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3830 Pilot Knob Rd - Police Facility07/21/2010 WED 14:47 FAX 2184444505 Peterson Sheet Metal City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 WJUI2!al 2002/004 Use BLUE or BLACK Ink i'f01(ice lisp, Permit #: Permit Fee: CJ r Date Received: Staff: 2010 MECHANICAL�PERMIT APPLICATION ' Date: T 2-H O f _Site Address: 3230 "t 16+ I1 b .� Tenant: Pot 17.e ;1r -IA -g-0 0 vl Suite #: RESIDENT 1 OWNER Name: (ill o 4I Phone: Address / City / Zip: CONTRACTOR Name: Pe•Tt?4'So rN S \e.e 4 M.e i \ License #: Address: 3"72-1. ,evyt i d,: Aire NI • City: Bevin 14 t t State: M ►V Zip:Sri6 60 I Phone: Zi - 7S I.- 4S-02- Contact: ZCt.Sor:Tj`iAeI- Email: 16.0.h4 ,t00-, TYPE OF WORK New Altera ion iition — Description of wo • ', i dt_ ,4111 si : - - 2 NOTE: Roof mounted and groun • - • ed mechanical equipment = • -' = . o • e screened by City Code. Please contact the Mechanical Inspe • "• on on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL.. .. _ ...... _ New Construction ,it; Interior Improvement — Air Conditioner Install Piping _ Processed _ Air Exchanger Gas Exterior HVAC Unit ( Install / Remove) call for inspection by Fire TOTAL FEE _ Heat PumpUnder / Above ground Tank u"" _ Other When installing/removing tank(s), Marshal and Plumbing Inspector ...RESIDENTIAL. FEES:.. $50.50 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $ $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ to, 6 t9 OU x 1% �� _ $ Permit Fee - If Permit Egg is Tess than $1,000, = $ '5V Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 =$ 1VV.5-0 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Cat► at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www_,,;gopherstateonecalLorg I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Tic 0 frFt t Applicant's Pried Name LOtrA Apl(I)cant's Siture FOR OFFICE USE V Reviewed By: '7 Date: Required Inspections: Under Ground ough In Air Test Gas Service Test In -floor Heat Pinal ___ Exterior HVAC Screening Inspection City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit#: Permit Fee: Date Received: Staff: 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: .5130110 Site Address: 3 734 F. /6,--/ kn dD 12 �C/ Tenant Name: GLf� of Ciah folate_ (Tenant is: _ New / )( Existing) Suite #: Former Tenant: PROPERTY OWNER Name: e; 4i 0-c go,- & n Phone: f Address/City/Zi/p: 3830 P1.104" lc 17 Rd Applicant is: X' Owner Contractor TYPE OF WORK Description of work:, 1Z -'N^- 0 oC—' � Construction Cost 1 �-11 6 _ 3 � CONTRACTOR Name: Nty o0' F.415LA / 6CKSAAb7 License #: Address: l g 0 Pi /6* ' #.6 /14jCity: rate/ ls�. After State: M/1 Zip: 55./ Phone:95o 'S.3%t, VO 6/2-0,10-70547 Contact: Email: ARCHITECT / ENGINEER Name: San4W4 to -V. iT Registration 1403 A8 Address: 71oc Ito td 4¢1", S -f- City: ill/1C (•'S State: ,1%i N Zip: lar �S'y°K Phone: 61 Z' 7C8 "6 700 • -• Contact Person: fje‘� cot SIM" Email: er city/1 1 i• -.1C, r Co.41 Licensed plumber installing - ' - Phon new sewer/water service: t 11CI (e #: NOTE Plans andsupportintg� lot ?e ts,that y -su the information.Fmaybe classified as' a . ' i' } 1 ''S.yty ♦".54` r�Y i 1 F,; `4fN .� �'kw{�iy, pnL ori. SJ S u' x1.. X�y /� u(� h 4�... k.? ..�3. �:{`' c'.+y+r¢�§�. s �/ynY M �" 11-.... t oco si' ub%! f _ v 1 ,� • r ' pe 4, H^ u^'3' +S ey."� *M x ' ,5 p yt ,y +1 A :,� G� .sd iT� +11fM ^� �Y �,e �e .ei✓ � � � a�^52". +h � afk. mow.". � .E CALL BEFORE YOU DIG. Call Gopher State One Calf 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.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in coriformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an ap Ilea ion 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 vihich requires ajeview and approval of plans. x Torn. G7Nr5�e, Applicant's Printed N me G ,./D/9/(ige�T (//-- (790 x Applicant's Signet re Page 1 of 3 • DO NOT WRITE BELOW THIS LINE .15° P:(ot- /4(06 SUB TYPES Foundation Apartments Lodging Miscellaneous WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%_) Census Code #of Units # of Buildings Type of Construction /Public Facility Commercial / Industrial Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage 39 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Occupancy Code Edition Zoning Stories Square Feet Length Width Drain Tile Roof: _Decking Insulation _Ice & Water ✓ Framing Fireplace: Rough In _Air Test _Final Insulation Meter Size: Final Accessory Building Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof _ Demolish Interior Windows Demolish Foundation Fire Repair Salon Owner Change Demolish Building* *Demolition of entire building - give PCA handout to applicant MCES System o `11 j4tSri4, AC Units F F City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required i/Final / No C.O. Required 11�s yes yes Other: Pool: Footings Air/Gas Tests _Final Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control Final. CIO Inspection:rSchedule Fire Marshal to be present: Yes L— iNo Reviewed By: /W ' I!.t- 1- , Building Inspector 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 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL Page 2 of 3 • Metropolitan Council qqq7 AA April 26, 2010 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, N11N 55122 Environmental Services Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC for the Police &Woo renovation to be located at •i -hon the 1 y of Eagan. A determination was not necessary. It is the Council's understanding this remodel does not change the use or size of the existing station; therefore, no additional SAC is due. II) The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us. Sincerely, rN a/Vet-t5;(' aron Cappaert SAC Technician Environmental Services Division KC:kb: 100426A2 Determination expiration: April 26, 2012 cc: J. Nye, MCES Peggy Fleck, Eagan Tom Ginter, Bossardt Corp. (email) www.metrocouncil.org 390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 • TTY (651) 291-0904 An Equal Opportunity Employer ?' ? .. BUILDING PERMIT 5ite Address Lot Block Parcel # CITY OF EAGAN 3745 Vllot Kno6 Road Eagan, MN 55122 W2 4591 PHONE: 454-8100 ? - • Receipt .# ? Pclice Facili; oarP . 19 Sec/Sub 22 Erect 0 Occupancy Alter Q Zoning Repair ? Fire Zone Enlarge ? Type of Const, Move ? .# Stories Demolish ? Front ft. Grade ? Depth ft. Approvols Foes w Nome of F agar' 3 Addreu '795 F'floC ifnab bid. 0 ? O Name ?Q Address _ I' t • . ? ?:... ati- '. ,1-2255 WW Name ,riie nrc'tiitects Iac. ?-z '„r-onatian 1?d. xG Address r "5w r:?. " d....... .4-2493 I hereby acknowledge thut I have read this applicotion and state that the information is correct ond ogree to comply with a!I applicuble State of Minnesoto Statutes and City o4 Eogon Ordinances. Assessment _ Water & Sew Pol ice Fire Eng. Planner ` Council - Bldg. Off. - APC Permit _ Surcharge Plan check SAC Water Conn. - Woter Meter Totul Signoture of Permittee I A Building Permit is issued to: on the express condition thot all work shall be done in accordance with all applicable State of Minnesoto Statutes and City of Eagan Ordinances. Building Officiol ? PMwk # pele MNi pOINIl!!N Plumbing Mechanical INSPECTIONS I i DATE INSP• RougMln ftrwl Foorings Date Irup. Dote Irop. Foundation Piumbin Frame/ins. Mechonical Finol Remark? ?_ /S - 7 7 L'i ?'`''y Lc.? °?PP = 3 /- 7 ?f J'? I I- /? ) E''°a,K ??`"` ?""?" [: -?'? ?f *r'.t"g u•,."'/?`"e't , C.n? c s- t9-ss-7? s'•t-?a ..?-. ., .. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: , „ i O ; t I, NO! PERMIT SUBTYPE: INSPECTION REC4RD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: Ilf y.I. K i F, 1 I+.iM r;Ii 1 I If r Nl, ti) .' ?1 > >, ii I ?9 j.•r. Jl14 ? hi 1 1 I f V T INSPECTION .• • •A t? f 11? ?. . i i+?? • ? . . ? : . i : ? I i • . ? ' ? PermR No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRI E LECTR Inepecdon Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. fy nr Rough Htg. Isul. Freplace Rna1 hltg. Orsat Test Final PI6g. Plbg. Inspeclor - Notify Plumber Const. Meter EngrJPlan Bldg. Final ? Deck Ftg. Deck Final Well Pr. Disp. PERMIT # , , . MECHANICAL PEHMIT RECEIPT # CITY OF EAGAN y ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ACT PRICE: PHONE: 454-8100 SitC Ad?dreSS . Lot Block ? Name co Addre c Ciry _ Name U". Address 1 City Phone OF WORK d Air Unit Heater Air Cond. Vent Gas Piping Oudets # omer '" ` Phone BLDG.TYPE Res. Mult Comm. Other WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS QUTLETS (MINIMUM - 1 PER PEknllln - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) , . M BTU M BTU M BTU M BTU CFM FOR: CITY OF EAGAN FEE: S/C: TOTAL• 2 Request Date 9 Flre o. . Rou9h-iM1 Inspecl qequired NOTICE: You MustCall ElecVical Inspector II A qough-In Inspeclion i s ? No Is Requ retl. st ins ection of above electrical ork at: h eb e I d i t ? p owner er y r que w ense con rac or ,bbAddres s (Slreet, Box or !pKe.N , 30 Ciry Sec[ion No. Township Name or No. Renge No. Cowty Occupant(PRINT) ?J Phone No. PowerS iet Atltlress Elec ' onva or (COmpany Name) Contrecto icense No . . ? Gk 01 ? Meiling Atldress (COMracbr or O.vner Making Installation) ? ? AutMriz Si ure (CoMrad wner Making Inst ation) Phone Number 9 y4-3o 3c7 b11NNE50TA TATE BOARD OF ELECTHICITY THIS INSPECTION REpUEST WILL NOT GriggsMitlwa Bltlg. Paom 5-113 BE ACCEPTED BV THE STATE BOARD 1821 Unlversity t. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(812)692-0800 ENCLOSED. C?/d4?? REQUEST FOR ELECTRICAL INSPECTION ? See instructlons Por completing this fortn on back oi yellow copy M? 8 42 X„ Below Work Covered by This Request EB-00001-08 e Add Rep. TypeofBUilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Wdter Heater EleChic Heating Apt. Building Dryer Load Management Comm.AndusVial Furnace Other (Specify) Farm Air Conditioner Olher (specity) ConiracTOr§ Remerks: Compute Inspectian Fee Below: ff Other Fae # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 60 0 ta 100 Amps Transformers Above200-Amps A Amps /Q Sigf1S Inspedor5 Use Only: v Irrigation Booms l?? g?• ( D8 Special Inspection AIarMCommunication THIS INSTALLATION MAY 8E ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN MONT S. I, the Electrical Inspector, hereby Rovgh-in oete Q, a? certify that the above inspection has been made. Fnai ( oete OFFlCE USE ONLV ? - This request wid 18 months fmm Th s rques void ?'//9/88 . g3898` 18 mpnths from E ` 3 212 11'??-?-?cii? Fequest Date v' fire No. • Roup,-in Insuer.tion ? , Reyurted? Ready NpwgWill Nolity Inspec- 8/\n i$lb Ves ?N ? ? tor When RyOV kUcensed Electrical GonVactor ? ?' - I hereby reGUBSt inspecti of eb ? Owner elachicel work installe 5[reet Address, Boz or Raute No. City 0 ?` ` 3830 P? o ecuon o. Townshi0 Name ar No. Range o. County Kf1Ri Occuuant IPRINTI Phone No. mr F- Fbuce. Z?FaWr 4s4- a"100 Power Supplier Address actor ICompany Namel Elecvical Conv Contrar.mr's Lfcense No. 1 MtD-IJDzMEYAi CL6C3fL1C AOQM-04 MailinB.4dJress IConVaclor or Owner Making Instailationl Za\s Do? QO. EpGA1J N. SSI2I Aut ' - nature 1 MractodOwner Making Insiallationl Phone Nmnber THIS INSPECTION qEQU[5T WILL NOT MINNESOTA STATE BOAND OF ELEC I ICITY GrigOS-Midway Bldg. - Boom N•191 BE ACCEPTEO BY THE STATE BOANO UNLESS PROVER INSPECTION FEE IS . 1821 Universitv Ava.. SL Peul. MN 55104 PFnnnlfitJ1662-OAOO ENCLOSED. g/ REQUEST FOR ELECTRICAL INSPECTION . ea-ooooi-os ! ( ra'8q bz" ? See instructions br completirg this torm on back ol vellow coOY. % c` - E 3212 ?0519,w X" 8elow•Work Covered by 7hrs Reqdest Nolm FdA NeO. rype ol Buileing Applinncea WireO Equipment WireA Home Range Temporary Service Duplex Water Heater liqhtiny Fixtures ApL Building Dryer Electric Heatin Comnercial Bldy. Furnace Silo Unloader Industrial Bldg. Air Condltioner Bulk Mllk Tank Farm Othxr Per.i v Dthur ISnecifvl t er pedfv Other Onicr ('mm..ufa lncnartinn Feo Relnw p Fee ServiceEnheneeSize k Fee Fee.ders/5ubfeetlers N Fea Circuits U to 200 Am s 0 to 30 Am s 17 SO 0 to 30 Am Above 200 Amps j db 31 to 100 Amps 31 to 100 Am Swimming Pool F Above 100-Am s Above 100_Amps Transformers Irrigation Booms Partial.'Other Fee Signs ISpeGal Inspectiun 15 ?D. TOTAL FEE J? the Eleee.ical sDector, heroby fBQu%t /s s o s35 Request Dafe . ?, ire No. . Nough-in Ins elon NOTICE: You Must Call Electncel Inspeclor R r ?T m e If A Rough-In Inspeclion .