4538 Villa Pkwy
SEDGWICK HEATING & AIR CONDITIONING CO. HeariNC JOBNO.D
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 2) 881-9000 TEST RECORD
ADDRESS • Y39 ~/1 ~la~/ ` . CITV
OCCUPANT d a¢ S OWNER
SOLD eV- ~ Nw~ 1 INSTALLEDBY
MAKE MODEL '31d'9,4110/36070
SERIALNO. LY-S 0314 3:z &S / INPUT
THERMOSTAT VENT SIZE `
VALVE TYPE OF LINER
i~
LIMIT LINER SIZE S
LIMITSETTING ~ FILTERS: SIZE NUM6ER~-
FAN SETTING WIRING
PILOTNPE TESTTAG '
IGNITION MODEL LIGHTING INST. ~
PILOTTIMING
DATE TESTED
PRESSURE ~ ~ S , PERCEN7 COz
INPUT CFH (17 PERCENT Oz COMPANY TESTING
c
STACK TEMB PERCENT GO NAME OF TESTER
FORM2%(HEV.11R9) FORMpISTHIBUTION: WHITECOPY - JOBFILE YELLOWCOPY-CrtY
SEDGWICK HEATING &AIR CONDITIONING.CO. HEaT~NG Joer,orJ~Fo7~
. 8970 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS q53 g V/ ! ( w/' " Ag CITV- ~d~IqII
OCCUPAMfT
OWNER
SOLD BY INSTALLEn RV QJ G~ i^' ~CJ-'
MAKE ~tq Z MOOEL 3~Q~~~03~+'/~d70
~7
/ ~0O 7U I
SERIAL NO. 7
I~ A3~n~ i INPU7 r16
ii
THEftMOSTAT VEN7 SIZE ~
VALVE 1~ TYPEAF LINER
LIMIT ~ ~sk 'f v LINER SIZE
LIMIT SETTING oa FILTERS: SIZE r~~~ NUMBER
FANSETTING / ~ ~NWIRING
PILOT TYPE r7 101? 6;t TEST TAG
IGNITION MODEL LIGHTING INST.
PILOTTIMMG
? n ~ DATETESTED
PAESSURE pERCENT C0z U
/ d COMPANY TESTING
INPUT CFH PERCENT Oz G ~
STACKTEMP. '3?~ ~ pERCENTCO NAMEOFTESTER
FORM235(FEV.11/89) FOFMDISTRIBUTION: WHITECOPV-J08FILE VEIIAWCOPV-CITV
SEDGWICK HEATING & AIR CONDITIONING CO. HeariNC JoB /NO.-~e~ 9a
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS YE3 " ~l p/` • - v CITV -k-:p
OCCUPANT h4 OWNER
SOLD BY J t° w INSTALLEn av S~
MAKE 4,1 ~ MODEL 3 /0.44VU3 074~7
~7Q
SERIALNO. y3O~~3°G~+3/ INPUT 6f~i~~D v
THERMOSTA j"C~ vaC/~ VENTSIZE /
VALVE k- NPE OF LINER
S"
LIMIT ~ ~tG LINEF SIZE
LIMIT SETTING FILTERS: SIZE /6X l NUMeER I
/
FAN SET7WG WIRING
PILOTNPE TESTTAG
IGNITION MODEL LIGHTING INST.
PILOTTIMMG
DATETESTED
PRESSURE 3t f k' • PERCENT COz {d)Q ~r
INPUT CFH 616 PERCENT Oi J //J COMPANYTESTING JY ~
STACKTEMP.-3,zq 7:~- PEFCENT CO NAME OFTESTER / N
i
WRM235(REV.11ffl9) GORMOISTRIBUTION: WHITECOPYJOBFILE YELLOWCOPY - CITV
SEDGWICK HEATING & AIR CONDITIONING CO. HeaTiNG ~oB~-Sd 65''~
8910 WENTWORTH AVENUE SDUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS Y
v U vi p' ` ~/I CITY ~9°r1
~ J
OCCUPANT ~ S OWNER
SOLD BY~L ~ INSTALLED BV S r 4 Gn C
,MAKE '?rVA>4 MODEL 5/O,4A•O3"'O7O
SERIAL NO. q3oJej32 ;K/Z INPUT
7HERMOSTAT 5~°LLk VENTSIZE j"
VALVE ~TVPE OF LINFR
LIMIT } LINER SIZE S
LIMIT SETTWG ~ oo FIL7ERS: SIZE //o 5-x ~ NUMBER
FAN SETfING WIRING
PILOT TYPE f?/0~ Co 1 TEST TAG
IGNITION MODEL LIGHTING INST.
