3380 Denmark Ave - Cancelled Chick-Fil-A Permit Y � � v
. (�, ►1 C'�¢.,-l �.e�,Y �g Y�"� �� �
Use BLUE or BLACK Ink
---------i
� For Office Use �
� � I
I Permit#: ` � I
�lt� 0� �� �Il �;� ����. � � ���
� � � � �rtnit Fee. J • I
3830 Pilot Knob Road
< I
Eagan MN 55122 � i '� Z'/ �
� Date Received: �
Phone: (651)675-5675
Fax: (651)675-5694 � Staff: �� �
����� �����������J
2014 COMMERCIAL BUILDING PERMIT APP ATION
Date: b � 1 Site Address: 3 8� G N M A �-'�--
Tenant Name:�� � G1� — F�L- — a (Tenant is: � w/ Existing) Suite#:
Former Ten t:
r
Name: �HI�K- � FI�- � q Phone: ��°y ) 'T6S — g
ood
`� %
������r����n!�� �,� ry p �ZaO $UFF I �►r°� RD. AT�A N T . �a3`i
j �. ,< , �; Address/Ci /Zi :
' �; � �; -
Applicant is: �Owner Cont ctor �,
I
' ' ` � �f Descriptionofwork: CI��CK'F� -A - N�W ( STa/zY �J'TRU � N
Ty���,��rCF,
�: , ��� r; Construction Cost � • Z LI�IJ
,
`; Name: . �• �• License#:
,�;' ,: ' . �
�rC�1�Ce7�Cx�'
Address: City:
�
�;; State: ip: Phone:
;�r,;,
� � �. Contact: Email:
, �<
'�� '� Name: � � P/�l�F N ��f 1 N R�2CN►JE�NI��Registration#: � � 9 9 I �
�r��te�,������� addr s: Z 7 0 o S. R� V�K.. R D, �y°° c�ty: 15�S Pr-A 1 N E.S �
ate: I L-. zip: E o d �8 Phone: 8 y 7-' L' g8 — 6 q o 0
,.;
'-� Contact Person: ST�VE f}J S 1�1�.. EmaiL• J S T�/Z- C 1 R N- �'� N�G'
Licensed plumber' stalling new sewer/water service: T• �• � • Phone#:
; �?�� �'�`a� � � �,��#�t'f�r�$€�c���st����#!��/b�k�`s�re,�kli,nS��e�'�'ld�� Qu���l� ,�����'��$��`
�e�f ����1!be��.���ed����J�+�c�,y�+�;t�r�f�s�r���#'���"��'�ra�� � ����
, ,
„ � �''
„�����#��t;f�t' �r�#��, ��,,, ,, ,r ,, ;:
�t
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 eview and ap oval of plans.
X �-T��� A.,.s-��I� Coc���f�'�� x .
Applicant's Printed Name a(�{_,r�.T(" ApplicanYs Signature
Page 1 of 3
• ` ' J • ���� l'���M!"�-4� �
DO NOT WRITE BELOW THIS LINE L 3 � ���
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 F undation
_ Replace _ Water Damage _ Fire Repair _ Retain' g Wall
_ Salon Owner Change *Demolition of entire bui ng-give PCA handout to applicant
DESCRIPTION
Valuation S� �_�����- Occupancy ,f�- �� MC System `�
Plan Review , �i Code Edition 26b ,/v15r3G C Units /3 LL�7�-r��
(25%_100% ✓) Zoning City Water ✓
Census Code Stories Booster Pump
#of Units b Square Feet PRV �
#of Buildings / Length Fire Sprinklers
Type of Co�struction �� j.3 Width
REQUIRED INSPECTIONS
Footings(New Building) �Sheetrock
Footings(Deck) � Final/C.O.Required
�Footings(Addition) Final/No C.O.Required
Foundation Other: ,
Drain Tile f � Pool: Footings Air/Gas Tests Final I
�Roof: ✓Decking ✓ Insulation Ice&Water Final Siding:_Stucco Lath _Stone Lath _Brick
� Framing Windows I�
Fireplace:_Rough In Air Test _Fina Retaining Wall
✓Insulation Erosion Control
Meter Size•
Final C/O Inspection: Schedule Fire M shal to be present: '� Yes No
Reviewed By: ���6 Building Inspector Reviewed By: �MN D - , Planning
COMMERCIAL FEES
Base Fee 7�� -7Sr Water Quality
Surcharge S SQ • � Water Sampling Fee
Plan Review �, '3 �j J . �.� Water Supply 8 Storage(WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S8�W Permit 8 Surcha ge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Ir igation) Street
Park Dedication Water Lateral
Trail Dedicatio Other:
Water Quality TOTAL
� Page 2 of 3
�c� �ru2��c� /z ��ni�,��v' �- =�4�t1,sq �2 �, ,rq�. q�
� ' � c-�1 ��3
Dale Schoeppner November 24, 2014
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 deter ined the SAC to be I'�
charged for the wastewater capacity demand for Chick-fil-A, Inc. to be loca d at 1296 Promenade
Place within the City of Eagan.
The City will be charged 13 SAC Units for this project, as determine below.
SAC Units
Charges:
Indoor Seating
124 seats @ 10 seats/SAC 12.40
Outdoor Seating (Non Fixed)
566 sq. ft. @ 15 sq. ft. /seat @ 10 se s/SAC x 25% 0.94
Play Area
295 sq. ft. @ 2060 sq. ft. /SAC 0.14
Total Charge: 13.48 or 13
The business information was provided t MCES by the applicant at this time. It is also the City's
responsibility to substantiate the busin s use and size at the time of the final inspection. If there is a
change in use or size, a redetermina ' n will need to be made If you have any questions email me at
iessica.nveCa�metc.state.mn.us.
Sincerely,
- ����
Jessie Nye
Supervisor, ES Revenu (SAC)
JN:fa: 141124A2
Determination expi tion: 11/24/2016
cc: Joe Va rina, HR Green, Inc. (email)
Amy riffin, Eagan (email)
File CES
•� -..- - . � :�
• . - . .� ��� . . .� � . • �•�� - . . . . M�T�CJPC)�.I'�'AN
� . .... .. - c c� u r� � � �
K
+ Am Griffin t,� t ��3
From: Amy Griffin
Sent: Thursday, June 11, 2015 3:14 PM
To: 'Jason.Hill@Chick-Fil-A.com'
Subject: 1/2 Plan Review Fee-Invoice
Attachments: Chick-Fil-A Invoice.pdf
Jason,
Per our phone conversion,attached is an invoice for%z the plan review fee of the cancelled Chick-Fil-A project at 3380
Denmark Ave, Eagan MN 55121
Thanks,
Amy Griffin
Amy Griffin � Clerical Technician � City of Eagan
City Hall�3830 Pilot Knab Road(Eagan,MN 55122�651-675-5672�651-675-5634(Fax)�aariffin(cacitvofeaaan.com ��°�������
THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for 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.
1