+C.LJ s ? No Is Requiretl. A nsed contractor ? owner hereby request inspection of above electrical work at: Job A ddress ?Srceet, ar Route Na.) Ciry tQ V? ? Section No. Township Neme or No. Range No. Counry Occupant (PRINn t-TY plr' P ne . ow upplia AOtl ? • Elecmcal mr( ompan 19- ConV lor5 L' e No.o I4:2_1 Mailing Atltlreas (COntra r or aking Inst lation) ? Aulhon nawre (Contractwl i tallation) one Nvmb r ? 3o MI NESO STATE BOAND OF ELECTFICIiY THIS INSPECTION REQUEST WILL NOT Griggs-Mitl BIEg. - Room S-173 BE ACCEPTEO 6YTHE STATE BOARO 1821 Unlvenl ve., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phom (612) 6924)800 ENCLOSED. 8?s 4? REQUEST FOR ELECTRICAL INSPECTION ? Sea instmctions Irn completing thls form on back of yellow copy. M 01935 ' lX"?elow Work Covered by This Request 4 WT.a*A, e Qdtl Rep. - TypeofBuiltling AppliancesWired EquipmentWired • Home Fange emporary Service DUple% Water Heatef Eledric Heating Api. Building Dryer Load Management Comm./Industrial Furnace Other (Specity) Farm Air Conditioner Olher (specity) Conlractor5 RBmarks: Campute Inspection Fee Below: # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0[0 200 Amps / O l0 100 Amps 7ransformers Above 200 _ Amps Ahove i00 _ Amps S1905 Inspeclw5 Use Only: ["? ? TOTAL Irrigation Booms -T Special Inspection AIarMCommunication THIS INSTALLATION MAY BE ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT S. I, the Electrical Inspector, here6y Rough-in oaie ?` certi thattheaboveins ectionhas fY P been made. , Final Date OFFlCE 11SE ONLY This raquest vdtl 18 monihs irom r 18 5 3 W o0yoi -?? Repuest Date Fire No. Rough-lminy.lf?ction RapuireC Ins eclbn Other Than Rough-In I 1 (Yau must call inspgctor when reaCy) ? ? ? qeatly Now ? Will Notily Inspeclor Ves N. D.I. ReaEy I licensed contracror ? owner hereby request inspection of above electrical work at: JaC Atltlrew IS reet Hox or Route No.), 3?'3 1 Lor f:rvDb py v) Section No. Township Name or No. : Range No. COunty Occitpant WqINTI Phone No. Power5upqer . . Atltlress Elett cai Gontr cbr (GOmpany Name i ConVacrorS Lic?se No. ^ C Maihng Aoaress (COncraaor or Owner Making msiallaf S . , ANnor 9gnaNre IConVacto ?. kin s nstallalion) Phore Number MI OTA STATE 80AHD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Mitlway Bltlg. - Noom 5173 BE ACCEPTED BV THE STATE BOARD 1821 Universlty Ave., SI. Faul. MN 55104 UNLESS PROPEP INSPECTION FEE IS Phone(612) 6624900 ENCLOSEO. /4j?7/Y4 N1$530 REQUEST FOR ELECTRICAL INSPECTION ? See instmclions for competing ihis lorm on back of yellow copy, "X" Be/ow Work Covgred by This Request ?'„?,??_`' ESOi ew Atld nep. TypeofBUilding AppliancesWred EquipmenlWired Home Range TempOrary Service Duplez Water Heatar Electric Heating Apt. Buildin9 Dryer Load Management Comm./Industrial Furnace Olher (Specify) Farm Air Conditioner r t Otl+er (syecTy) ConVaclor9 Femarlcs: C 1?\ \, I ` ? y ??./?{J ? ? U[Jy?/` ? 1 (? Compute Inspection Fee Below: 6 42, 259 ,Cl # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pooi 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A ve 100 _ Amps Signs Insvecmr's Use only: ?` TOTAL IrrigaGOnBooms t3 L ,S6 Special Inspection i Alarm/Communication THIS INSTALLATION MAV BE ORDEREO DISCONNECTED IF NOT Other Fee COMPLETED WITHI ONT I, the Eledrical Inspector, hereby Rou9n,n oate certity that the above inspection has been made. F;,,ai f oate OFFICE USE ONLY ? This request void 18 months Irom This request void, m5nths from p 58556 Date of t ' equest .I, as icensed Electrical Contractor OOwner, do hereby request inspection of the above electri- c:d wiringinstalled at: o?.zCC oia a G .?r ?/' ?uqan Street Address or Route No. I? i!L'} ?( I 11 U.? ?J? City ?J- Section Township ( .?i?n?1 • Range County DCtJ(?TLj. ? _ . . Which is occupied by Is a roughin inspection required on this job? N01W* PowerSupplier?fJ?Gl?j' ?IG?G.•frPL Ai Electrical Contractor C! G' I'E.C, l Y) ?COmpany Name) M9iling Address J ? ,?GY??i, ?., Authorized Signature or c) Ready Now ? Will Call O FG?> rn in atmj'h.ti? I- -34370. _ Contractor's License No. _ No./7 ? -- C;'_u ST?1T? BOA?D COpI? This inspection request will not be aceapted by ffie Siate Board unless proper inspeetion fee is enclosed. Minnesota State Board of Electricity nive-tity rwe., St. Paul, Minn. 55104-Phone 645-7703 / 7?y EQ?ST.FOR ELECTRICAL INSPECTION kR p LqWORK COVERED BY THIS REQUEST r 85 5ding New Add. Rep. Check Appliances W'ved Fo[ Check Equipment W'vad Home ? ? ? Rangc ? Temporary Wiring ? Duplex ? ? Water Heatei ? Lighting Fiztu[es ? ? Ap[. dldg. u p u Dryer ? Electric Hea[ing ? Commercial Bldg. ?' ? ? Fumace ? Silo Unloader ? Industtial Bldg. ??? Au Conditioner ? Bulk Milk iank ? Farm ? ? ? LisL'__t List! COMPUTEINSPECTION FEE Sarice Entrance Size: # Fee ers Fee Crtcuits: # Fce 0 to 100 Am s. to 3 m M?m 0 to 30 Am eres "? 101 to 200 Amps. 31 to 100 Am res /? 31 [0 100 Am res Above 200_Amps. 11, Above 100 Amps. Above ]00 Am s. Ttansformeis - 1 1 Remote ConVof Circ. Partial or other fee Signs 1 1 Special Ins ection Minimum i Remarks - /,Q3 TOTAL F d, pU I, the Electncal Inspector, hereby?c$?ify thaF/ih? b6ve in_spection has been made. (Rough-in) ?/?,r?? C,C/??lti6U Date _ (r3^-tv (Final) Date -z-S/ This request void 18 months from 7y ' Zj) 3 - a 3-zy ?b1 6 - ad--76? , r ?/-e>1 V 7 3u->d lv - ? ' ' 3 2 1 ?- 6 4 2 OFFI IISE NLY This rajuesl.oid IB momhs 4rom volldofion dota prinkd in lhis box. ??az,rr7 = 7'Sa2?-/ rl:, PLJ?ASEPRINTOflTYPE /0-00?a00-0/01 -62 l? (9 Raqoesf Dab Roogh-in ImpeClon required2 Q?Yas ? No Inspedion Olhar l}wn Raugh-In:?7Reody Now 0 Will Call ..? '?. '2 ?Vou must mll ?he inspMOr whm read?l Wte Readr. I, Ppicensed contrador ? owner hereby request inspedion of 1lie obove eledrical work at: kb PAdrns (Shed, 90?, or u Na ??t//f, City l?p Ctod?e-/? Setlion No. Township Nome ar No. Rvnge Na Fire N Cow? a6 Oaupa ? Phone No. PowerSopplin? L•??? a a?•erl.?, Mdreas ElecNml CommWr (Campany a m Conhanor License No. Maskr lic No. (Plant Eletl.Only) n,o-- ?.?.e e.9-o z? 1 MailingPddrass(ContmMr orO+merP o?mlrg IlvNOn) (Ihlr , /?\ Avlfwri ' natm<(Contmcmror rPedoemi rorollafion) PMinNo. EB-OOOD7A-10 6/95 STATEBO COVV•SEEINSTRUCTIONSONBACKOFYELLOWCOPY I f pa P M? ?.?.Ob-01 IIII I III II II I II I III II II I I I II II I?I I III gE?U f e ?State OA a Rmof Electricity s D 2 7 5 6 4 2 7*- Phone (612) 642?OBW ?p?)9?'f -'Home Duplex Apf. Bldg. C71her: {Jew Addn ommercial Indushiol Farm Remod Re air , Air Cond. Hig. Equip. Water Hh. Load Mgmt Other. D er Ran e Elec. Fleat Tem . Servite "X" above fhe work covere by this request. Enter remarks in fhis space an,d /on ihe back the hite copy (o?nly?. /aU f??i'"? h.Lw (,??N /K3a`?ctCJ'GY2CbJ ? - YP 62e ?- Calculafe InspecF7on Fee - ihis InspecHon Reqoesl will not 6e accepfed without the mrrect Fee: I OlFier Fee # Service Enhance $iae Fee # Circvils/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Lig./Troffic $ig. Above 200 Amps Above 100 Amps _ Transformer/Generator INSPECTOR'S USE ONLY TO AL tZ?v Sign/Outline Lig. X{mr. Alarm/Remofe Confrol $Wimminy Pool I hareb mrfi thal l iru the elMn?ivsmllaflon deaoibed hemin on Ihe daRS sla2d Irrigation Boom Rough-In Dak eciol Ins edion S p p Investigative Fee Final _ Dare ITHIS INSTALIA710N MAY BE ORDERED DISCORNECTED IP NGT CqNBEETED WITHIN 18 Mnm-' - This;*quest void jp -oZZO O- D(? 18 mont?s from Gbte of this Reques[ 3hO /8/ F;,e No. T 33002 I, as O Licensed Electrical Contractor Cl Owner, do hereby request inspeciion of the above electri- cal wicing installed at: Street Address or Route No. /Url. SiUG 6F ?oUCF 5TA7cn(194o7-015ua6 Rl?y ?'Abi1/J Section Township Range County DaXnr.u Which is-occupied 6y nAK67R GO uAJT S/ (Name oT OCCUOant) Is a roughin inspection :eqwred on this job? No'g Yes ? Ready Now ? Will Call x Power Supplier FX 15T/NCr Address Electrical Contractor l`11kE 0*1W(J El _,&JG SNC_ Contractor's License NdL.?1o'!?/ (COmpany Na me) MailingAddress /P/9A1 LP/) V16 5'T: A GtL /YI/ll SS/OZ . (E ri rac r or O er aking This Installatlon? 64 . Auihorized Signatu Phone No..2.7Za - a77p Contrac r or o e viner Mak g Thls Installat o) *i i ?ff This inspection request will not be accepted 6y the ??? m np E( State Baard unless proper inspectionfeeis.enclosod mmnnsmn awIn wam v. . ecuw ry Griggs Midway Bldg. - Room N191 EH•00001- ,144821 lilaiversity Ave., Str Paul. Minn. 55104 - Phone 297-2111 ?i ; _•?,tQUEST FOR ELECTRICAL INSPECTION ?D3 CHECK BELOW WORK COVERED BY THIS REQUEST ;T 3 3 0 0 2 '%'ype o[ Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired Fot Home ?- ? ? Range ? Temporary W'ving ? Dupl+tx [1 ? ? Water Heater ? Lighung Fixwces ? Apt. Bldg. El ? ? Dryex ? Electric Heating 13' Commeccial Bldg. ? ? ? Fumace 13 Silo Unloadei ? Industrial Bldg. ? El ? Air CondiGoner ? Bulk Milk Tank ? Fazm L h ClV/G Q L t i EFE?tICE Othe[ ? ? ? p t ers Here ? p t ers Nere ? S?REN COMPUTE IN5PFCT7QN;'£EE BELOW S "??Entraa izb= ? ce Fceders&SubPceders: s Fee Cvcuits: # Fx 'tp!1.00 ' ', 0 to 30 Am ies 0 to 30 Am eres 10 ? tp'200, Amp3.-?; ? 31 to 100 Amperes 31 to 100 Am ies Ab 200` Amps. Above 100 Amps. Above 100 Amps. Transfoimers 1 1 RemoteControlCirc. Pactialor otherfee Signs 1 1 S ecial Ins ection Minimum fee $5.0 Remarks a? TOTAL F g,S I, the Electrical lnspector, hereby certify that the above inspection has been made (Rough-in) Date (Fina1) -0 'S1 This iequest void ? 18 months from aoo oia a Th'rs *equest void ] 8 months f[om /D D? ` O 65297 Dfte of this Request 7 I,.as'B,Licensed Electrical Contcactor 0 Owner, do hereby request inspection of the above electri- ca4 iyiring installed at: Street Address or Route No. 5 '.;V0 ? 1, U? R»a? 'i? Section-AivTownship aaa ti Range County ?c:kc71n. NAhich is occupied by Is a roughin inspection iequired on this job? No'S., Yes ? Ready Now ? Will Call ? Powet Supplier OA ?).ECI F" G Address TAT-rn i nG?c+ ?, ?