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2757 West Service RdCITY OFEAGAN Remarks /0 , .e?r 5:1.49/d ry?iQ? Addition FAGANOAI F f FNTFR I ST AnnXf Lot 2 Blk 1 Parcel 10 22490 020 01 Owner b, r Street State ? .S5 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK paid undex parcel 0.30 B x SEWER LATERAL 423 WATERMAIN • WATER LATERAL 1970 15 WATER AREA AIP/ r STORM SEW TRK 1982 9T69.87 976.99 10 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK r - r SHAH LUNDQUIST d Kertificate of ccc"(Mce (fU4 of *agan Zcgari cut of BailDing 3a3ypcction This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Us 0.ffiai.n: COMM NEW Bldg Nc ,, N. 30107 ?I-r Ty S-3/B mni.g Dian. 1-1 T Conv. 11-N o.,r, yr eniw?.g SHAH LUNDQUIST ASSO 280 DOD RD., EAGAN 55121 B.iWmg Addmss 2757 HEST SERVICE RP.,,, L2,01, EAG,CTR ST Dae. Building ofr.W POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: /(j'j f `' 1 (612) 681-4675 SITE ADDRESS: APPLICANT: tlr I .i I? •; i, t ,. I, t,?,:: ,?r?i?:rt! ? t 11 .,lr I IJ1,ANIIAi.t fI N I I k ltit (t?l,r) 4S4 0670 PERMIT SUBTYPE: TYPE OF WORK: UU,rRIPTIOM NVU SHAW I UND01.1I'.I INSPECTION TYPE .DATE INSPTR- INSPECTION TYPE DATE INSPTR If lt:ilitit: . 1.11111 I N" tti ?It (,'!I{11?11 IrA I'I :,I, ,, R4(?. W o"NINAcI'OR A'xf;0(IAIED 1fCHAN4CAI LL --jJ r Permit No. Pe 1t Holder TT- Date Telephone N ELECTRIC qj(7 /i 9'7 3/?8 ?&) PLUMBING y7 5- 5/OCR HVAC S/9 7 Inspection Dab Insp. Comments FOOTINGS r FOUND (./ FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEA ING GAS SVC TEST c 2 f! ` INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG %? L / FINAL HTG ?+7 "(f ORSAT TEST BLDG FINAL 7 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL U o *t j -A SITE ADDRESS677S /???Y^ • Unit # Permit #S010-7 B Sect./Sub. ?g?avc d"` INSPECTION INSPECTOR DATE COMMENTS 67o-Q ? m fig ',?12-97 - I:V 6 " s e w e.? Goo / L? '6 '/y- -l Zao °4 " w u ?r C"' t7 v [?r? H Q ?yy7 G" 7-2-Q7 7-oed 7 3 - - ?- c? t ar4 ' 4zi U& uG ? l? cl INSPECTION INSPECTOR DATE CO MERTS O-9'`TJ /A Scc.? y rGu z 7f ?rj q T- lrzq -w 4 le eoq.?4f 7e4 ?T I 471- 76T ?,q _ _ 6' 7a ' re 1 Jo V • 10.31.97 ?-`trc.+f.6 v16t e?/l.eu+d s. tst. t vtrwc? -71 -Q t2tB5. n A M- r o vrac ?xrs `/' V -? a C v17 V /y t" l OFFICE USE ONLY This request wid 18 months from v.Iid.h.a dare punted m This ?, 0V Illllllillflllllllllllllllllll 111I??-?- ? * 0 4 4 7 8 9 0 S t ? PLEASE PRINT OR TYPE ^f ( Rage., note Roughin mspatwn rxc,mnedi Yes ? No Inspembn her Than RougMe; ? ReodyNow II Call 6 / 0 9 / 9 7 (Y. mast call ilia inepecmr whe read l Dare Read _ 1 [N licensed contractor ? owner hereby request inspection of the above electrical work at; I , Job Address (Seem, Box, or Rouse No.) Oq zip Code \ 2757 W Service Rd, ',-Ea an-z Section No To elep Name or No Rape No Fine No - Eounty - \ - - - Dakota ? r! ? Occupant Sh -L d Phone No ) aw un quist Assoc )t 454-0670 Power Supplier Address NSP phone: 458-1254 (Dan Schultz) Elechiml Connector (Company Name) Comrawr Loma No. Mosrer lie. No. (Plant Elect Only) Burnsville Electric, Inc. CA00342 - hlailing Address (Connacla or Owner Pedu came installation) 117 Belmont Rd Apple Valley MN 55124 Aixed Sigemure c raaor a Owner Pedomang Lmiallmmn) Ph . 67;- 6002 EBODDDI'?q I alge STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY &//i/ 9 7 447®890 REQUEST FOR ELECTRICAL INSPECTION ?5/?? • . Minnesgta State Board of Electricity > 1821 University Ave., Rm. $-128, St Paul, MN 551048 Ptone 4+,12) 642-0800 Home Du lex Apt. Bldg. Other: New Addn Commercial Industrial Farm I Remod Re air Air Cond H Equip. Water Htr. Load Mgmt Other: Dryer Range Elec. Heat Tem . Service "X" abov the w k cover y this request. Enter remarks in this space and on the back of the white copy only. eg 0 175 ELECTRICAL =r$Ta FOR NEW OFFICE BUILDING (r k4l /0 Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fae: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Ei Street Ug./Traffic Sig. Above 200 Am s Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY T%AL ?y Sign/Outline Ltg. Xfmr. v I I l S Nb Alarm/Remote Control 8 R7?4 C-La. Swimming Pool 35 ferv)i k XA I eb erti that I inspw?d the elmftkol insmllorion dexribed