1965 Cliff Lake Rd 1
Use BLUE or BLACK Ink
I For Office Use
I I
I Permit I
City of Ealan So 0
I Permit Fee. l
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 1,qK~-
polo Staff:
FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 1 O Site Address: Q
Tenant: C.aim, s ?'o Go Suite#: ~Zojo
PROPERTY OWNER Name: CIJI!/yA 71-0 Q-Lo Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 1ytJS i +9CC. Ati► ~'tNSv~- s TC~`''~ ~N + r- Div Abo b
Construction Cost: ! .,CQQ a" Estimated Completion Date: 1 lO 1 t
i
CONTRACTOR Name: 100E 'RA" tf-4, ~ S0EC.vj.1/ License
Address: yyy S <J.77 5C- City: Mi/yy AjPo1-fs
State: -/'~A-11rcZip: Phone: ~S 2 ' - O S
Contact: Email: PC h0~`)
FIRE PERMIT TYPE --AwSvk, WORK TYPE
1>!;~% prinkler System of heads tZ-) XNew - Addition
_ Fire Pump _ Standpipe _ Alterations _ Remodel
Other: liso _ Other:
DESCRIPTION OF WORK: Commercial Residential Educational
FEES
$55.00 Minimum (includes State Surcharge) OR Contract Value $ S. x1%
_ $ 5S• T-10 Permit Fee
- If Permit Fee is less than $1.000, surcharge is $5 00
if Parma i_gg is a $1,W. surcharge jnc*r'easee by,$-50 for is io
$1,000PermitFeeti.e. a $9,pd1:$ .00 Fen»it E :c ~nr a*QO q*
$ S'~• 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 B 'Iding/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 b in accordance with the approved plan in the case of work
which requires a review nd approval of plans.
0
c. ovvC'a s
x
Applicant's Printed Name A li e
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.cior)herstateonecall.org
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough In
Trip Pump Test Central Station Final
Conditions of Issuance:
Permit Reviewed by: Date: / / /
Use BLUE or BLACK Ink
e Use
~j -ForClffi---
Permit
I
City of Eajan j ' 6e, 0 I
3830 Pilot Knob Road~.13 I Permit Fee: _
- I
Eagan MN 55122 r !i I Date Received- ~T~14
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
2010 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 19 (5 c L 117 - a KE 9,0V7
Tenant: Suite 6 N% T 10(o
PROPERTY
OWNER Name: Q Phone:
CONTRACTOR Name: U~~~E N~ O Q-F Q~~ ~^c~ \ N G, License 0 ,59 1~9 to - f n
Address: 914L(. f~` %~cv,- L.r' City: t-V4 t V \LL F- State: M 0 zip: 45-So Lf
Phone: R Jr D'9 9 y ' 4LO n, Email:
TYPE OF -New _Replacement -Repair _Rebuild ✓Modify Space ` Work in R.O.W.
WORK
Description of work: IQ-V'O % rt J \4, S A N ';ZN CL M 9- tI9 t
COMMERCIAL
PERMIT TYPE _
New Construction ✓ Modify Space.
Irrigation System 1_ yes / ?ono) RPZ PVB)
• Rain sensors required on irrigation systems
• Avg. GPM (2° turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes ✓No Flushometers Yes P"'No
COMMERCIAL FEES: ~r ~/(,9- 0l! o
$50.50 Minimum (includes State Surcharge) OR Contract value $ 7~~ ~~,~L x 10/0
Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read
- If Permit Fee is less than $1,000, surcharge is $.50 Meter(s)
- If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). '!5 .D b State Surcharge
Following fees apply when installing a new lawn irrigation system. $ Water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $ !26. ~2L
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility
damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I
understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved
plan in the rase of work which requires a review and approval of plans.
x ~ w tj J EGK a VA-Do V,
Applicarifs Printed Name Applicant's gnature
FOR OFFICE USE Approved By: Date:
Required Inspections: nder Ground ~/Rough-In -,YAJr Test Gas Test nal PRV Required: -Yes No
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
t 1 7 Permit C~ O I
City of Ea a~
Permit Fee:
3830 Pilot Knob Road I
I I J
Eagan MN 55122 7
I Date Received:
Phone: (651) 675-5675 1
Fax: (651) 675-5694 I Staff:
I
2010 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: J S l`~ F.,LY
Tenant Name: l Iv' 1' 1 (Tenant is: New / Existing) Suite /
Former T pant: cUt
PROPERTY OWNER Name:Phone:
Address / City / Zip: C~ ~E u l" aa(y T (fit,
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost:
CONTRACTOR Name: License
Address: i _79fi Fci(k-st City: t
State: Zip: Phone: S~ C'~~ ZS>
Contact: c, IV 3 ``~:I~~-/~ Email:
ARCHITECT / Name: Registration - TA_~I!~ L)d4AI ENGINEER -R -
/y:
Address: :72j254 64'1
State: H qtr Zip: !;tL3 Q -Phone:
r--
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.cioi)herstateonecall.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 caw and approv al of plans.
0 % -
X
Applicant's Printed Name Applica 's ignature
Page 1 of 3
slob C i ~s L t~~C A6
DO NOT WRITE BELOW THIS LINE l l
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 )C' 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 ap
Valuation s®~ Occupancy A MCES System
Plan Review I~G Code Edition '!Q SAC Units
(25%_ 100% 1 Zoning City Water
Census Code Stories Booster Pump
# of Units _ Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width T
REQUIRED INSPECTIONS
Footings (New Building) 9heetrock
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 VINO
Reviewed By: Building Inspector Reviewed By: 75, , Planning
COMMERCIAL FEES ~~22
Base Fee i. a ql Water Quality
Surcharge I .Q. J ® Water Supply & Storage (WAC)
Plan Review c~ p 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 ~3, q5
Page 2 of 3
Metropolitan Council
v
Environmental Services
July 12, 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 Chan's
Chinese Restaurant to be located at 1965 Cliff Lake Road, Suite 106 within the City of Eagan.
This project should be charged no additional SAC Units, as determined below.
SAC Units
Charges:
Restaurant (fast food)
Indoor seating
273 sq. ft. @ 15 sq, ft./seat @ 22 seats/SAC Unit 0.83
Credits:
Red Square Deli, Suite 106 (4108) .34 -
Net Charge: 0.49 or 0
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-
602-1118 or email karon.cappaert@metc.state.mn.us.
Sincerely
Karon Cappaert
SAC Technician
Environmental Services Division
KC:kb: 100712A2
Determination expiration: July 12, 2012
cc: J. Nye, MCES
Peggy Fleck, Eagan
Tom Hartwell, TH Consulting (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
d r ; ,r S~a.~C
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5
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Use BLUE or BLACK Ink
For Office Use 1
Permit
City of Eatan RC 0 [E u Lg I Permit Fee:
3830 Pilot Knob Road D i I
Eagan MN 55122 JUN 3 201U I Date Received:
Phone: (651) 675-5675 1
Fax: (651) 675-5694 staff-
2010 J
MECHANICAL PER IT APPLICATIO~~~
C.~
Date: o - to Site Address:
(t S:
Tenant: CA'~ S Q" E'--'S Suite d C~
RESIDENT / OWNER Name: Phone:
Address /City / Zip:
CONTRACTOR Name: L_e_ License
Address: ( j 1 Z~ 'LA City:
State: 4i-J Zip: 5s3-7C Phone: 5 S2'~~~-~S[,O
Contact: d r\\ Email: t-v v- c c
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:.-Z,-- ~,A
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE _ Furnace New Construction _ Interior Improvement
_ Air Conditioner _ Install Piping _ Processed
_ Air Exchanger Gas KExterior HVAC Unit
Heat Pump _ Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge)
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permi'-work is not to start md1b t a that the work will be in accordance
with the approved plan in the case of work which requires a review and approv
x x
Applicant's Prin d Name Appl' ignatur
FOR OFFICE USE Re>ciewed By: Date: 44' d
Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test -In-floor Heat Final
Exterior HVAC Screening Inspection
I
---------i
j For Office:-:USe I
? Permltft: ?5 IO 3v ?
I ?
? Permit Fee: 147,53 I
DateReceived:
I ?
i Staff:
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date: DB-IS-O S Site Address: ? ? J/'f-F L f27F"C? !R d _
Tenant Name: 1ELA 1lr&-7- LP-S (Tenant is: ?,/New / _Existing) Suite #: JO¢
Z
I
Z -'/
? n/
PROPERTY OWNER ,
Name:
Phone:
p
Address f City / Zip: (ry(D C, 7 './,lt& 4? S-r
Applicant is: ?pwner k Contractor
TYPE OF WORK Description of work: ? d
??o
??a?
? o[
C
t
i
C
?.
,
ons
ruct
on
os .
CONTRACTOR Name: License#:
Address: 4?
ciry: S T. PA U L state: _.?/,_ zip:
Phone: L.SI- A-77A - IOO Contact Person:
ARCHITECT/ Name: !70e - RUG'?/tiN.4N Registration#:
ENGINEER pddress: 4Dd(P 169a-c7' e-1, .S Z? S7--
City: ?,OAS State: _ /+- N Zip:
Phone: 41.7- 86ContactPerson: GR1C 77.?-lo1Db
Licensed plumber installing new sewer/water service: Phone #: ?
NOTE: Plans and supporling documents that you submit are consldered to be public intormatian. Portions of
the information may be classified as non-public if you provide speclflc reasorts that would permif the City fo
conclude ihat the are trade secrets.
I hereby acknowledge that ihis information is complete and accurale; that the work will be in coniormance wifh the ordinances and codes of the Gily o1
Eagan; [ba[ I understand tbis is not a permit, but only an application tor a permit, and work is not to stan without a permit; that the work will be in
acwrdance with the approved plan in ihe case ot work which requires a review and approva L¢ta .
Xe ? Gns 8 a. cc7r7 Applicant's Printed Name Ap nYs Signature
??cMYED
AUG 1 3 2008
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation
? Apartments
? Lodging
? Miscellaneous
? Public Facility
Q' Commercial / Indusirial
? Greenhouse
? Antennae
? Accessory Building
? Ext. Alteration-Apartments
? Ext. Alteration-Commercial
? Ext. Alteretion-Public Faciliry
O Nail Salon
WORK TYPES:
/
? New Ef Interior Improvement
? Siding ? Demolish Building'
? Addition ? Move Building ? Reroof ? Demolish Inierior
? Alteration ? Fire Repair ? Demolish Foundation
? Replacement ? Windows ? Watar Damage
" Demolition (entire building) - give PCA handout ta applicant
DESCRIPTION: ?p
Valuation ?faS Occupancy
t4 MCES System ?
Plan Review Code Edition
Jt? a007 NsBC, 5AC Units
(25%_ 100 % ? Zoning ?y7 City Water ?
Census Code -' Stories --? Booster Pump ?
# of Units Square Feet 40- PRV ?
# of Buildings Length l Fire Sprinklers ?
Type of Const. V43 Width ? .
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
Footings (deck) V? Final/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other:
. Roof: _ Decking _ Insulation _ Final _ IceNJater PooL• _FOOtings _Air/Gas Tests Final
Framing Siding: _Sfucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
Insulation Retaining Wall
Final C/O Inspection: Schedule Fire Marshal to be present.
Yes ?No
`k](
t _
?
Reviewed By:
-
- , Building Inspector Reviewed By: Planning
COMMERCIAL FEES:
Base Fee gg.-5-()
Surcharge
Plan Review ?S3
SAC-MCES --^
SAGCity ---^
5/W Permit Financial Guarantee
S/W Surcharge Storm Sewer Trunk
Treatment Plant Sewer Lateral --
Treatment Plant (irrigation) •??-- Street ?
Park Dedication -? Water Lateral
Trail Dedication ---- Other
Water Quality ---
Water Supply & Storage (WAC) ? ,/?
Total
T/,1
Sewer Trunk
W ater Tru nk
Page 2 of 3
i----------- ,
? ForOffice.uspe? J ?
I Permit #:
City of Eaian
? Permit Fee:
3830 Pilot Knob Road I i
Eagan MN 55122 ? Da[ ?
Phone: (651) 675-5675 Fax: (651) 675-5694 ? Sta
2008 FIRE SUPPRESSION SYSTEMS PERMIT AP ATION' Date: S --1 ^CVK Site Address: l%0S G\LK-
TenaM: ??i W- wka ff \a.? 4? tG.e e- Suite #:
PROPERTY OWNER Name: Phone:
Address / City / Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of work:'-"r-rsc? 10 r,>, r 1f??
ig.. c'U At ?'•
,
Construction Cost: lL'iOb' Estimated Completion Date: g- / S ?J9
CONTRACTOR Name: C umm rie License #: I' - O75
Address:5 `? ;nne "c fh)e W
?'?
?
Ci
I State:l"i L Zip:
_
ty:
u
Phone: ?aSI"rY51'lffii) ContactPerson:
FIRE PERMIT TYPE WORK TYPE
K Sprinkler System (# of heads 10) New
Fire Pump _ Addition
-)L Alterations
Standpipe
- Remodel
Other: Other:
DESCRIPTION OF WORK: j Commercial _ Resideniial _ Educational
FEES
$50.50 Minimum (includes State Surcharge) OR Contract value $ ?s5• x 1%
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
45)
'<
- If Pemi Fee is >$1,000, surchazge increases by $50 for each =$
- StBte Surchafge
$1,000 Pertnit Fee (i.e. a$1,001-$2,000 Pertnk Fee requires a$1 .00 surcharge).
$ ?L7 S?
TOTAL FEE
3/4" Displacement Fire Meter -$183.00 $ Fire Meter
$_ TOTALFEE
*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 pertnit and acknowledge that the information is complete and accurate; that the woCk 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 perrnit, but
only an application for a permit, and work is not to start without a permit; that [he work will be' accordance with the approved plan in the case of work
which requires a review and approval of plans.
xN4w-P- L x e/?
ApplicanYs PHnted Name AppllcanYs Signature
?-----------------
i
? Parmif #:
? Permit Fee:
I ? JV ?' N
I
I ?
I Date Received: I
I I
j Staff: I
L -----------------?
2008 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: ?/^'b SiteAddress: 17(f/? 1.??'? ?QKe ??
Tenant: _?-?Y1?S5 Tbc)P-H-,r ? Suite #:
PROPERTY Name: Phone:
OWNER
CONTRACTOR Name:??(!l}y P/u/W,6}tZ-2 License#: 5%39,1? ?/)l
Address: J?7cj /yf?m; }??.ih?. ?'?Cit? State:4?L- Zip:SS IU
Phone: -7 75 2JL502 ContactPerson: ?G<-C6c?a Tc-„?o e!
TYPE OF Rebuild _ Modify Space
>LNew Replacement Repair
- Work in R.O.W.
-
WORK i
) -
Description of work: S ;U- I S?^ E`"??J ?- i.u u g
PERMIT TYPE COMMERCfAL
_ New Construction ? Modify Space
Irrigation System (_ yes!_ no) RPZ!_ PVB)
• Rain sensors required on irrigation systems
• Avg. GPM _(2" turbo required untess smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passetl prior to pickinq uo meter.
Domestic: Size & Type Fire: Size & Price 3/4" meter 183.00
Avg. GPM High demand devices? _Yes _No
Flushometers _Yes _Na PRV Required _Yes _No
COMMERCIAL FEES:
$50.50 Minimum (indudes State Surcharge) OR contract Value $ x 1%
_ $ Permi[ Fee
Required on qLL new buildings and boulevard irrigation systems 4 _$ Radio Meter Read
- If Permit Fee is less than $1,000, surcharge is $.50 =$ Meter(5)
- If Permit Fee is > $1,000, Surcharge inCrea5e5 by $.50 fOf each $1,000
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1
-.qb sorc
-$
); E f
v State Surcharge
l
v7
,
=
Following fees apply when installing a new lawn irri iion system. 8
Call the Cityk Engineerin9 Department, (651) 675-5646, for requi?fee Water Permit
t Pl
T
V
t
$ nen
rea
an
$ Water Supply & Storage
T
$?,'l State Surcharge
TOTAL FEES $
I hereby acknowledge that ihis information is complete antl accurete; that Ihe work will be in conformance with the ordinances and cotles of the City of Eagan; ihat I understand this
is not a permit, 6ut only an application for a permit, and work is not to start without a permi; that the work will be in acwrdance with the approved pian in the case ot work which
requires a review and apprwal of plans. .
x ??--? c x
AppiicanYs rinted Name Applicant's Signature
FOR OFFICE USE '. Approved By "? < Date `?l.s=f) $
e
` 4 "
?
de
'
' ? "
Requir
d Inspections
•,-?_
Un
r Ground
- RougM ln
??
_+, ,
Aq,Test
Gas Test
t
Final
Page 1 of 3
--- --------
I For;?Offce Us2 ?
? Permit ;Z 0 1
•90 ?
I PermitFee: ?? ?''?
I r
I
? Date Received: i
I ?
j Staff: I
L -----------------I
2008 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: 0 0 reb Site Address: / q6 5 60e Kj
Tenant:
Suite#:
PROPERTY Name: Phone:
OWNER
CONTRACTOR Name: nog?'?_I IIV License #: 5 I 3? S ?/V?
: State:/!IrN Zip:.S
S i03
Cit
l
?
575 A
h
_
y
o
,a
vt
Address:.
Hn]
Phone: (O?/ 775 ?(a5'3 ContactPerson Jescpr l?Nn.Es
TYPE OF New _ Replacement _ Repair _ Rebuiid _ Modify Space _ Work in R.O.W.
K
WORK _
cA I-A" ?
J
csn.
Description of work:
PERMIT TYPE COMMERCIAL
New Construction _ Madify Space
Irrigation System (_ yes /_ no) (_ RPZ /_ PVB)
• Rain sensors required on irrigation systems
. Avg. GPM (2" tur6o required uNess smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that fests passed prior to pickinq up meter.
Oomestic: Size & Type Fire: Size & Price 3/4" mete? 1$ 83.00
Avg. GPM High demand devices7 _Yes _No
Flushometers _Yes _No PRV Required _Yes _No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR contract value S x 1%
_ $ Permit Fee
Required on ALL new buildings and boulevard irrigation systems ?_$ Radio Meter Read
- If Permit Fee is less than $1,000, surcharge is y.50 =$ Meter(s)
- If Permit Fee is >$7,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a$1,001-$2,D00 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 req
T
t
Pl
t
rea
ment
an
D, $
$-?-?-7?- Water Supply & Storage
,? S
S
t
h
a
arge
ta
urc
TOTAL FEES $
I here6y acknowledge lhat this information is complete and acwrafe; lhat lhe work will be in conformance wltn tne ordinances ano coaes oT nie ?ny oi =eydn, umi i anoc???a??? U...
is not a permit, but onty an application for a permit, antl work is not to staA without a permit; that the work will be in accortlance with the approvad plan in the case of work which
requires a review and approval of plans.
x x
gnature
Applicant's Printed Name . Applican 's Si t
FOR OFFICE USE , dp"proyed By " '? 3 Date t4J ?? ;;
Required fnspections: . ?Under Ground, ough In : ?Air Test;;, .=Gas Test, , ?Final .
Page 1 of 3
qTp City of Ea??Il
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
i--.,---------------,
j Pertnit #:
j Permit Fee:
? Date Received: ??-- ?
? Staff: ?
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 'o /Z 9 Site Address: / 9 rQS_ Cl l ? t' C-a.+? ? .l
Tenant Name:
(Tenant is: _ New / _ Existing) Suite #: jLV__
PROPERTY OWNER _?, t? E-- Phone: 05 J17&2-?e/_Qji
Name: l l?W LiLe ?nrL?+LD? _ r
?
-"Y T:?der
Address/CitylZip: Wp$ AQ,?? /SvS+ TA.?I Nfn S5/O?
Applicant is: _ Owner -.V- Contractor
TYPE OF WORK Description of work:
Construction Cost: iSj -40n ^
'
CONTRACTOR Name: rpSi?-
iVK ln.oaj"sS License#:
Address: Llpg \D i1kS Av E
City: ----4 t"p,j I State: M N Zip: 5 sj[Z(,rL
Phone: I psr - z-4ib • s?S? Contact Person: f
ARCHITECT / Name: Registration #:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone 9_<Zy• lay.S
areconsial-ered to b6?ub/rCirrfqrmation. Porhons a7,a?t
NOTE: Plans andsapporting"alocaments that you snbmif
,
i the infonmat+on may be'classjhed as non-public if yoa provide speqitra reasons that woUld permit the Crtylo_ ?
-' ` " ?' jco`ncludetfiatihe avetradesecrets.
I hereby acknowledge that this information is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a pertnit, 6ut 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 Ihe case of work which requires a review and approval of plans.
x ?i? 1..0.? i-P?
ApplicanYs Printed ame
IG
IP?i
x
App canYs Signat
Page 1 of 3
FrB z
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation ? Public Facility ? Accessory Building
? Apartments ff' Commercial / Industrial ? Ext. Alteration-Apartments
? Lodging ? Greenhouse ? Ext. Alteration-Commercial
? Miscellaneous ? Antennae ? Ext. Alteration-Public Facllity
? Nail Salon
WORK TYPES:
? New
F Interior Improvement
_?
? Siding ? Demollsh 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 ?d=> Occupancy „ 56 fi-- MCES System vqw
Plan Review Code Edition aOeb xClC? SAC Units '-?
(25%_ 100%?? Zoning _ t> City Water -1ve-19
Census Code ?--- Stories '^r Baoster Pump
# of Units -- Square Feet PRV
# of Buildings - Length Fire Sprinklers ?l?S
?
Type of Const. Width ?
REQUIRED INSPECTIONS
Footings (new bldg) .
Footings (deck)
Footings (addition)
Foundation
Drain Tile
oof: Ice & Water Final
VII-Irraming
Fireplace:_R.I. _Air Test _Final
Insulation
Sheetrock
Final/C.O.
V_15inal/No C.O.
HVAC
Other:
Pool: _Footings AidGas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall/
Final CIO Inspection: Schedule Fire Marshal to be present. _ Yes ? NO -rC
Reviewed By: M 1,- . Building Inspector Reviewed By: Planning
COMMERClAL FEES:
Base Fee
Surcharge
Plan Review
SAC-MCES
SAGCity
S/W Permit
S/W Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
1M. 75`
.00
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total i pZ?.
Sewer Trunk
Water Trunk
Page2of3
City of Eakan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(65i)575-5694
- - - - - - - - - - - - - - - -
j Fm Office Use j
I Pertnit#:
? PermitFee: ? ?c) '61) ? I
2?/ ?
? Date Recaived: D? -Gzj' 0 e) ?
?
? Staff: ?
_________________'
2008 FIRE SUPPRESSION SYSTEMS9 PERMIT APPLICATION*
Date: J?a I- O S? Site Address:
Tenant: 1LIX/YM Suita #: a 3
PROPERTY OWNER Name: Phone:
Address / City ! Zip:
Applicant is _ Qwner _ Contractor
TYPE OF WORK Description of work: kLU ?,?pc4 n e- (?eA kee-,
dO
construction Cost: 1575-•60 ,/
EstimatedCompletion Date:
CONTRACTOR Name: ,. _ _ _ r:__ n_ ,.a,...+i.,n Inn License #:
e
Addfe55: 211
ynniu SQUtf'1
r
ciri: Mjppatonka, .
MN 55306 State: Zip:
Phone: ?5a - 5?i r- ?ta6v Contact Person:
FIRE PERMIT TYpE
? Sprinkler System (# ot heads q WORK TYPE
New
Fre Pump
_ Standpipe Addition
?Alterations
Remodel
_ Other: pther:
UESCRIPTION OF WORK: .Commercial Residential Educational
FEES
$50.50 Minlmum (includes State Surcharge) OR Contract Va1ue $ x 1%
Permit Fee
- If Pertn@ Fee is leu fhen $1,000, surcharge is $.50.
- If Permit Fee is s$1,000, surcharae increasea by $.50 for each -$ Stata SuIChfllge
$7,000 Permit Fee (i.e. a$1,001-$2,000 Permk Fee requires a$t.OD sureharge).
$ TOTALFEE
3!4" Displacement Pire Meter -$183.00 $ ? Fire Me[er
$ 5- d. !5-D TOTALFEE
`Requirements: 2 complete sete of drawinge and epeciflcatlon¢, cut eheets on materiale and components to 6e used
f hereby apply for a Fire Suppression System peimif and acknowledge that [he inforcnation is complete arM accurate; Ihat the vrork vrill be in
conformance with the ordinarices and codss of the City of Eagan and with the Minnesota Building/Fire Cades; that I u eretand this is not a permi4 but
only an applica on for a permit, and work is not to start wkhout a permil; that the work will be in acco ance with the ap wed plan in the case of work
which requi s a review and a proval of plans.
x X .J
AppllcanYs Printed Name ?- ApplicanYs Signature
- MINNESOTA DEPARTMENT OF
Feb,.,.,,2,,2008 AGRICULTURE
FROM THE FARM TO YOU2 FAMILY
Wade Ollcer
4617 Summit Pass Dakota County
Eagan, N1N 55122 License # 20105243
Dear Mr. Okler:
This office has completed a preliminary plan review for the:Red 5quare Deli 16cated-af1965 Cliff Lake Road #-106-in.
Eagan, Minnesota. The plan review was conducted as required by Minnesota Statute Chapter 28A and the Ivlinnesota Food
Code Chapter 4626. The Minnesota food code is the primary goveming document for this review and may be found on
line at www.leestate.mn.us/leJstatutes.asu 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 Aa iculture grants preluninary 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 approti+al is based upon the supposition that construction and equipment plans submitted to
this office do not change. Anv deviation from the aporoved plans and soecifications must have prior approval from this
aa^encv.
Preliminary approval of the plans and specifications does not constitute endorsement or acceptance oFthe completed
establishment. Periodic on-site inspections may be made during construction. A final inspection of t6e completed
establishment, with equipment installed, must be conducted to determine if it complies with the requirements of the
Mionesota Food Code. Contact Food Inspector Mike Rygwalski at 651-779-5046 to arrange for a Snal inspection.
You are listed as the contact for this project at 612-812-5454.
General Comments
This review was for a 1400 sq. foot newly constructed facility selling prepacksged food and deli items foods. No
HACCP plan was submitted with this plan and none was reviewed. Nothing shown in the plans iodicated that a
HACCP plan was necessary.
Licensing of your Srm is dependent upon proper installation of an approved water supply, pWmbing and waste
system. Our iospector will review your approva] 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 plumbiug,
water and waste systems. (4626.0980, 4626.1030) (5-10111, 5-40111) Aiso 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.