- Electrical Contractor RM4 5-JECh"C Cu Contractor's License No5?187d (COmpany Name) Mailing Address i?IkF m'.r,ti Phone No.473,260 Authorized Minnesota State Board of Efectricity ' 1654 University Ave., St. Paul, Minn. 55104-Phone 645-7703 "i',AEQUEST FOR ELECTRICAL INSPECTION GWK BELOW WORK COVERED BY THIS REQUEST O 65297 Type of Building New Add. Rep. Check Appliances Wired For Check EquipmentiQ red Fox Home ? ? ? Range ? Temporary Wiring -514 1Suplex ? ? ? Wate: Heater ? Lighting Fixtures ? Apt. Bldg. 0 ? Dryer ? Ele g ? ? Commercial Bldg. ? ? Fumace i`., ilo ade „ ' ? '? ? In¢us[rialBldg. ? ? ? AirConditioner `8u T ? F? ? ? ? List . ' 1 r- , . st I 1 ? ? Othe:s? OtNef ? Other ? ? ? Flete ) H ere COMPUTE INSPECTION FEE BECAW Secvice Enhance Size: it Fee Fceders&Subfeedeis: # Fee Circuits: # Fee 0 to 100 Am s. G 0 to 30 Am eces 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am eres Above 200_Amps. 1 1 Above 100 Amps. Above 100 Amps. Tcansfonners 1 1 RemoteControlCirc. Partialorotherfee S' s 1 1 Speciallnspec[ion Minimumfee$5.00 Remarks 1gMQCS'r'r9 SEV17 tiC E TOTALFEE Jr I, the Electrical Inspector, hereby certify afttie abojFipspection has been made. 6 (Rough-in) ?.1?. . Date (Final) Date This request void 18 months from ? v O 5 pLUMBING (COMMERCIAL) Permit Application C? City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 3os?:?gvo l-31-D? 1-3(-o s- Date /_ / ,5-/ 0--5- / Site Address -3 ? L O? /1 t? a 5 /7Gt Unit # Tenant Name p f Co o y Former Tenant Name ' I Property Owner Telephone # Contractor Address / ' Zr)c-s City _ Z-,,-? State ' ? Telephone # (w) T6e Applicant is _ Owner _ Conhactor Other Work Type _ New Bldg Add-on Repair RPZ PVB Irrigation system * * Jer Wobschall [o calculare fees. R uired meter size is 2" turbo unlas smaller size rmitted by Pu61ic Works Z U ' ^ 3 2 0/Gt' P -2 r? Description of Work C OG t + / GI - To mqui if Pressure Reducing Valve is iiequind on new service, call 651-675-5646 ? Meters - Call 651-675-5300 to verify that hydrosta[ic, conductiviry, and bacteria tests passed rior to ickin ? p I Irrigation Size & Type Avg GPM 0 7 2005 rJAN Fire Size & Price 3/4" displacement $156.00 Domestic Size & Type Avg GPM Includes high demand dYes No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Conhact Value $ x .Ol% _ $ Base Fee $ Meter(s) Required on all new buildings & boulevard irrisation svstems $ Radio Meter Read ICbase fee is $1,000 or less, surchflrge is $.50 $ $t&te $RiCh2tge If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee ? ? Following fees apply only when installing new irrigation system $ ? Water Pemvt Contact Jerry Wobschall at 651-675-5024 for required fee artwunts $ Treatment Plant $ Water Supply & Storage $ ------ ------------ ----- State Surcharge --- - ----------- - - - ------------ - ---------------------------------------------------------------------------------- $ -------------- ---- - - -- Total Fee I hereby apply for a Commercial Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a pemvt, and work is not to start without a permit; that the work 77?? accordance with the approved plan in the case of work whichvequires a review d approval of plans. ?. r? <. / /L'Gl ?ii/ ? ?/-,.'-, - ApplicanYs Printed Name ApplicanYs Siimature lAi 0. 1-? '-l () I 1 COMMERCIAL BUII.DING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Je'3'-4,9 _ `? ? l-31-Oi FoundationOnl NewConstruction InteriorJm rovement . Structural Plaos (2) sets • Architectural Plans (2) sets • Archifectural Plans ?(2)sets . Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Pmject Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Pian (t) . ProjectSpecs (1) • CodeMalysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " . Certifcate of Survey (1) • Energy Calculations (1)notalways" • Soils Report (1) . Spec. Insp. & Tesling Schedule (1) " • Elec. Power & Lighting Form '(1)?nol always" • Meter sizemust be establishad • Meter size must be established • Meter size must be established - If applicatile. • Prqect Specs (1) b • EnergyCalculatlons (1) b Electric Power & Lighting Form (1) 1 . • Master Exit Plan (1) y 1 Fire Protection Plan (1)" 1 L • Soils Report (1) 1 • MC/ES SAC determinafion letter • MC/ES SAC determination letter • MClES SAC determinalion tettar call 651-602-1000 call 651-602-7000 call 651-602-1000 Contact Building Inspections for sample Food & 6everage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 fordetails. DATE WORK TYPE _ NEW REMODEL CONSTRUCTION COST J L D O ?? SITE ADDRESS TENANT NAME SUITE # FORMER TENANT NAME DESCRIPTION OF WORK 'FaA+ne r?^S?al f Doo f2 RewjLE 41 ?RRcz4 ?DWL'4) (?- Name: (1t VL,?' n: Phone#: PROPERTY Last Fir OWNER Screet Address City State Zip Company AA4oh LY157. v-nC . Phone # CONTRACTOR / / StreetAddress: U ? ? ?C h-je A?r d City ?ifl-/Cf I„A-u [I State M v1 Zip SSZ ARCHITECT/ EtiGINEER Company Name Street Address City State Phone # Registration # Licensed plumber installina new sewer/water service: Phone #: I hereby acknowledge that I have read this applicatioq state that the information is cor?ect, apd agree Minnesota Statutes and City of Eagan Ordinances. ?? ? 10 Signature of all applicatile-State of 1101 ? Metropolitan Waste Control Commission Meazs Park' Centre, 230 East Fi(th Street, St. Paul, Minnesota 55101-1633 612 222-8423 September 7, 1994 Mr. Dale Schoeppner Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The_Metropolitan_Council/Wastewat.er ServiceG fle*_ermired SnC foa ths Eagan.,Police_.Eacility-?o be located at Pilot Knob & Wescott Road within the City of-Eagan. This project should be charged 10 SAC Units, as determined below. Charges: Office 5325 sq. ft. @ 2400 sq. ft./SAC Unit Conference Room 1612 sq. ft. @ 1650 sq. ft./SAC Unit Lockers 72 lockers @ 14 lockers/SAC Unit Holding Cell 6 people @ 3 people/SAC Unit Total Charge If you have any questions, call Jodi Edwards at 229-2113. Sincerely, Roge-r W. Janzig Planner RWJ:JLE 94090756 cc: S. Selby, MCWS Carolyn Krech, Finance Department, Eagan Cheryl Badinger, E&V Incorporated A Service of the Hetropolitan Council Equal Opportunity/Alfirmative Acdon Empbyer ? i?`i1 SAC Units 2.22 0.98 5.14 2.00 10.34 or 10 /o o?aoo - o/1a a(a anh..o a a...,ry twr .r vm.p e. ab .MU-?rr.a?... cMr N 0? 64 CAItiWN. &ry N fWNk OFllw'{ /lM StATE Qf MINNESOTA oEPAcrMMr of cowternoru 450 No. Syndicate.St., St. Paul, Minnesota 55104 lOCK1JP INSPEiT10N REPOR7 `;?` . . City or Vfllage City of Eagan ? 1 ?po countY Dakota QiY or Vlflage Hoalth Offlure - ?hief Building Official Addrau: 3830 Pilot Knob Road, Eagan, !9N 55122 ' phpess= (612) 681-4695 Nama and Tifle of Offteer in Charqe of Cockup: = hief Pat Geapan A. BU[LpING 1. Are intarier walic and uiling adequateiy painteds Yni. x No_, 2. Aro eulsids windows providad wifh mecqui}p sceen9 N/p' Yet- Na_. 8. HFATING AND VENTILATION 1. Is venfilation adequots: Summer, Ye&-X- ma- Manter, Yet x N._ 2. Is lhere widen<e of dampnest in priaon,sn' quartars: YaL_ No,X 3. Is heef adequate for winfer aaaP yas X Np_ C. PLUMBlNG 1. Ara fals/s deani Ye• X Na__ 2. If no toiieh, specify what k used, N/A ls tt wnllary? Yes_ NO_ 3. Arr washbmin: eleani Ye. x No j. !f no washbasin, spaeiiy whaf is used• N/A It it sanl}ary? Y*L No` 3. Has water supply bNn approvsd by a Haalth Authority: Yes X No_ 6. Hos sewage sysfem been approvsd by a Health Authority: Y*L X NO 7. Ard drinking.wafu faeiilfies wnilary: • . Ye?_ Na? 8. Is supply ef wcfer for waahinq adequafat Yes-X No_ 9. Are foeilieia fw prisonen' hygions saniiary: Yoi X NO? 0. 8ED5 qND BEDDING 1. Are maMrassas oc pada usede Yn X Na_ If w, are they dean? 2. Ara blanicet and olher 6addinq usod: Y.• XNa_ If so, a?a lhey cleon? 3. It 6rddinQ issuad eaeh nev+ prisenere Y.• X No- it ae, is It elaan? F. ItOUSEKEEPING 1. 1s lockuv fresit af storoges ------------------------- ----_- ------- _---------- _------ 2. Is loc3cup free ef debria: -"""""'--""""'-""_"----""•'-----_"__"-"_'_-- Z. Are iloon kept eloani -------------- -------- -----"""--'_""- I. An beda 4ept nooti - "------'-""""""""""'--°"'---"-""---""' ---- S. An windowa Icepf daen: """"?'_..-"..'__"-'- "'_"'-"-""""-""-'-'-'-N/A 6. Ara saNns kaPf deons ------------------ """•"'..'---"'°'--'-"-'--"""'N/A 7. Are waiLt and uilings kept elean: "'_""'-""""'-'_"""'_-_"'---""--"""'- 8. An bars and mlls "pi clean: __..___________________________________________________ 9. Is facility frea ef ni1 imectf and vermim -----'_"""""'-"_'_"""- -""--_"'-"-- 10. Ic thxe any noticsable odor of diainfidanh ----'_-""""""-"""""---^""'---_. 11. In ya+r opinoin. ir Ixlcup aanitary and Irwhlr. ----------- """"-..-"'--.--^""'-- is.. ae.) Yer. X NO_. Yrs X IYe-- Yar?X No_ Ye- X No._ Ya- X? No` YesX Ne Ye1 X Na^ Yes_ No__ Yei_ No-- p'• x Na Yoa x, Ne Yag-x_ NO-- Yo: X No? Y" X No_ C.,.. W F. Fooo 1. An prisoeen fed 3 Hmes eeeh day: YeL_ No_. tf nnl, hqw many times daily? when needed 2. Ic a 6alanud diN provided priwners& 3. Is food edequafsiy pnpared: .1. Ar* oating ufon:i& adequaqty deanad befween uas: N/A 5. If foed is pnpared in faeilloy, me Yilchon feeiliTier :anilary: N/'A 6. If food is eot pnparad in buiiding, am dNivery cnd dstri6ufiae snnitnr/? 0. MEDIGL SERYlCE$ ' 1. Aro flnt ad faeililias and abiiify to ute them adaqualei 2. Aro proriciont beyond Arat oid for injund or siek prisonera adequatos 1. Nome of liunsed modical dopor uced when needed: emergency 4. Name ot hospitol uud when needed: St. Paul_ ,. . ?. RECOMhfENDRiION 70 GOYERNWG $ODY BUILCIHG, HGATtNG nN0 VENTILATION, P! UMBING 9505 AND eEDOlNG, FiOUSEKEEPlNC3, i'006i MEDICAL $ERVIClSr l)??....'NA:?T• ? . . Yet x No_ Yin X No`_ Yes-.?- No`- Yet_ NO.- ye X tJo_ Ye x No.- Ya- X No_.,. - REJdpRKS - Everything is okay Data of InspeeNon, APRIL 19, 19 95 Doug Retid va-a Health Offieer Eagan - Minnasela ? 3795 Plbt Knob Rood Eagan, MN 55122 firedepartmeryt TO: AI.ARM SYSTEM CONTRAGTOR T7ris form is to be filled out, signed and returned to the Eagan Fire Department, 3745 Pilot Knob Road, Eagan, MN 55122, after the alarm system has been completed and tested by the installer. After you have sent this forro, contact the inspector (454-5274) to set up a final inspection and test. The 5nal test is to be performed by the contractor and wimessed by a Fire Inspector. TO BE COMPLETED BY FIRE ALARM CONTRACTOR: 1. DateV-J' EIectrical Permit #A?-Q-3 2. Address of alarm system installaUon3k?3Q i"? 3. Daie Fire Inspector reviewed plans ? j;2 -??- 9 4. Name of contractor pafr ?g,{, * E L<<'7`e.; c !/ti L i••. ? reel Address 11 9ot PibN.,,. V, Eglrm PLair.a-e Phone i2pi A) 9yy -; oJ1`p Contact Person ff +t q !3a r c ti This certifies that the alarm system at the above address has been installed in accordance with applicable city and/or insurance company standards. All devices have been tested and the system is 10001o operational. Signed for Contractor Date TO BE COMPLETED BY FIRE INSPECTOR: The system was spot-checked and it operatgd on thisidate `7` -/ -7- f s! Witnessed by PI%FAWIM.MT THE LONE OAK iREE. .. THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIIY cYnenN. IrmoxMunor 13-9 CONTRACTOR'SMATEfiIAL&TESTCER7IFICATEFOR Al0VEQROUNDPiPING ike? aa?a?wn: wrs Y.o?am.m w..nww mi..aM.mnn.ror?na.w.N..ne.rmww,ne.wuo..nwu..,va.wm wae.mmwe.ne ?rrmrn?nwnbera.oamwer.wn?wtiwMw??l? . ?erd'ewWle?xYeaN?na?qnM?beu? ceo?M??p?or?l?ar?W?e rMa?HweMwroeaeMrdore?wbwpMUro.?rn as m.wxw?.wrw.Mmwpomiw +Ma?inpY?ipaem?mreer?W?rrMwawr?i.npaulw?mmnoM??oo?'NOawmwMsnr?a aleMnsi. .norenrHane C - - 0/ K- 2U •'i's ? -WIfA-U-AW Cow PLMO o+rts ouo SwvwertueEOOprrwvao orrrta ow s na aPuN otvwtora AlONWCW1R0l rAUPY 6HN mmom N TM am O Oi OONIPOI VKYqAdDCANi NA7INNIWMIDi Of M/IiWiGU1pMiMf9 i NQ, i1IPUN III{iq11C110N6 . w aa rig raLowwo vncr o oNo lYlT6MC011PONEMAWSTIp16Tid1! 1 OYF! ONO . Z CMBMIDYMfllWiNC6lWWXn0N$ . OK3 ONO i Ni01117A OYfd OND awmmiswwMas ' . mme NWIL _ VKMOF y?ryK sm d1Y11flY MiM6 N O G srwwc?oa Y j ewr? ' a. ? L b • r 1 u +. t 4 ? . ?s i?w 1 '1 H s t 1.S ' riw Awe mnwos iyo.avq . 7. A r?y.armna Sf.r -ft/ - ALAItM rN wur n Y1LLYf w?aeAPLONron n o ' f?sR n wucc opr vw omavi ' riw ,?w ' v?ceans • tnrro?r Wrweww. w?o - rtnantn' aruu? vwoaxr aenAnw+ llfT F . .._ _ . _ l , - aon : ymm ixa EeMan Figura 1-10.1(r) Coalractor's Materlal and Tal Cenitlate far Abore6roand Piping. . US'n*" FIRE ALARM TEST/INSTALLATION Simptex Tlme Recoroer Co, pCKNpyyLEpQEMIENT CONTINUATION SHEET Gardner, MA 01441-0001 U.5.A. WNAE - . _ _ K• ' G1LLp y i 3 pa OF OEVICE TVPE OEVICELOCATqN A 1 .?. 4 NOTE Np' MNIM.M dl ioamn AIANUZOq[ pl DEVICE TYPE DEVICELOCATION A L A V ND' ?Ofl20NF Taff?m ?20MF m?iE ikk ' 0/vol 'ei P60 •PoOCMeWkBmkOM . PS •MrWPupdetim B • ?8D ?Ia1LlanBmkM CPS •CoEWPWQmtl BdpYy TS •Tfrqx gMeh ' on N •NdnOnp WF •WwFWvSw FUD•MqhCua9mt0N RP .RiftqNiel00x C •CMmeOnh DN •DaaHddu IDD 'IOM10ud8mMOM M .FeeCT n Vl 10M S . e a D •SWhA' FP .FraPlqrM CNB•oW1N66rtDe1 MO - MMCOIdXN100t ArY.NkbVMltl PJ •Ptq9JKdt 89D•6O6YfmSmkDM FO •FW OM ' M Y ?VSWpNY NCS.NumCN9e 9U •BMnOK • AUTHORITY FIAVlNQ JURISDiCTlOPI AoV-DW 1.03 13.Simplex FIRE ALARM TEST/INSTALLATION ' Simplex Time Recorder Co. ACKNOWLEDGEMENT CONTINUATION SHEET I Gardner, MA 01447-0001 U.S.A. NAME ' LG/,r7%' '? ! i C ?2 BOOKp CALL% I PG -? OF PER pEE IPHERAL • OEVICELOCATION ? Ap y Ug `E 4 O?TE AN ?20NE iF1FPNONE EONE eAAAMpONE SIGN4L 20NE PEE OENCELOCATION ? Ap M ?? E i NNO INMIIM?ID'?F iF1EPNqYE ZONE d1PACpZDNE SIGN4 ZONE ;t? ??'"??y I??o? 'I// I?I: I;;"1 .% u: ?i?n ? ' v ^ v j_'./ ( i.:Ci iI N u Y+!C.+/ ? ??? ?'