heron an the doles sorted Irrigation Boom RoueMn i>ok Special Ins coon Investigative Fee al A'- oats 9 Cam` L THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 1R MONTHS. . Metropolitan Council Working for the Region, Planning for the Future Environmental Services May 9, 1997 Joe Voels Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Voels: ?jO In 7 y? 5? i..l . SE?JC.E +?D Z - ( GA?? rl r? D ?rt(: CT-Q. ( s= The Metropolitan Council Environmental Services Division has determined SAC for the Shaw-Lundquist Office Building to be located within the City of Eagan. This project should be charged 4 SAC Units, as determined below. Charges: Office 6320 sq. ft. @ 2400 sq. ft./SAC Unit Conference 1232 sq. ft. @ 1650 sq. ft./SAC Unit Warehouse 7800 sq. ft. @ 7000 sq. ft./SAC Unit If you have have questions, call me at 602-1113. Sincerely, Jodi L. Edwards Staff Specialist Municipal Services Section JLE: 970509S4 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Kevin Bohrer, Shaw-Lundquist Associates Inc. SAC Units 2.63 0.75 1.11 Total Charge: 4.49 or 4 230 East Fifth Street St. Paul, Minnesota 55101-1633 (612) 222-8423 Fax 229-2183 TDD/TTY 229-3760 An FqunL Opportunity Employer 1997 BUILDING PERMIT APPLICATION (COMMERCIAL) 31? CITY OFEAGAN $ZU Q?q ?? ??? 681-4675 ?tV 3 The following are required with appropriate certification for all nne construction: • 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainage/erosion control plan; utility plan • 1 each: set of specifications; set of energy calculations; electrical power & lighting form; Special Inspections & Testing Schedule • Letter from MOMS (phone #222-8423) indicating SAC determination • Code analysis indicating: codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per floor. type of construction (synopsis of construction components) & any occupancy or area separation walls; occupancy loads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking. DATE: WORK TYPE: X NEW REMODEL DESCRIPTION OF WORK: ©?? / ??? `o u SrL CONSTRUCTION COST: ?C D ?, c7 G TENANT NAME: ?p"?a ` ^d r ` 1 r t SITE ADDRESS: a 7 5 7 LJ-"C7 o u mvr `` m. L1 LOT BLOCK SUED. P.I.D.# !1-dtd i f-ib ? ' PROPERTY Name: Phone#:. OWNER Street Address:M City: f Q,ce.c, ` State: Zip: - S/ 2 CONTRACTOR Company: S?? - I' u'.?o?A t r s 3 oc , 7-0 06 ` ar ne #: ?' Pi i o Street Address: 212 5 odd / r ' / ? / 4 City: ^A) Zip: S-'-f 2 1 ARCHITECT/ Company: 0\114 Phone ENGINEER Name: ?Q??? H r l??:L ~ Registration* ?V 1 y3yd c-j, 1'-17 s-F ?tr' ? e ?e 55 )Lf St c 99 ,Y . M , r ss r BY: i . bl: S`+ At ? t State: N Zip:SS(2`/ Sewer & water licensed plumber (only if installing sewer & water): 14SS"C?t a kd ./)tic z? car / ?n4 CQ ^" I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: r_Z()IAl 13004 A R- CA- ? wr4/- -7 98 L OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 19 Comm./Ind. Misc. ? 21 Miscellaneous 18 Comm./Ind. ? 20 Public Facil ity WORK TYPE 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) TI•N Basement sq. ft. MC/WS System ?- (Allowable) sr-w First Floor sq. ft. / 7f,& City Water UBC Occupancy 5.3,16 sq. ft. Fire Sprinklered Zoning Z / 1 sq. ft. Census Code 3Z7 # of Stories / sq. ft. _ SAC Code Length sq. ft. Census Bldg. 1 Depth / z y Footprint sq. ft. /8 7kG Census Unit I APPROVALS Planning : n ,,Building Engineering - Variance _ Permit Fee _ / B??zs Y - valuation: - '$ `_900, O 00 Surcharge a yso. e, z, 667.rf{?Kas-0yuu) Plan Review J,oeo,aoo is .Door • MC/WS SAC 3. Bo0.-- '?? *sO - _ _ "7. Zr 9. F+- J = Y City SAC 'Vag. *0- • Y.W , - - Water Conn. N/,. S/W Permit . t S/W Surcharge ro Treatment Pl. /.kAa e. ParkDed. _ (o Jf oo - d 2c ?cv?'ser? nit%?; cif-o? ?,o? Sf? e ?. Trails Ded. 3, rzo. G •Y-g 9 !,S Water Qual. Other Saoo • o. - Q/' /? A / I,/ Copies ///Y sL//1 ?• /L G, Total: 2$,g19.'?? % SAC SAC Units Meter Size MEMO city of eagan TO: PAT GEAGAN, CHIEF OF POLICE JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATO DALE WEGLEITNER, FIRE MARSHAL ELECTRICAL INSPECTOR PUSUC' WORKS!ENGINEERING/UTIUTIESISTREETS ' GENE VANOVERSEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY FROM: DALE SCHOEPPPNER, SENIOR INSPECTOR GATE: S/Z// 7 .