Loading...
4541 Villa Pkwy ft8'JGWICK HEATING & AIR CONDITIONING CO. HEArINC Joe ,o 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS. MN 20 •(952) )GITY 9000 TEST RECORD ADDRESS y~ q7Q~ OCCUPANT OWNER SOLD BY INSTALLED BY MAKE MODEL 3/UIY" v3COG /O SERIALNO. (/SO rAd(O y7 / INPUT THERMOSTAT < VENTSIZE ~ VALVE tt" TYPE OF LINER LIMIT T ~ -A' LINER SRE C LIMITSETTING 2~ ~ FILTERS: SIZE &4X2SlS ~ NUMBER ~ FANSETTING ~'nY WIRING - PILOTTYPE TEST7AG ~ IGNITION MODEL --LIGHTING INST. PILOTTIMING DATE TESTED -3 , .2 Lp,OG/ . PRESSURE ~ PERCENTCOi COMPANYTESTING INPUT CFH ~ PERCENT Oz ~ STACK TEMP. 77 pERCENT CO NAME OF TESTER FORM235(REV.H/e9) FORMDISTRIBUTION: WHITECDPY - JOBFILE VELLOWCOPY - CITV -SEDGWICK HEATING & AIR CONDITIONING CO. HEAriNC iof~o. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, M/N 55420 •(952 81-9000 TEST RECORD ADDFiESS ~~~L~' V' ~V GTY L'Q~`~1p'J X~^S I T OCCUPANT 1r hq 4-5,/11 T OWNEF SOLDBV T INSTALLED BY yyy~~~ / A / ~ ~y,/~ MODEL > 70 MAKE -r SERIAL NO. o~o -j~~ `2g` ~ INPUT 6 ~ie,%4 G 9/ 21 ~ L„ THERMOSTAT ~ VENT SIZE VALVE 7YPE OF LINER LIMIT X' 'r LINER SIZE SI LIMITSETTWG FILTERS: SIZE NUMBEfi / FAN SETTING WIRING PILOTTYPE `u 0•1 TESTTAG ~ IGNITION MODEL LIGHTING INST. - PILOTTIMING ' s _Z ^ ~ DATETESTED PRESSURE ~Cf PERCENT COz ~ ° COMPANV TESTfNG INPUT CFH PERCENT Oz ` STACK TEMP. PERCENT CO NAME OF TESTER ~_~"FORM235(REV,1V99) FORMDISTFIBUTION: WHITECOPY -JOBFILE YELLOWCOPY-qTY -SEDGWICK HEATING & AIR CONDITIONING CO. HEaTiNG JOBNO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(95 881-9000 TEST RECORD ADDFiESS LI ~-L/l ~r qTV `~Qq9~l OCCl1PANT F/~~ lG`1JT OWNEF ~ SOLDBV Se. INSTAIL€DeV 2-~/Z6J-` ~ . MAKE /J r yA/~ T mooeL 3 I UO~/~3,~( 70 SERIALNO. QSD~J/~alo INPUT `r/~/ ~S THERMDSTAT VENT SRE ~ VALVE NPE OF LINER i' IIMIT ~ LINER SIZE _7 O LIMITSETTWG G FILTERS: SIZE ~SX I NUMBER / FAN SETTING WIRING PILOTTYPE TESTTA6 IGNITION MODEL LIGHTING INST. PILOTTIMING p C/ r /y DATE TESTED PRESSURE L. Ci pERCENT COz ~ ~B INPU7 CF PERCENT Oz S 9~ COMPANY TESTING STACK TEMP. PERCENT CO NAME OF TESTER FORM235(FEV.HI89) FORMOISTRIBUTION: WHITECOPY - JOBFILE VELLOWCOPY -CITV . . _ . . , . . _ '$EDCaWICK HEATING & AIR CONDITIONING CO.- HEATING JoeNO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN/,55420 •(952)TEST RECORD ADORESS / S LlI U/ ~ GC/ I f\ ~ Y \ U/~l )81-9000 CITY ~C/CI9/`I OCCUPANT ~ ~-y~ OWNER SOLD BY C7 V" C INSTALLEn aY 5 r~ MAKE ~/-lA~r ~ MODEL 3104400 3~ ~ 70 SERIALNO. 105011,4 ac~ `lo(o INPUT i THERMOSTA7 VENTSIZE VALVE 4,'~ /S, ~ TYPE OF LWER LIMIT LINERSIZE y LIMITSETTING FILTERS: SIZE NUMBER / FANSETTING ~ ~-el WIRING ~ ~ PILOT NPE TEST TAG IGNITION MODEL LIGHTING INST. PILOT TIMING ~ ~ Uy / DATE TESTED / / PRESSURE 22 ~ ~ PERCENT COz INPUT CFH PERCENT Oz COMPANYTESTING - s STACK TEMP. ~ ~cC1fL~ PERCENT CO NAME OF TESTER - Z FOPM 235 (PEV. 11/89) FORM DISTRIBUTION: WHITE COPV -JOB FILE VELLOW COPY - CITY, PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 0 Telephone 9 651-675-5675 FAX # 651-675-5694 Please complete for. Single Family Dwellings Townhomes and Condos when permits are required for each unit Date / 03 Site Address ys y I V• I l& f°e"k I~i.i ~~rh4 19Unit # Property Owoer F/'G ?Iti Son S Telephone ) Cootractor V a I I~~ o rdar-~ Address ~er f~ ~ t• City staee 1111 ,AV z,P ~S3Sa- Telephone # (95-4 The Applicant is _ Owner ~ Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Addltional 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 