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3450 Washington Dr
Jun 2311 04:27p Bartylla Plumbing 41f* City of Eakall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 651.653.5903 p.1 Use BLUE or BLACK Ink For Office U770 Permit Permit #: Permit Fee: Date Received: Staff: 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date: fQ�. 3 ! ( Site Address: 3LII ,rj r4 Sb I A Dei \ Tenant: ��P54- U Suite #: PROPERTY OWNER Name: S C',�� (.Le' i +- G ?'`r ' , - � [' Phone: Thea3 —39g— t g \ CONTRACTOR 4, Name: n/ r )/ L ,ely144 1 a ' � . License #: � �% �" ��? Address. �. ,�.{� . f�% :�' City: - 1 G' Stat1e: S C Mj I 1Tp: Phone 2S/—C%-)-?--3T77 Email: ha/' /,I ftYibtr'+ 4elAti-e44."-c., y(tir .1,�'- p TYPE OF WORK New fReplacement Repair Rebuild Modify Space in R.O.W. — _ _Work Description of work: (AA5/675i--lie. —he bs i i i"'"e 2c,6 PERMIT TYPE COMMERCIAL New Construction Modify Space _ Irrigation System ( yes f no) ( RPZ 1 PVB) _ ` • Rain sensors required on irrigation systems Avg. GPM (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? :YesNo Flushometers _Yes No COMMERCIAL FEES: $55.00 Minimum (includes State Surcharge) OR Contract Value $ i f�/ x 1% Required - If the Permit Fee is less _ $ Permit Fee on ALL new buildings and boulevard irrigation systems 4 =$ Radio Meter Read than $10,010, the surcharge is $5-00 = $ Meter(s) - tf the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee Permit Fee requires a $5.50 surcharge) _ $ State Surcharge (i.e. a $10,010-511,000 Following fees apply Call the City's Engineering when installing a new lawn irrigation system. $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ �:j .. 0 C_i 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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in condo understand this is not a permit, but only an application for a permit, and work is not to start "t plan in the case of work which reyuires a review and approval of plans. X 1. '73, cY c a ✓1,s1 Applicant's Pr' ed Name FOR OFFICE USE rce with the ordinances and codes of the City of Eagan; that I permit that the work,II be in accordance with the approved Applicant's Signature Approved By:. Required Inspections: ___Under Ground (Rough -In Air Test Gas Test' Final Date: PRV Required: _ Yes _ No Page 1 of 3 Jun 2411 01:26p Bartylla Plumbing 4,11/11' City of Fapo Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-6675 Fax: (651) 675-5694 651.653.5903 p.1 Use BLUE or BLACK Ink For Office Use Permit #: / ` 7 Permit Fee: 5�< Date Received: Staff: 2011 COMMERCIAL PLUMY BING PERMITAPPLICATION Site Address: -3q5D \1i ut in e Shen -' Suite #: PROPERTY OWNER Name: J " ; `V -)f' ( l i Phone: 9 o3 - g-- ) Yi) 1 CONTRACTOR Name: { °.b. f t1d ( ?fl e O(,.25-91 '' Address: 15 I PE.0` S ty: 4[4. State: Jul VZip:SSJ C3 e Phone: 6t-" qac) ;3 17 Email: b i nof (ilu YYtIO) n1Gifa Art )7-e 1"i, /,- TYPE OFT WORK New Rep cement Repair Rebuild ^ Modify Space Work in R.O.W. — Description of work: D 1.t 11(9. 1" PERMIT TYPE COMMERCIAL New Construction Modify Space _ Irrigation System ( yes ! no) ( RPZ f PVB) _ • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) 'Meters Call (651) 675-5646 to verity that tests passed prior to oiddnct up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes No Flushometers 'Yes __.No COMMERCIAL FEES: $55.00 Minimum (includes State Surcharge) OR Contract Value S_ x 1% Required - If the Permit Fee is less _ $ Permit Fee on ALL new buildings and boulevard irrigation systems a = $ Radio Meter Read than $10,010, the surcharge is $5.00 = $ Meters) - If the Permit Fee is > $10,015, the surcharge increases by $.50 for each 51,000 Permit Fee Permit Fee requires a $5.50 surcharge) = $ State Surcharge (i.e. a $ 0,010411.000 Following fees apply Call the City's Engineering when installing a new lawn irrigation system. $ Water Permit Department, (651) 675-5646, for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES j 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. vAw..aenl:erstatecriecell.crc, 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 a not to start - ut 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. r 125 Applicant's Prin., d Name r l .02 '(1.0 ) icanr>jignature FOR OFFICE USE Approved By: Date: Required Inspections: _Under Ground Rough -In _Air Test _ Gas Test _Final PRV Required: Yes No Page 1 of 3 LDV . , , cirr oF EAGAN 7831 : 3795 ?ilot Knob Rood Eayon, Mli 55142 ~ rt• ~ PHON[t 454-8100 : BUILDING PERMIT Recelpt Te 6e uwd iaFW-MATIO:J ONI,Y Est. Value i7A Dote 'arch 14 19 53 Slte Address 3450 k'ashinfrtan Dr•ive 1 ~ I3icentennial Sth Erecr ~ Occupancy P.) Lot Blotk Set/Sub. /11ter ? Zoning Pcrcel # 10 14007 010 01 Repoir ? Fire Zone Enlorpe ? Type of Const. W N~Te ~ e~.~ieral Land Co. Move p # Stories z ,,ddross 3460 WasFiington Dr., Suite 202 pemolish ? Length Ci7agan 55122 pF,one 452-3303 Gmde ? Depth Sq, Ft. Nome «raus Anderson Cozst. Co. APOrovab Fees ,o ID-1 u' Addreu 525 S. $ th S t. Assessment Permit IiA Cit '~PIs. 55404 332-7231 Water S Sew. Surchorpe Police Plan check NA GW Ncme Korsun$ky, Krank & ERickson i~A W y~ Fire SAC ^~r~ 570 Galaxv S1dA.. 300 2r~1 Ave. E?,a. Water Conn. -Tn ~W C Mpls. 5:i4C1 339-4200 Plonner WoterMeter -~A :'~A Council Road Unit 1 hereby ocknowladge thot 1 have read this application and stote thct gld~ Off. the inlormcfion Is correct and agree to comply with all applicable ^PC Totcl $15 . C~ State of Minnesota Statutes ond City of Eagon Ordinonces. 5fynoturo of Permittee .rsue n ereon onst. do. /1 Bullding Permif Is issued to: on the exprcu condition thni oll work sholl be done in accordence with oll appli ~~{tr~ tote of,/CAiMeyotw atutes and Gry af Eaqan Ordinances. Buildinp Officiol ~ Permit No. Permit Holder Misc. Pe?mit No. Holder Plumbing H.V.A.C. Well Watar IM Disp. Sower ENctric Wq0 (D 1 3 Inspection Date Insp. Other Footingt r~ ~G~3 y ~ - ~ Foundation Framinp Rouph Plbp. I 1 / ~ Rough HVA Inwlation Final Plbg. Finel HVAC Final ' Weter Desc?ibs Location: ~ c ~ ~r . ~i Saviwr , Pr. Dbp• ~ . ~ .x F' CITY OF EAQAN • . 3795 rNet Knob Roed Eoyan, MN 55122 ~ . ~ . ' ~ PHONE:4S4-8100 BUILDtNG PERMIT Receipr To be wgd fer Y,ktiKI:: SQUARI: I'_vTt Est. Value $2,965,000 Dcte "'`1Y } 19 s 3 Sire Addreu 3450 Waahington Drive Erect ~upanh, R-1 l.ot 1 Blak Z Sac/gu,,Bicentennial ~ith Airer p zon;ng (PD) U parcel # 10 14007 017 01 Repair p Flre Zone NA Enlarye ? Type of Conn. I I 1 hr . le Name f ecie r a 1 I.and Co. MOVe D # StaryeS 3 ~ 34~0 ~dasaington Dr., i`20" Address demolish p Length c; ':a~ ar~ 55122 phm 452-3303 Grade ? Depth Sq. Ft641 4~ ae :~I3U6 1lnderson ...OIISC. CO. Approrals Fees Nome `~'~5$.nth St. CQab pret( Assessment Permit 7595.5Q u~ Addre~? ~ C~ ;rls . 55404 332-7..81 Woter 8 Sew. SurchorQe 1000. ~0 Polite Plan check3797.75 "'W Nome Kcrunsl:y, Krank F LRickson FIIa SAC 26,350.00 WW ~5~1 - 1Z 330 ztia AVP. /lddross Enp. Wurer Conn. -.A ~W Cs I'ip18. 554~J1 Ph~ 33~~-4200 pla~Qr WoterMeter Council Road Unit 2250. 00 I hereby ocknowledge that I hove reod this application ond state thaf Bldg. Off. tha informotion Is correct and ogree to comply with all applicable Totol t~42 , 993. 2~ Stote of Minnesota Statutes and City of Eagon Ordinonces. Sf9nnturc of Permittee :raus ereon ons . Co. A Building PeRnit is issued to: on chs express condiNon Ih(if otl work shall be done in occordorxe wlth oll opOicobla State of Minnesoto Statutes and City of Eayon Ordinonces. Buildiny Officiol t - ° Permit No. Permit Holder Misc. Permit No. Holder Plumbing 3 ~ ~J~ ~Z~ t rb -~3 H.V.A.C. wn.. wau o~a. Sawer Electrie lvqO(o 2q ~(c t-16C. ~e-20"8-3 w yo 7[R foFS~~K ~ou ~-~5-83 Ce leV~ Inspection Date Insp. Other Footings e G ;e Foundation Framiny w Rough PI6¢ PP Rouyh HVA 3 , - Inwlation Finsl Plbp. T/ Final HVAC . r ~ Finel r - Wster Describe Location: MVell - Sevwr Pr. D'ap. . . . ~ _ ` Reoeipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces 5/C Type or Print legibly Tot. 1. Date 2. Instaliation Cost 3. Job Address Lot f Blk. 1 Tract - 4. Owner ~ 5. Contractor Phone 6. Address - 7. City State Zip 8. Building Type: Residential ? Commercial Institutional O 9. Work Description: New [3 Add ? Alter ? Repair ? 10. Descrihe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above intormation is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for - Rouyh Final . Inspections: Date Insp. Date Insp. " 7'his is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Recaipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee FiII in numbered spaces S/C Type or Prrnt legib/y Tot 1, Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial p, Institutional ? 9. Work Description: New Q Add ? Alter 0 Repair ? 10. Describe Fuel Type. 11. No. Eauioment BTU - M. Ea. No. Equiament CFM Forced Air Air Handling: . Mfg. Boilers - Mech. Exhaust I Mfg. r Unit Heater Mfg. ; Other ~ Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. . Signed : for ' Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 XT 7-~y~~ ~ ,$-/47 3S ~-i7 ~ ~ . y -Z 1 ~ .L~---t r 0 /~/-`13 3 w..J i0 -a 6 -Y3 ~ _ . - 41, . ~ ' _ _ - . l_~. _ . _ . . K~ - . _ . . . . J, Y ",L~• <_~?"-5~ -n~~-. - - - . _ - -~c r~ti.4Or. _ y . lM!S .2~ PERMIT # PLUMBING PERMIT . CIN OF EAGAN RECEIPT# 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: r-~ 7 n CONTRACT PRICE ~ l J PHONE: 454-8100 Site Address I ' , BLDG.'TYPE WORK DESCRIPTION Lot ~ Block Se~c~/~S~b Res. New ~ , Mult. Add-on - ~ Name ' T Comm. k Repair 2 Address s 1 Other c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name , P.r Water Closet - $3.00 $ Bath Tubs - $3.00 ~ ; Address L ` ' i Lavatory - $3.00 p City Phone 14"-; < < Shower - $3.00 Kitchen 5ink - $3.00 FEES UrinaUBidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Orains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPUES Water Heater -$1 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SUFiCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 : SIGNATURE OF P;'ERMITTEE " FEE: - % • - ' _ b~ ~ , ~ STATE S/C: . FOR: CITY OF EAGAN GRAND TOTAL• = .n,. . ~ . . . • PERMIT # - MECHANICAL PERMtT RECEfPT # CITY OF EAGAN 3838 PILOT KNOB ROAD, EAGAN, MN $5122 DATE: CON7RACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address - y • i ' ' ` ` ' BLQG. TYPE WORK DESCRIPTION Lot Block /Sub Res. IVew - Mult Add-on ~ y Name Address " ~ - q Comm. Repair City Phone " , Other FEES Name ' L t ~r RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 11 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRAC7 FEE Forced Air M BTU AP7 BLDGS. - COrtrtM. RAtE APPLfES TOWNHOUSE & COND05 - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other ~ FEE S/C: SIGNATURE OF PERMITTEE ` _ _ i- • S . . . . . ~ TOTAL: ~ t ' c M FOR: CjJ~TY OF EA. ,Gtos-~-~ _ .~uv"- Oft ,~,',..ry. . . . . . , . . , .-r . . . . „p.. f . , . . . >.~9~'f.i~'TP ~ 7 - , . . MECHANICAL PERMIT For Cit Use On1 • CITY OF EAGAN PERNYT ~ • ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# DATE PHONE 454-8100 DATE: 7~ yv Site Add ess LDG. TYPE WORK OESCRIPTION Lot lock Rc1Sub Res. New Const Muft. Add-0n Name ? Comm. Repair ~ Other Address ST itJ ic ~ , - c City ?C.L~ u Phone ' FEES RES. HVAC 0-100 M BTU - $24.00 Name ADOITIONAL 50 M BTU - 6.00 ~ Address (RES. HVAC INCLUDES A/C ON NEW 3 WNSTRUCTION) ' p City Phone TOWNHOUSE 8 CONDOS - RES. RATE APPUES :a MINIMUM RESIDENTIAL FEE - ALL ADD-ON & • TYPE OF WORK REMODELS (INCLUDES GAS PIPING) - 12.06 Forced Air M BTU $ GAS OUTLETS (MINIMUM - 1 PER PERMIT- NEW CONST.) 1.50 EA• Boiler M BTU $ COMM/IND FEE -1% OF CONTRACT FEE Unit Heater M BTU $ APT. BLDGS. - COMM, RATE APPLIES Air Cond. / M gTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM $ STAT SURCHARGE PER PERMIT - (AOD S/C PER EAC 00 OF PERMIT FEE) Gas Piping Outlets # $ 6NATUFIE \ aner ev $ CommJlnd. Contract Price~._,_. z 1% $ PERII~9T FEE: ` S/C: F • CI O AGAN ' TOTAL: O.~ J'-03'0 ~ ~ Receipt PLUMBING PERICAIT. Permit No. ' CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini legib/y Tot. 1. Date 2. Installation Cost 3. Job Address ~ - Lot Blk. ' Tract 4. Owner 5. Contractor . Phone 6. Address ' 7. City State • - Zip 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New ? Add ? Alter O Repair ? 10. Describe 11, No. Fixtures No. Fixtures Water Ctoset Cesspoof/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well [1' Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop 5ink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and eodes governing this type of work. Signed: , for Rough Final Inspections: Date Insp. Date.3'?/Z~Insp./-7 This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6700 CITYOF EAGAN Remark:-thV 3, ' ~~a~ ~ -I t- • Additi n BI~~~ ~ADDN Lot 1 aik 1 Parcel 10--14007-010-01 Owner r~ Street L~~ ~1r State 50 e d 3 D Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1978 3220.29 322.02 lO STREET RESTOR. GRADING SAN SEW TRUNK t 1970 248.46 9.94 25 *SEWER LATERAL V17 77 5591.33 . WATERMAIN *WATER LATERAL * WATER AREA 1977 10 *STORM SEW TRK 1977 10 *STORM SEW LAT 1977 IO CURB & GUTTER SIDEWALK STREET LIGHT 8 ROAD UHT 2250.00 35612 WATER CONN. BUILOING PER. 7ow SAC N n PARK qqZ. CIZy pF EAGAN Include 2 sets of plans, ~ 1 site plan w/elevatians & BUILDING PERMIT APPLICATION 1 set of energy calculations. Date Zb Be Used For --TnV\ Valuation -27L~ Site Address OFFIGE USE ONLY Lot J slocc sec./sub. Exect ~ OccupancY Paroel lo /440 7 m/p D l Alter Zonin9 Repair Fire Zone Owner: Enlar9e Type of Const. . Nbve # Stories 3 ~ Address: ~.~4 Deblish Front ~9996 ft. Sri Zo~Grade Depth ft. City/Zip Code: ~a9or 5-t-y vx- Phone # : SAPPRC3VALS FFES Contractor: ~/S • ~ , Assessments wer Surcharge Z~~e Address: Police Plan C h e c k City/Zip Code: ~YLD~S 5,~ Fire sAr- [s~nn. ,s• Eng . Water -tr Phone # : Planner Water Meter Council Road Unit ~ ~ Arch./Eng. : o ~i9? R ~'L 0&ldg. Off. Address : APC City/Zip Code: Phaie _ To?rAL ~ 4aa4q~ ~ ~ ~ ~raf P lS~ar` o~ Of~ . ~ so _ _ ~ s~ 7zqo ~ . r cirr oF E?c,AN ~T 9795 Nlat Knob Raad Eagan, MN SS1'!2 1~ ? 7834 , PHONE: 456-6100 BUILDING PERMIT Receipf # L , Te M wsd forF'OUNDATION ONLY Esr. Volua NA pate Maxch 14 1 q 83 Sire Address 3450 Washington Drive Erect )a Occuponcy Lot 1 81«k 1 Sae/Sub. Bicentennial 8th Alter ? Zoning PD parml # 10 14007 010 Ol Repoir ? Fire Zone eniaroe ? Type of Conat. c Name Federal Land Co. Move ? # Stories z Aedrou _3460 WashinQton Dr., Suite 202 Demoliah ? Length_ C; EaQan 55122 phom 452-3303 Grade ? Depth Sq. Ft._ ,o Nome Kraus Anderson Coast. Co. Aovrovala Feoa o~ Address 525 S. 8th St. Assessment Permir ' Gt Mpls. 55404 Phone 332-7281 Wnter & Sew. SurcFrorge NA ~a Korsunsky, Krank 5 ERickson Poitce Ptan check NA w Name FFire SAC x~ Addreas 570 Galaxv Bldg,.,. 300 2nd Ave. Eng. WorerConn. NA ~W C~ Mpls. 55401 pho~ 339-4200 Planner WoterMeter NA CouncB Rood Unit NA I hereby acknowledge that I fwve reod this appticotion and stote that qldg. Off. fhe information is torrecf and a9ree to wmDly With all upplico6le APC Tofal $15.00 Stata of Minnesoto Stofutes and City of Eogon Ordirwnces. Signoture of Permittea Kraus Anderson Const./ o. A Building Permit Is issued to: ~ on fhe express condifion thnt ell Work sholl be done in accordance wifh oll oppli=MM i utes ond City o4 Eagon Ordinances. ~ Buildirky Officicl r. cirr oF Eac,AN N. ~ 7992 3793 Pllot Knob Raed Fagon, MN 55122 PHONE: 454-8100 s BUILDING PERMIT Receipt # J~7.L, Te ba und IerYANKEE SQUARE INNEst,yajue $2,965,000 pale May 5 1q 83 Site Addreu 3450 Washington Drive E«~ ~ ~~~~ncy R-1 Lot 1 61«k 1 See/Sub. Bicentennial 8th Airer ? Zoning (PD) RB Parcet # 10 14007 010 Ol Repair ? Fire Zona NA Enlorge ? TypeofConst. II 1 hT. W Name Federal Land Co. Move ? # Stories 3 9 z Addross 3460 Washington Dr., #202 Demolish ? Length_ r-; Eagan -5122 phoM 452-3303 Grade ? Depth Sq, Ft.6440 g Nam Kraus Anderson Const. Co. Avororals F.oa 0~i A~re~ 5255 8th St. Assessment Permit 7595.50 ~ Clt Mpls. 55404 PhaM 332-7281 Warer 8 Sew. surchar9e 1000.00 Gw Nome Korunsky, Krank & ERickson Police Pion check3797.75 ~Z Fire ( 541 SAC 28.350.00 Address 330 2nd Ave. Erq. Water Conn. NA ~W Mpls. 55401 Phom 339-4200 plonner WaterMeter NA Councll Rond Unit 2250.00 I hereby acknowledge thot I hove reod ihis application ond sfate that gldg Of} fhe informotion Is correct ond agree to wmply with all applicoble APC Total $42.993.25 Stote of Minnewta Sfatutes ond Ciry of Eogon Ordinances. Signoture of Pertnittea Kraus erson A Building Permir Is issued to: onst. Co. a, the e xpress condlHOn Ihni oll work :halt be done in occordante with all ap 06 Sta o Innewta Statutes ond City of Eaqan Ordinances. Buildinq Otficial ~ -t ? 2006 COMMERCIAL PLUMBING PERMTT APPLICATION ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date/4 / 6b / Q~ SiteAddress L?A~~u''G-f-b JJ 1) f;\!'L Unit# Teoant Name J3Q51 (?P Stol n Dn ko l a jjt Former Tenant Name Property Owner TelePnone a(~G3) tiZT 3l/~ c p `i 'C c, +/rcT !'L'1il4 Lc r p tv Contractor 6 rQGE t~keC~^ A~~ZelI L Address 2400 /6S 541-4ep City ~i~ ~4A¢ State n.A!•4?50r Zip 5S3 09 Telephooe 70 ) a 63 -,li g)J License # v 6 3 R 8 7 P M Expires: The Applicant is _ Owmer _ Contractor Other Work Type New Bldg _ Modify Space _ Irrigation System** Yes No Work in public r-o-w / easement? _RPZ _ PVB: New _ Repair/Rebuild _ Replace _ Remove Rain sensors are r uired on irri ation s stems e MQCIe Descriptioo of Work r # ~ t,P~~ To inquire if Pressure R ducing Valve is required on new service, call 651-675-5646 MeterS - Call 651-675-5300 to verify [hat hydrosta[ic, conductiviTy, and bacteria tests passed prior to oickine uo meter. Irrigation Size & Type /v k Avg GPM /f///J 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter 167.00 Domestic Size & Type fV ;'t Avg GPM N~ Includes high demand devices? _ Yes _ No Fiushometers Yes No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $~2 roo~o x 1% Permit Fee $ Meter(s) Required on all new buildings & boulevazd irrieation svstems $ Radio Meter Read $ State Surcharge If Qermit fee is less t6eo $1,000, surcharge is $.50 If oe(mit fee is more Ihao $1,000, surcharge is $SO for each $1,000 owed. Following fees apply when installing new lawn irrigation system $ Watei Permit Call the City's Engincering Department, 651-675-5646, tor required fee amounts $ Treahnent Plant $ Water Supply & Storage , $ State Surchazge $ Total Fee I hereby apply for a Commercial Plumbing Pertnit and acF:nowledge tha[ the infortnation is comple[e and accura[e' ihat the work wilt be in confotmance with the ordinances and codes of the City oC Eagan and with the Plumbing Coder, that I understand this is n a pertnit, but y an applicazion for a permit, and work is not to start without a pertnit; that the work will be in accordance with the approved plan in the cue of wor which requires review and approval of plans. S`rrr 5n st-j7p_ ApplicanPs Printed Name App icant's Si a re 2006 COMMERCIAL MECHANICAL rExMiT arrLicaTiorr City Of Eagan - 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc commercial/industrial buildings ~ multi-family buildings when separate permits are not required for each dwelling unit nece~iI i 6(9 Site Street Address 3LkS O U~G Wwu b`(Ne. Unit # Tenant Name (if applica6le) 14~lv Previous Tenant Name Property Owner Tetephone # ( ) Contractor Street Address CjtY State YV1N Zip 5 Su ~ Telephone it Bond Expires: The Applicant is _ Owner K Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove'*see below Interior Improvement _ Install Piping _Processed _Gas Nature of work: du~i,)nyk- Ye~1 m a CoYYi C(~ ;rc **When insta!ling/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector P¢CIniY F¢¢S: 0 Underground tank insiallation/removal $509Mittimumt (includes State Sumharge) or Contract Value 0d 0 x 1% _ $ Permit Fee State Surcharge If eo rmit fee is less than $1,000, add $.50 p ~s [f ep rmit £ee is more than $1,000, surcharge IAN 1 0 is $.50 for every $ 1,000 owed. $ j-Sk Su Total Fee I hereby apply for a Commercial 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 Ciry of Eagan and with the Mechanical 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 pla e C1~xe n Applicanfs Printed Na e Applicant's ignatur Approved By: , Inspector Date: 1 I biI Du Required Inspections: _ U.G. _ R.I. - Air Test - Gas Service Test _ Infloor Heat _ Final 2005 COMMERCIAL PLUMBING PERMIT APPLLCATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date~_i 2} ~ 2~=5 Site Address T+5x_~ wA'7h%r'(iTY??1_ Unit # Tenant Name.Re-5f vJRSRae~nl flqAtoTA 604E Former Tenant Name 1"~,T2[~, Property Owner Telephone # ( ) Contractor 45C`jr~,S Address 1°1l9 N.E. ii~2AAowvk{ SS' City ~/1••°~+~'~~~5 _ State md zip 55'f13 Telep6one 4u) 3? q-1-bv2 License # Expires: The Applicant is _ Owner Contractar _ Other Work Type New Bldg Modify Space _ Irrigation System** Yes No Work in public r-o•K,v / easemen[? 