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3405 Promenade Ave �� � � � `� Use BLUE or BLACK Ink (�� ---------�1 � For Office Use !y � � �-(� ' ����1� C�U oi �LL �11 I Permit#: I � � (f � ��� � �� ��� �� 3830 Pilot Knob Road �� —`-� / � � Permit Fee: � � Eagan MN 55122 i �- ,�.-�,j i � Date Received: � Phone: (651) 675-5675 � i Fax: (651) 675-5694 � Staff: � I I 2015 COMMERCIAL BUILDING PEFtMIT APPLICATION Date: �� �� � 15' Site Address: �4 6 5 PRo l�'�A�'�� �r'��- Tenant Name: �� ��� t"'QT� �'�`��" (Tenant is„ �New/ Existing) Suite#: Former Tenant: Name: �N TE1Q-ST/�t�' �PI�YN�-S► Phone: 65� � 2��'� �r783 Property Owner �j'oo �'�t,4c.soa ST�I�T S��� ?.�0 51-. �i4�tt_ w� Address/City/Zip: � � $SI''/ Applicant is: Owner �Contractor Type Of WOI'k ' Description ofwork: I�F�"ti Q-ET+ArII S�NECL � 4E*^�s�N4 W�4�LS �' ,� Q�ati� � . Construction Cost: ��3'Z�s[o5 ���►�► t �-F'6��-�ss-eerr Name: � �7�� License#: COIlkP�CtOP Address: ���� ����� H��iH7T �ity: �4�'�'�'�� �E'74�+►TS State: �� Zip; SS�Z� Phone:_ �S / ' `► '� l "D 2'�fl . Contact: ��'»'�'1�J ��"r'°IM I� EmaiL „f f�'oN��t � rJ r ya h . Co M Name: Q�� ����"� � _ �N�% Registration#: Architect/Engineer Address: 3 33 ��1SH 11�16.�� �}VE /J SW�E:�21� �1 NvS�P°I.ls state: �N zip: S$`�� � Phone:_ �11. 67 6 � Z�40 Contact Person: �I� WN 1 P�' Ot�S E Email: �W�►ii'tN��+►i t� ��r'�'�„C�•�Alh Licensed plumber instaliing new sewer/water service: `a�� � �r. Phone#: NOTE:Plans and supporting tlocuments that you su6mit are consid,�red to be public infarmation. Portions of fhe information may be classified as non-public if you prouide specific reasons that would��rmif the City#o conclude that the are traale,�ec.rets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 far protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wvuw.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the wo�rk 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 appli � tion for a permit, and rk is not to start without a permit;that the work will be in accordance with the approved plan in the case of wo�which requires a revie and approval of plans. x ���-EM� 1��� Applicant's Printed Name App� �Ys Signature Page 1 of 3 - • `� y.f'✓ � �/eT1i�'��2A-��-, t�'1I��".� � • DO NOT WRITE BELOW THIS LIINE ����`�` c� 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 Valuation �j 3�G,I�S'°� Occupancy �� M MCES System u Cs Plan Review � � Code Edition �,Q07 N(j,8� SAC Units �L�G✓ (25%_100% ✓) 2oning �� City Water y�.�`"j �- Census Code Stories � Booster Pump #of Units Square Feet PRV #of Buildings � Length Fire Sprinklers � Type of Construction pj Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) �Final/C.O. Required Footings(Addition) Final/Nn C.O. Required � Foundation Other: Drain Tile � Pool: Footings _Air/Gas Tests Fin�' �R Roof: ✓Decking �Insulation _Ice&Water ✓ Final ,� Siding:__Stucco Lath _Stone Lath v�Brick �Framing Windows, Fireplace:_Rough In _Air Test _Final Retaininc�Wall ✓Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: �Yes No Reviewed By: ���� , Building Inspector Reviewed By: �� , Planning COMMERCIAL FEES Base Fee � , "'f,j Water Quality Surcharge (P ,�(�. �d Water Sampling Fee fQ, 6� �U Plan Review �rf� ,(� Water Supply&Storage(WAC) MCES SAC 3 'f,�SS.4� Storm Sewer Trunk City SAC 3LY7•(�D Sewer Trunk S8�W Permit�Surcharge �a'�',AD Water Trunk Treatment Plant a��3D.8(} �� Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Lg�DSC 'f SLt�• O° Water Quality 'TOTA . �Ot��O Aept� ,,�--,�--Po--- .��; �j 3�,� Page 2 of 3 / . - / ��C� �l�" . � , , March 12, 2015 Dale Schoeppner Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Divisi��n has determined the SAC to be charged for the wastewater capacity demand for City Vue, Lo�t 1 to be located near the intersection of Yankee Doodle Road and Promenade Avenue within the City of Eagan. The City will be charged 3 SAC Units for this project, as determiried below. The Council understands this building is speculative retail. SAC Units Charges: Speculative Retail 9742 sq. ft. @ 3000 sq. ft. /SAC 3.25 or 3 At the time the finishing permits are issued, if the use changes frc�m its speculative use to a different use; then the SAC assignment needs to be reviewed based on that change. The business information was provided to MCES by the applicant at this time. It is also the City's responsibility to substantiate the business use and size at i:he 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 email me at iessica.nve(a�metc.state.mn.us. Sincerely, Jessie Nye Supervisor, ES Revenue (SAC) JN: an: 150312A4 (697714, 383540) Determination expiration: 03/12/2017 cc: Jason Folger, RJ Ryan Construction Amy Griffin and Peggy Fleck, City of Eagan File, MCES �� •..- - . i :� - • - . .� ��� . . �.� � . • �•�- - • • . . METROPC?LITAN + � ���� �� . C O U N C I L TO: City of Eagan Mom Jon Hoherstein, Community Development Mike Ridley: Planning Darrn Bramwell. Fire Marshal Scott Peterson, Building Inspections Russ Matthys, Engineering John Gorder, Engineering Aaron Nelson, Engineering Dave Westermayer, Engineering Leon Weiland, Engineering Joe Gibbs, Finance Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove. Maintenance Lt. Mike Fineran, Police FROM: Craig Novaczyk, Senior Building Inspector DATE: March 5, 2015 RE: Plan Review For: CityVue Commons, Lot 1 Retail 3405 Promenade Ave The pians are in our plan review section for your review and comment. # 20 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: Indicate below any fees that are to be collected with the building permit. Signature Date G:1Building Inspections\FORMS1Commercial Bldgs Final & Plan Review Letters Amount ❑ Yes ' No Landscape Security Required Zoning: ❑ Yes ❑ No Water Quality Dedication Meter Size: ❑ Yes ❑ No Park Dedication ❑ Yes ❑ No Trail Dedication ❑ Yes ❑ No Tree Dedication ❑ Yes ❑ No PRV Required ❑ Yes ❑ No REF Reconciliation between Engineering & Finance Signature Date G:1Building Inspections\FORMS1Commercial Bldgs Final & Plan Review Letters TO: City of Eau ma Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Scott Peterson, Building Inspections Russ Matthys, Engineering John Gorder, Engineering Aaron Nelson, Engineering Dave Westermayer, Engineering Leon Weiland, Engineering Joe Gibbs, Finance Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove, Maintenance Lt. Mike Fineran, Police FROM: Craig Novaczyk, Senior Building Inspector DATE: March 5, 2015 RE: Plan Review For: CityVue Commons, Lot 1 Retail 3405 Promenade Ave The plans are in our plan review section for your review and comment. # 20 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: t,) UAl0— Indicate below any fees that are to be collected with the building permit. Amount ❑ Yes ❑ No Landscape Security Required Zoning: ❑ Yes ❑ No Water Quality Dedication Meter Size: ❑ Yes ❑ No Park Dedication ❑ Yes ❑ No Trail Dedication ❑ Yes ❑ No Tree Dedication ❑ Yes ❑ No PRV Required ❑ Yes ❑ No REF Reconciliation between Engineering & Finance A I 7a- 3 Si ure Date a_- GABuilding lnspectionslFORMSICommercial Bldgs Final & Plan Review Letters City of Eadu TO: # 20 Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Scott Peterson, Building Inspections Russ Matthys, Engineering John Gorder, Engineering Aaron Nelson, Engineering Dave Westermayer, Engineering Leon Weiland, Engineering Joe Gibbs, Finance Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove, Maintenance Lt. Mike Fineran, Police FROM: Craig Novaczyk, Senior Building Inspector DATE: March 5, 2015 RE: Plan Review For: CityVue Commons, Lot 1 Retail 3405 Promenade Ave The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. l Comments: O -01 c ntl ro Indicate below any fees that are to be collected with the building permit. V,Yes ❑ No t] Yes ❑ No ❑ Yes to ❑ Yes No ❑ Yes ❑ No Amount Landscape Security Required Water Quality Dedication Park Dedication Trail Dedication Tree Dedication ❑ Yes ❑ No PRV Required ❑ fieN, LJ No REF Reconciliation between Engineering & Finance NOW1j,'WillaM-4- Signature Date Zoning: Meter Size: GABuilding Inspections\FORMSICommercial Bldgs Final & Plan Review Letters City of Eap Nemo # 20 Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Scott Peterson, Building Inspections Russ Matthys, Engineering John Gorder, Engineering Aaron Nelson, Engineering Dave Westermayer, Engineering Leon Weiland, Engineering Joe Gibbs, Finance Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove, Maintenance Lt. Mike Fineran, Police FROM: Craig Novaczyk, Senior Building Inspector DATE: March 5, 2015 RE: Plan Review For: CityVue Commons, Lot 7 Retail 3405 Promenade Ave The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: 004 V3 k 1� odd & AQ � � rCom�`e nature ti Date GABuilding Inspections\FORMS\Commercial Bldgs Final & Plan Review Letters �" MM 2kl?kr!lbf-� � a ffll!AtI"U#0 oe,?f D ,rive 10IIU ' "/I/O iAiY;K - F fe LAIC �r 5 /lS OA� GJ�} -Sam �n.ee or -11 Indicate below any fees that are to be collected with the building permit. Amount ❑ Yes ❑ No Landscape Security Required Zoning: ❑ Yes ❑ No Water Quality Dedication Meter Size: ❑ Yes ❑ No Park Dedication ❑ Yes ❑ No Trail Dedication ❑ Yes ❑ No Tree Dedication ❑ Yes ❑ No PRV Required ❑ Yes ❑ No REF Reconciliation between Engineering & Finance 004 V3 k 1� odd & AQ � � rCom�`e nature ti Date GABuilding Inspections\FORMS\Commercial Bldgs Final & Plan Review Letters �" WAPI TO: z City of Eakan Irmo Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Scott Peterson, Building Inspections Russ Matthys, Engineering John Gorder, Engineering Aaron Nelson, Engineering Dave Westermayer, Engineering Leon Weiland, Engineering Joe Gibbs, Finance Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove, Maintenance Lt. Mike Fineran, Police FROM: Craig Novaczyk, Senior Building Inspector DATE: April 14, 2015 RE: Plan Review For: CityVue Commons, Lot 1 Retail 3405 Promenade Ave The plans are in our plan review section for your review and comment. # 20 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: Jxle Indicate below any fees that are to be collected with the building permit. _ 4) ±I I Signature Date G:1Building InspectionslFORMSICommercial Bldgs Final & Plan Review Letters Amount ❑ Yes ❑ No Landscape Security Required Zoning: ❑ Yes ❑ No Water Quality Dedication Meter Size: ❑ Yes ❑ No Park Dedication ❑ Yes ❑ No Trail Dedication ❑ Yes ❑ No Tree Dedication ❑ Yes ❑ No PRV Required ❑ Yes ❑ No REF Reconciliation between Engineering & Finance _ 4) ±I I Signature Date G:1Building InspectionslFORMSICommercial Bldgs Final & Plan Review Letters city O1 AN TO: ,ion Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Scott Petersor;,.Building Inspections Russ Matthys, Engineering John Gorder, Engineering Aaron Nelson, Engineering. Dave 'Vestermayer, Engineering LeorP eiland, Engineering ;1o�•tibbs, Finance jf� Eaton, Utilities 1~ is Macbeth, Maintenance 13regg Hove, Maintenance Lt. Mike Fineran, Police FROM: C ralg Novaczyk, Senior Building Inspector DATE: NM)rch 5, 2015 l RE: Pn Review For: CityVue Commons, Lot 1 Retail 3405 Promenade Ave # 20 The plans ein our plan review section for your review and comment. Please ret"ls form to my attention with your signed comments Withi" any concedou have with these plans and resolve these issues with the ff requestingissuance of the building h�r� r days. Please indicate a ected parties. If you are to me. g permit be held, please submit the p roper "hold request" form Comment! Indicate b0iy fees that are to be collected with the building permit ❑ Yes C Landscape Security Required Am°unt ❑ Yes Water Quality Dedication Zoni g: ❑ Yes I'i Park Dedication ----� . , Meter Si -e: ❑ Yes III Trail Dedication — ---�,. ❑ Yes r Tree Dedication ------- El ---❑ Yes I PRV Required REF Reconciliaticn between Engineering & Finance Signature Date � G:lBuiiding �1FpRMSIComrne;cial Bfdgs Final 4 Pian Review Letters A616 City of Eagan Memo TO Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Scott Peterson, Building Inspections Russ Matthys, Engineering John Gorder, Engineering Aaron Nelson, Engineering Dave Westermayer, Engineering Leon Weiland, Engineering Joe Gibbs, Finance Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove, Maintenance Lt. Mike Fineran, Police FROM: Craig Novaczyk, Senior Building Inspector DATE: March 5, 2015 RE: Plan Review For: CityVue Commons, Lot 1 Retail 3405 Promenade Ave The plans are in our plan review section for your review and comment. # 20 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. � Comments: 5��--- '- %xv R,Y4,K - Fe'- e LarV S0, O ' Curb 5�. &- s , sQ vi*Gt dam. c Ie Loll Tn,erfor -11 Indicate below any fees that are to be collected with the building permit. Signature Date GABuilding lnspections\FORMS\Commercial Bldgs Final & Plan Review Letters Amount ❑ Yes ❑ No Landscape Security Required Zoning: ❑ Yes ❑ No Water Quality Dedication Meter Size: ❑ Yes ❑ No Park Dedication ❑ Yes ❑ No Trail Dedication ❑ Yes ❑ No Tree Dedication i ❑ Yes ❑ No PRV Required ❑ Yes ❑ No REF Reconciliation between Engineering & Finance Signature Date GABuilding lnspections\FORMS\Commercial Bldgs Final & Plan Review Letters 1l.: z s City of Eagan demo Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Scott Peterson, Building Inspections Russ Matthys, Engineering John Gorder, Engineering Aaron Nelson, Engineering Dave Westermayer, Engineering Leon Weiland, Engineering Joe Gibbs, Finance Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove, Maintenance Lt. Mike Fineran, Police FROM: Craig Novaczyk, Senior Building Inspector DATE: March 5, 2015 RE: Plan Review For: CityVue Commons, Lot 7 Retail 3405 Promenade Ave The plans are in our plan review section for your review and comment. # 20 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: Indicate below any fees that are to be collected with the building permit. ❑ Yes o REF Reconciliation between Engineering & Finance /13/1 Signature f Date G:1Building Inspections\FORMSICommercial Bldgs Final & Plan Review Letters Amount ❑ Yes No Landscape Security Required Zoning: ❑ Yes No Water Quality Dedication Meter Size: ❑ Yes No Park Dedication ❑ Yes ❑ No Trail Dedication ❑ Yes ❑ No Tree Dedication ❑ Yes ❑ No PRV Required ❑ Yes o REF Reconciliation between Engineering & Finance /13/1 Signature f Date G:1Building Inspections\FORMSICommercial Bldgs Final & Plan Review Letters MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on New Food: Jersey Mike's Subs, Project No. 160165 Location: 3405 Promenade Ave #300, Eagan, MN 55123, Dakota County Date Approved: October 8, 2015 Date Received: September 8, 2015 Submitted by: CM architecture, 800 Washington Ave N, Suite 208, Minneapolis, MN 55401, (612) 547-1369 Ownership: Brian Risch, 10657 Sterling Dr, Woodbury, MN 55129, (651) 343-3855 Thank you for submitting plans to the Minnesota Department of Health (MDH). The plans appear to be in general compliance with the standards of this department and have been approved with the following changes. You are responsible for compliance with all aspects of the Minnesota Food Code. This code is available at http://www.health.state.mn.us/dies/eh/food/code/index.html. Please see report below for the changes and/or comments. Scope of Project: new small establishment Jersey Mike's Subs. Contact Erin Tibbets at 651-201-4498 to obtain a license application and to schedule all pre -operational inspections. All license fees must be paid prior to scheduling all pre -operational inspections. No food is permitted in the establishment until approval from the Health Authority is given. 1. Equipment Standards — General Requirements: Food and beverage equipment shall meet the applicable standards for one of the following: • National Sanitation Foundation (NSF). • Edison Testing Laboratories (ETL) to NSF Standards. • Underwriters Laboratory (UL) to NSF standards. • Canadian Standards Association (CSA) to NSF Standards. Equipment shall bear the NSF or equivalent sticker and manufacturer information. Used NSF approved food and beverage equipment may not be changed or altered from its original condition. No used equipment indicated on the plan. The Sanitarian doing the pre -operational inspection will follow up to ensure that all equipment meets applicable standards. All custom fabricated equipment shall meet NSF International or equivalent standards and bear a sticker indicating the equipment meets the standard: No custom equipment indicated on the plan. Food contact surfaces (tables and counters) shall be of stainless steel construction in compliance with NSF Standard No. 2 or equivalent. Table -mounted equipment that is not easily movable shall be sealed to the table or elevated on four (4) inch NSF legs. Jersey Mike's Subs New Food 160165 Page 2 October 8, 2015 All floor mounted equipment shall be sealed to the floor or elevated on casters or six (6) inch NSF legs. Enough equipment for cooking, heating and hot holding shall be provided. Equipment should be sufficient in number and capacity to meet the needs of the establishment. Enough equipment for cooling and cold holding shall be provided. Equipment should be sufficient in number and capacity to meet the needs of the establishment. 2. Walk-in Cooler/Freezer: Walk in cooler approved: Norlake Floor & interior base cove: quarry tile/vinyl screed Exterior base cove: vinyl screed Model walk in freezer approved: Norlake Floor & interior base cove: manufacturer's finish Exterior base cove: vinyl screed Shelving inside walk in coolers and freezers must meet NSF International or equivalent standards and shall be approved for use in a cold environment. Condensate from interior walk-in refrigeration equipment shall be drained to a floor drain located outside of the unit, or the unit shall be equipped with an evaporator pan. 3. Ventilation System: Captive Aire Type I hood provided for: range/griddle oven combo Captive Aire Type II hood provided for: bread oven All ventilation systems shall be designed, installed and operated according to chapter 1346 of the Minnesota Mechanical and Fuel Gas Codes. Exhaust ventilation systems shall be designed to prevent grease or condensation from draining or dripping onto food, equipment, utensils, walls, ceiling, linens and single -service articles. All open sides of a canopy hood shall overhang equipment by at least six (6) inches. All rooms shall have sufficient tempered make-up air and exhaust ventilation to keep them free of excessive steam, condensation, vapors, obnoxious or disagreeable odors, smoke and fumes. Sufficient tempered make-up air shall be provided and interlocked with ventilation equipment. Ventilation hoods shall provide at 50 foot-candles of shielded light at the working surfaces. Stainless steel or ceramic tile wall finish shall be installed behind cooking equipment. These wall finishes must comply with the MN Fire Code. Jersey Mike's Subs New Food 160165 Page 3 October 8, 2015 Exposed utility service lines and pipes shall not be installed directly on the walls or floor, except: a. quick disconnect gas hoses approved by the American Gas Association or NSF International, and b. flexible cords and caps for commercial cooking equipment on casters, listed by Underwriter's Laboratory. 4. Sinks: A three -compartment sink with dual integral drain boards will be provided. • Sink bowls shall be adequately sized for the largest utensil to be washed in the three - compartment sink. • Approved racks, shelves or dish tables for storing soiled equipment and utensils and air drying clean equipment and utensils will be provided. A one -compartment food preparation sink will be provided: meat prep and veggie prep will take place in the prep sink, the sink must be washed, rinsed and sanitized between uses. A hand sink will be provided: one in the front service area center, and one in the back prep/warewashing area. • Right/Left splashguards have been provided. • Each handwashing sink shall be provided with hot and cold water through a mixing valve or combination faucet. • An eye wash station may not be connected directly to a handwashing sink. Check OSHA Standards for eye wash regulations. 5. Cabinetry: Cabinetry located within a foodservice area: service area and beverage area Cutouts in millwork and exposed wood surfaces on cabinets and under counter tops shall be sealed to provide a smooth and easily cleanable surface. Countertop Material: Solid Surface: Corian Interior Cabinet Material: plastic laminate/stainless steel shelving Exterior Cabinet Material: plastic laminate Type of Base: X 4" Solid Concrete Curb Jersey Mike's Subs New Food 160165 Page 4 October 8, 2015 Solid masonry base verification (two choices available): a. Call for a field inspection prior to the installation of the cabinetry. Contact Erin Tibbets to schedule an inspection, or; b. Submit a digital photograph of the solid masonry base prior to the installation of cabinetry. This digital photograph can be submitted to becky.albrecht@state.mn.us , Plan reviewer. 6. Storage Area: Location: throughout kitchen/workroom Provide an adequate amount of storage space for supplies necessary for the operation. Shelving will be provided to maintain food items, single -service items and equipment six (6) inches above the floor. Designate an appropriate chemical storage space separate from food products, single -service items and food equipment. 7. Physical Facility Floors, walls, and ceilings in areas where food is stored, prepared or washed, toilet rooms and janitorial rooms shall be smooth, non-absorbent, durable and easily cleanable. Approved Finish Schedule Finish Area Walls: Ceiling: Floor/Integral Cove Base: Kitchen: FRP under counter, wall tile, painted sheetrock above tile at 7', stainless steel at cooking equipment Smooth vinyl coated ACT Protect All Commercial Vinyl flooring system with integral cove base. Work Room: FRP Smooth vinyl coated ACT Protect All Commercial Vinyl flooring system with integral cove base Beverage Area: Tile Smooth Painted Gyp Board Quarry tile/Quarry tile Integral base cove shall be installed at all floor/wall junctures. CORRECT METHOD INCORRECT METHOD Jersey Mike's Subs New Food 160165 Page 5 October 8, 2015 Non -slip tile may not be located underneath equipment. Vinyl Floor: Protect -All Commercial Vinyl Floor with integral cove base was approved for kitchen and work room. The coving material shall be consistent with the floor. An vinyl floor shall be installed, maintained and cleaned according to manufacturer's recommendations. The certified installer for this project will be Innovative Construction Concepts, Inc. 8. Lighting: Install a sufficient number of shielded lighting fixtures in the walk-in cooler/ freezer and dry storage areas to provide a minimum of 10 foot candles measured at 30 inches above the floor. Customer self-service areas, food and utensil storage rooms, areas behind a bar and toilets rooms shall be provided with at least 20 foot candles of shielded light measured at 30 inches above the floor. Food preparation areas in which food or beverages are prepared, utensils are washed shall provide a minimum of 50 foot-candles of shielded light measured 30 inches above the floor. 9. Dressing Rooms and Lockers: Lockers or other suitable facilities shall be provided for the orderly storage of employee's clothing and other possessions. 10. Customer Service Area/Sandwich Prep: The interior of the service counter be finished with approved flooring, base cove and wall materials: see finish schedule. The counter top finish will be: Solid Surface, Corian. The underside of the top, if substrate provided, must be properly finished with FRP or laminate. A tempered glass food shield will be provided to a minimum height of 5' at the open food product. Jersey Mike's Subs New Food 160165 Page 6 October 8, 2015 11. Plumbing: A plumbing plan approval letter has not been received at this time. Provide at opening inspection evidence that the plumbing system has been inspected and approval given by the local building official or a representative from the Department of Labor and Industry (DOLI). All plumbing shall be inspected and approved by the Minnesota Department of Labor and Industry (DOLI) or delegated agent. For information on submittal contact Department of Labor and Industry at 651-284-5067 or visit their website at http://www.dli.mn.gov/CCLD/Plumbing.asp. All pipe chases that pass through walls shall be tightly sealed and covered with escutcheon rings. All utility lines shall be enclosed in walls or ceilings. Any exposed utility lines must be installed at least 6" off the floor. Indirect waste pipes shall not discharge into hand sinks, prep sinks or three -compartment sinks. Telltale drains are required for food service sinks. Grease traps shall be installed in accordance with the Minnesota Plumbing Code, Chapter 4715. All commercial water heaters shall be of adequate capacity to meet the needs of the anticipated demand of the establishment. Water heater submitted: A.O.Smith 60G Jersey Mike's Subs New Food 160165 Page 7 October 8, 2015 Provide a stand, 6 inch legs, or collar supplied by the manufacturer for the water heater, water softener, CO2 bulk tank, or other floor mounted equipment located in the food preparation or warewashing area. 12. Other Code Requirements: All waste water shall be treated at a municipal system or an approved septic system as defined in Minnesota Rules 7080. For information on the Minnesota Clean Indoor Air Act (MCIAA) contact 651-201-4601 or visit their website at http://www.health.state.mn.us/dies/eh/air. Contact MN Electrical Licensing & Inspection at 651-284-5026 or visit their website at http://www.dli.mn.gov/CCLD/Electrical.asp for information on electrical requirements and the name of the electrical inspector in your area. Sincerely, Becky Albrecht Minnesota Department of Health Mankato District Office 12 Civic Center Plaza, Suite 2105 Mankato, MN 56001 TO: Cify of Eakan Nemo Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Scott Peterson, Building Inspections Russ Matthys, Engineering John Gorder, Engineering Aaron Nelson, Engineering Dave Westermayer, Engineering Leon Weiland, Engineering Joe