• el-07- 2• f ?CeGx SUBJECT: PLAN REVIEW c44Vb,4j.L Ctw>tR fZ?A??• The -_ preliminary construction plans for ?N/1W - L 4W b a K i 1 f 1Sc b 4 are in our plan review section for your review and comment Please notify the Protective inspections Division if you have any reason that these plans should not be approved and resolve any problems with the affected parties. If you are requesting that issuance of the building permit be held. please fill out the proper 'hold' request forth. Comments: ?K- tz'eNearek Sae a? cv?aP '/? 5 sn-14 /? rh 37n 5? ?aofi Indicate any fees that are to be collected with the building permit: Amount ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No Signature 5- r2- I -J Date wan-....ar ZONING ?: city of eagan MEMO TO: PAT GEAGAN, CHIEF POLICE JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATO DALE WEGLEITNER, FIRE MARSHAL ELECTRICAL INSPECTOR PUBLIC WORKS/ENGINEERINGIUTILITIES/STREETS GENE VANOVERBEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY FROM: DALE SCHOEPPNER, SENIOR INSPECTOR DATE: S/Z/97 Z I ?LDeK ' L'tvsta fitlTAn?1. £6iAVd4v4 SUBJECT: PLAN REVIEW The -_ preliminary construction plans for 5,00040 - L uN? (,1 kr t T 3 s-b 4 . are in our plan review section for your review and comment. ` ? CPcwni?curEwcr? : ,Jot `J Please notify the Protective Inspections Division if you have any reason that these plans should not be approved and resolve any problems with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper 'hold" request form. Comments: f?Y 02 <sn? ? o Ar -I-rtE $ lTE_ R. wN S !Jo p f,3E &C,*jFp >?r Tir?-F N E- fo(eA,f2 o F f3uri I&/ I? hue) Ll w? OAC? 1? Fog (o r- vzrto.v .fir FF2S -i-Pe T-Sc&AdO 147- /Uo. 6NO0F ?utcOre-- SrrE ,Ol/4eu Indicate any fees that are to he collected with the building permit /-il S gtA -w w o eu Yes ? No ? Yes No Yes ] No ( Yes No R Yes ? No ? Yes ? No landscape secunty required water quality dedication park dedication trail dedication tree dedication Signs re Amount 5 COD. 4a_ 1 a s 20. .r-"- 5-1?0 -97 Date Z 0 N I N G T/ Lrm 60.2 vp Qv;D 0 i? o ??- % piarvrev YYY i V PERMIT Ce-74 66 G-4-97 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 030107 (612) 681-4675 Date Issued: 06/01/97 SITE ADDRESS: 2757 WEST SERVICE RD LOT: 2 BLOCK: 1 EAGANDALE CENTER 1ST P.I.N.: 10-22490 920-01 DESCRIPTION: SHAW LUNDQUIST Bui.ldiny Pormit Type COMM./IND. DuiJdiny Work Type NEW UDC Occup„,Icy S-3/B Con :tnlction Tylte II-N ?r' ,;ny T-1 Duildilig Lz?ngtli e 162 Du"d -rig IJ: d Lh 124 Fe - t 18,766 Cen,Ll C0dC' 327 STORES REMARKS: SEW CONTRACTOR ASSOCIATED MECIIANICAL FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC SAC Units Subtotal VALUATION $4,587.25 $2,981.71 $450.00 $3,800.00 100 4 $11,818.96 $900,000 CITY SAC S&W PERMIT S&W SURCHARGE TREATMENT PLANT PARK DEDICATION TRAIL DEDICATION LANDSCAPE GRTY Total Fee CONTRACTOR: - Applicant - OWNER: SHAW-LUNDQUIST ASSOC INC 24540670 SHAW LUNDQUIST ASSOC 2835 DODD RD 2805 DODD RD ST PAUL MN 55121 EAGAN MN 55121 (612) 454-0670 (612)454-0670 $400.00 $100.00 $.50 $1,680.00 $6,400.00 $3,520.00 15,000.00 $28,919.46 I hoi-eby acknowledyc that I huve read this, upplicatiol; .,nd Lata Lhot the iti urnu Ltc.i i:, corl:?ct ?.Id agr:.v to comply with all ipplicnh1c ^Yate of Mn. St?Luto. and CCty of Cagan Ordinancu- L ?r IGNATURE r k APPLI P ?MITEE ?n SIN ATURE ? _Ayj a II NATUR-( e ISSUED J 1997 BUILDING PERMIT APPLICATION (COMMERCIAL) l o)i CITY OFEAGAN $Z? qIG 7L k 681-4675 The following are required with appropriate certification for all new construction: • 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainage/erosion control plan; utility plan 1 each: set of specifications; set of energy calculations; electrical power & lighting form; Special Inspections & Testing Schedule Letter from MC/WS (phone #222-6423) indicating SAC determination • Code analysis indicating: codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per floor; type of construction (synopsis of construction components) & any occupancy or area separation walls; occupancy loads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking. _ DATE: S 'I -q -7 WORK TYPE: x NEW ? Y REMODEL DESCRIPTION OF WORK: ou se._ CONSTRUCTION COST: 506, c76Q TENANT NAME: IV CU nit21u SITE ADDRESS: ° 7 5 ?J-t??U U LOT BLOCK SUBD. ?qq-40(t Ce'\4%Z/ fj r P.I.D.