4564 Villa Dr
HEATING
SED. aWICK HEATING & AIR CONDITIONING CO. resT Recoao JOB NO
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 887-9000
ADDRESS 1-15-6q VU `Lor, • CIN tq p
OCCUPANT hQ 7dN OWNER
S ~
SOLD BY 5r INSTALL€D RV / %wl r
MAKE MODEL J l"14V07(407b
SERIALNO. INPUT
~
f THERMOSTAT ` VENT S12E / n
VALVE TVPE OF LINER e,
i~
LIMIT x P LINERSIZE ~
LIMITSETTING '~~'Vc FILTERS:SIZE NUMBER J
r
FAN SETTING WIRING
PILOT NPE ` O!~ TEST 7AG
IGNITION MODEL LIGHTING INST.
PILOT TIMING
~i -7 p' DATETESTED ~
PRESSURE pERCENT COz --~J 6 ~
INPUTCFH PERCEN70z ~~f// COMPANVTES7ING P h'C ,
STACK TEMP. PERCENT CO NAME OF TESTER ~
PORM235(REV.H/a9) FORMDISTFIBUTION: WHITECOPYJOBFILE YELLOWCOPY - CITY
. . _L17
SED.GWICK HEATING & AIR CONDITIONING CO. HEATING TESrRecoRU JOBNO~-OC°$97
8910 WENT4VORTH AVENUE SOUTH • MINNEAPOLIS/, MN 55420 •(95 881-9000
ADDRESS V" CITV Q~Qr1
OCCUPANT 9 G¢ SOWNER
SOLD BY- t-~ INSTALLEn AV ~ n kl- E
MAKE bl" r1 MODEL irl U GO C~ / 6
SEFIAL NO. l / U0q O / INPUT t/, • 'l /
L
THERMOSTAT VENT SIZE
VALVE TVPEOFLINER
LIMIT LINER SIZE 5
LIMITSETTING ~ oc) o FILTERS: SIZE NUMBER '
FAN SE7TING r WIRING
PILOTNPE TESTTAG ^
IGNITION MODEL LIGHTING INST.
PILOTTIMING /L/-
DATE TES7ED
PRESSUFE 7~ ~ W•~~ PERCEN7 COz
INPUT CFH Y~ PERCENT Oi COMPANV TESTMG
STACK TEMP. 3 IJ 36/7 - PERCENT CO NAME OF TESTEF
FOiiM235(REV.fl/88) FOflMDISTRIBUTION: WHITECOPY - JOBFILE VELLOWCOPV - QTY
n
SEQGWICK HEATING & AIR CONDITIONING CO. "E?rI"G Jogdd-80
8910 WENT4VORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS LI S&] V/ L14 , `CUI~ "~--C J CITY
OCCUPAM OWNER
SOLD BY INS7ALLED BV
MAKE MODEL 3 I03(. a /d
SERIAL NO. INPUT~ 60U ~j !
THERMOSTA7 ST dL~ VENT SIZE
VALVE w K n NPE OF LINER
r~
LIMI7 LINER SIZE S
,I P )
LIMITSETTING v~ FILTERS: SIZE NUMBER J
WIRWG
FAN SEl71NG
PILOTNPE TESTTAG
IGNITION MODEL " LIGHTING INST.
PILOTTIMING DATETESTED
PRESSURE .~7 ~ ~ pERCENT COi
INPUT CFH PERCENT Oz COMPANYTESTING
d ~
STACK TEMP. ~ PERCENT CO NAME OF TESTER
FORM235(REV.11/89) FORMDISTRIBUTION:YMfTEfAPY - JOBFILE VELLOWCOPY - CfiV
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING TESraecoRO JOBNO.~
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000
ADDRESS 7 ~LP q 614 1CITY
OCCUPANT ~rQn 9 5L-n 5 ' OWNER
SOLD BY 5~ w INSTALLED BY Tek-
MAKE MODEL
SERIAL NO. INPUT //q
THERMOSTAT VENTSIZE I
VALVE w/~ A 7YPEOFLINER
LIMIT- LINER SIZE ~
/C X dS X / /
n
LIMITSETTING ezl FILTERS: SIZE NUMBER
FAN SETTING ) r'n r / WIRING ^
PILOTNPE 7ESTTAG ~
IGNITION MODEL ~ LIGHTING INST.
