3090 Courthouse Lane
M I N N E S O T A
DEPARTMENToPHEALTH
October 21, 2010 Protecting, maintaining and improving the health of all Minnesotans
Tom Eggerud _U t1 1
8837 - 196th Street North O I
Lakeville, Minnesota 55044
Dear Mr. Eggerud:
Subject: Food and Beverage Equipment at Dickey's Barbecue Pit, 3090 Courthouse Lane, Eagan,
Dakota County, Minnesota, Plan No. 110172
Thank you for submitting plans to the Minnesota Department of Health (MDH). We are enclosing a copy
of our report covering an examination of plans and specifications on the above designated project. The
plans appear to be in general compliance with the standards of this department and have been approved
with the following changes. Please see the enclosed report for the changes and/or comments.
Ten working days prior to completion of the project, please contact me at the phone number or email
address below in order to arrange for a final on-site inspection.
A final opening inspection can not be conducted until a license application is submitted with the
appropriate fees to MDH. Please submit application and fees to:
Minnesota Department of Health
Environmental Health Services Section
625 Robert Street North, P.O. Box 64495
St. Paul, Minnesota 55164-0495
If you have any questions in regard to the information contained in this report, please contact me at
651/201-5244 or at barbara.krech@state.mn.us.
Sincerely,
Barbara Krech, R.S.
Environmental Health Services Section
PO Box 64975
St. Paul, Minnesota 55164-0975
barbara.krech@state.tnn.us
BJKJlr -
Enclosure
cc: Riley Construction
Mr. Dale Schoeppner, Plumbing Inspector
Mr. Ronald Gnotke, Electrical Inspector
Mr. Marty Kumm, Electrical Inspector
Ms. Peggy Spadafore, Minnesota Department of Health
General Information: 651-201-5000 Toll-free: 888-345-0823 • TTY:651-201-5797 www.health.state.mn.us
An equal opportunity employer
MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on food and beverage equipment: Dickey's Barbecue Pit, Plan No. 110172
Location: 3090 Courthous Lane, Eagan, Dakota County, Minnesota
Date Examined: October 21, 2010 Date Received: August 27, 2010
Submitted by: Riley Construction, 1161 Wayzata Boulevard East #216, Wayzata, Minnesota 55391
Phone 612/290-0388
Ownership: Tom Eggerud, 8837 - 196th Street North, Lakeville, Minnesota 55044
Phone 612/290-1696
The following are corrections or requests for additional information necessary before construction of your
proj ect:
Scope of Project: Build a Barbecue restaurant in a former Quizno's sub shop. Using a majority of the
equipment from the previous establishment. Plans include, installation of 2 hood systems, one for wood
burning smoker, the other for the range, and deepfat fryer. PICK UP, DELIVERY, CATERING.
1. Equipment Standards - General Requirements:
Food and beverage equipment shall meet the applicable standards for one of the following:
• National Sanitation Foundation (NSF).
• Edison Testing Laboratories (ETL) to NSF Standards.
• Underwriters Laboratory (UL) to NSF standards.
• Canadian Standards Association (CSA) to NSF Standards.
Equipment shall bear the NSF or equivalent sticker and manufacturer information.
2. Food Service Equipment:
Table-mounted equipment that is not easily movable shall be sealed to the table or elevated on four
(4) inch NSF legs.
All floor mounted equipment that is not easily movable shall be sealed to the floor or elevated on six
(6) inch NSF legs or casters.
Used NSF food and beverage equipment may not be changed or altered from its original condition.
3. Food contact surfaces - General Requirements:
Primary food contact surfaces (tables and counters) shall be of stainless steel construction in
compliance with NSF Standard No. 2 or equivalent.
Plastic laminate surfaces are not acceptable for food contact and food preparation surfaces.
Dickey's Barbecue Pit
Food and Beverage Equipment
Plan No. 110172
Page 2
October 21, 2010
4. Non-food contact surfaces, cabinetry:
Non-food contact surfaces of equipment that are exposed to splash, spillage or frequent cleaning
shall be constructed of a corrosion-resistant, nonabsorbent and smooth material.
• Stainless steel counter top is required under the soft serve machine.
All service counters and other millwork surfaces shall be protected with stainless steel, NSF- plastic
laminate to Standard No. 35 or equivalent.
• Laminate surface that meets NSF ##35 is approved for under self service pop dispenser.
Exposed wood surfaces on cabinets and under counter tops shall be covered to provide a smooth and
easily cleanable surface.
Cutouts in millwork shall be made and sealed by the fabricator.
Enclosed hollow base cabinets are not allowed. Cabinets shall be on a solid raised masonry base or
six (6) inch NSF legs or heavy duty castors.
• All cabinetry is shown on 6 inch legs.
Non-food contact surfaces shall be free of unnecessary ledges, projections and crevices and
designed and constructed to allow easy cleaning and to facilitate maintenance.
5. Refrigeration - General Requirements:
Cold preparation table must be able to maintain potentially hazardous foods at or below 41 IF.
Raised cold rail refrigeration or top air cooled units are recommended.
• Sandwich rail on cooks line, and one used cold rail.
6. Walk-in Cooler/Freezers - General Requirements:
Provide approved flooring and base cove for the walk-in cooler or freezer.
• Walk in cooler and walk in freezer are existing.
Condensate from walk-in refrigeration equipment shall be drained to a floor drain located outside of
the unit, or the unit shall be equipped with an evaporator pan.
7. Ventilation System:
Type I hood required/provided for: Cooks Line/CaptiveAir - SMOKER.
Type I hood required/provided for: Cooks Line/ Captive Aire - RANGE,DEEP FAT FRYER.
Heating, ventilation and air conditioning system shall be installed according to chapter 1346 of
Minnesota Mechanical and Fuel Gas Codes.
All ventilation systems, furnaces and water heaters shall be designed, installed and operated
according to chapter 1346 of the Minnesota Mechanical and Fuel Gas Codes, chapter 1305 of the
International Building Code and chapter 7510 of the State Fire Code.
Dickey's Barbecue Pit
Food and Beverage Equipment
Plan No. 110172
Page 3
October 21, 2010
All rooms shall have sufficient tempered make-up air and exhaust ventilation to keep them free of
excessive steam, condensation, vapors, obnoxious or disagreeable odors, smoke and fumes.
All open sides of a canopy hood shall overhang equipment by at least six (6) inches.
Wood burning equipment shall have a separate ventilation system installed as specified by the
Department of Labor and Industry or a local building official.
Sufficient tempered make-up air (at least 55° F) shall be provided and interlocked with ventilation
equipment.
Ventilation hoods and other areas where safety is of concern shall provide at 50 foot-candles of light
at the working surfaces.
8. Three-Compartment Sink:
Sink bowls shall be adequately sized for the largest utensil to be washed in the three-compartment
sink.
Provide approved racks, shelves or dish tables for storing soiled equipment and utensils and air
drying clean equipment and utensils.
Soap and chemical dispensers attached to the faucet of a 3 compartment sink must be installed
according to Minnesota Plumbing Code Chapter 4715 and have appropriate backflow prevention:.
9. Food Preparation Sink:
• Existing food sink with drainboard
10. Storage Areas:
• If office will be used for food or equipment storage, then proper finishes must be used.
Storeroom finishes include, floors shall be commercial vinyl tile, quarry tile, or epoxy.
Walls shall be painted sheetrock or FRP, and ceiling must be painted sheetrock or VAT.
Designate an appropriate chemical storage space separate from food products, single-service items
and food equipment.
Provide a separate storage area for wood or other solid fuel used for cooking. Wood or other
solid fuel must be stored off the floor.
11. Walls - General Requirements:
Dry storage or non-splash areas may utilize gypsum board with washable semi-gloss paint.
• Enamel painted walls behind the beverage dispenser.
Wall surfaces in splash zones or high moisture areas such as warewashing, food preparation sinks,
handsinks and janitorial sink areas shall be finished with smooth, light colored, durable, non-
absorbent materials.
• All areas of kitchen and prep shall be FRP walls.
Dickey's Barbecue Pit
Food and Beverage Equipment
Plan No. 110172
Page 4
October 21, 2010
Insulated stainless steel or equivalent shall be installed behind cook's line.
Utility service lines and pipes shall not be unnecessarily exposed.
Exposed utility service lines and pipes shall not be installed directly on the walls or floor, except:
a. Quick disconnect gas hoses approved by the American Gas Association or NSF International;
b. Flexible cords and caps for commercial cooking equipment on casters, listed by Underwriter's
Laboratory.
12. Floors - General Requirements:
• Epoxy floors are existing throughout the kitchen and prep areas to include the walk in
cooler.
An outdoor refuse area shall be constructed of concrete, asphalt, or other nonabsorbent material and
shall be smooth, durable and sloped to drain.
Outside refuse areas shall be on smooth and non-absorbent surfaces such as sealed concrete and
shall be easily cleanable.
13. Ceilings - General Requirements:
Ceilings in kitchens, bars and bar service areas, other rooms where food is stored, prepared, or
washed, toilet rooms and janitorial rooms shall be smooth, non-absorbent, durable and easy to clean.
• Vinyl coated acoustic ceiling panels in kitchen and prep area.
14. Janitorial Areas - General Requirements:
• Mop sink is existing.
Provide vacuum breakers at all threaded hose bibs.
Chemical or detergent dispensers shall provide appropriate backflow prevention devices.
15. Plumbing - General Requirements:
All plumbing plans shall be approved by the Minnesota Department of Labor and Industry (DOLI)
or delegated agent. For information on submittal contact Department of Labor and Industry at 651-
284-5067 or visit their website at littp://www.dli.liui.gov/CCLD/Pl-umbing.asp.
A separate on-site inspection will be conducted by the Minnesota Department of Labor and Industry
plumbing inspector or delegated agent to determine compliance with the Minnesota Plumbing Code.
All plumbing equipment shall be installed in accordance with the Minnesota Plumbing Code for a
commercial establishment.
All pipe chases that pass through walls shall be tightly sealed and covered.
All utility pipes shall be enclosed in walls or ceiling.
e
Dickey's Barbecue Pit
Food and Beverage Equipment
Plan No. 110172
Page 5
October 21, 2010
All hot water generating equipment (water heaters) shall be of adequate capacity to meet the needs
of the anticipated demand of the establishment.
Provide a stand, 6 inch legs, or collar supplied by the manufacturer for the water heater, water
softener, COz bulk tank, or other floor mounted equipment located in the food preparation or
warewashing area.
16. Lighting - General Requirements:
Food preparation areas in which food or beverages are prepared, utensils are washed shall provide a
minimum of 50 foot-candles of light measured 30 inches above the floor.
Food and utensil storage rooms, toilets, locker rooms, dressing rooms shall be provided with at least
30 foot candles measured at 30 inches above the floor.
17. Employee Lockers, Restrooms and Break areas:
• Provide lockers, not shown on plans. Will verify during opening inspection.
Lockers or other suitable facilities shall be provided for the orderly storage of employee's clothing
and other possessions.
Lockers or other suitable facilities shall be located in a designated area where contamination of
food, equipment, utensils, linen and single-service and single-use articles cannot occur.
Designated employee break areas shall be located so that food, equipment, linens ad single-service
and single-use articles are protected from contamination.
18. Food Buffet and Self- Service
Food on display for self-service shall be protected from contamination by the use of packaging,
counter service line or salad bar food guards, display cases or other effective means.
• Provide design specifications for the sneeze shield that is required at the front service line
3/ wall. NSF requirements include a height of 60 inches when a wall is used.
Provide a means for displaying and dispensing clean utensils, plates, single service items and other
customer items in a sanitary manner.
• Provide NSF approved equipment for dispensing cones, or single use cup at ice cream self
service.
Customer self-service beverage dispensers must be designed to operate so as to protect the lip
contact surface of glasses.
19. Catering:
Food must be prepared, stored and delivered from a licensed commercial kitchen. Food, equipment
or single use items are not allowed to be prepared or stored at a private residence (home).
Dickey's Barbecue Pit
Food and Beverage Equipment
Plan No. 110172
Page 6
October 21, 2010
Food must be maintained at safe temperatures during transport and must be transported in a sanitary
manner in food grade containers.
When using time as a public health control, containers holding potentially hazardous foods must be
marked with the time they were removed from temperature control (refrigeration, hot holding or
cooking equipment) and must be discarded 4 hours from the time the food container was marked.
20. Other Code Requirements:
For information on the Minnesota Clean Indoor Air Act (MCIAA) contact 651-201-4601 or visit
their website at http://www.health.state.mn.us/divs/eh/air.
Contact MN Electrical Licensing & Inspection at 651-284-5026 or visit their website at
litlp://www.dli.mn.gov/CCLD/Electrical.asp for information on electrical requirements and the name
of the electrical inspector in your area.
Sincerely,
Barbara Krech, R.S.
Environmental Health Services Section
PO Box 64975
St. Paul, Minnesota 55164-0975
barbara.krech@state.mn.us
J
~ r
Use BLUE or BLACK Ink
17
For Office Use
~lG~~C7
Permit*
My of Eajan
Permit Fee:
3830 Pilot Knob Road ,gyp i 1
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 t t
Fax: (651) 675-5694 Staft
-...----J
2010 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION'S
Date: 16111ho Sit eAddress: -S-71-1 /04>
Tenant: D i G /C r'7 1x Q Suite
PROPERTY OWNER Name: Phone:
Address / City/ Zip:
Applicant is: Owner Contractor
//MJTA«- 3 Nliw vpn./6H- SjvA1Af1-4c.rrAH yA 6?-( /~1ovr: !r%e1C?W6
TYPE OF WORK description of work: PRA-1 Dr~ SPA. Ni-DotO IToA 1417c-&ea 4 If -04%0.
Construction Cost: 4 4 -8-6~ Estimated Completion Date: 10 5%c
'1 Fire Protection License Go
CONTRACTOR Name:1t 84-
Add2Z2/ 5 Meadowbrook Ave. City:
State: SCaltZ-1p: Phone: ~/Z - 2 S`t t f 6 7C
Contact: PI =71TA y~ DtLl~/~di Email
FIRE PERMIT TYPE WORK TYPE
Sprinkler System of heads 4-) - New -Addition
Fire Pump - Standpipe X Alterations - Remodel
Other:
Other. -
DESCRIPTION OF WORK: ~ Commercial _ Residential - Educational
FEES
$50.50 Minimum (includes State Surcharge)-- OR Contract Value $ x i%
_ $ ~C• Permit Fee
- If Permits is less than $1,000, surcharge is st8 s.
ao
- if Permit Fee is > $1,000, surcharge increases by $.50 for each = $ S• State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _
$ 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 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 PT , rZA. ✓-">Drz.AJA A x
Applicant's Printed Name App icanis 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.org
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough In
Trip Pump Test Central Station Final
Conditions of Issuance:
Permit Reviewe Date: / /
Use or BLACK Ink
- I For Office Use I
I l
~ i
Permit*
I
City Ulf Eapn "I I i Pemfit Fee:
3830 Pilot Knob Road CN\ ~i
Eagan MN 55122 s fl,w6 1 Date Received:
- -
Phone: (651) 675-5675 1 n _ Stair
Fax: (651) 675-5654 C>y ` L----__----__ --i
2010 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 3040 Cowes ~OKSc L" E.
Tenant: Suite /oa
PROPERTY
OWNER Name: Phone:
~ NTRACTOR License Name: Sri Z8 7
Address: q/ q57 Mrie <K~,< ~K City: 64• Ajl k cea( State: 144M Zip: 55jT
,
Phone: ?(n:5 $67- ZZSO Email: -Leta-L I b 'qo4 r5. Cbw+
F _ New _Replacement _Repair -Rebuild .A_Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE COMMERCIAL
New Construction _ Modify Space
_ Irrigation System yes no) RPZ I_ 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 odor to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? _Yes No Flushometers _Yes
COMMERCIAL FEES:
$55.00 Minimum (includes State Surcharge) OR Contract Value $ 4'L-1R . tb x1%
s- 74 Permit Fee
Required on ALL new buildings and boulevard irrigation systems a = $ Radio Meter Read
- if the Permit Fee is less than $10,010, the surcharge is $5.00 Meter(s)
- If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fes
(i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) State Surcharge
Following fees apply when Installing a new lawn irrigation system. $ Water Penn
Call the City's Engineering Department, (651) 675.5M, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $ 55.c~o
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0W2 for protection against underground utility
damage. Call 48.hours before you intend to dig to receive locates of underground utilities.
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 perms that the work will be in accordance with the approved
plan in the case of walk which requires a review and approval of plans.
X --X
Applicant's Printed Name Ap i is Signature
FOR OFFICE USE Approved By. Date: 0 / / /O
Required Inspections: -rnder Ground v Rough-In i /Ar Test Gas Test J~fFinal PRV Required: _ Yes No
Page 1 of 3
C~
Use BLUE or BLACK Ink
I ?Use 1
t
Permit
City of EaEdn 11
? Permit Fee.' f')Cl✓' (DO
3830 Pilot Knob Road
Eagan MN 55122 s I 1
Phone: (651) 675-5675 Date Received:
1-yI SE~ I
Fax: (651) 675-5694 staff- 1
2010 MECHANICAL PERMIT APPLICATION' ~7V _
Date: Site Address:-C'~)~~ rte- uy
Tenant: Suite M
RESIDENT / OWNER Name: OLke-ts Phone:
®,.Tf~6LLt'~Gl Gale
Address /C il p
CONTRACTOR Name: V, L License#: X87 PM
Address: '/(V,5 A C e./ z•te C-~ City: S'f- H.'CAAe
State: M A-~ Zip: 455 3 74 Phone: 243 - V f 7" Z Z Q
Contact: 3 A SOA Email: ~S.C.4AZ,',kQ h« j(AA4j r Cam
TYPE OF WORK New Replacement Additional)! X Alteration ` Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace New Construction _ c 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 forinspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value v x 1%
$55.00 Minimum (includes State Surcharge)
_Q" 00 Permit Fee
- If the Permit Fpee is less than $10,010, surcharge is $ 5.00
- If the Permit ee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ 5, 0(1 Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
_ $ 66 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.nopherstateonecall.ora
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 Eapermmit; t the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x ShS6 AJ ,SEiU X 21 x I
Applicant's Printed Name Appl' a ' nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test In4loor Heat N?rfi-al
Exterior HVAC Screening Inspection
October 13, 2008
Mike Maguire
Maroa
PaulBakken
Cyndee Fields
Meg Tilley
COUNCIL MEMBERS
Thomas Hedges
CIiY ADMINISTRATOR
Michael G McGrath
3090 Courthouse Lane LLC
1387 Cope Ave
Maplewood, MN 55109
RJM Consriuction
5455 Highway 169 N
Plymouth, MN 55442
Re: Landscape Inspection
3090 Courthouse Ln, Eagan MN 55121
MUNICIPAL CENTER
3830 Pilot Knob Road
Eagan, MN 55122-1810
651.675.5000 phone
651.675.5072 fax
651.454.8535 TDD
MAINTENANCE FACILITV
3501 Coachman Point
Eagan, MN 55122
657.675.5300 phone
651.675.5360fax
651.454.8535 TDD
www.cityofeagan.com
In August of 2001 a$S,OOO landscape security deposit was submitted to the City of
Eagan in conjunction with issuance of the building permit for construction of the building
at the above referenced location. These funds are eligible for release to the depositor at
this time.
Please note that the property owner continues to be responsible for maintaining the health
of all plantings on the property. In accordance with section 11.70 of the Eagan City Code,
the property owner must maintain all landscaped areas, and install healthy replacement
plants for any plants that die or aze removed due to disease. Maintenance shall include
removal of litter, dead plant materials, unhealthy or diseased trees, and necessary
pruning.