tumaround 5!8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ addifional StateSurcharge SL~' $ .50 I U Ll Total ~ BY. I hereby apply for a Residential 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 the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed ame Appli anYs Signature RESIDENTIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~ ~ Telephone # 651-675-5675 Please complete for. Single Fanvly Dwellings & Townhomes and Condos when permits are required for each unit Date cf Site Address IInit # , Property Owner ~iiENllC! J ~jy~p Telephone # Contractor ~..~+ve.w Rti4Ji'Ib 7'U 7::771, . C~ 10 Weniv,ror;`~ f.e~:,. ^j Stree[ Address City nuui a l, tlY j&;20 State 881'900 Zip Telephone # ( ) Bond Expires: The Applicant is _ Ownet ? Contractor _ Other Add-on, modification or alteraflon to eaisting dwelling unit $ 30.00 furnace replacement air exchanger air conditioner _ New _ Replacement other ? - State Surcharge $ .50 Total St't~ ~U~ i $ ~ i I hereby apply For a Residential Mechanical Pertnit and acloiowledge 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 pernnt, but only an applicaaon for a pemut, and work is not to start without a pernvt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval oF plans. smswicK HrG. & AIR coao. co g Applicant's Printed Name ApplicanYs Signature I COMMERCIAL MECHANICAL Permit Apptication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: commerciaVindustnal buildings multi-family Uuildings when sepazate pemvts are not required for each dwelling unit Date Site Stree[ Address Unil # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractar Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Contractor Other Work Type _ fVew construction _fnsfall _Remove Underground Tank _ Interior Improvement Schedule inspection during installation or removal of tank Processed Piping Nature of Work: Perrcti[ Fee $50.50 Minimum Fee (inciudes State Surcharge) Contract Value x 1% Pemut Fee • If permit fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclmowledge that fhe informafion is complete and accwate; 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 permit, but only an applicarion 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 wluch requires a review and approval of plans. Applicant's Printed Name ApplicanPs Signahue Approved By: , Inspector Date: o cl- 1 S5~ l-J Co l~ Sa 6'-s coDanaERCIAL 2002 BUILDING PERMIT APPLICATION ~ CITY OF EAQAN 651-681-4675 ~ Foundation Oni New Construction Interior Im rovement . Strudural Plans (2) sets . AahifecWral Plans (2) aefs • Architecturdl Plans (2) sets • Civfl Poaris (2) . Shuclural Plans (2) • Code Anatysis (1) . CeNficateo4Survey (1) . CivilPlans (2) • ProJectSpecs (1) • CodeAnalyWs (1)" • larMscapingPlans (2) • KeyPlan (1) . Projed Specs (1) . Cade Anatyak (1) " . Master E)dt Plan (1) • Spec. lnsp. & Testlng Sdiedule " • Certifiwte ot Survey (1) • Energy Calwlations (1) not always" • Solls RepoA (1) • Spec. Insp. & Testlng Schedule (1) " • Elec. Power & Llghting Form (1) not ahvays" • Meter s@e must 6e esfablished • Mefer s'¢e musl be esfablished • Meter size must be established - ff applicable . PtoJect Specs (1) , j . EnergyCalalatia7s (1) " 1 4 . EleWiePower&UghtirgFOmi (1)1 ? • Master E)dt Plan (1) 1 4 • Emergenry Response Site Plan (1) 1 . ? . SOi1SRepoA (1) ? • MC/ES SAC determinallon leqer . MGES SAC detemdnatlon ktter . MGES SAC detertninatlon IeUer cx11651ti02-1000 cail 651-602•1000 call 