Minnesota repuires that all eauioment be Certified to the National Sanitation Foundation Standards for clean
abilitv durabilitv and oerforroance. New or used eauipment not meetin¢ these standards are prohibited. Anv
eauinment installed that does no[ meet these standards mav be ordered removed.
The room finishes consistine of tile floorine washable nainted and FRP walls and ceilina tile is acceutable.
The firm aooears to have adeauate refriaeration and stora¢e All equinment is satisfactorv as submitted and met
ANSI NSF standards. No soecial ventin¢ is reauired.
Concerns: It could not be determined the type of venting installed. A class one hood sy c]n1l hginstsllea
over the range. ?HUH
DM n ies?treet North • St Pau0lN 55155-2538 • 651-201-6000 • 1
An Equal OppoAunity Employer • TTY: 651/297-5353/1-800-627-3529
Page 2
Equinment
Food equipment shall meet the applicable National Sanitation Foundation (NSF) International food service standards The
equipment shall be determined by NSF Intemational or an American National Standazds Institute (ANSI) Z34.1 accredited
independent entity, including Undervriters Laboratory or the Edison Testing Laboratory, to be equivalent to the NSF
Intemational Standazd. The use of equipment, that does not meet the NSF standards, prohibited. Bakery equipment
must comply with the Bakery Industry Sanitation Standards Committee (BISSC). (4626.0505)(4-20I.I1)
Custom fabricated or modifed equipment must be constructed by a contractor listed by NSF Internatinn¢l. The
name and address of the fabricator for custom fahricated equipment must be identified. (4626.0505)(4-20111)
All service counters and other millwork surfaces shall be protected with stainless steel, plastic laminate, or equivalent,
covering all exposed wood. In azeas where food equipment involves heat or moisture, or where food comes in contact witL 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 aze 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 Intemational, NAMA, or BISSC standazds, specified at the time of installation is permitted if
it: met the NSF Intemational, NAMA, or BISSC standazds, in effect at the time it was manufacmred, remains in good
repair, is capable of being maintained in a sanitary condition, and is approved by the regulatory authority. Your iospector
will evalua[e any used equipment [o determine it it is aceeptable.
(4626.0505) (4-20I. 11)
Provide multi-use equipment, utensils, and food storage containers that aze 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 prohibi[ed. The use of commercial eauipment not
meeting fhe NSF standards musY be evaluated and approved prior to iostallation. (4626.0505)(4-20I.11)
Retail shelving and refrigeration and freezer display cases shall be designed and constructed to he durahle and to retain their
characteristic qualities under normal use. (4626.0505)(4-20I.11)
Provide sufficient refrigeration to hold all readily perishable food products at 41°F or less. Provide sufficient ventilation
(e.g. louvers, etcJ for the compressor unit to evacuate any buildup of heat at the underside of the cold pans in and about the
compressor azea. (4626.0675.) (4-30111)
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.) (5-20711) 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 hve au temperature. (4616.0705)(4-302.I2) The internal temperature of poten6ally
hazazdous food must be maintained at 41°F or below, or 140°F or above, except during prepazation. "(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 wnsuucted 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)
Page 3
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 caullc/sealing compound.
(4626.I395 A. (I) (6-202.I S)
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 annulaz opening between the beverage lines and the conduit pipe must be sealed with a hazd
materiai arid provide a cleanable finish. (46261395 A. (1)) (6-202.15)
All doors to the outside of the establishment must be self-closing and vermin proo£ (4626.1395 A. (3.))(6-20215)
LiQhtine
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
]ight intensiry, at a distance of 30 inches from the floor, for azeas 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 azeas behind a baz 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 aze 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 sharter-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-
30311)
Plumbine
At ]east one toilet facility and not fewer than the number requued by law shall be provided. *(4626.1075)(5-203.II0)
These facilities must be conveniently located and accessible to employees at all times." (46261095)(5-204.II) Toilet
rooms must be provided with adequate ventilation, hand cleanser, single-use towels or hand drying devices, tissue paper
and waste paper receptacles. Toilet rooms shall have at least one covered waste receptacle for sanitary napkins, paper
towels or diapers. (4626.1260)(5-501.17)
Plumbing plans must be submitted to the Minnesota Department Labor and Industry, Engineering Unit, or delegated
authority for review and approval prior to installation. All plumbing must be installed according to the Minnesota
Plumbing Code, including current amendments. *(4626.1045) (5-202.11)
Eqwpment 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 Yable, urinal, etcJ shall be equipped with an approved
backflow preventor, this includes all threaded hose bib connections. "(4626.1085) (5-20314) If a post-mix beverage
system is provided, an approved pressure-type, back-flow preventor upstream from the control valve on the cazbonator
(water line to the carbonator) is required. (Toileu shall be equipped with an anti-siphonage ball cock assembly. The water
line serving a dipper well shall be permanently installed with an air gap on the water line entering the fixture. *(4626.I055)
(5-20213) Please contact a licensed plumber or refer to the Minnesota plumbing code.
Install a hot water heater in accordance with NSF Standard 45. (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-I0I.I3)
If a grease interceptor or grease trap is required by the city building official, it shall be mounted flush with the floor in an
accessible location for maintenance. The lid shall be water-tight and securely fastened in place. Under no cucumstances
shall a grease removal device be installed above the floor. (46261195)(5-402.13)
Page 4
If soap and chemical dispensing devices are install on potabte water line they shall be listed to ASSE plumbing
staudard 1055. (4526.1260) (5-501.17)
Sinks
Install hand washing sinks in all food prepazation, food dispensing, toilet rooms and utensil washing areas. Generally this
is within 20 feet as a persoo walks. *(4626. 1095) (5-20411) Provide hand cleanser, single-use towels, and a fingemail
brush at the hand-wash sink located in the food preparation, and ware washing azeas.
Install a NSF three comparhnent, utensil-washing sink (461( 0680) (4-301.I2) with intea al 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
comparhnent must be large enough to accommodate the largest utensiUequipment, 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.
Uteosil washing and hand washing sinks are designed approved and restricted to their respective use aod may only
be used for food preparation.
Storaee
Provide adequate shelving covering the food operation to ensure that food products, utensils or single-service articles aze
stored at least six inches off the floor. (4616.0730 A.) Food storage shelving used in walk-in refrigerators must 6e in
conformance with NSF standazd 42. Chrome or zinc-plated shelving without an approved factory applied hud-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 condirions. (4626.0505A.)
Provide an area for storage of employee's personal belongings that is sepazate from food, clean equipment, and single
service supplies. (4626.I560)
Provide an approved area for storage of chemicals, which is separate from food, food equipment, and single service articles.
(4626.I600)
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; 6) nonabsarbent, for food prepazation
azeas, walk-in refrigerators, ware washing azeas, toilet rooms, janitorial areas, laundry azeas, interior garbage, refuse storage
rooms, and areas subject to flushing or spray-cleaning methods, or other areas subject to moisture. (46261325)
Polvmer ilooring systems: If polymer flaoring sucli as an epozy or urethane systems are instal[ed ih¢y must be 118 inch
minin:una 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 a ground aggregate ta refusaL The
finish coat ntust render theJloor surface smooth to the eztent 8:at it can be cleaned wiih available c[eaning equipment
A test area should be provided so tliat our inspector can verijy the flooring tlzickness.
Concrete, sealed or unsealed, is orohibited: a) where food product packages, containers, or cases in those areas aze
opened. b) Under equipment in food prepazation and service areas including under service cases. c) in walk-in refrigerators
or freezers, waze washing azeas, toilet rooms, mobile food establishment servicing azeas, hand wash areas, janitorial,
laundry azeas, interior garbage and refuse storage rooms, areas subject to flushing or spray-cleaning methods and azeas
subject to moisture. (46261335 D.)
Unsealed concrete is permitted: For use where outside garbage and refuse containers aze placed, including compactors
stored on a smooth and nonabsorbent surface. (4616I230)
Page 5
Vinvl floorine is prohibited: In a wallc-in cooler or freezer. (4626.I335 C.) Vinyl flanring is not allnwed in kiuhens,
de/i areas, behindfastfood or service couu`eter areas uizless dte manufacwrer reconunends ft for this use It is aAowed
for store roonzs and retail areas ir:cluding food and beverage eour:ters. Pronf of recoran¢ended use witl be required in
Uee form of sales material or a(etter from the n:ariufacturer specifically s)eowrng Hte reconimended use bejore approved
nf tleis flooriiag will be grmated.
Floor and wall iunctures: Shall be coved and closed to no larger than one millimeter (1/32 inch) when cleaning methods
other than water flushing aze used for cleaning floors. At the floor wall juncmre 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.I345B.) Glued rubber coving may not be accepta6le 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 aze subjected.
The.walls and ceiling in the food preparation, utensil washing and toilet room azeas shall be srnooth, non-absorbent, and
easily cleanable. (4626.I335A)
Ceitines: Perforated or fissured drop lay-in ceiling panels are prohibited in food preparation, food service, and utensil
washing or toilet room azeas. (4626.1360B.)
Ventilation
All heating appliances which generate either excessive heat, vapors, wndensation, greases, odors or fiunes, 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 wmmercial kitchen ventilation systems must be met. Additionally vent less
systems reqairing alternative methods shall meet standards UL 710B, (incorpo.rating EPA 202, UL 197), NFPA 96
chapter 13 aud have the local building and fire official's approvaL (462f 1380) (46261475)
Miscellaneous
In accordance with the Minnesota Clean Indoor Air Act, this establishment shall be posted as NO SMOKING ALLOWED.
Post signs at all public enuznces.
This facility may not be constructed, remodeled or converted, except in accordance with the plans and specitications
as approved by this departmen4 Please contact me for approval of any proposed changes or additions. (4626.I710)
Thank you for your cooperation in addressing the items outlined in this letter. I shall reinain available-for consultation and
review of your facility's construction progress. Should you encounter any problems though the course of your conshuction
or equipment instal]ation activities, please call me at 651-201-6622.
Jim Attger
Food t?idards Compliance Officer
Food s?ection Division
JR:dg
C: Mike Ry.-walski, Food Inspector
Loma Girard, Supervisor
City Building Official
,
Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
02. 07 - Cai&J.-
r----------------i
? For Office Us(e? ?
I Permit t!: ,ZJ I ClO/ L, , ( I
j Permit Fee: /" j
?
j Date Received: v/`/ ' 06
? Sta(1:
-----------------
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: 19L5 GI.IFF LAK[ Qown / FJ.6wJ . IAIJNFStlTw SS 111
?T?_?
TenantName: fKiIESi 106ETN£R (Tenantis: -X-- New/_Existing) Suite#: 16
PROPERTYOWNER Name: Sy4 AAS£ Phone: (952) 985-2124
Address / City / Zip: 274I0 207 'i"L S3 %4fv ? LFKEv%LLE
MIJ SSO 44
,
Applicant is: ? Owner _ Contractor
TYPE OF WORK Description of wark: Rc.iAievwtied eF A 1.125 SF cciw%l. SOwt.E
or?
-/
c00 ?
C
onstruction Cost:
CONTRACTOR Name: License#:
Address:
Ciry: ??f?l ?2 S[a[e: Zip:
? Phone: 95?` aa.3 '?J9 Contact Person: TG'A?;,3
ARCHITECT/ Name: Iowa? dlPNY Vhg£Y Q.S. Registration#: 26068
ENGINEER
Address: 1,161 914L Av[NUE S0i'1E M 211
City:. SEAIT'LK State:,rfA Zip: 9$ I A J
Phone: (20r) 441 - 99.7$ ContactPerson: IlAvip AuYVxY
Licensed plumber installing new sewer/water service: N? Phone #:
NOTE: Plans and supporting documents that you submit are considered to be public inlormation. Portions of
the in/ormation may be c/assified as non-public if you provide specific reasons that would permit the Ciry to
conclude that the are frade secrets.
I hereby n Iedge that this information is complete and accurate; that the work will be in conio e wi[h the ordinances and codes of the City of
Eagant I nderstand this is not a permit, but only an application for a permit, and work is t?tart without a permit; that Ihe work will be in
accor a c ih the approved plan in the case of work which requires a review and approval of /
x 2N X
Appl Ys Printed Name A s ign ure
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation
? Apartments
? Lodging
? Miscellaneous
WORK TYPES: .
? New
? Addition
? Alteration
? Replacement
? Public Facility
9? Commercial ! Industrial
? Greenhouse
? Antennae
? Accessory Building
? Ext. Alteretion-ApaRments
? Ext. Alteration-Commercial
? Ext. Alteration-Public Facility
? Nail Salon
5?Interior Improvement ? Siding ? Demolish Building'
? Move Building ? Reroof ? Demolish Interior
? Fire Repair ? Demolish Foundation
? Windows ? Water Damage
' Demolition (entire building) - give PCA handout to applitant
DESCRIPTION: ?
Valuation ? 000 '--
Plan Review
(25%_ 100% f)
Census Code ^
# of Units
# of Buildings -^
Type of Const. At#
REQUIRED INSPECTIONS
Footings (new bidg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace:_R.I. _AirTest
Insulation
Occupancy Q MCES System NZS
Code Edition 2006 Xigd? SAC Units ?-
Zoning City Water t,.x?5
?-_
Stories ? Booster Pump -
Square Feet / ?fQ PRV ?-
Length ,. Fire Sprinklers Vv5
Width
Sheetrock
V-*naUC.O. .
Final/No C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Final Windows
Retaining Wall
Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes ? o
Reviewed By: MM1Le, L , Building Inspector Reviewed By: :::E=. , Planning
COMMERCIAL FEES:
Base Fee g4}(o, q"?
Surcharge , 00
Plan Review
SAC-MCES
SAGCity
S!W Permit
SNJ Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply 8 Storage (WAC)
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
Sewer Trunk
Water Trunk
Page 2 of 3
2007 COMMERCIAL PLUMBING YERMTT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 ?.?Cw?-ffl ?L??:?-??6 ?/z?
Do nof combine inside and outside plumbing on the same application; separate applications and permits are
required.
Date
SiteAddress Unit#
Tenant Name C? v1 ld3 Former Tenant Name
Property Owner Telephone # ( )
Contractor ?'Vo?k
Address S 7 SAnnc knk& At^e L-J City
state M 7n zip s<f03 Telepnooe #E ((0 5p L6s// (o(o `! 5
License #i 5y3 1R PilI Expires: /,) - 31 -6 5?
The Appticaot is Owner 1' Contractor Other
Work Type New Sldg )c Modify Space _ Irrigation System*^ Yes No Wark in public r-o-w / easement?
_ RPZ _ PVB: New _ Repair/Rebuild _ Replace _ Remove
T2sin sensors are re uired on irri ation svstems Description of Work QI1L ?/k (aovr, } /1!ljpn
To inquire if Pressure Reducing Valve is quircd on new service, call 651-6755646
Meters - Call 651-675-5646 to verily Ihfll hvdroslaliq conductivity, and bacterin tests passcd Urior to nickinE up meter.
Inigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" meter 174.00
Domesfic Size & Type Avg GPM Includes high demand devicea? _ Yes _ No
Flushometers _ Yes No PRV Required _ Yes _ No
Pe[mit Fee $50.50 miieimum (ineludes ti[a[e Surcharge)
aa oc?
ContractValue $.3.5? x 1% _ $ PermitFee
$ Meter(s)
Rcquired on all new buildings & boulevard irrieatimi svstems $ Radio Meter Read
$ State Surcharge
If pennit fcc is less than %1,000, surcharge is $.50
]f permit fee is more than $7,000, surcharge is $.50 Tor eaeh $1,000 owed.
' " " " " " " " " " " " " " " "' " " " " " " " " " " " " " " " " " " " " " " " " " " " " ` -" "' " " " " " " " _ "' _ _ ' _ " "' _ " " "' " " " " " _ " " _ -_ " "' _ " "' " " " " " _
" " "'
Rollowing fees ap whgg }nd allio9;nex/?/ 1 n?!? igation system $ W atel' PePmit
Call the Ciry's Eng? fr?12{er? EF ,?j'S??f7? 4or required fee amounts
$ Treatment Plant
F ta 2 11 20H $ Water Supply & Storage
$ State Surcharge
Total Fee
1 hereby apply for a Commercial Plumbing Pttmit and acknowledge that the infometfon is complete and accura2e; that the wock will be in wnfocmance wi[h the
ordinances and code¢ oY' Nic Cfty of F.agan and wfth the Pluinbing Codes, Hiat I understand this fs not a pecmit, 6ut nniy an application for a pennit, and work is nut [o
start withoui a pzrmit; that the work wi? be in accordance with the approved plan in the case nf wrork wh/lch re9/?ires a review and upprovai of plans.
1L- n'°-t`J
Applicant's Printcd Name ?pplic? s Signature
l
. CITY USE ONLY
REQUIRF.D 1NSPECTIONS: ? U.G. ?Air Test Cas Test ? Rough In ? Final PLANS SIiBVIITTED APPROVED BY: BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings. Boulevard irriga[ion sys[ems may require a radio read -$] 53.00
• RPZ's must be tested every year and rebuilt every five years. Test results should be mailed [o Paul Heuer at the City of Eagan.
• A minimum fee permit per address is required for the following APZ's: new, rebuild, reoair, remove.
• Water meters include copper hom/strainer, remo[e wire, and touch-pad meter.
METERS REOUIRiNG 4-HOOR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residentia] $136.00 4-120 1-1/2" irrigation syst $ 555.00
displacement or turbine" public Works
maximum small commercial must approve
continuous meter size
10
2-30 3/4" lawn irrigation $174.00 4-160 2" turbine large irrigation $ 1,063.00 '
maximum displacement residenAal sys[em &
contiimous or production lines
15 small commexciat
3-50 1" displacement large residentiai $21 1/4 to ] 6
0
2" compound
bldgs over
$ 2,018.00
bldg to 24 units 65 units
maximum small commercial &
continuous & F ]arge comm bldgs
25 irri ation s stems
5-100 1-1/2" 25-64 unitbldgs
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
I
5-350 3° tur6ine very large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00
system & production & very large
lines comm. bldgs
1/2320 3" compound +200 unit bldgs $2,577.00 10-1000 6" compound +400 unit 61dgs $6,623.00
vety large very large
comm bldgs comm bldgs
15-1000 4° turbine very large $2,533.00 6" turbo $4,090.00
irrigatimt systems
& production lines
Comments
• To schedufe inspection of the iaside water line and backflow preventer, call 651-675-5675.
• To arrange for water turn-on, call 651-675-5200.
cc: Utiliry Division SystemsAnnlyst December 2006
,. . .
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (657) 675-5675
Fax: (651) 675-5694
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date: ? Site Addresr. 1 f(oS CxYY L?V-.L I\ oo.?
Tenant Name: (Tenant is: _ New / Existing) Suite Ji: /o 3
PROPERTY OWNER Name: Lai& MarY,,LD1a, o L?--L Phone: ?S ?•??y •?ol ?
y Fc;d.ar
P
A ?? . S?- -?w ? ? /??n SS / O?s
Address / CRy / Zip: ?_tP? kS
Applicant is: _ Owner zContractor
TYPE OF WORK Description of work: 0. ' ? gallyo&ff-
Construction Cost:
CONTRACTOR Name. Tan;, 4A%tt Cpi„s,pa? oS License #:
Address: &( af kQ v.lC S A-i-G
City: S?-_ 'Paot State: M? Zip:
Phone: ?oSI Z?'OSS?4J Contact Person: F-r,
ARCHITECT / Name: Registration #:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water servicePhone #: ? oS LySy •( 0?0?5
NOTE:,Plans and,supportrng documgnts. that you'submit are considered to be public information;:_ Portions of
ihe information may be classified as non-public,if you pro,vide specific reasons that would permif the Clty to -
"
conclude'3i6at fhe are trade secrets.
I hereby acknowledge that Ihis information is complete and accurate; that ihe 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 permiF, that the work wiil be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x1 C, l ?' 6
ApplicanYs Printed N me
x •
App icant's Sign rePage 1 of 3
,--r -.-- -..----------,
? For Offip'g;Else I
? Pertnn #: b ?GS?J ? I
? Permit Fee:??-:;?.
I
i ?
? Date Received: ?
i
i ?
? Staff: ?
?
?c?? r-2EsSA- %c ? a
r
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation
? Apartments
? Lodging
? Miscellaneous
WORK TYPES:
? New
? Additlon
? Alteration
? Replacement
? Pu61ic Facility ? Accessory Building
EY' Commerclal / Industdal ? Ext. Alteration-Apartments
? Greenhouse ? Ext. Alteratlon-Commercial
? Antennae ? Ext. Alteration-Public Facility
? Nail Salon
C]' Interior Improvement ? Siding ? Demolish Building`
? Move Building ? Reroof ? Demolish Interior
? Fire Repalr ? Demolish Foundation
? Windows ? Water Damage
* Demolition (entire building) -give PCA handout to appllcaM
Valuation Occupancy
Plan Review Code Edition
(25%_ 10 0%? Zoning
Census Code ? Stories
# of Units -"" Square Feet
# of Buildings -- Length
Type of Const. Width
6 MCES System U ei
200Tp ?L- SAC Units ''
City Water ?
Booster Pump
--PRV ?
-- FireSprinklers
-?-y-
Sheetrock
Final/C.O.
FInaIMo C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests Final
Siding: _S[ucco Lath _Srone Lath _Brick
Windows
?Retalning WaII
Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes ? No
Reviewed By: MimG L. , Building Inspector Reviewed By: . Planning
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drein Tile
Roof: Ice & Water _Final
Framing
Fireplace:_R.I. Air Test _Final
Insulation
COMMERCIAt FEES:
Base Fee /32,75
Surcharge 3.00
Plan Review 8b. 29
SAC-MCES
SAGCity
S/W Permit
S/W Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total -4 a, D
Sewer Trunk
Water Trunk
Page 2 of 3
o
2007 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
City Of Eagao
3830 Pilot Koob Road, Eagan MN 55122
Telephooe # 651-675-5675
Requiremrnu: 2 compiete sets of drawings and specifications
cut sheets on materials and comoonents ro he ased
Date l(j / 3v / o -?
Site Address: S lil r'T4 L.0-L 46L
Tenant / Building Name: ?-t a---e ox'e-i'
The Applicant is: _ Owner ? Contractor _ Other
PROPERTY OWNER
Address:
City: State: Zip:
CONTRACTOR ,.,_?,Inn MN License #: C? g?
Servic?'T?
Aaares5: 211Xenium Lane So"th City;
Minnetonka, MN 5530t)
s
aQo
rate:
Zip: Phone
ESTIMATED COMPLETION DATE: lI / ?? / 6-7
FIRE PERMIT TYPE: V Sprinkler System (# of heads Fire Pump _ Standpipe
Other:
WORK TYPE: New Addition X Alterations Remodel
Other:
DESCRIPTION OF WORK: ? Commercial Residential Educational
_
Oth
?j
L?) ?c
1?/
_
er.
t
?
Please continue on neat page
PERMIT FEES
Contract Value $ ! D?1 ?6-b x.Ol =$ Permit Fee
$50.00 Mtnimum
$ s State Surc6arge
To calculate surcharge
if Permit Fee is <$1,000, surcharge is 50 cenGs.
If Permit Fee is 41,000, surcharge increases by $.50
for each $1,000 Permit Fee, i.e. a$1,500 Permit Fee
requires a $1.00 surcharge.
3/4" Displacement Fire Meter -$174.00 $ Fire Meter
TOTAL FEE: $ ? SU
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 ires a review and approval of plans. ---- Al? `==??
.Pr1 l?fs hQ ?.?
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
REQUIRED INSPECTIONS
_ Hydrostatic _ Flow Alazm i Drain Test Rough In
_ Trip _ Pump Test ^ Central Station Final
Conditions of Issuance:
Permit Approved by: Date: ?/?/ Q?
r' SSOCIATED
; mechanical contractors, inc.
1257 Marschall Road, P.O. Box 237 • Shakopee, MN 55379
Phone: 952/445-5100 Fax: 952/445-5119
To
GENTLEMEN:
=UTQ ?? TUNO11VL10ITULrilI
oATE
? JOBNO
ATTENTION
r-
RE:..-n
r r?h .?-d? -?radmcv '-
WE ARE SENDING YOU ? Attached [] Under separate cover via the following items:
? Shop drawings ? Prints ? Plans ? Samples ? Specifications
? Copyofletter ? Changeorder Vcn? /bkn gc
COPIES DATE N0. DESCFIPTION
r f M ?"A) vz??;r???^
THESE ARE TRANSMtTTED as checked below:
? For approval
? ForYourUse
VAs requested
? For review and comment
? FOR BIDS DUE
REMARKS
? Approved as submitted ? Resubmit_copies for approval
? Approved as noted ? Submit copies for distribution
? Returned for corrections ? Return corrected prints
?
20 ? PRINTS RETURNED AFTER LOAN TO US
COPYTO
/tenc/osures eie notas noted, kindlynotilyus a7 once.
SIGNED:
??
VENTILATION TEST REPORT II
JOB NAME: DATE: IAREA SERVED:
Ring Mountain Creamery 7/16/2007 _
SYSTEM TAG: PAGE #
HVAC 1 I
AREA SERVED # OF OPENINGS SIZE REQ. CFM I PRELIMINARY PRELIMINARY FINAL CFM
RTU-1 1 10" 300 I 265 280 285
RTU-1 2 12" 300 I 270 275 I 280
RTU-1 3 14" 300 310 I 315 I 315
RTU-1 4 14" 300 I 325 I 315 325
RTU-1 5 10" 265 I. 270 I 255 260
RTU-1 6 10" 265 ! 270 I 265 I 270
?
RTU-1 7 12" 265 265 I 270
TOTAL
- 1995 ? 1980 'i 7970 I 2005
-- - I
RTU-2 1 8" 335 320 330 ? 325
RTU-2 2 8" 335 345 340 340
RTU-2 3 8" 335 335 330 330
RTU-2 4 6" 100 110 115 105
RTU-2 5 6" 100 105 100 100
RTU-2 6 6" 100 115 110 110
RTU-2 7 ' 6" 100 95 110 95
RTU-2 S 8" 200 195 220 215
RTU-2 9 10" 400
- 370 380
-- 390
- ? I
TOTAL ? 2005 7990 2035 2070
Exhaust 1 12" 615 625 620 620
TOTAL ? 615 625 620 620
Notes: Outside air is ad'usted to meet the exhaust re uirements.
78a 54
Please complete for. commercial/induslrial buildings
multi-family buildings when seoarate uexmits are not required for each dwelling unit
2007 COMMERCIAL MECHANICAL rExMiT ArrLICnT1oN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
r(o-viS 4-n ?ScvIh
Ci-t ci- 11-1 (P??9
Date?/))-/ Q -7
Site Street Address 'Cf 4 5 ( f/-h?- d 7'C 9) Uait
g
! ^a
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor AS.fOC d n l C d ?