An inspection will be conducted by city staff next spring/summer to verify that the
condition of the landscaping is acceptable under city code. Thank you for your attention
to this matter. If you have any questions, please call me at 651-675-5684 or Planner
Sazah Thomas at 651-675-5696.
Since ly,
J
Fran Doherty
Planning Departme
THE LONE OAK TREE ca Sarah Thomas, City Planner
The sym6ol of
strength and growth _
in our community. ?
- , CITY USE ONLY
4 ? ? 0 1?r RECEIPT DATE: (" - o
PERMIT #:
COMIN£$CIlkL PLUbffiINfi PEPJW APf LICATiOR
CITYOF BABAF
sBso Purm' Kvoe Ru
El16lkF, 31P $5122
651-6$7-4678
lNCOMPLETE APPLlCATIONS WILL NOT BE PROCESSED
Date: 9• -D I
WORK 1'YPE G1 New Bldg Add-on Repair RPZ PVB " Irrigation system
• Must complete reverse side of application also. Required meter size is 2" turbo nu less smaller size permitted by Public Works
DESCRIPTION OF WORK
To inquire 9F Pressure Reducing Valve is required on Aew service, ca11651-681-4646
METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to aickin¢ uo meter
Irrigation Size & Type
Avg GPM
Fire Size & Price 3/4" disnlacement $149.00
Domestic Size & Type 1 J/L r?.j ?Uv GPM
Does this include higti demand devices7 _ Yes _ No
FLUSHOMETERS
Site Addtess:
_ Yes _ No
b t d\, . hA
PRV REQUIRED
Tenant Name: Lb?-4_N} l-Q Lx--)'?" Telephone #:
Was there a previous tenant in this space? Y N. If Yes, Name:
Installer Name: C/ 9 0 !/I Ja o
Installer Address: 191'`lo/
City:
_ Yes No
?
(Area Code)
Telephone #: / ?_ , I A2 0 _ C?U Lf Z?
/ r- _ (A?a Code)
State:
FEES Contract price x 1% ($50.00 minimum) Contract Fee
Meter(s)
Required on all new buildings & boulevard irrigation systems (Acct # 92204509 N? ir
(? [
Surchazge: $.50 Minimum. If contract fee exceeds $1,000, calculate at ? 5tate Surch? rge L
50 cents per $1,000 convact fee. I I JU?. 1 3 ZO01
Total From Reverse ?I INew ervice
Zip Codc
$ 17XJ-
s (D
?
I hereby acknowledge that I have read this application, state that the infoananon is correct, anan? agree to comply with alI applicable Ciry of Eagan
ordinances. It is the applicanYs responsibility to notify the propeRy owner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry
during its normal operational and maintenance activities to the facilities constructed under this permit within Ci /p/?p?% rty/right-of-way/easement.
rriN / / /L ???V?-?'I 1:a'/?
SIGNATURE OF PERMITTEE
CITY USE ONLY
REQUIRED INSPECI'IONS: _ U.G. _ Air Test _ Gas Test _ Roug6In _ Final
PLANS SUBMITTED APPROVED BY: P 7? t -2_0 / . BUILDING TNSPECTOR
r
a-bz
CITY -?US LY ? ?I ?
PERM[T #: -l ? RECEIPT DATE: q ' -D- ` - C
EOOE COblMEiiCIAL PLUM$IN& PERMIT i4PPLiCAT10N
CiTY OP fs46RN
S$SO PILOT KftOB {iD
HfkHAA, bilY 5512E
651-681-4675 ? J,
INCOMPLETE APPLICATIONS W11L NOT BE PROCESSED
Date: Li - Z ? - b 2
WORK TYPE New Bldg Add-on Repair ?6Z PVB • Irrigation system
' Jerry Wobschall to calculate Fees. Required meter size is 2" turbo nu less smaller size pcrmitted by Public Works
DESCRIPTION OF WORK I 2 r
To inquire if Pressure Reducing Valve is required on new service, ca11 6 51-6 81-464 6
METERS - Call 651-681-4300 to verify that hydroststic, conductivity, and bacteria tests passed arior to oickine un meter
Irrigation Size & Type / 2 Avg GPM
Fue Size & Price 3/4" disnlacement $152.00
Domestic Size & Type
Dces this include high demand devices?
Yes No
Avg GPM
FLUSHOMETERS _ Yes _ No PRV REQUIRED _ Yes _ No
Site Address: --3 o p O C n w tt 'r k 0?-L L E ? LQL K A
Tenant Name: 0 P, t< Vt tz W R c 1 f1' ? C£ r-V 7,C Telephone #:
Was there a previous tenant in this space? _ Y_ N. If Yes, Name:
Installer Name: l7 'R m l6 C H+Qw r- h t_,
Installer Address: / Z y 01 0'7 W 0 0
Ciry: k -N 1'V\
FEES Contract price $
(nrea coae)
Telephone #: ?y ? ? 4 (n IP ?
(Area Code)
State: M 'J
x 1% ($50.00 min)
Required on all new buildings & boulevard irrigation systems
Surcharge: $.50 Minimum. If ase fee exceeds $1,000, calculate at
50 cents per $1,000 base. ? LC) v?
Supplementary tees for new irrigation system:
Contact Jerry Wobschall at (651) 681-4624 regarding fees
Plbg Permit
Meter(s)
Itadio Meter Read
State Surcharge
Zip Code S S?'7 tfi
$ ?Z7.O0
$
$
S ?
Sub TotaVTotal $
Water Permit $ 50.00
Treatment Plant $ 540.00
Water Supply & Storage $
sre ? ? - ?-t
T°` F?422 9 Z00? ??.U
`
I hereby acknowledge that I have read this application, state that the information is correct, d agree to
ordinances.Itistheapplicant'sresponsibilirytonotifythepropertyownerthattheCity ofEagan ftme
during its normal operational and maintenance activikes to the facilities constructed under this T
all ap licable Ciry of Eagan
gd?Ages caused by the CiTy
v---D- I <? .z-
SIGNATURE
is (- a-
Qr ?w ??` COMMERCIAL
?? 2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
C "K3-'AS --I - l q-oo"
(" SO ,V (','
Foundation Onl New Construction Interior Im rovement
• S[rucWrel Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets
. Civil Plans (2) • Structu2l Plans (2) • Code Analysis (1) "
• Certificate of Survey (1) . Civil Plans (2) • Project Specs (1)
• Code Analysis (1) " . Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) . Code Analysis (1) • Master Exit Pian (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (7) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) •' • Elec. Power & LighGng Form (1) not always"
• Meter size must be established • Meter size must 6e esta6lished • Meler size must he established - if applicable
• Project5pecs (1)
1 • EnergyCaiculations (7) " l
1 . Electnc Power & Lighting Form
"
(1)
1
1 • Master Exit Plan (1) 1
1 • Fire Protection Plan
"
(1)
1
1 • SoilsReport (1) !
• MGES SAC determination letter • MGES SAC determination letter • MClES SAC determination letter
call 651-602-1000 call 651-602-1000 qll 651-602-1000
Contact Building Inspections for sample
Food & 6everage or lodging facilities - submit plan to MN Department of Health.
DATE: (o/20?jjZ. WORKTYPE: _ NEW >C REMODEL
SITEADDRESS: S?D9O 41 O-'+a'ko,j r.0 LaAe , ??i?c?
Call 651-215-0700 for details.
CONSTRUCTIONCOST?ZS??060
?2^ !1
TENANTNAME:
- - ? SUITE#:
FORMER TENANT NAME, IF APPLlCABLE:
DESCRIPTION OF WORK /F?i1"4' &1V Qu7'
?ec 763 383-7-400
Nazne: CJY'I& n ri o?- Phone #:
PROPERTY Last Fust
OWNER
St
Add
reet
ress:
cir,.: _P4,4-1r0'tA state: /t'1/1/ zip: 55yS'P?.,
Company: Tl?)? ( p2?r?,di"Ov( Phone#: ( 763 ) J'o? °?600
CONTRACTOR
Street Address: -6'f sS A? Y /b /
City: P/XN90v-/'k State: 1141I/ Zip: 55y1"?2-
ARCHTTECT/ M
ENGINEER Company: /'/6q5t/L ?IY'L1.T?°c75, 1fe
Name: dJn/P I'lln?wcen
J
Street Address:
?
City: ?jState:
Licensed plum6er installing new sewer/water
I hereby acknowledge that I have read this application, state that the information is
Minnesota Statutes and City of Eagan Ordinances.
Phone #: ( 9T7 ) q73 -1985
Registrarion #: _
Z Oe
and
JUN 2 8 [UU1
State of
Signature of Applicant:
- Updaled 1l02
OFFICE U5E ONLY
SUBTYPE
? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments Ct3/27 CommerciaUlndustrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Crreenhouse ? 34 Eact Alt - Comm.
? 25 Miscellaneous E 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
-1
? 31 New 35
V Tenant Impr ? 42 Demolish (Fo undation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) Ci 45 Fire Repair
GENERAL INFORMATION
Census Code 'f 3 7 Zoning PD_ sq. ft.
SAC Code 30 # of Stories / sq. ft.
No. of Units + Length sq. ft.
No. of Bldgs. ? Width sq. ft.
Const. (Actual) --a7A/ Basement sq. ft. MC/ES System
(Allowable) --'ZZ-Al First Floor sq. ft. ? City Water
UBC Occupancy M sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? H eating ? Insularion i-? Plumbing ? Stucco/Stone
APPROVALS
Planning
Building / ru kP Engineering
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City 5AC
Water Supply & Storage
S/W Permit
S/W Suroharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
39/, ?s
# (p 3`?8. Ob
VALUATION $
% SAC
SAC Units
Meter 5ize
?,+ a C3 t o c-t a
C-(-i;--? COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
?,? 651-681-4675
? r?
e;r__
Foundation Onl New Construction Interior Im rovement
• Structu2l Ptans (2) sets . Architectural Alans (2) sets . ArchNedural Plans (2) sets
• Civil Plans (2) . SWCtural Plans (2) . Code Analysis (1) "
• Certificate of Survey (1) • Civil Plans (2) . Projec[ Specs (1)
• Code Analysis (1) • Landscaping Plans (2) . Key Plan (1)
• Project Specs (1) • Code Analysis (1) " . Master Exit Plan (1)
• Spec. Insp..& Testing Schedule " • Certificate of Survey (1) • Energy CalcWations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schetlule (1) " . Elec. Power 8 Lighting Form (1) not always"
• Meter size must be established . Meter size must be established . Mefer size must be estabiished - if applica6le
• ProjectSpecs (1)
1 • EnergyCalculations (t)
1 • Electric Power 8 Lighting Form
"
(1)
i.
1 • Master Eyjt Plan (1)
y
1 • Emergency Response Site Plan (1) *" y
y • SoilsReport (1) y
• MC/ES SAC determination letter • MGES SAC determination letter . MGES SAC determination letter
ca11651-602-1000 ca11651-602-1000 ca11 651-602-1 0 00 '
Food & beverage or lodgmg facilities - submit plan to MN Depar[ment of Health. Call 651-215-0700 for details.
" Contact Building Inspections for sample.
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Buiiding Inspections for requirements.
DATE: cI Z`I OZ WORKTYPE: K NEW _ REMODEL CONSTRUCTIONCOST:
? z 517d O
SITEADDRESS: EC71 D GoUf?i 1-}duSG L-ANC'
TENANTNAME: C.REATIVC TRAw - "r3 R,012-1!?EtJkWMV SUITE#: S
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK TEQVarl t?cD 1L11 -ooT
Name: ft7l EC ip?k 1f.S , LC. Phone #: 7b( 3 ) 3T,3 -7feoo
PROPERTY Last irst
OWNER
SueetAddress: -54 SS {t1C?}fW14\( jbl
Cin'. fLymWrH State: M(J Zip: 5M42-
R'+T- ZeyArJ tAf-IAyC
Conipany: ? ('psJS:"RJZ-norJ Phone#: ( 7(93 ) 383 - 7bZ7
CONTRACTOR
StreetAddress:_ ?SS H1C?yWl4y !bq
City: -mlyYki,)7l1 State:
ARcxiTECTi
ENGINEER Company: M0(40(4LJ MCbtt76?c j^td
Name: Top-0 MoHAr
.
', i: (' Zip I.
: ? . ., Z
s=a ? ?? ?ooz
#: ( 95*Z ) O$ _
StreetAddress: M IS E. {1/AyZd3T/3 &I/h SeJ/-/C # ZGo
City: A4/qa'q7'/9 State: 1"1J Zip: SJrc???
AW '/l?-7r Ce7C'?zanv.06d
Licensed plumber installing new sewer/water service: P"6T LkCZy GiR /k1EC'1 Phone #:
RoGjGR? M N1
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: Z2t++--L?-
Updated 7102
OFFICE USE ONLY
SUBTYPE
? 01 Foundarion ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments y- 27 CommerciallIndustdal ? 32 Ext Alt - Apts.
C 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
G 25 Miscellaneous C 29 Antennae ? 35 Ext Alt - PF
-1 37 Nail Salon
WORK TYPE
? 31 New X 35 Tenant Impr ? 42 Demolish (Foundation) C 46 Windows/Doors
ii 32 Addirion ? 36 Move Bldg ?j 43 Reroof ? 47 Repair
?j 33 Alterations ? 37 Demolish (Bldg) D 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFOR MATION
Census Code 43? Zoning ?D sq. ft.
SAC Code # of Stories sq. ft.
No. of Units ? Length sq. ft.
Na. of Bldgs. ( Width sq. ft.
-?-
Const. (Actual) U:-?A Basement sq. ft. MC/ES System
(Allowable) ?r-l. First Floor sq. ft. City Water v
?
UBC Occupancy sq. fr. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Hearing
APPROVALS
Planning
Building
? Insulation
Ej Plumbing
? Stucco/Stone
5?- -Engineering Variance
VALUATION $
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
SIW Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
°/a SAC
SAC Units
Meter Size
'Ll?-, 0 O 0
a.v
Total
1._0i- -a (31 o
0ak.w-eW CG-,+u,
CONLMERCIAL BUILDING
Permit Application
City OFEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
? ?-I \ - o_:?
t (-?? "?,QL
Foundation Onl New Buildin Interior Im rovement
• SVUCtural Plans (2) sets • Architectural Plans (2) seLs • Arohitectural Plans (2) sets
. Civil Plans (2) . Strudurel Plans (2)
"
• Code Analysis (1)
• CertificateofSurvey (1) . CivilPlans (2) • PrqectSpecs (1)
• Code Malysis (1) " . Landscaping Plans (2) • Key Plan (1)
• ProjeCtSpeCS (1) . CodeAnalysis (1) " . Master Exit Plan (1)
. Spec. Insp. & Testing Schedule " • Certifcate of Survey (7) • Ettergy Calculatiais (1) not always"
• Soils Report (t) . Spec. Insp. & Testing Schedule (1) " • Elec. Power 8 Lighting Form (1) not always"
• Meter size must be established . Meter size must be established • Meter size must be establishetl-'rf applicable
1 • ProjectSpecs (1)
1 . EnergyCalculations (1)
1 • Electric Power & Lighting Form (1) ** L
1 • Master Ezit Plan (1) 1
1 • Emergency Response Site Plan (1) *" L
1 • Soils Report (1) 1
• SAC determination - rall 651-602•1000 . SAC determination - call 651-602-1 000 SAC determination - call 651-602-1000
Call MN Dept of Heal[h at 651-215-0700 for details regazding food & beverage or lodging facitlties.
ContacY Building Inspections for sample and i£required when it states "not always".
**• Permit for new building or addition will no[ be processed withouC Emergency Response Site Plan.
°r
Date I /,?) /?? Construction Cost if a5 ox
Site Address 3v V/ (wT}i * ? UniUSte # 3
Tenant Name ??Kc??'i'?1? Former Tenant Name
Description of Work E1UANT ?kap J C) 0?,
.!?
?
Property Owner {9Z?,? , ??(?0? 1 C
ui,S Teleh.one'??(??? 7?
i
? ?\ 'J \ \
Contracror 10r ?? 4_J?Z I? +V F 7? LLY?I?
\]
Address 5A 55 RVJ Ll,01 Cit
y i"
State V"1_ ?
3 (o a?
zip ?J?J? J?'1'eteph?o }?# (ll9 3) 39 ,
'
Arch/Engr W{'iTF Registration # ?? ?C 0??
?
S• T
Address n ?
?E City (ill{?y CfT7?}' . Mr V
?
? State fJ
I?l Zip phone# ?(7Cjd, ) ?!-?'j3 ' ?'(
?j ?? Tele5
Licensed plumber insialling new sewedwater service: `4 k 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.
RR?,)rAN ?1 -
App icanl t's Printed Name
?
Applicant's Signature
OFFICE USE ONLY
Sub Types
?l 01 Foundation ? 26 Public Facility ?l 30 Accessory Bldg.
D 14 Aparhnents C 27 Commereial/Indush-ial ? 32 Ext Alt - Apts.
? 15 Lodging C 28 Greenhouse 1-1 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundadon) ? 45 Fire Repair
4? 33 Alteretlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation oL.15-1 ooo Occupancy m_ MC/ES System ?
Census Code 54-37 2oning City Water ?
SAC Units - Stories I Booster Pump
Nbr. of Units Sq. Ft. 11375 PRV
Nbr. of Bldgs - Length ? Fire Sprinklered ?e5
Type of Const ::n B Width ?
REQUIRED INSPECTIONS
_ Foorings(new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion H V AC
Drain Tile Other
Roof Ice & Water
? Final Pool Ftgs Au/Gas Tests
Final
?Framing _
_ Siding Stucco Stone
?ueplace _ R.I. _ Air Test _ Final _ Windows (new/replaceroent)
? Insulation _ Retaining Wall
Approved By 'Y4p? Building Inspector
Base Fee 391. 2S
Surcharge )a • sd
Plan Review o254 3 ?
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S!W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Other
Total 4 65-9. O'g)
CITY USE ONLY
PERMIT #: ?`> G I ?
RECEIPT DATE:
EOOE CObIbIERCIAL PLUMSIN& PERMiT lkPPLICATION
CI'IY OF E46kR
5$30 PILOT IUYOB RD
f.A6AA, MIY 55122
6$1-681-4695
fNCOMPLETE APPLICATIONS WILL NOT BE PROCESSED
Date: U ?
WORK TYPE New Bldg Add-on Repair RPZ PVB ' Irrigation system
" Jerry Wobschall to calculate fees. Required meter size is 2° mrbo unless smaller size permitted by Public Works
DESCRIPTION OF WORK L RxL'\-°C! tcr LI 15J_4 i('1"G lo, L'Y1n V- IN'? N'T. L_'04{ lF t.tt;_l•?•???t i_•
To inquire if Pressure Redacing Valve is required on new service, call 1-6814646
METERS - Ca11 65 1-68 1-4300 to verify that hydrostatic, conductiviry, and bacteria tests passed prior to nickina uo meter
Irrigation Size & Type
Fire Size & Price 3/4" displacement $152.00
Domesac Size & T}pe
Does this include high demand devices?
_ Yes _ No
Avg GPM
Avg GPM
FLUSHOMETERS _ Yes _ No PRV REQUIRED _ Yes _ No
Site Address:
Tenant Name:-, 'Celephone
(Area Code)
Was there a previous tenant in this space? _ Y }( N. If Yes, Name:
Inataller Name: E? -f, Telephone #:
p 1 , 7?, (AreaCode)
InstallerAddress: 1?L?f)l C Y? ?L-r _-
City: State: vL?
