2000 Cliff Lake Rd
Use BLUE or BLACK Ink
1- ---r..___ --y
ww i
i
PCity 0Eapn I Permit Fee: ~.5-00
3830 Pilot Knob Road I / I
Date Re ' d: l
Eagan MN 55122 A ~ ? 8 ~ I I
Phone: (651) 6755675
Fax: (651) 675-5654 1-staff-- -
2011 COMMERCIAL PLUMBING PERMIT APPLICAT N '~'~1 0U
Date: woft LI.&A. li-- Site Address: ?-Q C LzAte- Pan(.
Tenant. Suite
PROPERTY
OWNER Name: Phone: V
CONTRACTOR Name: . Q% C S'EL&AS i _ >niceftse #
Address:q 1h,_ e. ;..)N 420%lty:.I~1G` Scat®: Zip:" 11
f . L 1! ff C,
A~im
Phone: 19mail;
TYPE OF _New f V Replacement _Repair _Rebuild _ Modify Space Work in R.O.W.
WORK Description of work: C~ a S ~y1
COMMERCIAL Mum.
PERMIT TYPE _ New Construction ~ Modify Space
Irrigation System i- yes J _ no) L_ RPZ I _ PVB)
Rain sensors required on irrigation systems
0 Avg. GPM _ (2" turbo required unless smaller size allowed by Public Works)
Meters Cali (651) 675-5646 to verity that tests passed prior_ty piokinst_up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? -,Yes _No Flushometers __Yes -No
COMMERCIAL. FEES:
$65.00 Mini r>I>lurn (includes State Surcharge) OR Contract Value $ X1%
Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 _ s. Radio Meter Read
. If the Parma Fee is lass than $7D,010, the surcharge is $6.00 = $ Meter(s)
If the .=I Fee is > $10,010, the surcharge increases by $,50 for each $1,000 Permit Fee
(I.e. a $10,010411,000 Permit Fee requires a $5.50 surcharge) State Surcharge
Following fees apply when instailing a now lawn irrigation system. $ Water Permit
Call the City's Engineering Department (851 675-5648, fcr requirMd fee Amounts.
~fi _ _ _ Treatment Plant
$ Water Supply & Storage
I $ State Surcharge
TOTAL FEES $ + O
CALL. BEFORE YOU..DIG, Ca op r State One Call at (651) 454-0602 for protection against underground utility
damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. v herstateonecali.QM-
I hereby scknowledge that this Infonnatim is ccmplate and accurate; that the work will be in conformanoe with the ordinances and codes of the City of Eagan; that I
understand this i9 not a permit, but only an appliCatwr7 for a permit, and work is not cut a permit that the work 41 be In accordance with the approved
plan In the case of work which requires a review and approval of plans,
x 4+0
Applicant's Applicant' Sywu~
roft"OFFICS USE ;.41:11110W lay,
I egltlt d.lt libnsr Urtdar Groufttl` Rough Ifl Ali Test W s lost -,W final 014V itngiiirft Yes _ ~ IVb
P8 1 of 3
Use BLUE or BLACK Ink
JUL 2 2 2010
Foy office Use,
of I " l j(l
City Ul EaRan I Permit#:
41 no .
I I
I Permit Fee: I
3830 Pilot Knob Road I I
I I
Eagan MN 55122
I Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: 2L Site Address: 2-000 C11,4 2L}a d -1 10 Tenant: or I - Suite
RESIDENT / OWNER Name: IurA C upc~(azb 11V1~ Phone:
Address / City / Zip: 100 I . ' IV. S S
CONTRACTOR Name: COMrne 6dJ Qjkmbi nti 6L.i'1Cl fjfa.2 ~ 1. License 0'-)q( 46q P ILA
Address: 2L C/ Z-~g G-(, ,--,vwr~ City: ' (P La ~L
State: M~ Zip: ~S p 2 Phone: (pS I y (P - z 8 9 ,
-,,YD bSruci
Contact: Jerir, Zavy,~r, Email: /Ct vVS CA P"c~h I v ~ ~
TYPE OF WORK New Replacement Additional Alteration Demolition
d~~wo~ (c Fo ✓ r~,►a~.
Description of work:.
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE _ Furnace _ New Construction Interior Improvement
Air Conditioner Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump Under / Above ground Tank L_ 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: 00
$75.00 Underground tank installation/removal OR Contract Value $ C~ 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)
~ ~ ~ . Q b 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.aogherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conforman th the 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 sta u a per t; th t the work will be in accordance
v th tile approved plan in the case of k which requires a review and approval of plans.
w
x &4 Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date: Zr; /O
Required Inspections: -Under Ground )L_-Rough In -Air Test -Gas Service Test -in-floor Heat I&_:r1na1
Exterior HVAC Screening Inspection
Use BLUE or BLACK Ink
For office tS
My of Eajan iJUN 17 RECI I Permit I q00,
I Permit Fee:
3830 Pilot Knob Road I
I
Eagan MN 55122 I Date Received;-j'/')-/7-/D
Phone: 651 675-5675 1
Fax: (651) 675-5694 i staff--
2010 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: Z'='f D Site Address: r.1? Oi~G' Lpa let 1Z 'D ` l
Tenant: '-ej- Suite
PROPERTY
OWNER Name: ro>tS Phone: &b7 j~, 3`'7p
CONTRACTOR Name: f'"~''" yk v~C '►•~tT ' License Pun 11 Z
Address: .+e f<~~%:z ST City: sl--Awl State: Nzip: 53-117
Phone: ~t c,2 qq, (00`d 3 Email lG~` h~( FA/1)
CO ~"I
TYPE OF -ANew _Replacement _Repair _Rebuild _ Modi Space _ Work in R.O.W.
WORK Description of work: rya ' i GL t! 3 { , rl$u"+`~s
PERMIT TYPE COMMERCIAL
_ New Construction ~ Modify Space
_ Irrigation System yes ! no) RPZ J _ PVB)
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes _No Flushometers _Yes _No
COMMERCIAL FEES:
$50.50 Minimum (ncludes State Surcharge) OR Contract Value $ X1%
Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 Radio Meter Read
- If Permit Fee is less than $1,000, surcharge is $.50 Meter(s)
If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ r Cf 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 $ d ~Q
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility
damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I
understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
t tr~1
Applicant's Printed Name Applicant's Signatu
FOR OFFICE USE Approved By: Date: r~
Required Inspections: Under Ground ough-In $";~r Test Gas Test inat PRV Required: Yes No
Page 1 of 3
I -
Use BLUE or BLACK Ink
For Office Use
' Iq~~ I
City ol Ea' an Permit I
I
I Permit Fee: ' I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
I
2010 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* L4-1
Date: o2g O Site Address: '~O00 IfA 1Y- Leth KrI[ ~ C'
Tenant: Suite M
PROPERTY OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: oC.a. ,Z as
per4legi
Construction Cost: A7 Estimated Completion Date: 14
CONTRACTOR Name: 1/21)2a, AtJee+ od;e S,6r,)t `-r 6 License e'C>0S'
Address: 301 iloCk Ave City: ST ~a
State:~i Zip: 5-S-130 Phone:
A-. Contact: (bra re, 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
! eo
$50.50 Minimum (includes State Surcharge) OR Contract Value $ x1%
= Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for r = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,00142,000 Perrnit Fee requi R X $ TOTAL FEE
3/4" Displacement Fire Meter - $203.00 $ Fire Meter
$ TOTAL FEE
"Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but
only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work
which requ• es a review and approval of plans. /
x o F x
A licant's Printed Name Applicant's Signature
•
• ' ~CCC C C'C ~A~i~ ~ " C~ ~ f ~
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. wwwgopherstateonecall.org
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough In
Trip Pump Test Central Station 4- Final
Conditions of Issuance:
Permit Reviewed-l?y: Date: / /
July 1, 1988
Mr. Joe Merchak
Construction Analyst
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Merchak:
612 222-8423
This letter is to inform you that the Metropolitan Waste Control
Commission has made a SAC determination for the Target Store to be
located within the City of Eagan.
It has been determined that 34 SAC Units should be assigned to this
building. This determination was made as follows:
Charqes:
Office
1965 sq. ft. @ 2400 sq. ft./SAC Unit
Training
920 sq. ft. @ 1650 sq. ft./SAC Unit
Snack Bar
48 seats @ 22 seats/SAC Unit
Retail
82368 sq. ft. @ 3000 sq. ft./SAC Unit
Warehouse
23382 sq. ft. @ 7000 sq. ft./SAC Unit
Total Charge:
If you have any questions, please call.
Sincerely,
R. A. Odde
Municipal Services Manager
RAO:RWJ
cc: S. Selby, MWCC
H. C. Grounds, MWCC
Frank Zelley, Ryan Construction
Metropolitan Waste Control Commission
Mears Park Centre, 230 East Fifth Street, St. Paul, Minnesofa 55101
5 (D YeaC's
R933°A903
SAC Units
0.82
0.56
2.18
27.46
3.34
34.36 or 34
it Metropolitan Council
Building communcties fhat work
December 21, 2001
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
The Metropolitan Council Environmental 5ervices Division has determined 5AC for the
Target Remodel located nnt?un the City ofEagan.
This project should be charged 1 SAC Unit, as determined below.
SAC Units
Charges:
Retail
6552 sq. ft. @ 3000 sq. ft./SAC Unit
Credits:
Stockroom
6552 sq: ft. @ 7000 sq. ft.YSAC Unit
If you have any questions, cal) me aC 602-1113.
Sincerely, &uDZE
Jodi {.. Edwards
Staff Specialist
Municipal Services Section
JLE: (330)
011221S6
Cc: S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
Aimee O'Leary, RSP Architects
www.me[rocouncil.org
230 Gast F7fth Street •
2.18
0.94
Net Charge: 1.24 or 1
?EC 27
- --,?? ,
i
Metro Info Line 602-1888
SL Paul, Mlnuesota 55101-1626 • 16511602-1000 • FaY 602-1550 • TTY 291-0904
An Cgunt Oppcirtuntql Employer
r
V
I For Office U
Permit
n
f EaRd I
I
City of
I Permit Fee: 170
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 staff:
- - - - - - - - - - - - - - - - - -
2008 MECHANICAL PERMIT APPLICATION
Date: 0 L3 lib Site Address: ~V6~ Lt4 (twee rJ
Tenant: Suite
RESIDENT / OWNER Name: (4iI^C~~iI' Phone:
Address / City / Zip:
f1
CONTRACTOR Name: ~L { 161 E~' ri f! rcj fil ty' License L I :2&, Ggl~%,
Address:
City:[ IoaJ 1124, f Jam, State: Zip:
Phone~~7e~r7 Contact Person:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE. Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMM C/AL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
HVAC units must be screened
Heat Pump Under / Above ground Tank ( Install / Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/remova f "A'011 7 2010 tract Value $ ( U't- x1%
$50.50 Minimum (includes State Surcharge)
_ $ 1
~L'~! ~ ~ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ 1,00 State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ I get, U% TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that
I understand this is not a permit, but only an application for a permit, and work is not to start without permit; that the work will be accordance with the approved
plan in the case of work which requires a review and approval of plans.
1 i
i o
Applicant's Printed Name App icant's Signature
FOR OFFICE USE i, J7 F Reviewed By: Date:
Required Inspections: -Under c l. In T i i~ est _Gas Service Test -In-floor Heat Final
MINNESOTA DEPARTMENT
OF AGRICULTURE
May 18, 2010
Lisa Hulne Dakota County D
50 S 10`x' St
Ste 400 TP3-1110 License 9 20042956 NINE
Minneapolis, MN 55403
Dear Ms. Hulne:
This office has completed a preliminary plan review for the Target T-0360 store located at 2000 Cliff Lake Road in Eagan,
Minnesota. The plan review was conducted as required by Minnesota Statute Chapter 28A and the Minnesota Food Code
Chapter 4626. The Minnesota food code is the primary governing document for this review and may be found on line at
www.leg.state.mn.us/le--/statutes.asp by requesting Minnesota Rule Chapter 4626.
All appropriate permits from the local authorities shall be applied for and issued prior to starting any work on the
site. Failure to comply with this may result in a delay or this office not issuing your retail Food Handlers license
until the proper permits are issued. In addition if your water is supplied from a well you will be required to provide
a current proof of water potability. Our inspector will verify that the permits have been obtained.
The Minnesota Department of Agriculture grants preliminary plan approval to the plans for this proposed food
establishment. Upon this agency certifying that all items in this review have been addressed, final plan approval will be
granted. This preliminary plan approval is based upon the supposition that construction and equipment plans submitted to
this office do not change. Any deviation from the approved plans and specifications must have prior approval from this
agency.
Preliminary approval of the plans and specifications does not constitute endorsement or acceptance of the completed
establishment. Periodic on-site inspections may be made during construction. A final inspection of the completed
establishment, with equipment installed, must be conducted to determine if it complies with the requirements of the
Minnesota Food Code. Contact Food Inspector Matembo Kitoy at 952-496-4124 to arrange for a final inspection.
You are listed as the contact for this project at 612-761-0611.
General Comments
This review was for major remodeling in an existing store. The remodeled area is approximately 5,339 square feet.
The existing walk-in cooler and freezer will be removed from the back room. A walk-in grocery freezer, walk-in
dairy cooler, walk-in meat cooler, walk-in produce cooler and dry produce labeling room will be constructed in the
back room. Existing sales floor coolers and freezers will be removed and relocated. New sales floor coolers and
freezers will be added. The dry produce/labeling room will include a hand washing sink with splash guards, one
compartment food prep sink and a table with a scale for weighing and labeling produce. A three compartment
utensil washing sink is not located in the produce room and the plans indicate there will be no utensils to clean and
sanitize. A previously received letter from Food Safety Regulatory Manager William Yee of Target Corporation,
indicates produce will not be processed, but will be washed if needed prior to stocking. The expanded food offerings
consist of case ready products in bakery, deli and meat assortments. Mr. Yee indicates none of the assortments in
bakery, deli, meat or produce will require any processing by store team members. The produce assortment will
consist of mainly prepackaged case ready produce and limited produce items such as melons and lemons. Scales will
be used to weigh and label all random weight case ready items. A three compartment utensil washing sink is located
in the Food Avenue, which is not part of the remodel. New room finishes will be provided in some store retail sales
areas.
At this time, a HACCP plan has not been submitted for review. In addition, I have found nothing within the plans
or application to indicate a HACCP plan review is necessary.
Licensing of your firm is dependent upon proper installation of an approved water supply, plumbing and waste
system. Our inspector will review your approval letters from the appropriate authorities to insure these
requirements are met. Pursuant to MS 31.175 a license shall not be issued or renewed without approved plumbing,
625 Robert St. N., St. Paul, MN 55155-2538 651-201-1629 or 1-800-967-2474 www.mcla.state.mn.us
An Equal Opportunity Employer and Provider, TDD 1-800-627-3529
Page 2
water and waste systems. (4626.0980, 4626.1030) (5-101.11, 5-401.11) Also our inspector will review approvals from
building and fire officials before granting final approval. Please provide copies of approvals for review at the final
inspection.
Minnesota requires that all equipment be Certified to the National Sanitation Foundation Standards for clean-
ability, durability and performance. New or used equipment not meeting these standards is prohibited. Any
equipment installed that does not meet these standards may be ordered removed.
As submitted, the following food equipment appears to be listed as meeting the applicable NSF standard: Tyler
NTJB8 frozen bunker cases, Tyler NFJEA(B) frozen food end case Tyler NTJCX iumbo island freezer, Hussmann
RLN and RMN reach-in cases. Metro Metroseal 3 shelving and Tyler N6M4PM multi-deck meat cases. The plans
submitted indicate the new walk-in coolers and walk-in freezer will be fabricated by NSF fabricator, Kysor Panel
Systems. The stainless steel wall shelf will be fabricated by NSF fabricator John Boos. Specification sheets were
provided for the above refrigeration equipment, but the market case setting plan (8401) did not show the Tyler
NTJB8 bunker case, Tyler NFJEA (B) frozen food end case Tyler NTJCX meat cases or Tyler N6MHPM meat
cases. The market case setting plan (R401) shows re-used Tyler PSNGN reach-in cases re-used Tyler PSFGN reach-
in freezer cases, Hill Phoenix 05M self service refrigerated cases and Hill Phoenix OWIZ frozen food cases which
are listed to NSF standard #7.
The following room finishes appear to be acceptable. A quarry tile floor and stainless steel or quarry tile base coving
will be installed in the walk-in dairy cooler, walk-in meat cooler and walk-in produce cooler. The walk-in grocery
freezer will have a sealed concrete floor and stainless steel base. The dry produce/labeling room will have a quarry
tile floor, quarry tile or stainless steel coved base, fiberglass reinforced paneling covered walls and vinyl covered
gypsum ceiling tile. New vinyl composition the flooring and carpeting will be installed in some retail sales areas.
Some retail sales areas will be repainted.
Concerns:
1) Manufacturer information was not provided for the one compartment produce prep sink with attached
drainboard and the stainless steel prep counter/cabinet with backsplash. The prep sink and counter/cabinet
must be fabricated to NSF standards by a listed fabricator.
2) Opened containers of food will not be allowed in the walk-in grocery freezer, since the floor is sealed
concrete. It is understood, opened containers of food are not intended to be stored in the walk-in grocery
freezer.
3) Provide a coved base at the floor-wall iunctures inside the walk-in freezer, walk-in coolers and Dry
Produce/Labeling room.
4) If in the future, store operations change, a three compartment utensil washing sink may be required in the
Produce Labeling room.
Equipment
Food equipment shall meet the applicable National Sanitation Foundation (NSF) International food service standards. The
equipment shall be determined by NSF International or an American National Standards Institute (ANSI) Z34.1 accredited
independent entity, including Underwriters Laboratory or the Edison Testing Laboratory, to be equivalent to the NSF
International Standard. The use of equipment, which does not meet the applicable NSF standard, is prohibited.
Bakery equipment must comply with the Bakery Industry Sanitation Standards Committee (BISSC). (4626.0505)(4-
201.11)
Custom fabricated or modified equipment must be constructed by a contractor listed by NSF International. The
name and address of the fabricator for custom fabricated equipment must be identified. (4626.0505)(4-201.11)
All service counters and other millwork surfaces shall be protected with stainless steel, plastic laminate, or equivalent,
covering all exposed wood. In areas where food equipment involves heat or moisture, or where food comes in contact with the
surface, a stainless steel finish or approved equivalent material is required. Solid surfaces for food contact, such Coriari or
Gibraltor shall be constructed by a fabricator listed by an approved third-party testing agency. They are required to be
installed on six-inch legs or a solid base. All areas of the custom fabricated counters shall meet the requirements of NSF
International Standard No. 35. All hard grain decor wood (e.g. oak) shall be properly sealed with a polyurethane or
varnish-like material. (4626.0505) (4-201.11)
Page 3
Used equipment meeting NSF International, NAMA, or BISSC standards, specified at the time of installation is permitted if
it: met the NSF International, NAMA, or BISSC standards, in effect at the time it was manufactured, remains in good
repair, is capable of being maintained in a sanitary condition, and is approved by the regulatory authority. Your inspector
will evaluate any used equipment to determine if it is acceptable.
(4626.0505) (4-201.11)
Provide multi-use equipment, utensils, and food storage containers that are smooth, easily cleanable, and resistant to pitting,
chipping, or scratching. All food equipment in a retail food store must be designed as to be easily cleanable, durable and be
adequate for its intended use. Household utensils or equipment is prohibited. The use of commercial equipment not
meeting the NSF standards must be evaluated and approved prior to installation. (4626.0505)(4-201.11)
Retail shelving and refrigeration and freezer display cases shall be designed and constructed to be durable and to retain their
characteristic qualities under normal use. (4626.0505)(4-201.11)
Provide sufficient refrigeration to hold all readily perishable food products at 41T or less. Provide sufficient ventilation
(e.g. louvers, etc.) for the compressor unit to evacuate any buildup of heat at the underside of the cold pans in and about the
compressor area. (4626.0675.) (4-301.11)
If an ice machine or bulk water unit is to be installed, the waste drain must be properly plumbed and divert to an
indirect waste (air break) floor drain. *(4626.1045 A.) (5-201.11)
Food Protection
Provide a food thermometer for checking the internal temperatures of potentially hazardous foods. Thermometers must be
provided in all coolers, freezers, and hot holding units where potentially hazardous food is stored, and must be located in an
area that is representative of the true air temperature. (4626.0705)(4-302.12) The internal temperature of potentially
hazardous food must be maintained at 4IT or below, or 140T or above, except during preparation. *(4626.0395) (3-
501.16) All freezer units shall hold food frozen. (4626.0370)(3-501.11)
Food on display must be protected from potential contamination from coughs, sneezes and improper handling by installing
properly constructed food shields, the use of packaged food items or other effective means of protection. (4626.0320)(3-
306.11)
Provide tongs, ladles, spatulas, scoops, single-service papers, etc., to avoid unnecessary manual handling of dispensed food
items. (4626.0330 A.) or * (4626.0330 B.) (3-306.13) Utensils must be stored in an appropriate manner between uses.