?JI ?L Jr'?t" I i J`?. C '?l!? ? ?c';??ry /i ' ' ? f ?? 'l ? ?- r? ? ?;?? ?, ?< <, ,??2 ,? •. t? i ?±- C.U?<Ll? ff?? C Nr.o ????. •'' L , ? '1/y)?1/71 . '" ? . .'<,?r ;?,;' ?, r:.i ?UU. , - ;;,:??. "„'? y? . ? ? •i?? ?J11 b: ?Y';°!/UI?Lr v 3 ? 1'1' ti.r^??;?.:;: : Li?!'G/. . v`- ? ? ' i J ? 'y,. .? ?'1f!Lil? ?? i r1-s i l?C v,.- v I ? • i L!(!1 ? I I u N ?'? ? PSO • PMroebctric SmX Oet PS = Manuel PWI SWbn B- &tl Ony T$ • Tamper $wi¢n ISD - Ippzation Smk Oet CPS = Catletl Pull Slefion H= M?m QYy WF • Wa?ei Fbw S. ? "?.Jj ?la V?Y??/I vl;"J ??"% ? P00 •PMm.OuclSmkOn FF •RabdFiiseMOd C =ChimaOnly DH .DOOrHdtler IOD •bnUuCSmXDel HT •FVetlTenpHeatOn $ - $pkrOnty FP =FrePlme OM$ •DoorHWr85mk0et MD =MertoiEHeatOn AN •NUaioNSUeI PJ •PnoreJack SSO •$gl$IanJn5mk0e1 FD •Flame0el V =ViwalOMy NCS •NUrseCal15ta. , . SYSTEM . . -. .. -. . . . .- .-fully) 13.Simplex FIRE ALARM TEST/INSTALLATION ' Simpiex Time Recorder Co. ACKNOWLEDGEMENT CONTINUATION SHEET • Gardner, MA 01441-0001 U.S.A. NAME ? ? GcQr /??J Il .- Y BOOK p CALL C ? ?75 vc OF PER DEVICE TVPE IPHERAL • DEVICELOCATION A L A M Tp v? t E ? 4 NOTE NO. ANNUNZ(M? qi ? N/NYZ(41E OR SGNAL 2(NIE OEVICE TYPE OEVICELOCATION p L A pM Tp ?U 4 ? 4 NOTE NO. NNk1ZONE OR iflEPxONE iONE AtA0.41ZONE OA SIG?tlaL ZCNE u '? rt;?,?s !o?F?? ? ? r `.I?t!I ov' ,+?c " Kr L ?5 ? ??4i1 p?,' l1 rc - n ? ? ?r U ?f?,";'., l?Ci? Le?? tti'I ? t ??Tr.?, l; ?` r4'c ?' , ?•,+?,? ? , ?i ? 1 " ' ' ? D ',? F? I.,L;- 2 n v ? ?Y ??. u, 'v!i r. 7. uiavl?u , t '.oc vN .? , . _ : i ?'• '-I v ? . ? ? r,_ :n '•.'t, ( l b, r',..,rr: u, ,? Z ?`','(? : ?, , , ?? v ? 'i1 V ii; 4; i:,? ?? ? ?!!T (&, ` ^U?Gi?./ , 'f ? L'/!!Y?;I ? ? -!Yb ' J l:,Gl r? 1 /'', 1 L! ?, [ -? U ' j l'%i ? ?? (J 'n',c,r .-?. v b PSO =PholoelxNCSmkDe1 PS =UanualPUllSleoon B •Be110ny TS =TamperSxiKn ISD •IanizaAm5mF0e1 CPS •COOedFWWSWWn H ?XanONy WF •WalttFlOwSw ? r": ? ?`? ? i? ? i M1?IY(? ?(-• ?g' P00 • PMq. Dud 5mk Del RP • Paze d Pose H10e1 C• Cliime 0nly OH = Oon HdEei IDD • lon Dutl Smk Del MT • fl[etl Tamp Heat D¢I 5• Splv ONy FP • Fre PhOna DH$ -OmrHldfl5mkDe1 MO •AbrwiONeaIUM AIV •AUtlmYwW PJ =PhqneJMk $50 =SglSteumSm4Det FO •FlameDet V •YwelOnty NCS •NUrmCallSta. 7 ? ? ? • '• BD • Beem Oe? ¦•'? . . • .• .- 7 I 13,Simplex • Simplex Time Recorder Co. FIRE ALARM TEST/INSTALLATION ACKNOWLEDGEMENT PAGE - OF " , Gardner, MA 01447-0001 U.S.A. aooKn - CALL Y VOID 9MNLM SEfrvICEATC?USTpf?1EN?M8Qi rS1TEPNDPFOIECTNO. TflAPPoVr1LDhTE TFCOMP?PTE Nq1-&LL SVC.CODFti MiN iRpGT t INSP.OATE WSTOMEPP.O. PNOiOP CUSTOMEACONTNCiNAME(PFINn NAME ?, ? n / •C ? nDDRE551??TTN.?I ????Oi, IBR.PEG TMV-REG. LBR - OT TMV-OT MILE$ '.- WMRMNtYLODE LBP.FEG TMV - PEG. LBF - OTTMV-OT ADDRE55 r- . .,- _ r: DP iLPCOOE L8B-NEG. TRA'/, AE6. LBiLOT TRAV-OT CIK_- STRTE ? • '• • MOOELNO. ? SEHWINQ Z -Li WIFWGONGNO. SEOUENCENO. IMNUFRCTUREP .HAU =-<?1?:?.?_ n TYPEOFSIGNAUNG P OWER cIQewMILOC"'"O" N0. LOG(EDCIRBPo(R OEDIGTEOLIR OQOENEMLMARM ?5¢ECiNESKNNS ?CODED ?PPES?GNU S OURCE ?Y ?N ?Y ?N R VOLTAaEW"CHA??? OUBLE AESPONSETO: ZONETNOV&E SIGNRITFOII&E TL/OPPOWEPLA56 FAflTHpROUNO ?r+orec_ BATTERIES VOLTWIIXOIITCHRK3ER? ONIA ONDITIONS ?NOFlM QNOIEY ?NORM ?NOIE• ?NOWA QNOTEP ?NOFM QNOTEY PMVIDEOTO? CIISTOMEP0PEIUlBA4V5TRlIC NS STRTP19GNRNBE:r-. .? . ? { THtl_I ?. _ _ ? / CUmM1?EH aNATURE FlREAIAPoIIJCENSENO./STATECERTflCATI0NN0. SEENOTATIONf10. THESIMftE%-SUPPUEOEQVIPMENTFORTIISSYSTEMWR9lESTEDANO ? . SIGNALS WERE NOT SOUNDED PER CUSTOMER REQUEST rrv?e aiusor? iH°Ewen°°wE 0 y ? ?TM ?Y yq , • ILIA MGGR seew - ' - DOOR ?BAa?`'EDENCES,?NCLOOINOCLOSEPSPNDWTp1E5 L ANNUNCIATOH - - "-- HOLOERS O'NORM ?on'. ?NOTEN ?Nia erooeL wrwn?ouaa4i ELEVATOR RECALLtOPWMMYFL00P ' ' FIRE RECALL ? NOPM ?Nore s oai; ?OMPHiC .OLRT ?INGWO VOLTA(iE NO.OFZONE$ UNUSEDFTS. .?'M ? AxT AECRLLTO?LTERNATEFLOOH . , TYGE ?lED ?DP'?I? ?Y ?NORM ?NOTEY I:Jw?A WI?D'Tx?WlqMMJLLY ?Y ?N X ?IAMVTESTOPElAOTEFESEf ???LNOTE3' HVAC AS ?NDIEPSH N RU FUNCTONS ODRILLSW ?PEMOTEACK SHUTDOWN ?NORM Q?10TEX ' ?OT'. &MOOVmmrtu.uM.nur ?Y ?N • ? • . I • • : ? : ? •' • `.m CIiYPE$PONSETO MARM OFFlCULLONiAC[E0. CONNECTION OB ? NdiM ? norer " CQlIRliIMONROPoNG cm?5vonsEtomaveUe rnneoFOAr 2. $TATIQII El NORM ?NOtEtl pIUTOF9EPVICE MSERVICE IOCPLFIPE0FPi1CENTMLSTPTON FD.BUSPHONENO/CENTPALSTPt10N 3 BO ' SM]• D 1 ; y ]1 !AODELNO. TNEGOLLOWPIOTMNSPONUHL4 NC USG. UNITPRICE ro'A?"0. NP F°" INV LOCISEQ T REM PqODUCTI QN D FA TX TE . . . . . ILm E S oco?x?s r.roa xs.oeo. vo.orxvnuasreseo LocnnoH r+oree aAius ? xnre?surrirvat?cexmE? Lounox nmea nu.onsras I n raAr 2 srlo¢ o?r[c? - -= = ?CMRFGEPVOLTA[3ENOTEO LOCATIOH NOIEp ANNI - - NOHM ( C - GROUNOFAULt NOTEP LOLATKKi NpTEP LIV ?N 4 1 ? - J.REPo6VOLTA(iE ND1E1 LOCATqN NOTEN m< . - - - ? O NORM ?POINTSTESTEO NOTEp LOLATION NOTE• ? 0 NOPfA 6 SVA1l3N5131 _ _ ?OT1EH NOTEt LOCPTION NOTEN RISSEW - _ 7 IYRPWIiPIII iaqINTERb NOTEX GPT'S NOTEP OTNEP NOTEN ?v ?n ?r ?N 8 I vcS'cuESS?<,E _ _ ri 2 2 ' g] Lyin L, I MINI V--b lk ' I ; ? • i _. . - I PROBLEMCODE COMECiNE?CTAU CLOSEDnTE SEP¢CAMPL RSN.. IF OETAILEO TE$TPJG I$ flEO111REO - USE CONTINUATpN $HEET AOV-0]52 M552-INa-92 r11 irHtlRl"l I-I;aVtPP_'. . )?l ? spc. a).,2 uA - d-L. CONTRACTOR'S MATERIAL & TEST CERTIFICATE PART "A" GENERAL PROCEDURE UPON COMPLETION OF WORK. INSPECTION AND TESTS SNALL BE MAOE 9Y ]'i{E CDNTRACTOR'S REPNESENTATIVE AND WITNESSED BY AN OWNBR'S NCPNE5ENTATIVE. ALL DEPE(TS SHALL BE CORRECTED AND SYSTEM LEFT IN SERVICE BEFOAB CONTRACTOR'S MEN PINAIIY LEAVB THE JOB. A CERTIFICATE SHALL BE FILLED OUT AND SIGNED BY BOTH REPRPSENTATIVE$. COPIES SHALL BE PREPAREO FGR APP0.0VING AUTHORITIPS. OWNERS ANO CON'fRAC- TOR. IT IS UNDERSTOOD THE OWNER'S REPRESENTATNE'S SICNATIIRH IN NO WAY P0.EJUDICES ANV CIAIM AGAINST CONTMCTOR FOR PAULTY MATERIAL. POOR WOR%MANSHIP. OR FAILURE 'f0 COMPLY WITH APPROVING AUTHORITY'S REQUIREMENTS OR LOCAL OROInANC25. PNOPERTY NAMB - DATE r' 0?E: 0C7 8 J 7 PROPE TV AD H 5 • -----'? 3 Y . ??_ AGCEPTED BY APPROVING ApTHORITY,'S) NAMES AuDRE55 PLANS INSTALLATION CONPORMS TO ACCePTED PLANS: Yc5 NO ? EqU1PMENT USL'U IS APPROVED xcsy? No ? IF NO. STATE DEVIATIONS NAS PERSON IN CHARGE OP FIRE EqUIPMENT BEEN INaTRUCTED AS TO IACATIOF OF CONTROL VALVES AND URG OF'fH15 NEW EQWPMCNT! xes y? n0 ? IF N0. E%PLAIN INSTRUC- TIONS HAS A COPY OE INSTRIICI'ION AND MAINTENANCE CHART BEEN LEFt' AT PLANT! yggfd ryp IF NO, EXPLAIN r I'LI'FHI\Q: Rluw the reiµd.ed rute until wnter ix Nexr :vv Indieated by 1to cullectlan af torei6n malerlal J. 4udwp bflee xt ou[le[6 sucT ni .arnnci ??a blow-orta. £IU.L at Bows nnt lenn tM1:m isu (:Dx Nr 6-loch pipe rtnd aimalleq 1000 GPN for B-Inch plpe, 1500 CPbI for 10-Inch Ohne, end 2000 6PM tor 12- uF yiye. Whvn aupplp. ennnnt produr.e etipviq[ed flow rnten, obtnln maxlmum xexllxbie. '('E$T HTDR09'fA'I9C: HydrnatnUC testh epnll be mxde uf nol lene thmi 200 P52 }or twu hoora or bOPBI ebove etxtic ?reeaure In exceae o( 150 PSI. Differrntinl dry.plne rnlre Nappers ahall Ite left unm, durine text ro Vrevent tlnmxCe. Ail ¢DOVeground niDine lexkage shall be etoppeE. DESCRIP- t.Eaxa(Iro;: ?,w pine iaia with i'ubLCr g;iskioetljuinls sM1LI, if the wurkmanxpiP 1, r%«in(uctnq-, have Illp¢ or nn 1¢Aluge nt the folntl. 1Te mn nf leukage at the joints ahall nut ezceed E quarte per hour per 100 )ninte irreapec[iaely ot plpe dlameter. Thc lanlcagc shnll be dla- u'ibuted :JI lain[e. I( rucT IenknNe rccurx xt a rtw Joln[s the innlallaHOn aMll be ConnldereA unwUnfncloq, and necenuu'y reyxiv TION ":'a°. N°•" D4lr Ieia wim cnWkea lea, or Iesa-suextuute Lotnt. •n:aL ? the workn,anaNp le sxurcnetnry, nnve il[tle or no le:Jange at the juintv. Anp' joint hFll'ing lenk>iqe np inurc lhim a "a11Rht driEi' Yveeliinir'' uInll be repNretl. Lertknge xhall no[ exceed 1 ns. UIqnd nie:iu- 1e7 per himr per inch o[ UiPe dlfliuete, per IoinL 'Che leaknge rh:Jl Im d1etrlLUletl m'er all JoinW. I[ eueh lenkq6e ov,w'n nlmoal en- lllPly NL :1 (PW jUll1[, (hP i118[.Ili1L10l1 y11n11 IiQ CUIItlIdPI'CC Ililr:i[INfACIior}' :1114 nereaxHry rennln ITRd¢. 1'XI:C>IATiC: Fatebllfih 10 PSI air nressure antl mexeure tlrop whieh xlixll nnt execed lyj P91 in 21 Aoura. Test preeeure tanke at normal wa[er lecel :md xir Dreunure nnd mennure a1r presnure awp wTlch ehxll mt exceed 1li 1-81 In 21 houra. PART "B" - UNDERGROUND PIPING Ep5 HLDGS. IACATION PIPE TYPES CLA55 TYPE )OINT UNDER- GAOUND CONPORMS TO STANDARD ? no ? PIPES IF NO. EXPLAIN \ AND FOINTS NEEDING ANCHORAGE CLAMPED, TAdPPE?. O0. BACKED 1N ? yES ? No 0 ACCORDANCE WITH 'y7ANDARD JOINT$ IF NO. EXPLAIN \ r TESTS FLUSHING . H LEAKAGE REQUIRED . NEW UNDERGROUND PIPING FLIISHED ACCORDING TO S ANDAPD y¢g 0 BY (COMPANY) HOW FLIJSHING PLOW WAS OBTAINEU: PUlLIC WATER ? TAfIK 011 IIL9811VOIfl ? ? ill8 POMP ? THROIIGH WHAT TVPE OPENING: ? FLUSHING xro. eurr. ? oTqn nre ? . LEAD-INS FUISNED ACCORD TO bTANDARD ?YeS TESTS \ bY (COMPANY) HOW FLtISHIN IAW WAS OBTAINED: \ PIi9LIC WATl11 ? iAYC OII 1E5E11Y0111 ? tiK PUMP ? ]'HROUGH WHAT TYPE OPENING: Y COHY. SO ILANLE d 9PICOS ? OrLH PIrL 0 Fo- No. 95 Ptlnnd ln U.S.A. FIYDROSTATIC i ALL tltW IINVCN1iNU11NU PIYING HTIJROF175T{,CALI.V 'lESTED AT ,I,ES,i, ""_ j J P51 FOR ? HOIJRS ? -_'_ _ A- TOTALAMO UNT FCEAK O4E MEASURBD LEAKAGE -- - crU. Houas TEST ALLOWABLE LEAKAGe - I WIS. HOURS ? NIIMBER 1NSTALLED TVPB AND MAI(E I HYDRANT$ ALL OPEPATE SATISPACTOAfLY YE9 ? i10 ? WATER CONTROL VALVES LEFT WIDE OPEN: rcx ? NO ? CONTROL It' NO. STATE REASON VALVES liUSE THREADS OF PIRE OEPAR'I'MENT CONNECTIONS AND s9 ? x0 ? ' ' HYOAANTS INTERCHANGEAtlLE WITH HOSE OF PIRE OEPA0.TMENT ANSWERINC AGRM? x I DATB LEFT IN SERVICE ? REMARKS i PARTS A& S NAME OF SPRMKLER CONTRACTOR FOR PROPERTY OWNBR (SICN2D) TITLE -? FOR SPRIN%LER CONTRACTON (SIGN80) OATE SIGNATURES ; i'tSTS WITNESSED BY TITLE DATE PART °C" - SPRINKLER & WATER SPRAY AHOVEGROUND PIPING (FILL OUT SEPARATF. PART "C` fOR EACH RISERI _ "_ LOCATION se aves Bwcs.: TESTS __- . __'_-- ITYDROSTATIC: ALL PIPING. PNEUMATIC: DRY PIPING. DHAIN: RE@UIRED I EQUiPMENT OPERATION: ALL. ? ? MAKE MODhL SIZF Q?IANTITY II TEMPERATRF. RAnNC SPRINKLERS i oR ` SPRAY I I NOZZLES --- --- _ PIPE AND MATFRIAL ANO KIND CONfORMS TO 5'I'ANDARD ? _ __ ____. IF NONE. EXPLAI\ FITTING$ A L A R M D E V I C E MAXIMUM TIME TO OPEPATC THROOCH TEST PIPF ALARM VALVE OR FLOW TYPE ? MAKF: MOI>FL ? MIN. SEC. .__ __._ ---? - INDICATOR ? ? 3 f) _-?__ .-.._ I DRY OPERATING TEST RESULTS: 'I'IMG TO TRIP I ! TRIP TIME MAKE MODEL SER. 'fHROUGH T6ST PIPF. : K'ATF.R ? AIR ! ppiNT I WATER ALARM OPERATFD REACMED AIR ' ' I NO. WI 1 HOIJT WITH PRE55. PPE55. t TEST pROPfaLY I PIPE Q. O. D. Q. O. O. PRE55. OIITLET ? ldlN. SEC. MIY. SEG~ P.S.L P.S.I. i P.S.I. MIN. SETTS NO VALVES i IP NO. E PIAIN OPEMTION: PNEUMAi1C ? EL6CT111. ? tlYD11AUUf. ? PIPING SUPERVISED: yss ? n0 ? UETECfING MEDIA SUPERVISED: r¢5 O ra ? DELUGE UOES VALVE OPERATE PROM THE MANIIAL TRIP AND/OR REMOTB COMROL STATIONSt x[fi ? No ? & IS THERB AN ACCESSIBLE FApGTY IN EACH CIRCWT POR TESTINGt . v[s ? no ? IP NO. EXPIAIN PREACTION , WF;S EACH CIRCUIT OP8RAT8 DO[S EACH CIR,COIT OPlRATC NA%IMUM TIMB TO y? s MAKE MODEL SUPERVISION fA55 AGRMt VALVE RCIEASEt OP6MTE RBLEASE: YES NO 1'P3 MU MIN. SEC. ? ALL PIPING HYDROSTATICALLY TESTED AT ? VJ P5l FOR j_ HOUPS DNY PIPINC PNEIIMATICALLV T85TED: ? ves 0 no 0 '(ESTS Ep111PMENT OPERATES PROPERLY: YES ? rco ? IF NO. $TATE REASON DRAIN TEST: READING OP GAGE LOGTEO NEAR WATER Sl1PPLY TEST PIPE. RE9UUAL VRB5511RE wITH VANE IN TFST PIPE OPEN WiUF. STTTIC PRESSIIPF. PSI P5I NUMBER USED iACATIONS N4MBEP YEMOVED BLANK 1'ESTING K'P•.i.DED OR ARAZED P2PI3G v¢B ? No ? IF YES, TO YOII CF.RTIFY A4 THF. SIBtVKI.F.R COSTRACTOR THAT THF. WF.I.D6NR OR RRAZERS ARF. QUAi.IP'IED FOR WELP- GASKETS ING OA HRA%ISC IN ACCORUA\CE WITH 1'NE REQl11RE\16NT$ OF ASAfF. BOILPR A\P YRRRSURR. VF.SSF.i. CODR, SECTIOX IX, QUAiJFICdTION S1'ASDARU FOR WELD1N6 AND HMZIS[i PNOCEDURh'S, WF.fA}Rg, BRAZER43, ASIO WELDIN4 AND BRAZIN4 uP1:RATOei;-1968 F.llITIOV. Y[a Q HO ? DATE LEFI' IN SERVICE WITH ACC CONTROL VALVES OPEN. REMARKS ? NAME OP SPRINKLER CONTRACTOR FOR P RTY OWNERr(SIGNEO) TITLE pART „C„ l /V r e , e- SIGNATURES POR SPRIN%CB0. CO R?SIGNED) NT DAT E TESTS WITNF.SSED BY ? ?l?? ? ?a?;1,?