Gibbs, Finance Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove, Maintenance Lt. Mike Fineran, Police FROM: Craig Novaczyk, Senior Building Inspector DATE: March 5, 2015 RE: Plan Review For: CityVue Commons, Lot 1 Retail 3405 Promenade Ave The plans are in our plan review section for your review and comment. # 20 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: Indicate below any fees that are to be collected with the building permit S Date G:1Building'lnspections\FORMSICommercial Bldgs Final & Plan Review Letters Amount ❑ Yes ElNo Landscape Security Required Zoning: ❑ Yes ❑ No Water Quality Dedication Meter Size: ❑ Yes ❑ No Park Dedication ❑ Yes ❑ No Trail Dedication ❑ Yes No Tree Dedication ❑ Yes ❑ No PRV Required ❑ Yes ❑ * REF Reconciliation between Engineering & Finance S Date G:1Building'lnspections\FORMSICommercial Bldgs Final & Plan Review Letters City of Baan M010 TO: Jon Hohenstein, Community Development Mike Ridley, Planning Dale Schoeppner, Building Inspections Scott Peterson, Building Inspections Mike Lence, Building Inspections Sarah Thomas, Planning Pam Dudziak, Planning Joe Gibbs, Utility Billing Darrin Bramwell, Fire Department John Gorder, Engineering Aaron Nelson, Engineering Paul Olson, Maintenance Eric Macbeth, Maintenance Jon Eaton, Utilities FROM: Craig Novaczyk DATE: October 21, 2015 SUBJECT: Final inspection for: CITYVUE RETAIL, LOT 1 3405 PROMENADE AVE PERMIT#130318 The Protective Inspections Division will be performing a final inspection at the above referenced property on October 23, 2015. If you have cause for not granting the Certificate of Occupancy, please submit a "hold request" to my attention. The person/department requesting a hold is responsible for notifying and resolving problems with the affected parties. Craig Novaczyk From: Craig Novaczyk Sent: Wednesday, February 18, 2015 4:24 PM To: 'Jeremy Thomas' Cc: Sarah Thomas; Aaron Nelson Subject: City Vue Lot 1 Retail Jeremy, We have started our review of the proposed plans for the City Vue Lot 1 Retail building. We will need the following submittal documents in order to complete our review: ,,1. (2) sets of site specific Civil plans ,,2. (2) copies of the site specific Site Plan (2) sets of site specific Landscape pians ,4C" (2) complete copies of the Energy Code Compliance forms for HVAC ,,V (1) Emergency Response Site Plan 6. (1) CD including electronic copies of the final reviewed plan submittal moi" ,Y. (1) completed Special Inspections & Testing Schedule ,Z. A SAC determination from the Met Council Thank you in advance for your attention to these items, Craig Craig Novaczyk I Senior Building Inspector I City of Eagan City Hall 13830 Pilot Knob Road I Eagan, MN 55122 1 (651) 675-5683 1 (651) 675-5694 (Fax) I cnovaczvk(&citvofeaaan.com City of Eancip THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus Tor use only by the intended recipient. If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers, Use BLUE or BLACK Ink ( �---------- —, . ��G�� a ///���1�� i For Office Use ��� I �� �l � ���� O{'�1���� � f � Permit#: I l ����� , � I I Permit Fee: 3830 Pilot Knob Road � ,s �Q J Eagan MN 55122 � Date Received: 1-� � Phone:(651)675-5675 � Fax:(651)675-5694 � Staff: � 2015 COMMERCIAL PLUMBING PERN�IT APPLICATION ❑ Piease submit two(2)sets of plans with all commercial applications. Date: 3-19-15 Site Address: c7`��S Y"��l@f/1(:�C�� Il1VL Tenant: Citv Vue Retail Lot 1 Suite#: ��l�i�t��erty � �yy��� Name: Interstate Partners MN. Lonnie Provencher .Phone: 651-294-7583 ` ' ' Name: Voss Utility&Plumbinq License#: PC000306 ��������� ' Address: PO Box 240 City: Hanover State: MN Zip: 55341 ' ' Phone: 763-497-4577 Email: vossup(a�com��ast.net � X New Replacement _Repair _Rebuild _Modify Space Work in R.O.W. "C}fp��Y�(oc�`, — — — Description of work: New Retail ' COMMERCIAL X New Construction _Modify Space Irrigation System(_yes/_no)(_RPZ/_PVB) ` • Rain sensors required on irrigation systems ��`�'tY11���?�" • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) X Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter. Domestic:Size&Type 1-1/2° Fire: 1 '' Avg.GPM High demand devices? Yes No Flushometers_Yes_No COMMERCIAL FEES Contract Value$ 14,700.00 x.01 � $55.00 Permit Fee Minimum � _$ 147.00 Permit Fee � *If contract value is LESS than$10,010,Surcharge=$5.00 =$ 7.35 Surcharge"` "*If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 """If the project valuation is over$1 million,please call for Surcharge =$ 154.35 TOTAL FEE Following fees apply when installing a new lawn irrigation system $ water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge � _$_'�S�1•�� TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against undlerground 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 n��t 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 Steven Voss X__`��y�.�M ��� ApplicanYs Printed Name ApplicanYs Siianature �t�R QFF'�+C� U�� � �tPProu�d By-; ' .�'��� �_ ��a�� �+�c;t�fr�d�ns�tiqn� l,��r�i�4und R�cr��t �� �/�4�r Te�t _G�5 T�St��,,,�Finai PI'��tti� �'�� Nd r > �.._ ,� _. , � Met�r Rel�t�rl ite� ._ ��:M�t�r�t�� '�� ����c�R�ad ' � �I � ; ;.. >�, �.� : j a��mefier ,� -� : _ . ..._._._ ..�.� �� _»� _�s Page 1 of 3 Use BLUE or BLACK Ink �-----------------, � For Office Use I �tirUl il� �� R Z��`� � Permit#: I � � 4� � I . I I Permit Fee: 3830 Pilot Knob Road , ,. � ��r� �r' I �-��> � I Eagan MN 55122 "' �( � Date Received: I � Phone: {651)675-5675 � � Fax: (651)675-5694 � � Staff: � _____������������J 2015 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: 5-1-15 Site Address: 3405 Promenade Ave Tenant: Mattress Firm Suite#: � PCC1��!@� ..� � (,����;� ` Name: Phone: ����� ' Name: Voss Utility & Plumbing �icense#: PC000306 �����'�'���� ' Address: PO BOx 240 �;ty. Hanover State: MN Zip: 55341 � �', ' Phone: 763-497-4577 Email: vossup@comcast.net � X New Replacement Repair Rebuild Modify Space _Work in R.O.W. �; Typ��f w�� ;; - - - - - �i Description ofwork: Tenant Shell �°� � COMMERCIAL X New Construction _Modify Space �' Irri ation S stem ��� _ g y (_yes/ no)(_RPZ/_PVB) ' • Rain sensors required on irrigation systems �' ���1�'���1�� • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) � _Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter. ' Domestic:Size&Type Fire: 1 � Avg.GPM High demand devices?_Yes_No Flushometers_Yes_No � ; � COMMERCIAL FEES Contract Value$ 5700.00 x.01 � $55.00 Permit Fee Minimum - 57.00 � � -$ Permit Fee ,I � *If contract value is LESS than$10,010, Surcharge=$5.00 =$ 5.00 Surcharge" � "'`If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 """If the project valuation is over$1 million, please call for Surcharge =$ 62.00 TOTAL FEE � Following fees apply when installing a new lawn irrigation system $ water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant � � $ Water Supply&Storage $ State Surcharge � � _$ TOTAL FEE 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. � X Steven Voss x ApplicanYs Printed Name App icant's Signature . F�11�C1�'�'i����� �� ..,���� ����� ���rov�tci��3y;��� � � �ate: �� . ".�� �.. Requir+�d Ir���c#ic�n�: ,,,�r�,f��raur�d �r�u�h`In A�r'�e�f �„��T�s�' ���� ; �"��Mu�ri���.;��� , !�� Met+��Rela���`c�":ttem�. �?tet��k����� �°I�����F��a�,�,,,, �r���►�ter �:_�t��, �::9: Page 1 of 3 Use BLUE or BLACK Ink -----------------, �� `,� , _ � For Office Use I � I � ���t� f } � Permit#: ����� I C��y af���a� � � d��� � ��-�� � I Permit Fee: � 3 8 3 0 P i l o t K n o b R o a d � Eagan MN 55122 C I � Phone: (651)675-5675 ���C� Q� ��✓� � � Date Received: � Fax: (651)675-5694 ! I Staff: � +��G � ` �---------- i �_����J 2015 MECHANICAL PERMIT APPLICATION � Please submit two(2)sets of plans with all commercial applications. Date: � �� '�� Site Address: ��"e-- �' ,U � Tenant: �` 1�--`\ � �� ' � � 1 Suite#: � ��r� Name: Phone: �@S1#��!'i��W��� '' �� � Address/City/Zip: . 7:��� k � . Name: t..e � 0.e.-I � pn..v��2__< < �l' License#: T , 1- ;F�� ,.. Address: '�S�S''SO V�2v�.���,r-�f.-. }�V� �' . City: ��Uc*.v'v�i �tc,[�.�v� �f�C1'��`�G#+[�1' :. .._ � � = State:�Zip: ��� Phone: 1D�e`�� �2.2 C.o - l �S t Contact: e���� �' '�1r"�C��l-� Email: C�, -E?� �` 1(VI��L, �.��� �� :' �New Replacement Additional Alteration Demolition � ..� � . .�Typ�; Qf Wbt'k . Description of work: (�oc7� . 51�1� (r�v�.\c��h �IQT� �toof mcrunted�nri�ro+urie!mc�unte�l�`inect�a�����1���i�r�ent is require��k�'�F�e�cr�:eni�d.by City " God�„P�ease,�qnta+��-�h�M��h�nicat.In«s���tar f�r�nfc�rmr�ti�in an p�rmitt�c��creenin�m�thads. . ��. ��9. RESIDENTIAL COMMERCIAL � Furnace � New Construction Interior Improvement ���,��#���� _Air Conditioner Install Piping Processed _Air Exchanger (�Gas Exterior HVAC Unit a _Heat Pump _Under/Above ground Tank �Install/_Remove) �;�� Other RESIDENT/AL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5A0 State Surcharge) _$, . TOTAL FEE COMMERCIAL FEES ContractValue$ ����� -� x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ ��o�- �Q� Permit Fee `If contract value is LESS than$10,010,Surcharge=$5.00 =$ ,;�� •13 Surcharge" "*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 '`*`If the project valuation is over$1 million, please call for Surcharge _$ c�C��Q o� �.p TOTAL FEE 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__ �;1��,� ��.eY�Serr1 x ` _ Applicant's Printed Name � ApplicanYs Signature fC3R C��FI���15� ,��r�, � � � '","�� ��.- ^� _ F�eqt���d�n�s�$ct�on� , � � ���� I�eui�wed By �a�a: � t � �y�� � Ur�dergraur��t :���h In'��',2=�„",A�r T�s# �a�Seivire Test tn fl�4r l=l��t�� : �`inai '`H1tA�:Sci=��ning . Use BLUE or BLACK Ink � For Office Use /� I � I )� (� p ��� ' � / � Permit#: �I � � �1�� U�����li /�,� ��[.� < I Permit Fee: � _ : � 3830 Pilot Knob Road � v ��� � � � I � Eagan MN 55122 I I Phone: (651)675-5675 �,��-�b�-_���k���� � Date Received: � Fax: (651)675-5694 � � � Staff: }i.�i� _+ '° ��l�t� �-----------------� u 2015 MECHANICAL PERMIT APPLICATION � Please submit two(2)sets of plans with all commercial applications. Date: � �� r �s Site Address: J��B� (�ro v�n�v���Q �'c�1� Tenant: �C��'��SS ��v v�, Suite#: x�� Name: Phone: I�e���e�tff�w��r `' �� : �, ' ' Address/Ciry/Zip: Name: �--e- o. �"'�'� a`^' —e S � L License#: � a c,�-1 1� � � �� Address: ���C� �5 P_�--�'�W br����City: � �vl�t�v�..c �, `�'�antractc�r z, _ � �, � \ ;.� �,��r State:�Zip: ,�j S�}�-�� Phone: ��a '$l.ol� -� � � , � - , ���.. ,..��' Contact: Ci��.'�' '��nc�i�'�cS�EmaiL tv��� 1�' 4c V : � �New Replacement Additional Alteration Demolition y � ��; �,c. �� s ���� ��W�r��° Description of work '�e�c��,-� � , S Q� � ��;F a�` �NQyt'�'�oef m�e�n��i�c�gr�und�nni��ri�ec�,�t�+��anical equiprrse�is reqt�ired te�:���r��i�d by���: Q�„^ ' �`� .Ged�, Please cc��ac�t�te Me��t�r��c�t I�tsy��/e��►r f�r ii�rFormatio��� �r�n�ed s��nir� �rrethoc�s ,*�c`eN�- 4 ...ki:�?�, av`. ,:,`Za@.'�.... ^ - � � ��.�� i . .. :; . ,:<_ .. .. . .. :. - . .. � . ..: ,i x,. . . °-. \.� �� F�� �i ��R � RES/DENTIAL COMMERCIAL ' 9 �� Furnace �New Construction Interior Improvement �, — R�,�'�T��� , _Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit �°' �E Heat Pump Under/Above ground Tank �Install/_Remove) �'s r � - � �;� Other RES/DENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES �o Contract Value$ �D� ��- x.01 $55.00 Permit Fee Minimum � $70.00 Underground tank installation/removal =$ � � .�� Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 = $ 5•�� Surcharge" **If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 """If the project valuation is over$1 million, please call for Surcharge =$ E-F g A �5 TOTAL FEE 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 ��I n �' �Ir1C��'�:� X ' '-`' Applicant's Printed Name ApplicanYs Signature Fat�CI��1��t15� ; � ��" kY � �� l�eq(�rrec�insp��ti�ns: I�evr��rect�t'� ����� „!�� � �� � �, � � � � ,� : , , ` ',..: .Elrider���und �ug� In� � �ir T��t ��' Ga���rrtce�"es� tn�lo�t FGeax Ma ', �irtat. . ,�'�f�AC�eexiing" 0 t y . Y �� i � � � 4 � . Use BLUE or BLACK Ink � For Office Use � ��/ � �, Permit#: �.5������ 1�-��� �� � Clt of �a a� , �� � .� d� , �,� � � Permit Fee: ��� (D`� � 3830 Pilot Knob Road � � ,,� Eagan MN 55122 � ` ��/� Date Received:(�/ Phone: (651) 675-5675 � �5 i I Fax: (651)675-5694 " � � , �; � Staff: � � ,����;`� �� � �'i��� -----------------� 2015 COMMERCIAL BUILDING PERMIT APPLICATION Date: �r Z�r�S Site Address: o �7[�' �� �/Y1��{����(„� . Tenant Name: /V'9��"�SS �%w�a (Tenant is:�New! Existing) Suite#: Former Tenant: �"'l�' ' Name: �I!f`l�'S�'+1j� l���'�c✓t Phone: �l - �-9 N'-'T$8 a? Praperty Owner - 5� �'wc.��+►n S�ss�t S.�it�e 2v� S'� P�wr �"'�a Address/City/Zip: • � o/ Applicant is: Owner � Contractor �Yp�Of WOCk Description ofwork: �GM.��'t' �wi�o"� ` �� C�({5�1.� C�t'�4,E I�t1'4FIt�. � Construction Cost: ��0� �O Name: t`�� �y�N License#: �011tCaGtOC Address: ��� /'�tN�oi"r �G15�'!�'S �ad City: I"'GNr/o�1'} ��I,�� State: ��"� Zip: S5« Phone: 6.51 " (��/ • p Lo'7 Contact: �1�'S'oJ �b� � Email: �`C'�� GP � Y'�P �"!.Go� Name: +'�� �����11�'E 1 a� Registration#: 3�3 �.s�.t.��� �e . ao.