EA179565 - Building - Commercial/Industrial - Issued Date 11/15/2022 PERMIT
City of Eagan , , ® ° Permit Type: Building
3830 Pilot Knob Rd `.' • ° °° Permit Number: EA179565
Eagan,MN 55122 •®-- -®-° EAGAN
(651)675-5675 1111111111111 IN 1111111111111111111111111
www.cityofeagan.com * E R 1 7 9 S 6 S
Date Issued: 11/15/2022
Site Address: 3044 Holiday Lane
Lot: 1 Block: 2 Addition: Oakview Center
PID: 10-53790-02-010
Use: Holiday * 10 — S3790 - 02 - 0 10 *
Description:
Sub Type: Commercial/Industrial Construction Type: II-B
Work Type: Int Impr
Description:
Census Code: - Occupancy: M
Zoning:
Square Feet: 0
Comments:
Fee Summary: BL-Base Fee $1,140.75 0801.4085
Valuation: 113,050.00 Plan Review $741.49 0720.4222
Surcharge-Based on Valuation $56.53 9001.2195
Total: $1,938.77
Contractor: - Applicant - Owner:
Holiday Companies Lyndale Terminal Co
4567 American Boulevard West %Tax Department
Bloomington MN 55437 4567 American Blvd W
(952)830-8813 Bloomington MN 55437-412
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B :Signature
ECEIVEr--------------------------I
I For Office Use
® ® ® ® OCT 1 0 2022 EA179565
Building Permit M I
S&W Permit M I
I Permit Fee:AR
-® 10/10/2022
Date Received:
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 I
651 675-5675 FAX: 651 675-5694 I I
( ( I -----Date Issued:-- I
Plan Submittal: buildinginspectionsC�cityofeagan.com ______________i
COMMERCIAL BUILDING PERMIT APPLICATION
Date: 10/10/2022 Site Address: 3044 Holiday Lane Eagan MN 55121 suite M
Tenant Name: Holiday Stationstore #318 Tenant is: ❑ New V Existing
Former Tenant(if applicable):
Name: Holiday Stationstores, LLC Phone:
Applicant
Applicant is: 0 Owner 14 Contractor ❑ Agent Email: tlm.kiczula@circlek.com
Type of Description of work: Update drink bar area; modifying cabinets and adding/relocatiing equipment
Work $113,050.00
Construction Cost:
Company: Holiday Stationstores, LLC Contact: tim.kiczula@circlek.com
Bullding Address/City/Zip:4567 American Blvd. West Bloomington, MN 55437
Contractor Phone: Email:952-830-8839 tim.kiczula@circiek.com
License M Expiration Date:
Company: Contact:
Architect)
Engineer Address/CityMp:
Phone: Email:
,,,Sewer,,& Company: Contact:
Water
Contractor'' Address/City/Zip:
Required for Phone: Email:
new construction
and additions
License M Expiration Date:
91 1 understand that Plumbing, Mechanical, Fire Suppression, and Sign work require separate applications.
NOTE:Plans and supporting'documents that you submit are considered to be publicinformation. Portions of the information
ma be.classlfled as non- ublic if ou rovide s ecific reasons that would peolt the Cilyto conclude that the are trade,secrets,
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.
XTim Kiczula
Applicant's Printed Name Applicant's Sidnature
�
® ® o
0 0
®�®® ® COMMERCIAL BUILDING PERMIT
EAGAN
SUBMITTAL REQUIREMENTS
Interior Improvement New Buildings AND Additions
❑ Project Narrative, including a description of the A preconstruction meeting will be scheduled by the
company operation and maximum number of City after the permit is issued.
employees on the primary shift
❑ ❑
Scaled Architectural Plans Project Narrative, including a description of the
El Code Analysis company operation and maximum number of
y employees on the primary shift
❑ Key Plan ❑ Soils Report
❑ Energy Calculations** ❑ Scaled Structural Plans
❑ Fire Stopping Submittals ❑ Scaled Architectural Plans
❑ Met Council SAC Determination (651) 602-1000 o HVAC units are required on building
elevation/site plan
❑ Civil Plans
❑ Landscaping Plans
❑ Code Analysis*
❑ Energy Calculations**
❑ Emergency Response Site Plan
❑ Special Inspection &Testing Schedule
❑ Stormwater Management Permit
❑ Fire Stopping Submittals
❑ Met Council SAC Determination (651) 602-1000
✓ Call the Minnesota Department of Health at(651) 201-4500 for details regarding food & beverage or lodging facilities.
✓ Plumbing, Mechanical, Electrical, Fire Suppression, and Sign Permit plans should be submitted with their respective
permit applications
* Contact Building Inspections for a sample.
** Energy Code Compliance Forms are available at www.cityofeagan.com/permithandouts.
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651)675-5675 1 FAX: (651)675-5694 buildinoinsoectionsOcityofeagan.com
If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.
Rev sed 8/l Jr2G27_
FOR OFFICE USE ONLY
SUB TYPES 3111411.Hd yLam EWn MN$5121
Site Address:
Foundation _ Public Facility _ Antennae Tenant: Holiday Stationstore#318
Commercial/industrial _ Accessory Building
T Apartments _ Greenhouse/Tent Permit#:
WORK TYPES
New Interior Improvement Demolish Building*
Addition _ Exterior Improvement Demolish Interior
Alteration _ Retaining Wall Demolish Foundation
"Demolition of entire building-give PCA handout to applicant
DESCRIPTION d
Valuation X13 psa Code Edition 207-0; OO L MCES System
Plan Review Zoning SAC Units
Census Code Stories City Water
#of Units Square Feet — Fire Sprinklers
Type of Construction Length
Occupancy "' Width
REQUIRED INSPECTIONS
Footings_New Building_Addition Retaining Wall
Foundation Foundation Before Backfill Other:
Vapor Barrier Other:
Framing 30 Minutes 1 Hour
Insulation
Sheetrock Final/C.O. Required
Roof:_Decking _Insulation _Ice&Water _Final Final/No C.O. Required
Siding:_Lath _Brick_EFIS
Fireplace:_Rough In _Air Test _Final
Pool:_Footings —Air/Gas Tests _Final
Final C/O Inspection: Schedule Fire Marshal to be present: Yes \X No
New Business to Eagan:
Reviewed By: All, , Building Inspector
FEES
Base Fee Landscape Guarantee(9001.2257)
Surcharge � rj b,r'J3 Tree Mitigation (9111.4677)
Plan Review 141 ° _ Tree Performance Security (9111.2257) i
MCES SAC Stormwater Performance Security (6501.2257) i
City SAC
S&W Permit& Surcharge
Treatment Plant 1
Treatment Plant(Irrigation)
U
Park Dedication (9328.4670)
Trail Dedication (9375.4671) TOTAL: $ 0.00
Revised 8/19/2022