(4626.0275) (3-304.12)
Installations
Seal (caulk) all annular openings around pipes and other conduits, where they pass through walls and floors. Seal all
junctures between the wall surface and the edges of attached equipment with approved caulk/sealing compound.
(4626.1395 A. (1) (6-202.15)
If conduit pipes are provided for beverage lines they must extend at least three to four inches above the finished floor
elevation at both ends. The annular opening between the beverage lines and the conduit pipe must be sealed with a hard
material and provide a cleanable finish. (4626.1395 A. (1))(6-202.15)
All doors to the outside of the establishment must be self-closing and vermin proof. (4626.1395 A. (3.))(6-202.15)
Lighting
Provide at least 10-foot candles (110 LUX) of light intensity, at a distance of 30 inches from the floor, in the walk-in
refrigeration units, dry food storage areas, and during periods of cleaning. Provide at least 20-foot candles (220 LUX) of
light intensity, at a distance of 30 inches from the floor, for areas where food is provided for consumer self-service,
including buffets and salad bars, or where fresh produce or packaged foods are sold or offered for consumption, inside
equipment including reach-in and under counter refrigerators, in utensil storage areas, in areas behind a bar used for ware
washing, and in toilet rooms. (4626.1470)(6-303.11)
Page 4
Provide at least 50-foot candles (540 LUX) of light intensity for areas where food employees are working with utensils and
equipment where safety is a factor and areas used for ware washing. (4626.1470)(6-303.11)
Install effective shielding or shatter-resistant bulbs for all light fixtures over exposed food storage, food preparation, food
display facilities, clean equipment, utensils and linens, and unwrapped single-service or single-use articles. (4626.1375)(6-
303.11)
Plumbine
At least one toilet facility and not fewer than the number required by law shall be provided. *(4626.1075)(5-203.110)
These facilities must be conveniently located and accessible to employees at all times. * (4626.1095)(5-204.11) Toilet
rooms must be provided with adequate ventilation, hand cleanser, single-use towels or hand drying devices, tissue paper
and waste paper receptacles. Toilet rooms shall have at least one covered waste receptacle for sanitary napkins, paper
towels or diapers. (4626.1260)(5-501.17)
Plumbing plans must be submitted to the Minnesota Department Labor and Industry, Engineering Unit, or delegated
authority for review and approval prior to installation. All plumbing must be installed according to the Minnesota
Plumbing Code, including current amendments. *(4626.1045) (5-202.11)
Equipment connected to the potable water supply shall be protected from back-siphoning and back flow. Equipment with
submerged inlet lines (dish machine, garbage disposal, steam table, urinal, etc.) shall be equipped with an approved
backflow preventor; this includes all threaded hose bib connections. *(4626.1085) (5-203.14) If a post-mix beverage system
is provided, an approved pressure-type, back-flow preventor upstream from the control valve on the carbonator (water line
to the carbonator) is required. (Toilets shall be equipped with an anti-siphonage ball cock assembly. The water line serving
a dipper well shall be permanently installed with an air gap on the water line entering the fixture. * (4626.1055) (5-202.13)
Please contact a licensed plumber or refer to the Minnesota plumbing code.
Install a hot water heater in accordance with NSF Standard #5. (4626.0505) (4-201.11) It must be of adequate size and
recovery rate to provide hot water to all taps during peak water usage. Lack of hot water will require the installation of
additional hot water capacity. (4626.1025) (5-101.13)
If a grease interceptor or grease trap is required by the city building official, it shall be located to be easily accessible for
cleaning and maintenance. The lid shall be water-tight and securely fastened in place. A grease removal device should be
installed flush with the floor. (4626.1195)(5-402.13)
If soap and chemical dispensing devices are installed on potable water lines, they shall be listed to ASSE plumbing
standard 1055. (4526.1260) (5-501.17)
Sinks
Install hand washing sinks in all food preparation, food dispensing, toilet rooms and utensil washing areas. Generally this
is within 20 feet as a person walks. *(4626. 1095) (5-204.11) Provide hand cleanser, single-use towels, and a fingernail
brush at the hand-wash sink located in the food preparation, and ware washing areas.
Install a NSF three compartment, utensil-washing sink (4626.0680) (4-301.12) with integral drain boards, racks or tables,
(4626.0685) (4-301.13) for the proper cleaning and sanitizing of all multi-use equipment and utensils. The size of the sink
compartment must be large enough to accommodate the largest utensil/equipment, which is to be cleaned and sanitized.
Provide and use an appropriate chemical test kit to determine the strength of the sanitizing agent in the final rinse water of
the three-compartment sink. (4626.0715) (4-302.14)
Install a separate food preparation sink if raw food will be cut or combined with other ingredients, or otherwise processed.
(4626.0780)
Install at least one service sink or curbed unit with a floor drain for disposal of mop water and similar liquid waste.
(4626.1080)(5-203.13) Provide hooks or hang-up brackets at the utility sink for storage of mops and brooms.
Utensil washing and hand washing sinks are designed and approved only for their intended use.
Page 5
Storage
Provide adequate shelving covering the food operation to ensure that food products, utensils or single-service articles are
stored at least six inches off the floor. (4626.0730A.) Food storage shelving used in walk-in refrigerators must be in
conformance with NSF standard #2. Chrome or zinc-plated shelving without an approved factory applied hard-baked
protective coating is not approved for this purpose. (4626.0505 B) Retail shelving shall be designed and constructed to be
durable and to retain their characteristic qualities under normal use conditions. (4626.0505A.)
Provide an area for storage of employee's personal belongings that is separate from food clean aquipment and single
service supplies. (4626.1560)
Provide an approved area for storage of chemicals, which is separate from food, food equipment, and single service articles.
(4626.1600)
Room Finishes
The floors, floor coverings, walls, wall coverings, and ceiling surfaces shall be designed, constructed, and installed so they
are: a) smooth, durable and easily cleanable where food operations are conducted; b) nonabsorbent, for food preparation
areas, walk-in refrigerators, ware washing areas, toilet rooms, janitorial areas, laundry areas, interior garbage, refuse storage
rooms, and areas subject to flushing or spray-cleaning methods, or other areas subject to moisture. (4626.1325)
Polymer flooring systems: If polymer flooring such as an epoxy or urethane systems are installed they must be 118 inch
minimum in thickness in snack bars and sandwich preparation areas and 3116 inch minimum in thickness in areas
where ovens, fryers and other heavy kitchen operations take place and contains aground aggregate to refusal. Tlie
finish coat must render the floor surface smooth to the extent that it can be cleaned with available cleaning equipment.
A test area should be provided so that our inspector can verify the flooring thickness.
Concrete, sealed or unsealed, is prohibited: a) where food product packages, containers, or cases in those areas are
opened. b) Under equipment in food preparation and service areas including under service cases. c) in walk-in refrigerators
or freezers, ware washing areas, toilet rooms, mobile food establishment servicing areas, hand wash areas, janitorial,
laundry areas, interior garbage and refuse storage rooms, areas subject to flushing or spray-cleaning methods and areas
subject to moisture. (4626.1335 D.)
Unsealed concrete is permitted: For use where outside garbage and refuse containers are placed, including compactors
stored on a smooth and nonabsorbent surface. (4626.1230)
Vinyl flooring is prohibited: In a walk-in cooler or freezer. (4626.1335 C.) Vinyl flooring is not allowed in kitchens,
deli areas or behind fast food or service counter areas unless the manufacturer recommends it for this use. It is allowed
in storage rooms and retail areas including under food and beverage counters. Proof of recommended use will be
required in the form of sales material or a letter from the manufacturer specifically showing the recommended use
before approval of this flooring will be granted.
Floor and wall 'unctures: Shall be coved and closed to no larger than one millimeter (1/32 inch) when cleaning methods
~
other than water flushing are used for cleaning floors. At the floor wall juncture where the fiberglass panel meets the floor
an acceptable base coving such as stainless, quarry or other pre-approved materials must be installed. (4626.1345A.)
Where water flushing is used coving shall be sealed. (4626.1345B.) Glued rubber coving may not be acceptable on
fiberglass panels, as it may not bond to the fiberglass material
Floor surfaces: Shall in the food preparation, food storage, and utensil washing areas be constructed of smooth, durable,
nonabsorbent, easily cleanable materials, which resist the wear, and abuse to which they are subjected.
The walls and ceiling in the food preparation, utensil washing and toilet room areas shall be smooth, non-absorbent, and
easily cleanable. (4626.1335A)
Ceilings: Perforated or fissured drop lay-in ceiling panels are prohibited in food preparation, food service, and utensil
washing or toilet room areas. (4626.13608.)
Miscellaneous
In accordance with the Minnesota Clean Indoor Air Act, this establishment shall be posted as NO SMOKING ALLOWED.
Post signs at all public entrances.
Page 6
This facility may not be constructed, remodeled or converted, except in accordance with the plans and specifications
as approved by this department. Please contact me for approval of any proposed changes or additions. (4626.1720)
Thank you for your cooperation in addressing the items outlined in this letter. I shall remain available for consultation and
review of your facility's construction progress. Should you encounter any problems through the course of your
construction or equipment installation activities, please call me at 651-201-6214.
Sincerely,
Rick Braecker
Food Standards Compliance Officer
Dairy and Food Inspection Division
RPB:djg
C: Matembo Kitoy, Food Inspector
Lorna Girard, Supervisor
City Building Official
Jason Chisholm; RSP Architects; 1220 Marshall St. NE; Minneapolis, MN 55413
I
i
4
Use BLUE or BLACK ink
For Office Use
t
1 Permit I
1 1
City of Eajan
I
3830 Pilot Knob Road APR, 2010 1 Permit Fee: l t
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 staff:
2010 COMMERCIAL BUILDING PERMIT APPLICATION
Date: oS l Site Address: P000 GUFF LA✓-F- ROAD4 F:A6AkJ.9 MN SS/aa
Tenant Name: --rA K6 E T (Tenant is: New / Existing) Suite
Former Tenant:
PROPERTY OWNER Name: -Tc+'`I, / 6 ~e f 97,eg ) Phone: l 2 ` 3 ~ `.,~f~S 7
Address/ City/Zip: (M(? A"'ce(L f OVI L5 1"u') 6-,i;-yDZ
Applicant is: Yj Owner Contractor
TYPE OF WORK Description of work: M-rAkjR --DVM1Z roR iQPMOAorc OF 5Atgs 1 iz » V-- tN sr2~--Kfiba4
! Construction Cost:
CONTRACTOR Name: 1-67 (v~,r~ ~y~,S) t~Jcf C License
Address: 1-~S7 City: C lion
State: Zip:- Phone: 933 S-14-1
Contact: ; • .'l^ f- V4 Email: it Y1 1 9VS41,Zy ~ P~./~c n ► -rJ As P A 9 cNs Tpci-s
ARCHITECT / Name: 57rl'H6 AJ S 64UTScH Registration ) S~8 /
' ENGINEER
Address: / -:~a-Q p1AFSti.?!1_ ST- NE City: /►7XNN0i P6cxs
State: _ " Zip: SSy/ 3 Phone: 6/.> 72-7/00
Contact Person: 5?Fswy 6#4456o4,,4 Email: asc+,v. CAfXS H4L-Aj(•- R-TP,+,-CH. cor
Licensed plumber installing new sewer/water service: Phone
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.om
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 wo i requires a review and approval of plans.
X PeT 5b-ea x x
Applicant's Printed Name Applica is Sig e
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Public Facility _ Accessory Building
Apartments Commercial / Industrial _ Exterior Alteration-Apartments
_ Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial
Miscellaneous Antennae Exterior Alteration-Public Facility
WORK TYPES
New ✓ Interior Improvement Siding _ Demolish Building*
Addition ✓ Exterior Improvement Reroof Demolish Interior
Alteration _ Repair T Windows Demolish Foundation
Replace _ Water Damage Fire Repair Salon Owner Change
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation /,3O, coo Occupancy M MCES System
Plan Review ✓ Code Edition 2401 mw, SAC Units 4 LS7T£~
(25%_ 100%-Z) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction • 8 Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
v"' Footings (Addition) ✓ Final / No C.O. Required
Foundation ✓ Other: S7R~~t v~-t. Sls4 B
Drain Tile Pool: Footings Air/Gas Tests Final
_ 7 Roof: ~7Decking !4nsulation -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: V/Yes No
Reviewed By: CAI I& , Building Inspector Reviewed BY: , Planning
COMMERCIAL FEES
Base Fee 7 f 56 • 75" Water Quality
Surcharge G' ?X• o c Water Supply & Storage (WAC)
Plan Review 4 G 5 / By 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 TOTALP l~7-gZ$
Page 2 of 3
Metropolitan Council
Environmental Services
April 7 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 Target remodel to be located at 2000 Cliff Lake Road within the City of Eagan.
A determination was not necessary. It is the Council's understanding this project does not
change the use or size of the existing Target store; therefore, no additional SAC is 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,
call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us.
Sincerely,
V/V
on Cappaert
SAC Technician
Environmental Services Division
KC:kb: 100407A5
Determination expiration: April 7, 2012
cc: J. Nye, MCES
Peggy Fleck, Eagan
Jason Chisholm, RSP Architects (email)
www.metrocouncil.org
390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 • TTY (651) 291-0904
An Equal Opportunity Employer
q 7(c,
I~
Use BLUE or BLACK Ink
City of Eafflin
Ed
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2010 FIREWORKS SALES AND STORAGE APPLICATION
r
z
Applicant requirements
1. An application must be completed and returned at least 30 days prior to outdoor sales and/or storage of fireworks.
2. An applications for indoorsa/es of fireworks must be submitted between April 1 st and June 1st to obtain a permit.
2. A letter from the property owner granting permission to the applicant to sell and/or store fireworks on the property shall
accompany the application.
3. A floor plan designating the area where the fireworks will be sold and/or stored shall accompany the application.
4. A list of the fireworks that will be sold and/or stored along with the name, weight, quantity, and material safety data sheets
(MSDS) shall be included.
5. A copy of the certificate of insurance coverage as per City of Eagan City Ordinance No. 387, Chapter 6, Section 6.53 Fireworks is
required.
6 The Fire Marshal or his/her designee will inspect the proposed location for selling and/or storing fireworks to determine if it is a
suitable location.
7 A criminal record check will be done on all applicants.
8. A copy of the City of Eagan license (permit) shall be displayed by the register.
Date: I ZFs' j Za t
Business Name: TARGET 0360 Telephone#: ( 651 ) 688-8706
Display Address: 2000 CLIFF LAKE ROAD
Applicant Name: TARGET 0360 /
Street Address: -Z°cho O CAi~ L"'C' IZ~k - City: ~ o V%
State: (mil t'3 Zip: 551 ZZ-- Telephone ((pS t ) (0 43~ - C)
Retail seller selling exclusively consumer fireworks: - Yes X No
X Indoor Sales Dates: 05/2010 to 07/07/ 2010 and New Years Season
Outdoor Sales Dates: to to to
Please check the selections that apply to this permit
Outdoor Sales $410.50 X All other retail sellers $100.50
(includes: $280.00 Fireworks Permit; $128.50 Tent Permit; $2.00 State Surcharge)
Sign Permit $ 25.00
Temporary outdoor event means an exhibition or sale with a duration of 10 or less continuous days which does not occur more than
once every 30 days and more than three times per year or a combination of 20 days total in a calendar year. (See Outdoor Sales of
Fireworks).
Fireworks are regulated by MN Statutes 624.20-624.25. In addition to these state laws, all displays, sales, storage and use of fireworks
shall comply with City of Eagan Ordinance No. 387, Section 6.53 Fireworks and NFPA 1124 Standards.
I understand and agree to comply with all the provisions of this application the requirements of the is§uing authority.
1L7~!-~ ~r
Applicant Signature
Fireworks Application
Page 2of9
Tennessen Warning
License Application
Minnesota law requires that you be informed of the purposes and intended uses of the information you provide to the City
of Eagan (the City) during the license application process.
Any information about yourself that you provide to the City during the license application process will be used to identify
you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for
a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to
supply information requested by the City, it may mean that your application will not be considered.
All individuals in the City who need to know information will have access.
App icant Signature Date
Authorization and Consent for Release of Information
I, frv~~yv1 ~a`~v°VN , freely and voluntarily authorize the City of Eagan to conduct an
Name of individual authorizing release
investigation to obtain the following information for the purpose of determining my eligibility for a permit to sell fireworks:
Name: jF>,AV \ VA g ft~AktAn T~1.0 V% s
Last First Middle
Date of Birth: vi I ®t I VOL5r Driver's License G q 33C" 5 034LI 10 State IJ
I also release the City of Eagan from any and all liability for its receipt and use of information and records received
pursuant to this consent. I further acknowledge that I have carefully read this release, fully understand its terms and legal
significance, and execute it voluntarily.
Executed this VZ) day of /r ` 200 D
Signature
Fireworks Application
Page 3 of 9
The Police Depart ure as conducted a criminal background check on the aforementioned applicant.
Comments: U
Police D artmen epre ntative Date
Conditions of Issuance:
Background check completed and approved by EPD: A- Yes No
Zoning approval Yes No
Facility inspection complete and all violations corrected Yes No
Insurance policy approved Yes No
Need Site plan, sign permit and written permission of property owner Yes No
Building Permit Application for Tent Yes N
License appr Date approved: f d I
3
TNT® FIREWORKS
Site Plan Worksheet
ADDRESS Z 0o0 U R (~,1cL aa,o~ -
CITY STATE 1`'t tJ ZIP 55-12°Z PHONE 6, 1 - ~'7t~fo
STORE NAME 1 LOCATION # 'C~,raG-~ X36®
TYPE OF EVENT: In-store retail sales of state-approved fireworks
NORTH
5
F
r~
~a
c
SOUTH
SPECIAL INSTURCTIONS
SIGNATURE DATE-
TORE MANAGER / TNT@ Representative
-S3-01004115
- REPRINT - PACK LIST - REPRINT
21369 Order 1004115-S3-00002
Chain Store Sales-Wisconsin Order Date: 3/24/10
CUST PO: SBT
Terms: Net 60 Days SLSMN: Chain Stores - East
Sold To: 1410006 Ship To: 1040223- TAR0360
TARGET - CORPORATE 00001 TARGET 0360
PO BOX 1296 2000 CLIFF LAKE ROAD
MINNEAPOLIS, MN 55440 EAGAN, MN 55122
Desc/Case Packing Item Selling Suggested
CP # Units Sell Price
Assortments
LIGHTNING BLAST SS AM J10 102025 84 EA 29.99
12/1 27736023745
MEGA SHOT SS - ALL J08 101745A 4 EA 99.99
2/1 009130018
MEGA STORM CT SS AM J10 102026 24 EA 49.99
8/1 27736023714
STORM SHOCK CT SS AM J10 102023 120 EA 9.99
24/1 009130248
THUNDER BOOM CT SS J10 102024A 90 EA 19.99
10/1 009130249
Base Fountains
DINOSAURS FTN 3 PAK PDQ J09 200816 72 EA 2.00
72/3 009130073
SUPER VALUE PACK REV J09 200722 24 EA 10.00
12/3 009130051
TRIPLE PAK FOUNTAIN - COM 200505 15 PK 21.99
5/3 009130004
Novelties
SNAP 2-PK PDQ 306 320516 918 EA 1.00
306/2/50 009130104
Smoke
PULLSTRING SMK GRENADE 2PK PD 351034 60 EA 4.99
4/15/2 009130050
Sparklers
#8 SPRKLERS ASST BOX PDQ J09 380247 336 EA 2.00
84/6/5 009130103
Case Totals: 40 CS
Total Pallets: PL
Total Repack Cases: CS
DECLARATION OF COMPLIANCE
Page No 1
-S3-01004115
• Put Pro Number Sticker Here
TNT Fireworks
Bill of Lading - REPRINT
Shipper: 22069 Sales Assoc: Chain Stores - East
TNT WAREHOUSE - WISCONSIN CUST PO SET
223 COUNTY HIGHWAY A Order 1004115-S3-00002
BLACK RIVER FALLS, WI 54615 Route: MN
WLSL Lic Zone: 435 Stop:
Vendor VENDOR NO. 1035906 Freight Code:
Sold To: 1410006 Ship To: 1040223
TARGET - CORPORATE 00001 TARGET 0360
PO BOX 1296 2000 CLIFF LAKE ROAD
MINNEAPOLIS, MN 55440 EAGAN, MN 55122
SFM SFM
Phone 651-688-8706
Emergency Response Nbr: (800)255-3924 Payment Terms: Net 60 Days
HM Description of Articles Weight Shipping # of Cases
Class Pieces
X UN 0336, FIREWORKS 1.4G, PG II 1345 LBS 85 33 [X]
NOVELTIES - NMFC 56290-4 200 LBS 150 7 {X]
Totals: 1545 LBS 40
Net Explosive Mass: 336 LBS
Checked By:
Received By: Received Date:
Delivered By: Placards Tendered By:
Delivery Instructions
Order:
Ship To:
Sold To:
Page No 1
MATERIAL SAFETY DATA SHEET - Consumer Fireworks
SECTION 1- IDENTITY: Consumer Fireworks at Retail Locations
Importer's Name American Promotional Events/TNT Fireworks
Emergency Telephone Normal Business Hours - 800-243-1189
Number After Hours - ChemTel - 800-255-3924
Address Corporate Office
4511 Helton Dr.
Florence, AL 35630
SECTION 2 - Hazardous Ingredients/Identity Information
Consumer fireworks contain various mixtures of oxidizers and fuels, and are designed to burn and produce
visible and audible effects when they are caused to ignite by a user. The oxidizers include potassium
nitrate, strontium nitrate and potassium perchlorate. Fuels include charcoal, sulfur, starch, and aluminum.