1 RPZ _ PVB: New _ Repair/Rebuild _ Replace _ Remove Rain sensors are re uir d on irriation s stems 3. kG t~•.r ~ , _ DescriptionofWork -a M1PcTee SAwat re StiOwcse FNrS4..3 To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Cal1651-675-5300 [o verify ihat hydrostatic, conductivity, and bacte[iatests passed prior to pickine uo meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" disrolacement $161.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ (0 0 x I% _ $ ov Permit Fee $ Meter(s) Required on all new buildings & boulevazd irrieation svstems $ RadiO Meter Bead $ ~J C7 State Swcharge If oemtit fee is less than $1,000, surcharge is $.50 If oertni[ fee is more than $1,000, surcharge is $30 for each $1,000 owed. Fallowing fees apply when installing new lawa irrigatiun system Water Peimit CalUohn Gorder at 65Ifi75-5645 for required fee amoun[s $ Treatment Plant $ Wazer Supply & Storage $ Stace Surctiarge $ ( p ~ . ~ Total Fee I hereby apply For a Commercial Plumbing Permit and acknowledge thal the infortnation is complete and acwrate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; thal I underetand [his is not a permi; hut only an appfication for a permil, and work is not to 51art without a permit; that the work will be in accordance with the approved plan in ihe case of work which requires enewd ap val of plazts(~ y!'' ~ APPlicanYs Prin[ed Name ApplicanYs Si ure~ I~ ~ ~EC, r !BY--~i_ ~ - CITY USE ONLY REQUIl2E? INSPECTIONS: ZU.G. _ Air Test _ Gas Test ~ Rough In ~ Final PLANSSUBMITTED APPROVEDBY: BUILDING'INSPECTOR GeneralInformation • ~ • Radio Meter Read (required on all new buildings. Boulevard imgation systems may require a radio read'- $141.00 • RPZ's must be tested every yeaz and rebuilt every five years. Test results should be maIled to Paul Heuer at the City of Eagan. • A minimum fee permit per address is required for the following RPZ's: new, rebuild, repair, remove. • Water meters include copper hom/strainer, remote wire, and touch-pad meter. METERS RE UIRING 4-HOUR ADVANCE NOTICE PffiOR TO PICK UP' ' - . • GPM METERS USE PRICE GPM METERS USE PRICE I-20 518" residential $125.00 4-120 1-1/2" irrigation sySt $ 735.00 displacement sm commercial turbine** Public Works maximum must approve continuous meter size 10 . 2-30 _ 3/4," lawn urigation $161.00 • 4.-160 2" turbine Ig urigaiion syst $ 931.00 maximum displacement " 'iesidenfial continuous sm commercial producuon lines 15 3-50 1" displacement very ]g res $296.00 1/4 to 160 2" compound bldgs wer $ 1,849.00 bldg to 24 uni[s 65 units maximum sm commercial & continuous & Ig comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $429.00 maximum displacement & continuous most comm bldgs 50 METERS REOUII2ING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigafion S1,182.00 6-500 4" compound +300 unit 6ldgs & $3,563.00 syst & pmduction very ]g comm bldgs lines 1/2-320 3" compound +200 unit bldgs 52,282.00 10-1000 6" compouud +400 unit bldgs $6,076.00 very lg comm bldgs very lg comm bldgs 15-1000 4" turbine very lgirrigadan $2,226.00 syst & production lines Comments • To schedule inspection of the inside wa[er line and bacldlow preventer, ca11651-675-5675. • To arrange for water [umon, ca11651-675-5200. cc: Utility Division Systems Malyst October 2005 ' . . . . , , . , . . . ' , . 13traAknn cal 9+,~ . e ' . ' . . . . . . (n 4-3 r'3 I (0 4-~g G 92, f~ I z5 cFo l 2~4-0 3~(~ 36t0 C09 15¢. (D 2u Go ~ ~ Sa-t~.. I g s 4-4.- ~ ( nE) 64,-141 ' HEsAI LOSS CALClLA7tG;:S - DGP:aii"iME?:T t)F (N'SPECTI01 A44NF,APGi.IS,LtI[YN. W'eztherstrips A•S.H.V.. Constructinn Nv. I !insuTation indows Doors - I Refuence ~ Out Wall Int. \Ti'all Ceiliny Roof Floor Kiud tinw App;i_d - ~ :-:vo Yes-No , 19_ F1.r Rwm Length Width Hz(yhc FL~ Room ~ Length Width Height Vlindo..s and Doors-Cracka$t and Area Windows and Doora---Crac4ai- aod ?trea a•,-.a:n ueianc no.ot Lineatlt. Arsa xo.b o: Lin:zix w-e. ~ o: Oaae o[ O:ne 1i6ht• o: crack N- [e. a[ pana o( vane Ugh o[ cndC ey- (6 :1~. Z 2'z " ~-zb ~ il vf- ~ :.-0 ~ ~ ~ Iwc Coef. Btu Caef. Btu ~;;Sl:ration - Xjp In6ltration 'i0 ::Iass Glass 7.J t Pap. wall 5Y,9 13 Etp. wall Qj X fdei exp. wa(I Net exp. wall Z~ 1ttL wall lnt. wall _ CciGng ~ Ceilir.g Floor Flcor $ To:al r3:u. ' Total 6:u. i<equired sq. ft. £.D.R. or aq. ins. W.A. Lcadar area 'ji 0 ReGuired sq. {t. E.D.R. nr sq, ins. W.A.Fz3aer atr.a p F1.1 Room I Lenyth . Width F'Ieight pL; Room I Length Width Height _ \Vindows and Doors-Crackage and Area IY ,l' }1 Windews and Door.--Crackag_ ar:d Area 1Vi6tR 8alsh[ No.oiLlneal[t. wrn. WWIh 8et3rtt .`1m0! LlrtaalA Arew~ tin. e[pnne o. Dane Ilaht. ot cmak Q. fe. _ No. Of 6a~0 ~ Oi Pnnd 116ht.a OL eP1J9 I[. . s:- - . . . ' ~1-40 Coef. F1tu ~ - E. Btu Infiltra!ion In6lcra:ion Glass . . . I Glass ~ . ' 9v fxp. waL Exp. wail Net exp. wa11 '5147 Net esp. wall C7 ~ Int. wall ' In!. wa!I . Ceiling Ceiling - - Flnur Floo: Total Bta Tota! Btu..: Required sq: ft: E.D.R. or eq. ins. W.A. Leader area ' Q rj Aequi:ed eq. ft. E.D.R. or sq. ir.a. );d.A.i.tacaz aree ~Z _AL_ i F7.1 Roam I Longth Width !-feigm J+~ _ rl.l. :Zourn I E.er.gth Wic'::S Neig6t ~ Windohs ar.u Dours---Craclage ar-.i Area aac' i~oe;s--Crxc:a;;r aa•3 a-e+ ~ R'Wt1 Hei,h: I~o. ot Llneal ar>a L)"a~, r, h Haix:: ~':o, o: 4lnea:II. A«o NO. O[ psrz, of Da'+e IiYnta of crac: aa. R. N. o. of 9a"^ 04 y~na 1'.81`b o[ c,aY's M. it . . .7 . . . ~ ' ~~n . . . , Coef. Btu Ca:f. Etu In6ltration GJ;Z) lnfiltration Glass Glass Exp. walf wall _ t-'~-- Net exp. wall C3~_T Net exP, wal! Int. wal: F wakt ~,eiling J-Y7C -1Q 3~ u/ Ctiling 3zx r ioor 1 F~oor ToWI Btu. 7ota; B?u. Require3 sQ. ft. E.D.R. or sq. ins. t~,'.A. I.ead~r ar_a ~'fj ReGuirrd sq. ft. £.D.R. or sq. in W.r1.L:33;e n::a Qrj I- Dd5 ~ /J g J F.C~47 CdSS CA(.CU~.ail0`5' . DEPAP1;liC r,F IN:11`ECIt,;:c hiINNEAPOL7S. hSiN?v. Weathvslripa _I A.S.H.V e V.E. ~ Constructi~~n ~ 10. uid ^ ]nsulation G .I ~?~ows Doors ~ Reierrncc ;I Out_ Wall Int. Wa11 C.ei;ing Roo; Floor ~f Kind Hnw Rppli•d --No ~ Ye:-No 19 tl.( Room j Length Width Haibht I! FI.~ Room Len;th 1,Yidth Heig4t \7induws azd Doors-Crackage and Area +/r ON~. • i I~ \L'indows and Doors-Crackage andArea ~ ~59CaT 1tefX~~ 30, of Ll~ml t0. Area ~ ww~n ti<!.~~~ nro. of ~ t.1. ..eR. ar.x of yane u( >ane I:ph;? nf creck e0ft \o. o[ cana o: v.~+a 114~:a of crmk eq. L. - _ - I~ _ - - Coef. Btu i . !I Caef Btu c' 1.^.ilS:ra21071 _ . . _ . ~ ~ _ Gl~ss - Infiitratwn Glass ',:xp. wall E-cp. wa11 x X ~ ,M1eC exp. wall . 16 G ~ Net exp. wall . . lnt. wai: Int. wall Ctiliny Ceiling - • s- I Floor eG t "rotal . cu. Tocdl st,,. _Req-iired sq. fL E.D.R. or sq. ins. W.A. I.eader area Z ~ fteGuired sq. ft. E.D.R. ar sq. ias. W_1L Ltader oTea (p d Room I Length Width Height Fl.l Room I Length LS%idsh Height 1Jiadows and Doors--Crackage and Area I4 Windows and Doors-Crac§age ard Arca WIQtp Helght A'o.o[ 1.InexlR. Arer , Nidt~ Helb'v Vo.of E oT Dsn~ o: Dsm 1!S1t. of craek sQ. tt. . r ' To. of yane of DY~» (t. ' _ - - 1 . . ' . . . COLF. bC4 AtC. Q[1 In5ltra:ion ~ In51L•aiion _ - 44 90 Glass Glass F:xp. wall Ezp. wall Net exp. ~rall '3 _ i Net exp. wall ' lai. wall In:. wal! Cciling : Ceiling vFlour Ploor ?otal Btv. 7'otal Btu. Required sq. ft. £.D.R. or sq. im. W.R. Leader area Reyuirad eq. ft. £.D.i{. or sq. ir,+. W.A. Lue'er area FI. Room ILengih Width Heigni ~ ~ j•'~.~ ; ror:i i Ler.gt.: Wi:::h Heighi r ~V - Windows ar.d Doorr--Cracka3e and Ama a.^.3A;ea wieaa xeisne no. oe Llnewl A[ea lJk-~~ ~~^.SJt? Hxlg.'.: ~ No. o! Ltn~al u wv.e No. at oan• o! pwna I:;hte o! erx<k eq. tt. . Np, of Pxn of Oana Ilihta a: er:.ek aQ. tt. Coef. Btu Cocf. Etu In5ltration Infiltra`ion Glase ~ I Glas~ Ezp. wall Exp. wall - Not txp. wall I Net er.p. wall Int. wall ir.t. wafl Ceiling Ceiline T - Floor Floor 7otal Bw. . ~ TotalBtu. - - Required sq. ft E.D.R. or sq. im. W.A. Leadtr ara ~ Require4 sq. Ft. E.ltR, or sq. ins. W1L Ixader area ~ I D46 5,0 1? 5 61. % _ HF1AT I-OSS CALCULATIONS . DEPARI'tl_ COF tNSi`ECTtpN ~-?yj-~ t,IIYi`IEAPOLlS. bf[YN. Weat^.xrstri a A.S. CHui.Vclt B I' Construciinn No. _ I lnsutation :':ir,dows Doors I Refcrcnce ! Out. Wal( Int. Wa1i Ceifin3 ~-koo: Eloor fl Kiad Hnw Appli-.d -No I Ycs-Nu d 19- ~ F1.1 Raom 1 Length Width Height Room Lengtn \4edth Height \Yindows artd Doora-Crackags and Area Windowa aed Doors--(:rac:ase and Area \Vidth HeidTt No. a[ Llneal ft. wrea ~(Z~ iAOh HeigAC No. o:~~nxal ic Aru S Can! O( Cana ItRhU O[ cixcke.:. !6 I' .\'o. o~f jCr~a o[ Deoe 11¢hb o! C[ae+ '0IL O 6s w.:~"~ . : Coaf. . Btu . . Caef. - Bta ~:n(i~.tation3 - - InEeltration ( c'? (0300 -1 90 S+R33 pOJ.- c:xp. wa1! 00- ~ Exp. wall fj' "t X'l~ 01 !"iet exp. wall r I\ei exp. wall - -[nt. wall Int. wal: Ceiling Geiling _ FIoor Q . . . Floor . . . . '1'owl Bcu. Tocd( S.u. , vt_ Requird sq. f!. E.D.R. or eq. ins. W.A. l.eader area jZequired sq. ft. E.D.R. n- sq. ins. W.A. Ltadar nrca ~yt F7.1 Room! Length Widch Height F1.1 " Raom I Langth - Viid•'h Height 1Vindows and Doots-Craclcage and Area 1/4-tpr2 V,/indows and Doors--Crackaos and Atea WIGeX HelEh~ No. o[ Liaeal t0. Arer No. at rLln o[ Dane •a1:L Ae>+ . of 0>~a It6yt+ o: enek W. I0. . . . TO. O( p~n9 OC Dnpb 4ni! I crack ~Q. , Q- - Coef. Btu i 1 Caaf r- Btu In6ltration 31. Infilt: ation Glass (,s ( ~lass Exp. wall Exp. wall . . : . . - - . Net up. wall . Nzt eap. wall Int. wall Iit. wall - Ceiling Ceiling Floor - Floar Totat Bm - _ _ : _ Q~ . : : . . . Tota1 B¢u. Required sq. ft. E.D.R. or eq. ins. W.A. Leader area Reqvired sq. ft. E.D.k. or 39. ids. W.A. Lexder area FI.1 Room I Lcngth W"icth Neight I~ ~.I 'Jli:':~~ Heig:~t Windoas and 17oors-Ct,ckage ana Area 1i/in.-~.owa 2,--7 JC0:5-1iuCi:cgr and A.ea R'ir.[1 Heiene \o. o{ Llneal [t. A.rea v;f]th xa:e:To_ o: Llnaal [t Acex No. ef psns of yane f:;ntn ot erack aa. . , Na- of pana oe yane Ilghta o: etzeR a6• tA . ' . Coef. Btu 'Carf. Etu Infiltration ~J. InSftra;ion Glaso Class Ezp. wall Exp. wall Net exp. wa!( I Ptet cxp. wall ~ Tnt. wall Ceiling Ceilin_ F bor Floor Total Stu. ~ Total Btu. _ Required sq. It. E.D.R. or sq. ins. W.A. Leadst area Requi;ed sq. ft. E.D.R. or sq. ins. CJA. Leader sra am SHEET ~ ' •rr °AJr Condlflontng Company OATE PREPARED Br OFFICE pROPNO. JOBHO XAMEOFlOa (-4,t4 °c°I"' LnCitInN APPpOVED~~ - S/AC[ UO[D PO ESTIMATL f04 2~r,,, Lxu T~[ I pGl[ LOAD IAl iI.[ Sls[ . X = I1F*L S. FT X - Cu Fi J9 6YM TIM[ 1 =YM TI~L ARlA Op SUN GAIN Op HOIIRS OF OPERATIOM ITEM, QUANT77'f TEMP. DIFF. I FACT011 BTVi MOUR [ONDITfOH$ UB WB 'Sf RH DP GN/Le 1 SOLAR GAIN-GLASS Outnoon(oA) ec~ GLAII. SOFTX XRoow IRM1 6LA4s S0 FT X XDIiFEk Mtc iX % X S 7C X ~ X I x. O Guss ~ So Fr x x . . . - . . - ~S . OU7D0'~¢ AlR , ~ ~ CiA65 $0 FT X X VENTI- UTIOX ~[ent X Cr, : Kuew iKYCIGMT ' Q FT % X Ft X CrK/64 FT c - "SOLAR b TRAkS. GAiH-WALLS b ROOi On veMrttAnon p WALL ~ So FT X J( ' SWINGIML N[voLnec.DooN3_P[ort[ xCtw/Pensox= WALL $O FT X X OPEN OOORS Ooo[S X CeM/D.oN_ WAtL 50 Fi X X t.m- EaxAusi FAM WALL 5O FT X X T4ilOM CRACK FEET % •,vfFT = lOCF-.$UM So Fi X X CYY IMi1liRATION p toOF-SHAoFO 50 Fr X x CFN OUTOOOR AtR THRU APPARATU$ R CrMo, TAANS. Wlti-EXCEP7 WALLS & ROOF APPARAiUS OEIVPOINT 1LL GM So FT X X [FFFCTIVE EFFg[IVE ROOM SENS. HEAT 'ApTI7tON SOFTX X ESHF bFACTORT EiFCCGfYERWYTOTlIIH[AT - :EILIxo SO Fr x X AOP INDICATED ADP F SELECTED ADP F 'tooR. So Fi X % MFILTRATIOM Cip X x I.oe DEkUMICIFlEa AIR ¢UANTITY . T[rP Ria[ (1-- BF) x (T.• F-TAor--F) =-F INTfRHAL HFAT 711 DENIlM. EFFECTIYE ROOM BCMS. W[AT _ CFM lEO?t[ Z PEOrLc X ~ ~ ~SQ CFM tA8 X F r[sp..uc o~ ~OWCR ~~o~~ MP 0RKW X OUTLEi . ROOM SENS. UBEFT .IGNTS ~y.~ATT4 X 3.4 X pTEMP. ilR =~--~V~-eVTLtTAiRf• 1.08 X Ciif p, Irruaxco. Eia X fODIiICNAL HFAT GAIMS X SUPYlY A!R QUAHT{TY . ' SUPI'Lr ROOM SEN3. HE&i SY6TOTA1. CFM = CiKy1 Roxac[ Sq F7 X X(- ) 1.08 % F pg.,,o, . . SYCTOTAL BCFHg CFMaA - CIYO& = CFM0, Mren FecraR. % . RESULTIKG EltT b!YG COltDlTtONS AT A?PARATU5 ROOM SENSIBLE HEAT O~~LT LYrttT I EDB CFMa~ - TFt X fTm-F'T,e-F> =Tme-F roet oucr f . ~FN~ :i1T 63111 L[AR. LOfi N."R % iUTJ0011 AIR CFr X F X sK X 1.08 LOB Tsvrr t-BF X(Te,_F - TApr._F) = T,oy_F E F E T 1 V E R O O M S E N S I B L E H E A T I FRCM PSYCH. CHART: Tr,.a__F. TLwN_F tATENT HEAT NtIITPATtO\e~. Gcr x cvt. x o.u ~ kOTFS . ~f0l16 ~ / ?te~t[ X ~ iTCAM L~lM• X fC50 H'PLIAXCCf. Eit. 4001t10NAl HEAT GAINS ~ /FPOR T!1/MS. SO l, X tpM if 6v:s Y ~ __'..____...._$J9Tt~lL _ _ '>l~FETY FICTOR RCTH LATENT NEAT ~ P iU"P?LY DUCT LEAKfGE LOSS :urrscR AIn Cvu i~ c.:i. x ~r o.6e EFFEC?IVE RGOM LATEHT NEAT EFFECTIVE -ROOk ?OTr.L HEAT ~ GU7D04 li. NEAT SLR[[tiC GfM X F X(I- EF) X f.Ot L~T[hTV CFN X SaL, X(T - BF) Y. 0.69 IRY~• ¦rtuRe SU6 TOTAL :r_n .I. DYCi Duti N{ Otxu~. t u~m ra.wu. ..u.a c. oc.we. ..e .uo...... o.. 4uveu• q6 } L[ae. euN + tuer 4- Plro tcsa 16 ~ t... GRAND TOTkL HEAT ~~f I•xa,su..nm~u.enir,o,en.~~..,on.. . ' ? . ~ t- . . . ? 'jktr Conditlening Compeay OATE - - SHEET NO..,_-_-.- PAEPARED OFPICF PROP NO HANE OF JQ APPROYEO LOCATION . teu~ Tt~[ .I~R ~D ~il Ttr[ SMC[ ULLO FO EST11[FT[ FOM 6u~ iu[ fu~ TIM[ S~xe cG = Se FT X = Cu F7 HOURS OF OP[PATION ARCA OM SYN G111N ON B1Y/HOYII GqiLs CuAwsttr TEr?.Olvr. FAGTOP CONDITIONS 06 WB °%RH OP SOLAR GAIH-GLASS Ouruooa(OA) 81lAs3 So i.X X _ Roor (RM) - Gu . So FT X X DIIFER6NCE X X X S X X I I X.1 Guae So FT x - x~ p _ OUT rAIR~ _ GLAes Sc FT X X VFMTI- I~~7~ ~ S ?[o~t[ X~}-~~~/?[ne~ = Oy LATIOX • ' . 04 ii X CM/Si PT = RYUCN7 SO FT X ' % SOlAA ti~,7RAHS. GAIN-WAlLS b ROOi f C~~ VEMT:I~TIOM s SWIM41N4 WACL so FTX X RevoivIxqD06R5-PEeP« X-CIO/?6nSOx= WAIt SO FT X X OPEN DOONS Doe" X ClM/OOVR = WALL FT X % ?44 E1XRUfT FAN - i[1TIOM WALL 5~ X - X GAACK FEE7 X °~~/FT = - ~ IMFILTNATIOYA -OOF-SUN SO F X X CFM OUTOOOR AIR THRU A~NRATUS p CFMO, toor-SNecro Srt F7 X APPARATUS GFWPOfNT TRA!!S, GAIN-EXCEPT WALLS & ROOF G~~~ SY Ft X % EFFECTIY[ EfFECi1f6 ROOM $ENS. HFJ~T I ESHF GEN6 NfAt = EFfELOrE ROOY TOTAI NEA7 ~ARTITION 50 FT % X i FACTOP :EILING 50 fT x X I ACP IHDIUiED ADP = F 4ELECiED ADP = F "Loort So FT x x QEliUMIDIFkED INR QUANYITI' . NFIITRATIOM CfM X % 1.06 TEKP. eFl X (TpN i-Txe,-F) =--F Rie[ INTERNAL NEAT OiY.UM. EiFECTIVE ROOiI SENl. MEAT _ «No PEOitE P[ofLE X CFM 7.08 X F to.+_nac pawiq HP eRKW X OUTL[T Raor 5¢NS. M'ERT A~~~ ~ T[dr. LIGNT9 WATTS 3.1 X DIFF. 1.08 X up6, AP~L(LCEB. ETC. x $UPPtY AIR QUANTITY AOOITICMAL HEAT GA1N9 ' X ~ SUPPLt ROOM SEMS. HFii[ _ CiN. 5ve TortiL CFIR 1.08 X F ecnm eur " StotAce So FT x X(- ~ gYPFSe SUn TOTAL CFM cFk"- CfreR a CfMj SAF[T'f FFCTOR % i RESULTiHG ENT b LYG CONDITtONS AT APPARASUS ROOM SENSIBLE EAT surra~ snrrtr . I EDB Tnr-FT CFMt X(7~~-TR.-.-Fl =Tee,-CFMOA p~~f OVC} T1N Nt.t CuN .%t c[~e. Lesa 96 N. tIoPp }-BF X(TEns-F ' 7,or----F) - T,ee-- OUTD0011 RIR . CFM x F x es x voe LOB ~ FROM PSYCH. CHRRT: T~„o--F. TiWS-F EPFEC IVE ROON SENSIBIE HEAT 1.ATENT HEA7 . IMIILTRAiIOM CRn x c.n. x o.ce K6TFi Peor~e r.ena x. ~i . STtAM ta/Nt X I050 ~ I . APluaNCCa. E70. • . AOO.TION.L kEAT G11N5 1_- j 1 Va~OR TRFMl. Se fT Y 1,tC0 X. 4e:U X SOR TOTAL . SAFE'YF4CTOR I AOCK LAIF'kT HEsT >UF?LY G~CT LEAKAGE ' ; 1 OtlTDOoR AlR CfY ' £F=f.CTIVE RG::% I ATC"T HEA . EfFEC!IYe ROO~! TOTAfEF) T x' i. i ~ OUTDC~ AFR kiAY I ' . 5 CFY.x F X fi- 1.G! I. sens~nr ' ~ ~ a.se LAT[X S: CFM'~ iVLOY. :7- I ' t "':n • $J! 70TAL I • u~o ~r u . n... ..•.•r.e. ..ne n. re. ~n_u e nwes 0r ~»u a~TUaw Rtru-R NP Dcwa~. k , auenn~ ro.~~i+. JuR GueT ' iv. r.nu~~ ~~~xrv~i er eweca ue .a~~+~.~. n~+~rn. eo. Hui Gn• % 4- Lu[. Gr!• + Iu~r r ~:r[ loss I~ •x.w .11 .+sn. .nn. ..r es.r. ..a GRAHD TOTAC HEAT 10 ~SHEET'~0"EC - ' . . . AlrCandit3onfngCompany •4ATE . . . PR[PARED 0Y OFFtCE L4 PROP NO. ?a4 NO H,AMEORJ09_ ia'~4'~lSSI Nr..l (Sa2`c~ _ t22AT10H ~ APPROVED SfAC[ Ui[D FOLecFl Tu[ ~ rI BVM TIYE ~~PEXK LO6D L9YXptat TIM Te SIZI O9 OO ~ tO Sp FT X CU FT EsTIYATf foR ~ [ L APlR OR SYN GAIM OR NOUFS OF OPERATIOM ITFY QUAMTIi7. TEYP.DIfI, FACTOR BrViHoUn CONCtT10N5 DB WB %RH 6R GrtiLa . SOL/lk GAlpi-rfrlJ.S$ Ovicourt(OA) - duss ~Y`~'.~ saFrx I i X S~ sel RooM (RN) t, GCAli $Q F( % - DiiFFqfNCE' i X X-X ix Xx I x x x " Guss So Fr 0it, OtfTDWR AIR Guss So FT X X VEMTI- LALOX ?[aPLR.IC~~Ce~/~[~fOa SKTLIGNT SQ F X X -toFT X CrOlfo FT - wu.a tr saaNA cal N-wAILS s aooi C. v~ci+riLASiux B1 '~LL 10,0 SO F7 X X I R[voLvm4000PSP90PL[ XC/M/PCpson = WAiL $O FT X % OPEN DOpAS____(--Daots 3C CeM/OeOr =-Abc WAct 5¢ FT x x t.nL. ExxAVST FaM WA1L SO FT % X Y~ti1o~ . . . CRRCr FEET X Ss./ii - ROOf-SUX SO FT % X [YA INi1l7AM1TIM N Roor-Sxxaao So FT x X CFIA OJTDOOR A1R TkRV WRRALUS R Cvw, TRA..,FfS,..~ yWIN--EXCE?? WAUS & AOOF APPARAT4A CEIWPOINT At~ Gusa VSU 50 F7 X ~ X ~ 1-230 ~ EiFECTfYE EPFwTFYE ROOM SENS. HEAT PArt:rtm S Sq FY x XESRF ' 62, "EAT EFF$SEYE RO6X TOTAL HEAT CEluNo. 5a FT X X FLOpk 50` FT X X ROP tH01CATED ADP - F SELECTE2 AQP F INFilTR117iON CFp X X I.00 CBHUM3CiFiED A{R QtIANTITC TEY~. P.i[[ fi-- BFl Y, (7Rw - c--TAor-_F) INTERNAL NEAY DEItU~i. EFFECTIYE ROOk S[%S. EepT Cip P9dPLE7-3 PEOPIi X CFM 1:08 X F Tiy, R,se' , P611t[R . HP eR KW.X OViLET . ROOY SENS. NFAT 116NTf I`~.w~~ WATTS J( 3.4 % d ~ QiFF. 1.08 X . E:£p 6~ TEep F2~~-caii[i Frel ~ At?LtANCp. ETC. X ADiN710NAL HElT GAINS X SUPPLY AI$. $UANTiS'7 SuB FOTAL SCFFAT Roox SEh9. HEf4 ST6RAQ[ $0 FT X X I- ) t.O8 X F OiflqP evi ' ~ BYVA56 $UB 70TAL CFM CFYSa - .CRi[94 - CfMi SAven FActOR R O O M s E M 5 1 L E H E A T I RESULTlk& EkT S LVG CWDkStQt15 ATAPPARATUS wrav - Surnt EQB T F+- CFMt` x(7 T" F) n =T oac~ ouer - R I xr-- da--F- ma- % Ne~t W~N -F CG[. 4ost ?6 -F H. P. Onioaoor Atx Crw x F x % ef x 1.0e Lflg Tao--F t-BF X(TEns-F - Tao'--F) = 7toe- E F F E C T ! V R.00 R S E H 5 1 B L E M E A T FROM PSYCH. CNARi: T,N.s F. T~Ka __F LATEIiT HEAT I - INrILTAA7I0Y CFN X 4o/Le X 0.98 1 1 Np'{ts ~ -1 P[Qrte ?xe:ie x A SFEA11 L!H[ X 7050 ~1~-ySr 1 f1'(J ~1 b(J~•VY'~ AfFUAnCt3. ETC. I V ~ MCI:1aHFL HEAT GAlNS KJ 1. I('_, I`j/1,u ~ x. -J~ g. VAIOR TRAVS. Seli X 1.100 X 6ki,b X I MK g~ !~~to SU! -OTAL lNkt.,o rl I,U SAFET' FRCTOR ~ h ROQFI LA?E!?T KEfT 5!iFPIY DUCT L£AKAGE LOSS OY'~OCR AIR CTN X Gvlf Y^ 6f Y O.Ed EFFERtYE ROCF' UTENT kF..4T E=FEC7fY'c ROOAf T07RL NEAT i QUT004R AIR HERT SEMERt:: CFR X ' F%!1 EP) X I.06 I~ T _ - l~1Ra~ X f1- BP3 xo.ts 11 10 LAT[MT~V V L~IC X~ i xesaeo ar-us• Sas 7oTU f~ .d. n•.. sn.....e .v..v <...a. :.n . ~...,.r. n ..•.u . DvCT 6utT Nr GMUw. t f a.reu. iIC\i CAIN 4Ct[. CAIV W{! 4p } PtP! L035 % 1 ~ I I}~wiR ~f~l[..[ ci4 • AX~ \41~~~R~. Y~[ ~YI!\LI~. ~-~r V~~~ q~nvRC`mu~F u~ aeV. uxY GRAND TOT/.L HFAT p1 c PREPAREO BY 6 ALr Coad!ltonfng Company 4ATE OFFICF NAM$tlFJOB~h~jL~L IS~ . PRO!'NO J081Fp • L fON ) L Vr SPACC UcCD Fb APPpOyED . SISL r X W ; S. FT 7C _ CU FT ESTIYA7E fON La~~ Ti8 - - ~ iu~ T+i[ I PGK LOAO ANG 011 SVN GAtN OR HOURS OF OPFRATION iuy T OUAkT17Y TSMl. DIFf. FACTOR 8TV/HOVR ¢COND{TfONS D9 WB . yb RM DP GqiLe S~Cuss l ~LAR GAIXN--GLASS OuroooRfOA1 - . SaFt .3 x '~I~ Roor Guas Sc FT X X (RM) - x DIfF[REMCE z x z x x x x x x cuss s, FT x GLiQ3 So Fr x x ~8'j! OUTDQOR AIR ~y - SXYLIGNT VEMi4 . - SO FT X x LAiION [OPL[ J( --:!Ltl)L.SCIY/?[Rwt e}~ soua a sQaHS. wrw-wa«,s a QaoF ^ F• x -../w F. OVJA&L So FT x x Crr YerenLArIox --....