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3035 Denmark Ave
Mar, 15. 2011 3:32PM MODERN PIPING No, 4654 P. 2 Use BLUE or BLACK ink C!ty of Eajan j Permit i v I `ib 3830 Pilot Knob Road Permit F88: Eagan MN 55122 I Date Received: Phone: (661) 675-5575 j staff F ax: (651) 675-5894 I' 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date: V- 1 Site Address: 3+ 35 0t^'%%ek hNs- Tenant:hrrt`J~Dr Suite PROPERTY OWNER Name: Wa~~ l~~e„rlt Phone: CONTRACTOR Name: _ Au,A ?%c- . - 7n~ License P h9l-nWq-41 -Pm Address: 133D -WQ SA- M3Sa Sa:m4gity: gk&Wt State: ~w_ Zip: S~94& I_ Phone: mail: ' TYPE OF -Now _Replacement _Repair _Rebuild & Modify Space _ Work in R.O.W. WORK Description of work: )D% c n (PERMIT TYPE COMMERCIAL New Construction Modify Space _ Irrigation System ( yes / -ice no) L_ RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM (Z' turbo required unless smaller size a¢owed by Public Works) Meters Call (651) 675-WAO to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes wNa Ffushometers X Yes No COMMERCIAL FEES: 40 655.00 Minimum (includes State Surcharge) OR Contract value $ 1boo~ x1% r+ Permit Fee R04ulred on ALL new buildings and boulevard irrigation systems a = $ Radio Meter Read - If the Lrg2Fgg is less than $10,010, the surcharge is $5.00 Q Meter(s) - If the Per r* Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Pantit Fw (i.e. a $10,0100 $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-W6, for required fee amounts. Treatment Plant $ Water Supply & Storage State Surcharge T07AL FEES $ S 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.gop.herstateonecall.org 1 hereby acknowledge that this information is complete and eowrete; that the work will be in confomiance with the ordinances" 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 v4Vut a permit; that the work will be in ace ordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Narn App Cam's S1979 pre FOR.OFFICE'. USE _ A ppMyed By: - Date: Required Inspections: Under Ground ) ough-fn' Air Test. _,Gas Test Final PRV Required: _ Yes _ No Page 1 of 3 Use BLUE or BLACK Ink rrgr race Use 1 Permit C~ l !!J City of Eajan ~L' 1 I Permit Fee: a v 3830 Pilot Knob Road I~ Eagan MN 55122 r- j Date Received. Phone: (651) 675-5675 l Fax: (651) 675-5694 MAR 0 7 2011 1 Staff. j 2011 MECHANICAL PERMIT APPLICATION Date: l ( Site Address: (L A--,j Pr 4` Q 5-J,1 z~ Tenant: vy\S Suite RESIDENT I OWNER Name: b.~a,t_ ✓ OA- Phone: L(70( 273 ~ LY Address / City i Zip: CONTRACTOR Name: 1 v77 License i"< L 61?& Address:. Lf 12- i vd, City: 2 State: MZip: S- S-0 6 Phone:-&S-1- 3 l ~3 I Contact: Email: ~0' _ eo. +r. o ovyl TYPE OF WORK _%6_New _X_Replacement Additional --y-Alteration _JZDemolition e~ :3 kL~j 4L-e- C1 eO S ± r 1^"o,--- buc" Description of work:a~S t1 /le,, CZ l 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. RESIDENTAAE. 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 installingtremoving 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) $ AgNPOMM TOTAL FEE COMMERCIAL FEES. $75.00 Underground tank installation/removal OR Contract Value $ .27420.a%x 1% $55.00 Minimum (includes State Surcharge) _ $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee - d ® Surcharge (.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) ~~'r{~Z • ©C3 TOTAL FEE CALL BEFORE YOU DIG. Gall 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.gooherstateonecall-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 accordance with the approved plan in the case of work which requires a review and approval of plans. - x x Applicant's Printed Name App icarrt's Sigma FOR OFFICE USE Reviewed By: Date: ?7 Required Inspections: -Under Ground Yough In Air Tests Service Test -in-floor Heat Final Exterior HVAC Screening inspection Use BLUE or BLACK Ink li` 1 I-PorofficeUse ` I 1 1 t6' Permit City of Eajan Permit Fee: 67q. 8/-5;1 3830 Pilot Knob Road I V E D I Eagan MN 55122 j Date Received: _ Phone: (651) 675-5675 I I Fax: (651) 675-5694 MAR 0 4 2011 l Staff: I 2011 MECHANICAL PERMIT APPLICATION L Ct'so Date: Site Address: 3o Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: License Address: City: State: M Zip: BI Z Phone: a ic -Cn Contact: t' Email: TYPE OF WORK New Replacement Additional Alteration Demolition "ST414, MAW t ~s7 CASEf S~ A~,rIJ ~EP~,Ac~, ?7~/~ ME94"r E>_ j RF~Rt1.rRl~t ~q~~ Description of work: tj~3e. NFtJ CRsrs t~tc.1 Caggda' I'D ME NOTE: Roof mounted and ground mounted mechanical equlpment js pM quired to be screened by City Code. Please contact the Mechanical Inspector for information permitted scree!" methods. RESIDENTIAL COMWRCIAL 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 installation/removal OR Contract Value $---Q $55.00 Minimum (includes State Surcharge) q - _ $ ~ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee _ $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) 5 , 0~ = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utiitty damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 accordance with the approved plan in the case of work which requires a review and approval of X~`~~ k:A F2 Zl~ Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By. S Date: Required Inspections: -Under Ground Rough In -,'Air Test Gas Service Test In-floor Heat Final Exterior HVAC Screening Inspe ,n - Use BLUE or BLACK Ink I-- ~ h~ ~ I For OfficeC----------- 1 1 1 I Permit 9- City of Eapn l~ s T~~c ` I - 1 Permit Fee:. L ®t 1 3830 Pilot Knob Road l l Eagan MN 55122 r c i"' k't 7-' Date Received: I Phone: (661) 675-5675 I 1 Fax: (651) 675-5694 2011 Staff: J 2011 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 03/03/11 Site Address: 3035 Denmark Av.e Tenant: Sam's Club Suite PROPERTY OWNER Name: Sam's Club Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Add/relocate/replace heads per the attached plans Construction Cost: $16,000.00 Estimated Completion Date: 06/17/11 CONTRACTOR Name: Escape Fire Protection License C086 Address: 3020 Centerville Rd. City, Little Canada State: MN Zip: 55117 Phone: 651-771-8874 Contact: Brian Weber Email: bdan@escapefire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System of heads 89) _ New r Addition Fire Pump _ Standpipe _ Alterations Remodel Other. _ Other. DESCRIPTION OF WORK: X-- Commercial _ Residential _ Educational FEES $55.00 Minimum (includes State Surcharge) OR Contract value $ 16,000.00 x1% $ 160.00 permit Fee - If the Perm' Fee is less than $10,010, surcharge is $ 5.00 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) 165,00 $ TOTAL FEE 3/4" Displacement Fire Meter - $203.00 $ N/A Fire Meter $ 165.00 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 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 ap roved plan in the case of work which requires a review and approval of plans. x Brian Weber, Project Manager X, Applicant's Printed Name A ants signature f 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 FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: / ` / Permit Reviewed by: Date: J, APR 28 2010 ------t 1 Permit q O `((yyLD 8 I City of Eap Permit Fee: H~ 3830 Pilot Knob Road Eagan MN 55122 Otr~ 1 ! Date Received: Phone: (651) 675-5675 i ! Fax: (651) 675-5694 i Staff: -----------------J 10 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: % e lk' /16 Site Address' 3035 Denmark Avenue Tenant Name: Sam's Club #4738 (Tenant is: New / X Existing) Suite PROPERTYOWNER Name: Sam's Real Estate Business Trust Phone:479-273-4909 Address/City/Zip: 2001 SE 10th Street Bentonville, AR 72712 Applicant is: Owner _ Contractor TYPE OF WORK Description of work: General Remodel Construction Cost: $1,953,687.00 CONTRACTOR Name:TT~kp &42, 04 M fhe cense Address: / O a ® t,4 n 54 Zip: 7 City: ,J, State: Phone: q 2 0 - YO d Contact Person: Ke 1 ~ rn ARCHITECT / Name: Pb2 Architecture & Engineering Registration ENGINEER 710 West Roselawn Drive Address: City: Rogers State: AR Zip: 72756 Pho 479-878-3515 Contact Person: Jolynda Cooper Licensed plumber installing new sewer/water service: Phone 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 i J x Jolynda Cooper, l Applicant's Printed Name App ca ' ' ignature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES: ❑ Foundation ❑ Public Facility ❑ Accessory Building ❑ Apartments Ar Commercial/ Industrial ❑ Ext. Alteration-Apartments ❑ Lodging ❑ Greenhouse ❑ Ext. Alteration-Commercial ❑ Miscellaneous ❑ Antennae ❑ Ext. Alteration-Public Facility ❑ Nail Salon WORK TYPES: ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building* ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior ,PC Alteration ❑ Fire Repair ❑ Demolish Foundation ❑ Replacement ❑ Windows ❑ Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION- n Valuation X, 9573 687 C~ Occupancy i MCES System ` Plan Review Code Edition o?00 M66G SAC Units /f d (25% 1000/0 X_j Zoning P- City Water fr Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. -4_ Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) Final/C.O. Footings (addition) _~4inal/No C.O. Foundation HVAC Drain Tile Other: Roof: _ Decking _ Insulation _ Final - Ice/Water Pool: -Footings __-Air/Gas Tests -Final ✓'Framing Siding: -Stucco Lath -Stone Lath `Brick Fireplace:-R.I. _Air Test -Final Windows Insulation Retaining Wall Final C/O Inspection: Schedule Fire Marshal to be present. V_'Yes _ No Reviewed By: Building Inspector Reviewed By:A'm , Planning COMWEROAL FEES: Base Fee Surcharge Plan Review 3 52.1 SAC-MCES o4 Z 010 SAC-City P, 00 0 , 00 S/W Permit Financial Guarantee T~ S/W Surcharge Storm Sewer Trunk Treatment Plant (5~, cV Sewer Lateral Treatment Plant (Irrigation) Street Sewer Trunk ' Park Dedication Water Lateral Trail Dedication Other Water Trunk Water Quality ~p, f%0 Water Supply & Storage (WAC) Total Page 2 of 3 Metropolitan Council < Environmental Services Dale Schoeppner October 27, 2010 Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC for the Sam's Club remodel to be located at 3035 Denmark Avenue within the City of Eagan. This project should be charged 10 SAC Units, as determined below. SAC Units Charges: Office 1748 sq. ft. @ 2400 sq. ft./SAC Unit 0.73 Meeting Room 145 sq. ft. @ 1650 sq. ft./SAC Unit 0.09 Warehouse 6137 sq. ft. @ 7000 sq. ft./SAC Unit 0.88 Auto Service 4 bays @ 2 bays/SAC Unit 2.00 Restaurant (fast food) Indoor seating: 40 seats @ 22 seats/SAC Unit 1.82 Retail 115,973 sq. ft. @ 3000 sq. ft./SAC Unit 38.65 Total Charge: 44.17 Credits: Sam's Club (Look-Back Period) 43 SO Net Charge: 9.67 or 10 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. Sincerely, t 1 2n 2n CappaertSAC Technician Environmental Services Division KC:kb: 101027A3 Determination expiration: October 27, 2012 cc: J. Nye, MCES Peggy Fleck, Eagan (email) Jolynda Cooper, PB2 Architecture (email) tiwvw.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 CONTRACTOR'S COPY r • q ! . C m. T r f FagiV T r'ilk m !Y e t T or ?lT L !Y 'ksss 4gWe x I E S 20014 Application for Fireworks Sales And Storage City Of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone #: 651-635-5635 Fax #: 651-635-5694 uRgR R MAY 2 6 2004 Applicant requirements I 1W 1. This application must be completed and returned at least 30 days prior to sales and/ ore^a off ir • nr4G 2. A letter from the property owner granting permission to the applicant to sell and/or wor s on the property shall accompany the application. 3. A floor plan designating the area where the fireworks will be sold and/or stored shall accompany the application. 4. A list of the fireworks that will be sold and/or stored along with the name, weight, quantity, and material safety data sheets (MSDS) shall be included. 5. A copy of the certificate of insurance coverage as per City of Eagan City Ordinance No. 378, Chapter 6, Section 6.53 Fireworks is required. 6. Fee upon application for retail sellers selling exclusively consumer fireworks-$350; all other retail sellers-$100 per vendor annually payable to the City of Eagan. 7. The fire chief or his/her designee will inspect the proposed location for selling and/or storing fireworks to determine if it is a suitable location. 8 A criminal record check will be done on all applicants. 9. A copy of the City of Eagan license (permit) shall be displayed by the register. Date: a&l Applicant Street Address: 56'55 byLlYtark- A-,c City: ayi2 State: 1hi? Zip: 5. 001/ Telephone #: (445/) t1t)y-66-7y Business Name: c5qlu S 0L'LA Telephone#: Display Address: 3 u 3 S (Eti- 'Zlp Retail seller selling exclusively consumer fireworks: Yes - No X Indoor Sales Outdoor Sales (See Outdoor Sales of Fireworks) Fee: Outdoor Sales - $350.50 All other retail sellers - $100.50 Fireworks are regulated by MN Statutes 624.20-624.25. In addition to these state laws, all displays, sales, storage and use of fireworks shall comply with City of Eagan Ordinance No. 378, Section 6.53 Fireworks. I understand and agree to comply with all the provisions of this application and the requirements of the issuing authority. Applicant Signature Fireworks Application Page 2 of 8 Tennessen Warninq License Application Minnesota law requires that you be informed of the purposes and intended uses of the information you provide to the City of Eagan (the City) during the license application process. Any information about yourself that you provide to the City during the license application process will be used to identify you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to supply information requested by the City, it may mean that your application will not be considered. All individuals in the City who need to know information will have access. Applicant Signature Date Authorization and Consent for Release of Intormation I, elid d "S -77.A)-, freely and voluntarily authorize the City of Eagan to conduct an Name of individual authorizing release investigation to obtain the following information for the purpose of determining my eligibility for a permit to sell fireworks: Name: &Aew4 ?- & A&N Last First Middle y3a ,J Date of Birth: f P ?w Driver's License #: State also release the City of Eagan from any and all liability for its receipt and use of information and records received pursuant to this consent. I further acknowledge that I have carefully read this release, fully understand its terms and legal significance, and execute it voluntarily. `7 Executed this -?? day of 1200 T ?\ Signature Fireworks Application Page 3 of 8 The Police Department has conducted a criminal background check on the aforementioned applicant. Comments: Police Department Representative Date Conditions of Issuance Background check completed and approved by EPD: Yes No Zoning approval Yes No Facility inspection complete and all violations corrected Yes No Insurance policy approved Yes No License approved by Date approved: City of Eap October 17, 2008 Mike Maguire MAYOR Paul Bakken Cyndee Fields Meg Tilley COUNCIL MEMBERS Thomas Hedges CITY ADMINISTRATOR MUNICIPAL CENTER 3830 Pilot Knob Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fax 651 454.8535 TDD MAINTENANCE FACILITY 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TREE The symbol of strength and growth in our community. Adolfson/Peterson Construction 6701 W 23`a St Minneapolis, MN 55426 Wal-Mart Property Tax Dept MS 0555 PO Box 8050 Bentonville, AR 72712 Re: Landscape Inspection 3035 Denmark Ave, Eagan, MN 55122 In December of 2000 a $5,000 landscape security deposit was submitted to the City of Eagan in conjunction with issuance of the building permit for construction of the building at the above referenced location. These funds are eligible for release to the depositor at this time. Please note that the property owner continues to be responsible for maintaining the health of all plantings on the property. In accordance with section 11.70 of the Eagan City Code, the property owner must maintain all landscaped areas, and install healthy replacement plants for any plants that die or are removed due to disease. Maintenance shall include removal of litter, dead plant materials, unhealthy or diseased trees, and necessary pruning. An inspection will be conducted by city staff next spring/summer to verify that the condition of the landscaping is acceptable under city code. Thank you for your attention to this matter. If you have any questions, please call me at 651-675-5684 or Planner Sarah Thomas at 651-675-5696. Sincerely, Fran Doherty t\ Planning Department cc: Sarah Thomas, City Planner ----- --, , For;pffice;Usg I 5'?5 I Permit q: Permit Fee: Ott. l I I ? Date Received: I I I Staff: 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: Z "I a Site A/d'?dress: '3?' , ? E.JMAQK / ' ?E Tenant Name: 'M'S C..L+40 (Tenant is: _ New / Existing) Suite #: C ' PROPERTY OWNER AA6 Phone: Name: 5AM 5 Address / City / Zip: 3307 Sbi II.MAQK t/L Applicant is: -Owner Contractor TYPE OF WORK ",' r (CE?) A0 owt Lz,!'& vd Description of work: ?a 1 . Construction Cost: IJ I 1 001) CONTRACTOR Name: CAN i t-I ?ola eTJ o? Lj,( License #: '-TS 01564 i S A5 a40 A11t Address: // Zip: 3S State: A q r r f - City: t,_ r r - N i r4 Contact Person: l? L[??{off Phone: ?Ze 03 ARCHITECT / JnJ Name. !? 1 / f Registration #: ENGINEER Address: City: State: Zip: Contact Person: Phone: AA Licensed plumber installing new sewer/water service: i/U 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 withbut a permit; that the work will be in ac ordanca with the approved plan in the case of work which requires a review and prove[ of pla kianature x v I E x Applicant's Printed Name App is t U 14 ? W E 6 ,Y,..,, 2 0 2008 Page 1 of 3 /r SUB TYPES ? Foundation ? Apartments ? Lodging ? Miscellaneous WORK TYPES: ? New ? Addition ? Alteration ? Replacement Occupancy s e Feet f Length DO NOT WRITE BELOW THIS LINE 71 Public Facility ,171' Commercial / Industrial ? Greenhouse El Antennae fX Interior Improvement El Move Building DESCRIPTION: 04 Valuation 000 el ? ?) Plan Review Code Edition (25%_ 1 00% Zoning Census Code Storie # of Units 0 Squar # of Buildings h Type of Const. Width ? Accessory Building ? Ext. Alteration-Apartments ? Ext. Alteration-Commercial ? Ext. Alteration-Public Facility ? Nail Salon ? Siding ? Demolish Building" ? Reroof ? Demolish Interior ? Fire Repair ? Demolish Foundation ? Windows ? Water Damage ' Demolition (entire building) - give PCA handout to applicant /A MCES System 7006 SAC Units City Water Booster Pump PRV Fire Sprinklers Footings (new bldg) Sheetrock Meter Size: Footings (deck) Final/C.O. Footings (addition) Final/No C.O. _ Foundation HVAC _ Drain Tile Other: _ Roof: _ Decking _ Insulation _ Final _ IceMater Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. _AlrTest -Final Windows Insulation Retaining Wall Final C/O Inspection: Schedule Fire Marshal to be present. Yes -No Reviewed By:, Building Inspector Reviewed By: Planning COMMERCIAL FEES: Base Fee Surcharge Plan Review SAC-MCES SAC-City S/W Permit SAN Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) h,4?V.-7c' ltaI- ?Yy Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total 4 Z o 1 71711 Sewer Trunk Water Trunk Page 2 of 3 gIolq 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciallindustrialbuildings Job No. 351259 multi-family buildings when separate permits are not required for each dwelling unit ?# a.s0 Date 09 / 29 / 15 Site Street Address 3035 Denmark Avenue Unit# Tenant Name (if applicable) Sam's Club Previous Tenant Name Property Owner Sam Walton Dev. Complex Telephone#( 479) 273-6568 Contractor NewMech Co. Inc. Street Address 1633 Eustis Street City St.- n=»l State Minnesota Zip S 1 nz? R Telephone# ( 651) 642-5895 Bond #: Expires: The Applicant is Owner X Contractor Other Work Type _ New Construction _ Underground Tank _ Install -Remove *"see below _X interior Improvement _ Install Piping - Processed -Gas Nature of Work: Add exhaust fan and duct '"`When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: 570.50 Underground tank instaltationhemoval $50.50 Minimum (includes State Surcharge) or Contract Value $ 6,800.00 x 1% = 68.00 $ Permit Fee .50 • If ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 permit fee $ 6 8 . 5 0 Total Fee L_a aL I hereby apply for a Commercial Mechanical Permit and acknowledge mai me ultormauon is compictc anu a??uiarc, Mat .,,C . .- will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical 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 in accordance with the approved plan in the case of work which requires a review and approval of pla s. 7c R. A. Pearson 9/29/05 of/-bS? Applicant's Printed Name -'Ayplicanfi; Signature Approved By: -,(71 10 -(o _,4 S- , Inspector ?o t- 3 Ql G C-L _,??VJ cl_v-_ n GOMME C1AL?BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Only New Building Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1)" • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations of always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " ' • Elgp.ower & Lighting F ) not always* if licable t b li h?d i • Meter size must be established 1 • Meter size must be established Project Specs app zevrnua - • r s 1 • Energy Calculations 1 El t i P & li hti i r ower g ng • ec c • Master Exit Plan ) '? l • Emergency Response a an \ l • Soils Report (1) • SAC detenninabon -call 651-602-1 000 • SAC determinate - 651 1 000 SAC determinati on - can 65 -'0' u Call MN Dept of Health at 651-215-0700 for details regardi g ffwd• ederage o odging facilities. V ** Contact Building Inspections for sample and if required wH statee not alw s". *** Perini[ for new building or addition will not be prfo e r hogt Emerge Response Site Plan. Date t3 / Z S o 3 Construction Cost $ Is o0 o Site Address 30 3 5 'D E 14 A K A Av Unit/Ste # Tenant Name Sq m 5 C.L u fS Former Tenant Name ;Ly,rr rr Description of Work IN71_l2ro/%_ DOfi.b Dolrz CvoLF.2 4 ROLOC+°_(E_A °r"F- e+ 17 Property Owner SAm'S J2 L Te $usrn1E55 T Telephone #(47'1 )Z73- !iooo Contractor t ca Tl ucTu2EIs. Address 19 Z C r Lu T T, City C.LEm.R 1,4 ^T-2 State Ft- Zip 33757 Telephone#(7Z7) 4 1-8`hS'S Arch/Engr P•`( o na D H. l btziz I S Registration # 2 iD 2 Address 211 N. PiErafLb 5-r? SurTB-222- City DALLAS State 7Ex.1? s Zip 7SZaZ. .Telephone#( ycf) 749-aC. 2Ce J - v 1r,r I ?, y -,?^ Licensed plumber installing new sewerlwater service: Phone #:', ( ) I hereby apply for a Commercial Building Permit and ackll-Wedge l information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an permit; that the work will be in accordance with the ap approval of plans. for a pen-nit, and work is not to start without a in the case of work which requires a review and Applicant's Printed Name Applicant's Signature Sub Types ? 01 Foundation LJ 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition 933 Alteration ? 34 Replacement OFFICE USE ONLY ? 26 Public Facility X27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 35 Int Improvement ? 38 ? 36 Move Bldg. ? 42 ? 37 Demolish (Bldg)" ? 43 'Demolition (Entire Bldg only) - Gig ? 30 Accessory Bldg. ? 32 Ext Alt - Apts. ? 34 Ext Alt - Comm. ? 35 Ext Alt - PF ? 37 Nail Salon Demolish (Interior) ? 44 Siding Demolish (Foundation) ? 45 Fire Repair Reroof ? 46 Windows/Doors ,e PCA handout to applicant Valuation 5 oaa Occupancy MC/ES System YS5 Census Code ?3 ] Zoning ?L City Water _yc S SAC Units Stories ( Booster Pump Nbr. of Units Sq. Ft. PRV _ Nbr. of Bldgs r- Length - Fire Sprinklered Type of Const z8? Width REQUIRED INSPECTIONS - Footings (new bldg) - Footings (deck) - Footings (addition) _ Foundation Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation _ Final/C.O. FinaVNo C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone - Windows (new/replacement) Retaining Wall Approved By A'L-e L'?-- Building Inspector Base Fee Surcharge Plan Re-ie"V MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total 7 SD 3! Llaa- o(1 Ranh To: CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN MN 55121 651 675-5021 01111m Addnn: 117291 RAYMOND H. HARRIS 211 N. RECORD ST. SUITE 222 DALLAS, TX 75202 INVOICE 2185 Invoice Date 12/15/04 Due Date WITHIN 30 DAYS OF INVOICE DATE Item Remark Amount 1/2 PLAN REVIEW 81.66 PERMIT FOR SAM'S CLUB NEVER PICKED UP Total Amount Invoiced 81.66 Sales Tax Total Balance Due 81.66 MPY ?"Aiw 10100y REQUEST FOR INVOICE Billing date: 3 / Requested by: Dept Send Invoice to: a o'Y c? N- 1 k v V S 00 -14C? - 05, Contact person's name: ea u w. o ((i lAfj r ? S Phone: 1 F `l 4 9 - o c D- Description of goods/services to be billed (Include address or parcel number, K appropriate): -Y\ -C J e ( ? c A 4 Acct. code: o -120 - `t --) a --e Acct: code: $ Acct. code: For Finance Dept use: c??ti v?G):a Q w` „ ""-dOMMERCAL BUILDING ti Permit Apphca on City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 (? r Telephone # 651-675-5675 FAX # 651-675-5694 L+as -(? • AruNreRwW rIaua • Structural Plans • Civil Plans • Landscaping Plans • Code Analysis • Certificate of Survey • Spec. Insp. & Testing Schedule • Meter size must be established • Project Specs • Energy Calculations • Electric Power & Lighting Form • Master Exit Plan • Emergency Response Site Plan • Soils Report • SAC determination - call 65160 (2) sets Architectural Plans (2) sets (2) • Code Analysis (1) " (2) . Project Specs (1) (2) . Key Plan (1) (1) • Master Exit Plan (1) `" (1) • Energy Calculations (1) not always - (1) " • Elec. Power & Lighting Form (1) not always - Meter size must be established-If applicable • Structural Plans (2) se • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) " • Project Specs (1) • Spec. Insp. & Testing Schedule • Soils Report (1) • Meter size must be established 1 1 1 1 l 1 MN Dent of Health at 65 (1) 1 (1) » (1) 1 1 (1) ?n SAC determination -call f beverage or ** Contact Building Inspections for sample and it required wnen it states nm ww.y *** Permit for new building or addition will not be processed without Emergency Response Site Plan. 8/ 25* / c =IS Construction Cost $ I S ce c Date Site Address 30 °a f5- 1) F-tJt'lAzA AvE Unit/Ste # Tenant Name SA ri' s GL u !'? Former Tenant Name p Goat-£/Z ?r l?t?t?oc.mi?? on?r'? P 12Y Description of Work I N l LRro2 - /? DD ELI G +4 l i Property Owner SArW-S f? L$sTaiE $JSINESS 1/ZUSi Telephone #(47`[)'-73- 4000 H A C 1 `1 1 Z /A G AL-U m is si. City C.LE?P- W ,a r t Q Zip .33757 Telephone#(77-7) 441-4F-? PL F g A y M o N D l? 1-1-w tL2 (S Registration # 21! N RE-cA,za ST Sut t r- a City DA-L?S Zip 7-TZo7- Telephone#(-.?.Iq) 749- D&Zfn ber installing new sewerlwater service: Phone M. I hereby apply for a Commercial Building Permit and aclzhbwledgeinformation is complete and accurate that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of N2 Statutes; I understand this is not a permit, but only an appl' for a permit, and work is not to start without permit; that the work will be in accordance with the appr ed l la the case of work which requires a review an approval of plans. II,, N,us'lhD C? - ?Ft Applicant's Printed Name Applicants Signature Sub Types ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition 6'? 33 Alteration ? 34 Replacement OFFICE USE ONLY ? 26 Public Facility X27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 35 Int Improvement ? 38 ? 36 Move Bldg. ? 42 ? 37 Demolish (Bldg)` ? 43 `Demolition (Entire Bldg only) - Gi' Valuation S ofl a Census Code 3 SAC Units Nbr. of Units Nbr. of Bldgs Type of Const X0'0 Sic ? 30 Accessory Bldg. ? 32 Ext Alt - Apts. ? 34 Ext Alt - Comm. ? 35 Ext Alt - PF ? 37 Nail Salon Demolish (Interior) ? 44 Siding Demolish (Foundation) ? 45 Fire Repair Reroof ? 46 Windows/Doors ie PCA handout to applicant Occupancy A4 MC/ES System Y C-S Zoning `!h-6r/ . City Water Y-5 Stories l Booster Pump Sq. Ft. PRV Length - Fire Sprinklered Width REQUIRED INSPECTIONS Footings (new bldg) Footings (dock) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R1. _ Air Test - Final Insulation Final/C.O. FinaVNo C.O. Plumbing _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tests -Final _ Siding _ Stucco _ Stone _ Windows (new/replacement) Retaining Wall Approved By /YI ?e ten Building Inspector Base Fee Surcharge Plan Oe`;few MC/ES SAC City SAC Water Supply & Storage SNV Permit SNV Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total r, so l o- 3 1 Remit To: CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN MN 55121 651 675-5021 amiss Address: 117291 RAYMOND H HARRIS 211 N. RECORD ST. SUITE 222 DALLAS, TX 75202 INVOICE 2185 Invoice Date 12/15/04 Due Date WITHIN 30 DAYS OF INVOICE DATE Item Remark Amount 1/2 PLAN REVIEW 81.66 PERMIT FOR SAM'S CLUB NEVER PICKED UP Total Amount Invoiced 81.66 Sales Tax Total Balance Due 81.66 6156 $1-;Lf Z.S6 2005 COMMERCIAL BUILDING PERMIT APPLICATION nut" +t f L g City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 • wrumurai vians ru sets i • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) • Project Specs (1) • Spec. Insp. & Testing Schedule " (1) • Soils Report • Meter size must be established l 1 d d 1 l • SAC determination -call 651-602.1000 (2) sets • Structural Plans (2) • Civil Plans (2) • Landscaping Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Spec. Insp.&Testing Schedule (1) " • Meter size must be established • Project Specs (1) • Energy Calculations (1) " • Electric Power & Lighting Form (1) • Master Exit Plan (1) • Emergency Response Site Plan (1) • Soils Report (1) • SAC determination -call 651-602-1 000 Dent of Health at 651-2 or lodging • Code Analysis (1) " • Project Specs (1) • Key Plan (1) • Master Exit Plan (1) • Energy Calculations (1) not always- • Elec. Power & Lighting Form (1) not always- • Meter size must be established-if applicable d 1 1 1 1 • SAC determination -call 651-602-1000 ** Contact Building Inspections for sample and if required *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 13 //4 / 0 y Construction Cost I T-O/ 6 0 0 Site Address 3035- DZ-IVM/F,QX- ?"?>? Unit/Ste # Tenant Name $A-M S C4-U48 Former Tenant Name 6 Ct H R NLb Description of Work r*5 ST Cl i 1NG6UA10A4- U47'SA SIM "AX, ??vaP y ? k_146 AL_ Property Owner SIE'MS jftF/i 577PM 7'44ST Telephone # (4'79) ? /re G Contractor Tfff_-D6&e_ &04e?&? d4A*1vA,+77n? Address /SiX W hCAMPMA/ /1'Vb UN /T P City >'Ntrs I- CUOCD State &140~ DG zip 8011b Telephone # (303) 762 • /924' Ar 60A1r_gG7-; DA9? LA""+9 oe Af-+-r )kOPPENrtJ4FZ*- 363) 9444 • 06th Arch/Engr CMW, SVMS ?7VG??t/>' ?NC?• Registration # •L6U/5 Address /078•? /NDf*W AWO JA1AV57W*1- RL-ii City Sr. State _M40. zip 63137, Telephone # (SIV) 843 • J'32-0 Licensed plumber installing new sewerlwater service: phone #: (wi ) -7$6 ' Moo I I hereby apply for a Commercial Building 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 the State of MN Statutes; 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. / Cud VA, f?Gr?, ? Applicant's Printed Name Applicant's lj Signature Sub Types ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement OFFICE USE ONLY ? 26 Public Facility ,d' 27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 30 Accessory Building ? 32 Ext Alt-Apartments ? 34 Ext Alt-Commercial ? 35 Ext Alt-Public Facility ? 37 Nail Salon ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 75-to 1000 Type of Const IZ • B Plan Rev 100% _? 25% _ Occupancy 8 M Census Code Z-Z Zoning PP SAC Units Stories Nbr. of Units 0 Sq. Ft. 5'4, 5'3 Nbr. of Bldgs Length Regyired Inspections _? Footings (new bldg) - Footings (deck) _ Footings (addition) _V/ Foundation _ Drain Tile / ? Roof - Ice Pr _ Decking _ Insul `? Final _ Pool _ Figs _ Air/Gas Tests _ Final ? Framing _ Siding _ Stucco _ Stone - Fireplace - R.I. -Air Test -Final ??1pA? Windows Approved By: Planning `-"'7'?? Building Inspector Base Fee f 1 *2_1 . 2S? Surcharge 37S• o 0 Plan Review SA M ,Z $7 s • 8 I v o / S~D CES C- , SAC-City J 0 0• o b S/W Permit / 0 D r v S/W Surcharge S o Treatment Plant b / -L O p Treatment Plant (Irrigation) -^ Park Dedication !-'- Trail Dedication Water Quality Water Supply 8 Storage (WAC) Width MCES System ? City Water ? Booster Pump PRV Fire Sprinklered Insulation _V" Final/C.O. _ FinaLtNo C.O. Other Financial Guarantee Storm Sewer Trunk . Sewer Lateral Street --' Water Lateral Other 1AN0S6t?yrL : 7.S'0 0 • Oa' Total 17.4-4 -A-- 5746 Sewer Trunk Water Trunk 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 7 Telephone # 651-675-5675 FAX # 651-675-5694 • Structural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) " • Project Specs (1) • Spec. Insp. & Testing Schedule " • Soils Report (1) • Meter size must be established 1 1 l 1 t l • SAC determination -call 651-602-1000 • Architectural Plans (2) sets • Structural Plans (2) • Civil Plans (2) • Landscaping Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Spec. Insp. & Testing Schedule (1) " • Meter size must be established • Project Specs (1) • Energy Calculations (1) " • Electric Power & Lighting Form (1) " • Master Exit Plan (1) • Emergency Response Site Plan (1) • Soils Report (1) • SAC determination - call 651-602-1000 • Architectural Plans (2) sets • Code Analysis (1) • Project Specs (1) • Key Plan (1) -Master Exit Plan (1) • Energy Calculations (1) not always- • Elec. Power & Lighting Form (1) not always" • Meter size must be established-if applicable • SAC determination-call 651-602-1000 Call MN Dept of Health at 651.215-0700 for details regarding food & beverage or lodging Mciuues. ** Contact Building Inspections for sample and if required *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date Construction Cost ',/01 S1 0 0 Q 2 (Q Site Address 31).3'r A t- ZeZL Unit/Ste # Tenant Name ??/? ` I' G[ Gd 44--Y7.3 ,P Former Tenant Name Description of Work G7(?i4 /YYI l?jQ I?DU GE GO/J C E/??? E/!?o /?i??? ?(?Di?/ Property Owner T f?L r r f 7_e one #( ) Wll-MA.i_ r I o y -2}3-10 Contractor r Address 7o2d !l ag,lley GIi 1 D rLKP G???p City ?if Wi5;U'V/0- State TI., Zip 7?? 7 Telephone # (A/Y) a A Z - 00 6 3 Arch/Engr 6&1d h'. Registration # Address .1 A c GDAe d 22 S 7Fo2d d City ?d,9Z414 S- State _7'V Zip 7 Sd fI? Telephone # 6?/y)•.. 1 L IS LU) U, MAR 0 4 2005 Licensed plumber installing new sewer/water service: &A Phone #: I hereby apply for a Commercial Building Permit and acknowledge that the informati c e e an accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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,pErk which requires a review and approval of plans. Applicant's Printed me OFFICE USE ONLY Sub Types ? 01 Founrixion ? 6 Public Facility ? 30 Accessory Building C 14 Apartments C 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair e 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation /a5, oaa Occupancy Yet MCES System •' Census Code /7?7_ Zoning City Water SAC Units -" Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width Required Inspections - Footings (new bldg) Insulation - Footings (deck) _ _/ Final/C.O. - Footings (addition) V Final/NO C.O. _ Foundation Other _ Drain Tile _ Roof _ Ice Pr - ? F i Decking _ Insul -Final Pool _ Ftgs _ Air/Gas Tests _ Final ram ng Siding Stucco Stone _ Fireplace _ R.I. - Air Test _ _ -Final Windows _ Approved By: -6r.-7 Planning L Building Inspector Base Fee Surcharge Plan Review MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total _ ly 133,75' (a2. ?0 ?3b. 24 j 1933.Iq -7034 2005 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 $ 5o' GO Date S' / Z7 / OS Site Address 30 S p eti r y/F2 k ? U e 'y Lic Unit # Tenant Name Sff 1 G 't -2 3 8 Former Tenant Name Property Owner 1 Telephone # ( ) Contractor ti!M t e/2 S :5a,2 V t2 ^J C. /1 Address Sa?Z V/'olit 90. /V tF. City ke ceslzp_ State M Zip SS 7? 6 Telephone # (5-07) 28 B- 6 7 License # ??S ! M Expires: L2 ' 3/= C-E- The Applicant is Owner Contractor - Other _ZY Work Type _ New Bldg _ Modify Tenant Space _ RPZ PVB _ New r'C Repair/Rebuild _ Replace - Irrigation system Work within public right of-way/easement _ Yes _ No Rain sensors are required on irrigation systems. Description of Work A-_ici rak 3-Comm 4&ILn ?+ $' N l? 2 ( l?R c) en; a To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" displacement $161.00 Domestic Size & Type Avg GPM Includes high demand devices? - Yes - No Flushometers - Yes - No PRV Required _ Yes -No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ SOe °' LO x 1% _ $ 5.0 ' OU Permit Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read If permit fee is $1,000 or less, surcharge is $.50 $ State Surcharge If permit fee is over $1,000, surcharge is $.so per $1,000 of the Permit Fee Following fees apply only when installing new irrigation system $ Water Permit Call Jerry Wobschail at 651-675-5024 for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge --------------------------- ------- -------------------------------------------------------------------- - $ . ? Total Fee I hereby apply for a Commercial Plumbing Permit and acknowledge that the in ormauon is comprew and acemaW ; umr dre wvra wu, ? .,, conformance with the ordinances and codes of the City of Eagan and with the Plumbing 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 in accordance with the approved plan in the case of work winch requires a review and approval of plans. Klkl? Applicant's Printed Name Applicants Signature CITY USE ONLY REQUIRED INSPECTIONS: ?G. Air Test Gas Test Rough In Final PLANS SUBMITTED APPROVED BY: :: P f--2-q-6)?5_ , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan • A minimum fee permit per address is required for the following RPZ's: new, rebuild, repair, remove. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS REQUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $125.00 4-120 1-1/2" irrigation syst $ 735.00 displacement sm commercial turbine** Public Works maximum must approve continuous meter size 10 2-30 3/4" lawn irrigation $161.00 4-160 2" turbine lg irrigation cyst $ 931.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 25 irrigation stems 5-100 1-1/2" bldgs 25-64 units $429.00 maximum displacement & continuous most comm bldgs 50 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation S1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs S6,076.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation $2,226.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician January 2005 Q 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit ?o, So oftj Date e / /(0/ 05 Site Street Address 30-z,'s 16P P?") e... Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner 5 1 ?b Telephone # (1y? 9 ) (cY41,1,I - 9,c`lc) Contractor ?g1 P Sal Street Address lJ. City r' 4 State -Z) Zip S IC)Z Telephone # (? 1 ) c>-) 93 1-70-7 Bond #: Expires: The Applicant is Owner Contractor Other Work Type _ New Construction Underground Tank )(Install -Remove "see below Interior Improvement ! Install Piping -Processed -Gas Nature of Work: J???Gi ro vhd k?7 "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal 550.50 Minuwm (includes State Surcharge) or Contract Value $ , o. - ?• x 1% _ $ 3 U. c., Permit Fee • If ep rmit fee is $1,000 or leis, add $.50 $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 permit fee Total Fee 1 hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ,rIL. L A hl , ,,.,. ` _ d Applicant's Printed Name Applicant's Signature O ?? ' ?J LI IS i'l' Approved ,Inspector Date: ? i "U0 1 6 2005 d 11 I L aL?do 2005 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date 0$ / l t l V16D S Site Address 3 0 3 5 ?e r mGL r /( F7 V e n u e- U nit # Tenant Name 5a,P?,-) S C /wb Former Tenant Name Property Owner SQ m 'IS C 1'"h Telephone # ( ) Contractor ,,, e Address 7 a t 93 r o a A L e. 1?J o e- 4k City r e-0 P-L. V2 . pa-Ir IV 1 State r 6 N Zip 5-.S4 a$ Telephone # (7G3) J f 14 -11 3 1 License # O D SO 4 $- FM Expires: 1 x131 I -xve - 6-The Applicant is - Owner Contractor Other Work Type New Bldg _ Modify Tenant Space _ RPZ _ PVB _ New _ Repair/Rebuild _ Replace Irrigation system Work within public right of-way/easement _ Yes _ No Rain sensors are required on irrigation systems. Description of Work ! Al s fa 11 O n c -fe e c- t La Vf ! [ 1 n Q W- To inquire if Pressure Reducing Valve is required on new servi e, call 651-67 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter. Irrigation Size & Type N// Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" displacement $161.00 Domestic Size & TYA(? o ?e r Avg GPM 15 Includes high demand dev ices? _)? Yes _ No Flushometers - Yes - No PRV Required _ Yes No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ JD, 04S x 1% _ $ f 0 0. `E S Permit Fee $ )('1-60 Meter(s) Required on all new buildings & boulevard irrigation systems $ 14.1 00 Radio Meter Read If permit fee is $1,000 or less, surcharge is $.50 $ 5-0 State Surcharge If permit fee is over $1,000, surcharge is $.50 pe r r $1,000 of the permit Fee ; r Following fees apply only when insta ne ;gation system $ Water Permit Call Jerry Wobschall at 651-6 5 50 for squired--fee amounts $ Treatment Plant $ Water Supply & Storage State Surcharge -------------------------- - ---------------------------------- ------------------------------------ -------------- 4S - -i $ -? 4 pa Total Fee I hereby apply for a Commercial Plumbing 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 Plumbing 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 in accordance with the approved plan in the case of work which requires a review and approval of plans. Ca -Lt M C 1tl"rie.- 5 Applicant's Printed Name Applicant's S' ture CITY USE ONLY REQUIRED INSPECTIONS: U. G. Air Test - Gas Test Rough In a Final PLANS SUBMITTED APPROVED BY: ? -2S , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum fee permit per address is required for the following RPZ's: new, rebuild, repair, remove. • Water meters include copper barn/strainer, remote wire, and touch-pad meter. METERS REQUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $125.00 4-120 1-1/2" irrigation cyst $ 735.00 displacement sm commercial turbine" Public Works maximum must approve continuous meter size 10 2-30 lawn irrigation $161.00 4-160 2" turbine lg irrigation syst $ 931.