-- su. a D/ol ' aye G?BO.?.?-a-ti ?9J? Sewer Seedar - !UA;P* r Warer - . A?Ye)/![Aa ¢. _ /?' T • C. ?cOSSih Q ? r + 5'fA'fE OF MINNESOTA Department of Administration PLAN REVIEW / BUILDING INSPECTION ACREEMENT COPY TO BUILDING OFFICIAL : Reid, Douglas Michael DATB : 07/14/94 Durmission: Clty Of Ed(JdR Taimprovethequality 3830 PilOt RttOb ROdd and productivity ofMionesota ESJ8f1 MN 55122 govemment. nrCjeCt _Tit1e . °zy^s^" nViae--t`?cil : t}• -, , -1J Location : Eagan Date Received : 06/28/94 Aseigned Project Number: 940328 Dear Building Official: Attached is a copy of the notice to the Architect / Designer of the project deacribed above as to the agreement reached between the Minnesota Building Codes and Standards Diviaion and City of Eagan delegating building code adminietration to your office as per our agreement on this project. Yours truly, BUILDING CODES & 5 ANDARDS Stephen P. Hernick Supervisor, Plan Review SPH:p Attachment Form BDB0002D Building Codes and Standards Division, Facilities Management Bureau, 408 Metro Square BuiGling, Seventh and Robert Streets, St. Paul MN 55101; Yoice: 612 296-4639; Fax: 612 297-I973 TTY/TDD: Twin Cilies 612 297-5353 or Greater Minnesota 800 657-3529 and ask for vaice number STATE OF MINNESOTA Department of Administration PLAN REVIEW / BUILDZNG INSPECTZON AGREEMENT ARCHITECT/ENGINEER t OU*mission: Thorbeck Architects Ltd. To improve ihe quality 3706 Beard Ave. N, $U1tB 600 end productivity ofMinnesota Minneapolia MN 55403 govemmem. PROJECT : Eagan Police Facility LOCATION: Eagan COUNTY: Dakota County f?****R**M*R**kYr?4*!#Ytk****R+?*rt#?t*lfRd*f?* * ASSIGNED PROJECT NUMBER: 940328 * xr?????x??w?**xx*:<,r.+????.x<x.?.?..?+.? DATE : 07/14/94 Date received : 06/28/94 An agreement has been reached between the Minnesota Building Codes and Standards Division and City of Eagan , whereby the PLAN REVIEW AND BUILDING INSPECTION will be done by City of Eagan Please submit all plans, specifications, and appropriate feea to City of Eagan You must follow their submittal process and fee schedule. Please refer to our assigned project number for their tracking purposes. The City will also be responsible for issuance of the certificate of occupancy. Sincerely, /?? ' 'Lw_-? '-G'2Z? /% !! Stephen P. Hernick Supervisor, Plan Review SPH:p C: Building Official Form BD60002D Building Codes and Standards Division, Facilrties Management Bureau, 408 Medo Square Building, Seventh and Robert Streets, St. Paul, MN 55101; Yoice: 612 296-4639; Fax: 612 297-1973 TTY/TDD: Trvin Ceties 612 297-5353 nr Greater Minnesota 800 657-3529 and ask for voice number STATE OF MINNFSOTA Department of Administration LETTER OF AGREEMENT DELEGATION OF STATE BUILDING CODE ADMINISTRATION FOR PUBLIC BUZLDINGS -- MINNESOTA STATE STATUTE 16B.61 Subd. la , circle one (city, county, township) Reid, Douglas Michael DATE : 06/28/94 Ourmission: Cl'ty Of Ed(J8R Toimprovelhequalily 3830 P11ot Krtob Road end produqivity ofMinnesuta EaCjan MN 55122 govemmenl. PROJECTt.:..Eagan Police FaciIity LOCATION: Eagan COUNTY: Dakota County State Project Number: 940328 Thie letter ahall aerve ae a contractual agreement purauant to Minneaota Statute 16B.61 Subd.la, between City of Eagan and the Commiasioner of Administration for tranafer of State Huilding Code administration from the Minnesota Department of Administration to the municipality for the "Public Euilding" or "State Licensed Facility" project deecribed in this agreement. THIS AGREEMENT MUST BE RETURNED WZTHIN 15 WORKING DAYS. Form BDB0002B Page 1 Building Codes arsd 5landards Division, Facilities Management Bureau, 408 Metro Square Building, Seventh and Robert Streeu, St. Paul MN 55701; Voice: 612 296-4639; Fax: 612 297-1973 TTY/TDD: Twin Cities 612 297-5353 or Greater Minnesota 800 657-3529 and ask for voice number STATE OF MINNFSOTA Department of Administration Projects Sagan Police Facility Location: 8agan Project #: 940328 1. Duties of Municipality. Please check the dutiee you are willing to contract (a or b muat be initialed by State Building Inepector). ? a. Attend to all aspecte of State Building Code adminietration, includinq: 1. Preliminary plan review with Building Codea and Standards Divielon Plan Review Staff when required hy the Building Codea and Standards Diviaion. Our mission: To improve thc quality ma P.aa??twity of Minnesota govemmeni. 2. Plan Review of building and grounde with municipal plan review comments, designera reaponaes, and etate plan review application form aigned by deeigner and forwarded to the Building Codes and Standarda Divieion. 3. Interpretatione, application, and enforcement of all code provieiona. 4. Issuance of all permite. 5. Documentation on file of all equivalencee and modifications to code as required by UBC 105 and 106. 6. Maintain all recorde. 7. Iaeuance of certificate of occupancy with a copy informing the State Building Znepector when eervices are completed. _ b. Attend to all required inspections of eaid building including: 1. Ieeuance of all permits. 2. Maintain all recorda. 3. Iseuance of certificate of occupancy with a copy informing the 3tate Building Inepector when servicee are completed. 2. All coeta of building code administration shall be ae preecribed by Minnesota Statute 168.61 Subd. 1a. IN WITNESS WHEREOF, the partiea have caueed this agreement to be duly executed intending to be bound thereby. APPROVEDs APPROVED: H$ILDI OFFIC2AL DATS STATE SUILDING INSPBCTOR Ap DATE: MUNICIPAL MANA R/ADMI ST Form HDH0002B Page 2 Building Codes and Standards Division, Facilities Management Bureau, 408 Metro Square BuiWing, Seventh and Robert Streets, SL Paul, MN 55101; Yoice: 612 296-4639; Fax: 612 297-1973 TTY/T'DD: TWin Cilies 612 297-5353 or Greater MinrtesoW 800 657-3529 and ask for voice number B RAU N,M INTERTEC 0 Mazch 23, 1995 Ms. Cheryl Badinger E & V, Inc. 12800 Industrial Boulevazd, Suite 210 Minneapolis, MN 55441 Dear Ms. Badinger: Re: Structural Steel Nondestructive Examination Services, Minnesota Brcun InteAac Corporafion 6801 Washingron Avenue South P.O. Box 39108 Minneapolis, Minnesolo 55439-0108 612•941-5600 Faa:941d751 Engineers and Scienhsh Serving fhe Built ond NcNral EnvironmenM Project BODX-94118 Final Report EagaziiPolice F'acility, Eagan, Nondestructive examination services were performed on this project as authorized by Mr. Phil Olson. These services were conducted from August 18 to November 11, 1994, on an on-call basis. These observations were performed by Joei Alsum, a level II technician qualified in accordance with American Society for Nondestructive Testing (ASNT) publication SNT-TC-lA, 1988 • Edition, and as an American Welding Society Certified Welding Inspector. Scope of Services During this time period, the following observations were performed. • Visual examinations of field welds • Visual examinations of shop welds • Bolting observations • Deck weld observations n U Results A summary of the results for our services is described below. Copies of our Daily Observation Reports were left at the project after completion of each site visit. All observations performed were found acceptable as indicated below. For specific information, please refer to the attached daily observation repons. LJ r 1 ? • E & V, Inc. Project BODX-94-118 Mazch 23, 1995 Page 2 Visual Fxaminations oP Field Welds Visual weld examinations were conducted in accordance with American Welding Society (AWS) D1.1-1992, sections 3.6 and 8.15 requirements. These observations were performed at the following locations. Location Level Description Remarks Grids B to F, Lines 1 to 4.5 Lower Angle to embed of precast or Acceptable beam fillet welds Grid Points F-2 and E.5-3.6 Upper Beam to embed fillet welds Acceptable Grid Point E.5-3.6 Lower Beam lOBl top flange Partial penetration modification per clarification weld acceptable #10 and revised to partial penetration weid per BKBM Fas dated September 29, 1994 Grids D to F, Lines 1 to 5.1 Roof Bar joist embed and bar joist Acceptable to beam 611et welds Grids B to D, Lines 1 to 83 Roof Bar joist beam and bar joist to Acceptable embed fillet welds Grids A to F, Lines 1 to 83 Upper Beam to embed of spancrete Acceptable level fillet welds Grids C to F, Lines 1 to 4.9 Lower Beam to embed of spancrete Acceptable level fillet welds Grids C to D, Lines 5.8 to S Entryway Detai120/S6 fillet welds Acceptable Visual Examinations of Shop Welds Visual weld examinations were performed in accordance with AWS Dl.1-1992, sections 3.6 and 8.15 requirements. 113 piece mazks were examined and found to be acceptable. Piece Mark Visual Welds Remarks 5132 Acceptable 5131 (4 each) Acceptable 9C2 Acceptable 8C1 Acceptable 8C2 Acceptable 90 Acceptable 12C1 Acceptable 10131 Acceptable ? 0 • E & V, Inc. Project BODX-94-118 Mazch 23, 1995 Page 3 Picce Mark Visual Welds Remarks 1.0133 Acceptable 13C1 Acceptable 11134 Acceptable I1B3 Acceptable 4B 1 Acceptable 11T2S Acceptable lOTS3 Acceptable lOTS7 Acceptabie lOTS2 Acceptable lOTS6 (2 each) Acceptable lOTS4 Acceptable lOTSS Acceptable 11TS3 Acceptable 3B1 (7 each) Acceptable 17131 Acceptable l OTS 1 Acceptable 11TS4 Acceptable I 1B 1 Acceptable 6B 1 Acceptable 8G3 Acceptable 1OB2 Acceptable 9C1 Acceptable 7Ci Acceptable 7C2 Acceptable 7C3 Acceptable 22136 Acceptable 24Bi Acceptable 22B1 Acceptable 24137 Acceptable 24B4 Acceptable 24115 Acceptable 23132 Acceptable 23137 Acceptable 9 E 0 E & V, Inc. Project BODX-94-118 March 23, 1995 Page 4 Piece Mark Psual Welds Recnarks 23B 1 Acceptable 24136 Acceptable 22135 Acceptable 23134 Acceptable 23133 Acceptable 23135 Acceptable 24132 Acceptahle 23136 Acceptable 21B1 Acceptable 12C4 Acceptable 20132 (8 each) Acceptable 150 (2 each) Acceptable 18133 Acceptable 13136 Acceptable 19B 1 Acceptable 20B 1 Acceptable 17132 Acceptable 17135 Acceptable 17B3 Acceptable 18132 Acceptable 24133 Acceptable 17136 Acceptable 22132 Acceptable 22133 Acceptable 24132 Acceptabie 14C4 Acceptable 19135 Acceptable 20133 Acceptable 20B4 Acceptable 13C4 Acceptable 13C2 Acceptable 24138 Acceptable 14C1 Acceptabie CJ ? n 1__J E & V, Inc. Project BODX-94-118 Mazch 23, 1995 Page 5 Rece Mark Visual Welds Remarks 14C2 Acceptable 15C2 Acceptable 13C5 Acceptable 140 Acceptable 15C4 Acceptable 130 Acceptable 19132 Acceptable 15C4 (2 each) Acceptabie 16C1 (2 each) Acceptable 16C2 Acceptable 21CH1 Acceptable 20CH2 Acceptable 19136 Acceptable lOCHl Acceptable 18CH 1 Acceptable 18CH2 Acceptable 12C2 Acceptable 120 Acceptable 19133 Acceptable 19134 Acceptable Bolting Observations Bolting observations were conducted to determine if the splined end of the tension control bolts had sepazated hom the body of the bolt. Listed below are the locations in which bolting observations were performed. Location I.evel Description Remurks Grids C to D, Lines t to 3.6 Lower A-325 tension control bolts Acceptable Grids B to E, Lines 2 to 9 Upper A-325 tension control bolts Acceptable Grids B to F, Lines t to 8.3 Upper A-325 tension control bolts Acceptable Grids B to F, Lines 1 to 83 Roof A-325 tension control bolts Acceptable Grids C to E, Lines 5.8 to 8 Entryway A-325 tension control bolts Acceptable E & V, Inc. Project BODX-94-118 Mazch 23, 1995 • Page 6 Deck Weld Observations Deck weld observations were conducted in accordance with the AWS D1.3-1989, Section 4.5 requirements. Listed below aze the results of these observations. Locatian Level Description Remarks Grids B to F, Lines 1 to 83 I I Roof Roof deck welds and deck screws Acceptable It is our opinion that at the time of our last observation, there aze no ouutanding discrepancies remaining on this project in the azeas examined. General Services performed by the Braun Intertec technician for this project have been conducted in a manner consistent with that level of care and skill ordinazily exercised by members of the profession currendy practicing in this azea under similaz budget and time resuaints. No wazranry, expressed or implied, is made. ? This test repoR contains only findings and results arrived at after employing the specific test procedures and standards listed herein. It is not intended to constitute a recommendation, endorsement, or ceRification of the product or material tests. It has been a pleasure to be of service to you on this project. If you have questions regazding this report, or if we can be of further assistance, please call Joel Alsum at (612) 942-4919 or Marv Denne at (612) 942-4823. / ?del D. Alsum 'NDE evel hnieian ! M in C. Denne Manager - NDE Services Attachments: Daily Observation Sheets c: Mr. Daniel Weatherman . Thorbeck Architects, Ltd Mr. Dennis Goodno Bakke Kopp Ballou & McFarlin Mr. Doug Reid, Building Inspection Dept. City of Eagan Mr. Phil Olson E & V, Inc. jalmcd:mkm\bodz\ryt\94118 BRauN INTERTEC 0 DAILY OBSERVATION REPURT Proiect#: WX 9q llg Report#: tir Location: 9??O^ Ma^ Date: ?' 