4542 Villa Pkwy
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SEy .-~/ICK HEATING & AIR CONDITIONING CO." TESIHEATIING
TRECORD ~ ~OBN~-g ~q
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, M~'S5420u ,(95Z~ 8800
ADDRESS~~~~ V `~~~Q p~wy a7 ' irv
OCCUPANT ~rdjta' A /M'S OWNER
SOLO BY IeVyw' C k INSTALL€n RV
/ A
MAKE ~5 Y\/G?I / -j/~ MODEL 3SOA~Vv" V/DU
SERIAL NO. 5-00 3 3 INPUT I OU ~U t/ 67V r~
a (/y•Lk VENT SIZE V
THERMOSTA ' ST~~+ ~
VALVE wx n TVPE OF LINER -
LIMIT ~ " ~ P LINER SIZE
LIMITSETTING - ~ FIL7ERS: SIZE ~~ox2 NUMBER
FAN SETTING t WIRING
PILOT TVPE (_7 TEST TAG -
IGNITION MODEL LIGHTING INS7.
PILOTTIMING 1 3 -o y
iDATE TESTED
PRESSURE 3 ~ ~ PERCENT COz
INPUT CFH / DO PERCENT Oz COMPANV TESTING ~'lL~ <<'l r ~
i n =a0°I=
STACK TEMP. PERCEN7 CO NAME OF TESTER ~
FORM 235 (REV~yt-/ G/r FORM DISTRIBIfrION: WHITE COPY-JOB FILE VELLOW COPY - CITV
v°
~
2004 CODMERCIAL BUII,DING PERMIT APPLICATION
, . City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 ca ~S -`-7 5
~SCk g~ Telephone # 651-675-5675 FAX # 651-675-5694
. . • . ~ .
. Structurel Plans (2) sets • Architectural Plans • (2) sets • Architecturel Plans (2) sets
• Civii Plans (2) • Structurel Plans (2) • Code Analysis (1) "
• CertiFCateofSurvey (1) • CivilPlans (2) • ProjectSpecs (1)
. Code Anaiysis (1) " • Landscaping Plans (2) • Key Plan (1)
• ProjeclSpecs (1) • CodeAnalysis (1) " • Master Exit Plan (1) .
• Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. & Testing Schedule (i) " • Elec. Power & Lighting Fortn (1) not always"'
• Meter size must be established • Meter size must be established • Meter size must be established-if applicable
L • ProjectSpecs (1)
1 • EnergyCalculations (1) " y
L . ElecUic Power & Lighting Fortn (1) " 1 y . Master Exit Plan (7) l
y . Emergency Response Site Plan (1)'*` 1
b . SoilsReport (1) L
• SAC determination - call 651-602-1000 • SAC determination • call 651-602-1000 SAC determination - call 651-602-1000
Call MN Dept of Health at 651-215-0700 for details regazding food & beverage or lodging facilities.
Contact Building Inspections for sample and if required when it states "not always".
Pemtit for new building or addi[ion will not be processed without Emergency Response Site Plan.
Date 7 I/2 , i s=tl -y Cons[ruction Cost +l L S. vig
Site Address ?4,a ~w.er..'.fY UniUSte #
Tenant Name Former Tenant Name
YO V.
Description of Work SNis+sViJG Aobt
Property Owoer SN6~>E2 ~r~_~»»a.r-ivJ Telephone # ( )
s fu:t6 ,.W" RU is ~SI
Contractor /7Gnc G.o.JSYQNL io? /.JIC .~J7.''' ~C-.~ ~Od~
Address 21r2O ~,G,.~~,dnc. 17Bi?~y Po ZaX .Z/3e7 City F~~y,?, A1i?
Stat A7~? Zip SS/,Z/ Telephone#(L~/)
~t'-~s[- ~oc 131U, (CS!- '353' Zl8'7
Arch/Engr e~.eeis,++e~e 4°~ss~w.s 6s Registration # y19,41
Address Y;Z02 -19z-Y ssL..-sT~ 3u~sw .ZoZ City Laassliudr
S[ate l~i? Zip Telephone #(-I5,2)
JUL 1 2 2004
Licensed plum6er installing new sewer/water service:Phone
I hereby apply for a C it and acknowledge that the information ~Y e an accura e;
that the work will be ordinances and codes of the City of Eagan and the 3tate of MN
Statutes; I understand fn nly an application for a permit, and work is not to start without a
permit; that the work the approved plan in the case of work which requires a review and
approval of plans. ~
L[~on ~ ~
Applicant's Printed Name ApplicanYs Signature
~
F .
