1254 Town Centre Dr
Use BLUE or BLACK Ink
rx For Office Use -71
'r I Permit I
City of Ea Rd~ 1
Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 n C" I I
I Date Received: 1
Phone: (651) 675-5675 I
Fax: (651) 675-5694 vq_r e!~° I U Staff:
2011 MECHANICAL PERMIT APPLICATION
Date: 4 Site Address: Z S4 1 ~WY~ &A~ ~AA
Tenant: 6hae,k i P045 FtI rOCCI Suite
RESIDENT /OWNER Name: Pr P Phone: ` j-4~Q- 30
Address/ City/ Zip: 3 551 as 11 "
CONTRACTOR Name: a'xS License
Address: tj • City: 1C /i//ki
I
State: LAN Zip: 5-53 5-;L, Phone: / 5,; - 492 - &249
Contact: ( Email: n 4-
TYPE OF WORK _f,_New Replacement Additional (Alteration Demolition
Description of work: Nkjj Y.TU 1 `FfX' VIN
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace New Construction _ Interior Improvement
Air Conditioner Install Piping _ Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank Install Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installationlremoval OR Contract Value x 1%
$55.00 Minimum (includes State Surcharge)
-777 ~D Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 d0
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a 510,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
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.clopherstateonecall.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 application for a permit, and work is 7.,A o 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 J~S C1'~rt eve x
Applicant's Printed Name Appli ant' Signature
FOR OFFICE USE Reviewed By: .L Date: L
Required Inspections: -Under Ground ~oughln -Air Test -Gas Service Test -In-floor Heat Final
Exterior HVAC Screening Inspection
For kiee Use I
I I
Permit City of E#:'4J tl I
Permit Fee: ~1 I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
- - - - - - - - - - - - - - - - - J
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: L~ c1 Site Address: Ty L-.;6'► & n Ty` c- J)r t',Je,
Tenant Name: Chk&cK - my &i4;cO (Nkftel (Tenant is: New/-XExisting) Suite#: f"Llj4
PROPERTY OWNER Name: -M G Pr a p ~r ) ~t~t p h Phone: i - ct j5Z- 3JQ3
Address / City / Zip: 3L4 -7 O W -4-3 k_ 17-
Applicant is: Owner X Contractor
TYPE OF WORK Description of work: R e, -TTA,-r, ri t S lry - Relccectt -a c-d'AceAf 5CALe
Construction Cost: $ 10. O C)
$
CONTRACTOR Name: CMS Co ~j jttr t tc rltl 0 ` ee-VtcfS, Ll f License Z cr zf 334
Address: '72y'-f t i,:3 Fi ~ a woc~ ~ ~ D R = # i 0 'Z.
City: n 50.-w% State: Nt/~ Zip:
Phone: 07- L 71 `f ° S 2Sto V Contact Person: C, , cr d L - 50,-^ ct ~q
ARCHITECT / Name: H A E Av- J, f f c{ S Registration 7-47-10
ENGINEER Address: 17 (4~4G 5!5 t 5 A
City: Loicz ~-i~-, C) State: Zip: 2
Phone: 67 1~ Contact Person: M I KEt 14o E F7 Lt 0-
Licensed plumber installing new sewer/water service: Phone
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
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.
CMS ►zuct tc.,J `~r~ gtr y, t i..C
X C 1h c, c\ L . ek-vt ck a +.i X
Applicant's Printed Name Applicant's Signature
f1 Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Public Facility _ Accessory Building
Apartments Commercial / Industrial _ Exterior Alteration-Apartments
Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial
Miscellaneous Antennae Exterior Alteration-Public Facility
WORK TYPES
New X Interior improvement Siding _ Demolish Building*
Addition _ Exterior Improvement Reroof Demolish Interior
_ Alteration _ Repair Windows _ Demolish Foundation
Replace _ Water Damage Fire Repair _ Salon Owner Change
*Demolition of entire building - give PCA handout to applicant
DESCRIPTION
sY
Valuation g~ DDD' Occupancy M MCES System
Plan Review - Code Edition 2ml N f &fl SAC Units L~?~~(CL ht-
(25%_ 100% -~6 Zoning City Water
6 '
Census Code Stories Booster Pump
# of Units Square Feet 2g7 PRV
# of Buildings Length Fire Sprinklers_
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Decking -Insulation -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final
V/ Framing Siding: ;Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By: Building Inspector Reviewed By: Planning
COMMERCIAL FEES
Base Fee -101.75 Water Quality
Surcharge 1. e a Water Supply & Storage (WAC)
Plan Review -,10 .3 Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication y~
. `1
Water Quality TOTAL J 2,0
Page 2 of 3
V MAR 1 0 2009
Metropolitan Council
Environmental Services
March 6, 2009
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
The M art •i rfivitonmental i n Ser ,r C'1 :h- U- .n.T C.~f` fFno the Chuck and
T etropoikan Coullc 11 Evices (TV1 CE Dv: s' 10 n a .-1-i° ranr:~isu
Don's Pet Food Outlet to be located at Town Centre Shoppes - 1254 Town Centre Drive within the City of
Eagan.
