The URL can be used to link to this page

3250 Denmark Ave Use BLUE or BLACK Ink For Office Use F I I Permit Tel City of Eajan Permit Fee: 3830 Pilot Knob Road l Eagan MN 55122 I Date Received: Phone: (651) 675-5675 j Fax: (651) 675-5694 I Staff:- 2010 COMMERCIAL PLUMBING PERMIT APPLICATION Date: Site Address: 30~ ov\ MAI-1C Ave- I~raS~~ MN 575-) TenantA6,-f wod j ccL,,r-r -Shapp; ti\ GL,4-e-,l" Suite PROPERTY rn t /~2 OWNER Name: M ` d Aw`c-f :'p, Phone: -70 cc Q Q CONTRACTOR Name: A rv,-N o t- e- License Address: % Q I O I `t I ( CP C 5 City: V kA State: MVJ Zip: 551 Phone: CS) 633 ~ C' Email: TYPE OF -New _Replacement _Repair /Rebuild _ Modify Space _ Work in R.O.W. WORK Description of work: COMMERCIAL PERMIT TYPE _ New Construction Modify Space _ Irrigation System yes / _ no) X 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: $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 Fee is less than $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ 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.or-q 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 the work in accordance with the approved understand this is not a permit, but only an application for a permit, and work is not to start without a rFft, plan in th ~Ase ofywork which requires a review and approval of plans. x / ' q 02 E) Applicant's Printed Name plicant's ignatur FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PRV Required: _ Yes No Page 1 of 3 X13 7? 2007 COMMERCUL 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 • Structural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) " • Project Specs (1) • Spec Insp & Testing Schedule (1) •• • Soils Report (1) • Meter size must be established • • • SAC determination -call 65"02-1000 • 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) " • Electdc Power & Lighting Form (1) " • Project Specs (1) • Master Exit Plan (1) • SAC determination - call 651-602-1000 • Fire Stopping Submittals • Fire SuppressiontAlarm Form • Meter size must be established tai a? why. • 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 651-201-4500 for details regarding food & beverage or lodging facilities. •• Contact Building Inspections to see if it is required and for a sample. "• Permit for new building or addition will not be processed without Emergency Response Site Plan. D 03 / 15 / 01 ?50 . Construction Cost 120 ate 1 Site Address 3Z50 Pern•-+c,'rl? KFVe-- UniUSte # 10? Tenant Name Iy1a SS ?.e EKVtJ Former Tenant Name V/a.. 0c )J9- - JJea t G'I?a Description of Work rSl r 4r- 1. - ?l . PropertyOwner / 1( fa Ct 2JcXo (2o Telephone#((oIZ )9?4S -I000 r Applicant is: _ Owner Y Contracto Contact #: (952) Qj9 q,,??i(D"1 Contractor T:7 ' ' 41Qr ?y? { ?QrSO . ?Dv?s c? rrr Address f.)'4 ? W 12?1? s? City Sava State D?? Zip CjS S 7? Telephone # (q52) S? ) - 43c.y Arch/Engr ( /-714y I ? 15 w? 1 S>? ,l Registration # Address Z,?j3 0&q " L ? ,r 2-1 O City S State M rV1 Zip 156qol Telephone # ((,1-74 - Z2 no Licensed plumber Installing new sewerhvater service. ZI ONWZFZ? Phone #: I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; mai me wort, win vc L• 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 work will be in ace rdance with the approved plan in the case of work which reg1uiresl alreview and approval of plans. / E car 9AR:? Applicant's Printed Name AppWant%-Signature DO NOT WRITE BELOW THIS LINE Sub Types 01 Foundation 26 Public Facility 30 Accessory Building 14 Apartments X27 CommerciaUIndustrial 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. ? 4 2 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration. ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition Building - Give PCA handout to applicant 11 0.0 Z )0,10- Valuation Type of Const 06 Wdth Plan Rev 100% ? 25%_ Occupancy MCES System SAC Units -0 r Zoning_ City Water Nbr. of Units G Stories Booster Pump Nbr. of Bldgs I Sq. Ft. 2 X73 PRV Fire Sprinklered_ Length Required Inspections - Footings (new bldg) - Fireplace - R.I. _ Air Test _ Final _ Footings (deck) - Insulation _ Footings (addition) _ Sheetrock Foundation Final/C.O. _ Drain Tile _ Final/No C.O. _ _ Driveway Apron _ Other Roof _ Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing ng - Siding _ Stucco Lath _ Stone Lath -Final Windows _ / No Final CIO Inspection: Schedule Fire Marshal to be present. Yes " Approved By: Planning Building Inspector ----------- ----- - - -- ---- ---------- Base Fee r ?L • 7? Surcharge to t7 ' ?b Plan Review ? b$ • 7? SAC-MCES SAC-City S1W Permit SIW Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) Financial Guarantee Storm Sewer Trunk Sewer Lateral Sewer Trunk Street Water Lateral Water Trunk Other Total 20/2 .0 SUN-10-2004 01:328 FROM: 70:6755694 P.1 .?? 2007 COMMERCIAL BUILDING PERMIT APPLICATION ?' SI 5 ??r City OfEagan 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., o[A p, Civil Plans (2) Certificate of Survey (1) Code Analysis (1) " Project Specs (1) Spec Insp & Testing Schedule (1) - Soils Report (1) Meter size must be established 1 l t 1 1 1 SAC determination - call 651.602-1000 • Certificate of Survey (1) • Structural Plans (2) • Architectural Plans (2) sets v% HVAC units req'd. on bldg elev. /site plan • Civil Plans (2) • Landscaping Plans (2) • Code Analysis (1) - • Energy Calculations (1) " • Emergency Response She Plan (1) • Spec. Insp. & Testing Schedule (1) « • Electric Power & Lighting Form (1) " • Project Specs (1) • Master Exa Plan (1) • SAC determination - call 651-602-1 000 • Fire Stopping Submittals .• Fire Suppression/Alarm Form • Arcnneaurai riena rq sors • Code Analysis (1) « • Pro1ect5peeg"' (1) . Key Plan `?`'° (t) • Master Exit Plan (1) • Energy Calculations (1) not always- . Elec. Power & Lighting Form (1) not always- . Meter size must be established-if applicable l L 1 1 1 • SAC determination -call 551 602-1000 • nneter size must De astaoasnea Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilities. T44 rf 5Ft°.?- O 4u e0'77o/-' •• Contact Building Inspections to see if it is required and for a sample. CxaM ? jrar1 a 1VADC Ave % * •• Permit for new building or addition will not be processed without Emergency Response Site Plan. 1 Date frf l 07 Construction Cost .1 2000' an Site Address 725- PFfV14A-9K-A1Jr- nl unit/S te # log Tenant Name CLO AN rv pR tC5> Former Tena at Name Description of Work P14i/'r r 4 b 5714 (-LA'ny" J OF lZO,tL _ ?UUYI rC Property Owner A--LlAHCE peu4-1L-?f'4 NT Co, Telephone#(612) Do0 33g- t Applicant is: -J Owner _ Contractor C tact #: (65f) 2Y 3`42-3, _ C E L-<- n Contractor ?bt?o-`? ?1 I? t U I ?SS Address City State Zip Telephone # ( } Arch/Engr Registration # Address City State Zip Telephone#( ) Licensed plumber installing new sewerlwater service: Phone #: ereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in tformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand a Eat igpet f tlication for a permit, and work is not to start without a permit; that the work will bejn accordance with Jre)'J'V6 rk which requires a review and approval of plans. A/ _ , /Cer7H r1uNc applicant's Printed Name AUG 14 2007 .'ow DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 26 Public Facility ? 30 Accessory Building V27 Commercial/Industrial ? 32 ExtAlt-Apartments ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon 12111" 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 PCA handout to applicant Valuation .0 0 OPG40 Plan Rev 100% t/ 25%_ SAC Units ?- Nbr. of Units `-? Nbr. of Bldgs `--'^ Fire Sprinklered Required Inspections Footings (new bldg) - Footings (deck) Footings (addition) Foundation _ Drain Tile Driveway Apron _ Roof _ Ice Pr _ Decking Framing it otx" dr Type of Const 5s Width Occupancy M MCES System Zoning City Water Stories Booster Pump Sq. Ft. '- PRV ?- Length : - Code Edition ?OOIe _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Sheetrock _ Final/C.O. _ Final/No C.O. Other _ Insul - Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding _ Stucco Lath - Stone Lath _ Final Windows _ Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes - No Approved By: J? Planning vim, Building Inspector Base Fee Surcharge Plan Review SAC-MCES SAC-City SIW Permit SM Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) '18.7 /. Od 51, 11 Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total Sewer Trunk Water Trunk JUN-10-2004 01:32R FROM: ? TO:6755694 CAL- =-,A tit 37-s° c5J1TIF 6004 A, 1&XMIT "A" Site Plan of the Demised Premises I ?'/ / / if J 13 ? ? / r 01 1 I I r I I I JC'/I. key 122209 33 P.3 At I 'PA-e's S ve 'J'0' /06 s9 Z 1 r,.d aE W n n , W )'?? J {DUNOiYnoi?/MMrr ONL y 7s 5-?7 2006 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 a82? . 7S_ ?.Q LDI?6 • 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 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 651-602-1 000 • Fire Stopping Submittals MN Dear of Health at 651-215-0700 for details or lodging • Architectural Plans (2) sets • Code Analysis (1) " • Project Specs (1) • Key Plan (1) • Master Exit Plan (1) • Energy Calculations (1) not ahvays-- • Elec Power & Lighting Form (1) not always- • Meter size must be established-if applicable 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 8 / lb /. uo-_ Construction Cost s OUO Site Address 32S O Dr:w ritke-K- A-yf- _ Uni t/Ste # Tenant Name WRTH WBOCS CCUAT kCTWtL LTK Former Tenant Name N?K) L,o4- 2, Bloc ! A - pp Description of Work + Rouwb UD mIrA) "IL CENTE(Z Property Owner ,iZCLA8Q(E bF;JC.uPr Q,1-r Telephone # (1017. ) - Wo Applicant is: _ Owner Contractor Contact #: Contractor FFIWUE& PI{TIV_ S J 11"S1(?.,yrnUiJ 9w ANA Address q°u21 W. 12-1 " SF. City 'tilw State MN Zip %$-ro Telephone Arch/Engr ,r,4L • Registration # D-1p, PPQA\TEi-rQP G 1744A Address • _? wfrj? N1lriU r" i ,1.+ • N 51) I1F 2-10 City /yUM IJE?IPoUS State M? Zip 6 I Telephone #((91Z- ) ( 0'(D- z?Vd V05f U+,' r' ( '-7-63 - `19-4 Ns 3? 'pt?r `'s it, t;;id . , ... ,v. .? cur Nd.} ? Licensed plumber installing new sewer/water service: 4x? - - -n - +?+ (i}( I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be 2conformance 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. t?,?(IAN 'EAPLAW Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments 2"?27 Commercial/Industria l ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon W Ilk 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 /0 000 ?.o Y 8 ) Valuation Type ofConst Width Plan Rev 100%_ 25% _ Occupancy M MCES System SAC Units 3 Zoning A0 City Water Nbr. of Units O Stories Booster Pump Nbr. of Bldgs Scl Ft / ait 7/4 PRV Length Fire Sprinklered Required Inspections _? Footings (new bldg) - Fireplace _ R.I. _ Air Test _ Final Footings (deck) - Insulation _ Footings (addition) / _ Sheetrock Foundation V _ Final/C.O. _ Drain Tile _ Final/No C.O. _ Driveway Apron _ Other Ice Pr Roof Decking Insul Final - Pool _ Figs _ Air/Gas Tests _ Final _ _ Framing - - Siding _ Stucco Lath _ Stone Lath _ Final _ Windows Y ? N Final C/O Inspection: Sch o es edule Fire Marshal to be present. _ Approved By: P 1) . Planning Cmro_ Building Inspector ----- ------------ --------- ----- Base Fee --- ---------------- ---------- ---- - - --- ?S/ Z -- --------- ----- --i----s,----- ---------- ------- ------- ---------- -- T Tyr 1 • vU?/l1Di? d/V?vJ Surcharge S / Plan Review bd SAC-MCES ?f L SO . 0-y SAC-City 0 d • b-tl SM Pennit AA SM Surcharge o 6,0 Treatment Plant ?9 G8 • e D Financial Guarantee Treatment Plant (Irrigation) G ' ba Storm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Trail Dedication Street - Water Quality -? Water Lateral Water Trunk Water Supply & Storage (WAC) Other r?.y _ /x' _4?p 44wel pme, 4DIVOW/ r ' Total 7L- /5D9- 0 . = ( -7 ;* 8" 4- totem e" 14 2006 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 VS o. 79 • Structural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) " • Project Specs (1) • Spec. Insp. & Testing Schedule " • Soils Repoli (1) • Meter size must be established 1 1 J 1 J J • 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 651-602-1 000 • Fire Slopping Submittals • Fire Suooression/Alarm Plans Dept of Health at 651-215-0700 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-if applicable J 1 J J 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 0,0_ Construction Cost l ?Z OU?o t Site Address 325 0 (??N WIPcrZi[? Ik V£ _ Unit/Ste # Tenant Name W(ZTF{VWs CwKT h TWll.M Former Tenan t Name NJ? -em. &o ! W; s d • c vil . Description of Work [.I t)U l ? p ?1r1A? ?hCTu+IL CANTER - ?? ? , r' Property Owner Rte. N)(.c !JCUr.1.0wCP AT Telephone # (UM ) b 1000 Applicant is: _ Owner Contractor Contact#: Contractor pAIILSo l ?c5t1S?(?a1CC1u?1 ?QS Address qv* W. 17-`l ? tT y, City tm?_ - 'V State ( Zip %3-ro Telephone # (15Z) sit? - kift- , Arch/Engr 'IARC, \TSs1TiRE `t'4C. Registration# 1`7444 Address ?J33 Wetkwhoo 4J?, - N SOIr 20 City InINNE;0Uj State Ml? Zip 6 Telephone # ((yl?- (07(p^ 2760 Licensed plumber installing new sewerlwater service: DAttc D -RA& tJC? Phone #: ((JI ) 4?A - 6645 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 pennit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ??aN 1?A?,LP61C l?- Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types 01 Foundation G 26 Public Facility ? 30 Accessory Building G 14 Apartments ,' 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial n 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon W k Types 31 New ? j 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 Des/ Width O!0 Type of Const ? 8 Plan Rev 100% 1 . ???1 Occupancy P r MCES System SAC Units Vu&Wsrv (3) Zoning PD City Water Nbr. of Units Stories Booster Pump Nbr. of Bldgs Sq. Ft. 0 7 PRV Length Fire Sprinklered Required Inspections _ Footings (new bldg) _ Fireplace _ R.I. -Air Test -Final V _ Footings (deck) / Insulation _ _ Footings (addition) _? Sheetrock i l/C O Foundation F . . na _ Drain Tile _ Final/No C.O. _ _? Driveway Apron / ? _ Other Ice Pr t/Decking V/ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Roof _ Framing - Siding _ Stucco Lath _ Stone Lath - Final Windows _ % //N o Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes Approved By: M Planning ce&-6-Tuilding Inspector ------------------------------------------------------- - - --------------------------- ---- -- - 3 bi:3 • ,S0 Base Fee Surcharge 5,0 G ' " Plan Review 3 `a/ - LB SAC-MCES L?OLGf? D SAC-City CDU6tX YID SIW Permit C0LlG7'bD 4 S/W Surcharge Treatment Plant Financial Guarantee Treatment Plant (Irrigation) n Storm Sewer Trunk Park Dedication -' Sewer Lateral -? Sewer Trunk Trail Dedication Street Water Quality -? Water Lateral Water Trunk Water Supply & Storage (WAC) Other ??? ?TYn ?t*7Vd 5A-ft? Afj`C51T> Total 9 PV0 • 77 Metropolitan Council u September 5, 2006 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Northwood Court Retail Center to be located at 3250 Denmark Avenue within the City of Eagan. This project should be charged 3 SAC Units, as determined below. The Council understands this building is speculative retail. SAC Units Charges: Retail (speculative) 9553 sq. ft. @ 3000 sq. ft./SAC Unit 3.18 or 3 When the finishing permits are issued, the SAC assignment should be reviewed based on actual usage. If you have any questions, call me at 651-602-1378. Sincerely, Jessie Nye SAC Technician Environmental Services Division JN:kb: 060905A3 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Bryan Barlage, Fendler Patterson Construction _.1 r) 7 ?Cl" w .rretrocouncil.org 390 Robert Street North e St. Paul, MN 55101-1805 • (651) 602-1000 • Fax (651) 602-1550 • TTY (651( 291-0904 Au Equal Oppoaun¢y Employer City of Eapn Pat Geagan MAYOR Peggy Carlson Cyndee Fields Mike Maguire Meg Tilley COUNCIL MEM13ERS 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 TREF The symbol o strength and grow f in our community August 28, 2006 John Patterson Fendler Patterson Construction 4839 124th Street Savage, MN 55378 RE: NORTHWOOD COURT RETAIL CENTER 3250 DENMARK AVE Dear John: 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 items checked below be addressed: 2 sets Architectural Plans 2 sets Structural Plans 2 sets Civil Plans 2 sets Landscaping Plans 1 Code Analysis 1 Certificate of Survey 1 Spec. Structural Testing & Inspection Program Summary Schedule Fire Stopping Submittals Other 1 Project Specs 1 Energy Calculations 1 Electric Power & Lighting 1 Master Exit Plan 1 Emergency Response Site Plan --+ 1 MC/ES SAC determination letter 1 Soils Report Fire Protection System Plan Review if you have any questions regarding the above items, please feel free to contact me at 651-675- 5683. Sincerely, n J. Craig Novaczyk Senior Inspector Cc Mary Pow, DJR Architecture, Inc. JCN/jh August 28, 2006 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 OAK TREE The symbol of strength and growth in our community. John Patterson Fendler Patterson Construction 4839 1241h Street Savage, MN 55378 RE: NORTHWOOD COURT RETAIL CENTER 3250 DENMARK AVE Dear John: 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: ?-Y The City of Eagan did not adopt Chapter 1306 of the Minnesota State Building Code (MSBC) for the 2003 code. ?2' The current delineation of tenant spaces as M occupancies will require separate toilet room facilities for each space per section 2902.2 of the 2000 IBC. The table provided in Chapter 1341.0403, Item E, sub item 1 of the MSBC shows that if 59 parking spaces are provided for this project, then three accessible parking spaces would be required. One of the three spaces shall be van accessible. 0 Provide details for accessible parking signage. ,5? The grab bar installation detail, BI on sheet A400 shall comply with 1341.0448, subpart 4 of the MSBC. Provide an enlarged detail for your typical toilet room showing the required clear floor spaces complete with dimensions. Provide a detail showing the fixture height requirement for the accessible water closets. Please feel free to call 651/675-5683 with any questions you may have regarding this letter. Sincere J. Craig Novaczyk Senior Inspector cc: Mary Pow, DJR Architecture, Inc. Dale Schoeppner, City of Eagan Chief Building Official JCN/jh 161 3 ME M0RA:NDUM` .,. 3 -` ro n i': it}?• I?? tP1Ii-; :ii9a -=,?tr _. .,kw". ?. ,,"x'- .ryi ? 