Street Address ?2s?7 ?? f cy r,f ??a l ? PU City 01) c c
State M 1U Zip S.S..) iJ Telephone# ( g5'Z) E'/`i,j -S%00L
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Work Type
New Conshvction -Y-Interior Improvement _Install Piping Processed _Gas _E7cterior HVAC Unit**
"*HVAC units must be screened
Under/Above ground Tank Install Remove
When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspectox
Nature of Work: 6 r/ // - I `,/C o r r 1' r//' /? V p n Yo n't'
P¢rmit Fees $70.50 Undergmund tank installaziodremoval
$50.50 Minimum (includes State Surcharge)
or
Contract Value $33 ?y '70 x I% _
$ 2-3.9o Permit Fee
$ - _?o State Surcharge
To calculate surcharge
If Pemit Fee is less than $1,000, surcharge is 50 cents.
If Pemit Fee is >$1,000, surcharge increues by $.50
for each $1,000 Pemit Fee (i.e. a$1,001-$2,000 Pemit
Eee iequires a $1.00 surohaige).
$ J 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 uf Eagan and with the Mechanical Codes; that I understand this is not a permi[, 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.
ApplicanPs Printed Name ApplicanYs 5? .. re -
------------------------------->? --------- -
- -- --.?? ------------------------ ---------"------------ -
ApprovedBy: ?1" cw - j•'--- ?-• / Inspector Date: JUN 1`L ZOO?
? 34•L1,
re eeived
?
Required Inspections: _ U.G. 4R.1. Air Test _ Gas Service Test _ lnfloor Heat Winal
Protecting, maintaining and improving the health of all Minnesatans
May 31, 2007
Ms. Sheryl Ringberg
PO Box 211505
Eagan, Minnesota 55121-1505
Dear Ms. Ringberg,
?- - ------- `?
5ubject: Food and Beverage Equipment at Ring Mountain Creamer_y_Cafe,.Eagan,_1
Dakota County, D'linnesota, Plan No. 071031
We are enclosing a copy of our report covering an examination of plans and specifications on the
above-designated project The plans and specifications appear to be in general compliance with
the standards of this department. Please see the enclosed report for additional changes and/or
comments_ It is the project owner's responsihility to retaan the plans at the projecf location.
This review does not pertain ta the Engineering design (i.e., pltrmbing, swimming pools,
service connections, sewage systems). A separate report regarding the Engineering Review
will be sent. Ten working days prior to completion of the project, please contact Ms. Pamela Steinbach with
our Mekn district office at 651/632-5147 in order fo arrange for a fina2 on-site inspection. A
final opening inspection cannot be conducted until the food, beverage and lodging license
application is submitted with the appropriate fee to the main office.
If you have any questions in regazd to the information contained in this report, please contact me
at 651/201-5736.
5ineerely,
Todd alen, RS
t %444000?
Environmental Health Services Section
P.O. Box 64975
St. Paul, Minnesota 55164-0975 D rs-
todd.whalen(a?health.state.mn.us
T7W:ajk JUN 0 4 ?_007
Enclosure
cc: Mr. Dirk House, Plumbing Inspector
Ms. Pamela Steinbach, Minnesota Department of Health
Genecal Informaeion: 651-201-5000 • Toll-free: 888-345-0823 • TTY 651-201-5797 • wwa'.healdiscate.mn.us
An equ¢l apportuiesry emPlayer
MIN1vESOTA DEPARTMENT OF HEALTH
Division of Environmenfal Health
REPORT ON PLANS
Plans and specifications on food and beverage equipment: Ring Mountain Creamery Cafe,
Plan No. 071031
- - -- - - - - -- - - -- -- -- --,
?Location_ 1965 Cliff Lak.e Road #108 Eagan, Dakota County, Minnesota J"
?- ---- -- --- -- -
Date Examined: May 30, 2007 Date Received: May 8, 2007,
March 28, 2007
Submitted by: Ms. Sheryl 12ingberg, PO Box 211505, Bagan, Minnesota 55121-1505
Phone #: 612/201-6139
OcAmership: Ms. Sheryl Ringberg, PO Box 211505, Eagan, Minnesota 55121-1505
Phone #: 612/201-6139
The following are corrections or requests for additional information necessary before
construction of your project'
Scope of project: new construction
Equipment Standards - General Requirements:
Pood and beverage equipment shall meet the applicable standards of National Sanifation
Foundation (NSF), Edison Testing Laboratories (ETL), Underwriters Laboratory (UL) to
NSF standards or Canadian Standards Association (CSA) to NSF. The proper sticker,
fabricator information and embossment identification shall be displayed on the equipment.
Specifications were submitted for the following item(s), but could not be verified as NSF or
equivalent. Carpigiani chocolate machine (item# 67); d'zpper well(s). The onsite
sanitarian, Pam Steinbach, will review for compliance.
All floor mounted food preparation equipment shall be on six (6) inch NSF legs, casters or
raised four (4) inch masonry base with appropnate basecove.
All counter mounted equipment shall be on four (4) inch NSF legs or sealed to the counter
top nnless it is less Yhan 30 pounds and easily moveable.
A fu11 set of approved plans and a copy of the plan letter wi11 be available at all times during
construction.
A running water dipper well is required at: Koreia Gelato(item# 62, and 63). The
water supply line must have ari approved air gap. The dipper well must be indirectly wasted
to a floor drain.
Ring Mounfain Creamery Cafe
Food and Beverage Equipment
Plan No. 071031
May 31, 2007
Page 2
2. Food contact surfaces - General Requirements:
7`he ptans are proposing that the back service counter will be supported by metal
brackets. That type of counter support system is not approved. Approved support
systems for counters would be cabinets, stainless steel legs, etc. Propose alternative
counter support system for the back service counter to the plan reviewer for review
and approval
Primary food contact surfaces (tables and counters) shall be of stainless steel construction in
compliance with NSF Standazd No. 2 or equiva2ent.
Plastic laminate surfaces are not acceptable for food contact and food preparation surfaces.
Cabinetry within the food service area: (including salad bar and buffet tables)
In all areas where food equipment involves heat or moisture, or where food comes in
contact with the surface, a stainless steel finish or equivalent is required. All service
counters and other millwork surfaces shall be protected with stainless steel, plastic laminate
or equivalent (as determined by plan review) to cover all exposed wood.
Plastic laminafe is not an approved counter surface in the serving area from the
expresso grinder (ifem# 53) to the handsink at the end of the back counter. Review the
aUove requieement and submit an alternative surface for approval by the plan
reviewer before counter instatlation.
Plastic laminate will be allowed as a counter surface for the front serving area from
the POS registers (item #49) to the other POS register (item #49) located negt to the
expresso grinder (item #53).
Cutou±s in millwork shall be sealed by the fabricator in an approved method.
All counters shall be on a solid raised masonry base of not more than four (4) inches with
approved basecove or six (6) inch NSF legs or castors meeting NSF standards.
If a solid raised masonry base is used, the cabinet shall overhang by at least one (1) inch,
but not more than four (4) inches with approved basecove.
Enclosed hollow bases are NOT permitted.
4. Refrigeration - General Requirements:
All refrigeration facilities must maintain potentially hazardous foods at 41 ° F or below.
Each refrigeration unit must have a thermometer accurate to wifhin +/- 2° F.
Ring Mountain Creamery Cafe
Food and Beverage Equipment
Plan No. 071031
May 31, 2007
Page 3
Cold prepazation table must be able to maintain 41 ° F or less. Raised cold rail refi-igeration
or top air cooled units are recommended.
Condensate from walk-in refrigeration equipment shall be drained to a floor drain Iocated
outside of the unit, or the unit sha11 be equipped with an evaporator pan. Floor drains are
prohibited inside the unit. Do not install drain lines, conduit lines, etc. on interior surfaces
of walk-in coolers and freezers.
5. 5torage Areas:
Provide an adequate amount of storage space fur sugplies necessary for operation.
Provide approved (NSF or equivalent) shelving to maintain food items, single-service items
and equipment a minimum of six (6) inches above the floor surfaces.
Designate an appropriate chemical storage space separate from food products, single-
service items and food equipment.
6. Ventilation System:
Provide an NSF approved ventilation hood over eooking equipment which wi11 capture and
eliminate moisture, vapors, smoke, fumes, odors, heat and grease laden vapors.
Vuican convectioa oven(model: EC02D) for baking has a wattage of 5.5
kilowatts(kw). Since this piece of equipment exceeds 3.7 kw, a type II hood is required
to be installed above the oven per Minnesota Mechanical Code.
Type II hood required: Above Vulcan convection oven/Jackson Tempstar dishwasher
Verify that all commercial hood ventilation systems on tbe premises shall comply with the
2001 Minnesota Mechanical Code, which adopts NFPA 96-2001, the 2000 International
Mechanical Code and the 2000 International Fuel Gas Code with attachments.
All open sides of a canopy hood shall overhang equipment by at least six (6) inches.
Provide an air balance test by a qualified heating and ventilation professional. Air balance
tests shall indicate the establisYunent's air handling units operate as designed and in
compliance with applicable mechanical codes. A food preparation area should be under
slight negative pressure (less than 0.02 inches-water gauge). Provide for onsite
sanitarian, Pam Steinbach, for review and approval.
Sufficient tempered make-up air (at least 55° F) shall be provided and interlocked with
ventilalion equipment.
Ring Mountain Creamery Cafe
Food and Beverage Equipinent
Plan No. 071031
May 31, 2007
Page 4
Used hoods may be used provided they are in serviceable condition, properly sized over
intended cooking equipment and meet performance criteria. Equipment evaluations shall be
conducted at the construction site.
Galvanized hoods aze not permitted.
7. Three-Compartment Sink:
Sink heaters or a booster heater shall utilize an approved thermometer for testing water
temperature for sanitization.
Sink bowls shall be adequately sized for the largest utensil to be washed in three-
compartment sink.
Provide approved racks, shelves or dish tables for air drying of equipment and utensils next
to the ware wash sink.
Provide approved sasutizer tesY kit(s) at the three-compartment sink.
8. Dishmachines: It was not stated whether the Jackson TempStar dishwasher sanitizes
using chemicals or hot water. Review the below requirements on dishwashers and
Collow the reguirements in relation to the type of dishwasher that wilY be used in this
establishment.
$igh TemperaYure sanitizing machines:
High femperature ware washing machines shaIi be designed wifh appropriate temperature
requirements and volume of hot water.
Dishmachine shall meet design specifications of manufacturer.
Conversion of a high-temperature sanitizing ware washing machine to chemical sanitizer
may void NSF certification for equipment. Consult an approved fabricator as to application
Chemical Sanifizer:
Chemical sanitizer machine, including undercounter machines, shall be installed with a
visual or audible alann to alert user that sanitizer concentration is low.
Provide a test kit to measure the chemical saziitizer strength in chemical ware washing
machine.
Ware Washing Machine:
High temperature sanitizing ware washing machines shall have space for a minimum of
three racks for air-drying uSensils.
Ring Mounfain Creamery Cafe
Food and Beverage Equipinent
Plan No. 071031 .
May 31, 2007
Page 5
Chemical sanitizing ware washing machines shall have space for a minimum of five racks
for air-drying utensils.
Drainboards where clean utensils are drying shall be profected from splash from other
sources (i.e. neaz a handsink).
Handsinks:
Install an approved splashguard at handsink or maintain at least 18 inches of clearance
between products and other equipment.
All handsinks shall be provided with hand cleanser, single-service toweling and nail brush.
Each handwashing sink shall provide water at a temperature of at least 110° F through a
mixing valve or a combination valve.
10. Walk-in Cooler/Freezers - General Requirements
Provide approved flooring and basecove for the walk-in cooler or freezer.
Epoxy resin (sha11 be appioved by plan raview prior to installation)_
The epoxy resin flooring system(Ceramic Carpet 4300/325) is approved for use in the
walk-in cooler and freezer. Folfow manufacturer's specifications on proper
installation.
Effecrively enclose the area above the walk-in cooler/freezer units with fixed or removable
panel(s). This may not be used for storage. Provide access and ventilation for equipment in
this area as recommended by installer.
Shelving shall be approved for use in refrigerated environxnent.
Provide at least 10 foot candles of illumination in the walk-in refrigerated units.
11. Walls - General Requirements:
Wa11 surfaces in food preparation, dish washing and storage areas, restrooms, janitorial
areas shalt be smooth, light colored, easily cleanable, non-absorbent to ceiling height or
highest level of spray.
Dry storage or non-splash azeas may utilize gypsum board with washable semi-gloss paint.
Wall surfaces in splash zones or high moisture areas such as ware washing, food
preparation, handsink and janitorial sink areas, etc, shall be finished with durable, non-
absorbent materials to eight feet in height or the ceiling. Approved materials are:
A fiberglass re-inforced panel (FRP), or
Rins Mountain Creamery Cafe
Food and Beverage Equipment
P?an No. 071031
May 31, 2007
Page 6
Ceramic tile that is smooth, cleanabie and ligbt colored.
F7nish back wall of the serving area from the expresso machine to fhe handsink with
FRP or Ceramic Tile eight(8) feet in height before switching to paint.
12. Restrooms and Janitorial Areas - General Requirements:
Restroom walls shall have FRP or ceramic tile fo a minimum of four (4) feet in height.
Restrooms shall have proper basecove with materials similar to flooring.
Provide mop hanger in janitorial azea.
13. Floors - General Requirements: Proposed epoxy flooring system, Ceramic Carpet
#300/325, is approved for use in the requesfed areas.
Epoxy or polyurethane base grout shall be utilized.
In extenor or attached refuse areas, concrete flooring shall be sealed.
Epoxy Flooring:
An integral coving of at least four (4) inches shall be poured/troweled at fhe juncture
between walts and floor finishes. The coving material shail be consistent with the floor
surface.
A minimum of two initial fuush coats of epoxy are provided.
The £nish coat thickness shall be at least 5 millimefers.
A schedule of re-application of the epoxy finish coat sha11 be applied every three years,
unless needed more frequently as evidenced by wear.
Mechanical or high pressure cleaning methods shall be used.
If this floor is unable to be maintained in a smooth, easily cleanable, non-absorbent
condition, it shall be immediately repaired or replaced with an approved floor finish (i.e.
quarry tIle).
Outdooi Seatrng Areas:
Aefuse areas shall be on smooth and non-absorbent surfaces such as sealed concrete and
shall be easily cleanable.
:Zing Mountain Creamery Cafe
Food and Beverage Equipment
Plan No. 071031
May 31, 2007
Page 7
14. 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 smoath, non-absorbent, durable and
easy to clean. Acceptable materials include:
a. Vinyl coated acoustic ceiling panels;
b. Semi-gloss painted gypsum boazd (washable);
c. Light in color;
d. Smooth in texture; and
e. No exposed rafters; bar joists or trusses are permitted.
Fissured/Perforated acousHcal ceiling hle is not an approved ceiling material for the
kitchen, serving, dry storage, mechanical, janitoriat, and bathroom areas. Fo11ow the
above requirements.
15. Plumbing - General Requirements: No information was submitted. on the water
heater. Rotlow the below requirements in regards to the water heater.
All plumbing plans shall be approved by the Minnesota Department of Labor and Industry
(DOLI) or delegated agent. Submit complete plans for review to that department. Plans
will need to be submitted to fhe City of Eagan for review and approval
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 corzunercial establisYunent.
All hot watei generating equipment (water heaters) shall be r.onstructed to meet NSF
standards and be manufacturad by an authonzed fabncator.
All hot water generating equipment (water heaters) shall be of adequate capacity to ineet the
needs of the anticipated demand of the establishxnent.
Locate water heater in an accessible location.
Provide an approved stand (on 6 inch legs) from the manufacturer in the food preparation
azea for the:
a. W ater heater
b. Water softener
c. COZ bulk tank
d. Water filtration system
e. Other floor mounted equipment
Ring Mountain Creamery Cafe
Food and Beverage Equipment
Plan No. 071631
?vlay 31, 2007
Page 8
Floor sinks shall not be located directly undemeath food equipment and shali be readily
accessible for cleaning.
All pipe chases that pass through walls sha11 be tightIy sealed and covered.
All utility pipes shall be enclosed in walls or ceiling.
16. Lighting - General Requirements:
Provide effective shielding, such as plastic shields, plastic sleeves with end caps,
shatferproof bulbs and other approved devices for all lighting fixtures in area of exposed
food, clean equipment, utensils, and linens, or unwrapped single service and single use
articles.
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.
Ventilation hoods and other azeas where safety is of concem shall provide at 50 foot-
candles of light at the working surfaces.
Install a sufficient number of vapor proof light fixtures in the walk-in cooler and/or freezer
to provide a minimum of 10 foot candles measured at 30 inches above the floor.
Food and utensil storage rooms, toilets, locker rooms, dressing rooms shail be provided with
at least 30 foot candles measured at 30 inches above the floor.
17. Restrooms - General Requirements:
A11 restrooms shall be provided mechanical ventilation.
All restroom doors shall be self-closing.
Changing tables in restrooins shall be securely mounted and safety rated by the
manufachu-ing company.
All restroom handsinks shall be stocked appropriately.
18. Other Code Requirements:
All other approvals from local units of government shall be obtained prior to conshvction
beb nning. Tlus includes building construction inspections, zoning appzovals or other
regulatory approvals.
Obtain an electrical inspection from the Minnesota Electncal Licensing and Inspecrion.
All water shall come from an approved source.
Ring Mountain Creamery Cafe
Faod and Beverage Equipment
Plan No. 071031
May 31, 2007
Page 9
Comply with the Minnesota Clean Indoor Air. Act (MCIAA)
Lockers or other suitable facilities shall be provided for the orderly storage of employee's
clothing and other possessions.
Lockers or other suitable facilties sha11 be located in a designated area where contamination
of food, equipment, utensils, liner and single-service and single-use articles cannot occur.
Designated employee break areas sha11 be located so that food, equipment, liners ad single-
service and single-use articles are protected from contamination.
Sincerely,
Todd alen, RS
%444000?
Environmental Health Services Section
P.O. Box 64975
St. Paul, Minnesota 55164-0975
fodd.whalenQhealth. state.mn.us
?V? ? lI 2007COMMERCIAL PLUMBING rEluvtiT arPLICnTioN
r) CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Date Z/ c-!a a /0:7
I Site Address Unit #
Tenant Name Former Tenant Name
Property Owner Telephone # ( )
Contractor tG. K o?\ G?\?V'/??
Address CitySA-_Q0. ?nl
State Zip ?, S( 6 3 Telephone #((.51) L{ j lG -1n(n q S
Liceuse Expires: 07
The Applican[ is _ Owner ? Contractor _ Other
Work Type New Bldg _ ModiFy Space 6, Irrigation System** Yes No Work in public r-o-w ! easement?
RPZ PVB: New _ Repair/Rebuild _ Replace _ Remove,
Rain sensors are re uired on irri ation s stems
Description of Work
To inquire if Pressure 2educing Valve is required on new service, call 651-675-5646
Meters - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed prior to pickina uo meter.
Inigation Size & Type I "I Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" me[er $174.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers Yes No PRV Required _ Yes ?No
Permit Fee $50.50 minirraum (includes State Surcharge)
Conhact Value $ x 1% Pernut Fee i
$ 4 ? Meter(s)
Required on all new buildings & boulevard irrieation svstems $ Radio Metet Read
$ •5 State Succharge
If pertnit fee is less [han $7,000, surcharge is $.50
[£pertnit (ee is more than $1,000, surcharge is $.50 Cor each $1,000 owed.
" " _ ' _ ' _ ' _ ' - ' _ '
-' _ ' _ _ _ ' ' " "' ' ' _ ' ' _ ' - _ _ _ - _ ' _ '
Following fees apply when installing new lawn irrigation system Q" Ulz? Water Permit
Call the Ci[,v's Engineering Deparnnent, 651-675-5646, for required fee amounts
p? $ ' 0' Treahnent Plant
?'?7 c$ -0- Water Supply & Storage
g • S'? State Surchazge
$ ? 7,0 ' C) o Total Fee
I hereby appty for a Commercial Plumbing Permit and acknowledge [hat the information is complete and accurate; tha[ ihe work will be in confomiance with lhe
ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand fhis is not a permit, but on]y an apptication for a permi[, and work is no[ to
start wi[hout a pennit; that the work wi11 be in accordance with [he approved pian in the case of work whic ' quires a review and approval of plans.
Applicant's PrinYed Name Appli Ps Signature
CITY USE ONLY
ItEQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Fina1
PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings. Boulevard urigation sys[ems may require a radio read -$153.00
• RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan.
• A minimum fee pernut per address is required for the following RPZ's: new, rebuild, reuair, remove.
• Water meters include copper honi/strainer, remote wire, and touch-pad meter.
METERS REOUIRING 4-HOUR ADVANCE A'OTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $136.00 4-120 1-1l2" iit'igation Syst $ 855.00
displacement or turbine** Puhlic Works
maximum small commercial must approve
continuous meter size
10
2-30 3/4° lawn irrigation $174.00 4-160 2" turbine large inigation $ 1,063.00
maximum displacement residential system &
continuous or production lines I
15 small commeicial i
3-50 1" displacement large residential $219.00 1/4 to 160 2" compound bldgs over $ 2,018.00 i
bldg to 24 uniu 65 units
maximum small commercial &
conrinuous & large comm bldgs
25 in-i ation systems
5-100 1-1/2" 25-64 unitbldgs $532.00
maximum displacement &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PffiOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00
system & production & very large
lutes comm. hldgs
1/2-320 3" compound +200 unit bldgs $2,577.00 10-1000 6" compound +400 unit hldgs $6,623.00
very lazge very large
comm bldgs comm bldgs
IS-1000 4" turbine very lazge $2,533.00 6" turUo $4,090.00
irrigation systems
- & production lines
C;ommenu
• To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675.
. To arrange for water turn-on, call 651-675-5200.
cc: Utility Division Systems Analyst Decem6er 2006
r.'/ ? 2007COMMERCIAL PLUMBING rE?zT arrLicaTioN
/ ??/,? / CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
«, 4-,< «o7Z
VJl'V /J?JV l.?
=Nameo,.?,J-> « ?Unit#Former Tenant Name
Property Owner Telephone # ( )
Contractor
Address City
Zip SS(?3 Telephone #f (65, ) etSk'C??`??
State
License#UF L(tS'? _Expires: C7 6?
The Applicant is Owner Contractor _ Other
Work Type Z/New Bldg Modify Space _ Irrigation System** _ Yes No Work in public r-o-w I easement?
RPZ PVB: New _ Repair/Rebuild _ Replace _ Remove
Rain sensors are re uired on irri ation s stems
Description of Work
To inquire if Pressure Reducing Valve is required on new rerv?ce, call 651-675-5646
Meters - Call 65 1-675 -5646 to verify that hydrostatic, conductivity, and bacteria tests passed prior to pickine uu meter. '.
Iirigaiion Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works I
Fire Size & Price 3/4" meter $174.00 '
Domastic Size & Type Avg GPM Includes high demand devices? _ Xes _ No
Flusltameters Yes _ No PRV Required _ Yes - Na
Perntit Fee $50.50 mininuim (includes S[ate Surcharge)
Contract Value ? cx--, ? Y 1 % `50 OC) Peimit Fee
$ Meter(s)
Required on all new buildings & boulevard irrieation svstems $ Aadio Meter Read
g State Surcharge
If oemli[ fee is less thnn $1,000, surcharge is $.50
If permit fee is more [han $1,000, surcharge is $.50 for each $1,000 ownl.
"""- '__'__"_"'__""„_'""_'
_ ' ' ' _ ' ' "' ' ' ' _ _ ' ' ' ' ' _ '
Following fees apply when instaliing new lawn irrigation system $ Watex Pemu[
Call [he Ciry'S Engineering Depanment, 651-675-5646, for required fee amounts
g Treatrnent Plant
g W ater Supply & Storage
g State Surcharge
g Total Fee
. . _._ .......aate .,?d a?rll.ntP? thar the work will be in confortnance wi[h the
-- --- ---
I hereby apply for a Commercial Ylumomg rertnn ana ecxnow????< <??oi - il.?„?a..?.• ,,, -....r
oi'dinances and codes of the City ot Eagan and with [he Plumbing Codcs, that f understand this is not a permit, but only an appiication (or s permit, and work is not to
S[art wi[hout a p6i'mit; that [he work will be in accordance with [he approved plan in [he case of work which reqwres a review and approval otplans.
ApplicanYs Printed Name ApplicanPs Signature
/ CITY USE ONLY
REQUIRED INSPECTIONS n E U.G. ?Air Test _ Gas Test r?Roagh In 0 Final
PLANS SUBMITTED APPROVED BY: S? ???? O :2 , BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read -$153.00
• RPZ's must be tested every year and rebuilt every five years. Test resultc should be mailed to Paul Heuer at the City of Eagan.
• A minimum fee pennit per address is required for the following RPZ's: new, rebuild, re air, remove.
• Water meters include copper horn/strainer, reniote wire, and touch-pad meter.
METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
I-20 5/8" residential $136.00 4-120 I-112" irrigation Syst $ 855.00
displacement oi ' turbine** Public Works
maximum small commercial must approve
continuous meter size
10
2-30 lawn irrigation $174.00 4-160 turbine large irrigation $ 1,063.00
maximum displacement residential system &
continuous or production lines
IS small commercial
3-50 I" displacement large residential $219.00 to 160 2" compound bldgs over $ 2,018.00
bldg to 24 units 65 units
maximum small commercial &
continuous & large comm bldgs
25 irri ation systems
5-100 1-I/2" 25-64 unit bldgs $532.00
maximum displacement &
continuous most cotnm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM b1ETERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00
system & production & very large
lines comm. bldgs
1/2-320 3" compound +200 unit bldgs $2,577.00 10-1000 6" compound +400 unit bldgs $6,623.00
very lazge very large
comm bldgs comm bldgs
15-1000 4" turbine very large $2,533.00 6"turbo $4,090.00
irrigation systems
& production lines
Commenu
• To schedule inspection of the inside water line and backflow preventer, ca11 65 1-675-5 675.
• To arrange for water riun-on, ca11 65 1-675-5200.
cc: Utility Division Sysrems Analyst
December 2006
. 7 79-/4
2006 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6oue # 651-675-5675
Pleacecompletefar. commeccial/'?ndstnsl.buMngs ....
multi-familY buildings when separate permits me nst required for each dwel(iug imit
Date ` 7 .