This project should be credited 1 SAC Unit, as determined below. The credit may be used city wide or
declared site-specific.
SAC Units
Charges:
Retail
2597 sq. ft. @ 3000 sq. ft./SAC Unit 0.87
Credits:
Pet Splash (9/89)
9 stations @ 4 stations/SAC Unit
Net Credit: 1.38 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.
Please keep in mind that on January 1, 2010 our SAC credit rules will change. Visit the SAC section of the
Council website to learn more. If you have any questions, call me at 651-602-1118.
Sincerely,
Karon Cappaert
SAC Technician
Environmental Services Division
KC:kb: 090306A7
Determination expiration: March 6, 2011
cc: J. Nye, MCES
Peggy Fleck, Eagan
Chad Sandey, CMS Construction (email)
www.metrocouncil.org
390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 • TTY (651) 291-0904
An Equal Opportunity Employer
PET FOOD OUTLET
i
March 13, 2009
Mr. Dale Schoeppner
Senior Building Official A.4 "Al
City of Eagan Inspections Dept.
3830 Pilot Knob Road:
Eagan, MN 55122~r~;~ . r:, TtreA~SIWi~1G+ '
Re: Chuck and Don's Pet Food Outlet
Relocation of our store to 1254 Town Centre Drive
Dear Mr. Schoeppner,
Chuck and Don's Pet Food Outlet has been asked by our Landlord, MFC Properties 15
Limited Partnership, to relocate to the adjacent space to make way for the Kyoto Sushi and
Hibachi Restaurant. We are excited about the additional business this new tenant will
bring to the center.
The Landlord has designed a space to contain exactly the same square footage as our
current store. Upon the recent submittal.of our new plan to your building department, the
initial plan review indicated that the design load for a Type M Occupancy allowed for 82
occupants therefore requiring a separate restroom for either sex. I am requesting you
consider allowing the use of only one restroom for our store, as our actual occupancy is no
where near 82 and we have no need for two (2) restrooms.
Chuck and Don's Pet Food Outlet has conducted business at Town. Center Shoppes for over
18 years. We have extensive data about our customers, when they shop, how long they
shop, and for what they shop for. Our busiest day of the week is Saturdays. On an average
Saturday, we serve on average 172 customers a day during the nine (9) hours of operation.
This equates to an average of 19 customers an hour. The average in store shopping time is
approximately seven minutes which results in an average occupancy on our peak day of
2.73 or say 3 people. We typically have 3 employees working at a time. Therefore, 3
customers plus 3 employees equates to an actual occupancy of only 6 and not anywhere
near the 82 load calculated. During the rest of the week on average we serve 134 customers
a day with 12 hours of operation which equates to 11 customers per hour or 1.59 (say 2) at
any given time. You can see the actual data above that our actual occupant load is
considerably less than the design load as calculated by the code. Furthermore, the store
manager has stated it is not uncommon for the restroom to go unused by customers all day
long and never has there been a line waiting for the restroom.
910 Wildwood Road 0 Mahtomedi 0 MN 55115
Phone 651-747-8704 0 Fax 651-747-8705
www.ChuckandDons.com
Pet Product News Retailer of the Year. 2006 Mid-Size Chain winner i U S. ChamW of Commerce 2007 Blue Ribbon amens winner ' ~
City of Eagan Letter PET FOOD OUTLET
Chuck and Don's Pet Food Outlet
Page 2
The Landlord has asked us to move to our new space the first week of April in order to
allow Kyoto Sushi to begin their work. We are respectfully requesting that you apply
actual occupancy data to our situation and make an exception for the use of the existing
restroom in our relocation space. Your prompt, thoughtful, common sense consideration
would be greatly appreciated.