OFFICE USE ONLY
Sub Types
? Ol Foundation ? 26 Public Facility ? 30 Accessory Building -
? 14 Aparhnents ~ 27 Commercial/Indushial ? 32 Ext Alt-Aparhnents
? 15 Lodging 0 28 Greenhouse ? 34 Ext Alt-Commercial
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility
PQo L' ? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Baoster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
Required Inspections
_ Footings (new bldg) Insularion
_ Footings(deck) FinallC.O.
_ Footings (addifion) FinallNo C.O.
_ Foundarion pther
Drain Tile
_ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tesks _ Final
_ Franlln8 _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows
Approved By: Planning CAL"ilding Inspector
Base Fee °I
Surcharge 33. 0 c~
Pian Review
MCES SAC - ~
City SAC
Water Supply & Storage (WAC) S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Traiis Dedication
Water Quality
Copies
Water Trunk
Sewer Trunk
Other
Total
, .
n
SEy.Cz„UI(ICK HEATING & AIR CONDITIONING CO. HEariNG JogN6!~ ~
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 8 1-9000 TEST RECORD
ADDRESS I/~ V I `~a ~f • (czaITY
OCCUPANT Q ,S OWNER
SOLD BY ~'P 9 w~ ~ INSTALLED eV 9N• -
1 ~
MAKE MODEL 3S D1,'7.4 UG'
SERIAL NO 1070 3 TM2 INPl1T v1 v f
THERMOST VENTSIZE -3
VALVE TYPE OF LINER ~
LIMIT ~ " k-d
LINER SIZE
LIMIT SEffING~, FILTERS: SIZE ~ v NUMBER ~
FANSETTING 171{ WIRING ~PILOT7YPE TESTTAG `
IGNITION MOOEL LIGHTING INS7.
PILOT TIMING p L f
DA7E TESTED
PRESSURE J PERCENT COz ~ ~iJ// '
INPUTCFH PERCENTOz COMPANYTESTWG
Y `
STACKTEMP./r1-~`~ T PERCENTCO NAMEOFTESTER r
FORM235(REV.1'w~v-Y~ T FORMDiSTRIBUTON: WHITECOPY-JD6FlLE YELLOWCOPY - GITV
~ ~
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address: ~4Z 171 LL la i`~ k~- !
Applipnt Name: cz&,x^' 011)(LS
d
~ GENERAL INFORMATION
U
d ~
o z
A Applicant - name, address, phone & fax numbers, signature
fd p? PropeRy owner name
? 0 Lega1 description and address of property
North azrow, scale (1" = 30' or 40') and date
?)A ? Location and name of all streets adjacent to properiy
jrI Site Plan drawn to scale showing location of house, pool and other existing or proposed structures
JU Directional drainage arrows (existing and proposed)
ELEVATIONS
Ew•stina
~ ? ? House comers
? JJ ? Pmperty comers
?~3 ? On properiy lines at point of ineasured dimension to pool (see below)
?)L( If applicable, ground elevation at each end of retaining wa11s and at wall's greatest height
Proposed
A A ? Finished pool deck corners
? f~ ? Top of retaining walls (if any) and at each different elevation (if it changes)
fd ? Pool bottom (or max. depth)
DIMENSIONS
Existinsa
? fZI ? All property/lot lines
Proaosed
f~ 0 ? Pooi
O? Pool plus irnegrated deck/patio
Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
Name Date
G:FORMS/Poo1 Permit ChecklisU06-02A4
~r-----
i
ATE~
(BY C9TNER5)
I
7ED ARC?UND ENTIRE
.
f,, y.or
f
~ ~ • ICsNTPOLE
(gY OTNERS)
I ANOPY~GOLUMN ~
. . ~iBl+ 07NER.5, TYfi') @
j ~ ~ e. vun
. f .Et 02
g I6... - 44 E~ 9t ,41 ~
On P
~ . . ~ ~ k PARKINCs LOT
(BY OTH9R5)
I EVVE D
B - q a
Y CLUBHOUSE
DaLC ¢ - (5Y OTNERS)
. k~ 9s~.3Y I~v POOL > a
BAGAN ENGINBERING DFPT.
