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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 Page 1 of 3