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suite 160EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 ( FAX: (651) 675-5694 Plan Submittal: eplans@cityofeagan.corn EIVED AUG 04 2021 For Office Use Permit #: 131 )11 cr Permit Fee: / 113- o( Staff: arar Payment Recvd: ,-Yes _No 1 Plans: t/ Electronic Paper 2021 COMMERCIAL BUILDING PERMIT APPLICATION Date: 5 f Ll/2 l Site Address: 1278 Town Centre Drive Tenant Name: 5 e.\\ S pe c es Name: EREP Eaganl, LLC (Tenant is: ✓ New / Existing) Suite #: /40 4 1 ('$ Former Tenant: CiCi S Rza 1,,¢Iis Ci+ntss Phone: Address / City / Zip: 515 Congress Ave, Suite 1925, Austin TX 78701 Applicant is: Owner ✓ Contractor Description of work: C6eP'%\5.e.. s AC € �r A w o cµA4.4"w.4-4 g // Construction Cost: W Sr 000_ Name: B2 Builders, LLC License #: 1R736051 Address: 11975 Portland Ave, Ste 134 city: Burnsville State: MN Zip: 55337 Phone: 612-505-6925 Contact: Adam Beesch Email: adam@b2builders.com Name: 1 Ok Architecture Registration #: 53728 Address: 525 15th Ave. South City: Hopkins State: MN Zip: 55343 Phone: 612-799-1427 Contact Person: Chad Haller Email: chad.haller@10karch.com Licensed plumber installing new_ sewer/water service: NOTE: Paps and suppodd ' t!tmants that Atu submit aft co iderad to be puWM k t #on Pnrtfonte ofthe J mil' no ' toconclude that.N►e1! are trttl�le si sts, Phone #: 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 wInw.citvofeagan.com/Subscribe. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.aopherstateonecall.orq for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utAitles. 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. xAdam Beesch Applicant's Printed Name Applicant's Signature Ste, 4-�s 40 /65 - 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 65000 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. Reviewed By: Miles Johnson FOR OFFICE USE ONLY Site Address: 1278 Town Center Antennae :� c Tenant: TBD Miscellaneous Permit #: 17179 Fire Repair Water Damage Retaining Wall A-3/M _ Demolish Building* Demolish Interior Demolish Foundation *Demolition of entire building — give PCA handout to applicant 2020 MNBC MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers 0 Demo Drain Tile Retaining Wall Erosion Control Steel Reinforcement Street/Curb Cut Inspection Other: Fire Stopping Meter Size: Electronic Set of Final Revised Plans Final / C.O. Required ✓ Final / No C.O. Required , Planning ✓ Yes No New Business to Eagan: TBD , Building Inspector FEES Base Fee Plan Review Surcharge MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication (9328.4670) Trail Dedication (9375.4671) $ 794.25 $ 516.16 $ 32.50 Landscape Guarantee (9001.2257) Tree Mitigation (9111.4677) Tree Performance Security (9111.2257) Stormwater Performance Security (6501.2257) TOTAL: $ 1,342.01 �-� .. �w, �, °, �._ � `o REGULATED BACKFLOW ASSEMBLY (RBA) TEST REPORT 24428 Greenway Avenue Forest Lal<e, MN 55025 (651) 464-2988 NAME OF BUILDING, OWNER/OCCUPANT CONTACT NAME AND PHONE NUMBER Goldfish swim school ADDRESS CITY STATE ZIP CODE 1276 town center drive Eagan Mn 55123 APPLICANT COMPANY NAME CONTRACTOR LICENSE # CONTACT NAME AND PHONE NUMBER Commercial Plumbing &heating, Inc. Melinda Wisgerhof ADDRESS CITY STATE ZIP CODE EMAIL 24428 Greenway Ave Forest Lake MN 55025 mwisgerhof@cpandh.com TESTER NAME TESTER CERTIFICATION # PHONE Clint Pream BF065696 651-464-2988 TEST EQUIPMENT MANUFACTURER TEST EQUIPMENT MODEL# TEST EQUIPMENT SERIAL# TESTING EQUIPMENT CALIBRATION DATE Mid -West 845 11150355 2/2/22 Static ��ne Pressure'`64 .psi TYPE OF WORK ANDIFEE INFORMATION` Icheck one) X X Install _Relocate _Remove _Replace and SN# of Replaced Device Rebuild Test BACKFLOW ASSEMBLY DETAIL INFORMATION Type (check one): X Reduced Pressure Principal or Pressure Principal Fire Protection Reduced Pressure Detector Fire Protection Double Check Valve Double Check Detector Fire Protection Pressure Vacuum Breaker Spill Resistant Pressure Vacuum Breaker Manufacturer:Wilkins Model #975x12 Serial #ACf6418 Size:2" (inches) System ServicedP001 fill Location in bldg.Pool mechanical room Floor# Room # TEST RESULTS: ' Q Pass ❑Fail (COMPLETE APPLICABLE ASSEMBLY TYPE SECTION BELOW) Reduced Pressure Principal or Reduced Pressure Detector Fire Protection (RP) —TEST RESULTS Pressure Differential Check Valve #2 Shutoff Valve #2 Check Valve #1 Relief Valve Initial Closed Tight X X Closed Tight_Yes_No Closed Tight x Yes _No �j 0g 3.7 Opened psid Test _Yes _No pressure Drop Across Check Valve #1 psid Final Closed Tight Test Closed Tight _Yes _No Closed