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915 Yankee Doodle RdCity Eaanof � 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit#: f 0O 8- 1 Permit Fee: `O • CO Date Re Staff: eived: 7 U( ^` 1 2011 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant Name: (Tenant is: New / Existing) Suite #: Former Tenant: PROPERTY OWNER Name: T43{') / Phone: Address / City / Zip: ''/S V,,7 IAC' a -,-,-//e tz ( Applicant is: Owner Contractor TYPE OF WORK Description of work: (�-C/1'3 ,�c�/C� ‹,11'W Construction Cost: CONTRACTOR Name: 1 74_i/4 z, ,. .,'c /------, ''cense#: Address: �,?-ci-1 ,--- ),9k2 -- -- City: 6e,U-4-6#' State: Yfri fU Zip: S- -7,c) Phone: (`7 52) - (1/6' -- S' V �.' Contact:: / ( ✓✓✓ ��-� � �/'c Email: j �%u�rt� 01 //U v l -e--75,71,1,;-. , ) ARCHITECT / ENGINEER Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review an• pproval of plans. Applidant's Printed N x Appli - • nt s Signature Page 1 of 3 City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651)675-5675 Fax: (651) 675-5694 Date: 1 5--11 Tenant: VQC04 Use BLUE or BLACK Ink 1 Date Recei ed: t/`/5" G Staff: ... INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / x Sewer & Water Site Address: 915 )'iikee. Dom& ifd Suite #: RESIDENT / OWNER Name: F1e4 oa' k 1_1_ C- Phone: 651- `'Z fa -b a d c2 X2/5 ? l` i t 55i2 2 1 Address / City / Zip: 332.1 Ake. Col/45 b Fay? J CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) Sump Pump Repair SEWER & WATER (Outside the building envelope) ^ Repair Other: Other: DESCRIPTION Description of work: A COUet P" reo d 6^ c CktmoLd. FEES $55.00 / Each (includes $5.00 State Surcharge) (Rev. 6-30-10) TOTAL FEE $ 5510° *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeadan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of ork which requires a review and approval of plans. ,3OI�rL Ca wc ikS C.e p,�{..ol Applicant's Printed Name vi~~aa~ oF EaaaN WATER SERVICE PERMIT ~ 3795 Pilor Knob Road PERMIT NO.: ~ Eogan, MN 55122 DATE: Zoning: z---~ No. of Units: 1 ~ Owner: *~?ational Building Centez Address: Site Address: ~ankee Doodle & Mike Oollins Dr. Plumber: ' Meter No.: Connection Chazge: ' Size: Account Deposit: ~ Reader No.: Permit Fee: 10. OOp I agree to comply with the Village of Eagan Surcharge: . SO ~ Ordinnnees. Misc. Chazges: Total: ~ By Date Paid: ~ Date of Insp.: Insp.: ~ I I ; ~ 1.' YILLAtiE OF EA611N ; SE~IVER SERVICE PERMIT ; 3795 Pilpt Knoh Roud ~ ~ PEY4MIT N~.: Eagan, MN 55122 DATE: ~ ]f.~.3 ZO~g~ r' ~ No. of Units: 1 Owner. - ~`'~t~al Httlldin<7 Centes Address: Site Address: Ya~@e ~ale ~ Mike Co~lins Dr. Plumber: Gll ~ 33 - 3~, E~ad+ele ~S/ 3$`~' i I a~rN !o complq wifh the Villag~ of Eoyan Connection Charge1200. UO 1 O~dinane~s. Account Deposit: Pernut Fee: 10. 00 ' Sttrcharge: .5C :i By~ Misc. Chazges: ; Date of Insp.: Total: ~ Insp.: Date Paid: ~ CITY OF EAGAN 8795 Pilot Knob Road Eagon, MN 'iS1Z2 5 ~ Q ~ PHONE: 494-8100 BUILDING PERMIT ReceiPt # ' Ta be used for -':'~~~'-r ~}i~~ 1• Est. Value n'^~ , Date 19 ~ ~ . . , _ _ • r.. ^ 5ite Address Erect ? Occuponcy 1'-, ~ G'z~.C~iiTK~c7I.C-' n - Lot " J' Block Sec/Sub.`" Alter ? Zoning pQ~~ # Repair ? Fire Zone ~ ~ Enlarge Type of Const. az7'7e.r. a _a . .-~1r~ r a ~ Neme Move ? Stories ' Z (31 C~ t,'Ln : i _'?!~t'IF' ,nY~c'K? ~ qddress Demolish ? Front ft. '~'~~'~r~ Grode ? Depth ~ ft. Ci Phone ~ ~['.7_ } 7"1 ^r n2'S C. Approrals Fee~ Nume Z~ "?r~,~F-' Assessment Permit o~ Address ~ - - - ~ , u r''' T~'~^T ~ ~ ~ Water & Sew. Surchorge ~ Ci Phone . ~,JS . , Potice Plan check ~W Name ~Z Fire SAC Address Eng. Woter Conn. aW Ci Phone Planner Water Meter Countil I hereby acknowledge that I have read this epplication and state that gldg. Off. the informetion is correct and agree to comply with all applicable APC Total ~ 5tate af Minnesota Statutes nnd City of Eagan Ordinances. Signcture of Pennittee A Building Permit Is issued to: T{~~'t~~r~~~ ~~''t' on the express condition thot nll work shall be done in acco~dance with all applicable State of Minnesota Stotutes and City of Eagon Ordinances. Building Official PereNf # Det~ Ipu~d ~~Iffw Plumbing Mechanical INSPECTIONS DATE ~NSP• ROUgh-In Final Footings Date Insp. Date Irbp. Foundotion Plumbing Frome/ins. Methanicoi Final Remorks: r-~ - ~ Receipt J``~ ~ PLUMBING PERRAIT Prrmit No. - ~ CITY OF EAGAN - , Fea : ~ ~ ~ ~ Fil1 in numbered spaces S/C - ' ~ Type o~ Print legibly Tot. ~ ~ ~ 1. Date ia~ 2. Installation Cost 3. Job Address ~STI~ : ~ .TL. ~ ~-at,, ; Blk. ' Tract . , 4. Owner v-iJ~~'%i ~f ~ ~ b. Contractor//,_ /Vf< Phone ~ 6. Address fi~ f i. 7. City State :1~,. Zip _ ' _ _ 8. Building Type: Residential ? Commercial ~l Institutional ? 9. Work Description: New ? Add ? Alter ~r7 Repair ? 10. Describe 11. No. Fixtures No. Fixtures _ Water Closet Cesspool/Drainfield 8ath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ~ tor Rough f inal Inspections: Date Insp_ Date Insp. This is your pe[mit when numbered and approved. Approved ~ ~ . CITY OF EAGAN 454~5700 ~ NORTi~'.:~ :5't' ~~~;ioLF:SALE LB:t CITY OF ~EAGAN A' ~ + ~ 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, M N 55121 `y ~ ~ 3~ 71 PHONE: 454-8100 BUILDING PERMIT Receipt # ~ Tobeusedtor I.:vT. I~IPR. Est.va~ue S18,ODU Date FCBRUAItI 26 .~g$7 Site Address 915 XANKEE DOU,>L:~ iZU Erect ? Occupancy Lot~- Block a Sec/Sub. EA~: . C'I'R . I i1U . R~nbdel ? Zoning Parcel No. Repair ? Type of Const Additlon ? No. Stories ~ Name ~10RTHbJEST IJHOLEiALE LIIR Move ? l.ength = 915 YANKP•.i D~JODLE RD Demolish ? Depth o Address Int. Impr. ? Sq. Ff Ciry FA(Y,r1ia Phone 454-4985 ~nsta~~ ? ¢ SI:ASUiJt1L BUILUERS Approvals Fs~s o Name Address 4 3 21 FOX R I DGE RD Assessment Permit 14 9. 5 0 ~ c~ry F''~~'~~' Pnone ~ 2 0 r d 6~ 2 water & Sew. Surcharge 9. 0 U Police Plan Re~iew 74 • ~5 ~ ~ W Name 4 54 3 7 I Fire SAC = Address ~ = Eng. Water Conn. < W City Phone Planner Watar Meter Council Road Unit I hereby acknowledge that I have read this application and state that the gldg. Off. Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. APC Parks Signature of Permittee_ - Var. Date Copie . 2~ Y ' Total A euilding Permit is issued to: SI::A$ONAL Bi3 I T,DERS an the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official P~rmk No. PKmif Holdsr Dai~ Td~phon~ M Plumbin~ r~ i% ` v~'~ r , ` ~ : ' ' lJ - H.KA.C. f ~ -i J g ENCMC ~c ~ g ~',~G~ C . Soltan~r IrapecUon Date Inap. Commenb FooOngs I ~ ~ y.~ ~ FooUnqsll Founddbn Fnminy 3 S Rooffny Rouqh Plbq• ~ - ~~'~J .J ~Q " r Rouqh H1p. ~ ~ . Insul. P~ Finplae~ Flnal Ntq. Flnal Plbq. ~ - ~ &dy. Final ~;~-i/-.k~ A, Cert. Occ. Deek Fty. Deck Frmp. Well Pr. Disp. ' PERMIT q ~ ~ PLUM8ING PERMIT RECEIPT # CITY OF EAGAN 3830 PIL~T KNOB ROA~, EAGAN, MN 55122 DATE: 7 CONTRACT PRICE: .3~ rI~ PHONE: 454-8100 Site Address a BLDG. TYPE WORK DESCRIPTION Lot _ 1~_ Block SeciSub Res. New ~ Mult. Add-on ~ Nam Comm. ~ Repair ~ Address Other c City hone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name Water Closet - $3.00 1'~ ~ Bath Tubs - $3.00 ~ Address Lavatory - $3.00 p Ciry Phone Shower - 53.00 Ki?chen Sink - $3.00 FEES UrinalJBidet - S3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - 53.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1 50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - St.50 MINIMUM - RESIDENTIAL FEE - $12.00 Wh~rlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURGHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 ~ _ Private Disp. - 310.00 ` Rough Openings - $1.50 ATURE OF PEFMITT FEE: ~ D O STATE S/C: ~ ~ ~ FOR: CITY OF EAGAN GRAND TOTAL: ~ yR.'~,;.., ; : ~ , , ~ PERMIT # ~ • ~ • • • MECHANICAL PERMIT RECEIPT # 7~~`' C` ~ CITY OF EAGAN o~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: J'%' `~1 ~ CONTRACT PRICE: ~G PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ~ Blo ~k ~ Sec/S~b Res. New ` , , _ . ~lt. Name c J-~ - Muft. Add on Address ~~~5~ r~ ' Comm. ~ Repair y City ( Phone ~ Other Name ; 1. ~ FEES RES. HVAC 0-100 M BTU -$24.00 c Address ~ J ~ r~"~ ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI~ - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1g'o OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. FiATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIOENTIAL FEE - ALL ADD-ON 8~ Unit Heater M BTU ~ REMODELS - 12.00 AirCond_ - M 8TU 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 FEE: L-~ ~r~ - _ ~ S/C: SIGNATURE~OF PERMITf~E / TOTAL ~ ~ ' ; ) . ~ t_.!Uj•,_-c,_ FOR: CITY OF EAGAN ~ CITY OF EAGAN Q 8 6;' 3830 Pilot Knob Rosd, P.O. Box 21-199, Ea~o, MN 55121 PH ON E: 454-8100 . . sUILDING ~ERMIT R~~a # T~ N w~A iw E' C~~; N l~ u Est. Volue ~ 5~,~~ Date ~.~i ; i,,''i ~ 9' . SiteAddre~ ''l:~ YAFdK]:F I3C)(7DL1~. Pfi Erect ? Occupency Lot Block 4 sec/sub. FAL .';'r ; t Remodel p Zoning ~ ~ - 1 ~ ~ ; ; .S ~ 3 0 - ~ ! Repair ? Type of Conit. Parcel No. Addition ? No. Stories Move ? Length C.~~~.i'+!'~r: c;~i ; ~i;~E:;A.' u i~ ~ Name Demoliah ? Depth Address - r~i-!r. Int Impc ? Sq, Ft. CILy P~t011@ ~C'Y"44 ( ~fl3~fl~~ ? Aoo~oraH f~~s Name i ~r''(, ~ f'~` Address ' ~ = ' ~ Y' " ` F;1ti' , _ . Nsseument Permit • • ~ u~ City . Phone y-1 E' ~i Woter E, Sew. Surcharge S.~) . Police Plan Review ! . ~ W N~e Fire SAC Address Eny. Water Conn. ~ W City Pfione Plonne~ Water Meter Countil Road Unit I hereby ocknowledpe thot I hove ?ead this opplication ond stote that r: , b ~ Bldg. Off. Tr. PL fhe inlormotion is correct o?od ogree to comply with oll applicable APC Pe~ State of Minnesoto Stotutes ond City of Eaqan Ordino~ces. - Var. Date Copies Siqnoturc of Pertnittee v_~ . ~ A Building Permit Is issu~d to: `,JL^~.'R: ' oe~ th~ etxpress candiNon Iha~ oll work sholl be done in oc~rdance with oll opplicoble Stote of Minneso~u Stotutes and Ciry of Eoflon Ordi~onces. Buildinp Offitia~ _ - •ds~p '~d i~r?ag 1 WM :uo~uao~ puxq ~peM 'aap/3u~ I~uld ~ '1c'' '~Id IQ~Id /Y~'6 y =io/ '6;H I~~Id a~~du~ j •~nsu~ 'dlH 46noa '6qld 46noa 8uuooy ~31D£ - . ( In EY~WSJ~ U uopepuno~ 1196upocd ~ ;*'1 $ 1 ~ I s6ulwod ~eyip 'dsu~ ~lea uo~y~~tu~ i~yog . ~~~i~,~ U'~~~3(,~,. ? ~l t~ ~ ~ f , p~ ~i~o ~ ~ ~~«3 S! ' J~ ~j '~'1~A'H - i) 3 ~ { ("j J ~l4W~Id # ~uoyda~ol ~~O ~PMH ~l~d 'Wd ~!~'~d ~ _ . _ - T--- . . . ~ ~ r / CITY OF EAGAN FEE PERMIT # J~ p~ ~ r~ ~ MECHANICAL PERMIT ~ RECEIPT # J ~ 454-8100 S~C ~r~,~ ~ MINIMUM RESIDENTIAL FEE - 510.00 + 5.50 TOTAL DATE f~~-` ~~k`-'~ MINIMUM COMMERCIAL FEE -$20.00 + 5.50 1. Bldg. Type: Res Comm ,Lti Inst 2. New Add Alter..~ Repair 3. Total Bid Price ~T~~Jz ~e 4. Job Address ~/~7 , ~t~~- ~-"-k ` !c f _ ~ Lot J' Block ~ Sec 7 5. Owner 6. Contractor `!?C,cLI~.CY IY7L f .,~~1~''~L-,f~~:. (J ~ ,ri~ia :~i.- ~ ~ °Ji~y _ ~Na~~ ~~~5 ~ ~ ~s~?~u cc~H~ ma) T. Contractor Phone # : RESIDENTIAL HEATING - 01-100,OU0 BTU's -$24.80. Each additional 50,U00 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee HEATING ~ VENTILATING HOT WATER STEAM AIR COND. AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GA5 PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS S•50 STATE SURCHARGE FOR EACH 51,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. .w~qw.~'w . , CITY OF EAGAN _ ~ ` 3830 Pflot Knob Road, P.O. Box 21-199, Esgan, MN 55121 : ~ PH O N E: 454-8100 ; BUILDING PERMIT Receipt~c To be used for ~ ~g:~~T EsL Value S~ ~4 ~ VOU pate OC~F~SER 17 ,19~~ Site Address Z~ i°'~~~~:~ ~}~~~~LE i~D OFFICE USE ONLY L t ZXJBIock ~ Sec/Sub.~~~~ CN~~ On Site Sewage Occupancy , : MWCC System Zoning j.T Parcel No. On Site Well (Actual) Const v-1+1 a Name i:'•` i~~ ~~'"f`-f~it,~rA1+8 L1TLI$$R CityWater (Allowable) Y-N W PRV Required ~ oF Stories Z Address y1S Y!4i~1KEE LC~i~i~1.8 RD o LACs~11`i Phone 456~-4985 ~ter Pump Length City Depth , o Name 5~~~ ~~ILUEKS S.F. Total 1~~ o i Address ~+~41 PEN?.'Wc: kpY Footprint S.F. U~ City i~~<~~ Phone ~'~-597'i 170-0652 APPROVALS FEES ~ rc • Engr./Assess. Permit ~4• ~ W Name ~p0 ~ = Planner Surcharge Address 187.QC ~ Z City Phone Council Plan Review a W Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. _ Minnesota Statutes and City of Eaga~ Ordinances. Water Meter Signature of Permittee Road Unit ::"A3n~AL 14UILDER5 A Building Permit is issued to:_" Treatment P1 on the express condit~on that all work shal I be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL 356•~ Building Official___. . _ Permit No. Permit Hold~~ Date Talephone Plumbing H.v.a.c. C, ar~'1 , ~r Electric C a ' _ l~a ~ ~X~~ ~ ~'~'~CC' z~ n i t~` Softener Inspection Date Inap. COmment8 Footings I Footings II Foundation Framing ~~8~ 1~1V S~E'E'~~~~~ ~~~~'u< //-Z%-~d' ,D.S Roofing Rough Plbg. Rough Htg. ~ ~ Isul. ~ ~ Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. ~ m ~ ~ S Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ~ , PERMIT # ~ - , . MECHANICAL PERMIT RECEIPT # - ' CITY OF EAGAN , `7 ` ~ ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Addre~s ' ~ ~ ' ~-1~ g~, npE WORK DESCRIPTION Lot-~"r Block Sec/Sub Res. New ~t . . - ~ Name f ~ . 