FEES Contract price x 1% ($50.00 min) Plbg Permit
Meter(s)
Required on all new buildings & boalevard irrigation sys ??. ? ??? ??M? Meter Read
Surcharge; $.50 Minimum. If contract fee exceeds
50 cents per $1,000 contract fee.
Supplementary fees for new irrigation system:
Contact Jerty Wobschall at (651) 681-4624 regarding fees
Treatment Plant
$ 50.00
$ 540.00
Water Supply & Storage $
State Surcherge $
Total
S f7) '5 n
I hereby acknowledge that I have read this application, state that the information is coirect, and agree to comply with all applicable City of Eagan
ordinances. It is the applicanYs responsibiliTy to notify the proper[y owner that the Ciry of Eagan assumes no liabiliry for any dam s caused bythe City
during its nomial operational and maintenance acrivities ro the facilities constructed nder this permit within Ci property ght-ofwayle$?ement.
1 2
Sub
Zip Code
$
$
$ •??
$ ?. 6-0
OF
IRRIGATION SYSTEM (CONT)
/ CITY USE ONLY ?/
REQUIRED INSPECTIONS: _ U.G. Y Air Test _ Gas Test J Rough In ! Final
PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR
GENERAL INFORMATION
• Radio Meter Read (required on all new buildings & boulevard iaigation systems- $157.00 (Acct Code # 9220-4509)
• Water meters include copper hom/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" displacement residential $118.00 4-120 1-1/2" irrigation syst $ 745.00
sm commercial turbine'• "must receive
maximum approval from
continuous Public Works
10
2-30 3/4" displacement lawn irrigation $152.00 4-160 2° turbine lg irrigation ayet $ 923.00
maximum residential &
continuous sm commercial producuon lines
15
3-50 1" dispiacement very lg res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00
bldg to 24 units 65 nnits
maximum sm commercial &
continuaus & lg comm bldgs
25 irri ation s stems
5-100 1-1/2" bldgs 25-64 units $439.00
maximum displacement &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS OSE PRICE GPM METERS USE PRICE
5-350 3" twbine very lg irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00
& production lines very lg comm bldgs
1/2-320 3" compound +Zpp unit bidgs $2,264.00 10.1000 6" compound +400 unit bldgs $5,900.00
very Ig comm bldgs very Ig comm bldgs
I5-1000 4" turbine very Ig irrigation syst $2,184.00
& production lines
Comments
• To schedule inspection of the inside water line and hackflow preventer, ca11 65 1-68 1-4675.
• To arrange for water tum-on, ca11 65 1-68 1-43 00.
cc: Kris Foreter,. Maintenance Division Clerical Technician Updated 10/01
6pa:13
PLUMBING (CONIMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX #. 651-675-5674
t t-,-O:-t?TD
I
L
Date V I
J l
I
Site Address ?? (?' LJJL(f' -{-- h/9"sP jay+,(1 Unit #
Tenant Name Former Tenant Name
Property Owner Telephone # ( )
Contractor C
4?
-
Address 1?)' 4/J I Ir o r City U (f 1-z--7
State M tJ Zip Telephone ii (? IF?? a - a? Lo
The Applicant is _ Owner Contractor Other
Work Type _ New Bldg Add-on Repair RPZ PVB lrrigation system "
' Jer • Wobsc6all ro calwlate fees. Re uircd meter sbx is 2" turbo anlesti smaller sizc enni[fed bv Public Works
Description of Work [fV [_?05c4 f)r? L)t"e ?`nfp Siv?LC
(?C`R ?1ppr 6RA kv1 DY1Z
?
To inquire if Pressure Reducing alve is required on new s `ce, call 651-67 -5646
Meters - Call 65 ]-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed urior to oickine un meter
Imgation Size & Type Avg GPM
Fue Size & Price 3/4" displacemcnt $156.00
Domes[ic Size & Type Avg GPNI Includes high demaod devices' _ Ycs _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (iocludes State Surcharge)
nt
t V
C
l
$
°
o
rac
a
ue
x .Ol
a Base Fee
$ Meter(s)
Required on all new buildings & boulevard irrigation svstems $ Radio Meter Read
If base fee is SI,000 or less, surcharge is $.50 $ 5D $tate SuiC!]3Cg¢
If base fee is over $1,000, surcAarge is $•50 per $1,000 of the Bau Fee
Following fees apply only w6en installing new irrigation sys[em $ Water Permit
Contac[ Jerty Wobschall at 651 b75-5024 for required fa artwunts
=1p
?
I
I? Treatment Plant
l
D
5 v
i Water Supp
y & Storage
2003$
1 3
, AUG
? State Surcharge
---------- ---------------------------- --- ---- - ----
----------------- - -- -
-
-
-------- ----?----------- -- ----
- ----------------°---°
Total Fee
I hereby apply for a Commercial Plumbing Permit and acknowledge that the informarion is complete and acwrate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not ermit, Uut only an
application for a pemvt, and work is not to start without a permit; that the work will be in accordance with the approved in the case of work
which requires a review and approva] oFplans. (\ I ;%
le-vJi;
ApplicanYs Printed Name
FIRE SUPPRESSION SYSTEMS
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
?p Q?j 3 Telephone # 651-675-5675 FAX # 651-675-5674
Requirements: 2 complete sets of drawings and specifications
cut sheets on materials and co onents to be used
Date ?- / j,4 / C> -
I #Z
Site Address: e
Tenant / Building Name: e- / 1 k&LItFL 7
The Appl7cant is: Owner ? Contractor _ Other
PROPERTYOWNER SA M2-
Address:
City: State: Zip:
CONTRACTOR SCI Ihre,j 'r' 7ri rL 1'r0tN_ MN License No. ?.'07 ?
Address: City: Law? tGj&vj
State: ? Zip: )CY te Phone #: /m
ESTIMATED COMPLETION DATE:
FIRF, PERMIT TYPE: ?3prinkler System (# of heads Fire PLUnp _ Standpipe
Other:
WORK TYPE: New Addition ?Alterations II
- - - `? R del
? ? 3 2 „u 03
, JI
Other:
-
1 -,1
8
1
DESCRIPTION OF WORK: '-?Commercial Residential Educational
Other.
joejo OA n'L') d4.,cf? -
PLEASE COMPLETE REVERSE SIDE
PERMIT F'EE:
Contract Value $ Q[Xj ' x.O1% _$ 9 Permit Fee
• If Permit Fee is $1,000 or less, add $.50 => $ . Sd 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 5ta[e Surcharge) $ ? J•??/
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 ardinances 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 wifh the approved plan in the case of
work which requires a review and approval of plans.
'1?s;cs,- L- ?- t
ApplicanYs Printed Name Applicant's Signature
a- l5-63
Date
DO NOT WRITE BELOW THIS LINE
REQUIRED INSPECTIONS
_ Hydrostatic Flow Alarm _ Drain Test Rough In
Trip _ Pcmp Test Central 5tation _?? Fiaal
?
Conditions of Issuancei
Permit Approved by: ? ???l? Date:
COMMERCIAL MECHAIVICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
?U Telephone # 651-675-5675
Please complete for. commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
s -.?
Date 8 Ia l 103
Site Street Address 3J?'jo Gou,qTJ4o?sE LAn?? 5u„-C .0 3 Unit#
Tenant Name (if appticable) Gin Previous Tenan[ Name
Property0 Nner z4 ZTEc_ L.L Telephone#( 7(53 )_3 g3- J(,oo
Contractor ?U,,Q C,q„/ ff`ffT/NG b- 41R CoNJ171?411 ,?
StreetAddress a3i ? /ST S7,QEG- T /16- City /`/in/NE-9?aL?S
State /?i?tiNC-ro 7-,q. Zip S S`??8 Telephone #Z- )?`/' 335-S
Bond #: qo a 6 S g Expires:
The Applicant is _ Owner ? Contractor _ Other
Work Type -- ---l -? '- ="1
_ New construction Install
Remove Underground Tank
?
?
l
Interior Improvement _
_
`
C` 2? LuJ?
,
Schedule inspection during installation or removal of tank
Processed Piping
_ J
Nature of Work: D u?T- wo rc (e j Q1 F S-u S Eles ,C?41 LLS 57-
1 =__ -""
Permit Fee $50.50 Afinimum Fee (includes Sqte Surciiarge)
i- ESS T/,IA,J
Contract Value $ Sovo o a x 1% _$ sv ?° Permit Fee
• If pernut fee is $1,000 or less, add $.50 => $ • S%? State Surcharge
If pemut fee is over $1,000, add $.50 per
$1,000 Pertnit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acloiowledge 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 perndt, but only an application for a permit, and work is not to start without a pemut; that ae work 4ill e in accordance with
the approved plan in the case of work which requires a review and approval of plans.
e,?)i4L/.4? T/
Applicant's Printed Name ApplicanYs Signature
Approved By: Inspector Date:
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: G P ?° ~Z ?'4 2`, INSPECTOR
EOOE COMMERCIAL MEGH!lNICAL PEEiM1T APPLICATIOR
CITY OF £A&lk1V
S$SO PILOT KNOB iiD L -?4Z
E?G", buv 551 gs
651-8$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: /ef >
SITEADDRESS:
OWNER NAME: pHONE #: 76E -?,3 76Cp
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y' N. NAME:
INSTALLER:
STREET ADDRESS:
CITY: STATE: /?/y ZIP:-5-'?-1'B
TELEPHONE #:
WORK TYPE: New.construction Install U.G. Tank
? Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nature of Work: When insta[ling/removing underground tank, call 651-681-4675 for inspection-by_Eire Marshal and
. , .
Plumbing inspecton
Fees: 1% of contract price OR $50.00 minimum fee, wlrichever is grea[er.
Underground tank removaUinstallarion = minimum fee
Lj'
Conhact price: $ 3cgCX?? x 1 % _ $ (Base Fee)
-- _- i
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $ SO, S-?5
S ATURE OF PERMITTEE
Updated 1/02
76338376e1
A
9:29AM• R.JM CONSTRUCTION
i.Di'J374liC7fON
FAX COVER SHEET
DATE: Thursday, October 17, 2002
TO: Craig Novaczyk
Gity of Eagan
Eagan Municipal Center
Eagan, MN. 55122
PHQNE NQ.: 651-681-4600
FAX NO.; 651-681-4694
PROJECT: 201307 - Oakview Retai! Centei
SUBJECT: Special Testing Repor!
ACTION REQUIRED:
N0.5494 P. 1!4
NO. OF PAGES: 4 with Fax Memo
FROM: Bryan Barlage
RJM Construction
5455 Fiighway 169
Plymouth, MN 55442
PHONE NO.: 763-363-7600
FAX NO.: 763-383-7601
+?raig,
Aitached is the special testing repoA that you requested for the Oakview Retail Center project.
P!aase call for any questions.
Thanks - Bryan Barlage
IF YQlJ 00 NOT RECEIVE ALL OF'I'HE INDICATED PAGES PLEASE GALL
OUR OFFICE IMMEDIATELY.
'r. i)02- 9:24k?Y1q6 ??RJM C6NSTRUCTION
? AMERICAN
ENGINEERING
TESTING, INC.
T9 976=376E1N0. 5494p,eP. 2/4
FAX TRANSMISSION
AMERICAN ENGINEERING TESTING, INC,
550 CLEVELAND AVENUE NORTH
ST. PAUL, MN 55114
(651)659-9001
Pax:(651)659-1379
To: Brian $arlaee . Date: Uctober 15,2002
Company: RJM Construction Psges: 3 iacluding thie cover sNeet
Fax No.: 763-383-7601 From; Ssott Grtie h?sBen -
Phone No.: 763-J83-7627 Phone No.: 651-659-I318
AET Job No. 0"1069
tiubject: dakvicw Itetall Cen ter Reuort
t:;omments:
? apolagize for being late on this response. I could not find the job folder or the
computerized itnal report for several days.
I will mail you the original of this faxed copy for your records. If there are any questions
ptease let me know.
7hank you,
Scott G.
.Thia Jacsimile and anyfiles transmrlfedwlrh i1 ore confidenliaf pnd intended sotelyfor (he Liseaflhe indrvrdual or sritiry to whom
rheyareaddressed ThiacanmunicatronmayeontaFnmatcrrclproleuedbyQetn.ney-olienrprrvildge+. lfyavarennlrheinfended
,ecipienr or the person .espon.+rblefor delivicering rhejacs+}nile 10 7he in[emled recipfenr, be edvised rFatyou have received!lris
rranr,ntlslon !n errar und ti/ct any use, dic.aeminaffon. forwarding, prinling ot- copying oft5lS infon+rotion is slrictly prohibiled.
7,fyou hava received !h!s jpcsTmile in error, p/ease no[6r? uS or 1•800-972-6364-
FCS714(06i01)
'?AM'46 FFkJM CONSTRUCTiO'r
AMERtcaN
ENStNFERins
? TEST1vG,1NC,
CAN9ULTqNT3
• GEOTECHNICAL
• MaTEAwLs
• ENVIRpNMENTAL
REPORT OF STRUCTURAL T ?& DECKING O$SFAVA'TIONS
PRUJECT:
oAKVfEW RETAIL CENTER
3090 COURTHOUSE LANE
EAGAN, IvIN
AET JUB NO: 20-0I669
REPOItTED TO:
RJM CONSTRUCTION
5455 HIGHWAY 169
PLY!vTOUTH, MN 55442
A7'TN.: GREG RASKpLp
DATE: NOVEMBER 19 200]
Date of Observstions: October 12ffi and 26th, 2001
ReferenceDocuments: AWS D1.1 Structural welding code (5tee1) and D1.3 Structura]
Welding Code (Sheet Stcel). Approved job site dcawings, details and
app]icablt contract documents. qISC Specification for Structural
Joints Using ASTM A325 ar A490 Boits.
Persoanel: Larry Oberg, SNT•TC-lA Level II, AWS CWI.
Scott R. Gntenhagen, SNT-TC-IA Leve] U, AWS CWI.
Seope of Work: Performed visual observation on in-process and final completion of field welding
of struchval steel, including the puddle wtlding of fluted decking and welded
attachments to the struccure.
Visually observe bolted connections for appropriate bolt tength, washer
installation and ply contact of joint.
Resutta: Observations indicate the field welding of Structural connections satisfy the
requirements of the roferenced code and applicable projxt specifications.
Completed areas of fluted metal deck installauan meet the welding and tek screw
reqairements of the struccurat drawing.
Visual observations of bolted connec[ians indicate that all plies are in intimate
contact and satisfy the requirernents of the wntraet documents.
TO 97633837600. 5494P.EP. 3/4
TNe deweMnj Mw net yB r¢preoueed, encept In 1uU, witnoin rrtinen apprpval N nmenean CfqlneMetp Tesltng. me.
550 CIYYeIand Avenua Nonh . St, POUI, MN $5714 • 651-859-9001 - Fdk 661.659-7378
OuWlh • MenkaW •Marshap -RocheUer . WauWU • Repitl Cily -Pierre -Sioux Fatls
AN AFFiNYM11VE ACT1pN AND F,pWy QppQqTVNM EMPLO'/EA
' . i--9[2 9:30 AM46 FrRJhi CONSTRU'VTION
Ta 97633e376eNQ. 5494P.eP. 4/4
AET #06-01069 - Page 2
Teat Methods: Visual weld observations were perfotmed in accordance with the requiremencs
of Section 6 of the S[ructucal Welding Code (sieel), Section 7 of the Structural
Welding Code (sheet steel) and/or applicable conuacti doeuments. Individual
welds were judged for quatity, size and length.
The higH-strength bo)ted connections were observcd for intimate contact of all
plies, and that a washer was installed behiud or under the nut.
Remarks: Our work was authorized by Mr. Greg Raskalo, Project Coordinator for RJM
Constcuccion Company in accordaiice with our conlract.
Repon Prepared By:
Scott R, Gruenhagen
AWS CWI / NDT Level II
Repon Revicwed By:
Mark Bauers
A WS C Wl / NDT Level II
** TOTHL PRGE.03 **
it Metropolitan Council
Building communzties that work
July 12, 2002
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services Division has determined SAC for the
Comer's Liquor to be located a?90Courthouse - Oak View Retail Center within the
CityofEagan.
This project should be charged no additional SAC Units, as determined below.
SAC Units
Charges:
Retail
1449 sq. ft. @ 3000 sq. ft./SAC Unit
Credits:
Retail
1449 sq. ft. @ 3000 sq. ft./SAC Unit
Ifyou have any questions, call me at 602-1113.
Sinc rely,
Lliocb 4 .
Jodi V. Edwards
Staff Specialist
Municipal Services Section
7LE: (330)
02071253
Cc: S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
Bryan Barlage, RJM Construction
0.48
0.48
Net Charge: 0
??(fn??l??ID
2002
www.rnetmmuncil.ort; Metro Info l.ine 602-I888
230 Easl PiRh Sircet • Sl. Yaul. M1nnesoLa 55 10 1-1626 • (651) 802-1000 • Wax602-1560 • 11R 291-0904
Ari Eqiml OPPortunitJ EmPtnyer
Modern Heating & Xir Conditioning
2318 FIRST STREET N.E. • MINNEAPOUS, MINNESOTA 55418
612/7e1-335e • Fnx s,zne,•3aze
To
?3£3_.s'?_/?i?oi_ l?•uols'2? -- --
???'`f"?; --
LETTER OF TRANSMITTAL
bnrr
3Z8-?z i L 7370
-- --- -- --- - -- - - -- - ---- ---?'
/?/5.4??CT %c?NlS l,EPA2rME?/;
??t -- ---- --- ----?
3C 9C?_ ?OV2 T-,??oc lsc- G??
i
GENTLEMEN: ` "--"
WE ARE SENDING YpU \-,""Attached C_ Under separate cover .___ihe fol!awing iteros:
F-i Shop drawings F1 Prints f-; Plans LJ Sampies C' Spr.cifications
i_i Copy of !etter _1 Change order -.-.------.-----------
THESE FlRF TRANSMITTED as cnecked beicw:
.'.- For approval -1 Approved as submikted F1 Resuomit_ _copies (nr approvai
'?
? our use .i Approved a; not+:ci !J Submit __ copies for distnb;rtiori
CI As requested F?eturned for rnrrections ? Return ...__ r.qrrecter; nrints
;:! `or review and commant ';. _- - . ......
[:? F(.)R SIDS t i PRINTS REFUHNED AFTER LGr1N 3'0 lJS
REMARK.S_..._._...._-
COPY T0
?_.--
------ ------ ----
SIGNED: ?--_
6 enr.insvres are not as noted, kinCly notily vs af anceWiLL
OCCUPANT " DAKdt gbc? K?CTA/L
HEAT'tOSS• DATE HTG. -INST. _
SOLU BY
Electrical Work 8y
ORS./ AT TEST.RECORD
L LN APT.__FLOOR__CITY SUBURB?
C--7-2 OWNER
_INSTALLED BY p _Ges Line By R O
TYPE OF HEAT GA FA _HW _STEAM -SPACE HTR. __UNIT HTR. _OTHER _
GAYL?7f??,ESIGN MAKE J MAKE OF BURNER _
Model ._ ' E ?. ? ? Model
Seria? Mox. BTU Rafing._
INPUT ` MAKE OF FURNACE
Model
S
- CONTROLS
/
^
f_? 'fHERMOSTATu-L£?v4/ Heot Plog ?" Vem qize
?
Volve ^G - . KIND OF LINER $IZE
ONE
?
? `
?L?
'
'
Limit
-?
?--
Z -
J ^
' 7?
S
u;
L .
.
Droft Hood Regulofor
?"
F
l
$
/ x`?S'?-Z
?'y
.
.