# Z7y0 PROPERTY Name: Phone #: OWNER evl`? o?rz/ Street Address: 2 S O 5 b o cIZa Q City: State: Zip: S/ z CONTRACTOR Company: S??c? - Cunptz ?,s? f3??c, Phone #: 6oc(? QcQ To?^ t/S?/- 7/°?Z f9S Street Address: S City: Lay a„ L ^ Al zip: f5-1 Z 1 ARCHITECT/ Company: INK Phone #: Lf 3 !- LI `13T ENGINEER Name: LA)07' ,6- F 1l ??'? ? Registration #: 17 yO(? ?iiVIE o _ 730v ,!, MAY 199 ?' Street )Address:. ?- y 7- 5L.c , f e 5?°?/ BY: ;Citye S¢a_C ate, State: (nN Zip:'S5(2`/ Sewer & water licensed plumber (only if installing sewer & water): ?TSS x , ud (It Lc?LU?, cG I ?4/?^? F ?Q ?? k4 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 111110 IV 130N AC r.4)c : ?/S?/- 7 fo L OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous WORK TYPE X31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 37 Demolition GENERAL INFORMATION Const. (Actual) 1I-N Basement sq. ft. -' MC/WS System (Allowable) >r- y First Floo r sq. ft. / 7 G City Water L UBC Occupancy 5.310 sq. ft. Fire Sprinklered No Zoning s • r sq. ft. Census Code 30 # of Stories / sq. ft. SAC Code 30 Length /AZ- sq. ft. Census Bldg. 1 Depth !2 41 Footprint sq. ft. ff76,e, Census Unit 1 APPROVALS Planning Building Engineering Variance Permit Fee Z f37. 2? Valuation: $ 000 Surcharge O VSa. oo Z. M7.Z-Sf( S 25- , Plan Review Z, 98/. ?/ lac c, ocv .oooT - MC/WS SAC 3. Soo" - /? sso City SAC 0,00 - Water Conn. N14 S/W Permit loo. S/W Surcharge 15-0 Treatment PI. - X80. a- -Reams Park Ded. -? (o, ?? 2 c Trails Ded. 3,_rz°•w Water Qual. Other S,,0 o. Copies Total: I8j919.4G % SAC SAC Units Meter Size 6 •'? i ? C)S ?-fl?? S'CA?/mil C9uA.e.9,vTtZ e. SUN-02-1997 07:25 FROM MCCONKEY & ASSOCIATES INC TO 4547982 P.02/02 pfft" t>A/ mtzc4A mm T=mn mamma (sa be seed in aeeor" eae with the •auLMllaaa for sptaLal Inspection and Teatinco) spoatpe tnwras NO. LOOaTIGo G+y ? -w (1) fMZT NO. aeecraL :nasa?ea ate: - -- Typo of !.post a•dlgn•d 1701.5 e/din / e i' . 6o//.n 1 rs. bd.'c m Ex 25 % N9. tep. ?Q n e c , 5/ k., 'a" L "."' Cmc. 6w 1. e S / e &C,4 Notest ' This so la to be Lill Out and included in the project specification. Information unsvallab a at that tine 0 be filled out when applying for a building permit. (1) Pa t Not to be ided by the Building Official. 171 Use riptiaao per D.B.C. SOCtion 170/.5 (1) Spec al Inspector, sting agent or Fabricator. (4) film contracted to rform earvicaa. :1_ 7 an IPA stive smut sign ww: 7 firms Conseaat Heel' Dates a?efa•,...A . r ---- • as: / Firms ---- -r?._? bate: • iIt Flnmr oat•e Tat - firms: Date r Sa: Fir•q Date: ft Firmt Dates IN FiroC i Datss • The 1 sldual brass e# all prospective arm"I inspactore and the work they intend to eb Meet be ldentigled On the Say r@8:610& of thin foss. Lapendr silt itruoteksl Bngia•ar of Record BT • Spseial Inspector ' Tasting agent f = fabricator nn•%-3e-i _? " 0?=sa rises 9Si P.02 TOTAL P.02 .TUN-02-1997 13:34 CNH ARCHITECTS f loom 4. sM1?N' 1 Mqn '-- i seta mks M ill eos and lM3s" is "a protoet spelfiestioa. wwwl o kt tkst sloe to fhasd eat whom SMIY&M few a auildaw pssetl. M we= t tis, to at Wd of tho hlli Ofllo403. Is) )g) per &"v psc O.B.C. ssetlsa $ fwB/sslas. iw B9s ee yabeloalor. !A figs soeRrgbsd to foaw escvlesB, i was% slw sort sap • u. • sit 1 612 431 3883 P.02i02 i . ?§Oftw pm mil- =on" t? .ltk the *MA& M Oar i "Ut U"Wtlee A" 4bs"W ) filrew 4o?r?aJ? Oflce?(riovt?sorle sMBiBOlno. it) iefsrmtien sM • slNBl seen all pesspsetive "y isi UMPOtoss and tks work Uvy intend to Wt be !deaf aid on the rrweas:alft of tkla gars. l+Mma# BBB a /teaches! iaOMmir of Bdesed ag a swig& fte"aw e ?BCtln?t p i laailaatec inv i ?.sa c??aslip?a gm A.02 TOTAL P.02 TOTAL P.02 JUN 02 '97 14:36 FR AMERICAN ENG 612 647 2744 TO 94547982 P.02/02 JUN Ue 'DI la-vO rep .w, ?-w .+, - - -- _-_ --- -_._ - 1161 62 17 11:43 FROM-.SHAW-LUNWU1ST ASSOCIATES 6124547992 T-536 P 02/05 F-261 r¦e¦rw¦Ie ff¦ tao?lrsat I ESS&ML I mw "W"W1 i„ .ua No •aniMtlm gw xw&at ifupeet tan ?e nusf¦esuo.?,.?... to igyfnrn. ,?,_ f11k¦¦i 7¦ir a to be tit Sat Suiee3.a is the peirat ¦pacicication. lafaeation ran et tawa ttee be ciuma out sm?w smovira eae a aei3wom pasha. trtf Ile M. to he a 1q t1a uLtaik aftWel. ql Use yee ti.N.C. errk"s rim 131 gpwfb? lf%¦ "ta¦¦ I" &aSk os sabirt"tor. 0) ?iSe ooatiewl to ivs¦ Ses.tc¦S. mw a¦eq it tar SumL 1549 900.ae, tx 5 6 A-Wi d6¦R6 -!Lvov, step aoet¦aela i siaw ,a¦te.w . eraU trs: sates ms iisr.