4 z
TPOLE
CBY OTHERS> ~fEG-IANIGAL
P> 7ALL ALUM.INUM
.
FENGE, NiN<35~MAX.
~S~UJITH FD. (B'f QTNE . P~
6< 7-~. oB
~
:WITN F.D. Ec 4u.oo
• ~EV~~ ~•c ~ ts
COMMERCIAL. MECHA1vICAL
Permit Application
City Of Eagan
3830 Pilot Kuob Road, Eagan Mn 55122
Telep6one # 651-675-5675
Please comple[e for: commercial/industrial buildings
multi-family buildings when separate pemvts are not required for each dwelling unit
Date~,~/~/ d~
Site Street Address L4 Unit #
D
Tenant Name (if applicable) - Previous Tenant Name
Property Owner ~ Telephone # ( )
Contractor w{ FiEATING &A:R COhDiTiG:::
, : - - - - - - 8910 WenMeoAh Ave. So
Street Address LAinru±dibg, MN SM70
fz:,neapofis, hiN . 8~1-90~L
State r~ ~°7,ip Tele ho e ( )
JV^, ^
Bond Expires:
The Applicant is _ Owner ? Connactor _ Other
Work Type
f/ New construction _Install _Remove Underground Tank
Interior Improvement Schedule inspection during installation or removal of tank
Processed Piping
Nature of W rk: ?
Permit Fee $50.50 Minimum Fee (includes S[ate SureM1arge)
Contract Value $ / e; x 1 % - $ Permit Fee
• If pernvt fee is $1,000 or less, add $.5 T $ ~U State Surcharge
If permit fee is over $1,000, add $.50 p
$1,000 Permit Fee
$ Tota1 Fee
B
I hereby apply for a Commercial Mechanical ermit and ac}aowledge that the information is complete and accurate; that the work
will he in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is
not a permit, but only an applicarion for a pernut, 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 which requires a review and approval of plans. .
Applicant's Printed Name ApplicanYs ignahue
Approved By: ImPector Date:
RESIDENTIAL I641ECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please comple[e for: Single Family Dwellings & Townhomes and Condos when permits aze required for each unit Date
Site Address Unit #
Property Owner Telephone # ( )
Conhactor
Street Address City
State Zip Telephone # ( )
Bond Expires:
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 $ .50
Total $
I hereby apply for a Residenfial Mechanical Pemtit and aclmowledge 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 Mechanical Codes; that I understand this is not a
pemiit, but only an applicarion for a pernut, and work is not to start without a peimit; that the work wIll be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name Appiicant's Signature
PLUMBING (COMMERCIAL)
Permit Application
City Of Eagan
~ 1 y O~ 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675FAX # 651-675-5694
~3 )
Date ~ l 3 l b 3
SiteAddress ysyO V;110, /'aik t,~aCC1Ub14t9,,5e_ ~ Unit#
Tenant Name Former Tenant Name
Property Owner /'A4ci c~ S oirs Telephone )
Contractor V u ~ ~E y P'l1t,4 Address v, n Uakew AJe. Ci ~
tY .~oP 4.,7
State /K Al Zip 5"$_35-j Telephone #(9rJ ) y9~ -a~°2 J
The ApplicaM is _ Owner ~ Contractor _ Other
Work Type -,t- New Bldg _ Add-on Repair RPZ PVB Irrigation system *
" Jer Wobschall to calculste fees. Rc uired meter size is 2" turbo unless smaller size ermitted b Public Works
Description of Work
To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646
Meters - Call 657-675-5300 to verify that hydrostatic, conductiviry, and bacteria tests passed prior to oickine uo meter
Imgadon Size & Type Avg GPM
Fire Size & Price 3/4" disnlacement S156.00
Domestic Size & Type Avg GPM Includes high demand devices? ~ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
3 l03
Permit Fee $50.50 minimum (includes Stste Surcharge)
~ r o-~--i- e~
Contract Value $ ) l, O$S' x 1% 1 0-~~ $ase Fee
$ i ~ . O C7 Meter(s)
Required on all new 6uildings & boulevard irri¢ation svstems $ )lE:~`jt>b Radio Meter Read
If base fee is $1,000 or less, surcharge is $.50 $ - S D S[ate SuiChazge
Ifbase fee is over $1,000, sure6arge is $50 per $1,000 of the 8ase Fee
Following fees apply only when installing new irrigatlon system Water Permit
Con[ac[ Seiry Wobschall at 651-675-5024 for required fee ui ~9 1~ H nn ~
~ D _ U ~ Tceahnent Plant
~ SEi' 0 3 2003 $I Water Supply & Storage
~
- ---------------------$---------------------------------State Surcharge--------------
av - i
- - - $ SS~Total Fee
I hereby apply for a Commercial Plumbing Pernut and acknowledge that the information is complete and accurace; that the work will be in
conformance with [he ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemut, but only an
applieation for a permit, and work is no[ to start withou[ 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.