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, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS DAVE WESTERMAYER, ENGINEERING TECHNICIAN FROM: CRAIG NOVACZYK, SENIOR INSPECTOR./ DATE: 08/25/2006 RE: PLAN REVIEW - NORTHWOOD COURT RETAIL CENTER 3250 DENMARK AVENUE LOT 2, BLOCK I (WINGS ADDITION) 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 ? Yes ? No PRV Required Signature 419 ZONING? METER SIZE Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 ¢ y.*" ia{ET £'?E :A ,-.ty ....,.11': t. ,,... -.. .•`v.'ttt ?.i:c'H%ll'ff:Y( ?, ?.. u .. 'S_ ? .. ;;? EMORAN`DLIM M .kr ''tas. ' .. l t # "T 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, CITY PLANNER e/ PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS DAVE WESTERMAYER, ENGINEERING TECHNICIAN FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: 08/25/2006 RE: PLAN REVIEW - NORTHWOOD COURT RETAIL CENTER 3250 DENMARK AVENUE LOT 2, BLOCK I (WINGS ADDITION) The plans are in our plan review section for your review and comment. #19 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: q?cd:;C4 -I &A Indicate any fees that are to be collected with the ;( Yes ? No landscape security required ? Yes - 1 No water quality dedication ? Yes No park dedication ? Yes 8:?No trail dedication ? Yes ? No tree dedication ? Yes No PRV Required Signature CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N irding permit: AMOUNT ZONING? METER SIZE 101 ?g /oo_ Dat? REVISED 9- 02 44 F M:EM,QAeND,UI_M_:€ .jj C - r=, = i _ .._ ._:: .1:.....: v nr- 4' A 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 t101 KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS DAVE WESTERMAYER, ENGINEERING TECHNICIAN FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: 08/25/2006 RE: PLAN REVIEW - NORTHWOOD COURT RETAIL CENTER 3250 DENMARK AVENUE LOT 2, BLOCK I (WINGS ADDITION) The plans are in our plan review section for your review and comment. #19 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: ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes [it' No PRV Required gnature ZONING? METER SIZE Iv -/7-off Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9-02 Indicate any fees that are to be collected with the building permit: r _ AMOUNT MEMORA-"NDUIVI 3 #19 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, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST ? SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS DAVE WESTERMAYER, ENGINEERING TECHNICIAN FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: 08/25/2006 RE: PLAN REVIEW -NORTHWOOD COURT RETAIL CENTER 3250 DENMARK AVENUE LOT 2, BLOCK 1 (WINGS ADDITION) 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 ? Ye ? o V Required Signature ZONING? METER SIZE - gV Dat CD/FORMS/BLDG rNSP/PLAN REVIEW CRAIG N REVISED 9-02 T, t 1 1 a 9 r °9ll-rn` MEMORAN1)X'M1 #19 TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER we JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS DAVE WESTERMAYER, ENGINEERING TECHNICIAN FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: 08/25/2006 RE: PLAN REVIEW - NORTHWOOD COURT RETAIL CENTER 3250 DENMARK AVENUE LOT 2, BLOCK 1 (WINGS ADDITION) The plans are in our plan review section for your review and comment. ,PI, i t 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 ZONING? METER SIZE (?' Z ?"-off Date INSPIPLAN REVIEW CRAIG N REVISED 9-02 1 ?2 VA 'M UM O R A=1st?D?U MI 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, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS DAVE WESTERMAYER, ENGINEERING TECHNICIAN FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: 08125/2006 RE: PLAN REVIEW - NORTHWOOD COURT RETAIL CENTER 3250 DENMARK AVENUE LOT 2, BLOCK 1 (WINGS ADDITION) The plans are in our plan review section for your review and comment. #19 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 V, No water quality dedication ? Yes M 4o park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No PRV.Re uired ignat ZONING? METER SIZE gh g/cc Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 #19 TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT LEON WEILAND, CONSTRUCTION INSPECTOR to 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, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS DAVE WESTERMAYER, ENGINEERING TECHNICIAN FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: 08/25/2006 RE: PLAN REVIEW -NORTHWOOD COURT RETAIL CENTER 3250 DENMARK AVENUE LOT 2, BLOCK I (WINGS ADDITION) 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 ? Yes ? No PRV Required i ature e ORMS/BLDG INSP/PLAN REVIEW CRAG N ZONING? METER SIZE Date REVISED 9- 02 41? City of EapIl Memo TO: Dale Schoeppner, Building Inspections Scott Peterson, Building Inspections Craig Novaczyk or Mike Lence, Building Inspections Mike Ridley, Planning Carol Tumini, Utility Billing Dale Wegleitner, Fire Department Tom Colbert, Engineering John Gorder, Engineering Leon Weiland, Engineering Tim Pahr, Engineering Paul Olson, Maintenance Tom Struve, Maintenance Eric Macbeth, Maintenance Paul Heuer, Utilities Mark Anderson, Electrical Inspector FROM: Terry Zelenka, Building Inspector DATE: March 26, 2007 SUBJECT: Final Inspection For 3250 DENMARK AVENUE The Protective Inspections Division will be performing a final inspection at the above referenced property on March 26, 2007. If you have cause for not granting the Certificate of Occupancy, please submit a "hold request" to my attention. The person/department requesting a hold is responsible for notifying and resolving problems with the affected parties. CD/Bldg Insp//FOrims/Comm Bldg//Final Inspection For Updated 2-07 Fendier Patterson CONSTRUCTION 4839 West 124'°Street Savage, MN 55378 (Phone) 952-890-4364 (Fax) 952-890-2916 TRANSMITTAL LETTER TO: ROM: SUBJECT: Craig Novaczyk City of Eagan - Inspections 3830 Pilot Knob Road Eagan, MN 55122 Bryan Barlage Project Manager Northwood Court Retail Center- 3250 Denmark Avenue DATE: TRAN NO.: TO PHONE: TO FAX: SENT VIA: 08/31/06 0325 651-681-4675 651-681-4694 Mail COPIES: DATED: DESCRIPTION: ? Special Testing & Inspections Form SEP 0 1 2006 I A-n) 'C S e? Wjkrufba ACTION: For your use b' Q REMARKS: --J Craig - We have received your letter from August 28, 2006. Thank you for your review so far. I will be sending some of the additional items seperately. If you have any questions feel free to call me at 952-890-4364 Thanks - Bryan Barlage ? - 17 DISTRIBUTION COPIES SENT VIA By: Bryan Barlage L File Special Structural Testing and Inspection Program Summary Schedule Project Name NORTHWOOD COURTRETAIL CENTER___ _ Project No. Location EAGAN. MN --- Permit No. 1704.4__ j_ _ 1704.5-j ---- 1704.7 Description (3) Steel construction --Concrete constructiol Masonry - Constructior _--Soils _, Light Gau a Framinc Type of I Specific Rep, Inspector (4) Frequency Table 1704 3 2000 IBC TA --Table 1704.4 2000 IBC TA Table 1704.5. Assigned Firm - (6) - --- -- .of Geotechnical En ix- Note: This schedule shall be filled out and included in a Special Structural Testing and Inspection Program. (If not otherwise specified, assumed program will be "Guidelines for Special Inspection & Testing" as contained in the State Building Code and modified by the state adopted IBC.) • A complete specification-ready program can be downkroded directly by visiting CASE/MN at www.cecm.org' (1) Permit No. to be provided by the Building Official (2) Referenced to the specific technical scope section in the program. (3) Use descriptions per IBC Chapter 17, as adopted by Minnesota State Building Code. (4) Special Inspector - Technical (SIT); Special Inspector - Structural (SIS) (5) Weekly, monthly, per test/inspection, per floor, etc. (6) Name of Firm contracted to perform services. ACKNOWLEDGEMENTS (each appropriate ree?prees??ennttative shall sign below) Owner. 14?0& Date: ZS- _ Contracto' °=firm: Date: Archi ect: _- F rm: L1? - ' ,r __ Date: (? SSO G. _?t?? -?--- -l_t!sLO-&--- SER: _??eL_JL_?• _ _._--- Firm:. t91b2 Date: SI-S: --- ------ Firm: - Date: - ----- TA - -- -- - Firm: - - --- Date: - F: T- --? Firm: Date: If requested by engineer/architect of record or building official, the individual names of all prospective special inspectors and the work they intend to observe shall be identified as an attachment. Legend: SER = Structural Engineer of Record SI-T = Special Inspector -Technical TA = Testing Agency SI-S = Special Inspector -Structural F = Fabricator Accepted for the Building Department By Date: BCSD-PRD19 4/03 Special Structural Testing and Inspection Program Summary Schedule Project Name'NORTMOQD CGedRT RL%41L CENTER .._ Project ko. Location EAOBN... _ .. _ . _ _ .?. Permit No. TecMicd.,•(2)-.----• Type of Specific Report Assigned Saakion - Description (3) Ins eencY tiile_? Peclar (4) Fc qu 11704.3 Steel construction TA Tocle 3704,3 of `-------- - -- -_ - - ---? 20e0 Isc, 1705.4 Cercrete con5frudion TA Table 1709.4 of __-?,.___ ..---.._-'-- -------- - - - 2000 IBC 1705.5 Masonry Construction TA Table 1704.5.1 of 2000 IBC 1704,1 Sines IA -er__soiis Report ._..._-- ? - - ? of Geotechri of En :.._,.__..._.._.. -LightGaugg. TA _ .._..-.------•SX • a I Note: This schedule shall be filled out and Included in a Special Structural Testing and Inspection NOW=. (H not otherwise specified, assumed program will be "Guidelines for Special inspection do Testing" as contained in the %ate Building Code and modified by the state adopted loc.) A ComplMa apd Moran mdy program ten ba d**Wud+ed &reetly by eiklinq CASE/NN at r -Cacm.erg! SER: Dote: 51-S: Firm: (late: LL - -- - - Fmr' J?R.Pttrk Cc 3?Ljq.?n t I-G Date: F _ - - - -°- Firm: _ ?. Date _. .e. - If requested by,sngineer/architect of record or building official, the individual names of all prospeative special" inspectors and the work they intend to observe stroll be identified as on attachment. Permit ft tp'tm provided by the OW ,1,09 Official Refsrengi ?4, the specific te4hnkoF-svxfpp sectdpq in the program, {J) Me.deacripti6ns per I6C Chopter i?f'? adapted by' Ninnesoto §tate Building Code. {{4) Special It1V*Asr - Technical (SIT . 5peclot Inspector - Strueturd (SIS) (b) Yfeeldy. MM*' . per test"Inspection, per lboe 16 (sJ Nome of FOM contracted to perform Servipas. r (each opprop" npm ntaliva a I'stgn bd") - Gm: L61'? conk irmt' el -y. Date: Archi e& Firm Date: f` Owner- Dale; f.egend: St3t Structural Engineer of Record SI-T - Special Inspector -Technical TA =Tasting Agency SI-S =Special Inspector -Structural Accepted for the Building peporement By _-,_ F - Fabricator Date: ----- -- 6CSD--PRO74-4/03 l Craig Novaczyk From: Jan Severson Sent: Thursday, March 29, 2007 10:29 AM To: 'bbarlage@fendlerpatterson.com' Cc: Craig Novaczyk Subject: FW: Northwood Court - Eagan Attachments: temp co.pdf Good morning, Bryan, Page 1 of 2 Your email was forwarded to my attention for response. Building permits are legal documents and once they have been issued, information such as owner names, etc. cannot be changed. A Certificate of Occupancy (including a temporary) is tied to the building permit and that information displays on the Certificate of Occupancy. I have had a handful of requests such as yours in the past, but to my knowledge, it has not posed a problem for anyone once they understand that the information on a Certificate of Occupancy is generated from a legal document at the time it was issued. I hope this answers your concern. Sincerely, Janice D. Severson Office Supervisor City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 651-675-5671 From: Craig Novaczyk Sent: Thursday, March 29, 2007 7:57 AM To: Jan Severson Subject: FW: Northwood Court - Eagan Jan, Apparently this building has changed owners since the permit was originally pulled Is there any issue with making the change? If not here is the new information. Thanks, Craig Novaczyk Senior Building Inspector Office 651-675-5683 03/30/2007 Page 2 of 2 Fax 651-675-5694 cnovaczvk cit ofeagan.com From: Bryan Barlage [mailto:bbarlage@fendlerpatterson.com] Sent: Thursday, March 29, 2007 7:53 AM To: Craig Novaczyk Subject: Northwood Court - Eagan Craig, Wondering if you can help update your records. The owner is listed incorrectly on this temp CO Correct information. Owner: Reliance Development, LLP 527 Marquette Ave. S. Rand Tower Suite 1000 Minneapolis, MN 55402 Ph: 612-338-1000 FX:612-338-8971 Thanks, Bryan Barlage Project Manager Fendler Patterson Construction 4839 W. 124th Street Savage, MN 55378 PH: 952-890-4364 FX: 952-890-2916 03/30/2007 f. Craig Novaczyk From: Craig Novaczyk Sent: Thursday, April 26, 2007 1:49 PM To: 'Bryan Barlage' Cc: Mary Granley Subject: RE: Northwood Court - Pylon Sign Location Hi Brian, Pagel of 2 Normally, if someone submits a permit application for a monument sign, we would combine the fees associated with the Code Enforcement departments review process (Mary Granley and staff) and the fees for the building code review and inspections process (i.e. structural plans & footing and foundation inspections). In this case your design was submitted with the shell building permit which was previously reviewed by the Building Inspections department. We will not charge you again for our review and related inspections. For Mary to complete her review process, she will need a revised site plan with landscaping details per her E-mail. We also need a copy of sheet S5 to complete the information necessary for issuing the sign/building permit. If you have any questions feel free to call me. Thank you, Craig Novaczyk Senior Building Inspector Office 651-675-5683 Fax 651-675-5694 cnovaczykacityofeagan.com From: Bryan Barlage [mailto:bbarlage@fendlerpatterson.com] Sent: Thursday, April 26, 2007 11:00 AM To: Craig Novaczyk Cc: Mary Granley Subject: FW: Northwood Court - Pylon Sign Location Craig, I believe the building permit review noted by Mary Granley below was taken care of under the original building permit was it not? Let me know, I'd be happy to submit the arch and structural drawings separately. I am dropping of the pylon sign permit application today. Thanks. Bryan Barlage From: Mary Granley [mailto: MG ran ley@cityofeagan.com] Sent: Friday, April 13, 2007 11:24 AM To: Bryan Barlage Cc: Mike Ridley; Pam Dudziak Subject: FW: Northwood Court - Pylon Sign Location Bryan, Based on the easement drawing for the road and bridge design for Northwood Parkway, relocating the sign as you depicted in EXH1 and EXH2 is fine EXCEPT that you would need to maintain the standard 10' setback from the property line, out of the drainage and utility easement area. In addition, the landscaping proposed at the base of the pylon in the original set of plans should be moved to the new pylon sign location. This would include 14 Gold Flame Spirea and 6 Sea Green Juniper. If you send in a revised landscape plan for that small area indicating the change that would be good. 04/26/2007 Page 2 of 2 I see that the design you submitted depicts an open area below the sign surface area between the two stone pillars. The original approved plan was for a utility brick facing to be in between the pillars. What is the reason for eliminating the brick facing? Pylon sign approval requires both a sign permit and a building permit. The building permit is reviewed by the building inspector and requires engineered drawings of the footings, and a footing inspection. You can access the building permit application at the following web address: htto://www.ci.eagan.mn.us/upload/images/Build_Insoections/Permits/Buildino%20Permit Comm odf We will review your applications asap. Please submit your application materials and we will proceed from there. Thanks Bryan, Mary Granley Sr. Code Enforcement Technician City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Phone 651-675-5690 Fax 651-675-5694 cityofeagan. com mgran Iev(a) From: Bryan Barlage [mailto:bbarlage@fendlerpatterson.com] Sent: Thursday, April 12, 2007 4:06 PM To: Mary Granley Subject: Northwood Court - Pylon Sign Location Mary, Attached please find the owner's desired location for the pylon sign after moving it due to the future construction of Ring Road. Can we plop this thing in where shown? As mentioned the owner is hoping for a little room for negotiation from the city since they gave up their original location for this sign in an effort to help the city out. Please let me know your thoughts. I have the sign application ready to go. I've also attached the final design of the sign(Seet A400). If possible we would like to start with this as early as next week Monday or Tuesday weather permitting. Thanks Mary! Bryan Barlage Project Manager Fendler Patterson Construction 4839 W. 124th Street Savage, MN 55378 PH: 952-890-4364 FX:952-890-2916 04/26/2007 Page 1 of 3 Craig Novaczyk From: Pam Dudziak Sent: Friday, October 13, 2006 2:57 PM To: 'David Stradtman'; 'John Patterson' Cc: Craig Novaczyk; John Gorder Subject: FW: Northwood Court David and John, I received the following comments from Engineering regarding their review of your plans for building permit. Please contact John Gorder directly if you have any questions about this information. Pam Pamela Dudziok Planner, City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Ph: 651-675-5691 fax: 651-675-5694 From: John Gorder Sent: Friday, October 13, 2006 2:47 PM To: Pam Dudziak; jpatterson@fendlerpatterson.com' Cc: Craig Novaczyk Subject: RE: Northwood Court OK on the easement, but I'm also waiting for revisions to the utility plan, specifically to the water service. The plan should be revised to show the water service directly connecting to the building on its west side, without the unnecessary water line around the north and east sides, and without a hydrant and a PIV. The utility plan should also have "City Project No. 06-BP-L" on it. Once I receive these revisions, I'll sign off on the permit. Please contact me with any questions. John Gorder, P.E. City of Eagan Assistant City Engineer 3830 Pilot Knob Road Phone: 651-675-5645 Fax: 651-675-5694 jgorderCacityofeagan.com From: Pam Dudziak Sent: Friday, October 13, 2006 2:29 PM To: John Gorder Subject: FW: Northwood Court John, Please review this building permit and provide comments to Craig. They are waiting on just you and me. Please see my message below to John Patterson regarding the easement. Bob Bauer