All chemical composition is contained within the device, and there should be minimal-to-no exposure to
the chemicals under normal conditions of handling of the type typically involved in retail sales operations.
The chemical mixtures are stable to temperatures up to at least 250T, and no ignition of these devices
should occur during normal handling, transportation, movement, and storage. A match or other flame or
heat source is required to ignite the fuse on the devices in order to cause the devices tooperate.
SECTION 3- PHYSICAL/CHEMICAL CHARACTERISTICS
Boiling Point N/A Specific Gravity (H20=1) N/A
Vapor Pressure (mmHg) N/A Melting Point N/A
Vapor Density (AIR= 1) N/A Evaporation Rate
(Butyl Acetate = 1) N/A - All solids
Solubility in Water: slight
Appearance and Odor: All chemical composition is contained inside a cardboard or other container
SECTION 4- FIRE AND EXPLOSION HAZARD DATA
Flash Point (Method Used Ignition temperature exceeds 250T
Flammable Limits N/A - no vapor resent
LEL N/A UEL N/A
Extinguishing Media Water
Special Fire Fighting Procedures: Evacuate the area if a fire reaches the fireworks and they begin to burn
vigorously. Allow sprinklers to function, if present - they should control the fire. Otherwise, evacuate the
area and await arrival of fire fighters.
Unusual Fire and Explosion Hazards - Suffocation methods should not be used - the devices contain their
own oxygen. Use a strong water flow instead. A fire that has reached consumer fireworks may produce
substantial smoke as well as flame, sparks, and burning projectiles. Once consumer fireworks begin
burning, all persons must immediately evacuate the area. Only fire fighters wearing appropriate safety
equipment should ever consider approaching an area where consumer fireworks are on fire. Remote
firefighting methods should be use whenever possible. Where conditions permit, it may be advisable to
allow the fireworks to burn to completion - this will greatly simplify clean-up efforts.
1
SECTION 5- REACTIVITY DATA
Stability Unstable Conditions to Avoid: Open flames, hot surfaces,
Stable X rough handling
Incompatibility (Materials to Avoid none
Hazardous Decom osition or Byproducts Considerable smoke may be produced in a fire
Hazardous May Occur Conditions to Avoid: N/A
Polymerization Will Not Occur X
SECTION 6 - HEALTH HAZARD DATA
Routes of Ent Inhalation N Skin N In estion N
Health Hazards Health hazards should be minimal - all chemical composition is contained
(Acute and Chronic) inside sealed devices. If leakage occurs and contact with skin occurs, be sure to
wash hands prom tl , and before eating or drinking.
Carcinogenicity NTP N/A IARC Mono ra hs N/A OSHA Re ulated N/A
Signs and Symptoms N/A
of Exposure
Medical Conditions None, except in case of fire. Smoke exposure is then the greatest possible
Generally Aggravated concern (in addition to fire).
b Exposure
Emergency and First Evacuate area if a fire reaches the fireworks. If smoke inhalation occurs, remove
Aid Procedures persons to fresh air and contact emergency medical services
SECTION 7 - PRECAUTIONS FOR SAFE HANDLING AND USE
Steps to Be Taken in Cautiously pick up the spilled devices and place them in a marked container.
Case Material is Contact your American Promotional/TNT representative for removal
Released or Spilled instructions.
Waste Disposal Method Contact your American Promotional/TNT representative for disposal
information.
Precautions to Be Taken Avoid extreme temperatures, open flame and sparks, and rough handling
in Handling and Storing
Other Precautions Intentional misuse/mischief poses the greatest concern with these devices in a
retail setting. Monitor the fireworks display area on an ongoing basis, and keep
young children, intoxicated persons, and any time of open flame out of the
fireworks area. No smoking is ever permitted near fireworks.
SECTION 8 - CONTROL MEASURES
Respiratory Protection S eci Type) N/A - no vapor or dust exposure with intact items
Ventilation Local Exhaust N/A Special N/A
Mechanical (General) N/A Other N/A
Protective Gloves - not required for retail sales Eye Protection N/A
Other Protective Clothing/Equipment - none required for retail sales
Work/Hygienic Practices -wash hands after handling fireworks and before eating or drinking
2
-
ACORD, CERTIFICATE OF INSURANCE ISSUE UE DATE
7 DA9
PRODUCER This certificate is issued as a matter of information only and confers no rights
MCGRIFF, SEIBELS & WILLIAMS, INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the
P.O. Box 10265 coverage afforded by the policies below.
Birmingham, AL 35202
800-476-2211 COMPANIES AFFORDING COVERAGE
Company Columbia Casualty Company
A
INSURED Company Lexington Insurance Company
American Promotional Events, Inc. B
dba TNT Fireworks
P.O. Box 1318 Company Colony National Insurance Co.
Florence, AL 35631 C
Company
D
Company
E
This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding
any requirement, term or condition of contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by
the policies described herein is subject to all the terms, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims.
CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY
LT EXPIRATION
A GENERAL LIABILITY 4015727097 11/01/2009 EACH OCCURRENCE $ 1,000,000
® Commercial General Liability 11/01/2010 FIRE DAMAGE $ 100,000
❑ Claims Made ® Occurrence MEDICAL EXPENSE $ EXCLUDED
❑ Owners' and Contractors' Protection
❑ PERS. AND ADVERTISING INJURY $ 1,000,000
❑ GENERAL AGGREGATE $ 2,000,000
General Aggregate Limit applies per: PRODUCTS AND COMP. OPER. AGG. $ 2,000,000
❑ Policy ❑ Project ®Location
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
❑AnyAutomobile BODILY INJURY Per person) $
❑ All Owned Automobiles
❑ scheduled Automobiles BODILY INJURY Per accident $
❑ Hired Automobiles PROPERTY DAMAGE Per accident $
❑Non-owned Automobiles COMPREHENSIVE
❑ COLLISION
WORKERS' COMPENSATION WC Statutory Limit Other
AND EMPLOYERS' LIABILITY EL EACH ACCIDENT $
EL DISEASE (Each employee) $
EL DISEASE (Policy Limit $
C EXCESS LIABILITY AR4460275 11/01/2009 EACH OCCURRENCE $ 5,000,000
M occurrence ❑ciaims Made 11/01/2010 AGGREGATE $ 5,000,000
Retention/Deductible 10,000
B EXCESS UMBRELLA POLICY 065302852 11/01/2009 Excess of Underlying $5,Million $ 5,000,000
Per occurrence 11/01/2010 $
$
This certificate only applies to INSIDE THE STORE SALES OF MINNESOTA APPROVED FIREWORKS @ TARGET 0360, 2000 CLIFF LAKE ROAD, EAGAN,
MN, 55122.
The Certificate Holders are named as Additional Insureds with respect to General Liability as required by written contract subject to policy terms, conditions, and
exclusions.
CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
CITY OF EAGAN Authorized Representative
3830 PILOT KNOB ROAD
EAGAN, MN 55122
USA;.,'. ."e5.
Pa e i of > CertificatelD# 2BCI0ORV
..rI Y QF EAGMN Permit No: 37'' ? Date: ?''' °
3830 Pilet Knob Road Meter No: & AD /?7d Size: (2?
P.O. Box 21•199 Reader No: Z O R-3-1-4 3 0 Date: 1.6 _L7_ g 8
ESganrlNN 55121
Owner. rt,?r • ,,,,cr _
Site AddIeSS: )nlln rn -t Ff T-qk dp k,,s -1 3 g i (" • c'" T'- " r t r
Plumber. ? nn "t i 1; r ?
P •
R f (:oz:rn_idateC? P.LuT??b :n'.
Conn. Chg: Zoning:
Acct Dep: No. oi Units:
Permit Fee: 1 0 ; ?0nd
Surcharge: ! agree to comply with the City ol Eagan
Tr. Plant ' ?=• ?'? : Ordinancea.
Meter.
Misc.: BY
4?
WATER SEAVICE PERMIT ?? ?
c
i
CITY 00 EAGAN
8830 Piloi Knob Road
P.O. Box 21199
Eagan, MN 55*1
Site
Permit No: 2797
Meter No: _
Reader No:
Date: 7-22-$P
Size:
Date:
Conn. Chg:
Acct Dep:
Permit Fee:
Surcharge:
Tr. Plant u
Meter.
Zoning: ?
No. o( Units: Tgr" `
1 agree to comply with ihe City oi Eagan
Ordinances.
By
WATER SERVICE PERMIT
7-2 .' -. : c.
CITY OP EAGAN Permit No: - Date:
8830 Pflot Knob Road B/ P No: Date:
P.O. Box 21199
Eagan, MN 551?1
Site Address:
COnst.
Ceater
Plumber. 'ncon UtilitieslCansolidated Plnnbin¢
MWCC: ` Zoning•_
Ciry Chg: No. of Units
Acct Dep: I agree to comply with the City oi Eagan
Permit Fee: Ordinences.
Surcharge:
By
SEWER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
Permit No: 10940A
B/P No:
STd'RM SLtiJEP. PERMIT
Dete: n . 1 . .
Date:
Owner. `v-Qn Cnn9tructton
SiteAddress: 2000 C13ff Lk R? 1.1 Bl Cl{ff •.Rke Centrr
Encan Rtilities.
MWCC: _
City Chg:
Acct Dep:
Zoning• rlo'`- ?
No. of Units: ToTc,?E'r.
1 agree to comply with the City o1 Eagan
Permit Fee: ' ? • ? QFd Ordinances.
Surcharge: ` •a'
Misc.: By
SEWER SERVICE PERMIT
I „
` CITY OF EAGAN
• ;? . ' 3830 Pilot Knob Road, P.O. Box 21-189, Eagsn, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value '? . CKDate
Site Address
Lot Block Sec/Sub.
Parcel No. _
a Name
3 Address
0 City Phone
°C Name
0
Y Address
1- City Phone
?Q
? W Name _
F W
_ za Address
Q W City-
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.
5ignature of Permittee
A Buitding Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
On Slte Sewage Occupancy
MWCC System Zoning
On Site Welt (Actual) Const
Ciry Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Revfew
Bidg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
' Permft No. Permit Holder Dats Tslephons #
Plumbing r.L,J
H.V.AC.
Electric
6/ P"
,
N
Inspection Date Insp. ? COmment8
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg_
Final Plbg.
Bidg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pc DisP• wt
,-
P .,
10
, - _ ? ?
X
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100
Receipt# v'Y' L
To be used for PMXATIUti Est. Value Date ,19
Site Address
Lot Block Sec/Sub. `? ?' ? • ? '
Pa rcel
m Name
3 Address '
0 City Phone ¢ Name-
,o
? ` Address ? ? : ..
P. City Phone
Name _
Address
City _
On Site Sewape
MWCC System
On Slte Well
City Water
PRV Required
Booster Pump
APPROVALS
Engr./Assess. _
Planner -
Council _
BIdg.Off. _
Variance _
OcCUpancy
Zoning
(Actual) Const
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
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 Ordjj?;Rncs. a A?J
is
?
with all
Building
',t ..
Permft No. Permit Holder Date Tslephone, #
Plumbing
H.V.A.C.
Electric
7 L Q?) (- - Xv E_4-.-?. 1r I
Softener '
Inspectlon Date Insp. Comments
Footings I Z
Footings II .?? ?? ay _ ? 9? S76
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT # ;
- ' MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
'7 ???9830 P ILOT KNOB ROAD, EAGAN, MN 55122 DATE:
O
CONTRACT PRICE: PHONE: 454-8100 nly:
For Office Use
Site Address Q `? o?t""J t?
BLDG. TYPE WORK DE?,SCRIPTION
I Lot- BloCk ? $ec/Su b J?
? r-"??<V,?:.1" ! : ; _! : ,. IP,; • Res. New
I ' Mult Add-on
Name fn ?? L_'4
V- ?
m -
Add
s
--
-A ?•-,
? Repair
Comm.
c re
s
City, - Phone .=-` ?'•' - ` > I/ Other
FEES
? Name RES
HVAC 0-100 M BTU - $24
00
.
.
c Address ADDITIONAL 50 M BTU - 6.00
p City f' Phone (RES. HVAC INCLUDES A/C ON NEW
. CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 i
TYPE OF WORK COMM/INO FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU q MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
r
Other
FEE:
'?? SIGNATURE DF PERMITT!?
S/C: .
'?'?' ., ,
TOTAL: FOR CITY OF EAGAN
i
. , . PERMIT tF
PLUMBING PERMIT RECEIPT #
f• CITY OF EAGAN 147
-; 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address?4 -??ff K? cJ
Lot ='T Bloek- ? Sec/Sub
-
} E? 7-?-^
? Name
? Address
'
i
c Ciry
>Y
44< < h Phone
551144
? Name r"'4k''Gff /2r_- a
3 Address ?-?-3 5 D (016111 s t'
p City' Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONQO - RES. RATE APPLIES
MINIMUM - RESIDENTtAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
'j4J_
SIGNAT RE OF PERMITTEE
,
CSTY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New ?-
Mult. Add-on
Comm. ? Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
lavatory - $3.00
Shower - $3.00
Ki!chen Sink - $3.00
Urinal/Bidet - 53.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1 50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: • SD
GRAND TOTAL• ,?L 'SO
SITE ADDRESS Lk. Dij. Unit # Permit # -I'la
L ? B ? Sect./Sub. 0) ) fl-P '"Q l<e O-e.,,4r
INBPECTION DATE INSPECTOR DTHER
FRAMIN6
ROUBN PLBB.
ROUBN HTB.
IN8UL ?
FlHEPUCE
FINAL HTB.
FlMAI PLBB.
UNIT flNAL
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
7 -7/- lov ?-G =:??
.
Vt
7_ z7 -
.
?
- -?-, .
?7 ? ,
_
_gr ?' • ? ?
I-Z-56' ?LJ• , ?'??
.-/ D
i
?
. ., .
. .. ?
SITE ADDRESS
L B Sect./Sub.
Unit # Permit #
INSPECTION DATE INSPECTOR OTHER
mosa ?$'4
ROU6N PL66.
ROU6N HT6.
INSUL
RREPLACE
FIMAL HT6.
FINAL PLBG.
UNIT FINAL
CENT/OCC
,
?_ ?
INSP TION DATE INSPECTOR COMMENTS
V- ff.# ? cv U
?
.
a- ?
?
?. '
46
ll >>
:45 <
f G 41 e Is
?
• ,??' ? ?J c T
CONTRACT
PRICE
Site AddTs
PLUMBING PERMIT
CITY OF EAGAN
KNOB ROAD, EAGAN, MN 55122
Phone
FEES
COMM./IMO. FEE - 1%OF CONTRACT FEE
APT. BLDCS/'- COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $:50 S/C PER EACH $1,000 OF PERMIT FEE)
FOR:
Res.
Mult.
Comm.;T_
Otf1Bf f _ 1 1'; L
PERMIT #
New
Add-on r
Repair
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray - $3.00
Floor Drains -$1_50
Water Heater - $1.50
YVhiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. -$10.00
Rough Openings - $1.50 ?
PERMIT FEE: _?.n
STATES S/C: `J??
GRAND TOTAL: <=WL'
Jv
??
MECHANICAL PERMIT Foi
? C1TY OF EAGAN PERMIT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT?
. DATE PHONE 4548100 DATE: _
Site Adess /S
b
S
Lot ec
u
BI
- ?.
Name '
?
? Address l3 NC E
?
_ City H10. Phonp 31
m
Name T
? Address 0 ? 3 Z
? City M?L,4 • f ?'1, • Phone -
TYPE OF WORK
Forced Air MBTU $
Boiler M BTU $
Unit Heater M BTU $
Air Cond. - ? • M BTU $
Vent -CFM $
Gas Piping Outlets # $
Other $
CommJlnd. Contract Price - a5Z 3 x 196 $
PERIWT FEE: 5
S/C: .5?
TOTAIL-
h)lult.
Comm.?
Other
New Const
Add-on ?
Repair
FEES
RES. HVAC 0-100 M BTU - $24-00
ADDITIONAL 50 M BTU - 6-00
(RES. HVAC INCLUDES A!C ON NEW
, eoNsrRUETiony- ,_ _ -, _ ;- -- _
TOWNHOUSE & CONDOS - RES. RATE APPUES .
?
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REIAODELS (INCLUDES GAS PIPING) - 12.00 ?
GAS OUTLETS (MINIIiAUAiI -1 PER PERMIT-
NEW CONST.) - 1.50 EA. 1
COMMAND FEE -1% OF CONTRACT FEE i
APT. BLDGS. - COMM. RATE APPLIES ?
MINIMUM COMMERCIAL FEE , - 20.00 ?
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
r
- ? INSPECTION RECORD
"ZCITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ?
Eagan, Minnesota 55 1 22-1 897 Date Issued:
I (612) 681-4675
SITE ADDRESS: APPLICANT:
r .
1FF I AKt C(iVfkE .,
PERMIT SUBTYPE:
, . i TYPE OF WORK:
NF W
??<<,rR 1t''f[t1N 11?M1, (iitfFNMOU'l-f
INSPECTION ., . .•
R?'NA!?!'S? TNI? --iitslf'"fftl h1AY N0 1 Esl- ?N'=' FAi 111 f) Rf"6'(IhF Apl?TI i: 1198 IiNfl Mt15'C Hf
Hfh40VE1l li'I Itll Y.'A i'i AN itf ti'1FLlh0 EtY .I411" VI)f'i ;
?
?
Pertnit No. Permit Holder Deta Telephone 8
ELECTRIC
PLUMBING
HVAC
Inspactlon Data Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFINCa
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
pYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAI.
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINP.L
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
i; ? i}?h. i
? { i i?,F I f M I I?{
? PERMIT SUBTYPE:
UN RECORD
PERMIT TYPE:
Permit Number:
' Date Issued:
3 fi i ,,, APPLICANT:
? t? ( .' ? tt;ilA '?b04i
TYPE OF WORK:
it; ,, i, i t ! i:'iv
lo,ll I I isi
u, .uia
4 CRh rt Ni t 10sIir+r- 1
INSPECTION D• • .A
Pertnk No. Parmft Halder Date TeFephone #
S/W
PLUMBING
HVAC
ELECTRIC ? 14404 WAV ?
ELECTRIC
Inspectlon Date Msp. Comments
Footings I
Foundation
Framing
Roofing
Raugh Pibg.
Raugh Htg.
Isul.
Fireplace
Final Hlg.