-SwIM41N4 . WALL $0 FT X x R[voLn*4 DOORS~Propa[ X <Iq/PEexox WAtL SQ FT x x OPEN DOORS n,IoRS x C,N/pHft _ wALL So FT X X IMIII. EXNAJST PAM TR1iI011 ROOF~${(,r So FT x X CRRCt t 1UA-6-FE[TS 7C1~ ~r~Fr =~q~ ROOi~SkADFD SQ FT X X CrY INi1t{RATIOM W CFM OUTOOOR AIR THRtf 11PpARATUg m TRANS. GAIM_..EXCEP? WAlCS b R6pF - A« 6L.ss So Fr x x APPARA7US pEWPOIH? CiM PARTETiON EPFECTIME $Q FT X X I ESHF SEHS XEAi = EFIFCTIYE pOOM SEMS HEALT _ CEILINO 50 FT X X FACTCq ErMtt[r[ Roow TorRt HsAi - FLOOR . Sa iT X X RDp IRDICATED ADP = F SELECTEO ROp =F lxriLraAnon Crrx x 1.041 DEKURtiDtFtF.D K1R ¢UAliFt17 Tcrp. - Rtn[ 51-- ' BF1 x(Tpy r- Taov-F) INTERNAL K~Fror~E X DCFM , EfFECT1YE ROOM 5[Xi NCAi _ PE9PL6 ~ POW[R 1.08 X F . CFp HP o. KW X srn. Ns~ ~iaNTs Y:i.TlS 3.4 X ~ OL'TL[T ROOM SENS. HEAT i 7cMP. ArrsuNtcs. Ett. x D'FF. 6: --F(RebUTLST A.I] I.OB X CFr AODpIpNAL HEAT GAtN$ X SUPPLY q18 ¢(JA1iTfTY Sut To7AL SLPPLT RooN Scws. Heai STOnaG! So FT X X(- ) --T CFM 1.06 X F - CiK: Oti1~{p OI/I Sue iorAC ' Broess SaFtTYFACTOR % CFM CFq~A - ~/yp; r CFX i R C a M S E N S t e L E H E A T - ~ ~ RESULTtHG FNT 6 LVG CC!lQtT(QNS Ar kPPARATU$ sur.ir sureLT . . aucr DUCT N[41Cllk 9(j-ILtAR. COSS rAM i EOB TRY-FT CFM,A x(T %+k. 95 I I . Ccrr w---F-T~r--F) -Tcce-: ~ CU7DOOR AtR Ctn x F X ar x 1.0e + Lp6 Taor----F t-BF 7: (T - 7 i coe--F " TAor--F) - we- EfFEC7fY ROOFf SEHSIBLE H'eRT I FROMPSYCH.CHART:? LA7FNT XEA7 fMFLLTRATiDM CpM X C%iLw X O.t! Pco!tf t rcwie x NOTES SYFiM la'Nr X 1050 .P.«.k«. E.C. '~8 f, 3 ~,'j o t'~ 2 4onirroKAL HrAr GAIxs x, ltCn;7C JAPON TR}Mf. 50 Fy X I109 X $J6 ~QTA~ j ~ I iAFETTFI,[TC• _'i.-._..__ , ~ RG04 CA7etrT HE6T ' ! ' cUPPLY OJCP LEArfGE LO55 - .X )L'"Dt,akAlv CFu ~ LvLa Y Gs FFFECTi4E AOO:i LA7Elii HEAT EFiEC?IYE RO4K TO'dL HEAT F I ~ . - CUTDOOi[ AtR KEAT i t.ML16LC: /7Y/~ ~ CFYX k(1- EF)Xt_06 I yl^J~/_ •TtNt . CIp X FILO i! I ! °P i Y Q6! _3,~ r iru.4 ¦tTV14 SIIE TO'Al C ~ ~ fl • r txn G~ u tran. ~ns.o~~ e •ant~ : nar~v ~ Ovei R:.. rn~v . G ~ ea L r -F Cnw % tue. Gx.w 56 1 Fc N~ rr i~ e ^"'r•* r....u. . ?p fuwe eosa t ~ ........uu a nnv.e oro.,mee..... uu...,..e..a.....: e.•. GRANb TOTAC HEAT 1 ~?iI a«a~n.a,n.~.rc~.u.e~vwr.~.~...c~.sr.. )H( KORSUNSKY KRANK ERICKSON ARCHITECTS. INC. ARCHITECTS • PLANNERS • INTERIOR DESIGN April 13, 1983 Mr. Dale Peterson City of Eagan City Engineers 3795 Pilot Knob Road ht~~EWED BY Eagan, Minnesota 55122 Re: Yankee Square Inn bL Comm. No. 82-78 Dear Mr. Peterson: Enclosed you will find a copy of a revised site plan for Yankee Square Inn. At the request of the owner, Federal Land Company, we ask you to re-examine the need for a 30-foot maximum width at the entries into the site as shown on the plan. It is my understanding that Dave Broesder of our office worked with Dale Peterson in obtaining preliminary approval. The owner wishes to provide a width of 36' and 40' to the two northern entries to provide a smoother turning radius for the ingress and egress of buses. Apparently there is no ordinance on a required maximum width of entry drives. We thank you in advance for your re-consideration in establishin9 the entry widths. Please call after you have reviewed the proposed plan. Sincerely, KORSUNSKY KRANK ERICKSON ARCHITECTS, INC. / Je f ey Oertel, A.I.A. JO:bk cc: Federal Land Company Kraus Anderson Building Inspector 570 GALAXY BUILDING 330 SECOND AUENUE SOUTH MINNEAPOLIS, MINNESOTA 55401 (612)339-4200 . , )1K KORSUNSKY KRANK ERICKSON ARCHITECTS, INC. ARCHITECTS • PLANNERS • INTERIOR DESIGN April 13, 1983 Mr. Dale Peterson City of Eagan City Engineers 3795 Pilot Knob Road Eagan, Minnesota 55122 Re: Yankee Square Inn Comm. No. 82-78 Dear Mr. Peterson: 'Atctheerequestiof thedowne~PyFederaleLanddCosite mpany, d we fask Y you e to Sreaexamine the need for a 30-foot maximum width at the entries into the site as shown on the plan. It is my understanding that Dave Broesder of our office worked with Dale Peterson in obtaining preliminary approval. The owner wishes to provide a width of 36' and 40' to the two northern entries to provide a smoother turning radius for the ingress and egress of buses. Apparently there is no ordinance on a required maximum width of entry drives. We thank you in advance for your re-consideration in establishing the entry widths. Please call after you have reviewed the proposed plan. Sincerely, KORSUNSKY KRANK ERICKSON ARCHITECTS, INC. Je f ey Oertel, A.I.A. JO:bk cc: Federal Land Company Kraus Anderson Building Inspector 570 GALAXY BUILDING 330 SECpNp pVENUE SOUTH MINNEAPOLI$, MINNESOTA 55401 (612)339-4200 ity oF ecigan 3795 PILOT KNOB ROAD, P.O. BOX 21199 BEn eLOM9WST EAGAN, MINNESOTA 55121 MO+'Of PHONE: (612) 454-8100 THOMAS EGAN - JAMES A. SMITH JERRV THOMAS May 6, 1983 rHeoooae wncHTEa Couricil Membe+s THOMAS HEDGES Ci1Y Atlminisfrotor MR MARTIN COLON EUGENE VANOVERBEKE FEDERAL LAND COMPANY c+vclew YANKEE SQUARE OFFICE III 3460 WASHINGTON DR EAGAN MN 55122 Re: _B1ock T, Bicentennial 8th Addition Permit for Utility Connection/Work within public right-of-way With the construction of the Yankee Square Inn hotel complex on the above-referenced location, the plans that were submitted with the building permit require construction within dedicated public. right- of-way of Washington Avenue to provide for the sanitary sewer and storm sewer connection to the existing City utilities within Wash- inqton Drive. The following requirements must be fulfilled as a condition of obtaining the required permit to work within public right-of-way: 1) If for any reason, this construction necessitates a road clo- sure, a written time schedule must be submitted at last 48 hours prior to the proposed road closure. This written sched- ule shall identify the time when the road will be closed, re- opened to through traffic, name and 24-hour telephone number of individual in charge and a site layout indicating placement and type of barricades placed during this road closure. Road closure barricades shall be of the Class "A". 2) All storm sewer facilities constructed within public right-of- way must be of a class and strength designed to handle the depth and load-bearing requirements. 3) Inspection of the connection to the existing utilities along with the construction within the public right-of-way must be performed hy City personnel prior to backfilling any trenches. 4) All trench backfilling must be compacted to a 90$ maximum mod- ified proctor density with the exception that the 5' below the final pavement surface must be compacted to a 95% modified proctor density. 5) Prior to placement of final bituminous patch, existinq bi.tumi- nous edges must be "square cut" to provide a straight and clean joint. Final bituminous patch shall match the existing bituminous thickness or 3", whichever is greater, and shall not be placed in lifts exceeding 2" of thickness. THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIIY \ Martin Colon Lot 1, Block 1, Bicentennial 8th Addition - Permit for Utility Connec- tion/Work within public right-of-way May 6, 1983 Page two 6) All concrete curb & gutterto be removed must be cut or broken at an existing joint. Concrete curb and gutter replacements shall be in accordance with the attached specifications. An inspection must be performed by the Engineering Division prior to the placement of concrete for the new curb and gutter re- storation. 7) Prior to the initiation of work, a$1000 warranty/performance bond must be placed with the City for a period of two years to guarantee any maintenance required resulting from this work. 8) Bituminous surface restoration must be performed within 14 days upon completion of utility connection. Please inform all construction personnel involved with this permit . o£ these requirements. If you have any questions pertaining to the contents of this letter, please feel free to contact me. Sincerely, Thomas A. Colbert, P.E. Director of Public Works TAC/jach cc - Joe Connolly, Superintendent o£ Utilities Rich Hefti, Assistant City Engineer Lorna Olson, Utility Permit Clerk Dale Peterson, Chief Building Official Bill Branch, Superintendent of Streets enc. MEMO T0: BILL ADAMS, CITY PLUMBING INSPECTOR FROM: RICHARD M. HEFTI, ASSISTANT CITY ENGINEERFZeA- DATE: APRIL 18, 1983 SUBJECT: SANITAAY SEWER SERVICE FOR YANKEE INN It will be permissable for the plumber to connect the sanitary sewer service for the above site directly into a manhole within Washington Drive since i:t has been determined by the number of fixture units that an 8" sanitary sewer service will be requir- ed thereby rendering the existing 6" sanitary sewer stub unuse- able. Furthermore, it would not be advisable to install an 8" tee into a 9" sewer main. Therefore, the connection to the ex- isting manhole within Washington Drive will be allowed with the following provisions. First, prior to removing the bituminous pavement, it shall be either cut or sawn to provide a straight and neat edge. Like- wise, prior to removal, the concrete curb and gutter shall be either sawn or removed at an existing joint. In addition, the trench shall be thoroughly compacted with the backfill mater- ials being placed in relatively uniform depth layers not to exceed 18" and spread over the full width and length of the trench section. Each layer shall be compacted effectively, by approved mechanical or hand methods, to 90% of maximum density for all material below a depth of 5' below the final pavement surface and to 95% for the material placed within 5' below the final pavement surface. The maximum density shall be determin- ed by a modified proctor density test and shall be made at the request of the City at the expense of the contractor. Also, the streets shall be restored to its original cross section for bituminous and aggregate base. The contractor shall also be responsible for maintaining adequate traffic barricades and provide for traffic movement while work is in proqress within the street. Finally, the contractor will be required to sub- mit a bond in the amount of $1,000 to guarantee any maintenance required should this patch settle within two years of its place- ment. This bond shall be submitted to the City prior to any re- moval of bituminous pavement within the street. RMH/jach cc - Thomas A. Colbert, Director o£ Public Works Dale Peterson, Chief Building Official BEA BLOMqU15T TMOMASMEDGES HAYON ~ CRY qDMINi51RATOP THOMAS EGAN ~ry1-' i*fy, • CI.It~,`OF EAGAN EUGENEVPNOVERBEKE JAMES A. SMITH CIiY GLEflN JERRY THOMAS 'Y."S4T. y THEODORE WACMTER ;W195 PILOT.KNOB ROAD " CDUNCIL MEMBENS ,a P.O. ~BO% 31199 j~ ~ {j ~"EAGAN,;MINNESOJA . .,a.-. ' ...:e3@v '~~Y.~~`--~xcr _v~rq^'..: • . ~ GHONE 454-8100 .-Oq5'~ ~ lMi1'. November 22, 1982 Mr. Martin Colon A Partner Federal Land Company 3440 Federal Drive Eagan, MN 55122 Re: Bicentennial Sth Addition - Water Well Abandonment Dear Martin: The water well at the motel aite, which has been abandoned, must be aealed in accordance with Minnesota Nealth Aepartment Rule 218 - General Protection of Ground Water Quality and Resourcea. This has to be done by a licensed water well contractor and certified hy them. When the work is completed by the well contractor, please have him provide me vith the certification necessary. Sincerely, % e Yet¢Y§" ~~~Y_ . Chief Building Official ' . M,.. V-.. CC: Rich Flefti, Assistant City Engineer Parcel File Plat File DSP/bar THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. i3795 PILOT KNOB ROAD, P.O. BOX 21799 BEA BLOM4uST EAGAN, MINNESOTA 55121 Mav« PHONE: (612) 454$100 THOMAS EGAN JAMES A. SMITH JERRV THOMAS THEODORE WACHTER Council Members May 5, 1983 THOMASHEDGES Cily ACmviofrabr EUGENE VAN OVERBEKE Ciry Clerk Tom Nast Kraus-Anderson Construction Co: . 525 South Eighth Street Minneapolis, MN 55404 Re: Yankee Sqaure Inn, 3450 Washington Drive, Eagan, MN 55122 Dear Tom: This will verify our telephone conversation of this morning on plan revisions required to meet building codes. As you know,.our Engineering Department has approved the site plan dated April 13, 1983 which included approval for the 36 foot and 40 foot driveways as requested. The code changes that are needed can be found on Sections 9/A9, 16/A9 and 17/A9, which details guard and handrails in the stair towers. USC 1982 Section 1711 requires maximum spacing of six inches between the rails. If I can be of any more assistance, please contact me. Sincerely, Dale 5. Peterson Chief Building Official CC: Jeffrey Oertel, A.I.A., Korsunsky, Krank & Erickson Architects Federal Land Company !Parcel File, Lot 1, Block 1, Bicentennial 8th Addition , _ DSP/bar iHE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIIY • ll1 _ ~ yc~v 7- o/ a/ . ~ 1 y . .••_ii..'..: i. ....a-'A.J.A. j _e_. . i ?~l.xi . k. ....`-..a . x..~. t'...~._f r .•'s ~ 4_.~... Jansaary 9. 19$4 t, ..ta~.~.. 6'ayd[a!~rya]le~4Lj~an~~dy R.1s111.~rJCa~Ij ~l IlS~payq ' . .`.~,-.y. `.i1Y ry Y y y 3YJV LYB* We 4V2~' s S!Y*S ~+YSY:".f 4:3~L wFli v.j'JF Slnt_; SubjcoL: Spa Pooi Instsl3atiaA..at Yankee 3qusre Ixsnf 3,4:0 `4~tahznrton vr3vo. u3~3.1i's?ittnesoea _ TSte referanoefi grojacE eraa itsspsobad an January 5. 19374 9y 3ana3 Nitkw+ar1 aad Viltan A. 6ullin oY tai.a Dspartment. alt:wctgh p2Aaa for the ProJoct ha4 aot Dsen auLN:fttad far prY.3r, ^eView rn# approve3, ss r,"isirod, the Snstsllatian xas fo•ansi trs ba_carspletsd, aad aad..traeu 1n sue. fitsc foilos+lag ootraents partain to defie:tanoies +rhian wera notad duria.q Lhe'inapeotloas ;t.. Reviae the e•aairoulatlan Filtratioa systr.m *_o pmrmit ooetiawua o;xaraLten. ta De separaLe from the at,±taLlon sysEe:s, and to aSlox for in*Caliatiaa aP separata val.vea an gkimar and re-nle drata iines. Remova Otxar trars the systea arsd looate cwntrol snitoh ia the equ3paeeqL rom. Loeate Lho- 31sinteeCaxsL Yeeder on the reoirculation syatea wrien the ma3fficatiana are made. . _ r . : . . _ . .y . . 2. Instali mal.a draia sE.the 1wmeL ar+3a oP the paol auo6 that it will draia uaspl~te2q. _ . _ . - 3. Estflblish Plot+ rats t0 3tavs at lesat 30 ppm ttsrougA tha akinmsr. aeuf -sthen floa ra3,ea are eat3bii.sned snd cnn De metarar.7, pco7tda LIIat all Diping la sir.ed W 21raL valocities to 6 f,xs ur lesa. % 40 El.lfairnte reoi.culstiuts syatem drsin wtf,3h is 2oo3Ced in s pit. I'he p syatma drain auat izave aa a3r WiP abova Lha rnca floor 1sYe1. 5. 811z-inata all carpet rrithia 10 feet of the poql. ' - - : i . . : ':i . : -"e.. . . 7•`:`.~tt:rw L`_.?y.;:;pR'' fi. Fravlde requit^e<L mecs#snSoai veuLfiation fer Lha pool .Mon., T. Tnstai2 a rate of Ylow iridioator xhich resda in ga2lnzaa pvr winuta on the xtiir2pool reLUrn 11as. 8. Inatall n themaseter, ott the reoirculutian lina naar the outlet Y.o the pool. She rsco=ealed oparaLisiS temperaLure Sa. Di+tveaZ 3o0a and 1040F. . 9. Ir:sLall a xoir (a f1naLltta P1a8) ' on tns skfmmar Htf3ah apecaLas iree2p xitPiiu ttso variations in xater level encountered. Pederal~Lan.i CoIBpanp Janital'Y9~'' 1984' .irlpool o~t+ratioaAGeiaS2ingttse tollarS:tA~ tp. Saiatnin a dail7-,r$oorQ ef LSa wh at. . Yaiiier 7. D• Fr9"rh HaLet` s8ded. a. Oporeting ,yerioda of rcoirca2atioa pursA9 and f3lters and aorraegondi.[?B rata-of-flox meter reading,s. . ~ ,z Q. BSOtIL1tffi OY' OhBrilS.Q31 i798fS• y-.J;s,..,.=i~.... e. Disinfaatant reafduals. f, p~{ readings, g. N.sintenunna and/ar :a11funotioain% of equip~aant. 11. Poat a aigp Nith parsonal regukatie1s ssithia the Doo1. t^ooa• It ah+il.1 inelude the regulatioeie covered Su MD-141(u)(2): 12. Additiasally, the follwing itema ahould bo ad'nero3 to ia the r+hirlpool oPmraLioa:.. . _ m, tvbLr2% pools ahoald De cmpleCaly drained at least onee a aesk 8o pre• veut bu32dup of organi.a matarfal. D;i'IL ia reco"Manded that the Dromine residcial leval in tho vhirlpool Dm aalntained betxeoa 2.0 &nd 3.0 DPE• p. It ia reco=onded thaL a limitation aP 3 Peei of seatirg 9Pac0 (pariweta^ of seatinl area) De aliowed for oa3§ us$r as nazimm load oapaQicy 1n a wdirlpool. d. Persa+al hyoiene of tf.e users is importaat in preveaAi~ Ac ~ishovlde- tfoa of dirt an3 inf+~etlve rsaterial lato the pool• be posted atating that asera zuaS snoxer Deforo entering or returniag Lo the whirlpool. s. Siacs s sa:usa is 1ocaLed adjsaaat to the Pool, a convenisaL at»u+er aGOUld be yCoMdod W qllou shasmriqg Deforo golag fram L'ne sa-.ena to . the poo2. ~ Facaral Laitd Ccrapsay _3- Jennucry 9. 1934 As seon as poanibla, tru8 within 34 day-i, sub.ait a ocap2ete plsst oP Cbe prapaaeQ methsds to comply wiL'n tne ieems wTi,ich re;jtra phpsica]. Q:]3itye9, and provide eaaplianCa xi,th all oiher lLem. Tf qou have questiana, you v-ay eall aC 623r3517. • 9fo~.ir8~very ~3^ti1Fr ,2~ t t, ax;v J3tntg J. WiL4:uuslsli R.S. C±:? CAri%ul:iag SariiLa.1a33 ~;•;r~R, :,.rwcn:ac~ __.,t Section of Puvitroaaettial 8ield Sersiaea ;r,r_r?•d~:*-;s .............m...._~.-..°-`x..,_.vMSYtOfl R,"'PSS~~D~'~:Q. . , . . :'u511c EeMltta Eursinear. ; c'..-;':L+ Ci 'Oat@I' Ga:seral tIA=MitCSB ,..t ..,_r , .•-Ci vn.~3~rs..~..~.., .s: :s~ES»;_zC;..... r."? _-W_ti>aS;2Q ca 41ankea4Squsre`inn ;-ce 4 xy ic cedt.a ~~-~i rr ~s:+~i ~'.aaa. ~ ; `38.20 $EtIRa3... bdOS _ HR&R p Milt Beliin - - v:.rw ` i ' . . . . `a....~f,i^ i'n• ~'C.i3~F5q ' .~::C.'.JdS f•P #'~d'`sceS' ...~i;»I4 ~ d . . _ . i ~ . - ' . . . ' " . . . : . v . . . . . . . . . i I s.,~SC$o.!' . . . _ . . . . , . . ' . { Y~r.c icsrsra . ~ c~r Sr.r:a-s-~k~zrcev ::a;.acrz:r.eietz . . i . . - - ~ :::6;4sta z , . . . . . . . . _ . I bcca EF?:R ' - -t a C i'i`'s~~.., .?s,I ! t.• i;" 7' 7 s._ :.,are st. J.o. box 4441 554~0 i.1. U Octo'ier 111, 1983 Jeauerp 4* 19E4 :_ve 1 J ' . t:.• .`li 5712 2 Federal LapQ Coespacp 3460 Washisqtaa. Arivc, Eaite 242 Begsn, :linnesoia 53122 . , . . i .1.~ .i2..t T..;Oi:ui I1CC'`SCdCc: .1~CR`.•uV 37t, L'i' fT'C^.a IIgE~ Geatlesos8r.' Subjaett. t~$i~A: ~IiiBt*YffifCe~~ri84~8CY4~Itrn~^~aRBS#:-TSl~~i~~8t~?~ 1 cf'e _ . } ,-:ra It bes coae ta.ovc siteation that a epa p002 hae beoa SaatalYed a[ the rafer- enced,Facilicy.:..Yanr Sompaay nae identifis;3 aa orrxrar-af [ha Eectlltp nn ; pluabiag plans vhiels vero sutrm€tted by Kraue-Rnciorsan. t[fnaesnca Drgartaeat of E:ealth reguletfaese rnqoire tttmt plens. be anbmitted..to and:"approred by tho DepsrcLientjprtqr_to ~any Dool coastructiaa or L8tt9L1ACi0p. '-I aa eacloafag a copy of a,-ferm oa latoraacton.ancessary ta.raaicw.sartmmiing poot p3aas. Beturn [he canpleted ictm aioag xik6.ths ze4uir*.d plass. Ray aonstra<ti9a nat aamplylag:v4eb &CaLe.{egaaacLoas.xill:r.eqntra curreetiosx. IL yon hsee;questionsR:_YOn+eap:eali:at_:_ in ar..; :u77.,c ' £7 a1 CT TCJ O bath *,,_ib, ar XoYSa vexr,LTUig*! ",--pu ximar ~ _c 55 C). o rlny lodg:ng e~ztabLish^,e whict es lce ~v.i 1~~~ i• - pLLL1.1.= 2-C.S~ l.Ri:_J_ii a.,a .,._~_oor 3::«:., ....~._i %t1con H. Sellinl' P.s., accordance :=it:~ c;:e `^1 ._;Fsk11:r IFnaIt" Eag2a¢er 9eetion o£ vaeer SupplP a ls 8 -..=..z _ Any newly-ceasc.ucted ;a;iya,-nd., , Gcaer+al ZRSiaearl '.e[1, gIi 1" .l.i.C?.- i38 tC .'~.ib.c 1CE-u.3K1Po Zr,.vi 't t, i..~ ar.d -to.acc e;u ,-:enc- . EiCIIQ -a.,,i, ..,.y ice-r_ ~ ~ Bnt2osara service anerc,con a:ill be. iie~:ite1 iood oai; i eCi Kraus-Andaraea Canacruattoa. . , cQ u,nt ~t,all mezt ~'`e_4aF:-ic3ble Da2e Peiersoc,, 8utldiag Iaspeetor;_-yt4t;,n :'oundaticn. Detailed ' .pL:l:iS Crvl:Ll:ig tC:.'. S'_YV1CC' F:lCCi1Ci1 4?GTC' I:Jt SllFJ:il1Y.Cea. . IfCCf HA&R (~r""" sn ea:;et c: ao;tuni'j arnF[cyr,: i, V641 . , , , ~ , - . . . . : _ . , + ' . , . , , . ; . . . . : , min.riesota departmeft ofi-health'>,,,.,;-, ~ 717,6.6. de.laware §t: p.a. b6it 844U•; , minneapolis 56440 ~ _ ' • • ' ry (siz) 62$5000 , . . - : s~ , ~ -',S„, , _ ~ 1. . . , : ~ . . . . . , , . - . . . . . ~ . . . + c . ; • . . . ...1._ . . . _ . .v . . . . . . . . . , . ~ . . r . . . . ~ ~ , . ~ . , . . , . . . % . . . ' . ' . e' . ' , . " , . , . . . , . . . , , d.', . . . - . . , . , . ~ . , i 1484 _ . . . . . . . . . 'F.Y': " Y A• , . .v.~ ' . . . , ~ • . '~'edOTSX . ~ ~ ' '3~66•11~sbi,ng~CS~t ~eivi. &ni#+~ ~468''. ~ itasneo Wnnenoes. 55322 , - 6enx2raeAe` . Sut~~eat~ S~a 3'ob1 at 1~snk~e ~x~rilrr.Ii~. ~se.~lfion~ioYO ~ _ ' .k _ . . ~ , ~ - . ~ . ~ ' . . . . . . , : ~ . . ° . . - ".IE fias aaape eu ous atdmatloa'GUt: s aspi "al -iiife; bf'~ Se+~6 0I ~ne 1ot cHs ra~ea-~ > ced Lecilitq. Yerfts eo~pas3` wes.,~4t~ptl!"