wrote into the PD Agreement that the easement must be provided within 120 days of executing the PD Agreement, but 10/16/2006 Page 2 of 3 we don't have to have the easement signed sealed and delivered before releasing the building permit. Thank you, Pam Pamela Dudziak Planner, Crfy of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Ph: 651-675-5691 Fax: 651-675-5694 From: Pam Dudziak Sent: Friday, October 13, 2006 2:17 PM To: 'John Patterson' Cc: 'David Stradtman' Subject: RE: Northwood Court John, The zoning review of the building permit has not been completed as I have been finalizing the PD Agreement before starting on the building permit. I know our Inspections and other staff have been working on their reviews for the building permit, but I do not know where they are at in the process or if there is anything else needed besides my review for zoning compliance. I will get on that next week. The PD Agreement is complete. I printed out the four originals today and am getting the City Attorney and City Planner's signatures before sending them to Reliance for their signature. I thought we needed to complete the right-of-way easement agreement for the new bridge intersection first, but after consulting with the City Attorney, we will require only that the easement be provided within 120 days of execution of the PD Agreement and before a certificate of occupancy is issued. The Public Works Director has indicated that he expects the easement will be ready near the end of November, so that should not be a problem. Please send me a full-size copy of the latest landscape plan (revised 9-26-06) for the file. I only have the 8.5" x 11" PDF version which I used for the exhibit in the PD Agreement. Please let me know if you have any questions. Pam Dudziak Pamela Dudziak Planner, City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Ph: 651-675-5691 Fax: 651-675-5694 From: John Patterson [mailto:jpatterson@fendlerpatterson.com] Sent: Friday, October 13, 2006 10:01 AM To: Pam Dudziak Cc: David Stradtman 10/16/2006 Page 3 of 3 Subject: Northwood Court Good morning Pam, Where do we sit with permitting, financial guarantees, and plan review comments. It appears we may look to get started on Wednesday of next week on this to get the parking lot in yet this fall. Also, Has the development agreement been sent to David yet for Reliance to record with the County? Thank You. John Patterson, Vice President Fendler Patterson Construction, Inc. 4839 West 124th Street Savage, MN 55378 952-890-4364 952-890-2916(fax) www. fen d lerp atte rson. co m patterson (cafe nd I erpatterson.com 10/16/2006 2007 COMMERCIAL MECHANICAL PERMIT APPLICATION /; 5` 50 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: contmercial/industrial buildings 't no a wired fore h dw fin unit multi-farad buildings when separate ermi s ar e Dated/ _./?7 Unit # Site Street Address Tenant Name (if applicable) y71 M.M. ?0 n' S Previous Tenant Name Property Owner Telephone # ( ) /1y\ I(ild Contractor rZ Z F ?? ?.C.I Ij'1 L LL)) Street Address ?? 704 8?7n 7uy ? City E,G1v2191 Zi 0 Telephone# (-1&3 ) LL?,GJZ6 p State 0 ? Bond #• Expires: The Applicant is Owner Contractor Other Work Type New Construction Interior Improvement _ Install Piping _ Processed _ Gas Under/Above ground Tank _ Install _ Remove _ When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Nature of Work: S ?! ;- Permit Fees $70.50 Undergiound tank installauonlremoval $50.50 Minimum (includes State Surcharge) or Contract Value $ /V, s/YJ B x 1% /1q 'Y- Permit Fee g • SG State Surcharge To calculate surcharge If Permit Fee is less than $1,000, surcharge is 50 cents. 50 I U L- If Permit Fee is> $1,000, surcharge increases by $. ('I, U for each 51,000 Permit Fee (i.e. a $1,001-52,000 Permit urchar e) i $ 1 00 6 LUU f g . s res a . Fee requ S /? ?• SO Total Fee the nramanres and I hereby acknowledge that this information is complete and accurate, that the wurra wur uc In -1- 1 - --- --- --- 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. e-, V?7 14L, Applicant's Printed Name Applicant's Signature Approved By: , Inspector uate: Required Inspections: _ U.G. R-1. _ Air Test as Service Test _ infloor Heat Final jj &lb 4?8f 0". -o 2007 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 0' I b' d ??- Please complete for: commercial/industrial buildings Telephone # 651-675-5675 P . I Lt"' ,' tt n" ?+1 multi-family buildings when separate permits are not required for each dwelling unit e 1rlR r-V Date T / 1-5- 1 t)-7 ? (? M nR Site Street Address 3[ y ? J f) ? U Y'_ P ' ? nit # 1b? t ? f '? I[ 1 Tenant Name (if applicable) i ni ` -sn1 I Previous Tenant Name Property Owner Telephone # ( ) 1 , ?,? p ? t M E UAfi meft Contractor r - _ ^ ? c ? ._ [? P,,x 3 c p r 1 ? Street Address 1 1J W I? City r ?- ? ) 1a ` M Zi t St I- ( hone# Tele p a e p Bond #: Expires: The Applicant is Owner Contractor Other New Construction Interior Improvement Install Piping _ Processed -Gas _Exterior HVAC Unit** New - **HVAC units must be screened Install _ Remove Under/Above ground Tank _ _ When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Nature of Work: Permit Fees $70.50 Underground tank installation/removal S50.50 Minimum (includes State Surcharge) Contract Value $ x I% _ $ Permit Fee $ . d" State Surcharge To calculate surcharge If Permit Fee is less than $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 $1,00142,000 Permit Fe e req uiims a $1 surcharge). $ ??7 e re? (JL Total Fee I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan 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 wi [he approv plan in the case of work which requires ?a review and approval of plans. 1- Applicant's Printed Name Approved By:? Inspector ? Date: D Required Inspections: _ U.G. ? _ Air Test ? /' Gas Service Test - Infloor Heat Final D AY 1 8 2007 i17X'5?3 . '5?),5n 2007 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan / 3830 Pilot Knob Road, Eagan MN 55122 / C --v Telephone # 651-675-5675 Requirements: 2 complete sets of drawings and specifications U? C! ent cheetc on mnterink and rmmnnne.nis to he used Date .5 / /`f / 07 Site Address: Tenant / Building Name: &VIaee r V /L. ^ N4Y7954200d e0 kr1 / The Applicant is: _ Owner X Contractor Other PROPERTY OWNER Address: City: ??JJ?? L State: Zip: CONTRACTOR JFfJ' eVf) ?/P ll? le- or/a-m MN License #: Address: 7r7? - t Atk-, ,Jfe //0 City: AelMO a % State: /1/ A Zip: 55! CAL/ Phone #: ESTIMATED COMPLETION DATE: O/0 / FIRE PERMIT TYPE: X Sprinkler System (# of heads Fire Pump _ Standpipe Other: WORK TYPE: New Addition Alterations /\ Remodel Other: DESCRIPTION OF WORK: Commercial _ Residential _ Educational _ Other: D ? MAYS 200( Please continue on next page PERMIT FEES C, Contract Value $ 1150. x .01 = $ 50. 04 Permit Fee $50.00 Minimum $ . 54 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: S Jct. 50 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. ?a vh ?? es Aw ? Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE r q ?, REQUlItED INSPECTLONS Div k, , ?I,'d1n.T$$ ;;tIIIkIglTl ?{ m 'AJ P;np1 ls? 1, :1 Ptimptest? ' €enttl Statto PmaT CondmonsFof Issuance 1m?-', R% t{. i .. W IIo "t}j i a ;, X111 ?[,i, . i -Permtt?ipprov? by - ? ? '? 7 7 o 33 2007 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 Act_A, 74_c(.7G Site Address 3?,j C7 ??I•rN?.o-?R? AVE Unit4 it t Tenant Name sc •? ?4 Former Tenant Name 11 AA `` Property Owner pc ?l Telephone#( ) Contractor rr r Address 3755- (/( - ` i Mnf an wt/E City .S J ??r13,•-?-r 1 State S? PA-) 1 zip ,5-iS/Q3 Telephone #( License # `//57 RJR Expires: 1 a ?3 i?o 7 The Applicant is Owner _ Contractor Other Work Type _ New Bldg _ odify Space -Irrigation System** -Yes _ o Work in public r-o-w / easement? _RPZ _ PVB: New _ Repair/Rebuild _ Replace _ Remove Rain sensors are required on irrigation systems Ear ??-?'v'S Description of Work J%j To inquire if Pressure Reducing Valve is requir don new service. call 651-675-5646 Meters - Call 651-675-5646 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" meter $174.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers Yes - No PRV Required - Yesf _ No Permit Fee $50.50 minis u n7(incSState Surcharge) (includes Contract Value $ x Ion Permit Fee g Meter(s) Radio Meter Read Required on all new buildings & boulevard irrigation systems $ $ J " State Surcharge If Rcra t fee is less than $1,000, surcharge is $.50 If permit fee is more than $1,000, surcharge is $.50 for each $1,000 owed -_?-_ _-__------- Following fees apply when installing new lawn inigati vsm? ?/7 (? Water Permit Call the City's Engineering Department, 651-675-5646, for req ffk?a ?J L`.? $ r__ Treatment Plant APR 2 4 2007$ Water Supply & Storage $ State Surcharge Total Fee 1 hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurate; that Me work will be in conformance with the ordinances and codes ofthe 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 will) the approved plan in the case of work which requires a review and approval of plans Applicant's Printed Name Appl ant's Signatute 6 r?.??uS?al / REQUIRED INSPECTIONS: CITY USE ONLY _.AirTest - Gas Test _ZRoughIn Final PLANS SUBMITTED APPROVED BY: : Ap BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read - $153.00 • 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 ureters include copper hom/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 $136.00 4-120 1-1/2" irrigation syst $ 855.00 displacement or turbine" Public Works maximum small commercial must approve continuous meter size 10 2-30 3/4" lawn irrigation $174.00 4-160 2" turbine large irrigation $ 1,063.00 maximum displacement residential system & continuous or production lines 15 small commercial 3-50 1" displacement large residential $219.00 1/4 to 160 2" compound bldgs over $ 2,018.00 bldg to 24 units 65 units maximum small commercial & continuous & large comm bldgs 25 irrigation systems 5-100 1-1/2" 25.64 unit bldgs $532.00 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 large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00 system & production & very large lines comm. bldgs 1/2-320 3" compound +200 unit bldgs $2,577.00 10-1000 6" compound +400 unit bldgs $6,623.00 very large very large comm bldgs comm bldgs 15-1000 4" turbine verylarge $2,533.00 6" turbo $4,090.00 irrigation systems & 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 651-675-5200. cc: Unlity Division Systems Analyst December 2006 A 00 ?f;e . ? q 2007 COMME CIAL MECHANICAL PERMIT APPLICATION City Of Eagan /1 f p f pv 3830 Pilot Knob Road, Eagan MN 55122 V` Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date/ 7 K E 25? ?/? 104 "1 OS 1 1 1 , Site Street Address Unit # / ' ? -7 Tenant Name (if applicable) ?- Tl_.1'? < T CPNC revious Tenant Name Property Owner Telephone # ( ) ? ? ? ? rn ? 1 T Contractor 1 LJr\ V t p , ?+ {{ S Add C Cit Lek n k 1k n6 treet ress y State MF) Zip Telephone# Bond #• Expires: The Applicant is Owner 1K Contractor Other rk Type W o Interior Improvement -Install Piping _ Processed -Gas -Exterior HVAC Unit** j` New Construction - **HVAC units must be screened Under/Above ground Tank _ Install _ Remove When installing/removing tank(s), call for inspection by fire Marshal and Plumbing Inspector Nature of Work: Permit Fees 570.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ 0 x 1% _ $ SV• Permit Fee $ , 50 State Surcharge i1'; C? IE r y/ E n calculate surcharge If If Permit Fee is less than $1,000, surcharge is 50 cents. IN ? A P R If Permit Fee is> $1,000, surcharge increases by $.50 i 2 7 2007 t for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Perm Fee requires a $1.00 surcharge). ? 4A r- $ Total Fee C) ? I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but onl an a ion for a permit, and work is not to start without a permit; that the work will be in accordance i e approve I i e cas of work which s??d approval of plans. require Applicant's Printed Name App cant's Signature Approved By: ?j lf? f-(' ? ?`7 U l U / , Inspector Date: Required Inspections: _ U.G. - R.I. - Air Test _ Gas Service Test _ Infloor Heat yFinal /0b? 2007 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings .,itt_f .nil buildi s when rat.., .mite ° not mnnirrd fnr each dwelling unit 1?5f>. -5d Date/ // © f7 Ave-- Site Street Address / 16 t4 W C5 or l.c r 4 Unit # Ab ? Tenant Name (if applicable) < C! (7L7r? r Z'LCC Previous Tenant Name Property Owner // Telephone # ( ) Contractor )a// /? ?? e ?' S v ? c- Street Address / 7?.?- 1--, ?-^ ?-?-r ?.? ?Z/?-? City 4C At &?2 State Zip S -5 69 -i-4vephone # 7W 'Z' 7 Bond Expires: The Applicant is Owner i,- (contractor Other Work Type New Construction Interior Improvement -Install Piping _ Processed I/Gas -Exterior HVAC Unit** **HVAC units must be screened _ Under/Above ground Tank _ Install _ Remove - When ??installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Nature of Work: ,/6/k t ?wz 62 10a -e Permit Fees 570.50 Underground tank installation/removal 550.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ 0. Permit Fee $ State Surcharge To calculate surcharge If Permit Fee is less than $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 $1,00142,000 Permit Fee requires a $1.00 srurdtaarge). $ f L/ Total Fee I hereby acknowledge that this information is complete and accurate; that the work will be to conformance wtu, urc u,uwummw a,.. 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 requu.res a review and approval of plans. ?j//? Z12 Applicant's Printed Name A cant's Signature Approved By: , Inspector Date: Required Inspections: _ U.G. R.I. - Air Test V (ias Service Test - Infloor Heat - Final 7 7 7412007 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 • Structural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) " • Project Specs (1) • Spec Insp & Testing Schedule (1) " • Soils Report (1) • Meter size must be established 1 d 1 1 1 l • 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 9 and • 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 detem ination - call 651.602-1000 Call MN Dept of Health at 651-201-4500 for details regarding food.& beverage or lodging facilities. ** Contact Building inspections to see if it is required and for a sample: *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 5 / 3 / _02 Construction Cost C-co Site Address 37 0 ??MA-l-?_- ALE Unit/Ste # /Mbes Tenant Name C"PLC-TE C_)Ae,4()(- Former Tenant Name Descriptio of Work ltJSil4ll. (fJ 12, IM- 6447-1TM? f?(110t 4S 5&-?k QnJ S ? tCT LtS Property Owner IUt??LC l??Cl D?V 1 Co. (L(? Telephone # (tA Z )? '(00 Applicant is: _ Owner Contractor Contact #: ( ) MAY 0 3 2007 Contractor 'fuiJaCA- (c) tJJ I Address 416M 124``- S?/ City w9E7C State 1k1.,? Zip S53 71b Telephone # (.352 ?gD '43169 Arch/Engr ?R ARC -? Registration # Addres s ? t tl 6S k ttJCII J f? t_ N J i m L( O City MPLS State M J Zip ?` o i Telephone # (CorL) &760 - Z 7 00 Licensed plumber installing new sewer/water 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. yeti L&L- 1, Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 26 Public Facility ? 30 Accessory Building i' 27 Commercial/Industrial ? 32 Ext Alt Apartments ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon / 13 35 I t I n mprovement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundati on) ? 45 Fire Repair ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors 'Demolition Building - Give PCA handout to applicant Valuation Jf ©©O - Plan Rev 100%_?? 25%_ SAC Units Nbr. of Units Nbr. of Bldgs Fire Sprinklered Ij 10h 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. 07? PRV Length Insul Final Final C/O Inspection: Schedule Fire Marshal to be present. Approved By: Planning AO,_ L- 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) a.so '6, 70 Fireplace _ R.I. _Air Test -Final _ Insulation _ Sheetrock Final/C.O. _ Final/No C.O. _ Other Pool _ Ftgs _ Air/Gas Tests _ Final - Siding _ Stucco Lath - Stone Lath _ Final _ Windows Yes V"'No Building Inspector Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total /?'72o Sewer Trunk Water Trunk 2007 COMMERCIAL MECHANICAL PERMIT APPLICATION ?,?yeW City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Y,`6 d4 XL 'EC?c, Please complete for: commercial/industrial buildings P) UV1S IU & 6+-? 6+ liv. l` 1 multi-family hnildinvs when senarote nerrmts are not required for each dwelline unit Al,AAd . .mil5c Date ? 6 Icn"?ll i Site Street Address 315 1-V U r S?U t I C l U Unit # J (J ?2- 0 I n Tenant Name (if applicable) T? P CY 5 Sci 1/ 0 4 Y c ? -22,( Previous Tenant Name ; Z + Property Owner /?Jj -j11 Me e., Telephone # ( `aS/ ) ? ?oS- ??? ? ^ ? V 4 w4` Contractor ° 5- zu ra / c A I OvtiC K L? 'I?fy1 df '^cc K e-- City f 4IH?d i v Street Address 4 State Zip -S?4 f? Telephone # (a b') S>c-0 - nl7/ -- Bond #: /4(c a 3 ac;? 3 Expires: 4± 0 <?O - 952 9 -7K- The Applicant is Owner Contractor - Other Work Type New Construction _ Interior Improvement _ Install Piping _ Processed _ Gas Under/Above ground Tank _ Install _ Remove _ When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Nature of Work: v I'-Ak f4sLav?a ?r^ t=1kaus' SkT-?erw l / re Syt?e^vt Permit Fees $70.50 Underground tank installation/removal $50.50 Minuntnn (includes State Surcharge) or Contract Value x !_ 1% 3 U Permit Fee $ ,5-0 State Surcharge To calculate surcharge If Permit fee is less than $1,000, surcharge is 50 cents. If Permit Fee is > $1,000, surcharge increases by $.50 APR 10200/ for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a$ 1.00 surcharge). Total Fee I hereby acknowledge that this information is complete and accurate; that the work will be in comormance wim me uruuwauoca auu 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 anld approval of plans. .? I?// 0 Q 1 Applicant's Printed Name Applicant's Signature - I ----------------- Inspector Air Test Gas Service Test Infloor Heat V Final Approved By: Required Inspections: _ U.G. ? R 1. `77(P55 2007 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 n '-7. 6? Requirements: 2 complete sets of drawings and specifications l?unln n mn{nr?n?n e?? h}C 1'!1 }1P IICPl? Date 07 3 5r b ? Site Address: ?