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 units 65 units maximum am commercial & continuous & lg comm bldgs 25 ation systems 5-100 1-1/2" bldgs 25-64 units $429.00 maximum displacement & continuous most comm bldgs 50 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS U PRIXCE 5-350 3" turbine very Ig irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very Ig comm bldgs very lg comm bldgs 15-1000 4" turbine very Ig irrigation $2,226.00 syst & production lines ?.ommenrs • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water tum-on, call 651-675-5300. cc: Maintenance Division Clerical Technician January 2005 ?1o3a?? COMMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address 9o3.5',DE&M?1C 41l ,)57 Unit # Tenant Name (if applicable) 509"5 Previous Tenant Name Property Owner Telephone # ( ) Contractor ct51 C7U Street Address 76A- 1_3=y9-A-U6 a city Bgo ' >944. State IMINNjsaTA Zip .? Pze - Telephone# (A53 ) J Bond #: T-' 37-f 7a Expires: 6*&6 The Applicant is Owner Contractor - Other Work Type New construction -Install - Remove Underground Tank Interior Improvement Schedule inspection during installation or removal of tank Processed Piping Nature of Work: ff ?Ar? Permit Fee $50.50 lnimum Fee (includes State Surcharge) Contract Value $ A 0 ZZZ.D0 x 1% _ $ SZ,ZZ Permit Fee • If permit fee is $1,000 or less, add $.50 =:> $ • S? State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the mtormation is compiew anm accurate; mat. titc wuia will be in conformance with the ordinances and codes of the City of Eagan and the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start witho a e that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p _ FE? Applicant's Printed Name can gnature ?'ua1?20(.5 Q' ( v Approved By: ? Inspector Date: T? 1 2005 Application For Fireworks Sales And Storage City Of Eagan 3830 pilot Knob Road, Eagan, MN 55122 Telephone #: 651-675-5675 Fax 4: 651-675-5694 1:1005710081, W-"3 only Applicant requirements 1. This application must be completed and returned at least 30 days prior to sales and/or storage of fireworks. 2. A letter from the property owner granting permission to the applicant to sell and/or store fireworks on the property shall accompany the application, ?. 3. A floor plan designating the area where the flreworks will be sold and/or stored shall accompany the application. 4. A list of the fireworks that will be sold and/or stored along with the name, weight, quantity, and material safety data sheets (MSDS) shall be included. 5. A copy of the certificate of insurance coverage as per City of Eagan City Ordinance No. 387, Chapter 6, Section 6.53 Fireworks is required. 6. Fee upon application for retail sellers selling exclusively consumer fireworks-$350; all other retail sellers-$100 per vendor annually payable to the City of Eagan. 7. The Fire Marshal or his/her designee will Inspect the proposed location for selling and/or storing fireworks to determine if It is a suitable location. 8 A criminal record check will be done on all applicants, 9. A copy of the City of Eagan license (permit) shalt be displayed by the register. Date: tj - a 3 - aOOS` Applicant W Street Address: 30 5 Pee ^,4 1- Aae City: ZAfilin State: /X A/ ZIP: 5S/Z Telephone #: ((S/) - O Business Name: Sum S Lr%/ 11US TelephoneM (65"1 ) NOS- 0079 Display Address: --LS,dc ris, 3 X114 y73s ^ 3n3 5 0k,7,* w-k A,1( Retail sailer selling exclusively consumer fireworks: Yes Indoor Sales `Outdoor Sales Dates: to 4 No to to Temporary outdoor event means an exhibition or sale with a duration of 10 continuous days or less which does not occur more than once every 30 days and more than three times per year or a combination of 20 days total in a calendar year. (See Outdoor Sales of Fireworks) Fee: Outdoor Sales-$350.50 All other retail sellers-$I 0o.5o Fireworks are regulated Dy MN Statutes 824.20-624.25. In addition to these state laws, all displays, sales, shall comply with City of Eagan Ordinance No. 387, Section 6.53 Fireworks and NFPA 1124 Standards. ?2 ( ?t? and use of firewo MAY 2 3 2005 I understand and agree to comply with all the provisions of this application and the re ulre ents Ji llhe issuing authority, 4 % Applicant Sinnatnra Fireworks Application Page 2 of 9 Tettnessen Warning License Application Minnesota law requires that you be informed of the purposes and Intended uses of the information you provide to the City of Eagan (the City) during the license application process. Any information about yourself that you provide to the City during the license application process will be used to identify you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to supply Information requested by the City, it may mean that your application will not be considered. All individuals in the City who need to know information will have access. s -0 3- OS Applicant Signature Date Authorization and Consent for Release of Information I, / l d rew S-Jii AL , freely and voluntarily authorize the City of Eagan to conduct an Name of individual authorizing release investigation to obtain the following information for the purpose of determining my eligibility for a permit to salt fireworks: Name: S'Airlkc _Arijr-e,j SDhr. Last First Middle Date of Birth: - - Driver's License d: S -SaD - 067-14a9 -6(5' State A! I also release the City of Eagan from any and all liability for its receipt and use of Information and records received pursuant to this consent. I further acknowledge that 1 have carefully read this release, fully understand its terms and legal significance, and execute it voluntarily. Executed this _ oV 3 day of IP&;i ,2005- Signature Fireworks Application Page 3 of 9 `O,FFICg lU j9 ONLY DO NOT WRITE BELOW THIS,LINE The Police Department has conducted a criminal background check on the aforementioned applicant. Comments: ? ? =fib Police Department Representative Conditions of Issuance: Dates Background check completed and approved by EPD: Yes No Zoning approval Yes No Facility inspection complete and all violations corrected Yes No Insurance policy approved Yes No License approved by !L a V, h Date approved: (/J ?J TNT® FIREWORKS Site Plan Worksheet ADDRESS 3035 hff)MC k AVe CITY STATE MA/ ZIP SSa I PHONE 95I-wr;--0079 STORE NAME I LOCATION # TYPE OF EVENT: In-store sales of state-approved fireworks NORTH EN *IXE LX ? L Z ? ? Q J 0 3 w 1- 0 UI li- I,U U SOUTH SPECIAL INSTURCTIONS STORE MANAGER/ TNT® Representative DRAYTON INSURANCE BROKERS, INC. 2500 CENTER POINT ROAD, SUITE 301 POST OFFICE BOX 94067 BIRMINGHAM, ALABAMA 35215 BIRMINGHAM, ALABAMA 35220 TELEPHONE: (205) 8545806 FAX: (205) 8545899 CERTIFICATE OF INSURANCE NO. 519022 We certify that insurance as outlined below is afforded the Named Insured under policy CA000001858-16 issued by Admiral Insurance Company NAMED INSURED American Promotional Events, Inc. d/b/a TNT Fireworks P.O. Box 1318 Florence, Alabama 35631 PERIOD November 1, 2004 to October 31, 2005 Both Days Inclusive. COVERAGE Products Liability Insurance. Covering the legal liability of the Named Insured for Bodily injury and/or Property Damage caused by or arising from the manufacture, sale or distribution by the Named Insured of D.O.T. Class "C" Fireworks and related items. LIMIT OF LIABILITY $1,000,000 each occurrence and in the aggregate. During a Period of Coverage, beginning with the date of issue of this certificate and expiring on October 31, 2005, the following are included as Additional Insured(s), but only in respect of the legal liability of such Additional Insured(s) for Bodily Injury or Property Damage sustained during said Period of Coverage and caused by the Named Insured's products, comprising D.O.T. Class "C" Fireworks and related items, sold or distributed by the Additional Insured(s). Coverage does not apply to claims made against the Additional Insured(s) for Bodily Injury or Property Damage arising from the distribution or sale of any of the Named Insured's products a) the composition or form of which has been changed by the Additional Insured(s), and/or b) which have been packaged or repackaged by the Additional Insured(s). The insurance afforded such Additional Insured(s) by the policy described herein is subject to all the terms, exclusions and conditions of such policy and, for particulars concerning such terms, exclusions and conditions, the Additional Insured(s) are referred to the policy documents in the possession of the Named Insured. The limit of liability stated above shall not be increased either: 1) by the inclusion of more than one insured, nor 2) by the receipt of more than one certificate by any insured. NAME & ADDRESS OF ADDITIONAL INSURED The City of Eagan Minnesota and the following location: SAM'S CLUB 4738 3035 DENMARK AVENUE EAGAN, MN 55121 In the event, the above mentioned policy is cancelled before the expiration date thereof, we the undersigned, will endeavor to mail 30 days written notice to the Additional Insured(s) whose name and address is shown hereon, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. DRAYTON INSURANCE BROKERS, INC. 5/11/05 DATE OF ISSUE A.JA.J. SRESID- R b" o 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 • Structural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) " • Project Specs (1) • Spec. Insp. & Testing Schedule " • Soils Report (1) • Meter size must be established 1 d 1 1 1 l • SAC determination -call 651-602-1000 • Architectural Plans (2) set • Structural Plans (2) • Civil Plans (2) • Landscaping Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Spec Insp. & Testing Schedule (1) " • Meter size must be established • Project Specs (1) • Energy Calculations (1) •" • Electric Power & Lighting Form (1) " • Master Exit Plan (1) • Emergency Response Site Plan (1) • Soils Report (1) • SAC determination -call 651-602.1 000 4:?O• 0b • Architectural Plans (2) sets • Code Analysis (1) " • Project Specs (1) • Key Plan (1) • Master Exit Plan (1) • Energy Calculations (1) not always" • Elec. Power & Lighting Form (1) not always" • Meter size must be established-if applicable 1 1 1 1 1 • SAC determination -call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilit •' Contact Building Inspections for sample and if required "• Permit for new building or addition will not be processed without Emergency Response Site Plan. Date ,? Q00 ei- ?-?,ril Ce/I Z 0 S Construction cast Site Address 0 MCI) e 2 55/ knit/Ste # Tenant Name Former Tenant Name Description of Work /n o, 07 /? ;h ` Uil Property Owner () Telephone # (joy/) b UO / ? cv Gdl. a al -. Contractor n (Q/Li SS • Imo( r? - /I A ` / Z) Address City State Zip ?j5 tp Telephone # (9f ch/E {) ! 2 ('? Jet. Registration # ress (M n(! ??a ?? e City + at M N Zip S S i 0 / Telephone # (to S/) Z ?/ 7 I Licensed plumber installing new sewer/water service: Phone #: (? vSS I hereby apply for a Commercial Building 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 the State of MN Statutes; 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 appr a tan in the case of w? k which requires arevie'w'Snd approval of plans. r a2005 l Jiq Slmcet-( L4t!hE J ? 2_ ' ture Applicant's Printed Name Applies Signa L ; OFFICE USE ONLY Sub Types C 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous ? 26 Public Facility ? 27 CommerciaLgndustrial ? 28 Greenhouse ? 29 Antennae A ? 30 Accessory Building ? 32 Ext Alt-Apartments ? 34 Ext Alt-Commercial ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg, ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 0 Type of Const Width Plan Rev 100%= 25% - Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft, PRV Nbr. of Bldgs Length Fire Sprinklered Required Inspections - Footings (new bldg) - Footings (deck) - Footings (addition) _ Foundation _ Drain Tile - Roof _ Ice Pr - Decking _ Insul _ Final Framing Fireplace - R.I. -Air Test -Final _ Insulation _ Final/C.O. Final/No C.O. Other - Pool _ Ftgs _ Air/Gas Tests - Final - Siding _ Stucco _ Stone Windows Approved By: Planning kQ? Building Inspector •Z-t(o5 Base Fee Surcharge Plan Review SAC-MCES SAC-City S/W Permit S/W Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) b 9. ao 0 Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total Sewer Trunk Water Trunk 7D• oc? S1C RFxtl1 1[p (f PM 5%[E Y WIOREMt MILRYCTb! OE b , ROM. FIEVAnM . nRW RH'OPVE NIY .00. p ,ooao' nswuFO m ??V LEGEND R y " \ J W 0 -Ac b.•11;?i4 i ° _i f __ -y-}= _ ..-r.?...- '.... _ .__:LUniae</ OPUt ?d- ? / ??fi? ?r_n??_v....-`??'Y ?ai•S,? _,'?2 ? _'-1_;,? :yl?:? J.?r'`<i` `_z I ;; f, %/° .?... m,..e,:,.o... ? E ?IYi? FF .4 _ W SCALE "Lli LR-1134-1t_ i t• y 66& -02 ti M r M N N ?CIO c? S. C cl? Temporary Building permit for: Direct Buy Company 719 Minnebaha Ave St. Paul, MN 55106 651-290-9949 Contact: Stacey Kettenacker Location of event: Eagan Sam's Club Tent Sale in parking lot 3035 Denmark Ave Eagan, MN 55121 651-405-0079 Contact: Andy Flatland Dates of event: June 3rd - 12`h (set up June 1' , tear down June 13`") Hours of Operation 10 am - 7 pm Monday - Saturday / Sunday 12 - 6 pm Merchandise: Oriental Rugs, Furniture, and Framed Art Tent size 30X100 (QTY3) of fire retarded vinyl Tent Rental company: Aarcee Party Rental 2 Fire Extinguishers at each end See attached site map r , G1 M N 6) n u CertMe tc of F IartjIie Resistapee ISSUED BY REGISTRATION Date of Sh:pnient APPLICATION ??eppp??? NUMBER CRQ;?' uze zoaz EVANSVILLE. IN EN ANA 4T725 TentkfenH6cation C FiaO.! MANUFACTURERS OF THE FINISHED a4n:xr, I TENT PRODUCTS DESCRieED HEREIN -- ------------ -- - - - ---This - is to certify that the materials described have been flame-retardant treated (or are inherently noninflammable) and were supplied to: 108200 AARCEE RENTAL GENTLER INC 3501 S HWY 100 5T LOUIS PARK MN 55416 r- ro Pd m M M J Q 2 F'r rx a LL N N Certification is hereby made that: The articles described on Ibis Certificate have been treated with a flame-retardant approved chemical and that the applicalior! o' sa;d chcr?fca; ' as done if) ,i nfriruaace with California Fire Marshal Code. Ail fabric has bee!, tested and passas NFPA 701-99, CPAi 84, t1LC 109. Serial# unxnl9u(2) Do; rpt,on of iter„ cenif Ca: NA%*II7iACr M111, E 30WX-X, svmtiR Flame Retardant Process Used bYii) lira Be Removed By Washing And Is Effective For Thu Lift: Of The Fabric StiSDER?4'GaF+h'F,p!f S.ynC3:- Sa'ENCL £'UEY5 014974 • AWWOA MQrJST:tIES ItJO. L r LL ?i m cu A a IMPORTANT DOCUMENT Clartif leatfc of Flame kResistarW REGISTRATION ISSUED BY Date of Shipment APPLICATION ?A z 4170'2005 NUMBER ' EVAP7S VitL£. INDIANA 47725 ' Tern Identification - - ----- awasn3'_..-------- - TENT PRODUCTS DBSCH13ED HEFiEIN This is to certify that the materials described have been flame-retardant treated (or are inherently noninflammable) and rrrere supplied to. . 106200 AARCEE RENTAL CENTER INC 3501 S HWY 140 ST LOUIS PARK MN 55416 N N Certification is hereby made that: The articles described on this Certificate have been tr-aafed viith a flame-retardant approved chemical and that the application of said chemical :vas done in conformance with Calllornia Fire Warshal Code. All fab^c has been tested aid passes NFPA 701-99. CPA?f 884, ULC 109. Descripti*n of item -.ert:r'ed NANTMAC 114MUE 30WX 10 SNYDFR Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric SNYDI WGNEW P2l1LAUt7P1HA014 - SPcCAL E'ic!.'TS QINagN - AYC?l0R RtL?SrFiES riC. E r- r` a PR N -a io n i- »???ssn r ? ? r,lMPC3 Y?NT DOCUMENTRam-N WNR Certificate of Flue-N 114,21esistaxNe REGISTRATION ISSUED BY APPLICATION Date of Shipment NUMBER 4126.12W5 EVANSVILLE._IND-AC1A-47725_ TeI if Ident[ficalion F14G.t I MANUFACTURERS OF THE FINISHED ata;e,ti __JJ TENT PRODUCTS DESCRIBED Y!EREIN This is to certify that the materials described have been f(arne-retardant treated (or are inherently noninflammable) and were supplied to: 106200 AARCEE RENTAL CENTER ING 3591 S HWY 100 ST LOUIS PARK MN 55416 Certification is hereby made that: , The articles described on 00s Certifiewe have been treated with a flame-retardant approved chemical and that the application of sa:;: chemical was dons :n conformance with California Fire Marshal Code. All fabric has beer, tes'.ed and passes `I°aA 701-99, CPA[ 84, ULC 109. to d ti CD N ID N F SMIa, 8076300(6) Dercripficr. of pia r,, ce-t:'iedr ?.Y -°-- -•-- --- • --------- ( FIESTA 1EXPANDAR E. MIDDLE I !2WXI1! SVY0ER%7Htit VINVI Flame Retardant Process Used Will "lot Be Removed By Washing And Is Effective For The Life Of The Fabric SNYDER 6ffQ NEW PFULQUPc &Q4 I a:maned -_ i="eIAI E'l'eNT3 Lk'PSFJU -4lGXafl ka:L'STPoES al:.. IIMPnRTANT D0CUMENT-in • 7r]RJ7' VI Certificate of VIaiw Resistance ISSUED BY M N Lr, F- REGISTRATION Date of Shipment APPLICATIONCNQIB a a7fi. zags ?`r' 'der' ti s NUMBER r EVANSV3LlE, INDIANA 47725 Tent Identification MANUFACTURERS OF THE F141SHED (405061 ------- .71 ?[-` ? ---- 3°?-- -- - _TENT PRODUCTS DESCRIBED IJFREIN f This is to certify that the materials described have been flame-retardant treated (or are inherently nonintlammab[e) andZaei'e supplied to: , 106700 AARCEE RENTAL CENTER INC 3591 S HWY 100 ST LOUIS PARK MN 55415 i 7 i~ m N i N Certification is hereby made that: The articles described on this Certificate have been treated ,,,[th a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshal Code. All fa`m'e has been tested and passes HrPA?G1-99. CPAI 84, ULC 109. Sena; anzeam Cal ?----__J.--.-.----- j Descr,ption of iten certified: _- II] FIESTA EXPANDADLE TOP 30WW= I.NYDER MIM VD1YL Flame Retardant process used vvii, r(lji. oa ncilivvcaa uY Washing And Is Effective For The Life Of The Fabric S- OER MFGtiig VW FRLAU£[PInAUH - -Sitrgd .. . 5P CIAL E'.cNTS O•Y304 • AYChOR 11403-TRIES IHC. i May 27, 2005 Ms. Pamela Dudziak, Planner CITY OF EAGAN 3830 Pilot Knob Road Eagan, MN 55122-1897 RE: EAGAN TOWN CENTRE RENOVATION Dear Ms. Dudziak: This letter follows your meeting yesterday with RREEF's construction manager, Paul Nahurski, to discuss the Planning Department's concerns, regarding the planned reconfiguration of the parking lot along the west leg of the shopping center. Specifically, the two items are the head in parking along the store fronts and also the additional employee parking off the rear service alley. My understanding is that the Building Permit for the entire renovation is being held by the Planning Department pending clarification of these two items. Just to recap, Cy-Con Construction was awarded the contract and applied for a Building Permit on or about April 27`n, per plans developed by Architectural Consortium. Cy-Con received a plan review letter from the City on May 4`n' requesting three (3) items be submitted prior to releasing the permit. ? Special Inspections & Testing Schedule ? Emergency Response Site Plan ? Revision to the elevation of the accessible parking signage detail My understanding is that these items have been prepared, submitted and approved. Subsequently, a red-lined site plan was sent to the architect from the City Engineer to revise the site plan, in order to revise the approach to the intersection in front of the Old Chicago restaurant. In brief, this revision eliminated five parking stalls and opened the radius of the curb and gutter to provide better traffic circulation. Our consultant engineers revised this plan in accordance with the City Engineer's request and it was resubmitted on May 17`n Ms. Pamela Dudziak, Planner May 27, 2005 Page 2 Obviously we are anxious to address your concerns and get the permit released. This entire project represents a significant investment to the property, one which updates its 1980's appearance and is intended to enhance its economic vitality. At this point we are now the better part of a month behind schedule getting started, but remain obligated to complete this work before Labor Day. In order to respond to your concerns on the site work and parking issues, we offer the following: Head-in Parking: Many of the Tenants along the west leg of the building have "short term" customers and these Tenant's consistently asked for more accessible parking for this clientele. This type of head in parking exists on most comparable convenience shopping centers throughout the market. I believe the specific concern relates to these parkers backing into a primary traffic lane, but to the best of my knowledge, this is not in violation of any City codes or ordinances. We would propose to add speed bumps and appropriate signage, which would help reduce the speed of traffic along this traffic lane in front of the building to address this concern. The Westerly approach to this intersection off of Town Centre Drive is currently signed as a "truck entrance" and is at best a secondary entrance to the property. In regard to safety, head in parking will reduce the number of "short term" customers having to cross the traffic lane from the West. With the addition of forty three (43) head in parking stalls, of which six (6) are handicapped accessible, you can see the reduction of several hundred "short tern" customers not having to cross the traffic lane on a daily basis. This reduces the number of potential instances that a vehicle vs. pedestrian accident may occur. The new head in parking also provides easier access for the handicap. Rear Alley Employee Parking: The concern here is one of security for employees leaving in the dark. We concur with you concern and will delete this element of the project. Ms. Pamela Dudziak, Planner May 27, 2005 Page 3 Ms. Dudziak, hopefully this response is an acceptable resolution to your concerns on the site work being done to the property and the Building Permit can now be released. Please feel free to call me, or RREEF's construction manager, Paul Nahurski with your thoughts. Sincerely, John Boich Property Manger C.IaoDamlFagan Toum CenferlCorrespondencel0O14DudziakCrryoJEagan.doc cc: Paul Nahurski City otEapu Pat Geagan MAYOR Peggy Carlson Cyndee Fields Mike Maguire Meg Tilley COUNCIL MEMBERS Thomas Hedges CITY ADMINISTRATOR MUNICIPAL CENTER 3830 Pilot Knob Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD MAINTENANCE FACILITY 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAKTREE The symbol of strength and growth in our community. March 28, 2005 PATRICK BENNETT P.E. CORE STATES ENGINEERING 10784 INDIAN HEAD INDUSTRIAL BLVD ST LOUIS MO 63132 RE: SP'S CLUB FUELING STATION 035 DENMARK AVENUE Dear Patrick: We have started our review of the construction documents submitted in pursuit of obtaining a building permit for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless otherwise noted, all references are to the 2000 I.B.C. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the following items be addressed: 1. Fill out our 2005 application (enclosed), sign and return. 2. Submit 1 soils report 3. Submit 1 mc/ws SAC determination letter. Contact person can be reached at 651- 602-1000 4. Submit 1 special inspection and testing schedule. 5. Submit 1 emergency response site plan (example enclosed) 6. Identify contractor with address and phone number. If you have any questions regarding these requirements, please call me at 651-675-5676. Thank you. Sincerely Mike Lence Senior Inspector ML/jeh Enclosures MEMORANIfII11I TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN FROM: MIKE LENCE, SENIOR INSPECTOR DATE: MARCH 28, 2005 RE: PLAN REVIEW FOR SAM'S CLUB FUELING 3035 DENMARK AVENUE EAGANDALE CENTER INDUSTRIAL PARK 9 LOT 3,BLOCK 1 The plans are in our plan review section for your review and comment. H2 Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No PRV Required Signature CDIFORMSBLDG INSPIPLAN REVIEW /MIKE LENCE ZONING? METER SIZE Date REVISED 02104 APRIL 8, 2005 Pat Geagan MAYOR PATRICK BENNETT P.E. CORE STATES ENGINEERING Peggy Carlson 10784 INDIAN 14EAD INDUSTRIAL BLVD Cyndee Fields ST. LOUIS MO 63132 Mike Maguire RE: SAM'S CLUB FUELING STATION Meg Tilley 3035 DENMARK AVENUE COUNCIL MEMBERS Dear Patrick: Thomas Hedges We have completed our review of the construction documents submitted in pursuit of obtaining a CITY ADMINISTRATOR building permit for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless otherwise noted, all references are to the 2000 I.B.C. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the following items be addressed. 1. We realize that calculating an occupant load for the toilet room fixtures based on MUNICIPAL CENTER 5,653 sq ft. maybe excessive; however, with a vehicle at each pump, the attendant, and vehicles that may be waiting to use the pumps, we feel that it's reasonable to 3830 Pilot Knob Road assume that total occupant load would exceed 15. Section 2902 2 of the 2000 I.B.C. Eagan, MN 55122-1810 states that occupant loads exceeding 15 would require separate facilities. 651.675.5000 phone 651.675.5012 tax The State of Minnesota has amended the exceptions for Section 2902.2 by adding 44. 651.454.8535 TDD The 4i' exception could be an option. This would involve the unisex toilet room having not less than one water closet, one urinal and one lavatory. The appropnate accessible clearances complying with M.S.B.C. Chapter 1341 would be required for all fixtures. MAINTENANCE FACILITY 3501 Coachman Point 2. The toilet paper dispenser shall comply with Chapter 1341.0448, Subpart 6 Eagan, MN 55122 (M.S.B.C.) 651.675.5300 phone 651.675 5360 fax If you have any questions regarding these requirements, please call me at 651-675-5683. 651.454.8535 TDD Thank you. Sincerely, www.cityofeagan.com J. Craig Novaczyk Semor Inspector THE LONE OAK TREE JCN/ld The symbol of strength and growth in our community. PLUMBING (COMMERCIAL) Permit Application City Of Eagan °G '42D 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Date / -7 / 0 3 Site Address C Unit # I Tenant Name f2 Former Tenant Name _ Property Owner 1. nl Telephone # i Contractor Address City State zip 5517,-/_ Telephone # ( ) Y Yl-CJl_ < The Applicant is Owner Contractor Other Work Type _ New Bldg _ Add-on _ Repair _ RPZ _ P Irrigation system chall to culate fees. Required meter size is 2" turbo unless smaller wi ermi[[ed b Public Works * Jerry Wobs sc /I d A A Description of Work l / v 'Fo inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to Picking u p meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $156.00 Domestic Size & Type Avg GPM Includes high demand devices? - Yes - No Flushometers - Yes - No PRV Required _ Yes -No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x .01% = $ Base Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ State Surcharge If base fee is over $1,000, surcharge Is $S0 per $1,000 of the Base Fee s Following fees apply only when installing new irrigation system $ Water Permit Contact Jerry Wobschall at 651 675-5 024 for required fee amounts ^ r? W r,r? I Y I I I " I ? t Pl t T D I J v LS $ reatmen an $ Water Supply & Storage O C T 1 9 o $ State Surcharge ----------------------------------------------------------------------- -------------------------------- ----------------- -------------------------------------- $ Fee I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurate; that the work win be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing 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 in accordance with the approved plan in the case of work which requires a review and approval of plans. 6V ?jr?1?1? Appliiednt's PPrt ted Name ApplicaWs Signature CITY USE ONLY REQUIRED INSPECTIONS: U.G. Air Test - Gas Test Rough In Final PLANS SUBMITTED APPROVED BY: I t ?' -Z,,7-, 3 , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper h m/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1/2" irrigation syst $ 781.00 displacement smcommercial turbine** must receive maximum continuous approval 10 from Public Works 2-30 lawn irrigation $156.00 4-160 2" turbine lg irrigation syst $ 982.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement verylg res $200.00 1/4 to 160 2" compound bldgs over $ 1,860.00 bldg to 24 units 65 units maximum sm commercial & continuous & Ig comet bldgs 25 rri ation systems 5-100 1-1/2" bldgs 25-64 units $484.00 maximum displacement & F continuous most comet bldgs 50 I METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00 very Ig comm bldgs very lg comm bldgs 15-1000 4" turbine very Ig irrigation $2,329.00 syst & production lines y •J To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician Updated 1/03 Loft 3 13 10 & ? ft Q(? S COMMERCIAL (?? ?; C-Ey -4'jj f0 2 BUILDING PERMIT APPLICATION ""-A H95?-] ?-{- CITY OF EAGAN 651-681-4675 5 C-ad-AL Foundation Only New Construction Intei:Qr Im rov ent • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) ?--- nal (i) 76- • Certificate of Survey (1) • Civil Plans (2) • m ro Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Ke n (1) • Project Specs (1) • Code Analysis (1) '" • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always- • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always- • Meter size must be established • Meter size must be established Meter size must be established - if applicable 1 • • Project Specs Energy Calculations (1) (1) 1 • Electric Power & Lighting Form (1) " • Master Exit Plan (1) PR 1 2 2002 F • Fire Protection Plan (1) ; Soils Report (1) 92 1 • MClES SAC detenninatlon letter MC/ES SAC detenninahon letter nefter MC/ES SAC determina -- call 651.602-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample L?- - - ?- Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: 42Qj2 WORKTYPE: I_ NEW 'X REMODEL CONSTRUCTION COST: '27f000 SITEADDRESS: 90% wlrar? ?0J oe TENANT NAME: 5'a wt, rrj r, I! U 14 SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK tr Cuf'taai?. q't' 1)64k VreS11'SVleS• Add r44yrorn7- bteaTToCsrr?fcr Name: Sei?tte td5 _ ?t"JtK ?S7Dre MON[a Phone #:(6S 1) 4469- ad74 PROPERTY Last ?[ f OWNER U.do6 glb3 ?(R2. Street Address: City: Egget y-?.Vit, Company: CONTRACTOR Street Address: City: PI K ARCHITECT/ /? La n e e A F c? ENGINEER Company: Ce _ State: M "Q zip: X512 I &Jyl. Phone#: (QS2 ) ??'t'.??D _ State: M JJ zip: SS LI Z(o Phone #: ( Qi 17 ) 222 - 85t)C7 Name: -a tr - - a-V y r I q 9 Kelp- c? Registration #: Q/ 6.3 5 J t+ t *F no Street Address: Moa elkYYI LS iv d. 2 City: 1=ae 'f Wei r -M State: 7-)( zip: -761 -5 -7 Licensed plumber installing new sewer/water service: k4 &'i Phone #: I hereby acknowledge that I have read this application, state that the information is gorrect, and agree to comply with all applicable Stnite of Minnesota Statutes and City of Eagan Ordinances. lz-- \ Signature of Applicant: Updated 1/02 (C'L?t) G ! a . 41T G J ? 5), OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous WORK TYPE ? 31 New ? 32 Addition ? 33 Alterations ? 34 Replacement ? 26 Public Facility ? 27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae GENERAL INFORMATION Census Code q 37 SAC Code 2:,C) No. of Units o No. of Bldgs. 1 Const. (Actual) • n? (Allowable) ZL ' n( UBC Occupancy -r- Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building ? 30 Accessory Bldg. ? 32 Ext Alt - Apts. ? 34 Ext Alt - Comm. ? 35 Ext Alt - PF ? 37 Nail Salon sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered ? Insulation ? Plumbing Engineering ? Stucco/Stone Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit SAN Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies F- P ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 38 Demolish (Int) ? 45 Fire Repair VALUATION $ 0-7 06 C) % SAC SAC Units Meter Size Total Or I S COMMERCIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Q C,? Telephone # 651-675-5675 FAX # 651-675-5694 % ?70 v Foundation Only New Building Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master Emit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always"* • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always- • Meter size must be established • Meter size must be established • Meter size must be,established-if applicable l • Project Specs (1) 1 • Energy Calculations (1) ` d 1 • Electric Power & Lighting Forth (1) 1 • Master Emit Plan (1) 1 1 • Emergency Response Site Plan (1) ""* l 1 • Soils Report (1) 1 - SAC determination -call 651-602-1000 • SAC determination - call 551-602-1000 SAC determination - call 6511-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. ** Contact Building Inspections for sample and if required when it states "not always". *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date _ 1 f 3 / Construction Cost vr`L Site Address e Tenant Name &Kic, V6661t 0 Rf f a 6,oTq ! unitiSte # s- TNT FrtotiX Former T nantName jU /A Description of Work Fly Pf J ??WI l n T # T Property Owner r ep o e e ( Contractor &v c bb; s vk 5 a ; s LI _ Address ?/ )5 F_ (_ y ,J loe 5 f}7 q < city /? G>'ia , AI State /?l /V Zip Telephone#(b?-n 7ZY-157M Arch/Engr n [ V '' Registration # Address a? - City State Zip Telephone # ( ) Licensed plumber installing new sewertwater service: Phone #: I hereby apply for a Commercial Building 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 the State of MN Statutes; I understand this is not a permit, but only an application for a hermit, and work is not to start without a permit; that the work will be in accordance with the approved plan approval of plans. E,s_ ?o bb a,n s _ Applicant's Printed Name Applicant's :,tgaature case o o k which requires a review and OFFICE USE ONLY Sub Types 01 Foundation ? i 14 Apartments ? ,?/ 15 Lodging I] x 25 Miscellaneous ?q / L Work Types / "? - r ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation 006) Census Code ?5 74 SAC Units Nbr. of Units Nbr. of Bldgs Type of Const 26 Public Facility 27 Commercial/Industrial 28 Greenhouse 29 Antennae 30 Accessory Bldg. ? 32 Ext Alt - Apts. 34 Ext Alt - Comm. F, 35 Ext Alt - PF ? 37 Nail Salon Int Improvement ? 38 Demolish (Interior) ? 44 Siding Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning _-PD City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS - Footings (new bldg) - Footings (deck) - Footings (addition) _ Foundation _ Drain Tile Roof - Ice & Water _ Final - Framing - Fireplace _ R.I. _ Air Test _ Final Insulation _ Final/C.O. _ Final/No C.O. Plumbing _ HVAC Other Pool - Ftgs - Air/Gas Tests _ Final Siding _ Stucco _ Stone - Windows (new/replacement) - Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total WAL-MART REQUEST FOR INFORMATION SAM'S CLUB DATE: 04/26/01 RFI NO: C&B SE-40.02 TO: Margie Beauchamp PROJECT: Phone(817)222-8558 293311 FROM: Adolfson & Peterson 44738 Eagan, MN (General Contractor) Club# (City, State) Marc Allen SPECIFICATION SECTION: (Project Superintendent) (651) 406-9150 (job Site Phone Number) 525-2333 cc: C. Ray TOPIC: Girder YES M NO Inc. INFORMATION REQUESTED: Carter::Burgess generated RFL• The following joist girder bearing lengths, as field measured, have been provided to this office: Lines B/4=5", Lines B/5=3", Lines B/6=3.1/4", Lines B/7=3.1/4", Lines B/8=4", Lines B/9=3.1/4", Lines B/10=3", Lines B/11=3.1/4". The attachment of joist girder to bearing plate is typical for all the above locations and is as follows: 6" to 8" of 1/4" fillet weld per girder shoe. A vertical stiffener plate was added on site per SMI recommendations and is located at approximately in the center of the above bearing lengths. RFI CB SE-40 concerned the joist girder bearing lengths and RFI CB SE-40.1 concerned the repair details from SMI for this condition. If the joist girders are adequate for the above bearing lengths, provide a stamped and signed response from an Engineer registered in the state where the project is located. Alan R. Stringfellow, P.E. Marc Allen 5/7/01 Requested By: Answered B7: Date: This request has been r Construction Manager. DRAW ING/DETAIL: * 3o35 Z)&4"4x-le- AVE REPLY: Carter-Burgess' reply of 2/22/01 directed A&P to have SMI engineer the solution for this problem. Attached is SMI's engineered fix. Item #6 of the field repair detail sheet states that "If repaired in compliance with the preceding notes, as well as the details on the following pages, with good quality workmanship, the joists will meet the specified structural performance criteria." This work was inspected on 4/27/01 by the Owner's testing agency, Braun-Intertee, and found to be acceptable (attached). Carter-Burgess requested this inspection after an on-site inspection by their structural engineer thought the repair to be lacking. These joists, the structural solution, and adequacy of their bearing lengths has been engineered by the Owner's joist supplier and verified by the Owner's testing agency; therefore, no farther action will be taken on this issue. Architect's response shall not be considered as a Change Order or Change Directive, nor does it authorize changes in the Contract Sum or Contract Time. Any changes to this RFl after it leaves Carter & Burgess will be considered null and void. The copy kept at Carter & Burgess will be considered the original. 04/28/01 THU 12=19 FAX 812 241 2982 ADOLFSON & PETERSON Q001 ?- yKgl m Adofton FAX CConPstrruction COVER 6701 West 23" Street, +nneapolis, Minnesota 55426 SHEET DATE; 426/2001 NUMBER OF PAGES: 4 INCLUDIaa Txn PA02 To: Ernest Wamock COMPANY: Carter-Burgess PHONE: 817-222-8722 FAX: 817-222-8549 RE: Sam's Club #4738 - RF1 #42 FROM: Marc Allen -pgONE: 651406-9150 -FAX: 651-406-94M COMMENTS: Ernest, Attached find SMI's response to RFl #42 concerning rrtodifications to G16 & GIB. Call with any questions. Received , APR 266001 can r& UIIMS? C.A. Dept' laoos eoa. oeaae - v s Li PHONE 1477-3632066 TALC 1.4173633020 S JOIST 2716 W. W"Mur ROGERS, AR 72756 bF Z lOB MMORR OB NAftO1 LOCAWO-N DWG BY CIM BY D IS 4o-cal-o315-0 SAMts *4-R& EhL9eKr m,, C-0 ? A Z12& /a I FIELD REPAIR DETAIIS L. All added material shown is to bave a minimum yield strength of 36 kai unIga& noted otherwise, 2. SMJ Jobt is not responsible for the cost incurred to the contractor or any subwattaetorbecause of the repair to thejoiat. 3. SML Joist is not responsible for the wml®euship perfortoW during the minferceamt to the joist. 4. All welding moat be done by eestified welders using Ls7am electrodes. 5. Reinforcements are to be mado only to the joists shown in the repair details. 6. If repaired in compliance with the preceding notes, as well as the detail on rho Hollowing pages. With good quality workmanship, the joists will meet the specified structural performance criteria. Ft? v?n?l?t? ??? ? G?? mgzrs G/6 t 618 1 z 04/26/01 THU 12:20 PAZ 812 241 298E {mil /?O?i.2?IFGMi SM1 JOI LT ?QMPANY :FFd?9'J?i]i SMIJOIST IM004 Z `i JOA NUMBER .NAME LOCATION VNBBY CKO By OATE 90 o?-c735o SorK'S 4"13fo CA&AO, MtA (mac zIt`Iq 'AJJO19740KAMBAD RO UNA -9 9NI JMT oei CAA GM JONT-FLORIDA - 1 sm Jg9FNEVAWI ?'\/6(w ]G110RtATm[-I0mI? 0 F ? . ?FA0sM/P4blfi) G M?f.YrO ~ mrswwfm? IJ=ZZ. m-A?wun Ino wa F??M1ppiO0Oro wfen ? ? ygawper.Y.+ „i,OM P,T F.Kpq ?FY?Nm?•= r wa? b,- s •9F(Y ? !I 7-,46 _C,, of G /6 f C.7 /8 BRAUN,. IMTERTEC Report Number Project Name: Project Address: Client. Weather: Type of inspection, ? Conanuous Lr! Periodic m ,n<.n,hnl Special Inspector Daily Report City of _(7eN - Date of This Report Project No.: ?•}\`__, .4 _- Client Project No.: Temperature: { Page t of 7) i lion Coverage: ? Rebar Placement ? Foundations Masonry Welding ? Concrete Placement ? Fireproofing Bonin ? Tendon Placement ? Other t-I r1 icrorl R lnw) No W Description and location of work completed - •s ill -all LrNt-testa-Psrfucmecl:? • Are there any discrepancies noted Irom this Jays ob",auon,s! re=. ll`i'I No LJ • Are there any outstanding discrepancies on this pnljec[? Yes • If yes, see attached Summary Sheet. a Jane in accordance with the approved plans, specif<a[ions anJ bat of our knowledge, work inspected wa To the applicable workmanship provisions of [be UBC, except as "()red ahove. [?{''? Date: CI-1).ol Signed: q P 6• ?. LD, Number: ?3qf Print Full Name: t 1?---- - (Wins. copy to Brat", Inrarfee file. yellow copy to Genial Contract'.) ,..,u,4 t12.SM BRAUN" WTERTEC Continuation of Special llupecto' Daily Report City of L Pugs '-'L of- Report Number: h c!Q.,'"c{ Date of Phis Report: ??^ 1 Project Name: C C\ 1 µ4"1+g Project No.: (Nate: This is a continuation of a mpors The first prge of this report has mforn+arron which ehould not be separated from this continuation-) :1o+.-C•rcto, SG..e <l, C•C??2 ?h c4-r. - - 4 4 r. To the best of our knowledl applicable workmanship 7 Ssgned r f _z ; x)'y y r `d{F 5r? LL? dV :Print Full Name (White copy fqa, Braun Infer { h u Y? of ? f r{4 ` .:;f'LmYpal pdi3?`,@124Nb y.k}?r.. work inspected was done in accordance with the approved plans, specifications and stone of the UBC, except as noted above. tl"al-?tia Date. 1 ' fix i' 4100citV of eagan PNI'RICIA E. AWADA Mayor PAULBAKKEN PEGGY CARLSON CYNDEE FIELDS MEG TILLEY Council Members THOMAS HEDGES City Administrator Municipal Center. 3830 Pilot Knob Road Eagan, MN 55122-1897 Phone: 651.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maintenance Eacikr. 3501 Coachman Point Eagan, MN 55122 Phone: 651,681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.ciryofeagan.com THE LONE OAKTREE The symbol of nrength and growth in our wmmuniry CERTIFIED MAIL August 27, 2001 Rick Streich Adolfson & Peterson Construction 6701 West 23rd Street Minneapolis, MN 55426 The following items need to be addressed at the Sam's Club site on 3035 Denmark Avenue in Eagan, MN. The items are as follows: • Gate valves need to be raised to grade for accessibility in front of hydrants located on the property's northeast, southwest and southeast corners of the building (gate valve located in blacktop in cul-de-sac). All are hydrant service gate valves. Permanent barricades need to be placed at the end of the cul-de-sac south on Denmark Avenue. Please have these items addressed within 7 working days of receiving this letter. If you have any questions, please call me at 651-681-4649. Thank you. Sincerely, ?W7 Bob Kriha Construction Inspector 'P 554 468 332 US Postal service Receipt for Certified Mail No Insurance Coverage Provided. nn nnt um for Inlamatlonal mail (See re gan CERTIFIED MAIL cerd5ed Fee Special Delivery Fee Restricted Delivery Fee u Recim Return eq Shwinc nnra neliveret Fees 1 $ LLI a City Administrator Municipal Center. 3830 Pilot Knob Road Eagan, MN 55122-1897 Phone: 651.