SiteStreetAddress_Lj65 CC t{"? LCi(Cc Rd e? hd!? s?z Uuit# 5fl.4? !0 c4
Tenant Name (it applicabk) PC. N e, m0 [1 "?lvU eY2A Y), Cwy Provioas Tenant Name
Properly Owner Telephone # ( )
Coutnctor
CUOOM
?
ssmt naa? 664 Mendelssohn Ave
, xp_ ctity
Golden Valley, MN 5§427
sm? _?pA?4-a9
phone # ( )
Bona te: ?q-F.s ?Cax (763) 544-0202?;,.?; ?
z
The Applicsnt is _ Owner V' Contractor ?Other
'IS{ET Do4 tt's AUTa`7 fZ-22. 7j 0-oV?-
Work Type
87- r- 0 3S t 6 c/
LETnd 2yof -t tZ>e-- B
_ New ConsWction , Underground Tank _ Install _Remove "see below
- Interior Imprcrvement Install Piping Processed Gas
_
Nature of Work: !.Jw?IL fn..,??e.?,??„? ,- ?o-•^ d u. ,,..?, ;Q,o-?--e.??,Y o--?-?`?ae.-..9. (,.9 ??
W ??s
"When InsfaHing/removing underground lartk, cag for7nspecSon by Fire Marshal and Plumbing /nspecivr
Permit Fces: S70.50 Undagoimd mnk'nWallatlonhemovei
S50.50 Mitim'm (includes Sta[e Surdage)
'N1 or
Conhact Valu
o
$2
94?
e
, e
o .x 1% _ $
vO Permit Fee
$ :!P? so State Surcharge
? II I
? If pecmi[ fee is kss than $1,000, add 5.50
MAY B If rt fee is morc t6an $l,W' surcfwge
i
SO f
000
d
$
$1
s
or every
,
owe
.
.
R4•50 r???Fee
i nereay appty tbr a C;ommercial Mechanical Permit and acimowledge that the information is complete and accurate; that the work
will be in confo:mance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pefmiy but only an application for a pertni; and wodc 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 neview and approval oFplans.
? 6..N II 6rJ ? E-1'tkS S ?a-vu?-?-
APpGcant's Prin[ed Name ApplicanPs SignaUUe
Approved By: .?l 6 S " / 2 - 6;' -? Inspector
Required Inspections: _ U.G. _ RI. _ Air Test
.'a -I4-07
Gas Service Test Infloor Heat Y Final
S
S
2007 FIRE SUPPRESSION SYSTEMS rERMIT ArrLicATioN
City Of Eagan
3930 Pilot Knob Road, Eagan 1VIN 55122
Telephone # 651-675-5675
Requirements: 2 complete sets of drawings and specifications
C?
Date b / ()I . SiteAddress: (G( ? C,1-IFr Z,4+kl" K_C)cxGj '
Tenant/BuildingName: &V(, 1YIC9unl'ZSm? CLGl'?'12oZT
The Applicant is: _ Owner ? Contractor _ Other
PROPFRTYOWNER ;2PM4rt Cc)YiST/-uc.TlCJ.t)
Address: 2 qoo ioT-H A Ile !N
Ciry: ? pL I`)EN l;b L G_F? State: _1hdZip: S?ya ?
CONTRACTOR ?t,? w? t o"fe crt;'oN MN License #: W?? I
AddreSS: ?`?J? ?ntly ? ?• ) P U. J City:
5tate: Zip: 55/G 3 Phone #:
ESTIMATED COMPLETION DATE: MG RUU '4
_?-
FIRE PER.MIT TYPE: Y Sprinkler System (# of heads Fire Pump _ Standpipe
Other:
WORK TYPE: New Addition Alterations ? Remodel I
Other:
DESCRIPTION OF WORK: X Commercial Residential _ Educational
Other:
'
Ft2qc? cr,r,i'sncxe :re cteef- riaav
PERNIIT FEES.
- x .01 = $ . o• 00 Permif Fee
Contract Value $
T- $50.00 Menimum
State Surcharge
To cafcuiate surcharge,
If Perrnit Fee is <$1,000, surcharge is 50 cents.
If Permit Fee is >$1,000, surcharge increases by $.50
for each"$1,000 Permit Fee, i.e: a$1,500 Permit Fee
requires a $1.00 surcharge.
3/4" Displacement Fire Meter -$174.00 $ ? Fire Meter
TOTAL FEE: $ 1, SO• ?C7
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and
accurate; that the work wiil 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 applicarion 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.
i. sC_oa?
I Applicant's Printed Name ApplicanY ature
I
?
DO NOT WRITE BELOW THIS LiNE
REQUIRED INSPECTIONS
Hydrostatic _ Flow Alarm _ Dxain Test ? Rough In
pu^:g Test Central Statioxi ? Final "
Gonditions of Issuance:
i (? ?
Permit Appro??ed by•. ? '
CUA
7-7U39- 107-4?
2007 COMMERCIAL BUILDING PERMIT APPLICATION \2 C???
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
PIans aa-e consider?d pubtac "snformatmrsn aaniess yau state they are;traqe secret and *;?+Ii?+.
• Structural Plans (2) sets
• Civil Plans (2)
• Certifipte of Survey (1)
• Code Malysis (1) °
• Project5pecs (1)
. Spac Insp & Testing Schedule (1) "
. Soils Report
(i)
• Meter size must be establishetl
• SAC datermination -call 651-602-1000
. Soils Raport (1)
• Certificate of Survey (1)
• Stfuctural Plans (2)
• Architedural Plans (2) sets
HVAC unils req'd. on bldg elevJ site plan
Civil Plans (2)
? Landscaping Plans (2)
. Code Malysis (i) "
• EnergyCakulations (1) "
• Emergency Response Site Plan (7)
• Spea Insp. & Testing Schedule (i) °
• Eledric Power 8 Lighting Form (1) "
• ProjectSpecs (1)
• Master EzR Plan (1)
• SAC determination -call 651-642-1 000
. Fire Stopping Submittals
• Fire Suppression/Alarm Fortn
. Architedural Plans (2) sets
. Code Analysis (1)
. ProjectSpecs (1)
. Key Plan (1)
• Master Exit Plan (1)
• Energy Calculations (1) not always"
• Elec. Power & Lighting Form (1) not alWays"'
. Meter size must he establishe d-if applicable
?
?
I
. SAC deter`' ?43 0nA all"SA2-?OOOE rDII
APR 16 2007 "
U Il
Call MN llept of Health at 65I-2014500 for dctails rogardine [oql & bcverage or lodging facili6es.
Contact Building Inspections to sce if it is myuired attd fnr x sample.
Permit for new building or addition will not be pmcessed without Emergency Response Site Plan.
Date _4 / 0 / ()-/ Cunstruction Cost 33 6
SiteAddress !¢65 (',/r'tY' A- ? /
P, OG4 UnitlSte # /09
Tenant Name ?f YIO ?{ D I.Yti'd fu Ln:Y CLd?ICe'!! " er Tenant Name
DescriptiunofWork 132 S.-F. 7en&jA_T 5?QC? ?(,?IRod Q..,?
Property Owner Telephune q ( )
Applicantis: Owner x Contructor Contact#:
Contractur G1.41p N
I.L 'p
Address Sq oz l U? OLG2 `
11 U..2, / V!UrAk City O e.l1 V L
State r''t ?J ziP 55 q 2 Telephone #(`j(a .?JQS- Fj t?
Arch/Engr GCie.(k i4'Yd,( 7Y?.5 Registration#
aaare55 ((8 E .251:b ecj-t utt 366 cityMrnneaflo(I's
State "4j Zip S 0 Tclephone#((,0?'87,25
Licensed plumber installing new sewer/water servlee: Phone #: (_)
I hereby vpply for a Commercial Building Perniit and acknowledge thttf the informution is complete and accurate; that the work will be in
conformtutce with the ordinattces and codes of the City of Eagan and the State of MN Statutes; I unders[und diis is not a permit, but only an
application for a permit, and work is not to star[ without a permit; Ihat tlie work will be in uccordance with the approved plxn in the case of
work which requues a review and npproval of plans.
ApplicanYs Printed ame Applic s ature
DO NOT WRITE BELOW THIS LINE
Sub Types
? Ol Foundation ? 26 Public Facility ? 30 Accessory Building
? 14 Apartmenu B' 27 CommerciaUIndustrial ? 32 ExtAlt-Aparhnents
? 15 Lodging ? 28 Greenhouse ? 34 ExtAl[-Commetcial
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility
? 37 Nail Salon
Wnrk Types
? 31 New C3" 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 61dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement 'Demolition Building -Give PCA handout to applicant
Valuatlon Type of Const ][Fi Wdth
Plan Rev 100°h 25% Occupancy MCES System
? ??_
SAC Units ? Zoning
City Water 4e_?
N6r, of Units Stories Jr Booster Pump
Nhr, ofBldgs Sq. Ft. ?3 l3A PRV ?
Fire Sprinklered V-- 5 Length ?
Required Inspections
_ Footings (new bldg) _ P'veplace _ R.I. _ Air Test _ Final
_ Footings (deck) _ Insulation
_ Footings (ttdc'lilion) Sheetrock
_ Foundalion ? Pinal/C.O.
Drain Tile N'inal/No C.O.
_ Driveway Apron _ O[her
Roof Ice Pr Decking
Insul
Yool Ptgs
Final Air/Gas Tests Final
_
? Framing _
_
_
_ Siding _ Stucco Lath _ Stnne Lath _ Final
Windows
Final C/O Inspection: Sch edule Fire Marshal to be present. _ Yes ?No
Approved By: ?a Planning ;kG L. Building Inspector
-
-- -- ----
Base Fee
Surcharge
PlanReview
SAC-MCES 1117 Z OU
sac-ciry 7 00. oU
SNV Permit
S/W Surcharge
TreatrnentPlant G20 •00 FinancialGuarantee
Treatment Planl (Irriga6on) Storm Sewer Trunk
Park Dedication Sewer Lateral Sewer Trunk
Traii Dedication Street
Water Quality Water Lateral Water Trunk
Water Supply & Storage (WAC) Ofher
Total
Clty of Eapn ftmYoudcr
Make Check Payable to: Dakota Plumbing & Heating
Address: 575 Minnehaha Ave W
St. Paul, MN 55103
Permit # 77071
Receipt #/Date:124714 3/26/2007 Site Address: 1965 Cliff Lake Rd
Reason For Refund: Duplicate Permit
TYPE OF REFUND
Buildin Permit Base Fee 0801.4085 $
Construction Meter D Refund 9220:2254 $
Curb Box De osit Refund 92202253 $
Fire Su ression Permit 0801.4096 $
Mechanical Permit 0801.4088 $
Plan Review Fee 0720.4222 $
Plumbin Permit 0801.4087 $698.00
SAC (MCES) 92242275 $
SAC (Ci ) 9379.4681 $
SAC (Admin 0801.4246 $
Sewer Permit 6201.4532 $
Surchar e 9001.2195 $
Treatmeut Plant 6101.4685 $
WaterPermit 6101.4507 $
Water Meters & Radio Read 6101.4509 $
Water Su I& Stora e 6101.4680 $
Co ies 0201.4230 $
$
Total $ 698.00
I eclare under the penalf s of law that this account, claim, or demand is just and that no part of it has been paid.
d May 22, 2007
SI `NATURE DATE
?6-??
2006 COMMERCIAL PLUMBING rERMIT arPLicaTiorr
CITY OF EAGAPF
3830 PILOT KNOB ROAD, EAGAN MN 55122 I
651 _675_5(75
--`?
.,irI, 136 .SO
Ibla4
Date?_/ .?/04
Site Address C4i°;P "E RcQ. Unit #
Tenant Name G:L ??F 1?,ks A-?-T? Former Tenant Name
Property Owner P-s'+r-i vt C?5_ Telephone #( )
Contractor 'D n
Address 365-CJ KEuw,l-r-p-r-c- l1t" C'h'
State Mr:l Zip ?-?-Telephone #
License# G//ig 7/aM Espires: la/31&?
The Applicant is _ Owner ontractor _ Other
Work Type ew Bldg _ Modify Space _ * Yes No Work in public r-o-w / easement?
RPZ X PVB: New Repair/Rebuild _ Replace^ Remove
Rain seosors are re uired on irri ation stems h,
Description of Work
To inquire if Pssure Reducing Valve is required on new service, caI1651-675-5646
?
Meters - Call 651-675-5300 to verify that hydrostatic, wnductiviry, and bacteria tests passed orior to Oickin¢ uo meter, i? Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller
size allowed by Public Works
Fire Size & Price 3/4" me[er $167.00 -fl
Domestic Size & Type I V Z ? 4-5_P? Avg GPM;tS_ Includes high demand devices? ?Yes _ Na
Floshometers Yes Le*?No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
ContractValue $ yQ,(1C7Yi x 1% _ $ LNQ. n PermitFee
s Meter(s)
Required on alI new buildings & boulevard irrieation svs[ems $ ?L4 ?•0-0 Radio Meter Read I
$ , i;'D State Surchazge I
If ermit fce is less than 51,000, surcharge is 5.50
If Qermit fx is morc t6ao 51,000, surcharge is 5.50 far each SI,000 owed.
"""- '_'- """""'_""""'- """""- - """"""- "- ""'?'_""'?"-"_"""_?__'__""_"""?"""? I
Following fees apply when installing new lawn irrigation system $ W ater Permit
Call the CiTy's Engineering Department, 651-675•5646, Por required fce amounu
g Treatment Plant
$ Water Suppty & Storage '
$ State Surchazge
Total Fee
I hercby apply for a Commercial Plumbing Pemit and ecknowledge tha[ the information is comple[e and accurate; that the work wili be in conformance with Ihe
ordinancu and codes of the City of Eagan and with the Plumbing Codes; tha[ I undentand this is not a pemi; but only an application for a permit, and work is not to
start without a pevniT, that the work will be in accordance with the approved plan in the case ofwork whi re uires a approval o lans.
? Applica Ys Printed Name ApplicanPs Sigmature
CITY USE ONLY
REQUIRED INSPECTIONS: ZU.G. ? Air Test _ Gas Test ?Rough In r Final
PLANS SUBMITTED APPROVED BY: (SSjp 16 ?arf-oG , BUILDING INSPECTOR
General Information
. Rsdio Meter Read (required on al] new buildings. Boulevard irrigation systems may require a radio read -$141.00
. RPZ's must be tested every yeaz and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan.
. A minimum fee permit per address is required for the following RPZ's: new, rebuild, reoair, remove.
. Water meters include copper horn/strainer, remote wire, and touch-pad meter.
METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METEAS USE PRICE
1-20 5/8" residential $130.00 4-120 1-1R" irrigation sySt $ 827.00
displacement or turbine** Public Works
maximum small commercial must approve
continuous meter size
10
2-30 3/4" lawn irrigation $167.00 4-160 2" turbine large irrigation $ 1,040.00
maximum disptacement residential system &
continuous or production lines
15 small commercial
3-50 1" displacement large residential $210.00 1/4 to 160 2" compound bldgs over $ 1,962.00
bldg to 24 units 65 uniu
maximum small commercial &
& large comm bldgs
continuous
25 irri ation s stems
5-100 1-1Y2" 25-64 unit bldgs $515.00
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 lazge irrigation $1,394.00 6-500 4" compound +300 unit bldgs $3,864.00
system & production & very large
lines comm. bldgs
1/2-320 3" compound +200 unit bldgs $2,516.00 10-1000 6" compound +400 unit bldgs $6,436.00
very large very large
comm bldgs comm bldgs
15-1000 4" turbine very large $2,495.00
irrigation systems
& production lines
Comments
• To schedule inspection ofthe inside water )ine and backflow preventer, ca11 6 5 1-675-5675.
. To arrange for water turn-on, call 651-675-5200.
cc: Utility Division Systems Malyst
January 2006
14
2007NI
?
PLUMSING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Date 3 / O !/ / 0-7 ` \
Site Address c,I l f?e Lind Q R() ?'.t,,?L Unit #
Tenant Name Former Tenant Name
Property Owner Telephooe # (
?
Contractor
Address J--) y, il (n (! l'1 ??i Ci ?.
State Zip Telepho #65h
License# ?i pY>`1 Expires: a - 51
The Applicant is _ Owner ? Contractor Ottier
?
Work Type 2f New Bldg _ Modify Space Irrigation System?* Yes No Work in public r-o-w / easemen[?
_ RPZ _ pVB: New Repair/Rebuild Replace Remove
Rain sensors are re uired on irr' ation s stems
Description of Work (r_? ?/ \
To mqmre if Pressure Red ?mg Vul e ?s?wred n ne?yservice, cull 651-675-5646
\
?
Meters - Call 651-675-5646 ro verify that hydrostatic, conductivi ? p
ty„and bacteria tests assed onior to oickine uo meter.
irzigation Size & Type AvgGp/m/ 2" [urbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" meter 174.00
Domestic Size & Type Avg GPM Includes highd? \mand devices? _ Yes _ No
Flushometers _ Yes _ No % PRV Required _ Yes _ Nd
i
Permit Fee $50.50 minimum (incluJes State Surcharge)
>
ContrflctValue x I% PermitFee
$ Nleter(s)
Required on all new buildings & ulevard irri ation svstems $ R io Metee Read
/ o
/ $ Sta[e urcharge
? I(oermit fee is less thxn $1,0 Q surcharge is $.50
__ If oermit fee is more than $1-000== urcharge is 5-50- r eac6 $1,000 owed.
-"'-"'_""'"'""'- ' _"""'_""""'- """"""- ""'_"
Following fees apply?hen installing oew lawn irrigation system $ Water Pe it
Call the City's En?eenng DeparunenD 65?75?64b,?o5 rRqµireeeymounls
(N IK II \\// I
LJ l5 IJ V $ Treatmen[ PI t
MAR 2 6 2007 $ Water Supply & Storage
$ State Surcharge
$ 42 IV. Total Fee
I hereby apply for a Commercial Plumbmg Pertnit and acknowledge that Ihe informa[ion is complete and accurate; that the work will be in conformance with the
ordinances and codes of the CiTy of Eagan and wi[h the Plumbing Codes that I understand this is not a permit, but only an application for a pertnit, and work is not ro
atatt without a permit; lhat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
P Cl.i.c ( 0 b`['
ApplicanPs Printed Name ApplicanPs Signamre
1 , ???, _?Oz
? ?? zoo6 ?COMMERCIAL MECHANICAL rE?iT aPrr,icnT[oNg ??
City Of Eagan V?
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please completc for, cummerciaVindustria] buildings
multi-family buildings when separate peanits are not requircd for each dwelling wit
Date _[z /?/ 0(,a ?-?-1 FF IAk_
Site Street Address ??A (,o ?7 C_I-I?F Unit#
Tenant Name (if applicable) }-hkk-. ((,""??Ie S Previous Tenant Name
PropertyOwner ??Orj''}{UQ OUl'l?la ?IP? Telephone#( (prjl ) 1-7(, - CGI0 U
Contractor l.E.,AQAk `i,`L 'AtIN?< `\ fjl
StreetAddress 74L"z- L._A5141kAjw alJe- City ea/f/
State Zip TelepNone# (95J)
Bond Expires:
The Applicant is _ Owner ? Contractor _ Other
Work Type
New Construction _Interior Improvement _Install Piping _Processed _Gas
Under/Above ground Tank Install Remove
When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing lnspector
fC? /A.Y't•f`/
Nature of Work: AhlqL
??
M ?S / f/yR-
?-
- ---
-
i ?
??
?
Pe1'mit FeeS: 570.50 Undcrground tank installatiodremoval
$50.50 Mininuem (includcs Stute Surcharge)
Contrac[ Value x /
1% Permit Fee
$ p ?jQ S[ate Surcharge
W ?
If vermit fee is less than 51,000, add $.50
I ??l D
If mrtnit fee is more than 51,000, surcharge
UEL 1 is$.SOforevery$I,OOOawed.
$ 4 1 (p, 1 '; Total Fee
i hereby apply for a Commercial Mechanical Permit and acknowledge Ihat the information is complete and accurate; that the work
will be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes: that I understand this is
not a permit, but only an application for a permit, and work is not to s[ar[ without a it; that the wor will b in accordance with
the approved plan in the case of work which requires a review and approval of p s.
-M?? P46G(EZ --
Applicant's rinted Name A'pp ca Cs Sig 046r
Approved By: , lnspector Date:
Required inspections: _ U.G. ?R.I. Air Test _ Gas Service Tes[
Intloor Heat 5 Final
Q
ZJ4V
2006 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 Fax # 651-675-5694
Requvements:
2 complete sets of dra.wings and specifications
cut sheets on materiais and components to be used
Date I ? / ?16 / _bc
site Address; N5' ?' ?.I F F L/a-?? !2?
Tenant/BuildingName: LLA4Ke 11If?Ev_eT
Tke Appiicant is: _ Owner x Contractor _ Other
PROPERTYOWNER PpSITIV(?_, CUA\pGv\ l2S rLnC.
Address: b b b 52n'FS A\l(
CiTy: SI. Pawl ,Mn) .. SS J(k 5tate: Zip:
CONTRACTOR Summit Fire Protection MN Liceuse #: C-075
Address: 7301 Apollo Court Cltv: Lino Lakes
State: Minnesota Zip: 55014 Phone #: 651-251-1880
ESTIMATED COMPLETION DA1'E: / cr?_
?
FIRE PERMIT TYPE: X Sprinkler System (# of heads Fire Pump _ Standpipe
_ Other:
WORK'I'YPE: ? New Addition Aiterations _ Remodel
Other:
DESCRIPTION OF WORK: ? Commercial _ Residenriat _ Educational
Other:
I
PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge)
Contract Va1ue $ a-4 90B x.Ol =$ Permit Fee
• If Permit Fee is $1,000 or less, add $30 => $ V•? ? State Surcharge
If Eermit Fee is over $1,000, add $.50 per
$1•OOQ Permit Fee
3/4" Displacement Fire Meter -$167.00 $ o-0
ToTai, FEE: $ yN 6.50
I hereby apgly 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
Miunesota Building/Fire Codes; t}iat I uaderstand this is not a permit, but only an application for a permii, and
work is not to start without a permit; that the work wi11 be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
?COTTS r'
Applicant's Printed. e pplica , ignature
DO NOT WRITE BELOW THIS LINE
REQUIRED INSPECTIONS
Hydrostatic _ Flow Alarm ,.Drain Test ? Rough In
_ Trip _ Pump Test _.Gentral Station ? Finat
Conditions of Issuance:
?
Permit Approved ? ? Date:
.. . .
2006 COMWRCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
• SWdural Plans (2)
• Civil Plans (2)
• Certifiwte of Survey (1)
• CotleAnalysis (1)
. ProjectSpecs (1)
• Spec. Insp. & Testing Schedule "
. Soils Repat (1)
• Meter size must be established
/
• SACAetermination-ca11 651-6 02-1 000
• Shuc(ural Poans (2) (
• Clvii Plans (2) 5
' . Lantlscapirg Plans (2)
. CodeMalysis (t)
• CertificateotSurvey (7)
. Spec. Insp. & 7esdng Schedule (1) "
. Meter size must be established
• PrqectSpea (1)
•Ener9YCalculatiom (1)»i
• Electric Power & Lighdng Form (t)
• Mastar Ecit Plan (1)
• Emergency Response Site Plan (1)
• SWIsReport (1) ?
. SAC dHermination - call 651$02-1000
. qrcnrtenurai nens ?y acu
. CodeMalysis (1) "
. ProjectSpew (7)
. Key Plan (1)
. Master E)dt Plan (1)
• Energy Calwlations (1) not always"
. Elec. Power & lighdng Fortn (t) not always"
. Meler size must be establishe" appllcaCle
ooo 20p6 1
. snc ae?min?ion -?u sssoz?4
Call MN Depl of Heal[h a[ 651-215-0700 for details regerding food & beverage or lodgiog facilities. ?
'• Contact Bui(ding Inspections forsample and if required
•' • Permit for new building or addition will not be procexred withoirt Emergency Respunse Si[e Plan.
Date J l? l? ConstrnMion Cost -17 qd ??!; w
SiteAddress C-rqK6 ? ?,-gj? , 5(2-2- Unft/Ste #
Tenant Name Former Tenant Name
DescrlptionofWork
i'
Property Owner Ayl?'j'?jmlL Telephone #
?
LL
li
t i
A O
? C
?
' ??
n
I-
cao
pp
s:
Cootractor n
wner
o/ntraMor Cont M#:
L1i
l
-
.T(?C
-?
?? ?-??-
Address _?
`
T7?G 7?'2,e-S7 C' C_
State Zip a-"S74L?_ Telephone # 06-1 ) 77 <b '<o (
?IicDC.
nA 1? !? 5 I• 7 7 L• fi 103
Arch/Engr Registration#
Address C_Ai? City/ ?/ ?Ne-?
State l
/q AJ Zip;ST4-2? Telephooe!lee(2) F&-,9^Z3-27i
r ? 13. ? ?i Ci?Z/
Licensad plumber installing ryow seweNwater aervice: 'R, Pu.v-C Ltt" ?K?h ( ione p: 't( es ??I gU' S ?Cd ?n
I hereby apply for a Commercial Building Perntit and aclmowledge that the information is complete and accurate; that the work will be in
confonnance with the ordinances and codes of the City of Eagan and the State of MN StaW s; I understand this is not a permit, but only an
application for a permit, and work is not to start wiffiout e permit; that the work ill iri ordance with the approved plan in the case of
work which requires a review and approval of plans. I
.
Aew •-
Appl' ant's Printed Name Appli Ys ignature
. N' 1 4
DO NOT WRIT'E BELOW THIS LINE
Sub Types
? Ol Foundation ? 26 Public Facility ? 30 Accessory Building
? 14 Apartments / 27 CommerciaVlndustrial ? 32 Ext Alt Apartments
? 15 Lodging ? 28 Greenhouse 0 34 Ext Alt-Commercial
? 25 Miscellaneous ? 29 Antennae ? 35 Eact Alt-Public FaciGty
0 37 Nail Salon
W rk Types
31 New ? 35 IM Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Mave Bldg. ? 42 Demolish (Faundadon) ? 45 Fire Repair
? 33 AftereGon ? 37 DemolisA (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolltlon (EMira Bidg onty) - Give PCA handout to applicant
o ? V,5
Valuation `
Plan Rev 100% 25No Type of Const
_
Occupancy /" Width
MCES System ?
SAC Units _4_ Zoning City Water
Nbr. of Uni[s 0 Stories ? Boosler Pump
Nbr. ot Bldgs F_ Sq. Ft. ? PRV ?