TightYes_No _Yes _No pressure Drop Across Check Valve #1 psid Opened psid Doluble Check Valve or:Double Check Detector Fire Protection"IDC) —TEST RESULTS Check Valve #1 Check Valve #2 Shutoff Valve #2 Initial Test Closed Tight _Yes _No psid Closed Tight _Yes _No psid Closed Tight Yes No Final Test Closed Tight Yes_No psid Closed Tight _Yes _No psid Closed Tight Yes No Pressure Vacuum Breaker IPVB) or Spill. Resistant Vacuum Breaker (SRVB) —TEST RESULTS Air Inlet Valve Check Valve Shutoff #2 Initial Test Failed to Open YES NO Closed Tight YES NO Closed Tight YES NO Opened at psid Pressure Drop Across Check Valve #1 Final Test Opened at psid Closed Tight YES NO Closed Tight YES NO Pressure Drop Across Check Valve #1 Describe parts and repairs when needed: CERTIFICATION: I hereby certify the foregoing information rovided by me to be correct at the tested device is functioning in compliance with State of Minnesota Plumbing Code, Chapter 4714. TESTER'S SIGNATURE: TEST DATE: 4/27/2022 r�=s�cr�°rr��: r�a►�r r�YYr REGULATED BACKFLOW ASSEMBLY IRBA) TEST REPORT 24428 Greenway Avenue Forest Lake, MN 55025 (651) 464-2988 NAME OF BUILDING, OWNER/OCCUPANT CONTACT NAME AND PHONE NUMBER Goldfish swim school ADDRESS CITY STATE 155123 ZIP CODE 1276 town center drive Eagan Mn APPLICANT COMPANY NAME CONTRACTOR LICENSE # CONTACT NAME AND PHONE NUMBER Commercial Plumbing & heating, Inc. Melinda Wisgerhof ADDRESS CITY STATE ININ ZIP CODE EMAIL 24428 Greenway Ave Forest Lake 55025 mwisgerhof@cpandh.com TESTER NAME TESTER CERTIFICATION # IBF065696 PHONE Clint Pream 651-464-2988 TEST EQUIPMENT MANUFACTURER TEST EQUIPMENT MODEL# TEST EQUIPMENT SERIAL# TESTING EQUIPMENT CALIBRATION DATE Mid -West 845 11150355 2/2/22 StatiPLmePressuxer62 Psi TYPE OF WORK AND FEE INFORMATION (check one) X X Install _Relocate _Remove _Replace and SN# of Replaced Device Rebuild Test BACKFLOW ASSEMBLY DETAIL' INFORMATION Type (check one): X Reduced Pressure Principal or Pressure Principal Fire Protection Reduced Pressure Detector Fire Protection Double Check Valve Double Check Detector Fire Protection Pressure Vacuum Breaker Spill Resistant Pressure Vacuum Breaker Manufacturer:Wilkins Model #975XI2 Serial #Cfa5136 Size:1 /2" (inches) System ServicedBoiler feed Location in bldg.Pool mechanical room Floor # Room # TEST RESULTS: 0 Pass ❑Fail (COMPLETE APPLICABLE ASSEMBLY TYPE SECTION BELOW) Reduced' Pressure Principal or Reduced Pressure Detector Fire Protection (RP) — TEST RESULTS Pressure Differential Check Valve #2 Shutoff Valve #2 Check Valve #1 Relief Valve Initial Closed Tight X Yes No Closed TightX Yes No Closed Tight X Yes _No e a Pressure Drop Across Check Valve #1 Opened 3•6 psid Test psid Final Closed Tight Closed Tight_Yes_No Closed Tight _Yes No Opened psid Test _Yes _No Pressure Drop Across Check Valve #1 psid Double Check Valve or Double Check Detector Fire Protection(DC) - TEST RESULTS Check Valve #1 Check Valve #2 Shutoff Valve #2 Initial Test Closed Tight _Yes _No psid Closed Tight _Yes _No psid Closed Tight Yes No Final Test Closed Tight Yes_No psid Closed Tight _Yes _No psid Closed Tight Yes No Pressure Vacuum Breaker`(PVB) or Spill Resistant Vacuum Breaker (SRVB) — TEST RESULTS Air Inlet Valve Check Valve Shutoff #2 Initial Test Failed to Open YES NO Closed Tight YES NO Closed Tight YES NO Opened at psid Pressure Drop Across Check Valve #1 Final Test Opened at psid Closed Tight YES NO Closed Tight YES NO Pressure Drop Across Check Valve #1 Describe parts and repairs when needed: CERTIFICATION: I hereby certify the foregoing informationprovided by me to be correct at the tested device is functioning in compliance with State of Minnesota Plumbing Code, Chapter 4714. TESTER'S SIGNATURE: TEST DATE: 4/27/2022 Report Name: Inspection Results Grid Permit Inspection Results Page: 1 Printed: 4/28/2022City of Eagan EA173349 - 1278 Town Centre Dr 160 Sub Type: Commercial Work Type: Alteration Description: 2 RPZs Insp. Date Inspection Type Inspected By Result 04/28/2022 Final Arlen Madsen Partial Inspection Notes: Manometer ok 2 Rpzs tested send test report Corrections: 1 Pipe relief on 1/2 RPZ 2 Will need hot water for final 3 Fix air gap on pool back flush 4 Label all piping 5 large 1017 mixing on gang showers And small 1069 provide information this configuration meet 408.3 03/11/2022 Rough In Donald Harmsen Partial Inspection Bathrooms approved. 03/11/2022 Air Test Donald Harmsen Partial Inspection Bathrooms approved. 02/24/2022 Underground Scott Peterson Pass 02/15/2022 Underground Donald Harmsen Partial Inspection Deep underground.