�„ S���- ��..cQ , Arehi#ectlEngir�eee Address: City: h i N r'1 CA`,po�j S State: �� Zip: s✓r�p� Phone: ` � 1" " �'"j � ' 'L1 'oo ' Contact Person: ���3 w��`�"��Ms�' Email: CW�i��'��M,� e 4�r�^�~C`wM Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documen#�fhat you submit are considered to be public infarmatian. Portior�s of the information may be c�assi�ed as nan public if you pravide sp�cific reasons that would permit fhe City tc� conclutle that#he are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an applic tion for a permit, and w k is not to start without a permit;that the work will be in accordance with the approved plan in the case of w which requires view nd approval of plans. X � t�w�/w-S X ApplicanYs Printed ame Applican s Signature ' Page 1 of 3 7'� l t • �. G- � �� � � / i �� ' ^ • �--' �� r � �O NOT WRITE BELOW THIS LINE ���E�� � .� � 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 vj 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 buiiding-give PCA handout to applicant DESCRIPTION a , °"� Valuation ��'j �`a--� Occupancy �'� MCES System ''l/ Plan Review ✓ Code Edition ��dS M�[-� SAC Units 4/�,w/�'/L.. Fi¢-�M M�T C`o[i,vci�. (25%_100°/a .�'� Zoning � City Water �/ Census Code Stories � Booster Pump #of Units �` Square Feet ,3�G Z PRV #of Buildings � Length Fire Sprinklers � Type of Construction �f�' Width REQUIRED INSPECTIONS Footings(New Building) , Sheetrock Footings(Deck) � Final/C.O.Required Footings(Addition) Final/No C.O. Required Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick �/` Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: � Yes No Reviewed By: C.���fo , Building Inspector Reviewed By: ` . ,Planning COMMERCIAL FEES Base Fee 75L �,5� Water Quality Surcharge 3a�°'� Water Sampling Fee Plan Review �%� •$`� Water Supply 8�Storage(WAC) MCES SAC Storm Sewer Trunk � City SAC Sewer Trunk SB�W Permit 8 Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL�� 2?8 • �`�` Page 2 of 3 • , . � � • Craig IVovaczyk ���� �� ' From: SACProgram <SACProgram@metc.state.mn.us> �, Sent: Wednesday,June 24, 2015 3:51 PM �I To: Jeremy Thomas �I Subject: RE: MATRESS FIRM--EAGAN SAC DETERMINATION ' Jeremy, A determination is not necessary because this is not a change of use, retail to retaiL -_� .���� � �, ,.. .� � .. _. SAC Pro�ram Website w_w.nm_ .� . .:,,, . �,���m�.�_ .�.,._�. From: Jeremy Thomas [mailto:jthomasC�rj_ryan.com] Sent: Wednesday, June 24, 2015 10:30 AM To: SACProgram Cc: Jason Folger Subject: MATRESS FIRM--EAGAN SAC DETERMINATION Please find attached the SAC Transmittal documents for the MATRESS FIRM TI in Eagan, MN. I have also attached the previous determination completed on the shell building which this will be located in for your quick reference. Please let me know when you have received this and the anticipated lead time. If there is anything you need please let me know and I will get it to you as soon as possible. Thank you, ��� Jeremy Thomas,LEED AP I Vice President R.J. Ryan Construction, �IIC I Commercial Design and Construction 1100 Mendota Heights Road I Mendota Heights,MN 55120 Direct: 651-365-7009 Fax: 651-681-0235 � www.rirvan.com 1 use t�wt or ts�ACK inK I / �— --, ��,�,�n/A ��C l-�/ i For Office Use ���� I i F'"1l�C�� C-� i C�6Ul 1J� �lt X l;Y`� i Permit#. �� � I � � ' `�� C � � Permit Fee: �• g � 3830 Pilot Knob Road � � Eagan MN 55122 I Date Received: ����� � Phone: (651)675-5675 ` � I Fax: (651)675-5694 � , , � L Staff_____________�� Q ,_ : . f) �°, � 2015COMMERCIAL PLUMBING PERMITAPPLICATION �y�� '�� ❑ Please submit two(2)sets of plans with all commercial applications. �C '�.5� � f�- , � ��-'t�A� � Date: 7'�5��5 Site Address: �� ���l�`l��� / � (' Tenant: _��,�' �1 �dU, CO b{'p��� Suite#: Rr�rperty (��+n�}C Name: Phone: Name: I V�� 1�iy�'�'t !''/E��k:1i��f�t,�� ��'�"�'�'�2.C'�G��u License#: t'l��}� '�j 'J�� ����r����� Address: ��'/ �S ��"/)�!_ti /�(:1C�� City: ,�i�C��'fi7 State:J"/� Zip:�✓�%.�i'Z Phone: E?SI-7��-��-'75 Email: Typ@ Of W01'k —New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. � �, Description of work: � COMMERCIAL New Construction �Modify Space � _Irrigation System(_yes/_no)(_RPZ/_PVB) . Rain sensors required on irrigation systems Permit Type . 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 Contract value$_ �{�, �� x.01 $60.00 Permit Fee Minimum, includes State Surcharge =$ LEId�� Permit Fee "If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 = $_�p_�� Surcharge" If the project valuation is over$1 million, please call for Surcharge = _ $ �� TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit , Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant � � $ Water Supply&Storage � $ State Surcharge � � _$ �$0��� TOTAL FEE �,., � �.,a� .,,.�,�..��� ��,� ����.. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved p�an in the case of work which requires a review and approval of plans. X �•�v�. �arVl$sv� X Applicant's Printed Name Applican Signature �OR C}FF��E USE Approved By: E�ate;°� d f,� Required Inspections; �,U►1der Ground �Rough-in LL�, ir Test �as T�st �„,Firtai ARY Requir�ci.,,�Ye� ' Ncr Meter Related Items: Meter Size Radio Read Manc�meter Stakf: Page 1 of 3 '' Use BLUE or Bl�4CK Ink .- a --------- �f' �' � For Office Use ��� � � ����� �� `� i.vi� -� � Permit#: �� � � ��i�Q-�� �� �� ��� :�.� ,�� i:�� I . � i LS � � '� �! Permit Fee: / c��j�- � 383Q Pilot Knob Road \�p,� ��' � � �� Eagan M N 55122 � � Date Received: ' ��.'�� � Phone: (651j 675-5675 Fax: (651)675-5694 i s�ff: �� i 2015 COMMERCIAL BUfLDING PERMIT APPLICATION Date: s-22-'�5 Site Address: --- ��� '�"�'��� � Tenant Name:CARIBOU COFFEE CO BRAND (Tenant is: X New/ Existing) Suite#: ��O Former Tenant: �'" " '� Interstate Properties - Lonnie Proven�er �, Name: � Phone: 651-406-8050 � "��°������� .����, adaress i c�ty i z�p: 500 Jackson Street,. Suite 200, St Paul, MN 55101� ', Applicant is: Owner x Contractor .�.���a,����,� �. "� ����� �escription ofwork: TENANT FINISH OUT �� Construction Cost; �270�000 �.. � � ;.,.. �; Name: TBD �� ��n�����p� (�/���License#: i'��( � �. ��: � ��� ���� l ���� �o��� �����1 ���,: �/s . 'Gc�t'E�'�Ct+ow� ,� ; .', Address: State:�'�—Zip: ��c.c.5��" / Phone: 7 Jr' v�' ��� � ��o��v l'E�1l ' Contact: !l�v�� � 5C�►/°�i�-Email: � S �� �'! .C�l�l G/S.� -�''f..SS-"7 7.5" ROBERT M. LUCIUS `� � �_ . e� �� 14066 I �� � � ; Name: RS.�AR�'1�LTE�T� Registration#: � �,���,������������, � aaa�ess: 1220� MARSHALL ST NE city:MtNNEAPOLIS ' State:MN zip:55413 Phone: 612-677•7100 Contact Person: CORY MISKOWIEC Email: CORY.MISKOWIEC@RSPARCH.COM Licensed plumber installing new sewer/water service: Phone#: lfiC�TE:Pf�n�'ar�r��up/a�q;rt�ir��i�trtCUmeAtfS tf�af,ye?u��b►»itr't�e�c�r�i��red#�.b€�publ��r�f€��rat�� :P(�r�[or�S af::: , °t�e��fc�rma�iorr may�b�c1�si�i�at a$nc�r��ubli�,f�€���r�v��spec�ic�ascns t�ra�t;�r�r�ld p�rr»if fhe��ty�cr ' .' �,�c/UCf@ tf#s�.�h�' �It�'�l'ade S+e�G►�f5 ; CALL BEFORE YOU DIG. Call Gopher State One Cali at(651)454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig ta 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 onfy an application for a ermit, and w is not to start without a I permit;that the work will be in accordance with the approved plan in the case of work wh' re ' s a revi and approval of plans. � x �bv-�t' ke l, ,v� fv . x � Applicant's Printed Name �� Appli ig ure Page 1 of 3 _ � ��y�o '� (,�,`�°� �D/n�f l�� DO NOT WRITE BELOW THtS LINE �� ��� SUB TYPES oundation Public Facility Exterior Alteration-Apartments Commercial/Industriaf _ Accessory Building _ Exterior Alteration-Commercial _ Apartments _ Greenhouse!Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES � _ New ✓ Interior tmprovement _ 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 buiiding-give PCA handout to applicant DESCRIPTION aa Valuation �7����� Occupancy �� MCES System C s Plan Review / �t .t� Code Edition 1-a� �SB� SAC Units --�L�7'TG2- (25%_100%�) Zoning ---�— City Water __�_ Census Code Stories Booster Pump -- #of Units Square Feet PRV �-'- #of Buildings Length Fire Sprinklers (,��s Type of Construction � Width �— REQUIRED INSPECTIONS Footings(New Buiiding) �Sheetrock Footings(Deck) �inai/C.O.Required Footings(Addition) Final t No C.O.Required Foundation Other: Drain Tile Pool:_Footings _RirlGas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick ✓ Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall ✓ Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: Yes ✓No Reviewed B : �f� 1- , Buildin fns ector Reviewed B : � Plannin Y 9 p Y , 9 COMMERCIAL FEES ( Base Fee �, (77(0, 7,$— Water Quality Surcharge / 3�, DO Water Sampting Fee Plan Review /� � �q, 8 Water Supply&Storage{WAC) MCES SAC y �J' q�D.G� Storm Sewer Trunk City SAC � �Gb.dU Sewer Trunk S�W Permit 8�Surcharge ---- Water Trunk Treatment Plant��, 3 3� .OG Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral � Trail Dedication Other: � II Water Quality TOTAL O��'�.Slo S� Page 2 of 3 . /.�� ���'' Dale Schoeppner August 6, 2015 Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Caribou Coffee to be located at 3405 Promenade Ave. Lot# 1 in the City Vue Commons within the City. The City will be charged 4 SAC Units for this project, as determined below. SAC Units Charges: Counter 8.33 ft. @ 1.5 ft. /seat @ 10 seats /SAC 0.56 Non Fixed Indoor Seating 527 sq. ft. @ 15 sq. ft. /seat @ 10 seats/SAC 3.51 Non Fixed Outdoor seating 421 sq. ft. @ 15 sq. ft. /seat @ 10 seats/SAC x 25% 0.70 Total Charges: 4.77 Credits: Retail (SAC 04/15) 2320 sq. ft. @ 3000 sq. ft. /SAC 77 Net Charge: 4.00 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 email corv.mccullouph(a�metc.state.mn.us. Sincerely, �� �'�-��'�'�� Cory McCullough SAC Program Technical Specialist CM:Is: 150806A1(697714, 386716) Determination expiration: 08/06/2017 cc: Peggy Fleck &Amy Griffin, City of Eagan Cory Miskowiec, RSP ARCHITECTS File, MCES --.`.�,. i •� �• i � i� F,. . .. • • - . •� ��, . . ,•� � . • ��� - • . . METROPOLITAN C fl U N C I L Pe9gY Fleck From: Scott Peterson Sent: Tuesday,August 11, 2015 3:49 PM � �SS � To: Peggy Fleck; Stacy Bodsberg Cc: Amy Griffin City View retail is o.k. to have an 1%' meter � ��` � �� c r! �� P ����-���e-_ �'��r � 5 � �� �3 � �✓�� - �s� � 7 �.___ ��-� i � � � � � � l �� �,..s ��c��� �� ��� ( Z � � � � �� ,�,.�� � ��� � � �� ( � � / � : � � , 7���- a �- ,�-��- /����-- . ��� � G�.� � , � /�l . � � � �--�� i ���� � � __- Y ____.� � �: � D � . � L.��Cc� �.:c�-� ��� � �f ��'-�S��j I'� ^ � ���_�,j S-- � � City of Eagan Cash Receipt Receipt Date 9/1/2015 Receipt Number 207618 VOSS UTILITY & PLUMBING 29329 6101.4509 885.00 CIT E R AIL � o s �o�n��E �/�. Total Receipt Amount 885.00 145316 13:59:32 � � � l � � �. �� � �� U l �z ,�-�-e--,�. --� � . `� � �� �� ��� i � �. � � � � � �1 t��-��- C�G� �"��ns ___ Use BLUE or BLACK Ink � --� � For Office Use I �Ue 1����� � �l� of�a �� ��.�. � � � � Permit#: I ' ��g� �� � 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 I Q _ � Phone: 651 675-5675 � Date Received:V ` � Fax:(651)675-5694 AUG � 1 2015 I 1�., � � Staff��C./ I ��������.���������J 2015 MECHANICAL PERMIT APPLICATION 0'Please submit two(2)sets of plans with all commercial applications. Date: �1��� Site Address:3� \''�l �Q�_v'�C��r V"RrC.-, �!�°1��-r1. 1m h S�� �� Tenant: �1�-,C:.,.. 1J�i-�,-tfcJC, Suite#: -�JL� ��� � ` ' � '= Name: � � � Phone: � � � E�es�d`e�f/t�i��te� • __ _ __ ; �� � Address/City/Zip: � � � � � � � �� �F����� Name: ��� License#: ►� 1�����+'�_— � ° ���� �� � � '����i���[���t�M��'"��` Address: � 1� �-1 City: ��, � �� ; m ' ` �� ` � � � State:l� � Zip:�� Phone: `��-��'" ��� , �; � ��� �_ - � Contact: � �� �� EmaiL• I�� 1�'i � -YI')Y� • ' '� ,�,,t , � �� � � �New Replacement Additional Alteration Demolition I ' " � , FTyp���/��� � Description of work �Y� �I a� �-' ° ��"t`�;t���#��r�ryi��n��r' ���c�� .�e� a������ii���� - '� ���;,���������I� � , °� _ ° ��de. i�l�as���;��t t#�����If��i����i�E���i�e'�a��er���t��•t��'���r�°' s „ �'�����me�#��«: RESlDENTIAL COMMERCIAL �=` ���.,� _Fumace _New Construction �Interior Improvement �� -- ������� � � _Air Conditioner � _Install Piping �Processed ���� � � = Air Exchanger Gas E�erior HVAC Unit �; _Heat Pump Under/Above ground Tank �Install/_Remove) � — �' 4�" .: �= Other � ��� RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ e�7,. �-�l� x.01 $60.00 Permit Fee Minimum, includes State Surcharge (, $70.00 Underground tank installation/removal =$ c���--t"��i� Permit Fee *If contract value is GREATER than $2,010, Surcharge=Contract Value x$0.0005 $ l �'� � Surcharge" If the project valuation is over$1 million, please call for Sureharge =$ a�. �� TOTAL FEE 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. � . \..�t.J� X G X _L � ApplicanY rinted Name Applicant's S' ature !+/�1��fp� �I , !"�il[1"��'i'��'i�'�s� �. �' �� 6��r� � ,�� � �-"�',_� �� �, '�� �itli� �' `�� i��—� � ' � � � f a ,. i � y � , i t��-' d� �-����' Y- . R�IL[����k+���S � �� � �� � : -e 5,�;v R�i �'i4.M�Xp ��� � e: itP w�` F _ �d� �, „ h �^3" — . � . � �' _ .; };,Un�����und z�R����tn ' -:�kirTes� _��ru�����€ �����i`������;.�� ��� ���� s � � �.�� `=�-.. � . • ' ,� �L Use BLUE or BLACK Ink � --------- • �-------- //'' �� � For Office Use / � � � �� � lf� I Permit#: ������_ I �� ���� �� ����� �,, ��� �� �� � � . J� �� � �, � � Permit Fee. � I I 3830 Pilot Knob Road ��°"�� � � .