'r Mult Add-on;-~' ~ ~~ii.'_ 7ri~ ~ ~o Address " ' ' ? ' ' t.:-' • _ Comm; Repair Other c City,~, /t.'} li~ Phonej/ • ~ ~ FEES ~ Name ~ ~ ' ~ r ~ ' ` RES. HVAC 0-100 M BTU - $24.00 c Address I~~ J~ ? f~ r ? r ADDITIONAL 50 M BTU - 6.OU p City«' n Phone~ -<<`~~ IRES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMI~ - 1.50 EA. TYPE OF WORK COMM/IND FEE - 19~a OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8~ CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM C~MMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ~ ~ BEYOND $1,000) Other _•~n n~ ; i ~ l z.=< ) , , • r;~_/ ~1~ llru.. i;>ri ~ . FEE i r ! ~ ~ ~ ' i ~ ~ l [ ~ ~l ~4-r. 1} rtI C~~ ~~Y~'~ SJC: SIGNATURE OF PERMITTEE ~ ! . TOTAL• , ~G , , FOR: CITY OF EAGAN For Office Use Only: ~ - ~ . MECHANICAL PERMlT PERMIT # 't' CITIf OF EA(iAN RECEIPT # 363Q PILGT KNpB R~AD, EACaAN, MN 55122 DATE: CONTRACT PRICE: , PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot BJock Se~/Sub pe3 New - . ; Name ' ~ ~ ~ ' ~ O r ~ Mult ? Add-on • • . ~ Comm. Repair ~ Addr~ss.'- _ ~ pther ~ , , f.' ~ c City ~r, r:-~= Phon , FEES Name ~ ~ j~~ 6- RES. HVAC 0-100 M BTU -$24.a0 ~ Add~ess'~' ~ 0~ ADDITIONAL 50 M BTU - 6.00 p Cily Phone (RES. HVAC INCLUDES A/C ON NEW CaNSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMI~ - 1.5Q EA. TYPE OF WORK COMM/IND FEE -1% OF CONTRACT FEE ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL AD~-ON d~ REMOOELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # (ADD $.5D S/C PER EACH $1000.00 OF PERMIT FEE) Other ~ r ~ i ' . , f ; ~,tiJ`~~ ~-"~.~~~i~".~;.4 ~ PER~IR FEE: A - ~~P E~ ~;~C1~"~D G1 s«: , ~ ~ ` j % _ 1 / / % . ~ -Y. ~1 u,SS ~ Y'_..- ' + L /t, / - ~ /I ~ `1 { ~ ~ . TOTAL: - ~ FOR GTY OF E~~ ~ -~a/-~'~ ~~cu , ~Ps/ a~ ea a~-` ~ ~ For OMice Use Only: ~ PERMIT # MECHANICAL PERMIT CiTY OF EAGAN RECEIPT # ' ~ PILOT KNOB ROAD, EACiAN, MN 55122 CONTRACT PRICE: P O • 5~-8100 DATE: Site Addr~ c BLDG. TYPE WORK OESCRIPTION Lot T' Biock a~ 5; ~SgclSu~b ' - ~ J ~ Res. New ~ Mult Add-on m Name k'~ Comm~- Repair Addr c Ci1y ' ~ Phon ` FEES Nam@ L ~ RES. HVAC 0-100 M BTU - S24•00 c Addr ~D ADDITIONAL 50 M BTU - 6.00 p City ~r Phone (RES. HVAC INCLUDES NC ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUIIA -1 PER PERMf~ - 1.50 EA. TYPE OF WORK COwlM/IND FEE -196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Unit Heate~ M BTU MINIMUM RESIDEFIT'IAL FEE - ALL ADD-0N d~ REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Plping Outlets # (ADD $.50 S/C PER EACH $1000.OU OF PERMIT FE~)~; Other PERMIT FEE. v.I I . , ~'c~C~ SIGN U OF PERMtT'fE''Q/ S/C: ~ ~~*~r--...._.-_-- ` ..y TOTAL: FOR: CITY OF EAGAN W ~ ~ V ~ ~ ~ ~ ~ ~ ~ - s ~ ' ~ ~ ~ Raaipt MECHANICAL PERMIT Psrmit No.~~~, 3 CITY OF EAGAN FN ~ ' ' Fill in numbeisd speces ~ S/C _ _ - Type or Print /egibJy T~ ` - ~ 1. Date ~'uly 3i. .~9t~; Installation Cost _ _ `31S Yar?:._:~ .?r~~c'_~. ~ 3. Job Address Lot Blk. T~act 4. Owner ~~ortiiweat t71:o'~.w:.:•.~.t~ , 5. Contractor Fr. ~ j ~ _ _ Phone ;:;y , ~ 6. Address 4:)30 13ca~~u ~ 7. ~il~l tLi~~AJI SjBLE i":1 Z~p ,'~1 i: 8. Buildiny Type: Residential O Commercial Ll Institutional ? ~ 9. Work Dsscription: New ? Add ~ Alter ? Repair ? t 10. Descxibs Fuel TyPe ~ . ~ 11. No. ~qy~p~pi BTU • M. Ea. No. Eauiament CFM ~ Forced Air L i~: . Air Handling: Mf9. .:t ;~a BO1~e~ Mech. Exhaust ~9• Unit Heater ~9• Other b%~ Air Cond. • . ~;•:Or~ Gat. Pipiny Outlets 1Z. 1 hereby oertify that the above information is true and correct, and I a~es to comply with all ordinanoes and codes governing this type of work. S~gn°d : for ouph Final Inspections: Date ~ Insp.~ Date Insp. This is your permit when numbered and approvesi. Approved CITY OF EAGAN 464-8100 i~ CITY OF EAGAN Remarks-- ~ ~ ~ ~L/1J ~ Addition EA~ANDALE C.NTF TNn PARK eik 1~- Parcel 7 ~ ~~5~~ ~.$1~_C11+ Owner ~~~1-~-~ Street State . , .~T~ v / -R S Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRRDING SAN SEW TRUNK ~ ~.~j~ 21 . 23 2~ SEWER LATERAL ] 2 1 .].1 1 WATERMAIN WATER LATERAL lg'72 ~ WATER AREA 1 2 sew/wat stm ~ 0 1~. 201 .2 1 STORM SEW TRK /3 2 12 . Fj ~ . 00 1 ~ STORM SEW LAT 1C~'~2 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks ~~-~/~~"T-~' ~I3 7Oi / '~A~' Addition~.~~Q~e jnd ~~C~ Lot Rlf~-~- Parcel ~25~3-1~2 / ~ ner Street ~ ~ State . ~ Jl ! Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1 * SEWER LATERAL WATERMAIN . * WATER LATERAL ' *WATER AREA d STORM 5EW TRK ,t STORM SEW I.AT 1 7 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER C~NN. ~UILDING PER. SAC PARK Y OF EAGAN 111. Remarks ~ ~ ~ - ° Additio Eagandale TY1C1. Plt. 1r4 Lot ~.3 Bik ~ Parcel ~ ~ 22 ~ ~ ~ -r.~ Owner `y " ' ~ Street 9~S ~~t;l~~~~ State 1 ~ ~-~r - ; ~ ~ [ ~ ' ~ i ~ ~ % ~ ~ ~ ~ ~ Improvement Date Amount Annual Years Payment Re ' Date STREET SURF. ~ ' _ $ STREET RESTOR, _ ~ GRADWG - _ SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAI * WATER AREA # STORM SEW TRK ~ S70RM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN BUILDIN ER, sAC 90 . 9 - RK cirr oF ea~e,N ' 3795 Pilot Knob Rmd Fegan, MN 53122 N-0_ ~ 51 Q 1 " ~ PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # -~°Z S To 6e wee for s1Zed addn. Est. Vo~ue 12 ~ 000. pate 2-9 _ i v 79 SIM~Address ~ e~a Erect ? Occuponcy B-Z Lo4 -'3 38 Block 4 Sec/Sub.~a~a16 4 Alter ? Zoning 1-1 Po~~ # Repoir ? Fire Zone 3 Enlar9e Type of Const. T W Nome W~1PY5 ~dYC~Wdre Move ~ # Stories ii~ d e2 ~d~~ 925 YdI]~LE2 DOOC~10 RDat3 Demolish ? Front 222 ft. 3 CI ~gan Phone Grade ? Depth fr. o Ncme ~~fried Const. Inc. Aov~~~• Foas ori q~~~q ~OZ ElqY1t;Y1 S'tYH2t AssessmeM Permit 39.00 C Far[nington 550~~ 463-2122 wcter & Sew. Surchor9e 6.00 Police Ploncheck2~.~0 tW Nome Fire SAC Address Eng. Warer Conn. <W pha~ Planner Water Meter Council 1 hereby ockrwwledge that I have read this application ond state that Bldg. Off. the information is mrrect and ogree to mmpiy with all applicable AP~ Total 65.0~ $tota of Minnesota $Mtutes and City of Eogan Ordirwnces. Signoture of Pertnittee A Buildng Permit is issued M• p~'hfri Pr7 (Ym~{ Tpr, on the express condition that oll xrork sholl be done in a r ance ~th appliwb~e State of Minnesota Statutes ond City of Eagon Ordinances. Buildirg Officiol ~ 1 ~ n ~ ~ CITY of EAGAN n?~ 3208 BUILDING PERMIT Own~= y~ ~ J~'•-~-+~ CN'~~z~ 3795 Piloi Knob Aoad ss~.~-x:~,e..:~~ . . . Eagan. Mianesota 55122 Addreu (Dss~eai) 454-8100 . Hvilder .........~1.~~'""'~ '-'-........`.T-~..... ~:<~-.........a-~--.........._ . .r. Dele 7 Addraa ...................~~`:/:.:r:................----....................................... .....1..................... DESCAIPTION Stozisc Ta Se Used For Fson! D~pSh Hstghl~ Est. Cosf P~rmi! F~a R~maslu ,iL v-^^~~..`---^-~-~ I7 ~S~ o-<--v I~ s a~S"~C~ i S . .1 o,~ti I ci%r../~. ; ' LOCATION - . ~ ! S J `J S!r e!. Road or olhe: Deaeri ion of oca n Lo! Bloek Ad itioa os Treet .--z c.'4~.. ~ J ~ J . ct,..~ -,3-2-- I 1.3~ , / - - y~s „ % r~.~-~.3 ~ -K-~ ~ '~i~.e~`: ~ ~.ei oas ao! au horise ihe use oi slreels, roada, alleps or aidewalks aor does i! glve !he own~r or 6is ap~n! 1ha rigaf !o ceeate any sifua2ion whieh is a auisanca or which presenfa e hasard !o !he healffi, sefetp. Cppt~Rl~Rq nnd general malfare !o aapane in !ha communitp. ~ - THSS PERMIT MUST SE KEPT 023.,THE PREMISE HILE~THE WORK IS IN PAOGAESS., . P.tiY- ' v hes pezmusioa !o eree! a :.............::C.`.:"'"~~ °`~~~t ~ f~ ~ T68 is !o eertity. !kal...~~~::._-'--.!~....... ~tV---`* ........c.~...--•-!f•.-........._upop ihe above described premise subjeci fo e provisions of all applicable Ozdinances for !he Ciip o1 Eagan. /n i~~ ~ ~ ~ ' . Per ~X~--~k . .........°-"i.`~.E.'...-'----........---°--'°°...... - ' Mayor ~ Suildinq Insp~etor ~ ~j,; ~ : _ ` + 11A ~ CITY o~f EAGAN N° 3208 k , BUILDING PERMIT ~ ' (4~,,-~~ 3785 Pi1o! Knob Road Own~s ...\/~'s~::ra=~........_ Eagan. Minnesofa 55112 Addre~s (Presenl) 454-8100 ~ Sullder .........Q.`. :R'.^. :`~'Y:~L~c.!-~:~-t:...._.~'.9.~ ~ - S 7~ ~ Dels Addreu ...................~~`'.f.~:°.:................----...............---................. DESCRIPTION - Slosiec Ta Se Ucad For Fron! Depih Haigh! E~l. Co~! PesmS! Fse A merlca titi-~^-~------~ ~ ~~s, ~ 9° ~ uI G/~.~, 3~ ~ S LOCATION •SO Strpel. Road or oiher Dasaripfioa ot/J~.oca~on I Lo! Bloek Ad IHoa os Trae! f~l~_ ~ - qry~ s ;~~~~..i e-~- ~~ki, ri~ ~ ~ ~,r ~ ~ ~ -~v~ / 02~ ~ ' / J 0. ~~"~"'i/ T ~~Y~h~s p L~i~'~doe no! au ho ize !he use of sireals, roada, alleys or eidewalke noz does S! give !ha owner or hSs egen! !6e rigk~! !o ereate anp sifuatioa which is a nuisanca or which presax~ls a hasaxd !o !he healf6, safefy, conveateaes aed general weltare !o aapone in !ke aommuni2p. THIS PERMIT MUST BE KEPT O~yyy~~~TH~~/~~~E PREMISE HI~TH~E WORK IS IN PRO_GAES~S'`. ~ L . This is !o carlifp, lha2...~:?~~:$i.....~..~~R~:e°~..~.....haa parmission !o erec! a:= F~"`~.^`::::`.P,s, yy'pa !he above described premise subjeai }o e pxovisions of all applicable Ordinances for !he Ciip of Eagan pe, . - -~-,c:~-ee Mayor ~ BuIIdinQ Impector , CITY OF EAGAN 10 8 6 7 ' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE:454-8100 ~C~%/ BUILDING PERMIT Receipt ~j 1° Te M wad fa OFFICE ADD Value $50~ 000 pme AUGUST 27 ~y 85 Site Addrest 915 YANKEE DOODLE RD Erect ? occupancy Lot 33 B~«k 4 Sec/Sub. EAG CTR IND PK 4Remodel ~ Zoninq 10-22503-330-04 RaaB~r ? TypeofConst. Parcel No. AddRion ? No. Stories NORTHWEST WHOLESALE LUMBER Move ? ~engtn Z Name S~E Demoliah ? Depth Addreaa InL Impr. ? Sq. Ft. ~ City Phone 454-49$S Install ? ~ TIBERON INC Avo~o.ak Fees O Name 3908 SIBLEY MEM HWY Assessrr~ent Permit 25.00 Addreat ~ Ciry EAGAN phone 454-1600 Woter85ew. Sur~harge Potice P~anAev~ew 141.50 W Name Fire SAC Address Enp. WaterConn. ~W City Phone Plonner WaterMeter Council Road Unit 1 hereby ackrowledge fhot I hove reod Ihis opplication ond sto~e ihat g~dg. Off. $~6 85 Tr. PL fhe Inlormofion is corre en ogree to comply with all opplicable AP~ P9rke Stata of Minnemro StatJ~ d City o e OrdinonrVes. Var. Date Coples Siqnoturo of PermiMee Total A Bullding Permit Iz issued to: I ERON INC on tha axprcst conditlon Iho~ all work shall be dona in accordonce with ~all/g~pipliooble Stote of Min wto Sfatutes ond Ciry of Eaqon Ordirances. Buildfnq Officlal ~t-~ NORTHWEST WHOLESALE LBR CITY OF EAGAN p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N_ 13271 ~ PHONE:454-8100 ~ BUILDING PERMIT Receiptp 7obeusedtor INT. IMPR. Est.Value $18~000 Date F'EBRUAR 26 ~g87 Site Address 915 YANKEE DOODLE RD Erect ? Occupancy Lot_~~elock 4 Secisub. EAG. CTR. IND. ~ulodel ? 