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1646 Diffley Rd Use BLUE or BLACK Ink r For Office Us City of Ea Permit#: b I Permit Fee: o V 3830 Pilot Knob Road Eagan MN 55122 JA I Date Received: I Phone: (651) 675-5675 JUN 7 2011 j Fax: (651) 675-5694 I Staff: L------------ - 2011 COMMERCIAL BUILDING PERMIT APPLICATION & _ 7 Date: Site Address: Tenant Name: (Te ant is: New/ xisting) Suite Former Tenant: PROPERTY OWNER Name: ✓ Phon Address / City / Zip: L Applicant is: Owner Contractor ~ I TYPE OF WORK Description of work: ~ l r JA-L 7?`.6'0~` Construction Cost: S License CONTRACTOR Name: Address: City: State: Zip: Phon • 367~ Conta E Email: ARCHITECT / Name: Registration M ENGINEER Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone M NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 start without a and approval of plans. permit; that the w~oorrk will be in accordance with the approved plan in the case of wor which requir s a review 0 X -,4I/r ! ~J X Applicant's Printed Name App ' n S' nature Page 1 of 3 16q~ 0J DO NOT WRITE BELO IS LI E SUB TYPES Foundation _ Public Facility _ Accessory Building _ Apartments _ Commercial / Industrial _ Exterior Alteration-Apartments _ Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial Miscellaneous Antennae Exterior Alteration-Public Facility WORK TYPES New _ Interior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Salon Owner Change Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION e~ Valuation Stv Occupancy ,M MCES System ( yNl Plan Review / Code Edition MS$C SAC Units (25%_ 100%Zoning City Water t~p( Census Code Stories Booster Pump / # of Units Square Feet PRV # of Buildings Length Fire Sprinklers e- -15 Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) ✓ Final / No C.O. Required Foundation Other: Drain Tile Pool: -Footings -Air/Gas Tests -Final Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: /VlI I, , Building Inspector Reviewed By: 1 , Planning COMMERCIAL FEES Base Fee • d 0 Water Quality Surcharge .50 Water Supply & Storage (WAC) Plan Review 00 Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL 6..56 Page 2 of 3 Use BLUE or BLACK Ink For Office Use I Permit* O~ I City of EaEd~ D • op I f I 3830 Pilot Knob Road Permit Fee. I I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 PEC = V E(. Fax: (651) 675-5694 I Staff: I J 2010 COMMERCIAL BUILDING PERMIT APPLICATION -(q Date: 40 Site Address: 4'4106 Ll-'1 ;2L0 • /aQ.y,&SC/•!S W ft Kc>-P Tenant Name;Z2/S ~ILEENSc°'S (Tenant is: New 1 _A~e Existing) Suite #:CIGo~ Former Tenant: PROPERTY OWNER Name: cz Phone: Address / City / Zip: co A0 7Z.. 5kf *iE w 364e►oS 14446.1N N .S$ Applicant is: Owner Contractor TYPE OF WORK Description of work: C-7y4n' /-~.Q'~~ Construction Cost: ~R Name:, 1/tol-IS&j License Address: ~C City: S/ z?d&4 State: Zip: 7 Phone: -AO4?- y 8!5'' 75~9-3 Contact: 4::re4!e O GG'~ Email: CWe-0 ewe-`~ 772 +tS• Gary! ARCHITECT / Name: Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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.ciopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 4 , /fit 0 C-e-- ~0 x AppfIcanVs Printed Name s ignature Page 1 of 3 16~~ ~0 I - V 4( qr,9-a-e DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Public Facility _ Accessory Building Apartments _ Commercial / Industrial _ Exterior Alteration-Apartments _ Lodging V1 Greenhouse / Tent _ Exterior Alteration-Commercial Miscellaneous _ Antennae _ Exterior Alteration-Public Facility WORK TYPES New _ Interior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Salon Owner Change Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 4J • Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) 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: Yes /No Reviewed By: Building Inspector Reviewed By: IVI~L 6%h( , Planning COMMERCIAL FEES Base Fee Water Quality Surcharge Water Supply & Storage (WAC) Plan Review Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL Page 2 of 3 October 28, 2008 Terri Bennis 8505 Valley Creek Road Woodbury, MN 55125 Dear Ms. Bennis: OCT 6 2008 MINNESOTA 13EPARTMENT OF ???•?AGRICULTURE FROM THE FARM 70 YOUR FAMILY Dakota County License Pending This office has completed a preliminary plan review for the Kowalski's Eagan Market store located at 1646 Diffley Road in Eagan, Minnesota. The plan review was conducted as required by Minnesota Statute Chapter 28A and the Minnesota Food Code Chapter 4626. The Minnesota food code is the primary governing document for this review and may be found on line at www.leg.state.mn.usllea, statutes.asp by requesting Minnesota Rule Chapter 4626. All appropriate permits from the local authorities shall be applied for and issued prior to starting any work on the site. Failure to comply with this may result in a delay or this office not issuing your retail Food Handlers license until the proper permits are issued. In addition if your water is supplied from a well you will be required to provide a current proof of water potability. Our inspector will verify that the permits have been obtained. The Minnesota Department of Agriculture grants preliminary plan approval to the plans for this proposed food establishment. Upon this agency certifying that all items in this review have been addressed, final plan approval will be granted. This preliminary plan approval is based upon the supposition that construction and equipment plans submitted to this office do not change. Any deviation from the approved plans and specifications must have prior approval from this agency. Preliminary approval of the plans and specifications does not constitute endorsement or acceptance of the completed establishment. Periodic on-site inspections may be made during construction. A final inspection of the completed establishment, with equipment installed, must be conducted to determine if it complies with the requirements of the Minnesota Food Code. Contact Food Inspector Stephen Clancy at 651-552-5062 to arrange for a final inspection. You are listed as the contact for this project at 612-202-9234. General Comments This review was for a newly constructed 33,510 square foot grocery store with deli, bakery, meat and produce departments. A Starbucks coffee kiosk will be operated by Kowalski's employees. An AFC sushi operation will be operated independently in the deli and will require a separate retail food handler license. On October 22, 2008, a preliminary plan review inspection was conducted at this store by Food Inspector Steve Clancy and me. Present were Vice President of Fresh Food Operations, Ms. Terri Bennis of Kowalski's and Construction Manager, Jim Schultz of EFH Co. A final plan review inspection has been scheduled for November 18, 2008. At this time, a HACCP plan has not been submitted for review. AFC Sushi must submit a 14ACCP plan to Food Inspector 3 Roger Steller for his review and approval prior to operation, if food additives or components such as vinegar are used to preserve a food rather than to enhance flavor or to render a food so that it is not potentially hazardous. Mr. Stelter can be contacted at 507-835-1109. Licensing of your firm is dependent upon proper installation of an approved water supply, plumbing and waste system. Our inspector will review your approval letters from the appropriate authorities to insure these requirements are met. Pursuant to MS 31.175 a license shall not be issued or renewed without approved plumbing, water and waste systems. (4626.0980, 4626.1030) (5-101.11, 5-401.11) Also our inspector will review approvals from building and fire officials before granting final approval. Please provide copies of approvals for review at the final inspection. 