-`< <���° � � � I �� Eagan MN 55122 I � Phone:(651)675-5675 � Date Received: � Fax:(651)675-5694 � I � Staff: I ���J 5��� 2015 FIRE SUPPR�S ON SY�TEMS PERM T �PLICATION* Date: C�-��" ) � SiteAddress: Tenant:���,1 , C1� V(,tC /��1�� Suite#: � � ' ` -1��`z.�.�ai� � ,�;.� . , �T � � �� Name: � �TN��.� Phone: ���roperty Owner � Address/City/Zip: ' � �� �� y � �� ' � Applicant is Owner ip Contractor � � �1 's� ° :: Description ofwork: 'F`��� ��,1�k,L,�fL �1/� _ ` `Ty e o ork, � �� ' Construction Cost: ��- Estimated Completion Date: -' - � � �� \� ���i ,�" �,�� .. � � � ' � ���� 1— � �� , z Name: 1 2..� ^74zt?\ License#:�� '�`� �� ' �s�.;��� �� �" : Address:�1 �1 L,1yC�'� iTj �� City: 1�"►�L.S � .���.���t'1�t �� '�� �� � �� State:-�� Zip: ��-1 3 Phone: ���Z -��� -�� � � ���� ��� ��'� �" �_�'' � �� ` ) � � �` Contact: \�"1'�U.3' r� EmaiL• �2.�J 1'f> c � e, � �(" s,��_; � � ��FIR PERMIT TYPE WORK TYPE prinkler System(#of heads'�3_�-- �New _Addition Fire Pump _Standpipe Alterations _Remodel Other: Other: DESCRIPTION OF WORK: "�Commercial _Residential _Educational FEES �I�a.S� 4��I Gt�-i a� ri,�' 33� 3ill Fc�r �'r�A/,� C�.t���js►�rt� $55.00 Permit Fee Minimum Contract Value$ � � t.x��✓ x.01 *If contract value is LESS than$10,010,Surcharge=$5.00 _ ��O �� "*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 -$ � Permit Fee "**If the project valuation is over$1 million, please call for Surcharge =$ _� ��(�(� Surcharge* $100,.00 Residential New(includes$5.00 State Surcharge) _$ ��a� z��s-3-�"r TOTAL FEE �a 3/4"Displacement Fire Meter-$270.00 =$ � ��- Fire Meter ', _$ �����D TDTAL FEE ' ' *Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used � I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that the work 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 I only an application for a permit,and work is not to start without a permit;that the work will be in accordan with the approved plan in the case of work which requires a review and approval of plans. r x 1`���J 1� �..J l-•h�� x���;�^�� Applicant's Printed Name Applicant's Signature • ��aS �o�En�-d.� �� � � .��� �i"� �FO� �� SE��_ �: � �`� � � � � � � � �� � �.�� �' � �x' �� � �� � � ��2EQU�I�ED IN TIONS �� � �� ��� �-. �H fati� x� arm. ��'� a n Te �� _; �, ,Y .� ,- � �: � , � , �:w, Trip ��� ��., um a. �� , ��C Sta� �Fina ' � _ � �, , , . . � �.� =���—��� h �,,,�� .�: � r C'�" ���s of u ce� �` � � , ` " ` N : � '� � �` � � �`'� �� � �, �_ �� , _� r r, �� � � � .� � µ :.p � '�y. k ��,_. � , �, � , . � � � k � � � � � � � ��'�� ', � �� � �� �� �. � ��, � � � , � w.. ��., r . �� t��� ewed: � ;F . �, -� � , �,� � � , ��: �� � � ��r �;:w �� �� �� ���`��� .��� � Use BLUE or BLACK ink �� � --------------- , ��c � " � For INfice Use If � . C� t�n � ✓�l/ ' � C�b� Ol �Q�Qll �.,1� ��1.�C�-- i Permit#: �,f J� ` � �'7 3830 Pilot Knob Road � Pe►mit Fee: � Eagan MN 55122 ����S-��� j Date Received� Phone:(651)675-5675 � — i Fax:(651)675-5694 , � Staff: � �� I����������.������J . 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: Site Address: Tenant: ��� � C°� � � Suite#• i ��i��'����� , Name:���`=-��� Phone: �; ' Address/City/Zip: s �,: _ . , � �jc�r / / ; Name: i�J�.J`< • U�Meense#: Address: /C7 /J l�.�l�,�e,i/'� � City: /�)h rTe. Qea.� Kx,�2. �����'� State:��Zip: S�7// U Phone: ,�2J�`2.�y�p��� 3 � „ � p , ` Contact�[1�����.a]c�-u' Email: �Cn���(/+c�3TCJZ)'y)-C,C,{�,.�bm- � � � � � � �New Replacement Additional Alteration Demolition "�'����� Description of work ��1'�('�v� ,l�l;lG�'c.�a./ K �QJ�J �►�����' � . � � ���� ' � ��r�������������'���� � � ; ` �� �� �������� � r �� _ , �� � . u z � . .. �.,x.� , . ..;._a REStDENTIAL COMMERClA�u��K � Fumace New Construction �,Interi r Improvement , — �����.�� � Air Conditioner _Install Piping _Processed „�: _Air E�cchanger Gas _Exterior HVAC Unit # _Heat Pump _Under/Above ground Tank (_Install/_Remove) f � Other r, REStDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value� x.01 $60.00 Permit Fee Minimum,includes State Surcharge $70.00 Underground tank installatioNremoval =$ � �• �� Permit Fee "If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -$ �� �� Surcharge" If the project valuation is over$1 million,please call for Surcharge =� l c��- �(� TOTAL FEE I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the C'iiy of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not 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��r�.���� X Applicant's Printed Name plicant's S gnature ��� � '�'� �� t � ��� � �� �� ` � �,� ' � � � � � � � � � � � � �� � ` �„ � �"�. � ���� �t e � , � � s � . s s :. '"�`k"F a � a �,.��R+��„ �; "`•����: ����, �K�,� $; k` �5 r • �r > � ,i - _ Use BLUE or BLACK Ink , �----------------- �� � For Office Use �� I ✓ C. I /�-���` J �� S it 0� E� all �(.� � �p"'ws"� i Permit#. 1 i � � ;. ^ � Permit Fee: tG' �� j 3830 Pilot Knob Road ���� '� � ��t�J i „ � Eagan MN 55122 � �-J���� � � Date Received: � Phone: (651) 675-5675 � � � Fax: (651) 675-5694 � Staff: � ------------------� 2015 COMMERCIAL BUILDING PERMIT APPLICATION Date: �-15-15 Site Address: 3405 Promenade Ave, Suite 300 Eagan, MN 55121 Tenant Name: PaCifiC Dental ServiCes (Tenant is: X New/ Existing) Suite#: 300 Former Tenant: NOne e: Name: Interstate Partners Phone: �651) 294-7583 Pro�erty Qwner Address/Ciry/Zip: 500 Jackson St., Suite 200 St Paul, MN 55101 ,{ : :�; Applicant is: Owner Contractor � � Dental office, non structural partitions, lights, sinks, t-bar ceilings, switches, outlets, `"`���`� Description of work: mechanical distribution, two restroms Type of Wc��C� ���v��� Construction Cost: $181,320 Name: �tk� �`jf�(X�O� C�ifi. l.I.G License#: ��0� �/ �EG- / � � .: " Address: / �+�.— City: '(�'f�7� �l�/) . f!�'�_ G���rac:. ,�. ���: state: f�l-N• z�p: 5S3 3 b Phone: C7`S� Z6 d • �5Y�8 C p te�� (,�3 G • 5 2�9 nn c�tr,� '���� K Contact: Tf M �L�p�(� Email:'�',Ir+�Q hP-t-i e[onS'Erv o . � �� ���� Julie Mar etich 50963 ���� ' Name: 9 Registration#: Architec�/Engineer = Address: 2044 California Ave City: Corona � . = State: CA Zip: 92881 Phone: �951) 582-5745 �� � �~�'���`�� ]ulie Mar etich mar etichJ@pacden.com Contact Person: 9 Email: 9 Licensed plumber installing new sewer/water service: Phone#; NOTEs F�Ians arr� � iu�A �,rt � r�- � �4 � ��` r�� rtions of .,• t �. � ..- the infiorcn�#�on ma °�cf i�a�� �� �'�� ��e �ity to� _ , � , �x .n ,- �, >. � .:. �, � ,�., ,� :: �; , ,. � , �° ���,.. �..� u� . _ � w ��� , .� 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, 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 Julie Margetich X ��� �. � � Applicant's Printed Name Appli t's Signature Page 1 of 3 ` '4 • ,,,..�,c �� ���� I ' � ,�j��S ���d�I�*�-'`DO NOT WRITE BELOW THIS LINE � �� �`�I SUB TYPES Foundation Public Facility Exterior Alteration—Apartments �Commercial I 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 e-� Valuation I 8 z, o0o Occupancy 8 MCES System Plan Review ✓ Code Edition ZOIS A�gL SAC Units 1 �-�T�"�'— (25%_100%� Zoning �"� City Water ✓ Census Code Stories � Booster Pump #of Units v Square Feet � O�Z PRV � � #of Buildings � Length Fire Sprinklers Type of Construction I/8� Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) �Final/C.O. Required Footings(Addition) Final/No C.O.Required Foundation Other: Drain Tile Pool:_Footings _AidGas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick �/Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be presenfi ✓ Yes No � Reviewed B : ��/(o Buildin Ins ector Reviewed B : �i�` PI nnin Y � 9 p Y , a 9 COMMERCIAL FEES Base Fee /S �8 • 75� Water Quality Surcharge ��• °"�' Water Sampling Fee Plan Review /ooG. G� Water Supply&Storage(WAC) MCES SAC Z�B S• � Storm Sewer Trunk City SAC !oo • a.v Sewer Trunk S8�W Permit 8�Surcharge S¢3 • �� Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral �rail Dedication Other: � Water Quality TOTAL��i �7 . q Page 2 of 3 � � � . .. �.�� ��/ Dale Schoeppner July 31, 2015 Chief Building Official City of Eagan I 3830 Pilot Knob Road I� Eagan, MN 55122-1810 I Dear Mr. Schoeppner: III The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for 3405 Promenade Ave to be located at 3405 Promenade Ave Suite 300 within the City. The City will be charged 1 SAC Unit for this project, as determined below. SAC Units j Charges: i Clinic 28 f. u. @ 17 f. u. /SAC 1.65 Credits . City Vue (SAC 04/15) 2828 sq. ft. @ 3000 sq. ft. /SAC 0.94 Net Charge: 0.71 or 1 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 email cory.mccullouqh(a�metc.state.mn.us. Sincerely, �� �'���`�'��� Cory McCullough SAC Program Technical Specialist CM:Is: 150731A1 (697714, 386508) Determination expiration: 07/31/2017 cc: Peggy Fleck &Amy Griffin, City of Eagan Brandon Webb, Pacific Dental Services File, MCES _---...._"_--._--- __----- �f -..- . -. � :� • . - . .i ��� , . .� � . • �•�� - . . . . METROP(3LITAN C O U N C I L � �"1 w � _ _ ^ . ` I�. � � m � � 00 iZTSSelosauuiW'ue6e3 0���:^�ro;1N30'�'�as.�";;" a „ E ' o o � ��. 00£alins,.any apauawad SOb£ ,����o��,e�.,,�»a3a�a� ���� � � N�� ���:�� � /��, i���?s; � G m ��.,_��/w���.='�"„ S3�Ih?!3S 1V1N34 � D o ri � v ;i�i4l�� � � p 1N3W3AOadWI 1NtlN31 I'1 I�I/'1 V d \/ w o � Q �'i+`�' ��s � ",a�"� -3�I��OItIlN30 �.! �./ � �� � � � o c � i ~ aEelii!' 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W K � ; � � � � � � � e t � � � �' � � ' ° � � �s x g ? 3 e 3 p � ` '`s P � : � '� : � � a w � : � � =S g � � � � - m � � � � � � ' �' 3 _ _ � s "� o ' : � - � � : ? e� � _ � € 'a � e � e a „ 3 . x � � � � � '' g � 3 m g � � � � - - � g = � $ w 8 � ` � � W s o � � - � o �� :� � � W � p ; � _ � ` ` i � � � d o � m s � x ; � � 3 „ o u2� ' � � � � � "s c c 3 3 g � � = s � s � � � Q _ � � � �, � � ' s g � �' � � _ " a a = 5 � �= �� a � � �.� - � ` _ ` : e s � � 3 3 � ` " $ � _ � o � e � � � s � � " _ € � � - 3 � � ; a � ; $ � � � t � � � � i os . �� �I � � e.u' � ` > � � 's $ � : � � "a � � � � � � e 's 'e 3 � a ? i e � � � € � r � w � a = `s 9 : � a � � � � � ? € � a ' s a == � o� � ����� `r100�00� ^ a 000000000000��0��0000�000000�00000000000�s� e .E o��oo;.��_ m x � � : : x Y e � v � v � � v � � � � : 5 : : : a a a : a � < � a " oa W �s � w w _ �. w � � _ w � w _ w � � s e e e e r�r: ef e� r� e e �'e o � � � � € � € € � € � � € � € € � � � � � � � � �� � � � � � - �s - � 7 � � � a a � @ @ d $ a a �" � �" ^ a ^ s a p �@ _ _ � � o s � � � s� � � � � o � _ _ € � s � � � s ¢ � € � �@ � s s = s m s m s m m m m s `s � s m s � m m s s s `s m s � Q� am� i . , Use BLUE or BLACK tnk ���'1 �'G�� �-----------------, Q�LS For Office Use � � ' +� � �3�--� � � Clt of �a an �c- � ; Pe�„t#: � � ' � �— � ( Pemtit Fee: � 3830 Pibt Knob Road � 1 Eagan MN 55122 __ � Date Received: �"� '�� I Phone:{651)675-5675 � a . � :.: ;..� � � Fax:(651)675-5694 � Staff: � ���' d,� ;a �'�4� �----------------� 2015 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date:�� 2'��S Site Address: �� ��vn�,�,,,1,�� i�\/�_ Tenant: �Fl� � �(`, ��_�'�"'Ai� Suite#: � Name: Phone: Propelty Owner Address!City/Zip: Applicant is: Owner �Contractor Type of Work �escription ot work:f�t�.� �1����i��-.�" `��j����"rr. �r� Construction Cost:�.6��.c'� Es'mated Compietion Date: f u'�c�c.�JUPk.Ti c�e�..y'6+?�,- Name: License#: �.,a`�E--� � Contractor Address: '�2�`�J� r4 '�'��J� Au�,l�ity: ���� State:�p�Zip: ��C7'� Phone: �`�"'�,l -� .S3�� ��� P � Contact: �V 1�Email: FIRE PERMIT TYPE WORK TYPE �Sprinkler System(#of heads�} _New _Addition _Fire Pump _Standpipe �Alterations �Remodel Other: Other: DESCRIPTION OF WORK: �[„Commercial _Residential �Educational � FEES � $60.00 Permit Fee Minimum, includes State Surcharge Contract Value$ �,,,r��/� �x.01 � � "If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.�05 =$ �p' � Permit Fee � If the project valuation is over$1 millian,please call for Surcharge =� � .��Surcharge* $100.00 Residential New(inGudes Sta#e Surcharge) _$ (��.� TOTAL FEE 3/4"Displacement Fire Meter-$270.00 =$ l�-� Fire Meter _$ �-�1- .�L TOTAL FEE *"Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and adcnowledge 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 BuildinglFire Codes;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the v,rork will be in acxordance with the approved plan in the case of work which requires a review and approval of pla►u. x__�l��F� ���]� x ApplicanYs Printed Name Applicant's Si tuFe � , _ , l � �-��� FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test V Rough In Trip Pump Test Centraf Station v Final Conditions of Issuance: Permit Reviewed by� �= ' �•�� Date: � / � / �� ,� ____Use BLUE or BLACK Ink I ——' �� �, y � For Office Use I • V �✓�� �t=' ��� _.-�t . '� j Permit#: / ��v^` � ��� C�ty of�a��� � �� �-� , �,S v i \a � C��� (� � ���� I Permit Fee: �/j � 3830 Pilot Knob Road I � Eagan MN 55122 � Date Received: � Phone:(651)675-5675 � Fax:(651)675-5694 � Staff: � ���������________J 2015 COMMERCIAL PLUMBING PERMIT APPLICATION � �Please submit two(2)sets of plans with all commercial applications. �ate: �l��7�f� Site Address: ��O,S �ro me nr�r�e Ave Tenant: �QC�'C+C �e�1�'�1 Suite#: �� Name: Phone: :r ����� � � Name: �J����,�f�u4S C�u,W1��in4��+�C� License#: t�g�'f�a� �`��4�� �: Address: i�2 ����t� �c�;�e, �O1 City: ��S�Q State: �� Zip: ����5 �t}, t' .