ApplicanYs Printed Name ' A icanYs Signatuxe
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough Tn _ Final
PLANS SUSMITTED APPROVED BY: , BUIL?ING INSPECTOR
General Information
• Radio Meter Read (requued on all new buildings & boulevard irrigation systems- $157.00
• RPZ's must be rebuilt every five years. A minimum fee pernut per address is requued for RPZ rebuilding or repairiug.
• Water meters include copper hom/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residenrial $121.00 4-120 1-1/2" iirigation syst $ 781.00
displacement sm commercial turbine**
must receive
maximum
continuous BpprOV81
io from Public
Works
2-30 314" lawn irrigation $156.00 4-160 2" turbine lg irrigation syst $ 982.00
maximum displacement residenrial - gL
conrinuous 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 &
contimious & lg comm bldgs
25 arion systems
5-100 1-I/2" bldgs 25-64 units $484.00
maximum displacement &
contimious most comm bldgs
50
METERS REOUIItING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 turbine very Ig irrigation $1,328.00 6-500 4" compound +300 unit bidgs & $3,702.00
syst & production very Ig comm bldgs
lines
1/2-320 3" compound +200 unit bidgs $2,411.00 10-1000 6" compound +400 unit bidgs $6,100.00
very ]g comm bidgs very Ig comm bidgs
15-1000 4" turbine verylg irrigation $2,329.00
syst
& production lines
Comments
• To schedule inspecrion of the inside water line and backflow preventer, ca11651-675-5675.
• To arrange for water turn-on, ca11651-675-5300.
cc: Maintenance Division Clerical Technician Updated 1/03
COMMERCIAL MECHANICAL
Permit Applicatiou
City Of Eagan
p~ ~ 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 :Z~b
Please comple[e for: commercial/industnal buildings
multi-family buildings when separate pemilts are not required for each dwelling unit
nate
Site Street Address Unit k
-~---ir--
Tenant Name (if applicable) Previous Tenant Name
Property Owner 2v/(w Telephone # (g~ ) ~.~5~ ~~Od
Contractor r-~-ntHcnTtMG & AIR('0"~^^'~P!lPdC
M?D Wentwor",h Av~ Sj
Street Address _ ,,r h~v :;::~r~ City
-~~c roe
881-9000 Zip Telephone # ( )
State
Bond Expires:
The Applicant is _ Owner V/ Contractor _ Other
Work Type
? New construction _Install _Remove Underground Tank
Intefiof Improvement Schedule inspection during installation or removal of tank
Processed Piping
Nature of Work: .Q ~
Permit Fee $50.50 Minimum Fee (indudes State Surctiarge)
Contract Value $ _ IY9190 ~ x 1°/a 9d Permit Fee
• If permit fee is $1,000 or less, add $50 `4 I;~ '~l , SD State Surchazge
If permit fee is over $1,000, add $.50 per
$1,000PermitFee
Total Fee
I hereby apply for a Commercial Mechanical 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 Mechanical Codes; that I understand tbis is
not a permit, but only an application for a permit, and work is not to start without a perxnit; that the work will be in acwrdance with
[he approved plan in the case of work which requires a review and approval of plans. ,
SFOGWIC#( NTG. 8 AIR COND. CO
ApplicanYs Printed Name Applicant's Signatuce
Approved By: , Inspector Date: `5 `'03
RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condos when pernvts aze required for each unit
Date
Site Address Unit #
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
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 $ .50
Total $
I hereby apply For a Residential Mechanical Pemvt and aclmowledge that the information is complete and accurate; that tLe work will
he in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is not a
pemut, but only aa application for a permil, and work is not to start without a pemlit; that the work will be in acwrdance with the
approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name Applicant's Signature
1--~ ~ a- c~`- ~ S'~- L~')
v; l lc~_S conUMRCiai.