PILO7TIMING
DATETESTED ~
PRESSURE '3~ ~ ~ • PERCENT COi 7 ;W
INPUT CFH PERCENT Oz 5- COMPANV TESTING W~
~ ~~j GrL JQ
STACK TEMP. LC~ PERCENT CO NAME OF TESTER
FORM235(REV.11/89) FORMDI&TqIBUTION: WHITECOW - JOBFlLE VELLOWCOPV-CIN
-/7
n o
SEDGWICK HEATING & AIR CONDITIONING CO. resTaECOao JOBNO! '
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000
ADDRE55 `/5-( ~ ~ / Df 1 / / - I ) GITY
OCCUPANT OWNER ~SOLD BY~ INSTALL€D BV C
MAKE^ / MODEL 31!t) 441a 3 6 0 70
SERIAL NO. y 3 0 3A3;~ O 3d INPUT
THERMOSTAT 5, , Lk- VENT SIZE /
VALVE ~ TYPEOFLINER
LIMIT LINER SIZE ;2
LIMIT SETTING C FILTERS: SIZE NUMeER /
FANSETTING WIRING -
PILOT TVPE TEST TAG
IGNITION MODEL LIGHTING INST.
PILOT TIMING - //a' Q V
PRESSURE '22~ PERGEN7C0z OATE TESTED
INPUT CFH Kn G PERCENT Op COMPANYTESTING -2 o /
STACK TEMP. ~ PERCENT CO NAME OF TESTER ~
WRM235(FEV.11/09) WAMOISTIiIBUTION: WHITECAPV - JOBFILE YELLOWCAPV- CITV
, . . /7
SEDGWICK HEATING & AIR CONDITIONING CO. HEAnNC JoB10
8910 WENTVJORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS L(57(rL/ (/~//7 f~'/ / CITY GG f
OCCUPANT ~OWNER
SOLD BY ~7-Al t L~ INSTALLED BY
MAKE 161' MODEL '~IQH UOJ f!/G
SERIAL NO. O N O~U INPUT f
THERMOSTAT ~~~~?Q'l VENT SRE
VALVE ~ 7VPEOFLINER
r
LIMIT -1 i 7~P LINERSIZE S r
LIMIT SETTING G~ C^ FILTERS: SIZE S J( I NUMBER ~
FAN SETTING )~k I, WIRMG ^
PILOTTYPE f 4~ e:~TESTTAG -
IGNITION MODEL LIGHTING INST. -
PILOTTIMING DATETESTED
PRESSUFiE 3, 5 PERCENT COz
G~
5--~ COMPANYTESTING
INPUTCFHPERCENTOz ~
STACKTEMP. ~U PERCENT CO NAME OFTESTER
FORM 235 (REV. 11/89) FOflM DISTPIBUTION: W111TE COW -JOB FILE VELLOW COPY - qtt
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
T(~ ~ 3830 Pilot Knob Road, Eagan Mu 55122
U ~ Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date 9 / -7 / 0 7
Site Address [a D/. V C t l~L Sbt 11 Unit #
Property Owner /'?qnti !r _bn S Telephone # ( )
Contractor V H P)Vrr1 bin
Address L~) aak,,o-f V /i~C• City orUti,
State MAl Zip -5-;.3sc~ Telephone #(~S~j
The Applicant is _ Owner Contractor _ Other
Septic Sys[em New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 518" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigatioo system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
State Surcharge 50
~ i S"
Tocai
I heeeby apply for a Residential Plumbing Permit and acknowledge that the i'n ormatianis compl'ete 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 wi[hout a permit; that the work will be in accordance with the
approved plan in the case oFwork which requires a review and approval of plans.