You can reach me at (651) 747-8704 or Chad Sandey at MFC Properties at (651) 452-3303
for further discussion of this issue. Thank you for your consideration.
Sincerely
Dan dresen
Director of Operations
WORD FOLDERMENANT FOLD&RS\PET FOOD OUnMNAWeaeanIWC-D rwUwn3)Aoc
I
i
_ i
i
910 Wildwood Road 0 Mahtomedi 0 MN 55115
Phone 651-747-8704 0 Fax 651-747-8705 y~f
www.ChuckandDons.com
t
PewroavNem Retailer of the Year. 2006 Midsize chain winner 0 u.s. chamber of commerce 2007 Blue Ribbon Business Winner ? f.
i
- - - - - - -
/ I For Office Use f j~
Ea 70
City of Permit
of ls)Qjj I ~ C.-~
I 1
3830 Pilot Knob Road Permit Fee:
I
Eagan MN 55122 j
I
Phone: (651) 675-5675 1 Date Received:? I
Fax: (651) 675-5694
j Staff: t<i I
t-----------------I
2009 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: Site Address: /Z 5`Y '7'irw V-
Tenant: Ck A-;L c F 60-'. 0t,-t Suite
PROPERTY Name: /1'1 F C P~-J yon. f rr %S L e Phone: ~ y 4f~; 2 - .3 0
OWNER
CONTRACTOR Name: ~3 ze 1 P Ly ,fU Y F It 140-6.t f!4 License
Address: City: State: Zip: 55
Phone: Contact Person: cry I Mi C ~e-15,
TYPE OF New Replacement -Repair Rebuild -XModify Space - Work in R.O.W.
WORK
Description of work:
PERMIT TYPE COMMERCIAL
New Construction J~ 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 picking up meter.
Domestic: Size & Type Fire: Size & Price 3/4" meter 203.00
Avg. GPM High demand devices? Yes No Flushometers -Yes No
COM AL FEES:
$50.50 Minimum 'ncludes State Surcharge) OR contract value $ X1%
_ $ Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read
If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s)
If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge
Following fees apply when installing a new lawn irrigation system. $ Water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $ C
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.
tJ_Az.~.` wry -w,~ to.
Appl cant's Printed Name Applicant's Signature
t cant's
FOR OFFICE USE Approved By: Date:
Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test -Final
PRV Required: _ Yes _ No
Page 1 of 3
Use BLUE or BLACK Ink
---------i
For Office se I
City of Ea EaIl Permit
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675
Fax: (651) 675-5694 S E P 1 staff:
2011 COMMERCIAL BUILDING PERMIT APP
Date: 9- 13-11 Site Address: / T ~n C~ilei- ~r~ .r
Tenant Name: _C1,1 uck + Uc✓1 S PIJ F;0D OtAl-E (Tenant is: New / "/`.-Existing) Suite
Former Tenant: SAC
PROPERTY OWNER Name: NEC Pvv p~r~e 5 ~ 5 1--W Pfsl ile Phone: fa 5 1 - 45 2- 3-303
M~ 651-
Address / City / Zip: 7 a54t v1g ~t-► Y's 0 2~
Applicant is Owner Contractor
TYPE OF WORK ~ Description of work: x 'J (e, E a~ 5a o,.,) +b 10 W c~c Ca ~ b Lk i [~-r
I ' -
Construction Cost: -7'5 1 0 ®Q
CONTRACTOR Name: cJ Cr,ns r~e~ 5e(-VtteSe LJ-(- License#: '7-04-+-3-34-o
Address: 34-7 D kA,,-5 4-P" d`7 r . oZ City:
d State: I-AN) Zip: 5512--Z- Phone: GI 7- -791' 59 tog
Contact: Cad Sav de- Email: c~~tv~dc~ @ i~ f~r~p.✓r1lNS,t~iy
f
ARCHITECT / -Name: r ,J Cons G r"b Registration G yN~ ,Jn
ENGINEER i
Address: City: M d7 1 S
i State: HN Zip: S~ b 1 Phone: C01 Z° 43 6 "~Q~
m
Contact Person: Ka w AK&Qv_jf y3 Email:
Licensed plumber installing new sewer/water service: /A Phone
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
_Are trade secrets.
conclude that they
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.aoaherstateonecall.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 application for a permit, and work is not to start without a
permit; that the work will be in ccordance with the approved plan in the case of work ; whi~h requires a review and approval of plans.