,.g
imit ters
i
ize
Num6er
Fon Se1fin9 Chpmney Locotion Insida Outside
Pilct Type "n'•n?j, CI,'y? ney cco:trodfeo
Pilof Make _?l^?? Z'?G 12?"eT x ,y + ? ? .. .. ,
Pilot Model Smake Bomb _-_ Wiring
PilorTiming Draft Tesf Ta9 . . -
L..W. Ci,if Of( Door Pressvre Lightinq Inat
.
14
Prezsure'- ' ? • ? tN.. ?' Pmcent CO
2 ?r
Dote Testad 6F?
InpW CFH Petcsnl 0?
Z Company Testing L p?-
S}ock Temp. ??1 Pe?eenf CO ? J o ?
N.M. o( Tester
• G F a 6 6
Ucense s
/
Job • HOUSE HEATING TEST RECORD
ADDRESS 30 9? CaU?2, 1?eKff z N
APT. _FLOOR CITY SUBURB
OCCUPANT
OWNER
`HEAT LO55 - DATE HTG. INST. -
SOLD BY INSTALLED 8Y Elaehieal Work By Gaa Line By TYPE OF HEAT GA FA _HW _STEAM -SPACE HTR. -UNI.T HTR. -OTHER
GAS DESIGN 'MAKE MAKE OF BURNER_
Mode1 L f £ L? ° t
Moaei
Sxia l ? C f C' Max. BTU Rating _
INPUT MAKE OF FURNACE
Model
THERMOSTAT
Valve w?
Limit -bu
Limit Sstting =
Fan Setting _
Pilot Type -
Pilot Moke -
Pilot Model -
Pilot Timin9 -
L.W. Cur Off _
CONVERSION
CON V E RSION
He?at P JYq ?- Vsnt Size
KIND OF LINER SIZE NONe?
Drah Hood Regulator ?? ? 3LX
E? Filters Size /6/a-02574Z Number
?a Chimney Loentien Inside Outside
. Chimney Cons}ruction
+ r(.
Pressure Parcent CD ?/ ? <f<'
T
14 Input CFH Peicenr O2?
Stack Tamp. Percent Cp /? ??
Form 235
Smoka 8omb Wiring
AnfT Test Tog-
Door Pressurs Lighfing Inst.
Date Tested ?/6 4 7
Company TesTing
? L/n r?p
Name o{ Tester
7# GF_,7a66/ ?
. ORS?T TEST.RECORD
ADDRESS C
- 7-okye- ? APL_FLOOR__CITY
OCCUPANT - I?AL?O/ IC E714IL C:( IL, OWNER
HEAT-LOSS • DATE HTG. INST
RECORD
SOLD BY INSTAI.LED BY -
Eleciricol Work By -_ Gas Line By _/-/?jp
TYPE OF HEAT . GA FA _HW _STEAM -SPACE HTR. __UNIT HTR. _OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model__
Seriat ? Maa. BTU Raling
INPUT ' 1LS? 000 ISI MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT
W -3 9
Vaive KIND OF LINER SIZE NO
u-
F'-
Limi1 1-4 / a Z '
y
Dro(t Hood - Regulotor 3'?1
Limit Setfing -1 Filtcrs Si:?Numbet
Fan $ettin9 Chimney Locotion Inside - Outside
Pilot Type SPgYLK Chimney Consiruction
y?
Pilot Model /???? - Smoke Bom6 Wjring
Pilol Timing Z S£? Dra(t Test Tag
L.W. Cut O(( Door Pressure Lighting Inst. 14
f
r
? q
Pressurv-_ ParcentCO Daee Tssted
•
, Input CFH Percent 02? Compony Tes?in
?
f
?'
'
/
Slock Temp. ? Percent CO ? Nome of Tester 1C.? V??? ?
• G F?7? 6 6/
License w
. . Jobn
HOUSE H/EATING TEST
ADDRESS 30 9o C0w'4-7Ull.s£- /v APT.-
OCCUPANT ._0A<4FUJ rC Mx? C-'rIZ.. OWNER _
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Elschical Work By Gai Line gr L,C,,,7 M?G
TYPE OF HEAT GA FA _HW _STEAM SPACE HTR. -UNIT H7R. _OTHER
GA? GAS DESIGN
L
MAKE ? ? MAKE OF BURNER _
Model Mode!
se.i ai ?1qt+i ?.
/„
Max. BTU Rotiny -
INPUT- MpKE OF FURNACE
Modal
CONTROLS
THERMOSTAT Plup Vent Slza -
Volve rS ? L7 ? 1/.1 ?.(`?f`- KIND OF LINER SIZE NONE
Limit? DraftHood Regularor 3as-
LimiT Setting Filtets Size ?a'2Sa Z Number
Fan Setting CIO '3 o S£4' QhImney Location Inside Oufside
PilotType SPaYU,/ Chimney Consiruction
PilotMake C`A7242'?£?? -
Pilot Model Al Smoke Bomb Wiring
Pilot Timin9
nGJ Draft Test Tug
?/
L.W. Cut Off Door Prassurs -Lighting Insf.
Pressurc percentCO2? Dare Tested ? 4:Q_
InPut CFH Percent O
Z ? Company Testing ?-5?- C'
$taek Temp. Pareent CO C5 Name oF Testw !Ci? v4WI
Form 235
. 7? G?Ta 6 6 i
FLOOR CITY SUBURBiC?
?
SUBURB
CON VERSION
' ORSAT TEST RErnRD
ADDRE55 3 67D Cou?/J??c,rE L/!/ ApT._
OCCUPAN.T ` 0AKVl1?j 1?,EI AIL CTIL OWNER
HEAT'LOSS; DATE HTG. INST.
SOLD BY
Elecfrieal Work By
TYPE OF HEAT GA
FLOOR __ CITY SU6UR6
INSTALLED BY Gas Line By z??
FA _HW _STEAM _SPACE HTR. __UNIT HTR. _OTHER
GAS DESIGN
MAKE _ C??? 1'9- MAKE
Model IIVrCE-0,7 -7 Model
$eriol 1 L '7 Max.
INPUT ' I 'rJ 00? IIAT 1MAK
Model
CONTROLS
'iHERMOSTAT ? L-£ ear Plvg
„olv; 36 az
Limit z S
LimilSefling I/ ? q
Fan Settin9 - £??_?-?/ S
Pilot Trpe '??p 1
Pilot Make - C FrL
Pilof Model Pilol Timing 2,
L.W. Cut 0(f -
Preszurr_.? ? N? C. Percent C02 ,-
InpW CFH Percent OZ 7
Stack Temp. ? Percenf CO ?
OF BURNER
BTU Ra+ing _
E OF FURNACE
CONVERSION
Ven1 qixc ."_
KIND OF LINER SIZE? NONE,T
Dra(t Hood -_. Regularor ?LxFiltert Size/Z-Ff-'S> ?Number?
Chimney Locnfion Inside Outside
Chimnay Construction
S.oke Bomb ._-_ Wiring
Droh Te:f Tog?/ , Door Pressure---//-/?y _Lightinq Inst.
Date Testad Z
?
Compony Tett'ng
Name ef Tester 1106
ucense x G?'3arfb
Jo6 • 5- HOUSE F?i)EATING TEST RECORD
ADDRESS 36%b CFJUICflIA?S? L?v qpT._FLOOR_
OCCUPANT OAC0£4) /ZETA! CwT OWNER
HEAT LOSS DATE HTG. INST
SOLD BY
CITY SUBURB-
ALLED BY
Eleehical Werk By Gus Lina By L-ffi20 eC
TYPE OF HEAT G FA _HW _STEAM _SPACE HTR. _UNI.T HTR. _OTHER
GAS DESIGN
MAKE C-AiZr_(fA MAKE OF BURNER_
Model Modal -
sftial Max. BTU Rating -
NPUT C 1 S. ? q-' ?1"Cr
MAKE OF FURNACE
CONTROLS
THERMOSTAT E?'EC?ie I (_
Heat Pl?g
?aa
'
d
Valve W ?
?
?
?/
?.imft /-Y- ?? ?? /
?
-
?
LL??
Limif Sstting Q
Fan $etting 1M60 311 S Ff_?,
PilotType G'5)eKV_yz-
Pilot Moke ._ 5pIA "--
Pilot Medel lLJ
Pilot Timing S E.(/
L.W. Cut Off
Model
Vent Size
KIND OF LINER SIZF NONE
DraFt Hood Reguloror
Fiiters Size Number
Chimney Location Inside Outsida
Chimnvy Construction -
Smoks Bomb Wiring
Oraft Test Tag
Dou Pressure Lighting Insf.
,/ ?67, . 1
Prossure ?- s Peresnt CO -?? Date Testsd /
-?_( Q
Input CFH Percent OZ CompCny Testing -? !J -p-
$tack Temp. £ ? Percant CO (5 Name of Tester
Form 235
CON VE RSION
CITY lJSE ONLY
PERMIT #: RECEIPT DATE: a- ?-?
APPROVED BY: -5P INSPECTOR
S$SO P1LOT KNOB ItD
£,4&AlV, MN 55122
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: 4f7/- Z Z - l>Z
SITEADDRESS: .?og0 ?ov?2rf-ioUS?L?uL
OWNER NAME: 9Z7'CG' GL C' PHONE #: 51SZ - 33.g-7/oa?
(A? A CODE)
TENANf NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y XN. NAME:
INSTALLER: /?
ADDRESS: PHONE#: fp1Z
(AREA CODE)
crrY:
WORK TYPE: New conshucrion
? Intenor Improvement
_ Processed Piping
?v
ST.aTE: M?-r zIP:
_ Instan U.G. Tanx
_ Remove U.G. Tank
Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 far inspectinn by Fire Marshal and
Plumbing inspectar.
Fees: I% of contract price OR $50.00 minimum fee, wluchever is greater.
Underground tank removaUinstallation = minunum fee
Contract pdce: $ x 1%= $ / 2-x?7. 0,?:p (Base Fee)
State surcharge
TOTAL
1L5 luJ ? ? U ??
f? l.IAN 2 9 2002 I Il
COMMERCIAL MECtIA1VICAL PERMIT Af'PLICRTIoN G -?3Z
crrY oF EAfiAv
calculate at 5.50 for each $1,000 Base Fee
S/Zo.S-o
SIG RE OF PERMITTEE
?lit?•¢i?r ?f+-r?
Updated 1/O1
G 73 ?
CITY USE ONLY
PERMIT #: RECEIPT DATE: - ? - v
APPROVED BY: I I - I S- d(
5? INSPECTOR
COMMEftCIAL MEC}IAN1CAL PEfiMIT APPL1CAT10N
CITY OF EkfiPnN
3$80 PILOT KNOB RD
£AfiAN, MN 55182
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buiidings when separate permits are not required for each dwelling unit
DATE:
srrF. ADDxESS:
owrrExrra.?:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE .4 PRfiVIOUS TENANT IN THIS SPACE? _ YX N. NA-ME:
INSTALLER:
ADDRESS: Z5'/? /S ? ST ?/G PHONE #: 7621-S G?
(AREA CODE)
crry: STATE: /?/^% zI P:
WORK TYPE: ? New construcrion _ Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nature of Work: /"-r
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of conuact price OR $50.00 minimum fee, whichever is greater. r,77 (a
Underground tank removallinstallation = min'vnum fee ?I
Contract price: $ 2d 62YX-) x I%= $ ?C?UGZ?
Stare surcharee
TOTAL
,SJ
$ L7?? ?
(Base Fee) I L
calculate at $.50 for ?g jch 1,000 se Fee
I? -- -
? .
SIGN OF PERMITTEE
Updated 1/O1
1_? 7- ??o ck
I-A l1 l1 -I S
Naroe; Aztec Properties, LLC Phone#: 76( 3 ) 383-7600
Last First
C v-?..?.? ? • < <f - C) ?
"' -,). 9,'-A 11 .C? -?--
Foundation Onl New Construction Interior Im rovement
. SWCturel Plans (2) sets . Architectural Plans (2) sets • ArchitecWral Plans (2) sets
• CIvliPlans (2) . SWcturalPlans (2) • CodeMalysis (1)"
• Certificate of Survey (t) • Civil Plans (2) • Project Specs (1)
• CodeAnalysis (1) •' • LandsppingPlans (2) • KeyPlan (t)
• ProjectSpecs (1) . CodeAnalysis (1)" • Master Exit Plan (1)
• Spec. Insp. 8 Testing Schedule " • CertiFlcate of Survey (1) • Energy Calculations (1) not always'"
• Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) • Elec. Power 8 Lighfing Form (1) not always"
• Meter size must be established • Meter size must be esiablished • Meter size must be established -if applica6le
l •
. ProJect Specs
EnergyCalcul2tions (1)
(1) ?.? ?? 38 7
1 • Electric Power & Lighting Form (1)
i
1 •
• Master Exit Plan
Fire Protection Plan (1)
(1)" ?,y? I,1 I 1
tf y 2 ?
1 • Soils Report (1) d
• MGES SAC determination letter • MClES SAC detertnination letter • MGES SAC determination letter
pll 651-602-1000 call 651-602-7000 ca11 6 51-6 02-1 00 0
" Contact Building Inspections for sample
Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details.
DATE July 10, 2001 WORKTYPE x NEW _ REMODEL CONSTRUCTIONCOST $676,464.00
SITEADDRESS ?(2?-OjvK-I fTana- W .
TENANTNAME Not applicable SUITE# Not applicable
FORMER TENANT NAME Not applicable
DESCRIPTION OF WORK
PROPERTY
OWNER
5455 Hiqhwav 169
CONTRACTOR
ARCHITECT/
ENGINEER
City
?,?'-E CO?l7YIE CIAL _7
c
BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Plymouth
Company RJM Construction
State MN
Zip
55442
Phone# ( 7 6 3 ) 383-7600
StreetAddress: 5455 Highway 169 Ck4VC4G_ (-p-gEqUX bIZ' 3(.3 •(oS)v-
City Plymouth Sqte MN
5 oF-L. - -
Company Ankeny Kell Architects
Name Tpm Betti
Phone # ( 6 51
Registration #
Zip 55442
645-6806
StreetAddress $21 Raymond Ave., Suite #400
Ciry St. Paul
State MN
Zip• 55114
Licensedplumberinstallinanewsewer/waterservice: Nova-Frost, Inc. Phone#: 6( 51 ) 459-0112
I hereby acknowledge that I have read this application, state that the information is c rrect, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 CommerciaUlndustrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt- Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENEI2AL INFORMATION
Census Code 32'1 Zoning sq. ft.
SAC Code 30 # of Stories 1 sq. ft.
No. of Units 1 Length sq. ft.
No. of Bldgs. I Width sq. ft.
-
Const. (Actual) P4 Basement sq. ft. MC/ES System
?
(Allowable) 11• ?.1 First Floor sq. ft. City Water ?
-
UBC Occupancy w1 •Py k-3 sq. ft. T Fire Sprinklered ?
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Building
? Insulation ? Plumbing ? Stucco/Stone
eft?) Engineering Variance
VALUATION $ V7 1 ,? ?? ? &-(,
07 , 50 /
338 , tr o - ?
2(, 14 5 .!q-'r-'Ft2-/
34S0 . o? v' %sa,c 100 °a
3ob • SAC Units 3
'E)- Meter Size <1
<
? ?Z
? er> • ev - ?
, ?p = ?
? `S ?f. ? • o'-? '
7.? ?? • ? "
Other L-,,N O?p??? 5C? o o, s-0 v-
a a?
OOVW TP.eB DE-AtL, a?? 30
Total
a?,1-4 ( l.9 a-
3 a 9 () ka4Ak
*dtV oF eagen
PATRICIA E. AWADA
Mayor
PAULBAKKEN
PEGGY CARLSON
CYNDEE FIELDS
MEG TILLEY
Cauncil Mem6ers
July 18, 2001
MR ROBERT JOSSART
RJM CONSTRUCTION
5455 HIGHWAY 169
PLYMOUTH MN 55442
RE: RETAIL DEVELOPMENT
LOT 2, BLOCK 2 OAKVIEW CENTER
(SHELL ONLI)
THOMAS HEDCFS
CiryAdminisuator
Municipal Center.
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
Eau: 651.68 1 A612
TDD: 651.454.8535
Maincenance Faciliry:
3501 Coachman I'oin[
Eagan, MN 55122
Phone: 651.681.4300
Fax: 651.681.4360
TDD: 651.454.8535
www.ciryofcagan.com
THE LONE OAKTREE
The symbnl of strength
and growth in our
cammuniry
Deaz Mr. Jossart:
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 1997 U.B.C. It is our goal that this review will help you in complying with the
applicable codes and we aze, therefore, requesting that the following items be addressed:
1. Sign and record the P.D. agreement.
2. (1) set of energy calculations.
3. Please provide a fire protection plan on an 8%z " x 11" sheet of paper and a floppy
disk - dxf Auto CAD release 14. This will assist emergency personnel
responding to the site. An example is enclosed.
If you have any questions regazding these requirements, please feel free to call me at
651-681-4693.
Sincerely,
0 ?
J. Craig Novaczyk
Building Inspector
JCN/jb
TO: KENT THERKELSEN, CHIEF OF POLICE
JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEITNER, FIRE MARSHAL
SCOTT PETERSON, PLUMBING INSPECTOR
MARK ANDERSON, ELECTRICAL INSPECTOR
TOM PEPPER, (ACTING) FINANCE DIRECTOR
MIKE RIDLEY, SENIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
ERIC MACBETH, WATER RESOURCES
TOM COLBERT, PUBLIC WORKS DIRECTOR
JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER
ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT
PAUL HEUER, SYSTEMS ANALYST
BOB KRIHA, CONSTRUCTION INSPECTOR
FROM: CRAIG NOVACZYK, BUILDING INSPECTOR
DATE: JLII,Y 17, 2001
RE: PLAN REVIEW- 3090 COURTHOUSE LANE - RETAIL DEVELOPMENT
The plans aze in our plan review section for your review and comment.
Please return this form to mv 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 coliected with the building permit:
AMOUNT
? Yes ? No landscape security required
? Yes ? No water quality dedication
? Yes ? No
? Yes ? No
? Yes ? No
? Yes ? No
park dedication
trai] dedication
tree dedication
PRV Required
Signature
CD/FORMS/PLAN REVIEW CRAIG N UPDATED 4-6-01
ZONING?
METER SIZE
Date
4b!
city of eagan
MEMO
TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL
DALE WEGLEITNER, FIRE MARSHAL
PAUL OLSON, SUPERINTENDENT OF PARKS
MIKE RIDLEY, SEIVIOR PLANNER
CAROL TUMINI, UTILITY BILLING CLERK
BOB KRIHA, CONSTRUCTION INSPECTOR
STAN LEXVOLD, CONSTRUCTION SUPERVISOR
TOM COLBERT, PUBLIC WORKS DIRECTOR
JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER
ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT
PAUL HEUER, SYSTEMS ANALYST
ERIC MACBETH, WATER RESOURCE COORDINATOR
MARK ANDERSON, ELECTRICAL IN3PECTOR
SCOTT PETERSON, PLUMBING INSPECTOR
FROM: TERRY ZELENKA, COMBINATION INSPECTOR
DATE: NOVEIVIBER 5, 2001
SUBJECT: FINAL INSPECTION OF THE OAKVIEW RETAIL CENTER
3090 COURTHOUSE LANE p
- ------ ----____ -- ---- -.?
LEGAL: LOT 2 BLOCK 2 OAKVIEW CENTER
The Protecrive Inspections Division will be performing a final inspection of 3090
Courthouse Lane on Friday, December 15, 2001.
If you are requesting that the Certificate of Occupancy be held, please fill out the proper
hold request form. Failure to return the hold request form will be considered your approval. The
person, or department, requesting the hold is responsible for notifying and resolving any
problems with the affected parties.