~t+. Ita t~rc?`r- q8 Ckrt l~ility OIa gi+~fa~ :~~aoi whfficir yNsst;.sabm'ttt+td bx:.[sitit~adsrrsa. esot~ IIsPac'~~ of lsssitk re~laciouu~ relai~rM Lhte ~r3ati~o he sub~~ted :~,p~rava~;'h7 . . the ~pertieat prSOr -~Ray pe~1"cca4Rsuettea, ad°:labtallatioa. . I iw sa+cltrsYtt; . ' a` eapq, ot 4ots ~.f,gE4rsa,Lt+mm qsaeorarg ts f~erf~ wt~iw# ~ymoi pl~s. _ , 6etrira tho mMWlaeed forr al~ wiCh thr inrq~;sei' ~r1aRi1. Any +¢ee#tFpotf.~ ° nst oeup2ylwg vitB 8~ita s~,k?24~taua~wrtl! reqni~ saresc¢tm~. . tl.:~ou "hitre q4aaiEieat~i yve~ca21, aR - » ' _ , . _ . ' ; _ ' . t Y44is wo~y~.'tru~l~'. . , . 6 ~ . . . , . , _ . : _ . . , ' V`~ . , ?ia41it $et2t~s ~i~a}ir ' • ~ :ad `cm~esel•'~ay~3~assstog ~rtt.Re . .,n ~ . . • ~ . - . i . . . . - ~ ,a:~-. ' . • cqs 1Crar+aLAsdf~tsoa ~sr~mtiott ~ Dalo :Detersoe, Atrtjcltn; la?s}ieeC~~ , . _ ' . . . . . . . . . . , . ~ : . . ' . . ' . ` ' . . . . . . . . . . . . . ' . . . ' . ~ _ % Y S:. ~ . ~ . . . . . . . ~ ~ . ~ . - ~ , ' . . . ' . . • a~, ~:$negual'opportunityemplPY,er . . ~ . . •r::., . yr~~.r • . . . . . . , . . . , . ~ ~ . . ~ , . . . . , : . . . . . . . . . . . . , . . _ , . . ~ . ~ . . . . , .e - - Council Minutes riay 17, 1983 SZCH ORDINANCE Mr. Hedges indicated that the Council has already dealt with height of advertising signs in relation to topography of land and the second issue is the distance of advertising signs from residentially zoned districts. Cur- rently the provisions are 200 feet minimum, and the Advisory Planning Commis- sion reviewed potential amendments but did not make a recommendation. Several options in the letter from the City Attorney's office dated April 21, 1983 were discusse(fand a representative of Naegele was present at the meeting. Councilman Smith stated he was opposed:to a 1,000 foot requirement because it appeared to be excessive and usually of a temporary nature on commercial and industrial land where a chaage is intended in a short period. Other alter- nates diseussed were discretion by the Council with a conditional use pergit already imposed, noting that site distance and topography may be more impor- tant eriteria. Wachter moved, Blomquist seconded the motion to continue consideration of the issue, to allow the staff to prepare language to be submitted to the Council, including discretionary language covering site distance, topography, terrain, etc. In addition, staff was directed to pre- pare a sketch showing the existing zoning that would permit advertising signs, with 400 foot setbacks from residential districts. All voted in favor. }(SIIPER9MERICA - PRELIP@IARY PLAT ERTENSZON = A request has been received from the representative of Superamerica for an extension of the preliminary plat and special use permit for the Super- america station planned at the southwest corner of Yankee Doodle Road and Pilot Knob Road. Mr. Hedges explained the background of the project and stated that conditions have changed and suggested that the Council send the request back to the Planning Commission for additional review because the application was first reviewed in 1978 with new staff and new Advisory Plan- ning Commission members since that time. There were concerns by'staff inembers about right-of-way dedication for the intersection. Egan moved, Wachter seconded the motion to continue the request until the June 7, 1983 meeting and that the staff submit proposed revised or additional conditions to the Council Por review at that time. All voted yea. ,PEDERAL L9ND C0. - C0.9DZTIONAL OSE PERHIT/PYLON SICN An application from Federal Land Co. for conditional use permit for pylon sign located on&cts 1 and 2, Block 1, Bicentennial 8th Addition for the Yankee Square Inn motel was then considered. Tim Murnane and Charles Bartholdi of Federal Land Co. Were present. The Planning Commission recom- mended approval and it was noted that the sign crould meet the sign requirement size but a txo-foot lantern uould extend over the 27 foot maximum height. It uas noted the sign c+ill be a permanent sign for motel use only and Mr. Murnane stated that if the 27 foot requirement were imposed, the applicant would eliminate the tr+o-foot lantern and maintain the sign within the 27 foot maxi- mum height. After discussion, Smith moved, Thomas seconded the motion to : app mve the application, su6ject to the follouing conditions: 6 Council Minutes 1 , May 17, 1983 1. No more than one pylon sign wll be allowed for Yankee Square Inn. 2. The sign shall be no more than 27 feet in height. 3• The sign shall not exeeed 125 feet in area per side. All voted 3n favor. COIINTRYSIDE BIIII.DERS _ VIENAA 1i00DS - WAIVSR OF PLAT The application of Countryside Suilders, Inc. for waiver of plat to subdivide two duplex lots for owner occupancy on Lot 7, Block 5, and Lot 3, Block 6, Vienna Woods, caas next presented to the Council. The Planning Com- mission recommended approval at its April 26, 1983 meeting, subject to certain eonditioas. Jerry Lagro of Countryside Builders, Znc. was present and stated the reason for the was to acquire separate mortgages for each of the separate units in each dupiex. A neighboring owner, Robert Newton, was present and was concerned about the minimum floor space requirements under the private cove- nants and requested the City Council impress on B& K Properties, the developer, that minimum covenants should be adhered to. Egan moved, Thomas ` seconded the motion to approve the application, sub,ject to the following: 1. All necessary easements shall be dedicated to the City as recom- mended by the C3ty staff. 2. That notice be given to the developer that there is a minimum square foot requirement under the covenants, although the City will not be directly involved in policing the eovenants. All voted yes. R 83-30 OA%HODD $EIGHTS 2ND ADDITION - PRII.IlIINARY PLAT The applicat3on of Countryside Builders, Inc. for preliminary plat approval of Oakwood Heights 2nd Addition consisting of approximaEely 21.5 acres and containing 46 duplex lots with 92 units, was brought before the Council. Ralph Wagner of Probe Engineering and Jerry Lagro were present. The Planning Commission recommended approval at its April 26, 1983 meeting, sub,ject to numerous conditions. Mr. Wagner indicated the average lot size is 16,400 square feet and the request for zero lot lines with option to split the lots at a later time was proposed. He also indicated there is a request for a slight reduction in the park dedication with the balance to be made up at a later time in the (,exington South Planned Develooment. He also stated that lot sizes in Phase One have now been adjusted as recommended by the Planning Commission and it will be returned to the Planning Commission for review. The I smallest lot size is now 13,500 square feet in Phase One with an increase of minimum lot width to 87 feet with the ordinance minimum for duplex lots of 100 7 minnesota department of health 717 5.e. delawarest. p.o. box 9441 mianeapolis 55440 . O . (612) 623i5000 . . "'.'r...+'7 23"1984 . . . Mk..TSaotlqr Amn • Qaaaral Managsr Yankas Sqaire Inn ' 8450 Wash£n8toa DTive F,agan, IQA 85122 ' Aear Mt+. Duaas ~~y) On Jeuuasy 6, 1984, an insyectiam wa6 CasuIuCted of L2zo Pcwd sirvi" at thoYvwtot ia tbe City tsf Fagan. Hianesota. Tbie'inapsotiEm vaa eouducted in re$poasa to an aaeged coWlsint (co?Y 6nC1o66d)e iIIt3.matiuY 8mon6 olhqr 4hfup,sr ae? its- apWopriats food servics ioeing coadueted ir? thU W3tahl3ahwdnt. fihis iaspactian revaaltsl that the food awv4ca activities Deing coat dsiaeod were in violati+oa of the'Rulsa oP this Dopaatmeut Smerni:tB IisSEed faod aslablish.mmts, food items anch aa unDackas+d douuts aad svux .softs,; eMra$l, toast, aWliah muf£4na, mf21c aad orswge 9uice wrera being sMVVQa on tha prminoa. This Deyartmat defiues limite8 fcod servics aetahlis}mtms aa, "a plaae t}uit sells on1Y PrepackaVd food WhfcA may receive hNt trsatuont aad vhicL is aerved ta 4he caaaumcr 3n the paclcaga.p , Ybfa io to adviee you to 3umdiately ceass the regula'r food aervir.s sotivitiae ia this satablialment aad to qermit an2y .limi!'ed food swvico vhicA aonaiaES af prsaackasad faad itams• coffes.,, individual oarlons oP , silk not eaceedin$ i piut in capecity, and canaed jiica benerages (e:g. 6 ouncs aane of tamsato, oranSe* grqralruit jaice, etc.), r 5t»uld you deeirw to osigeud tAA exlsting €ood eervice in tttie estaD].ish-- ' snem Pram a limited to a regular food :serviae, 1mPwIY WaPmod Plans ead spctcifficatiaas_must be suhm4tted to Lhie Dapartmaat aad apprevad before aaq ues conatrueYioa, rsmodeliog, alteratitlgs, or sddition of eQuigment ie psriaiited.. Theso &lans uust inelude equipmenL 33y'aut. a iist Of oqui~nt . . denotitng maka 8ad.a9de1 aunbar, room f+..aieh aoheduie 3n the food arese`WhicS inaiudea inPormatiaa on li9hetin8, rl00X`r W8l1., ce313ag ffniohee, location of haudwashiug and uzencil cleancit?g ginka, etc. I?fsne *nalowd cagisa of tliameotu Department oP Healtn "RtileS f9r Pood and Bevaraga Eatab2isimente": "Proaedure fvr Obtaining a Licease-to _ QPeivtle Pood. BeYUC'a8o and/or Lodgfttg Esiab2lsAmeat".. astds "Nanual Utasil3 U1hiAg Rmaeduree" :for yots Demml., • A$inspsatiem aP tLis astnblistaeut will ba co63ucted en or-abom FaLrws'g 14, 1984. to datunios if satfafactoary coWlinace bSte been acbiaveG. , an equal opportuniry employer ' I Mr. Timothp Dimn January 25, 1984 Page 2 If qou bave anp questions ooncerning this report, please feel free to comnunfcate with ma at 623-5558. Yours very truly, James J. Witkowski, R.S. CHS Conaulting Sani.tartan 5ectiaa of Emironmeatal Field Services Eac. JJW:mjt ec: ?Dale Peterson Timothy W. Murnane ~ minnesota department of health _ 717 s.e. deVaware st. p.o. box 9441 ; mioneapolis 554AA ^ ~s,ztexa-sooo . . . _ 1lgvmuber 40-i983 Esaus-dadeissa 4omtr~¢ti~ ` 523 Sosch EiBFstk S4xoie tliattetpoll.s, !ti•wp*sata 55444 Csntla~~nti' , . , iubj~ats f1mo1ist foz wa ars awclosias a copy of oar sefaat se'eri:uua aR eXwafnatiuW of plang ` r^ aud •psoificatiom oK the abosa-;"aipatsl project. . 1`wur: aCtamtiota 3v diractoei to tAa ettscbd -statem"t,.psrtainiwg to. f~up~stioa af tla.plurkt~. ~6 is ~=Cawt ~t rs,racsivs LEia fbfotsatiat iz+dieatarl ia orter thaC ths necesrery inspe¢tion a+tY bs ; eR1s. , T3te nlau'rst epeeificdtimts.; eppear to in gs4~~r,~1 aNfiri+mae wit,h , - fiha eCitedaxds of thfs Departm&rE, it6eA tAe *eejoat ~s- e1uplecatr !IR#se ¢omwxuieste Mith Ctusles D. 8chseiAer in_aur ltetrapalitan Iiiserict' Offiea in Minmwpelin, iiE ardtr t4st ha my sake fi"t, iqspeetiw. ` 1? xet at Cke idtptiffod plawi and• ~aili~e~wt,iws fr teiei sitqrired y8« yon. If yov haeo' aa9 4nantfo", fe `ragaed to the faL'amaatiaa eoatlafa?R8 ia tl?ia seporcp p1"ae e9etteR 1Kilt 3el1in at 612/623-4517. Ysnrs vszy 6rnlp, Gsiy+ L. t+ulyd, P.t:, Citief V ' , - Sectioa ot itaRaz 9upp1y~ - end O*tersl Lngine;rinf fgisAREa uf . , ' inetoanres ` . cct Fodexal Laud Campanp Dale Petssson? P1raDing Impsator . an equal opportunityemployer , , MZNNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS 1 Plans and specifications on Plumbing for the Yankee Square Inn IACation Eagan, Minnesota Date Examined October 31, 1983 PCepated and Submitted by Kraus-Anderson Construction 525 South Eighth Street, Minneapolis, Minnesota` 55404 Date Received September 14, 1983 Plan File No. A-7256 Ownership - Federal Land Company 3460 Washington Drive, Suite 202, Eagan, Minnesota 55122 Scope - This examination is limited to the design of this pasticular pzoject only and insofas as the provisions of the Minnesota Plumbing Code, as amended, apply and does not covec the water supply or sewerage system to which this plumbing system is connected, Requirements - 1. The plumbing system shall be tested in accordance with MiD 134(d) of the Minnesota Plumbing Code. 2. Provide an approved pressure type backflow preventer in the boiler feed line. ' Conclusion These plans and specifications comply with the provisions of the Minnesota Plumbing Code, and are recommended for approval with the undetstanding as stated in the preceding paragraphs, and with the usual.reservations as stated on the appended - sheet, entitled "Information Relative to Plan Exat¢ination." Milton R. Bellin, P.E. Public Health Engineer Section of Water Supply and General Engineering 4 catV o~ (z~gcin 3795 PILOT KNOB ROAD. P.O. BOX 21199 BEn BlOM9wSi EAGAN, MINNESOTA 55121 Mav~ PHONE: (612) 454-b100 THOMAS EGAN JAMES A. SMITH JERRV THOPAAS May 6, 1983 THEODORE WACHTER Cwricil Members THpMAS HEDGE$ Cify PtlminsVOlp MR MARTIN COLON EUGENEVANOVERBEKE FEDERAL LAND COMPANY CilyClerk YANKEE SQUARE OFFICE III 3460 WASHINGTON DR EAGAN MN 55122 Re: ~Lot l, Block 1,_,Bicentennial 8th Addition - Permit.;for Utility Connection/Work within public right-of-way With the construction of the Yankee Square Inn hotel complex on the above-referenced location, the plans that were submitted with the building permit require construction within dedicated public, right- of-way of Washington Avenue to provide for the sanitary sewer and storm sewer connection to the existing City utilities within Wash- ington Drive. The followinq requirements must be fulfilled as a condition of obtaining the required permit to work within public right-of-wag: 1) If for any reason, this construction necessitates a road clo- sure, a written time schedule must be submitted at last 48 hours prior to the proposed road closure. This written sched- ule shall identify the time when the road will be closed, re- opened to through traffic, name and 24-hour telephone number of individual in charge and a site layout indicating placement and type of barricades placed during this road closure. Road closure barricades shall be of the Class "A". 2) All storm sewer facilities constructed within public right-of- way must be of a class and strength designed to handle the depth and load-bearing requirements. 3) Inspection of the connection to the existing utilities along with the construction within the public right-of-way must be performed by City personnel prior to backfilling any trenches. 4) All trench backfilling must be compacted to a 90% maximum mod= ified proctor density with the exception that the 5' below the final pavement surface must be compacted to a 95% modified proctor density. 5) Prior to placement of final bituminous patch, existinq bitumi- nous edges must be "square cut" to provide a straight and clean joint. Final bituminous patch shall match the existing bituminous thickness or 3", whichever is greater, and shall not be placed in lifts exceeding 2" of thickness. THE LONE OAK TREE. THE-SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIiY Martin Colon Lot 1, Block 1, Bicentennial 8th Addition - Permit for Utility Connec- tion/WOrk within public right-of-way May 6, 1983 Page two 6) All concrete curb & gutterto be removed must be cut or broken at an existing joint. concrete curb and gutter replacements shall be in accordance with the attached specifications. An inspection must be performed by the Engineering Division prior to the placement of concrete for the new curb and gutter re- storation. 7) Prior to the initiation of work, a$1000 warranty/per£ormance bond must be placed with the City for a period of two years to guarantee any maintenance required resulting from this work. 8) Bituminous surface restoration must be per£ormed within 14 days upon completion o£ utility connection. Please inform all construction personnel involved with this permit . of these requirements. If you have any questions pertaining to the contents of this letter, please feel free to contact me. Sincerely, Thomas A. Colbert, P.E. Director of Public Works TAC/jach cc - Joe Connolly, Superintendent of Utilities Rich Hefti, Assistant City Engineer Lorna Olson, Utility Permit Clerk Dale Peterson, Chief Building Official Bill Branch, Superintendent o£ Streets enc. ' WENZEL 452•7565 MECHANICAL PLUMBING HEATING & ~1~~~~ ELECTRICAL ELECTF~IC AIR CONDITIONING SEWER AND WATER VENTILATING SHEET METAL COMMERCIAL RESIDENTIAL May 11, 1983 City of Eagan 3795 Pilot Knob Rd. Eagan, MN 55122 Attn: Mr, Tom Colbert P.E. Re: Lot 1, block 1, bicentennial 8th addition utility connection in street on 3450 Washington Drive, Eagan, MN. Dear Mr. Colbert: We will be closing Washington Drive, May 16, 1983, at 7:30 a.m. through May 20th, 1983. Street will be re-opened at 4:30 p.m. on May 20th, 1983. Mr. Wayne Wenzel may be cantacted at 452-1565 and 445-5452 and will 6e in charge of street work. There will be a 8 ft. (type 3) barricade placed at each end of Washington Drive indicating street closed ta through traffic. In addition we will be using (type 1) sawharse barricades closing off both sides of excavating work. These units will be equipped with flashing lights. Warning Lites, Inc. will be supplying barricade equipment. Respectfully Submitted, ~ Borrell CLB/cv S='~ .~3 3600 Kennebec Drive Eagan, Minnesota 55122 ~ ~s i~ ~ Ni 9 f' H ~ . . ~ s-~/-d 3 i7Y~ +w- L.va~cWd. y ~ 0 L ~ c ~ ~a o~ ~ N ~ ~T ~ z ~ < ~ r ivEa:~.~4, RECF Bond No. 978603 MAINTENANCE BOND KNOW ALL MEN BY THESE PRESENTS: That we, WEN'LII, PLIIMBING & HEATING, INC., a Minnesota Coxporation at 3600 Ketmebec Drive, Eagan,'Miuuzesota, 55122 as Principal, and LNIVERSAL SURETY CONIPANY a Nebraska Corporation, of Lincoln, Nebraska, as Surety, are held and firmly bound unto City of Eagan Eagan, Minnesota as 061igee, in the sm of One Thousand and 00/100ths--------------------------- ($1,000.00 ) DOLLaRS, for the payment of which, we11 and truly to 6e made, the said Principal and Suxety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, fiYmly by these presents. WHEREAS, the said Principal has entered into a certain Contract with the Obligee, dated April 18, 1983 Eor Asphalt Patch located at Yankee Square Inn, 3450 Washington Drive, Fagan, M. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATIQN IS SUCH, That, if the Principal shall maintain and remedy said work free from defects in materials and workmanship Eor a period of two (2) years following cmnpletion, then this obLigation shall be void; otherwise it shall remain in fu11 force and effect. ' Signed, Sealed and Dated, this 4th day of My , 1983: WENZII, PLUNII3ING & HEATING, ' INC. Principal ~ ' ' s ~ l~vYU+~u r.dJ (tiJs " . ~ L.awrence W. Wenzel, i en~ UNIVIItSAL S MPANY B C . ott Attorney-in-Fact ~ MAILING ADDRESS COBB, STRECKER, CUNPHYANGZIMMERMANN P.O.BOX2150,LOOPSTATION MINNEAPOlIS.MINNESOTA55402 PHONE (612) 339-7467 March 29, 1985 CITY OF EAGAN L i 131 &CENT 3795 Pilot Knob Road Pp~uEL ~~l~E Eagan, Minnesota 55122 RE: UNIVERSAL SURETY COMPANY BOND NO.: 978603 PRINCIPAL: Wenzel Plumbing & Heating, Inc. OBLIGEE: City of Eagan, Minnesota PROJECT: Asphalt Patch located at Yankee Square Inn 3450 Washington Drive, Eagan, Minnesota. Dear Sir, The above captioned bond is coming up for renewal or cancellation on May 4, 1985. It is our understanding the work on the above mentioned property has been completed and it would be appropriate to release the above captioned Bond at this time. If the Bond may be released please indicate below. However, if the Bond must be held open, please indicate what must be accomplished in order to get the proper release. Thank you, Kathy Grover Bond Department Bond May Be Released At This Time ay: TLE - ~ ~ DATE Bond Must Remain In Force Corrective Work Needed In Order To Release By: TITLE DATE 400 BUILDERS EXCHANGE BUILDING. MINNEAPOUS. MINNESOTA city oF eagan 3930 PILOT KNOB ROAD. P.O. BOX 27199 BEA BLOnn9Ui5T EAGAN, MINNESOTA 55121 M°v~ PHONE: (612) 454-8100 THOMAS EGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER Cauncil Members APRIL 11, 1985 rr{oMnsHEOGes Ciry Atlminlstraror EUGENE VAN OVERBEKE Ciry Clerk MR. LARRY WENZEL WENZEL PLUMBING & HEATING INC. 3600 KENNEBEC DRIVE EAGAN, MN 55122 Re: Bond for Asphalt Patch Located at Yankee Square Inn, 3450 Washington Drive, Eagan Dear Mr. Wenzel: This letter is to inform you the City of Eagan releases the rights to Bond No, 978603. the original bond has inadvertently been misplaced. The patching of the above mentioned Washington Drive has been satisfactorily completed. Sincerely, ~ezG6'A - KA-,~! Scott M. Merkley Engineering Technician SMM:jeh cc: Parcel File Enclosure THE LONE OAK iREE. THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN ~°'"+ct, $TATE OF MINNESOTA Date: Department of Public Safety State Fire Marshal Division " - Time: EXIT INTERVIEW Name; - _ ~ Phone: Address: ~ ff,~it Owner af Premises: ~jl In accordance with the provisions of Minnesota Statute 299F.011, Minnesota Uniform Fire Code, inspection of the above premises was completed and the tolJowing violations and/or deficiencies were noted requiring corrective action: Code Violation Summary Deficiency and Corrective Action uia,y ~ a 4C -u ? ~ '7/Gr r • NOTE • Signatures indicate receipt of copies For further assistance please Owner/Representative contact the Fire I nspector at the following number: Fire ChieflRepresentative Fire Inspector, Fire Marshal Division Distribution: White - Owner/Represeniative; Canary - Fire Chief/Representative; PS-06057-02 Pink - Division Office; Gold - State Fire Inspector YANKEE SQUARE INN 3450 Washington Drive • Eagan, Minnesota 55122 •(612) 952•0100 February 12, 1986 Dale Peterson ~ Eagan City Hall 3830 Pilot Knob Road (V;lC Eagan, MN 55122 Dear Mr. Peterson: The Yankee Square Inn is pleased to announce that we will soon begin our affiliation with the Best Western chain of hotels. This affiliation will increase our occupancy and expose thousands of new people to our beautiful community. As part of our agreement with Best Western we will be required to display the Best Western name and logo on all our signage. Enclosed you will see the pictures of the proposed sign locations. Only two additions will be required to our existing signage, that will be a small logo sign on the northwest corner of our canopy and a sign on the facia area of the south face of the hotel. (c-pictures 1& 3) Please contact me immediately if there is any problem with these additions. Sincere.ly, ~ Timothy B. Dunn General Manager Enc. TBD/ks ; • ' ~ ~ . ~ i~. . , ~ ~ , I,YAN~ ; SAUAAE, INN onum amaa~a i i . • • , . ~ ~ , . . YANKEE SQUARE INN ~t 3450 Was6ington Drlve • Eagan. Mimesota 55122 •(612) 452-0100 '4r. Mn MMrn u.uw~e~q Joe Merjhak Eagan Building Inspector 3830 Pilot Knob Road Eagan, P4N. 55122 RE: Request for electrical & plumbing plans for Yankee Square Inn. Dear Mr. Merjhak: Subsequent to our June 30th „1988 phone conversation,I am requesting copies of the electrical and plumbing blueprints of the Yankee Square Inn. Wenzel -Hilite has destroyed the only copies of the plans. These plans are essential to our maintenance efforts here at the hotel. Many of the access points to electrical, and plumbing service points are hidden in the hotel. I also contacted the architect for the project, Korsunsky, Krank, Erickson, and discovered that there is no problem with them releasing us copies of our plans. Thank you for your time in considering this request. I will look forward to hearing from you soon. /Sinc er` ly C 11'rTeral othy unn Manager L, FacJeral ~ LancJ Company Vonkee Squore OFfice II 0 3470 Woshinqton Drive 0 Suite 102 0 Eagan, Minnesota 55122 Tel. 614-452-3303 FF1X 61 P-454-3364 3 y s~~ wAsy 1N(,-VAv August 6, 1990 City of Eagan 3830 Pilot Knob Road Eagan, Mlnnesoha 55122-1897 Deaz Sirs: This letter Is to authorize the City of Eagan to provide the holder of this letter, Elleen Bayless, with archttectural and other related InformaHon regazding Yankee Square Inn that she might request. Any costs or charges ln provlding this infocmaHon shall be the responsibility of Ms. Bayless. Sincerely, FEDERAL LAND COMPANY --2 Martin F. Colon Partner MFC/dab _ ~ CONTRACiOR'S f;4ATz(?!AL TEST CERTIFICATE . SFRI~~~(_ER Sl'"T't;:' _'=11~;'ER SPRAY SYSTENIS P<U • r.=NEanl PROCEDU: E VYOV CO.•:.PLF,TIOti UF WOqA, 1:+51'YCL:OY A`,D TSSTS SHO.LD BE \fADF Ir 1.0~+nA(-(OR'S RFPREt£tiTATNE AhD WIT::ESSED SY AN OWNER'S PEPPES£YTA:C: E, ALL DE}'F.CTS SflOti{A BE COitAECfED A!:0 STSTGFI L¢i714 SEHVlCF: UP! PA: Nti I'F.S!`fGR'S RW N F!\ALLY LEAVE TNE JOB. A CEftTI}'ICATC SHOCI.D AC FII.LED OCT A.NO 9G]F.D BY POTq P.FPNESFi: Pd^.7.'.5, COPTES SHOULD BE PftEPARED FOR ISSPE!`SIVG AUTHORITIES, OWNEA A]4 CO]TfIACiOR. IT IS L".DERSTOOD TItF.O',%'Ni:K'S REYxESESTAT:\'S'; S:CtJ:SP.E 13 }O WAY P.'EJCOlCES AhY CINN AGAI?ST CO]7HAGTOR FOR F6ULTY A•.ATEAIAL, PO04 wORKAV.,NS!!IP Oli FAILGAG TO COMPLY'.V17Y. [SSFL[TI`:G nUTI!VRITY'S lECUIR°j1EFT5 0R LOCAL O.-DIHANCES. ' PPOPLRTY 8A1:E DA7'c YANKEE SQUARE INN 10-18-83 eHONeRrr wunsss . - 3450 !+IASHINGTON DRIVE, EA6AN, MN,55122 ACCEPTlD BY 1?SPECI'IOY eL'i'HOI+:lY ('S) 6A?tE> ADOTE55 . . . PLkNS ~ I::STALLATIO\ COSFOR.`.6 TC ACC'cPTEL' PL.ati< NO ? CQGIY!dElS USED 1S AVP.^.CVED YES RO ~ IF' KO, STATE DEYIATIO?S ~ I:AS PER50] 1`: CHdf?GE O: Fi!?E EQG7Y.'.tE\'T 2EEN INSTHUCTEC .i5'!'O LOCATION OF CO[7ROL VALVES A\U CTRc OF T]OS N5W EDl'IP3IENI' YES 'NO ? INSTRUC- iF NO, [i(CLAIti • ' / TIONS HTS A CCTY OF 1\STRUCiiO:: AT"L` AW%TENA\CE C:!AP.7 HEEN LEF? YES . NO ? ~ AT 7LANT ' . , . IF I:O, C%PLAIY - - - _ 5cHVt5 OLLGS. . . LOCATION AUTO. SPRTNKLER SYSTEM, STANbPIPE SYSTEM FOR HOTEL 1E5T5 *I HYDRGS'hTiC, TEST Of All ?IPING • ' REOUIRED 2 Pr:EUAtATIC?E5T OF AlL DRY PIPING . 3 E3UIPMeNT OPERATION TE555 OP ALL EQUIFA4ENT SPRINKI[RS MAKE MODEL I SIZE CUANCITY T!!dPcNA'I'URE RATItiG OR RELIABLE E2 SIDElJALL 3 4" 135 165 SPRAY It 100 165 NozzLes " G1 PENDANT '--1/2 " 74 165 ~ PIPE C.ND MA7E2UL A::J )]ND CUIFORNS TO Q(; J. M_ SfANJAAD FITTIPIGS IF `:aNE, E%PLNN , ALARM VALVE A L A R h i D E V I C E MAXIAfUM T[kti TO OPEAATE THROUGH TEST CIPE ~ OR FIOW TYpE . 61AAF. \fODEL A9N. SEC. _ INDICATOR - OPERATI::G 7"_'SC HfSULTS WATER AlR TAIP TI;¢ '-V ' TIME Tq TN[P PF°53. PAE33. I ppI~ WATER Al.AKM FDRY 6fA1~ 610DfL SER 2HItOUGN TEa't D7PE REACf:F.D OPZRATE7 AIR TEST E r.n, wrtxouT WITN qnnP_,w~,y ' Q. O. D. ~ Q. O. D. ~ PRE55. OVTLET . . ' A9N. SF.C. l _ hllN. °EC. P.5.1. Y.9.1. P.5.1. Wv. oEG 5 ~ ~G VALYES I - _ - . IF SO, F.%PLAIY . . ALL PIFI?G HVOROSI'ATICALLY TESIFID AT ~ tJ Q PSI YOR IIOC75 DRY PIPItiG'C`:EL'lUTf0.1!.LY TF.STcD YES RO? ' TESTS EGUIP•AE6T OPERAl'E PP.OTERI.Y - Y~ ST hU? F t:0 RAT! REAS74 I- f~Al~ l~ ilSTi NEAD:NG Of GAGZ LUGtilo .`:EAR u ailfl SUPPLY 7EST E05IDChL PAE:SUIYE 4ITII YALYf 1N TE$7 FIP2 O.^Z[: ' STAT!f i ^F.FSI'NF. PS1 'r': . BIANK NJAt8E0. I:SED - LGC:17Gt.S - '.US{~Gri NG~:O~'ED TESTING . . . . . I' GASKETS i - - LLET 3::5EftV1CE W nH ALL CONTNOL VALVES OP6N. ' REMARKS 10-18-83 . . . . . . . . RAS:C OF 5^kUtiK1,tit CG: :RACTCR TlT 5 PA7T •.C•• ~O~ I T~{ F~. 1" I fZC C OTcG i ^ I~_~~ 51GNATl!RES F'oa sawn ,x rxe oa tsI snJ . x P~ 7 oio o~ MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: DECEMBER 30, 1992 SUBJECT: REVISED REF'S FOR LOTS 1 AND 2, BLOCK 1, BICENTENNIAL EIGHTH ADDITION 3450 WASHINGTON DRIVE OWNER - YANKEE SQUARE INN PARTNERSHIP I have recomputed the REF's for Lots 1 and 2, Block 1, Bicentennial 8th Addition located at 3450 Washington Drive. The total REF's for 3450 Washington Drive is 13.7 instead of 15.8. The total area is 3.08 acres and the impermeable surface area was reduced from 80% to 2.16 acres or 70°k. (70% equates to 4.46 REF's/acre) My computations are based upon the City's section and 200 scale contour and planimetric maps fiown April 15, 1990. Ed Kirscht cc: Mike Foertsch EJK/jf ' - KRAU3-ANDERSON CONSTRUCTION COMPANY ' CONTRACTORS & CONSTRUCTION MANAGERS 525 SOUTH EIGHTH STREEf MINNEAPOLIS, MINNESOTA 55404 Pelep-so/-) Defs o f' ~ ? S D N Subjsd: Job GENTLEMFN: EYE'ndosed We ero Q sending $hsN Numbsr Numbsr Prinh Descripfion ~ro/e~/O~~f~lrJi,tJ~ -{~o~I~e ~~'~ee.S'~~-e.-G•~•v or approval E] Approved shop drowings ~ Approved as nofed Foryourfiles Remerks Q, f.L_ 21-00 S Do Vsry Truly Youn, 60 A/ Kraus-And nsfrudi By: ~ 2004 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan i 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ~~O•~ Requirements: 2 complete sets of drawings and specificarions cut sheets on materials and co onenu to be used Date O~ / 0\- / Site Address: v y~ e = o Tenant / Building Name: T-2 ot Y~l~ ~ lt~C1 C Q ~ The Applicant is: _ Owner ~ Contractor _ Other , PROPERTY OWNER Address: City: State: Zip: CONTRACTOA \ ~ y,~L~ C KU MN License No. q~~ss ~ cicy: State: Zip: Phone 110~Q 3~v ESTIMATED COMPLETION DATE: 0\ / ,l, _/ou FIRE PERMIT TYPE: Sprinkler System of heads Fire Pump _ Standpipe Other: WORK TYPE: _ New _ Addition !L4) Alterations ElPeTV0004 Other: BY DESCRIPTION OF WORK: ~ Commercial _ Residential _ Educational _ Other: qzi~ Please continue on reverse side PERMTT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value x.Ol% Permit Fee • If Permit Fee is $1,000 or less, add $.50 $ State Surchazge If Permit Fee is over $1,000, add $30 per $1,000 Permit Fee 3/4" Displacement Fire Meter - $155.00 $ TOTALFEE: $ I hereby apply for a Fire Suppression System pernrit 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 Minnesota Building/Fire Codes; that I understand this is not a pernut, 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. 1. ~ ~ AL_~f`(11~ 1 ~ ApplicanYs Pri ted Name Applican s' ature DO NOT WRITE BELOW THIS LINE fi i ~ . 2 E: 1 I Gl~q Li 4 co9o3. 01 2006 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 . o . . . • Structural Plans (2) sets • Architectural Plans (2) sets • Archdedural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • CodeAnalysis (1) " • Landscaping Plans (2) • Key Plan (t) • Project Specs (1) • Code Analysis (1) " • Master Ex8 Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" . Meler size must be established • Meter size must be established • Meter size must be established-if applicable 1 • ProjectSpecs (1) 1 • Energy Calculations (1) L . Eleclric Power 8 Lighting Fortn (i) 1 • Masler Exit Plan (1) ! 1 • Emergency Response Site Plan (1) b • Soils Repotl (t) 1 . SAC detertnination -call 651-602-1000 • SAC determinalion - ca11 6 51-6 02-1 000 • SAC determination - call 651-602-1000 . Fire Sto in Submitlals Call MIV Dept of Health at 651-215-0700 for details regarding food & 6everage or Iodging facilities. Contac[ Building Inspections for sample and if required . Permit for new building or addition will not be processed without Emergency Response Site Plan. - Date I / 06 / 66 Construction Cost ~ SiteAddress 34$0 y4rnftC'LN CrL%V~. 9905 AN . vN111d UniUSte # Tenant Name gfp!T QIjX~F'ormer Tenant Name ~MJLGrz2 ~t•JR/L~ WN Description of Work IwT?JZlir~ 6G1~i~3~ ~t r~i'~ ~t 1Z.'t'WAOpP ~ Property Owner _2A.1GC>TA.1+ iZ! ~7 LL.G- Telephone #()6zj -f° Applicant is: _ Owner A Contractor Contact#: ( -)~5 3) ?aS 7 I~ j"'yiA/h _{V Contractor I Address 2 D 1 V! S , OPl ST- 91T'~. Z. City S ~F""',41_O State IMN Zip Telephone#(IG3) i6G 2+vgI!R MtF+t£r4t AAa.NrJ Arch/Engr GIR£Z zc?^ir h~~ ~ci 5 Registration# Address 7'rP.l'j ~NC~¢Z.f-~AR1oNA-L 1~YL . SVITf- Z[.w City [3_ LIM.vs State e.l^Tt Zip.j0'7j2,? Telephone#('WL)Ar76'1?I4 Licensed plumber instaliing new sewerlwater service: Phone U I hereby apply for a Commercial Building 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 the State of MN S es; I u stand this is not a permit, but only an application for a permit, and work is not [o start without a permit; that the work will in ac ance with the approved plan in the case of work which requires a review and approval of plans. ~.Pr ~s11M~cn.r ApplicanYs Printed Name icanYs ~ ature I DO NOT WRITE BELOW THIS LINE Sub Types ? Ol Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments ? 27 CommerciallIndustrial ? 32 Ext Alt-Apartments ,Pr~ 15 Lodging ? 28 Greenhouse ,9- 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae 0 35 Ext Alt-Public Facility 0 37 Nail Salon Work Types ? 31 New ,0' 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement 'Demolition (Entire 61dg only) - Give PCA handout to applicant Valuation 5-6000 "f Type of Const u'A_ wiam Plan Rev 100°/a ? 25%_ Occupancy MCES System SAC Units ~ b ^ Zoning Cily Water Nbr. of Units Stories ~ Booster Pump Nbr. of Bldgs r- Sq. Ft. PRV Length Fire Spnnklered Required Inspections ' _ Footings (new bldg) • ' , _ Fieeplac0 ` `R.I. _ AirTest _ Final _ Footings (deck). , Insulation, _ Footings (addition) Sheetrock ' Foundation ? Final/C.O. Drain Tile FinaVNo C.O. _ DrivewayApron Other 4sk7E2eOLr-11t11 S/-r~ Roof Ice Pr _ Decking _ insul _ Final _ PooL ' Ftgs . ATir/Gas Tests Final ? Framing Siding _ Stucco Lath _ Stone Lath _ Final W indows • . Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes _ No Approved By: Planning ' Building Inspector - Base Fee Ql , ~ ~ • Surcharge PlanReview SAC-MCES - SAC-City . , . , . S(VJ Permit S/W Surcharge Treatment Plant Financial Guarantee Treatment Plant (IrrigaUon) Storm Sewer Trunk Park Dedication Sewer Laleral Sewer Trunk Trail Dedication Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other ~ rotal 0 3 ' ~ ~ ~G7~- Lf~ ~q 2005 COMMERCIAL BUILDING PERMIT APPLICATION rd 9~L1- .d-nl City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 1•~t c-u J Telephone # 651-675-5675 FAX # 651-675-5694 w\c p~ ound.. Only' New . . Interior Improvement • Strudurel Plans (2) sets . Archilectural Plans (2) sets • Architectural Plans sets . Civil Plans (2) • Structurel Plans (2) • Code Anaysis (1) " • CertificateofSurvey (1) • CivilPlans (2) • ProjeclSpecs (1) . CodeAnalysis (1) " • Landscaping Plans (2) • Key Plan (1) • Projecl Specs (1) • Code Analysis (1) • Master Ezit Plan (t) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculation (1) not ahvays" • Soiis Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Li ing Fortn (1) not always" • Meter size must be established • Meter s'¢e must be established • Meter size mus e esta6lished-if applicable ! • Project5pecs (1) 1 • EnergyCalculations (7) 1 • Elec[ric Power & Lighting Form (1) 1 • Masler ExR Plan (t) 1- 1 • Emergency Response!ke Plan (1) 1 • Soils Report (1) l • SAC detertnination - call 651-602-1000 • SAC detertnination - ca11 6 51-602-1000 C determination -ca11 651-602-7 00 0 . • Fire Sto in Submittals ~ Call MN Dept of Health at 651-2I5-0700 for details regarding food & beverage or lodging fa ities. Contac[ Building Inspections for sample and if required Permit for new building or addition will not be processed without Emergency Response Si Plan. Date Construc ' n Cost A 400 , om SiteAddress o AS&Vir~4Top1 rf Unif/Ste # TenantName J,~EST v4G,5114R0 9PWo77r p-112r.i'L Form TenantName '{t+~.ll(kk, SGiJ/a(~-ta ~niN Description of Work SATE1&%0JL_ lN%5 tn1 ~o L,aE&tt k PO c.. wo i ~ ,e c.w w iTY~ ~ 5 Property Owner i7,4. 'i7a f~~ L~ k L Telephone #(')41) 3°I @, ^ 4 B Z 1 Chav,e~ed Coht Contractor OtL- ~ Address 21p V46 Y sTfLux 5oi City State rt Zip 55a-3"1 Telephone #(45'+-) 83 1 -'11<.1 /~n~Lr1~r1E. Mr+nl~l Arch/Engr G iTLES q611E A %TEC:,[' Registration # -;L t"1'12 Address 9m rs 0+eT% n - .~Irc %,s6 Zr+n City 15 LooMsNdf'.oN State M Zip c5S42S Telephone #(qS2.) 8'1~• - Q' I4'1 Licensed plumber in alling new sewer/water service: Phone I hereby ap for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the w k will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; understand this is not a permit, but only an application for a pernut, and work is not to start without a permit at the work will be in accordance with the approved plan in the case of rk which-requires-azfeview and approval of plans. i Ms c.~-laF.~ N~oa0 ~ = ~~3 ?QO? ~ ~ Applicant's Printed Name p ic -=-Signature I OFFICE USE ONLY Sub Types ? Ol Foundation ?-26 Public FaciliTy ? 30 Accessory Building ? 14 Apartments ? 27 CommerciaUlndushial ? 32 Ext Alt-Aparhnents R"" 15 Lodging ? 28 Greenhouse 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 NailSalon Work Types ? 31 New 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 38 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 48 Windows/Doors ? 34 Replacement •Demoii6on (Entire Bldg only) - Give PCA handout to applicant Valuation 7~00 &&&~ Type of Const 7j- A_ Width Plan Rev 100%_ 2~ 5%_ Occupancy 1P_ ~L__ MCES System ~ Census Code ~ 3 7 Zoning FD City Water - SAC Units Stories 3 Booster Pump ~ Nbr. of Units r' Sq. Ft. - PRV - Nbr. of Bldgs Length ~ Fire Sprinklered - Required Inspections _ Footings (new bldg) Insulation _ Footings(deck) FinaUC.O. _ Footings (addition) ~ Final/No C.O. _ Foundation Other Drain Tile Roof Ice Pr Decking _ Insul Final Pool Ftgs AidGas Tests _ Final ? Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows Approved By: Planning Building Inspector Base Fee a (v'1_ Surcharge 00 Plan Review 73-7, SAC-MCES SAGCity S/W Pertnit 5IW Surcharge Treatment Plant Financial Guarantee Treatment Plant (Irrigation) Stortn Sewer Trunk Park Dedica6on Sewer Lateral Sewer Trunk Trail Dedicatlon Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Tacal I M I N N E S 0 T A DEPARiMENTOrNEAIiH Protecting, maintaining and improving tbe bealth of all Minnesatans April 4, 2006 Dakota Ridge, LLC 6601 McKinley Street Northwest Ramsey, Minnesota 55303 Gentlemen/Ladies: Subject: Food and Beverage Equipmeni at Best Western Dakota Ridge, Eagan, Dakota County, Minnesota, Plan No. 062542 We aze enclosing a copy of our report covering an examination of plans and specifications on the above-designated project. The plans and specifications appear to be in general compliance with the standards of this department. Please see the enclosed report for additional changes and/or comments. It is the project owner's responsibility to retain the plans at the project location. This review does not pertain to the Engineering design (i.e., plumbing, swimming pools, service connections, sewage systems). A separate report regarding the Engineering Review will be sent. Ten working days prior to completion of the project, please contact Ms. Pamela Steinbach with , our Metro dishict office at 651/632-5147 in order to azrange for a final on-site inspection. If you have any questions in regard to the information contained in this report, please contact me at 651/201-4512. Sincerely. . Laura Huseby, REHS, Plan Review Environmental Health Services Section P.O. Box 64975 St. Paul, Minnesota 55164-0975 laura.huseby@health.state.mn.us . „'I•. _ ~ LMH:jlr Enclosure _ cc: Cities Edge Architects - Mr. Dirk House, Plumbing Inspector Ms. Pamela Steinbach, Minnesota Department of Health General Information: (651) 201-5000 • TDD/"I"YY: (651) 201-5797 • MinnesotaRelayService: (800) 627-3529 m www•healthstate.mn.us For dicections to any of the MDH locations, call (651) 201-5000 • An equal oppor[unity employer iVIIiVNESOTA DEPARTMENT OF HEALTH Division of Environmental Health • REPORT ON PLANS Plans and specifications on food and beverage equipment: Best Western Dakota Ridge, Plan No. 062542 Location: 3450 Washington Drive, Eagan, Dakota County, Minnesota Date Examined: Apri14, 2006 Date Received: February 17, 2006 Submitted by: Cities Edne Architects, 7900 Intemational Drive, Bloomington, Minnesota 55425 Phone 952/876-4140 Ownership: Dakota Ridge, LLC, 6601 McKinley Street Northwest, Ramsey, Minnesota 55303 Phone 763/398-1821 The following are corrections or requests for additional information necessary before construction of your project: 1. Food and Beverage service equipment must meet the applicable standards of NSF International. Evaluation to these standazds by ETL and UL are also approved. The proper sticker must be displayed. Specifications were submitted for the following item(s), but could not be verified as NSF or equivalent: toaster, microwave, juice refrigerator, milk refrigerator, waffle irons, syrup heater, chaffing dishes, sink, storage shelving and coffee brewer: 2. Primary food preparation surfaces (tables/counters) must be of stainless steel construction in compliance with Standard No. 2 of NSF International. Plastic laminate (formica) surfaces are not acceptable on counters or tables in food preparation areas. , Cabinetry within the food service area: a. In all areas where food equipment involves heat or moisture, or where food comes in contact with the surface, a stainless steel finish or equivalent is required. Ali service counters and other millwork surfaces shall be protected with stainless steel, plastic laminate or equivalent covering all exposed wood. b. All counters shall be on 6-inch stainless stee] ]egs or castors meeting NSF standards, or on a solid masonry base. c. If a solid masonry base is used, the cabinet must overhang the base by at least 1", but not more than 4". d. Enclosed hollow bases are NOT permitted. Best Western Dakota Ridge -2- April 4, 2006 Food and Beverage Equipment Plan No. 062542 3. Provide and adequate amount of storage space for supplies necessary for operation. Provide approved shelving, a minimum of six inches above the floor. a. shelving must be NSF approved. b. cleaning products, chemicals and personal items must be stored separate and below food, clean utensils and single-service items. 