Orsat Test
Finaf Plbg. Pibg. Inspector - Not'rfy Plumber
Consl. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Deck Final
Well
Pr. Disp.
I,,/
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
? (612) 681-4675
? SITE ADDRESS:
t 1
?
N0 61 ;Av
3 tt! ???'F
ON
:coRD?
PERMIT TYPE:
Permit Number:
Date issued:
? APPLICANT:
( ?? ! :' 1 AI
Ft-iil0b
lt?3Y! LjtN(l
A.17:'Ft7
04i16/vb
f PERMIT SUBTYPE: TYPE OF WORK: ?
'?1 ItFtATIAN ?
1! Mf' HREhNHOtfS F ) ,
Permit No. Permit Holder Date Telephone
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIF TEST
HOUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOGFINAL
BSMTH.L i
' I
BSMT FINAL ,
DECK FfG
QECK FINAL
䥃奔传⁆䅅䅇ൎ㼊㌠㌸‰楐潬⁴湋灯删慯䔊条湡楍湮獥瑯㔵㈱ⴲ㠱㜹㘨ㄵ 㠶ⴱ㘴㔷䥓䕔䄠䑄䕒卓ഺㄊ䄠夠✱⁉‱‴⽬䘳琠ㄠ琠映Ⅶⅲ䕐䵒呉匠䉕奔䕐ഺℊ䤠渠丠爠‧‧⁽‿൹ℊ椠䵴㽬㽩‱ㅉ爱❙⠠䤬䘬汎牬汅❬㼮㼠⁉ⵆ䕐䵒呉吠偙㩅敐浲瑩丠浵敢㩲慄整䤠獳敵㩤偁䱐䍉乁㩔猢㠠椱琬⁆ഭ㼊❩汬⸠ി䰊䤠⸰‱‱㝴ㅽ⸴氮ൎ吊偙⁅䙏圠剏㩋㽬Ⱒ爡㼠❴ㄱㄱഴ䤊⠻⁉㼱爠丠椨晑㌺㘹⁁ഹ䠊椺ㄠ椠氠⼠⤫爊琫⠠椱椨㩦䘠琠丠䕉䤱㨠െ㼊
Fermn Flader oate reWphons II
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
RDOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
OFSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: `•' "? ???
Eagan, Minnesota 55122-1897 Date Issued: ?'? ?} '? I
, (612) 681-4675
? SITE ADDRESS: APPLICANT:
I i i 1:,t 1 li f I;I Fi106 PERMIT SUBTYPE:
'',,,, ,,I: .
TYPE OF WORK: .
Mrw
fFMPt1NARY HRECNHOUSE
INSPECTION .A . .•
I I tai; ?
? j ? , ? '? ?'4 ?e "p
3 I ?
. . . ? W?? .? .. . . .
.. . . . ,.. . . .. n .. . .. • y ;. . . . . ..
??
- -- ` - - - ___•_ _- - - - - - - ..? ? ? ? - --
Permlt No. Pormk Holder Dats Telephona #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Commants
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
I
GAS SVC
TEST '
I
INSUL
GYPBOARD
FIREPLACE
FIREPlACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDC3 FINAL
BSMT R.I. .
BSMT FINAL
DECK FfG
DECK FINAL
CASH RECEIPT
CITY OF EAGAN
3830 DT KNOB ROAD
? EAGF AINNESOTA 55122
? X.._.
DATE ? - S 19 S.?-
?ErvEO
? ? `i , rr r ? , ?? ? ?- ,_ ? • f, l 1 ) r,, ? ?' ,? .
-l-
hMOUNT $
FUND OB.IECT AMOUNT I
I
I
Thank You
Bv
/
?
wnrte--Paye.s copy
Yelbw-Postln9 CaPY
' Pink-FIIe Copy
BLDG. PERMIT NO.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
BUILDING PERMIT
.,
To be used for `?•'
Est. Value ? ? ,500• 0}') Date
Receipt
f[;LY 5
I r-4z99
,:
19 , -.
Site Address •'` `6n CLIFF I.An Rp
Lat ' Block 1 Sec/Sub. `'LIFg LAKE CEN'IRE
Parcel No. _
. Name a'A1'TON HVDSON CORP
= Address 7' S 67,11 ?",T BOX 1392
? City `: f-LS Phone 370-8708
, a Name RY? C0?'d5Tktl'CTIDN (F?lA?+IK Z?,LLE
oQ Address 700 1NT'L Ct•;1';: SIW 2Ni) AVr ?
U? Ciry ` ='LS Phone 339-9847
? W Name,
hw
Address
U
Q W CItY?
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicabie State of
Minnesota'ttatutes and City of Eagan Ordinances.
.
Signature of Permittee
A Building Permit is issued to: ? ?t C i I
on the express condition that ail work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
OFFICE USE ONLY
On Site Sewage OccupanCy B-2
MWCC System Zoning f-L., G5?'
On Site Well (Actual) Const I 1-N 5pk
City Water
x (Allowabie) ? .
' ? ` ?•G
PRV Required # of Stories 1
Booster Pump Length 1,901
313'
Depth
S.F. Total 117732
Footprint S.F. 1142 S"
APPROVALS FEES
o,700
Engr./Assess. Permit
Pianner Surcharge
Council Plan Review
400
j
Bldg. Off. SAC, City P
1 ?
7L30
Yariance SAC, MWCC ,
Water Conn.
Water Meter
Road Unit J.(y ,1'S6
Treatment P 1 6,93
5
Parks
TOTAL ??
I y?,,? j CITY OF EAGAN N2 15299
?' _ n,LJ3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt # ?531Q
To be used tor TARGET Est. Value $2 , 500, 000 Date JULY 5 1988
Site Address 2000 CLIFF LAKE RD
Lot 3 elock 1 Sec/Sub. CLIFF LAKE CENTRE
Parcel No
a Name DAYTON HUDSON CORP I
= Address 33 S 6TH ST BOX 1392
° City MPLS phone 370-8708
, o Name RYAN CONSTRUCTION (FR/+S]K L•
? Q Atldress 700 INT' L CNTR 900 2ND AVF S
P City MPLS Phone 339-9847
City
I hereby acknowledge that I have read ihis application and state that the
information is correct a agree to ly wi Rall applicable State of
Minnesota Statutes and ?t ofEagan Or a es.
Signature of Permittee L?
A euilding Permit is i uetl to _RYAN CONSTR?C3'I0N
on the express condit n tha II work shall be done in accordance with all
13pplicable State of Mi ne a Statutes and City of Eagan Ordinances.
'ding Official_Aw ljf&?-?i
OFFICE USE ONLY
On Site Sewage _ Occupancy B-Z
MWCCSystem X Zoning PD CSC
OnSiteWell _ (ACtual)Const II-N SPR
City Water X (Allowable) V-N SPR
PRV Required - # of Stories 1
Booster Pump _ Length 390'
Depth 313 '
i S.F. Total 117732
Footpfint S.F. 114232
APPROVALS FEES
Engi./ASSess. Permit 6,700
Planner Surcharge 1,050
Councii PlanReview 3,350
Bldg. Off. _ SAC, City 3,40
0
Variance _ SAC,MWCC 1$,70?
Water Conn
Water Meter
Road UniS 0 •116
Treatment P1 __6.r93,6
Parks
TOTAL 50,292
zaRGEi-- CITY OF EAGAN N2 15232
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? ? I
BUILDING PERMIT PHO N E: 454-8100
Receipt # i. C
To be used for FOUNDATION Est. Value Date JUNE 22 ,? g 88
SiteAddress 2000 CLIFF LAKE RD
Lot 3 Block i Sec/Sub.CLIFF LAKE CENTER
Parcel No
w Name DAYTON HUDSON CORP
3= Address 33 S 6TH ST SOX 1392
° City MPLS Phone 370-8708
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Si[e Well _ (AC[uaq Const
Ciry Wa[er _ (Allowable)
PRV Required - # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
o Name RYAN CONSTRUCTION CO, TNC
?Q Address 700 INT'1. CNTR 900 2ND AVF
: City MPi.S phone 339-9A47
w
w
z
u
z
w
Name_
Address
City_
I herehy acknowledge that I have read this applicalion and state that the
information is correct and agree to comply with all applica6le State of
Minnesota Statutes antl Ci of Eagan di nces.
Signature of Permittee
A Building Permit is i5sued to: RYAN C STRUCTI CO
on }he ezpress wndition that all work shall be done in accordance with all
applicable State o,iM_i•nn-es p?.rota• ?SIt,atutes and City of Eagan Ordinances.
BuildingOfficial?f? J_l ?n?i 'D'G -
APPROVALS FEES
98
50
Engr./ASSess. •
Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAQ City
Variance SAC, MWCC
Water Conn
Water Meter
floatl Unit
Treatment P7
Parks
98.50
roraL
/ I / S43o1S
46485??
Fequest Date
-
? Fire No. Roughin Inspection
Requiretl? NOTICE: Vou Must Call Eleclrical Inspectol
H A Rough-In Inspection
ir
I
R
d
/ F] Yes N. s
equ
e
.
I;k licensed contractor G owner hereby request inspection of above electrical work at:
Job Adtlress (SVeet, Box or Fo.e No.)
:/lLi ?'C, V G ?
? ,C City/? .
G/'
Y
Section No- Township Name or N./ Range No. Goun ?? /??
G
OccuOaNT)
? Phone No.
PowerSy pp'lier /
?QLLLI "?? Adtlress
leclrical Conlrac?or (Company Name)
?'? %, Conlreclor's license No.
Mailinq d(tl?ress (Convador or pwner Making Installa?ion)
? ?' ? ? L? . '/r 1 '?, C i??_
Aulhorized ' n. ?e C Uactor10 akin nslal on) ?
J 1 / ? ?-r ?s Phone Number
MINNESOTA STATE BOAHU OF ELECTRIQTY THIS INSPECTION FEOUEST WILL NOT
GriggsMidway Bltlg. - floom 5473 ' BE ACCEPTED BV THE STATE BOARD
1821 University Ave., SL Peul, MN 55104 UNLESS PROPER MSPECTION FEE IS
Phone(612)602-U800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
See inslmr.tions lor compleling this form on Oack of yellow copy,
lp
pp 4648.5 1?I . "X" 8elow Work Covered by This Request ?'? • (_.-L
ew Add Rep. TypeofBuilding AppliancesWiretl EquipmemWired
Home Range Temporary Service
Duplex Waier Heater Eleclric Healing
ApL Buildinq Dryer Load Mana9ement
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner ?
Other(speciy) Comracror? Remarks? ? ?
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 _ Amps A6ove 00 _ Amps
Signs Inspector's Use Only. ? TOTAL /
Irrigation Booms jJ'
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT
01her Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
Roughin Oate
certify that the above inspection has
been made. T,,aj
?
OFFICE USE ONLY ?/ ? a .
This request voitl 18 monihs from JJ?i?(f9
??1
?l
This request voud ??j _V
IB momhs fmm
? 24060?3,?
C3te Fire N: Ro.qp fY,?InsVer,tiun ?peaAy Nuw?ill Nou1Y. Inspec-
«?? Whrn Readv
v
1, 198II ??es Nu
Licensed ElecVical ConVactor 1 hereby repuestinsvection ot ebove
.._.? ....?si?.d wz
U Own¢r -"-...- -
SVee[ AAAress, eoz or Route No.
Y.... Q?u
+ • D ??'C' "
_ ?j?
Ci1V
:agan
C
a
ecuon o. Township Name or No. RanOe N- Cownty
Ik1::0'tcl
Occuuant (PRINT)
one No.
Ph
Target T-360
Powei $upvlier Atldrnss
4300 -
220 St W Parmington,MN 55024
Da;cota Electric
al Gomractor ICompanv Namel
Electrir Comractoe's Lirense No.
.
DY;7AN`lA II?ECPRIC, INC. D40421-1
Mailinp AdJress IConvactor o, Owner Makiny Installationl
1915 Broadway St NE Minneapolis, kmN 55413
Au orized Sign ICOnlractor/Own
Makiny Install:ition? e N?mee.
379-4112
ruic iNSacCTION REQUEST WILL NOT
MONESOYAl STATE BOI+ND OF ELECUMICITY
Griggs-Midwav BIC9. - poom N-191
1021 Universitv Ave.. SL Pnul. MN 55104
Phone (612) 642-0800
BE ACCEPTEU 8Y THE STATE eOAxu
UNLESS PpOPEP INSPECTION FEE IS
ENCLOSED.
O. EB-00001-06
REQUEST FOR ELECTRICAL INSPECTION ,., ???? J
? See inshuctions tor completirg Ihis iorm on back af vellow coov_ .. .. _ . ... ? n_.._..,., h?i Thic ReuUeSf
_. 40
mis ,eaoasi.ma
. rnii,,- i
7?a2?9 v ? Z'?
T
Request Dat I
/ Fire . RougRin Inspedion
Requiretl? ? Ready Now 1f+?'vnin?otify Inspector
When ReaOy?
(y U
,2 7/? ? Yw ? No
YT_L?It'ensed coniractor O owner hereby request inspection of above electrical work at:
Job Atlaress (Sireet. Bae or Route No.)
'2 ow C L,I?F CAte oacP Cily
6"?' +"'
Sedion No. Townsnip Name or No. Ran9e No. Counry
DAknrn
OccuOa RINT)
R eT' T 360 Phone No.
70 6
Power Supp/li?er ?
/d A ! E?W' AdAress
Eleclncal GonVaclor(COmpa/?ny/N?ame) ? Y
? W V F-?/'I 45?-?./ Conlraclor5 LirenSB No
Mailing AaO? ss fCont?ac:or or Owner Making Inslalle[,on,
??SS OAKCfesr If?r.,Pnsev:/re
*.d 15 5 //3
Authonzea SiynaWr Gonlremor/Owner M' g Inslallalion)
l Phone Number
63?-S?rsb
MINNESOTA E BOAPD OF ELECiRICIT THIS INSPECTION REOUEST WILL NOT
Grlggs-Mitlway Bltlg. - Raam 5473 BE ACCEPTED BY THE STATE BOARD
1821 Univerelty Ave.. SL Paul, MN 55104 UNlESS PROPER INSPECTION FEE IS
Vhone(613)60Y-0800 ENCLOSED.
rf/?/)r p REDUEST FOR ELECT4,iCAL !•JSPECTION
I? See insVUCtions br comple[in9 this torm on back ot yellow cvpy
ra r 7 Q Q 7 "X" Befow Work Covered by This Request
E6-00001-0] ?
9 99/ P;
$yi
v
ew v
Atld I v
Rep. .-
TypeofBuilding
AppliancesWiretl
EquipmeniWired
Service
T
Home Ranqe emporary
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
?7
..I?i ?.Q2r
OtM1er (specity) ConlracWr's Remarks'. W
QM Op(C?n d?
u.$Ta? C! rs L'IW%?
l
..
Compute lnspection Fee Below:
# Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 to 100 Amps Z 00
Transformers Above200-Amps Ab -Amps
Signs mspector's use onry: M
W TOTAL
5
`f
0
Z
•
Irrigation eooms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby oate
Aoo9nin
certify that the above inspection has Final oaaj,
?n made.
BE ONLY I
void 18 momM1S from .? ry I
?
I
p71915?
ReQUest Dale No. Fouyhin Inspeilion
91 /?f ? Q Repmrea?
J .J =.Yes No
? Reatly Now 2fl"/??I No?ily Ir.sO?or
? when Reaay?
I= Iicensetl coNractor /owner hereby request inspection of a6ove elecirical work at:
Job notlren (SVeel. so. or 9oua No.)
00o i'A,eC ?o .?s 1a.2 c'Y ?AGr4N
Seclion No ITpwnshi0 Name or No
Ranye No.
_
County _ A
f )
DccuvaN iPRMT1
TRR -t Pnone No.
_
Pow, SWUlier AtlJress
MRs7?
Elecincal ConirecIDr ICOmoany N9me1
>NG- G- 5?02 r/?cES
.
GMU6CITSLicense N.
Alu
?
Mailing Acoress iCO va toor owner Manng Inswliavon?
o ? ?,V? F?i cE M?l ?
5S ?Z
AulhOnzptl SigrdWrB IOan1r3COnOwnar Making InSiTllnl?,
cm: ?= . ,.F. 1 PhonB Number
586-4l 71
MINNESOTA STATE BOAHD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Grigqs-Midway Bltlg. - Hoom 5-193 6E ACCEPTED BV THE STATE BOHRD
1021 University Ave.. SL Paul. MN 55104 UNLESS PROPER INSPEGTION FEE IS
Phane(612) 662-0800 ENCLOSED. .
REOUEST FOR ELECTRICAL INSPECTION
lp See inslructions lo' complxting tlus'orm on Cack ol yallow copYVyay
? -?1 Q ?. 5 ?'X" Below Work EovereC by This Request ?;iri?
_ , •? EquipmeniNlired
HOme
Duplex
Farm
Olnerlscecdyl
Compute Inspecfion Fee 8elow:
y ' Other Fee
Swimmino Pool I
Booms
1. the Electrical Inspectoc hereby
certify Ihat the above Inspection has
been made.
]FFICE USE ONLY
Tcis 'equest •mal I8 mont4s Irom
Fumace
A r Conditione ?e?'?
acmrs Femarks ry' ?.i 1o2 ?? T?M ?u
???p? oPEnIE2zs
Fee # ClrcuAs/Feeders
Service Entrance Size
IO to 200 Amps
Above 240 _ Amps 0 to 1100 Amps
Above 100 - Amps
TOT
?
ISPBC10?5 U6B QnIY-
IJ=U ??
.?
THIS INSTALLATION MAY BE ORDERED DISCONN
rnr.noi crFn WITHIN 78 MONTHS. ECTED IF NOT
_
ReQUest Date - Flre Mill AaoqhIn,InpseIXion Repwrea Inspenion O1her Th n Rough-ln
(VOU must call ins0edor when reatly) ? Reatly Now Will NotM Inspeclor
? Ves No Date ReaOy
/
? licensed coMractor 7 owner hereby request inspection of above electrical work at:
Job AtlOress IStreel. Box or Route No.) Ciry
flaa %r o? . .?± tz14
f
Sedion No Township Name or No. Ran No. Gounry do
Occupani(PRINT) Phone No.
Y-
Pawer SuOPlrer Atltlress ,??1
Eiecvical Gonfractor ICOmpany Namel Gontrector's Lieense No.
? ?
a? •
Q
?,; e.
"
ss IGOmraqor or Owne, Making Installationl
Maihnq Atl
/
j6J;,- /id'+.?. e.4 :/i .?? . A:>/Jh
?
Aothonleo S.gmature iConVaclor ne: Making Installavao >y
opr PM1One Nvmther
' -
'
E--?.??/
MINNESOTA STATE BOANU OF ELECTRICITY THIS INSPECTION REQl1EST W ILL NOT
BE FCCEPTED BY THE STATE BOAPO
Griggs-Mitlwey BIOg. - Poom 5-173
1821 University Ave.. SL Faul. MN 55104 UNLESS PROPER INSPECTION FEE IS
PhoneJ6/2) 602-0800 ENGLOSED.
?p REQUEST FOR ELECTRICAL INSPECTION
e inslmcUOns lor complefing Ihis form on Oack ol yellow copy.
S EB-00001-08
q
N15580 e+
? ?
'X" Below Work Covered by This Request ????" 5
ew Add Rep ypeofBuilding AppliancesWired EquipmentWired
i
y Range , ce
Temporary Serv
Duplex
Apt. 8uilding
Comm /Industrial Water Heater
Dryer
Fumace ElectriC Hea6ng
Load Managemenl
Othef (Specify)
Farm Air Conditioner
Omer Ispecifyl Canlractor's Remerks-
Compute lnspecfion Fee Below:
q Other Fee # Service EntranceSize Fee # Circuds/Feeders Pee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 - Amps Above 100 _ Amps
Signs inspector's use omy: TOTAL
Booms
Irriq
ation
nspecti
on
pecial i
S
larm/Communication THIS INSTALLATIO BE ED/DISCONNEC I NOT
Other Fee COMPLETED WIT 0
I, the Electrical Inspector, hereby Rough-in
j Dete
certity that the above inspection has
been made. F;,,,i ? oate
,"-
OFFICE USE ONLY I
This raquest vaia 18 monIDS Imm
Th,s ren.est voia/ ?/h ?/G'Q
18 nwnths from
C? 2405?!_?