/ ti /in Q r Y? l r Tenant / Building Name: The Applicant is: Owner Contractor Other 11 ? ?l c SQ PROPERTY OWNER e d L V0 Address: City: State: Zip: 0' 1? CONTRACTOR o r ?? XN License #: - dd qC ity:?, ? ress: A State: / Yl /1/ Zip: !?- S? tt L Phone #: ESTIMATED COMPLETION DATE: S / /,P-- / 0?'?- FIRE PERMIT TYPE: _ Sprinkler System (# of heads __) _ Fire Pump _ Standpipe _ Other: v.S 4e1D? 3S? G(d'r WORK TYPE: New _ Addition Alterations _ Remodel Other: / DESCRIPTION OF WORK: J? Commercial _ Residential _ Educational Other: Please continue on next page PERMIT FEES Contract Value $ x .01 = $ Permit Fee $50.00 Minimum $ 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: $ 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. ' Applicant's Printed Name Applicant's 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: 1 / / 0-7 Plans 2007 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 p ?+ _ Telephone # 651-675-5675 c6(- d o6. 1ep 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 (1) " • Project Specs (1) • Spec Insp & Testing Schedule (1) ** • Soils Report (1) • Meter size must be established l 1 l b l 1 • SAC determination - call 651-602-1000 ** Contact Buildir *** Permit for new at lodging • Architectural Plans (2) sets • Code Analysis (1) TM • 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 [ions to see if it is required and for a sample. or addition will not be processed without Emergency Response Site Plan. Date A / ?29 / 0-1 Construction Cost 501000 Site Address # (03 3?SD ltA¢K AVC Unit/Ste Tenant Name ff I cD TIP, k&UV k - ttA u2 Former Tenant Name - l II W E CICkC2 y,t Description of Work "3°u-p cN ()t^ t)tiAtp, SALo J Property Owner 1?CU 1?1J?UEW PvVI? ?? -1??11At??l Telephone # ( ) Cxati Q ?- 1-krq la.`TI - N ? 2 `?°v?£ - ?? v Applicantis: _ Owner / Contractor Contact#: ( `5Z) ???-43/pq Contractor yG?(, I?PT LS.-J ??St Address ?t o1 ln)?ST ?2<1 f" SI City ??1? State ?W Zip SS30 u Telephone #.(f62) - 1V10- 4369 Arch/Engr (Z Registration # Address 33 wl lSt+t??? r t (?J? . N t?J l? ZI(] City State l? 1tJ Zip S940 Telephone # ((o [L) (0-7 (7 ' 270 0 Licensed plumber installing new sewer/water service: Phone #: () I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the woric 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. • 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 ?11J TARLA4.' of - Applicant's Printed Name Applican?glature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 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 ? 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 PCA handout to applicant Valuation S 8, ow Pian Rev 100% ? 25%- SAC Units 7 Z Nbr. of Units D Nbr. of Bldgs Fire Sprinklered £? Required Inspections - Footings (new bldg) - Footings (deck) - Footings (addition) Foundation Drain Tile Driveway Apron Type of Conso Width Occupancy J MCES System Zoning City Water Stories Booster Pump Sq. Ft. 3 CZT- PRV Length Roof _ Ice Pr _ Decking _ Insul ? Framing Fireplace _ R.I. Air Test -Final _ Insulation _ Sheetrock .? Final/C.O. _ Final/No C.O. _ Other Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath - Stone Lath _ Final _ Windows Final C/O Inspect--io?yn-:?_Schedule Fire Marshal to be present. _ Yes VNo Approved By: L= Planning L? Building Inspector Base Fee 7 h . -7 s Surcharge Zg - °' d Plan Review d i $y * SAC-MCES 3,3'x0. &-? SAC-City Ze d - sy S/W Permit SM Surcharge Treatment Plant ?' BtJ 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 (r / ZZ. Sewer Trunk Water Trunk JJA Metropolitan Council u Environmental Services May 9, 2007 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC for the Solace Salon to be located at Northwoods Court - 3250 Denmark Aveelle, Suite 103 within the City of Eagan. This project should be charged 2 SAC Units, as determined below. SAC Units Charges: Hair Salon 7 stations @ 4 station/SAC Unit 1.75 Manicure 3 stations @ 9 stations/SAC Unit 0.33 Pedicure 2 stations @ 7 stations/SAC Unit 0.29 Massage 1 station @ 5 stations/SAC Unit 0.20 Total Charge: 2.57 Credits: Retail (060905A3) 1178 sq. ft. @ 3000 sq. ft./SAC Unit 0 39 Net Charge: 2.18 or 2 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 651-602-1378. Sincerely, Jessie Nye SAC Technician Environmental Services Division JN:kb: 070509132 FA S ? r cc: S. Selby, MCES Carolyn Krech, Finance, Eagan MAY 1 1 2001 Bryan Barlage, Fendler Patterson Construction w .metrocouncil.org 390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 • TTY (651) 291-0904 An Equal Opportunay Empbyer -7 ?7/v,,,-- 2007 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAG_ANr 3830 PILOT KNOB ROAD, EAGAN MN 55122 110.!5 o _4/00.50 ChEC(L- io - 00 04.5-A Date --_ / .23 / 0-7 Site Address y© &,'J A& k "sly Unit # Tenant Name ZZLL Former Tenant Name Property Owner ea r 1 6s r Telephone # ( ) Contractor 11?- Address Mt N.%rr_k ..c r-ff Lki City State ?hl Zip .55JC13 Telephone # (6I) License# Expires: Ulo7 The Applicant is Owner Contractor Other Work Type _ New Bldg ' _ odify Space -Irrigation System" -Yes _`N6 Work in public r-o-w / easement? _ RPZ _ PVB: _ New _ Repair/Rebuild _ Replace _ Remove Rain sensors are required on irrigation systems Description of Work `?? ('FSrat..rer.+t- ??-?`?`? ?SY'fUVw'? To uigwre if Press e Reducing Valve is required on new service, call 651-675-5646V Meters - Call 651-675-5646 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" meter $17400 Domestic Size & Type Avg GPM Includes high demand devices? -Yes-No Flushometers - Yes -No PRV Required _ Yes _ No Permit Fee $50.50 mumnum (includes State Surcharge) Contract Value $ j ? CJTjZ? x 1% _ $ P au Permit Fee $ Meter(s) Required on all new buildings & boulevard irrigation svstems $ Radio Meter Read $ I' . fin State Surcharge if permit fee is less than $1,000, surcharge is $ 50 If permit fee is more than $1,000, surcharge is $.50 for each $1,000 owed. - - - -- - ---- - -------- - -------- - ---- - - - ------ - - ---- - -------- - - - Water Permit Following fees apply when installing new lawn irrigation system $ Call the City's Engineering Department, 675-56rVnl46, for required feee moouunts ILS (LSD Lill (\V/] $ Treatment Plant D $ Water Supply & Storage MAR 2 R 2007 $ State Surcharge $ Total Fee ._?__....:,....? ..pret and accurate: that the work will be in conformance with the I hereby apply for a Commercial plumbing pertnn and acicnuwmugc wdL UN ......... .......... -. -- 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 foi a permit, and work is not to start without a puma; that the work will be in accordance with the approved plan in the case of work which requires a review and approval plans. Applicant's Printed Name Applicant' Signature CITY USE ONLY REQUIRED INSPECTIONS: U.G. Air Test _ Gas Test PLANS SUBMITTED APPROVED BY: Rough In L Final BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read - $153.00 • 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 1-20 518" residential $136.00 4-120 1-1/2" irrigation cyst $ 855.00 displacement or turbine" Public Works maximum small commercial must approve continuous meter size 10 2-30 3/4" lawn irrigation $174.00 4-160 2" turbine large irrigation $ 1,063.00 maximum displacement residential system & continuous or production lines 15 small commercial 3-50 1" displacement large residential $219.00 1/4 to 160 2" compound bldgs over $ 2,018.00 bldg to 24 units 65 units maximum small commercial & continuous & large comet bldgs 25 irri ation systems 5-100 1-1/2" 25-64 unit bldgs $532.00 maximum displacement & continuous most conun bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00 system & production & very large lines comm. bldgs 1/2-320 3" compound +200 unit bldgs $2,577.00 10-1000 6" compound +400 unit bldgs $6,623.00 very large verylarge comm bldgs comet bldgs 15-1000 4" turbine verylarge $2,533.00 6" turbo $4,090.00 irrigation systems & 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 651-675-5200. cc Utility Division Systems Analyst December 2006 -7©G 3 / ?(? 2007 COMMERCIAL MECHANICAL PERMIT APPLICATION F- • j 0 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-farmW hniminoc when c amte n itc are not rentiked for each dwelling unit Date Z O / O 7 ?j Site Street Address 32.50 j;'QMk4Xk Avr Unit# 7 Tenant Name (if applicable) /4)+55,4 c 6n1 V Previous Tenant Name Property Owner Telephone # ( ) Contractor 7+p2,E MOGNANnca( IN L Street Address 3 5 2. cO 6 9 0-4 AV *- of e City Q ? q r ^' E State M N Zip '3 Telephone # (76 3) 786 - 6 SoC) Bond#: -e-t J58C>10(? Expires: 5-?7 The Applicant is Owner Contractor Other Work Type New Construction Interior improvement -Install Piping _ Processed -Gas Exterior HVAC Unit** **HVAC units must be screened Under/Above ground Tank _ Install _ Remove When installing/removmg tank(s), call for inspection by Fire Marshal and Plumbing Inspector Nature of Work: 1)vcr4w2=2K 6- EJ<<'S?/?itS Oro, ? S Permit Fees 57050 Underground tank installationtremowl $5050 iniamm (includes State Surcharge) or .? Contract Value $ 8700 x 1% _ $ Permit Fee $ S? State Surcharge To calculate surcharge If Permit Fee is less than $1,000, surcharge is 50 cents. If Permi F is> $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i;e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). ?- G $ 8-2 Total Fee I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan 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 pl in the case of work which requires a review and approval of plans. ?f-l+4 t o07 Applicant's Printed Name APP ignature -------------------------------------------------- -------------------- - - - ------------------------------------------- Approved By: Inspector Date: Required Inspections: _ U.G. -(RI. - Air Test o Gas Service Test _ Infloor Heat "F l ?7(0 is 2007 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Requirements: 2 complete sets of drawings and specifications cut sheets on matenais and co!!! udedw w uc --cu Date q / / Site Address: 32-so e- Tenant / Building Name: The Applicant is: Owner Contractor Other PROPERTY OWNER S Address: City: State: Zip: CONTRACTOR C U v o +f- C, ^ +e=I?1 MN License #: C-CTZ 5` Address: 5 75 n4 9ut???P / City: State: Zip: 55/6 3 Phone #: ESTIMATED COMPLETION DATE: J / I'S- / FIRE PERMIT TYPE: -tV-- Sprinkler System (# of beads-t-4) _ Fire Pump _ Standpipe Other: WORK TYPE: _ New _ Addition, Alterations _ Remodel Other: DESCRIPTION OF WORK: Commercial - Residential _ Educational ?I PD LC E,? ???/ FE (?Ut?er: t (dAmk APR 3 0 2007 p1PncP rnntinnr nn nrrt nnor PERMIT FEES Contract Value $ - x .01 = $ Permit Fee $50.00 Minimum $ State Surcharge To calculate surcharge If Permit Fee is x$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: $ 6j[) , C) 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. Applicant's Printed Name Applicant's 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 -b : Date: / / 77 GCS 2007 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Requirements: 2 complete sets of drawings and specifications to cut sheets on materials and com oncuu to uc Use.. Date 7_(.0 / 01 A Site Address: 25C ?? nnL+. r Tenant / Building Name: \ `? SP?yo `+ T Yom' The Applicant is: Owner Contractor Other PROPERTY OWNER Address: City: State: Zip: ? MN License -4CJ7 ?c v ?t?ts k?rcl CONTRACTOR - UMPA; ? 11 l A Address: 7 `J !I ng o ?1 P / City: State: -Ft" Zip: 55/G -? Phone #: ESTIMATED COMPLETION DATE:_ l 2D l --[- FIRE PERMIT TYPE: ,c Sprinkler System (# of heads _LO ) _ Fire Pump _ Standpipe Other: WORK TYPE: _ New - Addition Alterations _ Ro?l? M D Other: APR 3 0 2007 r Commercial _ Residen DESCRIPTION OF WORK: tial _ Educational ? Other: ?<o lo?66) 1, Ad4.- ?? i _ _.....J Cr'd ec? Plrace rantinnr on nrrt nacre PERMIT FEES Contract Value $ 1« x .01 = $ 5y Permit Fee $50.00 Minimum $ 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: $ . IZNU 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. Applicants Printed Name Applicants 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 Date: / / LA?l -3 0/ 2007 COMMERCIAL BUILDING PERMIT APPLICATION I -7 ?71 City Of Eagan 5- ( (I SSN 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 (1) " • Project Specs (1) • Spec Insp & Testing Schedule (1) " • Soils Report (1) • Meter size must be established • 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. I 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 651-602-1000 • Fire Stopping Submittals • Fire Suppression/Alarm Form • 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-4 applicable • SAC determination -call 651.602-1000 at regarding food & beverage or facilities. ** Contact Building Inspections to we if it is required and for a sample. *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 3 /'.( / o`7 Construction Cost z:?>-7di 000 Site Address 32-6p tEraw1AAJK I9U5+?U? Unit/Ste # /0Z Tenant Name RGB5 SAUO? PIZZA- - Former Tenant Name N?/3 Description of Work 01 pF t - 001 PIZZA 51-hp 1AJ 6q S N C.G- . AINIL t i Property Owner 'Za4 Au(z MAW LOW104T_ CO L 1? Telephone # ((PIZ ) 335- 1006 11 Applicant is: - Owner X Contractor Contact #: (q6z ) 0!0 - 43/09 / Contractor .IDLER 1}ATT6zsW Cti)J5TRJG-i70A) Address 4Yj3y W L '"'? $f1Uf?E City S/. `?'IAI ? L%373 Telephone # (/JZ) 890 - 43& Zi State A p Arch/Engr X111 r Rs71TR_nRE ItAk . Registration # 1 41 ff 333 Wuw7nw 4,y6, Address /?//•f?NEi'?/??r N 5?l7Fk7-16 City ? State Zip 564° 1 Telephone # (/d2) 67(o -770c? 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 wur on 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 accordanc it vlCd ? tn(,e case of work which requires a review and approval of plans. r ? u 11I Zg ?trw ziftRLAC - U Applicant's Printed Name Applicant's Signature a k. DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation 26 Public Facility ? ? 30 Accessory Building ? 14 Apartments / XI 27 Commercial/Industri al ? 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 '01?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 Wndows/Doors ? 34 Replacement 'Demolition Building - Give PCA handout to applicant GOO o, V ?0 Valuation ) j Type of Const Width Plan Rev 100% 25% GC Occupancy B MCES System SAC Units ? - Zoning City Water Nbr. of Units Stories Booster Pump Nbr. of Bldgs J Sq. Ft. /.old y PRV Fire Sprinklered_ Length Required Inspections _ Footings (new bldg) _ Fireplace _ R.I. _ Air Test _ Final Footings (deck) _ Insulation _ Footings (addition) _ Sheetrock Foundation _ Final/C.O. / _ Drain Tile _ FinaUNo C.O. Driveway Apron _ Other Roof _ Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final V Framing - Siding _ Stucco Lath -Stone Lath -Final _ Windows t'/N Final C/O Inspection: Schedule Fire Marshal to be present. _ o Yes V 1? ildi I t Approved By: Planning Bu or ng nspec Base Fee Surcharge Plan Review SAC-MCES SAC-City S/W Permit SIW Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply 8 Storage (WAC) Financial Guarantee Stone Sewer Trunk Sewer Lateral Street Water Lateral Other Total t o7'?y Sewer Trunk Water Trunk P3 r .75? 35•au 5 ?.L Metropolitan Council u March 26, 2007 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC for the Red's Savoy Pizza to be located at 3250 Denmark Avenue within the City of Eagan. This project should be charged no additional SAC Units, as determined below. SAC Units Charges: Restaurant - Take Out (no seating) 1197 sq. ft: @ 3000 sq. ft./SAC Unit Credits: Retail (060905A3) 1197 sq. ft. @ 3000 sq. ft./SAC Unit 0.40 0.40 Net Charge: 0 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 651-602-1378. Sincerely, \ Jessie Nye SAC Technician Environmental Services Division JN:kb: 070326A7 D M cc: S. Selby, MCES Carolyn Krech, Finance, Eagan Bryan Barlage, Fendler Patterson Construction w .metrocouncil.org 390 Robert Street North . 5t. Paul, MN 55101-1805 • (651) 602-1000 • Fax (651) 602-1550 • TTY (651) 291-0904 An Equal Oppartuniq, Employer 311 Fire Barrier Duct Wrap 15A Commercial Kitchen Grease Duct Fire Protection System o?°y + NFPA98 ?P? With n•I Compiawlm aw d dam (`? •??,?. fy0•EUU•n yd'"Iml q,pnlml Cade N NechaniEel C001) Product Data '°°°•?'? Is ?° .yr..,vse 1. Product Description 3MT" Fire Barrier Duct Wrap 15A is a fire resistant wrap consisting of a patented Inorganic blanket encapsulated with a scrim-reinforced foil. It is used to fire rate commercial kitchen grease ducts and is a proven alternative to 1 or 2 hour fire resistant rated shaft enclosures. This non-asbestos wrap contains a safer fiber construction' and installs easily because of its high flexibility and strength. 3M Fire Barrier Duct Wrap 15A is the thinnest standard, single layer fire resistant wrap that has passed the UL1978 test which simulates a grease duct fire. With its excellent insulating capabilities, it is an ideal choice for tight spaces because it protects combustible constructions at zero clearance to the overlap or collar. 3M Fire Barrier 1000 N/S, 1003 S/L and 2000+ Silicone Sealants used in combination 3M Fire Barrier Duct Wrap 15A provide an effective flrestop when the duct penetrates fire rated walls and floors. Features • Thinnest, standard one layer wrap for grease ducts rated as a shaft alternative per UL 1978 • Zero clearance to the overlap or collar for congested spaces • High flexibility for installation ease • Foil encapsulated with unique center overlap seam for blanket protection, less dust, and high wrap strength • Widest range of penetration seal systems • Safer fiber construction' 'Has been demonstrated to be soluble in rho lungs according to EU guldelines 67/548/EWG, Note 0 for blo persistence. 2. Applications 3M Fire Barrier Duct Wrap 15A is an ideal fire resistive enclosure for commercial kitchen grease ducts. it is a proven performance alternative to a 1 or 2 hour fire resistant rated shaft enclosures and provides zero clearance to combustible construction at overlap or collar. 3M Fire Barrier 1000 N/S, 1003 S/L or 2000+ Silicone Sealant is used in combination with 3M Fire Barrier Duct Wrap 15A to flrestop the duct when the duct penetrates fire rated floors and walls. 