3930 Cedar Grove Pkwyr
EAGAF4ECEJVED
3830 PILOT KNOB ROAD j EAGAN, MN 55122-1810
(651) 675-5675 TDD: (651) 454-8535 I FAX: (651) 675-5694
Plan Submittal: eoIans@citvofeaaan.com
DEC 2 9 2020
For Office Use
Permit #. .. t0.40
Permit Fee: I iI2s
Staff: `" I
Payment Recvd: , ,Yes _No
Plans Electronic Paper
2020 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 12/28/20 Site Address: 3930 Cedar Grove Parkway
Tenant Name: Eagan Eye Clinic
(Tenant is: New / ✓ Existing) Suite #:
Former Tenant: Y Alterations & Dress Tailoring
Name: C/O JBL Companies Managing Agent Phone: 651-686-0212
Address /City /Zip: 3440 Federal Dr #250, Eagan, MN 55122
A plicant is: Owner If Contractor
Description of work: Expansion of Eagan Eye Clinic into adjacent tenant space
Construction Cost:/6 Oc • O 6 p'e05 y p t� °t-fi^c ° '
Name: ithiLCO 1:44, License #: f v/!T
Address: ,110 Tc �n>A e Lb� K.W city: I t'q Sc L,�t!
State: (a 11" Zip: 30 5" L' Phone: 6 7g - $23 -2q2 y
Contact: Zo- - f ,1d, 4m er Email: C o b't4
Name: CNH Architects Registration #:
Address: 7300 West 147th Street, Suite 504 City: Apple Valley
State: MN zip: 55124 Phone: 952-997-4581
Contact Person: Ashley Klis
Licensed •lumber installin. r , sewer/water service:
Email: aklis@cnharch.com
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cItvofeastan.comisubscribp.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.000herstateonecallorQ
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 Joe Rudloff
Applicant's Printed Name
X �—
Applic nt's Signature
FOR OFFICE USE ONLY
SUB TYPES
Foundation _ Public Facility
V Commercial / Industrial _ Accessory Building
Apartments _ Greenhouse / Tent
WORK TYPES
New
Addition
Alteration
DESCRIPTION
Valuation
Plan Review
(25% 100% ✓ )
Census Code
# of Units
# of Buildings
Type of Construction
✓ Interior Improvement
Exterior Improvement
Repair
150,000.0
X
II-B
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings _ New Building _ Deck _ Addition
Foundation Foundation Before Backfill
Vapor Barrier
✓ Framing 30 Minutes ✓ 1 Hour
Insulation
Sheetrock
Roof: _Decking Insulation _Ice & Water _Final
Siding: Stucco Lath Stone Lath _Brick _ EFIS
Windows
Fireplace: _Rough In _Air Test _Final
Pool: Footings Air/Gas Tests _Final
Final CIO Inspection: Schedule Fire Marshal to be present:
Reviewed By: Erik S. , Planning
Antennae
Miscellaneous
Site Address: 3903 Cedar Grove
Tenant: Eagan Eye Care
Permit #: 166308
Fire Repair _ Demolish Building*
Water Damage _ Demolish Interior
Retaining Wall _ Demolish Foundation
*Demolition of entire building - give PCA handout to applicant
B MCES System
20BC SAC Units 0 W/Letter
PD City Water
Booster Pump
PRV
Fire Sprinklers ✓
Drain Tile
Retaining Wall
Erosion Control
Steel Reinforcement
Street/Curb Cut Inspection
Other:
Meter Size:
I/ Electronic Set of Final Revised Plans
✓ Final / C.O. Required
Final / No C.O. Required
✓ Yes No
New Business to Eagan: NO
Reviewed By: Miles Johnson , Building Inspector
FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication (9328.4670)
Trail Dedication (9375.4671)
$ 1,356.75
$ 75.00
$ 881.89
$ 0.00
$ 0.00
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Water Lateral
Erosion Control Security (9220.2257)
Stormwater Performance Security (9220.2257)
Landscape Guarantee (9001.2257)
Other:
TOTAL: $ 2,313.64
1eV b
MCES USE: Letter Reference: 201230A3 Address ID: 719008 Payment ID: 442287
Date of Determination: 12/30/20
Greetings!
Please see the determination below.
Determination Expiration: 12/30/22
Project Name: Eagan Eye Clinic
Project Address: 3930 Cedar Grove Parkway
Suite #/Campus: Cedar Grove Business Center
City Name: Eagan
Applicant: Ashley Klis, CNH Architects
Special Notes: The project is required to be reported with your normal SAC Activity Report if a permit is issued.
Charge Calculation:
Clinic:
Total Charge: 1.39
2999 sq. ft. @ 2150 sq. ft. / SAC = 1.39
Credit Calculation:
Retail (Grandparent 1973): 2999 sq. ft. @ 3050 sq. ft. / SAC = 0.98
Total Credit: 0.98
Net SAC:
0.41 = O SAC Due
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 me at: toni.ianzig@metc.state.mn.us.
Thank you,
Toni Janzig
SAC Technician
Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram
390 Hobert rittivet North 13t. I'aril. MN 55101 1805
Phone 651 Hy? . 1000 Fax (i01 60' 155r I TTY 61-) 1 .?01.0004 rnetrocouncil orrg
METROPOLITAN
COUNCIL