?? rv.?ee' i.e" O- nrB'ovo. /? noupn-m ?nsuect?on
L7?? 27 1?U? L Reqyiretl OHeatly Nuw ?Will Notily Inspec-
F / 1 '??es No tor When qeatly
Llcensed Electricai CunVactor I hereh re
Owner Y quBSt inspection of BbOVB
? elechical work installad at:
Street Address, Bo: or Route No.
?GC?C7 Gry
r cr .?
??iz-z?3E?-lILa R-hn R'L .
?a 7' •
ElcJ3tt
ecbon o. Towntihio Name or No. ' Ran9e No. Coun[y
Da]cota
Occopent IPNINTI PM1One No.
. get T-360
Power $uD0lier Adtlress
'cota Electric 4;S00 - 220 St W Farmin9ton, MN 5502
ElecVical Contractor (Company Name) Connar,lo??s License No.
D3?9A??]YK BLD..',RIC, INC. 040421-1
Mailine AdJress ICommctor or Owner Ma kinB InstallatioN
1915 Broadwa St VE yinnea lis MN 55413#
AuM rized Signam n[ractor1Owner akiny Installaf ionl Phone Number
379-9112
MII`IYESOTq`AqTE eDAXy OF ELECTNIATV
Grigqs-Midwey Bldy. - Pdom N-191
1821 llniversitv Ave.. St. Paul, MN 55104
Phone (612) 642-0800
THIS INSPECTION HEQUEST WILL NOT
BE ACCEPTED 8Y TME STqTE BOARO
UNLESS PFOPEP INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ^ ea-oooai-os/
Il' See inshuc4ons tor completing this lorm on back ol yellow coOV.
d 2 4-:0J-lj "X" Below Wwk Covered by This Request
a Add Feo. Type ot 9uilaing qppl;ances Wirod Em+iument WireJ
Home Range Tempora,y Service
Duplrx Water Heater Liyhtiny Fixtures
Apt. BmlAing Dryer Hectnc HeaLn
Commercial 81dg. Fumar.e Silo Unloader
Industri?l Bldy. Air Conditioner 8ulk Milk Tank
Fyrm ONei peufy p?h?v ISUOrityl
omer O, n,
N Fee Service EnUencaSize H Fee Fneders/Suhteeders W Fee Cir wts
0 to 20 ? Am s 0 to 30 Am ?s 0 tn 30 Am.>s
• Above 200 q?nps 31 m 100 qmps 31 to 700 qm s
Swimming Pool A6ove 100_Amps Above 100_Amps
Transformers Irngation Boonis Pdrtial,-0 r Fee
„•y.. >Nec:iui insPec[ion SG5_UU \ ? ?
pe"'a`'`s 1- 400 am?o temporary service To A F
1 DfY
RooBh_'n r D.ppp .
? ^?
{? _
J: the Elec ncnl
f ?
i/ 1? •J Inspector, heraby
Final
r
M
n 11e
?
? ? cer?ily thet the ahove
onspactian has been
?
I
,
j ?
mede.
? 86Q81
neqmreo'! BTieatl Now
' ? ? y ? Will NMify Inspector
? Wh q tly?
? L?I licensed contractor ? owner hereby request inspection of a6ove electrical work at:
lob Address (Street, 0ox or Route No.), L
?. 35 E ?9ucf CL:FF ?hkP c +', c?ty
iection No. Township Name or No.
Range No. CouMy
kcupant (PRMT) ppk, rj9
6 AC Nf - k r Phone No.
Y\ Tiq,eCeT'
bwer SupPlier
Addreas
?ACe ! r} F, ?. y.
lectrical Conhacbr (COmpany Name)
Comrador5 License No.
oz498i-
ailing Address (Contraclor o? Owf Makim Insuimn-o
I 7? -?--" PhoneZNumber ?
?. `J Bi2l1
MINNESOTAETATE BOAqO OF ELECTRI?TY ?rJ
Griggs-Midwey BIEg. - pppm S173 iHIS INSPECTIDN pE0UE5T WILL NOT
1821 Oniversity qye., yy, paul, MN 55104 6E ACCEPTEO BY TME STATE BOAflD
Phone (811) 642-0600 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRIC:aL.lh.i?ECTION ee-oaooi-m ?
ll? See instmclions for completing this tortn on back of yellow copy.
? 86981 °'--
X" Below Work Covered bv This Reauest
ew Adtl Rep. TypeofBUiltling AppliancesWired EquipmentWired
Home Range Temporary Service
ouplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm ' Air Conditioner
ONer Ispecity)) Contracmr's Remarks: . ," ? n
Fo?r c?alF COn67%?1r..•?cd
Compute Mspectian Fee Below: Q¢ f ,r,3 yp]y? FW wW G,rSP.
# Dther Fee eeders Fee
Swimming Po ol
Transformers
_ Amps ,pp
Signs U?Only: f
TOTAL
50
Irrigation Booms 7
" S,
T
O
Special Inspection ?a
Alarm/COmmunication
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rou9n-m
F??ai ?, Date
o
This request void 18 months irom
Ci'rr
- -,
Fl/s.3'
? 76865 210 1; ,f .,c j
Request Date Fire No. Rough-in Inspedion
Raquiretl?
oiq ?spec[o?
? Ready Now ? WilM1
/17/89 ?vas ?No e1
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SYreet, Box or Route No.) r/1/1
L `l ' C'4'
Gliff-fzoaE Ea an
Section No. Township Name or No. Range No. County
Dakota
OccupaM (PRINn Phone No.
arget T-360
Pawer Supplier Atldress
)aJmta Electric 4300 - 220
EleIXncal CoMractor (COmpany Name) Conhxtor5 License No.
RR 04042181
DYMANYK ELECPRIC INC.
Mailing Address (COntrector or Qwner Making Inslallation)
1915 Broadway St NE Mpls., MN 55413
Aulhori SignaNre orlOwner Makirg I Wllation) Phone Number
379-4112
MI SOT ATE mF ELECTRICI THIS INSPECTION REpUEST WILL NOT
Gn gs-Midway Bldg. - N 5193 8E ACCEPTED 8V THE STATE BOAFD
1821 University Ave., SL Paul, MN 55104 UNLE55 PFOPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-ocoma7 ?
/ ll? See insimctionp for mmpleting this iorm on back o1 yellow copy.
768 6 C "X" 8elow Work Covered by This Aequest
New Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Speciiy)
Comm./Intlustrial Furnace
Farm ' Air Conditioner
Other(speciry) comracror$Remarks: 3-]1SKW 2-75I(W 2-45 KW
Cainpute Inspection Fee Belaw:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 l0 100 Amps
Transformers 40.5 Above200-Amps Above100-Amps
Signs I edorls Use Ony: TAL
Irrigation Booms 41.00
Special Inspection
Alarm/Communicafion
Other Fee
I, the Electncal Inspector, hereby
certify that the above inspection has
been made.
42 /7
?. oa I?r
oat
OFFICE USE ONLY
This request voitl 18 months from
Phone
STATE 80A0.D OF EIECTPICITY
ay Bldg. - Paom 5-173
Ity Ave., SL Paul. MN 55104
Dryer
EBOOOD1-0? ?
REOUEST FOR ELECTRICAL INSPECTION ?aI? C?7 1#?4
1 ? See Inslmalione tor comple?ing his torm on baak of yellow cnpy?4, ?
4075 7- "X" Below Work Covered by This Request tq pmencw ed
f ?- n I -?
Heafer
(specity)
Compute lnspection Fee 8e10w.'
,? Other Fee
BoomS
IOtherhee I -
I, the Electrical Inspector, herebY
certify that the above inspection has
6een made.
]PFICE USE ONLV
ihis request vaid 18 ri tmm
?/a/yo
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
LINLESS PROPER INSPEGTION FEE IS
ENCLOSED.
Electric
u? q i'f«
crorsaemarks/J?? /
Service Entrance Size Fee # CircuitslFeeders
0 to 100 Amps
7 ta 200 Amps
Amps Above 100 _ Arr
A6ove 200 -- TO7AI
u=e orilY 3;
Fee
I(gD DISCONNECTED IF NOT
THIS INSTALLATION MAY BE O
rnnnoi c7EO WITHIN 16 MONTHS. e e
i
This request void 1(f,
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25 Llcensed B¢cVical Con[ractor I heraby requast inspeclion ot eDOVa
?,. o?e?trlcal wnr4 iretalfed et'.
SVeet AAAress, dox or Route No. CitY
`+liFF n.._d _na D h R 9 Z?agan
ecuon o. Township Name or No. R.nge No. C 'v
Ddk-Otc1
OccoUam 4PRINTI Phone No.
Tar ?t T-360
Powei Su00I ier Address
Dacota Electric 4300-=220 St w c^armin ` M ''•
Electricai Contractor (COmpany Name) Contrzr,ior's License No.
040421-1
DYd4ANYK EC,GC;IRIC, INC.
Mallin Address ICOntractor or Owner
191% B Making Installadonl
roacY.aay St NE NVls., M 55413
Am?orzed Signature ICo actor/Own er Maki ins?allation) Phone Nomber
379-4112
M{NqSOTA S1ATE BOAPD OF FLECTNICfTYU ?
GrigBy-Midway Bld9. - Noom Nd91
1821 Unuvarsitv Ave.. St. Paul. MN 55104
Phone (612) 642-0800
; SQUESTuFOR EL?EC?TR?IC?, gl`NSPECT?IONck o ye11ow avv.
"X' Belo:v Work CoverPd by Thrs Request
? -T--- ??
E 24057
BE ACCEPTE? 6Y TNE STATE BOARO
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
EB-00001 -O6
<o/z/fr _ ..
35223 LSA
I_1 Y iNo I
Vlicensed contractor ? owner hereby request inspection ot above electrical work at:
,p Aetlress (SUee4 Box ar Raote No-) Ciry
/ /
... __ _ •& /, ?? /.>?J /..Y. . ,!?'i .
or
(PRINT)
ai rnmracmr (Comvanv Name)
Ranqe
e /s40, 357
??soo
? Feady Now ,?6JI?i No1Reiy Inspector
Wnen atly?
No.
license
Mflilirg Add ss (CChhacmr or Owner Meking Instellation)
p?' Phone Number
Autnorized Slgnawre (Comr CtoriO.vner Making ns alion) ?/
THIS INSPECTION FEOUEST WILL NOT
MINNESOTA STATE BOAPU OF ELECTRICITV BE /+CGEPTED BV THE STATE BOARD
Gripgs•Mldway Bldg. - Roam 5413 UNLESS PFOPEP INSPECTION FEE IS
1821 Uefvernity Ave., St. PeW, MN 55106 ENGLOSEO.
Phone (612) 642-0800 - '
REQUEST FOR ELECTRICAL INSPECTION EB-00001 OB
is n/
See insimctinns ipr completing this tortn on back oi yellow copy. L-
n n o1 C n rl 7 1-1-, IA/ .L !'...mml) hv 711 PP.C1IIBSt ?vv,.,
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TypeofBUilding __._.. .__.. . _ _
AppiiancesWired
EquipmenlWired
Home Fan9e Temporary Service
ti
i
H
Duplex Water Heater nq
ea
E?ectr
c
Apt. Buiitling Dryer Other (Specify)
CommJlndustrial 'FUmace
Farm Air Conditioner
Other (specty) Gomreotor§ Remarks.
Compute Inspection Fee 8elow:
p Other Fee
# ServiceEntranceSize Fee Fee
# Circuits/Feeders
Swimming Pool
0[0 200 Amps Av
` 0l0 100 Amps ,y,•
Transformers Above 200 _ Amps A 0_ Amps
SigtlS InspecWrS Use Only. TOTAL
'
Irrigation 8ooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby
Roughin
Da?e
certity that the above inspection has Finai oa?
been made.
' v'
OFFICE USE ONLY ?
ThiS request roltl 18 months imm .
This revuest void
iR mon{hs tmm ?
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Aequest ?ate Fir Rouph-in InsVer,tinn
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E]ReadY Now C] Will Nntity Inspec-
??es ?Nn tor Wben ReadY
El r?L:censed Elecvical Concractor I hereby repuest inspection oi above
?p Owner elecbicel work installed at
Stree[ AAdress, Boa or floute No. `
ai?t? L'. i'.?sf ?.c1 CiN
?
ectmn o.
Township Name or No.
Ranye No.
Covnty
I I DAKQ7A-
Or.cvuant IMIINTI Phone No.
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Power Suppli¢r Adtlress
Hectrical Contrector (C??om/?panfy Name)?^ H
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? 6wwpxelede Licensa No.
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Mailin0 A ess (Contrac[or or Owner Making Instaila[ioN
O -7 S cd LE27 Y ?l'+ nt. SS ?f3
AuthoriceA Signature (Co Vactor/Owner Makiny Ins[allationl Phnne NumDer
S ?- ? 7
MINNESOTA STATE BOAXD OF ELECTflICITY
Grlgivi-Midway Blde. - Noom N-191
1821 Universitv Ave.. St. Paul, MN 55104
.
Phone I6121642-0800
THIS INSPECTION FEQUEST WILL NOT
BE ACCEPTED 8Y TFfE STATE BOARD
UNLESS PFOPEft INSPECTION FEE IS
ENCLOSEO.
? REQUEST FOR ELECTRICAL INSPECTION ea-oaooi-os
??
, SBC inslfuG?itlf5 fOf COmpl0lif19 lhi6 1Ofm On bBCk Of YeIIOW copy. doii
? 3 2 9 3 8 -"x" Be,oW Work Covered by Ihis Request
-?----- equipmem rvue
AAd lldinp AOVl??ncns Wlred
.
F'wn
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y
Water Heater ny Fixtures
nc? Dryer ic hlea tm
W
l Bld
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l Fum2ce nloader
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y.
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C Milk Tank
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,FROM : Panasonic FRX SYSTEM PHONE N0. : Rug. 21 2003 08:09PM P2
" 2004 Applicafiion f'or f irEworks Soles And StornqE
Cify Of Eaqnn
3830 f'ilot iCnob Rond, F-aqen, MN 55122
Telephone #: 651-675-5635 f'nx 0: 651-675-5694
Aoplicant reauiremen4s
1. This application must be completed and returned at least 30 days prior to sales andfor storage of fireworks.
2. A letter from the property owner granting permission to the applicant to sell andlor store fireworks on the property
shafl accompany the application.
i0" A floor plan designating the arsa where the fireworks will be sold andlor stored shall acoomparry the application.
?4. A list of the fireworks that will be sold andlor stored along with the name, weight, quantity, and materia1 saFety data
sheets (MSDS) shall be inclutled.
to A copy of the certificate of insurance coverege as per City of Eagan City Ortlinance No. 378. Ghapter 6, Section 6.53
Fireworks is required.
6. Fee upon application for retail sellers selling exclusively consumer I?w?i.?iall other
vendor annualiy payable to the City of Eagan.
7, The fire chief or his/her designee will inspect the proposed focation for selling and/or storing fireworks to determine if
it is a sui[able location.
8 A criminal reeord check will be done on all applicants.
9. A copy of ths City of Eagan tic2nse (permit) shalf be dlsplayed by the r2gister_
Date: *°/
Applicant Name: ?' ?? •4 ?"'?• --"
Street Addres City:
State: Zip: s? 7elephone #: ?W /_?
Business Name:
p
TelePhone#: (???) ? ?? A''*-
Display
Retail seller selling exclusively eonsumer fireworks:
tkes No
ndoor Sales -OUtdoor Saies (See Outdoor Sales of Fireworks)
Fee: Outdoor Sales - $350.50
All other retail sellers - $100.50
Fireworics are iegulated by MN-Statute5 624.20-624.25. !n addition to thess state laws, all displays, sales, storage and
use of fireworks shall comply with,City of Eagan Ordinance No. 378, Section 6.53 Fireworks.
t understand and agree to comply with all the provisions of t' ap ' n and t iremtnts of the issuing authority-.
Applieant Signature
•FROM : Pandsonic FRX SYSTEM PHONE N0. . Rug. 21 2003 08:10PM P3
Fireworks Application
Page 2 of 8
TennESSen Warninq
License Application
Minnesota taw requires that you be informed of the purposes and intentled uses Of the information you provide to the City
of Eagan (the City) tluring the license appilcation process.
Any information about yourself that you provide to the City during the IiCSnse application process will be used to identify
you as an applicant and to assess your qualffications for selling fireworks within the City. kf you wish to be considered for
a permit to sell fireworks, you are required to provide the information requested in the permit appiication. If you refuse 10
supply information requested by fhe City, it may mean that your application will not be consideretl.
All individuais i ' who need to know information will havC access.
la?r
Applipnt nature Date
Authorization and Consent for Release af tnformation
?/?? /E?E?fJN , freely and voluntarily authorize the City of Eagan to conduet an
Name of i dividual aufhorizing release
investigation to obtain the following information for the purpose of determining my eligibility for a permR 10 sell fireworks:'.
Name: .F+.?O? 's . /
Last Ac , ,?/ Middle
Date of Birth: 0C 6 Driver's License #: Y/ J D` '? State ?
1 also. release the Ciry of Eagan from any and a!i liability for its receipt and use of inforcnation arid records received
pursuant to this consent. l further acknowledge that i have carefully read this release, fully understand ifs terms and legal
significante, snd execufe it voluntarily_
Executed this ?? day of
. FROM : Panasonic FRX SYSTEM
.
Fireworks Application
Page 3 of 8
PHONE N0.
Rug. 21 2903 98:11PM P4
The Police Department has conducted a criminal background check on the aforementioned sppi'tcant.
Comments:
? No? 3'0
Police Department Representative Date
Conditions of lssuance
Background check completed and approved by EPD: , Yes _ No
Zoning approval ? Yes , No
FaCility inspecGon complete and all violetions corrected _ Yes _ No
Insurance policy approved ? Yes ? No
License approved by
Date approved:
11/01/2007 14:40 FA% 7635954346 1'HE SGAN COMPANIES
; ynxsq
2007 COMMERCIAL MECHANICAL PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercialfindustrial buildings
IDultl-familV bu'tldin¢s when Seoazate nermits arr nnt iemiiretl fnr wach rlwellinc imit
*9 P ?y
,
c?_Q_CtC----
Date / S
Site Street Addressim4 C. (: ff LK ICA Uuit # 1~ 18
Tenant Name (if applicable) _7?pr Previaas Tenant Name
Property Owner Telephone # ( )
Contractor copJ StPVi
Street Address 712 Bilow44L A*yt Al City
State _M4211 Zip SZ? Telephone# (8165 6f3$q Dl, T
Bond #: Eapires: (Q p- .`[qo -31.? 4'6
T6e Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _Interior Improvement _[nstal] 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 6y F ire Marshal and Plumbing Inspecror
Nature of Work: R&AAeAA.
Permit Fees S70s0 Underground tank iretallatioNramaval
S50.511 lnfmum (includes S[ate Sachafge) ,
or
Contractvalue $ q???i(tq'p x 1%
_$ e
-1??•L? ? PermitFee
$ ? 0 ?1 ? Surchazge
To calculate surcLarge
If Permi{ Fqp, is leas than $1,000, stucharge is 50 ceofs.
If Pemut hU is > $1,000, surcLarge increases by 5.50
for each $1,000 Permit Fee i.e. 1 001-S2,OW Pemit
Fee requires a 51.00 u ge).
? :1`0tau
i nereoy actcnowieage tnat ttus mTOrmatwn ls complete and accurate; that the work will be in confortnance with the ordinances and
codes of the City of F.agan and with the Mechenical Codes; that I understand this is not a pemtit, but only an application for a permit,
and work is not to start without a permit; that the work will be in accordan e w e apprn the cese of work which
requires a review and approval of plans. ?
?NesaAl %IAtcv?'?
ApplicanPs Printed Name ApplicBnPs Signature
Approved By:
InsRector
go
Required inspecdons: _ U.G. _ R.I. _ Air Test _ Gas Service Test _ Infloor Heat
rAl 2005 Application For Fireworks Sales And Storage
? City Of Bagan
3830 Pilot Knob Road, Esgan, MN 55122 ,
Telephone 651-675-5675 Fax #: 651-675-5694 11i IfAAY 2 32005
AI
Q?g+?s'?WU Only -----
Apnlicant reauiremenEs
1. This application must be completed and returned at least 30 days prior to seles andlor storaga oF firewoNcs.
1 A letter from the propeRy owner granfing permisslon to the applicant to 5ell and/or store fireworks on the property
shall accompany the applicatfon.