Length Fire Sprinklered
/ Sheetrock
_ Siding _ Stucco Lath _ Stone Lath _ Final
_ Windows
hedule Fire Marshal to be preserrt. _ Yes _ No
Planning Building Inspector
R?ired Inspections
_ Fireplace _ R.I. Air Test Final
Footings (new bldg)
_ Insulation
Footings (deck)
Footings (addition)
Foundation v/ FinallC.O.
?
Drain Tile Fina]Mo C.O.
/
Driveway Apron Other
V /
Roof Ice Pr Deckmg ? Insul
Framing _ Final _ Pool Ftgs AidGas Tests _ Final
?
Final C/O Inspection: Sc
Approved By:
Base Fee
Sureharge
Plan Review
SAGMCES
SAGCiry
SIW Permit
S!W Surchaige
T2atrmnt Plant
Treatrnent Plant (Irtiga6on)
Park Dedication
Trail Dedicx6on
Water Quality
Water Supply 8 Storage (WAC)
? 90, 0 a
vrw 3 s . N
daoo •.w ?
400 ,p ?
/so _ co
o.rp
ZS • d'O Financial Guarantee
G3 4' di-o
_
? Storm Sewer Trunk
d • '-'" Sewer Lffieral _
D • s-0 Street _
Water Lateral Water Trunk _
O, oD Other ??S 6 0 •iiir - LA7VQ 944,YP/N(r-
Total z'° i ' ? ? • v ?
?
SewerTrunk
City of Eap
Pat Geagan
MAVOR
Peggy Carison
Cyndee Fields
Mike Maguire
Meg Tilley
COUNCIL MEMBERS
Thomas Hedges
CITY AOMINISTRATON
MUNICIPAL CENTER
3830 Pilot Knob Road
Eagan, MN 55122-1810
651.675.5000 phone
651.675.5012 fax
657.454.8535 TDD
MAINTENANCE FAqLRV
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
657.675.5360 Fax
651.454.8535 TDD
www.cityoTeagan.com
THE LONE OAK TPEE
The symbol of
strength and growth
in our community.
May 30, 2006
7ay Feidler
Positive Companies, Inc.
668 Jenks Ave. 4200
St. Paul, MN 55106
RE: Cliff Lake Marketplace
1965 Cliff Lake Road
Dear 7ay,
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 othenvise noted, all references are to the 2000 I.B.C. It is our
goal that this review will help you in complying with the applicable codes and we aze, therefore,
requesting that the items checked 6elow be addressed:
2 sets Architechual Plans
2 sets Structural Plans
2 sets Civil Plans
sets Landscaping Plans
Code Analysis
1 Certificate of Survey •
1 Spec. Struetural Testing & Inspection
Program Summary Schedule
Fire Stopping Submittals
Other
1 Project Specs
,,v/ 1 Energy Calculations
1 Elecri-ic Power & Lighting
Master Exit Plan
1 Emergency Response Site Plan
/ 1 MC(ES SAC determination letter
,.aC 1 Soils Report
G Fire Suppression/Alarm Plans
If you have any questions regarding the above items, please feel free to contact me at 651-675-
5683.
Sincerely?
7. Craig Novaczyk
Senior Inspector
Cc: Ron Buchanan
Pollock-Buchanan Architects
Enclosures
JCN/ce
June 6, 2006
Pai Geagan .
MAYOR Jay Feidler
Positive Companies, Inc.
Peggy Cadson 668 Jenks Ave. #200
Cyndee Fields St. Paul, MN 55106
Mike Maguire
: Cliff Lake Market Place
RE
Meg Tilley 1965 Cliff Lake Rd.
COUNCIL MEMBERS
Dear Jay,
Thomas Hedges
CITV AOMINISTRATOR We have completed our review of the construction documents submitted in pursuit of
obtaining a building permit for the above-referenced project. This review is not intended
to be an exhaustive and comprehensive report. Unless otherwise noted, a11 references are
to the 2000 I.B.C. It is our goal that this review will help you in complying with the
applicable codes and we aze, therefore, requesting that the following items be addressed
MUNICIPAL CENTER !
? 1. The table for accessible parking requirements in Chapter 1341.6403, Item E,
Subitem (1) of the Minnesota State Building Code (MSBC) says that 51-75
3830 Pilot Knob Road paz'king spaces will require that three ofthe spaces be accessible.
Eagan, MN 55122-1810
651.675.5000 phone 2. The accessible route of travel shall to the maximum extent feasible, coincide with
651.675.5012 fax the general route of travel. The location of the curb ramp for this project doesn't
651.454.8535 TDD comply with Chapter 1341.0422, Subpart 2, Item A. (MSBC)
zA. When a roof hatch or scuttle is located within 10 feet of a roof edge, a guard shall
MAINTENANCE FACILRY be installed in accordance with Minnesota State Mechanical Code, Section 304.9.
3501 Coachman Point „-
Eagan, MN 55122 t,?4. Provide specific details showing that the grating for the catwalk complies with
651.675.5300 phone 1341.0426, Subpart 4. (MSBC)
651.675.5360 fax
651.454.8535 TDD
Sincerely,
www.cityofeagan.com
J. Craig Novaczyk
Senior Inspector
Cc: Ron Buchanan, Pollock Buchanan Architects
THE LONE OAK T(iEE 406 W. 65`" St.,
The symbol of Minneapolis, MN 55423
strength andgrowth
in our community. 7CN/Ce
5EP 29 2006 10!28 FR
iYa.•V ?? ?v n.? . ?.
?
6516591379 TO 9-7766103 P.92i03
SPECIAL STRUC7lJRAL TESTING ANV iNSP4CTION SCHh;Utll.E
SEC'I'tON 01430
Pege 1 of 7
' Name: Cii(f ptn'ect Nutttba:
l.ocaiom 1%5 Ctiff Lake Road. Eapri, MN 55122 Petmit Nianbor: 1
iPECfA[. tNSPECTFON 5CFlEDU1.E
Specifwation
5ection Anick Qascriptfon (2) t?? °?3l F?? ? ? (4)
03200 3.A CPnerek 51S As Speaified
Reinforcemtnt
oaaao 1.9 B CMU S1.S As Spccii'ied
Ramforuman?
01101) 3.5 sueet Flremin Sl•S As S ifrcd
06100 1, Wood Frani Si-S At i ied
SlruCluril$Ite Two NRA
Obaervuion
TESTING SCHEDILE
0 1.7 §IbMt Tcsli T.A. As S oifiad
02220 3.78 9adct3qMatetialaT+?? T.A. a+s 'fSed
03300 1.4 Mix Design T.A.
03300 3.7. 1,3 Concrete Cylieda
Tesft Stump k A'v
EnA'ih+ment T_A. As Specified
04pb6 3.10 Ma1NTe&Y ?.A• As Soeeifwd
04220 1.9A GMU Tesnn T.A. As S iPted
05100 33 Suef ConneGtion Tettin T.A. As S i ud
NOTES:
Fitled nut setialu4 to fie included "m tho Specifications. infornwtian, which ic unavailsble ac tAit time, sdatl bc
filled aut when epplying fw building pe+mit,
(1) Building O(FiC'tdl wYU povide permit numbe?.
(2) Uae descrtptions per IBC ChapteT 17.
(3) Special {nspector - Techniral, Speeial Inspecta - Strucaua!
(4) Firm conaacEed to perYufm SaMces.
Eegaaz, Minncsota
2006-09-29 09:53 AM ENG TEST 6576591379
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REVISED SHEET
O
"MI'll"Im",
EAGAN
?
BY.? W ED
DATE: ?zi ` Tvrv
3UiLDING INSPECTIONS DNISION
COPY:
?
REVISBD SHEET
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EAGAN
E\ IEWED
BY:
DATE: ? ZT ? 6
BUILDING INSPEC NS DIVIStON
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3 TOP OF BLDG.
PARAPET ? 1 114" DIA. STD. STL.
GALV. PIPE GUARDRAIL
?
TYP. -
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F? ?
ROOF ?
BOLT RAILING
TO END OF
ROOFHATGN
ROOF GUARDRAIL ELEVATION
A202 SGALE: I11" : I'-0"
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EVIEWED
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BUILDING 1 SPEC ONS DIVISION
COPY.
?
REVISED SHEET
I I14" DIA. STD. STL. Q3
? CsALv. PfPE GUARDRAIL
?
BOLT
RAILINCs TO
? END OF ROOF
HATCH
in ?
- ROOF
?
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[ RODF GUARDRAIL ELEVATION
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! /26/2mmlo 4:m8 PM A202,dwg
EVIEWED
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uare: ? ? ? oL
BUILDlNG INSpECTI NS DIVISION
SCAL E: I/2 "= I' - 0"
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?./
REVISED SHEET
1 iP
? 1352s-?
46V,
zor COMMERCIAL PLUMBING rERnuT arpLicaTrorr
CITY OF EAGAN ?- / ---,
3830 PILOT KNOB ROAD, EAGAN MN 55122
4c,_?1c_4Z97: Il
...,?-.. ,
Date
Site Address Unit #
Tenant Name A4 U& JADJM, 0j.j P-,p LAKf Former Tenant Name
Property Owner Telephone # ( )
Contractor COMM"C(AL ?Pf,1A?fblIL1(, &J?0 H0Y116C74 _ ?A)01
Address 242.2 6fttL1WFV NE4]UE City ?oQESr (..?k?
State /I/1N Zip 0)J'rb 2? Telephone # ( (tj/ ) 44C- 2q j2 k
License # PM +231 Expires: L2136)7
The Applicant is Owner Contractor _ Offier
Work Type New Bldg _ Modify Space _ In'igafion System*' _ Yes o Work in public r-o-w / easement?
RPZ ?VB: New Repau/Rebuild Replace Remove
Rain sensors are re uired on irri ation s sfems
Description of Work Pltt4'l7b1
, To inquire if Press Reducing Vaive is required on new seivice, call 651-675-5646 _
ti i
? lu?
Meters - Ca? 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed Prior fo pickine up mefer. . I'
Inigation Size & Type Avg GPM 2" mrbo req'd unless smaller size allowehU}?Plbl& MFs
Fn-e Size & Price 3/4" meter S 174.00 Domestic Size & Type ? Avg GPM " Includes high demand devices? _ Yes _ No
Flushometers Yes _ N? o PRV Required _ Yes ?/No
Permit Fee $70.50 nu.nimwn (includes State Surcharge)
Contract Value $4S rCL)o "C-i) x l% = g ?), 0? Pemut Fee
g Meter(s)
Required on all new buildings & boulevard irri¢ation svstems $ Radio Metei Read
g •,? State Surcharge
If nemli [ fee is less than $1,000, surcharge is $.50
lf pemft fee is more than $1,000, surcharge is $.50 for each $1,000 owed.
_""_'"'__-_'___---""__"_--_"_"
Follotaing fees apply when installing new lawn irrigation sysfem $ Watei Pertnit
Call the Citys Engineering Depar[men[, 651-675-5646, for required fee amounts
g Treatrnent Plant
g Water Supply & Storage
$ State Surchazge
g Total Fee
I fiereby appiy for a Commercial Plumbing Permit and aclmowledge [hat the information is complete and awurate; that the work will be in con;omiance with flie
adinances and codes of the CiTy of Ea?an and with the Plumbing Codes; that f understand this is no[ a permi[, but ont application for a permrt, and work is not to
stait without a permit; ?that the wodc wi11 be in acwrdance with the approved plan in the case of wor hich re u' ` and approval of plans.
Applicant's Printed Name Ap lican s Signature
?
CITY USE O,/NLY /
REQUIRED WSPECTIONS: ?U.G. ?AirTest o GasTest 7? RoughIn
PLANS SUBMITTED APPROVED BY: t J??r??? ,
? Final
BUILDING INSPECTOR
General Information
• Radio MeEer Read (requ'ued on all new buildings. Boulevazd 'urigation systems may requ'se a radio read -$153.00
• RPZ's must be tesfed every year and rebuilt every five yeazs. Test resulfs sbould be mailed to Paul Heuer at the City of Eagan.
• A minimum fee permit per address is required for the following RPZ's: new, rebuild, renair, remove.
• Water mefers include copper horn/strauier, remote wire, and touch-pad meter. .
METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP ,
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residen[ial $136.00 4-120 1-I/2" irrigaeion syst $ 855.00
displacement or turbine** public Works
maxnnum small commercial must approve
conrinuous meter size
10
2-30 3/4" lawn irrigarion $174.00 4-160 2" turbine large ut'igation $ 1,063.00
n'iaximum displacement residential system &
continuous or productionlines
15 small commercial
3-50 I" displacement large residenrial $219.00 1/4 to 160 2" compound hldgs over $ 2,018.00
bldg to 24 units 65 units
maximum small commercial &
continuous & large comm bldgs
25 irrigarion systems
5-100 1-1/2" 25-64 unitbldgs $532.00
maximum displacement ' &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTTCE PRIOR TO PICIf UP
GPM METERS IISE PRICE GPM METERS USE PRICE
5-350 3" turbine very large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00
system & production & very large
lines comm. hldgs
1/2-320 3" compound +200 unit bldgs $2,577.00 10-1000 6" compound +400 unit bldgs $6,623.00
very large verylarge
comm bldgs comm bldgs
15-1000 4" turbine very large $2,533.00 turbo $4,090.00
urigafion systems -
& production lines
Comments
.• . To schedule inspecrion of the inside water line and backflow preventer, ca11 65 1-675-5 675.
. To arrange for water turn-on, caIl 651-675-5200.
cc: Utiliry Division Sys[ems Analyst Decernber 2006
. $ 2105. 6y
2007COMMERCIAL BUILDING rERMrr arrLicaTiox
City OfEagan
9096161 3830 Pilot Knob Road, Eagan Mn 55122 CO'LuC{ 91 Zq &6
Teleghone # 651-675-5675
Plans are considered public information unless you state they are trade secret and why.
• Structurel Plans (2) se1
. Civil Plans (2)
• Certificate of Survey (1)
. Code Analysis (1) °
• ProjectSpecs (1)
• Spec Insp & Testing Schedule (1)
. SoilsReport (1)
• Meter size must be established
1
1
L
1
1
1
• SAC determination - call 651-602-1000
• Certifcate of Survey (7)
• Structural Plans (2)
• ArchiteUUrel Plans (2) sets
• HVAC unds req'd. on bldg elev. ! site plan
• Civil Plans (2)
. Landsraping Plans (2)
• CodeAnalysis (7)
• Energy Calculations (1) "
. Emergency Response Site Plan (1)
• Spec.lnsp.&TestingSchedule (1)
• Electric Power & Lighting Fortn (1) "
. Project5pecs (1)
• Master Exit Plan (1)
• SAC determination - ca11 651-602-1 0 0 0
. Fire Stopping Su6mittals
• Fire Suppression/Alarm Form
1Architedural Plans (2) seGs
CodeAnalysis (1) "
• ProjedSpecs (1)
• KeyPlan (1)
. Master Exit Plan (1)
. Energy Calculations (1) not always"`
• Elec. Power 8 Lighting Form (1) not always"
. Meter size must be established-if applicable
• SAC determination - call 651-602-1000
Call MN Dept of Heal[h at 651-201-4500 for de[ails regarding foad & beverage or lodging facilities.
** Contact Building Inspections to see if it is required and for a sample.
Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date -a& / igo l _C:202) 7- Construction Cost IOts - / 30K
SiteAddress h Uoit/Ste # /(,rj'
Tenant Name Former Tenant Name n Q_,Iw1 16 ldn ??: AC?_
De ' tion of Work t7eW /?I?2Ze? ? _ ?y/•?/ O[.t.r( .iJ@il?/?/ +I '?h ws'1 t?
Property Owner e t tr" Telephone tt (ipm) -423 -5 49-4-
pplicant is: ?Owner ZContractor IC u
e? 1 '?
4sq
Contact #: ( (i S -.1 *Q
Contractoe I/l br 'A..
Address f(p Zrj I R lJk t „ ? CiTy Rwvseo
State NI i Al?CS D+a. Zip 5'5303 Telephone #( (@lZ) (*a$ -S y 00
Arch/Engr LAMPf /Z`r Registration # 13 9
Address
BZ?? ? ?./?M[0 N
?r
.pI(
?f! - City
State mj N I1 IG S O Zip s"rj '30 ? Telephone t# ( y?j'
KGN
Licensed plumber installing new sewerlwater service 1 JStVPVhone #: - 43
I hereby apply for a Commercial Building Permit and acknowledge that the informUtion 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 understan an
appiication for a permit, and work is not to start without a permit; that the work will be in accordance with l t of
, work which requires a review and approval of plans.
G s o 2007
AQy,10 LAWA3, NL
Applicant's Printed Name pplicant's gnature
?..
DO NOT WRITE BELOW THIS LINE
i .
Sub Types
? 01 Foundafion
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 26 Public Facility
,F2' 27 Commercial/Industrial
?' 28 Greenhouse
? '29 Antennae
? 30 Accessory Building
? 32 Ext Alt-Apartments
? 34 Ext Alt-Commercial
? 35 Ext Alt-Public Facility
? 37 Nail Salon
X 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
'Demolition Building - Give PCA handout to applicant Valuation /-30J Coe? Type of Const V B N5? Width
Plan Rev 100% ? 25% _ Occupancy $ MCES System
SAC Units ? Zoning ? City Water
Nbr. of Units U Stories ? Booster Pump
Nbr. of Bidgs ? Sq. Ft. PRV
Fire Spnnklered ? Length Code Edition
Required Inspections
_ Footings (new bld"g) s. Fireplace
R.I. Air Test
'Final • "
_ Footings ?deck) ' _
_
?
Insulauom ' • ? , •
Footings (addition)
- •, i
5(reevo'?IC"''
_
,
_ Foundatwn
.
'" ?' l??• ?
DrainTile
- _
FinaUNo C.O. .
_ Driveway Apron, Other
Roof Ice Pr Decking
'
? Insul Final Pool ;. Ftgs • Air/Gas Tests Final
,,,a .r N „r da
F"raming
' .,
•
Siding `"? Sfucco°Lath ''StOne Lath Fina)
. . W indows
/
Final GO?Inspection:?•Schedule.Fire Marshal to be present v
Yes No
:?: ' • 'A„pproved By: .,plAnning Building Inspectar
Base Fee? , . . . . J 2 3 (a •'?$ ' •. . . ,
Surchar9e .,Co15 . mO
Plan Review 'Q?? ' ?f • . `'y . 5 . , . y
,. . 'ki . . • ' . . °^? /?e.. ??a
SAC-MCES
SAGCity
S/W Permit ' • • ' '
S!W Surcharge
Treatrnent Plant
Treatment Piant (Irrigatiori)':; ?
Park Dedication
Trail'DedicaGon"' - --
Water Quality
. ';-
Waler Su pply.& Storage,(WAC)
?
t? :.:.. .... :... ---_..... ?: ,
' • ' .
. • -r. , . . . . . , ....
?? ? a?_ . ??? .. ?ie P . i ?? • '. . •
? .
Finanaal'Guarantee :
';
StoCm,.sewerTruqk,
Sewer Lateral _ Street
Other Sewer Trunk
_ Water Lateral
Water Trunk
,
r Total
_Y i•.! • ?. .
) 70, 6-?)
2007COMMERCIAL PLUMBING rERMIT arrLrcATTON
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 N-zc????j v?u?
Do not combine inside and outside plumbing on the same application; separate applications nd permits are
re uired.
Date T &7
SiteAddress f JGcs ? Unit#
Tenant Name Former Tenant Name
Property Owner Telephone # ( )
Contractor c/ch /?hi ?
Address ?!?z ? ? City '9/0!•?t
State /'l aV Zip SS?jG Telephone#(7a 75?
License # ?'76 31"14 Expires: J? O 8"
The Applicant is _ Owner _ Contractor _ Other Work Type New Sldg _ Modify Space _ Irrigation System** Yes No Work in public r-o-w / easement?
_RPZ _ PVB: New _ Repair/Rebuild Replace _ Remove
Rain sensors are re uired 6 irri ation s stems
Description of Work , J A - '0?GI9 ?
' o inquire ifPressure Aeducing Valve is reqd d on new service, call 651-675-5646
Meters - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed prior to pickine uo meter. Imgation Size & Type Avg GPM 2" turbo req'd unless smaller size
allowed by Public Works
Fire Size & Price 3/4" meter $174.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1% _ $ 00 Permit Fee
$ Meter(s)
Required on all new buildings & boulevard im atF ion systems $ Radio Metet Read
$ a 5 State Suxcharge
if,permit fee ie less than $1,000, sorcharge is $.50
If nermit Fee is more [6an $1,000, surcharge is $.50 for each $1,000 owed.
Following fees apply e mstalling new lawn irrigation system Water Pemut
Call the G4ty's En?ne? a S?h-671? ,,,...fffQQp r required £ee amounts ? ? Treatment Plant
A[i(; 2 7 Water Supply & Storage
$ r State Surcharge
$ ? 70 • J Total Fee
1 herehy apply for a Commercial Plumbing Permi[ and aclmowledge that the information is complete and accura[e; [hat the work will be in confocmance with the
ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this ie no[ a permit, but onty an application for a pemii[, and work is not to
start vnthout a pernvt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
VApplicanYs Printed Name pplicanfs ignature ?
J/ CITY USE ONLY
REQUIRED INSPECTIONS: U.G. ? Air Test 4?' Gas Test ?Rough In d Final
PLANS SUBMITTED APPROV ED BY: ?? ???? ?0?7 , BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read -$153.00
• RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan.
• A minimum Fee pernut per address is required for the following RPZ's: new, rebuild, renair, remove.
• Water meters include copper horn/strainer, remote wire, and touch-pad meter.
METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $136.00 4-120 1-1/2" lIl'igBtiOn SySt $ 855.00
displacement or turbine** public Works
maximum small commercial must approve
continuous meter size
10
2-30 3/4" lawn irrigation $174.00 4-160 2" turbine lazge irrigation $ 1,063.00
maximum displacement residential system &
continuous or production lines
15 small commercial
3-50 I" displacement large residential $219.00 1/4 to 160 2" compound bldgs over $ 2,018.00
bldg to 24 units 65 units
maximum small commercial &
continuous & large comm bldgs
25 irri ation s stems
5-100 1-112" 25-64 unitbldgs $532.00
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 large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00
system & production & very large
lines comm. bldgs
1/2-320 3" compound +200 unit bldgs $2,577.00 10-1000 6" compound +400 unit bldgs $6,623.00
very large very large
comm bldgs comm bldgs
I5-1000 turbine very large $2,533.00 6"turbo $4,090.00
irrigation systems
& production lines
Comments
To schedule inspecuon of the inside water line and backflow preventer, call 651-675-5675.
To aaange for water hun-on, call 651-675-5200.
cc: Utility Division Systems Malyst December 2006
?q ?6 3 2007 COMMERCIAL MECHANICAL PERMIT APPLICATION *03•6)0
City Of Eagan oaax
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industria] buildings
multi-familv 6uildines when senarate nermits aze not reauired for each dwelline unit
Date
Site Street Address ??? S C( /f v-11 ?Ce 7?L D? `?L?QY Unit 1t
Teuant Name (if applicable) /?zl?7c Previous Tenant Name
; ?
-C
Property Owner Telephone#?? ) ?7?-?/Qa
Contractor
Street Address `716 v7lJE' .S?? city a z" cZ ?
State Zip ? Telephone # 7
Bond #: JR L / 52, ( n Espires: ZJ ? O
The Applicant is _ Owner ? Con4actor _ Other
Work Type
)KIVew Construction _Interior Improvement _Install Piping _ Processed _Gas 99?xterior HVAC Unit**
**HVAC units must be screened
Under/Above ground Tank Install Remove
When installing/removing tank(s), call for inspecrion by Fire Mazshal and Plumbing Inspector
aF z l./C>cx::?o
Nature of Work:
l
Permit Fees $70.50 Underground tank installaeon/rertwval $50.50 Minunum (includes Sta[e Surcharge) -
or
Contract Value x 1 °6 = $ Permit Fee
160 State Surchazge
To calculate surcharge
??? ?r ? f??? ?U? ?: If Pemvt Fee is less than $1,000, surcharge is 50 oents.
LS U If Permit Fee is >$I,OOQ surchazge increases by $.50
U for each $1,000 Pemtit Fee (i.e. a$1,001-$2,000 Petmit
AUG 2, 9 Z007 Fee requires a$1.00 surchazge).
$ /03, oV Total Fee
I hereby aclmowledge that tlus information is complete and accurate; that the work will be in confonnance wRh the ordinances and
codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernut, but only an application for a perxnit,
and work is not to start without a pernut that the work wil] be in accor he approved plan in the case of work which
requires a review an approval of plans.
??t 1?L0& ?..
Ap licant's Prin d Name A plicanYs Signature .
------------ ----- ------------ -- - --------------- -- ---------------------- ------------
Approved By: Inspector Date
Required Inspections: _ U.G. !' K.I. _ Air Test _ Gas Service Test Infloor Heat ?al
2007 COMMERCIAL BUILDING PERMIT APPLICATION 16, Si •/'T
??4?6-7 City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Pla€?? are corrsscier?d publie; ???form??ion ast????? you state they are trade secret and why.
• Structural Plans (2) sets
• Civil Plans (2)
• Certificateof5urvey (1)
• CodeAnatysis (1)
• Project Specs (1)
• Spec Insp & Testing Schedule (1)
• Soils Report (1)
• Me}er size must be established
I
I
?
?
1
?
• SAC determination - call 651-602-1000
• Soils Report (1)
• Certiflcate of Survey (1)
. StrucWral Plans (2)
• Architectural Plans (2) sets
HVAC units req'd. on bldg elev . I site plan
- Civil Plans (2)
. Landscaping Plans (2)
• CodeAnalysis (1) "
• Energy Calculations (1) "
. Emergency Response Site Plan (1) ***
• Spec. Insp. & Testing Schedule (1)
. Electric Power & Lighting Form (1) **
• Project5pecs (1)
. Master Exit Plan (1)
• SAC determination - call 651-602-1 000
+ Fire Stopping Submittals
• Fire Suppression/Alarm Form
. Meter size must be established
• Arohilectural Plans (2) sefs
• CodeAnalysis (1)
• Project5pecs (1)
• Key Plan (1)
• Master Exit Plan (i)
• Energy Calculations (1) not always"
• Elec. Power & Lighting Form (1) not alway5"'
• Meter size must be established-if applicable
I
I
)
1
?
• SAC determination - call 651-602-1000
Call MN Uept of Health at 65 I-201-4500 for datails regarding food & beverage or Iodging facilities.
Contact Building Inspcctions to see if it is required and Pora samplc.
'"** Permit for new buiiding or addition will not bc processed withou[ F.mergency Responce Site Plan.
Date 8
/ 0 / i07 1?