2oning Parcel No. Repair ? Type oi Const Addition ? No. Stories ~ NORTHWEST WFIOLESALE LBR Move ? Length w Name ~ Demolish ? Depth o Address 915 YANKEE DOODLE RD Int. Impr. ? Sq. Fr Ciry EAGAN pha~e 454-4985 ~nsta~~ ? a SEASONAL BUILDERS Approvals Fees o Name $Q nddress 4321 FOX RIDGE RD Assessment Permit $ 149.5C ~ Ciry EAGAN pnone ~20-0652 Water&Sew. Surcharge 9•~~ ~ 454-5971 Police PlanReview 74.7` a F i Name Fire SAC ~ o Address Eng. W2tef Conn. a W City Phone Planner Water Meter Council Road Unit Iherebyacknowledgeth tlhavereadthisapplicationandstatethatthe B~dg.Off. TI'.PI. information is correct d agree to comply with all applicable 5tale of Minnesota St s an Ciry of Eagan Ordinances. APC PBrks ~ Var. Date Copies Signetureof Permitte Total $ 233 • 2`- A Building Permit is issu d to: SEASONAL BUILDERS on the express condition that all work shall be done i accordance with all applicable S of Minnesota tutes and City of Eagan Ordinances. Building Official , 7 CITY OF EAGAN , ~ 3830 Pilot Knob Road, P.O. Box 21•199, Ea9an, MN 55127 N~ 15797 PHONE:454-8100 ~7p! ~,C~ BUILDINGPERMIT Receipt# °~__!)L ~ ~ To be used for INTERIOR Est. Value $50 000 Date OCTOBER 27 ,7 g~_ IMPROVEMENT ~ Site Address 915 YANKEE DOODLE RD OFFICE USE ONLY L~o~'L33~BIOCk 4 SeGSub. EAGANDALE CNTR IN On Site Sewege _ Occupancy B-2 PK T MWCCSystem _ Zoning LI ParcelNO. OnSiteWell _ (ACtuapConst V-N a Name NORTHWEST WHOLESALE LUMBER Ciry Water _ (Allowable) V-N W Address -915 YANKEE DOODLE RD PRV Required # ot Stories 7 p Booster Pump _ Length City EAGAN Phone 454-4985 DeDth , o Name SEASONAL BUILDERS S.F. Totai -.1_~jpp o a Address 4641 PENKWE WAY Footprint S.F. U: City EAGAN Phone 454-5971 720-0652 ppppOVALS FEES Engr./Assess. Permit 374.00 ~W Name ~ W Planner Surcharge 25.00 i~ Address 187.00 a W Ci~y PhOne Council Plan Review Bldg. OH. SA0. City I hereby acknowledge that I have read this application and state [hat Ihe Variance SAC, MWCC information is correct and agree to comply with all plicable State ol Wa~er Conn. Minnesota Statutes and City of Ea Ordinanc . Waler Meter Signature of Permittee ~ Road Unit A Building Permit is issued to: SEASONA~_$~J7I~D_FR,~_ ireatment Pt on Ihe ezpress condition t hat all work shal I 6e done i n accordance with all applicable State of Minnesota S[atutes and City of Eagan OrAinances. Parks .~1_.~.y~~-fp TOTAL S86.OO Building Official~ll~4dlN~l..------ ? = ~ CITY o~ EAGAN N4 -.4129 BUILDINC3 PERMIT 3795 Pilo! Knob Road . ~ Owne: G M. STEWPRT LUMBER CO. -.__LOI3E STAR Ib1DUSTRIEB Eagan. Minaesola 55123 Address (presen!) ...9.1.5....Xankae...Ap.o.d.1.e...Ri1ad........... 454-8100 LEIBFRIED CONSTRIICTION INC. Buildes 11 / 7/ 7 6 8353„_,-,.,210th_..St. 6a. Lakeville, MN 55044 Dela Addreas .............a..............._.............. 469-3456 DESCAIPTION 8lories To Be Uned Fos Fron! Deplh Haigh! Eel. Cosl Permi! F~a Aamasks Remodel 33. 00 Open i,umber Storage 10, 200 5. 00 ~/c p~ t'~ LOCATION SSreel, Road or other Deaeripfion of Locetfon I Lo! Bloelc~ Additioa os TraC 915 Yankee Doodle Road ~3 ~LGL. 38' ~ I ti~~ This permi! doea ao! authori:e 2he use oi slzeels, roads, alleys or sidewellcs aos doas f! gi~a !he ownes or hL agea! fha rig~! !o creafe aap siluetion which is a nuisaaee or which presents a hazasd !o !he heallh, setety, eonveaieaes and geaeral welfase fo anyoee in !he communify. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. Thts is !o cerriip, lhat.._Leibfried Constructig~Permisaion !o ereet a.._.Remodel Storage _upoe - . ihe above described p:emise subjee! fo ihe provisions ot all appliaable Ordinaneesr~City of Ea9an \ _ f~~..~.~~... Uk~"--. . .~i Per ~ .._....tr~~~~... . . ayoi 7 Sufldfnp Iw~ _ -~..R,,--~ ~ I . ~ ~ . ' . ' . . ~ . . . ~ `,":,'~'~*v'S'^"-.u.'-• i.'.. f~.N ' ( ~ 'R~ ~ "I ..:-"y~'Y Wf" ~ . _ . , n~u~se oF ~?aaM ~ " ~~ER~S~R,~IICE PERMIT . ' 3795 Rb~~Kno Road f k..~~ e._~p ITTT~ ~ . , . i ~ .Y Eoyan, MN SS1M ' ATE ~ . ~ . - - Zoning: ~-1 ~ '~~rNo; of Units: : owner: N8tionel OQIItet .3 Address: ~ - Site Addrese: yankee DDOeA16 6 qi1oB ODlli~ Qt. • Plum6er: ~ . ~F ~ 33 - 3~, Eiraadn/e +I,S/ w - ~ 1 agree to eemyly wiM tM Vllkga ef Euyan Connectlon Chazge1200.00 ! ~ • ~ ~ O~dinancas. ~ ~ Account Depoeit: ' ~ . Permit Fee: 30.00 ~ , ~ Surchazge: .50 ' ~ By: Miec. Chargea: - (?•y~,. . . ~ 6~ e ~ ~ g Date of Insp.: Totel: ~ ~ ~ Tnan ~ Tlafe PaiA• ~ ` ~I /D ~.~5D3 33 o D S/ tn 38o c y ~e9anaale VILLAGE Ob' ~liGAN 3795 Pilot Knob Hoad Eagan, Minnesota SS~ 22 PN3tI`1IT N0. 171 The Village of Eagan hereby grants to xatz P1tDnbin4 a Heatinq Co. of 760 Grand Ave., St. Paul 55105 a r.~c~_ pT.nc~. Permit £ r: (Owner) x.a.C. suilding (Rauenhorat) -~jas n/~fe..e~oa~~e at _~-cc n_ve._, pursuant to application dated 4/26/74, Fee Paid: S140.00 dated this 13 d~r of May , 19 ~4 . .SO s/c Building Inspector Niechanical Permits: Bid Total: 18,000.00 ; ~ ~ ~ ~~~1 DATE JC~ q-/~~~ BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and l.set of energy calcuations. To be used for ~~Ji'~',c,~~ii~u~: 1 Valuation Site Address: Z~rn~~s `f ~Y a~ QI d0'h Lot Block Sec./Sub. Parcel :~umber :~s- ~ ~ -4 ~ ~ ~l Owner ~~~~C/L~Tz~~' .~~~'.~Gf/'~~~ Telephone Address Contractor p~.~GLt1' CJ~~~' Telephone 02~~~ ` Address ~ 0 ~ ,/~~v/~ ~~'~-C~~'t' Arch/Eng. ~ Telephone Address OFFICE USE ONLY Erect Occupancy Alter Zoning ~ ` ~ Repair Fire Zone Enlarge Type of Const. y Move li of Stories /j~P- Demollsh Front ~ d'd Grade Depth 2 y Date of Approval and Initial ' Fees o D Assessment Permit ~7 9 ~ _ WaLer/Sewer Surcharge ~ ~ d d Police Plan Check ~ r FiYe SAC Engineer Water Connection Planner Water Meter Council B1dg. Off. B v A.P.C. TOTAL ~ ~S _ ~ .~3 ~ y°'' c~~ ~c~ " MASTER CA ~ ~ ~1~~ 33 LOCATION ~jC/1~(i( ' C~I~/ ~ ~ OWNER ~ Cr ~ . STRUCTURE AND r~~ LAND USED AS 2 ~ ~~~L ~ ~~Y" - Issued To Permit No. Issued Contractor Owner BUILDING _ PLUMBING ~ ~ CIL~ _ CESSPOOL - SEPTIC TANK VJELL EIECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items t(Initial) ~Date Remarks Distance From Well FOOTING ~ - ~v P' . / - ~ - SEPTIC FOUNDATION ~ CESSPOOL FRAMING ~ (o? TILE FIELD FT. fINAL ELECTRICAL DEPTH HE4TING OF WELL ~ GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING b' p 0" WELL $ANITARY SEWER Violations Noted ' on 8ack COMMENTS: ~ ~ot~ 33 -3 ek y ' MASTER C~CRD ~/C #y LOCATION OWNER ~ STRUCTURE AND ~ ~ IAND USED AS p ~ Issued To Permit No. Issued Coniractor Owner 6UILDING 3~Q~ .7 4.7e I ~L~ PLUMBING ~ ~ CESSPOOL - SEPTIC TANK ~ YJELL nN ~ ELECTRICAL ~J~ii`.~~~ HEATING ~ GAS INSTALLING SANITARY SEWER w.IL~l~/ OTHER OTHER I Approved Items (Ini}ial) Date Remarks Distance From Well ' FOOTING ~ SEPTIC FOUNDATION ~ CESSPOOL FRAMING ~ TILE FIEID FT. FINAL ELECTRICAL DEPTH HEATING ~ ~ ~ OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUM81 NG . WELL SANITARY SEWER . ~ ~ G~-A~ . _ 9 ~ ~ ' ' ~ ° " Violations Noted on Back COMMENTS: ~o~'_s 33 thrw~$', ~3k ~ ~ayan dQ./a. 'f`y ' ~ 5' MASTER CARD LOCATION t_-, i ~ ~ ~ . r ~ J °q ~ ~ OWNER ~ STRUCTURE AND , , _w~ ~ ~ LAND USED AS /~//~M; Issued To Permii No. Issued ~ Contractor Owner BUILDING D R- 5-7 _ PLUMBWG ~ CESSPOOI - SEPTIC TANK WELL ELECTRICAL HEATING ~ GAS INSTALLING SANITARY SEWER OTHER ~ I I OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION ~ CESSPOOL FRAMING ~ TILE FIELD FT. FINAL EI_ECTRICAL DEPTH HEATING ~ ~ OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ~ WELL ~ SANITARY SEWER ~ ~ , - ' ~~7 - -zq-~~ A' ~J~„' Violations Noted ,~i..d~ ~ ~ ~ y on Back COMMENTS: SHE:T 1 OF 2 . ` ° REPORT OF INSNECTION loepection Reporl By: HAYES CONTRACTORS~ INC. ~ Inepecdon Contreet No Fire Protection Division No............................. Conferred With 1010 Currie AV. N. ~ Mj~15. ~ MN 55403 Burceu File ~ (612) 332-9501 xo G M. Stewart LuI¢b.er.._Co BUILDING OR LOCATION.................................................. REPORT TO 925 Yankee Doodle__.Road 1NSPECTOR ....Roger....gunze................- 3THEET . CITY k STATE...EagdR~...MinneSOtd DATE......SeP.~.~....6..r....~.9.$3 ' - 1. GENERAL Yee N.A.t No~ ~ a. Is the building occupied acwrding to information furniehed by owner or owner'e repre- X eentativc? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ ~ ~ ~ . b. Is occupancy same as previoue inspection acmrding to in(ormation furniehed by owner or $ owner'a rePrgsentative?. . . . . . . . . . . . . . . . . . . . ~ ~ ~ ~ . c. Are all sys6ems in service?. ~ Y~~~........_......_.. d. Are a1l fire protection systeme eame as lasl inspection aceordinq to inforn~ation furnished 6y X owner or owner's reNresentative? . . . . . . . . . . . . . . e. Ie building comNletely sprinklered? . . . . .~.....................................X........... ~ ~ ~ ~ L Arc all ncu• additiuna and building chanRes propedy protected according to information fur- X nished by owncr or ow~ner's rePresentative?....' .....................................X-..............................._..............' g. Is all etock or etorage ProPerly below aprinkler piping? . . . . . . . . . . . . . . _ . . . . . h. Was property trce of fires siuce last inspection~ according Lo intormation turnished by owner X or owner'e representative? (Gxplain ~nY fire on sepsrate sheet) . i. In areas protected by wet syatem, does the building appear Lo be properly heated in all areae, including blind attics, Vcrimeter arcan and are all exterior openinge proteCted againet X entrence oI cold air? . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . 3. CONTROL VALVES (Sce 3ection I6) a. Are all eprinklcr eyetem main wntrol valvee open?. . . ' ' - ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . X ~ O ~ S A b. Are all othcr valvee in proper poeition? . . . . . . . . . . . . . . . . ~ ~ ~ ~ ~ c. Are all control valvea in good condition end eenled or eupervieed?. . Sealed~ X,..,.. 3. WATER SUPPLIE5 (See Section 17) - ~ s. Was a water How teet made and results satiefactoryt . . . . . . . . . . . . . . . . . . . . . . . . . . . ....._X........... ~ O ~ ~ ~4. TANKS, PUMPS; FIRE DEPT. CONNECTION5 ~ s. Are fire pumpa, gravity tanka, reservoira and preeaure tanke in good condition and prop- X erly maintained? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - b. Are fire dept. connectiona in satisCactory condition, couplinge free, cape in plece and check X _ valveetiB6t? 5. WET SYSTEMS (See Section 13) X e. Are cold-weather valves open or closed ae neceaearyT...... ~ b. Have anti-[reexe eY~tema been teated and left io eatisfacWry conditionT ..........................................X...............----..._-- e. Are alarm valvex, water-6ow indicatoro and retarda in eatis[aetory condition? . X...............-........................._....___ 6. DRY SYSTEM3 (SeeSection 14) ~ (ChangOd Dry System to Wet) s. ls dry val~e in eervice and in 6ood condition?- ~ ..............................X...........-----"--- ............_................,X.. b. Ie air preesure and priming weter level normnlt . . . . . . . . . . c. Ie air compressor in eood condition? . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . d. A'eie low points drained during (all and winter inepectionaT . . . . . . . . . ...............................X.................-'---' e. Are quickoPening devicee in eervice? X.............._...._--- X f. Aave dry valvee 6een trip tested satisfactorilY as re9uired? . . . . . . . . . . . . g. Are dry valves adeQUately protecLed [rom freesiuB2 . . . . . . .........~....X..................------ h. Are valve Louse s¢d heater condition eatisfactory?. - ~ 7. SPECIAL SY&TEMS (See Section 18) - ~ . s. W ere valvee tested sa required?" " - - " . . . . . . . . . . . . . . . . _ . . - - - - - . . . . . - - . . y.....- " b. Were'all heat responsive eyetems teated and reeulta eatisfactor ~ °'-'°--""'-'""X""""~""""""""""- " c. Were aupervieorY featuree teeted and reeults satiefectory?. . . . . ' - - - • . . . . . . . 8. ALARMS ~ ~ X n. Are water motor and on teat eatiafactor . . . . . . . . . . . . . . ......:X.....-"'~-~............................------ B B Y~ . . . . . . . . . . b. Is electric alarm teateatie(aetor + Z 36 Seeonds) - . - ..:.............._..._X...---...............---- y e. Ie eupervieory alarm eervice Leet eatiefactorY? . . . . . . . . . . . . . . . . . . . . . 'E:plain "No" snewers in Item /19 INot ADplicahle ORIGINAL 9. SPRII~HLF,RS-PIPING Yee N.A.t No• ' ~~n. Are nl sprin ere in good condition, not obetructed, snd free of wrroaion or loadingT . ~ O~~~.................... b. Are ali eprioklern le~ than 50 Yeare oldT. " " . . . . ' . . . . . . . . . . . ~ ~ ~ ~ e. Are eatra ePrinklere readily svailable? d. Ie eonditioa of piping, drain velvea,. check vslvee, 6sngere, yreeaure gagea, open eprin- - Iclero. atrainers aetiafactorY7 . . . . . . . . . . . . . . . . . . . . . . ..........X........ ~ ~ A ~ e. Have aprinklere 6een checked for proper teoiperature ratinR?. • • • • . • . - ~ - ~ - ~ ~ ~ ~ ~ ~ • • . • - - ~ --~--~~._X~,,,,,,, ~ ~ ~ ~ ~ Are Wrta6le fire eztinguie6era in good condition? .............................."'-............X.............-----.._.....................:.. g. Ie hand hoce on eDrinlder eYateme eetistactorYl . . . . . . . . . . - -----'-.........................X..............---......... 10. Date Dry-syetem Pipin8lsat checked (or eWppege. ll. Dste Dr3'-nyatem Piping leat checked for proper pitch. 