?-3. A floor plan designating the area whera !he flrewarks will 6e sold and/ar stnred shall accompany the application.
4. A list of the Freworks that W(II be sold andlor stored elong with the name, weight, quantily, and materiel safety data
sheets (MSOS) shall be includad.
5. A copy of the cerfificate of insurance coverage as per Clty of Eagan City Ordinance No. 387, Chapter 6, Secfion 6.53
Fireworks is required.
6. Fee upon applicatian for retail sellers selling exoluslvely consumer firaworks-$350; all other retail sellers-$100 per
vendor annually payable to the City of Eagan.
7. The Fire Marshal or hislher designae will Inspect the proposed location for seliing andlor storing fireworks to
deteRnine if it is a suifable IoCation.
8 A criminal reeord check will be done on all applicants.
8• A oopy of the Cily of Eagen license (permit) shall 6e displayed by the reglster.
Dale:
Appllcant
h?
StreetAddress: 'looo 0111 ,Lul-e ,Qd City: C`Qyo?
State:_ /yJA/ _ Zlp: 45 12 2 Telephone#: (4'/) 1?7a
Business Name; `Ti-?/`?? !7 Telephone#: ( ns%) /? eg'- f749(?
QisplayAddress: ZUOO ?/.41" Retail seller sslling exelusively consumer flrewarks: _Yas
-,YIndoor Salas
_OuWoorSales Dates: to
-,X No
4o to
Tamporary outdoor event maans an exhibitlon or sale Wlth a duratlon of 10 cantinuouB days or lass whirh doas nut occur
more fhan once avary 30 days and more then thrae times per year or a combinaUon of 2D days tofaf in a calendar yaar, (See
Outdoor Seles of Fireworks)
Fee: OuWoor Seles-$350.50 All othar retail sellers-$1 Q0.5o
Firaxrorks are regulated Dy MN Sbtutes 824.20•624.25. In additlon W these state laws, au
shall GOmply wilh Ciry of Eagan Ordinence No. 387, 3ection 8.53 Firewoncs antl NFPA 112
I understand and agree to comply wfth all the pravieions of
sales, storage and use of flrgWOrks
Df the issuing authority,
IfA
Fireworks Appljqtion
Page 2 of 9
Tennessen Waming
License Applicatioa
Minnesota law requires that you be informeG of the purposes and Intended uses of the infarmation you provide to the City
of Eagan (the City) during ihe liconse application plocess.
Any inforrnation about yourself that you provide to the City during the license appllcation process wiil he used to identify
you as an applicant and to assess yaur qualifications for selling fireworks within the City. If you wish to be considered for
a permit to sell flreworks, you are rsquired to provida the informatlon requested in tYie permit application. If you refuse to
supply infnrmation requastea by the City, it may mean that your application wll not ba considered.
Alf indlvid ty who nsed lo know information will have access.
?
Applicant Sig ture pete
. . PwY. tiY. . . . . r. w. . . A. . . . . . . . . . . . . . . . . w. . . . . . . . . . . . . . I . . . .
t ,Authorization and Consent for Release of Information
??? /? ??"?f?'?' "? ?//???% ? fr?? nd vcl" untarily authorize the City of Eagan fo aonduot an
Name of individua) authorizing release
investigation to obtain the fallowing ' orrgatlon for the purpose of determining my eligibillty for a permit to sell freworks:
-?^Lf1,3wc> f
Name: E. Sl1rJ ? /E,azL & f? •
Last First Middle
Date of Bfrtlt: privar's License #: _P-i?a ;TI J30-97',2 State IVN
! also release tlhe City of Eagan from any and all liability for its receipt and use of information and records received
pursuant to this consent. I further acknowledge that I have carefully read this release, fully undarstand its ferms and legal
signfflcance, and axeoute it voluntarlly,
Executed this day of
* ?.?o
?v
signature
Fireworks Application
Page 3 of 9
i
'OFFICEIUAE ONLY
DO NO,T WRITE BELOW THIS,LINE
The Polfce pepartmenl has conducted a criminal packground check on the aforementioned applicant_
Comments: A'
Police Departrnent Representative
Conditions of Issuance:
aate ?"e ?
Background check completad and approved by EPD: ? Yes ? nfo
Zaning approval Yes No
Faellity inspection complete and all violations corcected ? Yes = No
Insurance policy approved Yes Na
Liaense approved by Date approved: ???' D?
r;''"Y 2 3 2D05
May 11, 2005
ATTN: Store Manager - Target #360
It is once again fireworks season. As your corporate fireworks vendor, it
is our usual policy to take care of all permitting for our customers.
However, the City of Eagan will not allow us to apply for/renew your
permit to sell Minnesota legal fireworks inside your store this season. I
have spoken with you Fire Marshal, Dale Whitlenger, and he expecting
your application. The City has recently revamped their fireworks
ordinance and City Council approval is no longer necessary. Please
complete the enclosed application and forward all information to Fire
Marshal Dale Whitlenger's office at 3830 Pilot Knob Road. I apologize
for this inconvenience but fell that strong 4t' of July sales will more than
compensate. If you have any questions or if there is any additional
information you or the City may require, please do not hesitate to
contact me at 1-800-243-1189 ext.492.
Sincerely,
Charles Walker
T'NTO Fireworks
Director of Compliance
AMERICAN PROMOTIONAL EVENTS, INC.
P.O. BOX 1318 • 4511 HELTON DRIVE • FLDAENCE, AL 35630
PHONE (256) 764-6131 • FAX (256) 760-0154
www.tntfireworks.com
DRAYTON INSURANCE
ING
70 CENTER POINT ROAD, SUITE 301 POST OFFICE BOX 94067
BIRMINGHAM, AI.ABAMA 35215 BIAMINGI IAM, ALABAMA 35220
TELEPHONE: (205) 8545806 FAX: (205) 8545899
CERTIFICATE OF INSURANCE xo. 519023
We certify that insurance as outlined below is afforded the Named Insured under policy CA000001858-16 issued by Admiral Insurance Company
NAMED INSURED American Pmmorional Events, Inc.
d/b/a TNT Fireworks
P.O. Box 1318
Florence, Alabama 35631
PERTOD November l, 2004 to October 31, 2005 Both Days Inclusive.
COVERAGE Products Liahility Insumnce. Covering the legal liability of the Named Insured for Bodily lnjury andlor Property
Damage caused by or azising from the manufacture, sale or distribution by the Named Insured of D.O.T.
Class "C" Fireworks and related items.
LIMIT OF LIABILI'CY $1,000,000 each occurrence snd in the aggregate.
During a Period of Coverage, beginning with the date of issue of this certificate and expiring on October 31, 2005, the following are included as
Additional Insured(s), but only in respec[ of the legal Iiability of such Additional Insured(s) For Bodily Injury or Property Damage sustained during
said Period of Coverage and caused by the Named Insured's products, comprising D.O.T. Class "C" Fireworks and related items, sold or distributed
by the Additional Insured(s). Coverage does not apply to claims made against the Additional insured(s) for Bodily Injury or Property Damage
arising from the distribution or sale of any of the Named Insured's products a) the composition or form of which has been changed by the Additional
Insured(s), and/or b) which have been packaged or repackaged by the Additional Insured(s). The insurance afforded such Addirional Insured(s) by
the policy described herein is subject to all the terms, eacclusions and condiNons of such policy and, for particulazs conceming such terms, exclusions
and conditions, the Additiona] Insured(s) are referred to the policy documents in the possession of the Named Insured. The limit of liability stated
above shall not be increased either: 1) by the inclusion of more than one insured, nor 2) by the receipt of more than one certificate by any insured.
NAME & ADDRESS OF
nnnrr[oxn[, [tvsuttEU The City of Eagan Minnesota and the following location:
TARGET 0360
2000 CLIFF LAKE ROAD
EAGAN, MN 55122
In the event, [he above mentioned policy is cancelled before the expira[ion date thereof, we the undersigned, will endeavor to mail 30 days written
notice to the Additional Inzured(s) whose name and address is shown hereon, but failure to mail such notice shall impose no obligation or liability of
any kind apon the company, its agents or representatives.
DRAYTON iNSiJRANCE BROKERS,INC.
5/11/OS
DATE OF ISSUE A J. STRINGER, PRESI?E
- REPRINT - PICR SLIP - REPRINT -
21369
Chain Store Sales-Wisconsin
Route: [+IIQ
Sold To: 1410006
TARGBT - CORPORATS 0001
PO BOX 1296
MINNEAPOLIS, MN 55440
Picked SY:
Checked BY:
Date:
Date:
Desc/Case Packing Item Location Quantity Qty Repack Order
CP # B1d.Rw.C1 Ordered Pickd Cases Line
--------------------------------------------------------------------------------
**•*,r•?,r??*++r*•r?,r?,r*+?+*?: Assortments *??,r?a**,r,r++*+r*,e**+?*??
BLAST MASTER S/S - COM
3/1 27736012817
MOON SHOT TRAY S/S - ALL
1/1 27736014446
SOI,AR BURST TRAY - S/S
5/1 27736014385
STAR BURST TRAY S/S - PDQ
10/1 27736014392
SUNSCAPE BAG S/S - PDQ
18/1 27736014422
,er**+t??+,r***?r.?+t?**?,t?*??
BUY 2 GET 1 FREE FTN PK - AM
12/3 27736010431
BUY 2 GET 2 FREE FTN PAK - PDQ
15/4 27736012831
PICCOLO PETE - 4 PK - PDQ
2/24/4 27736011285
TYRANNOSAIIRUS REX FOUNPAIN
18/1 27736002320
•+?**«*+#*?+*?*f+,r#*+?*?+?,r
BIG FUN POPPER 4 PK - PDQ
72/4 27736012572
FUN SNAPPERS TNT - 4 PACK PDQ
153/4/50 27736007974
POPPSR FUN PAK
2/72/7 27736007981
*??*?**?**r,r*t*r*?*?*?r,t*+r*
100994 400
009 09 0209
101121 400
009 09 0008
101124 400
009 09 0007
101129 400
009 09 0005
101137 400
009 09 0003
Base Fountains
200373 400
009 09 0165
200381 400
009 09 0213
200378 400
009 09 0218
200329 400
009 09 0103
Novelties
320218 400
009 09 0231
320280 400
009 09 0147
320006 400
009 09 0148
Sparklers
#8 GOLD SPARKLSR U.S. FLAG PDQ 380084 400
60/6/6 27736006250 009 09 0160
Order #: 281066-53-00002
Order Date: 4/26/05
CUST PO: 0201392
SLSMN: Chain Stores - East
Ship To: 1040223 - TAR0360
TARGET 0360
2000 CLIFF LAKE ROAD
EAGAN, MN 55122
3 CS
3 CS
2 CS
13 CS
1 CS
1.00
2.00
3.00
4.00
5.00
?++?*+r*****??**?*t*****
4 CS 7.00
4 CS 9.00
1 CS 8.00
1 CS 6.00
*?*??**+*,r*#****#****??
1 CS 11.00
5 CS 12.00
3 CS 10.00
?*?***?,t*** ?+**+**+x+*,r
10 CS 13.00
Page No 1
- REPRINT - PICK SLIP - REPRINT -
Order #: 281066-53-00002
Desc/Case Packing Item Location Quantity Qty Repack Order
CP # B1d.Rw.Cl Ordered Pickd Cases Line
--------------------------------------------------------------------------------
Case Totals: 51 CS
Total Palleta:
Total Repack Cases: CS
Page No 2
BOL No: 281066 TNT Fireworks P
Bill of Lading - REPRINT
Shipper: 22069 Sales Assoc:
TNT WARSHOUSE - WISCONSIN CUST PO #:
223 COUNTY HIGHWAY A Order #:
BLACK RIVER FALLS, WI 54615 Route:
WLSL Lic #: Zone:
Vendor #: VENDOR NO. 1035906 Freight Code:
Sold To: 1410006
TARGET - CORPORATE 0001
PO BOX 1296
MINNEAPOLIS, hIDI 55440
SFM #:
UN0336, PG II 905 LSS 85
64300-02 508 LBS 85
Totals: 1413 LBS
r**rt,t**,r?********?tt**,r+r,t**,r?t+*,trr?,t?trt***,r*,t,t?r*t,r*,t*?t,t,t+,t*t,t,r,r*t***tta,tt,r?*
Emergency Response Nbr: (800)255-3924 Payment Terms: Net 60 Days
,t?irirtt?irt*,t*ieir*t*ir?ie*rtr?**trt**irt+r??ie*t*?**tt?+*?tirtie?*ttir*rt,t*t*ir*+tt*tteiririrt**?t
HM Description of Articles weight Shippinq # of Cases
Class Pieces
X FIREVPORKS, 1.4G,
NOVELTISS - NMFC
Checked By:
Received By:
Delivered By:
Order:
Ship To:
Sold To:
ut Pro Number Sticker Here
Chain Stores - East
0201392
281066-S3-00002
MN
435 Stop:
Ship To: 1040223
TARG&T 0360
2000 CLIFF LAKE ROAD
EAGAN, MN 55122
SFM #:
Phone #: 651-688-8706
Received Date:
Placards Tendered By:
Delivery Instructions
32 [X]
19 [X]
51
Page No 1
TNTO FIREWORKS
Site Plan Worksheet
ADDRESS
CITY
STATE ZIP PHONE
STORE NAME 1 LOCATION #
TYPE OF EVENT: In-store sales of state-aoaroved fireworks
SOUTH
SPECIAL INSTURCTIONS
SIGNATURE DATE
S70RE MANAGER 1 TNTO Representa6ve
MATERIAL SAFETY DATA SHEET - Consumer Fireworks
SECTION 1- IDENTITY: Consumer Fireworks at Retail Locations
Im orter's Name American Promotional Events/'I'N'T Fireworks
Emergency Telephone
Number Normal Business Hours - 800-243-1189
After Hours - ChemTel - 800-255-3924
Address Co orate Office
4511 Helton Dr.
Florence, AL 35630
SECTION 2- Hazardous In redients/Identi Information
Consumer fireworks contain various mixtures of oxidizers and fuels, and aze designed to burn and produce
visible and audible effects when they are caused to ignite by a user. The oxidizers include potassium
niuate, strontium nitrate and potassium perchlorate. Fuels include charcoal, sulfur, starch, and alum;n„m.
All chemical composition is contained witlun the device, and there should be minimal-to-no exposure to
the chemicals under normal conditions of handling of the type typically involved in retail sales operationc.
The chemical mixtures are stable to temperatures up to at least 250°F, and no ignirion of these devices
should occur during normal handling, transportarion, movement, and storage. A match or other flame or
heat source is r uired to ignite the fuse on the devices in order to cause the devices to o erate.
SECTION 3- PHPSICALlCHEMICAL CHARACTERISTICS
Boilin Point N/A S ecific Gravi (H20=1
N/A
Va or Pressure aun H)
N/A
Meltin Point
N/A
I
Vapor Density (AIR=1) N/A Evaporarion Rate
(Bu 1 Acetate = 1)
N/A - All solids
Solubili in Water: sli ht
A eazance and Odor: All chemical com osition is contained inside a cardboazd or other container
SECTION 4- FIRE AND EXPLOSION HAZARD DATA
Flash Point (Method Used I'tion te eratwe exceeds 250°F
Flammable Limits N/A - no va or resent
LEL N/A UEL N/A
Extin uishin Media Water
Special Fire Fighring Procedures: Evacuate the area if a fire reaches the fireworks and [hey begin to bum
vigorously. Allow sprinklers to function, if present - they should control the fire. Otherwise, evacuate the
area and await arrival of fue fi ters.
Unusual Fire and Explosion Hazards - Suffocation methods should not be used - the devices contain theu
own oxygen. Use a strong water flow instead. A fire that has reached consumer fireworks may produce
substantial smoke as well as flame, spazks, and buming projecriles. Once consumer fireworks begin
buming, all petsons must immediately evacuate the area. Only fue fighters wearing appropriate safeTy
equipment should ever consider approaching an area where consumer fireworks are on fire. Remote
firefighting methods should be use whenever possible. Where conditions permit, it may 6e advisable to
allow the fireworks to bum to com letion - tlris will greatly sim li clean-u efforts.
SECTION 5- REACTIVITY DATA
Stability Unstable Condidons to Avoid: Open flames, hot surfaces,
Stable X rough handling
Incom atibili Materials to Avoid) none
Hazardous Decom osition or B roducts Considerable smoke may be roduced in a fire
Hazardous Ma Occw Conditions to Avoid: N/A
Polymerization Will Not Occur X
SECTION 6- HEALTH HAZARD DATA
Routes of Entry Inhalation N Skin N In estion N
Health Hazards Health hazazds should be minimal - all chemical composition is contained
(Acu[e and Chronic) inside sealed devices. If leakage occurs and contact with skin occurs, he sure to
wash hands rom d, and before eatin or drinkin .
Carcino enici NTP N/A IARC Mono a hs N/A OSHA Re ulated N/A
Signs and Symptoms N/A
of Ex osure
Medical Conditions None, except in case of fire. Smoke exposure is then the greatest possible
Generally Aggravated concern (in addition to fue).
b Ex oswe
Emergency and First Evacuate area if a&re reaches the fueworks. If smoke inhalation occurs, remove
Aid Procedures ersons to fresh air and contact emer enc medical services
SECTION 7- PRECAUTIONS FOR SAFE HANDLING AND USE
Steps to Be Taken in Cautiously pick up the spilled devices and place them in a mazked container.
Case Material is Contact your American Promotional/T'NT representative for removal
Released or S illed instrucrions.
Waste Disposal Method Contact your American Promorional/I'NT representative for disposal
information.
Precautions to Be Taken Avoid extreme temperamres, open flame and sparks, and rough handling
in Handling and Storing
Other Precautions Intentional misuse/misclrief poses the greatest concem with these devices in a
retail setting. Monitor the fireworks display area on an ongoing basis, and keep
young children, intoxicated persons, and any ume of open flame out of the
fireworks area. No smokin is ever ermitted neaz fireworks.
SECTION 8 - CONTROL MEASURES
Res irato Protection (S ecify T e N/A - no va or or dust ex osure wiffi intact items
Venrilarion Local Exhaust N/A S ecial N/A
Mechanical (General) N/A Other N/A
Protective Gloves - not re uired for retail sales Eye Protection N/A
Other Protective Clotlun ui ment - none re uired for retail sales
Work/IIygienic Practices - wash hands after handlin &reworks and before eatin or drinkin
2
•
TARG T
The bullseye design is a registeretl trademark of Target Corparation. All rights reserved. ? www.target.com
' Indicates service center for your convenience.
?>? 77??c- ???? ?L??. ` T0360
ciTV use oNLv
PERMIT #: ??U C) RECEIPT DATE:
APPROVED BY: ri P??-?? , INSPECTOR
? - R- _ C) -;---
800E COMMMCIlkL M$CHl4RICAL M.iiMIT APPLICATIOft
CITY OF HA6lkft
9$30 PILOT KNOB iiD
EAs", Mv 55 122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: S- 7-Oa
SITE ADDRESS:
OWNER NAME:?G PHONE #: ln
TENANT NAME (IMPROVEMENTS ONLY):?G? ca CA
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ YY N. NAME:
INSTALLER: QiV [ P\ kA Q CS? w t' c rA
STREET ADDRESS:
C1'I'1': _ C?u STATE.-? {? ti I ZII': Z;-T?
TELEPHONE #:
WORK TYPE:
Specify Nature of Work:
New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-6814675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
?
Contract price: x 1% _$ (Base Fee)
State surcharge
?
W 0 UT
MAY 0 7 2002 I Il
15-0 calculate at $.50 for each $
$ Sa-S6
Base Fee
OF PERMITTEE
Updated 1/02
??' -? 4??
`-I-(' -c)
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • Arohitectural Plans (2) sets
• CivilPlans (2) . SWcturalPlans (2) • CodeMalysis (1)"
• Certifcate of Survey (1) . Civil Plans (2) . Project Specs (7)
• Code Analysis (1) " • Landscaping Plans (2) • Key Plan (t)
• Project Specs (1) • Code Analysis (1) •• . Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculalions (1) not always"
• Soils Report (1) . Spec. Insp. 8 Tesfing Schedule (1) " • Elec. Power & lighting Form (1) notalways"
• Meter size must be established . Meter size must be established • Meler size must be established - if applicable
• PrqectSpecs (1)
1 • EnergyCalculations (1)
1 • Electric Power 8 Lighting Form (1)" 1
l . Master Exit Plan (1) b
d . Fire Protection Plan (t) •' 1
1 • SoilsRepoR (1) 1
• MGES SAC determination letter . MGES SAC determination letter • MGES SAC determination letter
call 651-602-1 D00 call 657 -602-1000 call 651-602-1000
Contact Building Inspections for sample
Food & beverage or lodging facilities: Plan must be submitted to Minnesota Deoartment of Health - cali 651-215-0700 for details.