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maintenance Facility: 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 w ..ciryofmgan.com THELONEOAKTREE The symbol of strength and growth in our community aber 11, 2001 treich on & Peterson Construction Vest 23rd Street apolis, MN 55426 Denmark Avenue The following item needs to be addressed at the Sam's Club site on 3035 Denmark Avenue in Eagan, MN. • Raise fire hydrant located on Denmark Avenue by south entrance into property. Install hydrant flag. Please have this item addressed within 7 working days of receiving this letter. If you have any questions, please call me at 651-681-4649 Thank you. Sincerely, Bob Kriha Construction Inspector 0-4&&so August 17, 2001 Sams Club 3035 Denmark Ave. Eagan MN 55121 RE: Hydraulic Passenger Site: Sams Club 3035 Denmark Ave. Eagan 55121 Department of Administration - ElevatorID# 01-07348PT01-01 Dear Sir/Madam: Minnesota Statutes Chapter 16B provides that the Department of Administration, Building Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUIL ING CODES AND STANDARDS js-,?n #0 John P. Roche State Elevator Inspector jpr/kad (CE-2) ' c: Schoeppner, Dale R., BO, City of Eagan Schindler Elevator Corp. Adolfson & Peterson, Inc. ElrormCE2 Building Codes and Standards Division, 408 Metro Square Building, 121 7th Place East, St. Paul, MN 55101-2181 Voice: 651.296.4639, Fax: 651.297.1973; TTY: 1.800.627.3529 and ask for 296.9929 city of eagan PATRICIAE.AWADA September 5, 2001 Mayor PAUL BAKKEN GARY R FORD P O BOX 32268 PEGGYCARLSON FRIDLEY, MN 55432 CYNDEE FIELDS MEGTIL.LEY RE: SAM'S CLUB 3035 DENMARK AVE Council Members EAGAN MN THOMAS HEDGES Dear Mr. Ford: CiryAdministrator On August 10, 2001, the City of Eagan's Building Inspections Division issued a permit to you to install an irrigation system at Sam's Club. The following fees were mistakenly overlooked when processing this permit: Municipal Center: Plumbing Permit - S 50.00 3830 Pilot Knob Road Water Permit & surcharge - $ 50.50 Eagan, MN 55122-1897 Water Treatment Plant - 5$ 16.00 Phone: 651.681.4600 $ 616.50 Fax: 651.681.4612 We sincerely apologize for any inconvenience that may cause; however; these fees are to TDD:651.454.8535 be paid when installing an irrigation system that requires a new service. We are asking that you forward a check payable to the City of Eagan in the enclosed envelope. Your anticipated cooperation is greatly appreciated. Maintenance Facility: 3501 Coachman Point If you have any questions, please do not hesitate to contact me at 651-681-4699. Eagan, MN 55122 Phone: 651.681.4300 Sincerely, Fax: 651.681.4360 0 G~ TDD:651.454.8535 Dale Schoeppner Chief Building Official www.ciryofeagan.com DS/js cc: Kim Lane, Sam's R.E. Business Trust, 2001 S E 10th St, Bakersville Ar 72712 THELONEOAKTREE Enc. The symbol of strength and gmwch in our community `' CITY USE ONLY PERMIT #: RECEIPT DATE: COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGM 3830 PILOT KNOB RD FAG", MN 55122 651-681-4675 INCOMPLEM APPLICATIONS WILL NOT BE PROCESSED Date: WORK TYPE / _ New Bldg Add-on _ Repair _ RPZ _ PVB ' Irrigation system ' Must complete reverse side of placation also. Required meter size is T' turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK { ` lV r' h `) ` ° 9 as P' P ` 4\ 2 40 l Z- ?0 ?/' - ?," Ml li 6 rN To inquire if Pressure Reducing Valve is required on new service, call 651-6814646 METERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to nicking up meter Irrigation Size & Type Avg GPM Fire Size & Price 34' displacement $149.00 Domestic Size & Type Avg GPM Does this include high demand devices? _ Yes No FLUSHOMETERS -Yes -No PRY REQUIRED, I - Yes No Site Address: -36-3 5, loe n !A^ k rl?,,`Qv e ? 4 ^ l V -:!?: / z ?L J n . G?nTf Tenant Name: S5' ? S C f v l vt^ A ? l? Telephone #: 6 ?? yGb ' 9 ?6 a- f L, Was there a previous tenant in this space? _ Y ±?N. If Yes, Name: /'/? ?:ref CGl?? A ?g Srs ?'G S #: ??? ' 471? U & /C)Z Installer Name: Telephone e16 . _ V (Area Code) Installer Address: City: _/_ Irl, State: 19) /V Zip Code Contract Fee s 136' V.2- Meter(s) $ Radio Meter Read $ State' j$urc?rge $ FEES Contract price $ 13J y °? x 1% ($50.00 minimum) Required on all new buildings & boulevard irrigation systems (Acct # 9220-4509) Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at? ; 2 fl 50 cents per $1,000 contract fee. I r ? - Total From Reverse 2N ?II1W JUL 2NM Total I hereby acknowledge that I have read this application, state that the inform on is correct, and agre ordinances. It is the applicant's responsibility to notify the property owner that te' in during its normal operational and maintenance activities to the facilities cons ted Toc t6 0 CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Air Test - Gas Test PLANS SUBMITTED APPROVED BY: within S $ r4`la with all applicable City of Eagan Rough In Final Z- V . BUILDING INSPECTOR 41b-6city of eagan MEMO TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS MIKE RIDLEY, SENIOR PLANNER CAROL TUMINI, UTILITY BILLING CLERK BOB KRIHA, CONSTRUCTION INSPECTOR STAN LEXVOLD, CONSTRUCTION SUPERVISOR TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT PAUL HEUER, SYSTEMS ANALYST ERIC MACBETH, WATER RESOURCE COORDINATOR MARK ANDERSON, ELECTRICAL INSPECTOR SCOTT PETERSON, PLUMBING INSPECTOR FROM: BILL BRUESTLE, SENIOR INSPECTOR DATE: JULY 2, 2001 SUBJECT: SAM'S CLUB 3035 DENMARK AVENUE LEGAL: LOT 1 BLOCK 3 EAGANDALE CENTER INDUSTRIAL PARK 49 The Protective Inspections Division will be performing a final inspection of 3035 Denmark Avenue on August 24, 2001. If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. CITY USE ONLY PERMIT #: RECEIPT DATE: Cl PLI MMINH PERMPf APPLICATION crryoFEAGM SSW PUM KNOB ftD RAG"' MN 5512E 651-MI-4675 INC OMP PIP APPLICAnONS_ WILL NOT BE PROCESSED Date: 0?A 3/o I WORK TYPE New Bldg _ Add-on _ Repair _ RPZ _ PVB Irrigation system Must complete reverse side of application also. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK PIdof^,i+L VvJc 5?°rr ?) 50+yev\ P:P - To inquire if Vressure Reducing Valve is required on new service, call 651-6814 METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed Prior to Picking up meter Irrigation Size & Type Fire Size & Type Domestic Size & Type f / a fgf Qj CT Does this include high demand devices? _ Yes FLUSHOMETEERS -Yes -No 400--eiPRV REQUIRED Yes _ No ? ° -^ a ' ?t S G AI U J_5 I Site Address: '?b _55- 1) C ^ y i Tenant Name: -50 A S G I V ID ( E 4 5 a r) Telephone #: (Area coaol Was there a previous tenant in this space? _ Y Y N. If Yes, Name: Installer Name: PrIG6rv,rc_ Mer_k,)A:cr,I Ser/;ccS?n? Telephone#: ?15oti q6 q- y5k,? l (Arm Code) Installer Address: 0 e 3 y 4° 1? AV e. • 5 R0, 919 City: ?, , ke + i l I C State: r? N Zip Code 5500 FEES Contract price $ Ot( x 1% ($50.00 minimum) Required on all new buildings & boulevard irrigation systems Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 contract fee. Total From Reverse Contract Fee $ O? 7 • Meter(s) $ ' O b Radio Meter Read $ IS- 3, o0 1,50 State Surcharge $ New Service $ Total s 3901 ' 3(,- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused bythe City during its normal operational and maintenance activities to the facilities constructed lmeierthts permit tltin City property/right-of-way/easement. REQUIRED INSPECTIONS: CITY USE ONLY U.G. Air Test - Gas Test Avg GPM Avg GPM Avg GPM N .? FEB 2 7 200 _ Rough In _ -o/-D/ PLANS SUBMITTED APPROVED BY: IRRIGATION SYSTEM (CONT) Service: _ existing (if coming off domestic line) OR ; -new for: If 'new service" contact Jerry Wobschall, Finance Consultant, to confirm addingfee IVIA GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $153.00 ) • Water meters include copperhorn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $115.00 4-120 1-1/2" irrigation syst $ 727.00 sm commercial turbine" '"must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $149.00 4-160 2" turbine lg irrigation syst $ 899.00 maximum residential & continuous sm commercial production lines 15 3-50 1" displacement very ]g res $194.00 1/4 to 16 2" compound bldgs over $ 1,757.00 bldg to 24 units 65 units maximum sm commercial & continuous & g comet bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $428.00 maximum displacement & continuous most comet bldgs 50 GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lg irrigation syst $1,184.00 6-500 4" compound +300 unit bldgs & $3,476.00 & production lines veryylg comm bldgs 1/2-320 3" compound +200 unit bldgs $2,212.00 10-1000 6" compound +400 unit bldgs $5,711.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation cyst $2,132.00 & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-6814675. • To arrange for water turn-on, call 651-681-4300. $ Water Supply & Storage - $ 860.00 Water Fees to be Permit & added to Surchfrontarge side of - $ application 50.50 $ Water Treatment Plant Charge - $516.00 per SAC unit $ w: Kris Forster, Maintenance Division Clerical Technician Updated 1/01 3vr? CITY USE ONLY PERMIT #: ?v RECEIPT DATE: ¢-lz-ot APPROVED BY: INSPECTOR COMMERCIAL MECHANICAL PERMIT APPLICATION CITY OF >EAGAN 3$30 PILOT KNOB RD EAGAN, MN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: ?76/ / - SITE ADDRESS: r/?471> QVC7V(107A :C -1 V -1 a" OWNERNAME: ?742?3?.PHONE#: ?73-gt'AT (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): ?16 0-"Az WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y _X N. NAME: INSTALLER: ?'`1'?'tT???1'r"7'es --.I?? ADDRESS: A gOX71I;G??HONE #: (AREA CODE) CITY: SZ-lA/?i 44« STATE:AA1 ZIP: n7&c WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work:& /i When installing/removing underground tank, call 651-681-4675 for inspec KIBy P lumbing (inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. 1 0 7001 Underground tank removal/installation minimum fee ,r Contract price: $?i x I%= $ /exi, Oo (Base Fee) - State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $? SIGNA O ERMITTEE Updated 1/01 ? , VM'E M'O'R A'N D i7.M ??,' .? I,a..Gk' TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: BARRY GREIVE, COMBINATION BUILDING INSPECTOR FILE #9 DATE: May 22, 2001 RE: PLAN REVIEW 3035 Denmark Ave (Sam's Club Liquor Store) The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No landscape security required water quality dedication park dedication trail dedication tree dedication ZONING? METER SIZE Signature Date 20 c--20 ?Y T t3?- I 00 BUII.DING P ?APP'1 'L CATION (CO.`VIIVIERCIAL) CITY OF EAGAN 651-681-4675 Foundation Only New Construction Interior Improvement • Structural Plans (2 sets) • itgftral Plans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) ural Plans (2 sets) M • Cade Analysis (1) •• • Certificate of Survey (1) . Civil Plans (2 sets) Y • Project Specs (1 set) • Code Analysis (1) " • Landscaping Plans (2 sets) >l • Key Plan (1) • Project Specs (1) • Code Analysis (1) '• % . Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) X • Energy Calculations (1) not always- • Soils Report (1) . Spec. Insp. 8 Testing Schedule (1) •• . Elec. Power & Lighting Form (1) not always'' • Meter size must be established • Meter sae must be established • Meter size must be established - if applicable . Project Specs (1) X 1 . Energy Calculations (1) •• 1 1 . Electric Power & Lighting Forth (1) 1 1 • Master Exit Plan (1) 1 1 . Fire Protectlon Plan (1) •' X 1 1 • Soils Report (1) X 1 • MC/ES SAC determination letter • MC/ES SAC determination letter MCIES SAC determination letter call 651.602-1000 call 651602-1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE: ))-*o o WORK TYPE: -4 NEW _ REMODEL CONSTRUCTION COST: ?S 63?, 6 S2 c" In oo J DESCRIPTION OF WORK: _1_01'nn new S qms C_ lvb VY\ TENANTNAME: wu)-Mgrt st-ores Tme, SUITE #: ay FORMER TENANT NAME SITE ADDRESS: Thdvs1 rral FRI 47 LOT 3 BLOCK ) SUBD 1 ago. dole CPn?w Name: ")-Ihgrt $+0re5,-'he. Phone#: So 273-Gztid PROPERTY Last First OWNER Street Address: 2001 5. E /U z?' S roee `)' City &VII-0,\ UI))e. State: 11 612 Company: Ado)'fSoh 'f' yei-P5or C01Zrdc'6.% Phone#: ( _q" ) Syy'1sC) CONTRACTOR Street Address: 676) W e5 7_ 23 ec' _ -- ree'd' City O?O)S State: h1 \ Zip: _S-v/ ARCHITECT/ ENGINEER Company: Phone #: zip: 72212- 4N9? Registration #: Street Address: City I State: Zip: Licensed plumber Installing sewer/water: i fyY l Meter Size: _ Phone M I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. k A Signature of Applicant: tzi OFFICE USE ONLY BUILDING PERMIT SUBTYPE ? 01 Foundation ? 14 Apartments ? 26 Public Facility ;' 27 Co i ? 30 Accessory Bldg. ? 15 Lodging mmerc al/Industrial ? 28 Greenhous ? 32 Ext Alt - Apts. ? 25 Miscellaneous e ? 29 Antennae ? 34 Ext Alt - Comm. ? 35 Ext Alt - PF WORK TYPE t$ 31 New ? 34 Repair ? 37 Demolish Bldg. ? 43 Reroof ?j 32 Addition ? 35 Tenant Impr ? 38 Demolish (In terior) ? 44 Siding ? 33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair GENERAL INFORMATION ? 46 Windows/Doors Census Code 327 Zoning ?0. s ft SAC Code 30 # of Stories q. . q. No. of Units _I Length S s n. No. of Bldgs. I Const. (Actual) _VA _ Width 3-23 / Basement sq. ft. sq. ft. MC/ES System ? (Allowable) )IAI First Floor sq. ft. 13o S- UBC Occupancy / City Water X sq. ft. Fire Sprinklered k MISCELLANEOUS INSP ECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance n vuu a VALUATION:$ -76 4 CC) Permit Fee _(Is' j . Surcharge 15 3 1 .3 Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage ---- Meter Size S/W Permit ?? - S/W Surcharge - - Treatment Plant Park Dedication - Trails Dedication - Water Quality - Other Copies Total -Ir : ?2000 BUII.D? VrS iY 1 TIb ? 'rr, • n 01IIV1Eniz -4675 1 6A ,, " , ,s. , xta Foundation Oni +r? New Constntction•-., In • Structural Plans ;tsa'?? •• (2 sets),?'^. „ , i ral Planb.4w R '+r'•' (21 sels)^! 0,' Architectural F Civil Plans (2 sets) g ? •:' " sal Plan s.;;1n ' (2!sets?, +• Code Analysis, Certificate ofSurvey' (1)•, ". Civil .Plans (2 sets ,y 1. Project Specs CodeAnalysis;? Ca"iidscapingPlans F' (2sets)_ '? Key Plan • Project Specs 6W Analysis (1 Master Exit Pl, .• (t) . j,,; „?. • Spec. Insp. & Testing Schedule •• Certificate of Survey (1)-`?^ •' •` Energy Calcul• Soils Report (1) Spec. Insp. & Testing Schedule (1) • ' Elec. Power & • Meter size must be established • Meler.size must be established '. • Meter size mu q.,a. ,c'w. - • Pr )et-'Specs ' iFY.1? - 'l?,ry ,• 1 'tv,5,i"'? fl 1 "- Energy-Calculations A- }? '.•'"'Ela"dlrierPaver&UgAtlngForm_ ?(1) ?"t`d^.S? , ,. .,. 1 : • Master ExltPlan M .y • Fire-Pro tection an, i;..-..r a. to ?u?ff'1. }t', •Y M1 444,aa'F: ? t ); ?-jqR ?i.;...:J.ti Snits mow. •' Re KIP, ..+ ]. 10) 4kL • MC/ES SAC detemtinatiori letter. ?ks?;?5,' ,. ldClES SACdetennination letter MC/ES SAC d call 651.602-1000'x•-'ti' "K call 651.602-1000 '^'" "'""'• p11651-602-1 Contact Building Inspections for sample , Food & beverage or lodging 'facilities: Plan must be ?submitted to Mirine'sota Department of Fleatth -tail ,. tYN •. ?•n'.,4? -A e'?? ?. b?: ?. e-, ?AT+4lYi:v-i?•t3r°+'vir.'"s'P DATE: .N 2DOOF " `WORK TYPE: ?`r,NEW;:' MODEL ''' ?ti'CONSTRUCI `, 5,,^.,,:i, ? .. ,..£r' >.'v?i "{:fd'«'afia`-?,?,','?q?C!d•C.::x,f.; j '`•.'.r'?*. A, ? r"<7r@: t,o sifrt''. ?' ,L*^ .i ?. C q yy ?Shi DESCRIPTION OF WORK" „,??yv v,?'g ec? "t Sq»t Irby' 'y Sr '.'i."s?.i ' . ;W' >• ?i- j 4. , YY•'?',. TENANT NAME: ' w4' t ?h1grt? t6 res The. _ =SUITE #:' FORMER TENANT NAME: SITE ADDRESS: ?ii?JvT}s?r,d? P4rK Y. :.LOTG:3- "BLOCK"I_' SU13CP f 7. ))14r" Narne•' )- t - +Oi es, -Thc - ' ` Phone#: ( 50 PROPERTY Lasti# },,... _.:.,.:; s• First. J ):u??q•}iR OWNER `,'` ..;?>< ....??iw,>;, ,.• _ {'a;•,;.- w StreetWddress: =200( ;6S: lU s;?(okl. y M:?rs? .' Cih, '11e;V:;W??«>, Company: lfAdFSor, ??"i1.?I,fd$o Crue?fon Phone#. (. ?J CONTRACTOR' ?... ,'?stree Addre M51rb ;1" o '*,I l ?sfi; 23 r.' a,?Fet1 > .Sll?tg?#t° < . • ? Y`t" V1., - _,rx....!Y"•?mypa??v: ",?L ?!" ,1 r N,-, tate:, ?M77. d _ ..n'+bvS ??{?p??Y?'? ,f 9?rxk?'. v? £':Pby,??J{q';p£p 'd•r4' rrv _'t ;r .AM ,.l ARCHITEC!/ r..:Yi ENGMER'Y Company, s? sr- gti v4u.:'= Phone #:,(..: 'dA 1Namaye'?,4 •> w Registratioa 'A °•s'rr"rWI-. T • u;a.'? vti Q?`i9 Ri a >, ! f {1: a1` wW4 Street Addre$$:1da?'"r•r •r.:J,. 'C:e. .. iii i'WRt, i4 -W?{sLN4?,lIWJ?ap1T611 MM_S?1Y:-'4 ?;''4. ?,'. ?,y ' Ctji ; ...k ? ;k4?,M:. ? State•+vu",?,c?..?,.xt. ?^,. Col. X ew r ao6at ..'. - "» 6'Phone*: A W i Licensed plumber 116' 5 Meter Sizes -".1?7Atllfs °i...•A+' _ .. ,,, sgya.>t •. w. ,, r, , k}" ,t ,a 1 hereby acknn gerthat 1 have this map Bca b e aCtFte iyrlgormatlo s correct, a "agree to col of Minnesota-Stabile's a d City o .Ea O dinances. (-_ ?/ k,e `s S nature, Ap I can b All # ,reo?p(r r:'e'fi'? ?dlwi ' •, _er- A4. TA BUILDI NG PE 9 01 Founi 14 Apart ? 15 Lodgi ? 25 Misce WORK TYPE E? 31 New • • 32:Addition ? 33 AIteratio I ?.• J iBTYPE `''14 oC it El lit .'34 Repaii 35.*Ten'2n X36 ? Move Census Code ' n ON •t * II SAC Code "? . ,• ; # of No. of Units No. of Bldgs =;.. 4 :,: ?• INid Const.° (Actual) as (Allowable), r?Fi s UBC Occu ari "? M. "I MISCELLANEOUS INSPECTIONS ? Gas SerSice Test ? Heatin APPROVALS t=: • r 1<..;" i1 Planning '"Building Permit Fee _' Surcharge s ~ftr; Plan Review MC/ES SAC City SAC# . ,,Z400ki 4v Water Sii pply.& Storm 4 S/W Permit' S/W Surchaig'e ? :t ` Treatment Mint- S.. ; t Park Dedicatio Trails Dedication°.. Water Qdelity •. ./?. 3=:'M. spa Copies N ice" TJI Total ? , ; t?'Yr S Y O ICE°US b rsaFacility . '' `F'O 330` Accessory Bldg.. erciaUlnd, stnalIN", -p 32'k+ Ext Alt?pts. ?enOuse . 2 .: Ext Alt - Comm. -i fennae' 4 vr.Y ?? 35 Ext Alt - PF rv 6 ? •r -?a ." . I -3_7 ,'Derriolish Bldg. ? : 43 Reroof' r 38 Demolish (In erior) . 13.04 'SiiJing - Y ?•-+, ? 42 Derriolish:(Found) ? 45 Fire Repa x; ti .... .• w«M; O '..'46 ° Windows/ ?iY 4x • }? , `T"ice` CJ?. Il `Y HAA'S' i 041: Flre sprinklered'- ? N' ? ation Plumbing ? 'S 4 y ngineering;? r,,.?t;ri'rVaria`ncr j, Aw'I I . ; PERMIT #: APPROVED BY: RECEIPT DATE: COMMERCI L MECII>AkNICA L PEIRMIT APH ICATION CITY OF EAelkN 3$30 PILOT KNOB RD EAGM, Butt 55122 651-6$14675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: 3/6 / SITEADDRESS: 3 03 j L)Qtn rr.,,r lL RA C a ; k-\ l' h I? -SS 12, OWNER NAME: S G S C lib - TENANT NAME (IMPROVEMENTS ONLY): CITY USE ONLY INSPECTOR r,?/a a PHONE #: - (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? - Yx N. NAME: INSTALLER: N c c 6-??.'r e r',) ec-?, a,) I Gti Str ?- CCJ? t7h C - p? ADDRESS: 07u "6 VP . S • ?o a X a / ?/ PHONE #: (AREA CODE) CITY: /- h ?' J/ STATE: 1/V ZIP: ss d y WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping SpeciPy Nature of Work: ?n S?s / I 9 4 S P P ? /c 9 )'--, h e .J ?F m ?y C, /,) .h When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal a„,t Plumbing linspector. 5) ? (? 7 5 T Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. F E B 2 7 2001 j U Underground tank removal/installation = minimum fee u Contract price: $ U 006. dox I% = $ q06,06 (Base Fee) _ By ----._ State surcharge q00, • 5_0 TOTAL $ 5 0 calculate at $.50 for each $1,000 Base Fee SIGN URE OF pERMITTEE Updated 1/01 city of aagan PATRICIA E. AWADA October 16, 2000 Mayor PAUL BAKKEN BEA BLOMQUIST PEGGY A. CARLSON Mr Ben Smith SANDRA A. MASIN Council Members Carter-Burgess 3001 Meacham Blvd THOMAS HEDGES Fort Worth TX 76137 City Administrator RE: SAM'S CLUB 3035 DENMARK AVE -- LOT 3, BLOCK 1, EAGANDALE CENTER INDUSTRIAL PARK 09 Dear Mr. Smith: We have completed our review of the construction documents submitted in pursuit of obtaining a building permit for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless otherwise noted, all references are to the 1997 U.B.C. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the following items be addressed. As per our conversation on October 6, the following items will need to be addressed prior to the issuance of a building permit for this project. 1. Exterior grease traps are atypical in this region for climatic reasons. A revised design is requested implementing the "draft" grease trap design and rules from the Minnesota Department of Health. Sample attached. 2. Minnesota State Building Code (MSBC) Section 1341.0405 requires that the mezzanine level be accessible via an elevator that complies with M.S.B.C. Section 1341.0436. We have received your request to install an elevator lift in lieu of an elevator that meets all the requirements of M.S.B.C. Section 1341.0436. Your request was based on the interpretation that a lift would be permitted if the area in question were to be used by employees for work purposes. We do agree that M.S.B.C. Section 1341.0401 Subpart 3 does not require that the work areas be constructed or equipped to be accessible; however, the accessible route to this area is required to comply with M.S.B.C. Section 1341.0405. This code section states in part "....One passenger elevator complying with part 1341.0436 shall serve each story and basement level, including mezzanines in all buildings and facilities, unless exempted in this item...." It does not appear that your project meets the criteria for the seven exceptions to this rule. Therefore, the code requires an elevator installation. Provide a Fire Protection Site Plan. AutoCAD dwg release 14 or dxf release 14. The disk previously provided was contaminated. 4. Provide a stair to the roof as required by M.S.B.C. Section 1300.4500. MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 551 22-1 89 7 THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122 PHONE: (651) 6814600 PHONE: (651) 6814300 FAX. (651) 681-4612 Equal Opporturdty Employer FAX: (651) 681-4360 TOO (651) 454-W5 www.cityofeagan.com TDD (651) 454-8535 The following items were not discussed; however, a resolution will be needed prior to the permit issuance. 1. Provide documentation verifying compliance with the 1997 Uniform Fire Code, Article 81, State Amendments, and U.B.C. Section 906.1 2. The coiling fire doors must have fusible links on each side of the openings as required by U.B.C. Section 713.6.1. 3. Vertical grab bars are required in the restrooms. M.S.B.C. Section 1341.0448 4. Accessible water closets shall comply with M.S.B.C. Section 1341.0448. Clear floor space of 48 inches is required in front of the water closets and 42 inches of clear floor space is required from the center of the water closet to the side. 5. Verify that power operated doors have been tested according to U.B.C. Standard 10-1. 6. M.S.B.C. Section 1341.0510 requires that not less than 5% of the tables provided at the cafeteria are to meet the clearances in M.S.B.C. Section 1341.0480. 7. At least three accessible checkout aisles shall be provided. M.S.B.C. Section 1341.0730. 8. The Minnesota Plumbing Code does not permit flat venting of the floor drains. 9. Provide stamped, complete, site development plans; the sets provided are preliminary. 10. The Minnesota Department of Health must review the plans for compliance under their jurisdiction. 11. Provide a detail of the rated shafts for the grease hoods and any other rated shafts. 12. Verify that the ventilation rate for the garage area is at least % C.F.M. per square feet. M.S.B.C. Section 1202.2.7. 13. The Final Planned Development Agreement and the right of way drainage and utility easement must be executed with Dakota County. If you have any concerns or questions, do not hesitate to contact me at 651-681-4699. Sincerely, b ' Dale SchoeppneG?¢0 Assistant Building Official DS\mb CC: Doug Reid, Chief Building Official Bill Bruestle, Senior Building Inspector Building Inspectors X, GENTIAN ROAD A???es s O 1•frTplV ffiiCE BlROYlG N,NO af. IL ri .ra..r m Ht11iJ1 Ara mrs?s ?{?OYNW Cev ® W EDWARD FARR ARCHITECTS INC GRAND OAK 3 GRAND OAK BUSINESS PARK EAGAN. MN sp TV®N or ?y>C r?lt.?.t_!y Y A N K E E D 0 0 D L E R 0 A D w U Q J a w 4 Y 2 a FIRE HYDRANT QE ELECTRIC MAIN SHUTOFF ® KEY BOX © GAS MAIN SHUTOFF ® FIRE ALARM PANEL 1@ WATER SHUTOFF © AUTOMATIC SPRINKLERS U FIRE DEPT. CONNECTION ® NON-SPRINKLERED AREA V SERVICE DOOR RED ROBIN N. 3-17-00 FIRE PROTECTION PLAN IHOMAS ROOF INC • ARCHIIEKIS E151 uorybna A... S.R. 300 SI Leub, uh mud 63105 U C."n,h, 1000 612 215 0977 OCT-11-2000 09:01 FROM MDH EHS/ENGINEER TO 96814694 P.02i03 DRAFT EXTERIOR GREASE INTERCEPTORS Where acceptable to the administrative authority, an exterior grease interceptor may be installed. Only f xtures which discharge greasy waste may be piped to the interceptor. Dishwashing machines and food waste grinders may not be routed through the interceptor unless acceptable to the administrative authority. The tank must be readily accessible for inspection and maintenance. Construction. The tank must comply with parts 5 and 6 of ASTM Standard C1227-98. The name of the tank manufacturer, the liquid holding capacity, and compliance with ASTM C1227-98 for the tank construction must be permanently affixed to the tank. The interceptor must allow a detention time of at least 30 minutes and must be protected from freezing. The landscape must be bermed to divert run-off. The tank must be protected to prevent loadings that may lead to structural collapse. The materials used in piping to the inlet of the tank must comply with building drain requirements. The tank outlet piping may comply with building sewer materials, unless the outlet piping reenters the building. In such case, materials shall be approved for building drain to point of connection to building sewer. Baffles or tees must be provided at the inlet and outlet of the tank. The invert of the inlet must be at least 2 inches above the invert of the outlet. The inlet baffle/tee must extend at least 6 inches below the liquid level, and the outlet baffle/tee must extend at least 12 inches below the liquid level of the tank. Both inlet and outlet baffles/tees must extend at least 6 inches above the liquid level. Baffles, tees and fasteners must be trade of plastic or stainless steel. The tank and baffle design must allow for continuous circulation of air throughout the tank. Vents, if provided, must be at least 2 inches in diameter; located within the building within 10 feet of the interceptor; and must be labeled as the exterior grease interceptor vent. The vent must rise within 45 degrees of the vertical to a point of least 6 inches above the tank before offsetting horizontally. Inspection pipes, at least 4 inches in diameter, must be provided above the baffles/tees. A manhole, at least 24 inches in diameter, must also be provided. The manhole cover must be locked in place; marked with a warning to not enter without proper equipment; and provided with a label identifying the vessel as the exterior grease interceptor. The inlet and outlet pipes must be connected to the tank with a sealed flexible joint to accommodate pipe movement. A cleanout, at least 4 inches in diameter, must be provided on the discharge line from the interceptor. Inspection, testing, and records. After installation, the tank must pass a manometer test with 1 inch of water column for 5 minutes, or a vacuum test with 2 inches of mercury for 60 minutes. The grease interceptor must be inspected at least once every 3 months, and must be pumped and cleaned regularly. Records of inspection and maintenance must be kept. EXTERIOR GREASE INTERCEPTORS 0 1 D r m 0 U Only fixtures which discharge greasy waste maybe piped to the interceptor, Dishwashing machines, food waste grinders, and other foodservice waste may not be routed through the interceptor unless acceptable to the administrative authority. The tank must be readily accessible for inspection and maintenanca. The tank must comply with parts Sand 601 ASTM Standard C1227-98. The name of the tank manufacturer, the liquid holding capacity, and compliance with ASTM C1227.98 for tank construction must be permanently affixed to the tank. The Interceptor must allow a dention time of at least 30 minutes and must be protected from freezing. The landscape must be beamed to dived run-off. The lank must be protected to prevent loadings that may lead to structural collapse. The materials used in piping to the inlet of the tank must comply with building drain requirements. The lank outlet piping may comply with building sewer materials, unless the outlet piping reenters the building. In such case, materials shall be approved for building drain. Baffles or tees must be provided at the inlet and outlet of the tank. The Invert of the Inlet must be at least 2 Inches above the invert of the outlet. The inlet batfleRee must extend at least 6 inches below the liquid level, and the outlet bafflettoo must extend at least 12 Inches below the liquid level of the tank. Both inlet and outlet bafflesltees must extend at least 6 inches above the liquid level. Baffles, tees and fasteners must be made of plastic or stainless steel. The tank and baffle design must allow for continuous circulation of air throughout the tank. Vents, if provided, must be at least 2 Inches In diameter; located within the building within 10 feet of the interceptor; and must be labeled as the exterior grease Interceptor vent. The vent must rise within 45 degrees of the vertical to a point at least 6 Inches above the tank before offsetting horizontally. inspection pipes located above the baffles/tees and a manhole must be provided. The manhole cover must be locked in place; marked with a warning to not enter without proper equipment; and be provided with a label identifying the vessel as the exterior grease interceptor. The inlet and outlet pipes must be connected to the tank with a sealed flexible joint to accommodate pipe movement. A cleanout must be provided on the discharge line from the interceptor. After Installation, the lank must pass a manometer lest with 1 inch of water column for 5 minutes, or a vacuum test with 2 Inches of mercury far 60 minutes. The grease interceptor must be Inspected at least once every 3 months, and must be pumped and cleaned regularly. Records of inspection must be kept for at least 3 years. (Inspection Pipe r Manhole Inspection Pipe T Inspection least 4" diameter W at least 4" diameter „ --01- RPF' 0 Cleanout ,Fat toast 4' diameter 0 i N m 0 Q m A 3 3 x M (n m^ N ZLA mm ALO J J 00 m a m d m w m w 817 222 8550 10/13/00 14:15 FAX 817 222 8550 CARTER 4, BURGESS Carter ?t Burgess • Flp?n•.c C.c'?'lac?o' ErQi?ec?w4 .i.. ? ?•? a tug 'K (t r•G .r'•iU. October 12.2000 Dale Schoeppner Building Inspectors Department 3830 Pilot Knob Road Eagan, Minnesota 55122 R8: Appeal for Wheelchair Lift Use proposed Sam's # 4738 Eagan, Minnesota 002 Dear Dale, We acknowledge the City of Eagan's desire to provide an elevator in lieu of a wheelchair lift to access the mezzanine level of this project. We fully inin die tten to provide an accessible %lo?, t to mezzanine retain the level, however we feel that there are provisions wheelchair lift. We respectfully request that you consider the application mentioned below for this use. Please refer to section 1341.0438, Platform Lifts (Wheelchair Lifts) and Limited- Use/Limited - Application Lifts. We feel that this section appropriately covets our use of the wheelchair lift. 71-is section states that lifts are permitted if we comply with Part 1341.0401. We also need to design the lift as defined in parts 1341.0420, Subpart 4; 1341.0426; and 1341.0470. We feel that the lift is permitted per 1341.0401, Subpart 3. According to this section, a lift would be permitted if the area in question is "used by employees a9 work area." This is the precise function of the upper level. It is not intended for public use and is used exclusively by the employees. We would maintain the required clear floor spaces and accessible routes as further required by this section. The design of the wheelchair lift is required to comply with the following requirements. Pans 1341.0420, Subpart 4 deals with clear floor space. Our lift exceeds the minimum required floor space of 30"x40". Part 1341.0426 specifies "floor surfaces" and Part 41 0410 describes eseh or uiex ach of these "controls and operating mechanisms." We can assure you that irely with d per provisions. Our specifications dictate that the lift be designee have all r uincluded m ents o of etheAmerican information of cutsheet with Disabilities Act- Accessibility Guidelines (ADAAG)• the proposed wheelchair lift for your review. 817 222 8550 10/13/00 .14:15 FAX 817 222 8550 CARTER & BURGESS Q003 Page 2 October 12, 2000 There are many reasons why providing an elevator in lieu of a wheelchair lift would impose a great hardship on our client, but we feel hopeful that this interpretation of the Minnesota State Code meets your requirements. We feel that providing the wheelchair lift in this application comply with the intent of the State Code and the ADA with regards to maintaining the accessible route to the tipper level. We are more than willing to augment the wheelchair lift system with any accesories that you deem appropriate If you have any question, please feel free to contact us. Thank you for your time. Sincerely, CARTER & G S. INC. 1I? Benjamin Smith Project Architect RASntEE EndosurdAttochm t - Wheelchair Uft Cutshms RAWM_ssms_CIub1MN_EAG 29331 BVIM1, 1003..doe eel: CorrcVoade ?3 ?1 l?a?F;r MEMORANDUMn(LIlc7I10.tarti 4q TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL DIRK HOUSE, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR n FROM: BILL BRUESTLE, SENIOR BUILDING INSPECTOR DATE: RE: PLAN REVIEW The preliminary construction plans for s i In E GG tj G? 3035 ?en W ar K are in our plan review section for your review and comment. D f Vv? Q J k A-V-e- Ave/ Please return this form to my attention with your signed comments and the date of review. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No landscape security required water quality dedication park dedication trail dedication tree dedication ZONING? METER SIZE Signature Date COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF KAeAK 8850 PILOT KNOB RD KAGMI MN 86188 681-661-4678 PERMIT #: RECEIPT DATE: Date: _ -(O' 01 INCOMPLE7E APPLICATIONS MLL NOT BE PROCESSED WORK TYPE New Bldg _ Add-on _ Repair Ts-2" RPZ PVB _ • Irrigation system • Must compl to reverse side of application also. Required meter size turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK LN? VIQ:6 S?V_A S' To inquire if Pressure Reducing Valve is required on new service, call 651-6814646 METERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter Irrigation Size & Type CITY USE ONLY Avg GPM Fire Size & Price 314" displacement $149.00 Domestic Size & Type Avg GPM Does this include high demand devices? _ Yes _ No FLUSHOMETERS Yes No PRV REQUIRED _ Yes Site Address: Tenant Name: ANJ6• JUL 6 2001 ?avv' Telephone #: (Area Code) Was there a previous tenant in this space? _ Y _ N. If Yes, Name: Installer Name: Nl ()C SFP_AJ4"_ Telephone #: &;4?65 - ' U 09A 63r T. (Ares Code) Installer Addre?sys?:,._ lt? City: PKUL. State: I"'i Zip Code ?t - FEES Contract price $ x 1% ($50.00 minimum) Contract Fee $ ,An Meter(s) $ 1?1' "Cb Required on all new buildings & boulevard irrigation systems (Acct # 9220-4509) Radio Meter Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge $ 50 cents per $1,000 contract fee. Total From Reverse New Service $ Total $ Act -co I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibilityto notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this ^permit within City roperty/right-of-way/easement. SIGNATURE OF PE TEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Air Test Gas Test _ Rough In Final PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR C) JC_ corta?RCIA`s± BUILDING PERMIT APPLICATION L4 4? ( CITY OF EAGAN 651-681-4675 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analvsis - (1) •• • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) •' • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) . Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always-- • Soils Report (1) • Spec. Insp. & Testing Schedule (1) •' • Elec. Power & Lighting Form (1) not always- • Meter size must be established • Meter size must be established • Meter size must be esta - if applicable . Project Specs ti (1) 1 ' Q j{ - 1 • ons Energy Calcula ) ( 1 •• ` ?/ I J 1 • Electric Power & Lighting Form ) ( y I • Master Exit Plan (1) ' -A k 1 1 . Fire Protection Plan (1) J?n 1 • Soils Report (1) l • MGES SAC determination letter • MGES SAC determination letter MGES SAC dote ation letter / rail 651-602.1000 call 651.602-1000 call 651-602-1000 Contact Building inspections for sample Food & beverage or lodging facilities: Plan must be submitted DATE ??p I WORK TYP NEW ??l2.Vr0? Minipg?of a Department of Health - call 651-215-0700 for de /'d41flOh CONSTRUCTION COST $(0150,19CO -D --c_- - SITE ADDRESS L-01 7i rY?L CY?K. &A L= hLg ?:N V? L-ir-f`t I a- - 1 r`U=LQ t KAOQt" rT'? TENANTNAME ?y?4? Mdt7? S? 5 L jP_) SUITE# O /A FORMER TENANT NAME 1.I /A DESCRIPTION OF WORK ?o ?l] S f?DAt iTnns "1'0 ?mQ Ut tTt! UNdI iK COST; Name: t 1 S"t `? ,bC-k , Phone#: ( SQ 1 'J ? - b3 7J lO PROPERTY Last T First OWNER Street Address -Jcn, O ?JT?G ? City State LLzy,"5Afzip 72_(CP F-4C,V-- 5MMIc._4 Company /-mil rSONI bnr4??Phone # ( ) 4126P `61160 CONTRACTOR ?t Street Adddrress: rv 6 O ? 0 fMkrr-r? City I v i( MN f flL[ S State M M. zip 5 5??-tq ARCHITECT/ rz` r ENGINEER Company [ ?Z ' • RC S Phone # (?> 17 ) Zp&50 Name _??Y ?C C L+???? Registratoon# 21(o_J91 Street Addressjp0 ??N6? C1J ??p Sol (t % ZOO City 6TJR? WL ?TI-l State -reyAs zip _l (?i?_ 2 Licensed plumber Installing new sewertwater servlce: Phone #: ( I hereby acknowledge that I have read this application, state that the informai3oon is or ect, a a re comply with all applicable State o' Minnesota Statutes and City of Eagan Ordinances. Signature of Applica ?Yl Sµt ??} Updated 1!r OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments 4W-27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon RK TYPE 1 New ? 35 Tenant Impr ? 42 Demolish, (Found) ? 46 Windows/Doors 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 437 Zoning Q sq. ft. SAC Code # of Stories t sq. ft. No. of Units o Length C16,.15 sq. ft. No. of Bldgs. i Width I sq. ft. Const. (Actual) Basement sq. ft. ?- MC/ES System cs (Allowable) First Floor sq. ft. 6br sp City Water y e5 UBC Occupancy /1% sq. ft. Fire Sprinklered y es MISCELLANEOUS INSPECTIONS D Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building hU Engineering Variance VALUATION $ J() , 000 .60 Permit Fee 3 F7 ads, 7S Surcharge 5•C) D 200, oc) Plan Review D z i yl D. 6 4 MC/ES SAC 2.3po, ou % SAC City SAC OL®o , 06 SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Ii D3? Park Dedication -? Trails Dedication - Water Quality - Other Copies Total ?) j ?.a? LI CITY USE ONLY PERMIT #: RECEIPT DATE: 1 9 - C) APPROVED BY: INSPECTOR COMMERCIAL MECHANICAL I'ERM1T APPLICATION CITY of EAGM 3830 PILOT KNOB RD KA"N, MN 55122 651-6$1,4675 Please complete for: all commercial/industrial buildings ?f multi-family buildings when separate permits are not required for each dwelling unit DATE: l /1a` 1 SITE ADDRESS: A.' 3z)?5 , ?+L Av-- OWNERNAME: WA-LM&f* s#bt 'Tw PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): S6--o" S 6A.6 WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y ?IN. NAME: INSTALLER: daNYln ADDRESS: 901 b Oa ok 3(o*` A- PHONE #: Iq 5 Z 92,o- 91o Ol (AREA CODE) SSFi? CITY: KK112VLS STATE: zip: WORK TYPE: New construction Interior Improvement Processed Piping Specify Install U.G. Tank Remove U.G. Tank When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal installation = minimum fee Contract price: $ ZS'7 x1%=$ 1,23-Z L'? (Base Fee) State surcharge TOTAL calculate at $.50 for ?n 1 ? R 1 nl JUL i_ 18l 2001 ?? 1,000 1"6 O SIGNATURE OF PERMITTEE Updated 1/01 6 ? O ?` C ear ?CONiMERCIAL I - (-;- -0 j BUILDING PERMIT APPLICATION L d -4675 n CITY 68OF EAGAN 1-4675 651-68 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) •• • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always-' • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always- • Meter size must be established • Meter size must be established • ble Meter size must b • Project Specs (1) 1 • • Energy Calculations htin Form El P wer & Li t i (1) (1) g g ec r c o V • Master Exit Plan (1) • Fire Protection Plan (1) • Soils Report (1) • MC/ES SAC determination letter • MC/ES SAC determination letter letter MC/ES SAC deter call 651-602-1000 call 651-602-1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minne o a Department of Health - call 651-215.0700 far de?a'' M AL? lov) DATE Ix AL? WORK TYPE _ NEW /X R h? CONSTRUCTION COST $bOOOC0 SITE ADDRESS I P_ 1 7_ TENANT NAME ??lS I M d IZ?T - 51/1 SCI) K> SDIT?E- FORMER TENANT NAME DESCRIPTION OF WORK o ?0 S f,'Db(`i Tt)" To 3GEV CUq_V?i V UNt IK COi TIKLtGCLR Name: I.A& VcncnY_5 IOC Phone#: ( !;_6 I ) °Z4-4 - ? F1 ? PROPERTY Last _T First OWNER r Street Address -J f_-?r S 4- S 0 S %? city State L [ A 5At? ,zip -72-7 V1 r1 iU 1 Company /• I ?So/?L S ??liT' {2 ? ? l AY 'Phone # 406P CONTRACTOR -7 p Street Address: ?D d t`? ?/°J'r U? City p V , 4 ?N ?t'OL15 State Zip ARCHITECT/ ENGINEER Company CLPhone# (2) 17 )i? b0 Name P>??-(G?-- Registration # 2,/ X35 Street Address 300 1r7?_w S/?( ZAI:-?0 City tba-t- TR o "1-4 State TE??S Zip :7(,,- (9?_? Licensed plumber installing new sewer/water service: Phone #: ( I hereby acknowledge that I have read this application, state that the informatAisr t, aagree o comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicaf p S(lt ('tFT Updated 1/( OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous WORK TYPE k 1 New 2 Addition ? 33 Alterations ? 34 Replacement ? 26 Public Facility -tK27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 30 Accessory Bldg. ? 32 Ext Alt - Apts. ? 34 Ext Alt - Comm. ? 35 Ext Alt - PF ? 37 Nail Salon ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 88 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 3 SAC Code 30 No. of Units o No. of Bldgs. Const. (Actual) 71zw (Allowable) -in/ UBC Occupancy M Zoning P 0 sq. ft. # of Stories ? sq. ft. Length '4.25 sq. ft. Width sq. ft. Basement sq. ft. MC/ES System er First Floor sq. ft. G, 6SU City Water Y's sq. ft. Fire Sprinklered ycs MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing APPROVALS Planning Building lst Engineering ? Stucco/Stone Variance Permit Fee '3 61 , 2S Surcharge 2q S. 60 Plan Review 2? 