12. Dste DrY'Pipe Vslve leat trip teated . l3. We! Syatema: NoT One Make nnd 1Kodeli.. Vikin.g.._dry.,.conyerted., to.._wet l4. DrY SYatema: No? Make and Model? 35. Special 3yatem: No? Type ~ Make and ModP1t......_ ..................................................................."'-.............................---.....Candition!............................................................ Open Secured Cloeed Signe l8. CONTROL VALVES No? Type? Yee No Yee No Yea No Yee No Condition City Connection Control Valve.. . . Yenk Control Valvea . . Pump Control Valvea . . . 9ec4onal Control Valvea . . . . . . . . . . 3yeeemConcrolV~l~ee ......................~'ti'4...._Butterfl-y-----...Yes .Yes...... Yes Good - 17. WATER-FLOW TEST Water Preaeuret... ~..~`~...1bS. ~.CITY ........................PSI TANK........................P3I FIRE PUMP........................PBI Water-How Test?-.....Y.eS...........__ (If none made, w6yT) Sise Premure Flow Preeaure Size Pressure . Flow Preeeure Teat Pipe Located Test Pipe Befoze Preesure After Teet Pipe Located Teat Pipe Before Preesure After On existing 2" .75#.,_....,...70# 76# drv valve. ~IS. Heat Reaponeive Devicee: TypeT Type o( teet? ValveNo ....................A.....---B_......C.---..D........E........F........ ValveNo....----------.......A_-'-'--B........C........D........E........F......_ Valve No .....................A.....---B........C........D...----E--......F........ Valve No•--......:............A........B........C........D........E.......-F------ Yslve No .....................A........8:.......C........D........E......_F........ Valve No...................._.A_......B........Q--._..D........E......_F.__._ Ve1ve No ...B_......C........D...._..E........F........ Ya1ve No. - A........B........C........D........E........F.._.._ Auziliary eQuipment: No?...._.......... TypaL........----'-'---- Locationt.................................. T¢et Rewlte?.-----'-- l9. EzplaneGon of sny "No" anewere. , 'l0. Aecent changee in building occuyancy ar fire protection equipmeot. 21. Adjuatmente or wrrectione made. DTy Sy~tem was converted to wet. 22. Deeirable improvemente. T~jOV2 inspectors test to 7' above floor level. DUPLICATE TO : . . . 9TREET _.............................................CITY ~ 9TATE . . . •G:plain "No" ~aewen in Item f 19 ORIGMAL / • . . / / ~ 1985 BUILDING PERNIT APPLICAiION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED iiITH THE CITY OF EAGAN ~F'(MERUAL~ INCLUDE 2 SETS OF PLANS ~ CERTIFICATES OF SURVEY 0,d=reG~-! 1 SET OF ENERGY CALCULATIONS • ~04/f/a/a' To Be Used For: Valuation: Date: ~~-ys - Site Address: Y~~~Q'/: ~ OFFICT E USE ONLY Lot: Block~ Sect/Sub ~ ect Occupancy o a a Sa 3- 3 3~: ~o ~ Remodel ~ Zoning Parcel 11 ~ Repair Type of Const Addition ~J of Stories Owner JUc)~77.Aui~S7' !~/~1c~LFSL4/h=lriml3F-'~ Move _ Length Demolish Depth Address q/S` YIl~nJK!-~'((~^x9I7Lh P~ Int.Impr. _ Sq Ft Install City/Zip Code ~'~-CaG4rv M fl~, Phone yS~~/- ~/q~'S'- ApPR0V6L5 FEES Contractor TI 13L~tin~ ING . Assessments Permit 2P~3~~ - ~ Water/Sewer ~ Surcharge Z5, = Address 3qp~ 5~~t-y m~~j {~lw I Police Plan Review 14 i.jO Fire SAC City/Zip Code ~6~/~/ /yj /~J 6~J"ZZ2- Engr Water Conn planner Water Meter Phone q,5 ~/-/~y O d Council Road Unit Bldg Off~_ Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOTAL S p City/Zip Code Phone U r ~ ~ . _ . _ , , . . ; . , ~ ' ' I : ~ I ~ I I ~ ~ , - _ . i ~ . - ~ ~ w , ~ i ~ i ~ ~ r. ~ . f ' _ _ . T - - - - ' , w~ y°1. ~ ~ ~ ' ~ . _ -I -I K X~ T~ ~ is7~?~Pw - ~ t --1 i. i i' , ~ ' ' Y . ~ ~ - - - - - - - ~ . ' ' ' ~ ' ~ 1--- ~ - - : - ~ ~ - a . - - - , p T ° , - 1-- I ~.D = - I.. ' i ~ i.~~ , ~ _ _.r - _ I ._,a? - , . _ - ~ _ I 1 - o _ ~ r<' ~ ~ ~ ~ z . - -i " ' _ 4 ~ .r...• i ..r . - I - " ~ ~ I _ IZ -i - - - _ N N_ ~ I . ~ l. _ - - ~ - - I ~ ~ - - - - , ~ ~ L ~ i - i . ' i ' i~ - - - - - - - . , I , • , i _ ~ . ~ n ~ I- . _ I j-;' - i ~ f = - _ - - - - - ~ ' ~ ° ~ M~~ ~ i ~ ~ I . - - -I--.-_ - - - -T- ~ I . . _ j _ - - . I t - I I _ _ ~ _ _o . f T I I I I ~ N - . _ ' I 3 % . -I . . _ - - I T t • ~ cn 1h+ ' ' ' ~~c r ( i. . ~N I _ - _ . -r Y f v..~ . , - . _I.~._r. , ' ~ - ~ _ ~ ~ ~ ~ - - _ ~ - - - ~ t _T _ ~ i i _ _ - - - - - - ~ . d. . - - - - - - . - - - - - ._.3 _ ~ ~ I ~ - ~ _ ~ „g r- - - - - ~ - - - - ~ ~ ' ~ o. I I ' _ . - ~ " - I I ~ _ " ~ - . . , -l- ~ ' _ o- ~ ~ ~ s-~_ ~ , ~ ~ - - - _ - - - - - ~ ~ ro- N - : - - - - I - --f- ~ - - - j , ; - ~ ~ • - I --1- - - ~ - ~ - - - - - - ; ~ - - ! ~ i I ' - ' - - ~ , - ; , ; ~ ~ , ~ _ i - - - - ~ ~ ' _ - 3 _ _ , ; _ - ~ - - , , ~ - . _ ~ ~ ° - ' ; - I C ; _ _ _ ; _ _ _ l ~w ' r . . - _ . - - - o. . . I . _1r i~ ~ ; + ~ I i - - - - - - r ~ . U ~ M f~ ~ - - M _ . _ ,z . _ r i ~r I 3 04 , i . ~ - ~ - ~ . . ,z ..M I. ~ ; _ : ..t.. . . I I. - _ . ~ i - . . : . ~ _ ~ . I _ I. i _ . M " - ' _ _ 1 I ~ I I ~ I ~ ' , , I i - _ i ~ ` I ~ - ~ f-- - - ~ _ _L._.,___ _ ~ . : _ _ _ ~ ~ . . . _ . ~ - ~ r 1 ~ - _ . ~ ~ . i _ i - - , - - ~ _ ~ ; n - - - , - s i: ~ - ~ I i I . , - - - - - ~11' , ~ , I - ~ ~ - I i Z ' _ { ~ ~ . s ~ - ' ; ~ ~ I i il - ~n N ~ I I I . _ ` M O ~ - . ~ ; - ; _ ~ - ~~=f-- - ' ~ ~ ' ~ _ ~ _ , ~ ~ , 1-- . - • - - - , - - - - - f ( ~ ; 1 _ _ ~ y~r~ P''~.; - - --7--- , _ _ . ~ I ~ , i ~ ~ , r - i - I j -i- i I - - ~ I I ; I i I I I I' ~ ~ ~ ~ - C- - _ . ~ I . I . ~ ; . - I I i ~ - - - - ~ ~ r . ~ i I i i i ~ ~ I I ~ t- - -I..- I -I . , ; I , ~ ~ ~ . ~ I I ~ I ~ ~ . ~ 1987 BIIILDING PERMIT APPLIC9TION - CITY OF SAGAN SINGLE FAMILY DWELLINGS IIYCLDDE 2 SETS OF PLANS~ 3 CERTIFICATSS OF SQROEY, 1 SBT OF ENERGY C9LCOLATIONS NOTE: ADDRESSES FOR CORNER LORS - COATRACTOR/HOMEOi~iNER MUST DESIGHAYE WHICH ADDRESS IS DFSIRED. NO CHANGfiS NILL BE ALLOWED ONCE BQILDING PERMIT IS ISSDED. MOLTIPLE DWELLINGS - RFSIDENTI9L RENTAL DAZTS FOR SALE OBITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOEVEY - CHECg LiITH HLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS COi~R~RCIAL , INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS~ $2,000 LANDSCAPE BOND ~CM ODE L To Be Used For: 0/T / C Q Valuation: ~ OOD Date: ~~~5- Site Address 9~s ~Gnl~fc ~m+~/i° OFFICS QSE ONLY , - . Lot .3 3 Block ~ On Site Sewage_ Occupancy n MWCC System Zoning Parcel/Sub • l-_~c, ~1~•~C~ On Site Well _ Type of Const ~ City Water (Actual) Owner /~~p6f ~ i..2s~ 4J~ic% 5a~! Lt•.,b~P ~Allowable) ~ / ~l of Stories Address g~s Y'aKkce c%a4~e Length ' Depth City/Zip Code ~Gau~,Mh S~'fL~ S.F. Total Phone ~~~y ~ Footprint S.F. ~ 9 ~s 9PPROVALS FEFS ~I ' So Contractor ~C4So.-,R~ ~d~ /c/,4rS' Assessments Permit 4~~•= / Water/Sewer Sureharge ~1. Address ~/72% /"dK ~+.z74[ ~'iA Police Plan Review '14,~s Fire SAC, City City/Zip Code C<rpl~.s .-i Engr SAC, MWCC r-' Planner Water Conn Phone ~/S~/- S`~ ~„~a--oro 5~.~ Couneil: Water Meter Bldg Off Road Unit Arch./Engr. /~JQF'~C' av~~t~".s' APC Treatment Pl Variance Parks Address 9rr ~/4n~<c c~mhc~~ ~ Copies ~ TOTAL 233 . zs City/Zip Code ~k~a Y ~ ~~1H ,7~.5/ 2Z Phone U s~ ~ ~ 9 ~s~ h~~`r 't~~~~~-~ 7:- j ~ 7;-, n' ` ~N i ra ai W ~ X~ r~ Ir~ r t7-~•~ .i-~ i I'_~ ' ' • ~ w ~ f i ~y_~:, . . ( - l-L-~ }-I ' - I_ a„ ~ I I G ~ n'r,-~N ~ cas~ ~ I ~ -Q . S7o2PuE FIrC~:i['_~:.~.`-~~ ^r , ~ i i • ~ I i~~I'~5~~ i~~~ I I! I ~ ~ ~ i ~ 1 I j ~t` 1 5'ti^i.,l iyl -i 1 I ~ ~ ~ ~ ~ ~ ~ ~ ~1 ~ ' ; n ~ ~ 5 (D-~a i i \ v~ Cl;4:l~u~)' ~ ~ I iC'~ rlkm~ Fi~... ~ . i ~1 ~ ~ a~'~ t ~ I ~ x-~ f _ ; ~ ~ Fjf"~Jro~ ~ ~ ' ' ~ u ,r wr~ i- ~ . Rt'~~ ~ Fir~, . g~_~~ Fiem ~ _ . _ . _ 1 ' ~ / ~ ~ li- ~ P,pGi T?Di3Al. Ex? T S N~.J s-=; ~ r w~~.'_ I 2b 2~ , Z 3-rJ ~ ! i„~ ~ R~~r~ 'R{IS DIRF•LT?Ohl ~ cortr=2errc~ ~o~v,.~ ~ ~ ~ \ ~ . . 3 ~7~ ~_~rm ~I I Z ~ I ~ . • ~ ~ 2~„__ ,~'iz Wa~.s ^ li i' e~ ~ ~ ~ F~ ~ ~ ~t*rr, ~ ~a~~, i ~ . fC I ~ ~ v~ m ~ ' i: 1 ~ ; : ~-~,o,-~ . ~ - F; ~ ~ , 3_~ i ' ~ , _ .,roP~ i-d= , F~2rn I ~ ~ ~ k::"P.m.: . . . ~ 8_D . / I I i ~ ~ 6 i `6 I I I, < ~ h_p AP~~°~ L-.. 4 -_~j - ~ n I I 'I . ~ I`v~ ~ U~,~ _ ~y~„''' F~r_~ j ~ ; ~ u~~ ~ c~tB~ ' ~ i ~ ~ - w , 3 r- - ~ ' , _ ~ ~ I ' ~ ' ~ - i ~ ~ ~.:i ~ ~i , „ ~ ~~r ~ ~ f-, ~r ~ - 1~ - , i ' , C r. ` r,n~n., /1 I ~ ~DPrer ~ ~ ~ _'_~pCK O~~ir.~ ~~a .~..~.~G`.I ~ ^~...-~uN'-tiG '7?~'. ~ ~-Cr+~~_~~ef . : ~ ~ ~ t ~ ; i ~ Ylkm Z ~ ' _ i i . . . _ i . . . _ _ /b~ ~ "ri R.~" . ; i ~ ~0~-~~~ F~nm ~O° rlfm ~j' ~-1f RPProX b.~_~" FiRm~ ~ ~..~^_~vJ ' ~i' tt - _-~J.-._ I. . . _ . . . . . . ~ + i~.u KCw 23~ I _ -O . ~ . ~ RE}~~PCES GOOP~ ' GIQM I W i ~`l' ~ . . r . ' I` r v , I p ~ .f. j i L r y~ ' ~ ~ ' . - 7-~~7~ . ~O ~ ( ~ v I ~ ' i ~Z',~ ~ ~ r . ' h-~ jL_~_ ~ ~ ~i-L . ~ y jl-~-!' I 'J K~~.~ 33 ~!W z~~ KW 33 K~r.i z3 OI I ~,~`_rd; cp.,r.1 `Cxui-~.?) ~~.P_ N~~.J p::~cL~ (Z eD,.iFfC:.nlcL ~^s) rJC;~_ `-F~__ :.~L'~- S« 1•Su~ ~ .rr-~iJG!-` G- s ~ouc_a o~~N;..:,5 ~=;a`!NG ~ ~ Yv~ I N w wl w t" i ,i W F' ~~t1NL~ 1-~P,rd C~yT P:N~~ SfFCK'C jJ W`.~ RaC /l~enH~{,JFLl: OF i.;;r^.~;F:T=~. Q,CAm . KCYv z; ~ Ciz ~r-tc~/~ ~~W `7-O'Z ~-~Z' ~ i , M T~ zy ' ~ l~J Wir~~ea~J d {'-la~ 2y~ 23%~ S- I-O -r~,ro... Ci!LIN4 ~ 5~3~ 33 s^" ~-~a ~'~o.~ ~;u~~~ ~(Y~l Z'~ Lt -O J- C'/z 1~{(0 2-0~~ Y-~~Z ~ K`~,' ~ a (c'-O`iz 3~ 'I - r , , -O,z _ , KX z=; :'-c~'Z -o%z„ z~ x 40- s~'~ o~ a. ',i jr- ~ i , k~~-~- ~,<N-~:~~ ; , ~ i 1 ~ 2~ ~ . _ 1 S`~owE~S ~."-.-I. •j~'r; G ~ ~ I ~ ~ L=i NG~ ~sa I H W ~ ~ J Q , , 7,r I - _ i N~~~ ~ ~ Z 4 x~t o f i i~s 4 s=~ z - ~.-e~---~' Fu~rsr~~~ , ; ~ C . ~ n~ ~ . . . LX;S~lNC~ n~(^ ~~Dam fi~ ~Z~`- N~ 3~ rr $ L'-~~ p . ( ~ 1 r ~ . . i ~ . - - - Z.. - ~Z - Fu2r~+~c=_- - - 5-~" - , - - - z ~ - F l R v., _ . - - j - - - - - - - - - - 4 -F~kr+~ - - - ~0 - Z ~O°~"' ~ ; - . ~Q~ ~ ~ ' i Q VS~ FPn~S IN s~a~u_r+.sp} s-o Z4 6 8 ~ j~ , z.. 1 . ~ I. L1JfdL4(I-~r.~ ~',2i ^r, fiNC ~;H " 6ENCr~t ~ ~ h j 1 ~ O rrlC`;,$. ~ L! n ' _ _ . . . . . _ . _ ~ ~ ~ 1 , / ~ ' L..~C.~$~(= •m n~ /f ~ ~ i O ~Q~~f"3 W F,l~ j.C . v~/J -C.?U ~ ~ ~ - . ~ I ~ , p ~ - ' . ~ .t~ ~WF:~:r i ~9-0 ~P~~, ~ . i e ~~~~:F~_F%.;F~~s i~ti~ . „ ~ ~ i ~ r~t w ' ' ' - Fc.rrtsv: ( IL OIC t/ r f>I~) I) I -.~NCt' RDOm n-~.~ .^.~:4V"r~10NS ~~`-ih'!c'~ 1 R ~ l - - - - - . ` ' Zb_ ~ _ - - _ _ _ _ 6 Z _ - - - _ ' I . 'D I I ' I I . _ I^ L v'.~.L 7= "'r.`'~ i^ /J ~ I R io ~ (/G i i ~~C Gf"I~~' ' _ ~~Qyri i . . . . } . . . _ . . . . I L 8 ~Q Flev~ M'C FIti~•. ~ ~L' O ria~., _ ~ W , - - - - - - _ - - N.h . - - \ ~ _ ~ , 3-8 . <r.•,~~ ~ 3_8., 8 _ I.4 ~ 1 1 Z ~L 24 X 40 9~-~ 3~ X 40 24 X 4n '~-IC£~ _ ' SUD~1= SLtt~k- ~ o ~ A~ 1 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ~ ~ ~ INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiZCH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PEPMIT IS ISSUED. MULTIPLE DWELLZNGS RENTAL QNITS FOR SALE UNITS ~k OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.~ 7 SET OF ENERGY CALCULATIONS COhII~RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS CUMMC-azLia~- SEP 2 0 1988 To Be Used For: ~N7ERIa'Z~qp(2ptiE Valuation: ~~~J~ r Date: Site Address / S ~Q OFFICE USE OYLY £~S'2'"~ n.. Lot 3 3 Block ~ On site sewage_ Occupancy $'Z . MWCC system Zoning L Parcel/Sub f_.4<aR.;.c~=_ Covn~inD.PK' YTk On site well Actual Const ~tii City water Allowable Sd'N Owner w, f~;~,~o/~Safi ~v- PAV required _ il of stories 'L Booster Pump Length Address p/ ~V„,~,p~ ~ee/% /?G/ Depth S.F. Total O v City/Zip (~ode ~aG,~„ ~ _s ;-~t Footprint S.F. Phone y'Tj~~ ~/qpS'" APPROVALS FEES Contractor s['~se..s/ /l,,,/.,/r~ s Engr/Assess Permit ~l~Q-. Planner Surcharge Address yG !j/ ,~h,~„-~ v~ ,,r Council / Plan Review I 8 , Bldg. OfF. y3, ~~~21 SAC~ City N A City/Zip Code ~~~q _,,.9 .s-rie2 Variance SAC, MWCC ti p, k'ater Conn u A Phon~`/s"! s' y~ i ~"'JZ r1- p( f- 2 Water Meter ?.I/~ Road Unit ti A Arch./Engr. Treatment P1 N A Parks µfft Address Capies TOTAI. s ~ , City/Zip Code Phone 8 ~ ~ . - - _ - S~A s~~t~/ _ _ _ _ - _ l~Gy2 ~ ~ ~ - - i~- '72~' ~ ~ ~ I ~ I ys~- S ~ co~,pu~~ M ~}ewutis;~~ ~'A~~ ~ ~ ~ ~i~~ ; ~2~l5Tlni~ . . - - - 18- ~ ~u ~~o ,NCr -~F - ~ ~ ~ ~ N ~ s ~ i ~~~a~~ ~ ~uzNracE. 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A~P3~QX~-39ov _~E~~~LA'T_~~,o~ 5~o2a(SE , _ _ _ T±I.E~u.itR~~.~_~ _IS OF ?NPE~T-t~~~ot~[Rur~[oN--.~?o~s sk~D~-- W_i~H-A T3._Z_ O~~sa(?A~cv uSE_.,___- - - - - - -~4 wALK 'Tk1ROU(r}~ ~.~T~3£~'~I.1~~11'JG-t3F1/I.~E.1~_.~~~R_A~ - --GO_~__V LO I.,AT Ls2N C StJ_E~-_f~C,~$-51-1 ~ ~t~ ~ • - - _ - - 'T+-lE._.FOl1ow_~N~__c_o_'~RE~~Qr1.S-~4~ouGD~iE MA'~~ -ra~~F~' _fi.]CI~T_INCr _`~T'RU~4-TI,~R~; IQ NANQRA_I.