625 Robert Street North • St. Paul, MN 55155-2538 • 651-201-6000 • 1-800-967-AGRI • www.mda.state.mmus An Equal Opportunity Employer And Provider • TTY: 1-800-627-3529 Page 2 Minnesota requires that all equipment be CertiSed to the National Sanitation Foundation Standards for clean ability, durability and performance New or used equipment not meeting these standards is prohibited. And equipment installed that does not meet these standards may be ordered removed. NSF standards. floor and base fiberglass reinforced paneling covered walls and vinyl covered gypsum ceiling tiles bakery service- quarry the floor and base ceramic wall tile or painted sheetrock walls and copper minted aluminum panel ceding were noted as quarry the floor and base fiberglass reinforced paneling on the walls and vinyl covered gypsum ceiling tiles The catering assembly walk-in cooler floor and base were listed as quarry tile. The catering assembly stainless steel covin will be installed at the floor-wall 'unctures in the walk-in rocer freezer and the walk-in dairy cooler. Hand washing sinks appear to be conveniently located to food preparation and service areas. Tbree compartment utensil washing sinks are located in the delUbakerv warewasb meat prep produce prep and catering assembly areas A two compartment prep sink is located in a prep table in the deli prep and in the catering assembly areas. A single compartment prep sink is located in a prep table in bakery prep Mop sinks are located in the Janitor room, catering assembly room and in receiving. The plans indicate an exhaust hood with fire protection will be installed in the following areas: over the two Concerns: 1) A food prep sink was not located in the produce prep room Raw fruits including watermelons and vegetables will not typically be processed in the produce prep area and if they are the deli prep sink will be 2) credit from vendors will not be allowed in the walk-in dairy cooler. This was discussed with Ms. Bennis. case Barker service meat cases Barker seafood service cases and Arne¢ full service meat cases. Fetco CBS-32A twin coffee brewer and Columbus SBBR/DG427S4 bi-temp food case. Page 3 3) and/or deterioration or otherwise proves to be unsatisfactory, it must be replaced with approved flooring-- We will allow this flooring to be used only in this Starbucks and not in any other food preparation or service area in the store This is not a blanket approval for use of this flooring in other projects within or outside of this store. 4) The walls and ceiling inside the Starbucks kiosk must be smooth and easily cleanable. Deficiencies: 1) The above stained and polished concrete flooring system is not approved for use in the deli service areas behind and under the hot food service case hot soup case and hot chicken case A portion of the floor up to the quarry tile flooring behind these cases is the above mentioned sealed concrete flooring system. This flooring system has shown excessive wear in the same deli locations at the Kowalski's store in Woodbury and can not be approved for food preparation or service areas. This was discussed with Mike Oase of Kowalski's on 10/24/08. Equipment Food equipment shall meet the applicable National Sanitation Foundation (NSF) International food service standards. The equipment shall be determined by NSF International or an American National Standards Institute (ANSI) Z34.1 accredited independent entity, including Underwriters Laboratory or the Edison Testing Laboratory, to be equivalent to the NSF International Standard- The use of equipment, that does not meet the NSF standards, prohibited. Bakery equipment must comply with the Bakery Industry Sanitation Standards Committee (BISSC). (4626OS05)(4-20111) Custom fabricated or modified equipment must be constructed by a contractor listed by NSF International. The name and address of the fabricator for custom fabricated equipment must be identified. (4626.0505)(4-201.11) All service counters and other millwork surfaces shall be protected with stainless steel, plastic laminate, or equivalent, covering all exposed wood. In areas where food equipment involves heat or moisture, or where food comes in contact with the surface, a stainless steel finish or approved equivalent material is required. Solid surfaces for food contact, such Corian or Gibraltor shall be constructed by a fabricator listed by an approved third-party testing agency. They are required to be installed on six-inch legs or a solid base. All areas of the custom fabricated counters shall meet the requirements of NSF International Standard No. 35. All hard grain decor wood (e.g. oak) shall be properly sealed with a polyurethane or varnish-like material. (4626.0505)(4-201.11) Used equipment meeting NSF International, NAMA, or BISSC standards, specified at the time of installation is permitted if it: met the NSF International, NAMA, or BISSC standards, in effect at the time it was manufactured, remains in good repair, is capable of being maintained in a sanitary condition, and is approved by the regulatory authority. Your inspector will evaluate any used equipment to determine if it is acceptable. (46260505)(4-201.11) Provide multi-use equipment, utensils, and food storage containers that are smooth, easily cleanable, and resistant to pitting, chipping, or scratching. All food equipment in a retail food store must be designed as to be easily cleanable, durable and be adequate for its intended use. Household utensils or equipment is prohibited. The use of commercial equipment not meeting the NSF standards must be evaluated and approved prior to installation. (4626.0505)(4-201.11) Retail shelving and refrigeration and freezer display cases shall be designed and constructed to be durable and to retain their characteristic qualities under normal use. (4626.0505)(4-201.11) . Provide sufficient refrigeration to hold all readily perishable food products at 41°F or less. Provide sufficient ventilation (e.g. louvers, etc.) for the compressor unit to evacuate any buildup of heat at the underside of the cold pans in and about the compressor area. (4626.06 75.) (4-301.11) Page 4 If an ice machine or bulk water unit is to be installed, the waste drain must be properly plumbed and divert to an indirect waste (air break) floor drain. *(4626.1045 A.) (5-201.11) Food Protection -- Provide a food thermometer for checking the internal temperatures of potentially hazardous foods. Thermometers must be provided in all coolers, freezers, and hot holding units where potentially hazardous food is stored, and must be located in an area that is representative of the true air temperature. (4616.0705)(4-302.12) The internal temperature of potentially hazardous food must be maintained at 41°F or below, or 140°F or above, except during preparation. *(4626.0395(3-501.16) All freezer units shall hold food frozen. (4626.0370)(3-501.11) Food on display must be protected from potential contamination from coughs, sneezes and improper handling by installing properly constructed food shields, the use of packaged food items or other effective means of protection. (4626.0320)(3- 306.11) Provide tongs, ladles, spatulas, scoops, single-service papers, etc., to avoid unnecessary manual handling of dispensed food items. (4626.0330 A.) or * (4626.0330 B.) (3-306.13) Utensils must be stored in an appropriate manner between uses. (4626.0275) (3-304.12) Installations Seal (caulk) all annular openings around pipes and other conduits, where they pass through walls and floors. Seal all junctures between the wall surface and the edges of attached equipment with approved caulk/sealing compound. (4626.1395 A. (1) (6-202.15) If conduit pipes are provided for beverage lines they must extend at least three to four inches above the finished floor elevation at both ends. The annular opening between the beverage lines and the conduit pipe must be sealed with a hard material and provide a cleanable finish. (4626.1395A. (1))(6-202.15) All doors to the outside of the establishment must be self-closing and vermin proof. (46261395A- (3.))(6-202.15) n Light Provide at least 10-foot candles (110 LUX) of light intensity, at a distance of 30 inches from the floor, in the walk-in refrigeration units, dry food storage areas, and during periods of cleaning. Provide at least 20-foot candles (220 LUX) of light intensity, at a distance of 30 inches from the floor, for areas where food is provided for consumer self-service, including buffets and salad bars, or where fresh produce or packaged foods are sold or offered for consumption, inside equipment including reach-in and under counter refrigerators, in utensil storage areas, in areas behind a bar used for ware washing, and in toilet rooms. (4626.1470)(6-303.11) Provide at least 50-Foot candles (540 LUX) of light intensity for areas where food employees are working with utensils and equipment where safety is a factor and areas used for ware washing. (4626.1470)(6-303.11) Install effective shielding or shatter-resistant bulbs for all light fixtures over exposed food storage, food preparation, food display facilities, clean equipment, utensils and linens, and unwrapped single-service or single-use articles. (4626.1375)(6- 303.11) Plumbine At least one toilet facility and not fewer than the number required by law shall be provided. *(4626.1075)(5-203.110) These facilities must be conveniently located and accessible to employees at all times.