4. Typical Physical Properties Blanket Color: gray/green Weight: 1.38 lbs./sq. ft_ (613 kg/5q- m) 5. Performance 3M Fire Barrier Duct Wrap 15A has been tested in accordance with the following: ASTM C 411 ASTM E 119 ASTM C 518 ASTM E 136 ASTM E 84 ASTM E 814 UL 1978 (Sections 12 & 13) Surface Burning Characteristics (ASTM E 84) Foil Encapsulated Blanket: Flame Spread: 0 Smoke Developed: 0 Blanker Flame Spread: 0 Smoke Developed: 0 Thermal Conductivity Temperature OF (°c) btu•)nJ hrAta - 500 260 0417 1000 (537) 0-922 1500 815) 1.69 1600 (982) 2.27 For technical data and properties of 3M Fire Barrier 1000 N/S, 1003 S/L and 2000+ Silicone Sealants see separate product data sheets available from your 31M representative. P.e?cn nrrrf I ictinnc fire Yv Resistive Rating Enclosure System Dote a Point La Duet system I n. 1111151 911 Nos. Through- Penetration System 1 or 2 hours 1 layer of 3M Fire Barrier GD 532 F GD 538 F FS 557 W FS 558 F Duct Wrap 15A. 3 in. FS 550 W (76 mm) perimeter and FS 566 F longitudinal overlaps FS 561 F FS 562 W FS 563 W FS 518 F FS 579 W 3. AVarlannrc y Product Unhs/ ctn. Wl./ shl. 3M Flre Border Roil ln. 20 ft l 1 53 lbs. Duct Wra 15A E ± 609 em 24k 3M Fire Barrier x PO tt. 1 46 ibs. Duct Wra 15A gas cm Code Complian ce 3M Fire Barrier Duct Wrap 15A complies with requirements of the following codes: BOCA ES Compliance Report 2161 NFPA 96, 1998 Edition Standard Mechanical Code Z0 30Vd 8V1S 181 0666-Z05-69L LD:TT L00Z/T0%90 International Mechanical Code Standard Building Code SBCCI ES Compliance Report 2132 This is only a partial list of code compliance- For the latest code and approval information go to www.3m.com/firestop or speak to your authorized 3M distributor or sales representative at (800) 328-1687. 6. Installation Techniques 3M Fire Barrier Duct Wrap 15A system should be installed in accordance with the following installation instructions. There are three (3) approved installation techniques for installing the 3m Fire Barrier Duct Wrap 15A (See Figure 1): 1. Telescoping 3 in. (76 mm) Overlap Wrap With the telescoping overlap wrap method, each blanket overlaps one adjacent blanket, and each blanket has one edge exposed and one edge covered by the next blanket as shown in Figure 1. The visible edges of the perimeter overlaps all point in the same direction. 2. Checkerboard 3 in. (76 mm) Overlap Wrap Material and Equipment Wfth the 3 in. (76 mm) checkerboard overlap wrap 3M Fire Barrier Duct Wrap 15A blanket, 1-1l2 in, method, blankets with both edges exposed alternate wide with blankets with covered edges, as shown in Figure (38 mm) thick, 24 in. (60 cm) or 48 in. (121 cm) (1 1. The visible edges of the perimeter overlaps , 20 ft. (609 cm) standard length. The 48 In. 21 cm) wide blanket helps to minimize waste. blanket alternate their directions and appear on every other . Aluminum foil tape- . Minimum 3/4 in. (19 mm) wide filament tape. . carbon steel or stainless steel banding material, minimum 1/2 in. (12,7 mm) wide, minimum 0.015 in. (0,38 mm) thick, with steel banding clips- . Hand banding tensioner, crimping tool, and banding . Minimum 12 gauge copper-coated steel Insulation 4`7 Minimum W pins; galvanized steel or stainless speed clips, minimum 1-1/2 in. (38 mm) square or 1-1/2 in. (38 mm) dia. round, or equivalent sized insulated cup-head pins; capacitor discharge stud gun. . Access door hardware: four galvanized steel thread rods, 1/4 in. (6 mm) diameter by 4-1/2 in-to 5 in. 3. Butt Joint With Collar With the butt joint and collar method, adjacent blankets are butted tightly together and 6 in. (152 mm) wide collar of 3M Fire Barrier Duct Wrap is centered over the joint, overlapping each blanket by 3 in. (76 mm) minimum as shown in Figure 1. In all three overlap techniques the perimeter overlap can occur at any location on the duct. The blanket Is mechanically attached to the duct by steel banding or by welded Insulation pins and clips for all three installation methods listed above. long (114 mm to 127 mm) with 1/4 in. (6 mm) wing nuts and 1/4 in. (6 mm) washers: 4 in. (102 mm) long steel hollow tubing to fd threaded rods. Minimum 4.0 lb. (1,8 kg) density mineral wool or scrap pieces of 3M Fire Barrier Duct Wrap 15A. . 3M Fire Barrier 1000 N/S, 1003 S/L or 2000+ Silicone Sealant. storage: The 3M Fire Barrier Duct Wrap 15A and 3M Fire Barrier 1000 N/S, 1003 S/L and 2000+ Silicone Sealants must be stored In a dry warehouse environment. Pallets should not be stacked. Preparatory Work: 3M Fire Barrier Duct Wrap 15A is installed with common tools, such as knives, banders and capacitor discharge guns for applying insulation pins. In order to Install the duct firestop system, the surfaces of all the openings and penetrating items need to be clean, dry, frost free and free of dust. Method. To minimize waste. 3M Fire Barrier Duct Wrap 15A material should be rolled out tautly before measuring. General instructions for installing the 3M Fire Harrier Duct Wrap 15A include a one-layer wrap construction applied directly to the duct. The 3M Fire Barrier Duct Wrap 15A blanket is wrapped around the perimeter of the duct and is cut to a length to overlap itself not less than 3 in. (76 mm). The overlap made by adjacent blankets forms the "longitudinal" overlap. Aluminum foil tape is used to seal all cut edges of the blanket and any tears in the foil scrim. For Banding Only (See Figure 1) Filament tape can be used to temporarily hold the steel blanket in place until the banding is applied. The banding is applied around the duct 1.1/2 in. (38 mm) from each edge of the blanket, and maximum 10-1/2 In. (26,7 cm) centers. The so as banding is placed sufficiently around the material and tightened hold the 3M Fire Barrier Duct Wrap 15A in place against the duct, compressing the foil but not cutting the foil. Additional Pinning to Prevent Sagging of the Wrap: For Ducts 24 in. (60 cm) and larger in width, additional pins are needed to support the blanket on the bottom horizontal surface and on the outside face of a vertical duct run. Space pins a maximum of 10-1/2 in. (26,7 cm) apart in the direction of the blanket width, and a maximum of 12 in. (30 cm) apart in the direction of the blanket length. Refer to paragraph below for more information on Mechanical Fastening with Pins. For Mechanical Fastening with Pins Only insulation pins are welded to the duct in the centers of the overlaps a minimum of 1-1/2 in. (38 mm) from each edge of the blanket, and spaced a maximum of 10-1/2 in. (26.7 cm) on center along perimeter overlap, and a maximum of 10-1/2 in. (26,7 mm) on center along longitudinal overlaps. The blanket Is zed impaled over the pins and held in place by galvanized speed clips. insulation pins that extend beyond the blanket wrap shall be turned down to eliminate sharp 60 39vd HV1S 181 0866-Z05-£9L LG:TT 100Z/T0490 points, insulated cup-head pins can be used at the same spacing requirements of the insulation pins. NOTE: Support hangar systems do not need to be wrapped provided the hangar rods are at least a minimum of 3/8 in. (9,53 mm) diameter and spaced a maximum of 60 in. (152 cm) on center along the length of the duct. Use a minimum 2 in. x 2 in. X 1/4 in. (50 mm x 50 mm x 8,35 mm) steel angle steel support channel or SMACNA equivalent support system. Access Door Installation (See Figure 2) Four galvanized steel threaded rods, 1/4 in, diameter (6,35 mm) by 4-1/2 in. to 5 in- long (114 mm to 127 mm) are welded to the duct at the corners of the door opening. Four steel tubes, each 3 in. (76 mm) long, are placed over the rods to act as protection for the 3M Fire Barrier Duct Wrap 15A when fastening the door. Four insulation pins are welded to the door panel for installation of the blanket. One layer of 3M Fire Barrier Duct Wrap 15A is cut approximately the same size as the access panel and Impaled over the insulation pins on the panel. It is essential that this layer fit tightly against the wrap surrounding the access door opening with no through openings. A second layer of 3M Fire Barrier Duct Wrap 15A is cut so as to overlap the first layer by a minimum of 1 in. (25,4 mm). The second layer is impaled over the pins and both layers are locked in place with galvanized speed clips. Pins that extend beyond the outer layer of 3M Fire Barrier Duct Wrap 15A shall be turned down to avoid sharp points on the door. The insulated door panel is placed over the threaded rods and held In place with washers and wing nuts. The details are shown in Figure 2. Penetrations (See Figure 3) When the duct penetrates a fire rated wall, ceiling or floor, an approved firestop system must be employed. Figure 3 illustrates a typical condition. To firestop the wrapped duct, follow the installation parameters detailed in the following omega Point Laboratories, Inc. systems' FS 557 W, FS 558 F, FS 559 W, FS 560 F FS 561 F FS 562 W, FS 563 W, FS 578 F, FS 579 W. Other Applications More details on the installation of the product can be found in the 3M Product Data and Installation Instruction Manual (98-0400-5054-8). 7. Maintenance No maintenance is required when installed in accordance with the 3M Installation Instructions- Once installed, if any section of the 3M Fire Barrier Duct Wrap 15A Is damaged sc that the blanket is damaged, the following procedures will apply: Figure 1 3M Fire Barrier Duct Wrap 15A Commercial Kitchen Grease Duct Systems 1 or 2 Hour Shaft Alternative Zero Clearance to Combustibles Telescoping Wrap Technique With Banding For Ducts 24 inches (60,9 cm) or Less Telescoping Overlap Wrap Option Cross Sectional View 3" (78 mm) 3" (76 mm) (3a mm 2 I-I/2" (38 mm) 1 3 21" (53,3 cm) Typ. 1 checkerboard overlap Wrap Option Cross Sectional View (78 mm) 3" (78 mm) (38 mm z 3 1-1/2" (38 mm) 1 I 21" (53,3 cm) Trp. r 1 Butt Joint With Collar Option Cross Sectional View 1. One Layer 3M Fire Barrier Duct Wrap 15A 2 Steel Bending 1/2 In. (13 mm) Wide Min. Typical 3. 3 in. 76 mm) Min. Longitudinal Overlap 4. 3 in. (76 mm) Min. Perimeter Overlap System Integrity Is limited by quality of Installation. 6' (152 mm) 3" (78 mm) (38 m ^t/2" (30 mm) Y 5 a V0 39Vd avis 161 0866-Z0S-£9L LV:TT L00Z/T0/40 • The damaged section should be removed by cutting the steel banding or removing the clips holding it in place. • A new section of the same dimension should be out from a roll of 3M Fire Barrier Duct Wrap 15A, either 24 in. (60,9 cm) or 48 in. (121 cm) wide. • The new section should be placed and fitted ensuring the same overlap that existed previously. • The steel banding should be placed around the material and tensioned so as to sufficiently hold the 3M Fire Barrier Duct Wrap 15A in place. Figure 2 3M Fire Barrier DUCt Wrap 15A Commercial Kitchen Grease Duct Systems 1 or 2 Hour Access Door System ]. Access Hols p, 1/4 in (6 mm Dta. All Threaded Rods 3 Access Cover - 16 Gauge 4. Insulation Pins - Welded 5. First Layer 3M Fire Barrier Duct Wrap 15A Cut same Size As Cover 6. Second Layer 3M Fire Barrier Duct Wrap 15A with 1 in. 25mm) Ove On All Sides 7, g, Speed Clips Aluminum Tape Covering All Ex osed Edges g, 001 Pieces For Threaded Rods ]0. t/4m . (6mm) Diameter Wing Nt.Its System integrity Is limited by quality of installation • If the blanket has not been damaged but the toil has ripped, seal the rips with aluminum foil tape. a. Purchase Information 3M Fire Barrier products are available through a network of nationwide distributors. For information on where to buy, go to www.3m.com/fiirestop. 9. Safe Handling Information Consult Material Safety Data Sheet prior to handling and disposing of 3M Fire Barrier Duct Wrap 15A. Silicone Sealant For Wall Assembly Apply Sealant To Both Sales of Wall _ System integrity is limited by quality mm) mm) WarrantX and Limited Remedy. This product will be free from defects in material and manufa&um for a period of ninety (90) days from date of purchase. 3M MAKES NO OTHER WARRANTIES INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTY OR MERCHANT1131LITY OR FITNESS FOR A PARTICULAR PURPOSE. User is responsible for determining whether the 3M product is fit for a particular purpose and suitable for usefs method of application. If this 3M product is proved to be delect1w wahln the warranty period stated above, your exclusive remedy and SM's sale obligation shall be, w 3M's option, to replace or repair the 3M product or refund the purchase 000 of the product. 11miration of L"nblitiX Except where prohlbfred bylaw, 3M will not be Uabie far any toes or damages arising from the use of this 3M prod- uct, whether direct, Indirect, special, Incidental or consequential, regardless of Ins legal theory asserted, Including warranty, contract, negligence or strict Ilabilay. Consumer Safety and Light Management Department 3M Cmter 223-214-21 Printed in U.S.A. St. Paul, hW 55144-1000 MCS 206030 d3M 2001 98-04005DW2 (Nov 2001) (800) 328-1687 90 39tld at11S 161 0866-ZOS-69L Lp:TT L00Z/T0/94d Figure 3 3M Fire Barrier Duct Wrap 1SA Commercial Kitchen Grease Duct Systems 1 or 2 Hour Through Penetration Systems 4-112 inch (11,4 cm) Concrete Floor or Wall 2006 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 foreach dwelling unit a`)7 "7b Date // / / 3 / 06 Site Street Address 3 2- Sa DFA1 mn¢,k n ve . Unit # A Tenant Name (if applicable) /Vomfm Woo n s x.4x% 1 n L Previous Tenant Name Property Owner Telephone # ( ) !?yy?/ Contractor rote 117ke ,gme 4-1 IA,tL Street Address 3!5 2 8B Auk A) e city F,q,4ZAM f Zip State ////1I 5 0141 Telephone # ( 763) 0 /? Bond G A 6r l 0 q Expi res: S t? The Applicant is Owner P< Contractor Other Work Type New Construction -Interior Improvement -Install Piping -Processed -Gas _ Under/Above ground Tank -Install _ Remove When instal ing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Nature of Work: `Dve?A= --1ACS4-%1t ?.l tu 6%t , U3 k kS PEA 41AU5 Permit Fees: $70.50 Underground tank mstallation/removal $5050 inimnm(includes State Surcharge) or Contract Value $ 30. 7A p x Zb 1% _ $ 387• Permit Fee $ State Surcharge if permit fee is less than $1,000, add $.50 If permit fee is more than $1,000, surcharge is $.50 for every $1,000 owed. 70 $ o 7• ?- Total Fee I 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. iH14 t7 ?r90? Applicants Print A rcanY Approved By: , Inspector Date: /( l 4 fi Required Inspections: _ U.G. Y R.1. - Air Test '-?rGas Service Test - Infloor Heat - Final 2007 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN DIN 55122 651-675-5675 Date ?- ! 0), Site Address '3Z-1) f)n ivmr C- 1 ! -e G/ Unit # Tenant Name y.6'ALA4 J vt5 Former Tenant Name Property Owner Telephone # ( ) Contractor 7, I e L, fi y Address -ti-151 -71 City State t \v Zip `yam ?`I Telephone # 15-2- ?7S 3 VO License # 3 `t 0 Expires: Ce 1? C(Z- 3?6-y5'6 3 The Applicant is Owner -AContractor utner Work Type New Bldg Modify Space - Irrigation System" -yes -No Work in public r-o-w _ RPZ _ pVB: New _ Repair/Rebuild _ Replace - Remove Rain sensors are required on irrigation s stems 2. ,-tuts Sit s -T;I'S- Description of Work ?fir.n[r tilt r i 1 iv all a r Tn inouve if Pressure Reducin ing Valve is required on new service, call 651vJ-56 Meters - Call 651-675-5646 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" meter $174.00 Av GPM Includes high demand devices? _ Yes _ No Domestic Size & Type Avg Flushometers _ Yes - No PRV Required - Yes _ No Permit Fee $50.50 milumunr (includes State Surcharge) Contract Value $ d 69d 0 - x 1% Permit Fee $ Meter(s) $ Radio Meter Read Required on all new buildings & boulevard initiation systems $ 75i State Surcharge if permit fee is less than $1,000, surcharge is $.50 If permit fee is more than $1,000, surcharge is $.50 for each $1,000 owed. ---------------------------------------------------------- $ Water Permit Following fees apply when installing new lawn irrigation system Call the City's Engineering Department, 651-675-5646, 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 informaiwn is complete and accurate; that the work will be ei conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that f understand this is not a pe it, but only an application for a permit, and work is not to start without a permit; 11 a the work will be in accordance with the approved plan in the case of work whi/ wires a review and approval Tans. p ?,u ro/ / u!Rt t`I to-t't t/ Appb(ea/nt s Signature Applicants Printed Name CITY USE ONLY REQUIRED INSPECTIONS: U.G. ^?Y?ir Test Gas Test ? Rou,di In YFinal PLANS SUBMITTED APPROVED BY:? Z ^? BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read - $153.00 • 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 $136.00 4-120 1-1/2" irrigation syst $ 855.00 displacement or turbine" Public Works maximum small commercial must approve continuous meter size 10 2-30 3/4" lawn irrigation $174.00 4-160 2" turbine large irrigation $ 1,063.00 maximum displacement residential system & continuous or production lines 15 small commercial 3-50 1" displacement large residential $219.00 1/4 to 160 2" compound bldgs over $ 2,018.00 bldg to 24 units 65 units maximum small commercial & continuous & large comm bldgs 25 irrigation systems 5-100 1-1/2" 25-64 unit bldgs $532.00 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 large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00 system & production & very large lines comm. bldgs 1/2-320 3" compound +200 unit bldgs $2,577.00 10-1000 6" compound +400 unit bldgs $6,623.00 very large very large comm bldgs comet bldgs 15-1000 4" turbine very large $2,533.00 6" turbo $4,090.00 irrigation systems & production lines uomments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water tam-on, call 651-675-5200. cc: Utility Division Systems Analyst December 2006 S6 `7 75 FIRE SUPPRESSION SYSTEMS Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 Requirements: 2 complete sets of drawings and specifications rnt sheets nn mnterinls and rmmrnnents to he used SO'JV Date Z / 2 b / 2 3a so Site Address: ?s m NR 1A Y 1S A V c-o Tenant / Building Name: 3i Mvn? ?d?Y?t,S The Applicant is: Owner Contractor Other PROPERTY OWNER Address: State: City: Zip: ` Coy-p_ fiy??ltY MNL CONTRACTOR ?7eY+eY?aL SP icense No. CDOZ L` Address: 1`42o 01? rpvni'y? _City: wp?EWod State: nl1 Y? Zip: 5 5 0 0 Phone #: G51- ?/ 8 y SSO 1 ESTIMATED COMPLETION DATE: FIRE PERMIT TYPE: J( Sprinkler System (# of heads ? 3) Fire Pump _ Standpipe Oth u ri C?f i- e'"AlAn+ e V rr ?.t a?? C"A _ 3 PtntQW A r tv%A0 to fraa cv WORK TYPE: _ New Addition Alterations _ Remodel Other: DESCRIPTION OF WORK: Commercial _ Residential _ Educational Other: PLEASE COMPLETE REVERSE SIDE PERMIT FEE: Contract Value $ z 7 b0, OD x .01% _ $ SZ>. 