~,'~_ SH o1.~1~_ 8~_/_N~l'~S.s.E~Q-N b"I~-Q~ _7_~ Sh'Q Z~T _ F-?~1_U±-L'T _oF__~T,~1]~~_IN_T~1_E__~~~N,D ~a'ta~~--_See u~c.3~pb~ j ~ I.LIAMINAT'~~. EX /T ~1~s~_5.1-1P_~41~~~ _/~l~T_~il L 1 N dG~P92~A~ v.i 1-r~ ut3c.~3.I__y - - ~ -E.kiT ~~~kM~,ss1a?~~W_ST PRau~p~D r~v- a~~~pA~-- - - -~(V_12H__S~I~L ~~13-~-f~EP~--i4_'GE, SRQiSER.~ L1GHL8c~. C.LiS ~N _ - . _EXI_T ~TAIf~. _Wc°_t_~/ - / _ Q Ei~ _F~_74~1C.. 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FI DAM~,~ ./l..d fIL/iK_ ~N/71PA710NS~- --~-~~~'0~'r ~l~r~~r`°L'i~- t~•:~^~.--~~1~-~Lc.~l~~~.~_=- ~ - La~l-~~_'~~4!/i+~l-1~_ ~~^s!~"~~~~_~'~',~-.^.r-~fi"~:*~~A 5~.~ i~-.a rror.~ x Tui~ES _ S~tacv c~~r.~ Pc-~q,~' ~rvi.TN _ - - M513~- TA'~C.E S-E . S~t~~!f/T_ ~'r~G~c1c..477~Y.~~-- - _ ~~7~ ~?/~iP~[~ w/M/N1~1_~N ` ~C~t.tt.~T7~/S~- - / ~b~`'~ - ~ 'X]~- - - M~ zraa~ - - - - - - i s vi -~*i a~z ~l ~`J~" ~ `c~ ~ a.\~~T~~ - ~ ~oG,~-- - ~ Z K - - ~ ~ c~ ~a p ~I~ h aE X Rh - n g = o X 9~ _ ~ , _ . _ _ - - oh ~ - -~r~ s - - W - ~ - ~ _ . . _ ~'j-rd.i/V»~--- -h-- ~ '-~,~i_i J " ~~I _ ~ - i - I - r - ~~~a~~ QNV - -°r__ e - = U.ao~ ~~ll~~ - ~I trr+Q , - - - ~ - - - - ~ -~{y, . _ i _ : - - - - - - - -~--~--c-- _ I_ i \ I~ ~~c•.,~ l.rp~ ~ ' • ~#~~~~~~?k~~*:~~*~~~~~~:~~~~~~~~*~~~~~#*~~ CITY Of-- ~f~GAN r.,ASH.T.~tt. S 11~R~11t~FlL. N(l: ti'74 DA7Fa 04/:!.5/9`-J TSNrG:: t4,,,3~;~t'~E~ II7: n!ar~r: z~r3i._r...a f;r)Cll'T~G :il-IGk::T N~E:1'rit_ 3':!.(] 9ltr~f. ')i.;`i YNPQii:l= I:~I~t_L~ 39_?.35 21''1.! 9P(y~. 9:I.1~1 YNIif_F LII.ILF_ :;F)~`rD , i 'To{;a1 f''v=c..r.:ipt 4rt~our~!:: I.,Q4~.E35 CR i nr:,45i l.!SE:f; :tT.~: P'ANCV >k~,t%KYRYF}K~~.'Y~(~(yF?K7K 'M7K7K~ N(k".M~RCXC%I(KCM'~~YnN~YF7K~?K 'Mk(X(~n 1999 BUILDING PERMIT APPLICATION (COMMERCW.) CITY OF EAGAN ~j ~j ~ Q 651 681-4675 ~ ~ U ~ ~ $ Q1 Re uirements to build n ermit ~f ~ S Foundation Onl New Construction Interior Im rovement • Structural Plans (2 sets) . ArchitecWral Plans (2 sets) • ArchitecWral Plans (2 sets) • Civil Plans (2 sets) • SWCtural Plans (2 sets) • Code Malysis (1) " • Code Malysis (1) " • Civil Plans (2 sets) • Projed Specs (1 set) . Projed Specs (1) • Landscaping Plans (2 sets) • Key Plan • Spec. Insp. & Testing Schedule " • Code Malysis (1) " • Master Exit Plan • SAC detertninatlon letter irom MClES - • SAC detertnination letter from MC/ES - call • SAC detertninatlon letter hom MClES - pll ca11651-602-1000 651-602-1000 651-602-1000 • Spec.Insp.BTesfingSchedule (1) " • EnergyCalalaUons (7)notaArays" . Project Specs (1) • Elec. Power & Lighting Form (1) not aNrays " . EnergyCalalations (1) " • ElecVic Power 8 Lighting Form (1) " . Master Exit Plan . Soils Re ort 1 ~ " Contact Building Inspections for sample Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-2150700 for details. DATE: ~'1T~q WORK TYPE: _ NEW ~EMODEL NPLY ? F-zz. y J DESCRIPTION OF WORK: v~^^~ 17is~N TO ~7~K i-'r/ ~CSYSt~i CONSTRUCTION COST: ~i2~~ _ S(X~.'°~ TENANT NAME: ~~,~da~6c-tz l~~t.!u1DRK ~~F{~~r~ SITE ADDRESS: G/I~i Y~'4K~~ I~iDi~ r~Y,~fl- SUITE LOT ~ 32 BLOCK y SUBD. C" w~ ~Y~O! x~ P.I.D. Name: 5~y~~~~~ ~Aj/-Ll l~K r.~,€~~E Phone#: ~~I-'!S"7-~~S' PROPERTY Last Fust OWNER / StreetAddress: ~I~~ 11~~ V~L.~ City -~f At~l, State: Zip: `J~lZI 'C~`~/ Company:~~L~~(~--~ ~LIlCF~~Y 1~- Phone fo~z~ Ss~ ~a'2~.~. CONTRACTOR Street Address:~~~~~i T~~f~ /V(l City ~~1~(lU'(~{"{ I~ state: ~N , zip: _ ~y ~ ARCHITECT/ E~iGINEER Company: ~ Phone Name: Registration Street Address: + C~ty State: Z~P~ S`ewer & water licensed plumber (oniv if installina sewer & water): 1 hereby acknowledge that I have read this application, state tha[ the infor io ' mply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 26 Public Facility ? 28 Greenhouse ? 25 Miscellaneous ~27 Commercial/Industrial ? 29 Antennae WORK TYPE ? 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 43 Siding/SoffitslFacia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors ? 33 Alterations ? 36 Move Bldg. ~ 42 Reroof ? 45 Fire Repair GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code ~37 (Allowable) First Floor sq. ft. SAC Code 45 0 UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs. o # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. S 10o Fire Sprinklered APPROVALS Planning Building ~ Engineering Variance v _ ~ . VALUATION: $ Permit Fee ` f ` ~ . - Surcharge JT6 . ~ Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication ' Water Quality ; Other Copies Total Id~-l~ L /~,L BL OFFICE USE ONLY ~ /7 ~ ~~E~PT. 7sa~ SUBD ~Y ~°"a' RECEIPT DATE: ~~P q ~ 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 887~875 Pbase wmplete for: ~ all commerciaVndustrial buildings. • mutti-family buildings when separate permfts ere ~Qj raquired kr each dwelling und. ~ backflow preveMer to be instelletl in mmmercial areas or reaidendal boulevards DATE: ~ ~ I I~QI I WORK P: New Const. ~ AddAn _ Repair DESCRIPTION OF WbRK: ~i:l~.d Go~`'~Q~v IS WATER METER REQUIRED? Yss _ Mc. FLJg•riDiutETc;iS Tt~ ti~ IN~iALLED? _ Yes No UNDEROROUNO SPRINKLER SYSTEM INSTALLING METER7 _ Yes ~ No. NEW SERVICE? _ Yes ~~No WATER FLOW: GPM. Pressure Redudng Velve may be required if installing new service - contad City's Engineering Depertment at 681-4646. FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE FEES Minimum fee of $25.00 or 1% of contract prica, whichever is greater. Minimum State Surcharge ot $.50 due on all pertnks. CONTRACTPRICE: S x 1% = S COMPLETE TH~S AREA ONLY IF INSTALLING UNDERGROUND SPRIHKLER SYSTEM BACKFLOW PREVENTER FEE a 25.00 ~'Q,: ~ S ~h5 , vO WATER PERMIT (new service only) 50.D0 = S WAC (new service only - par conneCion) 780.00 = E WATER TREATMENT (new service only - per connection) 420.00 = E CITY INSTA~LED TAP 300.00 = S METER: 1" = E185.00 , 2" TURBO = 5846.OD = S PERMIT FEE S fl6URE SURCHARGE AT 50 CENTS FOR EVERY t1,00D OF PERMR FEE DUE STATE SURCHARCaE S_ TOTAL S e~+.~1 • ~ I hereby adcnowledge that I have read this applicatlon, state Mat the infwmetion is cwrect, and aprae ro oompy with all epplicabk City of Eagan ordinances. H is the eppliant's responsibiliry to notHy tM property owner that the City of Eagan essumea no liability for a~y dameges e9uaed by the City during ks nortnal operational and maintenance activRies lo the facilities constructed under this perm%wkhin City propertyJriphtaf•wey/easement. S1TE ADDRESS: ~ W ~E: 5 S~. OWNER NAME: ~ D INSTALIERNAME: ~ TELEPHONE#: V~'-~~l STREET ADDRESS: e - CITY: ~ STATE; MN. ZIP: ~aso3. - ~3 ~ - dy C~ ~}}.I. ~,~J~ .~-1 t OFFlCE USE ONLY • REVERSE SIDE APPLICAN~~~~~~ I/- S =97 OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE p$y _ Yes _ No Domestic Ircigation uri~ irv cONNEGTION (APPLIES TO NEW SERVICE ONLY1 $ REVIEWED BY ~ .Q~ ~-/7 - 9 7 Building Inspector Date To determine meter size • See if it is indiCated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S8W permit # • Check PIMS Screens 11D (Remarks) • If gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with streiner will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector If Licensed Plum6er does not know GPMs. Bsfiore seL°jnu mr~ Check PIMS Screen 320 for ~p°roval of inspection 2sults. No meter wiii be sold before all sewer and water inspections are complete on a new service. if new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utilily Billing Clerk. Enter meter size, type, receipt date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miseellaneous Information The installer is to contact Building Inspections at 681~675 for inspection of the inside water line and backflow preve~ter. The Public Works Department may be reached at 681 ~300 for water tum-on. If ineter is over 5/S, call Public Works and let them know so they can tell you if they have one in stock before plumber goes over there. ..3.3 - ~3~ ~ 5~-- ~ ~a0~~rxz~~,~e ~ • - ~ ~l_ ~ _ 3~- ~ 1 Bate: BUILDIi?G PERD42T AP2L7.CA~T'.)N LOT BLG:.K ADDS^IOS~ PI~.RCFL & 53CTIOi7 PICTfi6ER 2F UYdPLATTED ADDRF.SS QF F1fRCEL~I l!J y//a F.I iC V F I J[~ cs d~ I(~ ~~Y. 701•]ITI~ OC~JPAf~(.'Y USE ~~r~ __L~~/eGjr(° ~o • ~ie.P?'!B t~.f E£3TIMAT~D COST~~ 2 UO -----t O?RtER ~ O/.~ i ~-~7 TA fZ ~1J UU,S T/v' ) L S TELEPHONE N0. AADP.F,SSr~?1Y _ ~ .ld ! ~1}'Z!S ~~~=tsNL~J~C1~ /.nn/.~I. ~G~ 3CJ CONTRACTOR ~.,~\R id.l~ Il Al5''/~UG70d~.JG TELEFHON~ STO. 3 r5 ~ a~D~ess S3 ~ 3~ 2Jo t~ S-r[pJ -~,~c L-~,' 1/~ l~~?,~ s~o yy tdote^ Inclede site plan, building plans, and enerc~y calculations 4~ith this application ~ l ' o~~- ~ ~1~~,~ Siqned~/`/Z'~'!-L.? i<y /u~~~ , OFFICE USE v~ .N~ % VF1LUlTSOid ~v ~v SAC 4]ATER COtNEC1ION A ~ YJATER !dlETER BUILDING PERE~4IT FEE ~ 'I ~ ~ SURCHARG~ FEE ~ PLANI CEECK FE~ rJS ~ PAEtK DEDICFITIOIJ FEE OTE~R TOTAL« - APPROVALS: ASSESSNlE1VT CLERK BUILDING DEPT. POLICE DEPT. bBATER & S~V7ER DEPT. FIRE DEPT. PARK DEPT. _ S ,~/~a, ,Q~ ~a.y~,~~ C!~. ~9. Q~. ~ COfVTRACTOR'S MATERIAL & TE5T CC•RTTPICATE PARTS A& C- SPRINKLER & WATER SPRAY ABOVEGROUN~ PIpING (Fill Out Separete Certificate Fot Eech Riser) PROCEDURE I UPON COMPLETION OF WORK, INSPECTION AND TESTS SHAL~ BE MAOE B~' THE CONTRACTOR'S REPRESENTATIVE AN~ WITNESSE~ 8~' ~ AN pWNER'S REPRESENTA7IVE. ALL DEFECTS SHALL BE CORftECTED ANp SYSTEM LEF7 IN SERVIGE BEfORE CONTRACTOR'S MEN i fINALLV LEAVE THE JOB. ' ,A CERTIFICATE SHALL BE FILIED OUT AND SIGNED BY eOTH REPRESENTATIVES. COPIES SHAL~ BE PREPARED FOR APPROVING ~ AUTHORITIES, OWNEHS AND CONTFACTOR. IT IS VNDERSTOOD 7HE OWNER'S REPRESENTATIVE'S SIGNATURE IN NO WAY PftE~- UDICES ANV CLAIM AGAINST CONTRACTOR FOR FAULTY MATERIAL, POOP wORKMANSHIP, OR FAILUAE TO COMPLY WITH AP~ I PROVING AUTHORITY'S REQVIREMENTS OR ~OCAL ORDINANCES. ~ PROPERTY NAME DATE ~ STOCK LUMBER COMPANY 10=6-92 PROPERTY AO~RE55 915 Yankee Doodle Road, Eagan, h4J ACCEPTED BY APPHOVING AV7HORITY('S) NHMES City of Eagan ADDRE55 PLANS 3£t30 Pilot Knob Road, Eagan, MN 55121 INSTALLATION CONFORMS TO ACCEVT[D PLANS: ~'ES NO O , ~EQUIPMENT USE~ IS APPROVED ti'ES ~ NO O IF NO. STATE DEVIATIONS HAS PERSON IN CHARGE OF FIRE EnVIPMENT BEEN INSTRUC7E0 AS TO LOCATION OF CONTROL VALVES AND CARE OF THIS NEW EQUIPMENT? YES ~ NO Q ~ IF YES, GIVE NAME. IF NO, EXPLAIN, INSTRUC- T(ONS HAVE COPIE$ OF APPR07RIATE INSTRUCTIONS AND CARE AND MAINTENANCE ~ YES LN NO O CNARTS AN~ NFPA 13A BEEN LEFT ON PREMISES? IF YES, GIVE NAME. IF NO, EXPLAIN. HYDROSTqTIC= Hyaroslatit tesls shail Da maCO at ~ot less [nan 200 051-(13.8 bats~ ~ot two hours or 50 V51 (3.4 Cars) above itatic pressurc in exteis of 150 P51 (30.3 Oari). Olfierantlal tlry~pipa vatve cte00ers snall be left oDen Curlnq test to TEST O~avenl tlama9e. All abovegrountl plplnq loakaqa s~all bo stoppotl. DESCRIP- TION PNEUMATIC: Eslabllin 40 PSi (2.B Oart) alr preszura an0 measure Crop whlch shall not t%Ceetl ll5 PSi (0.1 bars) In 2< hours. Tasl prassure tanki at normal waler leval antl alr pressu~e antl moasure alr praszure Crop whlc~ snall nol exceeG 14. G51 (0.1 bars) in 24 nours. . TESTS HVDROSTATIC: AL~ PIPIfVG. . PNEVMATIC: ~RY PIGING DRAIfY RE~UIRED EQUIPMENT OGERf~TION: ALI, SERVES 8LDG5: LOCATION MAKE MOOEL SIZE QUANTITY TEMPERATURE RATING Uiking M 2" 50 155° SPRINKLERS OR ' SPRAY NOZZlES MATERIAL AND KINp CONFORMS TO NFPA .,,,,NOARo PIPE AND ~F NONE, EXPLHIN FITTINGS " A l A l: M D E V 1 Ml1XIMUM T~ME TO OPERnTE THfiOUGM TEST PIOE ALARM VALVE TYPE MAKE ~ MOOEL MIN, SEC. oa FLOW Existing INDICATOR , _ I O~ERATING TEST RESVLTS: ~ ~ TIME TO TRIP TIV TIME WATER AI.AFM ORY MAKE MOOEL SER. THROUGH TEST PIPE WATEa AIR p(7~NT REACMEO OPERATED NO. ~"/~THOVT WITN pqE55. P0.[55. A~R TEST pqOVERLV PIPE O. D. O. D. _ OqE55. OUTLET MIN. SEC MIN, SEC. P.S.L P.S.~. P.5.1. MIN. SEG YES Np Vn~vES I - - Vikin IF NO, EXP4AIN OPERATION PlJEUMATIC ? ELECTRIC ? HYORAULIC ? PIPINC SVPERVISEO: YES ? NO ? DETECTING MEOIA SUPERVISED: YES ? NO O DELUGE OOES VALVE OPEAATE FRpM THE MANUAL TRIP ANO/OR AEMOTE CONTROL STATIONS? YES ? MO ? gi IS THERE AN qCCES518LE FqCIIITY IN EACH CIRCVIT FpR TESTINGI VES ? NO O ~F NO, EKPlA1N PREACTION VAWES Do~s Eac~ CI.cWt Opente Does oech Circuit Operata Maximum Time To MqKE htO~EL Su rvision Losa Alarm~ Valve Relentt? O erate Fieleese: VES NO YES NO MIN. $EC. ALl PIGING HY~ROSTATICALLY TESTED AT p51 FOR 2 HOVfYS DRY PIPING PNEUMATICA~~Y TESTED: YES ~ NO ? EQVIPMENT OPERATES PROPERI.Y: - VES O NO O TESTS ~F-NO, STATE REASON ORAIN TEST: REAOING OF GAGE LOCATED RESIDUAL PRESSUHE WITH VALVE IN NEAR WATER SVPPLY TEST PIPE: TEST GIPE OPEN WIOE STATIC PqESSURE P5~ pg~ NUMgER USEiO~ LOCATIONS NUMBER REMOVED TEST BUiNKS None WELOEO PIPING YES C~ NO ? IF YES... DO VOV CERTIfV AS Tt~E SCRINKLER CONTRACTOR THAT WELDING PROCE~URES COMPLY WITH THE fiEQVIRE• MENTS OF AWS 030.9, LEVEL AR~7? YES XX NO ? WELDING 00 VpV CEFiTIFY THAT THE WELpING WAS PEFFpRMEO BV WELOERS QUALIF~ED IN COMPLIANCE wITH THE REOUIREMENTS OF AWS 030.9, LEVEL AR-3> YES ~1 NO ? 