* (4626.1095)(5-204.11) Toilet Page 5 rooms must be provided with adequate ventilation, hand cleanser, single-use towels or hand drying devices, tissue paper and waste paper receptacles. Toilet rooms shall have at least one covered waste receptacle for sanitary napkins, paper towels or diapers. (4626.1260)(5-501.17) Plumbing plans must be submitted to the Minnesota Department Labor and Industry, Engineering Unit, or delegated_ authority for review and approval prior to installation. A11 plumbing must be installed according to the Minnesota Plumbing Code, including current amendments. *(4626.1045) (5-202.11) Equipment connected to the potable water supply shall be protected from back-siphoning and back flow. Equipment with submerged inlet lines (dish machine, garbage disposal, steam table, urinal, etc.) shall be equipped with an approved backflow preventor, this includes all threaded hose bib connections. *(4626.1085) (5-203.14) If a post-mix beverage system is provided, an approved pressure-type, back-flow preventor upstream from the control valve on the carbonator (water line to the carbonator) is required. (Toilets shall be equipped with an anti-siphonage ball cock assembly. The water line serving a dipper well shall be permanently installed with an air gap on the water line entering the fixture. * (4616.1055) (5-202.13) Please contact a licensed plumber or refer to the Minnesota plumbing code. Install a hot water heater in accordance with NSF Standard #5. (4626.0505) (4-201.11) It must be of adequate size and recovery rate to provide hot water to all taps during peak water usage. Lack of hot water will require the installation of additional hot water capacity. (4626.1025) (5-101.13) If a grease interceptor or grease trap is required by the city building official, it shall be located to be easily accessible for cleaning and maintenance. The lid shall be water-tight and securely fastened in place. A grease removal device should be installed flush with the floor. (4626.1195)(5-402.13) If soap and chemical dispensing devices are installed on potable water lines, they shall be listed to ASSE plumbing standard 1055. (4526.1260) (5-501.17) Sinks Install hand washing sinks in all food preparation, food dispensing, toilet rooms and utensil washing areas. Generally this is within 20 feet as a person walks. *(4616. 1095) (5-204.11) Provide hand cleanser, single-use towels, and a fingernail brush at the hand-wash sink located in the food preparation, and ware washing areas. Install a NSF three compartment, utensil-washing sink (4626.0680) (4-301.12) with integral drain boards, racks or tables, (4626.0685) (4-301.13) for the proper cleaning and sanitizing of all multi-use equipment and utensils. The size of the sink compartment must be large enough to accommodate the largest utensiVequipment, which is to be cleaned and sanitized. Provide and use an appropriate chemical test kit to determine the strength of the sanitizing agent in the final rinse water of the three-compartment sink. ( 4626.0715) (4-302.14) Install a separate food preparation sink if raw food will be cut or combined with other ingredients, or otherwise processed. (4626.0780) Install at least one service sink or curbed unit with a floor drain for disposal of mop water and similar liquid waste. (4626.1080)(5-203.13) Provide hooks or hang-up brackets at the utility sink for storage of mops and brooms. Utensil washing and hand washing sinks are designed and approved only for their intended use. Storage Provide adequate shelving covering the food operation to ensure that food products, utensils or single-service articles are stored at least six inches off the floor. (4626.0730A.) Food storage shelving used in walk-in refrigerators must be in conformance with NSF standard #2. Chrome or zinc-plated shelving without an approved factory applied hard-baked protective coating is not approved for this purpose. (4626.0505 B) Retail shelving shall be designed and constructed to be durable and to retain their characteristic qualities under normal use conditions. (4626.0505A.) Page 6 Provide an area for storage of employee's personal belongings that is separate from food, clean equipment, and single service supplies. (4626.1560) Provide an approved area for storage of chemicals, which is separate from food, food equipment, and single service articles. -- -- (4626.1600)- - - -- -- -- - Room Finishes The floors, floor coverings, walls, wall coverings, and ceiling surfaces shall be designed, constructed, and installed so they are: a) smooth, durable and easily cleanable where food operations are conducted; b) nonabsorbent, for food preparation areas, walk-in refrigerators, ware washing areas, toilet rooms, janitorial areas, laundry areas, interior garbage, refuse storage rooms, and areas subject to flushing or spray-cleaning methods, or other areas subject to moisture. (4626.1325) Polymer flooring systems: If polymer flooring such as an epoxy or urethane systems are installed they must be 118 inch minimum in thickness in snack bars and sandwich preparation areas and 3116 inch minimum in thickness in areas where ovens, fryers and other heavy kitchen operations take place and contains aground aggregate to refusal. The finish coat must render the floor surface smooth to the extent that it can be cleaned with available cleaning equipment. A test area should be provided so that our inspector can verify the flooring thickness. Concrete, sealed or unsealed, is prohibited: a) where food product packages, containers, or cases in those areas are opened. b) Under equipment in food preparation and service areas including under service cases. c) in walk-in refrigerators or freezers, ware washing areas, toilet rooms, mobile food establishment servicing areas, hand wash areas, janitorial, laundry areas, interior garbage and refuse storage rooms, areas subject to flushing or spray-cleaning methods and areas subject to moisture. (4626.1335 D.) Unsealed concrete is permitted: For use where outside garbage and refuse containers are placed, including compactors stored on a smooth and nonabsorbent surface. (4626.1230) Vinyl flooring is prohibited: In a walk-in cooler or freezer. (4626.1335 C.) Vinyl flooring is not allowed in kitchens, deli areas, behind fast food or service counter areas unless the manufacturer recommends it for this use. It is allowed in storage rooms and retail areas including under food and beverage counters. Proof of recommended use will be required in the form of sales material or a letter from the manufacturer specifically showing the recommended use before approval of this flooring will be granted Floor and wall iunetures: Shall be coved and closed to no larger than one millimeter (1/32 inch) when cleaning methods other than water flushing are used for cleaning floors. At the floor wall juncture where the fiberglass panel meets the floor an acceptable base coving such as stainless, quarry or other pre-approved materials must be installed. (4626.1345A.) Where water flushing is used coving shall be sealed. (4626.1345B.) Glued rubber coving may not be acceptable on fiberglass panels, as it may not bond to the fiberglass material. Floor surfaces: Shall in the food preparation, food storage, and utensil washing areas be constructed of smooth, durable, nonabsorbent, easily cleanable materials, which resist the wear, and abuse to which they are subjected. The walls and ceiling in the food preparation, utensil washing and toilet room areas shall be smooth, non-absorbent, and easily cleanable. (4626.1335A) Ceilings: Perforated or fissured drop lay-in ceiling panels are prohibited in food preparation, food service, and utensil washing or toilet room areas. (4626.1360B.) Ventilation All heating appliances which generate either excessive heat, vapors, condensation, greases, odors or fumes, must be properly situated beneath a mechanical exhaust canopy. The canopy and hood construction must meet the applicable standards of the NSF. (4626.0505) In addition, the requirements of the 2001 Uniform Mechanical Code and the 2001 amended Minnesota Building Code covering commercial kitchen ventilation systems must be met. Additionally vent less systems requiring alternative methods shall meet standards UL 710B, (incorporating EPA 202, UL 197), NFPA 96 chapter 13 and have the local building and fire official's approval. (46261380) (46261475) Page 7 Miscellaneous In accordance with the Minnesota Clean Indoor Air Act, this establishment shall be posted as NO SMOKING ALLOWED.- - Post signs at all public entrances. This facility may not be constructed, remodeled or converted, except in accordance with the plans and specifications as approved by this department. Please contact me for approval of any proposed changes or additions. (4616.1720) Thank you for your cooperation in addressing the items outlined in this letter. I shall remain available for consultation and review of your facility's construction progress. Should you encounter any problems through the course of your construction or equipment installation activities, please call me at 651-201-6214. ]Sincerely, Rick Bruecker Food Standards Compliance Officer Dairy and Food Inspection Division RPB:dg C: Steve Clancy, Food Inspector Lorna Girard, Supervisor City Building Official C, 2yy1l008 COMMERCIAL Date: ,- - v Site Address: -/& Tenant: Z-6 [A' dLLL / l S PLUMBING PERMIT ----------------- - U Permit # I Permit Fee: dO I I I I I Date Received: I I I I Staff: I PLICATI0NL14P4( Suite #: PROPERTY OWNER Name: Phone: CONTRACTOR Name: ( Licen a#: z Address 7J llhrl)?C/lfY ll?? Fq? ' L itq: S* 7 v' State:r'! Zips L?3 // / / 7' / Phone: 7 ' i5 6s C tact Person: ?? 