr • aI aeu . 9eua Naiwt tq . Mef+ileewIal vlnro m sem
. CNU Puns (71 • Ganfroele of 8unay (q . Ca1e Anaba4 (11 °
. CeAifimteofSwvey l7) SWqunlPmni (2) . ProJedBpea (11
. Code MBlY81 (1) " ~ AIMIIOCNrW Pteiq (2100 ~ K07 PCU (1) ~
. ProJe4 Speo (1) 4 hNAC unhs roptl, an 6togoiav.! Nta plen . MeaW Fidl PWh (1!
•Spet Mep A ieaqrp Sdiedub (1) " . Cwd Pbnd (2) • Eneryy GkuNtlona (1) not ebrsya"
. SOlla RopoA {t I . undaoaplnp vbne (2) . Hla. Powar 8 LightlOO Faim (1) nal alwaP"
. Metor a@e muet Oe 064Bbllthed . CNo An6bW (7) ^ . . Nfafer dm musl Ee Btlabfsha04BPPocaOle
1 ~ 6ma Or proy AeeOOoea BIIO PIBn . i11 )
, ng aghodulD (1)
e QeCI(c Pam 6LIOMIIIo Om1 (1)
J
j I aMma 8veu 1+)
1 I MaeNir Fim PWn 1
. 5ACdalem+inaUOn•eau8511402-1000 • 6AClehrminatlen-a1188140t•1000 . 8qCdarertninedon-p1186f402•1000
• FUe $m00lnA BubmNfele
. flro 8vpproaalenlAm fam+ .
. antoollood
I d MN DeptotEieqUhu 6512261A 5 dnaWrogudingfood&brvongeorlodgineftdlltfu.
Coauu BuOaing fmpecuwu w ea Uit u required hd Por a wnpte.
Pmmit for ag,r building a aeakte" atilt not be pmcened wiMout Emergenoy Rcapoase Slte Plen
oase lD conurucqoncost ll, 3DD _
ene Aaarcw 3`t01c) Si(, Mr UniU9te N
TaoaotName Ae 4C~ FormerTenontName M!' S5'G1aiL
DescrfpdonofWork 0j~VY)L~TQnJ OF (9l~j;lA1NC-, ~
+
PropertrOwaer ~AiLD'iYA Cnunl'f';e GDA Talepdoaetr(C1) ~7~-`~~67 ~
~
AppUcAntisi w Owner _ ContmNor Contect#: ( ) ~
Contraccor A"- L C"A'~T FA-C-Ti nJt~ L L.c-
eddresa 10900 8 9'7?-i AVE N02-ri-i cny
2ip 5~3~~cF _ TelepEaneM(;U3) cq7 9q
AreWEagr ST ' Aegutratloo 0
Aaa?en 10900 -7 3R-4) Avf Maf- cny mAP4f_ c-,Z vw~
stm M/U zip 5~36 Tetephaoeq/63) 315-1033_S"'naed pmftw iufs Ilnp Mg aewerlwele?oeMcs: Pnone M: t_I
I heohy apply Eor e Commerei9l Building Pe[mit and eoknowleAga thaz the Infor[rteSion ie complete end flomte; thaY the work wiU be in
eonfacmaau with the ordinenosa and eodq oLthe Clry of Eogan and tha 9tapo o[MN Saaks; l understand tdis is not a pernlit,lut only m
eppliostion fin e pmmiy and work Is noc [o atert without e ppnJt; thet the wmk will be I uoordenee with the apQroved plen in tbe aese of
wotic whloh requiro a roview and approval atpleas. ~
Applicent's Printed Name ApP icanYs ignamn ~
10i17r2007 16:05 ERGAN ENG+COM DEU 97634249938 N0.941 002
DO NOT WR1TE BELOW THIS L1NE
Sub Types ~
? Ol 'Foundatlon 0 26 Publtc Paciltry ? 30 Aaessory 8uilding
0 14 ApaRmeaW 0 27 Cotnmcrc3sVJndustrial 0 32 ExtAlt Apprtmentl
tl IS Ledging ' 0 48 Cimnhouna 0 34 'Extplt Commuciwl ~
0 25 Miscellaneous ? 29 Antennae 35 Ext Alt•Pnblie Facility ~
Work 7ypp 0 37 Naii Selon
O 31 New • O 35 Intlmprovertrent p 30 pempl(sh (Inppriol O 04 Bldirng ~
a at aamaon O 96 Move 9pg. O 42 Oemotfsh (Foundatlon) O 46 Fire Repalr
o3a nrterauon ~ 37 am040 (arog)• o 43 Reroor a oo vwnaowvvoors
0 34 Replecemenl •oemoiaron Bundlne . 0hre aaA eanaout a appumm
Valueqan Type of Conat wgllr
Plan pev 110096 _ 25°!a r Owlpncy MCES Systam
SAC Unlts Zonln9 Clry Water
Nhr. of UnPls Stories gppar Pump
NOr. ot B1dga 9q. Ft pqy' •
Fire Spdnldered Levh
Required Cnapedioos
- p0°u^ge `"a"' bidg) Pireplaa _ R.I. _ Afr Taat _ Finai
_ Pomings (dack) [nsuladon
_ Feotingo (additlon) SMoeAodc
_ Foundation FinaUC.O.
_ D[ain Tile FinalMo C.O. +
_ brNeway Apron Op1er ~
_ Reef _ Ioe Pr _ Deaking ~ lnoul Finol - Peel Psp
Fro°°^g AidGoe Tears „ Final ~
Siding „ 6Nceo Lath Swae Lath _ Final
_ Windows , ~
Flnal C40 InspaoNon: 9ahadule fira Mprehel to be preeeM. _ Vee _ No
APPfoVed BY: Phannin9 Buflding Inspeetor
-.-_.._..M..-.~~ -
Bese Pee
SurcAarpe
PIBn Hevlgw .
SAC-AICES •
SAC-Cily
8hKParmit
SM1N SUIChIfgB .
TreabnentPlanl Flnwcial Guaranlee
rrealmem wemprripatlonl stemn sewerTNnk
PeAc Cedicatbn Seyer leteral Sewsr Tronk
Trad Dediaatimi g~~ tp
W¢ter Cudlly ' Water LeIaral Wm Tnmk
Wemr 6upply, 8 811rage (WAC) pqbr
~
TotB~
rl
Permit 3~ ( Receipt Date: rC/
2007 Sewer/Water RepairlDisconnect Permit
City Of Eagan
3830 Pilot Knob Road
Eagan MN 55122 Telephone # 651-675-5675
Date //C) Fee: 50.50
City Sewer City Water ` Repair Disconnect
Description
Street Address tor Proposed Work~O S! ~ ~ ~£fyJOf ~ /"~~Y •
Owner I1
Name c ~ry 0 ~ ~~~~/L
~
Sffeet Address - ' .
City State Zip Telephone # ( )
Licensed Pipelayer ~ Master Pinmber _ Property Owner _
Name bA ~ T
Street Address C T '
cicy C)<4 S L1 i//c state YL1,-C) zip 5 s~'Y ! retephone a(4~ a•,'
Pipelayer Training Certification Card # or Master Plumber License #~'~t' ~
I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances
and codes of the CiTy of Eagan and the State of MN Statutes. I understand this is not a permit, but only an applicarion for a
pemut, and work is not to start without a pernut.
7 -zY
Applicant (Print Name) . Applicant's Signature