4. If the establishment uses laundry dryers, provide adequate ventilation to vent the dryers to the outside. 5. Floors in kitchens; bar; other rooms where food is stored, nrepared ar washed; dressing or locker rooms, toilet rooms, and janitor's closet shall be smooth, nonabsorbent and easy to clean, and durable. 6. Wall surfaces in food preparation, dishwashing and starage areas and janitor's closet shall be smooth, light colored, easily cleanable and nonabsorbent to the highest level of splash or spray. a. Wall surfaces in splash zones or high moisture areas such as dishwashing, hand and janitorial sink areas, etc., must be finished with durable, nonabsorbent materials to five feetin heightsuch as 1) a fiber glass reinforced paneling (FRP), or 2) ceramic tile. 7. Ceilings in food prepazation, dishwashing, food storage areas, bar areas, restroom and janitor's closet shall be smooth, nonabsorbent, light colared, easily cleanable, and must not be perforated,fissured ortextured. 8. Provide effective shielding, such as plastic stuelds, plastic sleeves with end caps, shatterproof bulbs and other approved devices far all artificial lighting fixtures in areas of exposed food, clean equipment, utensils, and linens, or unwrapped single-service and single- use articles. 9. Custom made food and beverage equipment shall be constructed to meet NSF Intemational Standazds, and be manufactured by an authorized fabricator. 10. All refrigeration facilities must maintain potentially hazardous foods at 41 degrees Fahrenheit or below. - Each refrigeration tuut must have a thermometer accurate to within 3 degrees Fahrenheit. 11. A filll time state certified food manager must be employed within 45 days of opening. Contact your field sanitarian for more information. Best Western Dakota Ridge -3- Apri14, 2006 Food and Beverage Equipment ' Plan No. 062542 12. If inenu changes occur in the future, additional equipment or remodeling may be required and must be approved prior to installation. Contact your field sanitarian. 13. A ll utility lines or pipes such as electrical, gas, water or waste musY be enclosed within the wall or ceiling. Scope of Project: remodel of continental breakfast area of motel. No equipment specification sheets or layout of equipment provided. Sincerely, . La a Huseby, REHS, Plan Review Environniental Health Services Section P.O. Box 64975 St. Paul, Minnesota 55164-0975 ]aura.kuseby a healthstate mn eis 3-7~ 2006 COMMERCIAL BUILDING PERMIT APPLICATION ~7 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 • 1_'NewBuildi6gj Interior , • SWCtural Plans (2) sets • Architec[ural Plans (2) uls . ArchAedural Plans (2) sels • Civil Plans (2) • Structural Plans (2) • Code Malysis (1) " • Certificate of Survey (1) . Civil Plans (2) . Project Specs (1) • CodeMalysis (1)'" . LandscapingPlans (2) . KeyPlan (1) • Project Specs (1) • Coda Analysis (1) " . Masler Fxit Plan (1) • Spec. Insp. & Testing Schedule " . CeNfirate of Survey (1) . Energy CalculaGons (1) not always" • Soils Report (1) . Spec. Insp. & 7esting Schedule (1) • Elec. Power 8 Lighting Form (1) not elways" • Meler size must be established . Meter size must be esWblished • Meter size must be esfablishecNf applicable i • ProjectSpecs (1) • EnergyCalculaUons (1) " J 1 • Electdc Power & LlghUng Form (1) 1 • Master E)cit Plan (1) 1 J • Emerqency Response Site Plan (1) J J • SoilSReport (1) ) • SAC detertninalion - call 651 -602-100D . SAC delermina6on - call 651-602-1000 ~ SAC delermination - call 657-602-1000 • Fire Slopping Submittals • Fire Su ssionlAiartn Plans . Call MN Dept of Health at 651-215-0700 for details regarding [ood & beverage ar lodging factlities. Contact Building Inspections for sample and if required Pecmit for new building or addition will not be prceessed wilhout Emergency Response Site Plea Date I I /_L / D b Construction Cost ~ 2 Jr~j O o a SiteAddress 3 5D UniVSte # Tenant Name t Former Tenant Name DescNptionofWork RFMnoAt~ } 7.~ ROaY' 5NtS{- Su4 }m S. lACW i'`Obr {'Lte+ A" ~ t tN 0.l YOOw4L. ~ 1. W\n$v o SN,+'fe..t O s4 Property Owner LA,16- y k.o p,p,G Telephone Applicantis: _ Owner ~ ContraMOr ContaM#: (~j) (t$Z~~~g NOV 2 0 2006 Cootractor 14A 1S0vi RU.iiAl" 4- Deyv„(,pp r~ Address y fyAtiSioH Sf- E- sv;i"t 20( City AtJ" State 1..1M Zip 55 3 13 Telephone #(f.4 j) (o Sl- 1~~ S Arch/Engr Gtics f.dqe 1AVYt4~+2c.{-S Rcgistration# Address ~ !J00 1,VJk{,Mp*irr?A4 *~fy1W_- City1!4 DDV1M1iw.'bLA State MtA Zip 5Sb5 Telephone #(1st) Licensed plumber installing new sewer/water service: Phone L_) I hereby apply for a Commercial Building Permit and aclanowledge that the infonnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. L-CaKU.c. Ru.mst.i ApplicanYs Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? Ol Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Aparhuents ~ 27 CommerciaUlndustrial ? 32 Ext Alt-Aparlments ? 15 I,odging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work 1ypes ? 31 New /~3 35 Int Improvement p 38 Demolish (Interior) 0 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)' Lf 43 Reroo( ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handoutlo applicant ore pl, Valuation Z50, 060 ` Type of Const If-.14 Width Pfan Rev 100% 25°k Occupancy MCES System SAC Units ~IC) ^ Zoning ~ City Water Nbr. of Units ~ Stories Booster Pump Nbr. of Bldgs ~ Sq. Ft. PRV Length Fire Sprinklered Required Inspections _ Footings (new bldg) Fueplace _ R.I. _ Air Test _ Final _ Footings (deck) ? Insulation Footings(addition) heetrock _ Foundation :;~FinaVC.O. Drain Tile FinaVNo C.O. _ Driveway Apron. _ Other Roof _ Ice Pr Decking _ Insul _ Final , Pool Ftgs Air/Gas Tests Final V/ Framing _ Siding _ Stucw Lath _ Srone I.ath _ Final Window Final Cf0 Inspection: Schedule Fire Marshal to be present. _ Yes No Approved By: ~ Planning ~Building InspectoY Base Fee Surcharge 0 Plan Review SAGMCES SAGCity SIW Permit S1YV Surcharge Treatment Plant Finanaal Guaranlee Treahnent Plant (Irrigation) Storm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk ~ Trail Dedication Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Totai 3353 • . 'l1 2007 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Requirements: 2 wmplete sets of drawings and specifications cut sheets on materials and com onents to be used Date / 1' / 0 Site Address: "?"fJ 0 li(~/'l "J H'~N 9'! (7N ~K.. . Tenant / Building Name: 915 ?r W G~~~KJI/ The Applicant is: _ Owner ~ Contractor _ Other PROPERTY OWNER !3G-.5r W196K./V Address: ?4 K QN City: 54 (V A/ State: Zip: 52-5L~7-- 1CONTRACTOR MN License CDID Address: -5-7 57 MIkAli5f l74(f/! City: "?i. ?U State: / Zip: Phone ~~r77 1 ESTIMATED COMPLETION DATE: FIRE PERMIT TYPE: I~ Sprinkler System of heads Fire Pump _ Standpipe _ Other: WORK TYPE: New _ Addition Alterations A ~~emode APR 1 3 2007 Other: DESCRIPTION OF WORK: ~ Commercial Residential _ Educational _ Other: l~-FiL!/ Clf'n~ ! WO G~~~ ~f k4 Please continue on next page . s PERMIT FEES °0 Contract Value $ x.O1 Permit Fee $50.00 Minimum $ . State Surcharge To calculate surcharge If Permit Fee is <$1,000, surcharge is 50 cents. If Permit Fee is >$1,000, surcharge increases by $.50 for each $1,000 Permit Fee, i.e. a$1,500 Permit Fee requires a $1.00 surcharge. 3/4" Displacement Fire Meter -$174.00 $ Fire Meter TOTAL FEE: $ I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that Yhe work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Minnesota BuildinglFire 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 wark will be in a cordance with th approved plan in the case of work which requir a review and approval of plans. & A&IAAI /4) Applicant's Printed Name Applicant's Signature ' DO NOT WRITE BELOW THIS LINE REQUIItED INSPECTIONS _ Hydrostatic Flow Alarm _ Drain Test ~ Rough In _ Trip _ Pump Test _ Central Station ~ Final Conditions of Issuance: Permit Approved b• Date: I 2007COMMERCIAL PLUMBING rERMIT arrLrcaTroN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date~/~~ Site Address Unit # Tenant Name Former Tenant Name Property Owner I VW Telephone # (65) Contractor Address City State . Zip ti~ r>-i Telephone #(~j~) License # l~ I Expires: ~Jl The Applicant is _ Owiier ontractor _ Odier Work Type New Bldg _ Modify Space _ Irrigation System** Yes No Work in public r-o-w / easement? ~pZ _ PVB: _ New ALB.epa uil Replace _ Remove Rain sensors are re uire on i ation s stems r ~ ~ Description of Work To inquire if Pressure Re ucing Valve is required on new service, call 651-675-5646 MeterS - Call 651-675-5646 toverify that hydrostatic, conductivity, and bacteria tests pzssed prior to pickine uo meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter $174.00 ' Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Pernut Fee $50.50 mininiunz (includes State Surcharge) Contract Value $ x 1% Pernut Fee g Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read Shta Swcharge ff rmi fee is less than $1,000, surcharge is $.50 lf vertnit fee is more than $],OOQ surcliarge is $.50 (or each $1,000 owed. Following fees apply when installing new lawn irrigation system $ Water Permit , Call [he City's Engineering Department, 651-675-5646, for required fee amounts g Treatrnent Plant . g Water Supply & Storage g State Surcharge $ ~ Total Ree I hereby apply for a Commucial Plumbing Permit and acknowledge that the information is complele and accurate; tha[Yhe work 'n n~i. t [ D ordinanca and codes of the City of Eagan and wi[h [he Plumbing Codes;-that I understand [his is not a permi[, but only an applicati . start wi out a perniit; that the work il] be in accordance wi[h [he approved plan in [he ca of work whh requi es a re and appr of ~uL 2007 , ApplicanPs Print ame Ap lcant's S t re By i i i i C1Uy Of LLLpn j Permit# I ~ Permit Fee:_ 3830 Pflot Knob Road Eagan MN 55142 ~ Date Receved Phone: (6 51) 67 5-56 75 I C I Fax: (651) 675-5694 i seff. - i 2008 MECHANICAL PERMIT APPLICATION Date: 1115108 Site Adtlress: 3450 Washington Dr. Terent: Best Western - Yankee Square Su ite !t. RE S IDE NT / OWNE R Name: Best Western - Yankee Square Phone: 651 452-1 00 0 Addrew / City / Zip: 3450 Washington Dr., Eagan, MN 55122 CONlRACTOR Name: Optimum Mechanical Systems, Inc. License Address: 3030 Centerville Road City. Little Canada State: MN Zip:55117 Phone: 651-429-2302 Contact Person: Randy Peterson TYPE OF WORK - New _ Replacement _ Additional X Alteration _ Demolition Description of work: Replace existing diffusers with new of same size. in new ceiling grid PERMITTYPE RES/DEN77AL NewConstrudim COM X INERCIALrdeuorl~ovemerrt Fu rnece - Air Gonditloner _ lnstall Pipirg Processed AirFxchenger -Ga5 _EfderiorHVACUnit "HVAC units musl be screened ---Heat PumP UnderlPbovegroundTankInstall/ Remwe) Other 1Mien inslelingrremoNngtenk(s), call for inspection by Fire Nb.rshel entl Flumbing Inspector RESIDENAAt FEES: $ 50.SD M jppnym Add-on or atterat'ron to an exisfing unit (includes $50 Siate Surcharge) $90.50 FI f2 r0p81f (replace hurned out appliances, duclwak, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEFS: $70.50 Underground tank irstallation/removal OR Contract Value$_ZSOO.OD x1°/, f 50.50 M inunum (iricludes State Surcharge) =g 25.00 PermitFee - IfPgmit.Egg is less than S1,000, surcharge is $.50. - If Permit Fee is> $1,000, surcharge hcreases by $.50 fa each 75 _State Surcharge $1,000 Permi Fee (i e. e$1,001$ 2,000 Pe rmit Fe e requires e$1 00 su rcharg e). g 50.50 min fee TOTAI FEE I herebyacknowledgethat this information is cortplete end eccurate; llial the xrork wiB be h confwmance wih the ortinences end codes of the Cdy of Eagan; thet lundwstandthisisnotepemut,butonlyenepplicetimforapermd,endvrorkisndto3artwtthoutaperm7th rkwillbe ine rtlancevnVh theepprwed pleninthec edwoikwhichrequ/ir/esareviewendeppro?aldpens. X O'eL!` r/ 9 / .~O! ^ _ X i ' Applica°M's Pn'Metl~laie- ApplicaM's Signa re - CITY OF EAGAN SEWER SERVICE PERMIT 3745 Pllot Kwo6 Road PERMIT NO.: Eayen, MN 55122 DATE: Zoning: No. of Units: Ownar. Address: Site Address: ' Plumber. 1 ageae !o omnply wiNi ths Cify of EeyoO Connection Charpe: 4edinenoa. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Totol: Insp.: Dots Poid: CITY OF EAGAN SEWER SERVICE PERMIT 3795 P1kt Knob Rood PERMIT NO.: E+sgan, MN 55122 DATE: Zonirp: No. of Units: Owner: /lddress: Site Address: . On Plumber. 1 agraa to eomplp with Nw Gtp of Eages Corinectton Charge: ' Ordinenus. Accourrt Deposit: - - - Permit Fee: $urcharpe: By Misc. CFaroes: Date of I nsp.: Total: Insp.: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 37195 Pilt,t Knob Roed PERMIT NO.: isyae, MN 55122 DATE: Zoning: No. of Units: Owner: Address: , . SiM Address: _ Plumber: AAeter No.: Connection Charge: Size: /lccount Deposit: Reader No.: Permit Fee: 1 egroe to wmPhl with the CiFy oF Eoyan Surcharge: Ordinanea. Misc. Charges: Total: BY Dot,s Poid: Date of I nsp.: I^sp• : I i t ~ ~ ~ J' V 1 I I ~ ~ i ~ . ~ . . ~ ' ~ - ; ~ I ~ , ~ ~t ^~y~~ ;~y~~r i ~ ; ~ ~ I '°t ~ ; i~/' j ~l ~ t b ~ ~ ~ .x .,.!~~~=f~,f ~ 1,,,,,.~ ~ ~ . ~ . . . . . . , : . . ~ . . . . . . . . . . . . . . . . . . :i'~ ~ 1 ~ ~ ~ ~ 1 , _ ' i . ~ ~ _ ~ _ ~ ; i ~ E ~ ~ . . ~ ~ . , k ~ ~__w € ~ ~ ~ ~ ~ _ . _ , , . ~ ~ ~ ~ ~ , . , ~ ~ _ - , , - _ : : _ . . _ _ ~ , , ; _ . _ _ _ . ' . . . . ~ . . . . . . ~ . . ~ . . ~ . ~ ~ + 1 i i i ; i ~ i . _~.______._.~__~;..t_,.:...__.: ` ; j I, " ~ t 1 ' s,uc~ n+~ a~w~a~ a~~.r ~s ,QV~,~ pti.: ~~a*. ~ r~r~v . NOTAC7UAL4Y %Sk6A0/N° 11/~E . ~ ~ W~1,1" No.7~3Ci~N'1'/Z"d6.dVTR(AtF . . . . . . i ~ ! ~ ~ 54LE, /7"~/lR$ .~''E1I/. N.4MED CY ~ %B" R~: L, . sW L9t~~t ~ ~ ~ . . ~ ~ . ~ ~ . ~ . ~ ~ ~ ~ ~ ~ . 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ALL SEAMS , . ~ RI6I0 IKSUCAfiY1N~11 ~ ~ i~ , _ _ . ~IK`,ff I.~L, pN~, ~#.E~?, ~I Za ~ lo . z STRIP Ib fELTS ~ P ~EL~~1dD LF~1~ FI ~ n , t~l.R., ~k.~V, ~ ~ Z, , n ~ ~ 'fFfl~ l~i. ~II~I. FIr, ~LEa/. ~2• l0 ~ ~ MdOD BIOCKi116 i CNIT , ~ 4 RIGID INSUlATION_. ' ` ~ ~ STRIP-MECHI~iICALIr z q 1 SECURED G~•1.IGn -(o1~PING ~ , , ; ~ , - ~ . , I~.?"f~l vS~fcJES ' • ' GG151G, ~ ~ ~~"fH ~ ~ ~F WOOD ~IOCKING S~CIfRED , . I~~- ~:r4~1'' «iIJG, ~I~.A~; i ~ ~l~Y G~~! ~ ~ ` D'r~~ ( 1'E~ G~G~ M~ V~E N. N~%~ w~ o ~y . ~ ~ / ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ i z a ~l€~ ~H, r , ~ ~3 03 { RM ~I~ ~FH~ . ~ ~ y PIPF '~RCONDUI? - SEE ~ µ ~ ' MEC . D WGS. p'~K ~ ; H - i, ~ , ~ L S~ ; n, i, !I llo I~asN~NG G~NGI,~ ~1~s ~ GOUDUI~( u+~ -`D Z"d' 11 I?.GYF N~YC'U•t ~ ~ ~,~ll ` , `~U~ ~~_~N ~ ~ ~ ~~Z4' 1~,~ ~ : , ° 2 r~ , . . . . . . . . . , ; : . . ~ . , , . , ~ R s . 77 , . : , . . . . k'~, . . . . . . ._.ix . , ~cti... . . . . .,¢i :k~. , . u ~ ...,.3 . ,rr. . . , : ~ I . _ . . . 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"0"~ " " 8`" , ~ ~ ~ ~ . ~ ~ ~ ~ ~ ~ v ~ ~ ~ ~ ~ ~ ~ ~ ~ , ~ g .~.,,.w - ~m, . . .,A,~.,.~..,...._.~,~...._...~.........,..m...~.,. ............._..e..~....,,....~..e~.,,.....~..._,.~.....~...~„ 4 L1d %~8, C. t.s°8~ p~~yp~ q~: . ~°g~¢ ~ C» ~ ~ ~ . . ~y~ p~ 0.,JG'36.d~~I~. 4u~+~ ~ . ~ . ~ ~~~ww~.h ~ . ~ ~ ~ . ~ . . ~ ~ _ ~ . _ a ~ ~ ~ . ~,t~ ,a~~, ~ ~1,~~ ~ ~ ~ ~~.~~~~~~~~~,~~,u~, ~ ~ . ~ . ~a~~ ~ . 6.6 ~'1 Ld ~ ~ . ~ ~ . . , ~ . ~..m~„r~ . -,n.~,~..~«~~. . - . . . : : . ,~,r r~.~- : PROPERTY OWNER Name: CCL e, L��� h p?> t ot 1 A'` Phon j e:: Address City Zip: 1O D MUSilf1` e4 St. N hi ►`Cull t- q 3c2_ Applicant is: Owner t" Contractor 6530,' TYPE OF WORK Description of work:T M1 1'e.. f\r f Y 3 Construction Cost: 13 ��-,©O,"- CONTRACTOR Name: T--4ht t& Cpy -Faro 1 License Address: 8 0o \14. 1 ST r SU\ City: f\c3 State: Zip: r)6 Phone: qb2- Zit Z-g J31 Contact Person: kc( 1 (i T‘'?-yrouon T ARCHITECT ENGINEER Name: a.)(Y\e_.4 Registration Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer /water service: f1\cti. Phone NOTE: Plans and supporting documents that you submit are considered to be public information. the information may be classified as non public if you provide specific reasons that would conclude that they are trade secrets. Portions of permit the City to City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: o1 �r Site Address: `)H a.3h ii lc) v Dr. Tenant Name: 7- t4c c \e ®A;2aP (Tenant is: V New Existing) Suite 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 whic requires a review and approval of plans. Applicant's Printed Name T n (�e Ceni-rcd i I 2 6 2009 I u I fail Ap li R nt's Si ure For Office Use Permit Permit Fee: l Date Received: Staff: Page 1 of 3 SUB TYPES Foundation Apartments Lodging Miscellaneous WORK TYPES K New Addition Alteration Replace DESCRIPTION Valuation Plan Review (25% 100% Census Code of Units of Buildings Type of Construction Reviewed By: /3, 5 yG-S /'14/4c. 1- COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S &W Permit Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Public Facility Commercial Industrial Greenhouse Tent X Antennae Interior Improvement Exterior Improvement Repair Water Damage REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation -64A Drain Tile Roof: _Decking Insulation Ice Water Framing Fireplace: Rough In Air Test Final Insulation Meter Size: DO NOT WRITE BELOW THIS LINE Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Fire Repair l.t .2407 /x+55$ Final C/O Inspection: Schedule Fire Marshal to be present: Yes Water Quality Water Supply Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: Accessory Building Exterior Alteration Apartments Exterior Alteration Commercial Exterior Alteration Public Facility Demolish Building* Demolish Interior Demolish Foundation Salon Owner Change *Demolition of entire building give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock F C.O. Required Final No C.O. Required HVAC Other: Pool: _Footings _Air /Gas Tests _Final Siding: Stucco Lath _Stone Lath Brick Windows Retaining Wall Building Inspector 31.444.,1/1- „'1Q44.00 21144 TOTALYT 4 7 7 Page 2 of 3 Date: City of WE 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: (,73q05 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2X2010 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* 0 _/ 6) Site Address: 3,7/`5 . lri:1L%? (�v17;dr) Suite #: PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: Owner -eontractor TYPE OF WORK Description of work: h/aaeA;;;,--7-14 4,',f C..Y %; Pn Construction Cost: 0 CJ Estimated Completion Date: CONTRACTOR 4'JL. License #: a Name: of le_-' !- ' / tt7 Address: J idi t2 City: 5 State: /l.tf.,i Zip: 6.7 Phone: // 42 '"-,2'90 " 4/-707 Contact: } Y }/A4; Ale/ -91‘a Email: FIRE PERMIT TYPE Sprinkler System (# of heads _)_ Standpipe WORK TYPE New Addition Fire Pump _ Remodel — Other:ther: V-33Alterations "c�,t;-" DESCRIPTION OF WORK: a Commercial Residential Educational _ _ FEES $50.50 Minimum (includes State Surcharge) OR surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ i Q 0 x 1% - If Permit Fee is Tess than $1,000, = $ 50 , 3d Permit Fee -: = $ r �' State Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 $ 5 0 . 