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4537 Villa Pkwy gJo~ q.s-' ' SEDGWICK HEATING & AIR CONDITIONING CO. HEarNC JOBNO. 8910 WENTNlORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 881-9000 TEST RECORD ADDfiES y~ S 3/ aml-z CITY L- A9~/II ~Ce ~~1 OCCUPANT 10¢SA / OWNER SOLD BV ~t~(" C INSTALLED sv ~-f t MAKE //l 91I7MODEL WrM4936/076) SERIAL N4. S~ qA nl LO 7~O INPUT G(L'/GGO THERMOSTAT 4C ( VENT SIZE VALVE ~ TYPE OF LINER LIMIT T~ X P LINER SIZE ~ a LIMITSETTING d FILTERS: SIZE NUMBER / FAN SETfING m Y /WIRING - PILO7TYPE TESTTAG IGNITION MODEL LIGHTING INST. PILOTTIMING < r~ D/1TE TESTED PRESSURE ~ . / pERCENT COi p~ / S/~ COMPANYTESTING INPUT CFH PERCENT Oz " ~ STACK TEMP. pERCENT CO NAME OF TESTER FORM235(REV.tl/B9) FORMDISTRIBIJIION: WHITECOPV - JOBFILE YELLOWCOPY - CfiV ' SEDGWICK HEATING & AIR CONDITIONING CO. ?+EATiNC ~-ZSoG %5` TEST RECORD ~OB NO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 ADDRESS_ (-5--37UI vY~4 &(& 4 /I/~~/ CITV ~qCI I/J OCCUPANT Y ! 9 ~ OWNER -SOLDBY ~ u1-44- INSTALLEDBY S~ c1w~~ MAKE MODEL /`31a,¢,q~a3GG7p SERIALNQ `7 p ~ INPUT 4'1~~ 7HERMOSTAT, VENTSI2E VALVE 1V 7VPEOFLINER ~ ' n LIMIT LINER SIZE S LIMITSETTING FILTERS: SIZE~/~a./~ NUMBER FAN SETTING ~ m WIRING ~ PILOTTYPE TESTTAG ~ IGNITION MODEL LIGHTING INST. PILOT7IMING DATETESTED PRESSURE PERCENT COz INPUT CFH PERCENT Oz COMPANYTESTM STACK TEMP. PERCENT CO NAME OF TESTER FDRM 235 REV. 11l89) FORM DISTqIBUI'ICIJ: WHITE COPV -JOB FILE VELLOW COPV-CIN 757 SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOBNO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 5/5420 •(952) 881-9000 TEST RECORD ADDRE55 Ll S 3 7 V / ~P 1,1V C /rITY F ri OCCUPANT 4 I-ew) OWNER SOLD BY~T INSTALLEn RV MAKE r MODEL JIO///J VO -7 (pG 70 SERIAL NO so~ 14~(0 INPUT 6~~' L THEfiMOSTAT ~r ~qL VENTSIZE ~ VALVE 7VPE OF LINER Vrn r/ LIMIT LINER SIZE ~ LIMITSETfING FILTERS: SIZE ^ NUMBER ~ FAN SETTING ~ • WIRING PILOT NPE "Ow ~ ' TEST TAG IGNITION MODEL LIGHTING INST. PILOTTIMING DATETES7E~ PRESSURE ~ PERCENTCOi INPUT CFH 1'a ? PERCENT Oz p COMPANY TESTING STACK TEMP. - PERCENT CO NAME OF TESTER FORM 235 (REV, 11/09) . FORM DISTRIBIITION: WHITE COPY - J09 FlLE YELLOW COPY - CITV SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JaBNO.`$° 6/ 8910 WENNJORTH AVENUE SOUTH • MINNEAPOLIS MN 55 20 2) 861-9000 TEST RECORD ADDRESS q" y7 V3,4 lk~Y 1 U/I I ~ CITV Eei41I ( OCCUPANT X Cdl~ R¢SV1~5 OWNER SOLD BY INSTALLEn RV l P CY ~4/ / C MAKE MODEL ~3W1'y6~7G SERIAL NO SO (114 a~ y 3 q INPUT THERMOSTAT VENT SIZE VALVE 7YPE OF LINER ~ LIMIT k f LINER SIZE S LIMIT SETTING 2a7- A FILTERS: SIZE A' NUMBEF / FAN SETTING 11-1 WIRING PILOTTVPE ~"n, CU~ TES7TAG IGNITION MODEL V LIGHTING INST. PILOTTIMING D~~ DATETESTED PRESSURE pERCENT COi ~ G / ~7 COMPANY TESTING INPUT CFH ~ PERCENT Oz '~/J <V STACK TEMP. PEHCENT CO NAME OF TESTEF FORM235JREV.fll88) FORMDISTRI9UTION: WHRECOPV - JOBFILE VELLOWCOPV-CITV PLUMBING (RESIDENTIAL) Permit Application City Of Eagan ~ 3830 Pilot Knob Road, Eagan Mn 55122 ~Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Famity Dwellings Townhomes and Condos when permits are required for each unit Date 3 / 03 Site Address //.5 3-7 U; &14 ~ -Fr/.5 Unit# /-4-/ ProperTy Owoer !