° :?.t1 .stem • tit tiw?, 011tt* +. !lit ' Iltwaw aces ?uc.an w+? wwo ro ?? ?,? 'cet ? T/ias± ?s !At tlis+s? ate= i? brava Oats, 1. 11•r1ti Patel • No asi¦¦i se>•p 44 Sit pretwti.a ¦bM&83 leep¦Ctets OW Was %MWU "PV intend to fact be Want Lee an the SevS"ae G wrac tus cases. iar.ua' pe . ¦r¦e¦r rei 11mLose¦ ec twpma 9 . SPelai in¦piaear 'q ? >?lfY} eoeet i = iapsivater iv?i oa•ss ? 61.'7aSmnF? 96X P.Q32 TOTFL P.02 MAY-29-1997 14:09 CNH ARCHITECTS 1 612 431 3883 P.02i02 ENVELOPE SYSTEM PERFORMANCE COMPLIANCE CALCULATION PROGRAM VERSION 2.4 U.S. DEPARTMENT OF ENERGY VOLUNTARY PERFORMANCE STANDARDS FOR NEW COMMERCIAL AND MULTI-FAMILY HIGH RISE RESIDENTIAL BUILDINGS; MANDATORY FOR FEDERAL BUILDINGS CITY: 140 Minneapolis MN CODE <B,C,H>: Both Heated and ENVSTD Version 2.4 - February BUILDING: AMERICINN Cooled DATE: 3/14/97 FENESTRATION VALUES: 85 Fund. 1993 WEIGHTED AVERAGE CRITERIA ------- ---N------NE------E-----SE------S-----SW------W-----NW- ------- -------- WL AREA 2244 6875 2244 6875 0.181 0.270 GL AREA 90 1526 192 1489 WWR WWR SCx .51 .51 .51 .51 0.510 0.606 PF 0 0 0 0 0.000 0.000 VLT 1.0 1.0 1.0 1.0 1.000 N/A Uof .49 .49 .49 .49 0.490 0.450 WALL Uo .048 .048 .048 .048 0.048 0.071 HC 1.0 1.0 1.0 1.0 1.000 1 INS POS 2 2 2 2 N/A N/A EQUIP 0 0 0 0 0.000 0.000 LIGHTS 3 3 3 3 3.000 3.000 DLCF 0 0 0 0 0.000 0.000 ------- ------------- -------- - L O A D S--- ------------------- -TOTAL- ------- HEATING 2.417 7.720 1.940 7.820 19.896< 20.969 COOLING 2.364 11.620 2.909 11.673 128.565< 36.500 TOTAL 4.781 19.340 4.849 19.493 48.462< 57.470 a---.?---------xaamvaaaaa-aa------------------a------_------cca???a?---- mvaxoama ********** PASSES EXTERIOR WALL TOTAL CRITERIA ********** OTHER ENVELOPE REQUIREMENTS ENVSTD Version 2.4 - February 1993 MAXIMUM PERCENTAGE OF ROOF AREA IN SKYLIGHTS: ------------------------------------------------------ Percentage of Roof Area in Skylights: Visible Transmittance of Skylight Design Lighting Footcandles of Space (30, 50, 70) CRITERIA DESIGN MAXIMUM ------------ ------------ MAXIMUM ALLOWABLE Uo: MAXIMUM ------------------------------------------------------ ------------ ------------ Roof 025 < 0.047 Wall Adjacent to Unconditioned Space 0.116 Floor Over Unconditioned Space 0.040 MINIMUM ALLOWABLE R-VALUE: MINIMUM ------------------------------------------------------ ------------ ------------ Wall Below Grade 10.5 R-Value of Concrete Slab Insulation 7.5 > 4.0 Heated or Unheated Slab (H/U) Unheated Horizontal or vertical insulation Position (H/V) Vertical Depth or Width of insulation (24, 36, or 48 in.) 48 in. --?-asao?ova-occ-?amaeccoaanaaeeo?=?--o-oooaaaaavaaaaaaaaaaa=_?----o.voaavv=a== ********* PASSES OTHER ENVELOPE REQUIREMENTS ********+ TnT( l O f TOTAL P.02 MA f._J I , -61u, ?0.9ar1( c cer'f 6r [31 -clty of ¢agan Contract No: Project No: 9• •- - YY/ Submittal Date: G -/ - 9`7 CITY OF EAGAN SEWER 6 WATER PERMIT RELEASE FORM PROJECT DESCRIPTION: S / /? GV Substantial Completion of Sewer A Water- S?h/• S?2 - ¢ tzzi9F7z?72 Date of Occurrence STEP I: PERMISSION TO HOOK UP WATER MAIN Lines Lamped and Acceptable Deflection Mandrel Test Passed Manhole Structures Properly Constructed (cstg. S cover, rings, cone, 1 ft. sections, final rim setting, & build and invert) Infiltration Test SERVICES Properly Chlorinated 6 Flushed Entire System Pressure Tested Entire System Conductivity Tested All Valve Boxes Accessible, straight 6 keyed All Valves Opened or Closed as Approp. Bacteria test completed All Wye Locations confirmed All Curb Boxes Exposed, Set to Proper Grade 6 Marked w/Fence Post _ Required Service Risers Televised SAN` SGT/, COMMENTS : TI> d U? TO !? X , STEP II: Lines Lamped & Acceptable CB Structures Properly Constructed (cstg & cover, rings, 1 ft. section, invert, final estg. setting 6 build, DL-DR correctly set rings 6 cstg. set in full bed of mortar) Aprons, Dissipators 