3428 Denmark AveC�lG —CIL R< -CC=s' UCJ
Co (Ans
City of EaQali P
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694 o
S
Applicant's Printed Name
Ap ' licant's Signature
Use BLUE or BLACK Ink
For Office Use / `& /�
Permit #: /td Ci C )
Permit Fee:
Date Received:
S ta ff :
2011 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
f�
Date: l� /! (CCJ /// Site Address: 6� JT r `C W/V
Tenant: / Z /fri®/V AA 771 // 6 CrA ( 4‘ /ZO) Suite #:
Address/cit /® J1a /1»(/(7d/V £? . 0/76
Applicant is:
Owner / ` Contractor
Description of work: r yyyy,,,,����.. L ��,,,, C+er�
Construction Cost: , 6CJ0
FIRE PERMIT TYPE
X Sprinkler System (# of heads
_ Fire Pump _ Standpipe
Other:
WORK TYPE
New Addition
Alterations _ Remodel
Other:
DESCRIPTION OF WORK:
Commercial Residential
Educational
$55.00 Minimum (includes State Surcharge) OR
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010 - $11,010 Permit Fee requires a $ 5.50 surcharge)
Contract Value $
_ $ Permit Fee
= $ Surcharge
_ $ TOTAL FEE
3/4" Displacement Fire Meter - $204.00
= $ Fire Meter
_ $ TOTAL FEE
Name: )/Y/V 475 , //VEC «R License #: �
Address: / 73 4k
// . City: /f4UG
State: /'7/1� Zip:
, , � f � � �. C-/ Phone: ` - -3z..-1- Contact: / ite,1(/VLi:.rs�/V Email:
*Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Build' . ire C. • es; t , 1 • . erstand this is not a
only an application for a permit, and work is not to start without a permit; that the work will be • • - = wi�re ap •. oved plan in the
which requires a review and approval of plans. / A
t , but
work
•
' CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454 -0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.oro
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic
Trip
Conditions of Issuance:',
Permit Revie
360 boimme-14-
Flow Alarm
Pump Test
Drain Test Rough In
Central Station
Final
PROPERTY
OWNER
Name: NFC ,X e,S Phone: ivy / - V- - 3303
CONTRACTOR
Name: /,J,EA/2Fs 4 -,t dika e!1/l / License #: d 6 /3 /3't
Address: L /`I EXCA/-1l).1 �Q �I City: 6it16A� ej State: / / Zip: $ / Ll
/ /7/0
O
Phone: 5/'3//' 7137 Email: If i iChel-1 eb-. Co, .
TYPE OF
WORK
_ New Replacement Repair X Rebuild Modify Space Work in R.O.W.
_ _ _ _
Description of work: /QI # ZAuf i / 4/FW Gt i r// /- /u,J.0 [/R /it 41 -
PERMIT TYPE
COMMERCIAL
New Construction Modify Space
_
Irrigation System ( _ yes / no) (_ RPZ / PVB)
_
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675 -5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? _ Yes No Flushometers _ Yes No
COMMERCIAL FEES:
$55.00 Minimum (includes State Surcharge) OR Contract Value $ x 1%
Required
- If the Permit Fee is less
_ $ 56 v Permit Fee
on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read
than $10,010, the surcharge is $5.00 = $ Meter(s)
- If the Permit Fee is > $10,010,
the surcharge increases by $.50 for each $1,000 Permit Fee
Permit Fee requires a $5.50 surcharge) = $ � ' State Surcharge
(i.e. a $10,010 - $11,000
Following fees apply
Call the City's Engineering
when installing a new lawn irrigation system. $ Water Permit
Department, (651) 675 -5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $ ‘,5"' oU
4 11/`` )/lvo Clte -ck
City of Eau (
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2011 COMMERCIAL PLUMBING PERMIT APPLICATION
f /6 " 1 / Site Address: cg7Z f ,04e.t/.et.9"C ,1t
/r s`fPtChf /eF,vv/'' (7J
Use BLUE or BLACK Ink
Permit It /a% 7 (
Permit
Fee: C) O
Staff:
Date Received:
Suite #: 3Z‘e
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.bopherstateonecall.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 i•- accordance with the approved
plan in the case of work which requires a review and approval of plans.