1-')CD Permit Fee • If Permit Fee is $1,000 or less, add $.50 $ o rJ C)State Surcharge If Permit Fee is over $1,000, add $.50 per $1,000 Permit Fee 3/4" Displacement Fire Meter - $156.00 $ TOTAL FEE: $50.50 Minimum Fee (includes State Surcharge) $ $ O. 5 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 the case of work which requires a review and approval of plan s. 6. W , Il; Applicant's Printed Name licant's Signature Z-40- o? Date DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS x Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Approved by. Date: ? / c:;2- 02 / ?? 2006 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ce, [zc C?7G ? ?'1, OS(p. so Pd- ?k.?. ?a?ioS VJl-VIJ-JV ,-/ fI- __ Date -hlll Site Address Unit # Tenant Named r k?s Former Tenant Name Property Owner Pc ar Telephone#( } Contractor c City ?'1^ s t Address ?E ?iC3 ?a+s?t -SFr ?° s State .?! Zip D- Telephone # (6+ () License #! /? Expires: The Applicant is Owner ontractor Other Work Type _ ew Bldg _ Modify Space -Irrigation System* * -'r es -No Work in public r-o-w / easement? _ RPZ X_ PVB: _ New _ Repair/Rebuild _ Replace _ Remove Rain sensors are required on irri ation Systems v'It_(?IN OrJ?Y Description of Work To inquire if Pressure Reducing Valve is required on new serwce, call o51-675-5646 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" meter 167.00 1 ] 5 l.Avg GPM- Includes high demand devices? - Yes Domestic Size & Type P SP II f"OCIpRVRequired Yes No Flushometers _ Yes - No - - Permit Fee $50.50 mininnum (includes State Surcharge) /J n1 X 1% = $ `I dy- ?? Permit Fee Contract Value $ y& $ rj 1 ?j. p0 Meter(s) $ H + . 0 G Radio Meter Read Required on all new buildings & boulevard irrigation systems _ $ 5 0 State Surcharge if permit fee is less than $1,000, surcharge is $.50 If permit fee is more than $1,000, surcharge is S.50 for each $1,000 owed. ----- --------- ------------ -------- ------------------- ----------------------- Following fees apply when installing new lawn irrigation system $ Water Permit Call the City's Engineering Department, 651-675-5646, for required feo amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge $ Q S ?p . S 0 Total Fee cmmnlete and accurate; that the work will be in conformance with the I hereby apply for a Commercial Plumhmg rermn anu a?nuu n,•.?a? °•?• ?•- .•...... - _-_ 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 wil I be in accordance with the approved plan in the case of work which requires view and approve f plans. CITY USE ONLY / REQUIRED INSPECTIONS: U.G. Air Test Gas Test 6 Rough In f Final -,P ? I-1 -D ?P PLANS SUBMITTED APPROVED BY: 1! U , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read - $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 hom/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 $130.00 4-120 1-1/2" irrigation syst $ 827.00 displacement or turbine" Public Works maximum small commercial must approve continuous meter size 10 2-30 3/4" lawn irrigation $167.00 4-160 2" turbine large irrigation $ 1,040.00 maximum displacement residential system & continuous or production lines 15 small commercial 3-50 1" displacement large residential $210.00 1/4 to 160 2" compound bldgs over $ 1,962.00 bldg to 24 units 65 units maximum small commercial & continuous & large comm bldgs 25 irrigation systems 5-100 1-1/2" 25-64 unit bldgs $515.00 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 large irrigation $1,394.00 6-500 4" compound +300 unit bldgs $3,864.00 system & production & very large lines comm. bldgs 1/2-320 3" compound +200 unit bldgs $2,516.00 10-1000 6" compound +400 unit bldgs $6,436.00 very large very large - comet bldgs comm bldgs 5-1000 rl 4" turbine very large $2,495.00 irrigation systems & 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 651-675-5200. cc. Utility Division Systems Analyst January 2006 rX15 ?3 2007 COMMERCIAL BUILDING PERMIT APPLICATION • 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 l 1 1 1 1 1 • SAC determination - call 651-602-1000 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 • 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 • Fire Stopping Submittals • 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 l l 1 • SAC determination -call 651-602-1000 Call Mtv' Dept of Health at 651-2014500 for details regarding food & beverage or lodging facilities. ** Contact Building Inspections for sample and if required *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date V a3 / a (7 D 1 Construction Cost llU , n D U Site Address ?2!ro De vt yy\a A -v--,e Unit/Ste # Tenant Name m V ??7u k to S Former Tenant Name C 1 In) Description of Work T f -P(nG n t 6),, i I Ll - o u 2007 { Property Owner JO (A (A y, VH Yl S Y( C v Telephone # (LS- ( ) 5 y 2- -V 79V (al?? CVJI.v? Applicant is: Owner X Contractor Conta t #: ?S ) u? - { { (o t/ Contractor 7? (' D IN P c 1 ?h v s ?1 a ?l`a V 610 ea/'1 g e "P ?I t- Address 3 S { f9P I-r:. S4-e 2. 5 $ City S? i ?C( ?LQ State Zip Z Telephone #(/GSl) a 63 69¢ Arch/Engr Ali r z04?- cI Vl ? ? Registration # d 1 Address a I *1 A) ?nA ?r S?( 3 d 1 city ?A (1v1 ?1Pa O It State V lU Zip t 0 Telephone # (b I?) 3 3 - ?(o Licensed plumber installing new sewerlwater service: Phone #: I hereby apply for a Commercial Building Petmat 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 thew )c will be in accordance with the ap roved plan in the case of work which requires a review and approval of plans. CV-6 w Applicant's Printed Name Ap Wcant's Signature F , DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 26 Public Facility ,,Er 27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae 35 Int improvement ? 38 ? 36 Move Bldg. ? 42 ? 37 Demolish (Bldg)* ? 43 'Demolition Building • Give PCA hand Valuation /l6( ?Od Plan Rev 100% ? 25%_ SAC Units 1 Nbr. of Units G Nbr. of Bldgs Fire SprinkleredES Required Inspections - Footings (new bldg) - Footings (deck) - Footings (addition) _ Foundation _ Dram Tile - Driveway Apron Roof _ Ice Pr _ Decking V/ Framing ? 30 ? 32 ? 34 ? 35 ? 37 Demolish (Interior) Demolish (Foundal Reroof wt to applicant Accessory Building Ext Alt-Apartments Ext Alt-Commercial Ext Alt-Public Facility Nail Salon ? 44 Siding ion) ? 45 Fire Repair ? 46 Windows/Doors Type of Const Width Occupancy MCES System Zoning I •4 City Water V Stories Booster Pump Sq. Ft. / YGS PRV Length Fireplace _ R.I. _ Air Test _ Final _? Insulation / Sheetrock V/ Final/C.O. _ Final/No C.O. Other Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Siding _Stucco Lath -Stone Lath -Final Windows Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes - xN0 Approved By: ( Planning L,61-? Building Inspector Base Fee 4 L L ? • ? Surcharge ?S a-u Plan Review 72 8? SAC-MCES (0, SAC-City (00 . ar SM 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 ¢ L. L Sewer Trunk Water Trunk it Metropolitan Council January 29, 2007 JAN 3 0 2007 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Jimmy John's Sandwich Shop to be located at 3248 Denmark Avenue within the City of Eagan. 32SD This project should be charged 1 SAC Unit, as determined below. SAC Units Charges: Restaurant (fast food) 36-seats @-22 seats/SAC Unit 1.64 Credits: Office (9/2004) 1548 sq. ft. @ 2400 sq. ft./SAC Unit 005 Net Charge: 0.99 or 1 If you have any questions, call me at 651-602-1378. Sincerely, `Jessi SAC Technician Environmental Services Division JN:kb: 070129A9 cc: S. Selby, MCES Carolyn Krech, Finance, Eagan Claire Crowe, Crowe Construction w .metrocouncil.org 390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1000 • Fax (651) 602-1550 • TTY (651) 291-0904 An Equa[Opmo rnry Employer 3??? !,1eflrir?2s; A'J e Mike Maguire MAYOR Paul Bakken Peggy Carlson 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. February 12, 2007 Brian Barlage Fendler Patterson Construction 4839 West 124 h Street Savage, MN 55378 Re: Lot 2, Block 1, Wings Addition Dear Brian: Presently, you are in the process of constructing a building at the above referenced address within the City of Eagan under a building permit issued by the City. Your construction activities have also included grading and/or disturbance of the site. An inspection of your site was conducted by City staff on February 8, 2007. At that time, the following items were found to be out of compliance with City Code and/or the National Pollution Discharge Elimination System (NPDES) permit governing your site: 1. Install and/or maintain silt fence 2. Install and/or maintain temporary cover on all exposed soils 3. Sweep Streets. The above items must be addressed within 48 hours of receipt of this notice in order to bring your site into compliance. City staff will conduct a follow-up inspection at the end of the 48 hour grace period. If the site is found to be out of compliance at that time, the City reserves the right to withhold future building inspections and may issue a Stop Work Order for the entire project. If you have any questions, please feel free to contact the Engineering Division at 651- 675-5646. Your anticipated cooperation is greatly appreciated by City staff as well as the residents of Eagan. Sincerely,'' Leon Weiland Construction Inspector c: Russ Matthys, City Engineer Dale Schoeppner, Chief Building Official O( 2006 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION ?J'?f City Of Eagan ^ r? I? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Fax # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and components to be u Date 12 / Zi / or, Site Address: aZSO QuUMARK Av4•Nif Tenant/Building Name: NWtT"Wooo co,.AT RE-Tti'L_ CEN7ER The Applicant is: Owner X Contractor Other PROPERTY OWNER SncaE A? A6o .? Address: City: State: Zip: CONTRACTOR Summit Fire Protection MN License #: C-075 7301 Apollo Court Address: City: Lino Lakes State: Minnesota Zip: 55014 Phone #: 651-251-1880 ESTIMATED COMPLETION DATE: G / I / 04 FIRE PERMIT TYPE: A Sprinkler System (# of heads q 3 ) _ Fire Pump _ Standpipe _ Other: WORK TYPE: X New Addition _ Alterations _ Remodel Other: DESCRIPTION OF WORK: X Commercial _ Residential _ Educational Other: PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ 5? G x .01 = $ 105, a_ Permit Fee • If Permit Fee is $1,000 or less, add $.50 $ Q 59 State Surcharge If Permit Fee is over $1,000, add $.50 per $1.000 Permit Fee 3/4" Displacement Fire Meter - $167.00 TOTAL FEE: $ 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. DA,/, D FRErjc.? ApplicanPs Printed.Name Applicant`s 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 b Date: J / ?2/_ City of Eagan RELEASE OF HOLD Project Name/Number/Location: l---oT Z ?3wcK w/1t)6S AD117O/i.1 A le As (`?71 A LC-S2 - Ids-TTE1ZS o nJ Legal Description: Lot L Block I Section/Subdivision W 110;S 42" )D MOM) Parcel #: Reason For Hold: ?CCE! C'T OF ?X ?? TED Ed?SE ?1?? ?MG(?r%F" T (y.,EF,--Et vED 2-12:31 0-7) Hold On: Issuance of building permit K< Certificate of Occupancy Other (please explain) Hold Released By F= mz?& - Reviewed by City En i eer ITP Z?Z6/o7 Date Date Please inform Engineering Secretary of this Release. GFOR Saelca of Hold Wed 41 City of Eagan Mike Maguire MAYOR Paul Bakken Peggy Carlson 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 tax 651.454 8535 TDD MAINTENANCE FACILITY 3501 Coaahman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityoteagan.com THE LONE OAK TREE The symbol of strength and growth in our community. April 20, 2007 Mr. David W. Stradtman, Director of Development Reliance Development Company 1000 Rand Tower 527 Marquette Ave. S. Minneapolis MN 55402 Dear Mr. Stradtman: jp5-6 For your files, I am enclosing fully signed and recorded Right-of-Way, Drainage and Utility Easement and Temporary Construction Easement. The recorded document number is 2502336. If you have any questions, please contact the Engineering Division at (51-675- 5646. III Sincerely, j dy Je n ngine Secretary ?IJ 4 Enclosure: Easement Document d 9 D U E 0 ? a 0 ?c? s M 0 " R a rs v 2 IN =€dm °o ?? y RECEIVED 9- f - e x» m m m DATE m o ° `` ° i rc DAKOTA COUNTY N o 0 c ? n u TREASURER-AUDITOR W RIGHT-OF-WAY, DRAINAGE AND UTILITY EASEMENT AND TEMPORARY CONSTRUCTION EASEMENT THIS EASEMENT, made this 23rd day of February, 2007, between RELIANCE DEVELOPMENT COMPANY, L.L.P., 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: 4- V a 0-7 j 0 a d sn 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 2, Block 1, WINGS ADDITION, according to the recorded plat thereof, described as beginning at the southwest comer of said Lot 2; thence North .pC 89 degrees 49 minutes 46 seconds East, assumed bearing, along the south line of said Lot 2 a distance of 96.23 feet; thence North 61 degrees 45 minutes 17 seconds West 54.54 feet; thence North 28 degrees 14 minutes 43 seconds East 18.00 feet; thence northerly 37.64 feet along a nontangential curve concave to the east having a radius of 26.00 feet and a central angle of 82 degrees 56 minutes 39 seconds, the chord of said curve bears North 18 degrees 25 minutes 28 seconds West; thence northeasterly along a compound curve concave to the southeast having a radius of 181.00 feet to the northwesterly line of said Lot 2; thence southwesterly along said northwesterly line to the point of beginning. Together with: A temporary easement for construction purposes over, under, across and through that part of Lot 2, Block 1, WINGS ADDITION, according to the recorded plat { 3 thereof, described as beginning at the southwest corner of said Lot 2; thence North 89 degrees 49 minutes 46 seconds East, assumed bearing, along the south line of t ?c a x o ? 4 said Lot 2 a distance of 117.00 feet; thence North 61 degrees 45 minutes 17 seconds West 36.76 feet; thence North 39 degrees 24 minutes 30 seconds West 31.86 feet; thence North 13 degrees 53 minutes 07 seconds West 41.81 feet; thence North 36 degrees 24 minutes 21 seconds East 54.92 feet; thence North 43 degrees 04 minutes 34 seconds East to the northeasterly line of said Lot 2; thence northwesterly along said northeasterly line to the most northerly corner of said Lot 2; thence southwesterly along the northwesterly line of said Lot 2 to the point of beginning. Said temporary easement shall expire December 31, 2015, or upon the completion of the Northwood Parkway bridge over interstate 35E. If the bridge is completed prior to December 31, 2015, the City shall release the temporary construction easement. See also Exhibit "A" attached hereto and incorporated herein. The grant of the foregoing permanent easement for right-of-way, drainage 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, but not obligation, to enter upon the premises at all reasonable times to remove potential obstructions, such as wood, brush, leaf piles, grass clippings, or other objects that may plug the pipes, conduits or mains, 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 potential obstructions. The grant of the foregoing temporary easement for site grading purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct and inspect site grading and the finther 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, subject only to permanent easement alterations. 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. 2 IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as of the day and year first above written. STATE OF MINNESOTA) )ss. COUNTY OF RELIANCE DEVELOPMENT COMPANY, LLP, a Minnesota limited liability partnership By: v Its: ' pi!j jn j $ The foregoing instrument was acknowledged before me this LJr day of FAruar 2007, by VntIAZ-T l?rltss?n the I?r r _ of RELIANCE DEVELOPMENT COMPANY, L.L.P., a Mi nesota limited liability partnership, on behalf of the limited liability partnership. APPROVED AS TO FORM: City Attorney's Office Dated: yzL/?7 APPROVED AS TO CONTENT: Public Works Department Dated: 2VZ:V47 THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. 7300 West 147th Street, Suite 600 Apple Valley MN 55124 (952) 432-3136 (RBB: 206-25190/Easement No. 1137) N u 'c a NICOLE ELIZABETH OBYRNE NOTARY PUBLIC - MINNES ., OY Canmi55Wo Expires Jan 37 Loco LEGEND DENOTES PERPETUAL EASEMENT (2753 SQ. FT.) DENOTES TEMPORARY CONSTRUCTION EASEMENT (2646 SQ. FT.) RELIANP EI N vE10 -84490-G020 R01 ' LLP X ?h? t r " g N 26014'43" iB.OD N 61 45'17" -%- 54.54 NE'LY LINE LOT 2 -? 1 r Oa P a'' WINGS 1, AOD'IT ION ,! • for e -N 07" % 41.81 - _?_ N 39024'30" + . 31.85 N 61°45'17" W ^`' ,36.76 ,. ... v 69°49'46" E -' f LINE LOT 2 , 96.23 - N 89° 49' 46" E 117.00 J EAGAN / PROMENADE Parcel ? ?% yto°s S.P.105-010-09 Cfly of Eagan EXHIBIT vo 5 V 2007 CONE ERCIAL MECHAMCAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: conanercial/industrial buildings mulfi_famih, h,,O Hnoc when crnarate nn.its are not ranuired for each dwellina unit Date i?7 7 y Site Street Address 50 ?e. rar`? LRy ur 7 ?' 2 Unit # / ? Tenant Name (if applicable) 17a.5 Ili VVY flZ24 Previous Tenant Name Property Owner Telephone # ( ) Contractor SI/Owtl ?f? 1 L yNG [? ,/ ? dd 5"09 6 tu City Street A ress . f ? State /l/W Zip ? ?0'3i Telephone# (,15-f ) G14_- 7V90 Bond#: q7 M65? Expires: The Applicant is Owner Contractor Other Work Type Interior Improvement -Install Piping New Construction _ Processed -Gas -Exterior HVAC Unit** - **HVAC units must be screened / InstalI _ Remove Under/Above ground Tank X _ installing/removing tank(s), call for inspection by When Fire Marshal and Plumbing Inspector ? Nature of Work: Permit Fees $70.50 Underground tank,nmilatioNremoval $50.50 Minimam (includes State Surcharge) or Contract Value $ g00 X 1% _ $ Permit Fee $ State Surcharge To calculate surcharge If Permit Fee is less than $1,000, surcharge is 50 cents. If Permit Fee is> $1,000, surcharge increases by $30 for each $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). $ Total Fee I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan 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 ppro lam in the case of work which requires a review and approval of plans. r a?%Gt G Ju,..cle+, G Applicant's Printed Name tcanYs Sign re Approved By: Required Inspections: Inspector Date_ U.G. R.I. Air Test Gas Service Test - Infloor Heat Final r t Use BLUE or BLACK Ink ---------i For Office Us I I I 1+ Permi City of Eajan t Permit Fee: V 3830 Pilot Knob Road I Eagan MN 55122 I ~ Date Received: I Phone: (661) 676-5675 I I Fax: (651) 675-5694 Staff. 