12 Y ?p fL TYPE OF WORK New Replacement _ Repair Rebuild Modify Space Work in R.O.W. - - - - - Description of work: PERMIT TYPE COMMERCIAL _ New Construction _ Modify Space Irrigation System yes 1 _ no) ( RPZ / PVB) X1 . Rain sensors required on irrigation sys ems • Avg. GPM _ (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type i_'i 2Fire: Size & Price 314" meter 183.00 Avg. GPM High demand devices? _Yes _No Flushometers Yes _No PRV Required Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ x1% = $ ?7 l m Permit Fee Required on ALL new buildings and boulevard irrigation systems -> = $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = $ s / • 0 O Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1 000 P it F i , erm ee ( .e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. O] $ Treatment Plant gg ?r:W- ICJ / ?Gt ? • $ Water Supply & Storage $ i SC State Surcharge T A FEES$ S?00,0 0 I hereby acknowledge that this information is complete and accurate; that the work will be in confo is not a permit, but only an application for a permit, and work is not to start without a permit; that requirel reviand apppp_val of plans. xn ' 7 c b ( ?-- sn VANS er Applicant's Printed Name Signature as of the City of Eagan; that I understantl this the approve"an in the use of work which Page 1 of 3 Page 1 of 1 Peggy Fleck From: Linda Dralle Sent: Thursday, September 11, 2008 1:47 PM To: Connie Edwards; Barbara Kalstabakken; Peggy Fleck Cc: Scott Peterson; Leon Weiland Subject: Kowalski's We have approved a 1" Displacement for the irrigation system for Kowalski's. Thanks, Linda 9/11/2008 III AUr 2 6 2008 2008 MECHANII Date: Site Addr (0 eJ?syn•, Tenant: F-rlcl.?ol`St?t 5 G chc G s 6n AL PERT ----------------, For Office Use I .. j Permit #: - l I .$ I i Permit Fee: I i I Date Received: L I I Staff: j - - - - -- T APPLICATION Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: t License #: 14) 4\65A? 1 Cn?1 Z Addr ss: w05F e ' (?J? C?5 l y -s r \ Zip: 1v City: Stt e: V Phone: CP 5 t?y CJ? -KLULI Contact Person: ( L - U? '-A TYPE OF WORK New Replacement _Additional Alteration Demolition D i i f k C- escr pt on o wor : NOTE: Both"roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction -Interior Improvement Furnace _ Air Conditioner Install Piping _ Processed >(- Gas -X Exterior HVAC Unit Air Exchanger HVAC units must be screened Heat Pump Under / Above ground Tank L Install! _ Remove) Other _ .. When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ Z60, pO d - X11% $50.50 Minimum (includes State Surcharge) of 2G 0 $ _ .+ Permit Fee - II Permit Fee is less than $1,000, surcharge is $.50. - It Permit g is > $1,000, surcharge increases by $.50 for each =$ ?e State Surcharge $1,000 Permit Fee (i.e. a $1,001$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in coniormanc ith the ordinances an es or me ury or oegen, mm I understa this is not a permit, but only an application for a permit, and work is not to start withou p it; that the work 1 e in a ordance with the approved plan in s1eiof work which requires a review and approval of plans. x X MI L,,) Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: -D Required Inspections: Under Ground 4e?Rough In Air Test Gas Service Test In-floor Heat Final 敯਍ⴭⴭⴭⴭⴭⴭⴭⴭⰭ਍敐浲瑩䴠娠✭㜠㜠‷൉倊牥業⁴敆㩥℠䬠‷‮㽯㼬樠਍慄整删捥楥敶㩤਍⁉ി㼊匠慴晦›ിⴊⴭⴭⴭⴭⴭ‭ⴭⴭ਍〲㠰䘠剉⁅啓偐䕒卓佉⁎奓呓䵅⁓䕐䵒呉䄠偐䥌䅃䥔乏പ䐊瑡㩥〠′ॏ楓整䄠摤敲獳ऺ琲㼰汔漉ㄠ䙆祌删ൄऊउ਍敔慮瑮›䱃㙷卌ो欬✠व匉極整⌠ഺ倊佒䕐呒⁙坏䕎॒慎敭ऺ桐湯㩥਍䄉摤敲獳⼠䌠瑩⁹ 楚㩰ഉऊഉऊ灁汰捩湡⁴獩›睏敮ॲ潃瑮慲瑣牯਍奔䕐传⁆佗䭒䐉獥牣灩楴湯漠⁦潷歲›⥁ⵆ⸨ऴ⠵⁒‷⡐⡌⤦䤠䰴敥㔠夠呓㜹≴瑩਍䌉湯瑳畲瑣潩潃瑳›⴮慬⸮❴ⴱ㌱伧‰獅楴慭整⁤潃灭敬楴湯䐠瑡㩥映䜩牔娠住ത䌊乏剔䍁佔॒慎敭›‭䭓✿椠爠汳⁴㝆爠॥‭⡐䑴䍔呃ぉ⥁䰠捩湥敳⌠›ⵃ〠匰਍䄉摤敲獳ऺ䤣൥ऊ਍⴨ഭⰊ਍॥൰䴊േऊ楃祴›灡਍ㄱ਍‰ॶ楚㩰਍瑓瑡㩥਍倉潨敮›㘷ⴳ㈴ⴵ㐠㐴䰉਍潃瑮捡⁴敐獲湯›尮椠≖䑏⽥映਍䥆䕒倠剅䥍⁔奔䕐㈠〵उ佗䭒吠偙൅嬊⁅⁃⁆崿਍൘䄊匠牰湩汫牥匠獹整⌨漠⁦敨摡⁳⥟उ敎⁷൮∊䐠਍楆敲倠浵॰弉䄠摤瑩潩畉Ⱳ䥠ⱬ਍⁓⁅⁆‰″〲㠰਍汁൴琊൩匊慴摮楰数उ牥ൡ漊獮਍ൟऊ弉删浥摯汥਍‭瑏敨㩲उ瑏敨㩲਍उ਍䕄䍓䥒呐佉⁎䙏圠剏㩋䌠浯敭捲慩६ 敒楳敤瑮慩 摅捵瑡潩慮൬䘊䕅॓਍਍㔤⸰〵䴠湩浩浵⠠湩汣摵獥匠慴整匠牵档牡敧ऩ摯਍剏䌠湯牴捡⁴慶畬⁥⁳㝪樭〭✳堠ㄱഥऊ ․㌷⸱㌷倠牥業⁴敆൥ⴊ䤠⁦敐浭⁩㽆敧椠⁳敬獳琠慨ㄤ〬〰‬畳捲慨杲⁥獩␠㔮⸰ഉ《㔠രⴊ䤠⁦敐浲瑩䘠敥椠⁳‾ㄤ〬〰‬畳捲慨杲⁥湩牣慥敳⁳祢␠㔮‰潦⁲慥档匉慴整匠牵档牡敧਍␽਍ㄤ〬〰倠牥業⁴敆⁥椨攮‮⁡ㄤ〬㄰␭ⰲ〰‰敐浲瑩䘠敥爠煥極敲⁳⁡ㄤ〮‰畳捲慨杲⥥മⴊ吠呏䱁䘠䕅਍․娷ിऊഭ㌊㐯•楄灳慬散敭瑮䘠物⁥敍整⵲ㄤ㌸〮र․⁉㽰❊潯䘠物⁥敍整൲ऊ摉㔠㈱㌮਍呏䱁䘠䕅਍␉਍ൔ⨊敒畱物浥湥獴›′潣灭敬整猠瑥⁳景搠慲楷杮⁳湡⁤灳捥晩捩瑡潩獮‬畣⁴桳敥獴漠慭整楲污⁳湡⁤潣灭湯湥獴琠敢甠敳൤䤊栠牥扥⁹灡汰⁹潦⁲⁡楆敲匠灵牰獥楳湯匠獹整数浲瑩愠摮愠正潮汷摥敧琠慨⁴桴⁥湩潦浲瑡潩獩挠浯汰瑥⁥湡⁤捡畣慲整※桴瑡琠敨眠牯楷汬戠⁥湩਍潣普牯慭据⁥楷桴琠敨漠摲湩湡散⁳湡⁤潣敤⁳景琠敨䌠瑩⁹景䔠条湡愠摮眠瑩⁨桴⁥楍湮獥瑯⁡畂汩楤杮䘯物⁥潃敤㭳琠慨⁴⁉湵敤獲慴摮琠楨⁳獩渠瑯愠瀠牥業ⱴ戠瑵਍湯祬愠灡汰捩瑡潩潦⁲⁡数浲瑩‬湡⁤潷歲椠⁳潮⁴潴猠慴瑲眠瑩潨瑵愠瀠牥業㭴琠慨⁴桴⁥潷歲眠汩⁢捡潣摲湡散眠瑩⁨汴政愠灰潲敶䤠湡椠桴⁥慣敳漠⁦潷歲਍桷捩⁨敲畱物獥愠爠癥敩⁷湡⁤灡牰癯污漠⁦汰湡⹳਍⁸‮刦㕅传佒䥆‭琱਍灁汰捩湡❴⁳牐湩整⁤慎敭䄠䤠愠瑮猧匠杩牵 E REQUIRED INSP CTIONS -- ----- ------ { H d t t c FIb---- ' { R h I T {; D y ros a i - rm oug nd , ?a?n gst T P F i [ l Stat o Ce np ump Test i ra i n ntra ?nnd Boris of Issuance =. t ?- ce 4 x a S f v ; - /''? 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㤲ⴱ㤰㐰਍湁䔠ⁱ⁗灏潰瑲湵瑩⁹浅汰祯牥 ----------------- N16 O #: I ? Permit I I I Permit Fee: d Q? I ry I Date Received: I I I j Staff. I t------ ---I 2008 COMMERCIAL` PLUMBING PERMIT APPLICATION Date: Site Address: dd Tenant: '/ V`? 6%- .l S k 1 r,5 Suite #: PROPERTY Name: 3S LL-C- Phone: ?5-1?)--gqv -6 YS-0 OWNER CONTRACTOR f Name: DATA ?L?cL?c N -? License #: y/? 7 p' t Address: 575 ,"-0,,,jek"LA,6, city State:8,?-J Zip: 5"5'103 : 5Y_- Rw? tt ?7 Phone: Contact Person: TYPE OF k.--I?evv Replacement Repair Rebuild Modify Space -Work in R.O.W. WORK Description of work: PERMIT TYPE COMMERCIAL _ New Constar ction ? -Modify Space rigation System (_yes / _ no) ( PZ PVB) • Rain sensors required on irrigation systems GPM ? (2" turbo required unless smaller size allowed by Public Works) . • Avg . _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 1$ 83.00 Avg. GPM 05 High demand devices? _Yes _ No Flushometers -Ye's _No PRV Required _Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contractvalue $ 13 6f 000 x1% ? 3gO =$ Permit Fee i Required on ALL new buildings and boulevard irrigation systems 4 = $ ) J 3 Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = $ . -/322Le Meter(s) - If Pemril Fee is > $1,000, surcharge increases by $.50 for each $1,000 o Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ . v"State Surcharge C State Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ -0- „y,, Treatment Plant ,---$- TY.M. Water Supply & Storage $ . State Surcharge Q r7 rF? TOTAL FEES $ I hereby acknowledge that this information is complete and ilmi)fz t i f ance 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"i n s without a permit; t the work will be in accordance with the approved pl in the case of work which requires a review and approval of plans. (, JUL 0 S 2008 ??? x_ ?--? ??st 65?r,- x Applicant's Printed Name Applicant's Signature d3 1yl ' If I; ' ' FOROFFICEUSE =I ApprovedBy hl1i? ?I?',: Date ?' „ ... - Required Inspections: 1.. Under Ground 1 Rough hn. = _Ait,Test!?lGas Test al_Finat _" Pane 1 of 3 City of E*n YJ 3830 Pilot Knob Road Eagan MN 55122 Phone: ( 651) 675-5675 Fax: (651)675-5694 2008 COMMERCIAL BUILDING PERMIT Fo---------------, r O(Nee Us L I 1 Permit #: I I j Permit Feel' aC?•?' Dads Rece'rv ecl•l v?0 I I Stan: J C14[W ? ::? a = c APPLICATION Date C Site Address: c (A(o D ur r-LE `E 064.14 Y? ((?( Tenant ame: ?-0l `14L?kS (5 M L(sT (Tenant Is: New Existing) Suite #: PROPERTY OWNER 2sft _645b Name: D r:r=??{ ?KS LL-C-- Phoone:Cl5 [ Address /City / Zip: ? 7 (J. ?C?ti Cf Y 2nD 4-7_ -lf246 Z.UAeAk Vl Applicant Is: -Owner K_Contractor TYPE OF WORK Description of work: Lab ? c-a /1 .1 Cl-- /lG//fCJ agog ? Construction Cost: Z7 430E DO y CONTRACTOR Name: License Address: 2gR1? (cl nu,. re Zo 2_ -e- ??6 City: l3Ud " ! .111Cl? State: Al ^-l Zip:.r75S 6 5z-49q4-64-50 ContactPersom, 1 c^4 SCH4/6_7-Z Phone:f ARCHITECT/ ' Name:4AgW1SS Aw2^_"LTIC'i=f Registration #:22603 ENGINEER Address: ? Z30 City: Ml?r (? 0.d>OL/S State: /f I AJ Zip: 5S4d 1 Phone: 1012' 331 Contact Person: Z( q O Licensed plumber installing new sewer/water service: 9PA140Tr4 M ii. H Phone #:451-454-6.445- 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 Chy to conclude that the are trade secrets. I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance wj;h 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 won t to st without a permit; that the work will be In accordance with the approved plan In the case of work which requires a review and approv t 14. x -?l ( wo _SG( UC-TL- Appilcant's Printed Name Page 1 of 3 I DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation ? Public Facility ? Accessory Building ? Apartments ,H' Commercial / Industrial ? Ext. Alteration-Apartments ? Lodging ? Greenhouse ? Ext. Alteration-Commercial ? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility ? Nall Salon WORK TYPES: P? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Demolish Foundation ? Replacement ? Windows ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation __`t !/ " Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% Zoning N6 City Water L/ 't$ Census Code Stories - Booster Pump p of Units '-J Square Feet 0 PRV q of Buildings Length Fire Sprinklers Type of Const Width Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: _ Decking _ Insulation - Final - lea/Wader /Freming Fireplace:_R.1. _Air Test -Final ,"Insulation Sheetrock Meter Size: -1/ Final/C.O. FinalMo C.O. HVAC Other: Pool:-Footings -Air/Gas Tests _Rnal Siding: -Stucco Lath -Stone Lath -Brick Windows Retaining Wall Final C/O Inspection: Schedule Fire Marshal to be present. _zYes Reviewed By: Mi. io_ lekc-e-Building inspector MMERCIAL FEES: Base Fee Surcharge Plan Review SAC-MCES SAC-City S/W Permit S/W Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) 95-,75" 00 ?, tel. 89 Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other -No Reviewed By. Sewer Trunk Water Trunk Total _ 6 Planning Page 2 of 3 M Ab? City of Eajan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.6675 Fax: (651) 675-5694 ------------, For Office Use I I ? ? I 1 Permit #: 1? Permit Fee: ,?ITI. I l%" Date Received! I I Staff: - - - - - - - - - - - - 018 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION" Date: Site Address: )6'/Y (O Q i FrLir y P- t? Tenant: kOWAL/ k1S T- Suits #: PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: _ Owner Contractor TYPE OF WORK Description of work: ?L U e-o V ?.( S' S rE! t S / v ?Sr TcHE? OQ Construction Cost: Estimated Completion Date: /O o CONTRACTOR Name: /'' `?f-T/I?A-t7b Fi2C-d,ScCu2t' tYLicense #: Address: yq q 67 V -7 7 +? 5 City: ?iN4/cA Poi tS State: /-W Zip: `S Sc/'5,S- Phone: l Sd? - fM 3" 07 OS Contact Person: G zCE (1 )?G-5 FIRE PERMIT TYPE WORK TYPE - Sprinkler System (# of heads New _ Fire Pump _ Addition Standpipe Alterations _ Other: Ay-su 4 Remodel _ Other . DESCRIPTION OF WORK: Commercial Residential Educational FEES $50.50 Minimum (includes State Surcharge) OR Contract Value $ 3 S O, o'Qx 1% _ $ :5-0, LSD Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. s0 - If Permit Fee is > $1,000, surcharge increases by $.50 for each =$ t State Surcharge $1,000 Permit Fee (i.e, a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). j 'So TOTAL FEE $ ? 314" Displacement Fire Meter - $183.00 $ 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 i accordance with the approved plan in the case of work which rrequires a review and approval of plans. x V ?E(? you 1.1 x Applicant's Printed Name an ' i e ൎ䘊剏传䙆䍉⁅单ॅउ਍䕒啑剉䑅䤠华䕐呃佉华उഉ䠊摹潲瑳瑡捩䘉潬⁷汁牡牄楡敔瑳उ潒杵⁨湉਍牔灩倉浵⁰敔瑳䌠湥牴污匠慴楴湯उ楆慮൬䌊湯摤潩獮漠⁦獉畳湡散ऺउ਍敐浲瑩删癥敩敷।慄整›㘯ऱഉ⼊ '40' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Tenant: \\\ - - - - - - - - - - - - - - - - - `?? ? For Offee Use ?7 I Permit. 7l 1S i / Permit Fee: j Date Received: /0 - °2 1 I Staff: I --------------- - 2008 MECHANICAL PERMIT APPLICATION Site Address: 1.15 Suite #: RESIDENT / OWNER Name: Phone: Address /City / Zip: Name: 301 Ilr 1Z V&h nn License #: CONTRACTOR Address: ? b? City: State:??Zip: `` /u i7vs Ph A, ? 7o 6 on 2 , Contact Perso l TYPE OF WORK X-New Replacement -Additional -Alteration Demolition T Descr u fwo ' `Z`brr t 1 roE u. ,„ T F2ok, 1., iHE p NOTE: Bot oof mounted and ground mounted mechanical equiptil6hiji required to -,. be"screened by City' ,Code. Please contact the Me hanlca! Inspectsr or,'one of the Planners for information on permitted screening methods:` , RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace X, New Construction Interior Improvement Air Conditioner -Install Piping Processed Air Exchanger -Gas Exterior HVAC Unit ' HVAC units must be screened Heat Pump Under / Above ground Tank Install! _ Remove) Other "When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $40 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: r?? $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) I _ $ °O 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). SO $ 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 work is not to start withouj a permit; that the work will be in accordance with the approved plan in the case of worn which requires a review and approval of plans. [ ?J ??(J n A A Name Applicant's )PC FOR OFFICE USE Reviewed Byy ? Date / y G I 3 Required Inspectlgns: Under Ground - RougFi,ln; Fur Test -Gas Service Test in-floor Heat Final ? ,? ? 㐴″慌慦敹瑴⁥潒摡丠മ匊⹴倠畡ⱬ䴠湩敮潳慴㔠ㄵ㔵਍睷⹷潤楬献慴整洮⹮獵਍潎敶扭牥㈠ⰱ㈠〰സ䴊义䕎体䅔䐠偅剁䵔久⁔䙏਍䅌佂⁒…义啄呓奒਍㸿਍㘨ㄵ
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I #: l/V Permit I 1,3(A, C4C I Permit Fee: I I I Date Received Staff: Ht' --------------- 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: 16-'16 D%GF2Ey 8000 - YCOUA(.S(Ci'S hnAtzka.'(: / /?1 r ?n.0tos+n L Tenant Name: ?/»n?N/?Q+'7 i.? . (Tenant Is: I/ New / Existing) Saile#: PROPERTY OWNER Name: j<Q. A4SK1S MAlZK&J"- Phone: BSI^S78'???? Address/City/Zip: $.505 Vp,C,C{-y •G¢ecK ZD ? a Applicant is: _ Owner Contractor pc.L? TYPE OF WORK Description of work: ?C•w ?aRR2c/ gmepe" GG-n Ee 2 Construction Cost: 19 5, W. 00 GONTRA6T9R 1 ? Name: pG r n G??21 $ - - 1(?eEE to knij Cc? r License GF Address: Z75 u j- wkc<sa!.pG(? ?Kw y City: '51 OR2 C State: W Lk Zip: S S// 7 Phone: 6/1?- 69S^ 7293 Contact Person: rr'R /O ce e L-4 ARCHITECT J Name: Registration #: ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone #: rt?it}TE P?ar?'-(tda t1Pporti## da -`-h66nfs fihat yb(r Sub M111 Viia cbrtsitlei'?et? rd ,,pb611 I drff?ir*attbP Fb7Eldv s31! F y' Y ? s } hF £ } #i l?trc t b ??pr?,m y PR! "rfM dh" ff;U 9I rol"dE Spe t?&Srafls t vruPufdPbrni# Abe Ctiy Fn r "''? 644 ? xt aa, !f#.. X 1, 7Fi ??') `2lB-ff2ilA 58Cf<LlID ,:.... `i? tmllr 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. Appficant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES r - Foundation _ Public Facility _ Accessory Building - Apartments Commercial / Industrial _ Exterior Alteration-Apartments - Lodging Greenhouse / Tent _ Exterior Alteration-Commercial - Miscellaneous _ Antennae _ Exterior Alteration-Public Facility WORK TYPES X New - Interior Improvement Siding Demolish Building" - Addition - Exterior Improvement Reroof _ Demolish Interior - Alteration _ Repair Windows Demolish Foundation Replace _ Water Damage Fire Repair _ Salon Owner Change `Demolition of entire building -give PCA handout to applicant DESCRIPTION Valuation Occupancy Plan Review Code Edition (25%_ 100%-) Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) _ Footings (Deck) Footings (Addition) Foundation Drain Tile Roof:-Decking -Insulation _Ice & Water -Final Framing Fireplace: _Rough In -Air Test -Final Insulation Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Reviewed By: ` , Building Inspector MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: _ Pool: Footings -Air/Gas Tests -Final Siding: -Stucco Lath -Stone Lath Brick _ Windows Retaining Wall v Yes No Reviewed By: Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL Page 2 of 3 Pl~-~ ~ ~ # S' 7ez„2 ~ EFH B General contractor 2999 W. County Road 42 Suite 206 Burnsville, Minnesota April 22, 2009 n om' Leroy Signs, Inc. 952-890-6450 Kaj Rieter 952-890-5476 Fax 6325 Welcome Ave N Brooklyn Park, MN 55429 RE: Kowalski's Sign Base Dear Kaj, As requested regarding the back fill of the sign base design and procedure. The retaining wall that was constructed was installed per standard retaining wall construction. Back fill material that was used for the wall was clear lime stone rock, 100% compaction is achieved by using vibratory compactor. Visual inspection was observed by myself and wall installer this is standard procedure for retaining wall construction. Sincerely, lirrf Schultz Construction Manager pr~.~i r# g~~ ~ / G h ' G Di+ 1 . / z y O V E R 7 0 YEARS tel. S I G N S DESIGN CONSULTING • FABRICATING • MAINTENANCE • SERVICE • INSTALLATION April 24, 2009 D APR 3 0 2009 City of Eagan 1830 Pilot Knob Road Eagan, MN 55122 Inspections Department Jeff Wheeler RE: Kowalski's Market Dear Mr. Wheeler Please accept this letters as our acknowledgement that the steel below grade & above grade was stripped of primer & painted with asphalt paint per engineered drawing requirement. Also find attached a copy of letter from EFH General Contractor as far as the fill for the sign retaining wall. Please get back to me with any more questions on this matter. Thank you, Kaj Reiter . CCUFH Burs Masonry 6325 Welcome Ave. N. • Minneapolis, MN 55429 Office: 763-535-0080 • Fax: 763-533-2593 F~,~ Office Use City of EaV~ I Permit 3830 Pilot Knob Road Permit Fee: I I Eagan MN 55122 I Date Recei 1 A-A Phone: (651) 675-5675 i 1AP Fax: (651) 675-5694 1 Staff: I I 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: A1120109 Site Address: /6y6 J7%F 6-1 ;P0,40 - owgLS Ki `S 1M A(zkcfi; Tenant Name: t S~J ~itG (Tenant is: New / Existing) Swite-#:t 1,. PROPERTY OWNER Name: j&VALSK/S X4a9&(-" Phone: 49251 78- aS-040 Address/ City /Zip: 8X-5 QA4k--y 'C0G<s(,6 'Q~ UX)0MxJV /r MCI ~55t2S Applicant is: Owner Contractor p.FJ1c~~ v TYPE OF WORK Description of work: G-ti, 100@Lay q-AeDE» CC--,146Z I -,J Construction Cost: IR S aw. OO ~GGNTRAGT R Name: OG t 71 L56(2'S bt L Lcu se-,% License --6F Address: Z 75 W , wl."c'n. 40 CK A zKL City: State: _"A 11 Zip: S S / 1 7 Phone: (07le- 61?S' 799-3 Contact Person: CA /6 CE GCS ARCHITECT / Name: Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X App icant's Printed Name Applicant's Signature Page 1 of 3 1&4~2 ~~aq~s DO NOT WRITE BELOW THIS LINE SUB TYPES - Foundation _ Public Facility _ Accessory Building - Apartments = Commercial / Industrial _ Exterior Alteration-Apartments Lodging Greenhouse / Tent _ Exterior Alteration-Commercial _ Miscellaneous _ Antennae _ Exterior Alteration-Public Facility WORK TYPES New _ Interior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%100% ~ Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) V Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Decking -Insulation -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall Meter Size: V/ Final C/O Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: Building Inspector Reviewed By: All el, I Planning COMMERCIAL FEES Base Fee Water Quality Surcharge Water Supply & Storage (WAC) Plan Review Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL Page 2of3 Use BLUE or BLACK Ink F o Office Use City EaEd n Permit 11 FED pI I 2 6 2010 1 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received ~ /'-0 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2010 COMMERCIAL BUILDING PERMIT APPLICATION j /t) e7q m6, Date: 26 Site Address: lr~~~/~~~ ~GSKr~s ln~~i~ o rii'L Tenant Name: /Y11Z-R1S (Tenant is: New / xiE sting) Suite w l.srA Former Tenant: PROPERTYOWNER Name: 'pRG.C-te 3S ~GGe Phone: Address / City / Zip: 2999 !y G'c. ED. q?,, S,,, 24eft SW ss,3o` Applicant is: Owner Contractor 40 TYPE OF WORK Description of work:', O 424-40AX-r> Ce Wk-2 Construction Cost: 31coo - 00 CONTRACTOR Name: ~-e S License Address: Z75 City: '04 State: M 14 Zip: ~l7 Phone: 6 ~Z" 6 OS ' 7993 r_,gI'O Gc~C,n 7~lJcr~S • co,~~ Contact: -c.-4'VO (f if 9 _Email: ARCHITECT / Name: Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Email: i Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orci 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Public Facility _ Accessory Building Apartments _-Commercial / Industrial _ Exterior Alteration-Apartments Lodging _✓Greenhouse / Tent _ Exterior Alteration-Commercial Miscellaneous _ Antennae _ Exterior Alteration-Public Facility WORK TYPES New 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 0-41 Valuation 006 Occupancy U MCES System Plan Review ✓ Code Edition 2oo7 MSBL SAC Units (25%-100%-) Zoning City Water Census Code Stories ( Booster Pump # of Units t7 Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Other: Drain Tile Pool: -Footings -Air/Gas Tests -Final Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: / Final C/O Inspection: Schedule Fire Marshal to be present: " Yes No Reviewed By: Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Water Quality Surcharge Water Supply & Storage (WAC) Plan Review Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL Page 2 of 3 Use BLUE or BLACK Ink - For Office Use --_-_-j1 I Permit I tin City of EaEdfl I r J 3830 Pilot Knob Road , Permit Fee: RECEIVED I , Eagan MN 55122 I Phone: (651) 675-5675 l Date Received: , Fax: (651) 675-5694 MAR 2 0 2012 1 staff: I`__ 2012 COMMERCIAL BUILDING PERMIT APPLICATION Date: 3 ~g ! Site Address: 16-16 -b teFL go - f--0~ A,/ cs fs )'Y1 ~~kj.riAL Tenant Name:S~ . (Tenant is: New / i/ Existing) Suite Former Tenant: Name: ~.LG Phone: PROPERTY OWNER Address / City / Zip: ~C/ Gy Go~zp 20G.Di<rA?rtStG(,}y/N7Z'~ Applicant is: Owner Contractor Z TYPE OF WORK Description of work: /~rzfZ? ► TSo / cx~'t Am Construction Cost: Name: rIL1'~2 ~5 <?dcr+~(zO a c License CQN -f~fiCrR Address: f r'~' City: S/ . ~G"4~ or State: )y? h Zip: _S-57/7 Phone: `(0X 2' Contact: e-";*% y CG~~ Email: 'o 6ve-4~F•® Name: Registration ARCHITECT/ Address: City: ENGINEER State: Zip: Phone: Contact Person: Email Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be Public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Applicant's Printed Name Applicants Signature Page 1 of 3 b;Wk rS DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Public Facility _ Exterior Alteration-Apartments _ Commercial / Industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments _I/ Greenhouse / Tent Exterior Alteration-Public Facility Miscellaneous Antennae W RK TYPES New _ Interior Improvement Siding - Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation _ Replace _ Water Damage - Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation F I Y" r!f::C, Occupancy U MCES System JA Plan Review Code Edition ?.brb7 IMS Pt- SAC Units (25%_ 1000/._) Zoning City Water Census Code Stories Booster Pump # of Units y Square Feet 126,0 PRV # of Buildings I Length Fire Sprinklers Type of Construction ~!•PS Width 21 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: /Yes No Reviewed By: (W ti , Building Inspector Reviewed By: Planning COMMERCIAL FEES Base Fee Water Quality Surcharge Water Supply & Storage (WAC) Plan Review Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL 1 3 • ~O Page 2 of 3 44111/1 Cityofaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 tip„` �\ Air \7 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: v / t� Date Received: Staff: C4/14.A. Cj _ 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with er/all lccommercial (/ applications. 1 C/ 1 n i Date: Site Address:/‘ /F/ � P. Tenant: k ;s %i2..„,rko fig 03 ieh Suite #: Name: Phone: &71-3a5) 0,,,300 Address / City / Zip: 6 42 0 Name: £ ?p.r LL tX j b fill License #: [)J nci�U1C-LS: �" Address:3%J 13Gt¢-✓j<is.. city: (,J I I+wvG, State: 4/ 1\) Zip: 53//0 Phone: 6/— 770 -9'Zj / ,. alt Q. Contact: c .0%% i.GcC re. i Email: wet Zc l i 17e_fl #.r% - C,61/71 New Replacement Additional Alteration Demolition Description of work: Z )S7 ALL //cam OD la r1 68 r RESIDENTIAL Fumace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction X Interior Improvement Install Piping _ Processed *-14- Gas _ Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $. 7 000 x 1% = $ Permit Fee = $ 5.00 Surcharge* = $ a'%'TOTAL FEE $60.00 Minimum (includes State Surcharge) *If the project valuation is over $1 million, please call for Surcharge 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.goaherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x7 La 6 to ,.c-- Applicant's Printed Name icants Signature City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use / �% Permit #: /OW / / Permit Fee: Date Received: Staff: 2013 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 02-06-13 Site Address: Tenant: KOWALSKI ' S 1646 DIFFLEY ROAD Suite #: Property Owner Name: Phone: Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: Estimated Completion Date: Contractor Name: NARDINI FIRE EQUIPMENT CO. License#: TS000686 Address: 405 COUNTY ROAD E WEST city: SHOREVIEW State: MN zip: 55126 Phone: 651-287-1070 Contact: CORY WOOD Email: CWOOD@NARDINIFIRE . COM FIRE PERMIT TYPE Sprinkler System (# of heads ) WORK TYPE X New_ Addition _ Fire Pump Standpipe R102 SYSTEM Alterations Remodel _ _ X Other: ANSUL — _ Other: DESCRIPTION OF WORK: X Commercial Residential Educational FEES $55.00 Minimum over $1 million, please call for Surcharge Contract Value $ 31.55 x 1% .$ 55.00 Permit Fee *If the project valuation is = $ 5.00 Surcharge* = $ 60.00 TOTAL FEE 3/4" Displacement Fire Meter - $245.00 = $ Fire Meter _ $ TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota 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 • the case of work which requires a review and approval of plans. x CORY WOOD Applicant's Printed Name x Applicant's Signature og /7/ FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Drain Test, Rough In Centrat Station ;j!'" Final Conditions of Issuance: Permit Reviewed by;-- City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE r BLACK Ink For Office Use Permit #: V bo< Permit Fee: Date Received: Staff: v2.-13 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 3/////3 Site Address: /‘41'‘ .PAcetd7 P -D - Kpwa Act' h 2I4 Tenant Name: ,Gin. i2'1ZK n %io 'Jc 1 2-i c (Tenant is: New / / Existing) Suite Former Tenant: neer. Name: ') / F,FGC-# 35 Phone: Address / City / Zip: _.7q99 U4 G©. La 42 ,,ft,/ r Z ;L, &venv,'(ex/ h? Applicant is: Owner Contractor a eeZ. Description of work: Construction Cost: , 3: 0CI.". t70 Name: 4Z/ 7-i_Desz rs �C--rih7e.e.ied,%+c- License#: Address: z7S 1 (, 4L&-&-4Pcf4 F/44,47, City: S! /90 State: I %i zip: 55 it 7 Phone: ' geS ' 7c-3 Contact: lc= Ce -e -Col Email: -CC/J-G,v,,pe,e.S . C.42 -,e7 Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: �TE� ,flans ar i e wale sere CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the c rdinances 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 Applicants Printed Name x Applicants Signature Page 1 of 3 ItioLltP affifi 12-d DO NOT WRITE BLOW THIS LINE 0760 SUB TYPES Foundation _ Public Facility _ Exterior Alteration -Apartments Commercial / Industrial Building _ Exterior Alteration -Commercial _ Apartments _ Greenhouse / Tent _ Exterior Alteration -Public Facility Miscellaneous Antennae WpRK TYPES VNew _ Interior Improvement _ Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair _ Windows _ Demolish Foundation Replace _ Water Damage _ Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Plan Review (25% 100% ) Census Code #of Units # of Buildings Type of Construction cam' Occupancy Code Edition Zoning Stories Square Feet Length Width gee M5 1— MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers REQUIRED INSPECTIONS Footings (New Building) / Sheetrock Footings (Deck) v 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 CIO Inspection: /Schedule Fire Marshal to be present: Yes !