2002 BUILDING PERMIT APPLICATION
CYTY OF EAGAN
-D_ 651-681-4675
Foundation Onl New Construction Interior Im Fovement
. StrucWral Plans (2) sefs . . Architedurel PWns (2) sets • Architect+ral Plans (2) sets
• Civil Plans (2) . SWCtural Plans (2) • Code Anatysis (1)
. Certificate of Suney (1) . Civil Plans (2) •Pro1ect Specs (1)
. CadeMalysis (1) • LandscapingPlans (2) • KeYPla^ (1)
. ProJedSpecs (1) • CodeAnatysis (1) " . MastetExItPlan (1)
• Spec. lnsp. & Tesdng Schedule " • Cerfificste af Survey (1) • Energy Cal Wlatloris (1) nM always„
• Soils Report (1) • Spec. Insp.B Tesfing Sdiedule (7) • Elec. Power & Lighting Fortn (1) notalways"
• Meter aize must be established • Meter size must be established • Meter size must be esfa6lished - If applicable
. ProjedSpecs (1) 1 .
! • EnergyCalaladons (1) " y
4 . Elec6ic Power 8 Ughting Portn (1) " .
l . Master E)dt Phan (1) 1 .
1 • Emergency Response Ske Plan (1)'"' 1 .
1 • Soils Report (1) L
. MGES aAC determination letter • MCIES SAC detertniration letter • MGES SAC determinatlon IeBer -
ca11651fi02-7000 ca11651-602-1000 ca11.651-602-1000
Food & beverage or lodging facilities - subnit plan to MN Department of HeaIth. Call 651-215-0700 for details.
Corrtact Building Inspections for sample.
Permitfor new buildings or addltfons will not be processed wffhout Emergency Response Site Plan. Ask Building Inspeclions for requirements.
DATE: 02 WORI E: X NEW _ ~jMODEL CONSTRUCTION COST: 1?L~,11L~
• _ v i ( ~0. Y ~C. VJ 'F
SITE ADDRESS:
TENANTNAME: Cedar Villas Housing SUITE
FORMER TENANT NAME, IF APPLlCABLE:
DESCRIPTION OF WORK ~~irX'rQlyL 4~ s777.!'C' f/O^ -
Name; Cedar Villas, LLP. Phone#: 6( 1?,) 341-7800
PROPERTY Last First,
OR'NER
SueetAddress• 900 Second Avenue South, Suite 880
Lyty, Minneapolis gffite; MN - - Zip: 55402
-
company; Frana and Sons, Inc. Phane#: 9( 52 1935-8600
tDONTRACT'OR
Stmpgdrm: 633 Second Avenue South
J 1
City; Hopkins Smte: MN ~~~5 3
u~ ~
Bv
ARCHITECT/
-
ENGINEER Company: Elness Swenson Graham Architect~hone#: ( 612 `1 ~~_5
Name; David Graham Registrarion#: 14808
StreetAddress: 700 Third Street South
Ciry. Minneapolis Sffite: MN Zip: 55415
'..fcensedplumberinstalling e~rseweNwateraeMce: Imperial Developers phone#: 6( 51 ) 454-3338
'hereby acknoxAed9e tliat 1 have read tlda ePPlicatlon, stete tluat die Informatlon Is correat. an g P~Y plicable State of
~1inneaofa Statutes and Cily of Eagan Ordinances.
Sipnature of Applica '
' Updated 7/02
.
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Faci]ity ? 30 Accessory Bldg.
? 14 Apartments p 27 Commeruial/Industrial ? 32 Ext Alt - Apts.
? 15 I,odging ? Zg Greenhause ? 34 Ext Alt - Comm
0 ZS Mlscellaneous ? 29 Antennae ? 35 Fact Alt - PF
WORK TYPE ? 37 Naii salon
? 31 New ? 35 Tenant Impr ? 42 Deirrolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof' O 47 Repair -
? 33 Alterations ? 37 Demolish (Bidg) ? 44 $iding ? 48 Authorization
? 34 Replacement ? 38 bemolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Ceasus Code 3 1~ zomg sq. ft.