2010 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: o~-/6' B ~ Site Address: :3R570 !ierim&-f' ~ at~`(- Tenant: n Suite PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor -\Z TYPE OF WORK Description of work: G Construction Cost: 060 , o-6 Estimated Completion Date: -2 - - l CONTRACTOR Name: G.0 Flre Protection, inc License Address: 211 Xenium Lane South City: State: i netonka, M Phone: q65 - 5q/-9 a Contact: Email: WORK TYPE FIRE PERMIT TYPE 10 Sprinkler System of heads ) New _ Addition Fire Pump r Standpipe Z Alterations Remodel Other: Other: DESCRIPTION OF WORK: _ Commercial _ Residential _ Educational FEES $50.50 Minimum (includes State Surcharge) OR Contract Value $ l b U X1% _ $ Permit Fee - if Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). $ tSU . Sa TOTAL FEE 3/4" Displacement Fire Meter - $203.00 $ Fire Meter TOTAL FEE *Requirements. 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for permit, and work is not to start without a permit; that the work will be in a rdance with jf~ approved plan in the case of work which requires a nevi and approval f plans. X x Annlicant`f, nted Namp Annllcant"s ire 3 6o b&4 oqo-e-k-- fqv&, q-;~m2 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 X Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed by: Date: /-g= / i! r s Use BLUE or BLACK Ink For Office Use City of Ea Permit ! Permit Fee: lY! I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: i -----------------J 2010 COMMERCIAL BUILDING PERMIT APPLICATION L-CZ,4 d,74~` Date: 2 3 20l Site Address: 32SC~ D e.r wo ric Ave., Tenant Name: S (Tenant is: X New/ Existing) Suite t q_e1j) Former Tenant: Corn ~riUr'GoC. S PROPERTY OWNER Name: Relckc%c2 QW#_\oPrne^* Qyr^ aAJ Phone: (plot -313-OkOtS Address / City / Zip: 5ZL4 mo.r a In e-'44 ,/wave s lo00 Applicant is: Owner ~D Contractor TYPE OF WORK Description of work: RAMQ&&\ Craxce Slro, na,.) -}enov\-~^ Construction Cost: oZ CONTRACTOR Name: Fer~&er %Akerbgn, Licensem 26ND%123a Address: y 3r'1 W 2~ S~ - City: SaJ~.~e State: NW Zip: SS 3~ g Phone: 9 S2 - ` q0_ `I 3 (ay Contact: Email: a 8_2 c\,,% r a Scan. err. ARCHITECT / Name: IR- ~IWc1r`."Ve\ukfc_ Registration ENGINEER Address: 333 .5~:...3N k,#e . *6 210 city: YV'se\s State: TV\" Zip: G5401 Phone: (Q- (g7(o- Q 7700 Contact Person: Sca,& Dn Email: W'\e&o^ V a~ r~~nG. CO ►a^ Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowiedge 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. Applicant's Printed Name Ap li nt's Signature Page 1 of 3 D t p 200 ff-~7 N6T WRITE BELOW THIS LINE SUB TYPES Foundation Public Facility _ Accessory Building _ Apartments Commercial / Industrial _ Exterior Alteration-Apartments Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial Miscellaneous Antennae Exterior Alteration-Public Facility WORK TYPES New Interior Improvement Siding _ Demolish Building* _ Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Salon Owner Change Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION / Valuation 22,&V Occupancy M MCES System Plan Review ~j Code Edition ZOV7MS84 SAC Units 0 L~TTJ`7L (25%_ 100% Zoning .L~ City Water ✓ Census Code Stories , Booster Pump # of Units Square Feet 0/ V PRV # of Buildings j 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 V Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: V /Yes No Reviewed By: CwL , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee 3 G, $ • Z Water Quality Surcharge It . e o Water Supply S Storage (WAC) Plan Review 23 q. `C! Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk SSW Permit S Surcharge Street Lateral Treatment Plant Street Treatment Plant (irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL G • ~y" Page 2 of 3 M_ Metropolitan Council q;) 9 -7 Environmental Services February 24, 2010 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC for Sprint to be located at North Wood Court - 3250 Denmark Avenue, Suites 104-105 within the City of Eagan. This project should be charged no additional SAC Units, as determined below. SAC Units Charges: Retail 1145 sq. ft. @ 3000 sq. ft./SAC Unit 0.38 . Storage 648 sq. ft. @ 7000 sq. ft./SAC Unit 0.09 Total Charge: 0.47 Credits: Retail (10/06) 2310 sq. ft. @ 3000 sq. ft./SAC Unit -0-.77-- Net Charge: 0.30 or 0 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. Sincerel (i1'l Karon Cappaert SAC Technician Environmental Services Division iE~ KC:kb: 100224A3 vJ J V Determination expiration: February 24, 2012 cc: J. Nye, MCES Peggy Fleck, Eagan Adam Beesch, Fendler Patterson (eilt)ietrocouncil.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 Use BLUE or BLACK Ink -----------------1 f `mot For Office Use I LIAR 0 9 2010 I Permit q3 0 City (~l Eajan of I mit Fee: l Per 3830 Pilot Knob Road S Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: Yom' - - - - - - - - - - J 2010 MECHANICAL PERMIT APPLICATION Date: l! Site Address: A !Z 5 Tenant• Suite JnL4 RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: License _ Address: 02(.oo City: Y~ ~Okp!e State: ►"'N Zip: 5 Phone: 6% t Z '43 2. Z- t Contact: v~ Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: ~ AA.~C+- NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened, by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace _ New Construction Interior Improvement Air Conditioner Install Piping _ Processed _ Air Exchanger _ Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $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) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) 50 = $ ~ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). ~ 0'3' 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.oog)herstatoonecall.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 pla x , yy~\ ► e= o 7,,~, x Applicant's Print 6d Name Appli s Signat FOR OFFICE USE Reviewed By: Date: 1-~ Required Inspections: _Under Ground Rough In Air Test _Gas Service Test _In-floor Heatinal Exterior HVAC Screening Inspection - ` Use BLUE or BLACK Ink For Office Use I I G I I v" I Permit City of Eap I Permit Fee: 3830 Pilot Knob Road w ~ e . r P}L I Date Received: Eagan MN 55122 ,yyfrj" Ir ' kIP JL~ Phone: (651) 675-5675 APR 2 7 2012 /~t\/~'l I Staff: Fax: (651)675-5694 I - 2012 MECHANICAL PERMIT APPLICATION Date: 5 (c,~ Site Address: 6 Z!bQ -Dc n rncu!' k 3 y e--, Tenant: Eleo-Y1 cA-"ci- Y ? 5 5 Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Name: C', 1) Im rA e~ °a ct_t Ur ib t yYa License Q 5g 9 b P M Address: L 4408 ~~r~vVGu I ~V2i City: rDY e4, CONTRACTOR cI 1 State: w ty Zip: Phone: ZP J I ' ~ SIX Contact: T6 M (_&A,6Cn, Email: fC,~ 6 a ~ New Replacement Additional lIteration Demolition TYPE OF WORK Description of work: l!1 " ° d ouc° ' 1✓k - ~✓I S NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMME CIAL Furnace _ New Construction Interior Improvement PERMIT TYPE =Air Conditioner = Install Piping = Processed Air Exchanger Gas Exterior HVAC Unit g Heat Pump Under / Above ground Tank L_ Install Remove) Other 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) _ $ TOTAL FEE COMMERCIAL FEES:' eet ~i'~?/ ~'Y1 t7~`t~ ~y) -tee,", /f/E~/~ S2rS $75.00 Underground tank installation/removal (included $5.00 State Surcharge) OR Contract Value $ ! x1% J~ 60.00 Minimum includes State Surcharge) = LD 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 - $ G l J Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a rmit; that the work will be in accordance with the ap oved~pllanJ in the case of k which requires a review and approval of plans. x 1i / V N/ C/ / (/vS~ x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Dater Underground Rough In Air Test Gas Service Test In-floor Heat _,KFinal HVAC Screening Use BLUE or BLACK Ink For Office Use • ~5 City of Eat Q I I I I Permit Fee: C//%fi• ~CJ 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: I 2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: Site Address: /-1 Q`/.f reSS Suite Tenant: C/~Ltl~j /V A, Name: Phone: PROPERTY OWNER Address /City /Zip: s Applicant is: Owner Contractor TYPE OF WORK Description of work:"" U /0 c~,l7l" nkkE f / earls T~J /7e G[/ Construction Cost: ~lC ~liC/ • Estimated Completion Date: 5 ~ J Name: License X03'9 70 ~(pP/l0 city: /YCG CONTRACTOR Address: State: Zip: Phone: -/~J~~ Contact: Av U Email: 0 U~ FIRE PERMIT TYPE WORK TYPE Sprinkler System of heads _ New - Addition Fire Pump _ Standpipe Alterations - Remodel Other: Other: DESCRIPTION OF WORK: Commercial Residential Educational FEES $60.00 Minimu (includes State Surcharge) OR Contract Value $ X1% rmit Fee is less than $10,010, surcharge is $ 5.00 Permit Fee - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) Surcharge _ $ TOTAL FEE 3/4" Displacement Fire Meter - $231.00 Fire Meter TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which req ires a eview and approval of plans. x Q f'!/1 CS X 6'a &Ate Applicant's Printed Name Applicant's Signature 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.ora FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed b _ Date: / C>~ / Use BLUE or BLACK Ink I---------- --i I For Office Use 1 I 1 I Permit I I vL I City EaEdR Ol Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: - - - - - - - - - - - - - - 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: 3Z So ~~K?ArLJ~ ~iFtJE , elf inir)r &A) 5'v m / 0 3 Tenant Name: /q (Tenant is: New / Existing) Suite / O 3 Former Tenant: 5*011 Z Name: ?YtI11JTe- ~Il~oP T1~-S Phone: i(olZ - 513 ^6/ 03 Property Owner Address / City / Zip: -f I'r 9 Fi04W5C-=; Ave 5o0 AO/, 5,,W Ad Ss~/ 0 Applicant is: Owner Contractor Type of Work Description of work: CM O Construction Cost: s0 0 0 Name: Kul L-p eyu &-'r- License Address: ~SZ- 57/(,t.W~L;4C City: 44-0-7-0 0e-P t Contractor State: Zip: ~l Phone: X 2-2-f Contact: Email: OJl LC C9 4Cz4,Vt F--JeSey-c'CO Name: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.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 applicatio or a permit a w s not to start without a permit; that the work will be in accordance with the approved plan in the case of work ch r a e ' w a pproval of plans. x CJI f.~-~A->t~t _l~' lC cG t~X x , Applicant's Printed Name Applicant's Si ure Page 1 of 3 DO "at Mm BELOW Im UNE Ut norm= l _ Ty4e AddMan tee _ Fkbbftgwmn fum FUM ; V b M, 50,f- unft C/ 621% t 7 con*4* f # of / FWK PRV # Su / Fba 3'"o as'C• t roes (heck[ Fine) Mc f n" (AddA Ftnw t too C4, fe _mN Fri W%Mkms F1_ R in Al- Tom Frei ilaWald Flaw Fixes Mmmh M b tray . ✓ pummit Sam Fre Ptr fflwviow Sbasw 'SawarTnmk T CRY S= vh"r iirnafth S&a l Tflattt Pip" 4 1I _ WOW City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Used Permit#: 1 I o' Permit Fee: UC O Date Received: \O Staff: 14C- 2013 FIRE SUPPRESSION SYSTEMS/PERMIT APPLICATION* Date: /b- aci-f. Site Address: ,3cf) tJ Tenant: :as tel IJA Suite #: l0.3 J Name: Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: Q145 / f 2ticaeg v4. S p r; r ter -",.< i - Siva Spli-e f ec„.„„,41,4 Construction Cost: &lip Estimated Completion Date: AJCA) 261 Name: SA mf t re_740fietilCA License #: £ -c15 Address: 515 11i1.Adi1/441,..../ C City: '' .101444 State: ,)1/t,) Zip: 55103 Phone: ides/' Contact: Email: FIRE PERMIT TYPE 10 Sprinkler System (# of heads Fire Pump _ Standpipe Other: WORK TYPE New Addition )t+Alterations — Remodel Other: DESCRIPTION OF WORK: 7c, Commercial _ Residential _ Educational FEES $55.00 Minimum *If the project valuation is over $1 million, please call for Surcharge Contract Value $ Yid x 1% = $ SS r Permit Fee = $ 5.00 Surcharge* = $ ( ^ TOTAL FEE 3/4" Displacement Fire Meter - $245.00 = $ Fire Meter = $ TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Buildin •/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 b - ' • • rdance with the approved plan in the case of work which requires a review and approval of plans. x 4;0,f.r Applicant's Printed Name Applicant's Signature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Trip Conditions of Issuance: Flow Alarm Pump Test Drain Test Rough In Central Station // Final Permit Reviewed by; Date: /r/ /L>21‘ / City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use ` l'�Il /A �; 7 `7,(10 Permit #: Permit Fee: Date Received: Staff: 2015 COMMERCIAL BUILDING PERMIT APPLICATION Date: )� /attS Site Address:��c% Q \. OMOJK \C (0-3 Tenant Name: tic al rThS (Tenant is: New / Former Tenant: (t3cy, 5 I Existing) Suite #: Name: VOA)kz Phone: al —Ot Q� Address / City / Zip: 1-19Clq S S '► arca Contractor Applicant is: Owner Description of work: SeiN C'l' (C) V i tc f C. \I O (3 .J )U 1 / ,(1tkYt` t tt`T` ga)r. Construction Cost: 000 Name: C 4 Address: License #: p Y a -? Loc tin vt 4 , i `Y 1'iCity: r1O Phone: (0[1- 606 -.(l?Iq State: OW Zip: 55110 Contact: a7" «—LliQ11-1 Email: C- fo-Octa+s►h, OCQS. coPI Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: 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.gooherstateonecall.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 wrequires a review and approval of plans. x Ose ?cif, Applicant'sinted Name x Applicauxf's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE /(Y/1-14 SUB TYPES Foundation ✓ Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100% ; /t Census Code # of Units # of Buildings Type of Construction Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage 0 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation _Ice & Water Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: _ Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Demolish Building* Reroof _ Demolish Interior Windows Demolish Foundation Fire Repair Retaining Wall *Demolition of entire building - give PCA handout to applicant ;07 otdL-- /� MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock inal 1 C.O. Required 6 Final / No C.O. Required Other: Pool: _Footings Air/Gas Tests _Final Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control Concrete F,ntrance Apron Final CIO Inspection: Schedule Fire Marshal to be present: Yes ✓ No Reviewed By: d L , 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 Water Quality 5 /, 5 X53 Water Quality Water Sampling Fee Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL* /i/7. 7. Page 2 of 3 C!tyofEaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 6/14/16 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 7e-77 66761 1r I I Date Received: Staff: 2016 COMMERCIAL BUILDING PERMIT APPLICATION Site Address: 3250 Denmark Avenue Tenant Name: Red Savoy's Pizza Name: Mike Meents (Tenant is: New / Former Tenant: N/A Existing) Suite #: Address /city /zip: 3250 Denmark Avenue Applicant is: Owner ✓ Contractor Description of work: Front end remodel Construction Cost: $40,000.00 Phone: 651-269-2215 Name: Fendler Patterson Construction License #: BC011239 Savage Ge/. 7 Address: 4839 W. 124th St. City: MN State: Zip: 55378 Phone: 952-890-4364 6_</-o7o f-� • Contact: Matt Popple Email: mpopple@fendlerpatterson.com 4/0 Name: N/A Registration #: Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: N/A Email: Phone #: 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..o.herstateonecall.or hereby acknowledge that this information is complete and accurate; that th codes of the City of Eagan; that I understand this is not a permit, but only an a permit; that the work will be in accordance with the approved plan in the case o x Matt Popple Applicant's Printed Name x Applic rk will be in conformance with the ordinances and ati. for . mit, and work is not to start without a h qu es a review and approval of plans. Page 1 of 3 7 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation ✓ Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Public Facility Accessory Building Greenhouse / Tent Antennae ✓ Interior Improvement Exterior Improvement Repair Replace Water Damage Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100% 17) Census Code # of Units # of Buildings Type of Construction ¢D/ CVO v' G Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Insulation Ice & Water Final %/ Framing Fireplace: Rough In _Air Test Insulation Meter Size: Final Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant /t47 63, MCES System SAC Units D`hCHANGE /A' at act.[.A, City Water r Booster Pump PRV Fire Sprinklers Sheetrock ,Final / C.O. Required ✓ Final / No C.O. Required Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Concrete Entrance Apron f ✓ Yes No -� Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: C, i4 , 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 Water Quality 5714 2.-S- zD.a-e 575. it Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL: `47•r/ Page 2 of 3 City of 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 p\AA,Sd CV__ (2ci RECEIVED AUG 102016 Use BLUE or BLACK Ink L For Office Use Permit #: 7 IC 1, Permit Fee: Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION Irl Please submit two (2) sets of plans with all commercial applications. Date: P19 /,- Site Address: 32 S7) bc✓L, �n Tenant: 3` r_ cX c". v4 (.4 ZZ� Suite #: J Resident/Owner Name: Phone: Address / Zip: Contractor /City Name: /--/l f` eOr► dr li` r f,tu'/A 44 License #: z Address: _S---...5- Lx/ _rdy A -✓--it City: S ` .04, ".. State: /'!v7 ".../•� Zip: - �° /j 7 Phone: '"/ - D 4 Contact: ...7", +M14� f ti Email: Type of Work New Replacement Additional Alteration Demolition ..„..)