W/61dg insp/misc/final insp - comm bldgs
JUL 10 2001 17:19 FR RM ENG TST ST PAUL 651 659 1379 TO 97633837601 P.02i02
u' • JUL. 1G. GGGl• • ti•'?Grn ' nd1 VVI lJ ?u. avi •?aa??' ' .. ': . ?''
A ?#. I
4. ' • ? I
g? gh?uc? Te?g ond taepeclfou a?dule
f
St?nt ifevel ment Prqje0tN0,
ProjaMNama ?? •
Locatioa PamitNa. ,
6peoisl9Frueaad.Te4tia8 and Inepecdan '
DesaiQtion (2)
am
Diotes, Thie eohedule w be Filled otu and included ia flm projact spealfioauoa. Wrmeda
fi]led out whm applying for a building patmit
(1) Permit No, ta 6e pruvided by the Building Offioial,
(1) Use desoript[ons par LIBC Chapmr 17, ae adopted by Minneeota 3tste 8ugft Code,
(3) 9Pecia1 Iaspectar - Tochnioe4 6Pooial Iaepeetar - 6tructiraL
(4) Firm contraotrd tn perBosm easvice6. '
pCKNiOWLEDaBMDM
884}7 SQgS0pLi8S9 iCpI69CCt8hvC 8bal181g1 telOW:
Ownar•
Contraetor:
Azahiteet
3ER:
SI-S:
ST•T;
TA: F:
I'yxlA; DetO:
gyrm; Dats:
Firm: Data:
FSmu Dato:
Pam: A-.,%§c;coI u 'S Date_
Firtn: Date:
fism: Daot:
Firm: Ddc=
* The individual nsmee of all ptoapeetive speoial iaapactors ead the wark firy k"d tO obm^'e I
reveree side o£fo:m if mom ro= is aaeded.)
Legen& SEIi = St[uctura! Bagiaear of Reoord SI-T = Special lnepectar - TeolmM
TA = Te9ting AgeAay SI-9 = Bpeois! Taspector - ShuctulYl .
F = Fsbr;catot
Accepted for the Building Depettrneot By Date
thet
(1)
to be
idenrifibd ; (Uec
I'• i
7UL 10 2061 17!01 763383?635 III PAGE.02
** TOTRL PAGE.02 ?*
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: °f , INSPECTOR
COMMEftCli4L MECHANICi41. PERbI1T i4PPLICATION
CI7'Y OP EA6A1v
3$30 PILOT KNQB iiD
RksM,M1v 551 EE
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: pW6tffftr&Wt. S , 2ex&b4
STTE ADDRESS: 3990 6X,vtC190VSr LeNW
OWNER NAME: Oan.VleW R+vsyc. PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl): ^ ^
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y9 N. NAME:
INSTALLER: l.hP MVCVRSW<.nt. 1r,yL
ADDRESS: 3y5 1t.61jA,t,s.-dg.i qNl4VU(S N PHONE#: 611- - 333 I51'5'
(AREA CODE)
CIT'Y:
M PuNGk WWM-)
STATE: NN ZII': 5s4cc-
WORK TYPE: fc New construcrion Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
SpecifyNatureoFWork: 609 PrWA4 }*dN_ cO) Ft1,v _
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing linspector.
Fees: 1% of contract price OR $50.00 minimum fee, wluchever is greater.
Underground tank removaUinstallation = murimum fee
Conhact price: $ '8u' x 1%= $ 4$.-2'0 (Base Fee)
State surchazge 2.50
TOTAL $ ---b 'Z>-
SO -Z,-n
Lliq° P*AA-67 -6149s
l ? +6 kAA.p
calculate at $.50 for each $1,000 Base Fee
?U
'J
? ------,
_,:?LL -
SIG AT OF PEILMITTEE
Updated 1/01
CITY USE QNLY
PERMIT #: l. ? ( /
_ Yes _ No
fNCOMPLETE APPLICAiIONS WILL NOT BE PROCESSED
Date: I _ C? ? I p 1
WORK TYPE New Bldg Add-on Repair RPZ PVB Irrigation system
' Must complet reverse side of applicafion also. Required meter size is 2" turbo unless smaller size pertnitted by Public Works
DESCRIPTION OF WORK I
To
RECEIPT DATE: l
is required on new service, call 651-681-4646
ME1'ERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to o+cldne an meter
Inigation Size & Type Avg GPM
Fire Size & Price 3!4" disnlacement $149.00
Domestic Size Bc Type
Does this include high demand devices?
FLUSHOMETERS
Site Address:
_ Yes No
n
Avg GPM
PRV REQUIRED _ Yes _ No
Tenant Name: S< l _bl.?,`) I r'l S ? l\ ?JI ?nn ??D' > • Telephone #: • _. _ - _
(nrea Coae)
Was there a previous tenant in this space? _ Y_ N. If Yes, Name:
Installer Name: Mv?'j (sS I.r( c-• Telephone #: -1_ 49M " O'Lx LP 3
n (Area Code)
?? LI ? I ??`L? ?+J.9O? 1v.1 rC?? C•
InstallerAddress: ?
City: -Rw<?State: /V p? Zip Code 6
i / ?
FEES Contract price $/ x 1% ($50.00 minimum) Contract Fee $ ?Do • at-
Meter(s) $
Required on all new buildings & boWevard irdgaHon systems (Acct # 9220-4509) Radio Meter Read $
Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at S[ate Surcharge S
50 cents per $ 1,000 convact fee.
Total From Reverse New Service S (' CSO
Total $ ,?
I hereby aclmowledge that I have read this applica[ian, siate that the infoimation is correct, and agree to comply with al] appl' le Ciry of Eagm
ordinances.ItistheapplicanYsresponsibility tonorifythepropertyownerthattheCity ofEaganassumesnoliabiliryforany ges .aused by the Cit
during iu normal operational and maintenance activities to the facilides constructed under this permit within Cityprope ghUOf-way/easement.
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. ? A'v Test _ Gas Test _ Rough In _ Final
COMbtEiCIAL f'LU1N$ING PERMIT lkffLICATION
CITY oF $lkflAN
S$SO PILOT KPOB RD
EA6Aft. MA 58 122
851-6$1-4678
PLANS SUBMTTTED APPROVED BY: "i i 1 ? a? _? I, BUILDIIVC INSPECTOR
December 21, 2001
City of Eagan
Plumbing Pernut Dept.
3830 Pilot Knob Rd
Eagan, MN 55122
RE: Cousin Subs/Dunn Bros.
Eagan, MN
Fixture Quantities:
Two (2) water closets
Two (2) lavatories
One (1) mop sink
Kitchen:
Two (2) sinks
One (1) pot sink
Two (2) icemakers
One (1) hand sink
One (1) dipper well
Ten (10) floor drains
One (1) soda dispenser
One (1) coffee maker
One (1) water heater - fifty gallon
P4755
Value is ........................$ 10,000.00
?? ? ? L _')- COMMERCIAL
G-e i,J-???ILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Foundation Dnl New Construction' Interior im rovement
•
. SWctural Plans (2) sets
Civil Plans (2) .
. Architectural Plans
Swctural Plans (2) sets
(2) /Architectural Plans
y/Code Analysis (2) sets
(1) "
• CertificateofSurvey (1) . CivilPlans (2) ??ProjectSpecs (1)
• Cade Malysis (1) '• • Landspping Plans (2) L?/ Key Plan (1)
• Project Specs (1) . Code Analysis (1) `" +f Master Ebt Plan (1)
• Spec. Insp. & TesOng Schedule " • Certifipte of Survey (t) • Eq,ergy C lations (1) notalways"
• SoilsReport (1) • Spec.lnsp.&TestingSchedule (t) "' • I@L.?oL'P?RfingForm (1)notalways"
• Meter sim must be eshablished . Meter siae must be esfablished • Meae Iza t be esfablished -if applicable
• ProjectSpecs (1)
1 • EnergyCalculations (1)
1 • Electric Pov,er & Lighting Form (1)
1 • Master E)dt Plan (1) L
1 . Fire Protection Plan (1)" 1
1 • SoilsReport (1) 1
. MC/ES SAC determinatlon letter . MClES SAC determinallon letter MGES SAC determination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
" Contact Building Inspections for sample
Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details.
DATE Z 3& WORK TYPE X NEW _ REMODEL CONSTRUCTION COST4I 1JI, 00a
SITEADDRESS ,`?90 COVRTHUJSC I.tI S?!TF fV '5-A?Jfl?w i-"n/ S$/L
T
TENANT NAME STt>f-1P,T" J01-I QSor-1 - 6vV51!VS S,J SS SUITE # Id r/
FORMER TENANT NAME NONC - NCy&J $U/L,0/NG7
DESCRIPTION OF WORK _(30i_b bvT pF NCV,./ RESTI/?? ? SPRCG
Name: dy-?SK1e-T {ZoQ6RT Phone#: ( 767? ) 39,3"'71a0U
PROPERTY Last First
OWNER
SheetAddress -"?455 14WV 1191
City ??/rvvv-t'1-1 SWte mf'J Zip
J?D Yn o..v?
Company FJ M OniSTko e,Tio?j Phone#
CONTRACTOR
Sheet
City
ARCHITECT/
ENGINEER Company?
Name ?T
Sueet Address
ciri WR?
°
?JG? Y 3F53? ? ?7
(-i(.e3 ) 383- -7(oZ7
State Zip
10NWCrIEk) RPcx+ 1TF1-`rS Phone#
1
?DD 0.0 1 {A '?Ehl Registration #
fIl 5 E wA/ziqTw BwD .?. ?rE zvv
I Z A-0Y4 state /?W zip 5'S 3`1 ?
Licensed plumber installina new sewer/water service: C-? R mGCHwAk?}?- Phone #: ?r I2 ? 428 " ZWJ
I hereby acknowledge that I have read this application, state that the information is cortect, and agree to comply with all applicable State of
Minnesota STatutes and City of Eagan Ordinances.
Signature of Applicant: 2?2=
?h'?_
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments A 27 Commercial/Industrial ? 32 Ext Alt -Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New X 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repa ir
GENERAL INFORMATION
Census Code Zoning sq. ft.
SAC Code ?Q # of Stories ? sq. ft.
No. of Units Length sq. ft.
No. of Bldgs. _? Width sq. ft.
Const. (Actual) Basement sq. R. MC/ES System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy __jj_ sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test )< Heating
APPROVALS
Planning
Building
IX Insulation 1? Plumbing
Engineering
? Stucco/Stone
Variance
Permit Fee ? 03g I S
Surcharge S$ - S 0
Plan Review a-
MC/ES SAC I X I/I J'D ?
City SAC I X ! OO ) p fl
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
VALUATION $ I I 7 r U(7 ??
% SAC
SAC Units
Meter Size
CITY USE ONLY
PERMIT#: RECEIPTDATE:
APPROVED BY: S P g Z? ?? , INSPECTOR
2002 COMMERCIAI. MEGHlkAIClkL PEgM1T lkPPLICATION
CITY OF EAHAA
3$30 PILOT KNOB RD G ??75
EAs,Lv, Mx 55i ss
651-681,4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS: 3OGO Z
OWNER NAME: AZTEG PHONE #: 76.9 -;3633-7600
TENANT NAME (IMPROVEMENTS ONLY): G/G'CJC2/??,.5
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y k N. NAME:
INSTALLER:
STREET ADDRESS: ?-3/Z? Fr2ST.S- '?'
CITl': STATE: /Ll--,/. ZIP:
TELEPHONE #:
WORK TYPE: New construction Install U.G. Tank
? Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nature of Work: .OG'CTl?cz?'?, , I??
When installing/removing underground tank, call 651-681-4675 for inspectinn by Fire Marskal and
Plumbing inspector.
Fees: 1% of conuact price OR $50.00 minimum fee, whichever is greater. D? lUJ ???? ?
Underground tank removavinstallation = minimum fee AU G 19 2002
Con?act price: $ G? x 1% _$ ,SG G? (Base Fee)
State surcharge /5 L calculate at $.50 for eaeAY$i;Od - -tl?Basa F
TOTAL $ SC% SG
i? ; ?4;?
?fb GF P ITTEE
JNA
L??? Z""Uptlated 1/02
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: 7 P $-ZO -o NSPECTOR
EOOE COMbIEItCIAL MECHANICAI. PEiibIlT APPLICATION
CITY og EAEeRN
3$30 PILOT KNOB iiD
EAsM, Huv 55122
651-5$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: ? ?j_Yl'Z
SITEADDRESS: 1,0U
OWNER NAME: /4?2 -72TG-5 PHONE #: ;'4?3 - _??.3-?lc?C7G?
TENANT NAME (IMPROVEMENTS ONLY): A,%0, `S,
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y k N. NAME:
INSTALLER: 41-
2
STREETADDRESS:,FS/v'v
crrY: ?i.?,UC?r?uS sTaTE: zip: S'S*18
TELEPHONE #:
WORK TYPE: New construction Install U.G. Tank
`\; Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nature of Work: fJn,rlJ
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspectar.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee D 1?
Contract price: $ ?x 1%= $ fk-"OC:) (Base Fee) AUG 19 2002
11
State surcharge i 5fj calculate at $.50 for each $1,0 Ya?Fee_`?
TOTAL $ "80. S U
IG T OF P ITTEE
Updated 1/02
Metropolitan Council
Building cammuniYies that work
July 18, 2002
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner.
The Metropolitan Council Emironmental Services Division has deternuned SAC for the
o be located at Oakview Retail Center within the City of Eagan.
? , nt*-f- 4
t.?.
This project shouldlie--charged no-?1`i SAC Units, as determined below.
SAC Units
Charges:
Exercise
2090 sq. ft. @ 2060 sq. ft./SAC Unit
Credits:
Retail
3019 sq. ft. @ 3000 sq. ft./SAC Unit
Ifyou have any questions, call me at 602-1113.
Sincerely,
Jodards
Staff Specialist
Municipal Services Section
JLE: (215)
02071854
Cc: S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
Bryan Barlage, RJM Construction
www.metrucounciLorg
230 F.ast FiRh Street •
1.01
1.01
Net Charge: 0
o r?? ? ?J ?? 1?1
Metro [nFu Line 602-1888
SC Paul, Minoesola 55101-1628 • (651) 602-1000 • F. 602-1550 •'PlY 291-0904
Ari Cq? OpporG,nm,
F.mpiayer
PERMIT #: r-> ? ?
RECEIPT DATE:
EOOE COMMERCIi4L PLUbISINH PEiiMIT APPLIClkTION
C1TY oF SASflN
3$80 PILOT RAOB RD
Bf16lkA. AIA 5S1EE
881-691-4878
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED
Date:
WORK TYPE New Bldg \ Add-on Repair RPZ PVB • Irrigation system
• Jerry Wobschall to calculate fees. Required meter size is 2" tur6o unless smaller size permittcd by Public Works
DESCRIPTION OF WORK TcLEy- [4) liC4r C,?b i+vJn (A, ) Av[4?)rj a.OI'R (?) ??ILiY`L?l Y?J,L
To inquire if Pressure Reducing Valve is required on ew service, ca11651-681 4? '?icot-
btz?in?
METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to uickine un metert,-o
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" disolacement $152.00
Domestic Size & Type
Does this include high demand devices?
CITY USE ONLY
_ Ycs _ No
Avg GPM
FLUSHOMETERS _ Yes _ No PRV REQUIRED _ Yes _ No
SiteAddress: N?Iqb NUV 4`` nI..A_,xQ tn,_vLa - 5?c. t4
TenantName: D? ) 5 lr?y`1 C? C j1-SLO\ 1a Telephone#:
Was there a previous tenant in this space? _ Y X N. If Yes, Name:
Installer Name:
(Area Code)
Telephone #: -I u ?
(Mea Code)
InstallerAddress: ld4n1 LTl OnLA,50('d U t" LW ?j(Sq,?
City: State: / V ? i\_1
FEES Contract price $ x 1% ($50.00 min) Plbg Permit
Meter(s)
Required on all new buildings & boulevard irrigahon systems Radio Meter Read
Zip Code ,?;) 7 , _,) / ?
$ 73. sv
$
$
Swcharge: $.50 Minimum. IF contract fee cxceeds $1,OOQ calculate at Stste Surcharge $ •
50 cents per $1,000 conttaet fee. ?. /?
Sub TotaVl'otal $ '`f'
Supplementary fees for new irrigation system A^?W? rotat er Permit $50.00
Contact Jerry Wobschall at (651) 681-4624 regarding fe tment Plant $ 540.00
Supply & Storage $
State urcharge $
T$ 7
?'??
I hereby aclmowledge that I have read this application, state that the informanon is coaect, and agee ro comply with all applicable Ciry of Eagan
ordinances.ItistheapplicanYsresponsibitirytonotifythepropertyowne(thattheCiryofEaganassumesnoliability foranydamages dbytheCiry
during its normal operational and maintenance activities to the fac?lities cdpstructed uoer this peimit within City/prgperty/ripht- -wayleasemejit.
IRRIGATION SYSTEM (CONT)
CITY USE ONLY
REQUIRED INSPECTIONS: ? U.G. ? A'v Test _ Gas Test __)lf_Rough In Final
PLANS SUBMITTED APPROVED BY: . EUILDING INSPECTOR
GENERAL INFORMATION
• Radio Meter Read (rcquired on all new buildings & boulevazd irrigation systems- $157.00 (Acct Code # 9220-4509)
• Water meters include copper horn/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" displacement residential $118.00 4120 1-1/2" urigation syst $ 745.00
sm commercial turbine•* "must receive
maximum approval from
continuous Public Works
10
2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine lg irrigation syst $ 923.00
maximum residential &
continuous sm commercia] production lines
15
3-50 1" displacement very lg res $199.00 1/4 ro 160 2" compound bldgs over $ 1,798.00
bldg to 24 units 65 uniu
maximum sm commercial &
continuous & lg comm bldgs
25 irri ation s stems
5-100 1-1/2" bldgs 25-64 units $439.00
masimum displacement &
continuous most comm 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 Ig irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00
& production lines very Ig comm bldgs
1/2-320 3" compound +200 unit bldgs $2,264.00 10-1000 6" compound +400 unit bldgs $5,900.00
very Ig comm bldgs very lg comm bldgs
15-1000 4" turbine very Ig irrigation syst $2,184.00
& production lines
Comments '
• To schedule inspection of the inside water line and bacldlow preventer, call 651-681-4675.
• To arrange for water turn-on, call 651-6814300.
ec: Kris Fors[u, Maintensnce Division Clerical Technician Updazed 10/01
CITY USE ONLY
PERMIT #; /?; ?_ ?-? I ? RECEIPT DATE:
EOOE COMMERCIAL PLUb[B1Nfi PF{iM1T APPIICATION
C1TY OF fA6RP
3$30 PILOT KAOB RD
gas", Me 55 122
881-6$1-467$
WCOMPLETE APPLlCATIONS WILL NOT BE PROCESSED
Date:
WORK TYPE New Bldg 7\ Add-on Repair RPZ PVB ` Iaigation system
• Jerry Wobschall ro calculate fees. Required meter size is 2" mrbo unless smaller size permitted by Public Works
, i
DESCRIPTION OF WORK ?Ch,t lQ? ) tn112 4?? E•?G '?a?u?t?, ? oec
To inquire if Pressure Reducing Valve is required on new service, ca11651-681-4646
METERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oickin¢ un meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" disulacament $152.00
Domestic Size & Type Avg GPM
Dces this include high demand devices? _ Yes _ No
FLIISHOMEI'ERS Yes No PRV REQUIRED Yes No
Site Address: `Jl>QC) tku j`L_? (.L1 1m 9- l?T"C •?)-
, "? ?