6 Rip Rap properly installed COMMENTS: RECOMMENDATION: I herein verify that the tests and inspections indicated above have been successfully completed. Any deviations or exceptions are described in my comments. With this considered I recommend that permission to hook up or permission for occupancy be granted as appropriate to the above indications. Signed Project pecto Confirmed by: Public Wort Department Material Tests Checked 6 Passed (Conc. compressive strength 6 Air Content, Bitum. Extact 6 gradation., gravel base gradation). Utility Structures b Lines Clear & Free of Debris 6 Gravel (Cate Valves keyed) WP5.1S&WPERM.FM OFFICE USE ONLY I/ L r? BL ? p{J- ?L v SUBD. \iCIL? . I cY? ytY t/a?? f?? RECEIPT N. / RECEIPT DATE: /S 9 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. • all oommerciallindustrial buildings. • mufti-family buildings when separate permits are = required for each dwelling unit • bad18ow preventer to be installed in commercial areas or residential boulevards DATE: h _,7 / WORK TYPE. _]IL New Const. _ Add-On _ Repair DESCRIPTION OF WORK. F;r( Pilo / OP 5c- IS WATER METER REQUIRED? X Yes _ No ARE FLUSHOMETERS TO BE INSTALLED? Yes 4W No UHCc'nia?.CS:riD SfniivnLett 5 r S I EM INSTALLING METER? 2(, Yes _ No. NEW SERVICE? 94es OC No WATER FLOW M. Pressure Reducing Valve may be required if installing new service - contact City's Engineering Department 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 price, whichever is greater. Minimum State Surcharge of $.50 due on all permits. / q e+o CONTRACT PRICE' $ x 1% _ $ C / COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM l D/ BACKFLOW PREVENTER FEE E 25.00 = E WATER PERMIT (new service only) 50.00 = C, E WAC (new service.only -per connection) 780.00 = ?? ?•? ° S WATER TREATMENT (new service only - per connection) 420.00 = 5 .,,I $ CITY INSTALLED TAP 300.00 = s 6" METER: V = $185.00, 2" TURBO = $846.00 $ p PERMIT FEE $ FIGURE SURCHARGE AT 60 CENTS FOR EVERY f1,000 OF PERMIT FEE DUE STAT? S>? CtL9RG?C) E ? 7y O 29 V s° TOTAL I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit pwithin City property/right-of-way/easement. SITE ADDRESS: - // 757 (.!/P_.57-- Sey-t/r n I'. TENANT NAME: /f1 ?9<U -/Gyn/?p9t//.5 T' STE. # OWNER NAME: _..-5G1 /9Lt/ - LuNxO f/}i S 7 INSTALLER NAME . l1-l /y&V TELEPHONE p. __ 7 S S?i7D STREET ADDRESS. "0 96X- o23-7 yy, ,zP (°e STATE: ZIP: .SSJ 7/b CITY:: 4-,e4 pe- I APPLICANT'S SIGNATURE OFFlCE USE ONLY • E SIDE OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE Domestic Irrigation / EU _ Yes _ No UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLYI REVIEWED BY Building Inspector ?7 ' Date • See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S&W permit # • Check PIMS Screens 110 (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 strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed Plumber does not know GPMs. r Check PIMS Screen 320 for approval of inspection results. No meter will 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 Utility Billing Clerk. Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miscellaneous Information The installer is to contact Building Inspections at 681-4675 for inspection of the inside water line and backtlow preventer. The Public Works Department may be reached at 68113300 for water turn-on. If meter is over 5/8, call Public Works and let them know so they can tell you if they have one in stock before plumber goes over there. CITY USE ONLY L BL / RECEIPT M ?y SUBD. li?L I DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: a 9, SOD WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: A'U FEES: $25.00 minimum fee 22 1% of contract price, whichever is greater. Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% C2-? R- PROCESSED PIPING STATE SURCHARGE TOTAL .!?D Sa 02 C? S SITE ADDRESS: 27757 I.VeSl' SCrv1 r leo.4 ?) OWNERNAME: ?flAtcJ-Lv.vdA???sr TELEPHONE#: ySy-067TH TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: r 86 x °25 7 CITY: ??e STATE: ZIP: = PHONE #: /-/ qs-- S/D CD SIGNATURE: a J'Z --- z/? GNATURE OF PERMITTEE CITY INSPECTOR L , BL exchanger, i.e. Vanee system, etc. 