37`1,Frf MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VALUATION $ 6'001000 ?ocsnS Go daty. Pe"^ _ /o/ ouu % SAC SAC Units Meter Size /DU 2 Total t. 3 3A . o 6 150 3S &ti+ Lz AV X Metropolitan Council it Improve regional competitiveness in a global economy Environmental Services May 17, 2001 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Sam's Club Addition located within the City of Eagan. This project should be charged 2 SAC Units, as determined below. SAC Units Charges: Retail 6600 sq. ft. @ 3000 sq. ft./SAC Unit 2.20 or 2 If you have any questions, call me at 602-1113, Sincerely, L46? J. &q_Y& Jodi L. Edwards Staff Specialist Municipal Services Section JLE: (330) 010517S2 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Ben Smith, Carter Burgess wano metrocounctl.org Metro Info Line 602-1888 230 East Fifth Street • St Paul, Minnesota 55101-1626 • (651) 602-1005 • Fax 602-1138 TTY 229-3760 a, Equal Opportunity Employer Metropolitan Council it Improve regional compehhueness in a global economy Environmental Services September 12, 2000 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Sam's Club to be located within the City of Eagan. This project should be charged 32 SAC Units, as determined below. SAC Units Charges: Retail 97002 sq, ft. @ 3000 sq. ft./SAC Unit If you have any questions, call me at 602-1113. Sincerely, 9 Jodi. Edwards &n-CL Staff Specialist Municipal Services Section JLE: (330) 00091257 cc: w .metrocoancil.org 32.33 or 32 Metro Info Line 602-1888 S. Selby, MCES Carolyn Krech, Finance Department, Eagan Carter & Burgess Inc. 230 East Fifth Street • St. Paul. Minnesota 55101-1626 • (651) 602-1005 • Fax 602-1138 • I"N 229-3760 An F4ual Opp t¢mty El Utter P.19.2001 8:40AM Date: To City or County of: Address: City: Attention: 1a t BRAUN INTERTEC SPECIAL INSPECTOR FINAL REPORT State: NO. 698 Zip Code: P.2/22 Re: Final Project Report 4A 's Club Project Name: °m '1 7 To w.._m it may _once This is to certify that I performed special inspection on the following portions of the work at the above address which required continuous inspection. and which I was employed to inspect: Based upon my personal observation and written reports of this work. It is my judgment that the inspected work was performed, to the best of my knowledge, in accordance with the approved plans, specifications, and the applicable workmanship provisions of the uniform Building Code. ;ytrttj} urs. (Special Inspector's i na LI) Print Fuil Name cc: Client/Owner Arehttceangineer ?0 r Date f ID Number 15 BRAUN'" INTERTEC May 31, 2001 Mr. Barry Greive Building Inspector City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Greive. Braun Intertec Corporation 245 East Roselown Avenue 5t. Paul, Minnesota 55 117.1943 651-487-3245 Fax: 487-1812 Engmeers and Scientists Serving the Built and Natural Environments' Project BBXX-99-191B Re: Additional Soil Borings, Proposed Sam's Club Addition, Southeast of Interstate 35E and Lone Oak Road in Eagan, Minnesota. Based on our phone conversations yesterday with you and Mr. Ben Smith of Carter Burgess, we understand that an addition encompassing about 6,500 square feet will be added to the northeast building comer. We assume the addition will have similar structural characteristics, slab-on- grade with perimeter footings supporting a masonry block wall with interior footings supporting steel columns, to the existing building. We were asked to provide our opinion regarding the need for additional soil borings for this addition. It is our opinion, based on the existing soil boring data and our experiences on-site during construction of the existing building, that additional soil borings are not necessary for this addition. Three of the four existing borings in this area encountered existing fill soils. As such, it is anticipated that existing fill will be encountered during excavation for this addition. The existing fill is not considered suitable for structural support and should be removed and replaced per job specifications. We will provide an engineering technician to provide full-time excavation observations and compaction testing during the soil correction. If you have questions about the content of this letter, please call Steve Martin at (651) 487-7026. Sincerely, Braun Intertec Corporation Steven B. Martin, EIT Staff Eng. Keith S. Rosvold, PE, PG Principal Engineer rP- F5 F1 JUN 01 2001 c: Mr. Ben Smith, Carter Burgess sbm: ksr\kah\rpts\69191 b iu W, ?? pWEMORA'NDXIM TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL DIRK HOUSE, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR ` . TOM PEPPER, (ACTING) FINANCE DIRECTOR [ 1? ?J MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: BILL BRUESTLE, SENIOR BUILDING INSPECTOR DATE: SEPTEMBER 12, 2000 RE: PLAN REVIEW FOR SAM'S CLUB (DENMARK AVENUE) ?? -3 D- The construction plans for Sam's Club are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? ? Z I / i ? Signature ZONING? METER SIZE <:7 /g Date i E,MIdANDU:1Vll' 3 yj TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENTIDESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: BARRY GREIVE, COMBINATION BUILDING INSPECTOR FILE #9 DATE: May 22, 2001 RE: PLAN REVIEW 3035 Denmark Ave (Sam's Club Liquor Store) The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No landscape security required water quality dedication park dedication trail dedication tree dedication ZONING? METER SIZE Signature Date 0? .,11? '4l4,E"4M`OR°AN"DIUM"I m,?..,, ...,• TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL DIRK HOUSE, PLUMBING INSPECTOR . MARK ANDERSON, ELECTRICAL INSPEi / TOM PEPPER, (ACTING) FINANCE DIREI o o ' ` MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FOREST 1 v ' I V ?Q? (/jt/??t'lpr ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIREC' * ??j f -?01L;? a-A 6-y\ JOHN GORDER, DEVELOPMENT/DESIGD eti ?YVtQ?C ARNIE ERHART, SUPERINTENDENT OF : PAUL HEUER, SYSTEMS ANALYST y n p f ?p fb . BOB KRIHA I' , CONSTRUCTION INSPECTC FROM: BILL BRUESTLE, SENIOR BUILDING INS, A 1 O ?C?y?y? ?y ?{ , ?QWS DATE: SEPTEMBER 12, 2000 eovya,( Ca VL n ^ RE: PLAN REVIEW FOR SAM'S CLUB jyQ eo" oy' v (DENMARK AVENUE) &Ivl? /I O 5 i S oOt xe46 6V? C ?Cf?ruR? The construction plans for Sam's Club are in ( t td Vj aM S, 6? o CQ'" d P ?? commen . ? Please return this form to my attention with yet if you have any concerns with these plans, please s( to these issues with the affected parties. If you are r lit be held, please fill out the proper "hold" request fo: Comments: I C C b PD / -? ??cc.?z Go sf Indicate any fees that ge to be?6ollecte w' h the building permit: COt?'f t6ovYU.?5-Gd10.I ww+ck E?l;1) A0 SiTv-OLV. Si?"q' r 'aitdtc ?tn..nlf aa.iu., P IS/? MOUNT Yes ? No ? Yes 'K No A Yes ? No ? Yes No ? Yes No ? Yes ? No Signature landscape security required water quality dedication park dedication trail dedication tree dedication U 1soo ZONING?P? METER SIZE 11,4la c0,,Ic3q7L. Date Qo '•IVII 'i ..'II"?,i II's ?qli, ryll' ?nlh +? " IVI EMORANDUM TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL 3Y DIRK HOUSE, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR ?-- TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRHIA, CONSTRUCTION INSPECTOR FROM: BILL BRUESTLE, SENIOR BUILDING INSPECTOR DATE: SEPTEMBER 12, 2000 RE: PLAN REVIEW FOR SAM'S CLUB (DENMARK AVENUE) The construction plans for Sam's Club are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Ou- i"igi7?aorih„ ?Qe gj"V-al z/ s &? - fie .I, -f AMOUNT ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No landscape security required water quality dedication park dedication trail dedication tree dedication ZONING? METER SIZE ?? w-/7-Oa/ > 9gnature Date Indicate any fees that are to be collected with the building permit: ?il?,o iu=ttR tii .U,Ik .uir ,:e .ii 1,11 j I, MEMORANDUM I TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL DIRK HOUSE, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR ( Q MIKE RIDLEY, SENIOR PLANNER L GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES Z TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: BILL BRUESTLE, SENIOR BUILDING INSPECTOR DATE: SEPTEMBER 12, 2000 RE: PLAN REVIEW FOR SAM'S CLUB (DENMARK AVENUE) The construction plans for Sam's Club are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes *No tree dedication ? Yes ? No Signature ZONING?_ METER SIZE 9 ? L3::32?) Date l . --l 'MEMORANDUM '!r' KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL DIRK HOUSE, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COL BERT, PUBLIC WORKS DIRECTOR c??J JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST J O BOB KRIHA, CONSTRUCTION INSPECTOR --PROM- BILL BRUESTLE, SENIOR BUILDING INSPECTOR DATE: SEPTEMBER 12, 2000 RE: PLAN REVIEW FOR SAM'S CLUB (DENMARK AVENUE) The construction plans for Sam's Club are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No ark dedication ? Yes ? No all dedication ? Yes ? No ee dedication ? Yes ? Ya- Signature ZONING? METER SIZE 9 -i3 .vv Date Indicate any fees that are to be collected with the building permit: 9113 OUNT 'MEMORANDUM i, I. t „„III ly? ?i it it H 4 .. TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: BARRY GREIVE, COMBINATION BUILDING INSPECTOR FILE #9 DATE: May 22, 2001 RE: PLAN REVIEW 3035 Denmark Ave (Sam's Club Liquor Store) The plans are in our plan review section for your review and comment. Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? s j? N?o? ignature ZONING? METER SIZE .?3 v Date Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. A, TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR D YYl TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRHIA, CONSTRUCTION INSPECTOR rO _YR0' BARRY GREIVE, COMBINATION BUILDING INSPECTOR FILE #9 DATE: May 22, 2001 RE: PLAN REVIEW 3035 Denmark Ave (Sam's Club Liquor Store) The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: S/00/ot,pv / Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No landscape security required water quality dedication park dedication trail dedication tree dedication ZONING? METER SIZE S A -P( Signature I III Date V t . MIE-TI'O'RA?N"DUMi, „,?d+: r, HIC i' I a TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: BARRY GREIVE, COMBINATION BUILDING INSPECTOR FILE #9 DATE: May 22, 2001 RE: PLAN REVIEW 3035 Denmark Ave (Sam's Club Liquor Store) The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes '% No ? Yes ? No - J--?CA- Signature landscape security required - water quality dedication - park dedication trail dedication - tree dedication r - ZONING? METER SIZE S?L`i- a l Date on^? C7Y Z l` v-C, R 4 ,: ' M t°M OAA N:DIUN I TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: BARRY GREIVE, COMBINATION BUILDING INSPECTOR FILE #9 DATE: May 22, 2001 RE: PLAN REVIEW 3035 Denmark Ave (Sam's Club Liquor Store) The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: DK 1=naiheerrlan /?o uV l y/ns G55o4af--C who ¢? e n ran ??z`aE= (?/nn?at) C ?!e 6th /?'fh `> ??re.) corn?e.,is re?.rf_?_ ytA4,c o circulwfror, / d&e 15'11 ac e55 - Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No ?>P-4 gnature ZONING? METER SIZE - Z4-o/ Date :j ?d 00, 11,1P TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: BARRY GREIVE, COMBINATION BUILDING INSPECTOR FILE #9 DATE: May 22, 2001 RE: PLAN REVIEW 3035 Denmark Ave (Sam's Club Liquor Store) The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? 'es ? N ature ZONING? METER SIZE r_ Date FA-1J.ij 0 11 r-. 0 4 i.. "ME MOR A N'' ,U M „i,.,,?14 TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENTIDESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: BARRY GREIVE, COMBINATION BUILDING INSPECTOR FILE #9 DATE: May 22, 2001 RE: PLAN REVIEW 3035 Denmark Ave (Sam's Club Liquor Store) The plans are in our plan review section for your review and comment. Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes )?t No ? Yes No 'ti ? Yes ?J No ? Yes No ? Yes ? No ? Yes ? No Signature landscape security required water quality dedication park dedication trail dedication tree dedication ZJ ZONING? p METER SIZE U/ Date Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. r ?i IM E M O) ?A'N D U,M'` TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: BARRY GREIVE, COMBINATION BUILDING INSPECTOR FILE #9 DATE: May 22, 2001 RE: PLAN REVIEW 3035 Denmark Ave (Sam's Club Liquor Store) The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes Z No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes es] No Signature ZONING? METER SIZE Sl29/07 Date PERMIT #: 4 ?0 a (e CITY USE ONLY RECEIPT DATE: 'iy 10-0 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF F.AtiAN 3830 PILOT KNOB RD KAGM, HN $5122 051-8$1-4875 /? INCOMPLETE APPLICATIONS WILL NOT BE PROCEED Date: A of ' 5. ? 0 1 WORK TYPE _ New Bldg _ Add-on _ Repair RPZ _ PVB Irrigation system " Must complete reverse side of application also. Required meter size is " turbo unless smaller size pe itted by Public Works DESCRIPTION OF WORK 10 5+6oA 1 M 4 + t ti 't i- = 4- l" To inquire if Pressure Reducing Valve is required on new service, a? METERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to nicking up meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" dis lacement $ 49.0 Domestic Size & Type i y-:,_ vg GPM Does this include high demand devices? _ Yes _ No FLUSHOMETERS Site Address: Tenant Name: S Telephone #: (Area Code) Was there a previous tenant in this space? _ Y N. If Yes, Name: Installer Name: 1 ^ S Telcphc #O: l? Codo) Installer Address: (? City: FEES Contract price State: M A/ I Zip Code x 1% ($50.00 minimum) Required on all new buildings & boulevard irrigation systems (Acct # 92204509) Surcharge: $.50 Minimum. If c no tract fee exceeds $1,000, calculate 50 cents per $1,000 contract fee. Total From Re, I_F??[' ? AUG I hereby acknowledge that I have read this application, state that the informs ??tion is correct, ordinances. It is the applicant's responsibility to notify the property owner that (fie:City of Eaga during its normal operational and maintenance activities to the facilities constructed under thl Contract Fee $ Meter(s) $? Radio Meter Read $ T LEi rge $ - l??v?r)Se oe $ Vj s? Total $ d agree_ to co ply y ith all applicable City of Eagan tessumeSr?o'lieliility Jbr?anydamages caused by the City O emit within City rode;X'ght-of-way/easement. PERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Air Test Gas Test _ Rough In Final LL p $-g-vl PLANS SUBMITTED APPROVED BY: % i , BUILDING INSPECTOR A Yess? N ,z - PRV REQUIRED _ Yes _ No WP 1 J-7 IJ MAU-k- AuJ? IRRIGATION SYSTEM (CONT) Service: - existing (if coming off domestic line) OR - new .e yvk r'?? 0 .0 0 0 () 1 - 0&n If "new service" contact Jerry Wobschall, Finance Consultant, to confirm adding fees far: 5U , E; o C)0 aaacl . ?`?O-1 Water Permit & Surcharge - $ 50.50 $ Water Supply & Storage - $ 860.00 $ 9 r9? e ®-??? Water Treatment Plant Charge - $516.00 per SAC unit $ '5119.00 Fees to be added to front side of application /' $ - ?t2 "! 0 0 1 2 (9 S GENERAL INFORMATION 13 • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $153.00 (Acct Code # 92204509) • Water meters include copperhorn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 518" displacement residential $115.00 4-120 1-1/2" irrigation syst $ 727.00 sm commercial turbine" **must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $149.00 4-160 2" turbine Ig irrigation syst $ 899.00 maximum residential & continuous am commercial production lines 15 3-50 1" displacement very Ig res $194.00 114 to 160 2" compound bldgs over $ 1,757.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $428.00 maximum displacement & continuous most comet bldgs 50 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation syst $1,184.00 6-500 4" compound +300 unit bldgs & $3,476.00 & production lines very Ig comm bldgs 1/2-320 3" compound +200 unit bldgs $2,212.00 10-1000 6" compound +400 unit bldgs $5,711.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation syst $2,132.00 & production lines l Vll„IIG,nS • To schedule inspection of the inside water line and backilow preventer, call 651-6814675. • To arrange for water turn-on, call 651-681-4300. a: Kris Forster, Maintenance Division Clerical Technicim Updated 1/01 r City of Eagan 3830 PfLOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Permit Type: Permit Number: Date Issued: Plumbing EA046606 08/10/2001 Site Address: 3035 Denmark Ave Lot: 3 Block: 1 Addition: Eagandale Center Industrial Pk #9 PID: 10-22508-030-01 Use: Sam's Club Description: Sub Type: Commercial Work Type: Underground Sprinkler Description: Meter Size Type Manufacturer Meter Nbr Remote Number Line Size 1 1/2 Turbo Irrig Sensus 1577352 10471705 Remarks: 1-112" Turbo Meter 727.00 9220.4509 Fee Summary: Radio Read Unit 153.00 9220.4509 Surcharee - Fixed 0 50 9001.2195 $880.50 Y, V i (?ti. J Contractor: - Applicant - Owner: Gary R Ford St. Lic.: 2928PM Wal-Mart Stores, Inc. P.O. Box 32268 2001 S.E. 10th Street Fridley, MN 55432 7634444461 I Bentonville AR 72712 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 Issued By: Signature city of eegan PATRICIA E. AWADA September 5, 2001 Mayor PAUL BAKKEN GARY R FORD P O BOX 32268 PEGGYCARLSON FRIDLEY, MN 55432 CYNDEE FIELDS MEG TILLEY RE: SANI'S CLUB 3035 DENNIARK AVE Council Members EAGAN MN THOMAS HEDGES Dear Mr. Ford: City Administrator On August 10, 2001, the City of Eagan's Building Inspections Division issued a permit to you to install an irrigation system at Sam's Club. The following fees were mistakenly overlooked when processing this permit: Municipal Center: Plumbing Permit - $ 50.00 3830 Pilot Knob Road Water Permit & surcharge - $ 50.50 Eagan, MN 55122-1897 Water Treatment Plant - 5$ 16.00 Phone: 651.681.4600 $ 616.50 Fax: 651.681.4612 We sincerely apologize for any inconvenience that may cause; however, these fees are to TDD:651.454.8535 be paid when installing an irrigation system that requires a new service. We are asking that you forward a check payable to the City of Eagan in the enclosed envelope. Your Maintenance Facility: anticipated cooperation is greatly appreciated. 3501 Coachman Point If you have any questions, please do not hesitate to contact me at 651-681-4699. Eagan, MN 55122 Phone: 651.681.4300 Sincerely, Fax: 651.681.4360 GD TDD:651.454.8535 Dale Schoep r Chief Building Official www.cityofeagan.com DS/j s cc: Kim Lane, Sam's R.E. Business Trust, 2001 S E 10th St, Bakersville Ar 72712 THELONEOAKTREE Enc. The symbol of strength and growth in our community WAL=MARTO WAL-MART STORES, INC. 2001 SE 10th St. BENTONVILLE, AR 72716-0550 - 501-277-9401 November 12, 2001 Mr. Dale Schoeppner City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1897 RE: Sam's Club Eagan, MN Dear Mr. Schoeppner: Please find enclosed check number 3965472 in the amount of Six Hundred Sixteen and 501100 Dollars ($616.50) to cover the fees that were overlooked when processing the permit for an irrigation system at our Sam's Club. This is per your September 5, 2001 letter to Gary Ford and carbon copied to Kim Lane (who is our Director). Should you have any questions, please feel free to contact our office. Sincerely, Wal-Mart Stores nc. 4Karen S. Wall Real Estate Assistant to Roy Covert :ksw encl: Wal-Mart check number 3965472 SEP.19.2001 8:40AM BRAUN INTERTEU 110.698 P.2i22 SPECIAL r.. 'SPECTOR FINAL REPORT .363s bate: y1 1 l To City or County of: a4ol Address: City: State:. (?Fl Zip Code: Attention: at SC nr] Re: Final Project Report. 4An`S ^?Ob eL ,r.? Q Project Name:. ( Based upon my personal observation and written repots of this work, it is my judgment that the inspected work was performed, to the best of my knowledge, in accordance with the approved plans, specifications, and the applicable workmanship provisions of the Uniform Building Code. ry truly urS. (Special In i nat t? M^ `T Pint Full Name cc: Clientlowner ArchttecdEngineer Date ID Number IS To whom it may __..____.. This is to certifv that I performed special inspection on the following portions of the work at the above address which required continuous inspection, and which I was employed to inspect. I j CITY USE ONLY PERMIT RECEIPT DATE: 2002 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGM 3830 PILOT KNOB RD FAaM, MN 581 EE 681-681-4675 INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED -a 6 -c>?'_ WORK TYPE _ New Bldg _ Add-on Repair ?<RPZ _ PVB - • Irrigation system • Jerry Wobschall to calculate fees. Required meter size is 2" turbo nl s smaller size permitted by Public Works ?^ ? '-rest Rena. s DESCRIPTION OF WORK eS+ ?01 ` tD2- _T Dom' l v1 14 To inquire if Pressure Reducing Valve is required on new se 'ce, call 651-6814 METERS - Call 651-681-4300 to verify dial hydrostatic, conductivity, and bacteria tests passed prior to vicldne up meter Irrigation Size & Type f? - W a:OS f 9h4ZAvg GPM Fire Size & Price 3/4" displacement $152.00 Domestic Size & Type Does this include high demand devices? _ Yes FLUSHOMETERS -Yes -No No Avg GPM PRV REQUIRED - Yes - No Site Address: 303 5 Qe t+.&o.v - A y-o Tenant Name: Sa-'X s C l tti b Telephone #: SI - ? -00 7 (Area Code) Was there a previous tenant in this space? _ Y X N. If Yes, Name: Installer Name: Installer Address: City: Telephone #: (Area Code) State: FEES Contract price $ 0`2 SAS, r' x 1% ($50.00 min) Required on all new buildings & boulevard irrigation systems Surcharge: $.50 Minimum. If base fee exceeds $1,000, calculate at 50 cents per $1,000 base. Plbg Permit Meter(s) Radio Meter Read State Surcharge Sub TotaVrotal Supplementary fees for new irrigation system: Contact Jerry Wobschall at (651) 661-4624 regarding fees Water Permit Treatment Plant Zip Code $ s6 a n $ , so $ 50.00 $ 540.00 Water Supply & Storage $ State Surcharge AUG 2 9 2002 I hereby acknowledge that I have read this application, state that the information is corre Und agree to comply w ordinances. It is the applicant's responsibility to notify the property owner that the City of Ea anassumesnoliability fo it:wi ;_ ' ro during its nornal operational and maintenance activities to the facilities constructed under _nA tQ?i t7w City of Eagan sed bythe City SIGNATURE OF PERMITTEE MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit S q- / D 3 Date / z d' Site Address 3 O 3 S LJen m a. E A(/e Unit # Tenant Name (if applicable) Q,r,t l? r /r^ 11 Previous Tenant Name Property Owner Z' / & 1A, a c n r P • Telephone # ( ) 7 On {4 an V.' Contractor ro 'r f Me r ha `r i/ Street Address /z S / /ar sc /i . ??a n City S4ln,O e7_ e, State ?N Zip S-53-79 Telephone# ( ?5 -L ) y v5-r/00 The Applicant is Owner Contractor Other Work Type _ New construction Underground Tank -Install -Remove Interior improvement Call for inspection during installation/removal of tank - Processed Piping Nature of Work: r ti i r h e.ei. /Pn'S R 7 ?r o v.'f Pisi f r 'es 'a:'r-dam v r e. Permit Fee $50.50 Minimum Fee (includes State Surcharge) Contract Value $ gyoo x .01% _ $ Permit Fee If permit fee is $1,000 or less, add $.50 $ - 5U State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee (? v ? l F e T t v?? Pc; ? $ e o a I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete ana accurate, mar uie wmK will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical 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 in accordance with the approved plan in the case of work which requires a review and approval of plans. Z) O Applicant's rinted Name Approved By: ?/_2 I- /-Z ; , Inspector Date: JAN 2 8 2003 MECHANICAL (COMMERCIAL) Permit Application Job No. 3 41015 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 / Telephone # 651-675-5675 FAX # 651-675-5674 l to + U Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit % (aC O -IETO 11 03 03 Date / Site Address 3035 Denmark Avenue Store # 4738 Sams Unit# Tenant Name (if applicable) Sam's Club Previous Tenant Name Property Owner cam l s ('111h Telephone # ( ) Contractor NewMech Companies Inc. Street Address 1633 Eustis Street City St. Paul State MN Zip 55108 Telephone#( 6 5 1 ) 645-0451 The Applicant is Owner xx Contractor - Other Work Type _ New construction Underground Tank -Install -Remove xx interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: Installing 10 unit heaters Permit Fee $50.50 Minimum Fee (includes State Surcharge) Contract Value $ 60,000.00 x .01% _ $ Lint) r) Permit Fee • If permit fee is $1,000 or less, add S.50 R T 0 . ?? State Surcharge d h If permit fee is over $1,000, add $.50 per r l 15 $1,000 Permit Fee l ,, U •1 j? l Fe ?? ?'0 T t u . .$ ,. o a e ---------- ------ _ a,-...rata- that the wnrk 1 nercoy appry tm a l.uuuuUIGIM iviccuawcai rcum, auu a?euvwmugc u.•,.?.rr-?.o...u .......... .............? ..--.- ..___._._, _?- __ _____ will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical 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 in accordance with the approved plan in the case of work which requires a review and approval of plans. „4. 1eafrstn» App icanfs Printed Name _A4?flicanfs Signature Approved By: 1 , Inspector Date: 2004 COMMERCIAL PLUMBING PERMIT APPLICATION Rio CITY OF EAGAN -1 3830 PILOT KNOB ROAD, EAGAN MIN 55122 ?. 651-675-5675 Date -?-_ / Z) / 05 !? Site Address 3 v3 S pt2pt{Mu -K Q`-- Unit # Tenant Name Sa an' 5 U k-6 4f 4739 Former Tenant Name Property Owner Telephone # ( ) Contractor NO+Nla.tto) (1v C?a11 c?c1 C0?t+frLC6tS lkC Address f (9O ( SC ? PFACe C2 4t P-r P0U.Q, City p t rJ (?0 State -oqu zip 5ZN?'I? Telephone # (76? 5 N y -510 0 The Applicant is Owner Contractor Other Work Type - New Bldg - Add-on _ Repair _ RPZ _ PVB _ Irrigation system r .term Wobschall to calculate fees. Required meter size is Y' turbo unless smaller size permitted by Public Works Description of Work ° o K uP 0 wAn d P ?iRQ? l t/Oe?Q.I' S o'?'?aQ To inquue if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking no meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $155.00 Domestic Size & Type Avg GPM Includes high demand devices" _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) m O Contract Value $ s I (7 U O , x 1% _ $ S y Base Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ - Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ r S State Surcharge If base fee is over $1,000, surcharge is $SO per $1,000 of the Base Fee Following fees apply only when installing new irrigation system $ - Water Permit Contact Jerry Wobschall at 651-675-5024 for required fee amounts $ Treatment Plant $ - Water Supply & Storage $ - State Surcharge ------------------------------------------------------------------------------------------ 0,' Total Fee I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurate; that?the(w /-w ? ennfprmance with the ordinances and codes of the Citv of Eagan and with the Plumbing Codes; that I understand this i??rtbt af'pelrgnt?tbu, ogl}l a application for a permit, and work is not to start without a permit; that the work will be in accordance with the which requires a review and approval of plans. oyel plan JAN case of k 2 4 2005 r M"cLe,Q I Tr eVIR e7kl? - Applicant's Printed Name Applicant's Signature 'rl y CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Air Test Gas Test _ Rough In Final PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1/2" irrigation syst $ 788.00 displacement sm commercial turbine" must receive maximum a roval continuous pp 10 from Public Works 2-30 3/4" lawn irrigation $155.00 4-160 2" turbine Ig irrigation syst $ 992.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00 bldg to 24 units 65 units maximum sm commercial & continuouS & Ig comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $488.00 maximum displacement & continuous most comm bldgs 50 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,338.00 6-500 4" compound +300 unit bldgs & $3,749.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,407.00 10-1000 6" compound +400 unit bldgs $6,124.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very lgirrigation $2.384.00 cyst & production lines To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician Updated 8/03 IC? IL/?_ *58_? .2 20, 5 COMMERCIAL BUILDING PERMIT APPLIC TIO City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 5} Telephone # 651-675-5675 FAX # 651-675-5694 "s n .? n nf? O 4/f':'.5N • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) * Code Analysis (1) " • Master Exit Plan (1) • Spec Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " * Elec. Power & Lighting Form (1) not always- • Meter size must be established • Meter size must be established • Meter size must be established-if applicable 1 Project Specs (1) 1 Energy Calculations (1) 1 • Electric Power & Lighting Form (1) 1 Master Exit Plan (1) l 1 Emergency Response Site Plan (1) ""---1 1 Soils Report (1) • SAC determination -call 651-602-1000 • SAC determination - call 651-602-1000 • SAC determination - call 651-602-'ivuv ! • Fire Stopping Submittals Call Iv1N Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. I! ?'" ?' ** Contact Building Inspections for sample and if required *** Permit for new building or addition will not be processed without Emergency Response Site Plan. ri r.i 1 ? 0 Date 5 / /J 10S Construction Cost 71 Site Address 3 35 Unit/Ste # Tenant Name M s LL L)8 Former Tenant Name Description of Work ?1?/1 PO?n W wl C __ Property Owner Telephone # ( ) L Contractor 1 t o, r e?' I l QS 0 h C :z Addresss' Y-2? cul* kyo State Zip s5 ©i 0 city 0t(1ATDA) / Telephone #,(5o)) 6 S 57? co" w I G,L Z/8 • Ltf3 • 3?flS Arch/Engr /V c) 1 C h c Address ? State [? L,, /t I hI E e R t C Registratio??n# /h ' I ?'i r t)) h? V? e k? D %'; lid City h d LI N D Zip e> ' 36 y Telephone # ( 95.2) '12), TO M G Licensed plumber installing new sewerlwater service: Phone #: ( ) I hereby apply for a Commercial Building 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 the State of MN Statutes; 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. S7' eVe- C0?- Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous ? 26 Public Facility ? 30 Accessory Building X27 CommerciaUlndustrial ? 32 Ext Alt-Apartments ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? ' 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ,2t-'33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation u1 QQO ` Type of Const Width Plan Rev 100% ? 25% _ Occupancy MCES System Census Code ?? Zoning City Water SAC Units - o Stories Booster Pump Nbr. of Units ° Sq. Ft. PRV Nbr. of Bldgs I Length Fire Sprinklered Required Inspections Footings (new bldg) _ Footings (deck) ? Footings (addition) Foundation Drain Tile Insulation _ Final/C.O. _? Final/No C.O. Other Roof _ Ice Pr - Decking _ Insul _ Final - Pool _ Ftgs _ Air/Gas Tests - Final - Framing - Siding _ Stucco - Stone Fireplace _ R.I. -Air Test -Final - Windows Approved By: Planning ding Inspector Base Fee 3 , Z,5- Surcharge I / ' &'O Plan Review SAC-MCES "-' SAC-City SAN Permit --` SAN Surcharge -- Treatment Plant Financial Guarantee Treatment Plant (irrigation) Storm Sewer Trunk Park Dedication -? Sewer Lateral Trail Dedication Street Water Quality Water Lateral Water Supply & Storage (WAC) Other 1-0r4-x_ 5r 87.1-G -y Sewer Trunk Water Trunk 2005 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Fax # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut chorte nn mntrriale and components to h.. ?qed Date Site Address:` --,e- Tenant / Building Name: The Applicant is: Owner Contractor Other PROPERTY OWNER Address: City: State: Zip: CONTRACTOR \,?L\k?. MN License #: -C )C? i City. 't)? s: r?G State: Zip: l,? Phone #: ZS\ ESTIMATED COMPLETION DATE: 3\ FIRE PERMIT TYPE: ?-D Sprinkler System (# of heads - Fire Pump - Standpipe Other: WORK TYPE: - New - Addition' Alterations - Remodel Other: DESCRIPTION OF WORK: Commercial - Residential - Educational Other: C LC ?C w L? ?\CG?c?. ?+ _ - -l F9 1 loll ?fr2-;r?? li? ?p?? Please continue on reverse side t Metropolitan Council March 31, 2005 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: Environmental Services The Metropolitan Council Environmental Services Division has determined SAC for the Sam's Club Fueling Station located at 3035 Denmark Ave. within the City of Eagan. This project should be charged 1 SAC Unit, as determined below. SAC Units Charges: Minimum 1.00 If you have any questions, call me at 651-602-1113. Sincerely, L4dwards Staff Specialist Municipal Services Section JLE: (330) 05033155 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Patrick Bennett, Core States Engineering www.metrocou,icii.org Metro Info Line 602-1888 230 East Fifth Street • St. Paul, Minnesota 55101-1626 • (651) 602-1005 • Fax 602-1138 • TTY 291-0904 An Equal Opportunity Employer Page 1 of 1 Craig Novaczyk From: Pam Dudziak Sent: Wednesday, June 15, 2005 7:25 AM To: Craig Novaczyk Subject: RE: Sam's We have the signed PD Agreement, but not proof of recording yet. Julie delivered the copies to them for recording, or called to have them picked up last week. I don't see anything in the file as proof of recording yet. Julie is out sick today, but I will check with her when she is back to see if she knows anything more. Pam From., Craig Novaczyk Sent: Wednesday, June 15, 2005 7:25 AM To: Pam Dudziak Subject: Sam's Pam, What's the status of the Sam's Club project Thanks Craig 06/15/2005 Page 1 of I Craig Novaczyk From: Ronald Salamie [rsalamie@core-eng.com] Sent: Friday, June 10, 2005 7:09 AM Subject: Core States Engineering - St. Louis office relocation Please be advised that the St. Louis office of Core States Engineering is relocating. We will be closing the office early this Friday afternoon (6/10/05), resuming business first thing on Monday morning at our new office. Please update your records with our new information. Thank you. EFFECTIVE 6113105, PLEASE NOTE OUR NEW OFFICE INFORMATION: Ron Salamie, P.E. Core States Engineering 50 Crestwood Executive Center Suite 500 St. Louis, MO 63126 314-843-4320 314-843-4323 Fax www core-eng corn rsalamie core-enq.com 06/15/2005 Page 1 of 1 Craig Novaczyk From: Mike Lence Sent: Tuesday, April 26, 2005 11:17 AM To: Craig Novaczyk Subject: FW: Sam's Fueling Station From: Pam Dudziak Sent: Tuesday, April 26, 2005 9:55 AM To: 'Patrick Bennett' Cc: Mike Lence Subject: Sam's Fueling Station Pat, I was reviewing the building permit application for Sam's Fueling station and did not see an elevation drawing for the service building/kiosk in the drawings. There were construction details, and elevations for the canopy, but not for the service building. Please send two copies of the service building elevations to me and I will get them into the building permit set of plans. Thank you. Pam Pam Dudziak Planner, City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Ph: 651-675-5691 Fax: 651-675-5694 04/26/2005 Page 1 of 1 Craig Novaczyk From: Mike Lance Sent: Tuesday, April 26, 2005 11:17 AM To: Craig Novaczyk Subject: FW: Sam's Fueling Station From: Patrick Bennett [mailto:pbennett@core-eng.com] Sent: Tuesday, April 26, 2005 10:03 AM To: Pam Dudziak Cc: Mike Lence; rsalamie@core-eng.com Subject: RE: Sam's Fueling Station Unless the plans have been 'pulled apart', there should be drawings of what you are looking for. Please reference drawing A2.1. Let me know if it is missing. From: Pam Dudziak [mailto:pdudziak@cityofeagan.com] Sent: Tuesday, April 26, 2005 9:55 AM To: Patrick Bennett Cc: Mike Lence Subject: Sam's Fueling Station Pat, I was reviewing the building permit application for Sam's Fueling station and did not see an elevation drawing for the service building/kiosk in the drawings. There were construction details, and elevations for the canopy, but not for the service building. Please send two copies of the service building elevations to me and I will get them into the building permit set of plans. Thank you. Pam Pam Dudziak Planner, City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Ph: 651-675-5691 Fax: 651-675-5694 04/26/2005 Pagel of 2 Craig Novaczyk From: Mike Lence Sent: Tuesday, April 26, 2005 11:18 AM To: Craig Novaczyk Subject: FW: Sam's Fueling Station From: Pam Dudziak Sent: Tuesday, April 26, 2005 10:14 AM To: 'Patrick Bennett' Cc: Mike Lence; rsalamie@core-eng.com Subject: RE: Sam's Fueling Station Thanks for the sheet reference, it was in there, I just didn't recognize it. Everything looks fine and there are no zoning issues with the building permit application. The permit cannot be issued until the PD Agreement has been recorded. The PD Agreement is in the process of getting all the signatures right now and once that is done, I will contact Dave Sellergren about getting it recorded. Pam -----Original Message----- From: Patrick Bennett [mailto:pbennett@core-eng.comj Sent: Tuesday, April 26, 2005 10:03 AM To: Pam Dudziak Cc: Mike Lence; rsalamie@core-eng.com Subject: RE: Sam's Fueling Station Unless the plans have been 'pulled apart', there should be drawings of what you are looking for. Please reference drawing A2.1. Let me know if it is missing. From: Pam Dudziak [mailto:pdudziak@cityofeagan.comj Sent: Tuesday, April 26, 2005 9:55 AM To: Patrick Bennett Cc: Mike Lence Subject: Sam's Fueling Station Pat, I was reviewing the building permit application for Sam's Fueling station and did not see an elevation drawing for the service building/kiosk in the drawings. There were construction details, and elevations for the canopy, but not for the service building. Please send two copies of the service building elevations to me and I will get them into the building permit set of plans. Thank you. Pam 04/26/2005 Page 2 of 2 Pam Dudziak Planner, City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Ph: 651-675-5691 Fax: 651-675-5694 04/26/2005 r M l?'M fl it r'K-1+T ?f iT M TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN FROM: MIKE LENCE, SENIOR INSPECTOR DATE: MARCH 2S, 2005 RE: PLAN REVIEW FOR SAM'S CLUB FUELING 3035 DENMARK AVENUE EAGANDALE CENTER INDUSTRIAL PARK 9 LOT 3,BLOCK I The plans are in our plan review section for your review and comment. #2 Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Indicate any fees that are to be collected with the building permit: AMOUNT ?PYes ? No landscape security required ? Yes P No water quality dedication ? Yes No park dedication ? Yes p No trail dedication ? Yes No tree dedication ?0 Yes ? No PRV Required l%G Yvt G 10-* Signature -I 7-)c/) ZONING?? T METER SIZE Date CD/FORMS/BLDG INSP/PLAN REVIEW /MIKE LENCE REVISED 02104 M .M0* A;NIMM TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT LEON WETLAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER CHIEF FINANCIAL OFFICER f ANE WEGENER, EN TECHNICIAN MIKE LENCE, SENIOR INSPECTOR RE: PLAN REVIEW FOR SAM'S CLUB FUELING 3035 DENMARK AVENUE EAGANDALE CENTER INDUSTRIAL PARK 9 LOT 3,BLOCK I The plans are in our plan review section for your review and comment. #z Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes No water quality dedication ? Yes No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication L/Ye? ? No PRV Required Signat CD/FORMS/BLDG INSP/PLAN REVIEW /MIKE LENCE ZONING? METER SIZE ?/ y2f Cos Date REVISED 02104 1t9t 17 ?t Pi N-? ?T ?NI: - TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #2 LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN FROM: MIKE LENCE, SENIOR INSPECTOR DATE: MARCH 28, 2005 RE: PLAN REVIEW FOR SAM'S CLUB FUELING 3035 DENMARK AVENUE EAGANDALE CENTER INDUSTRIAL PARK 9 LOT 3,BLOCK 1 The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: nK - L^^hal 1 ee? ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes EI 'No PRV Required Ignature CD/rORMS/BLDG INSP/PLAN REVIEW /MIKE LENCE ZONING? METER SIZE -;2 Date REVISED 02/04 Indicate any fees that are to be collected with the building permit: AMOUNT "'M EM +C1 R ANA U M_ TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #2 LEON WETLAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN FROM: MIKE LENCE, SENIOR INSPECTOR DATE: MARCH 2S, 2005 RE: PLAN REVIEW FOR SAM'S CLUB FUELING 3035 DENMARK AVENUE EAGANDALE CENTER INDUSTRIAL PARK 9 LOT 3,BLOCK 1 The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? 5 s ? No PRV Required Signature ZONING? METER SIZE Date CD/FORMS/BLDG INSP/PLAN REVIEW /MIKE LENCE REVISED 02/04 TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #2 LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN FROM: MIKE LENCE, SENIOR INSPECTOR DATE: MARCH 28, 2005 RE: PLAN REVIEW FOR SAM'S CLUB FUELING 3035 DENMARK AVENUE EAGANDALE CENTER INDUSTRIAL PARK 9 LOT 3,BLOCK 1 The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ZONING? ? Yes ? No water quality dedication METER SIZE ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes 10?,No tree dedication ? Yes ? N PRV Required LV / Signature Date CD/FORMS/BLDG P/PLAN REVIEW /MIKE LENCE REVISED 02/04 AWD UM. TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #2 LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN FROM: MIKE LENCE, SENIOR INSPECTOR DATE: MARCH 28, 2005 RE: PLAN REVIEW FOR SAM'S CLUB FUELING 3035 DENMARK AVENUE EAGANDALE CENTER INDUSTRIAL PARK 9 LOT 3,BLOCK 1 The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: ?S 4 l Indicate any fees that are to be collected with the building permit. AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No PRV Required Signature ZONING? METER SIZE Date CD/FORMS/BLDG INSP/PLAN REVIEW /MIKE LENCE REVISED 02/04 M;E1k 0RA.:N:IIUM ?- TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN r'-FROM- MIKE LENCE, SENIOR INSPECTOR DATE: MARCH 28, 2005 RE: PLAN REVIEW FOR SAM'S CLUB FUELING 3035 DENMARK AVENUE EAGANDALE CENTER INDUSTRIAL PARK 9 LOT 3, BLOCK I The plans are in our plan review section for your review and comment. N2 Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: /Pa I) ?, i a Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? N park dedication ? Yes ? N trail dedication ? Yes ? N tree dedication ? Yes ? , RV Required Signature CD/FORMS/BLDG INSP/PLAN REVIEW /MIKE LENCE w ZONING? METER SIZE Date REVISED 02/04 City of Eapn Pat Geagan MAYOR Peggy Carlson Cyndee Fields Mike Maguire Meg Tilley COUNCIL MEMBERS Thomas Hedges CITY ADMINISTRATOR MUNICIPAL CENTER 3830 Pilot Knob Road Eagan, MN 55122-1610 651 675.5000 phone 651.675.5012 fax 651.454.8535 TDD MAINTENANCE FACILITY 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675 5360 fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TREE The symbol of strength and growth in our community. March 28, 2005 PATRICK BENNETT P.E. CORE STATES ENGINEERING 10784 INDIAN HEAD INDUSTRIAL BLVD ST LOUIS MO 63132 RE: SAM'S CLUB FUELING STATION 3035 DENMARK AVENUE Dear Patrick: We have started our review of the construction documents submitted in pursuit of obtaining a building permit for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless otherwise noted, all references are to the 2000 I.B.C. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the following items be addressed: 1. Fill out our 2005 application (enclosed), sign and return. 2. Submit 1 soils report 3. Submit I me/ws SAC determination letter. Contact person can be reached at 651- 602-1000 4. Submit 1 special inspection and testing schedule. 5. Submit 1 emergency response site plan (example enclosed) 6. Identify contractor with address and phone number. If you have any questions regarding these requirements, please call me at 651-675-5676. Thank you. ?Sincerely, vlike Lence Senior Inspector ML/jeh Enclosures City atEap Pat Geagan MAYOR Peggy Carlson Cyndee Fields Mike Maguire Meg Tilley COUNCIL MEMBERS Thomas Hedges CRY ADMINISTRATOR MUNICIPAL CENrER 3830 Pilot Knob Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fax . 651.454.8535 TDD MAINTENANCE FACILrrY 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TREE The symbol o strength and growtf in our community APRIL 8, 2005 PATRICK BENNETT P E. CORE STATES ENGINEERING 10784 INDIAN HEAD INDUSTRIAL BLVD ST. LOUIS MO 63132 RE: SAM'S CLUB FUELING STATION 3035 DENMARK AVENUE Dear Patrick: We have completed our review of the construction documents submitted in pursuit of obtaining a building permit for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless otherwise noted, all references are to the 2000 I.B.C. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the following items be addressed. I. We realize that calculating an occupant load for the toilet room fixtures based on 5,653 sq ft. maybe excessive; however, with a vehicle at each pump, the attendant, and vehicles that may be waiting to use the pumps, we feel that it's reasonable to assume that total occupant load would exceed 15. Section 2902.2 of the 2000 I.B.C. states that occupant loads exceeding 15 would require separate facilities. The State of Minnesota has amended the exceptions for Section 2902.2 by adding 44. The 41h exception could be an option. This would involve the unisex toilet room having not less than one water closet, one urinal and one lavatory The appropriate accessible clearances complying with M.S.B.C. Chapter 1341 would be required for all fixtures. 2. The toilet paper dispenser shall comply with Chapter 1341.0448, Subpart 6 (M.S.B.C.) If you have any questions regarding these requirements, please call me at 651-675-5683. Thank you. Sincerely, J. Craig Novaczyk Senior Inspector JCNAd I3ARR SON FRENCH & A S S O C I A T E S, LTD. Architects Engineers Planners landscape Interiors 5 April 2005 City of Eagan Building Inspection Eagan, Minnesota RE: Sam's Club#4738 Fueling Station 3035 Denmark Avenue Eagan, Minnesota 55120 In response to Craig Novaczyk Building Inspector, comments received via email 5 April 2005. Please find attached the following clarifications and revisions organized by number and sheet when applicable: Plan Review: A soap dispenser has been added to detail one (1) and two (2) on sheet A2. The soap dispenser has been specified in detail two (2). The toilet paper dispenser has been re-located per your instructions. A urinal has been added. The urinal is on the opposite wall from the toilet. All of the above amendments have been clouded and assigned delta number one (1). The issuance block notes the date as 4 April 2005 and the reason as a city comment. For additional information or questions please contact John Berkley with Harrison French and Associates at 479-273-7780 ext. 202. Sincerely, John Berkl y Project Manager 809 Southwest A Street, Suite 201 Phone: 479.273.7780 Bentonville, Arkansas 72712 Fax: 479.273.9436 HARRISON FRENCH & A S S O C I A T E S April 7, 2005 Craig Novaczyk City of Eagan Eagan, MN RE: Sam's Club Fueling Station Eagan, MN In response to the comment from Craig on 04-05-05, please find attached the following clarification and revision as follows: Comments: Item #1: P1 sheet was revised to reflect plumbing changes on the building plumbing plan, domestic water riser, and sewer riser due to the addition of the urinal fixture. For additional information or questions please call 479-273-7780 Extension 291. Sincerel Gr g Schluterman Mechanical Engineering Project Manager 809 Southwest `A' St., Suite 201 Phone: 479.273.7780 Bentonville, Arkansas 72712 Fax: 479.273.9436 r73 -11 2006 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MIN 55122 651-675-5675 ,0, 67) Date -C&aZ / I 10 / ()(0 Site Address Unit # Tenant Name QahA',5 C6-L 6 Former Tenant Name Property Owner //? Telephone#(?1 ) " f?Dig Contractor SFi -2- f pYM o Address 0 6 no x ? Wit AyiL- #--/Cpj City QJ'? State K r1l 1i Zip t;l`3UyS Telephone # r7 off) 4Z -(PZO b License # I-} L-Le-7 PM Expires: 12` 31' a1° The Applicant is - Owner Contractor Other Work Type _ New Bldg _ Modify Space _ Irrigation System" _ Yes _ No Work in public r-o-w / easement? XRPZ _ PVB: New _ Repair/Rebuild _ Replace _ Remove _ Ra in sensors are required on irrigation systems Description of Work rr laa A(j -t) k g i?2 vcdvG ? q 1 To inquue if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed Prior to picking up meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price /4" eter $16 7.00 Domestic Size & Type Avg GPM Includes high demand devices? - Yes _ No Flusbometers - Yes _ No PRV Required _ Yes -No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x I% _ $ 7b- 00 Permit Fee $ Meter(s) Required on all new buildings & boulevard ir rigation systems $ Radio Meter Read $ State Surcharge If permit fee is less than $1,000, surcharge is $ 50 If eenni t,fee is more than $1,000, surcharge is $.50 for each SI,000 owed. Following fees apply when installing new lawn irrigation system $ Water Permit Call the City's Engineering Department, 651-675_5646, for required fee amoums-- p $ Treatment Plant $ Water Supply & Storage !'?_lV ?. z CUlh $ State Surcharge _ -? $ d • '3? Total Fee 1 hereby apply for a Commercial Plumbing Pemiit'ahd_ackno. ledge:tharYh gdormation is complete and accurate, that the work will be in conformance with the ordinances and codes of the City of Fagan and with the Plumbing Codes, 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. PQ v 1 4 V w l k4- Applicant's Printed Name Applicant's Signature r 67,6 6 2007 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 i Requirements: 2 complete sets of drawings and specifications __A_ ..l-I_11i Ali D,tALV IN( , s&(,'o Pe3,\ D,a,-,?) '6-1. Btu V.L auccw vU Date Ca / Z2 / 02_ Site Address: 30 3 S Q- N w A ti K A k Tenant / Building Name: SA M s (2 b The Applicant is: Owner Contractor Other PROPERTY OWNER W , Na ti i I o ?'? S7 Address: z?a f S'E City: ?? U u d. c-C 4 State: ?- Zip: 7 Z 16 CONTRACTOR A + 7 D 4 1" ?6 MN License #: r 13 Address: !o i 7 a nl + ?K A /, a r City: SAu is I( A p + v} State: vM? Zip: X379 Phone#: 32,,,-25j-u446 ESTIMATED COMPLETION DATE: _ 7 / d2 FIRE PERMIT TYPE: X Sprinkler System (# of heads - Fire Pump - Standpipe Other: WORK TYPE: New LC Addition _ Alterations _ Remodel Other: DESCRIPTION OF WORK: Commercial ?2 idential _ Educational 0 Other: _ JUN 2 5 200 Please continue on next page PERMIT FEES Contract Value oo x .01 = $ -Sb, oo Permit Fee $50.00 Minimum $ / , -oo State Surcharge To calculate surcharge If Permit Fee is <$1,000, surcharge is 50 cents. If Permit Fee is >$1,000, surcharge increases by $.50 for each $1,000 Permit Fee, i.e. a $1,500 Permit Fee requires a $1.00 surcharge. 3/4" Displacement Fire Meter - $174.00 $ Fire Meter TOTAL FEE: ) $ rtoc?7? AAV„?< ?y/ ?2 y /???v?,vr??JOS / J V-4( f9 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 in accordance with the approved plan in the case of work which requires a review and approval of plans. En GN 1 r sm, Applicant's Printed Name A licant' Signature DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test _ Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Approved by: Date: ! / g669 3 ..? rrY p?gl?ss!1? only Application For Fireworks Sales And Storage City Of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone #:651-675-5675 Fax #:651-675-5694 ?/ad. ya _Applicant requirements 1. This application must be completed and returned at least 30 days prior to sales and/or storage of fireworks. 2. A letter from the property owner granting permission to the applicant to sell and/or store fireworks on the property shall accompany the application. 3. A floor plan designating the area where the fireworks will be sold and/or stored shall accompany the application. 4. A list of the fireworks that will be sold and/or stored along with the name, weight, quantity, and material safety data sheets (MSDS) shall be included. 5. A copy of the certificate of insurance coverage as per City of Eagan City Ordinance No. 387, Chapter 6, Section 6.53 Fireworks is required. 6. Fee upon application for retail sellers selling exclusively consumer fireworks-$350; all other retail sellers-$100 per vendor annually payable to the City of Eagan. 7. The Fire Marshal or his/her designee will Inspect the proposed location for selling and/or storing fireworks to determine If It is a suitable location. 8 A criminal record check will be done on all applicants. g. A copy of the City of Eagan license (permit) shall be displayed by the register. /Zr?y Date, Applicant Name: -14,W 's Zlab -?V 1173t Street Address: 3035 Den'4.14 4,< Ill gays , State: IW AI Zip: 5 S12 i Telephone #: (o?37 f -X79 Business Mama: .5'a. 2 ZG,6 r/ 47e3 Telephone: ( 657 ) ?fof-co7? Display Address: Retail seller selling exclusively consumer fireworks: _Yes Indoor Sales `Outdoor Sales Dates: to x No to to Temporary outdoor event means an exhibition or sale with a duration of 10 continuous days or less which does not occur more than once every 30 days and more than three times per year or a combination of 20 days total in a calendar year. (See Outdoor Sales of Fireworks) Fee: Outdoor Sales-$350.50 All other retail sellers-$100.50 Fireworks are regulated try MN Statutes 624.20-62425. In addition to these stilts laws, all displays, sales, storage and use of fireworks shall comply with City of Eagan Ordinance No. 387, Section 6.53 Fireworks and NFPA 1124 Standards. I understand and agree to comply with all the provisions of this appli ion and the requirements of the issuing authority, PT 5-- 39 Fireworks Application Page 2 of 9 Tennessen Warning License Application Minnesota law requires that you be informed of the purposes and Intended uses of the information you provide to the City of Eagan (the City) during the license application process. Any information about yourself that you provide to the City during the license application process YAH be used to identify you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to supply Information requested by the City, it may mean that your application will not be considered. All individuals in the City who need to know information will have access. 01-W d A/2//O. 7 Applicant Signature Date Authorization and Consent for Release of Tnfortnation I, ?Qr'6D /1?1ezt?t- freely and voluntarily authorize the City of pagan to conduct an Name of individual authorizing release investigation to obtain the following nformatton for the purpose of determining my eligibility for a permit to sell fireworks: Name: 7tp?C,r?R?t ?•Q Lest First Middle Date of Birth: Drivees License p: 63%7/6139(/1/1 State /f'/j/ I also release the City of Eagan from any and all liability for its receipt and use of Information and records received pursuant to this consent. I further acknowledge that I have carefully read this release, fully understand its terms and legal significance, and execute It voluntarily. Executed this _ 71 i day of /W4y 2002. 2141 Signature Fireworks Application Page 2 of 9 Tennessen Warning License Application Minnesota law requires that you be informed of the purposes and Intended uses of the information you provide to the City of Eagan (the City during the license application process. Any information about yourself that you provide to the City during the license application process will be used to identify you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to supply Information requested by the City, it may mean that your application will not be considered. All Individuals in the City who need to know information will have access. Applicant Signature Date !!! Authorization and Consent for Release of Information I, lJdYr(? /t7 ilcd?czc?ra? freely and voluntarily authorize the City of Eagan to conduct an Name of individual authorizing release investigation to obtain the following information for the purpose of determining my eligibility for a permit to sell fireworks: Name: er-c a ex_ v,ff Last First Middle /l Date of Birth: f7 Driver's License M _ 631716I3 ?A State I also release the City of Eagan from any and all liability for its receipt and use of information and records received pursuant to this consent. I further acknowledge that I have carefully read this release, fully understand its term and legal significance, and execute It voluntarily. Executed this al r day of _ 144- -,2001. 14, a, L Signature Fireworks Application Page 3 of 9 'O.FFICklVSr; ONLY DO NQT WRITE BELOW -THIS. LINE The Police Department has conducted a criminal background check on the aforementioned applicant Comments: Police Department Representative Conditions of Issuance: 3)- v? Date Background check completed and approved by EPD: Yes No Zoning approval Yes No Facility inspection complete and all violations corrected Yes No Insurance policy approved Yes No Ucense approved by Date approved: Fireworks Application Page 3 of 9 OFFIC4,ttIS,9 ONLY DO NO,T WRITE BELOW THIS, LINE The Police Department has conducted a criminal background check on the aforementioned applicant Comments: Police Department Representative Date Conditions of Issuance: Background check completed and approved by EPD: Zoning approval Facility inspection complete and all violations corrected Insurance policy approved License approved by Yes No Yes No _ Yes No ?C Yes _ No Date approved: C / ' 07 - REPRINT - 21369 Chain Store Sales-Wisconsin Terms: Net 30 Days Sold To: 1410002 WALMART - CORPORATE 0001 702 SW 8TH STREET BENTONVILLE, AR 72716 PACK LIST - REPRINT Order #: 554741-53-00002 Order Date: 3/28/07 CUST PO: 4738628779 SLSMN: Chain Stores - East Ship To: 1027002 - SAM4738 SAM'S CLUB 4738 3035 DENMARK AVENUE EAGAN, MN 55121 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units ---------- Sell Price ------------ ------------------------------- *+*****+r************* ------------------------- Assortments -- +**************** PPK - MAGNUM FORCE SS COM J07 101618P 4 CS 192 EA 29.99 48/1 626733119 PPK - THE ULTIMATE SS COM JO 101624P 1 CS 8 EA 196.87 8/1 621126319 PPK - TNT POWER S/S - ALL J06 101421P 3 CS 42 EA 97.88 14/1 621126669 PPK-BIG PARTY SS-ALL 12/1 JO 101331Q 1 CS 12 EA 134.57 12/1 621126459 PPK-FIREPOWER S/S COM J06 101424Z 4 CS 120 EA 49.87 30/1 621127369 ********+r*********,r*** Novelties ***********r******** PPK - TNT SNAPPERS 40 CT 320063P 144/1 621127879 ********************** Sparklers PPK - #8 GOLD SPARKLERS 48 CT 380010P 144/1 621127669 Case Totals: Total Pallets: Total Repack Cases: 1 CS 144 BX 8.88 1 CS 144 BX 15 CS PL CS 9.59 Page No 1 BOL No: 554741 TNT Fireworks P Bill of Lading - REPRINT Shipper: 22069 Sales Assoc: TNT WAREHOUSE - WISCONSIN CUST PO #: 223 COUNTY HIGHWAY A Order #: BLACK RIVER FALLS, WI 54615 Route: WLSL Lic #: Zone: Vendor #: VENDOR # 608872 Freight Code: Sold To: 1410002 WALMART - CORPORATE 0001 702 SW 8TH STREET BENTONVILLE, AR 72716 SFM #: ut Pro Number Sticker Here Chain Stores - East 4738628779 554741-53-00002 MN 435 Stop: Ship To: 1027002 SAM'S CLUB 4738 3035 DENMARK AVENUE EAGAN, MN 55121 SFM #: Phone #: 651-405-0079 Emergency Response Nbr: (800)255-3924 Payment Terms: Net 30 Days HM Description of Articles Weight Shipping # of Cases Class Pieces X FIREWORKS, 1.4G, UN0336, PG II 3576 LBS 85 13 [X] NOVELTIES - NMFC 64300-02 619 LBS 85 2 [X] Totals: 4195 LBS 15 Net Explosive Mass: 894 LBS Checked By: Received By: Delivered By: Order: Ship To: Sold To: Received Date: Placards Tendered By: Delivery Instructions Page No 1 ACORD I -T CERTIFICATE OF INSURANCE ISSUE DATE „ 04/16/2007 PRODUCER This certificate is Issued as a matter of information only and comers no rights th t d lt d MCGRIFF SEIBELS & WILLIAMS INC er , ex en or a e upon the Certificate Holder. This Certificate does not amen , , P O Box 10265 . coverage afforded by the policies below. . . Birmingham, AL 35202 205-252-9871 COMPANIES AFFORDING COVERAGE Company Crum & Forster Specialty Ins. Co. INSURED Company American Promotional Events, Inc. B dba TNT Fireworks P.O. Box 1318 Company Florence, AL 35631 C Company D Company E This is to certify that the policies of insurance described herein have been Issued to the Insured named herein for the policy period Indlcated. Notwithstanding any requirement, term or condition of con tract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY GLO100992 11/01/2006 EACH OCCURRENCE $ 1,000,000 ® Commercial Generel Liability 11/01/2007 FIRE DAMAGE $ 100,000 ? Clam Made ® Ocourience ' MEDICAL EXPENSE $ EXCLUDED ? Owners end ConbamW Pmtdw 0SIR: W." PERS. AND ADVERTISING INJURY $ 1,000,000 ? GENERAL AGGREGATE $ 2,000,000 General Aggregate Limit applies Per: PRODUCTS AND COMP. OPER. AGG. $ 2,000,000 01%11y ? Prolep ?LOCanon AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ?"Aatomobite BODILY INJURY (Per oil $ ?All Ownedl mobees BODILY INJURY Per accident $ ? Scheduted A Wmoblles ? Hired Aubmdires PROPERTY DAMAGE Per accident $ ?Wo neci Aulorna res COMPREHENSIVE ? COLLISION WORKERS' COMPENSATION WC Statutory Limit Other AND EMPLOYERS' LIABILITY EL EACH ACCIDENT $ EL DISEASE Each emolcmeel. $ L DISEASE (Policy Limit) $ EXCESS LIABILITY EACH OCCURRENCE $ ?OCCarrence ?Clalme Med. AGGREGATE $ $ The Certificate Holders are named as Additional Insureds with respect to General Liability as required by written contract subject to policy terms, conditions, and exclusions. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. SAM'S CLUB #4738 Authorized Representative CITY OF EAGAN 3035 DENMARK AVENUE EAGAN, MN 55121 + jy USA Pa e 1 of 1 Cegtii®e 10 p 14MCSVOU MATERIAL SAFETY DATA SHEET - Consumer Fireworks SECTION 1- IDENTITY: Consumer Fireworks at Retail Locations Importer's Name American Promotional Events/TNT Fireworks Emergency Telephone Number Normal Business Hours - 800-243-1189 After Hours - ChemTel - 800-255-3924 Address Corporate Office 4511 Helton Dr. Florence, AL 35630 SECTION 2 - Hazardous Ingredients/Identity Information Consumer fireworks contain various mixtures of oxidizers and fuels, and are designed to bum and produce visible and audible effects when they are caused to ignite by a user. The oxidizers include potassium nitrate, strontium nitrate and potassium perchlorate. Fuels include charcoal, sulfur, starch, and aluminum. All chemical composition is contained within the device, and there should be minimal-to-no exposure to the chemicals under normal conditions of handling of the type typically involved in retail sales operations. The chemical mixtures are stable to temperatures up to at least 250T, and no ignition of these devices should occur during normal handling, transportation, movement, and storage. A match or other flame or heat source is required to ignite the fuse on the devices in order to cause the devices to operate. SECTION 3- PHYSICAL/CHEMICAL CHARACTERISTICS Bogmn Point NIA Specific Gravity (H20=1) N/A Va or Pressure (mm Hg) /A Melting Point NIA Vapor Density (AIR=1) I N/A Evaporation Rate (Butyl Acetate= 1 N/A - All solids Solubility in Water: slight A earance and Odor: All chemical composition is contained inside a cardboard or other container SECTION 4- FHZE AND EXPLOSION HAZARD DATA Flash Point (Method Used) Ignition tern erature exceeds 250°F Flammable Limits NIA - no vapor re sent LEL N/A LTEL N/A Extinguishing Media Water Special Fire Fighting Procedures: Evacuate the area if a fire reaches the fireworks and they begin to burn vigorously. Allow sprinklers to function, if present - they should control the fire. Otherwise, evacuate the area and await arrival of fire fighters. Unusual Fire and Explosion Hazards - Suffocation methods should not be used - the devices contain their own oxygen. Use a strong water flow instead. A fire that has reached consumer fireworks may produce substantial smoke as well as flame, sparks, and burning projectiles. Once consumer fireworks begin burning, all persons must immediately evacuate the area. Only fire fighters wearing appropriate safety equipment should ever consider approaching an area where consumer fireworks are on fire. Remote firefighting methods should be use whenever possible. Where conditions permit, it may be advisable to allow the fireworks to burn to completion - this will greatly simplify clean-up efforts. SECTION 5- REACTIVITY DATA Stability Unstable Conditions to Avoid: Open flames, hot surfaces, Stable X rough handling Inca atibility Matetials to Avoid) none Hazardous Deco osition or B roducts Considerable smoke may be roduced in a fire Hazardous Ma Occur Conditions to Avoid: N/A Polymerization Will Not Occur X SECTION 6 - HEALTH HAZARD DATA Routes of En Inhalation N Skin N esti m N Health Hazards Health hazards should be minimal - all chemical composition is contained (Acute and Chronic) inside sealed devices. If leakage occurs and contact with skin occurs, be sure to wash hands ro tl , and before eating or drinking. Carcino enici NT? N/A IARC Monogra hs N/A OSHA Re ulated N/A Signs and Symptoms N/A ofE osure Medical Conditions None, except in case of fine. Smoke exposure is then the greatest possible Generally Aggravated concern (in addition to fire). b Ex osure Emergency and First Evacuate area if a fire reaches the fireworks. If smoke inhalation occurs remove Aid Procedures , persons to fresh air and contact emereencv medical services TNT® Fireworks CHAIN STORE PRODUCT PLACEMENT WORKSHEET ADDRESS Kim?// CITY > t ?? A) STATEi°ZIP ?Sla? PHONE ?2207? STORE NAME I LOCATION # vl S C lO 19 V736 NORTH a -- JD J J ?-- 6 2 O CO =la 159 T INDICATE LOCATION AND DIMENSIONS I ?J yj? / r SPECIAL INSTRIICTIONSICOMMENTS - lvr l f Yi Q/U 9v?N I ? ?J& SIGNATURE m DATE ,? ,?'/ /-7 STORE MANAGER I TNT@ REPRESENTATIVE April 17, 2007 ATTN: Store Manager - Sam's Club #4738 It is once again fireworks season. As your corporate fireworks vendor, it is our usual policy to take care of all permitting for our customers. However, the City of Eagan will not allow us to apply for/renew your permit to sell Minnesota legal fireworks inside your store this season. Please complete the enclosed application and forward all information to Fire Marshal's office at 3830 Pilot Knob Road. I apologize for this inconvenience but fell that strong 4th of July sales will more than compensate. If you have any questions or if there is any additional information you or the City may require, please do not hesitate to contact me at 1-800-243-1189 ext.492. Sincerely, Charles Walker TNT* Fireworks Director of Compliance o scvyp- U MAY 2 1 2097 AMERICAN PROMOTIONAL EVENTS, INC. P.O.BOX1318.4511HELTON DRIVE - FLORENCE, AL 35630 PHONE (256) 764-6131 • FAX (256) 760-0154 www.tntfireworks.com CURI S RVIC S- 25 April 2007 Eagan Fire Department 3830 Pilot Knob Road Eagan, MN 55122 Attn: Dale Weglettner, Fire Marshal To Whom It May Concern: RE: Sam's Club 4738, Eagan, MN 3305 Denmark Ave Eagan, MN 55121 WAL*MART STORES, INC. Security Services #0610 1105 SE 5`" STREET • BENTONVILLE, AR 72716-0610 PHONE 800-530-9924 Opt #3 • FAX 479-273-6867 We are requesting a wavier or exemption letter for time delayed fire exit doors at the following location: Sam's Club 4738, Eagan, MN. We wish to install Time Delayed Egress locks at this location in order to protect the stores assets and are required to receive written consent from the Authority Having Jurisdiction before we can proceed with this facet of construction. Positive Lock Delayed Egress Model TDL-1 is UL listed and meets the following requirements. • Time delay is programmed for 15 secotids, after crash bar has been pushed. • Delay unlocks upon actuation of the fire alarm • Delay unlocks upon loss of power • There are provisions included within our control to receive a signal from the alarm system. In the event that the alarm system signals that a smoke detector, sprinkler system, or the alarm system is activated the Time Delayed lock is removed from service and the door can be opened at once. • We will provide a sign at each door that states "Push until Alarm Sounds, Door can be opened in 15 seconds". Kindly notify me with either an approval signature on the following document, or a response letter stating any additional requirements In the response letter, please indicate if there needs to be a full submittal to your office of plans for this installation. Please fax any correspondence to 479-273-6867. If you have any questions or comments, please call us at (800)530-9924, option 6. RRg/ Market Asset Protection Manager, Sam's Club mfrichb@wal-mart.com -SFCI',i`Y SERVIC 25 April 2007 Eagan Fire Department 3830 Pilot Knob Road Eagan, MN 55122 Attn: Dale Wegleimer, Fire Marshal To Whom It MayConcem: RE: Sam's Club 4738, Eagan, MN 3305 Denmark Ave Eagan, MN 55121 WAL*MART STORES, INC. Security Services #0610 1105 SE 5"' STREET • BENTONVILLE, AR 72716-0610 PHONE 800-530-9924 Opt #3 • FAX 479-273-6867 This letter is to confum that the installation of delayed egress locks is permitted at the above-mentioned location per the specifications listed below. • Time delay is programmed for 15 seconds, after crash bar has been pushed. • Delay unlocks upon actuation of the fire alarm • Delay unlocks upon loss of power • There are provisions included within our control to receive a signal from the alarm system. In the event that the alarm system signals that a smoke detector, sprinkler system, or the alarm system is activated the Time Delayed lock is removed from service and the door can be opened at once. • We will provide a sign at each door that states "Push until Alarm Sounds, Door can be opened in 15 seconds". Will a plan submittal be required for this location? Yes ')( No ? ' If no, will an inspection or permit be required? To verify this matter, please sign in the space indicated below and fax it back to us at (479) 273.6867 for our records. Respectfully, Dale Wegleimer Fire Marshal Eagan Fire Department ?leifier@crtyoi•'eagan.c m AH " WW D O fi 30, OD 2007 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Plans are considered public information unless you state they are trade secret and why. • Structural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis 0) " • Project Specs (1) • Spec Insp & Testing Schedule (1) " • Soils Report (1) • Meter size must be established J J J J 1 1 • SAC determination - call 651-602-1000 • Soils Report (1) • Certificate of Survey (1) • Structural Plans (2) • Architectural Plans (2) sets • HVAC units req'd. on bldg elev. /site plan • Civil Plans (2) • Landscaping Plans (2) • Code Analysis (1) " • Energy Calculations (1) " • Emergency Response Site Plan (1) `•' • Spec. Insp. & Testing Schedule (1) " • Electric Power & Lighting Form (1) " • Project Specs (1) • Master Exit Plan (1) • SAC determination - call 651-602-1 000 • Fire Stopping Submittals • Fire Suppression/Alarm Form Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or • Architectural Plans (2) sets • Code Analysis (1) " • Project Specs (1) • Key Plan (1) • Master Exit Plan (1) • Energy Calculations (1) not always** • Elec. Power & Lighting Form (1) not always- • Meter size must be established-4f applicable J J J J I • SAC determination -call 651-602-1000 Contact Building Inspections to see if it is required and for a sample. ** * Permit far new building or addition will not be processed without Emergency Response Site Plan. Date Ztp / O ?)' Site Address 30 3 S ? ,# X Tenant Name ??ptn S LW? Construction Cost ik Jim Unit/Ste # Former Tenant Name , ?f Description of Work (S+r' ?t Tg-- SAI-<--S li-V C+-I T TZ"-/ S?'T V Q QQ Property Owner Telephone # (41;1 ) q121;-j90 71 Applicant is: _ Owner _ Contractor Contractor Contact #: ( ) Address ID) Stale - `? City 7.ip Telephone # ( ) Arch/Engr Address State Registration # City Zip Telephone # ( ) Licensed plumber installing new sewerlwater service. Phone #: ( ) I hereby apply for a Commercial Building 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 the State of MN Statutes; 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. Q&G l C tie. ae, Applicant's Printed Natnc A nt's 'gnature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation - 14 Apartments ? 15 Lodging X? 25 Misseaneous ` Work Types C(I ,' 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 26 Public Facility ? 30 Accessory Building ? 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 29 Antennae 0 35 Ext Alt-Public Facility ? 37 Nail Salon ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors `Demolition Building -Give PICA handout to applicant -3,f j)& Valuation Plan Rev 100% 25% SAC Units Nbr. of Units Nbr. of Dogs Fire Sprinklered Required Inspections - Footings (new bldg) - Footings (deck) Footings (addition) _ Foundation Drain Tile Driveway Apron Roof _ Ice Pr Decking Framing Type of Const Width Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fireplace _ R.I. Air Test -Final Insulation Sheetrock Final/C.O. Final/No C.O. Other lnsul _ Final _ Pool Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath - Stone Lath -Final Windows Final CIO Inspection: Schedule Fire Marshal to be present. ? Yes _ No Approved By: 1444'' Planning ? Building Inspector Base Fee Surcharge Plan Review SAC-MCES SAC-City S/W Permit S/W Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total Sewer Trunk Water Trunk M 0 0 0 b CD a. a? N N N ?n Q? 5 N ti N N 'AA N' / E ?x 30'Anchor Industriesilfram 4ent --- p ,L_Fir-tt3rdo-- ?-- --- Ares party rental f952-942-3399 i Jim Bach ?? f ?? Ne'! '1} ,?ky °g?p .., spz.,? 5.x.;)5' --'-- ?.•'-,L {?(+A A XC fl €.?` CJ' ??~ ? f( }j`?? ? T "M'- £ Cl R uu >. y L???f S?rx CtCr Jim, .?'+s.? t?+sl of i?'?`vr 9. ?EssSI &gS, O ` @" ?ua'?4xs `! REGiSTRhllvs ISSUED 5 A 1+o C I IC,T'y5 I FSdE?s??7t :" ; 03:[7+03 j - NUMBER EVANSVILLE. INDIANA =:7725 der i'2: tuber 25 ds4ti?°? 7'.hANtlFkC7JR8^SOF't t li3iS Eu 2,6622M Fi40.i :c er i TENT PRODUCTS CESCRIBED'HEACiN r? - This is to certify that iiie materials described have been flanne-te#arcant'Leate- _C". 'for are inherenti- noninflammable} and were supplied" 10: !Li ?GI 64349D APRES INC DBAAPRES PARTY RENTAL N 7625 CAHILL RD I jEDINA MN 55439 G Vi a? z. C N d? Q> N >-a C w ti 0 0 N c0 N Da C ertification. is :nerebv made that: he articies describea' on iris Cer'.Ificai£ nave been, treaLet- i 7 a iame :Ctcr.^-ant :a;^.."urGi e ..i'l RiI[Ca 1 :t1ci?7S'iii....IlOrl of said 1i'i%i:l:1 `a as CEOir: ccnfol:`tance.vith'.. It Ciit?c; M e iVta,shai %JCde, equal 'm exceeds NF-Ph 701, Cl'z,u v-. UI „ il?c:, . The method of the Fs i chemical application is: Saaai= g42 i53OC r21 Description of item oerli€ied: F1 EXP CA7 J8D 20XIO VL R':'+ Plarne Retardant Process Used tr,ili Not Be Re toned By 'Washing ;grid Is Effective For T1 e Lh,-e Of'rhe Fabl is S\YDERMFGREW PHILADELPHIA-0B Signetl: _?F?i.,b ..? ,pr .-?^?'? Ne ne c=i App;icaicr of Flame Resistant Finish. T=i47 DEPARTt E:2T - ANCr;vR JN3:11STRiES :: 0 0 0 0 1IMPOR ANT DOCUMENT£??s???? fle REGISTRATIONI ISSUED BY n I -T Date of Shipment APPLICATION "c,.E i1Jie]C API f •? , J } ? ' IF..'..SY?.,. {.. u I __ _ _ rs 'Pent Identiticatton ?. .` t EVANSVILLE, IWDIANA 47725 0<:i-t,0 e F? ¢ p oP teYANtIFd34Tt1PEPS Or THE FINISHED i'1"i.-i it x TENT PRODUCTS DESCRIBED HEREM This ;S to certify that the materials described have been flame-retardant treated ar ere= inherent!, noninfiarrimable) and were supplied to: 64349- APRESINC DBA APRES PARTY RENTAL 7625 CAHILL RD EDINA MN 55439 as .r, N rn N o? t;l w 0 0 N tp N Q> O Certification is hereby made that: T" :e articles described on this Certificate have been treated with as flame-retardant approved ciiernical and that the application of said chenilcal was dune in conformance with California t=ire Marshal Code. Ali fabric has been tested and passes NFPA 701-99, CPAs 84, ULC 109. Senai ? 903Jet_ ii'. Description of stein certified: rrc.,-tKaaV Lxr-c? ,t,•a \5H&! L' 1023970A Flame Retardant Pr=ocess Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric \i?• : t ?. Jl,.L]FiOnV,1] cTarKCVin r•l:r _ Signed: f 'SPECIAL EVENTS DIVISION • ANCHOR INDUSTRIES INC. 4, .)ICJ ?,ll I?J: vws CL'-8 i??ge E S 3035 &,w -K- COST PARTICIPATION AGREEMENT This Cost Participation Agreement ("Agreement") is made and entered into by and between SAM'S REAL ESTATE BUSINESS TRUST, a Delaware business trust (hereinafter "Landowner") and the CITY OF EAGAN, a Minnesota municipal corporation (hereinafter the "City") (hereinafter collectively referred to as the "Parties"). WHEREAS, Landowner is the owner and developer of certain land located in the City of Eagan, County of Dakota, State of Minnesota and legally described as Lot 3, Block 1, Eagandale Center Industrial Park No. 9 (hereinafter the "Property"); WHEREAS, in connection with the development, the Landowner entered into a Planned Development for the construction of a "Sam's Club" at the Property; WHEREAS, as a condition to Landowner's development of the Property, it is desirable for the City to undertake signal improvements at the intersection of Lexington Avenue and Club View Drive as part of Public Improvement Project 771 (hereinafter the "Project"); and WHEREAS, Landowner has agreed to contribute to the cost of the signal improvements associated with the Project in accordance with the terms and conditions of this Agreement. NOW, THEREFORE, in consideration of the mutual promises contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Landowner and City agree as follows: Landowner's Contribution. Contemporaneously with the execution of this Agreement, Landowner shall remit to the City the sum of Eighty-seven Thousand Five Hundred and no/100 Dollars ($87,500.00) as and for its contribution for the signal improvements under the Project. In the event the signal is not operational by November 1, 2001 for any reason, then, in that event, the City agrees that Landowner's contribution shall be limited to Fifty Thousand and no/100 Dollars ($50,000.00) and Landowner shall receive a refund of Thirty-seven Thousand Five Hundred and no/100 Dollars ($37,500.00) within ten (10) days after such date. SE'S Zw)4,?,.h?t ECEiV n?? e 3 2 Dry IN WITNESS WHEREOF, the Parties have caused this Agreement to be executed by their duly authorized officials. CITY OF EAGAN, a Minnesota municipal corporation By: By: Patricia E. Awada Its: Mayor Holly N. Duffy Its: Deputy Clerk SAM'S REAL ESTATE BUSINESS TRUST, a Delaware business trust '_Its: j? Rs.s? y?cr P?vs. STATE OF MINNESOTA) )ss. COUNTY OF DAKOTA ) The foregoing instrument was acknowledged before me this _ day of , 2000, by Patricia E. Awada and Holly N. Duffy, the Mayor and Deputy Clerk of the City of Eagan, a Minnesota municipal corporation, on behalf of the municipal corporation. Appr ved s to legal terms orgy By WA -MART EGAL TEAM Date O j Notary Public SAr, `7 ;5& an. h A id & -l2- STATE OF ARKANSAS ) )ss. COUNTY OF BENTON ) 0 h foregoing instrument was acl ledr before me this /Y tiY day of 2000, Y. the of SAM'S RP-AL ESTATE BUSINESS TRUST, a Delaware Business Trust, on behalf of the business trust. Attest: 12 ZZ7Zfe 'k, APPROVED AS TO FORM: City Attorney's Office Dated: 10 11-7/u' APPROVED AS TO CONTENT: Public Works Department Dated: THIS INSTRUMENT WAS DRAFTED BY: Public Karen D. MiAR No_v Notary Washington County State of APublic rkan: My Commission Expires 1nranronr SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. 7300 West 147th Street, Suite 600 Apple Valley, MN 55124 (952) 432-3136 (RBB: 206-18245) xA"-? $ Safam, /7/1 i?1 IW S W Fllh St. nFNTONVWLF_ ARKA14SAS 72710 rrn.nvrWINSTON-S -Sn oni ALEM,N EM,NC 27150 27150 SEQ: 2 2 0 4 9 9 KMOOR DM- . MD.- Y YR_ CHEC&NUMBER PAY 5974410 20 00 2133720 2133720 EIGHTY-SEVEN THOUSAND FIVE HUNDRED DOLLARS AND NO CENTS _DOLLARSCENIS- ****8L59U UO_I MOUNLO.ECNE TO City of Eagan THE WAL * MART STORES, INC. ORDER 3830 Pilot Knob Road OF Eagan PIN 55122 / A?4? r. Vice President Finance and Treasurer its 2 13 3 7 20161'o,: 0531?04941• .0 i8732 001428ii5 0011'?- PERMIT City of Eagan 1830 Pilot Knob Rd :agan, MN 55122 651) 675-5675 vww.ci.eagan.mn.us 4 N? of Site Address: 3035 Denmark Ave ,ot: 3 Block: I Addition: Eagandale Center Industrial Pk 9th 'ID: 10-22508-030-01 Jse: Sam's Club Permit Type: Permit Number: Date Issued: Fireworks EA083281 05/29/2008 Description: iub Type: Indoor Retail Sales Sign Permit Required: N York Type: Indoor Display Tent Permit Required: N description: Temporary Event: N ,ales Dates: 05/2912008 to 11/01/2008 Number of Days: 0 to to Comments: Fee Summary: Indoor Sales $100.00 0801.4097 Surcharge-Fixed $0.50 9001.2195 Total: $100.50 Contractor: Owner: - Applicant - Wal-Mart Prop Tax De Sams Real Est Bus Trust PO Box 8050 MS 0555 Bentonville AR 72712-8050 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State rf Minnesota Statutes and City of Eagan Ordinances. A Application For Fireworks Sates And Storage City Of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone #: 651-675-5675 Fax #: 651-675.5694 F:fite rri . aj Ow iii only (to JC?D, 5Z? Applicant requirements 1. This application must be completed and returned at least 30 days prior to sales andlor storage of fireworks. 2. A letter from the property owner granting permission to the applicant to sell and/or store fireworks on the property shall accompany the application. 3. A floor plan designating the area where the fireworks will be sold and/or stored shall accompany the application. 4. A list of the fireworks that will be sold andlor stored along with the name, weight, quantity, and material safety data sheets (MS08) shall be included. 5. A copy of the certificate of insurance coverage as per City of Eagan City Ordinance No. 387, Chapter 6, Section 6.53 Fireworks is required. 8. Fee upon application for retail sellers selling exclusively consumer fireworks-$350; all other retail sellers-$100 per vendor annually payable to the City of Eagan. 7. The Fire Marshal or his/her designee will Inspect the proposed location for selling and/or staring fireworks to determine if it is a suitable location. 8 A criminal record check will be done on all applicants, 9. A copy of the City of Eagan license (permit) shall be displayed by the register. Date: 4 -;-,5 ? 0 9 Applicant Name: 591"7 is & u,9 /9 1/ 73 8 Street Address: 2)(1-6,5- State: C : t? City: Zip: Telephone* (u gl) Q 05 - 00-19 Business Name: Sf/r^ 5 L`LUQ 0 V 7jg TelephonetY: ( Display Address: .5A^ E Retail sailer selling exclusively consumer fireworks: _Yes X Indoor Sales `Outdoor Sales Dates: to _ No to to Temporary outdoor event means an exhibition or sale with a duration of 10 continuous days or tens which does not occur more than once every 30 days and more than three times per year or a combination of 20 days total in a calendar year. (See Outdoor Sales of Fireworks) Fee: Outdoor Sales-$350.50 All other retail sellers-$100.50 Fireworks are regulated by MN t3tatutes 824.20-52425. In addition to these state laws, all displays, sates, storage and use of fireworks shall comply with City of Eagan Ordinance No. 387, Section 8.53 Fireworks and NFPA 1124 Standards. I unders?d1a i IILLLLLLIInnl?1`11 th all the provisions of this application and the requirements of the issuing authority, APR 2 5 2000 t AonIICant Sinnsti irw ?a(K'5, C Iub _ 4 1 Fireworks Application Page 2 of 9 Tennessen Warning License Application Minnesota law requires that you be informed of the purposes and Intended uses of the information you provide to the City of Eagan (the City) during the license application process. Any information about yourself that you provide to the City during the license application process will be used to identify you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to supply Information requested by the City, it may mean that your application will not be considered. All Individuals in the City who need to know information will have access. Applicant Signature Data Authorization and Consent for Release of Information I, /1 ??Ne7/4 a ZL??r?f7oi/St? freely and voluntarily authorize the City of Eagan to conduct an Name of individual authorizing release investigation to obtain the following information for the purpose of determining my eligibility for a permit to sell fireworks: Name: DTI Ci r`oby1 6 1??I1/ET4 Al 16- Last First Middle Date of Birth; Jr l ' / ?to / Driver's License M go j e 1(7r7gVa4 CI state Mxj_ I also release the City of Eagan from any and all liability for its receipt and use of Information and records received pursuant to this consent. I further acknowledge that I have carefully read this release, fully understand its terms and legal significance, and execute it voluntarily. Executed this ? day of (/ ( L 200 X JEANETrE ANN JOHNSON d yS. Iti-v?S Notary public-Minnesota signature_ UV OM aitadme*WJM 81, 2009 ----------------- Fireworks Application Page 3 of 9 IT -MMORPOW :. 10 FIQ414159 ONLY ' DO NOT WRITE pELOW THIS. LINE The Police Department has conducted a criminal background check on the aforementioned applicant. Comments: - F-.Ye '-+Ia rtment ft sentative 5A7a%6k Date Conditions of Issuance: Background check completed and approved by EPD: Yes No Zoning approval Yes No Facility inspection complete and all violations corrected Yes No Insurance policy approved l,-'-? Yes No 1-1 License approved by?_`??^?