651-602-1000 Food & beverage or bdging facilifies - submN plan to MN Departrnent of Health. Call 651-215-0700 for details. Contact BuGdmg Inspedbns for sample. "•Permitfornow buldingsoradd onswillnotbeprocessedwithoutEmergencyResponseSitePlan. AskBuii ' glnspectionsforrequiremeMs. ~ - DATE: 02 VVORKTYP~: X NE REMODEL CONSTRUCTIONCOST: 3~G, y~s~1/ SITE ADDRESS: TENANTNAME: Cedar Villas Housing SUITE#: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK 6C"cf'2.L e4~47e4C l%0~ Nme; Cedar Villas, LLP. Phune#: 6( 12 ) 341-7800 PROPERTY Last First, OWNER _ SftetAddress: 900 Second Avenue South, Suite 880 ~ (~462U L`, ~h,. Minneapolis 5~~; MN 15 NJU 2 1 2~02 U cxmpauy; Frana and Sons, Inc. Phone#: 95 935-8600 - CONI'RACT'OR Steetpddress; 633 Second Avenue South City; Hopkins State: MN Zip: 55343 AR(HIITECT/ ENGINEER Company: Elness Swenson Graham ArchitectsPhone#: ( 612 ) 339-5508 Name: David Graham Registration#: 14808 SueetAddress: 700 Third Street South Cin,. Minneapolis 5tate: MN zip: 55415 UcensedplumberlostallingnewseweNwacerservice: Imperial Developers phone#: 6( 51 ) 454-3330 1 hereby edcnowledge thet I have read Ns applk:atlon, sfate thffi the Irdortnation %1.8 oorrect, a g a~m~W-eN ePPlicable State of Minnesofa Statutes and Cily of Eagan Ordinanoes. I SignatureofApplicantr~ f~ Upda(ed 7/02 OFFICE USE ONLY SUBTYPE ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments O 27 CommerciaVlndustrial ? 32 Ext Alt - Apts. ? 15 L.odging ? 28 Crreenhause ? 34 Ext Alt - Cormn. 0 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF WORK IYPE ? 37 Nail Salon O 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doocs ? 32 Addirion ? 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 Stories Sq g. - No. of Units Length sq, ft. ~ Na of Bldgs. Widdi ConsL (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. & City Water UBC Occupancy s9• ft- Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation Q Plumbing ? Stucco/Stone APPROVALS Planning Buildin8 Engineering Variance Pertnit Fee C~ S 3~- ~ S VA-UATION $ Surcharge / • 6 o ' Nan Review So , 5-g - NClES SAC 51 a u, % SAC L/ li(y SAC SAC Units Nater Supply & Storage ao . ~ v Meter Size i/W Pertnit o o. i/W Surcharge ; reatrnent Piant 'Jar1c Dedication 'rails Dedication Vater Quality )ther :opies 'otal 1~ ~ ~ S y..4 3. Use BLUE or BLACK Ink r For Office Use lip, Permit 5 171 City of Ea a~ I d E I Permit Fee: ✓ 4 oCJ 3830 Pilot Knob Road I Eagan MN 55122 I 3 I Phone: (651) 675-5675 i Date Received: new Fax: (651) 675-5694 j Staff: ` I i L-----------------I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: qhq) 1- Site Address: Ah* Tenant Name: 6cd o r'' V1Ila S (Tenant is: New / Existing) Suite Former Tenant: p Q ~y Name: 60. ec'nd10/l`~ on Phone: j Property Owner Address / City / Zip: ® o 6 S f roV, Applicant is: Owner Contractor Description of work: Ah # T :5 i JI ,I Type of Work Construction Cost: 3,, h , /I Name: License 13q6 ~J COntraCtOr Address: 3 S, S' A95 11 yt A) City: 6-v Id e i vo lle`"9 State: n Zip: Y5q) Phone: 7 6 3 ~7 ® A00 Contact: V 4 v11h Email: da m i when ® C Name: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: _ _ Phone _ _ NOTE: Plans and supporting documents thaf you submit are considered to be public information. Portions of ✓ I i 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.aopherstateonecall.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. Al jpl x Applicant's Printed Name Applica is Signature Page 1 of 3