2 d -9y Personnel Classification Regular Hours Overtime Hours Areas and work performed this day: %"s-` i LoGver &re S??Lo G' e- Z /'ru./ // - - Z F '] - ` ? `?? ?' WJLGAZ-?K/?? . . L E - 11i !n/J F?a,/JP?' ( Lor }i?Ga?.oN ?/e -?- LVos oe%{¢? IH?`"6ovY b a».F.`t K>f 7By: Truo dU Weather: ar Performed ? Submitted To: F: DAILY 1 DOR-01 BRauN INTERTEC 0 DAILY OBSERVATION REPORT Project #: Report #: -,?- Location: _Lso,arc Date:_ q Personnel Classification Regular Hours Overtime Hours ND /C A c wr Areas and work performed this day: _6&tru.i //p/f_,g ,14 . O?CQ 7` J?Lt?I?n • ?7651 .ee?.s ' J?.'o.-S • 48 r .l a, li /A.. 0 Weather: GGc ` Performed 77' ?Submitted To: _ P ?? F: DAILY 1 DOR-0t BRauN INTERTEC ? DAILY OBSERVATION REPORT Project #: ?.? X 24f Report #: 3 F Location:gfi=: u?Ef?, z&" Date: Personnel Classification Regular Hours Overtime Hours Areas and work performed this day: c ? G' ?? /??.?/ ? , d S• ? ?a?? , ? ? ?? 'Q I 32s Weather: Yf '4 G ? / Performed By: 0" Submitted To: F: DAILY 1 DOf7-07 B Rau N INTERTEC 0 DAILY OBSERVATION REPORT Project #: &1'X ?q /`9 Report #: ? Location: t G h Date: Personnel Classification Fiegular Hours Overtime Hours J Areas and work performed this day: 0 L- 11d L ? Weather: Performed By: / Submitted To: F: DAILY 1 DOR-01 e RAU N,° INTERTEC 0 DAILY OBSERVATION REPORT Project #: Gt-?nX G`/ ??f Location: Egg y >? Report #: Date: Personnel Classification Regular Hours Overtime Hours .v ETe c, • ? 27 X ¢4 t`S "6 Weather: 1?eTBrro?'G?-5/ Submitted To: Performed F: DAILY 1 ooa-01 /14 aa<lz.,( ru r ;-' Aer, c C ei ire 5?"rc r?c( G/-// -q 4 avz k,-x tn s),.<••? Areas and work performed this day: v i•f ' eRauN=M INTERTEC 0 DAILY OBSERVATION REPORT Project #: ? ?/nX f {F//S Report #: b1f Location: ? ai .1 m Date: Personnel Classification Regular Hours Overtime Hours Areas and work performed this day: 1?:s? ?w ald.ro ,• d ??,? , io ,c F 1,/e F< /FS . *VVeather: ? 4tiIL //' Performed By: Submitted To: F: DAILY'1 DOP-01 •?? &a ?/a ?k e- / l''i,?e ?Niy Ses+ec s "e 44 G /LO? }?/` i - ?a/??a•?C. ?i/.Y?S dI`aF /? ?S//, 7- 3 eRauN°m INTERTEC 0 DAILY OBSERVATION REPORT Project#: //Sj Report #: ? 2,.?5Z 16"JC?2 Location: 4-;7,01 Date: ?7`??- Personnei Classification Regular Hours Overtime Hours ?- -, e/ Areas and work performed this 4 ,//iNa.r. ( / .r,, X,7.t, l'<lF../,?1LXl!% 7rC 4- f C?Ylc4.Fc /- Oweather: Performed By: Submitted To• ?--r?-Y- F: DAILY 1 ?? ? , . 0 JECT NUMBER go9x icew? DATE S-15J-( BY 4rc.11415ov4l SHOP OBSERVATION LOG B Rau N=M INTERTEC PAGE 2! OF ? PieceMark Heat#/Material Dimensions VisualWelds 6oltin NDT Comments y " A-/¢ Xl'/? cffe? ? r 126- G / ?7 A 41 li l) cee? A' / n 1Il 7 6 •'I /V AZZ ' 426? ? ? ll SOl 92 BRauN°M ? INTERTK 0 DAILY OBSERVATION REPORT Project #: ,!Z o Yx 7el r/Q/7 Location: 9?;// N ? Report #: 2 oate: g'2 Personnel Classification Regular Hours Overtime Hours Joe l A1Sva, E % 4/s G Areas and work performed this day: ?l .-Ae" - Zs c • ?r??iyl??r Performed By: ?d To: / F: DAILY 1 WECTNUMBER '?Iq«8/t! onre 4-2q-9W sv JQp /,4/sv,« SHOP OBSERVATION LOG sRauN" INTERTEC PAGE ?-OF ? Piece Mark Heat k/Material Dimensions Visual Welds Bolting NDT Comments J / ld TS L S 2 AV lG S 7 AIJ .s i ?a rs 2 Go 71S k' NA e eipl4le h/ 10S q NA Wrrrg4itr ? 12 to T' if/ Ac.4,1 ? /v C e P N? u f7'61 .(/? A •?cc e il/ ?Vi? /o TS l A« ? N ll /f/A c< e 11 iv# ! A/l, A<<e i b 6/ N r- < Ahf? Av N?1 6 rf <« lfl 7G z Q/ ?c SOL 92 B RAU N=M INTERTEC ? DAILY OBSERVATION REPORT Project #: BOPM 9'f I18d Report #: 3 location: Gv,//ercr 44n Date: /6-/5-9Y Personnel Classification Regular Hours Overtime Hours ?ae (s ?x lK G'wl Areas and work performed this day: PGIiGp. Tl? `fa4'B oY • /i See a,HWLCf?fs 5:45d 1915 5L? _ • Weather: 150 _ Performed By, 5ubmitted To: &JCE F: DAILY 1 DO(i-0t SHOP OBSERVATION LOG BRAV N' ?JECT NUMBER I NTE RTEC onTE l a -IS-9W BY IbdOvrt PAGE -.L OF _ Piece Mark Heat #/Material Dimensions Visual Welds Boltin NOT Comments I 229C 41 A«. ??? t?? Z Q I Z2 ? 2V9 7 ; 2 y 2 t/ri5 2982 !Y? a e z46 z aB5 2 3By 2? Z ? L 23? 6 /v ? I SOL 92 SHOP OBSERVATION LOG BRAU N" OECTNUMBER ? IZINTERTEC DATE } Bv \/ov. ?i??SvM PAGE _OF _ Piece Mark Heat #/Material Dimensions Visual Welds Bolting NDT Comments 21,01 1acY , ` 2 ea?b lyG3 leach) I 13C6 / 2c/ G?o cv / 7/? f /756 z2 2 2293 2y/ Z l IfiS ,ZO,03 20/? 'Y C? /1 c z SOL 92 & JECTNUMBER DATE / -1S1 / Y ev r/ol?? SHOP OBSERVATION LOG sRauN' INTERTEC PAGE _OF _ Piece Mark Heat #/Material Dimensions Visual Welds Bolting NDT Comments z c / cz !5`?2 c ! rc !y 2 ? ? ?f 1 I h / 2 /cH/ zo (?f f-0- ! 6 locy / MCN 1 /8 CKZ /yC2 y13 Y 7 SOL 92 , CITY OF EAGAN N_ 15 0 51 . 3830 Pilot Knob Road, P.O. Box 21'199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receiptn I 70 6e used tor INTERIOR Est. Value $100,000 Date MAY 23 IMPROVEMENT ,19 8$ Site Address 3830 PILOT KNOB RD OFFICE USE ONLY Lot 012 Block 26 SeC/Sub. SECTION 22 OnSiteSewage _ Occupancy 10-02200-012-26 Parcel No MWCC System _ Zoning . On Site Well _ (Actual) Const m Name CITY OF EAGAN Cirywater _(nnowabie) 3 Address 3830 PILOT KNOS RD PRV Required _ # oi Slories 0 City EAGAN Phone 454-8100 Booster Pump _ Length Depth o Name PARKOS CONSTRUCTION C0, INC S.F.TOtal , ?Q Address 1010 S ROBERT ST FootprintS.F. ? City W ST PAUL phone 455-0031 pppROVALS FEES ? Name En9r/ASSess. Permit ?i Planner Surcharge 50.00 i Address . ? Council Plan Review w Ph 8 CitY a BIdg.Ofl. SAC,Ciry I hereby acknowledga that I hav d this appli t nd state that the Variance SAC, M WCC informelion is Correct and agr Comply w I pliCable State of Wa[er Conn. Minnesota Statutes and Cit of n Ordin Water Meter Signature of Permiltee - Road Unit A Building Permit is iss ed to PARKO$?QN T ION CO Treatment P1 ontheexpressconditiontha Ilworkshallbedoneinaccortlancewithall applicable State of Minnes a Statutes and City of Eagan Ordinances. Parks 00 50 Building OfficialJ?Lf??????1fS.?! .(?? IA ?1? ?? I I I l?. . TOTAL 198$ BQILDING PERMIT APPLICATION - CITY OF EAGAN ? ?y SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVE?, 1 SET OF ENEBGY CALCULATIONS /L NOTEs ADDRE3SES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WIiICH ADDRESS IS DESIRED, NO CHANGES WILL HE ALLOWED ONCE BOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENT9L QNITS FOR SALE UNITS # OF UNITS INCI.UDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.1 7 SET OF ENERGY CALCULATIONS COtR+ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 INT. IMP. To He Used For: Police Uept. & STRUCTURAL PLANS, SET OF ENERGY CALCULATIONS Valuation: $-???Go Site Address 3$30 Pilot Knob Road Lot 0 1 rk Block l Pareel/Sub 10-LUDQ-DIL'Z,(D Owner City of Eagan Address 3830 Piiot Knob Road City/Zip Code Eagan, 1lrlV 55121 ? Phone 454-8100 Contractor Parkos Const. Co., Inc. Address 1010 So. Robert Street City/Zip Code Vdest St. Paul, NIN 55118 Phone 455-0031 Arch./Engr. Arthur Dickey, Inc. Address 4930 France Ave..S. City/Zip Code [vlinneapolis, iviiV 55410 Phone # 920-3993 vrr. /DO"Oc? `-- On site sewage_ MWCC system _ On site well _ City water _ PRV required _ Booster Pump _ APPROVALS Engr/Assess Planner Council Bldg. Off. Variance Date: 5/12/8£# Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review '!?#-5 18 SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 3D• v0 SU,La 11 ? N' ,? PERMIT JE 01 C4TY°bF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 4 7 6 8 (612) 681-4675 Date Issued: 10 / 2 6/ 9 4 SITE ADDRESS: 38347 PILOT KNOB RD LOT: 12 BLOCK: 26 3ECTION 22 DESCRIPTION: (POLICE Bu`ilding'._Permit Type euilding W3,rk Type ?-UBC Occupaney\` i Construction Typ.e j Zoning ? Building Length Building Width > ?t eyilding stories \-?.. ? FACILITY) PUBLIC FACILITY ADDITION B1 62 13 II-N SPR PF 166 116 2 REMARKS: FEE SUMMARY: VALUATION $3.500,000 Base Fee Surcharge SAC SAC 8 SAC Units Tota1 Fee $.00 $1,300.00 $8,000.00 100 10 $9,300.00 CONTRACTOR: E & V INC 25594111 12800 INDUSTRIAL PARK BLVD 210 MINNEAPOLIS MN 55441-3900 L OWNER: - Applicant - CI7Y OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122-1897 (612)681-4695 2 hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinancee. l \ l-?-_41 ?_. APPLIGA? RMITEE SI ATURE ?,??,1 rn ISSUED B SIG TUFE I 14 qX CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 -sq,3oo• 00 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies; 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ? a Valuation of work Site Address: 3830 4ct3 400. STREET SUITE # Tenant Name: (commercial only) e?7,? aF A`.aGA iv IAT IZ BLOCK ? SUBD. ?Tl. / a? P.I.D. # Jp_p?200-?12-2? Descri tion of work: The applicant is: ? Owner ? Contractor ? Other (Describe) Name e,= EALAN Phone «l- s'45s Property LAST FIRST Owner Address 3830 Pt,.d-c IGN6a TZo STREET STE # City r-A 4& u State K+? Zip sti?-?-- Company Cl rY et E469 N Gv E S?I/ Phone ?? 6p!-YG ?f ? Contractor Address 3930 Rro 7- )?_,vCe 12e License # Exp. City E" eN State L{w Z i p ss iz -t- L -co. Phone 871-7975' Company T?ertra?.?. Qn.?k Architect/ r Engineer Name Registration #42EMMM Address 1404 (.JiL-L-ow 4Y. city woc.J. State k? Zip ss4os Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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 5tatutes and City of Eagan Ordinances. Signature of Appl icant: lt4k' OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New O 33 Alterations ? 35 Tenant finish R 32 Addition ? 34 Repair ? 36 Move GENERAL tNFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering -ff 'Al ?,;?f!7?o ? ? Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total footprint Sq. ft. On-site well On-site sewage Building Variance REGIUIRED INSPECTIONS ? Site ? Wallboard b"Footing .E] Final ;LI Framing ? Draintile 10 Insulation ? Fireplace Permit Fee /G v,ioBt;o,,: g 3 Soo 000 Q?)z Surcharge Plan Review License MWCC SAC ,f p- o City SAC /Ve Water Conn. Ai(- Water Meter Acct. Deposit c ? S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. ,i- Trails Ded. i. Copies Other Total: SAC % ! SAC Units )o r p' ..,.. ? 16 Basement Finish O 17 Sw1m Pool O 18 Comm./Ind. ? 