/G w Date approved: n MEMORANDUM EAGAN POLICE DEPARTMENT 3830 Pilot Knob Road Eagan, MN 55122 651-675-5700 651-675-5707 FAX DATE: May 22, 2008 TO: City of Eagan - Darrin Bramwell FROM: Sgt. Steve Bollu('?\ SUBJECT: Background for Fireworks Application -Sam's Club The Eagan Police Department has conducted a background investigation as authorized by the applicants Authorization for Release of Information. A review of the applicant's criminal history, local police contacts and/or records, driving status, and warrant history was completed. After completion of the background for the license applicant, the police department rinds no cause to deny the application. Cc: 08-2518 Denise Brown New Business Development 608 S.W. 8"' Street Bentonville, AR 72716-0745 Phone 479.277.7807 Fax 479.277.7823 April 15, 2008 Dear Club Manager, American Promotional Events, Inc. dba TNT@ Fireworks is an approved National Supplier for 2008 to conduct fireworks sales on our Club parking lots where this type of promotion is legal. Events usually run 7 to 10 days with set up beginning approximately 5 days prior to the event. TNT@ Fireworks is responsible for obtaining all necessary permits and/or licenses and must display such permits and/or licenses at each location Thank you in advance for your cooperation in this matter. Respectfully, Denise Brown Manager, New Business Development - SAM'S CLUB 64W 7h? ai/u ZARZ, /ham ??% Su\P5 Ai.11- 1 k1 RA t9•A YS IOf0AM0lIIR IS fNl, M ? RV (? 1{Q 9111 R W!1 OIIAIW A Clt n>r xlnc W IM j 9 C/?B 41738 r 1 ua last 1G, 9 mPI IFq .W. Ba®so1?m Mamong ziv? 3 qy ®i M Of e00:60 80 ZZ oIN ?d TNTO FIREWORKS Site Plan Worksheet ADDRESS Q s ??? n? ?} Iz CITY 1??6 J STATE t ZIP pp PHONE 6)71 STORE NAME/ LOCATION # ? ?S C 16(9 q ? 3 U TYPE OF EVENT: In-store sales of state-approved fireworks Gr?? r ?E G,r 4 w& t ST,rVlIS SOUTH SPECIAL INSTURCTIONS 7?--W1 IVY)( BE L-OCAIZD? 47 A4 14'-") EAfr1ZaNc6- TE `f' STORE MANAGER? TNT@ Representative CORD AA CERTIFICATE OF INSURANCE ISSUE DATE - . 05/28/2008 PRODUCER This certificate is issued as a matter of information only and confers no rights lt th t d t d i MCGRIFF SEIBELS & WILLIAMS INC er ficate does no amen , ex en or a e upon the Certificate Holder. This Cert , , Box 10265 P O . coverage afforded by the policies below. . . Birmingham, AL 35202 205-252-9871 COMPANIES AFFORDING COVERAGE Company Crum & Forster Specialty Ins. Co. A INSURED Company American Promotional Events, Inc. B dba TNT Fireworks P.O. Box 1318 Company Florence, AL 35631 C Company D Company E This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of con tract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY GLO111010 11/0112007 EACH OCCURRENCE $ 1,000,000 ZI Canmemial General Liability 11/0112008 FIRE DAMAGE $ 100,000 ?Claims Made I$IOccurrence ' MEDICAL EXPENSE $ EXCLUDED ? Owners and Contmotom Protechon ® SIR $50,000 PERS. AND ADVERTISING INJURY $ 11000,000 ? GENERAL AGGREGATE $ 2,000,000 General Aggregate Limn apples par PRODUCTS AND COMP. OPER. AGG. $ 2,000,000 ® PdwY [I Pr,ad ?Lorabon AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ?Any Automobile BODILY INJURY Per person) $ ? All Owned Automobiles BODILY INJURY Per accident $ ? Scheduled Automobdea ? Hred Automoblles PROPERTY DAMAGE Per accident $ ?Nona ned Automobiles COMPREHENSIVE ? COLLISION WORKERS' COMPENSATION WC Statutor Limit Other AND EMPLOYERS' LIABILITY EL EACH ACCIDENT $ EL DISEASE Each employee $ EL DISEASE E (Policy Limit $ EXCESS LIABILITY EACH OCCURRENCE $ ? Ocanenm ?Claims Made AGGREGATE $ This certificate only applies to INSIDE THE STORE SALES OF MINNESOTA APPROVED FIREWORKS g,SAM'S CLU_B,4738, 3035 DENMARK AVENUE, EAGAN, MN, 55121. " The Certificate Holders are named as Additional Insureds with respect to General Liability as required by written contract subject to policy terms, conditions, and exclusions. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. CITY OF EAGAN Authorized Representative 3830 PILOT KNOB ROAD EAGAN, MN 55122 USA ea e 1 of 1 Cerldicate 10 9 YAT55LZ8 - REPRINT - PACK LIST - REPRINT - 21369 Order #: 691364-53-00002 Chain Store Sales-Wisconsin Order Date: 4/7/08 CUST PO: NEED PO Terms: Net 30 Days SLSMN: Chain Stores - East Sold To: 1410002 Ship To: 1027002 - SAM4738 WALMART - CORPORATE 00 001 SAM'S CLUB 4738 702 SW 8TH STREET 3035 DENMARK AVENUE BENTONVILLE, AR 72716 EAGAN, MN 55121 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units ------ Sell Price ------------ ------------------------------- *************************** ------------------------- Assortments ------ *********************** PPK - MAGNUM FORCE SS COM J07 101618P 2 CS 96 EA 29.88 48/1 626733119 PPK - THE ULTIMATE SS COM JO 101624P 1 CS 8 EA 196.87 8/1 621126319 PPK -TNT POWER S/S ALL J06 101421P 1 CS 14 EA 99.88 14/1 621126669 PPK-BIG PARTY SS-ALL 12/1 JO 101331Q 1 CS 12 EA 149.88 12/1 621126459 PPK-FIREPOWER SS COM J08 3 FP 1014245 2 CS 60 EA 49.87 30/1 27736006113 *************************** Base Foun tains *********************** PPK - TNT 6 PACK J07 200745P 72/1 626733559 *************************** Sparklers 1 CS 72 EA 29.88 PPK - #8 GOLD SPARKLERS 48 CT 380010P 1 CS 144/1 621127669 *************************** Counter Cases *********************** 144 BX 9.88 *********************** DSP - COMBO: 56BTPTYPOP-78SNA 671143 1 CS 1 CS 1323.93 1/1 Containing: BIG TIME PARTY POPPER PK 320216 56 PK 56 PK 9.88 10/140 628641019 POP-IT'S TNT - CELLO WRAPP 320063 78 IP 78 IP 9.88 6/40/50 621127879 PALLET PAK COMBO NOVELTY 2 931164 1 EA 1 EA 0.01 1/1 Case Totals: 10 CS Total Pallets: PL Total Repack Cases: CS Page No 1 BOL No: 691364 TNT Fireworks P Bill of Lading - REPRINT Shipper: 22069 Sales Assoc: TNT WAREHOUSE - WISCONSIN CUST PO #: 223 COUNTY HIGHWAY A Order #: BLACK RIVER FALLS, WI 54615 Route: WLSL Lic #: Zone: Vendor #: VENDOR # 608872 Freight Code: Sold To: 1410002 WALMART - CORPORATE 00001 702 SW 8TH STREET BENTONVILLE, AR 72716 SFM #: ut Pro Number Sticker Here Chain Stores - East NEED PO 691364-S3-00002 MN 435 Stop: Ship To: 1027002 SAM'S CLUB 4738 3035 DENMARK AVENUE EAGAN, MN 55121 SFM #: Phone #: 651-405-0079 Emergency Response Nbr: (800)255-3924 Payment Terms: Net 30 Days HM Description of Articles Weight Shipping # of Cases Class Pieces X FIREWORKS, 1.4G, UN0336, PG II 2776 LBS 85 8 [X] NOVELTIES - NMFC 64300-02 731 LBS 85 2 [X] Totals: 3507 LBS 10 ****t***?*?***+r***********?*??+?*???*t?,t,t,t,t,t+rr***++?,r,t,t,t,t*****?+??,e,t******?++?*,t Net Explosive Mass: 694 LBS Checked By: Received By: Delivered By: Order: Ship To: Sold To: Received Date: Placards Tendered By: Delivery Instructions Page No 1 MATERIAL SAFETY DATA SHEET - Consumer Fireworks SECTION 1- IDENTITY: Consumer Fireworks at Retail Locations Importer's Name American Promotional Events/TNT Fireworks Emergency Telephone Number Normal Business Hours - 800-243-1189 After Hours - CheruTel - 800-255-3924 Address Corporate Office 4511 Helton Dr. Florence, AL 35630 SECTION 2 - Hazardous In redients/IdentiInformation Consumer fireworks contain various mixtures of oxidizers and fuels, and are designed to burn and produce visible and audible effects when they are caused to ignite by a user. The oxidizers include potassium nitrate, strontium nitrate and potassium perchlorate. Fuels include charcoal, sulfur, starch, and aluminum. All chemical composition is contained within the device, and there should be minimal-to-no exposure to the chemicals under normal conditions of handling of the type typically involved in retail sales operations. The chemical mixtures are stable to temperatures up to at least 250T, and no ignition of these devices should occur during normal handling, transportation, movement, and storage. A match or other flame or heat source is required to ignite the fuse on the devices in order to cause the devices to operate. SECTION 3- PHYSICAL/CHEMICAL CHARACTERISTICS Boiling Point N/A Specific Grant 0=1 N/A Vapor Pressure (mm H) N/A Meltin Point N/A Vapor Density (AIR=1) N/A Evaporation Rate u 1 Acetate = 1) N/A - All solids Solubility in Water: slight - -Appearance and Odor: All chemical com position is contained inside a cardboard or other container SECTION 4- FIRE AND EXPLOSION HAZARD DATA Flash Point Method Used Ignition temperature exceeds 250°F Flammable Limits N/A - no vapor resent LEL N/A UEL N/A Extinguishing Media Water Special Fire Fighting Procedures: Evacuate the area if a fire reaches the fireworks and they begin to burn vigorously. Allow sprinklers to function, if present - they should control the fire. Otherwise, evacuate the area and await arrival of fire fighters. Unusual Fire and Explosion Hazards - Suffocation methods should not be used - the devices contain their own oxygen. Use a strong water flow instead. A fire that has reached consumer fireworks may produce substantial smoke as well as flame, sparks, and burning projectiles. Once consumer fireworks begin burning, all persons must immediately evacuate the area. Only fire fighters wearing appropriate safety equipment should ever consider approaching an area where consumer fireworks are on fire. Remote firefighting methods should be use whenever possible. Where conditions permit, it may be advisable to allow the fireworks to bum to completion - this will real] simplify clean-up efforts. SECTION 5- REACTIVITY DATA Stability Unstable Conditions to Avoid: Open flames, hot surfaces, Stable X rough handling Incompatibility Materials to Avoid) none Hazardous Decomposition or Byproducts Considerable smoke may be produced in a fire Hazardous Ma Occur Conditions to Avoid: N/A Polymerization Will No[ Occur X SECTION 6 - HEALTH HAZARD DATA Routes of Entry Inhalation N Skin N Ingestion N Health Hazards Health hazards should be minimal - all chemical composition is contained (Acute and Chronic) inside sealed devices. If leakage occurs and contact with skin occurs, be we to wash hands promptly, and before eating or drinking. Carcinogenicity NT? N/A IARC Monographs N/A OSHA Regulated N/A Signs and Symptoms N/A of Exposure Medical Conditions None, except in case of fire. Smoke exposure is then the greatest possible Generally Aggravated concern (in addition to fire). b Exposure Emergency and First Evacuate area if a fire reaches the fireworks. If smoke inhalation occurs, remove Aid Procedures persons to fresh air and contact emergency medical services SECTION 7 - PRECAUTIONS FOR SAFE HANDLING AND USE Steps to Be Taken in Cautiously pick up the spilled devices and place them in a marked container. Case Material is Contact your American Promotional/TNT representative for removal Released or Spilled instructions. Waste Disposal Method Contact your American PromotionaMT representative for disposal information. Precautions to Be Taken Avoid extreme temperatures, open flame and sparks, and rough handling in Handling and Storing Other Precautions Intentional misuse/mischief poses the greatest concern with these devices in a retail setting. Monitor the fireworks display area on an ongoing basis, and keep young children, intoxicated persons, and any time of open flame out of the fireworks area. No smoking is ever permitted near fireworks. SECTION 8 - CONTROL MEASURES Respiratory Protection (Specify Type) N/A no va or or dust ex osure with intact items - Ventilation Local Exhaust N/A S ecial N/A Mechanical (General) N/A Other N/A Protective Gloves - not required for retail sales Eye Protection N/A Other Protective Clothing/Equipment - none required for retail sales Work/Hy ienic Practices - wash hands after handling fireworks and before eating or drinking 2 INSPECTION RECORD City of Eagan Permit Type: Fireworks 3830 Pilot Knob Rd Permit Number: EA083281 Eagan, MN 55122 Date Issued: 05/29/2008 (651) 675-5675 www.ci.eagan.mn.us Site Address: 3035 Denmark Ave Lot: 3 Block: 1 Addition: Eagandale Center Industrial Pk 9th PID: 10-22508-030-01 Use: Sam's Club Sub Type: Indoor Retail Sales Wal-Mart Prop Tax De Sams Real Est Bus Trust Work Type: Indoor Display Description: ;Date', vim. spector-_. Final 1 5"3:)'03 1 1d:201 • Contractor is responsible for erosion control. • House #s required for final inspection. • 4-hour notice for permanent water turn-on for new building: 651-675-5300. 05/14/2008 15:14 FAX 6513512839 Alob City of hElan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 PERFECTION DATING 1&002 ----------------- For Office Use y, I Perk #: I I Permit Fee: SO `?? 1 I l I Date Received: i Staff: i - - - - - - - - - - - - - - - ??p! 2008 MECHANICAL PERMIT APPLICATION Date: aJ-/14 •?Ka Site Address: 3745 bent-nark Trail W Suite #: RESIDENT / OWNER Name: Koller 1 i S ?Z1 01 Phone: &51 - ZO 3 -I yU0 Address/ City/ Zip: 26d UL /V )Pooguilk "N J``S113 CONTRACTOR ? 611 C License #: Lb rig J??o 3 Narri Y, f?r }-t0 (n ttP/1 I11?4 p Address: 1 ? `11) G e r"S Ave- City: 14e j L)lQ d State: "N zip: 55 t 09 Phone: 141 7 7 • L2-0 -Contact Person: 1 )r111? ?- --rn o kei- TYPE OF WORK -New Replacement -Additional Alteration _Demolition Description of work: ' -e-re?loee NOTE: Both root mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for Information on Perm fitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace - New Construction - Interior Improvement Install Piping _____ Processed Air Conditioner _ Air Exchanger -Gas Exterior HVAC Unit HVAC units must be screened Heat Pump Under / Above ground Tank i Install /_ Remove) Other _ " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ 16, S Q TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract value $ x1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. = $ State Surcharge - II Permit Fgg is ? $1,000, surcharge increases by $.50 for each $t,000 Permit Fee (I.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE nd .e ccdes of u.e r•.av n f Fanam that I hereby acknovAedge that this information is compete and accurate: mai he wurn will w r.r •,. _____ _...._ I understand this is not a permit, but only an application for a peril, and work is not to start without a perh that the watt will be In accordance with the approved elan in the case of work which requires a review and approval of plans. x ,7iCAtne 1 Cit,[ca Applicant's Printed Name FOR OFFICE USE x kJ /]fin,? I-1 tz 6& Applicant's Signature Reviewed By: Date: oe..,a.ew f..c.,e..V-- f C..nnh In A;, Tee, cam. ee..a?e Te..t r..-e...+, ue?t end 6513512839 05/14/2008 15:14 FAX 6513512839 PERFECTION HEATING FAX Transmittal Date: 5/14/2008 Attn: City of Eagan Permit Dept [A 001 PNEATING MR CONDITIONING Fax: 651.675.5694 651-777-7620 Phone 651-777-3252 Fax Total Pages 2 1770 Gervais Ave. rn T smitt ttel Page): Maplewood, MN 55109 rans Remarks: Permit application for 3745 Denmark Trail W Please put permit fee on VISA 4802-1322-5757-2068 exp dt: 01/2011 Thank You, Diane Trinka Office Manager Perfection Heating & Air Conditioning 14.4K 40? City of Eogn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675- Fax: (651)675-5694 -----------------, For Office u((si//?? I l OVJ?J ( ' I Permit #: 1 I Permit Fee:57c, f5-0 I l I Date Received: I I 1 ? Staff: ----------------- 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date: q-' _{j Site Address: 3rJ ??Cl{Y1Q?k ?V?' Tenant: salmi Cry, Suite P OP ERTY OWN Name: ? >6LM S Cl lLl\ Phone: i_0 qn- CONTRACTOR Name: c7j License S s ((oo Address: G Sbty? (AW SSU City: '3A, State: rw Zip: SS Ph P 8 " --qW 5 - `- Tor, one: X erson: OContact i t 1 TYPE OF New - Replacement _ Repair - Rebuild _ Modify Space Work in R.Q.W. WORK Description of work: J,)a 4S"-l- r? 1-9 Z PERMIT TYPE COMMERCIAL New Construction _ Modify Space Irrigation System (_ yes / _ no) (_ RPZ PVR) Rain sensors required on irrigation systems • Avg. GPM (2" turbo required uniess s maller 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 314" meter $163.00 Avg. GPM High demand devices? Yes No Flushontaters Yes -No COMMERCIAL FEES. $50.50 Minimum (includes State Surcharge) OR Contract value; x1% =$ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 Radio Meter Read - If Permit Imo. is leas than $1,000, surcharge is $.50 = $ Meter(s) - If Permit Egg is > $1,000, surcharge increases by $.50 for each $1,o00 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). =$ State Surcharge Folktvring fees apply when installing a new lawn irrigation system. $ water Permit Call the clys Engineering Department, (651) 675-5646, far required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES; S?• I hereby acknowledge that this inPormation 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 wwk is not to start without a rm19 that the work will be in accordance with the approved planin the c e ofworkhich requires a review and appravai of plans. x °1t, LC)yvN .(,J x 7Cr?r` Applicant's Printed Name Appiicary Signature FOR OFFICE USE Required Inspections: PRY Required: Yes Approved By: Under Ground -Rough-In -Air Test Gas Test -Final No Date: S Severson, Sheldon, Dougherty a Molenda, P.A. EVERSON SHELDON Attorneys ( Advisors SUITE 600 7300 WEST 147m STREET APPLE VALLEY, MINNESOTA 55124-7580 TELEPHONE (952) 432-3136 FACSIMILE (952) 432-3780 MEMO To: John Gorder, Assistant City Engineer From: Robert B. Bauer, City Attorney 4_ Date: March 27, 2009 Re: Lot 3, Block 1, EAGANDALE CENTER INDUSTRIAL PARK NO. 9 Sam's Real Estate Business Trust Easement No. 1177 Our File No. 206-28335 John, Enclosed for the City's records, please find the original Right-of-Way, Drainage and Utility Easement for the above-referenced property dated January 26, 2009 and recorded with the Dakota County Registrar of Titles Office on February 10, 2009 as Document No.T639053. I I? 1 Q •?: F_ _ . /sLfc?c_ SL??? I<L'a ?-?? flly r f?2?e, Receipt#: 33266 NN T639053 INI TORRENS FEE $4600 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Recorded on: 211012009 12:00:01PM By: RMS, Deputy Certificate #: 130309 Return W $E RSON SHELDON VO"GHERTY ETAL 7300 WEST 147TH STREET STE 600 Joel T. Beckman Registrar of Titles /x/A' LE VALLEY, MN 55124 Dakota County, MN V? v ^ RIGHT-OF-WAY, DRAINAGE AND UTILITY EASEMENT THIS RIGHT-OF-WAY, DRAINAGE AND UTILITY EASEMENT is made this ? b? day of t?,729 L between SAM'S REAL ESTATE BUSINESS TRUST, a Minnesota business trust, hereinafter referred to as "Landowner" and the City of Eagan, a municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as the "City„, WITNESSETH: That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its successors and assigns, a permanent right-of-way, drainage and utility easement, over, across and under the following described premises, situated within Dakota County, Minnesota, to-wit: That part of Lot 3, Block 1, EAGANDALE CENTER INDUSTRIAL PARK NO. 9, according to the recorded plat thereof, lying southeasterly of a curve concave to the northwest and having a radius of 255.61 feet. The southerly and southeasterly lines of said Lot 3 are tangent to said curve. See also Exhibit "A" attached hereto and incorporated herein. The grant of the foregoing permanent easement for right-of-way and utility purposes includes the right of the City, its contractors, agents and servants to construct, reconstruct, inspect, repair and maintain a roadway and erect and maintain signs in conjunction with the public's use of said roadway and appurtenances and any signs erected in conjunction with the use of the roadway and appurtenances. The grant of the foregoing permanent easement for drainage and utility purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits and mains; and the further right to remove trees, brush, undergrowth and other obstructions. After completion of such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commencement of such actions, save only for the necessary removal of trees, brush, undergrowth and other obstructions. And the Landowner, its successors and assigns, does covenant with the City, its successors and assigns, that it is the Landowner of the premises aforesaid and has good right to grant and convey the easement herein to the City. IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as of the day and year first above written. STATE OF hReiESOT-A ) )ss. COUNTY OF SAM'S REAL ESTATE BUSINESS TRUST, a Minnesota b iness trust r ? By: I &1e Its: TiuH + O ,D-rc4- ,,o A The foregoing instrument was acknowledged before me this day of Sa, -- 2948-,by Goorc"V,5p- , the Trustee of Sam's Real Estate Business Trust, a Minnesota business trust, on behalf of said trust. ONOT,ARY SEAL" C!RCL ?!i3K "tate of , :_ n es, f tcciisen Cour y My Comr:L;sio s Capaca 1 011 812 01 5 APPROVED AS TO FORM: City Attorney's Office Dated: :?J -1 (0 7 APPROVED AS TO CONTENT: Public Works Department Dated: 1- j©- Pj Notary Public THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. 7300 West 147th Street, Suite 600 Apple Valley MN 55124 (952) 432-3136 Easement No. 1177 RBB: 206-28335 0 200 scale In feet D ROADWAY & UTILITY EASEMENT= 3990 S.F. j / 2 O / 255 6, / r Parcel 1 SAMS REAL ESTATE BUSINESS TRUST P. I. N.10-22508-030-01 g A perpetual easement for roadway and utility purposes over, under, across and through that part of Lot 3, Block 1, EAGANDALE CENTER INDUSTRIAL PARK No. 9, according to the recorded plot thereof, IyIng southeasterly of a curve concave to the northwest and having a radius of 255.61 feet. The southerly and southeasterly lines of sold Lot 3 are tangent to said curve. v k t Easement Exhibit City of Eagan C...ki.g r.o I.. Project No. E EXHIBIT 8/19/2008 6 B fy P rA, Parcel 1 Application For Fireworks Sales And Storage City Of Eagan D C 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 MAY 0 2009 `sl ' ] pages„ :3~ tsnly Applicant requirements 1. This application must be completed and returned at least 30 days prior to sales and/or storage of fireworks. 2. A letter from the property owner granting permission to the applicant to sell and/or store fireworks on the property shall accompany the application, 3. A floor plan designating the area where the fireworks will be sold and/or stored shall accompany the application. 4. A list of the fireworks that will be sold and/or stored along with the name, weight, quantity, and material safety data sheets (MSDS) shall be included. 5. A copy of the certificate of insurance coverage as per City of Eagan City Ordinance No. 387, Chapter 6, Section 6.53 Fireworks is required. 6. Fee upon application for retail sellers selling exclusively consumer fireworks-$350; all other retail sellers-$100 per vendor annually payable to the City of Eagan. 7. The Fire Marshal or his/her designee will Inspect the proposed location for selling and/or storing fireworks to determine If it is a suitable location. 8 A criminal record check will be done on all applicants. 9. A copy of the City of Eagan license (permit) shall be displayed by the register. Date: Lo Applicant Name: 5A/'5 & 8 111/73 6 Street Address: w'a K Auf~ City: State: ? r l (Y Zip: 25-1 a Telephone 61) ~O Business Name: C_v_ ' y7.3s Telephone: 1OS f9C~~~] Display Address: SR^F" Retail seller selling exclusively consumer fireworks: _Yes No X Indoor Sales Outdoor Sales Dates: - to -to to Temporary outdoor event means an exhibition or sale with a duration of 16 continuous days or less which does not occur more than once every 30 days and more than three times per year or a combination of 20 days total in a calendar year. (See Outdoor Sales of Fireworks) Fee: Outdoor Sales-$350.50 All other retail sellers-$100.50 Fireworks are regulated oy MN Statutes 624.20-62425. In addition to these state laws. all displays. sales, storage and use of fireworks shall comply with City of Eagan Ordinance No. 387, Section 6.53 Fireworks and NFPA 1124 Standards. I understand and agree to comply with all the provisions of this appl' tlon and the requirements of the issuing authority, Aoolicant Sinnati irra • ± Fireworks Application Pill! Page2of9 Tennessen Warning License Application 0 Minnesota law requires that you be informed of the purposes and Intended uses of the Information you provide to the City of Eagan (the City) during the license application process. Any information about yourself that you provide to the City during the license application process will be used to identify you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to supply Information requested by the City, it may mean that your application will not be considered. All individuals in the City who need to know information will have access. vim! Applicant ignature Data Authorization and Consent for Release of Information I, U(1L4JY y & i freely end voluntarily authorize the City of Eagan to conduct an Name of individual authorizing release investigation to obtain the following information for the purpose of determining my eligibility for a permit to sell fireworks: 6 Name: l~ Last First Middle Date of Birth: 9/ 1 / Driver's License "331919gO) 1 State I also release the City of Eagan from any and all liability for its receipt and use of information and records received pursuant to this consent. I further acknowledge that I have carefully read this release, fully understand its terms and legal significance, and execute It voluntarily, Executed this - day of 200 I 2 Signature Fireworks Application Page 3 of 9 !O FIQE B,9 QNLY DO NQT.WRITE WRITEPELCIWTHIS. LINE The Police Department has conducted a criminal background check on the aforementioned applicant. Comments: presentative Date Conditions of issuance: Background check completed and approved by EPD: Yes No No Zoning approval Yes Facility inspection complete and all violations corrected Yes No Insurance policy approved ? Yes No License apProve Date approved; L r ACORD.r CERTIFICATE OF INSURANCE ISSUE SUE DATE DA8 PRODUCER This certificate is issued as a matter of information only and confers no rights MCGRIFF, SEIBELS & WILLIAMS, INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the P.O. Box 10265 coverage afforded by the policies below. Birmingham, AL 35202 205-252-9871 COMPANIES AFFORDING COVERAGE ComApany Columbia Casualty Insurance Company INSURED ComBpany James River Insurance Company American Promotional Events, Inc. dba TNT Fireworks P.O. Box 1318 Company Florence, AL 35631 C Company D Company E This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY PCL0223304725 11/01/2008 EACH OCCURRENCE $ 1,000,000 ICI Commercial General Liability 11/01/2009 FIRE DAMAGE $ 100,000 ? Claims Made Il Occurrence MEDICAL EXPENSE $ EXCLUDED ? Owners' and Contractors' Protection j $5,000 Deductible Per Occ: PERS. AND ADVERTISING INJURY $ 1,000,000 ? GENERAL AGGREGATE $ 2,000,000 General Aggregate Limit applies per: PRODUCTS AND COMP. OPER. AGG. $ 2,000,000 ? Policy ? Project I81Location AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ?AnyAutomobile BODILY INJURY (Per person) $ ? All Owned Automobiles ? Scheduled Automobiles BODILY INJURY (Per accident) $ ? Hired Automobiles PROPERTY DAMAGE (Per accident) $ ? Non-owned Automobiles COMPREHENSIVE ? COLLISION WORKERS' COMPENSATION WC Statutory Limit Other AND EMPLOYERS' LIABILITY EL EACH ACCIDENT $ EL DISEASE (Each employee) $ EL DISEASE (Policy Limit) $ EXCESS LIABILITY EACH OCCURRENCE $ ? Occurrence ?Claims Made AGGREGATE $ B EXCESS UMBRELLA POLICY 000346920 11/01/2008 Excess of Underlying $5,Million $ 5,000,000 Per Occurrence 11/0112009 $ $ $ $ This certificate only applies to INSIDE THE STORE OF MINNESOTA APPROVED FIREWORKS SALES @ SAM'S CLUB 4738, 3035 DENMARK AVENUE, EAGAN, MN, 55121. The Certificate Holders are named as Additional Insureds with respect to General Liability as required by written contract subject to policy terms, conditions, and exclusions. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. CITY OF EAGAN Authorized Representative 3830 PILOT KNOB ROAD EAGAN, MN 55122 USA Page 1 of 1 Certificate ID # C5Q0IA10 ""S3-00856324 - REPRINT - PACK LIST - REPRINT - 21369 Order 856324-S3-00002 Chain Store Sales-Wisconsin Order Date: 4/21/09 CUST PO: Need PO Terms: Net 30 Days SLSMN Chain Stores East Sold To: 1410002 Ship To: 1027002 - SAM4738 WALMART - CORPORATE 00001 SAM'S CLUB 4738 702 SW 8TH STREET 3035 DENMARK AVENUE BENTONVILLE, AR 72716 EAGAN, MN 55121 Desc/Case Packing Item Quantity Selling Suggested CP # Ordered Units Sell Price Assortments PPK - MAGNUM FORCE SS COM J07 101618P 6 CS 288 EA 29.88 48/1 626733119 PPK - PYRO TIME SS-CLUB J09 101888Q 1 CS 76 EA 19.98 76/1 PPK - SHOW STOPPER SS-ALL CLU 101946P 1 CS 14 EA 139.88 14/1 27736022243 PPK - TNT POWER #2 SS-COM-CLU 101751Q 4 CS 64 EA 99.88 16/1 621798009 PPK - TUB 0 FUN SPIN CLUB J09 101893P 1 CS 144 EA 14.98 144/1 27736023608 PPK-FIREPOWER SS COM J08 3 FP 101424S 7 CS 210 EA 49.87 30/1 621127369 Base Fountains PPK - TNT 6 PACK J07 200745P 2 CS 144 EA 29.88 72/1 626733559 Novelties PPK - TNT SNAPPERS 40 CT 320063P 1 CS 144 BX 9.88 144/1 621127879 Sparklers PPK -#8 SPK 48 CT CLUB J09 380234P 1 CS 144 EA 9.88 144/1 27736022748 Case Totals: 24 CS Total Pallets: PL Total Repack Cases: CS Page No 1 -S3-00856324 Put Pro Number Sticker Here TNT Fireworks Bill of Lading - REPRINT Shipper: 22069 Sales Assoc: Chain Stores - East TNT WAREHOUSE - WISCONSIN CUST PO Need PO 223 COUNTY HIGHWAY A Order 856324-S3-00002 BLACK RIVER FALLS, WI 54615 Route: MN WLSL Lic Zone: 435 Stop: Vendor VENDOR # 608872 Freight Code: Sold To: 1410002 Ship To: 1027002 WALMART - CORPORATE 00001 SAM'S CLUB 4738 702 SW 8TH STREET 3035 DENMARK AVENUE BENTONVILLE, AR 72716 EAGAN, MN 55121 SFM SFM Phone 651-405-0079 Emergency Response Nbr: (800)255-3924 Payment Terms: Net 30 Days HM Description of Articles Weight Shipping # of Cases Class Pieces X UN 0336, FIREWORKS 1.4G, PG II 7487 LBS 85 22 [X] NOVELTIES - NMFC 56290-4 311 LBS 150 2 [X] Totals: 7798 LBS 24 Net Explosive Mass: 1872 LBS Checked By: Received By: Received Date: Delivered By: Placards Tendered By: Delivery Instructions Order: Ship To: Sold To: Page No 1 MATERIAL SAFETY DATA SHEET - Consumer Fireworks SECTION 1- IDENTITY: Consumer Fireworks 1.4G Importer's Name American Promotional Events/TNT Fireworks Emergency Telephone Normal Business Hours - 800-243-1189 Number After Hours - ChemTel - 800-255-3924 Address Corporate Office 4511 Helton Dr. Florence, AL 35630 SECTION 2 - Hazardous Ingredients/Identity Information Consumer fireworks contain various mixtures of oxidizers and fuels, and are designed to burn and produce visible and audible effects when they are caused to ignite by a user. The oxidizers include potassium nitrate, strontium nitrate and potassium perchlorate. Fuels include charcoal, sulfur, starch, and aluminum. All chemical composition is contained within the device, and there should be minimal-to-no exposure to the chemicals under normal conditions of handling of the type typically involved in retail sales operations. The chemical mixtures are stable to temperatures up to at least 250°F, and no ignition of these devices should occur during normal handling, transportation, movement, and storage. A match or other flame or heat source is required to ignite the fuse on the devices in order to cause the devices to operate. SECTION 3- PHYSICAL/CHEMICAL CHARACTERISTICS Boiling Point N/A Specific Gravity (H2O=1 N/A Vapor Pressure (mm Hg) N/A Melting Point N/A Vapor Density (AIR=1) N/A Evaporation Rate (Butyl Acetate = 1) N/A - All solids Solubility in Water: slight Appearance and Odor: All chemical composition is contained inside a cardboard or other container SECTION 4- FIRE AND EXPLOSION HAZARD DATA Flash Point (Method Used) ignition temperature exceeds 250°F Flammable Limits N/A - no vapor present LEL N/A UEL N/A Extinguishing Media Water Special Fire Fighting Procedures: Evacuate the area if a fire reaches the fireworks and they begin to burn vigorously. Allow sprinklers to function, if present - they should control the fire. Otherwise, evacuate the area and await arrival of fire fighters. Unusual Fire and Explosion Hazards - Suffocation methods should not be used - the devices contain their own oxygen. Use a strong water flow instead. A fire that has reached consumer fireworks may produce substantial smoke as well as flame, sparks, and burning projectiles. Once consumer fireworks begin burning, all persons must immediately evacuate the area. Only fire fighters wearing appropriate safety equipment should ever consider approaching an area where consumer fireworks are on fire. Remote firefighting methods should be use whenever possible. Where conditions permit, it may be advisable to allow the fireworks to burn to completion - this will greatly simplify clean-up efforts. 1 SECTION 5- REACTIVITY DATA Stability Unstable Conditions to Avoid: Open flames, hot surfaces, Stable X rough handling Incompatibility (Materials to Avoid) none Hazardous Decomposition or Byproducts Considerable smoke may be produced in a fire Hazardous May Occur Conditions to Avoid: N/A Polymerization Will Not Occur X SECTION 6 - HEALTH HAZARD DATA Routes of Entry Inhalation N Skin N Ingestion N Health Hazards Health hazards should be minimal - all chemical composition is contained (Acute and Chronic) inside sealed devices. If leakage occurs and contact with skin occurs, be sure to wash hands promptly, and before eating or drinking. - Carcinogenicity NTP N/A IARC Monographs N/A OSHA Re ated N/A Signs and Symptoms N/A of Exposure Medical Conditions None, except in case of fire. Smoke exposure is then the greatest possible Generally Aggravated concern (in addition to fire). by Exposure Emergency and First Evacuate area if a fire reaches the fireworks. If smoke inhalation occurs, remove Aid Procedures persons to fresh air and contact emergency medical services SECTION 7 - PRECAUTIONS FOR SAFE HANDLING AND USE Steps to Be Taken in Cautiously pick up the spilled devices and place them in a marked container. Case Material is Contact your American Promotional/TNT representative for removal Released or Spilled instructions. Waste Disposal Method Contact your American Promotional/TNT representative for disposal information. Precautions to Be Taken Avoid extreme temperatures, open flame and sparks, and rough handling in Handling and Storing Other Precautions Intentional misuse/mischief poses the greatest concern with these devices in a retail setting. Monitor the fireworks display area on an ongoing basis, and keep young children, intoxicated persons, and any time of open flame out of the fireworks area. No smoking is ever permitted near fireworks. SECTION 8 - CONTROL MEASURES Respiratory Protection (Specify Type) N/A - no vapor or dust exposure with intact items Ventilation Local Exhaust N/A Special N/A Mechanical (General) N/A Other N/A Protective Gloves - not required for retail sales Eye Protection N/A Other Protective Clothing/Equipment - none required for retail sales Work/Hygienic Practices - wash hands after handling fireworks and before eating or drinking 2 ~~fI - ~w ~ D For Office Use D Permit City of Eaan S L 3830 Pilot Knob Road Permit Fee: ~7 Eagan MN 55122 / Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 Staff: 2009 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 2 w Site Address: X3`33 ~ }C i14 zl /L ~~J Tenant: 2. Suite PROPERT OWNER Y Name: ?L C?/yt 5'138 Phone: m CONTRACTOR Name: ?!l _ ~cense C b, 77- Address `2 L 44 City: 91t.4,-q;e _ State:i [9 Phone: Contact Person: 2 .d2 ' TYPE OF New Replacement Repair _Rebuild -"M fy Space Work in R.O.W. WORK Description of work: ADD _ J2o ~e q~ - ' 1fl ~'B1 a ~ 5' PERMIT TYPE COMMERCIAL New Construction _ZModify 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 COMMERCIAL FEES: E-e2 $50.50 Minimum (includes State Surcharge) OR Contract Value $ 00 X 1% _ $E) ? Permit Fee Required on ALL new buildings and boulevard irrigation systems = $ 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 anew 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 $ 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 rk will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's inted Name Ao(pllci!~rs gnature FOR OFFICE USE Approved By: Date. Required Inspections: Under Ground o Rough-ln _Air Test -Gas Test Final PRV Required: Yes _ No Page 1 of 3 City of Eaaan Mike Maguire Mayor Paul Bakken Cyndee Fields Gary Hansen Meg Tilley Council Members Thomas Hedges City Administrator Municipal Center 3830 Pilot Knob Road Eagan, MN 551 22-1 81 0 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD Maintenance Facility 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com The Lone Oak Tree The symbol of strength and growth in our community. October 19, 2009 Jolynda Cooper William Douglas Hurley 710 West Roselawn Drive Rogers, AR 72756 Dear Ms. Cooper: We have completed our review of the construction documents submitted in pursuit of obtaining a building permit for Sam's Club #4738 at 3035 Denmark Avenue. It is our understanding that the project has been put on hold for at least one year. Please pay 1/2 of the Plan Review fee for the time and efforts of the plan review process for this project. Fee Type Amount. Due 1/2 Plan Review Charge $ 3,557.00 TOTAL $3,557.00 If you have any questions, please feel free to contact me at (651) 675-5676. Sincerely, 24thaimx-t- Mike Lence Senior Building Inspector Cc: Dale Schoeppner, Chief Building Official City of Eagan Cash Receipt Receipt Date Receipt Number 1/2 PLAN REVIEW FEE SAMS CLUB 0720.4222 PB2, ROGERS ARK. Total Receipt Amount 110249 8:57:12 11/5/2009 154685 3,557.00 3,557.00 Clly of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit Fee: Date Received: Staff: 1 q 7 ?o C/ (t.cd 2009 COMMERCIAL BUILDING PERMIT APPLICATION 11_9 -o C7 Date: 10 -U - OCC Site Address: 3 03 C 1JQ w w� t'� �- :'tV Cr61 , %.'i -cc- I Z ) Tenant Name: (Tenant is: New / Existing) Suite #: Former Tenant: PROPERTY OWNER Name: 1lV Address / City / Zip: 3b 3 "S- 4 to Applicant is: Owner X Contractor Phone: tcc i 7 () b 0? 9 io,sy.5„. TYPE OF WORK Description of work: It., -;1 \e'' bl 6C. Ic (--)c-1 1 Construction Cost: S CONTRACTOR Name: Address: zG Chv c License #: ZD63 3 City: btu ^a1^• r Phone: 6 j / 4/2„: SQL 3 Contact Person: State: evi �.J Zip: STrO G o ARCHITECT / ENGINEER Name: Address: City: W 4,1 b- L Phone: L.- / '%Z-9" S/ `/? Contact Person: Tecial 64,/,7 Registration #: 7 - State: t^^ -/f Zip: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents, that you submit are:cor sidered to be public information. the information maybe classifbd as non-public tf you provide specific reasons that would permit conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII 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 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 a'c� t k Applicant's Printed Name ECEME u Il nr r 1 9 2009 Signa - Page 1 of 3 Ave-, DO NOT WRITE BELOW THIS LINE gig3t/ SUB TYPES Foundation Apartments Lodging Miscellaneous _ Public Facility X Commercial / Industrial Greenhouse / Tent Antennae WORK TYPES New _ Interior Improvement Addition X Exterior Improvement Alteration _ Repair Replace — Water Damage Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% V ) Census Code # of Units # of Buildings Type of Construction CART Wit -u- 5164 &u51bap sL Nit -7 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) V Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation Framing Fireplace: _Rough In Air Test Insulation Meter Size: Occupancy Code Edition Zoning Stories Square Feet Length Width _ Accessory Building _ Exterior Alteration—Apartments _ Exterior Alteration—Commercial Exterior Alteration—Public Facility Siding _ Demolish Building* Reroof _ Demolish Interior Windows Fire Repair Demolish Foundation Salon Owner Change *Demolition of entire building — give PCA handout to applicant MCES System N A- 2vb% MSitC. SAC Units /VA" City Water N Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: _Ice & Water _Final Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick _Final Windows Retaining Wall Erosion Control Final CIO Inspection:�Schedule Fire Marshal to be present: Yes d No Reviewed By: il7 , Building Inspector Reviewed By: ?Ikitk , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality lUS•6-o 2.$'D ?G .7 0 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL • to Page 2 of 3 411,11 City ofEaQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: foalgo (&O 1I03 2013 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: 3035 Ow rhfA.I/' . -`t`Q Tenant: Sat. hA atkb Suite #: 3 operrfy .OWner Name: Phone: Cont actor Name: Exc'f mPcl c.A.,e...i Tr'c License #: 00...41 w'h Address: 7 5/a, 194„1 City:1\c-nl r..,. State: Tho/ Zip: �53r1'�. Phone: eS.z" % Email: €- 2'rN ( c Cei m c' , C ern , y •e of Work _ New Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ / r Description of work: YYtk - <.(�fa0 f oY' `A. Cfas., id,,,, & Le__. e� ermlt Type COMMERCIAL New Construction 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 Contract Value $ e...00 x 1% Required on *If the project valuation _ $ Permit Fee ALL new buildings and boulevard irrigation systems -* $ Radio Meter Read $ Meter(s) is over $1 million, please call for Surcharge $ $5.00 State Surcharge* Following fees apply Contact the City's Engineering when installing a new lawn irrigation system $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One CaII 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.00pherstateonecall.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 a review and approval of plans. x Tfem cic(14k," Applicant's Printrialklame Appl. nt's Signature wired Inspections Page 1 of 3 Use BLUE or BLACK Ink 2013 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY (if applicable) Date: FOR OFFICE USE ONLY Property Owner: - PRV required Perrot Address: Phone Number: CityROWPermit i County R O W Plumber: Contact Name: WATER Sewer Service Sewer lateral charge Sewer trunk City SAC @ $100/unit MCES SAC @ $2,435/unit Receipt #: Water Service Water lateral charge Water trunk Water supply storage Receipt #: , Date: , Date: Treatment Plant @ $801/unit Permit Fee State Surcharge *Plumbing Permit Required acquired with building permit Permit Fee State Surcharge $60.00 $60.00 $5.00 $5.00 TOTAL: — water meter to be TOTAL: Sewer Service Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk City SAC MCES SAC Receipt # , Date Water supply & storage Receipt # , Date Treatment plant Permit Fee State Surcharge "Plumbing Permit Required — water acquired with building permit $120.00 $5.00 meter to be TOTAL: Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000. Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past. 1-5 SAC units 1,780.00 per SAC unit 6-10 SAC units 8,900.00 plus 445.00 per SAC unit over 5 11+ SAC units 11,130.00 plus 178.00 per SAC unit over 10 Permit #: Permit Fee: Date Received: Staff: Cc: City of Eagan Finance Department Page 2 of 3 City of Ekan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JUN 0 6 2013 Use BLUE or BLACK Ink For Office Use 110821 37;2-17 Date Received: L (I Permit #: Permit Fee: Staff: 2013 MECHANICAL PERMIT APPLICATION Please submit two (2) sets of plans with all commercial applications. e Date: !P _ 1.3 Site Address: 3035 f Q y -k -n iv^k Ave- Tenant: VE Tenant: SCS- Th `wS C., Name: 1- . \`yj Cun S f ore_ Phone: Resident/Owner Contractor Type of Work Suite #: J Address/City/Zip: e. I S )OO''St .6:144c4110; `31 i4 7 'Cto Address: IDOL/ L1 h C.1 n )(Wye- h) J City: S+ C) c C'1 State: l t l %(d Zip: _. (3C» Phone: -5j LS Contact:SC-C. F'1 c Email:Se,4 -.F 4c4 Ser--rhi1. C=.CYh X New Replacement Additional Alteration Demolition Description of work: l 'cid r L.CtS t °fes r�L Permit Type NOTE: Ro Code. 14 nted mech inspector! RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas e screened by CI Bening methods COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank (_ Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) COMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 Minimum *If the project valuation is over $1 million, please call for Surcharge _ $ TOTAL FEE Contract Value $31, 7 7-7 x 1% = $ 7. -7 7 Permit Fee _ $ 5.00 Surcharge* = $ 3Qc9 , 1 `7 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in co ormance 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 t..tart wit-' t a pe,i - - work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. f/ x�.4- �l,:_, t �� Fij C.j.) Applicant's Printed Name ergrp Rough In, x, Applicant's Signatur Reviewed Ey: Date: Gas Service Test In -floor Heat Finai HVAC Screening Use BLUE or BLACK Ink For Office Use I I I 'MI I Permit I City of Evan I bG~1 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122 Date Received: 1 ('C Phone: (651) 675-5675 Fax: (651) 675-5694 ; Staff: I - - - - - - - - - - - - - 2013 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please s bmit two (2) sets of plans with all comm cial applications. Date: Site Ad ress:-~J~~ mj ~Ve Tenant: Suite A Property Owner / I a Owner Name. Phone: b51(( ®5 ' 00(' 7q Name. I l f✓~ Lice n ~t.. 81 0 Contractor ; Address: oq / / or iQ i 4(~ L ~ State:dZip o~ : ,51(Da, 4 Y _ Phone: PbVLQ-0- fcJ ,Email: ~~~G1~~► l ('C, ~✓VL. Type of Work New _ Repl ment - Repair Rebuild _ Modify Space _ Work in R.O.W. Description of work: hai'1 - COMMERCIAL _ New Construction _ Modify Space Irrigation System yes no) (A RPZ PVB) • Rain sensors required on irrigation systems Permit Type . 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 Contract Values $ x1% = $ -5 OD Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read $ Meter(s) *If the project valuation is over $1 million, please call for Surcharge $ $5.00 State Surcharge* Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge - $r 00TOTAL 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.gopherstateonecall om I hereby acknowledge that this information is complete and accurate; that the work will be i onformance 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 ork 's not to start without a permit; that the work will be in accordance with the ap d plan in the case of work which requires a review an o I of pl ns. x Lb prov ff r C.5 ®l< f x Applicant's Printed Name A pl cant ignat re FOR OFFICE USE Appr d By: Date: Required Inspections: -Under Ground -Rough-In Air Test Gas Test Final PRV Required: _ Yes No Page 1 of 3 �,��ut�G►u� �I� �� �C� a- (�(�n�j �(�e..���. ____U_ BLUE or BLACK Ink r , --, � For Office Use I I �-7 � C�� Oj'i1n nT � Permit#: � /� � 1 N_• � 1 !]d Qll I Permit Fee: � 3830 Pilot Knob Road I Eagan MN 55122 � Date Received�� �� � � Phone:(651)675-5675 � �1 ^ I Fax:(651)675-5694 AUG 2 7 Z015 I_Staff:_��yCJ _________ I �J 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial application�� Date: Site Address: ��°�� .��1 /,(�� t Tenant: A��"���� � � ���"�'N Suite#: � ; �Property '� � OWt1�I' �' Name: Phone: Name: Master Mechanical, Inc. License#: Contractor. Address: 102� Gemini Road C�ty. Eagan State: � Zip: 55121 n�11 � Phone: 651-905-1600 Emai� . us� � � t � ' New ✓ Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Type o,f Work�; — � '` Description of work: C��' T � �N� � ; COMMERCIAL _New Construction _Modify Space Irrigation System�yes/_no)�RPZ/_PVB) ` • Rain sensors required on irrigation systems Permit'Type; . Avg.GPM (2"turbo required unless smaller size allowed by Public Worics) Meters Call(651)675-5646 to verity that tests passed prior to qickinq up meter. ' Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers_Yes No COMMERCIAL FEES Contract Value$ �T -�V x.01 $55.00 Permit Fee Minimum Cr�. _$ � Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =$ '�.�'. a� Surcharge" **If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 ,r I **"If the project valuation is over$1 million, please call for Surcharge -$ t,z(�i r�' TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit � Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant � $ Water Supply&Storage $ State Surcharge _$ �(�5 �(; TOTAL FEE �� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ I 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 i accordance with the approved plan in the case of work which requires a review and approva lans. I X��o�,�, �a.� ��,� X ,; Applicant's Printed Name Appli nt s Signature -s: �, s ��� , � s �tt # � �� .,,. &� , ', �"�"�'ts tr`��`a#� # '�� � �� ' �FOR'OFFICE US� ' �� ; < Appro�red B�i � s --�"�� � `�� �Date � �, r: �-; ., �� ����'� ;��� g y `�;- ���� �; f� �,.. ��*���� �'�`'�, ���'�€�it;� � �„ � �;� � F�ec�u�red Inspeetions� �der GrQ�nt� ��Raug(� ln ��irTest �•G�s Test € �,F��a`"� � � �P�,R�f Rec�uared ���°���'es � �No � Meter Re,fa��tl lfetns � ��'�It�leter Size � ' � Radro�R�ad Manam�:t�i � � �S��ff�� � ���.�, �., .`����..� ` ,., „�,. � . �..� . E �<:, .. �.n,.3.�., �� � . .f„� , � ..: .���,>.,,. � .. ��:� � ��� � _. . Page 1 of 3 , r . �, Use BLUE or BLACK Ink ---------� j For Office Use I � � /� I � Permit#: /���Y/� I I C�� of �a a� � . . � �j��f_ ; , � � � Permit Fee. 1 1 / �I �� 3830 Pilot Knob Road � Eagan MN 55122 ., , i '/� „S � �;:�" �~ ,•e= ,, ;... Date Received: Phone: (651)675-5675 � "w�' '�E� � ; i � j � Fax: (651)675-5694 ,,: , � � ,t'v'i!i � 7 p``�i: � Staff: � ..P{ , ________________J 2015 COMMERCIAL BUILDING PERMIT APPLICATION �ate: 6/10/2015 s�te Adaress: 3035 Denmark Avenue Tenant Name: S8111'S CIUb 473H (Tenant is: New/ X Existing) Suite#: Former Tenant: �`��� '�' "�� Sam's Real Estate Business Trust 479-273-4000 ' Name: Phone: ��i�ro���r�t�w�n�r , �� 702 SW Eighth Street Bentonville, AR 72712� , Address/City/Zip: �; " Applicant is: Owner Contractor {Representative for owner) '° Move low-steel racks to rearrange merchandise, replace meaUdeli cooler ' Description of work: Type of Work " ` $208 400.00 ���� Construction Cost: ' � � � ���� � ;�, , '% Name: ���01�( �I�SM��I��`( License#: � �y r%, � ,.�. - � 59�5 C-�o��rr ((r�K f� c�t,,: C�«.� 1��'t COCttr1C���' Address: , ,.,. .,, � State: ✓�"�`� Zi . p' ,���'Z"" Phone: '7V3".S�{�'�00�0� ,,i% t,, ' Contact:LJ'fSO� �ff�- Email: GUS er /YIoR-�.pM Name: DaVid John WIIgUS Registration#: 50092 Address: 1705 S WaltOn BIVd, Suite 3 c�ty: Bentonville Archit���l�n#��r�eer � state: AR Z�p: 72712 Phone: 479-273-4000 x217-��7�)2?3•?7 x 2/7 '" '° Contact Person: ACTI�/ Ba1�011 Emai�: All1�/.Barton@hfa-ae.COtll ,,-; , Licensed plumber installing new sewer/water service: Phone#: '`�(3TE:Pfar��a�d�up�a�rrtt�g�"c�cicumer�t��ha�#�ro��r�1��rit are considered to�r'e`�iirblr���f�r�a�tiA�r ,;;'�''c�t�ti€rns of ;�,� - �he t��`a�rta�c�r�rn�y l`�class�fied a�,�r�r►pu���f yo��rr�ovltle�p�c�flc►�a,�r�s that woula�per►�tr#�fr�Cr�`y fo ; , r � ��, 1����, ;,� , .. � ,�,,. .,�����. cvncfude:t�at#��� ,��a-,te�au��s re�� : �,1�'� �� i< ,_, 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 k which requires a review and approval of plans. x ' x Applicant's Printed Name Applicant's ign ture ��„^� �r���� Page 1 of 3 r��i �/l�io fw�"{ � t ._ � ���m,�� �� ��� ���� DO NOT WRITE BELOW THIS LINE � �� ` SUB TYPES Foundation Public Facility E�cterior 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 Foundation ��I _ Replace _ Water Damage _ Fire Repair _ Retaining Wall II _ Salon Owner Change *Demolition of entire building—give PCA handout to applicant �i DESCRIPTION / Valuation ZoQ�OAD� Occupancy � MCES System v Plan Review ✓ Code Edition 2Q/Sif98G SAC Units 0-�0 GfhN��PLhuNG tJN/T5 (25°/a_100%� Zoning ,��� City Water �_ Census Code Stories / Booster Pump #of Units � Square Feet 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 Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: Yes '�No - Reviewed By: ��b , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee /7!�• 7� Water Quality Surcharge /d •YD Water Sampling Fee Plan Review / / . q9' Water Supply&Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S8�W Permit&Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL� Z R Z�.?.� Page 2 of 3 I� MINNESOTA DEPARTMENT o�AGRICULTURE July 22, 201 s Amy Barton License Pending 1705 S. Walton Blvd., Suite 3 Bentonville,AR 72712 Dakota County Dear Amy Barton: The purpose of this letter is to notify you that the plan review for food equipment and construction requirements has been completed by the Minnesota Department of Agriculture (MDA) for the Sam's Club 4738 ret�odel at�Q35�����,���.��a������, Approval is based on correction of all noted de�ciencies/overview and concerns listed below. The Minnesota Food Code is the primary governing document for this review. This approval is based upon the plans submitted with your application. Any changes from the submitted plans and specifications must be reviewed and approved by this agency. If you have questions, please contact barbara.krech(a�state.mn.us or 651-201-6075. Please note that you will not receive a food handler license or approval to use a remodeled area for food handling until your MDA food inspector conducts a final licensing/approval inspection of the completed project. The inspector will review your approval letters from the appropriate authorities to ensure these requirements are met. ' What vou will need for the final plan review insnection: • Facility equipment and construction installed in accordance with approved food equipment and construction requirement plan. • All appropriate pertnits from the local or state authorities (e/g/building, electrical,plumbing, etc.) o Coordinate all �nal construction inspections with the City of Eagan Inspections Division and the MDA inspector listed below. � To schedule a final inspection, contact Kip Fondrick at 651-263-9841 Building: City of Eagan Building Of�cial Dale Schoeppner, 651-675-5699 Plumbing: City of Eagan Building Official Dale Schoeppner,651-675-5699 Submitters Contact Information: Amy Barton at 479-273-7780 ext. 217 No food shall be brought into the newly remodeled area or newly constructed facility prior to the final inspection and approval. 625 Robert St. N., St. Paul, MN 55155-2538 • 651-201-6000 or 1-800-967-2474 • www.mda.state.mn.us An Equal Opportunity Employer and Provider,TDD 1-800-627-3529 Proiect Description: An existing licensed grocery store will replace several retail sales merchandisers with new multi-deck merchandisers. Deficiencies • No deficiencies noted. Overview and concerns • Two- Hill Phoenix multi-deck, 8 ft. fresh meat cases will be installed. • Sixteen-Kysor/Warren multi-deck, 8 ft. deli/cake/produce cases will be installed. • Patch flooring to match existing. � Plumbing review will be conducted bv the Citv of Eagan Inspections Division. Sincerely, MlIVNE54'fR DEP�lRTN4EN1 t�A�RICUI'fURE Barbara Krech,R.S. Food Standards Compliance Officer Dairy and Food Inspection Division eC: Kip Fondrick, Food Inspector Valerie Gamble, Supervisor City Building Official � General Standards ofRetail Food Facilitv Epuipinent and Construction (Not all Standards below apply to each specific firm. This information is provided for your information where applicable.) General Information (Sam's Club/Eagan) Food equipment shall meet the applicable NSF International food service standards. The equipment shall be determined by NSF International or an American National Standards Institute (ANSI) Z34.1 accredited independent entity, including Underwriters Laboratory or the Edison Testing Laboratory,to be equivalent to the NSF International Standard. The use of equipment, which does not meet the applicable NSF standard, is prohibited. Bakery equipment must comply with the Bakery Industry Sanitation Standards Committee (BISSC). (4626.0505)(4-201.11� Custom fabricated or modified equipment must be constructed by a contractor listed by NSF International. The name and address of the fabricator for custom fabricated equipment must be identified. (4626.0505)(4-201.11) Retail shelving and refrigeration and freezer display cases shall be designed and constructed to be durable and to retain their characteristic qualities under normal use. (4626.0505)(4-20111) Provide sufficient refrigeration to hold all readily perishable food products at 41°F or less. Provide sufficient ventilation (e.g. louvers, etc.) for the compressor unit to evacuate any buildup of heat at the underside of the cold pans in and about the compressor area. (4626.0675.) (4-30111) Food Protection Provide a food thermometer for checking the internal temperatures of potentially hazardous foods. Thermometers must be provided in all coolers, freezers, and hot holding units where potentially hazardous food is stored, and must be located in an area that is representative of the true air temperature. (4626.0705)(4-302.12) The internal temperature of potentially hazardous food must be maintained at 41°F or below, or 140°F or above, except during preparation. *(4626.0395) (3-50116) All freezer units shall hold food frozen. (4626.0370)(3- 50111) Foo� Qn display must be protected from potential contamination from coughs, sneezes and improper handling by installing properly constructed food shields, the use of packaged food items or other effective means of protection. (4626.0320)(3-306.11) Installations Utility service lines and pipes shall not be unnecessarily exposed. Utility services lines and pipes shall not be installed directly on the walls or floor. (4626.1340)(6-201.12) Seal (caulk) all annular openings around pipes and other conduits, where they pass through walls and floors. Seal all junctures between the wall surface and the edges of attached equipment with approved caulk/sealing compound (4626.1395 A. (1) (6-202.15) If conduit pipes are provided for beverage lines they must extend at least three to four inches above the finished floor elevation at both ends. The annular opening between the beverage lines and the conduit pipe must be sealed with a hard.material and provide a cleanable finish. (4626.1395A. (1))(6-20215) All doors to the outside of the establishment must be self-closing and vermin proof. (4626.1395 A. (3.)(6- 2021 S) Lightin� Provide at least 20-foot candles (220 LUX) of light intensity, at a distance of 30 inches from the floor, for areas where food is provided for consumer self-service, including buffets and salad bars, or where fresh produce or packaged foods are sold or offered for consumption, inside equipment including reach-in and under counter refrigerators, in utensil storage areas, in areas behind a bar used for ware washing, and in toilet rooms. (4626.1470)(6-303.11) Plumbing Plumbing plans must be submitted to the delegated authority for review and approval prior to installation. All plumbing must be installed according to the Minnesota Plumbing Code, including current amendments. *(4626.1045) (5-202.11) Equipment connected to the potable water supply shall be protected from back-siphoning and back flow. Equipment with submerged inlet lines (dish machine, garbage disposal, steam table, etc.) and all threaded hose bib connections shall be equipped with an approved backflow preventor. (4626.1085) (5-203.14) Room Finishes The floors, floor coverings, walls, wall coverings, and ceiling surfaces shall be designed, constructed, and installed so they are: a) smooth, durable and easily cleanable where food operations are conducted; b) nonabsorbent, for food preparation areas, walk-in refrigerators, ware washing areas, toilet rooms, janitorial areas, laundry areas, interior garbage, refuse storage rooms, and areas subject to flushing or spray-cleaning methods, or other areas subject to moisture. (4626.1325) Concrete, sealed or unsealed, is prohibited: a) where food product packages, containers, or cases in those areas are opened. b)Under equipment in food preparation and service areas including under service cases. (4626.1335 D.) Unsealed concrete is permitted: For use where outside garbage and refuse containers are placed, including compactors stored on a smooth and nonabsorbent surface. (4626.1230) Floor surfaces: In the food preparation, food storage, and utensil washing areas be constructed of smooth, durable, nonabsorbent, easily cleanable materials, which resist the wear, and abuse to which they are subjected. Additional resource information: The Retail Food Facilitv Construction Guide is also available on our website at: http://www.mda.state.mn.us/food/business//media/Files/food/business/construction�uide.ashx Minnesota Retail Food Code http•//www health state mn us/divs/eh/food/code/index.html Amy Barton From: Craig Novaczyk[CNovaczyk@cityofeagan.com] Sent: Monday, June 29, 2015 12:49 PM To: Amy Barton Cc: Scott Peterson; Mike Lence Subject: Proposed Sam's Club interior improvement Amy, We have started our review of your proposed project for Sam's Club#4738 in Eagan Minnesota. We have no issues with the Building Code compliance plan review. However,the building permit application does not indicate a General Contractor(GC).A GC shall be awarded the project, and submit their information to the City of Eagan prior to us releasing the building permit. Also, no plumbing or hvac/refrigeration permit applications have been submitted. Even though the submitted plan sets include plumbing and hvac/refrigeration plan sheets. If their respective permit applications are not submitted prior to us releasing the building permit, separate plan sets will be required with those applications. Feel free to contact me with any questions concerning this proposed project, Craig Craig Novaczyk� Senior Building Inspector� City of Eagan City Hall�3830 Pilot Knob Road�Eagan,MN 55122�(651)675-5683((651)675-5694(Fax)�cnovaczvkCc�citvofeaqan.com ��i'� ����jpp� !� �E�NI 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 From: SACProaram To: dschoep nerCla citvofeagan.com Cc: Amv Barton; 04-15-10115(a�oroiectemail.hfa-ae.com; ofleckCa�citvofeaaan.com;aariffin(a�citvofeaaan.com Subject: FW: Plan Submittal-Sam"s Club 4738-3035 Denmark Ave Date: Saturday,June 13,2015 9:09:14 AM Attachments: imaae001.�na Aoolications-Sam"s Club 4738.odf It is the Council's understanding that the project entails a remodel of existing retail space. There is no increase or change in use, therefore no determination is necessary and no additional SAC is due. SAC Program Please visit our SAC website by clicking: SAC Program � _ _ . _ _ �.,_ _. _._..__ . . _ __a_. ..__ , From: Amy Barton [mailto:Amy.BartonCa�hfa-ae.com] Sent: Friday,June 12, 2015 3:55 PM To: SACProgram Cc: '04-15-10115@projectemail.hfa-ae.com' Subject: Plan Submittal - Sam's Club 4738 Thank you in advance, Amy Barton Program Coordinator t 479.273.7780 ext 217 Amy.Barton C�hfa-ae.com www.hfa-ae.com HFA Creative Solutions, Meaningful Places 1705 S.Walton Blvd Suite 3, Bentonville, AR 72712 B�I�L< I � < 1 I�r I YouTube This information is intended only for the entity to which iYs addressed. Use, disclosure, distribution or reproduction by unintended recipients is noi authorized. If received in error; contact sender and demolish any copies. Use BLUE or BLACK Ink � C�7 fC"/� �C�E/(/f' -----------------, � For Office Use � . �!o �/ar��S � 1 �33°I � ' �l� �� �4l Ull � Permit#: I � � � f�O I � Permit Fee: �� • I 3830 Pilot Knob Road � I Ea an MN 55122 � Phone: (651)675-5675 RECEIVED � Date Received: J�� ��� � Fax: (651)675-5694 � l � OCT 0 9 2015 � Sta��"� � � � ____-_______�____J 2015 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: �� Site Address: ��.�L/c/(�/��'R� ,�� _ Tenant: ��/ (1�/� Suite#: � � � .� �����.��� �.��.�.��.�.�.��. ��.�,. � � ��1� � � � Name: - -- �./"f �J ��� Phone: � Property Owner � � Address/City/Zip:_�� �/�i'�'�,r,����°� - � Applicant is: Owner Contractor � v. �� ��������� � � � Typ@ Of WOCk Description of work: �2�-o�.svEc����o,,�'�v'�cr—��r�C�r�/rv'E�o� ��. �,��,� � � � �� Construction Cost/,G� Estimated Completion Date: �� l �� � ti.� � � � Name: � �/�:�10�� yC"�l/u'��L�� License#: �� � \ � � � � � u� � ����� � � Address:��������,��,�_. City: � � ��^C0#�'3l:�"�7:'' � ------ � � � � J � � � � State:i��',�I�Zip: �/�Q Phone: (�.�� S8 —�%riC�CJ � i � � � /�� � � � Contact:,!/�`(���/(�j��:��Email: ��� ��� � � FIRE PERMIT TYPE � WORK TYPE � � Sprinkler System (#of heads_) � New Addition � `1 �� — � — — � � _Fire Pump _Standpipe � �Alterations Remodel � � a — � Other: ^� � �Other: � � DESCRIPTION OF WORK: �Commercial �Residential �Educational �� � � �� � FEES � � $60.00 Permit Fee Minimum Contract Value$��� x.01 � � � � � Surcharge=Contract Value x$0.0005 =$ � �� Permit Fee � � � If the project valuation is over$1 million, please call for Surcharge _$ / � � Surcharge � � $100.00 Residential New(includes State Surcharge) _$ �p� � TOTAL FEE � � �3/M4"Displacement Fire Meter-$270.00 ��� _ � � �� o , $ Fire Meter � � _$ TOTAL FEE � **Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components to be used �a\ 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 in accordance with the approved plan in th se of work which requires a review and approval of plans. ,� `; x �,�'/� �-�. ������it� X Applicant's Printed Name Applicant's Signature � 13 3 3 9a—. „a, � . FQ:?OFFICE USE .�.a��� ��..r��.�. _���� ���.� ...........,....��.�,��� � y. , � , � � ; REQUIRE��[NSPECTIONS � � � � Hydrostatic Flow Alarm Drain`Test Rough In Trip Pump Test _ Central Station �nal , � Conditions of Issuance: � � � � � ; � � �� , � � ' � ; _._. � `"'^• ._--�----�-� � � �-�,, � � Permit Reviewed by � ��''�'— '`�����"'��j Date: / � /�/� § � \ _..�.. .e ; city of Ea all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / .(76°3— Permit Fee: r' - �cJ Date Received: Staff: 2016 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: _t3 47j 1e;: Tenant:L-A Site Address:5Q)'5 Occwr\C•c Mid Name: 3CA--`0+`J Suite #: cc J Phone: L15\L\5"0 1c\ Name: \--\0.-X \\\ ws (l\Cc.23,\ v\L License #: Address: *\`CJ \' Nukick,t, City: n State: Zip: Phone: 1- "tb71-Sc2 )\ Email: C New Replacement ✓ Repair Rebuild _ Modify Space Work in R.O.W. Description of work: COMMERCIAL New Construction Modify Space Irrigation System ( yes / _ no) ( RPZ / PVB) • Rain sensors required on irrigation system • 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 $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit (includes State Surcharge) Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 = $ Permit Fee = $ Surcharge = $ TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge =$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. \ information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of 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 plan in the case of work which requires a review and approval of plans. I hereby acknowledge that t Eagan; that I understan accordance uyi x Applica x Applicant's Signature Page 1 of 3 July 27, 2010 Jolynda Cooper PB2 Architecture and Engineering 710 W. Roselawn Drive Rogers, AR 72756 Dear Ms. Cooper: 'JUL 29Rev Dakota County MINNESOTA DEPARTMENT OF AGRICULTURE License # 20123222 This office has completed a preliminary plan review for the Sam's Club # 4738 store located at 3035 Denmark Avenue in Eagan, Minnesota. The plan review was conducted as required by Minnesota Statute Chapter 28A and the Minnesota Food Code Chapter 4626. The Minnesota food code is the primary governing document for this review and may be found on line at www.leg.state.mn.us/leg/statutes.asp by requesting Minnesota Rule Chapter 4626. All appropriate permits from the local authorities shall be applied for and issued prior to starting any work on the site. Failure to comply with this may result in a delay or this office not issuing your retail Food Handlers license until the proper permits are issued. In addition if your water is supplied from a well you will be required to provide a current proof of water potability. Our inspector will verify that the permits have been obtained. The Minnesota Department of Agriculture grants preliminary plan approval to the plans for this proposed food establishment. Upon this agency certifying that all items in this review have been addressed, fmal plan approval will be granted. This preliminary plan approval is based upon the supposition that construction and equipment plans submitted to this office do not change. Any deviation from the approved plans and specifications must have prior approval from this agency. Preliminary approval of the plans and specifications does not constitute endorsement or acceptance of the completed establishment. Periodic on-site inspections may be made during construction. A final inspection of the completed establishment, with equipment installed, must be conducted to determine if it complies with the requirements of the Minnesota Food Code. Contact Food Inspector Kip Fondrick at 651-226-7137 to arrange for a final inspection. You are listed as the contact for this project at 479-878-3515. General Comments This review was for major remodeling in a 136,532 square foot store with groceries, deli, bakery, produce and meat departments. A new resinous flooring system will be installed in the snack bar. A new mop sink will be installed in the snack bar. All existing snack bar equipment will remain. Some refrigerated cases will be replaced with new cases or relocated in the store. Room finishes will be removed and replaced with new room finishes to include in, but not limited to the following areas: rotisserie display area, deli processing, produce prep and bakery. The existing Demo room will be demolished and a new relocated Demo room built. The janitor closets and restrooms will be remodeled. Mop sinks will be replaced with new mop sinks. Some refrigerated cases will be refurbished. The meat, bakery and produce walk-in coolers and bakery walk-in freezer will be remodeled. A proofer will be removed from the bakery prep area. A Hardt Zone 8 hot food case will replace the existing hot food case in the deli. A new three compartment utensil washing sink and hand washing sink will be installed in the new demo room. A new one compartment produce prep sink, hand washing sink, ice flaker and mobile ice bin will be installed in the remodeled produce prep area. The plans indicate the produce prep sink in the produce prep area will be used only for rinsing and sorting raw produce and shall not be used for any other purpose, including slicing produce and warewashing. At this time, a HACCP plan has not been submitted for review. In addition, I have found nothing within the plans or application to indicate a HACCP plan review is necessary. Licensing of your firm is dependent upon proper installation of an approved water supply, plumbing and waste system. Our inspector will review your approval letters from the appropriate authorities to insure these requirements are met. Pursuant to MS 31.175 a license shall not be issued or renewed without approved plumbing, water and waste systems. (4626.0980, 4626.1030) (5-101.11, 5-401.11) Also our inspector will review approvals from building and fire officials before granting final approval. Please provide copies of approvals for review at the final inspection. 625 Robert St. N., St. Paul, MN 55155-2538 $ 651-201-1629 or 1-800-967-2474 www.mda.state.mn.us An Equal Opportunity Employer and Provider, TDD 1-800-627-3529 Page 2 Minnesota requires that all equipment be Certified to the National Sanitation Foundation Standards for clean ability, durability and performance. New or used equipment not meeting these standards is prohibited. Any equipment installed that does not meet these standards may be ordered removed. As submitted, the following food equipment appears to be listed as meeting the applicable NSF standard: Hussmann 8' C2X-LGEP three deck case, 48' Hill Phoenix UPL-8' single deck produce case, Howe 1000RLE ice flaker, Howe CP750 ice bin, 144' Hill Phoenix OM-NRG-E24 single deck fresh meat case, 16' Hill Phoenix OMZ single deck seafood case, 12' Hill Phoenix 05DM multi -deck refrigerated cake case, 76' Hill Phoenix 05DM multi -deck deli case, 16' Hill Phoenix UP bulk produce case, 28' Hill Phoenix ORDR rear load produce case and Hardt 8' Zone 8 hot food case. The walk-in cooler and freezer panels are manufactured by NSF fabricator, Kysor Panel. The produce prep sink, three compartment utensil washing sink, prep table and hand washing sinks were indicated to be manufactured by Win -holt, an NSF fabricator. The Snack Bar floor plan shows two conveniently located hand washing sinks, a one compartment food prep sink, a three compartment utensil washing sink and a mop sink. The new Demo room will have a three compartment utensil washing sink and a hand washing sink. As submitted on the room finish schedule, the following room finishes appear to be acceptable. The Snack Bar and Snack Bar utility room will have a resinous seamless epoxy flooring system and 4" epoxy base, fiberglass reinforced plastic panel covered walls and vinyl covered ceiling tile. The remodeled bakery, walk-in bakery cooler, deli processing and rotisserie display area will have a new resinous epoxy flooring system and 4" epoxy base. The walls will be covered with new fiberglass reinforced plastic panels in the remodeled bakery, rotisserie display area, demo room, janitor closets and produce prep areas. New vinyl covered ceiling tiles will be installed in the new demo room, bakery and rotisserie display. The remodeled restrooms will receive a ceramic tile floor and base, ceramic tile walls and painted gypsum ceilings. The plans indicate the stainless steel backsplash wall covering will be extended under the snack bar hood. The stainless steel backsplash under the hood behind and on the side of the rotisserie oven in the deli will be extended, if necessary to more completely cover the wall. Concerns: 1) The plans submitted indicate the general scope of work includes the reskin of the self-service cake case and other cases. The refurbishing of these cases must be done only by the original equipment manufacturer or any parts replaced must be replaced with parts meeting the original manufacturer specifications. Per Mr. Chris Bosshart of NSF International, NSF would no longer consider the food equipment listed as meeting NSF standards, if its been modified by any person other than the original manufacturer. The remodel of existing walk-in coolers and freezers must be completed by the original manufacturer or a firm approved by the original manufacturer to do this work. 2) Sheet GA1 indicates steel protector angles will be installed in walk-in coolers and freezers as indicated on sheet A9.1 8 & 9. The steel protector angles must be designed and installed so that the space between the steel protector angle and the wall or cooler panel can be accessed for proper cleaning. Gaps at the steel protector angle/floor junctures must be sealed. 3) Sealed concrete is not an approved floor for the remodeled produce cooler, remodeled bakery freezer, remodeled meat cooler or the Snack Bar walk-in cooler and walk-in freezer. The plans submitted indicated the floor in the produce cooler, meat cooler and bakery freezer is existing and will remain, but did not indicate the type of flooring material. The seamless resinous epoxy flooring system is an example of an approved floor for the walk-in coolers and freezers. If the epoxy flooring system is used in walk-in freezers, the flooring specifications must indicate it is approved for freezer temperatures. The plans indicate the floor in the Snack Bar walk-in freezer is a self contained floor, but did not specify the floor material. Stainless steel or aluminum are approved freezer floor materials. The floor must be rust - resistant. 4) The room finish schedule did not indicate the type of floor material in the remodeled produce prep area. Sealed concrete flooring will not be allowed in this area. The epoxy resinous flooring system with resinous base is acceptable in the produce prep area. 5) The room finish schedule did not indicate the type of ceiling in the produce prep area. The ceiling must be washable such as a vinyl faced ceiling tile. Deficiencies: 1) Sealed concrete is not an approved floor for the Demo room. The seamless resinous epoxy flooring system is an example of an approved floor for the Demo room. Page 3 2) Walk-in coolers and freezers must have approved base coving at the floor -wall junctures inside the walk-in coolers and freezers. Examples of approved base coving include the epoxy base coving, stainless steel or aluminum. The plans indicate the interior bases of cooler/freezer boxes with sealed concrete floors will be installed with a continuous silicone caulk bead with finger cove where wall panels meet the concrete slab. Caulking the floor -wall junctures inside walk-in coolers and freezers is not satisfactory without adding approved base coving. 3) The specifications provided for the epoxy resinous flooring system did not clearly indicate if the flooring will meet the minimum thickness requirements specified below under Polymer Flooring Systems. In the Project Specifications manual under System Description, the floor thickness is indicated to be a nominal 1/8" thick, but under Installation, it is indicated the flooring thickness provided must be a minimum 1/8" thick. For polymer flooring systems installed in snack bars and sandwich preparation areas, the minimum floor thickness required will be 1/8". In areas with ovens, fryers, etc. where heavy kitchen operations take place, the polymer flooring system must be a minimum of 3/16" thick containing a ground aggregate to refusal. 4) The deli processing area floor plan does not show a food prep sink. A food prep sink will be required, if raw fruits and vegetables will be processed in the deli processing area or if lettuce will be crisped in a sink. Equipment Food equipment shall meet the applicable National Sanitation Foundation (NSF) International food service standards. The equipment shall be determined by NSF International or an American National Standards Institute (ANSI) Z34.1 accredited independent entity, including Underwriters Laboratory or the Edison Testing Laboratory, to be equivalent to the NSF International Standard. The use of equipment, which does not meet the applicable NSF standard, is prohibited. Bakery equipment must comply with the Bakery Industry Sanitation Standards Committee (BISSC). (4626.0505)(4- 201.11) Custom fabricated or modified equipment must be constructed by a contractor listed by NSF International. The name and address of the fabricator for custom fabricated equipment must be identified. (4626.0505)(4-201.11) All service counters and other millwork surfaces shall be protected with stainless steel, plastic laminate, or equivalent, covering all exposed wood. In areas where food equipment involves heat or moisture, or where food comes in contact with the surface, a stainless steel fmish or approved equivalent material is required. Solid surfaces for food contact, such Corian® or Gibraltor® shall be constructed by a fabricator listed by an approved third -party testing agency. They are required to be installed on six-inch legs or a solid base. All areas of the custom fabricated counters shall meet the requirements of NSF International Standard No. 35. All hard grain decor wood (e.g. oak) shall be properly sealed with a polyurethane or varnish -like material. (4626.0505)(4-201.11) Used equipment meeting NSF International, NAMA, or BISSC standards, specified at the time of installation is permitted if it: met the NSF International, NAMA, or BISSC standards, in effect at the time it was manufactured, remains in good repair, is capable of being maintained in a sanitary condition, and is approved by the regulatory authority. Your inspector will evaluate any used equipment to determine if it is acceptable. (4626.0505) (4-201.11) Provide multi -use equipment, utensils, and food storage containers that are smooth, easily cleanable, and resistant to pitting, chipping, or scratching. All food equipment in a retail food store must be designed as to be easily cleanable, durable and be adequate for its intended use. Household utensils or equipment is prohibited. The use of commercial equipment not meeting the NSF standards must be evaluated and approved prior to installation. (4626.0505)(4-201.11) Retail shelving and refrigeration and freezer display cases shall be designed and constructed to be durable and to retain their characteristic qualities under normal use. (4626.0505)(4-201.11) Provide sufficient refrigeration to hold all readily perishable food products at 41°F or less. Provide sufficient ventilation (e.g. louvers, etc.) for the compressor unit to evacuate any buildup of heat at the underside of the cold pans in and about the compressor area. (4626.0675.) (4-301.11) If an ice machine or bulk water unit is to be installed, the waste drain must be properly plumbed and divert to an indirect waste (air break) floor drain. *(4626.1045 A.) (5-201.11) Page 4 Food Protection Provide a food thermometer for checking the internal temperatures of potentially hazardous foods. Thermometers must be provided in all coolers, freezers, and hot holding units where potentially ha7yrdous food is stored, and must be located in an area that is representative of the true air temperature. (4626.0705) (4-302.12) The internal temperature of potentially hazardous food must be maintained at 41°F or below, or 140°F or above, except during preparation. *(4626.0395) (3- 501.16) All freezer units shall hold food frozen. (4626.0370)(3-501.11) Food on display must be protected from potential contamination from coughs, sneezes and improper handling by installing properly constructed food shields, the use of packaged food items or other effective means of protection. (4626.0320)(3- 306.11) Provide tongs, ladles, spatulas, scoops, single -service papers, etc., to avoid unnecessary manual handling of dispensed food items. (4626.0330 A.) or * (4626.0330 B.) (3-306.13) Utensils must be stored in an appropriate manner between uses. (4626.0275) (3-304.12) Installations Seal (caulk) all annular openings around pipes and other conduits, where they pass through walls and floors. Seal all junctures between the wall surface and the edges of attached equipment with approved caulk/sealing compound. (4626.1395 A. (1) (6-202.15) If conduit pipes are provided for beverage lines they must extend at least three to four inches above the finished floor elevation at both ends. The annular opening between the beverage lines and the conduit pipe must be sealed with a hard material and provide a cleanable fmish. (4626.1395 A. (1))(6-202.15) All doors to the outside of the establishment must be self-closing and vermin proof. (4626.1395 A. (3.))(6-202.15) Lighting Provide at least 10 -foot candles (110 LUX) of light intensity, at a distance of 30 inches from the floor, in the walk-in refrigeration units, dry food storage areas, and during periods of cleaning. Provide at least 20 -foot candles (220 LUX) of light intensity, at a distance of 30 inches from the floor, for areas where food is provided for consumer self-service, including buffets and salad bars, or where fresh produce or packaged foods are sold or offered for consumption, inside equipment including reach -in and under counter refrigerators, in utensil storage areas, in areas behind a bar used for ware washing, and in toilet rooms. (4626.1470)(6-303.11) Provide at least 50 -foot candles (540 LUX) of light intensity for areas where food employees are working with utensils and equipment where safety is a factor and areas used for ware washing. (4626.1470)(6-303.11) Install effective shielding or shatter -resistant bulbs for all light fixtures over exposed food storage, food preparation, food display facilities, clean equipment, utensils and linens, and unwrapped single -service or single -use articles. (4626.1375)(6- 303.11) Plumbing At least one toilet facility and not fewer than the number required by law shall be provided. *(4626.1075)(5-203.110) These facilities must be conveniently located and accessible to employees at all times. * (4626.1095)(5-204.11) Toilet rooms must be provided with adequate ventilation, hand cleanser, single -use towels or hand drying devices, tissue paper and waste paper receptacles. Toilet rooms shall have at least one covered waste receptacle for sanitary napkins, paper towels or diapers. (4626.1260)(5-501.17) Plumbing plans must be submitted to the Minnesota Department Labor and Industry, Engineering Unit, or delegated authority for review and approval prior to installation. All plumbing must be installed according to the Minnesota Plumbing Code, including current amendments. *(4626.1045) (5-202.11) Equipment connected to the potable water supply shall be protected from back -siphoning and back flow. Equipment with submerged inlet lines (dish machine, garbage disposal, steam table, urinal, etc.) shall be equipped with an approved backflow preventor; this includes all threaded hose bib connections. *(4626.1085) (5-203.14) If a post -mix beverage system Page 5 is provided, an approved pressure-type, back-flow preventor upstream from the control valve on the carbonator (water line to the carbonator) is required. (Toilets shall be equipped with an anti -siphonage ball cock assembly. The water line serving a dipper well shall be permanently installed with an air gap on the water line entering the fixture. * (4626.1055) (5-202.13) Please contact a licensed plumber or refer to the Minnesota plumbing code. Install a hot water heater in accordance with NSF Standard #5. (4626.0505) (4-201.11) It must be of adequate size and recovery rate to provide hot water to all taps during peak water usage. Lack of hot water will require the installation of additional hot water capacity. (4626.1025) (5-101.13) If a grease interceptor or grease trap is required by the city building official, it shall be located to be easily accessible for cleaning and maintenance. The lid shall be water -tight and securely fastened in place. A grease removal device should be installed flush with the floor. (4626.1195)(5-402.13) If soap and chemical dispensing devices are installed on potable water lines, they shall be listed to ASSE plumbing standard 1055. (4526.1260) (5-501.17) Sinks Install hand washing sinks in all food preparation, food dispensing, toilet rooms and utensil washing areas. Generally this is within 20 feet as a person walks. *(4626. 