�� \ � ��� Phone: ���2� �����12g EmaiL JaSor�j�C�rl�ta�tS 1U�1 n�r (:�w� � �° New Replacement _Repair Rebuild �Modify Space Work in R.O.W. ���z �;... f�IVorl� ` — — — — ,� rt Description of work: � x����' COMMERC/AL New Construction �Modify Space �,�,���}�a, _Irrigation System(_yes/_no)�RPZ/_PVB) �, a `$ • Rain sensors required on irrigation systems ���� • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) ` y �� � ��,y _Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter. i Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES ��� Contract Value$ ��I,00()� x.01 $60.00 Permit Fee Minimum, indudes State Surcharge =$ � ��•G�(� Permit Fee *If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 =$ %� `� � Surcharge* If the project valuation is over$1 million, please call for Surcharge ) �3�� _$ ! ! I• �� TOTAL FEE Following fees apply when installing a new lawn irrigation system $ water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge _$ TOTAL FEE 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 ��Sat1 ��►��i'�2�f5 x . ApplicanYs Printed Name A cant's Signature „"6,vk, . �,�a�kF,,;• . � '..��.�"g ;�' '' `" A4 � 'I�t 4 : . FOR���FFICE U ` �'� �� � '� � kppro �`..::� ��� � � � t � �' " ' zt, � ,/ Required I���� � � s ��kJntler'�rou��,���ough In 6 Air Test Gas Test Ffinal � gequ��r��� � �(es_1�6 Me��'�ae ed t ir4s � �`r�Siz ��, � ��'�� �x ��1laiiorr���ee�� g.��.�����, f���� ��$n'; {'�� �,� r. :�. � r � � � , „ . ...t , �.�� � g,K t� � � � �� r�; Page 1 of 3 Use BLUE or BLACK Ink ��C� YC C< <l/e� � For Office Use � � � �i � t (� �ty�) ������ � �6� U�U��� 1`�� ��a��J I Permit#: �� � � Permit Fee: 3830 Pilot Knob Road � `� � Eagan MN 55122 � Phone: (651)675-5675 � Date Received: - ��'�� � Fax:(651)675-5694 � b � � Staff:� � �-----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of pians with all commercial applications. ������-�� ���` Date:���`�Site Address: � 1 ' i -� �► �,� O� ` � � r Tenant: � �^- � -r� ��� r rj „• .� Suite#: ��: s ` �����>���, { Name: Phone: �: ' �. Address/City/Zip: _ : < , ` Name: -�.G �- ..�.-� .- �~ � „- --�-� � License#: �'+� �'���' Address:��✓' /`�`lG��d�i/���5� .�`��:c�.�i'�City: �,��d.G-�y �-�c��� �' f • t , > �r:� -} State: ���r'� Zip: �h�a�'�sC � Phone: �v'�,� � v�y�� �� ,� � r 4 � . 1: 5 . . . � _ z� CaFltact: �.i� .�:,.,� ��c;<�,.�` �mail: �� G��v67`o�r''G- �'- .e-� �,..... . � f°° `rt.. " ` x � � , � New Replacement Additional Alteration Demolition i, , ; . � ��""�'��{����� ��: Description ofi work: � -� � ' ��)� � ,���-� �y✓' ���.� - �' �� 'j � � ��. � ' �������`����.������ ��; ������`����� t r 4 < ������� �� ����� ���i� ����_'. ° � �� ���� ., ,� ,. , , . � � � � _ �� , �-, .., „ ,. ,. r�.,. _..,. .�� , .��.�, ,,.v.�,. � , . -..,. „... r., r,� ��...,, . w,., ,. ,,..��"�m s � . ,.., �° : � � * � RESIDENTIAL COMMERC/AL _Furnace ;•',�New Construction Interior Improvement ���� ' Air Conditioner Install Piping Processed �� � �Air Exchan er � 9 Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank (,Install/_Remove) ,�� k Other RESlDENTIAL FEES $60.00 Mirtimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ �i, O�4 x.01 $60.00 Permit Fee Minimum,includes State Surcharge � $70A0 Underground tank i�stallation/removal =$ , �� D� Permit Fee "If contract value is GREATER than$2,010,Surcharge=Contract Value x$0.0005 . -� 'Q� Surcharge" If the project valuation is over$1 million,please call for Surcharge � � _� TOTAL FEE t 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 art 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. ,P-��``� ,� i f / � �,,.�- X � v-�t.-' L..�-.Y•' �l:�+r`u�� X s� y"c:-z,e„s_..,-� Applicant's Printed Name App ic iit's Signature `�.��` y�aa � � � %!���k����Ff 4 � Y �" . } f q , yw �� � �, f z„� d` 5" YH i-"� nz i n-; r' . �"� � %��F7i�������� �. t� F ;� t }� f :g t� 1����f'4�R✓�.�� ��� � � � ����� _ �, � � � "� , �' .. � .. g ,^ 2�.,'s �. t a � ,�. , }: 0. .}�y� � � � � # ,�� 7}3 �.��� Y....�,�.v�, i� ��."��t.�"�. �-i v` � �i�� �� ' Y,i � .�::, ..a ta.. �t , � Use BLUE or BLACK Ink n5 �ccc�uccQ- �----------------, �Cr a-� I For Office Use I ���D I � j Permit#: � � C�� af �a a� ; . �J , � � � Permit Fee: � t � I 3830 Pilot Knob Road � I Eagan MN 55122 � t], I Date Received:-1 ` �`�� � Phone:(651)675-5675 � � Fax: (651)675-5694 - � I` - I I Staff:bYJ � . , ,,. . . �-----------------' 2015 FIRE SUPPRESSION S�YST�S PF�RMIT APPLICATION :3Y0.�` aa+en � l�-v . Date: �"`� j� Site Address:=� " /'� � � Tenant: C..�-�'��-1"�+�.� ��� Suite#: � Name: Phone: � PrOp@I'fy �Wf1+2t` Address/City/Zip: a � �: � Applicant is: Owner Contractor F �,. . .,,��� Type of WOt'k Description of work: � � � Construction Cost: Estimated Completion Date: �� �� y�� � A � Name:�N��'CLie�stc-L.�. �-��_ �icense#: �—��-- � �.�. " _ � � Contrac#ar ' Address: /��.� �'P--�L.� � City: �t+�T� 4�.�•i�. �� � ' State: M� Zip: ����� Phone:�w�l ������ � � � Contact:� t`"���°T Email: �� l r-i ��� , �/"�( < � FIRE PERMIT TYPE WORK TYPE x � �Sprinkler System(#of heads,� _New _Addition � � _Fire Pump _Standpipe �Alterations _Remodel a Other: Other: � — — � �WA�,��� = DESCRIPTION OF WORK: .� Commercial Residential Educational � � — — � w_ �,,�..�..�..�.N_������r..,�,�� k FEES � � $60.00 Permit Fee Minimum, includes State Surchar e � � 9 Contract Value$� f(�, x 01 � � "If contract value is GREATER than $2,010, Surcharge=Contract Value x$0.0005 - $ ��"'� Permit Fee � � If the project valuation is over$1 million, please call for Surcharge _ $ � �'P�'' ° . �^ Surcharge" ; � $100.00 Residential New(includes State Surcharge) -$ TOTAL FEE � 3/4" Displacement Fire Meter-$270.00 = $ Fire Meter �+_� � _ $ Cl�� �� TOTAL FEE � 6 **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 BuildinglFire Codes;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved pl in the case of work which requires a review and approval of plans. x��+����C.�T x .�� Applicant's Printed Name Applican s ' nature �°�t�-��'�— 21�l��c> R � �; . � S ��2�� �� FOR OFFIC€ USE ��� /� REQUIRED INSPECTIQNS ' >: 1 � Hydrostatic Flow Alarm Drain Test Rough!n � � � �" , � Trip Pump Test Cer�traf Station : : �' Final ' � Conditions of'Issuancs: 1, l � i � ; � .,�—�` f ,�+' '� � Permit Reviewed by:', � �^""� Date: ' �/ �� ! ' f� ;. — ,�' 1 1 Li�e#��,.t,7�t�3°�f»t���.�Y�� � �.__.__,__...____..:__�.� ..._. i .._.� £ � �or€�fiice Use � �aL`���F��'�Y' � j� � {�y y.y. //{ ',�//,.,/���(�/) .S li.y� ���� V��� �� . °`. ,� .� (-��{�11F ! ....� � `/� � � � �y, y,.../�G' � R� �«�' � � ' �'��t����: .. .�✓�' a �. 383t�Pilot Krtc3tb RCs�ti �. � « �agart Mt+f S�1Z2 � � � p �a#e R�t�ived: i P'ht9n8: (6�1)6T�-567� � �' � " I Fax; {851)675��9� I Sta�:_.�,,� ' �-_—___.�___.....�'.:_.w.�....,...�.� ���� � � � �� � �� ���������� � Please sut�rn�f twc��2}sets+�f pl�r�s with al!cort�mer��a(a�p�icati�ns. ��t�: Si#�e Ad�re�s. �F �'�_� � �:�� � — ;. � . .... .` . ... . ... .... " . . . . . . .. ... . . �,;............. n f � . Tenant: .. , , 4 Sr�����; ._,�........�,�... .v. , .; .a, . } .»�,._. .» v:w. ..._.._.�.:�.,����.,. :_,.�.�..,..,.,...._�,..�..... .,_...�..,�__,_.,�..,�,....�.....�.,.�.�.__� � � .,... ., <. # (�� � �l�rrt�: ���n�: � � 4 �. _ ....�.�.,_ ,__....,.....�..�....� _,.�.�,�,�...,....�_..�......,...._._�.. .�...��.......�.,,.�.....� ..:�....�.�..�.,...�:�....�..R,...._.�.....,,...�.,_,. . ; .: ,m,,.�e.. t � �##�rar��:. � " � :_� Licen���`: f . } �v. ,,s� { ! &rb#'E41"��,."'�t�i" � AL9L�9r�S:i: 'V l,;..r'_` '��E,� �}� ���.�..._.. �p:�-� Y� St;�t�: �i � _ .. ,. . Phc�n�: � ������ �rna� � �,(, ��(���� # ...�..�....�,,..�...�._...� , . �. �,..._.. � ,...,. .� . .... , �..,,.M..�. ..,...,„,.�..<,r�. -� d.�. � Ty�}g i?f'�3;'�C ; ---���t ���tac��e�af R�pair Rebui#� ',ta�Ic�dify�p�ca w__,_V�tark in�2.C?.�f+/_ I t , , t�es�t�i�t��srt ��� ��� ; €��work: , ` = r �,::� ,, : �, ,_ .. ..: . _ _ . :��.,_....�..... _�._.:,...,.... .". . '. _. ._�. �._ .... .�....,.. .._ ...»�..�..�.,.,,�.:..:.,..,.,.....�.... .�,.W.,.. � : CC3 A�1�`1�*+�Ii4�. New Go #ruction M � ._tvlt�cli#y Spa� � ��t �� ���� " irrlg�ttan Sys#sm(�yes/ nn} RPZ/ PVB} � ��� � ��� $��'Iti�����tp8 � ' Rain sense�rs r�uired an irri�atio systems� . }kv �FxM E f�,y- ! 9• {2'turbo required untess smaiier size a�ivwed by Pubtic War#cs) �_�T��" ` __�,_�eters Catl��51)675-5t�s6 tt�v�rify that iests passed�rivr tt��+icking up m�ter. �?`� $ I r Dc�mes#ic:Size�Type ��re� 7 �!`� �` , . w . .,,�.�. + Rtvg.G�t�i 3�igF�d�rn�nd t�v����? Y�� t�cs F�u�h�rr��t�r� Ys� Nt� ,..... . �... ....�. _.._. _..._ , _. .. _ �,..,. �.,,�,�..�.,w�......._.... o.,...�......�. ��?�+tlIl,Y�fcCI,AL��� Contract'�Ja1u�;� x.pq . �6�.�0 �errr��t F�e t�ini�urr�, irtctudes S�te Sc�rchar�� _ � �� \� ✓' �.F'errrsit��e *Ef c€�n�act v�lue is G�ZEA'fER than�2,41t�,Surch�rge=Can#ract V�lu�x$Q.Oi� �� S�zc�har��* # !f tt��ptr�ject ualuafit�n is uver$1 mitlit�n,pt�ase catl fQr Surcta�r�e � , �� Tt3TAL��� � w�,. �....,µ ����.,�,.�.__�.,��.�.�«�.,..�..�.,,.� �.a.�..__m___- _____..w_ �.___.. .�,�,..,�N. ��._���.�.�._,.��.,. ,A�,� .� �� �......._....,.��� �.4.��.. .�..w �.._..�,�.�,.M,,�.��_ � Fo[tav�ring#ess appty when ir�sta#fiin�a r�ew iar�rn lrri;g�tion sysfern �,� ,���itvater#�erm�# _.,.._ _, Cr�ntact the City's Engi�eering D$AartmEnt,(651)875-5846,for r uireti fee amourtts. � eq et $ 7re�trt�ent Piattf � � Wa#er Supply&Stofage � �_.,.._,�. �tai�fivrch�rrge I ,_ ��. . ,..:_,......,<.. ....... . ��.,.,,.�. _�... .�.., _ __ ,_,. ���� .�,__�.. . "� �� i5 �`J�� Tflr�lL��� _,_�.. �.�...n _ .�._.��.� �r ..�. �.�.,.�_.�.,..�, At�L BEFt�RE Yt�U C�1G. C�a!!Goph�r Stz�te�ne C�ii�t(66�f}454-t?�tt2 fior prote�tion�r�air�st under�rou d uttlity d$rnage. � ��.""..__ _„� �ereby ac3cnowiedge fhai this information is comp�te antl acc�arate;tt�at the�rork wiil be in confvrmar�with#he�rdinances aruf cs�tles tsf the Cit y of �g a n; t h a t I u n d e r s t�n c 3 t h i s i s n v t a p e r r r t i t, b u t �n t y a n a�t i c�t l c n f at a pertn i t, a n t i wu r i t is nat fv start with�tut a pemrit; th�i the work rvill b� in cc�rdance wlth the approved plan fn the case r�f wark rvhlch��ires a r��ieu+ar�d a�Praval ofi ptarrs. ,���� � �.�..`��r�, �..� ��S��can�'��'r�rate�i t�a�te Appli��r�t's�ig�n�tcssr€: 3���F t,9 ��Prc�u�:��: C�#�: ���d ln����has't�: �„Y,_;Undsr Grc���std Roug�-In �'3`e�t ��s T�t ,,,�,,,��r��i �FtV�+g�ulr�d:�,,,Ye�,^t� �t� ��� �; t��t�ar��� � � >..,. �� �t�d�c� R�d t�s�nom�tc�r �t� Page 1 af 3 Use BWE or BLACK Ink r________________� � For Office Use � • � Permit#:�j �c�%Cr"� I Clty of �a��� ; . ��� � � Permit Fee: 3830 Pilot Knob Road I �� Eagan MN 55122 I Date Received: � �b�� ���`�`� Phone: (651)675-5675 � ��� Fax: (651)675-5694 � � � Staff: � �-----------------� 2015 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY Date: -/"��r� �,��r�.�,,"`���CC�� ; , � 4 � Property Owner: � �-� i � 2.� � �� ���� � Address: � � � �' Phone Number: Plumber: �S� � t i Contact Name: �,7 ��� ___. _ :�. �.. : .. _ Sewer Service Water Service �`�. Sewer lateral charge Water lateral charge ���7j-- Sewer trunk Water trunk �-� ' City SAC @$100/unit Water Sampling Fee �� MCES SAC a�$2,485/unif Water supply storage �,�,a �_ Receipt#: , Date: Receipt#: , Date: Permit Fee $60.00 Treatment Plant @$843.50/unit �� State Surcharge $5.00 Permit Fee $60.00 TOTAL: State Surcharge $5.00 'Plumbing Permit Required—water meter to 6e � � , � _ � acquired with building pe�mit TOTAL'�C9S r� �,�_ _ .� � ,:� -_: . � .��.� . �3: . �.� : �� . .�., , Sewer Service - Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk Water Sampling Fee City SAC MCES SAC Receipt# , Date Water suppty 8 storage Receipt# , Date Treatment plant Permit Fee $120.00 State Surcharge $5.00 'Plumbing Permit Required—water meter to be acquired with building permit TOTAL: Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.or4 Cc: City of Eagan Finance Department � � ����'�� ��-��� ! Pe99Y Fleck �`7�`� J/�!'/f�'1E-f'1 -- l�''� t /�5� � From: Charlie Borash Sent: Friday, September 11, 2015 11:05 AM To: Peggy Fleck Cc: Jon Eaton;Aaron Menza Subject: irrigation meter PeggY. I talked to Paul Wagner from Wagner sod,the company installing the irrigation system at the City Vue office complex and he told me the max flow was going to be around 35 GPM. Normally a 1" meter would be enough but after talking to him a while he also told me that they may expand the system. I told him an 1%2 compound meter would probably be a better fit and then if expanded there would be no need for additional plumbing work. If everybody is ok with that then I say we go with the 1%z meter. Thanks Charlie Borash Field Maintenance Supervisor City of Eagan Utilities Dept. (651)675-5222 cborash@cityofea�an.com � �n � ���G� __ Use BLUE or BLACK ink � � For Office Use I ��� I �� O j� �/�n.�'; � ��L>-[�' j Permit#: I ��� �����1! � r1�� � � �� 1 3830 Pilot Knob Road I Permit Fee: � � Eagan MN 55122 j Phone: (651)675-5675 � Date Received: ���/�S� Fax: (651)675-5694 � I " '? I Staff: � ;_t ; � � . . _ �------------�� � 2015 MECHANICAL PERMIT APPLICATION , ❑ Please submit two (2)sets of plans with all commercial applications. (�,�l'�� Date: � 'a-�I Site Address: ��d�� �C�oW�.L�tiC� (�"�t)e- I {�� Tenant: � '.