TenantName: Aj'?C\.?.h? ?1OfA_\&)t_,
Was there a previous tenant in this space? _ Y?( If Yes, Name:.
Telephone
(Atea Code)
Installer Name:
' IZ W- I C" WL,
InstaOer Address: !?`7D I ? rDn LC (;CJci Cl r
Telephone #: lv? Q' Ae&J
(wrea code)
City: ???{rs State: U, AJ _
FEES Contract price $ ?9&) ? x 1% 50. min) y?/J'`Plbg Permit
Meter(s)
Required on all new buildings & boulevard irrigation systems Radio Meter Read
Surchazge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge
50 cents per $1,000 contract fee. y,- - -11- _,?_ 1
sun Tocevrotal
zip Code ') 7 1:2 /
$ 5D• o0
$ '5-0
$ , D. 5D
Sapplementary fees for new irrigation system: ,? ? ??a?? Water Permit
ConlaCl Jerry Wobschall at (651) 681-4624 regardin j?esyreatment Plant
$ 50.00
$ 540.00
Supply & Storage $
State Surcharge
Tocal
$ ` 5C/
I hereby acknowledge that I have read this applieation, state that the inforniation is conect, and agee to comply with all applicable City of Eagan
ordinances. It is the applicanf s responsibility to notify the property owner [ha[ the Ciry of Eagan assumes no liabiliry for any damages caused 6y the City
during its normal operational and maintenance activiries to the facilities cons U;;;RE OF PERMI EE
IRRIGATION SYSTEM (CONT)
/ CITY USE ONLY /
REQUIRED INSPECTIONS: U.G. Air Test _ Gas Test ?ROUgh In Q Final
PLANS SUBMITTED APPROVED BY: / P '7 J Z- 3-? ' BUILDING INSPECTOR
GENERAL INFORMATION
• Radio Meter Read (required on all new buildings & boulevard vrigation systems- $157.00 (Acct Code # 92204509)
• Water meters include copper hom/suainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" displacement residential $118.00 4-120 1-1/2" irrigation syst $ 745.00
sm commercial mrbine*" *"must receive
maximum approval from
continuous Puhlic Works
10
2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine lg irrigation syst $ 923.00
maximum residential &
continuous sm commercial production lines
IS
3-50 1" displacement very lg res $144.00 114 to 160 2" compound bldgs over $ 1,798.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & lg comm bldgs
25 irri ation s stems
5-100 1-1/2" bldgs 25-64 units $439.00
maximum displacement &
continuous most comm 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 ig irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00
& production lines very Ig comm bldgs
1/2-320 3" compound +200 unit bldgs $2,264.00 10-1000 6" compound +400 unit bldg,c $5,900.00
very lg comm bldgs very lg comm bldgs
] 5-1000 4" turbine very Ig irrigation syst $2,184.00
& production lines
Comments
• To schedule inspection of the inside water line and backflow preventer, ca11651-681-4675.
• To arrange for water tum-on, ca11 65 1-681-4300.
cc: Kris Forster, Maintmance ?ivision Clerical Technician Updated 10101
! e-r -a- ? Lock_ a-
Q COMMERCIAL
02 BUILDING PERMIT APPLICATION
CITY OF EAGAN
? 651-681-4675
51 ,tz?o g_`) 1-f
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architactural Plans (2) sets . Architecturel Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • Code Malysis (1)
• Certificate of Survey (7) • Civil Plans (2) • ProJect Specs (1)
• CodeAnalysis (1) ^ • LandscapingPlans (2) . KeyPlan (1)
• ProjectSpecs (1) • CodeAnalysis (1) • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Caiculafions (1) not always"
. Soils Report (1) • Spea Insp. & Testing Schedule (1) " • Elec. Power 8 Lighting Form (t) not always"-
• Meter size must be established • Meter size must be established • Meter size must be establiShed - If applipble
• ProjectSpecs (1)
1 • EnergyCalculations (7) •" 1
1 • ElacVic Power & Lighting Form (1) t• d
1 • Master Exit Plan (1) 1
1 • Fire Protection Plan (t) •' 1
1 • Soils Report (1) 1
• MC/ES SAC determination letter • MpES SAC determination letter • MClES SAC determination letter
call 651-602-1000 call 651-602-1000 call 851802-1000
" Contact Building Inspections for sample
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
DATE: 6/Z6/0-2- WORKTYPE: _ NEW 2CREMODEL
SITE ADDRESS:
TENANT NAME:
CONSTRUCTION COSk8t, ZVO
FORMER TENANT NAME, IF APPLICABLE:
DESCRIP710NOFWORK_lT.raw7 ?xiSP..c 5c.
ffrfrc ?ra?rt.r-•s ? ? '743 383° 7600
Name: ? ? Phone #: fr?? S Vst/i
PROPERTY Last Fust
owrrEx `L ?? 9'
StreetAddress: Sy.S 'rj (Twy
Ciry: ?j ?Jgh y State: ? Zip: ?t
r 17?6Lr/` , ?'J?7 Z
Company: Tl JM 06A54rUr"/(o'&, Phone#:
CONTRACTOR cy
StreetAddress: S / 5 5 l`/ -
City: ?/?Kto- yZt State: Al"?l Zip: 55 yq2
ARCHITECT/ ?j?
ENGINEER Company: /`/OARge.^,
Name: PiXi C ar 7f k-V /17o 44,.;
l
Phone #: ?Z ) 41 2 3 ` 1/ 8$
Registrarion #:
Street Address: / 7/!) L-'ai5-l4 ?-t.•?c?24-Ea ji V('K , SG ? f P
City: "'-"".7 2'_`4 / State: Xiw
Licensed plumber installing new sewerlwater service: Phone #:
I hereby acknowledge that I have read this application, state that the information is correct, and ree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant: ?
Updated 1102
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartrnents 9"27 Commercial/Ind ush-i al ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE /
? 31 New H" 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Z
SAC Code 30
No. of iTnits /
No. of Bldgs. !
Const. (Actual)
(Allowable) "
UBC Occupancy A-3
Zoning
# of Staries
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Building hAi
?D
1
aftgq--
? Insulation
Engineering
sq. fr.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
0 Plumbing
44,5
? Stucco/Stone
Variance
Permit Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
,.?9. ~S
//2. 5b
52, fol
A -isag.94
VALUATION $ (gpo
% SAC
SAC Units
Meter Size
I ????`-l
J
, 2006 COMMERCIAL pLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
! Date
SiteAddress 3w5c) 'COURTt}JJti 1..6( Unit# 1.1707-)
Tenant Name F'ormer Tenant Name
Property Owner ti t 6i t`n L(p 4 l ,--1 c- Telephone # (`Gl ) 7?n'(- (] 3 O f)
Contractor ??JpO0 `-j ?j.,6 CM?$ .J JG
Address SZ aycyq,?I..JT City S i ?q.c) L..
State 11 m Zip SS 11777) _ Telephone # (6$1, )?{ $'I -(c')G I
License # Expires:
The Applicant is _ Owner Contractor _ Other
Work Type New Bldg _?Clvlodify Space _ lrrigation System** Yes o Work in public r-o-w / easement?
RPZ PVB: New _ Repair/Rebuild _ Replace _ Remove
Rain sensors are re uired on irriation s tems
DescriptiooofWork ?aJ(s*}?,? )`(?c.?.! F?dYZI'f400{? .L '1- S?'J?
To inquire if ressure Aeducing Valve is required on new service, ca 651-675-5646
Meters - Call 657-675-5300 to verify that hydrostatic, wnductiviry, and bacteria tests passed orior to oickine uo meter. MD A) i?-
Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" meter $167.00
Domestic Size & Type Avg GPM Includes high demaod devices? _ Yes _ No
Flushometers Yes No PRV Required _ Yes _ No
Permit Fee $50.50 minimum cludes State Surcharge) .?-
Contract Value $ x 1% _ $Pennit Fee .
$ Meter(s)
Required on al] new buildings & boulevard irrieation svstems $ Radio Meter Read
$ ? S (7 State Surchazge
If ermi fee is less [han $1,000, surcharge is $.50
lf e i fee is more [Aan $1,000, surcharge is $.50 for each $1,000 owed.
I'""'_'_ """" ""_""'"""""'"_'_""
?.:? ' """
Following fees aPP1Y when installing newnI rri ation sYstem $ Watex Permit
Call ihe City's Engineering Department, 651-E{7Y?643?for reqwrzd £ee amounts ,
u l? IUI $ Treatment Plant
OCT 5 2006 ` $ Water Suppty & Storage
$ State Surcharge
$ Total Fee
e__ _._.?....:u ,.....8.........ro ..ri?X tFr
I hereby appty for a Commeraal Plumbmg eertnu antl acKnowleoge [nat me miormauun is compicoc mw a...?a.., .. ?o. ..... ..?.- --...-...._..__ _.._
ordinances and codes of the City of Eagan and with ihe Plumbing Codes; [ha[ I understand this is ot a permit, but only an applica[ion }'or a permit, and work is no[ m
start without a pefmit; that the work will be in accordance with the appmved plan in [he case k w? requires review and appmval of plans.
ApplicmPs Printed Name " ApplicanYs Signalure
CITY USE ONLY
REQIJIRED INSPECTIONS: ? U.G. ?Air Test _ Gas Test ')?--Rough In ? Final
PLANS SUBMITTED APPROVED BY: ` ?? j? ^f,9 ' , BUILDWG INSPECTOR
General Informafion
• Radio Meter Read (required on all new buildings. Boulevazd irrigarion systems may require a radio read -$141.00
• RPZ's must be tested every yeaz and rebuilt every five years. Test results should ba mailed to Paul Heuer at the Ciry of Eagan.
• A minimum fee permit per address is required for the following RPZ's: new; rebuild, renair, remove.
• W ater meters include copper hom/strainer, remote wire, and touch-pad meter.
METERS REOUtItING 4-HOUA ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $130.00 4120 1-1/2" irrigaUOn 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 Z" turbine large imgation $ 1,040.00
masimum displacement residential system &
continuous or production lines
15 small commercial
3-50 1" displacement large residential $210.00 1/4 to ]60 compound bldgs over $ 1,962.00
bldg to 24 units 65 units
maximum small commercial &
continuous & lazge comm bldgs
25 n-rigation systems
5-100 I-1/2" 25-64 unit bldgs S515.00
maximwn displacement &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" tw'bine very lazme irrigation $1,394.00 6-500 compound +300 unit bldgs $3,864.00
system & production & very large
]ines coxrun. bldgs
1/2-320 3" compound +200 unit bldgs $2,516.00 10-1000 compound +400 unit bldgs $6,436.00
very lazge very lazge
comm bldgs comm bldgs
15-1000 4"turbine very large $2,495.00
irrigation systems
I
LI
& production ]ines
Comments
• To schedule inspection ofthe inside water line and backflow preventer, call 651-675-5675.
• To arrange for water turn-on, ca11651-675-5200.
cc: UtiliTy Division Systems Analyst
January 2D06
?? '?-
Requirements:
5D, 5-D
2006 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
City Of Eagan ?
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 Fax # 651-675-5694
.'
2 complete sets of drawings and specifications •
Cut 5}teetc nn materialc anA rn.rmnn>?r? +.. l,e .,-A /,L, / /. /?c
! Date
Site Address:
Tenant / Building Name:
The Applicant is: _ Owner ? Contractor Other
PROPERTY OWNER
Address:
City: State: Zip:
CONTRACTOR V\At\ License #:
Address: \?v\ ? (?? '? ?5 1 City:
State: Zip: ??w?N Phone
ESTIMATED COMPLETION DATE: \? Q?"
FIRE PERMIT TYPE: ? Sprinkler System (# of heads Fire Pump _ Standpipe
Other:
WORK TYPE: _ New _ Addition ? Alterations Remodel
Other:
DESCRIPTION OF WORK: ?K') Commercial _ Residential Educational
_ Other: ??1 4c1C c?'? tL ,
Please continue on reverse side
PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ \ nxz?--,Q) . - x .01
Permit Fee
• If Permit Fee is $1,000 or less, add $.50 =:?,
If Permit Fee is over $1,000, add 5.50 per
$1,000 Permit Fee
3/4" Displacement Fire Meter - $167.00
TOTAL FEE:
s -9:) -?
State Surcharge
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 wark will be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
,? 1 ? \C
).% ( ,L'`k `e?v1 A- 5
Applicant's Prir?i ?d Name Applic7??ture
?J \
?
,?D
DO A`OT WRITE BELOW
2006 COMMERCIAL MECHA1vICAL rExmrr arri,rcATiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaU"mdustrial buildings
, multi-family buildings when separate permits are not required for each dwelling unit
?? V v
Date/0_/Z3 / D (o
SiteStreetAddress ?D 9D Cp cJ?T 17O C/.Se. P'J Unit# J??d
Tenant Name (if applicabie) Previous Tenant Name
Property Owner /// r (?u YI 4 Zf f ? Telephone / 0 ?Z-b -qcn?Q
Contrsctor
StreetAddress S2Q {-j?'O??? ?!/e.. City ?T ?? ?
State Zip `?S?? Telep4one#(?SI
Bood N: L?);l0q1'"' ?JL Expires: J'77 '3 T6e Applicant is ? Owner ? Contractor _ Other
R'ork Type
_ New Construction 4Interior Improvement _Install Piping _Processed _Gas
Under/Above ground Tank Install Remove
When installing/removing tank(s), call for inspection by Fire Marshal and Plum6ing Inspector
Nature of Work: 17 Vi4C 7eI'1 cws14-/?j
Pel'mit FeCS: $70.50 Underground tank installatioNcemmal
$50.50 Mirtinuem (mcludes State Sumcharge)
O[ ... /a
Contract Value $ ? t°
-ze Fc J .'i ? , $ Permit Fee
? 0 T 2 3 9006 $ state suroharge
If ermit fee is less than $1,000, add $50
If ermit fee is more thao 51,000, surcharge
is $.50 for every $1,000 owed
$ S(?0 SO ToW1Fee
1 nereby appty Ybr a Commercial Mechanica} permet and ackrrowledge 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 pennit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of wock which requires a review and approval of plans /
eY? ?l e?ta? /- ''r
ApplicanYs Printed Name icmt' ?enature
Approved $y: f, ! 0 - Y4- O (i In,
Required Inspections: _ U.G. RI. _ Air Test
Gas Service Test _ Infloor Heat ? Final
Kb13 D
2006 COMMERCIAL SUILDING rERvrrr arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 652-675-5694
. ovucmrairians (z?secs
. Civil Plans (2) .
. Certificate of Survey (1)
. Code Analysis (1) ^
• ProjectSpecs (1)
• Spec. Insp. & Testing Schedule •'
• Soiis Report
(1)
• Metersizemustbeesfablishad
1
1
1
b
l
1
• SAC determination - call 651-602-1 000
.vrcmcecturai rians (z) seLs
Structurel Pians (2)
Civil Plans (2)
Landscaping Plans (2)
CodeAnalysis (1) "
CertifcateofSurvey ('I)
Spec. Insp. & Testing 5chedule ('I)
MeYer size must be esiablished
PrajectSpecs (1)
EnergyCalculations (1)
Eledric Power & Lighting Form (1)
Master Exit Plan (1)
Emergency Response Site Plan (1)
Soils Report I. (1)
SAC tletermination -call 651-602-1 000
Fire Stopping Submittals
Fire SinnracsinNAUrm Fnrtn
y9d . V?
• Architectural Plans (2) sets
• Code Analysis (1)
• ProjectSpecS (1)
• Key Plan (1)
• Master Exit Plan (1)
• EnergyCalculations (t)notalways"
• Elea PoweF & Lighting Form (1) not always"
• Meter sise must 6e established-if applicable
1
1
y
. y
> . y'.
• 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 Inspecrions for sample and if requSred • •** Peccnit for new building
or addition wi11 pot be processed withoutEmergency Response Site Plan.
Date _10 / _Qk / ot? Construction Cost GoQ. o0
Site Address 2040 G0LL211rhnLLba. MtA Unit/Ste #
TenantName (2
A1AC4& {l VLp4p,ffi%,, C,p ?
4y,? Former Tenant Name f Kti?A TncJU?,V2lPS
?ea.tY £-+bc.ln.a.n.e.
Description of Work 14- yi?,v*'k ?yL ts y?
PropertyOwner M;kA- Telephone#((p61 ) ,7As9-.- 03O?f __
Applicantis: _ Owner X Contractor Contact#: (&61 ) 2?a-3S. 1
Contrac[or L%iA.lLQboft u_e..?LUVt,
lYLL
,
Address l'71.0 ?vr&+n.?! CLG¢... L. ou..YLk_. ` City IJI?.? ?C..&Y"ic L"t
State fO elephone#(dp? 00 l
L
Arch/En
gr _b L_ ('j {Z,G„'?'V? ??T s Z??6
Registration #
Address S'?u$7 C.bCL PVlaALLf _ CityK"kt4;oDl
State K'O Zip 56 LO !J Telephone # ((p51 ) 7D,4 -D 3Cb
Licensed plumber installing new sewerlwater service l?nav k? ?w??tcPhone #: ( ls 51 1 4D7 -LO(rtl
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in
conformanca with the ordinances and codes of the City of Eagan and the State of M1V Stamtes; I understand this is not a pemrit, 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 tLe case of
work which requires a review? d approval of plans.
., t 14 i/'?Y / /] ? '..4
Applicav4s Printed Name Applic?tLt's Signature
?
DO NOT WRI1'E BELOW THIS LINE
Sub Types
? 01 Foundation ? 26 Public Facility ? 30 Accessory Building
? 14 Aparhnents /e 27 Commercial/Industrial ? 32 Ext Alt Apartments
? IS Lodging 7 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 ?
9 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demoiish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
e040
18 e.tr Tr
' B
Valuation
4 Type of Const 1t Width
Plan Rev 100% ? 25% _ Occupancy ? MCES System
SAC Units " 0 - ' Zoning Ciry Water
Nbr. of Units D Stories Booster Pump
Nbr. of Bldgs ? Sq. Ft. !/3r PRV
Length Fire Sprinklered
Required Inspections
_ Footfngs (new bldg) Fireplace R.I..Air Test Final
_ Footings(deck) ' Insulation ?
Footings (addition) ?' - SheetraCk
Foundation ? FinaUC.O, . • • . .. - - -
Drain Tile FinaUNo C.O.
_ Driveway Apron Other '
Roof Ice Pr
/ Decking _ Insul Final Pool Ftgs Air/Gas Tests Final
I
Framing _ Siding _ Stucco Lath _ Stone Lath _ Final
. , . - Windows . ..
.. .
,
Fi
l C/O I
ti
S
h .
d
l
Fi
M
b . , . ,
-//
nspec
na
on:
c e
u
re
e
arshal to
e present.
Yes
No
_
Approved By: Planning -. Building Inspector
Base Fee
Surcharge
Plan Review ,
SAC-MCES
SAGCiry
SNJ 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 Laterai
Other
Total
, -?
r7 Sewer Trunk
Water Trunk
. R . .-e
?qO.G I
/.??//// BOC GASES
MATER/AL SAFETYDATA SHEET
f7L_A1_14/T -0- 7 S 6 3 C)
309a CovaTt!-?vs? t47/5-
PRODUCT NAME OXYGEN
1. Chemical Product and Company Identification
BOC Gases,
Division of
The BOC Gmap, Ioc.