DATE _15_5 ff v r WORK TYPE NEW REMODEL CONSTRUCTION CO TX
SITE ADDRESS :??Q QWmifog 4,_/?00 d
TENANT NAME ??121OE% SUITE #
FORMER TENANT NAME
DESCRIPTION OF WORK
) i
( `/? yuame: ? Last First Phone#: (4k_q_"
PROPERTY`?
?
OWNER ? Street Address -t' 1611?- -Y • /V
City Ll " l u State Zip 5.91? k
Q\
? ompany
COVTRACT R/\
Street Adc
City
ARCHITECT/
ENGNEER Company
Phone # ( )
Name
Street Address
City Licensed plumber installina new sewer/water service: Phone #:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Zp v l
Signature of Applica/`\ rlt: I? ) ? (/ ?j
?J- Updated 1/01
COMMERCIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
. State Zip
Phone # (
Regishacion #
?
S[ate iD
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 Commercial/In dustrial ? 32 Ext Alt - Apts.
? 15 Lodging /?' 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous O 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement 0 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code 32?
SAC Code
No. of Units
No. of Bldgs. ?
Const. (Actual)
(Allowable)
UBC Occupancy ('?v. •
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq.ft.
17'p
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES 5ystem
City Water
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee
VALUATION o-?
surcnarge ?- SU
Plan Review
MC/ES SAC % SAC
City SAC SAC Units IoU?
!Nater Supply & Storage
S/W Permit iNeter Size }t
S/W Surcharge l?
?
Treatment Plant
Park Dedication
Trails Dedication
Water Quality ?jc
Other I J
Copies J(AA
Total
EXHIBIT A ?
CITY OF EAGAN
? CONDITIONAL USE PERMIT
WHEREAS, Target Stores has complied with all the requiremenu of the Ciry of Eagan
necessary for obtaining a Conditional Use Permit.
NOW THEREFORE, By order of the City Council of the City of Eagan, Dakota County,
Minnesota, and subject to the terms and condifions hereof, a Conditional Use Permit is
authorized as follows:
Permitting a Conditional Use for seasonai outdoor sale of plants and planting
materials and a temporary greenhouse structure within the confines of a"Planned
D-cvelopmeaY' zone.
2. Said Conditional Use Pernut shall apply to the following described property:
Lot 3, Block 1, Cliff Lake Cenue
3. Said Conditional Use Permit shall run with the land as long as all conditional use
standards aze met.
? 4. Said Conditional Use Permit shail be subject to con#brmance with the Eagan City
Code and with the conditions set forth herein to include, but not limited to:
Additional Conditions:
1. The CUP shall be recorded at Dakota County within 60 days of Council approval
and submitted to the City.
2. A revised site plan shall be submitted showing the temporary greenhouse structure
located at the southeastern most comer of the parking lot at the end of the pazking
row.
The CUP shall be continually subject to the following conditions:
1. The greenhouse and display area shall occur between April 12' and July 15' of each
yeaz.
2. The greenhouse and plant display azeas shall be removed from the propercy by July
20' of each veaz.
3. All parking stalls within 30 feet of the temporary greenhouse swcture shall be
? signed as "no pazking" and bordered with barricades while the greenhouse strvcture
is in place and shall conform with the standards of the Uniform Fire Code.
4. All signage shall meet City Code requirements.
\
Additional Conditions (cont.)
5. No outdoor storage other than which is approved by the City shall occur on the site. (
40
6. The seasonal outdoor sale shall consist of plants and plant products only.
7. A building permit is required for consmiction of the temporary greenhouse
structure.
8. An enclosure shall be provided for all product display areas with the exception that
trees and shrubs may exceed the heighi of the enclosure.
9. The pumpkin display area shail occur between October V and October 31# of each
yeaz. The display azea shall be removed from the property by November I g of each
yeaz.
IN WIINESS WHEREOF, I have hereunto set my hand this 17' day of April 1997.
CITY OF EAGAN
A Minnesota Municipal Corporation
s6U?A-
By: Ste gan
Associate Planner
0
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Num6er:
Datelssued:
BUILDING
022070
09/29J93
SITE ADDRESS:
P.I.N.: 10-17780-030-01
2000 CLIFF LAKE RO
LOT: 3 BLOCK: 1
CI.IFF LAKE CENTRE
DESCRIPTION:
?-•,V (CAR7 ENCLOSURE)
BuYlding%_Permit Type COMM./IND. MISC.
8uilding Wo?rk Type pLTERATION
iUBC Occupancy\, B-2
? r J
}'? ??1 a
REMARKS:
FEE SUMMARIF
Base Fee
Plan Review
Surcharge
Total Fee
VALWATION
$169.00
$122.85
$9.00
$320.85
$18,000
CONTRACTOR: - Applicant - OWNER:
WITCHER CONST CO 2830 9000 TARGET
9855 W 78TH 5T 270 2000 CLIFF LAKE RD
MINNEAPOLIS MN 55344 EAGAN MN
(612) 830-9000
Z hereby acknowledge that S have read this appliCation and 8tate that the
informat3on is carrect and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANTlPERMITEE SIGNATURE ISSUEO BV: IG TURE -
REACT I VAi E____
PERMIT. i" ,
)10qfl
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION ?5???•'??
ss1-4s7s
?? j ?li
Cp/^?
SINGLE 3 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ,
COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of
speciflcations, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month•
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date //19Yaluation of work
?j OZQn /qr-n /'??,?'?
Site Address: /?T ,2r
?
SiREEi W[TE M
Tenant Name: (commercial only)
IAT ?L BLOCK ? SUBD.
lV P.I.D. d0
Descri tion of work:
.
The applicant is: ? Owner Contractor ? Other (Deccribe)
Name Phone
Property ??ST F?asT
Owner
Address
STREET STE f
City State ZiP
Company ?+ >Ti"'./ ??l ._-0.???'?? v,? ?? Phone £s'z<:? " 91>l? C7
Contractor . ? S4,rE
Address ?7?55 i?. -z?z:j License # Exp.
City 5tate/?i? ZjP
4/L=,?.v4i5,j 4?e,c% Phone
--•2
Companyo
Architect/ ,
?
Englneer Name f Registration N
Address /?.??
City ?????, State Zip
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
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 tity of
Eagan Ordinances. J
Signature of Applicant:
OFFICE U5E oNLY
BUILDING PERMIT TYPE ? , - -
? 01 Foundation ? Ob Duplex ? 11 Apt./Lodging ? 16„Basement Finish
O 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. " ? 17 Swim Pool
O P3 SF Addition ? 08 B-Plex ? 13 Garage/Accessory O 16 Coam./Ind.
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace 1%19 Coron./Ind. Nisc.
0 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Pub11c facility
? 21 Miscellaneous
WORK TYPE
O 31 New ?33 Alterations ? 35 Tenant finish ? 31 Demolish
? 32 Addition 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 8 -2 2nd F1. sq. ft.
- PRV Required
2oning Sq. Ft. total Booster Pump
f of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code yar7
Depth On-site sewage SAC Code
/
APPROVALS ' o
Planning Building Assessments
Engineerin9 Variance
REQUIRED INSP ECTIONS CART C/VCI,e 54QE - ScA(!" W,4(L
? Site i?L Footin9 ? Framing ? Insulation
? Wallboard K Final ? Draintile ? Fireplace
Permit Fee .00 v.iuacid,:
Surcharge t ?_ Q •oe
Plan Review L,xt?
License
MWCC SAC
City SAL
Water Conn.
Nater Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park DQd.
Trails Ded.
topies
Other
Total:
S )??•8S?
SAC %
SAC Units
-<6TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031586
03/23(9S
SITE ADDRESS:
2000 CLIFF LAKE RD
LOT: 3 BLOCK: 1
CLIFF LAKE CENTRE
P.I.N.: 10-17780-030-01
DESCRIPTION:
TEMP 6REENHOUSE
Buildin'g°?P?ermit Type COMM./IND. MSSC.
Buzlding :Wb=xaIk Type NEW
r Census„Cpde ` 328 OTHER NONRES.
- . . , . .d{ .
'e. .?
v
$i
I
r-t, `'?'s?y„, f`w.? `ii? CT"4i`f5e?x",?i9
e t
tf ='
REMARKS:
THIS STRUCTURE MAY NOT BE TNSTALLED BEFORE APRIL 12 1998 AND MUST BE
REMOVED BY JULY 20 PLAN REVSEWED BY JOE VOELS
FEE SUMMARY:
VALUATTON $9,000
Base Fee $74.75
Surcharge $1.50
Total Fee $76.25
CONTRACTOR: OWNER: _ ppplicant -
TARGET
- 2000 CLIFF LAKE RD
' EAGAN MN 55122
(612)668-8706
I hereby?acknowledge that I haVe +^ead`??hf's ,.?ppi°YC?atiac? ensi state thot' the ?
infnrmdtiori is c4rrect end agre:e ta oompi,'y. with ell_ a„pplicat?l,g State of, Mn.
? Statutss and City c.f=Eagan. Qrdt,nanc.es,
v? kli(p1.F1
APPL ANT/PERMITEE SIGNATURE ISDn IllY. S'NA RE,
-
1998 BUILDING PER117I'Y APPLICATION (COMMERCIAL)
? I 5a? C? oF ?a?
681-4675
Submit following to obtain necessarv pertnit
q(0, ars
(A)-" ?I 13199 U0
Foundation Onl New Construction Interior Improvement
eWGural plans (2 sets) architectural plans (2 aets) arohkectural plans (2 seta)
eivil plans (2 sets) structurel plans (2 sets) code enalysis (t) "
code analysis (1) " civil plans (2 sets) projea specs (t set)
6oils report (1) lendsceping plens (2 sels) Kay Plan
projectspacs (7) cotleanarysis (1)" energyploulationa (1)naehrays•
Special Inspeetions S Testing Sehedule " soils report (1) Ekctric Power 8 Lighting Form (1) notaMrays "
SAC detertnination btter from MCMB - SAC tletertnination ktter hom MCAAIS - SAC detertnination letler from MCANS -
wn 602-1000 ean 602-1000 can 602-1000
Speaal Inspectiona R Testing Schedule (1) °
project spea (1)
Bnerpy calwlation5 (1) "
Ebc[ric Power 8 Lighting Form • 1 "
" comacc dunamg mspeaions tor sample
Food 8 Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Cal l 2150700 for detaiis.
DAT
?
()'? ?
E:
- WORK TYPE: NEW REMaDEL
DESCRIPTION OF WORK:
CONSTRUCTION COST: TENANT NAME:
SITE ADDRESS: ?oo CI ??? l Akz Ro??Z SUITE #:
LOT ? BLOCK __?___ SUBD. ( AKe P.I.D. #
Name: Phone #: o
PROPERTY Last First
OWNER
Street Address: ci (??? ? z
City E-L?? State: MAJ Zip: S S 1 a a
Company:_ Phone #: 6.3 6
CONTRACTOR
Street Address: G \Q License #
--,
?L
City /'W Stau: I'ti i/v Zip: S S Ia.)
ARCHITECT/
I hereby acknowledge that I have read this applieation and state that the infortnation is corred and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. /
KQ\ ? A ?Signature ofApplicaM: ? te?Q
.a
Sewer 8 water licensed plumber (only ff installing aewer 8 water):
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 18 Comm./Ind.
WORK TYPE
? 31 New
? 32 Addition
GENERAL INFORMATION
Const. (Actual)
(Ailowable)
UBC Occupancy
2oning
# of Stories
Length
Depth
APPROVALS
Planning
19 Comm./lnd. Misc.
? 20 Public Facility
? 21 Miscellaneous
--W `?,*LS:£ kHbusr - T? rnP. fVz"MYizG
? 33 Afterations ? 35 Tenant Finish
? 34 Repair ? 37 Demolition
G : T,s s?c•?TarRS /?l.?y ?/o> /3E .?
Basement sq. ft. MC/WS System
First Floor sq. ft. City Water
sq. ft. Fire Sprinklered
sq. ft. Census Code 3 z fs
sq. ft. SAC Code 20
sq. ft. Census Bldg. /
Footprint sq. ft. Census Unit 40
Building
Engineering
Variance
Permft Fee
Surcharge
Plan Review
MCNVS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Water Qual.
Other
Capies
Total:
% SAC
SAC Units
Meter Size
o?
Valuation: $ /)-;n
;
--.._. .. . _. ; , ,
- .:._ ...? - ?
..
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. ?
Area - °N
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i:
Target Stores
~ • 2000 Cliff Lake Road
Eagan, Minnesota 55122
Telephone 612-688•8706
0
TARGET GARDEN CENTER PLANS
2000 CliffLake Road
Eaban, Minnesota 55122
Lot 3, Block 1, Cliff Lake Center
Targct would like to put up a Gardcn Cente ?
The Dates would be')A3/qfi to??3?
Plant Hut would Uc 20 x 40
Total outside spacc would be ZO' wide by 150' long
Sidcwalk display 4' x 20'
We would bc sclling: Insidc-Bedding and color annuals
Outside - Trecs, shrubs, roses and soil
Usc cxisling- zoning classifica[ion
Current usc of this arca is parhing lot space
Suirounding land is parking lot and lawn
Will use cxisting parking lights
Hours would bc 3:00 a.m. to 10:00 p.m.
Two 4 x 4 displays oFpumpkins on each side of main doors 10/1 to 10/31
?
`?
¦ ,V .??
?
q 4t'L- V
,A ?
v ;
?v
v
1??? ? •' ?
?
A Division of Ihe Dayton Hudson Corporation Prinled on recycled paper. 72?1
PERIVIIT
CFTV'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMITTYPE:
gulLoltiG
PermitNumber: 029703
Date Issued: @ q/ 11 / 9 7
2000 CLIFF I.AKE RD
LOT: 3 BLOCK: 1
CLIFF LAKE CENTRE
P.I.N.: 10-17780-030-01
DESCRIPTION:
`="'" " ' TEMPORARY GREENMOUSE
Ffuildi4P§-?.P?ermit Type COMM./TND. MISC.
Buildint? Wbr.k Type NEW
Census Cbds 328 OTHER NONRES.
. . `.'.„2?
1 ?
f? il? ??*• ? '?v?% } :, ?`' ? qi'?t r?
. ? _?
REMARKS:
FEE SUMMARY:
VALUATION
$3,000
CONTRACTOR: OWNER: - ppplicant -
TARGET STORES
2000 CLIFF LAKE RD
EA6AN MN 55122 -
(612)688-8706 ,
?
$74 .75
$1.50
$76.25
Base Fee
Surcharge
Total Fee
. .. -. . , . _ . . . . . . . .. . . . . . _ , . . ?
7 hereby acknowledge that l have read this applicatzan and statc that the
infiormatio-n is correct a-n;d agree to cQmply with all ap(ilfcable State ofi' Mn:
5tatu?tes an.d.. CiCy of Ea9.an Ordinances. . .. ? . . . . ?
? n??? ??A.A1
APPLICANT/ MITEE SIGNATUR ISSUED Y: 516NAT E
1997 BUILDING PERMIT APPLICATION (COMMERCIAL)
? CITY OF EAGAN #a ?eaC,
681-4675
The following are required with appropriate certification fot all new construdion:
• 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; sWCtural plana; site plans; lantlscaping plans; greding/dreinage/erosion control
plan; utiliry plan
? 1 each: aet of specifications; set of energy calculations; electrical power 8 lighting form; Special Inspections & Testlng Schedule
? Letter from MCANS (phona #222-8423) indipting SAC determination
• Code analysis indicating: codes used; occupancy classifiwtions; setbadcs; maximum ellowable area as per Building and Ciry Codes along with sq.
ft. per floor; type of wnstruction (synopsis of construc[ion components) 8 any occupancy or area separation walls;
occupancy loads; exit synopais with a diagram intliceting exking loads from each room or area, Vavel paths & ell rated
cortidors; piumbing fixtures; and paAcing.
DATE: q' Z- y-J WORK TYPE: New REMODEL
DESCRIPTION OF WORK:
CONSTRUCTION COST: !??'rVT TENANT NAME: --rAQ6 E-L
SITE ADDRESS: 2 voo L??? ?oAj
LOT 3 BLOCK ? SUBD. 1i4lGE CP_v17r2 ?• P.I.D.#
S-eCTi
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
R-"?CEdVED
APR 0 2 1997
BY:
Name: rP, 6C T ST0 "•eS Phone#:
Vbl FIR6i
Street Address: y?rD C R F-k LAlee 06acQ
City: aK64n/ State: _M W Zip: 5512"2-
Company:
Street
city: -t?ArvG,<<scevv 1-00J
Zip: 755-3 1 '1
ione #:
Mark Scheffknecht
Assisfant Store Manager
Co171l
Nami
Stree
I
City.
Sewer & water licensed plumber (ol
OTARGET
2000 Cliff Lake Road
Eagan, Minnesota 55122
612-688-8706 Fax:612-688•8706
igistration #:
Zip:
I hereby acknowledge that I have read this application and state that the information is correct and agree to compl with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 18 Comm./ind
WORK TYPE
? 31 New
? 32 Addition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning ?
aaT'19 Comm./Ind. Misc.
? 20 Public Facility
y y f: ? t.
? 21 Miscellaneous
? ?IZGfI?//1dl.?SL ' 7LIW/d6aARl? ?fJ?u'G7u??"'L
? 33 Alterations ? 35 Tenant Finish
? 34 Repair ? 37 Demolition
_ Basement sq. ft. MC/WS System
_ First Floor sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. Census Code 32K
_ sq. ft. SAC Code 30
_ sq. ft. Census Bldg. ?
_ Footprint sq. ft. Census Unit D
IYoT? - Z)o "zo-P. ?Si9ivcL 7";Kr
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
MCNVS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
9A
Valuation: $ 3 .0, 66O
% 5AC
SAC Units
Meter Size
_IV
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
2000 CLIFF LAKE RD
LOT: 3 BLOCK: 1
CLIFF LAKE CENTRE
P.I.N.: 10-17780-030-01
(wo':? 1a7-4/
BUILDING
027287
04/15/96
DESCRIPTION:
(TEMP GREENMOUSE)
Building,,„Permit Type COMM./IND. MISC.
18 uilding`4c>azk 7ype AL7ERATION
\11
328 QTHER NONRES.
REMARKS:
? ?r.is ...,
FEE SUMMARY:
VAIUATION
Base Fee
Surcharge
Total Fee
$74.75
$1.50
$76.25
CONTRACTOR:
$3,000
OWNER: - Applicant -
TAR6ET
2000 CLIFF LAKE RD
EAGAN MN 55122
(612)688-8706
I hereby ecknowledge that I have read tfiis application and state that the
information is correct and agree to comply`wi"th all appiiica-bls S-tate of Mn.
L Statutes,and Gity.oP, Eagan,ordi,nanoes. ?
?
APPLICANT/PERMITEE SIGNATURE ? ISSLfy BY: SIGNATURE
iq itiq CITY OF EAGAN
1996 BUILDING PERMIT APPLICATION (COMMERCIAL)
681-as75 The following are required with appropriate certification for all ON construction:
? 2 each: archi[ectural ptans; mech. & elec. plans; fire sprinkler plans; strudural plans; site plens; landscaping plans; gredingldrainagalerosion control
plan; utility plan
• t each: set oT specfications; set of energy calwWtiona; eledrical paxar & IigMinp form; Special Inspedions 8 Testing Schedule
? Letter from MGWS (phone #222-8423) indiceHng SAC determination
? Code enalysis indicating: Codes uaed; occupancy classifiwtions; setCadcs; maximum albwable area as per Building and City Codes along with sq.
ft. per floor; typ9 oi construdion (synopsis of wnatruGion componenta) 8 any occupancy or area separation walls;
oxupancy loads; exit synopsis vrith a diagrem indkating exfting loads from each room or area, Vavel paths & all rated
corridora; plumb(ng fatures; and parlcing.