PILOTTIMING ~ATETESTED O ~
PRESSURE • l'/~• PERCENT COz ~ d j'T~
k ~
INPUT CFH ~ PERCENT Oz COMPANVTESTING
PERCENT CO NAME OF TESTER _
STACK TEMP. __33077
FOflM235(REV.11/88) FORMDISTRIBUTION: WHITECOPY - JOBFILE YELLOWCOPY-CrtV
PLUMBING (RESIDEN7'IAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete far: Single Family Dwellings
Townhomes and Condos when permiu are requued for each unit
nete i 63
Site Address y5 3~ f"ot/ K L444 9V ' //St5 /YUnit #
PropertyOwner ~iar~a dt' .5~-.5 Telephone#( )
Contractor UllL y r ~Jvn ~,.,4
Address A?(. City
State ./j/? Zip .S 5-d- Telephone# ye1~~/1I
The Applicant is _ Owner ~ Contractor ` Other
Septic System _t New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Indudes County fee. Additlonal consultant fees may apply.
Alterafions To Eidsting 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 5/8" meter'rf needed -$121.00)
Other:
_ RPZ _ new installation ^ repair J rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
~ ~ - « [l 1 C~ ~I $ .50
StaCeSurcharge ~ A(J t J
, . J ij
TOtal
Bherehy apply for a Residential Plumbing Permit and acknowledge that the informahon is cump ete- bcurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and wlth the Plumbing Codes; that I understand this is not a
pernut, but only an applicarion for a permit, and work is not to start without a pemut; that the work cvill be in accordance with the
approved plau in the case of work which requires a review and approval oFplans.
Jo3l,~- 'elly
ApplicanYs Printed Name Ap icpl anYs Signature
RESIDENTIAL MECHA1vICAL
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 are required for each unit
Date _j_ / / D .3-
Site Address ~,°z Unit #
Property Owner ? Telephone # ('/J.O~ !Oey
Contractor
:c au r a ,m;
Street Address U ~ 0 1%lon1V?Ofi'i:":V:, City
Nic 1 . lw O:,viil
State (952)881 Telephone # ( )
Bond Eapires:
The Applicant is _ Owner Contractor _ Other
Add-on, modification or alteration to eais[ing dwelling unit $ 30.00
fumace replacement
air exchanger
air conditioner _ New _ Replacement
other
J
State Surcharge F? .50
~X 7v F~_ ~ 8D To~at
I hereby apply for a Residential Mechanical Permit and acknowledge 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 pemdt, and work is not to start without a permit; that the work will b in accordance with the
approved plan in the case of work which requires a review and approval of plans.
SEflGlR'iGK HTC E R!R COND. CO
Applicant's Printed Name ApplicanYs Signature
COMMERCIAL MECH.ANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: commerciaVindustrial buildings
mulri-£amily buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone tt ( )
Contractor
S[reet Address City
S[ate 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 removal of tank
Processed Piping
Nature of Work:
P¢I'[ltif FC¢ $50.50 Minimum Fee (indudes Sta[e SurcM1arge)
ConhactValue x 1% PermitFee
• If pemut fee is $1,000 or less, add $.50 $ State Swcharge
If pernut fee is over $1,000, add $.50 per
$1,000 Pemvt Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit 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 pernvt, but only an applicaNon for a permit, and work is not to start without a pemuh, that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name Applicant's 5ignature
Approved By: , Inspector Date:
A._a a- P~ t o ck I
S+ W(' l 4's S
COMMERCTAL
2002 BUII.DING PERMIT APPLICATION
CITY OF EAGAN ~
50, 4 ~ 651-681-4675
Foundation Onl New Construction Interior Im rovement
• SWCWraI Plans (2) sets . MchitecWral Plans (2) sets • ArchitecWral Plans (2) sets
. Civ1 Plans (2) . Strudural Plans (2) . Code Malysis (1)
. CeitificateofSurvey (t) . qvilPlans (2) • ProlectSpecs (1)
. (:odeAnalysis (7)•• . LsndscaPlng Plans (2) M lerF~dtPlan
• PrpJe~gPBCS (1) • CodeMalyslS (1) " ,
• Spec. Irrep. & Testing Sdiedule " • CeAificate of Survey (1) • Errergyy Calwlations (t) not always`•
• Soils Report (t) • Spec. Insp.B Testing Sdiiedule (1) " • Elec. Poxrer & Lightlng Fortn (1) not always"
• Meter ehe must be esta6lished • MeOer sfze must be established • Meter size must be esfablished - if applicable
• ProjectSpecs (1)
1 • EnergyCaladallons (t) " 1 .