00 YDU C~R71FY THAT WELDING WAS CARRIED OUT IN COMPI,IqNCE ~"/ITH A DOCUMENTED ~UALITY CON• 7ROl PROCEOVRE TO INSVftE THAT ALL DISCS AftE RETRIEVED, THAT OPENINGS IN PIPING AqE SMOOTH, THqT SLAG ANO OTH[R WEIOING RL'SIDUE ARE REMOVED, ANO THAY THE INTERNAI. DIAMETERS OF oIPING ARE NOT 7ENETRA7ED> VES Q NO ? OATE LEFT IN SERVICE WITH Al.L CONTROL VAWES OPEN: REMARKS NAME OF SPf71NNLER COfJTHACTOR CARLSON AUTOM4TIC FIRE PROTECTION COMPANY GR ERT' OWNER (SIGNED) TITLE SIGNATUFES\ ~ ~ r ~ , . . O . ~j~ S~ C-~w W " ~ . ~ FOR SPAINKL[R CONTHn TOR SIGrvED) _ TESTS WITNESSED 81' . ~N~ ~'1l.iJ~!.T` ____TITLE ~ ~ ' OAT~/ ~a (J ~ - 3i'Ci+~si- AODITIONP.L C%VLANATIONS AND NOTE~ ~;~,3, ~o~; C~;~~. ~~A ci~y oF eagan 3830 PILOT KNOB ROAD. P.O. BOX 27199 VIC ELLISON EAGAN, MINNESOTA 55121 ~y~ PHONE: (612) 454-8100 TMO~ DAVID K. GUSTAFSON PAMEIA McCRFA iHE000RE WACHIER Couricil Members October 20, 1988 i~ip~.lqgHE0GE5 CiryAdminisVOlor EUGENE VAN OVERBEKE Cily Clerk NORTHWEST WHOLESALE LUMBER 915 YANKEE DOODLE RD EAGAN, MN 55121 ATTENTION: MARK BUBBERS RE: BUILDING PERMIT FOR ADDITION/REMODELING Dear Mark: Your recent application for a building permit prompted our plan reviewer to view your office in order to better understand the plans that were submitted. On October 5, 1988, he made this inspection and noted several possible code violations in your existing office areas. On October 18, 1988, I made an inspection of your of£ice to determine what needs to be done to correct any code deficiencies that exist and process your permit application. With existing buildings, it is often times difficult to attain strict code compliance without placing undue financial burden on a building owner. Our position is to make the best of these situations without hardship to anyone, but to provide a safe building for employees. With that in mind, we would ask that the following items be included as part of the work to be done under the permit you have applied for: 1. Provide handrails on the two short flights of stairs - second floor. 2. Install lighted exit signs at locations to be determined in field. 3. Install 5/8" gypsum board inside closets under stairways. 4. Change door swings on required exit doors to swing in the direction of travel - locations to be determined in field. 5. Check attic area for draft stopping and provide attic access panels. THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIiY 6. Provide a one hour separation between the office and lumber storage. 7. Contact the Metropolitan Waste Control Commission to see if the conversion of your warehouse building to office space will require additional SAC charges. If it does, there will be additional fees that must be paid. If any future expansion is planned, there are other code issues that may come into play. At such time that more expansion is planned, it would be advisable to hire an architect to prepare the drawings. Depending on the extent of future expansion, we may require the drawings to be prepared by an architect. If you should have any questions regarding these issues, please contact me. Sincerely, ~ ~-~ti~~ teve Hanson Assistant Building Official SH/js ~ ~ v s. r ~ ~J 1 ~ , ?/i•:'~~(.G' ~"`--C-CiL:1i~ ~ _ _ ~ ~C44L~ ~ f ICX7~ „!i;~., fv~ i ! .,.~j /~„-y~-r~ ~ a~ ~ , , ~ - ~ ~ c'-c-it -t~:<. 6''Z%! ; 5 > / ^ / ~ ~ ~ l ~ f.r1/i~s. . ~ c' F > i_. ~F~ _ . ~ ' ~ ~ • / r l~> ~+.Xj~ Y. .e'~;,1 ~i' `fiiC!__'ro~.~ /,(-~/.cu'.[ ~ ~ ~ I"U Id . /~N ~ ~ ~1t ~ ~ . / a'i i.l ~ ~ ~ G J~ x. AF~PFBOVED a ~ r,~ ~ ;:.:~,:y~ a = 1 % ,_%r s~;.r y , . r r B Y 7i f' ~,~rEg'~~_ LF.,~G Th~~~ . ~-.c, ~ ~ . 1 ~ . ~ ds~~U,'',''',','' 1 ~ ~ ~ M1~ ~ - i ~ ~ 3~ C~F 'T'fi-f1GK. I~l~ u ~ ~ 5 F`* ` ? mu~ Mn.~n~--r__~^~_~,~c~_`s.: - ` a.~~ " -"`"y _T -'~aa~-s~ R . 6' ^ µa,~ / -G~IE ` . u..~... ~ -M----~ ~c C~-r~ ~ps~''' . 'E ' '";,-t' _ ~ ~ % - ~ . E~ . . ~ 1 2~0 ~ ~ ' dFi `-'HL-O ~ ~ , f , %f g ~ ~.~.h~. irCe ~ -,N9 `x - • iG<.cF .-.~c,(a~ar:' i [~~,q.~ ~re ~ q~ n v 'l ' p,v[ ri : .'°AM~_ p7 jRliJ'.R.r ~ " ~ . r^ , ~ ~ 1 ~'~`~~~i11Uf~6iVf~Jl.~LI..'~~EO~~~ ! r.7'i.A'~ ~.f' _ ` [V . 1' r i L... , I i ~r I !V'~~'d ~Y _ ~ i~~ / ' x ~ . : ~ii l % ~~7~1 . . ~II 4<<:< • r' - i ' ' . • ' C ~ C~f'Et-~ . r ~'Zt~J ~ZJf~~ `..!-1~l:? ~t ~ ~ (.~tihE:i'1~~~ ' ~TY ~.IN 1~ ~ , i : " = 1-- . . ~ _ l 9~ ' ~ ~ -~x i~ . -s . _ _ .r==--~`= M .-a=1 • r ~ tr25' ~ : ~ U5~ _ ~ jy ,2g~ c~ ~ ~ 126' ~ ~w~ ~ a # ir i~ c Fu~'ur~} ~~r+~ , = ~ ~ ~ ~ , ` ry ' , ~ , ~ , ~ _ i rr~ ~ ~ ~ ~ ~ i~+c~r~` ~~('y'y ~ ~ ~ ~ ~ - - ~f 1 i II~'1~' i 1~~ . 7~ i e ~T~~~.;R/ ~ 1 ~;~R " :P~fr't" ~ 'I ~ ' ~.ar g' N ~rt , ~ ,~i,~~, ,Q~F,; ~ ~,E. ~'y . 141HNESOTA PETRALEUI4 SERVICf~ INC, 5333 UNIVERSITY AV£. H, NINHERPOLIS~ MINNESOTA 55421 571-$490 MRRCN 5, 1990 IOINNESDTA STRTE FIRE f9RRSHRL 450 NORTX SYHDICRTE ST. PAUL, f91NNESOTA 55104 10R. RRY 6£fFRE, ENCLOSEA PLERSE FINA PLAHS fOR THE TRNK INSTRLLATION FOR NORTN- NEST NNOLESRLE LUq,BER~ 915 YRNKEE DOdDLE RORAr E6AN~ NIHNESQTA. HE NILL BE INSTRLLI TNO 10,000 6RLLON 9' X 21' STEfL STI_Px. TRHKS. ^-c~- TNE TANKS NILL BE USED fOR 6RSOLINE RHD. ~ESEL. TNE EXCRVRTION HILL ALLON fOR R kINIpUl9 QF TNO ffET OF ClTVE7~ OWER TNE TRHK3. TNE TANKS NILL Bf BHCKfILLED NITN SRNA. EHCN TRNK NILL NRVE FOlIR IHCN FILL NITN LQCKIHG FILL CAP AHD RDAPTOR AHA HRV£ OVERFILL PRQTECTION SYSTEM IHSTALLEA FdR TNf AIESEL RNA 6RSOLINE TANKS. THE VENT NILL BE TNO INCN AHD NILL B£ LOCATEA RT TNE DISPENSIN6 ISLRNA. TNESE NILL EXTENTI 12' R,8Q4E 6RRDE. THE PRODUCT SUPPLY LINES NILL BE FUSIOH BOHDEA PIPIN6 HITH RNOAES AT7RCHEA. ERCN &RSOLIHE RHA AIESEL TRNK NILL HRVE R SUBl4£RSIBLE PUWP fiHA TNERf NILL BE LERK DET£CTOR RT TN£ SUBI4ERSIBLf. TNE SAIL RESISTIVITY fOR 7NIS LOCRTIOM IS 7,664.7 ARAfS. If YOU HRVE RHY QUESTIONS AHOUT TNIS PROJECT PLERSE AO NOT NESIS7RTE . TO CRLL ME RT 57i-8440. SINCERELY~ ~ ~ ~ MR. KEN NIN6RR qJ~~'~ ~ ~ y~ ~ ~ ~o ~ RECEIVED FMNNL ' ~ ~i MAR 0 5 ?.99~ ~ ` Fire Marshal Division St. Paul, MtJ . ~ , ~ - REVIEI~ED ° SUBJECT TO FINAL INSPECTtON AND ANY CHANGES N07ED • CONTACT LOCAL FIRE AUTHORiTY STR7f of MINNESOTA PRI R TO PROJECT START. ilRf MRRSHALL INN TA ST E FlRE MARSFl9At 450 NORTH SYNAICRTE ST. PAUL~ lOIHMESOTA 55104 6i2-296-764i BY` Q FLRkMRBLE RND COMBUSTIBL£ LIQUTAS Date: PLRN RE47EN 6UIDELIME Please fi11 in the following information completely. Nhere not applicable mark HR. Incosplete information ~rill resaIt in the plans heing retr[rned. Aate March 5. I990 for: Cospany North~est NhoZesale Lu~sber Address 415 Yankee Doodle Road City Eaan, qinnesota 5512I Contact 19r. Mike Cordoha Phone Tank Infoz Size 1 9' X 2i' 2 9' X 21' 3 Capacity IO,000 i0,400 Prodact p oasoline diesel Construction 5TI-Pz STI-P~ £quipmenta 3uhmersible X S~ction Piping Fr~sion Bonded Type: fall Service Self Service XX Priyate F~eIing Corrosion: Soi.i Type Sandy Test Equipment Vibroaro~nd 7,6 .TOh~/Ca Protection:Type Rnode Installed--Tank Iinc Piping Zinc RII materials to be suhmitted sha11 be legible and in daplicate. Inclade plot plan of properEy sho+ving Iocation of adjacent stree~s, highHays and huildings, sttrface waters, and other pertinent im,~ediate surroandings, f ~PL dIII AE l1/04/85 RECEIYED MA~~ 0 5 29~ Fire Marshal Divisio~ St Paul, MI+N I , R11 plans suhmitted must show at least the follawing infaraation when applicable. Check each item below that appears on the plan or nark N/A if not applicable, 6ive measure~ents from tanks and dispensers to : Property Lines, B~ildingsr Driveways~ Surface Naters, Self Service RTTEHARNT Locetion. Yes N/R Yes N!A {X) Scale [X) l 1 4ent Ptpe Termination Neighb lX) i) Property Lines (X) f) Vent Pipe Size fX) f) B~ilding ts) (X) l) Piping Layout [X) l) Tank Sise fgallons) CX) C 1 Location of Aispensers fN) f) Tank Size fdiaensivns] tX) l 1 Naterways (X) C) Product in Tank [X) Aispenser Protectivn CX) Tank S~ry Depth C) f) Signsr No Saoking Shat Off Motor !X) C) Concrete Thickness Miniaum Rge Far Se1f 3ervice Over Tank i6 Yearr O!d CX) C) Tank fill Opening C) C) Fire Extinguisher tX) l) Ariveaay l} Self-Serve Attendant Location fX) Emergency Controls CX) C) Undergrv~nd 7ank Location end Clearance BY: MR. KEN NIN&ARA CRmPRNY: ~INNES~TR PETR~LEU~ SERVICf, INC, RAARESS: 5333 UNIVERSITY RVE. N.E. CITY, STRTE, ZIP: FRIDLEY. ~INNESOTA 55421 PNON£: [612) 571-8*90 RENRRKS: RECE9VED ~IAR 0 5 YS9a Fire Marshal Division Sh Paul,. Mln4 ~ ~b ~ , _ ,.~7i~{~~.~." "....~^'My~-~~.'l3'__Jr , - _ ' r ~ I~~L: 4~ . ~~.",$fi . / ~ . . . . 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W N OL~ SA ~'E ~S (ti'~ p PRIOR TO P~01~C1' ST~RT. p LY Cp NFS~ A STA1E RE MA~,SHAL 4~~ YANlCE6 booB~ 1~oAp ~ca~l M~. 5s~2.1 KAL~: ~ I AMI10V[D ~t DMWN ~Y By: ~ ~ DAT~~ ~ ~ R[VI![D Date: 3",, j~~~ ~ lnnesota ef~o eum ecvicre, 1fc. - ' S333 ~nive7zity d~ve. ~ ~ ~}ii ey, innesota 5542! o~u?w~Na NuM~~ ~i!?-.57l-R49f+ ~ ~ ~7~ ~ ~ ~,c:"~ ~ E,t~•ry N ~ ~ ~r" --F ~ w u~ ; %hC3~ ~ ~ - . y.---+: +f ' ` . ..y,.2 ~ M ~4'~~~~'~-'~ ~r „f~~~~/~~~~~ ~{~~~t~~.~~~~ ~~~r~,~~'` _ 1 , " ~r :i~ ~Cr~ ~ ~ . ~iy'+(1'YK. vr' / k~ litc~vt j t~ ~ ` ~ ` f Cl ~ ~ ' ~ 1~ ~ N ~ ~ W ~ `1r~KC) t ; 40` ~'~/'F ~4~. ~tc ("~7/~i~~~ ` 1~r~,~, ` ~s r~~ 11 ~ --1 ~-+=t--~-~ --~-~-.rL~tr `-~i ~ v~~ ~ w r ~:..t•~? ~ .w.- . ` r~~ ~ .~r•+ ,~,,,r, ~ , h r ~ - _ - . . 'E) _ ~ iti p r, k~ . . ~ ~ - ~J - ~ - ~ - ' " ~ STORM sEw. , , ' w r ~ , t 1 ,F'a ~ik0. ~ ! J r-- ~jr ~ ~ ~ ~y 1',R . 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I_~ ; . . { , , , ~ ,ti.~~:. , i ~ ; _ ~ , ~ ~ ~ ~ , ~ ` ; ~ ~ , • ~ ; " 1 ~ ~ ~ ~ U~•Iu~VtLC~i"',~Cr ~ ~ ~~rr c~,.,~'~" t ' ~ ~ . . ~ ` I S \ r R ` S I s~ ~ E.,~ Z I ~ ~ !r~ - ~ , ; . L. ~ I ~ / ~ 1 ! f ~ : ~ , ~ ~ ` ~ ~ ~ ~ ~ `i ~ a . , : .f ~ 'ro - j ~ ! cn ~ ~ I~ TE • , ~ cio ~ i r~ ' ~vF.+L~.R+r.~cN ~ / ~ T'wCl"GCa ?O:~u i~: G. ~ T ~ ' . Lj f' . i : ~ ~ , , . . '•t ! rc7~ ~ ~7';"1 ~ Ca i l, r I ~ ~ . C~Eti?~~"LI.Y •:al..P•c,At.~ ~ ~ , ( ~ ' ~s ; ~l a'a'~' :~G~Y ~ ~ 1 ! ~ { ~ SS ; . 4N~.~. c 4 ~ ! ~ vy/A'~~ A 5 T U 8- 8' W ~ ' ~ ~ ~ ~ ' ~ - } ~L" ~ ~ F ~ ; T C. 8 6 G.'7 2, ~ - ~ ~ ~ ,r = ~ + E . 83'.~. e; ~ 1~ _ t ~ ~ . ~ . _ ,,...~....~...--...oe.•-- . . . , ~ ~ MASTER CARD LOCATION 915 YANKEE DOODLE ROAD OWNER G. M. STEWART CO. - LONE STAR INDU5TRIES STRUCTURE AND REMODEL OPF.N LUMBER STORAGE LAND USED AS Issued To Permit No. Issued Con}rac}or Owner BUILDING 4129 11/7/76 LeibfYied COnStr CtlOri Inc. PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL . HEATING GAS INSTALLING SANfTARY SEWER i OTHER I 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 SEPiIC 7ANK CESSPOOL DRAINFIELD . PWMBING WELL SANITARY SEWER - Violations No}ed on Back COMMENTS: ~I~~ c~~ ~ ~o .~--6 2007 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephoue # 651-675-5675 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and com onents to be used Date `7 ~ ~ ~ O'~ SiteAddress: ~'1l ~l `tG.u~..~~Qo ~[~P ~ Tenant / Building Name: S~'o~ ~Ca s 1C~~ The Applicant is: _ Owner ~ Contractor _ Other PROPERTY OWNER SPr?v~ Address: City: State: Zip: , CONTRACTOR C( n,~~m~i-e~'~t C'~v- 1viN License ~-C3~- S- Address: ~7FJ l"I~nnv~ ~c~,~s lP (.~-J City: 1~~, / , , State: ~ Zip: 55/~_ Phone ESTIMATED COMPLETION DATE: ~ c~ FIRE PERMIT TI'PE: ~ Sprinkler System of heads _ Fll'e PumP Standpipe Other: WpRK TYPE: _ New _ Addition ~i Alterations _ Remodel Other: DESCRIPTION OF WORK: ~k Commercial _ Residential _ Educational Other: 5' ~'zao~ PleaaP cnntim~e on nrxf naaa By PERMIT FEES Contract Value $ ~ (j~j ` x .O1 = $ 5(j . ~ Permit Fee $50.00 Minfmum $ State Surcharge To calculate surcharge If Permit Fee is ~$1,OD0, surcharge is 50 cents. If Permit Fee is >$1,D00, surcharge increases by $.50 for'each.$1,000 Permit fee, i.e. a$7,500 Pertnit Fee requires a $1.00 surcharge. 