1095) (5-204.11) Provide hand cleanser, single -use towels, and a fingernail brush at the hand -wash sink located in the food preparation, and ware washing areas. Install a NSF three compartment, utensil -washing sink (4626.0680) (4-301.12) with integral drain boards, racks or tables, (4626.0685) (4-301.13) for the proper cleaning and sanitizing of all multi -use equipment and utensils. The size of the sink compartment must be large enough to accommodate the largest utensil/equipment, which is to be cleaned and sanitized. Provide and use an appropriate chemical test kit to determine the strength of the sanitizing agent in the final rinse water of the three -compartment sink. (4626.0715) (4-302.14) Install a separate food preparation sink if raw food will be cut or combined with other ingredients, or otherwise processed. (4626.0780) Install at least one service sink or curbed unit with a floor drain for disposal of mop water and similar liquid waste. (4626.1080)(5-203.13) Provide hooks or hang-up brackets at the utility sink for storage of mops and brooms. Utensil washing and hand washing sinks are designed and approved only for their intended use. Storage Provide adequate shelving covering the food operation to ensure that food products, utensils or single -service articles are stored at least six inches off the floor. (4626.0730 A.) Food storage shelving used in walk-in refrigerators must be in conformance with NSF standard #2. Chrome or zinc -plated shelving without an approved factory applied hard -baked protective coating is not approved for this purpose. (4626.0505 B) Retail shelving shall be designed and constructed to be durable and to retain their characteristic qualities under normal use conditions. (4626.0505A.) Provide an area for storage of employee's personal belongings that is separate from food, clean equipment, and single service supplies. (4626.1560) Provide an approved area for storage of chemicals, which is separate from food, food equipment, and single service articles. (4626.1600) Room Finishes The floors, floor coverings, walls, wall coverings, and ceiling surfaces shall be designed, constructed, and installed so they are: a) smooth, durable and easily cleanable where food operations are conducted; b) nonabsorbent, for food preparation areas, walk-in refrigerators, ware washing areas, toilet rooms, janitorial areas, laundry areas, interior garbage, refuse storage rooms, and areas subject to flushing or spray -cleaning methods, or other areas subject to moisture. (4626.1325) Polymer flooring systems: If polymer flooring such as an epoxy or urethane systems are installed they must be 1/8 inch minimum in thickness in snack bars and sandwich preparation areas and 3/16 inch minimum in thickness in areas Page 6 where ovens, fryers and other heavy kitchen operations take place and contains a ground aggregate to refusal. The finish coat must render the floor surface smooth to the extent that it can be cleaned with available cleaning equipment. A test area should be provided so that our inspector can verify the flooring thickness. Concrete, sealed or unsealed, is prohibited: a) where food product packages, containers, or cases in those areas are opened. b) Under equipment in food preparation and service areas including under service cases. c) in walk-in refrigerators or freezers, ware washing areas, toilet rooms, mobile food establishment servicing areas, hand wash areas, janitorial, laundry areas, interior garbage and refuse storage rooms, areas subject to flushing or spray -cleaning methods and areas subject to moisture. (4626.1335 D.) Unsealed concrete is permitted: For use where outside garbage and refuse containers are placed, including compactors stored on a smooth and nonabsorbent surface. (4626.1230) Vinyl flooring is prohibited: In a walk-in cooler or freezer. (4626.1335 C.) Vinyl flooring is not allowed in kitchens, deli areas, behind fast food or service counter areas unless the manufacturer recommends it for this use. It is allowed in storage rooms and retail areas including under food and beverage counters. Proof of recommended use will be required in the form of sales material or a letter from the manufacturer specifically showing the recommended use before approval of this flooring will be granted. Floor and wall junctures: Shall be coved and closed to no larger than one millimeter (1/32 inch) when cleaning methods other than water flushing are used for cleaning floors. At the floor wall juncture where the fiberglass panel meets the floor an acceptable base coving such as stainless, quarry or other pre -approved materials must be installed. (4626.1345A.) Where water flushing is used coving shall be sealed. (4626.1345B.) Glued rubber coving may not be acceptable on fiberglass panels, as it may not bond to the fiberglass material. Floor surfaces: Shall in the food preparation, food storage, and utensil washing areas be constructed of smooth, durable, nonabsorbent, easily cleanable materials, which resist the wear, and abuse to which they are subjected. The walls and ceiling in the food preparation, utensil washing and toilet room areas shall be smooth, non-absorbent, and easily cleanable. (4626.1335A) Ceilings: Perforated or fissured drop lay -in ceiling panels are prohibited in food preparation, food service, and utensil washing or toilet room areas. (4626.1360B.) Ventilation System: b. Ventilation a. Provide an NSF approved ventilation hood over cooking equipment which will capture and eliminate moisture, vapors, smoke, fumes, odors, heat and grease laden vapors. (Minnesota Rule, part 4626.0505 and 4626.1475) i. Type I hood required: . (Minnesota Building Code Chapter 1346.0507) ii. Type II hood required: . (Minnesota Building Code Chapter 1346.0507) Verify that Type I commercial hood ventilation systems on the premises comply with Chapter 1346 of Minnesota Building Code which includes 2006 International Mechanical Code (IMC), the 2006 International Fuel Gas Code (IFGC) and Minnesota Amendments. Sections 506.3.1 though 506.3.7 and 506.7.9 through 506.3.13.3 are replaced with adoption of NFPA 96-2008 (National Fire Protection Association). (Minnesota Rule, part 4626.1475) c. All open sides of a canopy hood shall overhang equipment by at least six (6) inches. (Minnesota Building Code Chapter 1346.0507) d. Provide an air balance test by a qualified heating and ventilation professional. Air balance tests shall indicate the establishment's air handling units operate as designed and in compliance with applicable mechanical Page 7 codes. A food preparation area should be under slight negative pressure (less than 0.02 inches -water gauge). (Minnesota Building Code 1346.0309 and 1346.0507, section 507.17.1) e. If the establishment uses laundry dryers, provide adequate ventilation to vent the dryer outside. (Minnesota Building Code Chapter 1346, section 913) f. Wood burning appliances shall have a separate exhaust system. Contact your local building official or MDA plan review regarding installation requirements. (Minnesota Rule, part 4626.1475, National Fire Protection Act 96-2001, Chapter 14, Solid Fuel Cooking Operations) g. Provide adequate ventilation on floor mounted or above counter hot water/chemical sanitizer ware - washing machines. (Minnesota Building Code 1346.0507, Minnesota Rule, part 4626.1475) h. Sufficient tempered make-up air (at least 55° F) shall be provided and interlocked with ventilation equipment. (Minnesota Building Code 1346.0508, Minnesota Rule, part 4626.1475) Used hoods may be used provided they are NSF -certified and identified as to manufacturer in serviceable condition, properly sized over intended cooking equipment and meet performance criteria. Equipment evaluations shall be conducted at the construction site. (Minnesota Building Code 1346.0104 and 1346.0107; Minnesota Rule, part 4626.1475) j. Galvanized hoods are not permitted. (Minnesota Rule, part 4626.0505) Additionally vent less systems requiring alternative methods shall meet standards UL 710B, (incorporating EPA 202, UL 197), NFPA 96 chapter 13 and have the local building and fire official's approval. (4626.1380) (4626.1475) Minnesota Commercial Kitchen Ventilation Guidelines are available on our website at www.mda.state.mn.us. Put "Ventilation Guidelines" in the search box. Miscellaneous In accordance with the Minnesota Clean Indoor Air Act, this establishment shall be posted as NO SMOKING ALLOWED. Post signs at all public entrances. This facility may not be constructed, remodeled or converted, except in accordance with the plans and specifications as approved by this department. Please contact me for approval of any proposed changes or additions. (4626.1720) Thank you for your cooperation in addressing the items outlined in this letter. I shall remain available for consultation and review of your facility's construction progress. Should you encounter any problems through the course of your construction or equipment installation activities, please call me at 651-201-6214. Sincerely, Rick Bruecker Food Standards Compliance Officer Dairy and Food Inspection Division RPB:dg C: Kip Fondrick, Food Inspector Loma Girard, Supervisor City Building Official Heather Edmiston Use BLUE or BLACK Ink , For Office Use . .. ,. City of Eaaall ::::e: It/54/r14-7 ��i I ( 307'�, i 3830 Pilot Knob Road / (Q,-/5- 7 Eagan MN 55122 0 l✓ Date Received: U Phone: (651) 675-5675 RECEIVED / 7 Fax: (651) 675-5694 Staff: JUN 0 6 2017 L 2017 COMMERCIAL BUILDING PERMIT APPLICATION ' 3035 13)e..1414-1.owl< Aye, Date: ���(r� l � Site Address: I Tenant Name: eviele7S 61 i` (Tenant is: New/ X Existing) Suite#: Former Tenant: Name: l�� 6J L.v W T Phone: l 27� v®� Property Owner : $/1 '1J ` A . Address/City/Zip: 702. 7 J 1;, pt I_ / �1` 7271 ks V I Applicant is: Owner X Contractor tt( i Type of Work Description of work: Re,nno V C, e X�,S}t rr Od� wt�h�l�rt tL �' !tot-S-TJ,I 1t,y .%1 R Construction Cost^+27-1, NO 00, aI Name: 51'1451e...,- p v.( 5- S te4...1J, kc, License#: Contractor Address: (loci Apo I1 o. 12vo c, City: E.0rw"f State: Al N Zip: 55121 Phone: 6 S1- 9-1 Contact: C.(,x-s " Etc',-e..... Email: Ga ei (e, "1 5i S•k�r, G041 i Name: Registration#: i Architect/Engneer 1 Address: City: State: Zip: Phone: 1 Contact Person: Email: i Licensed plumber installing new sewer/water service: Phone#: t NOTE.Pians and supporting.documents that you submit are considered to be public informaton. Portions>of the information may be classified_as nonpublic if you provide specific reasons that would permit the Cif),to aw, conclude that the are trade secrets. 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.oro 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 C4a ` �lG�� x 0 �J -- Applicant's Print d Name A licantatilre PP 9 Page 1 of 3 3035 ,rk, 41A. 1AP(5W7 DO NOT WRITE BELOW THIS LINE 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 Foundation Replace Water Damage Fire Repair Retaining Wall Salon Owner Change *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25% 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings_New Building Deck Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Concrete Entrance Apron Sheetrock / Other: i7 Roof:_Decking Insulation Ice&Water _Final Meter Size: Siding: Stucco Lath Stone Lath Brick EFIS Electronic As-Built Plans Required Windows Fireplace: Rough In Air Test _Final Final/C.O.Required Pool: Footings Air/Gas Tests Final Final/No C.O. Required Final CIO Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: , Planning New Business to Eagan: Reviewed By: , Building Inspector FEES Water Quality Base Fee /g X8.7 5 Storm Sewer Trunk Surcharge l 3 • Sewer Trunk Plan Review 6 - a-0 Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: I / 32 •?�S Page 2 of 3 Use BLUE or BLACK Ink For Office Use City of Eaftan �}^{�p �, Permit#: Y73t 0-15 3830 Pilot Knob Road Permit Fee: ® = AUG C 7 TN 1 1 Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2017 COMMERCIAL PLUMBING PERMIT APPLICATION (� El submit two(2)sets of plans with all commercial applications. � -' / v l�35.3 Date: 8/2/2017 Site Address: 3035 Denmark Avenue Tenant: Sam's Club Suite#: Azrr04'' Wal-Mart Phone: 651-405-0079 N . Name: Yale Mechanical License#: PC644631 Contractor " Address: 220 West 81st Street City: Bloomington State: MN Zip: 55420 ti Phone: 952-884-1661 Email: accounting@yalemech.com _New X Replacement _Repair _Rebuild _Modify Space Work in R.O.W. Replaced laced RPZ Description of work: p COMMERCIAL New Construction _Modify Space Irrigation System( yes/_no)( RPZ/_PVB) • Rain sensors required on irrigation systems Perm I Types • 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 FEESContract Value$800.00 x.01 $60.00 Permit Fee Minimum60.00 $60.00 PVB/RPZ Permit(includes State Surcharge) $ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 60.00 If the project valuation is over$1 million, please call for Surcharge $ TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge $ 60.00 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate;that the work will e 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, a wo is not to sta witho. permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appr val f lard. x Lisa Wilson x L.-- Applicant's Printed Name Applicant's Signature =:\ FOR (*TICE U ` //i0i0/iG/a Iata/M � Required pectionsadet and "�r , . t rTest /a Tet l,;;• nal z , -..�. M Related Iternal ? eter Size .' Manometer - %/% Page 1 of 3 IN - r-7L I t'T Use BLUE or BLACK Ink 1 �] c For Office Use `��] cit,...c. ,, •�/7 S Permit#: � ([ !0 ... City o Ea�a� 11 � '`�%-. � IW Permit Fee: o�'6 . 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: 9 !/!(� -/7 Phone: (651)675-5675 /� Fax: (651)675-5694 ►, — — SE? 1 9 2017 Staff: J 2017 MECHANICAL PERMIT APPLICATION ® Please submit two (2)sets of plans with all commercial applications. Date: Site Address: 3035 Denmark Ave, Eagan, MN Tenant: Sam's Club Suite#: 1*_ Sam's Club/Walmart 479-204-0595 esiden, wne Name: Phone: 1, ,,,` Address/City/Zip: 201 SE 10th St, Bentenville, AR 72712 C SCR MB003247�l � Name: License#:„ 604 Lincoln Ave NE St. Cloud Address: City: �� 1Contracto M N 56304 320-251-6861 State: Zip: Phone: l,i, _ Contact: Jesse Widmer Email: jesse.widmer@scr-mn.com New X Replacement Additional Alteration Demolition T4p6 ofiNok` Description of work: AHU Replacementlacement ���� NOTE Roof mounted a nd tgr and mounted mechanic btpment is rec e'scree,,' • • Code Pleasercontactthe Me coal Ins 0ator for informationon per tte scr..�'t !mhos. RESIDENTIAL COMMERCIAL ,4 L k% Furnace New Construction Interior Improvement ” Pe1' T r , _Air Conditioner Install Piping -Processed A7 Am:t: _Air Exchanger Gas X Exterior HVAC Unit 4 ', Heat Pump Under/Above ground Tank ( Install/_Remove) ' Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ 25.000.00 x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ 250.00 Permit Fee =$ 12.50 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ 262.50 TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will b in cor orm. se 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 i not t/sta out 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. xC x Applicant's Printed Name Ap i ant's Signature FOR OFFICE'USE - My Y .r„�Ao!oq - = iii ,- s , r �N _ §I =t N Regiuired Insp on _ v t'_ Revie r }� -a,, w- , u ; e„- _1- - ? ay i Baa n ''� lviLii ids�"i� _c;,— I ,:=„ k- w, "4� jai J � , ler round 1 >ugb In w Air Test Gas Service Test ,,i ,._*-74:----::14%?---: t V e _- -� . _� �� � .. .,. Fay �.. � ,,m �,>� � � ..'„ • 01/C46 For Office UseCgic � ''] i a, ; ; ;i i, ::: :J - f �� �` Date Received: ! __7 71/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 f'<L.,t<w (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694Staff. buildinainspectionsna..citvofeagan.com MAR 1 4 2018 L 2018 COMMERCIAL BUILDING PERMIT APPLICATION 3/9 3035 Denmark Ave Date: Site Address: Sam's Club#4738 x Tenant Name: (Tenant is: New/ Existing) Suite#: Former Tenant: r c TV, :ig SAM'S R. E.BUS.TRUST 479-273-4000 Name: Phone: . 0g e . 702 S.W. Eighth Street Bentonville,AR 72716 Address/City/Zip: p „ i Applicant is: Owner Contractor Architect/Owner's Agent .-'-'-'"'711:-1-----401- ',: N-775 hange out register for self check out register Description of work: _ $10,000 Construction Cost: �, in= �1 _y Name: 12V-1 Mc r ML- V I6ES License#: a ry r Address: 36,17 St,v't}FLIN iv D2 City: FLbw 5t a4 ,,'p,71'� ` - �` - State: Gfk Zip: 3d5 Z-- Phone: gGG • Sd 3S// - X Z3Z �. r � Contact: �eJ 5(1tA Email: /y161i/'il - - e '� , ` Harrison French&Associates/Dave Wilgus AOR 50092 u r�,,,,=,_= _ Name: g Registration#: [� , 1705 S Walton Blvd.Suite 3 Bentonville = ' Address: City: W AR 72712 479-273-7780 )� .1 41 �—_ State: Zip: Phone: Lonnie Spicer lonnie.spicer@hfa-ae.com 1- , g Contact Person: Email: Licensed plumber installing new sewer/water service: n/a Phone#: b t f Y k a- a s. a-,;. r- 4 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.citvofeaaan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 a review and approval of plans. x Lonnie Spicer, HFA Permit Coordinator -- -" III)11 -,_ Applicant's Printed Name 4nQ4 icant's Signat ail / C ' ef- 1 y DO NOT WRITE BELOW THIS LINE /q1z,. ..-7 SUB TYPES - 0sS 2n�Ae - 4 Foundation _ Public Facility _ Exterior Alteration-Apartments ✓Commercial/Industrial — Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse/Tent — Exterior Alteration-Public Facility Miscellaneous Antennae — WORK TYPES NewInterior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building—give PCA handout to applicant — DESCRIPTION Valuation "00,dao Occupancy 114 MCES System NA Plan Review ,/ Code Edition Z0/ �j SAC Units +-7 (25%_100% "c Zoning City Water Census Code Stories Booster Pump #of Units O Square Feet PRV #of Buildings / Length Fire Sprinklers ✓ Type of Construction -71-- 8 Width REQUIRED INSPECTIONS Footings_New Building Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation _Ice&Water Final Meter Size: Siding: Stucco Lath Stone Lath _Brick EFIS Electronic Set of Final Revised Plans Windows Fireplace:_Rough In Air Test Final Final/C.O.Required Pool: Footings _Air/Gas Tests Final /Final /No C.O.Required Final C/O Inspection: S 're Marshal to be present: Yes /No Reviewed By: � PlanningNew Business to Eagan: "' Y g Reviewed By: CJ1'I L , Building Inspector FEES Water Quality Base Fee /4 i•? 5 Storm Sewer Trunk Surcharge C. 6-0 Sewer Trunk Plan Review /Z-7-(e Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: A 32/ •3/ Page 2 of 3 1-For Office Use ICL /:_(..; 7 9 .. .--.2.... Permit#: Permit Fee: &O • ° e2) Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: __ buildinqinspectionS(&Cityofeagan.COM J CROSS CONNECTION CONTROL PROGRAM INSPECTIONS PERMIT APPLICATION Date: i''',3 IS --1 '..? Dcrwn , , 'C',YI Site Address: 01/4")- ) ' Osilf t- 4111kA'll %,(, EaCti.'eS) ‘`J\N 5 I\ ,, Tenant: < ak.i.“\ „--.) (.,...,\\J„b Suite#: Property Name id Phone9,5: ,7L1Nf"i Name T\(,,_. License#: Contractor ' AddressA, isvi,, . .. ,, : ‘tU. cx, „ L City: 41 State:* Zip: d3AV2._ Phone 3Y\ 62 \ Email: cwogooki\ ia -, ..„ , ,t ‘(,..0 ‘ U1 73f1i „ ,. ebuild.. New Replacement Repair ' Type of Work . Description of work: , COMMERCIAL Irrigation System( yes/ I no)( RPZ/ PVB) j'S\I P3 Permit Type « Rain sensors required on irrigation systems • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Avg.GPM High demand devices? Yes No Flushometers Yes No . . .... .... Permit Fee-$ Q 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.cityofeagan.com/subscribe, CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. 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. 1 I r\ App icant's Printed Name Applicant's Signature $130.65 Y 191394 For Office Lse� • � � c I -t) ��c� % 4� ® � EP: e: rmit#: $60.00 Y19139 (C,0°— %.„.„ -'' E `(-� Date Received: 3830 PILOT KNOB ROAD I EAGAN MN 55122-1810 (651)675-5675 I TDD: (651)454-85;5 I FAX: (651)675-5694 Staff: b..iHdi,n,giinspectiees citypigegen.co L 2018 COMMERCIAL LU ING PERMIT I TI ❑ Please submit two(2)sets •f plans with all commercial applications. Date: 8/2018 Site A*dress: 3035 Denmark Avenue Tenant: Sam's Club Suite#: Property Owner ' Name Sam Real Estate Business Trust Phone: 651-405-0079 Yale Mechanical, LLCPC644631 Name: License#: Contractor ; Address: 22'i West 81st Street City: Bloomington State: MN Zip: 55420 Phone 952-s84-1661 Email: accounting@yalemech.com I Type of Work Ne —Replacement Y Repair _Rebuild Modify Space Work in R.O.W. Descripti.n of work Performed mandated repairs per 3/28/2018 non-compliance no-ice. I l COM,NIERi IAL New Construction Modify Space _lrrigatio System(_yes/_no)( RPZ/ PVB) A . Rai sensors required on irrigation systems Permit Type t o Av..GPM (2"turbo required unless smaller size allowed by Public Works) Meters *all(651)675-5646 to verity that tests passed prior to picking up meter. t I Domestic:Siz-&Type Fire: 1 Avg GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES Contract Value$13,000 x.01 $60.00 Permit Fee Minimum 130.00 $60.00 PVB/RPE Permit(include.. State Surcharge) =$ Permit Fee =$ .65 Surcharge i Surcharge=Contract Value x$0.00.5 i If the project valuation is over$1 million, please call for Surcharge =$ 130.65 TOTAL FEE Following fees apply when insta ling a new lawn irrigation system $ Water Permit Contact the City's Engineering Depart ent,(651)675-5646,for required fee amounts. $ Treatment Plant ( $ Water Supply&Storage $ State Surcharge _$130.65 TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at e,cityof agan.com/subscrihe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and4odes of the City of Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start witpout permit;that the$ rk j11 be in ac ,,,dance with the approved plan in the case of work which requires a re iew and approval of plans. € 1, # t0 x Lisa Wilson x . 1. f ( � '' _ Applicant's Printed Name Applicant's Signature FOR OFFICE USE Approved By. Date Required Inspections: Under !round _Rough-In _Air Test- Gas Test Final PRV Required:. Yes -Nay: Meter Related Items: Meter Size Radio Read .',,,ManWometer'' ` ., Staff:- , ' Page 1 of 3 i Lir) t. + EAGAN\Y-t ii 3830 PIL•T KNOB ROAD EAGAN, N 55122-1810 Inspection Non-Compliance Notice I SAMS REAL ESTATE B1 SINESS TRUST Print Date 03/28/2018 % WALMART PROPER I Y TAX DEPT MS 0555 PO BOX 8050 BENTONVILLE, AR 72712-8050 RE:SAM'S CLUB, 3035 DENMARKA VE Dear Water Customer: The purpose of the City .f Eagan's Cross Connection Control Program, as defined i the local Cross Connection Control Ordi ance, is to help eliminate possible contamination of the public water distribution system. An inspection of your facility's internal water distribution system was completed on 03/27/2018. Inspector- reviewing your water system found connections that coul. possibly contaminate the public w:ter distribution system. Below are the requirement(s) fou d during the inspection. Requirement(s) on this li•.t must be addressed using only State approved backflow prevention devices and State licens:d plumbers. Some backflow prevention devices (assembli-s) also require testing by a State Certifi-d Tester. We suggest that the licensed plumber installing t e testable assemblies also have the state certification to test assemblies. All testable assembl es must be tested immediately at the time o installation. These requirement(s) m st be completed by 04/27/2018. Once the requirement(s) ave been corrected, please call Hp roCorp at 800-315-4305 or visit www.schedulem in sec i•n.net to schedule a compliance i spection. If you are unable to complete the work within thi• time, please contact HydroCorp to dis uss an extension. Failure to respond will re.ult in enforcement of your local Cross Connection Control Ordinance. If you have any question., please contact HydroCorp at 800-315-4305. Thank you in advance for your cooperation. Order# Device Type Comment 7 Replumb Replumb supply to soap dispenser in meat department with de•icated supply. Cannot be connected to 3/4" hose connection. 11 Replumb Replumb supply to soap dispenser in deli with dedicated suppl . Cannot be connected to 3/4" hose connection. 15 DCV Install Double Check Valve Backflow Prevention Assembly (A'SE#1015)in supply to 2 chicken rotisseries. 17 Remove Remove WYE adapter from hose threads of faucet fixture in b.kery. No valves allowed downstream of vacuum breaker ASSE 1001 or ASSE 011. / çjLft7 EAGAN 3830 PI OT KNOB ROAD EAGAN, N 55122-1810 Inspection Non-Compliance Notice 1 SAMS REAL ESTATE B SINESS TRUST Print Dat:: 03/28/2018 % WALMART PROPER Y TAX DEPT MS 0555 PO BOX 8050 BENTONVILLE, AR 72712-8050 Order# Device Type Comment 18 SVB Install Spill-Resistant Vacuum Breaker Assembly("SVB"-AS'E#1056) in supply to floor chemical dispenser in bakery. "Critical Level"of SVB must be installed at least 12" above all downstream piping. 19 Replumb Replumb supply to soap dispenser in bakery with dedicated supply by hand wash sink. Cannot be connected to 3/4" hose connection. 21 Replumb Replumb supply to soap dispenser in bakery above 3 bay sink with potable material. 23 DCV Install Double Check Valve Backflow Prevention Assembly(A"SE#1015)in supply to each proofer oven in bakery. 27 Replumb Replumb supply to soap dispenser in taste and tips kitchen wit dedicated supply. 35 Replumb Replumb supply to soap dispenser in cafe above 3 bay sink wi h dedicated supply. 36 VMBP Install Backflow Preventer for Beverage Dispensing Equipmen (ASSE#1022)in supply to smoothie beverage machine. - Re: Minnesota Plumb ng Code Section 603.5.12. 41 AG Install at least 1"air gap on water softener drain in riser room. Re: Minnesota Plumbing Code Section 611.2. ( ci `"jt) � Dot. .. EACIAN 3830 PILOT KNOB ROAD EAGAN, MN 55122-181Q 0\‘‘, , SAMS REAL ESTATE BUSIN SS TRUST %WALMART PROPERTY T A DEPT MS 0555 PO BOX 8050 BENTONVILLE,AR 72712-8/50 r For Office Use``__ ti e , ' Permit#: I ID O 499 E AG A N ECEIVE MAR rte. EA1 1 2020 Staff:n 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 rPayment Recvd:-A Yes No I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 '— Email:buildin inspections(a.citvofeaaan.com 9 Plans: Electronic JC Paper I Plan Submittal:eplansecitvofeagan.com 2020 COMMERCIAL PLUMBING PERMIT APPLICATION Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email,CD or flash drive Date: 3 10—aa az. Site Address: 3 S De-+'1 ma v' k- /)-i e.. Tenant: 54 VI)I S CIU Suite#: f„f ePi�yop'"S'"Wy'{ ,£ ',9A010 Avo>e " Name: Sctw , S Clu- k Phone: vtd Name: 179�� _C l+y ✓hfr l• tt✓1 i C4� License#: Priump 3 4,1 ci Cert oreC110'2) DAV p e�t CI' City: (3 I a rte State: MP Zip: 55q4/q Address: � Qj� �t ��3— '7 Bc�t'7 bnaelipm% �ct4- vvket�tantCG(. Gov► Phone: Email: y t3 New Construction Addition Modify Space ltr °v d` 44 Replacement Repair Rebuild Work in Right-Of-Way x Acid I� J-_ f ' a,' ` Description of work: 4CJd 111'D:e a I - o/ GU'at ZvS /r'l�b Ark;AS., het"otszo k. o Irrigation System(_yes/ no)(_RPZ/_PVB) 5� � �� W(Q Sl ' \feel. t o ct'he v` � 9 • Rain sensors required on irrigation systems P P s • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) N'A Meter Required—Call Utilities at(651)675-5200 to verity tests passed prior to picking up meter. AN vaggingteilri Domestic:Size&Type Fire: 1 r °` fi li r..,,, .„ Average GPM High demand devices?_Yes_No Flushometers_Yes_No COMMERCIAL FEES Contract Value$ "no CO O x.015 $60.00 Permit Fee Minimum $ I/ I N 0 Permit Fee $60.00 PVB/RPZ Permit(includes State Surcharge) $ 332 Surcharge Surcharge=Contract Value x$0.0005 ` 1,$, a O If the project valuation is over$1 million,please call City for Surcharge $ r TOTAL FEE The following fees may apply when installing a new lawn irrigation system or $ Water Permit connecting a new water service. $ Treatment Plant Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Meter Fee $ Radio Read $ State Surcharge =$ TOTAL FEE 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.citvofeagan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. 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 understand this is not a permit,but only an application for a permit,and work is not to start without ermit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. `13 rQJ Poser Applicant's Printed Name App' nt's Signet re Page 1 of 4 11111110. 1a / J � sem : „. � '. 'r ` t „”. d # 8"'¢ ' 1'f' h RRC B !.^Fi+ fwfttrea b Y ,,� E, 1 + RQVQX ' i ' � A b fl `k- E3E q. ;5 Uy 3, Page 2 of 4 For Office U•- i. � Permit#: / '°b'37W, i E AG N Permit Fee: y/ ✓/ Staff: 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 Payment Recvd: YesNo (651)675-5675 TDD:(651)454-8535 l FAX: (651)675-5694 ��cc Email:buildinbinspections( citvofeaaan.com Plans:/\ Electronic _Paper Plan Submittal:eolans( citvofeaaan.com 2020 COMMERCIAL MECHANICAL PERMIT APPLICATION 12 Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email,CD or flash drive Date: 3-30-2020 Site Address: 3035 Denmark Ave Eagan, MN 55121 Tenant: Sam's Club Suite#: Owner Name: Walmart Phone: Address/city/zip: 2001 E 10th St Bentonville, AR 72716 Name: TDR Contractors, Inc License#: ICNON116277 Contractor Address: P O Box 1003 city: Gilmer State: TX Zip: 75644 Phone: 903-797-3428 /3 Contact: Email: Rhonda Yocom rhonda@tdrcontractors.net New Replacement Additional Alteration Demolition Type of Work Description of work: Install stainless steel backsplash, Exhaust hood, & duct work 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. COMMERCIAL New Construction Interior improvement Permit Type Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ✓Install I Remove) COMMERCIAL FEES 22,OQ0.nn Contract Value$ x.015 $60.00 Permit Fee Minimum 330.00 $75.00 Underground tank removal,includes State Surcharge =$ Permit Fee =$ 11.00 Surcharge Surcharge=Contract Value x$0.0005 341.00 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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.citvofeagan.com/subscribe. 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. Rhonda Yocom xGV\0/1r1(101. 1 Applicant's Printed Name Applicant's Signature FOR OFFICE USE vRequired Inspection Reviewed By: Date:ff ?. 2� Underground 6 Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening 411Pik 2.,& City ot8aan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 \\&Ct Use - or BLACK Inki,Nt 16 For Office Use 14 k `p°r Permit#: -� �a //} w L Permit Fee: 7 0 .7/ " (/ Date Received: \ Staff: 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: 2- - a -a o ab Site Address: 30 35 > rtmo v k e .1 Eck ori 1-1r0 SS I a I Tenant Name: SOX Club (Tenant Is: New/ X Existing) Suite #: Former Tenant Property Owner Name: \SJC -iy`HQy4 S-t'-p/eS .=iL. Phone: Address / City / Zip: off.Ct 1 S .E.. i b -t .k , 1; rtAT,"Ville , mai a"71 Applicant is:Owner )( Contractor Type of Work F Description of work: Ci P.rt.erei-1 RerY1 otW ( See. &##i c,h rd.'s IConstruction Cost: i 1, 5%1 , 0 5 Le Contractor ,....tea.., ArChltectlEnglneer Name: %4 D 11:3 ard.. =nnm a i, Z n L License #:rill gd Address: I bat) ,d iSSc c &Ir. City: G rftr tt1 19/ State: W 2 Zip: 58-) 3o a Phone: q a a- y it, g- P a, o V Contact: et.. i�arptr Email: . _ a...H e�►., 0, rrei CdnrFeu Won. ........_. (*eel Name: Ill s no f.s u.1.4 -o^+ , sr' C - Registration #: Address: r� e' a'r 1 Sc' ►r o C.K-- '{ ,[ , , City: (.b tu..ry u S State: O4* Zip: W3Aa9 Phone: (o1Li- $"1g --T1 bb Contact Person: 1.10-Inbuioa, Ct4C.Wt Email: YY 'ir &-4C rn e, rn 3 co , u. i an3-5 . Licensed plumber Installing NOTE: Plans and supporting the information maybe 0 nn sewer/water service: Phone #: documents that you submit are considered to be public information. Portions of classified as non-public if you provide specific reasons that would permit the City to conclude that their are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. .mw nnpherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x, Applicant's - rinted Name Applicant's nature Page 1 of 3 SUB TYPES Foundation Commercial l industrial _ Apartments Miscellaneous WORK TYPES New Addition Alteration Replace _ Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100%4' ) Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE/ 3C> s Felt (LI �i J _ Public Facility _ Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage if ', S$ ost j3 Occupancy Code Edition Zoning Stories Square Feet Length Width 7 Exterior Alteration -Apartments Exterior Alteration -Commercial _ Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair /11 Demolish Building* Demolish interior Demolish Foundation Retaining Wall *Demolition of entire building — give PCA handout to applicant 241S N►1iC_ REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Drain Tile Roof: _Decking _Insulation los & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test Final Insulation Sheetrodc oe p w 4115 Windows MCES System SAC Units per Mitre" City Water Booster Pump PRV Fire Sprinklers Final I C.O. Required Final / No C.O. Required Other: Pool: _Footings Air/Gas Tests _Final Siding: Stucco Lath _Stone Lath _Brick _ EFIS Retaining Wall Erosion Control Concrete Entrance Apron Meter Size: Electronic Plans Required Final CIO Inspection: /h dule Fire Marshal to be present: V Yes No i,j Reviewed By: , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication 8Z8 732. s36. Qi se, YeS/k1 94 Water Quality Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL: ! / q? 7. Page 2 of 3 MCES USE: Letter Reference: 19110768 Address ID: 5004 Payment ID: 427076 Date of Determination: 11/7/19 Greetings I Please see the determination below. Determination Expiration: 11/7/21 Project Name: Sam's Club Project Address: 3035 Denmark Ave Suite #/Campus: n/a City Name: Eagan Applicant: Tami Thompson, MS Consultants Special Notes: none Charge Calculation: Food & Drink: 2200 sq. ft. @ 300 sq. ft. / SAC = 7.33 Retail: 127,262 sq. ft. @ 3050 sq. ft. / SAC = 41.73 Tire Center: 6297 sq. ft. @ 2550 sq. ft. / SAC = 2.47 Total Charge: 51.53 Credit Calculation: Sam's Club (Non -Conforming GSF 3/11) Food & Drink: 1960 sq. ft. @ 300 sq. ft. / SAC = 6.53 Retail: 127,502 sq. ft. @ 3050 sq. ft. / SAC = 41.80 Tire Center: 6297 sq. ft. @ 2550 sq. ft. / SAC = 2.47 Total Credit: 50.80 Net SAC: 0.73 —or— 1 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: Jessica.nye@metc.state.mn.us. Thank you, Jessie Nye Manager, SAC Program Please visit our SAC website by going to: www.metrocouncil.org/SACprogram 390 Robert Street North I St. Paul. MN 55101-1805 Phone 65.1.602.1000 I Fax 651.602.1550 I TTS;' 651.291.0904 metrocouncil.org A Lr-4:1J-3)Lolly E Cfc, METROPOLITAN COUNCIL Plan from 101027A3 3/11 to determine non-conf gsf credit of food & drink 13001011 TION2D .11,1 13.1111.0/ W,i a BOL -8£L1, # on -i: V1053NNIN NVOV3 For r EAGAN ��` ''<s Permit#CeUse �. 7r .e �� • pPR 21 ZOZO Permit Fee: ttJ / ...• ... Staff: �► Vit. =-.,.== =====i 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: Yes No S (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 \p" Plans: Electronic Paper buildinpinspections ancityofeagan.com e Q L 2019 FIRE SUPPRESSION SYSTEMS` PERMIT APPLICATION Date: Lit I5t2020 Site Address: _�•.da ►_!. mut"- Ale wolan vto1/2--1 Tenant: Suite#: 0 Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components Name: Phone: Property Owner Address/City/Zip: Applicant is: OwnerIC)C ` Contractor ` Type of Work Description of work: `�VI 11 --t�l 02_ 2 CACY\ Construction Cost: . 00 Estimated Completion Date: • Name:c Xc y NW Cafwnl>s License#: Contractor Address: `31 l`Aryvy\OV\► ix* ' OJJ w City:&e t State: VV.) Zip: SIOZ Phone: (-051 law- -1F LJ Contact:3:210.11 M1C1-2AVA Email:pS duty ik-couS- c - FIRE PERMIT TYPE WORK TYPE Sprinkler System(#of heads_) *New _Addition Fire Pump _Standpipe _Alterations —Remodel j_Other: 4:1 to S SSiA n —Other: DESCRIPTION OF WORK: X Commercial —Residential Educational FEES d $60.00 Permit Fee Minimum Contract Value$ {� x.01 =$ 'E%10•CO Permit Fee Surcharge=Contract Value x$0.0005 S If the project valuation is over$1 million,please call for Surcharge =$ Lf" Surcharge $100.00 Residential New(includes State Surcharge) _$ (04) c' 7O TOTAL FEE 3/4"Fire Meter-$290.00 =$ Fire Meter Radio Read(required with Fire Meters)-$190 =$ TOTAL FEE 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.citvofeauan.com/subscribe. 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 i •t a permit,but only an ••'cation for a permit,and work is not to start without a permit;that the work will b�e1inn accordance with the approved plan in the case of work wh .•uires a review and a,• • =I of plans. xOnn U Vasa /�Ll x 111 Applicant's Printed Name Ap•lic•nt s Sig ature 2 o 0 e R ce FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Roughr►� In Trip Pump Test Central Station 10'° Final Conditions of Issuance: Permit Reviewed by: Date: y / 2! / 024215 I' For Office Use/,, Permit#: / t 2//1 S a a � i , e a . r,,„,, E AGA N Permit Fee: 0-00 ate.... ••-i r Staff: O; .. ecer�� t rPayment Recvd: r Yes No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 F (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569 MAR 3 1 2020 Plans:_Electronic Paper buildinoinsoections(acitvofeagan.com BY: 2020 FIRE SUPPRESSION SYSTEMS- - MIT APPLICATION Date: 3/27/2020 Site Address: 3035 Denmark Ave. Tenant: Sam's Club Suite#: N/A ✓ Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components Name: Wal-Mart Stores, Inc. Phone: Property Owner 2001 S.E. 10th St. Bentonville, AR 72716 Address/City/Zip: Applicant is: Owner ✓ Contractor Type of Work Description of work: Adjust existing fire sprinkler system to accommodate renovatic Construction Cost: 160,000 Estimated Completion Date: 6/26/2020 Name: Total Fire Protection License#: C050 Contractor Address: 1004 7th Ave. N. city. Brandon State: SD Zip: 57005 Phone: (605) 582-2400 Contact: Riley White Email: riwhite@tfpsd.com - FIRE PERMIT TYPE WORK TYPE ✓ Sprinkler System (#of heads 75 ) _New _Addition _Fire Pump _Standpipe _Alterations ✓ Remodel Other: Other: DESCRIPTION OF WORK: V Commercial Residential Educational FEES Contract Value$160,000 x.01 $60.00 Permit Fee Minimum _$ 1600 Permit Fee Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ 80 Surcharge $100.00 Residential New(includes State Surcharge) =$ 1680 TOTAL FEE 3/4” Fire Meter-$290.00 =$ Fire Meter Radio Read (required with Fire Meters)-$200 =$ TOTAL FEE 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.citvofeaoan.com/subscribe. 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 in accordance with the approved plan in the case of work which requires a review and approval of plans. xRiley White x 43ee, iar, Applicant's Printed Name Applicant's Signature / // 7 FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In TripPump Test Central Station X. j� Final Conditions of Issuance: Permit Reviewed by: �.f Date: / / N (1d :k,c � ,Th �' as For Office Use I I :o° �is fe C C ,/ .// 7�-- 4'I � � � � Permit#: E s 1 - 0 � �� ��� Permit Fee: 627 V I V �` � 11� y/�an- 1 - E C E I V E„, Date Received: / r 7 0(..� " 3830 PILOT KNOB ROADGAN,MN 55122-1810 n n I / (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5 r� , , "e:.1 f Staff: j�X I (, buildinginsoectionsecitvofeagan.com A:" (' " Lu! L »>lll J 2020 COMMERCIAL FIRtYAL RM-PERMIT APPLICATION Date: L/' /7-7C) Site Address: W- S.---- V n/K.av'V-- ,4..-¢.._. Tenant: .S4.441'', Oub Suite#: 0 Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components F t Name: Phone: AF ` er Vic' Address/City/Zip: M °o Applicant is: Owner Contractor Type,afWark Description of work: 1, Construction Cost: Estimated Completion Date: ASS j� Name: ASS t Ccc .CP_ (- 1$1 .6<Ic5 .l-in.C_ License#: (S(o 9 769 1 Contractor Address: 2_Get � i X� A) City: C _ . State: WL' Zip: c- i.2-4T Phone:_ (0.5( -3-1.3`C,ii 4 if Contact: (V 1,tlK, �awa- Email: Wlet)C.r-t..m, Ora a,oiSSw'.1(Q 5. Cs) New )(Remodel work Ty ' x Addition Other: . ,,. _Alterations E,5 u s' k aboAt•✓ p.,,d. e/€ a k kit- Pet rte DESCRIPTION OF WORK: X Commercial —Residential _Educational FEES Contract Value$ c x.01 $60.00 Permit Fee Minimum =$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge* If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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.citvofeagan.com/subscribe. I hereby apply for a Fire Alarm 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 in accordance with the approved plan in the case of work which requires a review and approval of plans. ,/ x imp ✓t x !, '/- Applicant's Printed Name Appi' ant's Signature i 1-C- -:°1-.:'-.,i' : .r b 3���c� eiti ' . #a?tl 'fit.- „ m �`" T , t $"``` ^6'b-' t ".,, ,;^.. 4 !� r _ _,ari .�.x.. ,. a., i r i d x� i s §