SAC Code # of Stories ~ g
No. of Units
No. ofBl ft'
Width sq. ft.
Const. (Actual) Basement sq• R MCBS System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fffe Sprinklered
MISCELLANEOUS INSPECTIONS
? Gac Service Test ? Heating ? Insulation C] Plumbing ? Stucco/Stone
APPROVALS
Plazmtng Bwlding Engmeenng Variance
vaLuanoN $
a-a=5 , 0 U~.~~
Pertnft Fee I(~ q 3.~ ~
5urcharge 1 t -a. . SD
'tan Review 1 1 6 0. 9
VIClES SAC % SAC
:.ity SAC SAC Units
Nater Supply & Storage Meter Size
311N Permft r O 0, O c"~
urcharge ~
rrea ent Plant
'ark Dedication
'rails Dedication
Vater Quality
)ther
:opies
'otal 3~0 C)
MEMO
' city of eagan
TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL
DALE WEGLEITNER, FIRE MARSHAL
PAUL OL50N, SUPERINTENDENT OF PARKS
MIKE RIDLEY, SEIVIOR PLANNER
CAROL TUMINI, UTILITY BILLING CLERK
TIM PAHR, ENGINEERING TECHNICIAN
STAN LEXVOLD, CONSTRUCTION SUPERVISOR
TOM COLBERT, PUBLIC WORKS DIRECTOR
JOHN GORDER, DEVELOPMENT/DESIGN ENGIIVEER
TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT
PAUL HEUER, SYSTEMS ANALYST
ERIC MACBETH, WATER RESOURCE COORDINATOR
MARK ANDERSON, ELECTRICAL INSPECTOR
SCOTT PETERSON, PLUMBING INSPECTOR
CRAIG NOVACZYK, SENIOR INSPECTOR
FROM: TERRY ZELENKA, COMBINATION INSPECTOR
DATE: MARCH 8, 2004
SUBJECT: FINAL INSPECTION FOR 4542 VILLA PARKWAY
CEDAR VILLAS CLUBHOUSE
LEGAL: LOT 2 BLOCK 1 CEDAR VILLAS
The Protective Inspections Division will be performing a fmal inspection for 4542 Villa
Parkway on Friday, March 12, 2004.
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.
2004 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
r 3 ~ `f
651-675-5675 ~
nace 1 041
Site Address vs y zPiz" vAWw,4 y Unit #
Tenant Name 14;Z4414 Former Tenant Name
Properry Owner 51&G~rX
/t on? Telephone 6tZ)
Contractor )94 4"~.
Address 941PC'> CpVdX" /ft. Ciry
State X?9(l Zip ..S,S?SZ Telephone#(%n)
The Appiicant is _ Owner 24~ Contractor _ Other
WorkType _ ewBldg Add-on _Repair RPZ PVB Irrigationsystem*
* Jerrv Wabschall to calculale fees. R uired meter size is 2° [ur6o unless smaller siu ermitted 6 Publie Works
Description of Work XAZ447X01Z/
To inquire if Pressure Reducing Valve is required on new service, call 651675-5646
Meters - Call 651-675-5300 to verify tha[ hydrosta6c, conductiviry, and bacteria [ests passed prior to nickin¢ uo meter
Irrigation Size & Type I y-~.~v 10 0 Avg GPM
Fire Size & Price 3/4" disolacement $155.00
Qomestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ x 1% Co Base Fee
$ 0 b Metei(s)
Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read
If 6ase fee is $1,000 or less, surcharge is $50 $ State Surcharge
If 6ase fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee
i Following fees apply only w6en installing new irrigation sys[em ~ v $ -5 0.C) Water Permit
Contact Jerry Wobschall at 651675-5024 For reqinred'fee amounts-: i ~
TYeatrnent Plant
II I I ~ $ Water Supply & Stora
~
uu J State Surcharge
3y---------
9 0 Ti . d C~ Total Fee
I hereby apply for a Commeroial Plumbing Permit and aclmowledge that the information is complete and accura[e; that [he work wil] be in
conformance with the ordinances and codes of the Ciry 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 pemut; that the work will be in accordance with the approved plan in the case of work
which requires a review and approval ofplans.