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings Add-on air cond CITY USE ONLY ? townhomes and condos when pe its are required for each unit New construct n Add-on fu ace Date: ? Minimum Fee: ? HVAC: 0-100 M BTU Additional 50 ? Gas Outlets (minimu State Surcharge TOTAL 1 required Q $3.00 each) RECEIPT #: DATE: / 24.00 6.00 50 SITE ADDR OWNER N/j INSTALLER STREET AC CITY: PHONE #: i FEES (existing residence only) $ 20.00 STATE: PHONE # Ili,al C.??m"C? 6z- / Jwirt C,itfy UVater Cflin.ic, J nc. 617 13th Ave So • Hopkins Minnesota 55343 • (612) 935 - 3556 07/16/1997 Parrott Const. Rt. 3 Box 50 C Henderson Mn 56044 REPORT OF WATER ANALYSIS Lab #: 33013 Our Laboratory reports these analytical results, determined on a sample taken by CLIENT on 07/02/1997 from the following location: j 2757 W. Serives Rd. f' Eagan,Mn Coliform Bacteria <11100 ml The results of these tests indicate that this well is producing water that meets the standards for F.H.A., V.A., or conventional loans. This report is an analysis for coliform and nitrate only and does not include analysis of Lead and other contaminants. (Unless as specified by client). \VVat r Clinic, Inc. Bill ale A Iyical laboratory Comvltirg Ergi=cr Wakr Malyais Reagcofa Bailer Watcr Ch.,. c h lab CMification# 027-053-119 4b-?- MEMO city of eagan TO: DALE SCHOEPPNER, SENIOR INSPECTOR DALE WEGLEITNER, FIORE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS PUBLIC WORKS/ENGINEERING DEPARTMENT MIKE RIDLEY, SENIOR PLANNER DIANE DOWNS, UTILITY BILLING CLERK ROD JOHNSON, UTILITIES FROM: BILL BRUESTLE, SENIOR INSPECTOR DATE: OCTOBER 9,1997 SUBJECT: FINAL INSPECTION OF SHAW LUNDQUIST VL2, Bl, EAGANDALE CENTER 1ST The Protective Inspections Division will be performing a final inspection of 2757 WEST SERVICE ROAD on NOVEMBER 7. 1997. If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. /js CD/Fbldg insp//rmal insp - conun bldgs 02 _ Su>3u s Neu Rcccipt Q 3 Receipt Date // 9 7 Order For Payment. Date2 Request for Inspection Number on this job 7 c?q? Date Fi]ed _ Electrical Installer_ "svt t_LC ELL-r--c-, License No. C,,qoc) Owner/Occupant $?/7tty l tctu4CJui? scG County •D,4re)rra- Job Address 2'7S WW, -K-v ce ?-City E4&-.4.,/ Additional Rough-in inspection was required. XA shortage of fees on the above job. _Reinspection Fee. A Copy of this order must be returned with payment to the; Eagan Municipal Center 3830 PHot Knob Road Eagan, MN. 55122 Phone: 681-4600 Fee p Computation ?4tQ 30 ?rtir? ?ces?vc + CtRCtccr-5 `v Please return thi?with a check in the amount of S The above order must be complied with by (date) payable to the City of Egan. Electrical Inspector, Mark A. Anderson , PO Box 713,Shakopee, MN 55379 (612)445-2840 PLUMBING (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ?q Telephone 4 651-675-5675 FAX # 651-675-5694 S Date _Q& / _a_?l 03 p Site Address 27 iC U nit # Tenant Name Former Tenant Name CC Property Owner 6 ?f e _51?zoe Telephone # (p51) ZJ `1 - ??o ?/ Contractor RP Z sevvi"r-to Address 2ggO 1T7Znal Lh N :- City State Zip 3o Telephone # Z } ? - 7 t7 The Applicant is Owner Contractor Other Work Type _ New Bldg Add-on _ Repair RPZ PVB Irrigation system * Jerry W bschall to calculate fees. Required meter size is 2" turbo unless smaller size permitted by Public Works o Description of Work TPZ Rehu,,'/11 To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Cal165 1-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $156.00 Domestic Size & Type Avg GPM Includes high demand devi Yes No ces' _ - Yes Flushometers No PRV Required /Y No , y - Permit Fee $50.50 nammum (includes Slate Surcharge) T^ r Contract Value $ -1%?$? Base Fee x $ Meter(s) Required on all new buildings & boulevard irrigation systems $? Radio Meter Read If base fee is $1,000 or less, surcharge is $ 50 $ State Surcharge If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee --------- - -------- Following fees apply only when installing new irrigation system $ Water Permit Contact Jerry Wobschall at 651-675-5024 for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge ---- -------------------- ------------- ------------------------------------- $ - --------------------- Total Fee 1 hereby apply for a Commercial Plumbing 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 Plumbing 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 ttthhee approved plan in the case of work whit re quires a review and and app I of plans. khael App icant's Printed Name Applicant's Signature ? e CITY USE ONLY REQUIRED INSPECTIONS: U.G. Air Test - Gas Test Rough In Final PLANSSUBMITTED APPROVED BY: BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- 5157.