19 Comm./Ind. Misc. 0 20 Public facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler 11- Census Code 3 ;?, SAC Code __zv O_S Census Bldg . i Census Unit ? Assessments STATE OF hiINNESOTA Department of Administration December 7, 1995 o?r russion Schindler Elevator ou ?q?iry Toi r 10952 Bren Rd East P and . ofMinnewta Minnetonka, MN 55343 govemmmt. RE: Dumbwaiter - Elevator ID# 95-02709-12 Site:` Police Facility; 3830 Pilot Knob Road A; Eagan, MN 55122 Dear Sir/Madam: The Minnesota Department of Administration, Buiiding Codes and Standards Division is required by Minnesota Statutes to inspect new and reconditioned elevators, escalators, dumbwaiters, moving walks, wheelchair lifts and manlifts (endless belt lifts) to assure that they are operating in a safe manner. Recently, an inspector from the Division's Elevator Safety Section inspected your facility and found that the items in the attachment to this letter describe noncompliance with the Minnesota Elevator Safety Rules. In order to operate this equipment, it will be necessary that you immediately comply with the directives issued. The references used in the directives are one or more of the following: M.S. 166.59 to 16B.68; M.S. 183.001 to 183.358; Minnesota Rules Chapter 1305; Minnesota Rules Chapter 5205; Minnesota Rules Chapter 5226; American Society of Mechanical EngineerslAmerican National Standards Institute A17.1 Safety Code for Elevators and Escalators, and American Society of Mechanical Engineers/American National Standards Institute A17.3 Safety Code for Existing Elevators and Escalators. The ANSI codes are available from the United Engineering Center, 345 East 47th Street, New York, NY 10017. These directives must be completed within thirty (30) days from the date of inspection as indicated on the attachment to this letter. Notify this office in writing, so compliance can be verified and a letter of approval issued. If you require further information regarding this letter, piease contact me at 612/297-4398. Sin ely, I ING COCa AND STANDARDS .?? Jerry L. Saarenpaa State Elevator Inspector jlshkr (CE-1) c: City of Eagan ? E & V Construction ElFormCE7 _?. Building Codes and Slandards Division, Faci(ities Management Bureau, 408 Metro Square Building, Seventh and Robert Streets, St. Paul, MN 55101; Voice: 612 296-4639; Fax: 672 297-I973 TTY/TDD: Twin Cities 612 297-5353 or Greater Minnesola 800 627-3529 and ask for voice number STATE OF MINNFSOTA Department of Administration Our mission: To improve the qualiry md productlviry of Minnesota govcmment. ELEVATOR INSPECTION REPORT BUILDING CODES AND STANDARDS DIVISION - ELEVATOR SAFETY SECTION December 7, 1995 Schindler Elevator 10952 Bren Rd. East Minnetonka, MN 55343 RE: Dumbwaiter - Elevator ID# 95-02709-12 Police Facility; 3830 Pilot Knob Road A; Eagan, MN 55122 THIS ELEVATOR SHALL NOT BE PLACED INTO.SERVICE UNTIL ALL WORK IS COMPLETE No. Rule Descriptlon or Comment 1. 1305.5106 (b)(c) (b) Inspections and tesls. It is unlawful for any person, firm, or corporation to put into service any installation covered 6y paris 1305.5101 to 1505.5118 whether the installation is newly installed, relocated, or altered materialty without the installation being inspected and approved by the Department of Administration ... (c) Approval. A certificate or letter of approval must be issued by the Department of Administration, Building Codes and Standards Division, Elevator Safety, for the installation when the entire installation is completed in confortnity with this code. The installation must include all enclosures or shafts, gates, doors, machinery safety and control devices, and all otherappurtenances necessary. 2. 62051a PROVIDE FUSED DISCONNECT. Ref. NEC 620-51(a) (a) The disconnecting means shall be an enclosed externally operabie fused motor circuit switch or circuit breaker arranged to be locked in the open position. No provision shall be made to close this disconnecting means from any other part of the premises, nor shall circuit breakers be opened automatically by a fire alarm system. 3. 7008b PROVIDE MECHANICAL STOP AT TOP OF SHAFT. 700.8(b) When the car reaches its mauimum limit of upward travel, no part of the car or counterweight or any equipment attached thereto shall strike any part of the overhead structure or equipment located in the hoislway except a mechanical stop or buffer. 4. 7001 PROVIDE FIRE-RATED HOISTWAY. PATCH AROUND L.B. IN MIDDLE OF SHAFT. 700.1 Construction of Hoishvays and Hoistway Enclosures. The construction of hoistways and hoistway enclosures shall compiy with the requirements of Section 100, except as modifed by ihis Rule. Building Codes and Slandards Division, Facilities Management Bureau, 408 Metro Square Bui(ding, Seventh and Robert Streets, St. Paul, MN 55107; Voice: 612 296-4639; Fax: 612 297-1973 TTY/TDD: 71vin Cilies 612 297-5353 or Greater Minnesota 800 627-3529 and ask for voice number STATE OF MINNESOTA Department of Administration our mission: To improve the qualiry and producuvity ofMinneSOta govemmmt. 5. 70113 PROVIDE TOP SHEAVE TO BE LOCATED OVER RAILS TO ELIMINATE DRAG OF CABLE ON SAFETY ROD. 701.13 Suspension Means. Suspension means shall comply with the requirements of Section 212 except as modified by this Rule. 701.73a Type of Suspension Means. Rule 212.1 does not apply. (1) Power Dum6waitera (a) Cars and counterweights for power dumbwaiters, ezcept for tlumbwaiters having rack and pinion or screw-type driving machines, shall be suspended by one or more iron or steel-wire hoisting ropes or chains. (b) Wire ropes may have madin covers. (c) Chains, where used, shatl be roller, block, or multiple-link silenttype. - . • - .(2) Hand Dumbwaiters. (a) Dumbwaiters having a rated load exceeding 75 Ib (34 kg) shall be suspended 6y steel wire ropes or chains having a fador of safety of not less than 4 1/2. (b) Dumbwaiters having a rated load of 75 16 (34 kg) or less may be suspended by manila, 6raided-cotton, or equivalent ropes having a factor of safety of not less than 6. 701.13b Rope Data. Rule 2122 only applies to dumbwaiters suspended 6y wire or non- wire rope. 701.13c Chain Data. (1) The crosshead data plate required by Rule 701.8c shall bear the following chain data: (a) number of chains, (b) rype of chains, (c) standard chain number, (d) the manufacturers reted breaking strength per chain in pounds. (2) A metal data tag shall be securely attached to one of the chain fastenings. This data tag shall 6ear the following chain data: (a) type of chain, (b) standard chain number, (c) manufacturets rated breaking strength, (d) month and year the chains were installed, (e) name of the person or firtn who installed the chains, (f) name of the manufacturer of the chains. A new tag shall be installed at each chain renewal. The material and marking of the chain data tag shall conform to the requirements of Rule 207.3c, except that the height of the letters and figures shall be not less than 1116 in. (1.6 mm). 701.13d Factors of Safety. Rule 212.3 does not apply. The factor of safety, based on the static load, of car and counterweight suspension means shali 6e not less than the value specified in Table 701.13d for actual speed of rope or chain corresponding to the rated speed of the tlumbwaiter. 701.13e Number of Ropes or Chains Required. Rule 212.4 does not apply. The number of suspension ropes or chains shall be determined by multiplying the static load (weight ot the car plus rated load plus the weight of the hoisting ropes or chains) by the required factor of safety, and dividing the result by the manufacturer s rated ultimate strength of one of the ropes or chains of the size and construction to be used. Where 2:1 roping is used, one-half the static load shall 6e used in the formula. 701.13fSuspension RopeEqualizers. Rule 212.5 does not apply. 701.13g Fastening of Suspension Means. (1) Rule 212.9a does not apply. Fastening of suspension means shall conform to the following. (a) The car and counterweight ends of suspension wire ropes, or the stationary hitch- ends where multiple roping is used, shall be fastened in such a manner that all portions of the rope except the portion inside the rope sockets shall be readily visible. Fastenings shall be by indivitlual tapered babbitted rope sockets conforming to Rules 272.9c, 212.9d, 212.9e and 212.9f; or by other types of rope fastening provided that the wpe socketing shall be such as lo tlevelop at least 80% oi the ultimate breaking strength of the strongest rope to be used in such fastenings. (6) The fastening of car and countefweight ends of suspension chains shall be such as to develop at least 80% of the rated 6reaking strength of the strongest chain used in such fastenings. (2) Rule 212.9b applies only where adjustable shackle rods are provided. 6. CE7 NOTE: COMPLETE CORRECTIONS AND NOTIFY THIS OFFICE IN WRITING UPON COMPLETION. All code correcfions must be completed within thirty (30) days. A letter must be provided this office stating compliance has been met. Building Codes and Standards Division, Facilities Managemenl Bureau, 408 Melro Square Building, Seventh and Robert Streets, St. Pau1, MN SSIOl; Voice: 612 296-4639; Fax: 612 297-I973 TTY/TDD: Twin Cities 612 297-5353 or Greater Minnesota 800 627-3529 and ask for voice number STATE OF MINNESOTA Department of Administration May 75, 1995 City of Eagan °ur°'ss'°" 3830 Pilot Knob Road To improve Nc quality and eroduceAry Eagan, MN 55122 of Minoesom govemment. ' RE: Hydraulic Passenger Site: Police Facilities " 3830Pilot-KnobRoad_? Eagan, 55122 - Dear Sir/Madam: - Elevator ID# 95-02696-01 Minnesota Statutes Chapter 183 provides that the Department of Administration, Building Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recentiy inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUILDIN ODES AND STANDARDS r Chuck H. Su livan Chief Elevator Inspector chs/rkr (CE-2) c: Reid, Douglas Michael, Schindier Elevator E & V Construction BO, City of Eagan '01? ElFormCE2 Building Codes and Standards Divisian, Facilities Management Bureau, 408 Metro Square Building, Seventh and Robert Streets, St. Paul, MN 55I01; Voice: 612196-4639; Fax: 612 297-1973 7TY/7'DD: Twin Cities 612 297-5353 or Greater Minnesota 800 627-3529 and ask for voice number ` C?TY OF EAGAN 3 30 Pilo? Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: PermitNumber: g30ZDJNG Date Issued: 10 J 0 8/ 9 7 SITE ADDRESS: 3830 PILOT KNOB RD LDT: 12 BLOCK: 26 SECTION 22 P.I.N.: 10-02200-012-26 DESCRIPTION: rmit Type COMM./TND. MI3C. ?Type 7ENANT FINISH 437 ALT. NONRES. ? c $. .. a, REMARKS: NON LOAD-BEARING WALLS IN 2ND 57tlRY OF PtlLTCE pEp7 AND BASEMENT OF MUNICIPAL CENTER FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $.00 $1.50 CONTRACTOR: _ applicant - BAILEY CARLSON ' 26819399 798 GOIDEN MEADOW RD EAGAN MN 55123 (612) 681-9399 rm 3nf ormAt, 3on is 8'"ersc Stat?? a rsd City Qofe ;'?`? APPLICANT/PERMITEE SIGNATURE $3,000 OWNER: CITY OF EAGRM 3830 PILOT KNOB RD EAGAN MN 55122 (612)661-4600 =610 kj;A_frn.?.d= ISSIIED B : SI ATUR 997 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN soisld 681-4675 , \ . C0V L?19 The following are required wdh appropriate cert'diration for all pgyy Conshudlon: Al .:ll' - ' ? 2 eech: erchiteGural plens; meoh. 8 ebc. plana; fire sprinkler ptana; sWCturel plans; sKe piens; landscaping plana; gradingldrainagNerosion wntrol plan; utllity pWn ? 1 each: set of specifiptions; set of energy eelwlations; elecMwl power 8 liphting fortn; Special Inapedions & Testing Schedule • LeNer from MC/WS (phone #222-8423) in0icafing SAC determination ? Code anatysis indicating: codes used; oaupancy dasaiflwlions; setbacks; maxlmum albweble area as par 8uiltling end Cily Codes along with sq. ft. per Floor; ty{ro of construetion (synopsis of conatrudion eompanenta) 8 eny occupancy or area separation walls; occupancy loeds; axit synopsis with a diagram indicating exitinp loada from eaeh room or erea, trevel petha 8 all rated eortidois; plumbing fuRures; and parking. DATE: ( -/ I- 9-7 WORK TYPE: NEW ? REMODEI DESCRIPTION OF WORK: N°"J e'O "f0LA-? j r»T fV7VA6, GCT! CONSTRUCTION COST: 2, 6?ct?) ^ TENANT NAME: SITF AIIIIRFSS• 3e530 K.-1oc3 LOTo 2"' BLOCK aL SUBD. ? a- ? P.I.D. # PROPERTY Name: PhOne #: OWNER Street Address: City: State: Zip: CoNrw4CTOR Company: BAit_.CY ? ?neLSo?,./ Phone #: &?,61 9325 Street Address -726 r`12 Ciry: zip: ARCHRECTI Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the information is ect and re co piy with all applicable State of Minnesota SNatutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New 0 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS --&- 19 Comm./Ind. Misc. ? 