N,T,ClaACL .5. II'V~,Nf}N
ApplicanPs Printed Name ApplicanYs Signa[ure ~
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: BUILDING IIVSPECTOR
General Information
• Radia Meter Read (required on all new buildings & boulevazd irrigation systems- $141.00
• 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" residenrial $121.00 4-120 1-1/2" irrigarion syst $ 788.00
displacement smcommercial hubinex* must reCeive
maximiun
continuous BppCOVaI
to from Public
Works
2-30 3/4" lawn irrigation $155.00 4-160 2" turbine lg irrigation syst $ 992.00
maximum displacement residenrial &
continuous sm commemial producuon lines
15
3-50 1" displacement very lg res $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00
bldg to 24 units 65 units
maximum sm cortunercial &
continuous & ]g comm bldgs
25 irri ation s stems
5-100 1-1/2" Uldgs 25-64 units $488.00
maxiraum displacement &
continuous most comm bldgs
50
METERS REQUIRING 30-DAY ADVAIVCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very 1g irrigation $1,338.00 6-500 4" compound +300 unif bldgs & $3,749.00
syst & production very Ig comm bldgs
lines
1/2-320 3" compound +200 unit bldgs $2,407.00 10-1000 6" compound +400 unit bldgs $6,124.00
very Ig comm bldgs very Ig comm bldgs r
15-1000 turbine very Ig irrigation $2,384.00
syst
& production tines
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: Main[enance Division Clerical Teclviician Updated 8/03
Date:
City of Eatall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: 6,0 -
Date Received:
Staff:
2012 COMMERCIAL PLUMBING/PERMIT APPLICATION
� '/ 2 Site Address: /�5 f 2 111/! Lt Po i'k&OCt
Name: G edoY 1/ l l f C', L P
Name ) e- /Li vviI" )I
Address�� Q lo7 AjQ/ah
Phone: 1,4c) y S - ei5. Email:
New ! Replacement _ Repair
Description of work:
Phone:
Suite #:
License #: 5[ D "Piy)
ty: SQ0-v,c,Q o � State: fiNZip: , 7
berzphtrAninic,)
J
Rebuild _ Modify Space _ Work in R.O.W.
COMMERCIAL New Construction Modify Space
Irrigation System (_ yes / no) (` ' RPZ / _ PVB)
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters CaII (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes No Flushometers Yes No
COMMERCIAL FEES:
$60.00 Minimum (includes $5.00 State Surcharge)
OR Contract Value $ &DO/ U° x 1 %
$ Permit Fee
Required on ALL new buildings and boulevard irrigation systems -* $ Radio Meter Read
- If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s)
- If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee
i.e. a $10,010-$11,000 Permit Fee re•uires a $5.50 surchar•e $ State Surcharge
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
_$
TOTAL FEE
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.qooherstateonecall.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 prova of plans.
x
t
Applicant'inted Name
Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use 2
Permit , O J
Citnon
y of Ea~dd I Permit Fee: 50~ as i
3830 Pilot Knob Road I
Eagan MN 55122
Phone: (651) 675-5675 i Date Received:
Fax: (651) 675-5694 I Staff: j
L-----------------I
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: qljq j3 Site Address: Y-s q a L& L /
Tenant Name: 6cdar 11111r S (Tenant is: New / Existing) Suite
Former Tenant:
95 S t~
Name: 6fl.+''IOCrd1 0/ 0°1 Phone:
Property Owner Address /City /Zip: U00 I?0 £ 6'r0 ss to V,
Applicant is: Owner Contractor
Type of Work Description of work: POD_ri! 1 # T :s`i ~ I h
Construction Cost: J.~ JI a I ` D
L (
Name: License
l/
Contractor address: ~)3q9 105 Al-el Al City: 6-v Me., Va ~
State: n Zip: 5561 Phone: 363- ~7C-J300
Contact: V "OY vl / Email: da M f '&-l-(' '16
F
Name: Registration
Address: City:
I ArchitecVEngineer
State: Zip: Phone:
Contact Person: Email:
k 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
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.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 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 1 V1 /J 0o:1 x
Applicant's Printed Name Applica is Signature
Page 1 of 3