� Suite#: � �������,����r Name: Phone: Address/City/Zip: `' Name: �Q�� �lil�t���/\..!�S License#: � Address: Q$SC� ��.�L�t� ��— City: t5�,�i�Yll�t.'�1/� �� ���t�tT�G�81' '/ State: �l� Zip: S��fZT� Phone: " �K/�j � � ' ' Contact: .JQ-✓�.. Email: CO�� N'1 . K� � � ������ �� ` �New Replacement Additional Alteration Demolition T�p��f.W'��� Description of work: n.�� ��,--. �-"f� I�ttaTE:Rr�af mounted a�ii�r+�und 4ni�i�nted mechani�at equip�m,�r�t��requir ��e scr�;�M;�d b�t Gity ;: i,�`Gode.i Please ccntact the M�:�IiartEcaF Insp�ctor f�r.in#ormafiai�oti p�ar���ed��s�cre�n�a�g r�t�t�i�cts. � ,_..:,�,..,.� a,u. ,, � ,..._ . � ...�... , � �� RES/DENTIAL COMMERCIAL % �� �. Furnace New Construction Interior Improvement � ���,������� , _Air Conditioner Instali Piping Processed � ,:, _Air Exchanger �Gas �( Exterior HVAC Unit � '� � _Heat Pump _Under/Above ground Tank �Install/_Remove) � Other RES/DENT/AL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE COMMERCIAL FEES Contract Value$ S, C�C',� x.01 $60.00 Permit Fee Minimum, inciudes State Surcharge $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is GREATER than$2,010,Surcharge=Contract Value x$0.0005 -� Surcharge* If the project valuation is over$1 million, please call for Surcharge = $ TOTAL FEE 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 woric will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 'Ti .�c�x � Sd.,���w �Z x Applicant's Printed Name A ic s Signature � F4F�t��FfGE flSE ,.., �,: ;, ��� �r� �� �� Req�ire�i Cr�spections Ft�viewed By" ' � ` �Qate � �< ..� ` �� �� �fnctergraun�i F��ugh In: ' Rir�'est .: . . ,..;Gas Se�vic��"e�f' '�n-f��ior Hea� Firiat � ���Ff�l��°,Screening..,,.;.;:` . � " ° ' Use BLUE or BLAGK Ink � --------------- � For O�ce Use � �\� • � . �.�/�S � l� ��Y �1 �U �� i Permit#. � ��1� lJ � � Permit Fee: / �D o- �� I 3830 Pilot Knob Road Eagan MN 55122 j '�r�� i Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 j � i � Staff: � -----------------� 2015 COMMERCIAL BUILDING PERMIT APPLIC�►TION .W ���'���`" _,_--- ---- ; � ��� , Date:� ��_Site Address: ��' Tenant Name:1__' �Q'�"�C�,S S�j� Y1 (Tenant is: ✓New/ Existin ) Suite#: (�Q � Former Tenant: N�A1 � ,� �":t Name: �A,��2���Mdll„G i A� Phone: ������� Address I City/Zip;.�Od�C<<.,I�G.*Y7�l ..JC' ..�R Z.� �.h� IJG u►( �IN , ; Applicant is: Owner Contractor � L Description of work: � � �� ������� ,:` Constructian Cost: 5 • /� ., �,� r ' Name:__��i� ('�0�-S�Y.tG"�'ID�j��1-�ense# t �_ �1f�, �� �" ' r � � � Address: ��/ �� �T���f"'�G� lV, City: �A.F e-� ��A'�2� y � �"�f►[��'���' ; �.` State:�Zip: � : Phone: ��'"< '-' �!��— l �f� fs Contact: /^rt"' f" EmaiL• � ; ; ; Name`Th�xYbS AI�•RN E�SOfI Registration#: 2�I2� �' ' _ ��` ' ` �/ � 1��1���'��� �CI�.; Address:Z.�C'i� T�/i�`R ���d City�o►� �,Q,S � --� $ Stat�-.� Zip: "")�Q_,2"'� Phone: Z.'#�- �$" �'�J �: Contact Person; EmaiL Licensed plumber installing new sewerlwater service: Phone#: l��T;� �'��tt��s�►��t�����t�:��������c�� F��� C i�t�'i� � r f�i����rr��r�����J` ' ���-;�`i�t��,�� ��t ���� � � � � � � �, j � � ��. � u;� � ,•,- yFy � �FR��. �� Y rt e<y r 4 ♦ ...�: � 3 t g 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,4opherstateonecall.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 i 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. 98� - S �-1990 X �; e�a f X Appli ant's Printed Na e Applicant's Signatur �n����2vtr+r+�un1'�M:-4¢d.co�v�,� Page 1 of 3 � �'�L ���,.,�-" � . � � � �������� �L��1,� ��!�E��6�� E� DO NOT WRITE BELOW THIS LINE ������ 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 � j� �� Valuation "f•�`���� Occupancy � MCES System Plan Review � U�S' Code Edition �(7�� i�-�C.,� SAC Units (25%_100% V) ��` Zoning `�� City Water Census Code Staries Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED IIdSPECTIONS Footings(New Building) Sheetrock Footings(Deck) ✓Final/C.O.Required Footings(Addition) Final/No C.O.Required Foundation Other: Drain Tile Pool:_Footings _AirlGas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick 1/ Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: Yes �o Reviewed B ���Q- �-- � � y: , Building Inspector Reviewed By: ( , Planning COMMERCIAL FEES Base Fee a�00 Water Quality Surcharge o��,50 Water Sampling Fee Plan Review �g,a20 Water Supply 8�Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S8�W Permit&Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL��, O,$�.7d � Page 2 of 3 . l ��r�� Dale Schoeppner August 14, 2015 Chief Building Officia! City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Mattress Firm to be located at 3405 Promenade Ave within the City. The City will be charged no additional SAC Units for this project, as determined below. SAC Units Charges: Office 300 sq. ft. @ 2400 sq. ft. /SAC 0.13 Retail 2841 sq. ft. @ 3000 sq. ft. /SAC .9�5 Total Charges: 1.08 Credits: Retail (SAC 04/2015) 3574 sq. ft. @ 3000 sq. ft. /SAC 1.19 Net Charge: -0.11 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 email corv.mccullouph(a�mefc.state.mn.us. Sincerely, ��� ��� Cory McCullough SAC Program Technical Specialist CM:Is: 150814A7 (697714, 387090) Determination expiration: 08/14/2017 cc: Peggy Fleck &Amy Griffin, City of Eagan Wendi Uptegraft, National Permit Expdediters, Inc File, MCES �-- -�,-`"'�--�- �___.-..__�-- -. - :f �-+ y� T w r � • �I i� • 1 1�"1� • i � • ��1 I1.VL��L��� G O U N C'. 1 L. ���� v�� � � ;�,, �� , ,� e � � �: ,O/DO// �� � ////////////�,i./����� °i�/%��� : � � ��� ` � � - �■11�4 �� �i' n. nmww�nmmn�. �� �g ���I��' � �� 9 I�� � N�� � % � �� \ � �� � � �� � �y / , � � �// �� ���� �� ��' : 1� � ,. �/%'� ��%` / � : �.= .'. 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"'11111 .. � � � Use BLUE or BLACK Ink --------- � For Office Use j Cl� Q� �� aI� RECEIVED � Pe�m;t#:i 333�� � � � � Permit Fee: ' j 3830 Pilot Knob Road p�T 0 2 2015 i � i Eagan MN 55122 � Date Received: ��'�� � Phone: (651)675-5675 Fax: (651)675-5694 � I � Staff: ���_ I 2015 COMMERCIAL FIRE ALARM PERMIT APPLICATION Date• 9-25-15 Site Address: '�vv "'^� Tt1/1TT�r.,r„ �C��S �ro,-,�a„Q� �V,� Tenant: CITY WE LOT 1 RETAIL Suite#: 3ii" z ��yx � i � a � I� � � Name: Phone: � � ��'+C�}3��'#��Y�#��' � �� � ��.- u � Address/City/Zip: ���� " ' Applicant is: Owner Contractor ��sE � ,� ��� ; �° � ' � ' .�.����,���,� �, Descriptionofwork: MONITORING OF SPRINKLER SYSTEM '"�` ���' 16 ' � 8 90. 0 0 Estimated Com letion Date: OCT 2 015 ; �„�; ��_ Construction Cost: $2, p �� au� � '��� �� f Name: METRO ALARM AND LOCK License#: TS000401 ��E4�i I� p �' �i� . . ' ,,� ��' �����' '' � �H��' Address: 3921 W. 143RD STREET � Ciry: SAVAGE � ���� �� �A�� �� ; ��� � State: � Zip: 55378 Phone: 952-890-6684 � �, ' G� ' � _ � ,j �Contact: TOM BONWELL Email: service@metroalarmco.com _ u - ;, �s _ „ � , � - ' ' X New Remodel �jI' ''i A�'�"��' ii i — — Addition Other: � ��� � ��� ��� � � Alterations � � DESCRIPTION OF WORK: �Commercial Residential Educational FEES Contract Value$ 2,8 90.0 0 x.01 $60.00 Permit Fee Minimum _$ 60.00 Permit Fee Surcharge=Contract Value x$0.0005 -$ 1 .45 Surcharge' If the project valuation is over$1 million,piease call for Surcharge _$ 61.45 TOTAL FEE **Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Thomas R Bonwell x ApplicanYs Printed Name Applicant's Signature � i q4�e � 9id iiip _ '4n - I I ���_ � .. .. �����°�� a,ihil ��(7u� (i � ���1� � ,I�i��' �VD � Ii ����¢� �F � , r (�: - - � � ( ��_ • ;� �i,�� i( _ �, �� (�I d��IP�i�N�d"_U������ -_� g��iH i��i f � w� '� ����,� ;� � � a c`#��ii 16���9)��y�'u� i�������� ��'�U . � d d0� I I� �a�I�� =`�y i�, ��'��k1��� �� �_ i)� i i I.� � �E �� C��i, �i�— � ; Use BLUE or BLACK Ink ` �----------------, „n � For Office Use � �,r� � j Permit#: / ���� I ' C�t of �a a� ; . (� ;�.���� � � Permit Fee: � ���• / �I 3830 Pilot Knob Road � i Eagan MN 55122 i i Phone: (651) 675-5675 � Date Received: �� Fax: (651) 675-5694 I Staff: � !_--_—_—_�—_____—J 2015 COMMERCIAL BUILDING PERMIT APPLICATION Date: 9f�✓1-s Site Address:.�0'rJ 1�roraex� �cv� Tenant Name:�er�e�t (�.��.5 wbs (Tenant is:�New/ Existing) Suite#:� Former Tenant: � �rf' ;` � f r , %f f ,1f.- Name:�r`,civ� `��cc�,�. Phone:�1�5\� �� - 3g55 � ��`� � , � �� ,, �;��. ;, Address/City/Zip: (�n51 S�tn��..� �r . _�1����1. �� 55i Z� ' � ��` ;,'�, � ` � �ex�o.�n�F- Applicant is: � Contractor �f ': � '�fF `' 'f` � ,� �', ',i �,'� "����'`f, �' � �r` Description of work: �,n�en,or -�e�,.a.��t �.\�- o.r�s S�s ��-e.vt ����5 �vb#Sa�wrcan f, `�'���,�';�, ���'��;' o�, s1"�('- , / r �� {�f�f , ,�,�, �: ���,�����,�`�'- , Construction Cos� �f0 G2 fr`� � %�� � .-�^ � r� ���' :������`f' � y�,��'����"'i i!��v�s f r c�c:{7 6 n �it-r�.`� �`�, ;, �,,� ���, f����� Name:_ _ L ense#: ��`,�`F�',,/���,���f,``„���,'�. . /1 � � ��` r!�,����'��r,,;`�rf { Address: 1 J��p� CTl"RN��/l��u�' �1/'+G-• City: �s CQMD rY►O U10G ��`,J �f,� ��� /r' 1��"'; '�`� '`j�� f� �.�d �/� Phone: ` ;�������,�`i� '; �',� � State:_�� Zip: �(P�� JrlD7- 0�7�o J� ��'��r���`������'%'��;�� , � /� �����f'�`f��'��f,� ��f� s@ R�,N�. � � �S � � L �.��;�. ,�� �,�,��'�,�:.�'� Contact: ah �. EmaiL �� — �`T ` �``��„�'f'��r f,��,�'�,�f���� ti�f,��<fi,�` ,� �'�`��.f �� �` ,�'���` '��`���'�'�"�'`�'�� �� r�n��ec�r� Registration#: l8�?� �,�;�f,, „��,�,;����f�,� Name:L, I"�t, �4r ,� �r�F .������'r�; � f������ � � fi�,f������,��;f�i�r�`�f�� : '��` ��,. �,,�r� ��r � Address:� (n�S�t,;�nA-�Y, �e � �bb City: ��'Ylnea.pa(�s� �.��.�'��f%F, ���� ��,��� �� �,����f��`�;�,�'r���'� /; ;�f��,�`����-`����,�,,�,,,���'� State: �� Zip: ��(O 1 Phone: (1�4Z�Sk1 - l 300 f� � �,�'s r�,,��� y�� f` ���� ����`�frr��r��'����`��,;,�'` ^ 'A�F���1{��.�r��%'��k`� M0. � �'�, Contact Person: 't'� Obb�,n�c... Email:�mo�b:nSG�c.��o-rr-Jn.�m Licensed plumber installing new sewerlwater service: Phone#: �i"�� .�f i::,/f�' J�:�. .�� '.�r�,�' +F� � j,�r,�n,';���`����!r*" r ,'�'`�% � ,�rf ✓f,'J r '•�/ " �' �4' r,,.'�i;',��ry.�, ��;.f.r•�s�� �'` 1' ����o#'r,r'„r , . ,f+ `.�i`y, ,�' '` f� 'I" 'r�,'.' �;.. 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. wvvw.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work.will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an applica ion r 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 wor ch require a review and approval of plans. X � �9-77�` ���1�� X �G'�`S ApplicanYs Printed Name Applicant's Sign ure Page 1 of 3 ,� �-'�.. #��.--�s�L� ' ,� ���� ��-Gl�'�� DO NOT WRITE BELOW THIS LINE �--� ��� SUB TYPES Foundation Public Facility Exterior Alteration—Apartments �ommercial/Industrial _ Accessory Building _ Exterior Alteration—Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration—Public Facility Miscellaneous Antennae WORK TYPES _ New �'�Interior Improvement Siding _ Demolish Building* _ Addition _ Exterior Improvement Reroof _ Demolish Interior _ Alteration _ Repair _ Windows _ Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall _ Salon Owner Change *Demolition of entire building—give PCA handout to applicant DESCRIPTION � Valuation j �a�10� Occupancy � MCES System �s Plan Review +��.s Code Edition a��SB�-- SAC Units ���' (25%_ 100%� Zoning �� � City Water �.�t Census Code Stories Booster Pump #of Units Square Feet PRV -- #of Buildings Length Fire Sprinklers �_ �� Type of Construction �"g Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) �Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick ✓'"�raming Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: Yes ✓No Reviewed By: ,�a�- �-- , Building Inspector Reviewed By: (� , Planning COMMERCIAL FEES Base Fee / �{a , 7�' Water Quality Surcharge fS'/ , 00 Water Sampling Fee Plan Review 9�p',�O9 Water Supply 8�Storage(WAC) MCES SAC �3' �; �j s;OCI Storm Sewer Trunk City SAC �(�•�C� Sewer Trunk S8�W Permit&Surcharge 'Nater Trunk Treatment Plant S" (?, Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL� '7 ,�. 9� Page 2 of 3 ��� � ����� � � . � � � Dale Schoeppner September 30, 2015 Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Jersey Mike's Subs to be located at 3405 Promenade Avenue Suite 300 within City Vue within the City. The City will be charged 3 SAC Units for this project, as determined below. SAC Units Charges: Fixed Seating 34 seats @ 10 seats/SAC 3.40 Credits City Vue (SAC 04/15) Retail - 1099 sq. ft. @ 3000 sq. ft. /SAC 0.37 Net Charge: 3.03 or 3 It is the Council's understanding there will be no outdoor seating. If at any time outdoor seating is added, a determination is required. 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 email karon.c�p.�aertLa`?metc.state.mn.us . Sincerely, � ;����-...� Karon Cappaert SAC Program Technical Specialist KC:Is: 150930B4 (697714, 388130) Determination expiration: 09/30/2017 cc: Peggy Fleck &Amy Griffin, City of Eagan Matt Obbink, CM Architecture File, MCES �.•�---�''" � .� .�,. .. . -. e :' _ a • . - . ,� ��e . . .e o . • �r•�, - � � . . h1t�TR{�P£�LIT'AN �� . G O 11 N G 1 L Use BLUE or BLACK Ink �— --, F Office Use � s I � �� Permit#: � � �+ �l ��� ��t� ������� �IVED �� � ; � �- � U�l � 3830 Pilot Knob Road RE�' �� I Permit Fee. �/. �� l��,r�l Eagan MN 55122 � 1 3'�Q'� �,�` 1 � N' �1\ �� ., I Date Received: Phone: (651)675-5675 ��+ (�� � �F I Fax: (657)675-5694 G� •� � Staff: C� j � �� � � �� —___—�__�.