50 TOTAL FEE 3/4" Displacement Fire Meter - $203.00 $ Fire Meter $ , 50 TOTAL FEE 0 *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System 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 Minnesota Building/Fire 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 in the case of work which3equires a review and a�provall of plans. �� Applicant's Printed ame CALL BEFORE YOU DIG. Call Gopher State One CaII 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.000herstateonecaltoro FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Dough In Trip Pump Test Central Station Final Conditions of 14 nee: '* C!tyofEaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: C �! Permit Fee:--�s Date Received: Staff: 2011 COMMERCIAL FIRE ALARM PERMIT APPLICATION* Date: 11/Z3f t` Site Address: %'15-6 WfStINC/TCN D 1VE EACiA d MN 55722 J Tenant: DV -GTA. R I1W6i C E. w. k4C' TE L Suite #: PROPERTY OWNERS Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: ELE VAT O K RE C A L. S Y51 EM $4, 000 Estimated Completion Date: 12/3'i/ 1 I CONTRACTOR Name: N0RTItL 'P r11;E - Sccutz11"v License#: 1-3oo857 Address: CNO L0 E. CCK- g1) -0-41 City: EA&IA v . 4 21 5`S State: Ah � Zip: CS Phone: � � ' �`� � " CRAICI 3C4AN e ' Contact: Email: CR A4N 9 ewOm WORK TYPE .. IFN .. X New Remodel Addition —Other: Alterations _ DESCRIPTION OF WORK: )C Commercial Residential Educational — FEES $55.00 Minimum (includes State Surcharge) $10,010, surcharge is surcharge increases Fee requires a $ 5.50 OR Contract Value $ x 1% - if the Permit Fee is Tess than $ 5.00 = $ 5J 6 Permit Fee - If the Permit Fee is > $10,010, by $.50 for each $1,000 Permit Fee surcharge) = $ ? Surcharge (i.e. a $10,010-$11,010 Permit = $ 5C TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Alarm 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 Minnesota Building/Fire 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. x Gi�S 1nitrl9C ER.T)t Applicant's Printed Name Applicant's Signature Apr.23.2012 01:11 PM Bartylla Plumbing & Heati 6516535903 City of Eaaali 3830 Pilot Knob Road Eagan MN 65122 Phone: (651) 876-6675 Fax: (661) 676-6694 PAGE. 5/ 5 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff. 2012 COMMERCIAL PLUMBING,PERMIT APPLICATION Date: 09154. /' Site Address: 1A) 7 .� ear Dri Tenant: S+" �— . r r� Suite It: PROPERTY Name: c it.�k��'TZ .� LrI Phone: t �45 f�%0 - .�1 CONTRACTOR Name: Y2r 1 Its. p!Li> b) e �&ens;#: P�.(O� t, > o� i� C ' 11 Address` f4 7 t City: 7` --biLe "D state: new zip5SO3& Phone: ) ^► Email: r`t 1IC, 1u vrt In541tA1lec-� t'i rnSn- TYPE OF WORK _New,K Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ Description of work: ► i C A ' i ' ' •. - i PERMIT TYPE COMMERCIAL New Construction Modify Space T Irrigation System ( yes / no) ( RPZ / PVB) — • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters CaII (851) 675-5646 to verity that tests passedptior_to. picklno ur meter. Domestic: Size & Type Fire; 1 Avg. GPM High demand devices? No Flushometers Yes No _Yes _ _.. COMMERCIAL FEES: $60.00 Minimum (Includes Required on - If the Permit Fee is less $5.00 State Surcharge) OR Contract Value $ x 1% ®- - Pennit Fee ALL new buildings and boulevard Irrigation systems 4 $ Radio Meter Read than $10,010, the surcharge is $5.00 $ Meter(s) $10,010, the surcharge Increases by - If the Permft E@g le > (i.e. a $10,010-$11,000 Following fees apply Contact the City's Engineering $.S0 tor each 51,000 Permit Fee Permit Fee requires a $5.50 surchar , $ tate Surcharge •••••••••••• when installing a new lawn irrigation system $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge .s. OTAL FEE !ALL ocFv� YOU DIG. Call Gopher State One CaII at (651) 4540002 for protection against underground utility damage. CaII 48 hours before you Intend to dig to receive locates of underground utilities, wywr.00nherstateonecall.org I hereby acknowledge that thle 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 thle 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 approv: I of plans. .Plik A .4 414 4.174171 Applicant's Prid Name J .. 'canes$, nature / ,01.1111111111. FOR OFFICE USE Approved By: Required Inspections: Under Ground Rough -In __Air Test _Gas Test Final PRV Required: — Yes _ No Data: • Page 1 of 3 2012 COMMERCIAL BUILDING PERM Date M 17 2/42e to Address: '3 V..S 0 4/45 Tenant ibuna:Tt!/ bill; 62 'N A" j Z. C. t; -. L-10-4.- thane: ' 2$12...--0 YO address r IZip: / :fie esti Ribli Cor' ofova ka• .. idvr h e CO $ Construction Cost $' '5p 0 Name: d Re. 1)i 01 &ul6i n `u 1'ce 5 ,.ioense Ott 12...14y33 address: 81/ P,t10.4i, A . Ve:_ . . ,: A.A.-1.1,c state: . ztx 5543 C/ 5c s/ Y 0,3-0 1 -1 -"Jet CALL BEFORE YOU DIG. Can Gopherldate Doe Gan 48 hours before you intend to dig to receive bre of I hereby acknowledge that this information is complete end accurate; codes of the C ,y of Eagan; that 1 Wider/40W this is nota permit tut arty permit that he i* will be in plan in the sAc Units +Cr wafer Booster Pump * of Units of Buildings Type of Construction REQUIRED INSPECT)3NS Footings (:dew Biding) FootiMis(Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking...._._ Framing Fheplace: ;Rough In Air Test 1 immistion Meter Size: June 12, 2012 Attn: Building Inspections City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 jL N Buell Consulting, Inc. 2324 University Avenue West, Suite 200 Saint Paul, Minnesota 55114-1854 (651) 225-0792 www.buettconsulting.com Site Acquisition Permitting Established 1991 SENT BY FEDEX, DELIVERY CONFIRMATION AND SIGNATURE RECEIPT REQUESTED Re: T -Mobile Maintenance Project at Best Western/Dakota Ridge 3450 Washington Drive, Eagan, MN City of Eagan Building Inspectors, Attached are a completed Building Permit application and two sets of drawings regarding T -Mobile's Maintenance Project for Modernization of its equipment on the rooftop of the Best Western Dakota Ridge Motel, 3450 Washington Drive, Eagan (County PIN 101955001001). The attached plans call for removal and replacement of nine (9) antennas on the rooftop. Specifications for the new antennas are also attached. The General Contractor will be specified prior to issuance of the Building Permit. Please advise what additional information you may require, what the cost of the Building Permit will be and/or when the Building Permit is available to pick-up. cer- ly, o e ell Consulting, Inc. 2324 University Ave West, Suite 200 St. Paul, MN 55114 Fax: 651-225-0795 Direct: 303-220-9100 Mobile: 303-618-4615 jrowe@buellconsulting.com www.buellconsulting.com R 41110kb C!tyofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use r Permit #: / C 4✓ 5 Permit Fee: 4.c137-s"-- Date �Date Received: Staff: 2012 COMMERCIAL BUILDING PERMIT APPLICATION Date: et --/V' /2 Site Address: 31. CO (Nasot h& (mire - 6—A5et41 - • Tenant Name: gd Wee�j'1," kdTDA I iD�CtTenantis: New/ )(Existing) Suite #: 1/4 Former Tenant: 41A PROPERTY OWNER Name: $1- Itle to th - beikek R age Phone: G5/- `16-.2 -%O Address / City / Zip: 3 y'. -O Id ash; n S 4, to D r i ✓e - E/fici i-, — NI At Applicant is: Owner X Contractor TYPE OF WORK Description of work: Re "' Raa ri ii5 [ '�'' Construction Cost:4 111 J t - Grdh Tf 4 c-1- 44S — peter I t C's CONTRACTOR j Name: i1 G 1 RAD t t 4 �i #. 17 License CQ (� s'� V SJ Address: 3.11 Loh a i n el it l) City: an - G Ai State: All /V Zip: 6"6 l Phone: 7'0 7 - J'SS ' I a /. q P Contact. 4/� Irihce, 1g4rf yEmail: t lett) e s/ �Gt�OroG (tr►� • CCri, ARCHITECT/ ENGINEER N Name: A Registration #: Address: City: State: Zip: Phone: Contact Person: Email: A/.4Licensed plumber installing new sewer/water service: /Te Phone #: NOTE: Plans and supporting documents that you submit are considered to be p ubiic infonnahon. Portions of the information may be classified as non-public if you provide specific reasons that would petrit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Cjahcei,garr'y x Applicants Printed ame Applicants Signa Page 1 of 3 Zci60 (A)f1 DO NOT WRITE BELOW THIS LINE SUB TYPES ,Foundation ✓Commercial /Industrial _ Apartments Miscellaneous WORK TYPES New Interior Improvement _ Exterior Improvement Repair Water Damage Public Facility Accessory Building Greenhouse / Tent Antennae Addition Alteration Replace _ Salon Owner Change DESCRIPTION Valuation /f'80 �$ 0‘43. Occupancy Plan Review 1'B /t/i; Code Edition i25Rh---4ee9A__ Zoning Census Code Stories # of Units Square Feet # of Buildings 1 Length Type of Construction 2•AA Width REQUIRED INSPECTIONS Footings (New Budding) Footings (Deck) Footings (Addition) Foundation Drain Tile ,/ Roof: _Decking insulation _ Ace & Water Framing Fireplace: _Rough In ^_Air Test _Final Insulation Meter Size: "Final _ Exterior Alteration -Apartments _ Exterior Alteration -Commercial Exterior Alteration -Public Facility /Siding_ Demolish Building* ✓ Reroof EPDM_ Demolish Interior _ Windows Demolish Foundation _ Fire Repair— Retaining Wall *Demolition of entire building - give PCA handout to applicant A-•Z- Zeo7mssc MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers AIUA Sheetrock Final 1 C.O. Required Final/ No C.O. Required Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes Reviewed By: � , Building Inspector ✓ No Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality 00/. 7C 0.aw Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL I /ZZ3 •'‹ Page 2 of 3 City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: JD S3 60D°' Date Received: Staff: 0C-1 2013 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 5 2i l'2D Site Address: W ( rte- Tenant:041" -a '�• r t- Suite #: Name: Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: cekoRod I C� r Construction Costh � Estimated Completion Date: Name: mQ (,6 I C C'P License #: 15 Address:t)ytO ('3'3f\ 'L.N I 4/i City: --;s 0\ State: %,I \ Zip: L1Z. Phone: —1 '– 301–'C 1 Contact: Email: FIRE PERMIT TYPE WORK TYPE \ Sprinkler System (# of heads IL) New Addition .2( Fire Pump Standpipe X Alterations Remodel Other: Other: DESCRIPTION OF WORK: FEES Commercial Residential Educational $55.00 Minimum *If the project valuation is over $1 million, please call for Surcharge 3/4" Displacement Fire Meter - $245.00 Contract Val��ue$ 1,`0l, W x 1% = $ Permit Fee = $ CO.00 Surcharge* = $ WO.. W TOTAL FEE Fire Meter = $°� TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate: that the work wit be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Buildins Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in - cordance with the approved •: n in the case of work which requires a review and approval of plans. x 5LtntY-\€ (Y1 i t -I nG Applicant's Printed Name 1 x Applica� s Signature FOR OFFICE USE. REQUIRED INSPECTIONS Hydrostatic Trip Plow Alarm Drain Test Final Pump Test Central Station A Use BLUE or BLACK Ink For Office Use I it • I I Pe rmit Cl of f EaEd ~ I ~O I Ql i ~ I 3830 Pilot Knob Road REur-i Permit Fee: LtJ L, Eagan MN 55122 i I I Date Received: T I Phone: (651) 675-5675 MAY Q g ~~1 Fax: (651) 675-5694 I Staff: I - - - - - - - - - - - - - - - J 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date:,5/,5/1 -W50 Site Address: < t_/c L~nC .ter, ~De- Exx7~ n rn l Tenant Name: (Tenant is: New / Existing) Suite 1 Former Tenant: z y Name: d Phone:~~ Property Owner Address / City / Zip: 3 S W)C~5L,nlm4ln lY Cti n pl?Nj Applicant is: Owner Contractor Type of Work Description of work: C- klr' f v o C~ n$.. ~a r, c /►~e- Ype Construction Cost: •~Y I y® o v ra Name: ~v~ ~vy~rt~c,► tV1f~ ~h License#: KI/A Contractor Address: SS 6 r 9)Cvti nye_ 4ye- So + ~-~56 city: 'TAye-r- (rrU✓e ii¢ #a~~F 5 State: rvy Zip: 850I G Phone:" L371- 510a:Z Contactt U\f fi» Email V l C n arncY u r\c.L)y\z4rL,,_4vyN -c-owl Name: d 4116hr Registration#: o 01%E3 & Architect/Engineer Address:1o3 F 4- r4k QWe_ iJ k/ City: U - 4r r' Statel' ems! Zip: (p ),a I Phone: TP 5 ),can r Contact Perso b n Email: Licensed plumber installing new sewertwater 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 they 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 require a eview and approval of plans. nl~n X X c~,04+ (:~o Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Public Facility /Exterior Alteration-Apartments Commercial / Industrial _ Accessory Building _V Exterior Alteration-Commercial _ Apartments _ Greenhouse / Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New jnterior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION 00 Valuation ~ 7~ m Occupancy MCES System Plan Review / Code Edition Arn 5 SAC Units (25%_ 100%~V Zoning City Water Census Code Stories Booster Pump - # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction + Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) V Final / No C.O. Required Foundation Other: Drain Tile Pool: -Footings -Air/Gas Tests -Final Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes y No np Reviewed By: M¢t , Building Inspector Reviewed By: Planning COMMERCIAL FEES Base Fee Water Quality Surcharge 00 Water Sampling Fee Plan Review Water Supply & Storage (WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit & Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant (irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL oZ0 ! , Page 2 of 3 � '� t Use BLUE or BLACK Ink �____�____ _� � For Offiae Use I � � U'f/S( � C�t of �a a� , Permil#: � � � � 3830 Pilot Knob Road ���'����� j Permit Fee: �/ i Eagan MN 55122 ��G Q�j '���� � Date Received: �� /� j Phone: (659) 675-5675 � i Fax: (651}676-5694 � Slaff: � 2014 CUMMERCIAL BUILDING PERMfT APPLICATION � , �� date: � �'� 2�� Stte Address: �4� V�.S�}��rti 1'�r y v�- �a Tenant Name: '�C�'�� (Tenant is: N�w/ vfx sting) Suite#: Former Tenant: Name: �1-�- -�L-.¢��'z�.. t_. U�C- Phone: '�b3 � 2.�k2� b4 b� Property Owner ' Aadress i c�ry�zip: l.�[pOi t�-�c..1L.un}c� S} �l v�? Raar�,.sr-�.i t� S�So'3 ' Applicant is: Owner /Contractor A.dd.�r,c, '�rt�w wn�r,Y„�-�a.�, at, , 3 hcw � '� c.�S s ir,r, T e Of WOPk Descrip#ion of work: Yv�c tart�s' tih�1 atdd.��} u�.�. rncr,} i„s��,t Yp C�}is3 i r.r� a,t�esti.vr+ ttsea cx.rr..c�. • l Construction Cost: �DO .Vd . Name: C..,l'�.r"l 5 1'�-l����..t""` ~-""�y�����--License#: Contractor ' Aadress: 600d i,t��s�- "�a�`` S�- 5��.'��°city: �d�r�- as�. -$33� y p--� State; �N Zip: 5 S�3`� Phone: C.e 2 � '�+'�! - Z�Cpq Contact: �Il,rt4 ���� Emai1: Name: �"�-��3'�� ��'�"t�s Registration#: Architec#IEngineer` Aadress: )l�3ta0 "1"'ab�c. l�w+�'a-�r� PI� c�ty: �a«t-�^ Skate: � Zip: 8�'J�#0�.� Phone:, 3�3 � �`1� -�� � Gontact Person: �..�K.�t'� NaSc�".'br�h� Email: w t � ��f��''�4`����s, Licensed plumber installing n-�w sewer/water service: Phone#: NOTE ;:Plans and supporting documents fhat you submlt are consid.ered#o be publlc lnfqrmatlon. Portions of '. the Informaf�on may`be classified as non-public if you qrovide spec�fic reasons that wou/d permit#he Gtty fo '; ` conclude thaf the are frade secrets. ` ' CALL BE�ORE YOU DIG. Call Gopher State One Call at(657}454-0002 for protection against underground utilify damage. Cakl A8 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orp 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, ancf work is not to start without a permit;that the work wi{f be in accordance with the approved plan in the case of work which requires a revi and a proval of plans. x rt� �� � G�. e ' x ApplicanYs Printed Name Ap ttt's Signature . page 1 of 3 : � s_ ..� � . ��5� ���� Iti'��� �r- � ��/5/ �O NOT WR4TE BELOW 7HES LiN� SUB 7YFES Foundatton Public Facility _ Exterior Alteration—Apartments Commerciai!Industrial � Accessory Building _ Exterior Alteration—Commercial Apartments �,Greenhouse 1 Tent _ Exterior Alteratian—Public Facility � Misceflaneous ✓ Antennae WORK TYPES New Interior Improvement � Siding _ Demolish Building" Addition ✓Exterior Improvement � Reroof � Demolish lnterior � Alteration � Re�air � Wlndows _ Demolish Foundation Replace _ Water Damage _ Ffre Repair _ Retaining WaU ^ Salon Owner'Change "Demolltlon of entire building—give PCA handout to applicant DESCRIPTION , ( k Valuation 7$�t?(� . '� Qccupancy � `�'` MCES System /�� Plan Review � Gode Editlon 2-qD7�SBL SAC Units (25%_100%� Zoning � City Water Census Code Stories �ooi 'f"�`P Booster Pump #of Units ?1 Square�eet PRV #of Buildings :� Length Fire SprinkEers Type of Construction �°` f� Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) Final!C.O.Required Footings(Addition) _� Final/No C.O.Required Foundation Other: Drain Tife Pool:^Footings �AiriGas 7ests �,Final Roof:�Decking �,Insutation ,_Ice&Water „_Final Siding:„_Stucco Lath _,,,,Stone Lath _Brick Framing Windows Fireplace;�Rough In ___,Air Test �,Final Retafning Wall Insulation Erosion Contro! Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes V Na �`� Rev9ewed By: C.�"�' , Building Inspector Reviewed By: , Planning . COMMERCIAL FEES Base Fee �L�`� Water Quality Surcharge �� °p Water Sampling Fee Plan Review ��'S• `fb Water Supply&Storage (WAC) MC�S SAC Starm Sewer Trunk City SAC Sewer Trunk S&W Permit&Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigatton) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL� Z��•�/ Page2of3 . . _ ��C�lsl ��c�rv�� :a � � ('+�! �' � I� �., 1 �I, � �u� a s �o�� .�>�.�;,� r�_�f;a�, Centerline Solutions � 16360 Table Mountain Parkway Golden, CO 80�403 Friday Aug. 1, 2014 City of Eagan 3830 Filot Knob Road Eaga n, M N 55122 Attn:Zoning and Permitting. Reference•A1Q0886A T-Mobile roo#top antenna modification. Dear Ladies and Gentlemen, Centerline Solutions has been contracted by T-Mobile Wireiess to accomplish the necessary zoning and permitting for its service upgrade in the Minnesota and Wisconsin areas. As such, I am respectfully submitting the enclased documents for your Administrative Review and permitting{buildingy. Once administratively reviewed and accepted, please forward the drawings, permit applicatian,and check to the responsible parties within the building permitting department for processing and "BP" issuance. The typical design of these existing wireless sites calls for the removal of exisfiing panel antennas and replacing them with new, and in some cases adding, antennas to the existing leased area. The enclosed drawings and application better depict the actual design and project. Should you have any questions, comments or concerns during your rev'tew I can be reached at ph. 505- 250-7489 or Cmanley�CenCerlinesolutinns.com. Application fees based upon jurisdiction review. Respectfully, ' J Christopher ley 08/05/2015 wEo 8: 18 FAx 952 555 4545 R66 Henting 6 Air Cond. �001100fi Use l3LUE or BLACK Ink —, � For Oftice U6e �� I Cit of�a a� ' � � Permll�: � � I 3B80 Pllot Knob Road 1 Permll Fee: ]� a • �� j Eegan MN 66922 j �-�.-�'�' � PhOne:(6S1)6�K-6676 � Deie Receivad: � Fax;�661)676-6694 . ,, I s�aft: j �°` � L_ --_----------- i���a �J 2015 MECMANICAL PERMIT AI'PLICATION ❑ Please submlt two(2)sets of pla�s wlth ali comme�clal applicatlons. Date: I Site Address: �� �v ��5�'+ �N G T�� ��V L� 1'enar�t• !��?� ��5'TC�1� 3uite�: ' , ,,/� 0 1 t� 0 Name• �'y'� V�+�S"fl="�� Phona•_to�( "y� �'� Address/City!Zip: 3 W�V �AI R 5 �-1 �N Ei`�� �n � �.1'�Cy►�n!_J a�l N � ,.�.,..----�—. Nartte: �. � � .�A'T�I n1 C� Llcense#: N�Y3 0 G�'3 W t,p 0 Aad�ess: 1 d a 1 t �.1 v�� (.r�t, �r c�y: '��.NSv �1iz s�ete:�z�p: 5'S 3�"� Phone: � 'S a - �`� H•- � 3'7 La ` 5 Co�tact: �R tL� �o�i Z Emall: lll�R�-u- L'l � �Z 5 N�=����• � New �Replecement Addltlonal Alteratlon Demolitlon Deacrlptlon of work: Q6 i��t� 'T'�� �a� �1'Ul l.It� Fa(i ��1�� �, , . , �� RES/DPNTiAL COMMERC/A� _Fumaee New Construction _Interior Improvement _Alr Condltloner Instell Plping _Processed AIr Excha �Gas � Exterlor HVAC Unit _He ump _UnderlAbove ground Tank (_Inslall!_Remove) _Olher . — --___.....�»,�«,»� RES/DENT/AL FEES $60.00 Minimum Add or alterailon to an exlsGng unit,Ihciudes State Surcharge $100.00 Reslder�lal New,includes State Surcharge , =S TOTAL FEE � COMMERCIAL FEE3 Cont�actValus$ �I���1(�O x.01 $60.00 Permlt Fee Mlnimum,indudes State Surcharge � Ci $70.00 U�de�g�Qund tank I�stallatloniremovai '$ � a � • Permli Fee 'If contrect velue Is GREATER then$2,010,Su�charga=Contreci Value x$0.0005 -$ � ' � O Surcharge" If the pro�cl valuatlo�Is over 9�1 mililon,please cell tor Surcherge _$ � � `o�•�1 d TOTAL�EE I hereby ecknowledge thet thls Informelion is complete end accurste; Ihet the work will be In confo►rnance wiih(he ordlnanoea and oodee of the C oi Eagan;that I undersland lhis Is not a permll,bul only en applicetlon 1or a permlt,end work Is not W sted without a permit;that the work w111 be lii acco nce v�nih the epprovetl plan In Ihe case of Work whlch requlres a revlew and approvai ot plans. /$'/L 1L C./�A'�G i"Z. ��J"�.