`/A?vt d' ~;O//S Telephone k( ) Contractor V a IiN Nvrn ~i~'!7 AddCC35 OL0 O?ake-l AJ{ • CIty Jn?C~r, State /11 Al Zip Telephone #(9SJ) y%pl The Applicant is Owner ~ Contractor _ Other Septic 5ystem 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, Includiog $ 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 _ re6uild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional State Surcharge $ .50 I Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the info ation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with'tFie Plumbing"Codes;'ttiaYI'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. J bS`-„ic ~-c i/v , Applicant's Printed Name Applicant's Signature I RESIDENTIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 1 Please complete £or: Single Family Dwellings & Townhomes and Condos when permits aze required for each unit Dat¢ / / "Y / dj Site Address as.:L 7 ~ Unit # aZZ4 At Property Owner ? Telephone # 9„Z~ -WW, ~ Contractor LLUJY4I ,I;,, ,,Street Address 88',0 VJeniwart);.: . 50. c;ty _ ne rs, niri ..,4 State (9$2) 881•$0'Ip Telephone # ( ) Bond Expires: The Applicant is _ Owner L/Con4actor _ Other Add-on, modification or alteratiou to existing dwelling unit $ 30.00 furnace replacement air exchanger air conditioner _ New _ Replacement other ? State 5urcltarge 50 III Totai ~p ' L; $ I hereby apply for a Residenflal Mechanical Pemvt and acknowledge tUat the informarion is complete and accurate; that the work will be in conformance with the ardinances and codes of the Ciry of Eagan and with the Mechanicai Codes; that I understand this is not a pemrit, hut only an application for a perxnit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. SEDGW1Cfi HTC. & AIR fpMD CO , Applicant's Printed Name ApphcanYs Signature COMMERCIAL MECHAlVICAL Permit Applicatioa City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete foc commerciaVindusMal buildings multi-family 6uildings 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 # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contracror _ Other Work Type New construction _install _Remove Underground Tank Interior Improvement Schedule inspection during installation or removal of tank Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fee (includes Sbte Surcharge) Coatract Valae $ x Permit Fee • If pernut fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Pemut Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work wi11 be in conformance with the ordinauces and codes of the City nf Eagan and with the Mechanical Codes; tbat I understand this is not a pernut, but only an application for a permit, and work is not to start without a perxnit; that the work will be in acwrdance with the approved plan in the case of work wlilch requires a review and approval of plans. ApplicanYs Printed Name ApplicanYs Signature Approved By: , Inspector Date: C-~) l o c~- 1 s I <~~L L~ C~g...~ v~ l l~s coAansERCrnr. 0~~S . 