4 . Electric Pawer & Ughdng Form (1) y
4 . MasterExitPlan (7) 1
! . Emergeney Raspores Site Plan (7) l
1 . Soils Report (1) 1
• MGES SAC daterminadon IelOaz • MC/ES SAC deOermination letter • MCdES SAC determination letter
can ss1-M-1ooo cali 651-602-tooo can.6e1-602-1000
Food & beverage or lodging fadlities - submit pian to MN Departrnent of Health. Call 651-215-0700 for details.
Contact Building Inspections for sampie.
Permit for new truildings or additions will not be processed without Emergency Response Site Plan. Ask Buiiding Inspections for requlremenis.
DATE: /'/02 WOR(TYPE: X NE~qr, REMODEL CONSTRUCTION COST:
't'\C~..)~~
51TE ADDRESS: 43
TENANTNAME: Cedar Villas Housing SUITE#:
FORMER TENANT NAME, IF APPLICABLE: ( a
DESCRIPTION OF WORK iP/d-~ 4JN s?WWJ/0/" -
Nam: Cedar Villas, LLP. Phone#: 6( 12 ) 341-7800
PROPEILTY Last F'ust,
OWNER
StreetAddress: 900 Second Avenue South, Suite 880
Cit,. Minneapolis 5tate; MN -Zlp; 55402
Company; Frana and Sons, Inc. - Phone#: ( 9 5 2 ) 935-8600
C,'ONTRACfOR
SueetAddress: 633 Second Avenue South
City; Hopkins State: MN I I 1 3 _ I
u _ ~1
ARCHITECT/ B`1
ENGINEER Company: Elness Swenson Graham ArchitectsPhone#: ( 612°1--3"39-5508
Namc; David Graham Registarion#: 14808
StreetAddress: 700 Third Street South
CiTy,: Minneapolis Styte: MN _ Zlp: 55415
UcensedplumbarlnstalUngpgrgaewerlwaterservica: Imperial Developers phonep: 6[ 51 1 454-3339
i here6y aduwwledge that 1 have read this appifca~on, state that the irrformatbn is cortect, e to~Qmpl witlh 1_applicable State of
MinnesoTa Stahrtes and City of Eagan Ordina~ea
Signature of Applicard. ~ ~
Updated 7102
OFFICE USE ONLY
SUBTYPE
? 01 Foundarion ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apariments ? 27 CommerciaUindustrial ? 32 Ext Alt - Apts.
0 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
0 25 Miscellaneous O 29 Antennae ? 35 Ext Alt - PF
WORK TYPE ? 37 Nail Salon
? 31 New ? 35 Tenant Impr ? 42 Demolish (Fouadation) ? 46 Windows/Doors
0 32 Addition 11 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement Ll 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft.
SAC Code # of Stories sq. ft.
No. of Units Length
fL
No. ofBldgs. Width ,
s9• ft..
Const. (Actual) Basement sq. ft. MGES System
(Allowable) Fust Floor sq. R City Water
UBC Occupancy sq, ft, Fire Sprinklered
MISCELLANEOUS INSPECTIONS
0 Gas Service Test ? Heating ? Insulation Q Plumbing ? Stucco/Stone
APPROVALS
Planning BuildinB Engineering Variance
Permit Fee VALUATION $ 3 1O , 62ti'
Surcharge '
'lan Review
NGE3 SAC % SAC
lity SAC SAC Units
Nater Supply & Storage Meter Size
i/W Pertnit
'/W Surcharge
,-reatrnent Plant
~n
Zrsils-Bedieation
Vete~
)ther
;opies
otal
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use
115
~ Permit
City of Eap
52 n
I Permit Fee: 04. Ot4 65-
3830 Pilot Knob Road I
Eagan MN 55122 I I
I Date Received: ~ I
Phone: (651) 675-5675
Fax: (651) 675-5694 j Staff: I
t----- -----------I
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: j 3 Site Address: q 5-3 1~ ~~w ~l
Tenant Name: C,C da r Ila S (Tenant is: New / Existing) Suite
Former Tenant: p c
Name: SWAC d r/OC r~1 D` ~''t Phone: ¢ E! ° /
' Property Owner Address /City /Zip: MOO lzvkoi Gro S11'Du
Applicant is: Owner Contractor
Type of Work Description of work: A00 Ih g :5 i A Ih
L e"
Construction Cost: 31
Name: 6 ~ Aen V License
Contractor Address: 1)3q~ ~7~ /l( City: (-olden thrr~`•7
State: Mn Zip: S'5-t/)3: Phone: 763- 7 -/300
f
17'rj,4/Pkj Email: ~Q~ 4 M i• CL)
Contact:
06
rv 3
j 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 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.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 //0 fl x
Applicant's Printed Name Applica is Signature
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