+ � CGt(��r x - x CG Applleant's Printed Name Applicant's 3ignatu�e ;, � i;'� . ., � •�• ... . „� .�;..,,,.. �,�{�if?• ' , i t ,'rl' Yy�� � �.Y i�y1���"�I, � � 1 , 6F � I Y� � }1 � � �t•Yl'W`A ,�, + 4 . r ��,. ''t.�R?3�., � p�p � I 1 4 �ka, i n (7.', i; 08/05/2015 �� 8: 19 FAx 952 555 a5a5 R6S Hentinq b Air Cond. f�OD2/D06 . I �a.3 t� ORpER ACKNOWLEDGMEt�T � ' � � �'ACL' 1/3 ORD���NOn Z 1?69 659, CUb"fdN1�RN�:: , , E10205 �ORDELI�A'x�s .' ' � • a7-30-20�5 iiLtYlJlcti'i'it�,1)F4:IV�RY,DA7'L; � 08-03-2015 SALD T0: ' SH(P TO: R & 8 Haatirig & R3x Ccnd - b.z.p. �izm�trong Crar►e J.2211 Wood Laka br 717 1g� 8bre�et SW Burneville MN 55337-152b New Haightcn AR�1 55112 FAx: 952-a9a-os�� C UATOMBR P.o, PAYMENtT TERMS 63902 COD-company Check r�ms oF Dgt,Near ORDER TAKEN 8Y pPn prepa�d Freighr Jos►athan tioeks�ra pOUi1N0 BHIPPED fli0d1 Nv Rc�v.t�.n Selected A208 Lensxa� 1VIA7L�RIAL ORDBR ITEM �X1'�NDBD NU�N1fl�li ITEM i�6NT([�IC,A,?IONAAID pl;SCRIP770N QUAN7Y7Y L'QIC� PRICElUZUy3X T.�0919 KdA�6aB4D11 PkgGE/S Tot115DI�/Z90-3 1 B,a35.00 2,235.0(l with the followirig conriguration� Package Ctnit Generation i9t Genera�ion Package tJniC CabiaeC A Cab�neC Packago Ureit Type i3ae &ackage Unit Package Unit Tor,xrage 5,0 packag� [T,niL �£ficiency 6tandard Efticie oy TJ1liC Aefrigex8t3C A-91DA Unit CabiAet Seight Bhoxt (34' Coii) tmie oxi�eatioa nown£1Aw Volta,q� 248-230 VQ1l•/3 P AiX �ilter Ty�e Z" MERV4 - 5�d F'ltex Unit Slowex Z�pe Conetsnt voiume irect Dr ve Hlower Motor .7S Hp DiYect Dr ve dae A �ating z5pK A.B. (Dual tsge� Blowex Mot�ot 5ystem Alirir�,g 9y�tem Al 90W61 KIECON'30A-2 acoaomizer - 8hort 1 55S.OQ 555.00 53A�6� C19N9A64FF1 STNGlLS ENTH,�1L,py. 1 70.00 70.00 17W45 FDHECKOOANI [TORI7,, LCONO CONV$}t9TON KT 1 35,00 35.00 I,0919 ICQA06094DH PICgOL/9 To17150iC8/Z30-3 1 2,235.00 2,235.00 Plith the tollowing CQnLiguraCion: Backage Un�t Gea�ratioa lst meneration Paekage tlnit Cabihcti A Cabinet Pa�kage ttn,�,ti Type Gae Package t7nie Package Unit Tons1age 5.0 08/05/2015 wEo 8: 19 FAx 952 555 a5a5 ab6 Henting 6 Air Cond. �003/006 i3a 3i� � � QRDER ACKNOWLED6MENT cAc� �r� MATI:ClIAI. OAb�R ITBM EXT�NDSD NUMB�R I.TBM roBNi�1P1CA7lON A1VD D�9CAIPTlON ��,�� pR�� �,��� PdCkage Unit EEficienc�+ Stax�dard S��icie cy CTnit Re,�rigeran� A-410A v�i� Cabinet xeigh� s�ho'rt (3�" Coil) Unib O�ient:atioa DownPlow Vol�gge a08-�230 VolE/3 P AiY Fi1tCi Ty�+e a�� MERV4 - Std I' lter Unit B1oloer Type Cos►�ta3�C VoZUme irect Dr v6 alower raotor ,75 xp Direet D� e oaa Heatin,g 150K A.B. (DI�a1 tage) elower MoCor System Wiring eyBtem a� � 90W61 KIECON30A-2 FCbnomizex - Short 1 555.00 855,Q0 s3w6a cisN01t6a1�Fi 8.=NGLB ��iTtrALFY 1 �o.00 �o.00 17W�5 SDHECIf00AA11 }lORZZ. 8CON0 CONYLRBIO�T iCT 1 35.00 35.00 ---------------------------�•---- ------■---------------- ------ ..,..--- " ' ^ ^--- ------------- �lat pxios btate 9a�es Tax 5,790.00 0.00 398.06 Loca,l 8a1ee Tax 0.00 14.48 -^----------------------------------�..�_____. ----------- ------- ---------- --^---------- Q ER ACKN�WLEQGMENT TOTAL �U.S. Doltars� 6 202.6�4 e otes: elivery P1anC; A202 a1 DBte: 08f03J241s ei Rcg: EeaC way : ssns Brecall; Armstrong Crape, S4 Hra, 651-636-8129 ' � tefuaed r_Qntact; Lauxa 9roski 08 N79l�1E : eeet We�Cein o�: 63�oa • y additional chazgee flue to ],are deliveriee are the � eaaan�ibilzt�. o� L•he carrier. � I i i � 08/05/2015 wE� 8: 2D FAx 952 555 a5a5 R66 Heating b Air Cond. �006/406 � 3a31�1 Lennox Industries �nc. — Project Quotat�on Notes: - This yuotollon Is cunt3ngent upun�hc su�c;c�sful cnnlrActur mac�ing all of Lannox Induytrios st�nd�rd terms and conditions Including satisfac�ory crcdit atrangoments. - Paymenc terms subJecl to credi�raview. - Wrirten permission must be obteined from Lennox xor all retums. Iteturns fpr stendard stocked product a�ro subject to a restocking chnrge to cover incurred cos[s. Ai.l.SA�,PS OT SPGCIAL ORDGR OR CONI'I(3UR�D PRODUC'�S ARF F"IAIAL, RETl,1RNS W(1.1,NOT BE ALLOW�D. • 11'ell or any portion o�'an arder�'or speci�t order oreonligured pro�uets is cencelled alter produccion confirmetian,the buyer is subjeel to d cancellaCion charge. - A11 access�rie�are field instelled unless speeificAlly indicaCed. - Jt is the rosponsibility of the installin�contractor to ensure that all in�talled oquipment complies with thc�ovcrnin�building cade�and energy laws. - CON'�RACTOR TO VERIEY VpLTAOL. - F,O.B.Point of Shipment,Freight Arepaid t�Fii:ct Destination, - Ht�nc poin�oi dciivcry,ioc buycr is rosponsioia ier vcriiying tinat tnc produc�is carrcc�as ordcrco�modci numbors,voi[agcs,ccc.j ociorc it is un-crated and/or liRed into pince. - Is this jab Tax Lxempt7 If so pleaso supply a lau oxampt form. - �.�«�:►rnM��M„��i/i�A F,�:ti��On��e��r*�.n.°�:::t,.�n,nii�n_�...i+h rti��.��_+���Ti�l��dlA CL74 A17 Ql1 1_�/11 fl C0��8.°.�.o oeN1��n1.1. AIl1TC• � � �....r. . ..�,r. . Thcrc nro ncw Titic 24/ASHRAL�90.1•2010 rcquircmants for unitary air c�nditioning cquipmont and e1r•h�ndling unils wilh mcchanical 000ling capacity at ARI conditions greater than or equel to 110,000 Btu/tir that serve single zaies. Thaso units MAY roquirc variablc supply air vplume with their supply fans 11+following the�rescriptive method for'1'itle 241AS!•IItAL yU,l-2U10 compliance, - 'l'ho Statc of California oncrgy code 7'itle 24 requires tho uso of higl�porformanco economizcrs for jobs permitted aftcr 7/l/14. '1'ho Lannox fectory-installed high perfo�7nanee economizer selection comes witli e cer�ificate of compliance to Title 24. Field installed high performanee economizers may require jobsite inspections by code oflicinls. Minimum efficiency 5tandards and multi•stagc blowor capability also apply tp Title 24. � CJ.S.Dept of EnerE,y Regional Standards rrohihit the install of nqn-compliant units manufectured after January l,2015.Please esew�e thig product is installed in a compliant region. . Company Name: R & S Heating 8c Air Cond - D.I.P. PROJECT TOTAL SELL PRICE (Tax Not Included): $5,790.40 Quote valid from: 07/14/2015 uote ricin firm to: 08/13/2015 Any use or disclosure of this information to anyone other than the identifed Lennox customer,or any use of equipment pmvided pw•suant to this quote for anyone other than the identified Lennox customer, is a breach of the tarms under which this information snd/ar equipmont was provided to you,for which yeu may incur legal liability to Lennox. TO PLACE AN ORDER�PLEASE FAX THIS QUOT�C TO YOUIt LENNOX SAL�S OFFICE OR NATIONAL ACCO�JNT DEPAItTMENT,COMPLET�WITH TH�FOLLOWING INFORMATION: P.U.#, CU5'I'UML�I�ACCUUN'1�l. Sk�IP T0: DESIRED DEL(VHRY DATES: ..,.:. lJN1TS: ,...,.,___ II CUkHS: cor�'rRocs: VOL'I'AGB V�I�lI�'IBU; SIGNA'1'IJRfl; CAI.IFpRNiA T1TLS 24 CnMPL1ANCG YG5 or NO , Project; 300�5124e5-8est Western Prepared By:AUSTIN FiEGE� QuOte: 40008073a8•Best Western Prepered On:07J14/Z016 Pege 3 oF 3 08/05/2015 wEo 8: 20 FAx 952 555 a5a5 R6S Henting 6 Ai.r Cond. �005/006 � 3 a31� Lennox Industries Inc. — Project Quotat�on 1'rojcet Namc:BeSt Weatcrn ProjecC Lacation:EGAN,MN 00000,US r ' M r, � .t 1 • aR•, i �,i 11�h���,�:i�e {� � � ��d• � n4° if ! �{�, � �I� � r ,i1;�'i ��� �• �:h'��nY H� .11�, t�ll'L �t �R� .1 },� id\ �4'41d t I���i. �. GCS16-060-120-2Y REP. Horiz Flow ; 1 KGA060S4p1•r pICO(3E/S TONISOKB/230-3 L0919 i 1 K1 RC:ON30A-2 L�CONOMIZL•R-SHORT 90WG1 I 1 C1SN5R64FF1 SINGLEENTHALPY 53W64 ' 1 rnH[:CKOOANI ]iORIZ.LCONO CONVERSION 1CT 17W45 �� GCS16-653-125-5Y REP, T�o�riz Flow IIII 1 KGA060S4DH PKGGE/5 TdN1501S,A/�30-3 L0919 ', 1 K1ECnN3�A-2 F.CONOM17,f;R-SNORT 90W61 ' 1 CiSNSR64rf1 SINGLEENTHALPY 53W64 1 i'DHF.CKOOANI HORiZ.ECONO CONVERSION KT t7W45 ', Hecause these RTUs are Hori2 Flow,no adaptei�curb is included, �'� � Pro)ect: 3000512485-eest Westarn Prepered By:AUSTIN FIEGEI Quote: 4000607348-Best Wastern Prepared Qn:07/1A/2015 Page 2 oi 3 08/05/2D15 wE� 8: 20 FAx 952 555 a5a5 a66 Henting 6 Air Cond. f�004/006 13a3i� � Project Quotation Pro'ect Information Project Name; Best W�estern Project Number: 3000512495 Project Location: EGAN,MN 00000,US Customet�nfoa•imation Company Name; R&S I�eating&Air Cond-D.I.P. Company Address; 12211 Wood L�ke Dr Company Location: Burnsville, MN 55337-1526 Cont�ct: Phone: 952-�94-0376 Fax; 952-894-0377 En ineer Information Company Name: Company Address; Comp�ny Locatian: Contact: P�.o��e: �ax; We are pleased to provide�he attnched project quotaliort. T/se toaal quot�tion price is specifec to t�ie blll nf materials lisled on the quotatior:. If you have any guestioris or need additional information,please feel free to call our o ce. �. ,�,�".1/Q Con�tinuausCo�tt�t41`t /, p�P/AC�M�'I�fT" l,anepx tomm�rcl�l Plnanc�ng� Need replacement equipment fast? Earn��oo when your client finances. Call Lennox Rapld Replacement 877-79z-oozq �ontact�orinne Beyer at 800•606-0049 x�qo Pro�ect: 3000512495-Best Westam Prepared By:AUSTIN FIEGEL Quote: a000607348-Beet Weetern Prepared On:07/14l2015 Pege 1 of 3 06/10/2016 FRI 10:52 FAX City of Evan 3890 Pilot Knob Road Eagan MN 66122 Phone: (861) 6764876 Fax: (661)876.5694 0001/001 Use BLUE or BLACK Ink for t 0: Uea % �� C- Permit #: l 3/ Permit Fee: 3C) Vo. (33 Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. ✓0116. _i- ,/ Ode. a bJ . V • i W Agiti VDO, r1 I ".•"' Tenant: !?�'�' kk ' 'r1 W / fda. ase • — .v p.• V ••- v I • V�viy•/ /••W • ✓y,/sT�rii• Suite #: ,Re,. . Name: f1411/4., & . Y /4 op e„ t. Phone: � 4/.i ' ? 4.2 -0514 Address I City / Zip: . .. . .. • . . contractor ' • ... ' ld ... ANAP. MtP . 1>o.r...l toe.fe t:.... .a .a&tit:4f...L1'.�,r Address: /001 LA/$off S/pKstr 4 ( Aar City: VA,DaAsS ireicwk"rt a g State: NW Zip: S5 ) ! C7 Phone: (05) '-140 - M 0 Contact: arra aPIs v Email:reIfit ly, ALC".. k✓#i.c,• Ger,., • Type of Work I New X Replacement Additional Alteration Demolition _ _ Description of work: ' Ute,G a11.pifrlsini /An,'{' 'NOTE:.Rpormouhted.and ground 'mounted mechanical equipment is required to, be screened, by. City Code,:.. Please contact the'Mechanical inspector for' Information on permitted screening methods. • ' '. Permit Type ' RESIDENTIAL Furnace — Air Conditioner COMMERCIAL New Construction , Interior Improvement _ Install Piping Processed AIr Exchanger _ Gas Exterior HVAC Unit Heat Pump _ Under/Above ground Tank (_ Install/ Remove) i Other _ _ RESIDENTIAL FEES $60.00 Hamm Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE COMMERCIAL FEES $60.00 permit Fee Minimum Contract Value $ M, 14 4 . PG x .01 = $ T Permit Fee $75.00 Underground tank Installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation Is over $1 million, please call for Surcharge es $ Suroharge /��1�' = $ 3t/ls - 02 TOTAL FEE 1 hereby acknowledge that thls 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 Oar lZ ). Ag•D Applicant's Printed Name FOR OFFICE USE Required Inspections: Undergrounds _ Rough In Air Teat Gas Service Test In -floor Heat . f�— Final' . — HVAC Screening , s Reviewed Dy; bete: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA141810 Date Issued:03/31/2017 Permit Category:ePermit Site Address: 3450 Washington Dr Lot:1 Block: 1 Addition: Dakota Ridge PID:10-19550-01-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dakota Ridge Llc 3450 Washington Ave Eagan MN 55122 (651) 452-0100 Minnesota Water Llc 2495 Maplewood Dr, #310 St. Paul MN 55109 (612) 669-2837 Applicant/Permitee: Signature Issued By: Signature ' `• Ili For Office Use Permit#: /-�7//--- 7 ,! , , � Permit Fee: / EAGAN Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810E V Payment Recvd: _Yes No 651 675-5675 TDD: 651 454-8535 FAX: (651)675-5694 ( ) ( ) I Plans: Electronic Paper Plan Submittal:eplans a cityofeagan.com FEB 2 5 2019 2019 COMMERCIAL BUIL G PERMI APPLICATION Date: 2/25/2019 Site Address: 3450 Washington Drive Tenant Name: T-Mobile (Tenant is: New/ ✓ Existing) Suite#: Former Tenant: Name: T-Mobile Phone: 612-859-9787 Property Owner Address/city/Zip: 553 - 77th St. W., Eagan, MN 55121 Applicant is: Owner ✓ Contractor Type of Work Description of work: Removing 5 existing antennas and replacing with 3 new antenri Construction Cost: $3000 Name: T-Mobile License#: TBD Contractor Address: 553 - 77th St. W. city_ Eagan State: MN Zip: 55121 Phone: 612-859-9787 Email: Steve@truemanSac.COm Contact: Steve Trueman Name: Ramaker and Associates Registration#: 42202 ArchitectlEngineer Address: 855 Community Drive city: Sauk City State: WI Zip: 53583 Phone: 608-6434100 Contact Person: Chad Morgan Email: cmorgan@ramaker.com Licensed plumber installing new sewer/water service: N/A Phone#: N/A NOTE;Plans and supporting documents that you submit are considered to be public information. Portions of the information MitYhd classified as non clic if you provide specific reasons that would permit the City to conclude that they are trade You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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.goi herstateonecall.orq 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. XSteve Trueman X StAA)>Wiille/A,, Applicant's Printed Name Applicant's Si DO NOT WRITE BELOW THIS LINE /----;q7— -.--- C) - 4.411 . , SUB TYPES - SUBTYPES :/mac t3/c__11;I(— 17i P72_ _ Foundation — Public Facility _ Exterior Alteration-Apartments _ Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments Greenhouse/Tent _ Exterior Alteration-Public Facility Miscellaneous /Antennae WORK TYPES /New _ Interior Improvement Siding Demolish Building* _ Addition _ Exterior Improvement Reroof _ Demolish Interior _ Alteration _ Repair Windows _ Demolish Foundation _ Replace — Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation S I oop.es-v Occupancy A • ( MCES System N/A- Plan Review / ✓ Code Edition ZO/SHBG SAC Units (25%_100% ) Zoning 1 PD City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings / Length Fire Sprinklers Type of Construction V•4 Width REQUIRED INSPECTIONS Footings_New Building Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation _Ice&Water Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans Windows Fireplace:_Rough In _Air Test Final / Final/C.O.Required Pool: Footings _Air/Gas Tests _Final V Final/N9 C.O.Required Final CIO Inspection: Schedule Fire Marshal to be present: Yes " No Reviewed By: E.s • , Planning New Business to Eagan: A/0 Reviewed By: CM/ , Building Inspector FEES Water Quality Base Fee 88 •50 Storm Sewer Trunk Surcharge 1 • 50 Sewer Trunk Plan Review 3 i. 5 3 Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: //1.5:5 Page 2 of 3 T • 'Mobile.. T-Mobile Central LLC 8000 W.78"'Street Suite 400 Edina,MN 55439 July 2, 2018 City of Eagan Attn: Building Permits 3830 Pilot Knob Road Eagan,MN 55122-1810 RE: T-Mobile's antenna removal and swap project at their existing site on the building rooftop located at 3450 Washington Drive,Eagan,MN Site: A1Q0886A To Whom It May Concern: Attached is the Building Permit Application for T-Mobile's proposed removal of five of their existing twelve antennas and adding three newer model antennas. The net result of the project will be reducing the number of antennas on the rooftop from twelve to ten. I am enclosing two copies of 11"by 17"signed Construction Drawings and a copy of the passing structural report. Please let me know if there is any additional information you need to process this application.Thank you for your assistance on this. Sincerely, 5EGV-Li>v\QMVA,. Steve Trueman Trueman Site Acquisition for T-Mobile 553 77th St. W. Eagan,MN 55121 612-859-9787 steve@truemansac.com •T• • •Mobile• ANNUAL TEST FORM BACKFLOW PREVENTORS CUSTOMER: STREET ADDRESS: MAILING ADDRESS: NEW INSTALLATION EXISTING REPLACEMENT OLD ASSEMBLY S.N.: LOCATION OF ASSEMBLY: TYPE OF ASSEMBLY: RPZ DCV PVB SVB SIZE: INSTALLATION DATE: MANUFACTURER: MODEL: SERIAL #: RELIEF VALVE CHECK VALVE #2 Back Pressure Test CHECK VALVE #1 In Direction of Flow Test CHECK VALVE #2 In Direction of Flow Test Pressure/Spill Resistant Vacuum Breaker DOUBLE CHECK VALVE In Direction of Flow Test Opened at ________ psid Did Not Open Leaked Closed Tight Leaked Closed Tight Differential Pressure Across check valve ________ psid Leaked Closed Tight Differential Pressure Across check valve ________ psid Air inlet opened at ________ psid Did Not Open Check Valve Leaked held at ________psid #1 Leaked Closed Tight ________ psid #2 Leaked Closed Tight ________ psid Passed Failed Passed Failed Passed Failed Passed Failed Passed Failed Passed Failed Passed Failed CHECK ALL THAT APPLY Cleaned Only Cleaned Only Cleaned Only Cleaned Only Cleaned Only #1 Cleaned Only #2 Cleaned Only Replaced: Replaced: Replaced: Replaced: Replaced: Replaced: Replaced: Rubber Kit Rubber Kit Rubber Kit Rubber Kit Rubber Kit Rubber Kit Rubber Kit Assembly Assembly Assembly Assembly Assembly Assembly Assembly Disc Disc Disc Disc Disc, air in Disc Disc Diaphragm Spring Spring Spring Disc, CV Spring Spring Spring O-rings O-rings O-rings Spring, air O-rings O-rings O-rings Other Other Other O-ring Other Other Other Other Describe Repairs: Opened at ________ psid Closed Tight Differential Pressure Across check valve ________ psid Differential Pressure Across check valve ________ psid Air Inlet_________ psid Check valve ______psid Check #1 ________ psid Check #2 ________ psid Opened shut off #1 Opened shut off #2 Water Pressure: Test Kit SN: Remarks: I hereby certify that this date is accurate and reflects the proper operation and maintenance of the assembly. TESTER’S NAME (print) CERT. # TESTER’S SIGNATURE DATE TIME COMPANY Davis Mechanical Systems Inc. 21225 Hamburg Ave Suite 3 Lakeville MN 55044 952-854-3654 ANNUAL TEST FORM BACKFLOW PREVENTORS CUSTOMER: STREET ADDRESS: MAILING ADDRESS: NEW INSTALLATION EXISTING REPLACEMENT OLD ASSEMBLY S.N.: LOCATION OF ASSEMBLY: TYPE OF ASSEMBLY: RPZ DCV PVB SVB SIZE: INSTALLATION DATE: MANUFACTURER: MODEL: SERIAL #: RELIEF VALVE CHECK VALVE #2 Back Pressure Test CHECK VALVE #1 In Direction of Flow Test CHECK VALVE #2 In Direction of Flow Test Pressure/Spill Resistant Vacuum Breaker DOUBLE CHECK VALVE In Direction of Flow Test Opened at ________ psid Did Not Open Leaked Closed Tight Leaked Closed Tight Differential Pressure Across check valve ________ psid Leaked Closed Tight Differential Pressure Across check valve ________ psid Air inlet opened at ________ psid Did Not Open Check Valve Leaked held at ________psid #1 Leaked Closed Tight ________ psid #2 Leaked Closed Tight ________ psid Passed Failed Passed Failed Passed Failed Passed Failed Passed Failed Passed Failed Passed Failed CHECK ALL THAT APPLY Cleaned Only Cleaned Only Cleaned Only Cleaned Only Cleaned Only #1 Cleaned Only #2 Cleaned Only Replaced: Replaced: Replaced: Replaced: Replaced: Replaced: Replaced: Rubber Kit Rubber Kit Rubber Kit Rubber Kit Rubber Kit Rubber Kit Rubber Kit Assembly Assembly Assembly Assembly Assembly Assembly Assembly Disc Disc Disc Disc Disc, air in Disc Disc Diaphragm Spring Spring Spring Disc, CV Spring Spring Spring O-rings O-rings O-rings Spring, air O-rings O-rings O-rings Other Other Other O-ring Other Other Other Other Describe Repairs: Opened at ________ psid Closed Tight Differential Pressure Across check valve ________ psid Differential Pressure Across check valve ________ psid Air Inlet_________ psid Check valve ______psid Check #1 ________ psid Check #2 ________ psid Opened shut off #1 Opened shut off #2 Water Pressure: Test Kit SN: Remarks: I hereby certify that this date is accurate and reflects the proper operation and maintenance of the assembly. TESTER’S NAME (print) CERT. # TESTER’S SIGNATURE DATE TIME COMPANY Davis Mechanical Systems Inc. 21225 Hamburg Ave Suite 3 Lakeville MN 55044 952-854-3654