3/4" Displacement Fire Meter -$•174.00 • $ Fire Meter TOTAL FEE: $ • SC~ I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a 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. A N~ L. { Y`r ~ I~D I~i(/l Applicant's Printed Naxne pplicant's Signahue DO NOT WRITE BELOW THIS LINE REQfJIIiED INSPECTIONS _ Hydrostatic Flow Alann Drain Test Rough In . Trip Pump Test Centrat Starion Final - / Conditions of Issuance: Permit Approve Date: ~ / / ~ / ~ - . . . . . F J " 0 V 1.J v CJ y. ~ v V _ ~ ~ ~ d sor No sa~~~+Niads ~o •or~ ......r . ~,,,,l~y ~^9~;~~ 133H551H1 NO NMOHS ~ ~ A'~~~ sa3~~+Niads ~o •oN. 'ON'JQ~B/'ON W31S~lS '~.i':1`~1~! ~"'~4`~M ,~~~'~`!'~~''p -:l~iiC~l-~~ 5 ~ . R ~ ~ + `=~'~;I I ~d3iaad~ 3~NdansNi ~ ~O j 'ON 133HS L0~'6-ZE£ ~ZL9) ~~~f~ r,, - 3,d~s ~ ~ i:-:~ p ~a Nnndao ~~a ~0~~~~~0~~ 3~do ~ea3~3nans S3~IAa3S 3~Nb~N31NIb~W aNt/ NOI1~n~ilSNO~ `N011~310ad 3t~1~ `~V~~Ia1~3~3 `~b~~6NbPH~3W £ObSS ~}osauu~w `si~odeauuiy~ •N anuand aiaan~ OLOI ' ' 1 ~ilNO~ S ~dH ~NI S~lO ~ a ;~~=~t~ac_ . ~-1e~ - - . . ~c~ .~,c~ ~'~o`~, .~.g'1 ~ ~ . ~ _ . ~ Q 3 M 3 t A 3 2~ ~j? ~~.CS~1~~ _ ~t_d ~ b 3 ~ _ VILLAGE OF,.EAGAN WATER SERVICE PERMIT 3795'' Pilot -'Knob Road PERMIT NO.: 1562 Egan,MN 55122 DATE: 8/13/74 Zoning: 11 No. of Units: 1 Owner: NBC Yard Office & Whse. Address: Site Address: 915 Yankee Doodle Road Plumber: Katz Plumbing & Heating Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 10 . 0 0 pd 1 agree to comply with the Village of Eagan Surcharge: . Pd Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.• Insp.: VILLAGE OF.'EAOAN SEWER SERVICE PERMIT 3795 Pilo Knob Road Eagon,'MN 55122 PERMIT NO.: 2 322 Zoning: I1 DATE: $ Owner: NBC Yard Office & No. of Units: �h�e. Address: Site Address: 915 Yankee Doodle Roam Plumber: Plumbing & Beating I agree to comply with the Village of Eagan Connection Charge: Ordinances. 3£ Per. 2321 Account Deposit: Permit Fee: By Surcharge: P Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: r � Use BLUE or BLACK Ink ' r———————————————— � ,� I For Office Use � � ���� � ��� ��} �� �� �� � Permit#: I 6 �j I Permit Fee: �' a /,���' r 3830 Pilot Knob Road � (r� ,.,c%/J Eagan MN 55122 � � �� ` Phone: (651) 675-5675 i Date Received: Fax: (651)675-5694 j Staff: i �-----------------� 2015 COMMERCIAL BUILDING PERMIT APPLICATION (� .�. . , 1 � `�� � Date:� ` C�' ����Site Address: �I I � t�''_���� ��� 1"� YC�e� Tenant Name: �,���� (Tenant is: New/ Existing) Suite#: �t�r�CES /I2 Former Tenant: ��i���L � �-_ *a � Name: ' � �Phone:� �7�� �-(,J�-�� �� , �:; ������ ��� Address/City/Zip: ��� �--�(��- �.-1� ` � `� ' � � s ;, � � b � ,�� �� , � _ " Applicant is: �Owner Contractor C� , s"� z �' p�'�� . K a .�� ��� Description ofwork: ��.(���1� \�i.�> ��'�'r'f�/�'�G��(Z� � Vl'�� � , ��,_;, , �� ` Construction Cost: � � �� �r l - � � " j��1 ���� =` Name: License#: � ;� �o� ,'� Address: '" City: ,�W���'�r -. F State: � Zi�� Phone: � � h � m ` � � �7 Y �. � , 't.;� �� ��#�� �` Contact: Email: �,A� � 4 z. } P � ; �,= ' ��� Name: Registration#: �: L �a; ��,���� ���„; Address: City: � � � � ���" �� ` - `�-���� .� State: . Phone: � ;�.��a�. j�� � ��� � ��� Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: J�fl7'E��faRs s-�ngl��per�i�g'�s����,�r Su����;��S�at�`�'� � � 5 " ' s�f m: y�t�— , > � � d�a � *� � ���� y���,, /� �/� .�p/! � � � �a /�}j Jy q �_` ��O(}11��;���wV}T��� � I�y�����f 3 Y. t �,,� i.\���l.l��.slM��Al��� !V�V���� .'- ,.. -.: . .,a� «. —.: .. : . .' . , a H. � ,� ���' t. : �., � .u� � N n -1 � . z.� ��k��1.� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoqherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an app' a permi ork is not to start without a permit;that the work will be in accordance with the approved plan in the case work which equ' s a review a pproval of plans. X� '��t�. �1G.� � �---�"�� �_ � ,�-' ApplicanYs Printed Name Applicant's Signature Page 1 of 3 . DO NOT WRITE BELOW THIS LINE r SUB TYPES _ Foundation _ Public Facility _ Exterior Alteration-Apartments _ Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial _ Apartments _ Greenhouse/Tent _ Exterior Aiteration-Public Facility Miscellaneous Antennae WORK TYPES New interior Improvement Siding _ Demolish Building* _ Addition _ Exterior Improvement _ Reroof _ Demolish Interior Alteration Repair Windows _ Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_100%� Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Other: Drain Tile Pooi:_Footings Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Water Quality Surcharge Water Sampling Fee Plan Review Water Supply 8�Storage(WAC). MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S8�W Permit& Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL Page 2 of 3 ��L � � /� � S^ Pe Fleck ��� �3�1��-C ���C T�( - From: Nye,Jessica <jessica.nye@metc.state.mn.us> Sent: Friday,July 31, 2015 9:53 AM Ta Pe99Y Fleck Subject: RE:June Demo SAC Report Thanks Peg9Y� Record show that this was buiit in 1974 and I can find no record of the City remifiting SAC. There is no SAC credit for this praperty. From: Peggy Fleck [mailto:pfleck(c�cityofeagan.com] Sent: Thursday, July 30, 2015 2:26 PM To: Nye, Jessica Cc: Chris Russell Subject: RE: June Demo SAC Report Hello Jessie, Per our Engineer,Chris,the main sewer line runs between the twa bui{dings,therefore it is our assumption that it is connected directly to the main sewer line. Also,the building is approximately 11,000 st. If you have any further questians, please contact Chris at crussell@citvofea�an.com. Thanks, Peg _ _k.. _�._._.._..._______��_.�.....__�_ ...................�. From: Nye, Jessica [mailto:jessica.nyeC�metc.state.mn.us] Sent: Thursday, )uly 30, 2015 7:41 AM To: Pe99Y Fleck Subject: ]une Demo SAC Report Good morning Peggy! The demo report included a demo for 915 Yankee Doodle Road. Did the old office building have a separate sewer connection for this specific building? Or was the sewer connected to the main building? If separate, we need to know the size of the building. Thanks! i Pe99Y Fleck From: Nye,Jessica <jessica.nye@metc.state.mn.us> Sent: Thursday,July 30, 2015 7:41 AM To: Peggy Fleck Subject: June Demo SAC Report Good morning Peggy! The demo report included a demo for 915 Yankee Doodle Road. Did the old office building have a separate sewer connection for this specific building? Or was the sewer connected to the main building? If separate, we need to know the size of the building. Thanks! : Jessie Nye ; Sup�rvi�or, ES R�venue{SAC} � N1�ES �"'rnance �, " �,essica:nye a metc.��ate.mn,us ' �. ���.so2.���s t �. ���.so2.loso � "��,�;���«� �sa �o�n �o�ert street � s�. �a�,�, n�� p ���o� � r�etrocoun�;i.or� � � � � � � � € Please visit our SAC website by clicking: SAC Proyram 1 • 4 ���ieiro�olit��i�o!3ncil � �nuirortm�r�ial5e�rices � 39t31�ok��rt Stre�:t 3�r�rth MCES SAC-D Form ����.�-`-- � S�. i'�ul, (U�inne�o�a 5�'t7'1-'i8t�5 Last Updated: 1 211 4/20 9 4 � 65`l,�f12.1378 � 65�.6�2.it33�1'ax Sewer Availability Charge{SAC) 2015 DEMt3LITiC)t� DETI�IL REPORT Customer Community City of Eagan Reporting Period (month or quarter) ,lune Year 2015 Attention: This form is for reporting all SAC-related demolitions to be placed on record as potential SAC credits. All demolitions must be reported within 30 days of the end of the calendar year in which the demolition permit is issued. Attach MCES SAC-C or Determination Letter for all commercial, institutional/governmental facilities in order to show how the number of credits were calculated. Attach a Determination Letter for all industrial facilities permitted by MCES. Reduce the SAC Units of credit for apartments by 20% and publicly-assisted housing by 40% in order to adjust for previously reduced charges. The number of potential SAC units must be rounded to the nearest whole number. x i � - �'' r/ i '�" " 5 +`%t. � � � �x �s � r � f ,���� i'� �/Y j � �`r i ir �g � n.' � n �� �.�� � �. f � X , � f 'Y� �� � � � � �� ,: %,: . .:.- Z. (' ,,.-,,,° '�1,.., .,:.: :,,'.,'. ., ,�: ,bt/�: ` j�§. '�, % � , i: a x • , ,,. ,',,,r, _..,.,. ,„ , ,.,,. ,� s..r_l , -,''- . . < & . � , � , ,iy.i , ..., .,> :>',_ . s�. � m � 6/29/2015 � 131305 � 915 Yankee Doodle Rd 10-22503-04-132 C . �____..._._.�.��, _._.�..__���_____� �.__.�.�___._.�.�_ M __ �.._..,.�.�,_.�.____�.._.,.�...�w,�.�....�..._.__�_��___...�__ __...�.���._�__��_ �. .�.._.,.�_ ' �- � S � c � � €.�...�__.....�...� i4-�-,..�._.��..��.. � � 2�...� �_�� � '"$j ..�........, .....�..�.�.ti.. I �. _ ..._.__.�._.__.____.._...�.�.�.�.. S1't�c�. � Ec{ � __.._.._ ' �- ���:�1�1.�._._. �.,�..5�_.�... r...�,_ ...�.�. _..__._.____ ` � �'tc.� _�__�.��_�__.. ___�.. � � �- ,.�..� ! _ ',�.1���'1�.�__�0�:.���— i�' �---�.. ,��---�--�-�. .. _��.�...� �_ ___ _..... _�.�_ __.__�...�..�_ ��EdEd� � � .��a�.._... _ �.��. ._ ___.___�__� _._m.�_ ��.___,��:.�.�t�.��.._.�.� �n �____.___���__ ° __ ���._ u--_�_� � , � __�___.��..� ! ���� �� � _ .�_�_.��.�..._.�____��__._�. .�_�.__,�___�.�..w.__�_�_...__��.� �.._.._.__��.�.�___ � �.�_�...V_._ . __�. � ��� �- � � �____.....�.�_______._....�_� � .�. ��.._.�._ � _.___..__ � �.�__�___.�_.._�. _ ..�_. _ �_...�_____.��_�._ .�,�. ���.a��..� � � I .�.A____�__�_._�_.�...�.___.__... ..�.._�e.�._. __,�.��...�..�,__w._�__ _._�..�.____��_�....._ �..�_ � � �� .�_ � � _�,�___._________W__�..�. �. ..�____.,.�.�.._ .......�.� �.��._ ..� _..____..____.�. �� .___�_._____.____rv��_�__...�...�..__�v_�__�__�..____��_��.�_ _�_..�.._.�__..�.__�.________.�_ � _._ .�.____�_. � �. � �_�. f � 3 � ..ww._.....�..�_._..._�......._� ._._.._,....,......�..�},.w.�...... —...,,...,.__....«�..�. .,„_,,,,,....__ i ` � ......._ # � # M.w_.�_�_.�...__....;._.....�.............�__.__._�..,�m..�....___--...�.��._.M.�..�.._�_.._.,..,.__.,_._�,.�,_�_,_,_.... _..,.e _..._...._.N.,�.�.�.�_..._.._.,.��,,._�...e__.__g����.�,� ��,����.,���m�.���� � # � � *Type of Use: S=Single Family Dwelling M=Multi-family Dwelling A=Apartment P=Publicly-Assisted Housing C=Commercial(attach MCES SAC-C) IG=Institutional/Governmental(attach MCES SAC-C) 1=Industrial(attach Determination Letter) Dakota County GIS Page 1 of 2 . ' � l �b� _ . . 4i5 Yankee Uo�e Rd * � ta�f�r�s•��* f_ � � ,�� � S�rch Rest�ts R " ����� �- � � ,� �" � , � �` f r� ���., �a s�� E � G; - � � �; s�_ �� f :. �4� �. i,' � 3 i z w,.�� �d. �::��y.� .f"`s„��,sny s><� i�. : ,F' c � � � � Uc! a� �3� ,_ ...�._�_ ,._�_: ��... , f s'_ A 3 .�(Ea�E N2W S�CtltN1 � � � � a, � . ' . ;. � �� � _ , � �, ., d -. � u ������� �� ��� � � � 91�Y�11t�E�'?D�E i� � � �� i � I � � � 'P�i�f�€l�c z� = �` � �� � � � � � � w .�__��-___ � �� �t . '��d!�` �tY ; , � � 6 �� � ��� � "V��P`���G y�����` „: ��t�,: SffQY�➢h�1D � � - >�. . , : � t' F�1 t� �1OZ25�}3Q�432 � �ar�ek�t�tt� ACTNE � ' � ; . . < ��� , F, � � � ,�� P€t�per�j C�r� ' Vi�w�Print�ropert}+�d "�i � �� �' � :°��£ �.; �ta�et �� ��� YANKEE�DDLE LlC s�-���� ' �� � ; s��� t� }t# 3 � ���� '�.. �JUI�t VY{� rf1 't��et Adtlr� 8�4 L0�4AK I� �61�P At��89S2" � ;;�; C#�J� ' EAGAP!MN 55i21 � Cs���e Stoek Buil�ing Supply , i .�� ' � , �; ,; , . :��dt�� 915'YAt�KEE-I�0�1E R� �� � � � �'��� €� ��� � ������ �t' � F�GAN � �... _���� � �, r �� ,, � ry � � i'� z ry, ��,w .. t iW� � ���ar�� � I�du�krial . � ; � ���,+��� ��� - � ���,,� y� ����, ���„ � { I � 1 r ��r � 'st �.�t���d - 4 t,, � Ea; � '� V . F`,�' �'-�w� . . � i. !'.-:'�t a , �',� 1�� � f7��T � � i I��� NDf�I HOi�3ESTEA� � i j�r��F �� � 19�4 � � �� • . ... . _ , � ( �� � � �-��.,. � y ; ��� �� � � � � . � � j3 I � �. ,��' x �''` � i$ : � ; ,� 4 � � _K� � ! .. .� ,.�. .,a� .__ ,:T,'�', pl���;�....�q�,j y � �+ 'p.�■ �q�,.a �+ ` , .' ,, , . ., .,<:� . . ___ -__ . �iH'�k'.>Sd{��t�; �7Y���pv�� ay.��.�79� � http://gis.co.dakota.mn.us/DCGIS/ 6/12/2015 Use BIUE or BLACK Ink r________________� I For Office Use I � 3 3 l ��i Clt of �� a� , Permit#: � y � � Permit Fee: �v% I I � 3830 Pilot Knob Road � Date Received: � Eagan MN 55122 I � Phone: (651)675-5675 j Staff: j Fax: (651)675-5694 �_________________ 2015 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: � "� � r �� Fee: $65.00 �ty Sewer '�i_ty Water Repair sconnect Description Of Work: ��SC�i N-�-�� ��--- � ��2--. ��'L--+��-- Street Address for Proposed Work_ � �� ��`''"'"���. ��� � ; � ` �� i� � � Name: Phone: i�f�;�� �� ' � I�� -;i, . Address/City/Zip: Applicant is: Owner Contractor Licensed Pipelayer Master Plumber � Property Owner Name: �'� '�'� T �(,N�.