20 Public Facility 33 Alterations 0 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq.ft. sq. ft. Footprint sq. ft. Planning Building ? 21 Miscellaneous ? 35 Tenant Finish ?0 37 Demolition MCNVS System City Water Fire Sprinklered Census Code SAC Code Census Bidg. Census Unit Engineering Variance ? ? ts _L Permit Fee Surcharge ,?/ Plan Review n?'G MCNVS SAC City SAC Water Conn. SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: °k SAC SAC Units Meter Size Valuation: $ 3 City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 .0 Use BLUE or BLACK Ink For Office Use 1i) �. Permit #: Permit Fee: Date Received: Staff: L 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. %2H. / Date: 'te Address: �-4Ai a2 - J Name: J Address / City / Zip: Suite #: .- .. Phone: Name:/]/,4 f` 4# `�:(06:41- 5-7/Le. License #: Address:/ ©r 641,, State: a{.4i14/ Zip: 5✓5 /f Contact: (104144' City: 1181-406-- 4 Phone: 6 r» h! ?14*6 Email: Sn,eS' F€i //4 G dt 1/CtC'- , Ca –_ New ,Replacement _ Additional /_ Alteration Demolition Description of work: f i4e 'eiv C'0,4,® 4/".ro z. NOTE: Roof mounted and ground mounted mechanical equipment is, required to be screened by City. Code. Please contact the Mechanical Inspector for; information, on permitted screening methods. • COMMERCIAL New Construction Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger ` Gas X. Exterior HVAC Unit Heat Pump , Under / Above ground Tank ( Install / _ Remove) Other RESIDENTIAL Furnace RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $1 00.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) *If the project valuation is over $1 million, please call for Surcharge TOTAL FEE OR Contract Value $ x 1 =$ =$ =$ Permit Fee 5.00 Surcharge* TOTAL FEE 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.orq 1 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. Applicant's Printed Name FOR OFFICE USE, Required Inspections:, Underground. x 413 icant's Signatur Reviewed By: C Rough, In — Air Test _ Gas Service Test In -floor Heat Final. 1 HVACDate:Screening P. y f , r.j For Office Use I % , + rr" 0 L-"" G A Nv '�ib :::: 'i,,, �� �o1 , (J/ ,a/ it CC R2,7 ECIE'` Date Received: „:„, e 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 V ED / (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: _4./ buildinoinsoections(a�citvofeagan.com MAY 2 5 2018 L f 2018 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: /,1 V 1 Site Address: 2 � lr,-. /1 D R to ) �QQ`tt Tenant: t PC)h L C(� i "L 1 Suite#: ❑ Requi ents: 2 complete sets of drawings and specifications, cut sheets on materials and components !„ ,� Name: Phone:',i`AFa ' PropertyIEC Address/City/Zip: A..licant is: Owner Contractor Type of work, �i� Description of work:' t �� 6 ea A . L. i L _ysS S e,M :, Construction Cost: 00 Estimated Com.letion late: 1119 \' t i Name: 1,U'( n y L wo Co, License#: -1-5bOa1P76 ,I,';',,!,,''','; Address:1)D5 A L S City: 15 � e cA) Contt'c'ctoP- State: 1 r V1 Zip:,5 c�. Phone: Y '(01P3 i '� 0,',• Contact: fk V _'_‘,/ `. Email: ! ,t V-- WW1 FIRE PERMIT TYPE WORK TYPE _Sprinkler System(#of heads_) "; jNew _Addition Fire Pump —Standpipe Alterations _Remodel Other: g " . AllAM ._A fi., CY'l Other. �.n DESCRIPTION OF WORK: -4., Commercial Residential Educational FEES Z� D� Contract Value$ J. x.01 $60.00 Permit Fee Minimum ,r $ LV. GO Permit Fee Surcharge=Contract Value x$0.0005 If ie project valuation is over$1 million, please call for Surcharge =$ I , 1L'4 Surcharge $100.00 Residential New(includes State Surcharge) =$ l r LoL4 TOTAL FEE 3/4" Fire Meter-$290.00 =$ Fire Meter =$ TOTAL FEE 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.citvofeactan.com/subscribe. 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 w' the approved plan in the case of work whic requires a review and approval of plans. / x n� 1..1.41A/VA x 0 AA.A.A 0 Applicant's Printed Name App4 licant's Signature ici q 7 1 FOR OFFICE USE { i',6 S yhIIm " l l°°11�"'11 i t�^ II gN� k� ,Grl a f" i lr,.h gl hiwu a{I1 i'i{IiGC ii N.' ' n Y REQUIR D INSPEG71QN5 .'.....";.,,,,,,--v,10-,,,,,,.•,...-‘..,•..,.':itiyy , , ysogw,lk' y I-__ ' Ggp,iylj u: � ly{ t ,, a .,. a(b k it TI'l�litih I., 6" i • Hydrq$t tar r Flow Alar'rn ' tiQrai T , `-Rougt n �l'I��p �� , II�Y„MIkr H -..--.;,:-..•0,...„, ,;_:-.,''., h �i� ra,a ', ,11i,, awl, I iHiiu�C"" s" ,�.;•.."- � '�"�'" Illi� "� rt�u.l �Yhi i a } il,k Trip.,-,--',', Pump„,,,,10,‘„,,,,. e"r�tral Staticin;lll v h a ,a F; it'i „,„'„,,,..,-.,,.,-, k,..'„,,,—. is„ �k n,k`r,�{ � ill,ti ,•..� IhN”, � is i `� 6ii ..i'•;"i iii ,-,,„,,4•,,',•',,, '„' Conditions of Issu nce r.Iwil ,,t,,,6,,,,--,. '"''''',,,4)'!':,01,,'.:1'''',',.:;',,,;:, 16111 i i ” il „,..,.„<„,„,,,,,,,,....,,,,,,,,,,..,.,,,,,.,:. hGi,i _ iib ;:. .a{r+�y� 'r V,. "... �' 1lkk 'I ° � ��6u,� ,viii{ �� i'pli dii' i'ti , h a, �i ���, �N iu` 6iii T�,, ','i, iiiiz �i�iiaM,, ti i.; s t6 ” 6 6'-, ' �-+krM,tri '1'' y6u� 6i �a4raV �'r �"��Nui6116 li 2,',,,-,' NC' (y 17 i �i , 'jjr' ,� -'g- .' 'r"O�li 11 Permit Reviewed by '1 , s lu'h Biu W I C ilb4g: For Office Use I tit.1 ,, i a,` Permit#: �!(J EAGAN ! .S �.w »mss CEI t ) Permit Fee: 004.9 i 191- JUN 14 2018 Date Received: 1, ""/y/ O 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(a�cityofeacian.com L 7_, 2018 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: June 13, 2018 Site Address: 3830 Pilot Knob Road Tenant: Eagan Police and City Hall ntC-rn4 1 40 / -e ,-,.../- Tenant: ses Suite#: ❑ Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components rc Name: City of Eagan Phone: Property Owner Address/City/Zip: Applicant is: Owner x Contractor Type of Work Description of work: Fire Protection for Existing and New Addition Construction Cost: 169,110 Estimated Completion Date: October 2018 Name: Breth-Zenzen Fire Protection License#: C-126 '` Contractor Address: 8053 Sterling Drive Suite 101 City: St. Joseph State: MN Zip: 56374 Phone: (320)363-0900 Contact: Paul Secord . Email: paul@bzfire.com FIRE PERMIT TYPE i WORK TYPE 1 Sprinkler System(#of heads ---7 _New 1 Addition Fire Pump _Standpipe —Alterations ' .1 Remodel Other: Other: DESCRIPTION OF WORK: / Commercial Residential Educational — FEES ,.// 9 j �/ () Contract Valuex.01 $60.00 Permit Fee Minimum 60.00 _$ Permit Fee Surcharge=Contract Value x$0.0005 84.56 If the project valuation is over$1 million, please call for Surcharge =$ Surcharge $100.00 Residential New(includes State Surcharge) =$ TOTAL FEE 3/4"Fire Meter-$290.00 =$ 290.00 Fire Meter _$ 2,125.6 TOTAL FEE 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.citvofeagan.com/subscribe. I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete.•. accur •;tha the work will be i conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/F o•-s;th.1 and;'rstand this is not. ermit,but only an application for a permit,and work is not to start without a permit;that the work will be in ar ord-• e with/ e ap/roved plan in the -se of work which P-AJL iresa review and approval of plans. S � x s widki Applicant's Printed Name Applicant's Signatu e OOUI FOR OFFICE USE REQUIRED INSPECTIONS �. 'Hydrostatic Flow Alarm Drain Test Rough in . Trip Pump Test Central Station nal Conditions of Issuance: Permit Reviewed b • ~- Date: J J Yr a . - -C,Y°4 ' For Office Use 'f 6 L- -?-- v. . Permit#: / / I *I : E AG A NPermit Fee: ��..� I Staff: 1 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 CelPayment Recvd: _Yes _No liI (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 j Ito —Plans: Electronic aper I Plan Submittal:eplans(d)citvofeagan.com 1 20201 -- BY 2020 COMMERCIAL BU . RAPPLICATION Date: 6/1/2020 Site Address: Eagan City Hall and Police Dept Tenant Name: Police Dept (Tenant is: New/ V Existing) Suite#: Former Tenant: �'' '`�r`: City of Eagan Mn Phone: d , ,:�� Name: Y *rop.',.:'1,:',:-..:,;<:-.'1:,.-",,,;', - .1./:‘,:;,:;; :•€.,:::6%. �'�►e ' Address/City/Zip: Eagan Mn f ± t 4, Applicant is: Owner V Contractor r z, r,.;,;,..,;`,,.';‘,:.,: .,- Deckr i ype ofk o� Description of work: Deck replacement and roof top patio r $20,000.00 Construction Cost: ,t.,-,,,,-5:-.,:,>','-',::„:,/:K.:,-,: ::Y13.it/:,:::::::./,', rv 4 JSH Construction LLC Name: License#: `r 1050 Industries Circle Howard Lake r , Address: City: ' state: MN Zip: 55349 Phone: 320-444-8788 Dave Jarl dave@jshconstructionllc.com 3 Contact: Email: City of Eagan x, Name: Registration#: Ar fedi iittleer Address: City: <' State: Zip: Phone: ' Contact Person: Mike Sipper Email: msipper@cityofeagan.com Licensed plumber installing 1pgw+i1sewer/water service +►ll Pone# nac rsubmit �c1000 .1,0 � d` y ,Ns Esteera s, � r+ , _c _... u 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.citvoteaaan.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.gopherstateonecall.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, an. - ' • 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 a - -pproval of plans. ‘411,r0 David A. Jarl x ' . 1 Applicant's Printed Name Apr-cant's Signature DO NOT WRITE BELOW THIS LINE /6 / S g.' -- SUB TYPES 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 tt�� N'!/ Valuation 7t,&e O••w Occupancy /5 MCES System 4' CST /M) Plan Review '' ., Code Edition 2.0 IS- ,t'/l SAC Units (25%_100% ) Zoning 17 F. City Water Census Code Stories Booster Pump #of Units 0 Square Feet PRV #of Buildings f Length Fire Sprinklers Type of Construction 2f'$ 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 T Pool:_Footings _Air/Gas Tests _Final ✓ Final/No C.O. Required Final C/O Inspection: Schedule Fire Marshal to be present: Yes `/No `/ Reviewed By: , Planning New Business to Eagan: A b Reviewed By: CIG , Building Inspector C ` p11 FEES Water Quality �J cr (ift6f:2- ) Base Fee b•" Storm Sewer Trunk Surcharge P•d'O Sewer Trunk Plan Review 8. 4' 9 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: !!}• A.7 Page 2 of 3 r For Office Use Tenant: Eagan Police and City Hall Type of Work Name: City of Eagan EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-569 Email: buildinginspectionsacityofeagan.com'` ` " Plans: Plan Submittal: eplans@cityofeaclan.com 1.iY� 2020 COMMERCIAL PLUMBING --PERMIT APPLICATION Permit #: Permit Fee: Staff: Payment Recvd: .1 Yes No / ` u Paper I ❑ Please submit one set of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email, CD or flash drive Date: 8/26/20 Site Address: 3830 Pilot Knob Rd t/'e Name: Cool Air Mechanical, Inc. Phone: Suite #: License #: PC003260 Address: 1544 134th Ave NE city: Ham Lake State: MN zip: 55304 Phone: 651-206-8848 Email: holly@coolairmechanical.com New Construction Addition 1/ Modify Space _ Replacement Repair Rebuild Description of work: Install (2) area drains Work in Right -Of -Way Irrigation System ( yes / _ no) ( RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meter Required — Call Utilities at (651) 675-5200 to verity tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Average GPM High demand devices? Yes No COMMERCIAL FEES $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit (includes State Surcharge) Flushometers _Yes _No Contract Value $ 8,500 Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call City for Surcharge $ The following fees may apply when installing a new lawn irrigation system or connecting a new water service. Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. _$ x .015 Permit Fee Surcharge TOTAL FEE Water Permit Treatment Plant Meter Fee Radio Read State Surcharge TOTAL FEE 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.citvofeaoan. com/subscri be. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Jon Nickelson Applicant's Printed Name ApOicant's Signature Page 1 of 4 FOR OFFICE USE Required in Meter Related Items: Test _ Gas Test Final PRV Required. ; Yes No Page 2 of 4