io/2e- ift4, �` ` r
Applicant's Printed Name
FOR OFFICE USE
x
Applicant's Signature
Approved By
Date:e( c
.zquired Inspections: Under Ground Rough -In _ Air Test Gas Test ) Final PRV Required: _ Yes No
- I - 024 --®(Yov ° /!as , a 1
Ptbvei
l)
Page 1 of 3
4 C!tyofEaau
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Use BLUE or BLACK Ink
Permit #: 60 59 0
Permit Fee: / 7 I X37
/
Date Received:
t I V E 0
JUN 29 2011
2011 COMMERCIAL BUILDING PERMIT APPLICATION =//
//,i Site Address: 3'¢Z0 Den Mar/'S 7A✓
Staff:
Tenant Name: 1<0-m FI v 47 emb1 4 (Tenant is: New / Existing) Suite #:
CC krI eF Cal OA"
Former Tenant: C.e—% -:-� V A c,uc r
PROPERTY OWNER
TYPE OF WORK
CONTRACTOR
ARCHITECT /
ENGINEER
Name: MfC, Prc etI i`e s 13 Li-A Pkr
Address / City / Zip: 3 C7 0 tn.) A, ' 1 ,J +1R r
Applicant is: Owner Contractor
Phone: 651 X2 C 3
v io2 ��.K ,) 9t2 .
Description of work: Par - film vtJJ..., Do v c W ,
Construction Cos � goo
•
y2.4 Q G-tK }, t fee Ltt v 14 7 l.9
Name: t. CcVlslrLit cfi v r'
License #: 2-044- 3 34-g
Address: J 4-7 U W v` r, by 4 t b7- City: Eal0
State: MiJ Zip: S_J I Z2, Phone: col Z 7T -58 3
Contact: CAA cl Email: C e e o f pe l i U�
Name: H M Arcki
Address: i_2 S SS S F S -...L A City: LM* E7i�n
State: 11 Zip: -> 0 42— Phone: h s I 3 /
Registration #: 2 X2,1 0
Contact Person: :G . t 4 I Y Email: j c c4' /I QT 0.+' 0-
Licensed plumber installing new sewer /water service:
N I It
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454 -0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work }Ghich quires a review and approval of plans.
()t y tunS;v�L�tc -, ` Jett' C'4 LLC_
x c:. c el
Applicant's Printed Name
Applicant's Signature
34z8
1
Page 1 of 3
SUB TYPES
Foundation
Apartments
Lodging
Miscellaneous
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation fI Occupancy
Plan Review Code Edition
(25 %_ 100% % ) Zoning
Census Code Stories
# of Units U Square Feet
# of Buildings 1 Length
Type of Construction 'IC .d Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
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
ublic Facility
Commercial / Industrial
Greenhouse / Tent
Antennae
/Interior Improvement
_ Exterior Improvement
Repair
Water Damage
Reviewed By: CAA /k , Building Inspector
/63. Z4'
Di?gder NOT WRIT FLOW THIS LINE
Accessory Building
Exterior Alteration- Apartments
_ Exterior Alteration - Commercial
Exterior Alteration- Public Facility
Siding
Reroof
Windows
Fire Repair
Roof: _Decking _Insulation _Ice & Water Final
Framing
Fireplace: _Rough In _Air Test _Final Retaining Wall
Insulation Erosion Control
Meter Size:
Final CIO Inspection: Schedule Fire Marshal to be present: Yes •/ No
Sheetrock
Final / C.O. Required
Final / No C.O. Required
Other:
_ Pool: _Footings _Air /Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Reviewed By:
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
_ Demolish Building*
_ Demolish Interior
_ Demolish Foundation
Salon Owner Change
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
TOTAL / 72-.36
/&759 c
(s
, Planning
Page 2of3
2 Metropolitan Council
July 6, 2011
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services (MCES) Division has determined SAC on behalf of
the City for Kuman Math and Reading Center to be located at Town Centre Shoppes - 3428 Denmark
Avenue within the City of Eagan.
The City will be charged no additional SAC Units for this project, as determined below.
SAC Units
Charges:
Lab
760 sq. ft. @ 900 sq. ft. /SAC Unit
Credits:
Retail (Look -Back Period — paid 8/88)
1166 sq. ft. @ 3000 sq. ft. /SAC Unit
Net Charge: 0.45 or 0
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,
G/an. CA /) „,,d-/
on Cappaert
SAC Technician
Environmental Services Division
KC:kb: 110706A1
Determination expiration: July 6, 2013
cc: J. Nye, MCES
Peggy Fleck, Eagan (email)
Chad Sandey, CMS Construction (email)
www.metrocouncil.org
0.84
039
c o
Environmental Services
390 Robert Street North • St. Paul, MN 55101 -1805 • (651) 602 -1005 • Fax (651) 602 -1477 • TTY (651) 291 -0904
An Equal Opportunity Employer