<" Description of work: r 2INIMMINIIIIIIIIII 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. Permit Type RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank ( Install / Remove) Other _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge includes State Surcharge = $ TOTAL FEE $100.00 Residential New, COMMERCIAL FEES $60.00 Permit Fee Minimum�/ Contract Value $ /5-220 x.01 e- = $ U 0 Permit Fee $75.00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ - 7.5- Surcharge 2 S = $ 6 DTOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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 J t -- 1 fJ rl.44-1 Applicant's Printed Name x C Applicant's Signato're FOR OFFICE USE .Q Required Inspections: Reviewed By: Date: Uzi/ -/4® Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening c City of Ea�all eq\e" 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RE ' VED SEP 022016 Use BLUE or BLACK Ink For Office Use Permit #: t,M0 Permit Fee: (DO Date Received: -1-2_/ Co Staff: 2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 8 3/-147 Site Address: 3 Z 5ctJ w_e_ ALIE. Tenant: Property Owner Type of Work Contractor Name: Phone: Suite #: Address / City / Zip: Applicant is: Owner Contractor Description of work: Ar"r>(i) OPizt t r' i) 'j'k.41 -r __e�--C-K ( Construction Cost: .46..).46..); Estimated Completion Date: 1-14P Name: ��- 1_ .t tiy�-! ��. - : - License #: 2. Address:/ o3 City: Ls...,\K rtE State: MN Zip: SSI 1) Phone: 451 Contact �6 LT Email 9A.1-1-.2tt3t,l't1A $4.1 FIRE PERMIT TYPE K Sprinkler System (# of heads 2_) Fire Pump Other: _ Standpipe DESCRIPTION OF WORK: FEES $60.00 Permit Fee Minimum Commercial Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge $100.00 Residential New (includes State Surcharge) 3/4" Fire Meter - $280.00 WORK TYPE New Alterations Other: Residential Addition Remodel Educational Contract Value $ aluue$ 5 x .01 _ $ Permit Fee = $ r 2- S Surcharge TOTAL FEE =$ = $ Fire Meter = $ ee,v 2.5 TOTAL FEE **Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ....)294/6M4 Fe47-F---044-) Applicant's Printed Name ( Applica t's Signat &S6._ _ 7L- 2.0/5 7 FOR OFFICE USE v31- oc1 id REQUIRED INSPECTIONS Hydrostatic Flow Alarm Pump Test Central Station Conditions of Issuance: r, Permit Reviewed by: ��` It Use BLUE or BLACK Ink '�f For Office Use C' 'fir 4[111/ 1 City Permit#: /�/�- © �/Eaaaii `r/ 7 'of 1 r Permit Fee: 3830 Pilot Knob Road ' s - Eagan MN 55122 Date Received: t iCf6 Phone: (651) 675-5675 buildinginspections(a citvofeagan.com staff: J 2017 COMMERCIAL BUILDING PERMIT APPLICATION Date: 8/7/17 Site Address: 3250 Denmark Ave. #108 Tenant Name: L u (Tenant is: ✓ New/ Existing) Suite#: Former Tenant: Massage Envy Northwood Court Eagan LLC 952-563-6668 }yy{. ; ",,a1,i� Name: Phone: towner ,Ip', 4999 France Ave. S. Suite 216, Mpls, MN 55410 1.1"',.:,,..4,0111,i1' Address/City/Zip: !!y11�y4oO��pi il Applicant is: Owner 4±Contractor 1 Construct demising wall for future tenant. Sp ce remains as isc just smaller, 74 J Description of work: i '' +fS� p -^end �h�w�� fit\ sc�. �e-n.. occ� ty_ 11 1 -_ amlli d Construction Cost: 14,500 Fendler Patterson Construction BC011239 �I,„,0,4 ,I Name: License#: 4839 West 124th Street Savage '11,_'' Address: City: C+ t rCts! „dliiulh ti �of'-.i-'��''. State: MN Zip: 55378 952-890-4364 r Phone: q Adam Beesch abeesch@fendlerpatterson.com�� Contact: Email: "�A,h�� , - DJR Architecture Inc. ,l,i Name: Registration#: eta V� 41....K-,"'0,i'''''',1,i1 333 Washington Ave. N. #210 Minneapolis clte , ntrlePr Address: city: MN 55401 612-676-2700 State: Zip : Phone: Scott Nelson snelson@djr-inc.com M�' 1,, Contact Person: Email: 7; Licensed plumber installing new sewer/water service: Phone#: 10.61..L 1�,ig � _ � .1 �SII Ilbtl�t I�:I i � a.: iiI of IiIII I� r,,t I i i — I I Ipi i �� ,i �� I i iii it � �f�� >� �'I I i i I�II��I��SII r s a ® x i�{{iK► fl S k7 I I 5{ �`�r A`R ,bli in C1 a ion.-_i don •8 ' t i iii t�tl91u infor ion maybe. tl�/ - .fir, n - bl/cn ifi o w ® F e w w'� 's 2. ®e t 1-':'-'III() 3 are a seC'l ,iP lI 0 r ” i p , r , V(I --,2-41,---- sxrG oI 1 (i( 1 1 by l r �� IIIII � -_��iili b�i�lh��hil�,�l� ��II� � � � � � N, n� �-�.,"�10 ip1� -. � .,,,��'? as'��) �� ;I tea.� --1- �. � .,�- � . 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. 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 of work which requires a review and approval of plans. XAdam Beesch Applicant's Printed Name Applicant Signature Page 1 of 3 a��0 fiCM1111/71'-vj ,e O NOT WRITE BELOW THIS LINE /L4- (:)67 — SUB TYPES _ Foundation _ Public Facility _ Exterior Alteration-Apartments _1/Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse I 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 15 0" . .w Occupancy B MCES System Plan Review %.,/ Code Edition 20/5 /1413C, SAC Units 01 1101-Ne 1. ,4- SHE Lam. (25% 100% Zoning TV City Water ✓ Census Code Stories / Booster Pump #of Units O Square Feet /3G4 PRV #of Buildings I Length Fire Sprinklers Type of Construction • $ Width REQUIRED INSPECTIONS VA-C -A/r $P*rts (p ,i l s ivr 4 wit-u- e wt_ii Footings_New Building_Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier,. Erosion Control ✓'' Framing ✓30 Minutes 1 Hour Steel Reinforcement Insulation Concrete Entrance Apron Sheetrock Other: Roof:_Decking _Insulation Ice&Water _Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick EFIS Electronic As-Built Plans Required Windows Fireplace: Rough In _Air Test Final /Final/C.O.Required Pool:_Footings Air/Gas Tests _Final ✓ Final/No C.O.Required Final CIO Inspection: Sc . e Marshal to be present: ✓Yes No Reviewed By: .. , Planning New Business to Eagan: Reviewed By: e"--,(14- , Building Inspector FEES Water Quality Base Fee Z 65- • rD Storm Sewer Trunk Surcharge 7 , 5 0 Sewer Trunk Plan Review 1 "71 •S$ 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: 4/44/s-. S -s Page 2 of 3 Use BLUE or BLACK InkC/91id For Office Use �f5,/7 / <D ? L Permit#: C6 ( 4!!!IIIIof Eaiall. ; Permit Fee: 1 (` (! 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651)675-5675 buildinainspectionsc citvofeagan com Staff: 2017 COMMERCIAL BUILDING PERMIT APPLICATION Date: 9/13/17site Address: 3250 Denmark Ave Vacant Tenant Name: (Tenant is: New/ Existing) Suite#: Ili Former Tenant: Massage Envy Name: Northwood Court Eagan, LLC Phone: 952-563-6667 Property Owner 4999 France Ave S., Minneapolis, MN 55410 Address/City/Zip: Applicant is: Owner ✓ Contractor Demo interior of space. Type of Work Description of work 22,000 Construction Cost: ' Fendler'Patterson Construction BC011239 Name: License#: 4839 West 124th Street Savage Contractor Address: City: State: MN Zip: 55378 Phone: 952-242-9219 Adam Beesch abeesch@fendlerpatterson.com Contact: Email: Name: N/A Registration#: Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. 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.000herstateonecall.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. XAdam Beesch Applicant's Printed Name Applicant's Signa re Page 1 of 3 A_ - , _ P,C4/1/nig/LK L/C ///0 -5 c ) DO NOT WRITE BELOW THIS LINE /(-7 SUB TYPES _ Foundation _ Public Facility Exterior Alteration-Apartments A/Commercial/Industrial Accessory Building — Exterior Alteration–Commercial — Apartments _ Greenhouse I Tent _ Exterior Alteration–Public Facility Miscellaneous Antennae — WORK TYPES New _ Interior Improvement Siding Demolish Building* — —_ Addition _ Exterior Improvement — Reroof —v/ 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 Iift 1 Occupancy M MCES System N/A- Plan 4Plan 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 V • g 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: `s 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 I C.O.Required Pool:_Footings _Air/Gas Tests Final V Final I No C.O.Required Final C/O Inspection: Schedule Fire Marshal to be present: /Yes No Reviewed By: `__ , Planning New Business to Eagan: Reviewed By: C1-J14 , Building Inspector FEES Water Quality Base Fee I5•"i' Storm Sewer Trunk Surcharge '—"' Sewer Trunk Plan Review 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: 9' 1s.e-6 Page 2 of 3 flu e(q-viUse BLUE or BLACK Ink /^ r L�/ _ y �ry ti�� 0l 2 C�l E c r For Office Use / y l if.�. I 41!!/11' tot Permit ft: J 1 Permit Fee: • I 3830 Pilot Knob Road _ Eagan MN 55122 Date Received: -/—/ Phone:(651)675-5675 I ii7 Staff: I J 2017 MECHANICAL PERMIT APPLICATION Ca�iI 0 Please submit two(2)sets of plans with all commercial applications. (`t (v r Date: - 2,4'"' (7 Site Address: 1&-3 Qt Alen*a-�:.. � ` -, Tenant 6-9^/o Gro" '7 6.r o e.1(� Suite#: (1 Resident/Owner Name:. Phone: Address/City/Zip: Name:11-(tU-dert-i,Ad al tit-Itif +iti*4 -54,A140-if l^gicense#: Contractor 64.-.1i _3 r l:, ?i`ct) r't Si--to City: r r-+vw...) X11 .. (, z. - 16(, .. 2,:, 8 State: /yt Zip:/�,�`S'c'z..'1 Phone: 0-- b if –`.l't7 –Lia Y Contact:D rl 1''e r4 c..t Email: O/�rtr2 .✓CLt".e(1•r-/'-i...t. '^,t New Replacement Additional ,C Alteration Demolition C t ,,,,,,,e,+- 4-ac(J•i.A/L 0"i I,4 v' t-- tr..> Aferi.t ,e.r" SCPd t-fr1 C 4-r Type of Work Description of work: p`?r At- A Z .✓,s..,/T1. NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL _Furnace *New Construction Interior Improvement Air Conditioner Install Piping Processed Permit Type — Air Exchanger KGas ) Exterior HVAC Unit — 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$ ti",""‘)." x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ 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.cityofeanan.comisubscribe. 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 -rt 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 6 A-4.-4-&".1 (23.t,wel.,tc-44-- x Applicant's Printed Name Applicants Signature FOR OFFICE USE /,/ f Required Inspections: Reviewed By: Date: l I /I 117 Underground Rough In Air Test Gas Service Test In-floor Heat ( Final HVAC Screening • • itti ,\ Use BLUE or BLACK Ink r For Office Use Q�� P::: ' -•ty v E „,,,, Fee: <00 O 3830 Pilot Knob Road ,� Eagan MN 55122 Date Received: ” Phone:(651)675-5675 ° ,ti : • buildinginspections(a7.citvofeagan.com Staff: _,71___. 2017 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 09/05/17 Site Address: 3250 Denmark Ave Tenant: Northwood Court Suite#: 108 0 Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components N�3 ' w, Name: Phone: . . ea f ,,, Address/City/Zip: �� ,, a Applicant is: Owner Contractor t % 0 f E Turn Pendents to uprights Description of work: � " W *FS 1 Construction Cost: ,000.00 Estimated Completion Date: Viking Automatic C0005 4 ' k Name: License#: 301 York Ave St Paul z,� ' , Address: City: „(;olE`tts,' '14= State: MN Zip: 55130 Phone: 651-558-3237 David Schlundt dave.schlundt@vikingsprinkler.us , Contact: Email: FIRE PERMIT TYPE WORK TYPE ✓ Sprinkler System(#of heads 12 _New _Addition Fire Pump _Standpipe ✓ Alterations _Remodel Other: Other: DESCRIPTION OF WORK: Commercial Residential Educational — FEES $60.00 Permit Fee Minimum Contract Value$1000.00 x.01 Surcharge=Contract Value x$0.0005 60.00 g =$ Permit Fee If the project valuation is over$1 million,please call for Surcharge =$ '5 Surcharge $100.00 Residential New(includes State Surcharge) _$ 60.50 TOTAL FEE 3/4" Fire Meter-$290.00 =$ Fire Meter _$ 60.50 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 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. xDavid Schlundt x Applicant's Printed Name Applicant's Signature �Yrn � r/Fs x�a 771(3 /2 - Je✓ �yi.iGL ✓ F jr�e� .,6 �y��sy32, SCy za a '�rsPr� yco� y mo/ i._%r rom: y//05yr '�Y/ : ,FIC �M ,,FSROFr ' nE €X r � �yA� B �ai�R ,w <s i �,,,,,..*,"„:„:::::,'!:::111.90., yR_ rtel � � 3 _ 1f X !/ � / 'y/Aivy ;i � r rd �� y 0 40 \ rrkr �S r�x . �Ps � ✓t�ifiCA7 �/N i�. �` � - As /r � v,,.>r r A Use BLUE or BLACK Ink For Office Use City of ° ,.,ti Permit#: /t/ t I�j Eaafl Permit Fee: /�_ '( ' II 3830 Pilot Knob Road Eagan MN 55122 Date Received: 0 -al-1'1 Phone: (651) 675-5675 buildinginspections a citvofeagan.com Staff: J 2017 COMMERCIAL BUILDING PERMIT APPLICATION Date: 08/03/2017 Site Address: 3250 Denmark Avenue Tenant Name: Light RX (Tenant is: ✓ New/ Existing) Suite#: 108 Former Tenant: Massage Envy Name: Northwood Court Eagan LLC Phone: Propert4Owner Address/Cit /Zip: 4999 France Avenue South Suite 216, Minneapolis, MN 55410 � . Y F Vt',,z?4kApplicant is: Owner V Contractor IIPOWAft4 Interior Tenant Finish �, �' Description of work: GG°G'��t./�''*--/-- 'Ata°Type of'Itl(ork :47` $25 300.00 t a f Construction Cost: ' L'�1 t- Name: White Stone Construction, Inc License#: 7082 East Fish Lake Road Maple Grove atm Address: City: iiaglifttitittattOrAg4, M N 55311 763-777-5342 g State: Zip: Phone: ri Andy Basara abasara@wsconst.net Contact: Email: ** Tanek 23542 40 Name: Registration#: z 118 E. 26th Street Minneapolis Architect/Engeer Address: city: state: MN Zip: 55404 Phone: 612-879-8225 Ken Piper kpiper@tanek.com a „ F i ; Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: ° * y�'� ��::�`��' .c€ '€" rte, .�a``^ . "`. +" `� �.k�-,. kav :�fi: �:.a�'a� '�* <z„*' „��c<+fir-'�"�`" NOTE Plans farad supporting documents that yor submit areiconsi•e o be public informatio �P© ins`ofth information may e.ciassifre+ as non public if you"provide specific reasons hat woul per it the Cifjr a concl d 'h t t eye flare trade sect a "' 9 a " t,' i'. 's 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.citvofeaean.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of wor hich -• •res a review and approval of plans. Afr XAndy Basara X Applicant's Printed Name Anlic/(Vs Sig ature Page 1 of 3 t (o benir DO NOT WRITE BELOW THIS LINE / • ,/ ,___3 SUB TYPES _ Foundation _ Public Facility Exterior Alteration-Apartments yCommercial/Industrial Accessory Building Exterior Alteration-Commercial Apartments Greenhouse/Tent Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New Y 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 2$360 Occupancy /3 MCES System `� /f IC 'I Plan Review Code Edition 240s5S /S SQL SAC Units C pe (25% 100% ) Zoning — City Water �,/ 1 Census Code Stories Booster Pump — #of Units Square Feet ,2-36 PRV ''"i #of Buildings Length Fire Sprinklers ,/ Type of Construction IT 3 Width REQUIRED INSPECTIONS Footings_New Building Deck Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control )( Framing X 30 Minutes 1 Hour Steel Reinforcement Insulation Concrete Entrance Apron Sheetrock Other: 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 C/O Inspection• ' edule ire M shal to be present: )( Yes No 0. Reviewed By: , Planning New Business to Eagan: 4warr- Reviewed By: `„` ___ , Building Inspector FEES 7f Water Quality Base Fee yZ3, Storm Sewer Trunk Surcharge A l3 Sewer Trunk Plan Review ‘ 17 S yy 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: NZ. Page 2 of 3 1113C LI E About LightRx Whether you want to drop a dress size, melt fat,target cellulite,tighten skin or turn back the hands of time, or say goodbye to unwanted hair, our team will customize a plan using the latest medical devices to help achieve your goals.The science behind our LightRx protocol combines leading-edge treatments for dramatic results. FDA-cleared, non-invasive, fast, safe, painless and effective.Treatments are performed by our highly-trained, professional staff and overseen by physicians. r Cl2IIIEi aclaic>r e iri i. c� rii ricirel n s 3 drr err e ! c-,/-t , kz r-t r Hours of Operation 10:00 AM -7:00 PM Monday—Friday 9:00 AM—4:00 PM Saturday Number of Employees 2—5 Employees depending on volume Type of Use Salon &Spa Body Contour Ventures, LLC-34405 W. 12 Mile Rd.,Ste.200-Farmington Hills, MI-48331 MCES USE:Letter Reference: 170822A8 Address ID:628563 Payment ID:403832 /1(77 / v Date of Determination: 08/22/17 Determination Expiration:08/22/19 Greetings! Please see the determination below. Project Name: Light Rx Project Address: 3250 Denmark Avenue Suite if/Campus: 102, Northland Court City Name: Eagan Applicant: Andy Basara,White Stone Construction Special Notes: na Charge Calculation: Massage/treatment: 3 stations @ 5 stations/SAC=0.60 Office: 185 sq.ft. @ 2400 sq.ft./SAC=0.08 Total Charge: 0.68 Credit Calculation Massage Envy(SAC 04/08) 1202 sq.ft./2673 gross sq.ft. =45%X 2.20 SAC =0.99 Total Credit: 0.99 Net SAC: -0.31 —or— 0 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:cory.mccullough@metc.state.mn.us Thank you, Cory McCullough SAC Technician Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram 390 Robert Street North St. Paul, MN 55101-1805 Phone 651.602.1000 I Fax 651.602.1550 I 1 11/651.291.0904 metrocouncil.org METROPOLITAN An Equal©pponu,, E`mphs,,- C Q U N C I L i iE :g,,,,ry SE{ F I € 'y i'-g'41 Bili 2t 2 o o 1 gEv - p5€, pie g €uo (�_ +J IW yiau 22:1t R 6 P@ d 1 H a i "' '7157,R,tAteki':- w :4,,,- -/ rITI 71:ka '- '-'',=7;', ---itN,`, 1 } 111--�i Re - T [` l Kg r.. �' C-}-Th. .. SN{ HM 1. . - SjV 4 Kc„, is,....�'-' Via. ' ,T.N .,-.-, ' 5§��} a A 11 .,...,„ t_...., ich y� ... 1 eo;a3>866.' l7 i �\ _ 1 1 - 1 ,,,,_:ili_ . .. l' qq Un L J i 6 � 1 :c 0. n { Q.. ff FiU. V W• 0 0 a ) ' t '-'1' ” ,,,,,, l)'''' -''' CD j„\\/) .-.1k,:.,„.— §/1—,---,c-- __.,„.. 0 au,e w w w II II 8 Ld g 1 Ai t QI , a l' 1y . 5; ; a2 5 3 Y n O O OO OOOO 10 i4 f2�g V!! V =, 6, tgi6 , E f $ 9 E 4 LL a tS g,.- � th rUse BLUE or BLACK Ink firkl �' For Office Use � Permit:ee." 4 City of Eaftal )\'o C , --- Permit 3830 Pilot Knob Road Eagan MN 55122 9 Date Received: t 9--As -/ (651)675-5675 buildinqinspections(d)_cityofeagan.com I - 3 ' 4 1017 Staff: J 2017 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: //./ —_, — 0/7 Site Address: (� (-) D-e 014-17 k- id- '''e— , Tenant: i` ' h l�x Suite#: < Og Property Owner IName: Phone: Name: _�`G�icy' .. <,. , License#: ,..w., .... (�-L m....:M„., _. . lG0 Contractor : ( � ' G Z C/ A�lp .5.1.5)6e__,AddressCity: /><UC�@ lid Staten Zi `p /2- ZIP Phone C� Email a_ib-4-rf-1,h /1,tec b, C.0/ e 4o4144,0l.covi Type of Work —New Replacement Repair Rebuild I pace _Work in R.O.W. Description of work: 4dc ,/.c. -) rl CG A61 -C(1-1 ' _ 1 COMMERCIAL New Construction "'bYoltify Space Irrigation System(_yes/ no)( RPZ/ PVB) II • Rain sensors required on irrigation systems i Permit Type 1 . 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. I, Domestic:Size&Type Fire: 1 µ <� , Avg.GPM High demand devices?_Yes NoFlushometers Yes No e. COMMERCIAL FEES c Contract Value$7./Kx.01 $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit(includes State Surcharge) =$ Permit Fee =$ 3.co Surcharge i Surcharge=Contract Value x$0.0005 't If the project valuation is over$1 million, please call for Surcharge =$ -7 5-0 TOTAL FEE 1 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 I g t $ State Surcharge n =$ 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 vvww.citvofeacian.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 p= mit;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 4-C 1Is - iApp/2r(c1as Printed Name Appli'ant'•/Signature FOR OFFICE USE Approved By: 'Vs-17) Date:I' f 1s/ 642 Required Inspections: Under Ground ugh-In _Air Test Gas Test final PRV Required: Yes_No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of 3