575 Moantain Aveaae
Murray Elill, PIJ 07974
BOC Gases
Division of
BOC Canada Limited
5975 Falboame Street, Udt 2
Mississaaga, Ontarfo LSR 3W6
TELEPHONE NUMBER: (908) 464_8I00
24HOUR EMERGENCY TELEPHONE NiJMBER:
CHEMT'REC (800) 424-9300
PRODUCl' NAME: OXYGEN
CHEMICAL NAME: Oxygen
COMMON NAMES/SYNONYMS: None
TDG (Canada) CLASSIFICATTON: 2.2 (5. L)
WHM7S CLASSIFICATION: A, C
1'ELEPHONE NUMBE2 (905) 501-1700
24-HOUR EMERGENCY TELEPHONE NUMBER
(905) 501-0802
EMERGENCY RESPONSE PLAN NO: 20101
PREPARED BY: L,oss Comrol (908)464-8100/(905)501-1700
PREPARATION DATE: 6/1/95
REVIEW DATES: 6/7196
2. Composition, Infortnation on Ingredients
.'. INGREqENf . . [ %VddRdE; „ :.`..PEL-0SHA..'- . TLV=AOG1 ,; '. L.Qyn"or;LCen ?'.
. -_. . . _. . , ... . . ?.'. , . - -: ? - , . ._ . .
;
?xY9? 99.6to100A NotAvalla6le NotAvailable NotAvailable
FORMULA Oz
CAS: 778244-7
RTECS #. R52060000
- As stated in 29 CFR 1910, Subput Z(ievised luly 1, 1993)
Z As stated in 1he ACGIF{ 199495 7tuesLold Idroi[ Valws for Chemiral Sunseanc,s md Physical Agenfs
3. Hazards Identification
- EIdtEJ2GENCY OVERVIEW
Elevated oxygan levels may resuH in cough ahd ather pulm'onarychanges. High ooncentrahons of `-
oxrygen (greffier than.75%) caueds sympWins of hyperoxia uvhich.inciuded ctsmps riausea d?i,ness,.;
!hypofhermia; ambybpia,,respiraqbn diffcufties, tiradycardia, fainiiriy spelk srid convuisipns capable'of
leading to dimth. NoMiammable. Oxidizer; will accelerate'combustion;
ROUTL UF ENTRY•
I Skin Contact Skin Absocption Eye Conhct Inhalation Ingestion
No No No Yes No
MSDS: G-1
Revised: 6/7196 Page 1 of 6
PRODUCT NAME: OXYGEN`
HEALTH EFFECI'S-
Exposise Limits IrxitaM Sen.sitization
No No No
Terawgen Reproductive Hazazd Mutagen
Na No Yes
Synergistic Effects
Noneknown
Carcinogenicity: - NTP: No IARC: No OSHA: No
EYE EFFECl'S:
Adveise effeds not aMicipated.
SIIN EFFECI'S:
Advease effects not anticipated.
IIVGESTlON EFFECl'S;
Adverse effeds not aMicipated.
Ixrrwi sTTON EFFEGTS:
High concemrations of oxygen (geater ilan 75%) causes symptoms of hyperoxia which included ciamps,
nausea, dizziness, hYPuthetmia, ambylopis, respuatiam difficulties, bradycardia, fainting spells and convulsions
capable of leading W deafh. The propeRy is that of hyperoxia wtrich leads to pneimome. Concentratioas
between 25 and 75°/a preseat a risk of inflavnnation of organic matter in the body.
Oxygen concenrretions betweeo 20 to 95% have produced geneic changes in mammalim cell assay test systems.
NFPA Rs7.sRn CpDES
Health: 0
Flaznwability: 0
Reactivity: 0
4. First Aid Measures
HMI$ AA7.ARn CODES RATINGS SYSTEM
Health: 0 0= No Hazazd
Flammability: 0 1= Slight Hazazd
Reactivity: 0 2= Moderate Hazard
3 = Serious Hazard
4 = Severe Hazard
EYES:
Never introduce ointznmt or oil into the eyes without medical advice. If pain is present, cefer the vidim to an
ophthalmologist for treatment and Follow up.
SKN:
Remove contannmated clothing and flush affected areas with lukewarm wata. If iaitation persists, scek madical
attenfion.
lNGES110N:
Ingestion is not anticipated.
MSDS: G-I
???: 617/96 Page 2 of 6
PRODIiCT NAME: ?OXYPEN ? INHAI.ATION:
PROMPT MEDICAL A7'TENTION IS MANDATORY IN ALL CASES OF OVEREXPOSURE TO
OXYGEN. RESCUE pERSONNEL SHOULD BE EQUIPPED WTTH SELF-CONTAINED BREATHING
APPARATUS. Conscious persous should be assisted to an uncontawiuated azea and in6ale fresh air. Quick
removal from the coutamiuated area is most unportant Furthar treatment should be symptomatic and
supportive. Inform the treating pLysician thaz the patient could be experiencing hyperoxia.
5. Fire Fighting Measures
Conditions of Flawmability: NM flammahle, pxidizer
Flash point
None Method:
Not plicable Au[oignition
Tem ture: None
LE %): Na1e UE /o : None
Hazardous combustion products: None
Sensitiv k W mechanical shock: None
Sensitivity to static disc e: None
FII2E AND EXPLOSION ReZeRnS:
High oxygen concentrations vigorously accelerate combustion
EXTING[1LSHING MEDIA:
Water spray to keep cylindecs cool. Extinguis6ing agent appropriate for the combustible material.
FII2E FIGHTING INSTRiTCT[ONS:
If possible, stap the flow of oxygen wluch is supporting the fire.
6. Accidental Release Measures
Evacuate all peisonnel from atl'ected area. Use appropriate protective equipment. If leak is in user?, equipmeM,
be certa'° t° Purge PiPug with mert 8as Prior to atteopting repairs. If leak is in contamer or contaicer valve,
contact the appropnate emageicy telephone aumbet lisled 'm Section 1 or call your closest BOC location.
7. Handling and Storaye
Elecriical classification:
Nanhazardous
Dry product is noncoaosive and may be usecl with all materials of constcuction Moistiue causes metal mcides
which are fomted with air to be hydrated so that they include voliune and lose their protective role (rust
formatian). Concenirations of 502, CIZ, salt, e[c. in the moisGse enbances the msting ofinetals in air.
Cazbon s[cels aod low alloy s[cels aee accep[able for use at 2ower pressures.
For lilgh pressuae appficatiou4 stainless steels are accepmble as are copper and its alloys, nickel and its atloys,
bra5s bronze, silicon alloys, Monel 0, Incouel 0 and beryllium. Lead and silver or lead tin alloys are good
gasket materials. Teflon 0, Teflon 0 composites, or Kel-F 0 are prefeaed non-metallic gasket materials.
Check with the supplier to verify oxygen comparibility fot the service conditions.
Oxygen s}wuld not be used as a substitute for compressed att in pnewvatic equipment since this type gencrallY
contains flavrmable lubricantc.
MSDS: G-1
Revised: 6(7/96 Page 3 of 6
PRL3DUCT NAME: `OXYGEFI
Stationary customer site vessels shoutd operate in accordance with the mamd'acWtet's and BOC's instivction
Do not atteanpt m repair, adjust or in yny oiher way wodify the operation of these vessels. If thexe is a
malfunction or other type of operations problem with the vessel, contact the closest BOC location immediately.
Valve protection caps must remain in p]ace unless nontsiuet is secured with vaive outlet piped w use point, Do
not drag, slide or roll cylindeis. Use a suitable hand hvck for cylinder movemenk Use a pre.ssure reducing
regulator when connecting cylindet to lower pressure (<3000 psig) piping or sys6ems. Do not heat cylinder by
anY means W increase the discharge rate of product from the cylmder. Use a check valve or 4ap in flre dischazge
1'rne to pnevent hazardous hack flow in[o the system.
Protect cylinders from physical dawage. Store in cool, dxy, well-ventilated area away from heavily trafficked
areas and emergeacy exits. Do mt allow the temperatu¢e wkere cylindess are s[ored to excced 130°F (54°C).
Cylindeis should be stored upright and fimily secured to prevent falling or being Imocked over. Full and e,mPty
cylmders should be segiegated Use a"fixst in-first out" inventory system to preveat full cytindets being stored
fcf excessYVe paiods of tivw. Post "NO SMOKING OR OPEN FLAMES" sigms in the storege azea or use area.
'17iere should be no sowces of ignition in ibe s[orage or use mes.
For additionnal storage recommendations, consult Compressed Gas Association's Pamplilets P-1, P-14 and Safety
Bulletin $B-2.
Never catcy a compres.sed gas cyluder or a contamer of a gas m cryogemc licpuid fam in an enclosed space such
as a car 4vnk, van or station wagon A leak can resutt in a fire, explosion, asphyxiation ar a toxic exposuae.
8. Exposure Controls, Personal Protection
EXPosURE r.rnirrs'-
??R:, xvoi.?? ' r?'?:=ost?aa Tcr °
.. u?w?, :+
..
OxY9en %.Bto1t10.0 NatAvailable NotAVailaCle NotAvadable
FORMUUI: Oz
cas: n82-44-7
RTECS # RS2060000
xererm udiviaual state orproviiMJa1 xegulat;oac, as appscal,le, ror Ilimits wltict may te more uringeut uhan
SLosc listed h?
? As sfa0ed'm 29 CFR 1910, Subpmt Z(revised luly t, 1993)
3 As stated in tLe ACC31H 1944-19951LxeshoW I.uoit V.I. for CLeniical Subsfances and Pfrysical Agents.
ENGINEERING CONTROLS:
Use tocal exLaust to prevent accumuladon of high conceutraUons that increase the oxygen Level in air to more
thao 25%.
EYE/FACE PROTE(.'TION:
Safety goggies or glesses as appmpriate for the jab.
SKNt PR01'EC1'ION:
Proteclive gloves made of aay suitable material appropriate for the job.
OTHER/GENERAL pROTECCION:
Safety shoes, safeTy shower.
MSDS: G-L
Revised: 6/7N96 Page 4 of 6
PRd?UCT NAM?: OX*7(',EN
77777771
9. Physical and Chemical Properties
PARAMETER VALUE IiN11'S
Physical sfate (gas, liquid, solid) : Gas
Vapor pressiue : Above critical temp.
Vapa densig' (Au' = 1) : 1.11
Evaporation point : Not Available
Boiling point : -2973 °F
: -182.9 °C
Freea°S Point : -361.8 °F
: -Z18.8 °C
pH : No[ Applicable
SpeciFic gravity at STP : Not Available
Oil/water P'erdaan coefficienl : Not Avai]able
Solubility (H20) : Slightly soi¢ble
Odorthreshold : NotApplicable
Odor and aPpearance : Colorless, ododess gas
10. Stability and Reactivity
sTasu.rrx:
Stable.
INCOMPATIBLE MATERIALS:
All flammable materials.
Ra7sttmUS DECOMPOSITION PRODUCI'S:
None.
AA7.ARDOUS POLYMERI7ATION:
Will not occi¢.
71. Toxicological Infortnation
MUTAGEIVIC:
Oxygen concentr-atioffi betweev 20 m 95% have pdoduced genetic changes in niammalian cell assay test system.
72. Ecalogicallnformation
xo data given.
13. Disposal Considerations
Do mt attempt to dispose of residuai waste or unused qaantities. Retan in the slrippmg container PROPERLY
LABELED, WITH ANY VALVE pUTLET PLUGS OR CAPS SECURED AND VALVE PROTECLION CAP
IN PLACE m BOC Gases or autlwrized distributor fot proper disposal.
Msns: G-i
Reoised: 617/96 Page 5 of 6
PRODUCT NAME: -OXYGEN-:
14. Transport Infortnation
PARAMETER UMited'$fetes.DOt' ` . .. CariadaTDt4
.
?:;. .
PROPER SHIPPING NAME: OzY9en. ewrpres,s¢d Oxy9en, canWessed
.
FUIZARU CLAS3: 22 2.2 (5.1)
IDENfIFlCA710N NUMBER: UN 1072 UN 1072
??PPING NIXJFLAAMIABLE GAS, OXIDIZER NONFLAM1AfABLE GAS, OXIDIZER
15. Regulatory Infortnation
SARA TITLE III NQTIFICA770NS AND INFORMATION
SARA 111'LE III - usZsun CLASSES:
Fue Harvrd
Sudden Release of Pressure Hazard
16. Other Information
Compressed gas cylindas shall not be re8lled without ihe express wriuen peanission of tbe owner. ShipmeM of
a compressed gas cylinder which has not been filled by the awnea or with hi.s/her (wriaen) consent is a
violaaon of trensportation regulations.
DISCLAIMER OF EXPRESSED AND II1fpLIED WARRANTEES:
Although reasonable care has been taken in the preparytfw of this document, we extend no warranties aud make
no repregmmtions as to the accuracy or completecess of the information camtained hereln, and asswne no
responsibility regarding the suitability of tlris information for the userk intended piaposes or for the
concequnces of its use. Fach indivLdual should make a determination as W the suitability of the infomiation for
Weir pazticulaz Purpose(s)_
MSBS: G-1
??. 6t1/96 Page 6 of 6
I ?1) /e) G- 6v (/,? ln G, v S P_ L.- " -
UNITED SHEETMETAL
Pg. / of 1
FAN TEST REPORT
PROJECT: dk4orl4% ?XGHf?/1/G? ' /y//??
6-?'•?sl/•vG h'OB,O
oau FLN NA _
LOCATION (JO ????y C-
SERVICE cSG rL` ?d D D Amp
MANUFACTURER G ?lop
MODEL NUMBER T 007 - `" p-
SERIAL NUMBER 0/6,2a2 3L9
?fr? GO
TYPE/CLASS
MOTOR MAKE/STYLE
G L L.?C .t?G? iy«,AaS
dEE'- O
MTR.HP/RPM/FRAME ,7.5 "l-r- If
VOLT/PHASE/HERTZ ? ? G D / U
F.L.AMPS/S.F.
Mtr.Sheave Make/Mdl. U ?"W
Mtr.Sheave Dia./BOre
FAN SHEAVE MAKE
Fan Shv.Dia./Bore
NO.BELTS/SIZE ? 449
SHV.'? DISTANCE
C. F.M. ? 00 S
FAN R.P.M_ D S E ,
VOLTAGE //-f
AMPERAGE 41Y. ,3 3.3
REMARKS
UN2TED JOB# CUSTOMER W.O. \P.O. # BAI.A,NCE TECIi: Dp.TE
7,4 7$' wL
UNITED 6HEETMETAL
TEST 6 BALANCE REPORT
PROJECT NAME: c1l??,erLlpy
SYSTEM TEsTED: ,a1,S'T/1f1G Jp0'DF1"D1 U.!//J- pl" /Y.Ifk ??V,4,1AREA SERVED AIRFLOW CFM
RM.# DESCRIPTION DESIGN PRELIMINARY FINAL
s'?SLO F . s' 133Y 8G !iG-
_ . ? i t- ,p 3
o / ? ?f' •, o
-93
TOTALS :
Vy
Si]MMARY & RECOKdENDATIONS:
UNITED 30B# CITSTOMER W.O.\P.O.# BALANCE TECH. DATE
'O;? E i 1 &? ,g/L G Sf/•t/,aEE,v /% d?G+?G
Use BLUE or BLACK Ink
----------------i
I I
I
4t* I"7
City of EaEldH Permit
41 -7, 3 Permit Fee: / 1
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
I
Phone: (651) 675-5675 AUG 2410
Fax: (651) 675-5694 i Staff:
,--r-~-~/ ~G.
2010 COMMERCIAL BUILDING PERMIT APPLICATION v
Date: 0-16-LO Site Address: 3.0gQ C.0Q4ZTU c x35V, LA-
NB-Tenant Name: ~1CIC ~S Q(2~ECtJ~. `i~tT (Tenant is: ✓New/ Existing) Suite 1pO
Former Tenant: xOt. 3 CrsWtr..
PROPERTY OWNER Name: filw& yV\("6RA-[3A L Phone: 6S1-411g- 6-70,z-
Address/ / City /Zip: i3 S°7 CbR MAj>Wu)V A6 A0, 6SI9 j
Applicant is: Owner Contractor
TYPE OF WORK Description of work: a1bG4-- ~X~S11NNt.►►- sGii= Fa,R-~i°N~~~
Construction Cost: A ifloc)0. 00
CONTRACTOR Name: LLF-y C s GZ1 License
Address: I 1 b 1 lx.~tkYZIA~I~ l>L1L~ . Se '`alb city:
State: M_Zip: S5391 Phone: ~CSIz.-ZQp~-O
Contact: tutor K)%h Email: tLEyCON ~iA~L
ARCHITECT / Name: :hV%&- OAA-M641 Registration 030 is
' ENGINEER
Address: IZ3 W76tj J hyiZMVF City: S't' PAUL_
State: mA1 Zip: !q7~1 o Phone: 4-51- log 08 tn17
Email
Contact Person: MA <k6
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 maybe 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 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 applica ' n 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 hi h req s a review and approval of plans.
X -i x
~
Applicant's Printed ame Appli t' ignatu
Page 1 of 3
II~
DO NOT WRITE BELOW THIS LINE / r
SUB TYPES
Foundation _ Public Facility _ Accessory Building
Apartments X Commercial / Industrial _ Exterior Alteration-Apartments
Lodging _ Greenhouse I Tent _ Exterior Alteration-Commercial
Miscellaneous Antennae Exterior Alteration-Public Facility
WORK TYPES
_ New k 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
ort
Valuation . 70J600 Occupancy a ' Z MCES System
Plan Review Code Edition U01 hy5 $b SAC Units L 9"E~
(25%_ 100%Y) Zoning City Water
%
Census Code Stories ( Booster Pump
# of Units O Square Feet ZZ-03 PRV
# of Buildings Length Fire Sprinklers
Type of Construction • 8 Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) ✓ Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Other:
Drain Tile Pool: -Footings Air/Gas Tests -Final
Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick
Framing Windows
Fireplace: -Rough In Air Test -Final Retaining Wall
Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: Voe'Yes No
Reviewed BY: C~ Building Inspector Reviewed BY:, Planning
~
COMMERCIAL FEES
Base Fee ti l • 7 s Water Quality
Surcharge 51--00 Water Supply & Storage (WAC)
Plan Review 54 0 • (o L/ Storm Sewer Trunk
MCES SAC 4 Z 0 0 • Sewer Trunk
City SAC 20 0 • ~►y Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant / '170 a.o Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL 72.'77.3q
Page 2 of 3
Metropolitan Council
g5--7~
Environmental Services
September 3, 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 the
Dickey's BBQ Pit to be located at 3090 Courthouse Lane, Suite 100 within the City of Eagan.
This project should be charged 2 SAC Units, as determined below.
SAC Units
Charges:
Restaurant (fast food)
Indoor seating
61 seats @ 22 seats/SAC Unit 2.77
Credits:
Retail (Look-Back Period)
2184 sq. ft. @ 3000 sq. £t/SAC Unit 0 73
Net Charge: 2.04 or 2
It is the Council's understanding there will be no outdoor seating. If at any time outdoor seating is added
a determination should be made, as it is also subject to SAC evaluation.
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 or email jessica.nye@metc.state.mn.us.