�`.�-� .�_ J 2015 COMMERCIAL PLUMBIN ERMIT APPLICATION �Please submit two (2)sets of plans with all commercial applications. Date: /� -/z - �� Site Address: �J�� �o�'l>iG-t�dj,gj,E ,�!/,� '�`-�c�c,� Tenant: C%12 � �r/L �(i� Suite#: i%`��.r�\ �� ��kY ' . � N �� Name: cS%f k'L i j-1� `O�i/ � � �, ;. � ,.���� ,� S G� Phone: �S� .J'��. 3�5..� � 4 rk . t � y � � : � .3 l�� -` . k � ����`� Name:�i---r���4��<� �l'/'�`;� �;y,�,�"/l �'�� -,��.' License#: �`'✓-� O�i/SrS�' a �� ��� �� � � ��f` Address:�!�j� c��I.SsGJitJ�C' City: �i�G��`Ii(J' State: ��Zip: : J'r/%?? � � �: �l �� � , � � � �` Phone: �r�- � '`' �=� � � .�'� f � � Email: �i';�C!�/r � G�.:' /�' � -�----- /�'f '-�; '�':,- � �� � _.. �'� ��`� '� New _Re lacement Re air Rebuild �C Modify Space Work in R.O.W. �� P ��� � � P ��?, � � f — — — � �� Descri tion ofwork: �$i��: s ������'��� ,/ ;` ,:.q �.., ���.., p � '�° � �' � = COMMERCIAL New Construction Modify Space � '� ,��� £��' ' " _Irrigation System�yes/_no)�RPZ/ PVB) � � ��� � �� • Rain sensors required on irrigation systems � °� � ° � • Avg. GPM (2"turbo required unless smaller size allowed by Public Works) � ������ ��� _Meters Call(651)675-5646 to verity that tests passed prior to pickina ua meter. � ����� � �``�� Domestic:Size&Type Fire• 1 � � ,� � �� . 3 ���,�� �, Avg.GPM High demand devices?_Yes No Flushometers Yes No COMMERCIAL FEES Contract Value$ ,/.� �''%'- x.01 $60.00 Permit Fee Minimum u;� c�:� $60.00 PVB/RPZ Permit(includes State Surcharge) '$ �.� Permit Fee _$ � �;� Surcharge Surcharge=Contract Value x$0.0005 � �,;� If the project valuation is over$1 million, please call for Surcharge =$ �!j' TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge _$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. 1 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 C�/i�/`?� �",�j GG '�"�.-�S" �""� ,.: X—��-.�'�� � v�'...��_ Applicant's Printed Name ApplicanYs Signature �r �++ l �' vn ^ . I'".F�� �� P �" ,� 3� s sC � �fr � -.'� y F '`�: �y � v' - � . §� �:- ��� . '.xN',�� ���i� �� } ua �� � . .,- �. .s: `� ,� ��. s � .�. �. ��e����,�l���i �✓: � � � _ � �� � 'k� ��'k '�5� ' .. �7 3 �� y. � -�� � '� .. � ., � �� u C� � � � � ���� � �. �k � � ' �' � � "� �� �� ��^ f ��� g 5' h � Y� �� .�� � �� h �� ¢ � � , , �: � , ....> >... ... , ...,sr.��, .r�. . a.... �'��� � � r - °�•". - :3�,�. .r= ,r v. Page 1 of 3 Use BLUE or BLACK Ink -----------------, . ECEIVED i Fo�ot�ce u� � Q � CliU�iJ� �ll OCr 1 � 201� � Permit#. �� � I � � � o� � 3830 Pilot Knob Road ' � Permit Fee: (�a� I Eagan MN 55122 � I Phone:(651)675-5675 � j Date Received: ` � � � � Fax: (651)675-5694 I c�.., ` ' I Staff�J � �lUn5�-C1��. Ye�eivr� �---------- ������J ! - : � E u `�' �."� �01:5 MECHANICAL PERMIT APPLICATION � Please s�ubmit two(2)sets of plans with all commercial applications. _ _Date; (� Site.Address:��d.� ,���i i►y�yti ��. � i/� ._._...Tenant; e��� ��`/�,��;'::: �✓ suite#: 3�6 �farne: �� i� S t° y / I,�t��S ` C9 �y S Phone: ,. Address_/City/Zip�, ;�hFarne: C� i,►S / ss !�'! .J !?�C�/rt e ��,! License#: +sAddress;_ � � alr ,���t� s��.�i�4'!. �f!� ��`„City: d vl �v� �� [ [ � / State: �� Zip;. J J/�� .�., Phone:��0 3 " .•�.����� � _Contact: �.�'�- , EmaiL G���} �'"'� rc�,5 , yj�� __ _� � New � +�;�:�:;bteplacement Atiditional �Alteration Demolition _ __Description__of work; ' ;��4�i���`.%��f ; �`e. ::��r �`���.'F��IDENTIAL �� .� COMMERCIAL � _Furnace � • .;, _ ;�; New Construction ` �Interior Improvement _Air Conditioner,. �' Install Piping Processed _Air Exchar�ger„ ,„ ; ; �Gas Exterior HVAC Unit �„=�t�,Heat Pu�p .. � � UndedAbove round Tank � �' _ g �Install/_Remove) Other • RESIDENTIAL FEES �$60.�0'Minimum Add or alteration to an existing unit,includes State Surcharge $100.Q0 Residential New,ancludes State Surcha�ge. `. . .- ' ` _$ TOTAL FEE COMMERCIAL FEES �; �,.{, ,;t, . Contract Value$ x.01 ' - _ __. . , € $60.00 Permit Fee Minimum $70.00 Underground tanl�installa#ion/removal _ __ ' ' `. _$ / �J'�. �� Permit Fee Surcharge=Contract Value x$0.0005 _$ �i J7� Surcharge If the project valuation is o�er$1 million, please call for Surchatgt�� " _$ � C{ rj' � ,�,� TOTAL FEE 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 l understand t4is is not a pe►mit;buY 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 C �� pa��' `�,5 X � �� ApplicanYs Printed Name ApplicanYs Signature Use BLUE or BLACK Ink �----------- --i �,�� � For Office Use � . �' I 2 /, � � /¢,� .�-� I Permit#: � J� ��CJ I CltV of ��.Qa� � : r���,��Q � . /�. /`� � t J b �` R F � P e r m i t F e e: C.!/� �l J � 3830 Pilot Knob Road �% 1 i� � I Eagan MN 55122 Q� � ��'� I I Phone: (651)675-5675 � � Date Received: � Fax: (651)675-5694 � I � Staff: � . `________________J 2015 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: ��-4 i I� Site Address: -��U� `4'�'c��-��A!�� /�l1'C_ Tenant: � '� �� ` Suite#: c��(J� Name: ���n�.Q_. Phone: Property Owner� Address�city i zip: Applicant is: Owner �Contractor Type of�WoCk �� Description of work: ��,����;�,��� �.RC�.C�� �nr�f�.�V.�Q�L'A�S,Q Construction Cost: Estimated Completion Date: K. � Name:�Sti m M�� ���C�ro�C�i o�-- License#: �' d�5 C011tCaCtOC Address: ��� �tY111��G•�0�. �C � City: �`�t •�QIA.•' State:�Zip: ;.�'.�3(� Phone: tp S�' d�5���a A� Contact: ` Email: FIRE PERMIT TYPE WORK TYPE ' �Sprinkler System (#of heads�� _New _Addition II _Fire Pump _Standpipe �Alterations _Remodel Other: Other: DESCRIPTION OF WORK: �Commercial _Residential _Educational FEES $60.00 Permit Fee Minimum Contract Value$c'� x.01 Surcharge=Contract Value x$0.0005 (Y��11 � � � _$ �Q "— Permit Fee If the project valuation is over$1 million, please call for Surcharge _$ i � �� Surcharge $100.00 Residential New(includes State Surcharge) _� (o( , �"� TOTAL FEE 3/4" Displacement Fire Meter-$270.00 =$ Fire Meter _$ TOTAL FEE **Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota BuildinglFire Codes;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x���GIAr.Q..�.� W�c,�"�" x Applicant's Printed Name App icant's Signature FOR OFFICE USE': REQUIRED INSPECTIONS ' Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station �i''�inal Conditions of Issuance: Permit Reviewed by: Date: �/�I '� DEC. 14. 2015 4:49PM FAX 763_361_5002 N0, 0928 P. 2 ' �`� r ���'�S __� fJse BLUE or BLACK Ink � n� C��-� � For Offlce Uso j �� / . �� V ��� � ��J �� � �L/ C�� ������ � Pertnit#:� . � y� �. � jPermit Fee: I 3B30 Pllot Knob Road � � Eagan MN 55'l22 �������Q � Date Reaeivcd: Rhone:(651)675-5676 � P2X:(651)676•5694 (�t� 1 5 10,� i S��.; i . �.��w�..r.-.����������J 2015 �IRE SUPPRL:SSION SXSTEMS PERMIT APPLICATION �d ' ' � � � � ,�G� ��2.�' Debe: Site I#ddrass: r a ' 7enanL• �C' , _� Suite#: �,_.,r_.,.. _' �^ � � • Name: �h P_.// ���� � , Phone; Properly�O�rn�er'� Address/Cily/Zip; ,� , • . S�� � � � , ' Applir�nt is: Owner Contrador ���'U , . � � �� � , , '��;"• � Description of work: �` � � � �� � 'xYPe,+of'�M�rk; �`,� � , , , ,,,.,, �.;,.. � " ' Construction Cost: �� Es�mated Completio�Date: '� C� r � �K � � o`�j�Es� / ��� , � , ',' Name: ( � � �`-r License�: �< � p2 , s. ,� ,� �i�r �c�, y . . �-- r- , / �;_ � Address: ��������.��City: C! ��. 3�'7 ' �Qi1�r�C'EOr � � ±,1�,.),(,e,qh �n .r. -�, '�. -��-�l / , , : State:����ip: Phone: .. b. J ' . ' , , Contact: EmaiL• �ssv�.c /��G� FIRE PERMIT TYPE W�Oi�K 7YPE _Sprinkler System{#�of heads� New ^A�Jdi�on `�ire p �Standpipe� r Alterations _Remodel ther. �� � �JG � �er DESCRIP710W QF V1)ORK: � ome"" mercial _Residential _Educational FEES � � �� . $60.00 Permit Fae 111�inimum Contract Value� ��� � x.0� Surchsrge=ContrecE Value x�o,00D5 =$ �,�(1. � Permit Fee if the project valuation is over�1 million,please:call tor Surcharge _$ 'fl��/7 Su�charge � 5100.00 Residential New(includes State Surcharge) =�—��_�TOTA!FEE ' 3/4"bisplacement Fire Meter-$270,00 =� - � Fire Meter _$ TOTAL FEE ""Requfrements:2 corroplete sets of drawings�and specificatfons,cut sheets o�materials a�d componcnts to be used I her�by apply for a Fire Su�pression SysEern permit antl adcnowlodg�that the information is complete and accurate;that th�work wll be in eflnfarmance with the ordin�nceg end codes of the Ci1y of Eagan and with!h0 Minn�sota BuildinglFire Codes:that 1 understand this is not a permit,but only an appliaaEion for a pa7n1E,and work is not to start without a pe�mit;that the worK v,Ru be in accordane�wlt�the approved pl in the case of work which requi�es a r¢viow and approvsl of ans. � • x �^K �7� �v �fi'y _ x ApplicanNs Printed Nabne A �carrE'S Signatute DEC. 14, 2015 4; 50PM FAX 763_361_5002 N0. 0928 P. 3 . -�--� w. �s��� _7� ���w . FOR OFFICE US� � ' REQUIRED INSPECTIdNS _ Hydrostat�c ,_,,,,,, �FJowAlar�n _ DrainTest , ,___ Rough in ' _ Trip _,__, �At�mp Test � _ , �niral Station Final Conditions of Jssuance: � p.ermitReviclwed �-�' '�� Date: �/�J� Use BLUE or BLACK Ink �----�--------------t �� � For Office U�Se � i ` ��. � �� I Permit#: ������� i � ��� �� �� �� �G� ' I I � � `t D � Permit Fee: � _. I 3830 Pifot Knob Road ��,���v� � � ^ ; �agan MN 55122 f1t Phone; (651)675-5675 D�C '� 1 1U�J � Date Received: " �� � Fax: (651)675-5694 � � � � Staff: � 2015 COMM�RCIAL F�F�� ,�LA�M PERMIT APPLICi4TION �ate: 12-1�-�.5 Site Address: 3�4 0� P1�C�MEI�7AI7E 1��VE JERSEY M�KE'S SUBS IN YANJ�cEE L�OOD�E C�Nll�IERCIAL � !� 'Tenant: Suite#: -��i�"'� �.�.�,_ � Name: Phone: �: , �_ �r���"�����r� :_ Address'City I ZiP��__�_.�__ � � --- a Applicant is: Gvvner� .�c��� ac'.�sr � � �.,, ,.:.�.�.� ��,.� , .�wt�, � � '° : Description ofwork: C01�fi�C�" AN�UL �YS�EM TO EXISTING FACP v�_ � ; T�pe;af Work _.________.__..�._..__, -- - Construction Cost: $�6� - �1d Estimated Com�fetion Date: 22-DEC-1� -�..�.-_� �.��.�„�.. �„v,-� � ��.._. 3 I Name: METRO ALA�2,M Al3L �OCK Licens�#: TS000401 �����,������, Address: 3921_ W. 143RD S�REET City: SAVAGE � State: MN Zip: 5537� _ �hone;_952-�90-6684 (`f�� - ���j -- � Contact: TOM BONWELL Ema'rl: service@metroalarmco.com _ � � �: ��, _New Remodel ; c;;:-:- — -' ' Wcir[c T�(pe ' X Addition Qt�tiEr: ; ;; . � �� �°��" � Alterations � _ � DESCRIPTION OF WORK: X Commercial ��� A F�esidential Educational � � FEES � — __.,�.��,.�.—�,�_ �ontract Value$ 665 00 x.C�1 � � $G0.00 �'ermi't Fee Minimum _$ 60.00 Permit Fee � Surcharge=Contract Value x$O.U005 =�_ 1 �45 Surcharge` �� if fhe project valuation is over$1 miilion,please call�cir Si�rch�rge � � ry�� � _$ 61 .4 5 TOTAL FEE *"RequireKnents:2 complete sets of dr�wings and sp;:c'sfications,eut sheets on materials and components to be used i hereby appiy for a Fire Alarrr�permit an�+acknnwledge th�t the information is com�iete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eag�n and with the Minnesota Building/Fire Codes;that!understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the wo�k�1<'?!he in acc�r�a�•,ce�vith the�ppraved plan in the case of work which requires a�•eview a��d aRproval of plans. x Thomas R �on.well ApplicanYs Printed Name Applicant's Signature F�R QFFICE USE ' ev�e�nrQd By: Q�te ��a7) : ;; � � - � � ' � � 3 ; , 'p, Requir�d;lns„pec#ir�ns ; i F��ugFi-{n Fir��l ''; �ir�Alarrr�T�st ;' °' V Use BLUE or BLACK Ink F 1 . A pht,- 1 �' For Office Use 46/7' {gip C 0 ;8,.044 „ir..:. . " Permit#: 1 0/5 Cit Oi Eail,all00 Permit Fee: 7. O £? 3830 Pilot Knob Road .�.» P,AI� 0` Eagan MN 55122 Date Received: - '�"l Phone: (651)675-5675 Fax: (651)675-5694w ' r` j?I Staff: 2015 FIRE SUPPRESSIONy� SYSTEMS PERMIT APPLICATION ,.. 17C7-1 Site Address: v 5 P(offl 'rl ade &c,r Tenant: C.. Y`6 Cik ` Pt I " A Suite#: Name: Phone: Property Owner IAddress/City/Zip: Applicant is: Owner Contractor Description of work1� i t'..�` r.,, j / J A !20vete.Gn I Type of Work ��}} j i ; Construction Cost: Estimated Completion Date: kJ f 17 Name:GE,&g(41 p i A k Lf Cap tc1%a/1 License#: CidOZ-- Address: 1,563 13i)c rk City: Llhi / eik G Contractor ; // j�Q � [Cp State: Min Zip: 6'61 tb• Phone: (®6 I " `Zv y- 03 I Contact,.�. 6 L) t(' r Email.diia r-d `ild,kA e 1✓�kL-►aPin FIRE PERMIT TYPE TYPE / � ��i'Lf�l i(i.-/,6 /Sprinkler System (#of heads IN ) /New _Addition C �4 f, .� , ,�/44 _Fire Pump —Standpipe Alterations _Remodel J ���•• W Other: _ _ Other: � ----- ��� DESCRIPTION OF WORK: /Commercial Residential � Educational ��� — FEES $60.00 Permit Fee Minimum Contract Value$ i 31 tpooit x.01 Surcharge= Contract Value x$0.0005 =$ ca3 GI,00 Permit Fee If the project valuation is over$1 million, please call for Surcharge _$ l I. $ o Surcharge $100.00 Residential New(includes State Surcharge) =$ pl 111. o TOTAL FEE 3/4" Displacement Fire Meter-$2.70"11, , '9',4 =$_ Meter 9e2 c =$ 1.OTAL FEE **Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a permit, but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. UQlx G1 �Ci x4 Applicant's Printed Name Applicant's Signature ... . l /c/6 6 45 FOR OFFICE USE REQUIRED INSPECTIONS I/ Hydrostatic Flow Alarm Drain Test` I'' Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed b : G- ,�� Y Date: !v / I I 7 d%% � F