ConstructionCost14JBS, ^
SiteAddress 19(IS CLIFF 4Ak_LF R12^0 Unit/Ste #!
'Cenant IYame PIFTQp 10ENMLCqGP Former Tenant IYame WCE [S VACA4T Il AWwILT
Description of Work 777NA4JT SAAAQMffA14 T - 0FN7Y1L G4f47IG
Property Owner R$$? j j?f ?OAA?Lot/1E5 Teicphone #(&x! )T%e LJOD
Applicantis: _ Owner ? Contractor . Contact#: ('JSZ
Contracror _KAZ{?Lc(p ?T11AlCtls?il
Address ?Xap (?j??Hqq, j4VV. City Sj: ?WI S P4{/C
State
i ?gip?? elephone #(? )? j?'_,? 1 Z
L?
Arch/Engr -wpGTIG?/Y
L &I 11, 1 7 2007 _ Registration # Z0103
Address -I{
Zlt TM(&7 VE /? . Cih, µPLs ?
State K N Zip TEA* I Telephone # (wZ ) lio'
Licensed plumber installing new sewerlwater service: Phone #: (?
i nereby appty tor a Commercial Buflding Permit and acknowledge that the information is complete and accurate; that the work will bc in
confonnance wiUi Che ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is no[ a permit, but only an
application for a pennit, and work is not to start without a pennit; that the work will be in accordance with the approved plan in the case of
work which requires a review and approval of plans. ?..?
Z&6k
Applicant's Printed Name Applicant's 3ignature
Sub Types
01 Foundation
14 Apartments
15 Lodgina
25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
DO NOT WRITL+' l3ELOW THIS LINE
26 Public Faciliry
27 Commercial/Industrial
28 Greenhouse
29 Antennae
30 Accessory Building
32 Ext Alt-ApartmenCs
34 Ext AIt-CQmmercial
35 Ext Alt-Public Facility
37 Nail Salon
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)k ? 43 Reroof ? 46 Windows/Doors
'Demolition Building • Give PCA handout to applicant
Valuation 4,?j2, QQQ ?
Plan Rev 1009/16 ? 25/0
SAC Units r
Nbr. of Units ?
Nbr. of Bldgs
Fire Sprinklered ' Y Ge]
Required Inspections
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
_ Driveway Apron
/ Roof Ice Pr Decking
? Framing
Type of Const V'b Width
Occupancy ? MCES System
Zoning City Water
Stories ? Booster Pump
Sq. Ft. f 6 PRV
Length
_ Fireplaee _ R.I. _ Air Test _ Final
[nsulation
Sheetrock
? Final/C.O.
Final,Mo C.O.
Other
Insul _ Final _ Pool Ftgs AidGas Tests Final
_ Siding _ Stucco Lath Stone Lath _ Final
W indows
Final CIO inspection: Schedule Fire Marshal to be present. _Yes ?No
Approved By: (7 Planning Building Inspector
Base Fee
Surcharge
Plan Review
SAC-MCES
SAGCity
SIW Permit
SIW Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water 4uality
Water Supply & Storage (WAC)
36Na .7s
Z/ fo . ?
? !? 7? • B?O
/ 0 O • a.-A
GGa, a.o
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
764/-
Sewer Trunk
Water Trunk
?q?I ?
Y57G %
2006 COMMERCIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please wmplete for. commercial/industrial buildings -N
multi-family buildings whrn separate permitt are not required for each dwelling unit 'Jj?ia _?
?(i1??
?0 ?, 6--C-
DateA % /12 /-2
Site Street Address Unit #
TeUant Name (if applicable) ///<%/'r twrt ? Previous Tenant Name
Property Owner Telephone # ( )
'
??
'
N eK
Contractor
t /
StreetAddress ..J?oZq ?le iq/r City -:5?/- LuG?' 70r4
State /v I/U Zip Telephone #(?) 10?07 ^ 4G 0e
B G+? 7 `?oa ? ? ? 89l
B
a # 9-i3 -- o ?
oo
:
EapUes:
The Applicant is _ Owner t-?on[ractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see below
&"?Interior Improvement _ Install Piping _Processed Gas
Nature of Work: z 491t 6`uar r 020 r 414 Ict A vr?f? ??[ /PS ?/?s a??n?? Q/r
"When insta!ling/removing underground tank, calf for inspection by Fire Marshal and Plumbing Inspector
P¢1'utit Fee9: $70.50 [lnderground tank installatioNremoval
$SOSO Minimum (includes State Surcharge)
or 06
Cbntrac[Value $ 6000 x 1%
oU
PermitFee
??? a $ `?a State Surchazge
If pecmit fee is less t6an $1,000, add $.50
? If permit fee is more than $1,000, surcharge
? SFP ? 3 2007 is$.50forevery $1,000owed.
SU
$ - 1?7O
TotalFee
I hereby apply for a Commeroial Mechanical Permit and acknowledge that the infoanation is complete and accurate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Q ,?iH i"7` A
ApplicanYs Printed Name Ps Signatur
Approved By: !? C 7 ' / -? ' a ? , Inspector Date:? oZ? /
Required Inspections: _ U.G. Y R.I. _ Air Test - Gas Service Test _ Infloor Heat )&inal
2007 FIRE SUPPRESSION SYSTEMS YEttMnT arrLIcazzorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephooe # 651-675-5675
Requiremenis: 2 complete sets of drawings and specifications
cut sheets on materials and comnonenu to be used
Date9/ o26 / 6-7
Site Address: ?0/ ((/ 'r) L'I Ir C f " YL- ?
Tenant / Building Name: ?brL ?? G? Ii 2.-2 W r^-
1'he Applicant is: _ Owner ? Contractor Other
PROPERTY OWNER
Address:
City: State: Zip:
CONTRACTOR MN License #t:
$2t'VECB It
Aaaress: -jpnium Lane South City.
state: Minnetonka, N?tVz rnone #:
ESTIMATED COMPLETION DATE: !? l I U / D'J
FIRE PERNIIT TYPE: ? Sprinkler System (# of heads Fire Pump _ Standpipe
Other:
WORK TI'PE: _ New _ Addition J` Alterations _ Remodel
Other:
DESCRIPTION OF WORK: Com ercial Residential E ucational
_ Other: Please conrinae on next page ? SEP 2 4 2007
PERMIT FEES
Confract Vatue $ ? -7 ?s, 60 x .Ol = $ Permit Fee
$50.00 Minimu?n
1' n
Sffite Surcharge
$
To calculate surcharge
If Permit Fee is <$1,000, surcharge is 50 cents.
If Permit Fee is >$1,000, surcharge increases by $.50
for each $1,000 Permit Fee, i.e. a$1,500 Permit Fee
requires a $1.00 surcharge.
3/4" Displacement Fire Meter -$174.00 $ Fire Meter
TOTAL FEE: $ ? ( • S?Q
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the
Minnesota Building/Fire Codes; that I understand this i s 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 th approved plan in the case of
work whicYi requires a review and approval of plans.
A`pplicant's Printed Name Appl oanYs Signature
DO NOT WRITE BELOW THIS LINE
REQUIItED INSPECTIONS
_ Hydrostatic _ Flow Alarm _ Drain Test Rough In
_ Trip _ Pump Test _ Central Station Final
Conditions of Issuance:
Permit Approved 6 • Date:
2007 COMMERCIAL MECHANICAL rExMiT arrLicAZ'ioN?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ,
OC1 7L cSeUff-
Please complete For: commercial/industrial buildings Telephone # 651-675-5675 /_Npt1 ???i?
multi-familv 6uildines when senarate nerxnits aze not reauired for each dwellin¢ unit ?
Date'?-/// / 07 CQ1.CSa6j " [F7 SIJ
Site Street Address / 9?0s-- 0 Unit #
Tenaut Name (if applicable) Previous Tenant Name /11 e-Lu
Property Owner / Po 5 ??/ ?'e Cc2u el i1 /t°S 7--ft C Telephone # (Co? ? ) 77(:??' Ce
Contractor G
Street Address City ( 7? Gt_ l/? ?-° ?l
State Zip Telephone #
Bond#: R, I I 5-?L7407 ? Eapires: `7-Z (763 5'? - 776 ?7
The Applicant is Owner ? Contractor _ Other
Work Type
kNew Conslruction Y, -Interior Improvement _Install Piping _ Processed _Gas Exterior HVAC Unit**
**HVAC units must be screened
Under/Above ground Tank Install Remove
When installing/removing tank(s), call for inspection by Fire Mazshal and Plumbing Inspector
Nature of Work:
Pel'll]lt Fees $70.50 Underground tank installation/removal
$5050 Minimum (includes State Surcharge)
Contract Value $ ?(f
T- x 1% _$ D U•C? (2 Permit Fee
$ . SO State Surchazge
To calculate surcharge
If Pemvt Fee is less than $1,000, surcharge is 50 cents.
If Permit Fee is >$I,OOQ surcharge increases by $.50
for each $1,000 Pemtit Fee (i.e. a$1,001-$2,000 Permit
Fee requires a $I.00 surcharge).
$ f p, ?. Cj t J Total Fee
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernrit, but only an application for a permit,
and work is not to start without a permit; that the work will be in accor with the approved plan in the case of work which
requ es a review and pproval of plans.
Applicant's Printed Name Applicant's Signahue
3
Approved By , ?-e y'- l-9 `0 -7 , Inspector Date:
Requued Inspections _ U.G. Y R.I. _ Air Test VGas Service Test _ Infloor Heat ! Final
90LI?5
2007 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Do not combine inside and outside plumbing on the same application; separate applications and permits are
required.
uare .2S / 0-7
SiteAddress 0b5 U?Fr Cake 2?o?c1 Unit#
Tenant Name k455k?N Former Tenant Name
Property Owner Telephone f! ( )
Contractor QaF?T°? {?'lcctiwYti4w1
Address 575 M.nntkwk, /}vz . Wt5'r City Sf- ?-?
State lY)u Zip 55103 Telephone #(65!
License # `I)57 P.M Expires:
The Applicant is _ Owner _>4, Contractor _ Other
Work Type New Bld- Modify Space _ frrigation System*" Yes No Work in public r-o-w /easement?
_ RPZ _ PVB: New _ Repair/Rebuild _ Replace _ Remove
Rain sensors are re uir ed on irri ation s stems
Descrip[ion of Work TnS'h.4 &i-Grrov:x csKd S,aKs in (Jft;ra? 1'Car vF 'fen-A_t S?ace .
'1'o inquire if Pressure ReducSng Valve (s mquired on new senicc, call 657-675-5646
Meters - Call 651-675-5646 [o verify ihat hydrostatic, conductivity, and becteria tests passed pria, to oiekine up meter.
Irrioa[ion Size & Type Av- GPM 2" turbo req'd unless smaller size allowed by Public Wm-ks
Fire Size & Price 3/4" meter $174.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Requ ired _ Yes _ No
Permit Fee $56.50 minimarm (includes State Surcharge)
ContractValue. $ ?'JL7.j> dC7LJ x 1% o
7,$'?
PermitFee
$ Meter(s)
Required on ali newbuildings & boolevacd irri¢ution svstems $ ? Radio Meter Read
$ 'S0 State Surcharge
I} permi[ tee is Iess than 51,000, surcharge is $.50
'""' "'- '_------------- ----------- _""""'_"""" B: oe[mi[ fee is more than SI,000, sarcharge is S50 for each $1,000 ow°ed.
"""'_'"'- ""'_- -_""""_'"- "
""
_"""'_
""'_""'""'- "
Follooing fees apply when insiailing new lawn irrigation syatem _
"""'"'"
"""""_"___
$ W ater Permit
Cal I the Ciry's Engineerfng pepattment, 651-675-5646, for rcquired fee amounts
$ Treatment Plant
$ Water Supply & Storage
$ S[ate Surcharge
$ ? 75 L-c Total Fee
I hemby apply toe a Commercial PlumAing Vertnit and acknowlydge that the inPocmation fs complete and accurate; that the work will be in confnrmance wilh [he
ordinances and codcs of Ihc Cfty of Fagan and with the Plumbing Codes; that 1 undersland this is not e permit, but only an applicatlon To[ a permit, and wnrk fs not lo
starl wi[hout a permit: that tlhe work will 6e in accordance with the approved plan in [he case of work w i requires a review, and appro Fplans.
? A P._ ,.I. - _ a r? ' .
AppLcah['s Printcd Namc ' Applicantls, Signa[ure
ITY USE ONLY ?
REQUIREDIVSPF,CTIONS: _ U.C. _ 1irTesl _ GasTesl _ ough]n YFinal
PLANS SUBMITT6D APPROVED BY: BUfLD7NG INSPEC7'OR
General Information
• Radio Meter Read (required on all new buildings. Boulevard irriga[ion systems may require a radio read -$153.00
• RPZ's must be tested every year and rebuilt eveiy five years. Test results should be mailed to Paul Heuer a[ the City of Eagan.
• A minimum fee permit per address is required for [he following RPZ's: new, rebuild, repair, remove.
• Wa[er meters include copper hom/strainer, remote wire, and touch-pad mefer.
METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRiCE
1-20 5/8" residential $136.00 4-120 1-1i2" irrigahon SySt $ 855.00
displacement or turbine** Public W'orks
maximum small commercial must approve
continuous meter size
]0
2-30 3/4" lawn irrigation $174_00 4-160 2" [urbine large irrfgation $ 1.063.00
maximum displacement residential system &
continuous or production lines
15 small commercial
3-50 I"displacement largeresidential $214.00 1I4to160 2"compound bldgsover $ 2,018.00
bldg to 24 units 65 units
ma?immn small commercial &
continuoas & large comm bldgs
25 irri atio» systems
5-]00 1-1/2" 25-64tinitbldgs $532.00
maximum displacemeni &
continuous most comm bldgs
50
METERS REOlI1RLNG 30-DAl' ADVANCE NOTICE PRlORTO PICK UP
GPM METERS USE PRICE GNh1 METERS USE PR1CL
5-350 3" turbine very large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $1,956.00
system & production & very large
lines comm. bldgs
I/2-320 3" compound +200 unit bidgs $2,577A0 10-1000 6" contpound -1-400 uni[ bldgs $6,623.00
very large very targe
comm bidgs comm bidgs
15-1000 4" turbine very large $2,533.00 6" rurbo $4,090.00
irrigation systems
& production lines
Comments
• To schedufe inspection of the inside water line and backflow preventer, call 651-675-5675.
• To an•ange for water turn-on, cal I 651-675-5200.
ce'. U61Sry Uivision Syslems Analys[ [leccinber 2006
SaN3
2007 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Requirements: 2 complete sets of drawings and specifications
cut sheets on materials and comoonen[s [o be used
!5c. t?:)d
D3t2I /eH_/0-7 .
SiteAddress: 114,S ClW?ie- C.?.
Tenant / Building Name: ()h'!6'; c? 1' Z2-ef: c?
The Applicant is: Owner '40 Contractor _ Other
PROPERTY OWNER
Address:
City: State: Zip:
CONTRACTOR /LlOC j r-; ce- ?r; 4- MN License #: `-?
Address: yyy5 LJ, C;ty: b/r'0Inc4R0L1'
State: Me1 Zip: cS??'??S Phone #: 1S2 -M5"c'7a,,j
ESTIMATED COMPLETION DATE: J0
FIRE PERMIT TYPE: _ Sprinkler System (# of heads Fire Pump _ Standpipe
? Other: A/),Sci 1 5isterY\
WORK TYPEX New _ Addition _ Alterations _ Remodel
Other:
DESCRIPTION OF WORK: A Commercial _ Residential _ EducaUOnal
_ Other: 545?? ?'vn1
Please continue on next page
PERMIT FEES
Contract Value $ oic? x .01 = $ ??- (570 Permit Fee
$50.00 Minimum
$ .5 0 State Surc6arge
To calculate surcharge
If Pertnit Fee is <$1,000, surcharge is 50 cents.
If PeRnit Fee is >$1,000, surcharge increases by $.50
for each $1,000 Permit Fee, i.e. a$1,500 Pertnit Fee
requires a $1.00 surcharge.
3/4" Displacement Fire Meter -$174.60 $ Fire Meter
TOTAL FEE: $ c-?d. 6-0
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the
Minnesota Building/Fire Codes; that 1 understand this is not a permit, but only an application for a permit, and
work is not to start without a permit; that the work will be in accordance with the approved plan in the case of
work which reqaires a review and approval of plans.
G?e0. IOun? , ,
lica t' i?j ature
Applican6 Printed NAne
DO NOT WRITE BELOW TffiS LINE
REQITIRED INSPECTIONS
_ Hydrostatic Flow Alarm _ Drain Test ? Rough In
? Trip _ Pump Test _ Cenhal Station ? Final
Conditions of Issuance:
Permit Approved Date: ? ( ? / (0 7
. 2007COMMERCIAL BUILDING rExNnT ArrLrcnTioN 2 w?
City Of Eagan
3830Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Plans are considered public informafian unless you state they are trade secret and why.
.
Structural Plans (2) sets
Civil Plans (2)
Cedificate of Survey (1)
CodeAnalysis (7) "
ProjectSpecs (i)
Spec Insp & Testing Scheduie (1) "
SoilsReport (1)
Meter size must be established
1
1
d
1
1
l
• SAC determination - call 65i1-602-1000
at
• Soils Report (7)
• Certifcate of Survey (1)
• Structural Plans (2)
• Architecturel Plans (2) sets
HVAC units req'd. on bldg elev. / site plan
. Civil Plans (2)
• Landscaping Plans (2)
• CodeAnalysis (1) "
• EnergyCalculations (i)'•
• EmergencyResponse5itePlan (i)
• Spec. insp. &Testing Schedule (1)
• Etedric Power & Lighting Form
"
(1)
. Praject5pecs v (1)
• Master Exit Plan (1)
• SAC determination - call 651-6T-1000
. Fire Stopping SubmiHals
• Fire SuppressioNAlarm Form
or
• Architecturel Plans (2) sets
• CodeAnalysis (1) °
• ProjectSpecs (1)
• Key Plan (1)
. Master Exit Plan (7)
• Energy Calcylatlons (i) not always*`
• Elec. Power & Lighting Form (1) not always"
. Meter size must 6e established-if applicable
d
l
•?? ??y- t ? `-.
. SAC determinaNon - call 651-602-1000
??? . . .
** Contact Building Insputions to see if it is required and for a sample. . --
*** Permit for new'building.Qc,addition will not be processed without Emergency Response Site Plan.
q
z`{ 0 dd
TL? Z?
?OD? I
Date 7- ?
Construction Cost
Site Address /96S (iLlpP 4y4+LW A6 Unif/Ste # 106
Tenant Name .BEb .S&u"6'- BEL/ GaG FArmer Tenant Name NI-4
Description of Work iNmBinge /nK.araYe^t2 T ?-n 4n.s's? .6r+rnd /t?n' Y?f?:? S,?te
Property Owner ?./Qy Foialrr
? , Telephone #(b/3 ) 723 -S'ys}']
Appticant is:
V/ Owner V/Cootractor •<y'?
Contact #: (4/Y ) Wl ^.!09S,? Flrx G lY ' 74,7 35ZIL
Contractor x2I ivA 04KL°,2 =, ~? • 4? `i?7oN( /k/Nh
Address
0/7 •SvMwu7- AAcS
Cit'y, an-,V
State
&N ,, • -?
Zip ?(2z. Telephon¢?#'(?j2?j.? '39.rfJ-
Arch/Engr --FJe I 0?11 44.NC-4 Registratian #
Address 'f4,)7 svm•(-r I- Psss City &aqN
State M*? Zip SS122 Telephone #t (6/2-) -3957
Licensed plumber installing new sewerJwater service: AA'&:v7A A&661-/rtWr L Phone #: ( iLt )?S ^66 S
hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work wil] be in
mformance with the ordinances and codes of the City of Eagan and the State of MN Stamtes; I understand this is not a permit n
)plication for a permit, and work is not to start without a permit; that the work will be in accordance with t ap i?{1h? ?g f
ork which requires a review and approval of plans. ?f n
?+aa pG&E? '? ? Ifl? SEP 2 4 2007
Applicant's Printed Name `' '' ' Applicant's Signahxre
DO NOT WRI'1'E BELOW THIS LINE
{
Sub Types
? 01 Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
`? ?6 Public Facility
,?` 27 CommerciaUlndustrial
? 28 Greenhouse
? 29 Antennae
? 30 Accessory Building
? 32 Ext Alt-Apartments
O 34 Ext Alt-Commercial
? 35 Ext Alt-Puhlic Facility
? 37 Nail Salon
)r'?35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
'Demolition Building - Give PCA handout toapplicant
?
Valuation /?1 zo Type of Const ?[-A Width
Plan Rev 100% ? 25%_ Occupancy MCES System
SAC Units "- Z)? Zoning ? City Water
Nbr. of Units 0 Stories / Booster Pump
Nbr, of Bidgs ( Sq. Ft. I 0 PRV
Fire Sprinklered Length Code Edition
RequiredIBSpec ons. ..
_ Footings (aew bldg) Fireplace _ RI. _ Air Tes4 _ Final
_ Footings (deck) Insulation
_ Footings (addition) Sheetrock
l
_ Foundation Ie
FinaVC.O.
_ Drain Tile FinaVNo C.O.
_ Driveway Apron Other
Roof Ice Pr Decking
? _ Insul Final, Pool Ftgs Air/Gas Tests Final
Framing _ Siding _ Stucco Lath _ Stone Lath _ Final
Windows
Final C!O Inspection: Schedule Fire Marshal to be present. V Yes
No "
Approved By; ? Planning " _
Building Inspector
Base Fee
Surcharge
Plan Review
SAGMCES
SAGCity
SIW Permit
SPN Surcharge
Treatrnent Plant
Treahnent Plant (Imga6on) ,
Park Dedication
Trail DediraUon
Water Quality
Wateir Supply & Storage (WAC)
Finanaal Guarantee
Storm.Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
Sewer Trunk
Water Trunk
41S: zS
l B D
? . ?
gc?---
2007 COMMERCIAL MECHANICAL rExn7iT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complere for. commercial/industrial huildings
- multi-familv buildinvs when seoarnte oertnits are not reouired for each dwelline unit
? t&
Date Cl / _Q ?7_
s
Sit
St
t Add
? L
U
it # 1
5
e
ree
ress n
0
?
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
s-
Contractor O
Street Address ? L . Ciry . ?
State '+'F3 Zip 5-?c3'Q Telephone# ?a) S'3'S?'a?Ssn
Bond #: N?'Z?Q Sg,S 7 Expires:
The Applicaot is y Owner _ Contracfor _
7? Other
Work Type
?New Construction lntedor Improvemen[ XInstall Piping _ Processed _Gas Exterior HVAC Unit**
' **HVAC units must be screened
Under/Above ground Tank Install Remove
When installinghemoving tank(s), call f"spection by Fi re Marshal and Plumbing Inspector
Nature of Work: N !U LJ
? '
k
l?
i N oa
Pe7mlt F¢¢S $70.50 Underground tank instillation/removal
$50.50 Minimum (includcs Sta4 Surchargc)
or
ConUacC Value $ ?? x 1%
_ $ PermitFee
$ S1a.te Surchazge
To calculate surcharge
-„ r i ?? F'\
S If Pemit Fee is less than $1,000, surcharge is 50 cents.
i
L ncreases by $.50
If Pemit Fee is> $1,000, surcharge
for each $1,000 Pemit Fee (i.e. a$1,D01-$2,000 Pemit
InJ 1 r T O.? 20??
a? Fee requires a$1.00 surcharge).
$ SQ. -SD Total Fee
I hereby acknowledge that this information is complete and accurate; that the wark will be in conformance with the ocdinances aud
codes of fhe City of Eagan and with the Mechanica] Codes; that I understand this is not a peanit, but only an applicarion for a permit,
and work is not to start without a permit; that the work will be in aecordance with the approved plan in the case of work which
requires a review and approval of plans. G flK Y c'TALs
Applicant's rintedName ApphcanPsSiin e
Approved By: , Inspector Date:
Required inspecflons: U.G. R.I. Air Test - Gas Service Test - Infloor Heat - Fiual
Mike Maguire
MAYOR
Paul Bakken
Peggy Carlson
Cyndee Fields
Meg Tilley
COUNCIL MEMBERS
Thomas Hedges
CITV ADMINISTRATOR
MUNICIPAL CENTER
3830 Pilot Knob Road
Eagan, MN 55122-1910
651.675.5000 phone
651.675.5012 fax
651.454.8535 TDD
MAINiENANCE FACILITV
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360fax
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAK TFEE
The symbol of
strength and growth
in our community.
October 5, 2007
Irina Olker
4617 Summit Pass
Eagan, MN 55122
RE: THE RED SQUARE DELI Tenant improvement
1965 Ciiff Lake Rd, Unit 106
Dear Irina,
We have completed our review of the construction documents submitted in pursuit of obtaining a
building permit for the above-referenced project. This review is not intended to be an exhaustive
and comprehensive report. Unless otherwise noted, all references aze to the 2006 I.B.C. It is our
goal that this review will help you in complying with the applicable codes and we are, therefore,
requesting that the following items be addressed:
1. Provide a SAC Determination Letter. Contact Jessie Nye @ Metropolitan Council
for information. (651-602-1378)
2. Provide a Code Analysis. (Example enclosed)
3. Provide elevations for the main service counter. Designate the location of the
accessible portion of the main counter. (Reference sections 9043 through 904.3.2 of
the 2003 ICGANSI A 117.1 for requirements.)
4. Provide elevations for the toilet room fixtures (sink, water closet, grab bars, mirror,
towel dispenser, toilet paper dispenser, etc.)
5. Provide details for wall and floor surfaces in the toilet room.
6. Plumbing, HVAC, and Electrical plans shall be submitted with their respective
pernut applicarions.
Please feel free to contact me at 651/675-5683 with any questions or concerns you may have
regarding this letter.
Sincerely,
Jd"'A???----
J. Craig Novaczyk
Senior Inspector
JCN/CE
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Page 1 of 2
Craig Novaczyk
From: Craig Novaczyk
Sent: Thursday, October 11, 2007 6:44 AM
To: 'Wade Olker'
Subject: RE: Construction Documents
Thank you, Wade. As soon as we get the SAC determination we should be ready to go.