JdS~,ua )Ze 1~~
ApplicanYs Printed Name Applicant's Signature
~ . ~D6 9 7
RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
co~tQl ~
Please complete for: Single Family Dwellings & Townhomes and Condos when permits aze required for each uni[
Da[e
Site Address Unit #
Property Owner Telephone #
Contractar rnn•~---Ei,`0
Street Address tili+inaapoli5, P!"! City
state (952) 881•9000 zsP Telephone k( )
Bond Eapires:
The Applicant is _ Owner ? Contractor _ Other
Add-on, modiFication or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner _ New _ Replacement
other
. ~ • •
State Surcharge U2_,4z*) $ .50
'YI ~-is
~
~ 8 2003
Tota~ d . i
i
II I
I Lereby apply for a Residenrial Mechanical Permit and aclaowledge that the information is complete and accurate; that the work will
he in conformauce with [he ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pemut, and work is not to start without a pernut; that the work will be in accordance witb the
approved plan in the case of work wlnch requires a review and approva] of plans.
5ED6Yl9CK HTG, & AIR COND. CQ ~
Applicant's Printed Name ApplicanYs Signature
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
TelepLone # 651-675-5675
Please complete for: commerciallindustrial buildings
multi-family buildings when separate pemtits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (tf applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New construction _Install _Remove Underground Tank
Interior Improvement Schedule inspection during installation or ramoval of tank
Processed Piping
Nature of Work:
Permi[ Fee $50.50 Mlnimum Fee (includes State Surchazge)
Contract Value $ x 1% Permit Fee
• If permit fee is $1,000 or less, add $.50 State Surcharge
IFpermit fee is over $1,000, add $.50 per
$1,000 Pernut Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Pemut and aclmowledge tUat the information is complete and accwate; that the work
will be in conformanca with the ordinances and codes of the City of Eagan and with the Mechanical 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 acwrdance with
the approved plan in the case of work wluch requires a review and approval of plans.
ApplicanPs Printed Name ApplicanPs Signature
Approved By: , Inspector Date:
'C~) l o ck ~ 4F~'~w I~ C~
v; 1 l c~.s conaMERCIJAL
2002 BUILDING PERMIT APPLICATION a~ , Gl -"i q•~1
CITY OF EAGAN -
~ o) -J-~~ 651-681-4675
Foundation Onl New Construction Interior Im rovement
• SWClural Plans (2) sets . Architedural Plans (2) aets . ArchifecWral Plans (2) sets
. Civil Plans (2) . StruCWfel Plens (2) • Cade Malysis (1)
• CerdBcate of Survey (t) . Gvil Plans (2) • Projed Specs (1)
. Code Malysis (1) . LanCSCaWo9 Plans (Z) M ler Exit Plan
. ProJeclSpecs (7) . CodeMalysis (1) . "
. Spec.lnsp.&TestingSchedule " • CertificateMSurvey (1) . EnergyCalwlations (1)notehvays"
• Soils Report (1) • Spec. Insp.B TesUng Schedule (1) ^ • Elec. Power & Lighting Fortn (1) not always"
. Meter size must be established • Meter size must be eslablished • Meter size must be esfablished - if appllpble
. ProjectSpecs (1)
1 • EnergyCalculatians (1) " ? .
1 • Electric Power & Ughting Fmm (1) " 1
1 . Master E)dt Plen (1) l .
4 . Emergency Response Site PWn (7)1 .
1 . SoAsReport (1) l
• MCJE5 SAC determination letter • MClES SAC determirtatlon letter • MC/ES SAC detertninadon letter ptl 851-b02-7000 catl 851-602-1000 ca11.651-602-1000
Food & beverage or bdging faalities - su6mit plan to MN Depar6nent of Heallh. Call 651-215-0700 for details.
" Contact Building fnspecHOns for ssmpie.
Pertnft for new buildings or mMiffoni wili not be processed witfwut Emergency Response Ske Plan. Ask Building Inspections for requirements.