C"5 ~U Cc~N' E Cif V C~„ ~3,. t_lC x C:7- t 231,
x ~ ~ ~
Applicant's Printed Name Applicant's Signature
Page 1 of 3
m IJC J ~-f L.)~
DO/NO WRITE BELOW THIS LINE
SUB TYPES
Foundation -;;**Commercial Public Facility _ Accessory Building
_ Apartments _/Industrial _ Exterior Alteration-Apartments
_ Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial
Miscellaneous Antennae Exterior Alteration-Public Facility
WORK TYPES
_ New _ Interior Improvement Siding _ Demolish Building*
Addition _ Exterior Improvement Reroof _ Demolish Interior
Alteration _ Repair Windows _ Demolish Foundation
Replace _ Water Damage Fire Repair _ Salon Owner Change
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION e0
Valuation '7S,o4~ Occupancy MCES System
Plan Review 5 Code Edition 4007 1115-6C SAC Units
(25%_ 100016V) Zoning .P City Water L
Census Code Stories f Booster Pump --7
# of Units Square Feet ~39 PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) V7' 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
V, Framing Windows
Fireplace: -Rough In -Air Test -Final Retaining Wall
✓ Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: Yes V/ No
Reviewed By: 1"lkL' L. . Building Inspector Reviewed By: . Planning
COMMERCIAL FEES
Base Fee oZ Water Quality
Surcharge ~ Water Supply & Storage (WAC
)
Plan Review 5105-,01 Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL"
Page 2 of 3
Metropolitan Council
i
Environmental Services
September 27, 2011
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be
charged for the wastewater capacity demand for the Chuck and Don's Pet Food Outlet expansion to be
located at 1254 Town Centre Drive within the City of Eagan.
The City will be charged no additional SAC Units for this project, as determined below.
SAC Units
Charges:
Storage 0.08
538 sq. ft. @ 7000 sq. ft./SAC Unit
Retail
2714 sq. ft. @ 3000 sq. ft./SAC Unit 0.90
Total Charge: 0.98
Credits:
Chuck & Don's (3/09)
Net Charge: 0.11 or O
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, call me at
651-602-1118 or email karon.cappaert@metc.state.mn.us.
3on ely,
Cappaert
SAC Technician
Environmental Services Division
KC:kb: 110927134
Determination expiration: September 27, 2013 -
cc: J. Nye, MCES
Peggy Fleck, Eagan (email)
Chad Sandey, CMS Construction (email)
www.metrocouncil.org
390 Robert street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 • TTY (651) 291-0904
An Equal opportunity Employer
fi
Use BLUE or BLACK Ink
-
I~ ,
U O For Offc.e U
Permit I
My of Eatun 1 Permit Fee:
( 3830 Pilot Knob Road
Date Received:
Eagan MN 55122 I
Phone: (651) 675-5675 1 Staff:
Fax: (651) 675-5694 !
2011 COMMERCIAL PLUMBING PERMIT APPLICATION ~ - - I f
% acyA✓ G`'EN7~.~
Date: 10-027-11 )Site Address: 12,6y
Tenant: r/7 yG/"t Lea S /e2;1 1~'6700 pvyAZol 'Suite
PROPERTY
OWNER Name: ~FC Phone: 90451- 4✓`Z -3303
CONTRACTOR Name: ~/y-/ License t!!9i6 1Jr55- /;oe-t
Address: /1710 000946elvNyleie oe0 City: 6 of641414 State:,O~ Zip: SS/Z/
Phone: y/, ?'7 Email: e,41f C1,01Jr °~-ticl Co~-t
TYPE OF -New _Replacement _Repair _Rebuild Modify Space _ Work in R.O.W.
