4550 Villa Dr
SEDGWICK HEATING & AIR CONDITIONING CO. "EaTING ~o~o.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
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SERIAL NO. 1J~ 03A Ivyr-;I'INPUT
THERMOSTAT VENTSIZE
VALVE & TYPE OF LINER
LIMIT LINER SIZE
LIMIT SETTWG FILTERS: SIZE NUMBER
FANSETTING WIRING
PILO7 TYPE ~ Li, ~Q/ TEST TAG
IGNITION MODEL - LIGHTING INST.
PILOTTIMING / DATETESTED -3 D
PRESSURE PERCENTCOz
INPUTCFH `-~0 PERCENTOz- COMPANVTESTING STACK TEMPiM PERCENT CO NAME OF TESTER
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FORM235jRCy.qy~e~/~o r FORMDISTPIBUTION: NMITECAPV-JOBFILE VELLOWCOPV-pN
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SEDGWICK HEATING & AIR CONDITION NG CO. HEArINC JosNO,-~d°%O
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • 952) 881-9000 TEST RECORD
ADDRESS /S /O V / ~ ~ GL4 ( ~ CIN
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OCCUPANT OWNER
SOLD BY w~ INSTALLEO BV
MAKE MODEL -3 M4UU -70
SERIAL NO. INPUT
THERMOSTAT VENT SIZE
VALVE (J NPE OF LINER
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LIMIT ^ ' ~ LINER SIZE h
LIMIT SEffING FILTERS: SIZE /r ~+y X / Nl1MBEfi
FAN SETTING WIRING ^
PILOTNPE TESTTAG `
IGNITION MODEL ~ LIGHTING INST.
PILOTTIMWG ~~I'O~
r/ DATE TESTED /
PRESSURE ~ PERCENTCOz
INPUTGFH PERCENTOi COMPANYTESTING
STACK TEMP. PERCENT CO NAME OF TESTER
FOFM235(FIEV.fl/89) FORMDISTRI9UTION: WHfTECOPV - JOBFILE VELLAWCOPV-CIN
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SEDGWICK HEATING & AIR CONDITIONING CO. TESrRecoRO JOBNO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLI5, MJN 5420 •(952) 561-9000
ADDRESS ys~ 1/~ tCA7 ~j?/• 1/lll~ _ CITY GG 9ti
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SERIALNO. INPUT
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VALVE t.- TYPE OF LINER v Pn
LIMIT LWERSRE
LIMITSETTING FILTERS: SIZE rk / NUMBER /
r
FAN SETTING WIRING
PILOTNPE ~ ~~l? G0~ L ~ TESTTAG !
IGNITION MODEI LIGHTINCa INS7. PILOTTIMING r DATETESTED
PRESSURE PERCENT COz
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INPUTCFH~ PERCENTOp COMPANY TESTWG
STACK TEMP. PERCENT CO NAME OF TESTER
FOFM235(REV.H/89) FORMOISTRIBUTION: WHrtECOPV - JOBFILE YELLOWCOPY-GITY
HEATING
SEDGWICK HEATING & AIR CONDITIONING CO. rESrRecoRO JOBNO.
8910 WENTNORTH AVENUE SOUTH • MINNEAPOLIS, MN q5 •(952) 881-9000
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THERMOST T ~~~Q~~ VENTSIZE ~ '/ovC.
VALVE A TYPE OF LINEfl
LIMI7~~/~ P LINERSIZE
LIMI7 SETTING FILTERS: SIZE X z/ k~ NUMBER -162 FAN SEffING /WIRING ~
PILOTTYPE TESTTAG
IGNITION MODEL LIGHTING INST.
PILOT TIMING
e- i~ ~ DATE TES7ED
PRESSURE " J , PERCENTCOz qqq
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/n COMPANYTESTING
INPUT CFH PERCENT Oz
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STACKTEMP. ~ 5D PERCENTCO ~ NAMEOFTESTER~.'