DATE: /~/oV/02 WORKTYPE: X NEW IREMODEL CONSTRUCT~ONCOST:
5 b`f °QY 1 1
SITEADDRESS: A, 10 FENANTfVAME: Cedar Villas Housing SUITE#:
FORMER TENANT NAME, IF APPLICABIE:
DESCRIPTiON OF WORK 66-C'-1W-ZL
Nam; Cedar Villas, LLP. Phone#: 6( 12 ) 341-7800
PROPERTY Last Fust
awivsR
StreetAddress: 900 Second Avenue South, Suite 880
LyTy,. Minneapolis gtau; MN - Zip; 55402
CompanY. Frana and Sons, Inc. Phone#: 952 ) 935-8600
CONTRACTOR StreetAddress: 633 Second Avenue South ` ~
Cily; Hopkins State: MN u~ 1-V43 1 7C0~ III ~
ARCHITECf/
ENGINEER Company: Elness Swenson Graham ArchitectEPhone#: 612 339-5508
Name: David Graham Registration#: 14808
SucetAddress: 700 Third Street South
Cih,_ Minneapolis Sffite: MN Zip: 55415
Lksnsedplumberinstallingpgw sewerJwatersarvice: Imperial Develogers phone • 651 454-3330
; hereby ecknowtedge tliat I have read tlds applkadon, sMdte Uhet the irrtortnation corred, a all appUcable State of
+Ainneaota Statutes and Ctty of Eagan Ordinarces.
SignaWre of AppUcard:
- Updated 7I02
OFFICE USE ONLY
SUBTYPE
0 Ol Foundarion ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 CommerciaUlndushial ? 32 Ext Alt - Apts.
? 15 Lodging ? Zg Greenhouse ? 34 Ext Alt - Comm.
0 25 Miscellaneous O 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New O 35 Tenant Impr ? 42 Demolish (Foundafion) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair -
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code 7Aning sq. ft.
SAC Code # of Swries sq. ft. -
No. of Units Length sq. ft.
No. ofBldgs• Width sq.:it, ,
Const. (Actual) Basement sq. ft. MC/ES Sysbem
(Allowable) Fust Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
0 Gas Service Test O Iieating ? Insulation Q Plumbing ? Stucco/Stone
APPROVALS
Piannin8 BuildinS Engineering Variance
Pertnit Fee 4 qqo VALUATION $ -7 5
Surc:harge 37 7• ~ 'lan Review i O. o ~
VlC/ES SAC % SAG
-ity SAC. SAC Units ~
Nater Supply & Storage Meter Size
i/W Pertnit ~ a-l1 'r''
i/W Suroharge
freatment Plant
'ark Dedication
'rails Dedication
Vater Quality
)ther
:opies
j' ~,r.,.3Cv-~ y eu . Qu
'otal ~
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use q
Permit I 1 4
City of Ea a~
J E
I Permit Fee: ~
3830 Pilot Knob Road
Eagan MN 55122 I ~ 131
I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff: j
t-----------------I
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: qjjq)j3 Site Address: / ~O 7 l
A Or
Tenant Name: G/(v da r V! Ila $ (Tenant is: New / Existing) Suite
sk:e&c Former Tenant: Name: C r~a~ rd1 D`~ l~®t Phone:
' Property Owner ~d Address / City / Zip: L090 14ako i Gf6 S'Y ro
Applicant is: Owner ` Contractor y
Description of work: 7-1 h
Type of Work
Construction Cost:
Name: `Q!^~`~~°l t) • License r~
City:
Contractor Address: <J ~t~ J°7y f) 1)
State: ~n Zip: Y5tj) 3 Phone: 763- 7t3 J300
& s f 'T•St'rt~ p .
Contact: vl! Email: I
Name: Registration
Architect/Engineer Address: City:
State: Zip: Phone:
4
Contact Person: Email:
Licensed plumber installing n_ew_sewer/water service: Phone M
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 the are trade secrets.
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.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 w`o~rk will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x 471,iyll~ / /0j( x
Applicants Printed Name Applica is Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160496
Date Issued:03/13/2020
Permit Category:ePermit
Site Address: 4564 Villa Dr B
Lot:2 Block: 01 Addition: Cedar Villas
PID:10-16900-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Cedar Villas Lp
1600 Hopkins Crossroads
Minneapolis MN 55305
Centraire Heating & Air Conditioning
7402 Washington Ave
Eden Prairie MN 55344
(952) 941-1044
Applicant/Permitee: Signature Issued By: Signature