8~~ 2002 BUILDING PERNIIT APPLICATION CITY OF EAGAN 651-681-4675 ~ Foundation Onl New Construction Interior Im rovement . &ructural Pians (2) sets . Architedural Plans (2) sets . Architedural Plans (2) sets . Civil Plans (2) . StrucWral Plans (2) • Code Analysis (1) • Certificate of Survey (1) . CWiI Plans (2) • Pioject Specs (1) . CadeMalysis (7)" . LandscaWnBPlans (2) • KeyPlan (1) • ProJectSpew (1) . CodeMalysis (1) " . MasterExltPlan (1) • Spec. Insp. & Testing Schedule " • Certii'cate M Survey (1) • Ener9Y Calwlations (1) rwtaiways•• . Soils Report (1) • Spec. insp. S Testlng Schedule (1) " • Elec. Power & Lighting Form (1) rat always" • Me6er size must be established • Meter size must be eslablished • Meter size must be esteblished - if applipble • projedSpecs (1) 1 • EnergyCalalatiOns (1) 1 1 • Eledric Power & LJghting Fortn (1) " 1 4 . Master E)dt Plsn (1) 1 1 . Emargency Response Si[e Plan (1) l . l . Soils Report (1) l • rACJES SAC determinatlon letter • MCIES SAC determination letter • MClES SAC detertnlnation letter call657-602-7000 ca11651-602-10W cap657-602-1000 Food & beverage or lodging facilities - submit plan to MN DepartrneM of Health. Call 651-215-0100 for detsils. " Confsd Building Inspedfons for sample. Perenk+for naw buildings or additlons wili not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. ~ ~-~I-~- DATE: Z~/X102 WORKTYPE: X NEW MODEL CONSTRUCTIONCOST:`~3'~ l~ dD S37 V;\ N~~~~~jJ~ ~-,~g• ~q SfTE ADDRESS: TENANTNAME: Cedar Villas Housing SUITE#: ' FORMER TENANT NAME, IF APPLICABLE: OESCRIPTION OF WORK a/USO9G' Name; Cedar Villas, LLP. Phone#: 6( 12 ) 341-7800 PROPIIRTY Last First OWNER StreetAddress 900 Second Avenue South, Suite 880. Cyty. Minneapolis State; MN - 7ip; 55402 Company; Frana and Sons, Inc. Phone#: 9 5 2 77EI 199 corrrx~,croR . ~ ~ S~eetpadress; 633 Second Avenue South 1 2C~2 1City: Hopkins State: MN ;55343 ARCHITECT/ ENGINEER Company: Elness Swenson Graham ArchitectsPhone#: ( 612 ) 339-5508 Name: David Graham Regisaation#: 14808 StreetAddress: 700 Third Street South City: Minneapolis Sdte: MN Zlp; 55415 Licensedplumberinstailingnow sewerlwatarsarvice: Imperial Developers phone~#: (_651 1 454-3338 S hereby adcnowledge tliat I have read tlds epplication, state that the lirtortnatbn I cortect, agraC e m PPllcable State of ~vfinneaota StaWtes and CHy of Eagan Ordinances. Signalure of Applican~.~, ~ Updated 7/02 OFFICE USE ONLY SUBTYPE ? Ol Foundation 0 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CoriumerciaUlndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. 0 25 Mlscellaneous ? 29 Antennae 0 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE O 31 New ? 35 Tenant Impr ? 42 Demolish (Foundarion) ? 46 Windows/Doors 0 32 Addihon ? 36 Move Bldg ? 43 Reroof O 47 Repair , ? 33 Aiterarions ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorizaflon ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Censvs Code ZoninB sq. ft. - SAC Code # of Stories sq. ft. No. of Units I.ength sq, ft: No. ofBldgs. Width sq fL Const (Actual) Basement sq. ft. MC/ES System (Allowable) Fust Floor sq. & City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEUUS INSPECTIONS . ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Pbnning Bwldin8 Engineering Variance PertnR Fee VALUATION $ ' Suroharge ' 'lan Review U C7 WC/ES SAC % SAG I lity SAC SAC Units Nater Supply & Storage Meter Size ' i/W Pertnit 31W Surcharge : reatment Plant 'ark Dedication 'rails DedicaUon Vater Quality )ther :opies 'otal 1 S V.3 g .~S