FORM235(REV. NBIv FORMDISTRI9UTION: WHITECOPV - JOBFILE VELLOWCOPV-CITY
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L~~.? J:IL~
COMMERCIAL
2002 BUILDIIQG PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Foundation Onl New Construction Interior Im rovement
. SWCtural Plans (2) seis . Architedurdl Plans (2) sels • NchitecW21 Plans (2) sets
• Civil Plans (2) • SWCWtaI Plans (2) • Code Mafysis (1) "
• CertAicate of Survey (1) . CiW Plans (2) • ProJect Specs (1)
• CodeAnalysis (i) . LandscaPingPlans (2) • KeyPlan (1)
• Pmjecxspecs (1) . cuaeanaiysis (1) - • MascerExttPwn (i)
• Spac.lnsp.&TestingSchedule • Cer6ficateMSurvey (t) • EnergyCalculatlons (1)notahvays"
• Soils Report (1) • Spec. Insp.8 7esting Schedule (1) " . Elee. Power & Lightlng Fortn (1) not always"
• Meter size must be established • Mefer s¢e must be esTablished • Meter size must be established - if applicable
. Projec[Specs (1)
1 • Energy Calculations (1)
1 • Eledric Power & Lighting Form (1) " i
1 • Master E)rit Plan (1)
1
1 • Emergency Response Site Plan (1)
1 . salsReport (1) L
• MGES SAC determination letter • MCIES SAC de[ertninatian leker • MC/E5 SAC detertnination letter
p11657-602-1000 ca11 651-8 02-1 000 ca11.651-602-1000
Food 8 beverage or lodging faalities - su6mit plan to MN Departrnent of Health. Call 651-215-0700 for details.
" Contact Building Inspections for sample.
Pertnitfornew buildings or additions will rat beprocessed witlwut Emergency Response Site Plan. Ask Building Inspections for requirements.
'-A S SO "J
DATE: II/oQ 102 WORKTYPE: X NEW REMODEL CONSTRUCTIONCOST:~~./lD
SITEADDRESS: UN/T
TENANT NAME: Cedar Villas Housing SUITE
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK ~u"A,~'~rrLL atJC/'~~
Name; Cedar Villas, LLP. Phone#: 6( 12 ) 341-7800
PROPERTY Last First.
OWNER
StreetAddress: 900 Second Avenue South, Suite 880
Minneapolis gtate; MN Zlp; 55402
Company; Frana and Sons, Inc. Phane#: 95 935-8600
CON1'RACTOR
S4eetAddress: 633 Second Avenue South ~~~l.., ~
City: Hopkins State: MN 7Na~5n534
ey ~COj D
4RCHITEGT/
ENGINEER Company: Elness Swenson Graham ArchitectsPhone#: ( 612 ?~~39-55
Name: David Graham Registrarion#: 14808
StreetAddress: 700 Third Street South
Cin,: Minneapolis State: MN ZiP; 55415
Ltcensedplumberinstallingnewsewerlwaterserwce: imperial Developers Fhons#: 6( 51 ) 454-3330
? hereby edcrrowledge that I have read this eppiication, state that the infortnaCwn is correct, and a mply with appiicable State of
~linnesota Statutes and City of Eagan Ordinances. ~i
Signature of AppilpM: r ~v v •/'d~~'~
Updated 7102
OFFICE USE ONLY
SUBTYPE
? 01 Foundarion ? 26 Pubtic Facility ? 30 Accessory Bidg.
? 14 Apartments ? 27 CommerciaUlndustrial ? 32 Ext Alt - Apts.
0 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
0 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New O 35 Tenant Impr ? 42 Demolish (Foundation) O 46 Windows/Doors
O 32 Addition ? 36 Move Bldg ? 43 Reroof' ? 47 Repair
? 33 Alterarions ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorizarion
0 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft.
SAC Code # of Stories sq,
No. of Units Length sq, ft:
No. of Bldgs• Width :
sq._R.
const. (Acwat) Basement sq. ft. McBS syscem
(Allowable) First Floor sq. R City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS. INSPECTIONS
pGas Service Test D Heating ? Insularion 4 Plumbing ? Stucco/Stone
APPROVALS
PlanninS Building Engineering Variance
9 7, Doo
vaLuarioN $
?ermit Fee 27 1. 1-I' r '
3urcharge
'lan Review ~ °'~-~-~r.~ (oG . s's I
+AC/ES SAC % SAC
'ity SAC SAC Units
Nater 3upply & Storage Meter Size
i/W Permit
ilW Surcharge
7reatment Plant
'ark Dedication
"rails Dedication
Vater Quality
)ther
;opies
otal