Craig
Craig Novaczyk
Senior Building Inspector
Office 651-675-5683
Fax 651-675-5694
cnovaczyk@citvofeagan com
From: Wade Olker [mailto:wcolker@yahoo.com]
Sent: Wednesday, October 10, 2007 5:00 PM
To: Craig Novaczyk '
Cc: Dale Schoeppner
Subject: RE: Construction Documents Hi Craig I got all of prices in for the bathroom, electrician, plumber, counters,
etc... and the total price of construction is $27,850. i
Let me know if there is anything else that you need
Thanks... Wade
Craig Novaczyk <CNovaczyk@?n cityofeagan.com> wrote
Hi Wade,
Thank you for the information. However, there is one last thing that needs clarifying. The estimated cost of construction
(permit valuation) should inctude the total value of all construction work, including materials and labor, for which the permit is
being issued, such as electrical, gas, mechanical, plumbing, etc. Please recalculate the total costs and submit the revised
valuation.
Thank you,
Craig Novaczyk
Senior Building Inspector ,
Office 651-675-5683
Fax 651-675-5694
cnovaczyk n?ci?ofeagan com
From: Wade Olker [mailto:wcolker@yahoo.com]
Sent: Monday, October 08, 2007 10:11 PM
To: Craig Novaczyk
Subject: RE: Construction Documents
Deaz Craig,
Thank you for your prompt feedback regarding my wife's building permit. I haue tried
to answer your quesfions to the best of my abiliry and will deliver a hard copy to
10/11/2007
Page 2 of 2
your attention regarding the main service counter elevation, sq ft floor plan, and space plan as it pertains to the
overall center. Here are my responses to the Code Analysis. Again if there is rn?ore clarification on my part that is needed please
advise and I will try to get the information to you.
Applicable Codes: 2003 MN State Building Code/ 2006 International Building Code
Fully Sprinkled Building I
Occupancy Classification: 309.1 Merchantile Group M
Design Occupancy Loads: 1,407 sq ft- 368 sq ft back room/1,039 sq ft retail space
Exits: 2 Required and 2 provided.
I am not quite sure what Type of Construction and whether or not if is a separated use
on non-separated use. Hopefully with the additional diagrams that I dropped off, you may get this informaUon.
The use of the space is for a retail food store. We will sell prepackaged food and deli product that is primarily
bought from a food broker and a small amount that is prepared in the back of store. There is no sit down dining
provided. -
Also, I will forward to you all of the bathroom details on a sepazate message as I receive it from the landlord.
I have noted that the plumber and electrician's plans need to be submitYed with their permits and confirmed this
with them.
Lastly the SAC information will be mailed to Jessie on Tueday,;OcYober 9 and I confirmed
with her via phone. I
I really appreciate your help with this and all construcrion will be done to code and to the highest standards. Any
more detaits that you need, please contact me and I will do everything possible to get it to ASAP.
Very best regazds,
Wade Olker
Pinpoint customers who are looking for what you sell.
Be a better Hearttbrob. Get better relationship answers from someone who Irnows.
Yahoo! Answers - Check it out.
10/11/2007
A Use BLUE or BLACK Ink
~a ~Gtc-~~ l'd s
I For Office Usey~ I
Permit
City of EaRd
I Permit Fee: (f'~ ~ ~ ~ I
3830 Pilot Knob Road i f
Eagan MN 55122 _ I Date Received:
Phone: (651) 675-5675 k.. E 1VE® I Staff: I
Fax: (651) 675-5694 L------------ - --I
JAN 2012 C _
2012 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: Site Address: )9(c) l .HAP cN
y
Tenant: Ck. ra (,-A-v Suite M IC>~
PROPERTY
OWNER Name: Phone: ~''►IL-j BUJ Li (o
Name: r }h~rrc?c'~~.Y.c (~~1~d-,t FcvtiLicense S~3f ~'h^
CONTRACTOR
Address::--7C5D kLi~2~~bfC C6 City: t-15'. State: r\ Zip:
Phone: C 5 ( qS5 f 3 g90 Email:
TYPE OF _ New _Replacement Repair _Rebuild - Modify Space - Work in R.O.W.
WORK
Description of work: wGs-
COMMERCIAL New Construction Modify Space
Irrigation System yes / _ no) RPZ PVB)
• Rain sensors required on irrigation systems
PERMIT TYPE Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes No Flushometers _Yes No
COMMERCIAL FEES:
$60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ 6 x1%
=5 Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read
- If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s)
- If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee $ f~ p State Surcharge
i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
f 1-M
_ $ _ - 0 D 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.goopherstateonecall.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 -S, t C~i~Q~ /XApplicant's Printed Name nt's Sign ture
FOR OFFICE USE Approved By: Date:
Required Inspections: Under Ground Rough-In ____Air Test Gas Test Final PRV Required: Yes No
Page 1 of 3
Use BLUE or BLACK Ink
_ ---------,
� For Office Use I
� I
C�t O{'�1� �n CALL ANNA651 464-2'ggg ERMIT FEE � 'i�p�it#: 0 �:J�� �
6� 1 11 � 11 �` �, rmit Fee: � ��.�� �
3830 Pilot Knob Road awicks@cpandh.com , '' ,� ��{�i� I
Eagan MN 55122 � Date Received: ����� �
Phone:(651)675-5675 � �/� I
Fax:(651)675-5694 ta .:�',�C�1"V'� � Staff• �/`�j
l �S !-------------T I
t�� ��`�,
� 2014 COMMERCIAL LUMBING PERMIT APPLICATION
� Please submit two(2)sets of plans with all commercial applications. -
Date: f��y���'� Site Address: 1��.�� �1:�i` �t�-�`�C- �� -
� Tenant: >�(��_�� C^_, ��-������-�� Suite#: L�� �
Property ;
' OWnet' : Name: Phone:
Name: Commercial Plumbing and Heating, In�. �icense#: PM059469
Contractor "' Ada�ess: 24428 Greenway Ave. c�ty: Forest Lake state:�p�zip: 55025
Phone: 651-464-2988 Ema�i: awicks@cpandh.com
Typ@ Of WOPk —New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W.
Description ofwork: r�,^c'vc�c�e_.\ �.k���,f� � -'tc�� 6 L '
' COMMERCIAL _New Construction �Modify Space (;.}''��5=�c�-'t'�l`�
_Irrigation System(_yes/_no)(_RPZ/_PVB) ,Z,-1-� d"i`Z`�
�� �.� )_�'`(c�.C.L�'(Y'�
• Rain sensors required on irrigation systems p� � ( �C���?�� �,���-�,�,�
Permit Type • Avg.GPM (2"turbo required unless smaller size allowed by Public Wb�C� � l
_Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter. '•J
' Domestic:Size&Type Fire: 1
Avg.GPM High demand devices? Yes No Flushometers_Yes No
COMMERCIAL FEES Contract Value$ 'a3; 1� •�x.01
$55.00 Permit Fee Minimum
_$ 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
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant
$ Water Supply&Storage
$ State Surcharge
_$ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \
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 �\-`� (Y'\ , � . L x ��`�.� C-�
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE � Approved � � `�� �� � Date
Re quired Ins pections t Un d e r G r o u n d . R o u g h I n ;,,,�i r T e s t ..G a s T e s t �i n a l �,� ��2 V'R e q u i r e d � Y e s�N
��`,�. � ��' � '�� �`
Meter Related Items �"�1Meter,Size ��� �� Rat�io Read ataff: ` � �
� �:-= �°�� . �
Page 1 of 3
��� ��� � Use BWE or BLACK Ink
--,
J L� � For Office Use �
� I
Clt Of�� all ���
� Permit#: �� � I
� � �,/ � I
3830 Pilot Knob Road \G' � Uc � ��� I
J ^S � � Permit Fee: ' �
Eagan MN 55122 .,�• � � �-� �
Phone:(651)675-5675 1 ' ' �'''�` � Date Received: �"� �
I �
Fax;(651)675-5694 '" ,/]� �
� Staff: �'"7 �
�����������������J
2014 MECHANICAL PERMIT APPLICATION
,� Please submit two(2)sets of plans with all commercial applications.
Date: I�I�`V I�`1 Site Address:_ ���. �) � \L \`T �--�\ �-r ��
Tenant:�� v �' v'°1��, Suite#•
Resident/�wner° Name: Phone:
Address/City/Zip:
rvame: Commercial Plumbing and Heatina Inc �icense#: PM059469
Contractor ' ' Add�ess: 24428 Greenway Ave. c�ty: Forest Lake
State: MN zip: 55025 Phone: �51_4R4-29RR
cor,ta�t: Anna Wicks Email: aWICkS c an .com
New Replacement Additional Alteration Demolition
r ,�7- /� � /�
Type of Work Description of work: I�L�G�t ��L r�Ur�;�o�S 'f'E�i' !�-�tC�l¢d� �f�'YIS
NOTE:Roof mounted and ground mounted mechanical equi,pment is required to be screenec{by City
Code. Please contact the Mechanical Ins'pector for mform,at on on permitted screening methods ;
RESIDENTIAL COMMERCJ.4L
' '� _Fumace _New Construction ��nterior Improvement
Permlt Type —Air Conditioner _Install Piping _Processed
4` _Air Exchanger Gas E�erior HVAC Unit
_Heat Pump _Under/Above ground Tank �Install/_Remove)
Other
RESIDENTIAL FEES CALL ANNA WICKS WITH PERMIT FEE
$60.00 Minimum Add or alteration to an exi: 651-464-2988
$100.00 Residential New(includes$5.00 St awicks@Cpandh.COm b TOTAL FEE
COMMERCIAL FEES _ontract Value$ o���(�C�� x.01
$55.00 Permit Fee Minimum G�
$70.00 Underground tank installation/removal =$ �� � Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 i j'' .,
*"If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 -$ [ �� Surcharge
�
'`'`'`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 or i nces 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 th the work will be in accordance
with the a roved plan in the case of work which requires a review and approval of plans.
x � '� -�,�� \ ; . � � .�w,u..__......�.�.._
x
Applicant's Printed Na e Applicant's Signature
FOR OFFICE USE, �� „ � � ; � „�,s�� � , � �-�
� > � ,� � ;. � � � �
Required Inspections �` =, :�� �� � � �:` � � Reviewed�y �� �° � � x
�}� Dafe� �
''Underground, . �Rougk�In • Air Tesf_n = -'-,Gas Senrice Test ' In-floor Heat�°` rFinal �° H�fP��Screenin�'{,
.... � . �
,�=��.. , ..
� :, +
Use BLUE or BLACK Ink
---------�
� For Office Use �
. I � I
� Permit#: ���
C�t of �a aIl � . ��
� � � PermR Fee: � �� �
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: ' �� j
Phone: (651)675-5675 � �
Fax: (651)675-5694 i � i
� Staff: � `
----------------- pl`,
���
2014 COMMERCIAL BUILDING PERMIT APPLICATION i�k �
� �v G(� � � \�.�v �f
Date• 2� Site Address:�, � � L.n �� p n�,
y— r�� r�Yl
Tenant Name:��� 6� G I"I��� (Tenant is: New/�Existing) Suite#: �D�
Former Tenant:
�..N...�.w.��...�._�..�....�.,....�w .���.�. _
�° � �1��� (a4�k-� Mpr�T�°(,�c�u�
Name: � one:
� Property Owner � Address i City i Zip:�Z� ��J� w�ST-�iefJ'�L GT/� • �� ���F� � 2„
� �
� Applipnt is: Owner Contractor
�
��..,���.. ,.,�n,�....�� � : . '
� � Description of work: /��p�L � ��I ;�`1`-��� �� �
� ry�of wor� �
� Construction Cost: � ��V
�'"� �
� .�.�';
� Name: 1 l M li� License#:
� Address:� �7�� "�'g�/1 V( i v.�City: �(/'�� ��V ' '` '
Contractor
� State: ! ' " Zip: Phone: / lf��'"� �`f `G �2 �
a Contac��y����!" Emai�:�rnGa'(�'�l� l��/�'�GD'C��S� ►7'�
�.r � �.��_� _��... �.,�. ,.�_ �..e,....�....�.� _
� � ��r
� Name:/�/�i Gh����E/J �(����'�' ���.
� eg�stration#.
#� # �ll5C��1 �� �i�° �,: � ��v� �
ArchitectJEngineer � Address: Ci /�l�L'OI" � 7 J
� � State:�r_I"V Zip:��� �(!� Phone: /���! � ���
� Contact Person:,�u�� w'" �"���Email: /�'���r � �BrYI�'�/U� � GO
�_w.��. ... .�,.�.�n
�
� Licensed plumber installing new sewer/water service: {V � Phone#:
� NOTE:Pfans and supporting docur�ents that you submit are considered fo be pubtic irnic�rm�tiun. Part�s'af
� the infarmation may be ctass�ed"�s nan public if you provide specific reasons�rat rvould�nttit tl�Clty to
� �.� +�anc/ude that the are tr�de secrets.
CALL BEFORE YOU DIG. Call Gopher�tate O�e 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. ��wJ�v�;���rst�;t�v� e�d�;.u�y
I hereby acknowledge that this information is camplete 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 acxordance with the approved plan in the case of work which requires a review and approval of plans.
x G��� � 1��✓ � x c7�' / / 1 ,
ApplicanYs Prin Name Applic�s Signature
Page 1 of 3
` � t ��;�J ���r�� �C4- !�'
DO NOT WRITE BELOW THIS LINE ����3�
SUB TYPES
Foundation _ Public Facility ' Exterior Alteration-Apartments
✓Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial
_ Apartments _ Greenhouse/Terrt _ 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 e�rtire building—give PCA handout to applicant
DESCRIPTION
Valuation Z�<t y�'teo•w= Occupancy �_ MCES System "�
Plan Review ✓ Code Edition o07 BL SAC Units � ��-E7T�-�
(25%_100%� Zoning � City Water ✓
Census Code Stories Booster Pump
#of Units 0 Square Feet PRV
#of Buildings � Length Fire Sprinklers ✓
Type of Construction �•6 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 Erasion Control
Meter Size: Concrete Entrance Apron
Final C/O Inspection: Schedule Fire Marshal to be present: ✓Yes No
Reviewed By: t��G , Building Inspector Reviewed By: — Planning
COMMERCIAL FEES
Base Fee /�.S(i,7 S� Water Quality
Surcharge �40 • � Water Sampling Fee
Plan Review ��7 G • $9' Water Supply&Storage(WAC)
MCES SAC � Z'�$s• a"`' Storm Sewer Trunk
City SAC ? �pO ' °'{' SewerTrunk
S�W Permit&Surcharge Water Trunk
Treatment Plant � 82$ •"'" Street Lateral
Treatment Plant(Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other:
Water Quality TOTAL � 4� 1�{. 4�
Page 2 of 3
* Call MN Dept of Health at(651)201-4500 for details regarding food &beverage or lodging tacuities.
** Contact Building Inspections to see if it is required and for a sample.
"*" Permit for new building or addition will not be processed without Emergency Response Site Plan.
*"**2009 Energy Code Compliance Forms are available at :4��� � �.�,�;�.� :,,3 r ;.3�3 z4,�����t'��5. You will need��e
ANSI/ASHRAE Standard 90.1 -2004 to complete the compliance forms.
Page 3 of 3
� y � � �-�� 3S'
�lt Of �� �Il
� �
3830 Pilot Knob Road
Eagan MN 55122
(651)675�675
COMMERCIAL BUILDING PERMIT SUBMITTAL REQUIREMENTS:
Foundation Onlv
❑ 2 sets of scaled Structural Plans New Buildinq AND Additions
❑ 2 sets of Civil Pians ❑ 1 Soils Report
❑ 1 Certificate of Survey ❑ 1 Certificate of Survey
❑ 1 Code Analysis"" 0 2 sets of scaled Structural Plans
❑ 1 Project Specs ❑ 2 sets of scaled Architectural Plans
o HVAC units required on building elevation/
❑ 1 Special Inspection &Testing Schedule** site plan
❑ 1 Soils Report ❑ 2 sets of Civil Plans
❑ Meter size must be established—if applicable ❑ 2 sets of Landscaping Plans
❑ Met Council SAC Determination (651)602-1000 ❑ 1 Code Analysis**
❑ 1 Energy Calculations complying with the 2009
Interior Im rovement Commercial Energy Code(Chapter 1323 of the
MSBC)"**'
2 sets of scaled Architectural Plans ❑ 1 Emergency Response Site Plan "**
(maximum plan size=<24°x 36")
1 Code Analysis ❑ 1 Special Inspection &Testing Schedule**
1 Project Specs ❑ 1 Project Specs
1 Key Plan ❑ 1 Master Exit Plan
1 Master Exit Plan ❑ 1 CD including electronic copies of the final
�I reviewed plan submittal
� ❑ 1 Energy Calculations complying with the 2009 ❑ Fire Stopping Submittals
Commercial Energy Code(Chapter 1323 of the
MSBC)*"** ❑ Fire Suppression/Alarm Form
� � Fire Stopping Submittals ❑ Meter Size must be established
�' ❑ Meter size must be established—if applicable ❑ Met Council SAC Determination(651)602-1000
❑ Met Council SAC Determination (651)602-1000
���V4�� � (�
* Call MN Dept of Health at(651)201-4500 for details regarding food &beverage or lodging facilities.
i
*'' Contact Building Inspections to see if it is required and for a sample.
""` Permit for new building or addition will not be processed without Emergency Response Site Plan.
""""2009 Energy Code Compliance Forms are available at � .�:���r�,����� �� _ ��� 3��b�
., ��`�, �- .. � �����ns. You will need $�ls
ANSUASHRAE Standard 90.1 —2004 to complete the compliance forms.
Page 3 of 3
. � • � ��� 3�i
Dale Schoeppner December 16, 2014
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 American Dental Partners to be located at 1965 Cliff
Lake Road within the City of Eagan.
The City will be charged 1 SAC Unit for this project, as determined below.
SAC Units
Charges:
Clinic
62 f.u. @ 17 f.u. /SAC 3.65
Credits:
Metro Dental (SAC paid 10/06), 4071 sq. ft 2.41
Retail (SAC paid 10/06)
5195 sf—4071 sf= 1124 sq. ft. @ 3000 sq. ft./SAC 0.37
Total Credits: 2.78
Net Charge: 0.87 or 1
The business information was provided to MCES by the applicant at this time. It is also 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
karon.cappaert(c�.metc.state,mn.us.
Sincerely,
lrit�����
Karon Cappaert
SAC Program Technical Specialist
KC:an:141216A6
Determination expiration: 12/16/2016
cc: Enzo Trubiano, American Dental Partners (email)
Amy Griffin, Eagan (email)
File, MCES
•� •..- . � :�
• . - . .� �it . . •.� � • �•�� - . . . . �1���..���.���
� � •r�• �• • Cr � I,I �1 � R l.
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�b Use BLUE or BLACK Ink
�����
� For Office Use j
C14Ol �� 1,111 }`� , i Permit#: � i
� � �, I �� I
r �; � �,�a� � � Permit Fee: �
3830 Pilot Knob Road +�
Eagan MN 55122 Y S \,, 5�v � Date Received: I d ��f �
Phone:(651)675-5675 �^r
� I I
Fax:(651)675-5694 � �� � �� �
� Staff: �
. `�_����__��_�_�_�J
2014 FIRE SUPPRESSION SYSTEMS PERMITAPP�ICATION*
Date: I�I I�III H Site Address: ��65 C�,-�F �ck� �dc,o�
Tenant: _ ��P �Icsko tw'��'�l �'o,rG Suite#: r0�
Name: Phone:
Property Owner qddress�city�Zip:
Applicant is: Owner Contractor
Type of WoCk Description ofwork: /-I�d .la��� �vY Sorin�ICl�rr �Fcr /k�. �I(� A.�Lealir,4c
Construction Cost: w� Estimated Completion Date: ��(S
Name:_r �l1MM jt I''�p��c"1\r'�_ License#: C�' d /J
Contractor Address: S�� I - ),nr1 1,��_ ��� City: _��1� .�,��
State:�Zip: �j'�j�(_z�_ Phone: �S I- a��(- /�'(�j
` Contact: EmaiL•
FIRE PERMIT TYPE WORK TYPE
�Sprinkler System(#of heads�) New Addition
_Fire Pump _Standpipe Alterations �Remodel
_Other. Other:
DESCRIPTION OF WORK: �Commercial _Residential Educational
FEES C�
Contract Value$ .>�Q(r1()� x.01
$55.00 Permit Fee Minimum
*If contract value is LESS than$10,010,Surcharge=$5.00 -$ ���� Permit Fee
'*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 =$ ��QV Surcharge*
"*"If the project valuation is over$1 million, please call for Surcharge
_$��CU TOTAL FEE
3/4"Displacement Fire Meter-$260.00 =$ ��jq Fire Meter
_$ �O•� 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���tir;s A �t�, X -
Applicant's Printed Name App icanYs Signature
t �� ���
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(�Ui�`�f"t�G� ---------
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3830 Pilot Knob Road � I
Eagan MN 55722 � Date Received:�Q— �� —� ��J j
Phone:(651)675-5675 ,• �
' I ` �
Fax:(651)675-5694 ^ ` �, � Staff:�V� �
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a�.�,. � � � i'.1 -----------------�
2015 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 6/16/15 SiteAddress: 1965 Cliff Lake Rd
Tenant: Crystal Jade Chinese Suite#:
� ��= "� �
'�����' � ����Y � Name: � Phone:
_; �� _;
P�ropert�r�}�`nier�
„�� ,r��� Address/City/Zip:
�' �
� ; ��h = Applicant is: Owner Contractor
�
��i�;� � ;���
'� � � � � Description of work: Add (1) head to cooler.
����Type of W�rrk �
�� � � r�����
� 1�� Construction Cost: $3 0 0.0 0 Estimated Completion Date: 6/18/15
, �� � ���.
'��'� � � � �� ��� Name: Low Voltage Contractors License#: C156
i� �
�� a�s' � ' Address: 4200 West 76th Street City: Minneapolis
��'i�I�C��'�O!`��
��,!��� � �� State: MN Zip. 55435 Phone: 952-288-5922 �
i�� .�:�liiii' �'� i,^i ���::�r=
`��'� °��� � � ��� Contact: Brian Hoffman �
��; �� %���' Email: bhoffmanClvcinc.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads� New X Addition
Fire Pump _Standpipe Alterations Remodel
Other: Other:
DESCRIPTlON OF WORK: X Commercial Residential Educational
FEES
$55.00 Permit Fee Minimum Contract Value$ 3 00.o o 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$0.0005 =$ 55.00 Permit Fee
***If the project valuation is over$1 million, please call for Surcharge _$ 5.00 Surcharge'
$100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE
3/4"Displacement Fire Meter-$270.00 =$ 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 1-�l��L I u V��J�C' x/`y � �GC� .
Applicant's Printed Name ApplicanYs SignBture
FOR OFFICE USE
REQUIRED(NSPECTIONS
Hydrosiatic'���� � Flow Alarrn ���� brain T�sf I�Qugh In :
Trip Pum�Tesf `C�ntr�l Station Finai ;
Conditions of Issuance:'
`� �
Permit Reviewed by: Date:,; ,�_,_,i_/���1�
� ��
C -
'r
CityofEaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MAR 142016
2016 //FIRE SUPPRESSION
rSYSTEMS PERMIT APPLICATION
Date: S'1—c 1— Site Address: I nnf (pC 1. ` ;t4
�uor�L.a
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
Tenant:
U3 yO s LQpf J -
Suite #:
**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 nce with the ap• • •Ian i the case of work
which requires a review and approval of plans.
Applicant's Printed Name
Signature
Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
ork,
Description of work: }dS'i4ta4.7 /'/ �y g
Construction Cost: 3/ S7/D . Estimated Completion Date: 1 '3!%•-'4,
®tract m r
����,:
Name: w►Mt,VI11" 04444* License #:
`� /0(1 City: 57 ` C., /
Address: s -7-1.s—
�r- /_
State: d Zip: c -S- /03 Phone: Ly 2/79" •-/'{ %y _
Contact: T14•) Email: .�
( ar-f .4( 1 -' -
FIRE PERMIT TYPE
Sprinkler System (# of
heads _)
Standpipe/ /
4-y slam"- 4,s06,1
WORK TYPE
<New Addition
Fire Pump
_
Alterations Remodel
X. Other: Chl,��
_ _
Other:
DESCRIPTION OF WORK:
/ Commercial Residential
Educational
_ _
FEES "� j 9 °
$60.00 Permit Fee Minimum 4"1Contract Value $ x .01
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
$100.00 Residential New (includes State Surcharge)
= $ I. K S Permit Fee
= $ Surcharge
= $ t 11S- TOTAL FEE
3/4" Fire Meter - $280.00
= $ 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 nce with the ap• • •Ian i the case of work
which requires a review and approval of plans.
Applicant's Printed Name
Signature
REQUIRED INSPES...PQ l�
Hydrostatii
21A-0 <f6cjd •
City of Evan Ni o (IG'
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: ?"- // /G
RECEIVED
MAR 1 5 2016
Use BLUE or BLACK Ink
1
For Office Use
Permit #: 4 ! L/
0
Permit Fee:
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
D Please submit two (2) sets of plans with all commercial applications.
Site Address:
/?C5 (Jlt friA.. . ejt
4 /`
Suite #:
Name: CEJ JlAreS `Tz,ats Q Arner;c0+,zo-• Phone: ‘,5--/-4/3-7— n 23
Address / City / Zip: 3O /3o4 LC"Da tIAS'7431l 7A) 6-3-033
rin 6005503
Name: / JeA-11'r tle. ; c,.L Sery t ca License #:
Address: /82.c e/el4- (cap
State: %9/1) Zip: 55-// c, Phone:
Contact: Scop ot.., iS6y
City: 6,3I( !IC de -424404,1_,
2,7c/- gel 3g
Email: c.o77` �% Iccvc r�;1�n4eel..Gsr�.
New Replacement Additional Alteration
Description of work: ')SNCL, pc,.„) k,--t)I irx S
RESIDENTIAL
Fumace
Air Conditioner
Air Exchanger
_ Heat Pump
Other
New Construction
✓� Install Piping
Gas
Demolition
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under/Above ground Tank ( Install / — Remove)
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
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ Dl7 x .01
.$‘9 0 0
Permit Fee
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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
pplicant's Signature
�i°� 1-6--5
Apr. 4. 2016 10:38AM
City of £aiR
3830 Pilot Knob Road
Eagan MN 55122
Phone: (851) 675.5675
Fax: (651) 675.5694
L
No. 00524 Lu1E
P. 1dLACK Ink
6461
For Office Use // "n.Permit ff: / 35-776- 76-7 1
Permit Fee: �2-7' e q- (
0 I r
Date Received:
Staff;
2016 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 4. 14 II
Site Address: la �� (1 t, c z° ,.