✓ No Reviewed By: L.,. , Building Inspector Reviewed By COMMERCIAL FEES Base Fee Water Quality Surcharge Water Supply & Storage (WAC) Plan Review Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality oc TOTAL / 3 S! Page 2of3 y �, CityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or For Office Use Permit #: J 0(11 9 1 Permit Fee: Vl 0.O Date Received: Staff: LACK Ink qff 2013 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* & v� refry ,e1 Date: i_ 2-13 Site Address: Tenant: / ,:9 J4 I s k Suite #: Name: w" ' p• / Phone: Address / City / Zip: /6'1 D; fl e y lot R � h M Al Applicant is: Owner x Contractor Add I.Sfri K [c+- fh �cG�1 ��r �ctv- Cover` Description of work: Construction Cost: # y00 Estimated Completion Date: License #: /Zo Address: 75 Coto-1 )y R`"( 5 Eas 1 Phone: FIRE PERMIT TYPE X Sprinkler System (# of heads i) _ Fire Pump _ Standpipe Other: DESCRIPTION OF WORK: WORK TYPE New _ Addition X Alterations _ Remodel Other: Commercial _ Residential _ Educational $55.00 Minimum *If the project valuation is over $1 million, please call for Surcharge Contract Value $ get) _ $ 55 Perm' $ 5.00 Sur. =$ 6U TOT Fee arge* 3/4" Displacement Fire Meter - $245.00 •ter L FEE .................... *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be sed I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will e in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is n .t 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 • an in th • case of work which requires, a�rreview and approval of plans. x k E 06-S AD, x Applicants Printed Name Applicants Signature FOR OFFIC . / ,, Use BLUE or BLACK Ink � --------- . �-�"u C.� s%t�'e/!/P � For Office Use ` � I �/���5 I � ��� ��6���5 � � ��� O� �n �yn I Permit#: I � Q�Qlt � Perrnit Fee: �� j 3830 Pilot Knob Road j �I Eagan MN 55122 � Date Received:i.� ' � /— �J i Phone:(651)675-5675 r- �j�:.� Fax: (651�675-5694 ��.�4� v ;�;� I � � Staff:S.� � JUN 2 � Zn15 -----------� 2015 FIRE SUPPRESSION YSTEMS PERMIT APPLICATION* Date: �«S s Site Address: 1 b� b � �T� 'Q. IV.� • Tenant: �"(� ; � S Suite#: � �f �� � � � � � � ��� � � �; Name:� � Phone: � � � � � � ��� �M`����`��Itt���" , Address/City/Zip: � ,;,�� , =,r�: , ,,,',,,,,,,, Applicant is: Owner Contractor �� ° ��� Description of work: �����:���; „�, �, �.;_ r;�- Construction Cost: Estimated Completion Date: .��� _ � ��. i � /� � � � . „� � Name: �� • ��-`�'�111�Q.� License#: l:��� ��°���� ' ��� � � � i ,p ' �}�.' � '�— j� ���. � � � ������k 3 Address: �OI V 0�1,� F�WC • City: � �" �� . ���"�'��� �:�� c— � � � � State: Zip: SJ I3� Phone: �' �S� +�y 7 � r��� _� ���`��� ���,,,_ \ /� ' • ,«.4� z,,�� ����.:: Contact: ( C�W l:.O�maiL a.. �.C�'�d�� v �1-C- FIRE ERMIT TYPE WORK TYPE �'�'S "" Sprinkler System(#of heads� New Addition Fire Pump _Standpipe ✓Alterations _Remodel '� Other: Other: DESCRIPTION OF WORK: �mmercial Residential Educational FEES $55.00 Permit Fee Minimum Contract Value$ ��� x.01 'If contract value is LESS than$10,010,Surcharge=$5.00 ""If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 =$ Permit Fee ***If the project valuation is over$1 million, please call for Surcharge _� Surcharge* $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE 3/4"Displacement Fire Meter-$270.00 =$ Fire Meter _ _$ �.O _ TOTALfEE *Requirements:2 complete sets of cirawings and specifications,cut sheets on materials and components to be used I hereby apply for a Fire Suppression Sysfem permit and acknowledge that the information is complete and accurate;that the work will be irt 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 �J Ca X c� Appl� an s Printed Name App icant's Signature � � .. / �i� �� � � /��W �i \ �`C.:C'i � `."_ � '������`r���� < s; � ' "x:, �:2 f '� - 3 k :� � . ; 1 ��.,\���`��5�������� Y , �k S �; . . a � S $ ... > .. .:v4 4 . �. , . _, :, t � t.. ..�. . � � t�+` Fi�rc#ro�h� `< �,,,,.. -Flt��v Al��rri �ratrr Te�' R��gh.ln; ,F��� �;^ .. � � Tnp Rur�p.T,est ..,�„�„ ����ttr���a�rott ` ��� :��na� � � � �,_ z >: �t ��� �,�� � C�ri�it��s�rf�ss�ra� �x " � � � � � z � � e z � � g d ` � � � r��►����+�a��:; ��t�: � � � ��� � � ��.� Use BLUE or BLACK Ink For Office Use ilq.licid :::::ee Cit of Eaa� . 6/67 J C 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: J 2017 COMMERCIAL BUILDING PERMIT APPLICATION Date: 4/18/17site Address: 1646 Diffley Rd. Tenant Name: KowaiskI'S Market (Tenant is: New/ X Existing) Suite#: Former Tenant: # Name: Kowalski's Phone: 651-328-8380 prope' � ewner 1646 Diffley Rd., Eagan, MN. 55112 Address/City/Zip: 5 rix , - Applicant is: X Owner Contractor ;I Me Ty�ezzanine Remodel Of Work Description of work: y�? $40,000.00 }' Construction Cost: a w —r-ft Kowalski's • M Name: License#: n ' 1646 Diffley Rd Eagan COntrlP Address: City: M N 55122 612-363-4354 i.?. State: Zip: Phone: f ' 4- Jeff Gardas ardas.nbwwnhotmail.com Contact: Email: jgardas.nbww@hotmail.com Name: Wilkus Architects Registration#: 16380 Arhittect/Englt , Address: 15th Avenue North city: Hopkins MN 55343 952-941-8660 - State: Zip: Phone: ' 0; Jim Sultany Contact Person: Email: Licensed plumber installing new sewer/water service: .. ... Phonse#: r . e ofWOTEPlansand portr ''documents thatm �c na ® ? Eatlonst7: lthe ormation y be /ped as non ptt e e 'lovide spd ® ® a e1.71,,„,,,r.,.-",,:7,. ..7,,,,,:% -' � C0/10/1/0:1' ' ay-aretrade a : } , w. . 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.00pherstateonecall.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 fora 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. -.. ,,,:/) 52-'7 * f_ (-ACz Applicant's Printed Name Applica i ature Page 1 of 3 L/6 D) f-'‘c:--1(c. i /I DTO NOT WRITE BELOW THIS LINE /1/7 �, t/ SUB TYPES Foundation _ Public Facility _ Exterior Alteration-Apartments Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse/Tent — Exterior Alteration-Public Facility Miscellaneous Antennae — WORK TYPES New /Interior Improvement _ Siding — Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building—give PCA handout to applicant — DESCRIPTION Valuation 0 100•v- Occupancy /if 15 MCES System Plan Review V Code Edition 2615 M8C SAC Units O L (25% 100%V) Zoning A/8 City Water Census Code Stories I t M0-2Z- Booster Pump #of Units 0 Square Feet 510 2-[AIEiz)PRV #of Buildings f Length Fire Sprinklers Type of Construction J'3 Width REQUIRED INSPECTIONS Footings_New Building Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor BarrierErosion Control yFraming 30 Minutes 1 Hour Steel Reinforcement Insulation Concrete Entrance Apron Sheetrock Other: Roof:_Decking _Insulation _Ice&Water _Final Meter Size: Siding:_Stucco Lath _Stone Lath Brick_EFIS Electronic As-Built Plans Required Windows Fireplace: Rough In Air Test _Final Final/C.O.Required Pool:_Footings Air/Gas Tests Final Final/No C.O.Required Final C/O Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: , Planning New Business to Eagan: b Reviewed By: CSG , Building Inspector FEES Water Quality Base Fee 574 ZS- Storm Sewer Trunk Surcharge ' °v Sewer Trunk Plan Review 373 •2L Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL:4 947-S7 Page 2 of 3 MCES USE:Letter Reference: 17050162 Address ID:664266 Payment ID:401356 Date of Determination:05/01/17 Determination Expiration:05/01/19 Greetings! Please see the determination below. Project Name: Kowalski's Project Address: 1646 Diffley Road Suite it/Campus: N/A City Name: Eagan Applicant: Jeff Gardas, Kowalski's Special Notes: None Charge Calculation: Office: 2305 sq.ft. @ 2400 sq.ft./SAC=0.96 Meeting: 371 sq.ft. @ 1650 sq.ft./SAC=0.22 Retail: 19,709 sq.ft. @ 3000 sq.ft./SAC=6.57 Warehouse: 5190 sq.ft. @ 7000 sq.ft./SAC=0.74 Indoor Seating: 74.00 new seats—82.00 old seats=*no additional seats Outdoor Seating: 36.00 new seats—60 old seats= *no additional seats Total Charge: 8.49 Credit Calculation: Kowalski Market(SAC 06/08)=8.98: *Seating credits applied above Total Credit: 8.98 Net SAC: -0.49 —or— O SAC Due The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size,a redetermination will need to be made. If you have any questions email me at:cory.mccullough@metc.state.mn.us. Thank you, Cory McCullough SAC Technician Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram 390 Hobert Street North St.1 cul PAN 55101 10C1S Phone 651 602 1000 I Fax 651.60.1550 I Try 651.."