�O 4 vt,� �--L� Phone: c�� � '� �t'7� —G O oL d Address/City/Zip: �`��` ��c� l�L- �'.t-'L=--� "�"c'�'S�+al C,.� --� ��—fC�C� Pipelayer Training Certification Card#: or Master Plumber License#: ��� ������ 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 application for a permit, and work is not to start without a permit. ���.-�-Q S .�-�e,J ���_____� Applicant(Print Name) Appli Ys Signature CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qoqherstateonecall.orq Use BLUE or BLACK Ink r----------------- I For Office Use 1 City of Eapn ; Permit#: !1 I 1 � I 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122 I Date Received: / 1 Phone: (651)675-5675 1 I Fax: (651)675-5694 JUN 0 9 �016 1 I I Staff: I L--------- -------1 2016 MECHANICAL PERMIT APPLICATION ® Plea/se submit two (2)sets of plans with all commercial applications. Date: Cry 1 Site Address: q Y(WIJ EL O OO D L& Tenant: I OG L Wl 13£(� Suite#: 0 R 10#tC n I Name: PO ST(;P 1 D19 A'_T�QI1JAJ S AQk 7" Phone: �o (o�3-1 � � Kx Address/City/Zip: S-C) L-O A.)F O A Y1 R � _ Name: P O M 0 m f T£ R S f Rt)t CC License#: r PC ' Address: �� 302) 6x C c slbr� I�LUf7 City: FFOPhiA)S t31�t � t0C C/ State: rn Zip: S 5 . �� Phone: ``�3 3" 0 W _ Contact: D fAUE D Alt C"i Po k rEmail: C+�V c,)rPb 'r �x New Replacement Additional Alteration Demolition hype of Description a +0 t of work: � �i 2.trio N Ir � p '�� � orit mound 'mom pec al + gdlprd r �trt ` - 6 _ R rle. Men, e I Info uI cni fatal` , — - r RESIDENTIAL COMMERCIAL R� I _Furnace New Construction Interior Improvement MIK a Aft �� �r �� —Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under/Above ground Tank (_Install/ Remove) Wow y Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ -X.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ S. �� Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the-Work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X n� �,� �� T x bc, 1 Applicant's Printed Name App icant's Signa ure -m4--=(I 915 Yankee Doodle Rd-Google Maps https://www.google.com/maps/place/915+Yankee+Doodle+Rd,+Eaga... 915 Yankee Doodle Rd rs� 915 Yankee Doodle Rd, Eagan, MN 55121 C7oc-,Agle inn 1 of 1 6/6/2016 3:16 PM p E. I: ter` 1 Main Office - 11303 Excelsior Blvd. - Hopkins, MN 55343 Phone: (952)933-4800 - Fax: (952) 939-0418 www.pump-meter.com Email: pump-meter@pump-meter.com Pump and Meter Service, Inc. 1 SERVICE • SALES • INSTALLATION / Bejin Pump Service - A division of Pump & Meter Service, Inc. 3497 129th Street - Chippewa Falls, WI 54729 Phone: (715)723-8223 - Fax: (715)723-7242 City of Eagan Attn: Scott Peterson 3830 Pilot Knob Road Eagan, MN 55122 RE: Tank Removal Soil Sampling Stock Lumber 915 Yankee Doodle Rd P.O. Box 21099 Eagan, MN 55121 To Whom It May Concern: Duluth Branch Phone: (218)389-6359 - Fax: (218) 389-6359 September 16, 2016 I have reviewed the Analytical soil test results Stock Lumber site and found small detection on west. Sample #1 page 5 on the report. The sample non -detect. Eventhough 57 mg/kg is small, it amount. Let me know if you have any questions. Thank you. Sincerely, PUMP & METER SERVICE, INC. Enc. Fueling Systems Inventory Controls Line Testing - Electronic Gauging & - Fiberglass Tanks & Pipe Tank Testing gEmPE1=UM EQUIPMENT INSC SEP 2 1 21116 from the former the diesel tank #2 east tank was is a reportable Self-Sery Equipment Auto Lifts & Parts Card Control Systems Compressors - Service Station Pumps Canopies aceAnalytical® www.pacelabs.com September 09, 2016 Mr. Ron Smith Pump & Meter 11303 Excelsior Blvd. Hopkins, MN 55343 L RE: Project: 216182 STOCK SiCumbar Pace Project No.: 10361217 Pace Analytical Services, Inc. 1700 Elm Street - Suite 200 Minneapolis, MN 55414 (612)607-1700 Dear Mr. Smith: Enclosed are the analytical results for sample(s) received by the laboratory on September 01, 2016. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Timothy Sandager timothy.sandager@pacelabs.com Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 12 ceAnaIyticaI® www.paceiabs.com CERTIFICATIONS Project: 216182 STOCK Cumbar Pace Project No.: 10361217 Pace Analytical Services, Inc. 1700 Elm Street - Suite 200 Minneapolis, MN 55414 (612)607-1700 Minnesota Certification IDs 1700 Elm Street SE Suite 200, Minneapolis, MN 55414 525 N 8th Street, Salina, KS 67401 A2LA Certification #: 2926.01 Alaska Certification #: UST -078 Alaska Certification #MN00064 Alabama Certification #40770 Arizona Certification #: AZ -0014 Arkansas Certification #: 88-0680 Califomia Certification #: 01155CA Colorado Certification #Pace Connecticut Certification #: PH -0256 EPA Region 8 Certification #: 8TMS-L Florida/NELAP Certification #: E87605 Guam Certification #:14-008r Georgia Certification #: 959 Georgia EPD #: Pace Idaho Certification #: MN00064 Hawaii Certification #MN00064 Illinois Certification #: 200011 Indiana Certification#C-MN-01 Iowa Certification #: 368 Kansas Certification #: E-10167 Kentucky Dept of Envi. Protection - DW #90062 Kentucky Dept of Envi. Protection - W #:90062 Louisiana DEQ Certification #: 3086 Louisiana DHH #: LA140001 Maine Certification #: 2013011 Maryland Certification #: 322 Michigan DEPH Certification #: 9909 Minnesota Certification #: 027-053-137 Mississippi Certification #: Pace Montana Certification #: MT0092 Nevada Certification #: MN_00064 Nebraska Certification #: Pace New Jersey Certification #: MN -002 New York Certification #: 11647 North Carolina Certification #: 530 North Carolina State Public Health #: 27700 North Dakota Certification #: R-036 Ohio EPA#: 4150 Ohio VAP Certification #: CL101 Oklahoma Certification #: 9507 Oregon Certification #: MN200001 Oregon Certification #: MN300001 Pennsylvania Certification #: 68-00563 Puerto Rico Certification Saipan (CNMI) #:MP0003 South Carolina #:74003001 Texas Certification #: T104704192 Tennessee Certification #: 02818 Utah Certification #: MN000642013-4 Virginia DGS Certification #: 251 VirginiaNELAP Certification #: Pace Washington Certification #: C486 West Virginia Certification #: 382 West Virginia DHHR #:9952C Wisconsin Certification #: 999407970 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 aceAnalytical® www.pacelabs.com SAMPLE SUMMARY Project: 216182 STOCK Cumber Pace Project No.: 10361217 Pace Analytical Services, Inc. 1700 Elm Street - Suite 200 Minneapolis, MN 55414 (612)607-1700 Lab ID Sample ID Matrix Date Collected Date Received 10361217001 #1 WEST DIESEL TANK Solid 09/01/16 09:15 09/01/16 15:07 10361217002 #2 EAST DIESEL TANK Solid 09/01/16 10:15 09/01/16 15:07 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 aceAnalytical® www.pacelabs.com SAMPLE ANALYTE COUNT Project: 216182 STOCK Cumber Pace Project No.: 10361217 Pace Analytical Services, Inc. 1700 Elm Street - Suite 200 Minneapolis, MN 55414 (612)607-1700 Lab ID Sample ID Method Analytes Analysts Reported 10361217001 #1 WEST DIESEL TANK 10361217002 #2 EAST DIESEL TANK WI MOD DRO MT 2 ASTM D2974 JDL 1 WI MOD DRO MT 2 ASTM D2974 JDL 1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 4of12 aceAnalytical® www.pacelabs.com ANALYTICAL RESULTS Project: 216182 STOCK Cumbar Pace Project No.: 10361217 Pace Analytical Services, Inc. 1700 Elm Street - Suite 200 Minneapolis, MN 55414 (612)607-1700 Sample: #1 WEST DIESEL TANK Lab ID: 10361217001 Collected: 09/01/16 09:15 Received: 09/01/16 15:07 Matrix: Solid Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions. Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual WIDRO GCS Analytical Method: WI MOD DRO Preparation Method: WI MOD DRO WDRO C10 -C28 57.5 mg/kg 10.3 1 09/07/16 08:31 09/09/16 10:02 Surrogates n-Triacontane (S) 92 %. 50-150 1 09/07/16 08:31 09/09/16 10:02 638-68-6 D5 Dry Weight Analytical Method: ASTM D2974 Percent Moisture 3.2 % 0.10 1 09/08/16 12:33 Sample: #2 EAST DIESEL TANK Lab ID: 10361217002 Collected: 09/01/16 10:15 Received: 09/01/16 15:07 Matrix: Solid Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions. Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual WIDRO GCS Analytical Method: WI MOD DRO Preparation Method: WI MOD DRO WDRO C10 -C28 ND mg/kg 10.3 1 09/07/16 08:31 09/09/16 10:25 Surrogates n-Triacontane (S) 87 %. 50-150 1 09/07/16 08:31 09/09/16 10:25 638-68-6 D5 Dry Weight Analytical Method: ASTM D2974 Percent Moisture 2.8 % 0.10 1 09/08/16 14:14 Date: 09/09/2016 04:30 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 (eAnaIYticaI` www.pace/abs.com QUALITY CONTROL DATA Project: 216182 STOCK Cumbar Pace Project No.: 10361217 Pace Analytical Services, Inc. 1700 Elm Street - Suite 200 Minneapolis, MN 55414 (612)607-1700 QC Batch: 434643 Analysis Method: ASTM D2974 QC Batch Method: ASTM D2974 Analysis Description: Dry Weight/Percent Moisture Associated Lab Samples: 10361217001 SAMPLE DUPLICATE: 2362765 10360748004 Dup Max Parameter Units Result Result RPD RPD Qualifiers Percent Moisture 0.69 0.61 12 30 SAMPLE DUPLICATE: 2362766 10361217001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Percent Moisture % 3.2 3.4 5 30 Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 09/09/2016 04:30 PM without the written consent of Pace Analytical Services, Inc.. Date: 09/09/2016 04:30 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 Page 7 of 12 aceAnalyfical ® www.pacelabs.com QUALITY CONTROL DATA Project: 216182 STOCK Cumbar Pace Project No.: 10361217 Pace Analytical Services, Inc. 1700 Elm Street - Suite 200 Minneapolis, MN 55414 (612)607-1700 QC Batch: 434646 Analysis Method: ASTM D2974 QC Batch Method: ASTM D2974 Analysis Description: Dry Weight/Percent Moisture Associated Lab Samples: 10361217002 SAMPLE DUPLICATE: 2362786 10361221001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Percent Moisture % 16.9 15.6 8 30 SAMPLE DUPLICATE: 2362787 10361137005 Dup Max Parameter Units Result Result RPD RPD Qualifiers Percent Moisture % 11.3 13.6 18 30 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. Date: 09/09/2016 04:30 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 aceAnalytical www.pacelabs.com QUALITY CONTROL DATA Project: 216182 STOCK Cumbar Pace Project No.: 10361217 Pace Analytical Services, Inc. 1700 Elm Street - Suite 200 Minneapolis, MN 55414 (612)607-1700 QC Batch: 434346 Analysis Method: WI MOD DRO QC Batch Method: WI MOD DRO Analysis Description: WIDRO GCS Associated Lab Samples: 10361217001, 10361217002 METHOD BLANK: 2361580 Matrix: Solid Associated Lab Samples: 10361217001, 10361217002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers VVDRO C10 -C28 mg/kg ND 10.0 09/09/16 08:54 n-Triacontane (S) %. 81 50-150 09/09/16 08:54 LABORATORY CONTROL SAMPLE & LCSD: 2361581 2361582 Spike LCS LCSD LCS LCSD % Rec Max Parameter Units Conc. Result Result % Rec % Rec Limits RPD RPD Qualifiers WDRO C10 -C28 mg/kg 80 63.0 66.5 79 83 70-120 5 20 n-Triacontane (S) %. 86 91 50-150 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result. Date: 09/09/2016 04:30 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 aceAnaktical® www.pacelabs.com QUALIFIERS Project: 216182 STOCK Cumbar Pace Project No.: 10361217 Pace Analytical Services, Inc. 1700 Elm Street - Suite 200 Minneapolis, MN 55414 (612)607-1700 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. WORKORDER QUALIFIERS WO: 10361217 [1] Samples were received outside of the recommended temperature range of 0-6 degrees Celsius. The samples were received from the field on ice, indicating the cool down process had begun. ANALYTE QUALIFIERS D5 The sample was re -weighed into a new container because the sample weight in the original container exceeded the method specifications. Date: 09/09/2016 04:30 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 ceAnaIyticaI® www.pacelabs.com QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: 216182 STOCK Cumbar Pace Project No.: 10361217 Pace Analytical Services, Inc. 1700 Elm Street - Suite 200 Minneapolis, MN 55414 (612)607-1700 Lab ID Analytical Sample ID QC Batch Method QC Batch Analytical Method Batch 10361217001 #1 WEST DIESEL TANK WI MOD DRO 434346 WI MOD DRO 10361217002 #2 EAST DIESEL TANK WI MOD DRO 434346 WI MOD DRO 10361217001 #1 WEST DIESEL TANK ASTM D2974 434643 10361217002 #2 EAST DIESEL TANK ASTM D2974 434646 Date: 09/09/2016 04:30 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. 434816 434816 Page 10 of 12