Tenant: V\-) CL4-
5 'VW 15\-ra_Aielki,l 1 C.C1iAr-A -• Suite #:
.n rf
Name•N1t# 1 e.4/ Lel DP\Lia Phone:
.,,r ::.;. ="
Name: _. .12r X'h ''1tLe.Lef cJ A224 License ff: 61343 F--1'
Address: 1g 5____ _ g /' P_ YI-EV. City . State: Ip: tj l e
,,
PhonePhone: 1,461--Nq 3-715 Email; ynH 1Ltr:�'C° dJYr---
New Replacement Repair Rebuild 1 Modify Space Work in RAW.
Description of work: a ha a (tick 4'1v.i.� (i f:vi k o VIA Me.4vrs"i 14 aP"
;,,;�•:-m;;.- ::::-=s�
..:•. :' '`-. •. " `,
+':`°`�:��:�,'�"�c:;°::,;;;;�.;•::
•" ' .=' ' '
COMMERCIAL New Construction Modify Space
Irrigation System yes no) L RPzJ PVB
9 (, )
_ _—
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior topickina up meter.
Domestic; Size & Type Fire; 1
Avg. GPM High demand devices? _Yes _No Flushometers `Yes No
COMMERCIAL FEES
$60.00 Permit Fee
Contract Value $ 4? cieb .oz.) x .01
Minimum /'0
$60.00 PVB/RPZ Permit
Surcharge = Contract
If the project valuation
= $ jr�% •
6 Permit Fee
(includes State Surcharge)
$ _0 0 Surcharge
Value x $0.0005
Is over 81 million, please call for Surcharge = $ Com- OD TOTAL FEE
Following fees apply
Contact the City's Engineering
when Installing a new lawn irrigation system $ Water Permit
Department, (651) 676-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
$ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage.
I hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a permit, bul only an appllcatlon 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 ‘4t. .4e
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
Date:
CityofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MAR 302016
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: /5424 '1(7.
73-..Q8
Date Received:
Staff:
ry.
2016 COMMERCIAL -BUILDING PERMIT APPLICATION
2 1' Site Address: 161 LQ 5 a `- f' F Up, tc—
��— 1
J
Tenant Name: Yv Y Pc S TW (STD rant is: New / Existing) Suite #: (\0v
Former Tenant: 1i IJ Mot 4t C tmeee M£1Z}/
Name: 10A 1 ► 1 • ■ " r" " - • L1.Cphone: Ls t 33 i!o (D 3 4 0
Address /City / Zip: ca2 u(. ( V WET • 112.. C_T • g • £Wld/
Wl13 S Saef
Applicant is: d Owner Contractor
A ir1)"1+1 ' " tfri , r+
Description of work: L40 NST -9-4U' ji 0P3 of --F2 1444 i-kANODID -FoIM D IFA' ..0 4
Construction Cost:
Name: Ow M I✓ i2 — 1-14Y 1J (tt License #: --
Address: 925- tAL I -2'— t . • Ci 1 -City: es `' gi---v141)
State: ,_ Zip: Ss4 l 2- Phone: ( 3342 ‘ 36 0
Contact: �G1 "\i1/4-1 III Email: Tiz07 Dew ( -r-r& F4 th A) L " t
Name: /4t.'
Registration #:
Address: 1 City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone #:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
t ;if
Applicant's P ted Name Applicant's Signature
Page 1 of 3
JL
c (>1
DO
OT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Commercial / Industrial
Apartments
Public Facility
Accessory Building
Greenhouse / Tent
Miscellaneous Antennae
WORK TYPES
New ✓ Interior Improvement
Addition
Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25%_ 100% V )
Census Code
# of Units
# of Buildings
Type of Construction
Exterior Improvement
Repair
Water Damage
4,00D—
REQUIRED
,00Doe
—
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Drain Tile
Roof: _Decking _Insulation Ice & Water _Final
Framing
Fireplace: Rough In _Air Test Final
Insulation
Meter Size:
Exterior Alteration -Apartments
Exterior Alteration -Commercial
Exterior Alteration -Public Facility
Siding _ Demolish Building*
Reroof Demolish Interior
Windows Demolish Foundation
Fire Repair Retaining Wall
*Demolition of entire building - give PCA handout to applicant
A -A
.20/S' /11580,
Sheetrock
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Final / C.O. Required
3s —Le 1 r`
ye
y{s
Final / No C.O. Required
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall
Erosion Control
Concrete Entrance Apron
Final CIO Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By:
Reviewed By: J V I i kE L , Building Inspector
Planning
COMMERCIAL FEES
Base Fee l 3 a . 75"
Surcharge ,00
Plan Review
MCES SAC 3 0.n+
City SAC 330.00
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
405", 06
Trail Dedication
Water Quality
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
'later Lateral
Other:
TOTAL/ /61,57.
S�
Page 2 of 3
MCES USE: Letter Reference: 160418B7 Address ID: 613466 Payment ID: 392433
Date of Determination: 04/18/16
Greetings!
Please see the determination below.
Project Name: Wyatt's Twisted Americana
Project Address: 1965 Cliff Lake Road
Suite #/Campus: 108, Cliff Lake Marketplace
City Name: Eagan
Special Notes: none
Charge Calculation:
Indoor Bar Seating:
Indoor Bar Seating:
Outdoor Seating:
Determination Expiration: 04/18/18
14 seats @ 23 seats / SAC = 0.61
1354 sq. ft. @ 15 sq. ft. / seat @ 10 seats / SAC = 9.03
531 sq. ft. @ 15 sq. ft. / seat @ 10 seats / SAC x 25% = 0.89
Total Charge: 10.53
Credit Calculation:
Ring Mountain Creamery Cafe (SAC 5/07) = 7.73
Total Credit: 7.73
Net SAC:
2.80 — or — 3 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: karon.cappaert@metc.state.mn.us.
Thank you,
Karon Cappaert
Administrative Specialist
Please visit our SAC website by going to:
http://www.metrocouncil.org/Wastewater-Water/Funding-Finance/Rates-Charges/Sewer-Availability-Cha rge.aspx
390 Robert Street North St, Paul, MN 55101 1805
Phone 651.602.1000 Fax 651.602.1550 TTY 651.291.0904 1 metrocouncil.org
An Eq! rat D4:4portunity Empkoycr
MET ROPO LITAN
Protecting, maintaining and improving the health of all Minnesotans
August 2, 2010
Jin Di Chen
Chan's Chinese restaurant
1965 Cliff LAke Road
Eagan, Minnesota 55122
Gentlemen/Ladies:
AUG 9 2010
Subject: Food and Beverage Equipment at Chan's Chinese Restaurant, Eagan, Dakota County,
Minnesota, Plan No. 101136
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 corrections. Please see the enclosed report for additional changes and/or
comments. Any changes to the original plans submitted must be re -submitted for approval. It is the
project owner's responsibility to retain a copy of the plans at the project location and to
communicate any corrections to the appropriate contractors and suppliers.
Ten working days prior to completion of the project, please contact me at the phone number below in
order to arrange for a final opening inspection. A final opening inspection for new construction cannot
be conducted until the food, beverage and lodging license application is submitted with the
appropriate fee to the main office at Minnesota Department of Health, Environmental Health
Services Section, P.O. Box 64495, St. Paul, Minnesota 55164-0975.
If you have any questions in regard to the information contained in this report, please contact me at
651/201-5244.
Sincerely,
Barbara Krech, R.S.
Environmental Health Services Section
PO Box 64975
St. Paul, Minnesota 55164-0975
barbara.krechAstate.mn.us
BJK:jlr
Enclosure
cc: Tom Hartwell
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: Chan's Chinese Restaurant, Plan No. 101136
Location: 1965 Cliff Lake Road, Eagan, Dakota County, Minnesota
Date Examined: August 2, 2010 Date Received: June 30, 2010
Submitted by: Tom Hartwell, 17794 Icon Trail, Lakeville, Minnesota 55044, Phone #: 952/221-4840
Ownership: Jin Di Chen, Chan's Chinese restaurant, 1965 Cliff LAke Road, Eagan, Minnesota 55122
Phone #: 952/992-0887
The following are corrections or requests for additional information necessary before construction of your
project:
Scope of Project: Build a Chinese restaurant in a strip mall.
1. Equipment Standards — General Requirements:
Food and beverage equipment shall meet the applicable standards of National Sanitation Foundation
(NSF), Edison Testing Laboratories (ETL) to NSF Standards, Underwriters Laboratory (UL) to NSF
standards or Canadian Standards Association (CSA) to NSF Standards. The proper sticker,
manufacturer information and embossment identification shall be displayed on the equipment.
All floor mounted food preparation equipment shall be on six (6) inch NSF legs, casters or raised
four (4) inch masonry base with appropriate base cove.
All counter mounted equipment shall be on four (4) inch NSF legs or sealed to the counter top
unless it is less than 30 pounds and easily moveable.
All gas fired equipment that is designed to be moveable shall be provided and installed with
approved, commercially -rated, quick disconnects.
A full set of approved plans and a copy of the plan letter will be available at all times during
construction.
2. 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.
3. Cabinetry within the food service area:
In all areas where food equipment involves heat or moisture, or where food comes in contact with
the surface, a stainless steel finish or equivalent is required.
All service counters and other millwork surfaces shall be protected with stainless steel, NSF -
certified plastic laminate to Standard No. 35 (Laminated Plastics for Surfacing Food Service
Equipment) or equivalent (as determined by plan review) to cover all exposed wood.
Chan's Chinese Restaurant
Food and Beverage Equipment
Plan No. 101136
Page 2
August 2, 2010
Cutouts in millwork shall be sealed by the fabricator in an approved method.
All counters shall be on a solid raised masonry base of not more than four (4) inches with approved
base cove or six (6) inch NSF legs or castors meeting NSF standards.
If a solid raised masonry base is used, the cabinet shall overhang by at least one (1) inch, but not
more than four (4) inches with approved base cove.
Enclosed hollow bases are NOT permitted.
The inner cabinet bottom shall be removed from below plumbed fixtures.
4. Refrigeration — General Requirements:
All refrigeration facilities must maintain potentially hazardous foods at 41° F or below.
Each refrigeration unit must have a thermometer accurate to within +1- 2° F.
If potentially hazardous foods are prepared a day or more ahead of service, the capacity of the rapid
cooling facilities must be sufficient to satisfy the food required to be cooled.
Cold preparation table must be able to maintain 41° F or less. Raised cold rail refrigeration or top
air cooled units are recommended.
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. Floor drains are prohibited inside the
unit. Do not install drain lines, conduit lines, etc. on interior surfaces of walk-in coolers and
freezers.
5. Storage Areas:
Designate an appropriate chemical storage space separate from food products, single -service items
and food equipment.
6. Ventilation System:
Provide an NSF approved ventilation hood over cooking equipment which will capture and
eliminate moisture, vapors, smoke, fumes, odors, heat and grease laden vapors.
Type I hood required: Captive Air.
Verify that Type I commercial hood ventilation systems on the premises comply with Chapter 1346
of Minnesota Building Code which includes 2006 International Mechanical Code (IMC), the 2006
International Fuel Gas Code (IFGC) and Minnesota Amendments. Sections 506.3.1 though 506.3.7
and 506.7.9 through 506.3.13.3 are replaced with adoption of NFPA 96-2008.
All open sides of a canopy hood shall overhang equipment by at least six (6) inches.
Chan's Chinese Restaurant
Food and Beverage Equipment
Plan No. 101136
Page 3
August 2, 2010
Provide an air balance test by a qualified heating and ventilation professional. Air balance tests
shall indicate the establishment's air handling units operate as designed and in compliance with
applicable mechanical codes. A food preparation area should be under slight negative pressure (less
than 0.02 inches -water gauge).
Sufficient tempered make-up air (at least 55° F) shall be provided and interlocked with ventilation
equipment.
7. Three -Compartment Sink:
Provide a three -compartment sink(s) for this establishment with dual integral drain boards.
Sink bowls shall be adequately sized for the largest utensil to be washed in three -compartment sink.
Provide approved racks, shelves or dish tables for air drying of equipment and utensils next to the
ware wash sink.
Provide approved sanitizer test kit(s) at the three -compartment sink.
8. Food Preparation Sink:
• Provide approved splashguard between food prep sink, and 3 compartment sink.
Dishwashing sinks shall not be used as food preparation sinks.
Provide integral drain board(s) at the food preparation sink.
9. Hand Sinks:
Provide an approved hand sink in the following areas: Hand sink is required in cooks area.
Handsink approved at front counter, and in rear dish washing area.
Provide a separate hand washing sink for each food service, food preparation, utensil washing areas
and toilet rooms.
Install an approved splashguard at hand sink or maintain at least 18 inches of clearance between
products and other equipment.
All hand sinks shall be provided with hand cleanser, single -service toweling and nail brush.
Each hand washing sink shall provide water at a temperature of at least 110° F through a mixing
valve or a combination valve.
10. Walk-in Cooler/Freezers — General Requirements:
Provide approved flooring and base cove for the walk-in cooler or freezer.
• Quarry tile floor and covebase.
Chan's Chinese Restaurant
Food and Beverage Equipment
Plan No. 101136
Page 4
August 2, 2010
Effectively enclose the area above the walk-in cooler/freezer units with fixed or removable panel(s).
This may not be used for storage. Provide access and ventilation for equipment in this area as
recommended by installer.
Shelving shall be approved for use in refrigerated environment.
11. Walls — General Requirements:
Dry storage or non -splash areas may utilize gypsum board with washable semi -gloss paint.
Wall surfaces in splash zones or high moisture areas such as ware washing, food preparation,
handsink and janitorial sink areas, etc. shall be finished with smooth, light colored, durable, non-
absorbent materials to the ceiling. Approved materials include:
• Walls shall be FRP.
12. Floors — General Requirements:
Floors in kitchens, bars, other rooms where food is stored, prepared or washed, employee dressing
or locker rooms, toilet rooms and janitorial rooms shall be smooth, non-absorbent, durable and easy
to clean.
• Floors in all areas shall be quarry tile with quarry tile covebase.
A four inch integral base cove (% inch radius minimum) constructed of the same materials as the
floor shall be installed at the floor/wall junctions.
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.
(Minnesota Rule, part 4626.1325 and 4626.1370) Acceptable materials include:
• Ceiling shall be Vinyl coated acoustic ceiling panels.
• Provide vinyl coated acoustic ceiling panels to storeroom.
14. Janitorial Areas — General Requirements:
Janitorial areas shall have FRP, ceramic tile or equivalent, stainless steel or cleanable block walls in
the splash area.
Unfinished gypsum wallboard is not acceptable in the janitorial area.
Provide mop hanger in janitorial area.
Provide vacuum breakers at all threaded hose bibs.
Chemical or detergent dispensers shall provide appropriate backflow prevention devices.
Chan's Chinese Restaurant
Food and Beverage Equipment
Plan No. 101136
Page 5
August 2, 2010
15. Plumbing — General Requirements:
All plumbing plans shall be approved by the Minnesota Department of Labor and Industry (DOLI)
or delegated agent. Submit complete plans for review to that department.
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.
All hot water generating equipment (water heaters) shall be of adequate capacity to meet the needs
of the anticipated demand of the establishment.
Provide an approved stand (on 6 inch legs) from the manufacturer in the food preparation or dish
wash area for the water heater, water softener, CO2 bulk tank, or other floor mounted
equipment.
All threaded hose bibs shall utilize an approved vacuum breaker per Minnesota Plumbing Code
requirements.
16. Grease Interceptor Installations:
Ensure grease trap/grease interceptors are sufficiently sized.
Each interceptor and separator shall be so installed that it is readily accessible for removal of cover,
servicing and maintenance.
Interceptors and separators shall be maintained in efficient operating condition by periodic removal
of accumulated grease, scum, oil, or other floating substances, and solids, deposited in the
interceptor or separator.
17. Lighting — General Requirements:
Provide effective shielding, such as plastic shields, plastic sleeves with end caps, shatterproof bulbs
and other approved devices for all lighting fixtures in area of exposed food, clean equipment,
utensils, and linens, or unwrapped single service and single use articles.
18. Restrooms — General Requirements:
All restrooms shall be provided mechanical ventilation.
All restroom doors shall be self-closing.
All restroom hand sinks shall be stocked appropriately.
Chan's Chinese Restaurant
Food and Beverage Equipment
Plan No. 101136
Page 6
August 2, 2010
Restroom walls shall have FRP or ceramic tile to a minimum of four (4) feet in height.
Restrooms shall have proper base cove with materials similar to flooring.
19. Other Code Requirements:
All other approvals from local units of government shall be obtained prior to construction beginning.
This includes building construction inspections, zoning approvals or other regulatory approvals.
Obtain an electrical inspection from the Minnesota Electrical Licensing and Inspection. All
electrical systems must comply with the currently adopted edition of National Electrical Code.
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.
Sincerely,
minim kAid\
Barbara Krech, R.S.
Environmental Health Services Section
PO Box 64975
St. Paul, Minnesota 55164-0975
barbara.krechAstate.mn.us
City of Eagan Permit Type: Building
PERMof
3830 Pilot Knob Rd Permit Number: EA141985
y
Eagan,MN 55122 Date Issued: 04/10/2017
675-56
www Eaaan
www.ci.eanm.us
Site Address: 1965 Cliff Lake Rd
Lot: 2 Block: 1 Addition: Cliff Lake Centre 3rd
PID: 10-17782-01-020
Use: Matro Dental Care
Description:
Sub Type: Commercial/Industrial Construction Type:
Work Type: State/County Required Inspection
Description: Requested Inspection(Not Required)
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary: Day Care Inspection $50.00 1221.4216
Total: $50.00
Contractor: Owner:
- Applicant -
Dewitt Exchange LLC
825 Midwest Trail Ct N
Lake Elmo MN 55042
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
.. Ch K cv Use BLUE or BLACK Ink
1
For Office Use t� C,
City
1/441`C -CI :::::ee
of Eaaan . e9 �
3830 Pilot Knob Road _
Eagan MN 55122 Date Received: ••
Phone: (651)675-5675 RECEIVED
Fax: (651)675-5694 Staff: ,�
MAY 162017
2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: 5/9/2017 Site Address: 1965 Cliff Lake Rd, Suite 104
Tenant: Liberty Gyros and Kabobs Suite#:
i Name: Phone:
���tF
Propertyr Address/City/Zip:
�`,,1,11z. Applicant is: Owner Contractor
ray ,"
' Description of work:
UPGRADE EXISTING ANSUL SYSTEM
Type of Work
1897.00 07-01-2017
Construction Cost: Estimated Completion Date:
"' „v'`' NARDINI FIRE EQUIPMENT CO. TS000686
,a, ,, _ Name: License#:
,' � Address: 405 COUNTY ROAD E WEST City: SHOREVIEW
Contractor
MN Zip: Phone:55126 651-283-7028
,,�;
- CORY WOOD CWOOD@NARDINIFIRE.COM
c Contact: Email:
FIRE PERMIT TYPE WORK TYPE
Sprinkler System (#of heads ) New _Addition
_Fire Pump _Standpipe 1 Alterations —Remodel
I Other: ANSUL R102 Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
—
FEES
$60.00 Permit Fee Minimum Contract Value$ 1897 x.01
Surcharge=Contract Value x$0.0005 =$ 1 8.97 Permit Fee
If the project valuation is over$1 million, please call for Surcharge
=$ .95 Surcharge
$100.00 Residential New(includes State Surcharge) =$ 60.00 MINIMUM TOTAL FEE
3/4" Fire Meter-$280.00 =$ Fire Meter
_$ TOTAL FEE
**Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be use.
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that he work will be i
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I und- stand this is not a ,ermit,but
only an application for a permit,and work is not to start without a permit;that the work will be i :,cordance with the ap. oved plan in the c. e of work
which requires a review and approval of plans. Agi / Ai
x CORY WOOD x
Applicant's Printed Name AppI' is Sign 711.! 41111111
`' L?-1( 1
FOR OFFICE USE
REQUIRED INSPECTIONS.
Hydrostatic, N: Flow Alarm _Drain Test Rough In`
Trip, ,Pump Test. Central Station FIrna1,`'J
Conditions of Issuance
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Permit Reviewed by:, D
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Jun. 5. 2017 2: 23PM No, 1545 P. 1
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E Pilot 551225Road 1 jj�0( 1 x (,� .I�
Eagan MN ��4V(1`V 4 1J�1 4M`�` Date Received: ly 11
Phone:(651)676.6676 •
Fax:(661)676.6694 1,,R, 'RE
Staff:
' 11-Nay.-‘41)
2017 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 6/5/2017Site Address: 1965 Cliff Lake Road
Tenant: Dewitt Properties Suite#:
651-336-6360
.f•1: �� '`�; > ?`` �`.;.:;;,,,,;�;N Dewitt Exchange LLC/LLC 579 Summit Avenue
''°�`� •`'t Name: Phone:
.';t:' �,'/iii'•'��.�I�;l;;i::�l�(:�fyi�.�,i sir _
Pap ; y;bwnei ?< Address i city/Zip: 825 Midwest Trail Ct N, Lake Elmo, MN 55042
A.•licant is: _Owner
✓ Contractor
connecting hood suppression system to fire alarm panel
Description of work:
• ;::;; • 500.00 6/8/2017
• �;'::4;; Construction Cost a � Estimated Completion Date:
Total Life Security TS721594
Name: License#:
321 Wilson Street NE Minneapolis
s, •:i:;<>.; AAimee.
M N 55413 612-676-2020
us;> State: Zip; Phone:
Melinda Plzak ins ection totallifesecurit .corn
Contact: Email: p y
New Remodel
V1lork" .Yp' `:4.1.,?°;: Addition _Other:
is r .
"'AA" Alterations
•
DESCRIPTION OF WORK: L.Commercial Residential Educational
FEESContract Value$500.00 x.01
$60.00 Permit Fee Minimum60.00
—$ Permit Fee
Surcharge=Contract Value x$0.0005 =$ 0.25 Surcharge*
If the project valuation is over$1 million,please call for Surcharge 60.25
_$ 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 Alarm permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the
ordinances and codes of the Cily of Eagan and with the Minnesota Bullding/Fire Codes:that I understand this is not a permit,but only an application for
a permit.and work is not to sled without a gem*: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 Melinda Plzak y /44 .a./9ea
Applicant's Printed Name Applicant's Signature
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Permit /� /g-l06, �011��
City of �a a� (t• -IL
Y Permit Fee: ` �� n
3830 Pilot Knob Road 1 ji,I
Eagan MN 55122 ' ' ' Date Received: ( ( -( / ' ��
Phone: (651) 675-5675 i,,f�
Fax: (651) 675-5694 Staff: 4-(-7
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2017 COMMERCIAL BUILDING PERMIT APPLICATION
r
Date1V Site Address: c V'IO ( €i 1 mat®
Tenant Name: A'T13tI,l(6"I" b M I ` ,A (Tenant is: New/ V Existing) Suite#:
•
Former Tenant: (0W 14""v a;L a�- •
I Name: D \ (ziott2.s v t. Lx (., Phone: ,5 O 33i3 D
6
Property Owner
Address/City/Zip: ,
I
1 Applicant is: V/ Owner Contractor
T e of Work ' Description of work: 6-(..... (n wkc J T e ..1...0 0
Type
Construction Cost: 1 Li000- 0-0e) {
? e1 !/Name: � sw( �
� ) . License#:
,
Contractor Address: SZS (NA) 'S IL (' City: LA
State: (I0 Zip: 6So42--- Phone: (i,5i) 9,6,-- 4036,0
Contact: 1- W('t-r- Email: Jew tit er�IES( WtL,iI GD-Y�
Name: `w t\ Registration#:
c bA
I
Architect/Engineer Address: [ 9) 0140 G
SI City: " �O,
State: Zip: .n Phone: � () -52i,--(`�,t L
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Contact Person. Email: �,Y► ®�� Yv S Ct7
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
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x t\I- .\-"114Ve- -kALt,NtAi 1 kgRAktTXKkj Akh3AAIM°
Applicants Printed Name Appl ant's Signature
Page 1 of 3
/64 CI CC L A/ /f •DO NOT WRITE BELOW THIS LINE 1 ill7 e6)6 1
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 7 Exterior Improvement Reroof _ Demolish Interior
Alteration Repair Windows Demolish Foundation
Replace Water Damage Fire Repair Retaining Wall
Salon Owner Change *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation Occupancy A • 1 MCES System /
Plan Review V Code Edition 2-0/S A f 84 SAC Units f At-- ,--
(25%_100% vc Zoning ft, City Water ✓
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings I Length Fire Sprinklers ✓
Type of Construction Width
REQUIRED INSPECTIONS
Footings_New Building_Deck_Addition Drain Tile
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier Erosion Control
Framing 30 Minutes 1 Hour Concrete Entrance Apron
Insulation Other:
Sheetrock Meter Size:
Roof: Decking Insulation _Ice&Water Final
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 Inspe " n: Schedule Fire Marshal to be present: Yes ✓ No
Reviewed By:,-
Li�j/1, ' , Planning New Business to Eagan: ,16
Reviewed By: LAX !c , Building Inspector
FEES Water Quality
Base Fee I' I.7S-- Storm Sewer Trunk
Surcharge �S.(9-1, Sewer Trunk
Plan Review /�`/. b V Water Trunk
MCES SAC Pies. Street Lateral
City SAC 1/0,0-0 Street
S&W Permit& Surcharge Water Lateral
Treatment Plant S1/ . $v Other:
•
Treatment Plant(Irrigation)
Park Dedication
Trail Dedication TOTAL:' 3 8 D$./9'
Page 2 of 3
MCES USE:Letter Reference: 170802A3 Address ID:613466 Payment ID:403618
Date of Determination:08/02/17 Determination Expiration:08/02/19
Greetings!
Please see the determination below.
Project Name: Wyatt's Twitted Americana
Project Address: 1965 Cliff Lake Road
Suite#/Campus: 108/Cliff Lake Marketplace
City Name: Eagan
Applicant: Troy DeWitt, DeWitt Properties
Special Notes: None
Charge Calculation:
Outdoor Seating: 1087 sq.ft. @ 15 sq.ft./seat @ 10 seats/SAC x 25%=1.81
Total Charge: 1.81
Credit Calculation:
Wyatt's Twisted Americana (SAC 04/16): 531 sq.ft. @l5 sq.ft./seat @ 10 seats/SAC x 25%=0.89
Total Credit: 0.89
Net SAC: 0.92 —or— 1 SAC Due
The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the
business use and size at the time of the final inspection. If there is a change in use or size,a redetermination will need to be
made. If you have any questions email me at:corv.mccullough@metc.state.mn.us.
Thank you,
Cory McCullough
SAC Technician
Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram
390 Robert Street North I St.Paul.MN 55101-1805
Phone 651.602.1000 I Fax 651.602 1550 ! TTY 651.291 0904 ! rnetrocouncii.orq METROPOLITAN
An Equal Opportunity el p1Q)cr C OUNCIL
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