Sincerely,
Jessie Nye
SAC Program Administrator
Environmental Services Division
JN:kb: 100903C7
Determination expiration: September 3, 2012
cc: File, MCES
Peggy Fleck, Eagan
Luke Riley, Riley Construction (email)
www.metrocouncii.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
Fax<of - Asa----------'
I !~J~
City of EaE aIl I Permit I
j Permit Fee:
3830 Pilot Knob Road l I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 ` Staff:
2010 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 09/13/2010 SiteAddressCourt House Lane
Tenant: Suite
PROPERTY OWNER Name: Phone:
Address / City / Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of work: Install Ansul R-102 Fire Suppression System
Construction Cost: $2,950.00 Estimated Completion Date: 10/1/2010
CONTRACTOR Name: Nardini Fire Equipment Co. License
Address: 405 County Rd. E West City: Saint Paul
State: MN Zip: 55126 Phone: 651-287-1070
Contact: Email:
FIRE PERMIT TYPE WORK TYPE
- Sprinkler System of heads X New _ Addition
_ Fire Pump - Standpipe - Alterations - Remodel
X Other: Wet Chemical System -other:
DESCRIPTION OF WORK: Commercial Residential Educational
FEES
$50.50 Minimum (includes State Surcharge) OR Contract Value $ 2,950.00 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 $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ 5 0 . 5 0 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 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 DJs4,i OrarV x C
Applicant's Printed Name Applicant's Signature
~3,nqo Cou",xacc- Li4n6 Cx 6 D ~
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+yS Date: / /
Use BLUE or BLACK ink
r—_____——
--------�
�;��4� I For Office Use I
. �� �c�� � Permit#: � ��W�� I
Clt� Of����Il �`� ,��� , a f �
3830 Pilot Knob Road I Permit Fee: �
�: : � �': I
Eagan MN 55122 `� � — � IS I
Phone: (651)675-5675 �,, , , � Date Received: �
Fax: (651)675-5694 ! � ` >- �� I I
� Staff: C5� �
�—————————————————�
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: � � � SiteAddress: ��� C/' �v1'�V�c.�"'� 1,.� 1%
Tenant:_ __� � ���v1G� Suite#:
��
� �
� �����F, � Name: I�Zo� �� �`"� � Phone: (o�( `���
����'rdent�t�w� � c� ` 1
` ` ," �` Address/Ci /Zi -t� S �w�S ��19� �`� �'1'�CA.vtrs,��'-� t�nn�
< a���. tY p� .S s„
i`�',����3��� �� �\� t . e. .
s ` � ' Name: c; SC� ��0. 4- �IC �icense#:
� ( ��'j �,, �
� �� ' � o��� ��� Address `� 5 C� C`��c�`�Dt�,f:'�)T J`�G��� City: �G
� � ��`�����
�, y�/ v``� . . .. .
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,� � ' State:�Zip:�� I �-� Phone: ��� �'—f
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"'°� �� �`� Contact: ����. EmaiL•
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�� ��� �� , New eplacement Additional Alteration Demolition
�€�Q t „ �; `
�
'�`y������� Description of work: %t �t '�Zs,n i�(' w �� �. tn � i� C�
3
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2: ��'�� M��� Rac�f moun#�€� ����t d�rtech�r��c�l `�_� �� u�re�t�� ° x� ec�""�y�rt� !�'tc�/',r�
`�;. . :. ..�n���2 . ; . ��ct���M�1e�t��c�, . >,� �<; \���tar f�r�nfc��ri���� ����t�+�d��r�r��n�;msthocist
,,.,. , ,, ... . ,,,,,,, . .
. .... . .... .
'"� � �`� � RESIDENTIAL COMMERCIAL
��� �
������� r _Furnace New Construction Interior Improvement
���� � ,
����
�� � � Air Conditioner Install Pi in Processed
��`���'11��T� — p 9
� �n : `'�� �`� "`�' Air Exchan er
h� � — 9 Gas E�erior HVAC Unit
���\ � , � _Heat Pump _Under/Above ground Tank �Install/ Remove)
�:� —
`���_�"�t... .` ' � Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surchargej =$ TOTAL FEE
COMMERCIAL FEES �^ /�'��
Contract Value$ J��`� x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal ' _$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge"
*"If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 �
""*If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and wor ' o 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 s.
X��,.-.. -� ���
Applicant's Printed Name Appl' t's ign re
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.: .�
� For Office Use I
�i� ���l� � f�� � Permit#: / ��� '('f` �j I
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-� I Permit Fee: �
3830 Pilot Knob Road
Eagan MN 55122 RE�E�vE� a r� �� � � Date Received: ������ �
Phone:(651)675-5675 (�� � � �
Fax:(651)675-5694 Qf,1 d��0� `/ � Staff: _____�7 j
� -----------
2015 COMMERCIAL PLUMBING PERMIT APPLICATION
�Please submit two(2)sets of plans with all commercial applications.
Date: �� � � Site Address: ?-� D�D ��DN�7'ffoC{S� �"` �—,�1��
Tenant: �'�J�NOC/` n./�}'/G S Suite#:
� �
����t� �%C'-�t Df}-�
��,�, Name: Phone: ��.2 '— ��� � ���
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:
� _ jGY/I Al f%1/7�S /��.� 7Y��� G0N en�C?%ONS' /� ��� �D g
� p
Name:
���1}t�'�+��+ar:...: ,;� N r,k/
Address: /�iS?i3 p/��D� � City: f����� State:/��Zip: ,S�
� ��:
"�� � Phone: �v/'2. s'Z�L—0 j�0 EmaiL ��✓'�v�u /.g'7�°�� c�'�R'�1 G'Z7 . �-�1�f
����� ��.
�� �p�a� � � _New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W. $
� �� � � �
Description of work: 1 '�a � � �iGCLY.e�"' 2 S'�vt�e
�
��� ',,,,, , , COMMERCIAL New Construction �Modify Space �
,��,� ', Irrigation System(_yes/_no)�RPZ/_PVB)
• Rain sensors required on irrigation systems
����'���l[��` • Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meters Call(651)675-5646 to verity that tests passed prior to qickinq ua meter.
Domestic:Size&Type Fire: 1
�:• Avg.GPM High demand devices?_Yes_No Flushometers_Yes No
COMMERCIAL FEES Contract Value$ �.�0�? x.01
$60.00 Permit Fee Minimum ���
$60.00 PVB/RPZ Permit(includes State Surcharge) -$ � Permit Fee
2
_$ Surcharge
Surcharge=Contract Value x$0.0005 U J
if the project valuation is over$1 million, please call for Surcharge =$ � I� �� TOTAL FEE
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant
$ Water Supply&Storage
$ State Surcharge
_$ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utility damage. \
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x /� f�j�� 1�'� x ! � ld'�I
Applicant's Printed Name Applicant's Signature
��`�t�F[����� �'' �� �E����ved�y; �` � � ��
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Page 1 of 3
'�e
Use BLUE or BLACK Ink
---------i �
� For Office Use �
I
� I / �� ��� I
Clt� of �a�a� � Permit#:� I
� �
� Permit Fee: �• � I
3830 Pilot Knob Road � ,� V/ r. i
Eagan MN 55122 RECEIVED � Date Received:�� �� / J ,
Phone: (651) 675-5675 � �
Fax: (651)675-5694 �CT 1 4 �O,f� � Staff: �
2015 COMMERCIAL BUILDING PERMIT APPLICATION
Date:�� � Site Address: ���� �-z°�"���z'^�� �"''"'�-
Tenant Name:���u.� ,Is�a.is (Tenant is:�New/ Existing) Suite#: -30�
Former Tenant:
: Name: o��P"v>�rz. �s►v Phone: ���. �l'"�� -S'f l�-,
Property Owner ` ,
� Address/City/Zip: �.�'�'��' �'-�-��'�s"� �-�-
i
Applicant is Owner �Contractor `
Type af Work � Description of work: i�r�r't� ��-% _��'��l " �'�`�s
= Construction Cost: �����uv='
� ...r` .
r Name: ��r'`3 �x'rs�'r'`'"� License#: a�- Z'3 8�y-�
� Address: �� ��h �� �' City: ��h�-�v��5
Contractor J
; State: lLtn� Zip: as c� � Phone: �/�-� �� '��"�—
� Contact: �.t�rr•'� '�"�r� Email: '�rez� .c:e�n.r��u���,� � �r�7��r� �rn
.. ,... . .. ,,,.,,,�., .u.mH. ,w., ��,�,�.,�,.��,.�.�,,�r ,. .
� ... R.�� u =„ ....,,,�
' Name: Registration#:
€
4
Architect/Engineer � Address: City:
� State: Zip: Phone:
�
� Contact Person Email. � �
' Licensed plumber installing new sewer/water service: Phone#:
.a,,�,,.�,w ,,,.,.:. . ,:,, ...,,,, . .. � ,„. .. ..,.., . �.,,:...� ,,,.,,,..mm,..m <N.. ,...�.� ro�,,�,s,,,, , ...
NOTE:Plans and supporting documents that you submit are considered to be pubiic 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 clamage.
Call 48 Yiours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
i hereby acknowledge that this information is complete and accurate; that the woi�k 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 require review and approval of plans.
,y'
✓ �
X C���rN ��°" X . . _ .
ApplicanYs Printed Name --- Applicant's ' nature'
Page 1 of 3
�. � ' § ��
/� �/ . t,�,�C �� - � 1 � ��
���(r` C.���� DO NOT WRITE BELOW THIS LINE ! �
SUB TYPES
Foundation Public Facility Exterior Alteration—Apartments
� Commercial/Industrial _ Accessory Building _ Exterior Alteration—Commercial
_ Apartments _ Greenhouse/Tent _ Exterior Alteration—Pubiic 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 appiicant
DESCRIPTION �
Valuation 3���OD • � Occupancy � MCES System �
Plan Review / ✓ Code Edition 2�l S /�1SG SAC Units 2 L.�E.T7'�^,
(25%_100%�') Zoning � City Water �/
Census Code Stories � Booster Pump
#of Units � Square Feet Z Z. / PRV
#of Buiidings � Length $'�'.T�� Fire Sprinklers �
Type of Construction �'8 Width Z2-�
REQUIRED INSPECTIONS
Footings(New Building) Sheetrock
__ Footings(Deck) + � Final/C.O.Required
Footings(Addition) Final/No C.O.Required
Foundation Other:
Drain Tile Pool:_Footings _Air/Gas Tests _Final
Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath Brick
./ Framing Windows
Fireplace:_Rough In Air Test _Final Retaining Wall
�nsulation Erosion Control
Meter Size: Concrete Entrance Apron
Final C/O Inspection: Schedule Fire Marshal to be present: �Yes No
Reviewed By: ���� , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES I
Base Fee `f�G • 7� Water Quality
Surcharge /S. oo Water Sampling Fee
Plan Review ,3 D 3•39' Storm Sewer Trunk
MCES SAC �� q7U• � Sewer Trunk
City SAC ZOO• �-c� Water Trunk
SS�W Permit�Surcharge Street Lateral
Treatment Plant ?. � Street
Treatment Plant(Irrigation) Water Lateral
Park Dedication
Trail Dedication Other:
' Water Qualit TOTALT 7 L Z •/
Y � 7
Page 2 of 3
.�,
= � e ��-� ��
Dale Schoeppner October 13, 2015
Chief 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 the SAC to
be charged for the wastewater capacity demand for Friendly Nails to be located at 3090
Courthouse Lane Suite 300 within Courthouse Shopping Center within the City.
The City will be charged 2 SAC Units for this project, as determined below.
SAC Units
Charges:
Manicure
8 stations @ 9 stations/SAC 0.89
Pedicure
8 stations @ 7 stations/SAC 1.14
Total Charges: 2.03
Credits:
Retail (SAC Paid 8/01)
1209 sq. ft. @ 3000 sq. ft. /SAC 0.40
Net Charges: 1.63 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 email karon.caapaert(a�metc.state.mn.us .
Sincerely,
,
n.�,:._
�- �''..�� �� _ w. �
Karon Cappaert
, SAC Program Technical Specialist
KC:Is: 151012A1 (5564, 388277)
Determination Expiration: 10/13/2017
cc: Peggy Fleck &Amy Griffin, City of Eagan
Calvin Tran, Tran Construction
File, MCES
`� ' •- • ' i t
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Use BLUE or BLACK Ink
-----------------,
� (�d2s � For OfBce U I
. � �
�� j Permit#: ����� i
Cit� of�a�aIl �7� �
�
� Permit Fee:
3830 Pilot Knob Road � � ,
Eagan MN 55122 RECEIVED �
Phone:(651)675�5675 � Date Received:/��� �S �
Fax:(651)675-5694 � j
OC( 1 61015 � s�ff: ,
�--------- -----J%t
2015 MECHANICAL PERMIT APPLICATION �q ��� r
� ��,f�
❑ Please submit two(2)sets of plans with all commercial applications. �Y
A a
Date: '- " � Site Address:_ �� �� ��(,�.�-'t �/1 F)(L�: �� � `��� � ',
Tenant: Suite#:
1���t1�1�M/11@1' Name:_ rl� �Il�l' �� �?/�1 l f Phone: ,
Address/City/Zip: '
Name: �fG�IS /���'T �7 /✓ � License#: I'
��C�D� Address: ,P(��.���' City: ,�/✓d i�i�--
State:�Zip: _��.5 �d� Phone: ��o ��-��''�1��
' Contact: /�S�s�. EmaiL• �li f Gv�
New Re acement Additional �Alteration Demolition
"�'�pf y�►� Description of work: -��r I�� h l�—.
_ �'E:R�of���°�d���ad<�r�l�����������;����"a���t`
�o�a. PI�e���s��N�a���r��'�,�������4�����s.
RESIDENTIAL COMMERCIAL '
Fumace New Construction Interior Improvement
�����e ' Air Conditioner Install Piping Processed I
�r Exchanger Gas Exterior HVAC Unit �
_Heat Pump Under/Above ground Tank �Install/_Remove) I
Other I
RESIDENTIAL FEES
a60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New,includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ '���� x.01
$60.00 Permit Fee Minimum
a70.00 Underground tank installatioNremoval =$ Permit Fee
_$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Suroharge =$ TOTAL FEE
I hereby adcnowledge that this infortnaUon is complete and accurate;that the work will be in conformance with the ordinances and c�des 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 pertnit;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 l � x
App icant's Pri d Name Appli t's Sign e
FQR k�F�1�tlSE ''�
I ��
,Require��spec�ons: Rovlswed Bxr' �c�" °� �' ',��� � C
fi
_,_,,,�rr�dier�+ound Rougt�#n �,�� '�,,��"�'c�7'� It��'M�t .� �,�;���'1
l)se BLU�or�LAC4C Ink
------------i
� For OfFice Use �
i /��/C� �- i
� Permit#:
Clt of E� a� � �
� � � Permit Fee: �
I I
3830 Pilot Knob f2oad � Date Received: I
IEagan MN 55122 � �
Phone: (651)675-5675 �
Fax: (651)675-5694 � Staff: _ I
� -------
2o°I5 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
� ,--� �<n�
Date:
�]-p"��� Site Address�� ��
Suifie#:
�
Tenant: ��
Q �� Phone:
Name: �
Property Owner , Address i city i zip:
Applicant is: Owner Contractor
� y�, � � �e?
Description of work: �- P �'"'�
Type of Work „�
Construction Cost: ��—
Estimated Completion Date:
c ,�r��p.r�. License#: ' ���
Name:�...3�rr�ni��� ���C��G
�1 � l'1-..e�.�.�..� �P �� City: �s'F .�0.tA.
Address: ��"�-'"""
Contrac�or ��I� i��f `�.5� — I�0
State:�Z�P� Phone:
Contact: Email:
1�fORK TYPE
F��� �E�����Y�� Addition
New —
�Sprinkler System (#of head��J _Remodel
Alterations
Fire Pump _Standpipe —
— Other:
Other:
Residential Educational
DE�CRIPTION OF VOIOFt�C: �Commercial _ —
FEES '� x.01
Contract Value$ ��
$60.00 Permit Fee Minimum �� -- Permit Fee
� _�
Surcharge=Contract Value x$0.0005 (Y��r1 � � � -r--�' Surcharge
If the project valuation is over$1 million, please call for Surcharge _�
$100.00 Residential New (includes State Surcharge) _� � !
� TOTAL FEE
_� Fire Meter
3/4" Displacement Fire Meter-$270.00 _� '�OTAL FEE
**Requirements:2 complete sets of drawings and specifications,cut sheets on materiand a c�ura enthat he wo kow ebeSnd
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete a
conformance with the ordinances and codes�o tt{estart ithout a pe mit;tt at t e'work will bell nnacco dan ce with the appeoved plan in thet ase oflwork
only an application for a permit,and work is
which requires a review and approval of plans.
� �r�..C�.'� X
x ` ���.� � Applicanfi's Signature
qpplicant's Printed Name
.
Fo�O���C� U�� y , � 3`�
REQUIREDINSPECTIONS
Hydrostatic Flow Alarm
Drain Test Rough In
Trip Pump Test
Central Station ` �Final
Conditions of Issuance:
Permit Reviewed by:�
Date; �/ �� / ��
EAGA
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-56
Plan Submittal: eplans aecitvofeaaan.com
ECEIVE
JJUN 2 6 2026 a
Y
For Office Usefl\ C-(t
II . o
Permit #: /6,1/ 7 _ 'i 4/
/�-/ 6
Permit Fee:
Staff:
r Payment Recvd: YNo
/�C I
Plans: Electronic APaper 1
2020 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: ?b 3 0 CaPt.c%4newe+-S (., ..&
Tenant Name: (Tenant is: New / Existing) Suite #:
Former Tenant:
Property Owner
Name: t ps Llyael Phone: Zs/-Vtel-61®lc'
Address / City / Zip: ga 935— (IA tza•lirttdr li,W e4A)44449 Aldi a r&0
c Appliant is: Owner S(' Contractor
Type of Work
Description of work: 1 Qr L.7.e GNeiote/'e_,
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Construction Cost: 1 24 O
Contractor
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Name �ir��cSS�`B.v�� C "n 0���5 Z.Z.C.LC. License#: �� 713 �3;�`
Address: 5"9l71 /IObt J City: fc144 l✓Ca� Z '
State: AfA Zip: ,�5l%0 Phone: 6.S'/ -.2 70 'a 7s/
Contact: 4$I) Cuuueu/4,l0 Email: ehp f roAfet. ✓ iali rd®d , LdwL
Architect/Engineer
Raid f _Q y
►i aiy b sj Registration #:
A/
Address: (I7S—,a Lei ‘ pet City: �aa/4-J Pelf;r
State: Ai/4-1 Zip: .S 5 /2 7 Phone: 74,3- 39 e-®y 5.3
Contact Person: Ete Email: rct4e0 dc) j r irn . C c z-1
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 Clty's
website at www.cltvofeapan.com/subscribe.
CALL BEFORE YOU DIG. CaII Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you
Intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 tart without a permit; tha e work will be in
accordance with the approved plan In the case of work which requires a review and approval of • !ans.
x th ruAleit i4b
A plicant's Printed Name
A. • Iicant's - lg ture
DO NOT WRITE BELOW THIS LINE /6c /1 -7
SUTYPES
Foundation
Commercial / Industrial
_ Apartments
Miscellaneous
WORK TYPES
New
Addition
Alteration
Replace
Salon Owner Change
_ Public Facility
_ Accessory Building
Greenhouse / Tent
Antennae
Interior Improvement
Exterior Improvement
Repair
Water Damage
DESCRIPTION
Valuation Oa
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
?i Footings _ New Building _ Deck _ Addition
Foundation Foundation Before Backfill
Vapor Barrier
Framing 30 Minutes 1 Hour
Insulation
Sheetrock
Roof: _Decking _Insulation _Ice & Water _Final
Siding: _Stucco Lath _Stone Lath Brick _ EFIS
Windows
Fireplace: _Rough In _Air Test _Final Final / C.O. Required
Pool: _Footings Air/Gas Tests _Final Final / 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: j , - , Building Inspector
30'3 Li9lAl ioa,e L�f1E
_ 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
't417„SlL j Gk
MCES System
2624 Pi PC SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Drain Tile
Retaining Wall
Erosion Control
Steel Reinforcement
Street/Curb Cut Inspection
Other:
Meter Size:
Electronic Set of Final Revised Plans
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
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Stormwater Performance Security
Landscape Security
Other:
TOTAL: 7/Z j
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