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1/2" irrigation Syst $ 781.00 displacement smcommercial turbine** must receive maximum i approval cont nuous to from Public Works 2-30 3/4" lawn irrigation $156.00 4-160 2" turbine Ig irrigation syst $ 982.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,860.00 bldg to 24 units 65 units maximum sm commercial & continuous & Ig comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $484.00 maximum displacement & continuous most comm bldgs 50 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE, PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very lgirrigation $2,329.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician Updated 1/03 111111110. City of Eakan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 11?? MAY 2 2 200a J I---- ----1 For,Offl&e Ll I Permit ft. I I ? I ?? ? Permit Fee' O j I I Date Received: I I Staff: ------------ 2L0?08 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 5C 0 D Site Address: Sevo c e Y2.0C(.,,( Tenant: ? AA)- L5 U / a I ?' f fit??7Jf f/t,f (4 1 ?1 f J ci dro x- P Y Name:q1'(uo LUAY't ( { 1?? (t ? 1 1 OWNER , , , Phone: i , d. ,95 -g CONTRACTOR Name: N\\ 1 (Ab k b I if 0_ 3 j' 1 License #: -p 1'' I ?o, - `tqo- Address( - (?72V ?1?(,YLQ City: State WAP:?2J- .l L- - '/ / ? Phone: `Lp " O(7?' ?Tq? C P _ _ ontact erson: TYPE OF WORK - - New Replacement - Repair Rebuild -Modify Space - - Work in R O.W. Description of work: U 1 PERMIT TYPE COMMERCIAL °-r£S1- rf&,t 1nl New Construction - Modify Space - Irrigation System (_ yes / _ no) C- RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM _ (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 18 3.00 Avg. GPM High demand devices? Yes No Flushometers Yes No PRV Required Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ x1% = $ Permit Fee Required on ALL new buildings and boulevard irrigation systems -? = $ Radio Meter Read - rc Permit Fee is less than $1,000, surcharge is $.50 =$ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $ 50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Cali the City's Engineering Department, (651) 675-5646, for required fee amounts $ Treatment Plant $ Water Supply & Storage $ late Surcharge TOTAL FEES $ •15 it 2 I hereby acknowledge that this information is complete and accurate; that the work will ben conformance with the ordinances and codes of the Cry 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/?vniew and apppmval of plan . x /VI ( l Y j,p I esj 11 rlY Applicant's Printed Name Applicant's Signature I FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-In Air Test i Gas Test Final Page 1 of 3 jse or BLACK In - - - - - - - - - - - - - - - - - - y CIO Of hap.,af 38-1 ii ol, Kr oh- Roar 1L~U a Fem., >,x`gf55'i2 z` F R5,1 9-7,.°5'694 - - 2011 COMMERCIAL PLUMBING PERMIT APPLICATION 6/20/2013 1,FS~ h 2757 WEST SERVICE ROAD " , r=• SHAW LUNDQUIST ASSOCIATES Suite - ?gyp- - SHAW LUNDQUIST ASSOCIATES (651)454-0670 D NT T S RAY VIN ZANT PLUMBING .cense : _065956-PM AC } 593 HAMLINE AVENUE ST. PAUL t - MN zip. 55104 f - - i r - F. k _ (651)644_2700 JAMESVINZANT@YAHOO.COM Rs tcl Space t s it a OT ^ s _r: WORK escri on of v£o,k; MANDATORY 5 YEAR OVERHAUL -Off P ;vTFW Meter,.- = z ssa = -Omys± _ r r a - ,vbs. GPI de ano -/e:3 _No -Yes -No $55.0!~ Minimum PCerri2' S=t.'.e Refit red on, ALL Pew t'uitdi s and € leva irrigation ayst¢rns 4 S Radio f ic¢r;r Read d is c F : less than, 5," tx"Ffar(, s 5.00 ; afe Sum c,. F0tiC!vv ng {~P3 a no .?':_y. <.S,_ 7, 7 . S j t 70T AL FEES S "TJ.C7l1 w _ ; - - a ~ f" I`.`t• k ct t 1 JAMES VIN ZANT_ FO OFFICE SSE A.£<< rovLed By. Date: Reclu re. Inspections: Un < `RiC under Rough- ri ,sir Ttr,s= Gas Test Pina4 Rat Required: yes Ni rear.{ °