..31.0004 j metrocaunc I.orc METROPOLITAN 1 r Frtial G�(,rrar.trr33ty .r Use BLUE or BLACK ink For Office Use City of Ea�all. Pernik*: /�� --4. . 3830 Pilot Knob Road Permit Fee: (1J�s Eagan MN 55122 JUN 1 4 7U17 /// j Phone:,(651)675-5675 Date Received: '[� ��`i ( 7 Fax:(651)675-5694 Staff:__________/__-. ..i 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans/w''with all commercial applications. Date: Site Address; ��nV6, 1)i firr'Le Tenant: �',.y ,, �I rrr:>�: r ,.—f,�!!'! „1 1FC J 4 Suite ft: ?3;w:. . , .�00:0 0 ,�'..N' x';:0 Name: k ,/ /k'' ,1'5 57—5-v - `;•;, id�t ' i 1�'ry; y � c-x- r.ti�IC _ Phone: J 7� ''?t'3 r;� 7,fi.?Ya".1:1 .e; r ry ,iro Address 1 City/Ztp: d) � ¢f�,L�I tr./M/4+ y Az N9;'�:•e..�tk�r 5"',"�' `Y(�.� yr,^�,�,; it /,�/e/ .,,aY 'y;,•"fa::,41,:6��cy:�;1";'.hg: :y+;r: M �Yt Me �_,` C�J ::a;. ,.M'�%%;•;,1r,40,;,`Ti tl ;"�,M0Ar"s?'•'':l',', Name: 1 C� !��'J iwit �i it '.. 4,4 y; ' ''^,",: ", Address: /075 4 1.e lr�it. city: / rovior,�;y;,.;::r;.'. ry:..:,;"•.;, :� /� 8435 4 ".: ,,�.,.:.;,,} :+�;�.>,,;.,..�'�,,.,`;;. State h I' �,�'�,. ,;wi,:,L,,, :� zip POne �'..;;: ,.l4iw+��4yA;.">,."��:�va;,�,..,gii //�� _`�p1�/ /�n�, :�'„.:.:::a::,. Contac A. r Email: 1)/ t .CML uwy^v, „ "pl,,,,,,jn;,„:,:.}y,.,. 'aN ie.:°:,i.,. Z4,k tGf t:i `•k,5` o�,;;n'; New Replace t Additional J.Alteration Demolition ,:i;,;k•M14 F1 it p4a k>,A�x""�r0 1:500+ ., ;•. ..,., ®sof#UWtY {(fan:;:k Description of wo - e C ci _c. —��.5 ,w;'00'00 ..;. 00':0.0,;�,..., p,,•j,q.;,:y..,r •.q,ss:�..,.r;.:;.,•a..�,,.. .0000,,, : :;;'a,!� 0000. ':;i;”.,.-'x •en;rr,•.::a,,�y7 ki;b.,.,:n: C :,,•��S;X:'rn'.,..;��:;�1.0,..,�.�f...:"in•::.;.�f.r.no;.:.•,�a +; . . . r., 0000 .. J ,,':".p:^a,,s•..rn;,v •::.a q�,r•����•;�..: �•: •,"�:. 1. •a. ""';a.,;;;';;r;,..•:.?"...�':;ti!:;�1;.;;r,.�ll;sV tP.n,:1•v t.lw�T;(r�.�pgf„icrl�dtl' .�Mi' �n ti +Q.�rOe4 ':�„ •',C::' �:'v;3 a`,�,51. .,5.; ..y!r,Cy,te 0000 .4,,,,:.:;9 .,...,•.",r.• .,4...,,,., n•:.,, ,,0000.;,,, ,O.. ,1. .' tta, k+;.,.:00.0.... h, ri` 1,et)i it64. !!tFr"p�'�yt� +'; o�ite d' 4 :1.."�0. ..•GW:::R �!�5!1.C.k:.T.:d,'J:,ff.l,S�:�'k�i;:�//!/(`��''�� �i` .•�.'":,1•A�aNi .� B��.C;. .::4ts'rvn:^ "•ikign,P..^�•. .•h wg,. :Ya<�'a.e••r!-fin• !v:� �a.. ,.�� 44.,%:..:5:.;',.�,,.,. ';1 4.;,.a"•:;.; .^ i 00.0!Wr��•:+,Vpp dp.� �' �.l. v..M.• ,...n'Y 4 ;�:--•_ ,:;;i. ,;�.,!''::, ��r o ;stpte '�iDy�tac� ''d':1111�115hii��t�l>�n�i,3t •to/r(')"�"�'ani 1��,< l�n�.'L+�,Y :.: 'y �w�,Ha ,y':tk,5�+t`. , ..".•. t ` 4 d' T' ! 4 f75 3y CT rl ...,,,,,',�,,.i:: G �,Xt ,., [L9 .. 4eQ rt "(IrC • to;>.�` ,{ .i,}.e :a.R ,•,:r,�: „hyr ' i •:R.O�'l':.a��lwp.r .TI":��.M, 4''",,,\,),0,4,..i:41.NRESIDENTIAL ; .'', ,„ . '01 M> „ .0 nCOMMERCIAL !;x� +,, v.:?•aiF�.tv'a+7A:?4�%a:;:;' ?,,.'�.��. Construction .,b, ; .• !:;:�'.g ,;p: Furnace New 'ei,*.7..: r:l;•} r1'��+ ";i.„.”:4 �,•c".''t' NCtiOn Interior Improvement ";•.,;y; t' r pe�r^`5 �.,, _Air Conditioner Install Piping ;;.,•i a'i � , t:•,►• �„sd:r, p g _Processed 0000 �r j4iP.,,: r.v�J1Cj+. : +:.. .yV', :1,, „N;,�,;,1...,," ::::,.•"; :.p, ro,�:'rt;r'%: _Air Exchanger Gas a?,y,.i,ki ii:7y�x?h`.:,.: ,`ra/4;jy??:1,:',a` _Exterior HVAC Unit ;' �, a,, •1;r•;y;?' Heat Pum �"�=� "+ ��'� ,' Under/Above ground Tank (_Install °'';:�:'>t'i'!-:,;, •e ,:b:x+' '�„w,t;;' 1 Remove) d.,„�,:a,.;'�;:.:ilA .,,i�q,r,.�r,''<ru ..y.5,, ,,, +.:h,-:,,. ,rd{'y 'L;:;.�,,.,,��'�'i�',;ar ^Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge • $100.00 Residential New,Includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES , Contract Value$/'- / 0 x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee Surcharge=Contract Value x$O.0005 Surcharge IIf 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 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. 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L' MV �ht.r � � ^ . ro ,0. . .! S „;.„1....4.444_,,.,.,....„.,. ..R ;. Jun, 19. 2017 9:56AM No, 1781 P. 1/1 f Use BLUE or BLACK Ink , t0 �A c,-(f *City r For Office Use / ; P 0/ GAS G� Permit#: / a�`7 �' ('�O�Eapll Permit Fee; �Q O 3830 Pilot Knob Road Eagan MN 66122 RECEIVED ,--_, -7 Date Received: ‘, -1,j Phone:(651)675.5675 (, Fax:(651)675.5694 JUN 1 9 2017 Staff: J 2017 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 6/19/2017 Site Address: 1646 Diffley Road Tenant: Kowalski's Suite#: %74P 'er'W -' " _ iName: Phone: 6516984752 _ arn _;': � l Name. Northern Mechanical Contractors,LLC License#: PC645358 .:`••.:_ice., 'w, _= '^ ` . "_Rte.: Address: 1975 Seneca Road Suite 100 City: Eagan State: MN Zip: 55122 - Phone: 651-789-2275 Email: amyk@northernmc.corn ,FiFiiii �_::;.= it 01lacement Repair Rebuild New Re p p Z.Modify Space Work in ROW.` Alter rough in for 2 sinks -_y:W=: Description of work: g _ r _ COMMERCIAL New Construction Modify Space tea, -;,:= :_s — � keti 6R i "- Irrigation System yes/_no) RPZ/_PVB) otfolerg , ,�'' W. •__ Rain sensors required on Inlgallon systems ::fir-::�:�:�_.;..M_-�".:�,:.r-•_�,-•. kiliter ', ":9 i'. • Avg,GPM (2"turbo required unless smaller size allowed by Public Works) re•.__7217 msµ w:4 s=: _Meters Call(651)675.5646 to verity that tests passed prior to plcklno up meter. x:. "'M"=1s p i7 ..eil Domestic Size&Type Fire: 1 _i- i mU, Avg.GPM High demand devices?_Yes_No Flushomaters_Yes_No COMMERCIAL FEES Contract Value$1200 x.01 $60.00 Permit Fee Minimum $ 60.00 Permit Fee $60.00 PVB/RPZ Permit(includes State Surcharge) _$ .60 Surcharge Surcharge=Contract Value x$0.0005 60.60 If the project valuation is over$1 million,please call for Surcharge $ TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department.(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ Slate Surcharge =$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(661)464-0002 for protection against underground utility damage. 1 I hereby acknowledge that this information is complete and accurate;that the Work will be in conformance with the ordinances and codes of the Cily of Eagan; that I understand this is not a permit, but only an application for a pennil, and work is not to stars 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 Paul Rascher x Applicant's Printed Name Appll nt's Sign ure .u.-.;,es.. .__.a._.x,.,,,_-..xxp,a.....__.._ vm_.', /":i�.r' �.-.a:-__^:e•::•_,.....xzr:.-,._......_ _.._•_rte�;� -� �ro� ••�. .S. RygJ''.p'd .'IA ..Ap::«r^e-:,::5 X - rn fin.:::x� ':.emsy�W..•t ° ir, '�-„:-;',1741V u t- ,::,.:_:•.,_e_::. :a............-•.._....x;_:v- •t.'zg,.c:q!y J''+_*^,t•-. , . ..._.3 - i:t.=.:':5':? :".^.'�C...• _ _ _ DAN� , ,° •1" -.,Raqui ed,:1,a p ettor$.:7 Utah.OI IVO :,•,„0!1 b_it1 i:.-•1t::e tS-_.:Q'_ <- . :•F 10,51a .• ....:•:. -__, -- ... :.,, �. ,. ,_, ,. - :—...._.•� =w^. ?4RRe ttlt�d _ =YNo . _. . .Y:"..I.r �. .. �,�r M:'+^.:::£n:..0 Te...._ T:'.:...:::.L:.,; :A_,'.Tw;? ...�"."",.•4,tip•• -.:.a;......._14 _ _: .41, ..:9,9, =.�. Y..^.°`X ... •'-' .m' ..,..:rrr::a,:.. »...._,..; ,. . • '.-.s'•^eY��"ai�.t.o:a..:�::::M.:.:�.::.= �:::_.__✓eaaux:W:.w',�a•Vf_15::'lit4,1�.,'•.: :.•.y;.':'.r: =.='r_.- �� _--:...:::a..._.._ate=.:':::- " ,"� ���I.!����_. •_•.• �_=� tJ]3i=��....:.:�:,::�:.-,W�,1A,�!'10 .t(^,r'sar�'a wv§taff�-•-:= _::.. _ ,.•.._._: Page 1 of 3 Use BLUE or BLACK Inkin L For Office Use 1 �' I 1 * Ci Permit#: ///"/`7 P///j�� ty of Eaiali t Permit Fee: U// 3830 Pilot Knob Road DVA /-- , Eagan MN 55122 Date Received: .1`11 1 Phone:(651)675-5675 Fax:(651)675-5694 /44 Staff: J 2017 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: �' t4 tSite Address: I 64(• - ` Tenant: t40‘)A SK.�S Suite#: r Name: Phone: Propel r Address/City/Zip: Vim. ;, ll3 Applicant is: Owner Contractor Description of work:726,. ► t1 t o. Vrekbc 1. & tk5' Construction Cost: 2Qo0.e° Estimated Completion Date: 'M #6t t" Name: ( �. t.,...••....L.—._' License#: k742114-6447:"I'::11444,11: 5''' L1 4- dir � Address: � City: St• 1 State: VA PJ Zip: 55 t 3it• Phone: 4S( 45-Ca 33° 4 Contactl+� (moo)re* w Email • C,` }��. f.s1 .aS FIRE PERMIT TYPE WORK TYPE , K Sprinkler System(#of heads Lk _New _Addition Fire Pump _Standpipe 'Alterations _Remodel Other: Other: DESCRIPTION OF WORK: /Commercial _Residential _Educational A. FEES $60.00 Permit Fee MinimumContract ValueQ 00 $ x.01 Surcharge=Contract Value x$0.0005 =$ I .4 S Permit Fee • If the project valuation is over$1 million,please call for Surcharge =$ Surcharge $100.00 Residential New(includes State Surcharge) _$ („Ql• 46- TOTAL FEE 3/4"Fire Meter-$290.00 =$ 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/Fired Codes;that I understand this is nota permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accorance with the approved plan in the case of work which requires a review and approval of,rplans. x ' M tNi6to ill. 0(, (../4 (-7_Algid, .....0. Applicant's Printed Name Wim''ica ,nature F /i II OFFICE U F�f - ^ d \ REQUIRD���PGTIOt+ N t dr is F� ° arm �ttr �t R Igh n Tnpx y RJrp `est CaritStattarl utak Ccndthans of Issuan�a a s � ,:fix, �� •3 ���� \�� '. - ii\`sem .,\\ � y �`s\��� \ r _ �c�\ ✓r