WORK Description of work: 0440A goq,-'I AP49,f7`f0,9J
PERMIT TYPE COMMERCIAL
_ New Construction A- 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 picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? _Yes No Flushometers Yes _No
COMMERCIAL FEES:
$55.00 Minimum (includes State Surcharge) OR Contract Value $ Ti ZJra X1%
au
Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read
If the Permit Fee is less than $10,010, the surcharge is $5.00 = $ Meter(s)
- If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) State Surcharge
Following fees apply when installing a new lawn irrigation system. $ Water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
ob
TOTAL FEES $
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.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 application for a permit, and work is not to start without a p rmit; that the work will be in accordance with the approved
r
plan in the case of work which requires a review and approval of plans.
x e f wz- /V. G/fe/s x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: l rDate: o
equired Inspections: ~nder Ground `K Rough-In it Test Gas Test ~f Final PRV Required: _ Yes _ No
Page 1 of 3
r
f Use BLUE or BLACK Ink
-----------------1
For Office Use
I L~ c~
I I
City of Eajan I Permit
I
Permit Fee: I
3830 Pilot Knob Road I _ J
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 G I I
Fax: (651) 675-5694 Lf"1- c~ C Staff:
- -
2011 FIRE SUPPRESSION SYSTEMS PERMIT AAPPLICATION
Date: Site Address: (/VTR
Tenant: (fc-gitsS Suite
Name: Phone: L
PROPERTY OWNER Address/City/Zip: (1 h'16
Applicant is: Owner Contractor
TYPE OF WORK Description of work: ~ iWO f1 $
Construction Cost: Estimated Completion Date:
Name: ~/ry~{~~T~r/C License
CONTRACTOR Address: City:/.
State: /W_Zip: 6 6 Phone: ! "SJ '3 Jr~
Contact: Email:
FIRE PERMIT TYPE WORK TYPE
Sprinkler System of heads New X Addition
Fire Pump _ Standpipe Alterations I Remodel
Other: Other:
DESCRIPTION OF WORK: I` Commercial Residential Educational
F
$55.00 Minimum (incl des State Surcharge) OR Contract Value $ x1%
- If the Permit Fee is le han $10,010, surcharge is $ 5.00 Permit Fee
he Permit F $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a 10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) Surcharge
TOTAL FEE
3/4" Displacement Fire Meter - $204.00 /►~r7 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 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 i or the approved in the case of work
oval of plans.
which requires a review aZt;
x S~rc/ x Applicant's Printed Name Applicant's Signature
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough In
Trip Pump Test Central Station L-ugFinal
Conditions of Issuance
Permit Reviewed by:- Date I ~l
• Use BLUE or BLACK Ink
�-----
--------,
� For Office Use I
+ � �'] I
� Permit#: � `� �
�lt� 0�����Il � � a �
3830 Pilot Knob Road � Permit Fee: ,L �,- I
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Eagan MN 55122 � �
Phone: (651)675-5675 �,1C7 �/� I Date Received:7'- �D"'��7 �
Fax: (651)675-5694 C � I
GI�'�"�"CC�i1�'� ��L 0 � ZQ�J � Staff:� I
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2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
oate: June 29, 2015 site Adaress: �254 Town Centre Drive, Eagan
Tenant: Chuck and Don's suite#:
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�` � �� > Name: Phone:
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�' �' Address/City/Zip:
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# rvame: Gilbert Mechanical �icense#: 005309
� ¢� a,ddress: 4451 West 76th Street city: Edina
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' �`" � �� MN 55435 952-835-3810
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� �� State: Zip: Phone:
�� � contact:_Ed Dahlgren Emaii:_edahlgren@gilbertmech.com
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� , �� ' New _X_Replacement Additional Alteration Demolition
N ��p�;�q�{f{/Qr�� Description of work: Replace existing 4-ton Lennox RTU with a new 4-ton Lennox RTU
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��� RES/DENTIAL COMMERC/AL
,, ; � ' Furnace New Construction Interior Improvement
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PeCI'Ytlt T}�� —AirConditioner Install Piping Processed
e;` ���`�� �; � � ; _Air Exchanger Gas X Exterior HVAC Unit
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�� � ��� , _Heat Pump Under/Above ground Tank �Install/_Remove)
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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 Contract Value$ 5,742.00 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 =� ,;YOU 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 _� 62.42 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 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 Ed Dahlgren X
ApplicanYs Printed Name Applicant's Signature
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