DATE: 3 r,I I 3, 9to WORK TYPE: x NEW _ REMODEL
DESCRIPTION OF WORK: Tew.?erv.ry GraeKheu-se
CONSTRUCTION COST: TENANT NAME: Tarae--?
SITEADDRESS: 2o4f.-,o ClIIX Lk•'Rd, Eawa,.•.? MA/ 55122
„?. .?.
LOT ? BLOCK SUBD. P.I.D. #
? C?PJlI?
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Name: I arae.?r. Phone #:
r ruer
Street Address- u'O° ?A'k% Lk. Rd.
City: f!:?" aK State: M V Zip: 55l22
Company: 1'nt=qb&,c Zv,,t-.
Street Address- ?• ? • Bbx
?ity: .?°-Qs'? t Ke?K i M N
Company: N? A
Phone
Phone #:
f/ __ I
Name: Registration #•
Street Address•
?-ii-??? •
---------------?
City: State: Zip:
Sewer & water licensed plumber.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
0 18 Comm./lnd.
WORK TYPE
? 31 New
? 32 Addition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVAL?
Planning
,4-19 Comm./Ind. Misc.
? 20 Public Facility
..,...?-
? 21 Miscellaneous
? ?9I?LLNNDUf? ` ??P• ST,?c?i r.to??
0 33 Alterations o 35 Tenant Finish
? 34 Repair ? 37 Demolition
_ Basement sq. ft. MCNVS System
_ First Floor sq. ft. City Water
_ sq. ft. ? Fire Sprinklered
_ sq. ft. Census Code 370
_ sq. ft. SAC Code 70
_ sq. ft. Census Bldg. 1
_ Footprint sq. ft. Census Unit °
M1I
Building Engineering Variance
Permk Fee
Surcharge
Plan Review
MCNVS SAC
City SAC
Water Conn. -
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
r aric Ged.
Trails Ded.
Water Quai.
Other
Copies
Totai:
valuation: $ 30e?
% SAC
SAC Units
Meter Size
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
?.T.N.t 10-17780-030-e1
DESCRIPTION:
tl 7:SCCL1 ANt01);
IVEW
7 Si'Oi2f-S
?.
PERMIT
PERMIT TYPE: Su' I "''": ?"
Permit Number. a 314 6 3 1,
Date Issued: 0' /11 /99
2000 f:l TI- F I,qi:!= ^U
L0"f: 3 RLDC{:: 7.
CI_TFl= I.AKE CENTHt
GRFFNHOU,-;E
f3ud'1r'q •._PeriniL- fypts
ldi;7p 4.r-r?k Type
Eneu, Cadn A
i
?
? i
.... _ 'f o,. ?
\\ ; yi
REMAR?KS:Pf',., i t w e o F: vt.i H v n, ;_ r; i? 1 tr= N.
i I?_I?fPili:q£tV' (' r?I tl'JiiuUnf_)
?
FEE SUMMARY:
t;.:lsp 'r`'ne.
Surr,h,rrqe
7oial Fp2
V4aLUFllION
sb3.Yb
g:911 .75
9;:i,0 0 (3
CONTRACTOR: OWNER: -
„ rHtaG Cl'
2e00 ci_iFF Lnne ao
eA G ,ini ri ni ;sizz
f i6511658--87 C, 6
. h, r•h?.J;iow?c+C1 q?. i.h,t t h,i?re re?d t:h - ut,P- icaTion arid wti<cu Lt,.; i.:i?.r
r,n _3 corrRet and aqr ?.. cu coriPlV w).,`,t'i a11 si;p1 i c?hl I L. e a't i'I,i.
S'CGWL ? T/PERMITEE SIGNATURE sStf@D BY: SIGNATURE ?
1988 BUILDING PERMIT APPLICATION - CITY OF E9GAN SINGLE FAMILY DWELLINGS ? ? ?? •
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CEiANGES WILL BE ALLOWED ONCE BQILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS A OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEFT.t
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
-7/t126 ET
To Be Used For: Retail Valuation: 2,500,000.00
LRK? ?O.
Site Address 2000 Cliff Ra? OFFIi
Date: June 6. 1988
Lot 3 Block 1
Parcel/Sub 6?1 f=F LA*/E
Owner Dayton Hudson Corporation
Address 33 South Sixth Street,Box 1392
City/Zip Code Minneapolis, MN 55440
Phone 370-8708
FRANK 7-tLLEy
Contraetor Ryan Construction Co.,Inc,.
Address 700 Intl. Ctr. 900 2nd Ave. So.
City/Zip Code Minneapolis, MN 55402
Phone (612) 339-9847
Ritter,Suppes,Plautz &
Arch./Engr. Setter,Leach & Lindstrom
Address *120 First Avenue North
On site sewage
MWCC system ?
On site well
City water v
PRV required _
Booster Pump _
APPROVALS
Occupancy $-2
Zoning PD, CSG
Actual Const II-N SPR.
Allowable Y-M
of stories I
Length _J-21-0-7-
Depth 3l3'
S.F. Total I)
Footprint S.F . II 32
FEES
Engr/Assess Permit 67 0 D
Planner Surcharge 050
Counci.l_ Plan Review 3,'i5
0
Bldg. Off. =(,/Lq SAC, City J
3 00
Variance SAC, MF7CC r)Oo
Water Conn -
Water Meter -
Road Unit 10/56
Treatment Pl 693G
Parks
Copies
TOTAL
City/Zip Code Minneapolis, MN 55401
Phone # 339-0313
?u??DinIG ???MiT"
00 CD, a,, ? - 33 Z44
I sovIV? Zs = 33 ?5
7 pD
1sT Z, DOt?, oup ?
?O U
la sv
FLqN RtUIr=W
g?5v x So j? - 3350
RoA'r,) UN ITS
I O' y I` AC.'R,?S X?']S = 1 D 15(.
1'AR Y? F'EE
Nb "\21'DiT)7NA`- 1='EE - 'FFrZ 'Tx-LFLOP?n?jr4d/Q??& A7r?
SAC- - !sy 'AY..j;;)
? z-I X ? p o - 3?I Ov
VVlwc c
3y x SSb = ?? l??
3y x 2oy _ (, 1 3(?
/
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3
15Z32,
OF SURVEYt 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COt•AtERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS;
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: rpux t?a ?i-o r.? Valuation: Date:
Site Address
Lot 3 Block /
Parcel/Sub 616?
Owner ,Sl
?r?(c?..r
. ?
Address 33 So h?k 15?_ iYax /99
City/Zip Code M ,n
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Hooster Pump _
Phone 3 ^t p, ?'?- o 51 I APPROVALS
A C? zP l/Py
Contractor o? Mn .?.. ?,
Address goo_
City/Zip Code
Phone
r ?°?, Sr?vP+? s/ ? Gv'f z?
Arch./Engr.s'r?F?r G.?? k_ _cl [. KrlsY?
Address 12 o F, ?SY A?e. No ,
City/Zip Code /Y?i
Phone A
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Oceupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOT6I,
fs--"=
?
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F4R CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ S /O • S?
$ $
$ $
$ $
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OC'TSIDE READER
WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ S ACCOUNT DEPOSIT - WATER
$ $ WAC
S 1? OQ •od $ SAC
$ ? $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
S
r $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ,? S ?: ? ? • O C? $ aZ / • Cr? TOTAL
RECEIPT RECEIPT
DOES OTILITY CONNEC TION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
APPROVED BY:
TITLE:
DATE:
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) pROPERTY ADDRESS:
LEGAL DESCRIPTION:
'Yf*ftlf1kflf*it*ftttYfY*f**k***#fY
?a0'PF': PAYMF KP OF FFE AT 17ME pF
APPLscATioN noFS Nar oONSTium
APPR0VAL, OF PERIYIIT.
INSPDCPION OF SE.SM ADID/0R F1ATF,Et
TT14f'ATSATTON$ WIM NOj` $$ $QjED--
UI.ID []NPII, PIItN1IT AAS BEM
APPRpVED.
%+.ucin-Locx/buaaivision or Tax Parcel ID #T--
IF ElQSTING SIRCCILME, D,ATE pF pgIGINAL B[JILDING PERMIT ISSL'ANCE: -
PRESEtdr 7ANING/PROPOSID LSE: (Mon ear
?i CIX+MERCIAL/I2EPAIL/OFFICE
?Da)L'STl?Ln.L
n INSTI7[)TIONAL/00VMttZENT
2)
? rmnE:
ADoxESS: (53 C) ?
CITY. STATE,
PHONE:
C] R-1 SINGLE FAMILY
? R-2 Di.riEX (Iwo Cnits)
? R-3 70WNEi0L?SE (Three + Units) ( Pnits)
? R-4 APARTME,?/COAIDOMINILm ( Units)
3) i• ?•
?'E:u? (??/L- For G.ty Use
G J P1Lmibers License:
aMREss:_?? ?() E- C? .-.?: ?y Active
ciTSr, sr?, ziP: At/.?'-_oG? r? r oraea
PHONE:
4) •• • • NLy • i?-
rAME:
_ ADDRESS;
CITY, STATE, ZIP:
PHONE:
5) . " ?' ' ?' : a • • - ?.
? CONNDLTION TO CI'iY SfiWEt ? CONDIDCfiON 7U CZTY WATER
6) E3 PLEASE HOLD APPRptM pmMIT FOR PICK-OP BY ONE OF ABOVE
PLZASE MAIL APPROVFU PERMIT T0 l.i) 3, 4, AHOVE
? ,o N ,y (Circle one)
7)
FOR CITY USE ONLY
PERMZT # ISSUED .
97 9
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLIIDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUN T DEPOSIT - SEWER
$ $ ACCODN T DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRDNK SEWER ASSESSMENT
$ $ " LATERA L BENEFIT/TRLNK SEWER
$ $ LATERA L BENEFIT/TRONK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ 16 " S-7) OTHER :
$ $ /D TOTAL
. ?Tz3
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLZC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDZTION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
APPROVED BY:
TITLE:
DATE: ?// -57-11pf
2000 BUII.DING PERMIT APPLICATION (COMMERCIAI.)
CITY OF EAGAN
651-681-4675 ? S - ? ?
Re uirements C'.n2-A4J 3-%-U3
Foundation Onl New Construction Interior Im rovement
• SWCturol Plans (2 sets) • Architectural Plans (2 sels) • Architectural Plans (2 sets)
• Civil Plans (2 sets) • SWCWraI Plans (2 sets) • Code Analysis (1) "
• Certificate ot Survey (1) . Civil Plans (2 sets) • Project Specs (1 seq
• Coda Malysis (1) " . Landscaping Plans (2 sets) • Key Plan (1)
• ProjectSpecs (1) • CadeMalysis (t) " • MasterExitPlan (7)
• Spec. Insp. & Testlng Schedule " • Certificate of Survey (7) • Energy CalculaEons (1) not always"
1 • Spec. Insp. S Testing Schedule (1) ° • Elec. Power & Ligh6ng Fortn (1) not always"
! . ProjeclSpecs (1) 1
1 • EnergyCalalations (1)
1 • Electric Power 8 Lighting Fortn (1)
1 • Master Exit Plan (t) 1
1 • Pire ProlecUOn Plan (1) ° l
! 1 l
. MGES SAC determinatlon letter • MGES SAC determination letter • MGES SAC detertnination letter
call 651-602-1000 tall 651-602-1000 call 651-602-1000
" Contact Building Inspections for sample
Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details.
111-61
DATE: 3-3'oc) WORKTYPE: _ NEW _ REMODEL
DESCRIPTION OF WORK: loMp L--?veen. H
TENANT NAME: IC,?f'GP?
FORMER TENANT NAME
CONSTRUCTION COST: O00
SUITE:
SITEADDRESS:? C?CX\ l Iiff 1 r,? R? LOT -'_BLOCK -LSUBD Ma UP-
Do ,?ko v. • 11-t,.? So r` R,'K PJessn ,
Nazne: Phone#: (65-1 ) -7 3P, "7,777
PROPERTY Last Firs
OWNER
Street Address
City Company:_
CONT'IlACfOR
Street Address:
' City
ARCHITECT/
ENGINEER Company:_
Name:
Street Address:
City
State:
State: Zip: ,
Phone #: ( )_
Registration #:
State: Zip: -
Sewer/water licensed plumber (if instalHna sewer/water): Phone #:
omply with a)I applicable Stat
gree to c
I hereby acknowledge that I have read this application, state that the informaUon is coZW,17
of Minnesota SWtutes and City of Eagan Ordinances.
Signature of Applicant: ?
U--
Phone p
:
U O ' 6 -7 Q (,
Zip:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts.
? 15 Lodging K28 Greenhouse ? 34 Ext Alt - Comm.
0 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
WORK TYPE
? 31 New ? 34 Repair ? 37 Demolish Bldg. ? 43 Reroof
??32 Addition 0 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Siding
33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair
? 46 Windows/Doors
GENERAI INFORMA?TION
Census Code
SAC Code -?
No. of Units
No. of Bldgs. I_
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning _
Building
- ??
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
? Plumbing ? Stucco/Stone
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
? Insulation
Engineering
VALUATION:$ %OUO ?
% SAC
SAC Units
Meter Size FSy ? ?l 5
1999 BUILDING PERMIT APPLICATION (COMMERCIAL) _f <??q '-? t??
CITY OF EAGAN o G
? (651) 681-4675 C?j?p?l 3-°I - i 1
SUbmit f0110wina to obtain necessarv nermit
Foundatipn Onl New Construction Interior Im rovement
structural plans (2 sets) architectural plans
?Z sets)
architecturel plans
(2 sets)
civil plans (2 sets) sWCturel plans (Z sets) code analysis (t) '•
code analysis (1) •• civil lans
P (2
sets) prqect specs (1 set)
projea specs (1) landscaping plans (2 sels) Key Plan
Special Inspections 8 Testing 5chedule " cotle analysis (t) " energy calculations (1) notaMays °
SAC delermination letter (rom MC/ES - soils report
5AC determination letter from MC/ES • (1) Eleciric Power & Lighting Form
SAC determination letter from MGES - (1) not ahrays ^
eall 602-1000 call 602• 1000 call 602-1000
SpEpal InspCCGOns 8 7esting Schedule (1) "
project specs (1)
energycalculations (1) ••
Electric Power 8 Li htin Fortn 1 ^
_".._...? ....,p.........v w. uo.uy.o
Food & Beverage or Lodging faciliGes: Plan must be submiHed to Minnesota Department of Health. Call 215-0700 for details.
DATE: Sy?q-? WORK TYPE: X NEW _ REMODEL
DESCRIPTION OF WORK: PNA 1{l?
CONSTRUCTION COST: -3d?) o 0
SITE ADDRESS? Oc:?? C ? ?R LAY?? jp?&
TENANT NAME:
LOT ? BLOCK I SUBD. 0?? L4+? ?C'C ?`{Y IP D. #
SUITE #:
Name: Phone #: (Z)1?s ?G b
PROPERTY Last First
OvVNER Sneet Address: l!!?? WcZ \2Z
Ciry•
State: Zip: J?
Company: Phone f1:
CONTR4CTOR
Sneet
City
ARCHITECT/
ENGINEER Company:
Sneet
City
Sewer 8 water licensed plumber (only if installing sewer & water
I h -fpV'thave read this application, state that the information is r ect, an agree to comply with all applicable State
of i ? 411city_of Eagan Ordinances.
? Signature of Applicant:
1999
WrR
7-a (o
State: Zip:
Phone #:
Regisuation
State: Zip;
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 18 Comm./ind.
WORK TYPE
? 31 New
32 Addition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
? 19 Comm./Ind. Misc. ? 21 Miscelianeous
? 20 Public Facility
G%r?ti ?-ovs?
? 33 Alterations
? 34 Repair
Basement sq. ft.
First Floor sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building ? Engineering
Census Code 3 Z-7
SAC Code ;gO
Census Unit d/
Census Bldg. ?-
MC/ES System
City Water
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
1,S O
VALUATION:
% SAC
SAC llnits
Meter Size
$ 3,QOC/
? 35 Tenant Finish
? 37 Demolition
Total . ??1,75----?
f'!li 4' ju i ! !Uv LJl
,;;?3, I, cL?6 J k ?t
^itv oF aaaan
MUNICtVAL CENTER
3830 PILOT KNOB ROAD
EAGAN, MIPlNESOiA 55122-1897
Pt10NE: (612) 681-4600
FAX:(612)681-4612.
JUly 20, 1992
TARCET S'tORES
STORE MANAGER
2000 CLIFF LAKE RD
EAGAN MN 55122
Uear Sir/Madam:
MAINiENANCE FACIIITY
3501 COACIIMAN POINT
EAGAN. MINtJFSO1A 55122
PHONE: (612) 681-4300
fAX; (612) 681-4360
THOMASEGAN
MayOr
PATRICIA AWADA
PAMELA McCREA
TIM PAWLENTY
iHEODORE WACHTER
Councll Members
THOMAS HEDGES
Clry AdminlnslFotor
EUGENEVAN OVERBEKE
Clty Cled
On November 19, 1991, the City of Eagan approved an ordinance regarding outdoor
storage/display in commercial and industrial zoning districts. As a result, outdoor
storage/display is not a permitted use. This ordinance requires a Conditional Use Pennit
for ail outdoor storage/display. In an effort to allow existing businesses time to comply with
this reyuirement, the City Council allowed six months, or until May 28, 1992, before
enforcement would begin.
For ynur convenience, 1 have enclosed a copy oF the new nrdinance which deFines outdoor
storage/display and lists minimum requirements to be met. Conditional Use Permit
applications are available at Ciry f Iall should you wish tn lpply for this permit. Until then,
please remove all outdoor items within 10 days from the date of this letter as they are in
violation of the City Code.
Please intorm me of ynur intent and provide a scliedule of compliance as soon as possihle.
If you have questions regarding this matter, feel free to contact me at 681-4685.
Sincerely,
,
Stiannon Tyree
Zoning Administratar
/js
Enc.
cc: Dayton iludson Corp., c/o T.uget Stores #360, Minneapolis MN 55402-2004
iHE LONE OAK TREE ... THE SYMBOL OF STRENGTN AND GROWTH IN OUR COMMUNIiY
Equal Opporfunlly/Afllrmailve Actlon Employer
4 1
11"citV oF eacjan
THOMASEGAN
Mayor
March 8, 1993
TARGET STORES
STORE MANAGER
2000 CLIFF LAKE RD
EAGAN MN 55122
Dear 3ir/Madam:
PATRICIA AWADA
SHAWN HUNTER SANDRA A. MASIN
THEODORE WACHTER
Council Members
7HOMA5 HEDGES
Ciry Atlmininstroroi
EUGENE VAN OVERBEKE
CIN Clerk
The Eagan City Council has adopted an ordinance pertaining to outdoor storage and
display. As a result, outdoor storage/display is not a permitted use. This ordinance
requires a Conditional Use Permit for all outdoor storage/display. In an effort to allow
existing businesses time to comply with this requirement, the City Council allowed until
March 2, 1993 before enforcement would begin.
For your convenience, I have enclosed a copy of the new ordinance which defines outdoor
storage/display and lists minimum requirements to be met. Conditional Use Permit
applications are available at City Hall should you wish to apply for this permit. Until then,
please remove all outdoor items within 10 days from the date of this letter as they are in
violation of the City Code.
Please inform me of your intent and provide a schedule of compliance as soon as possible.
If you have questions regarding this matter, feel free to contact me at 681-4685.
Sincerely,
Shannon Tyree ?
Zoning Administrator
/js
Enc.
cc: Dayton Hudson Corp., c/o Target Stores #360, Minneapolis MN 55402-2004
MUNICIPAL CENTER
3830 PILOi KNOB ROAD
EAGAN, MINNESOiA 55122-1897
PHONE: (612) 681 -4600
FAX:(612) 661-4612
iDD:(612) 454-8535
THE LONE OAK TREF
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equol Opportunity/Afifirmafive Actlon Employer
MAINTENANCE FACILITY
3501 COACHMAN POINi
EAGAN, MINNESOIA 55122
PHONE: (612) 681-4300
FAX: (612) 681-4360
iDD:(612) 454-8535
11 city oF eagen
THOMASEGAN
Mayor
May 17, 1995
Amy Adler
Target Stores
2000 Cliff Lake Road
Eagan, Minnesota 55122
Amy:
PATRICIA AWADA
SHAWN HUNTER
SANDRA A. MASIN
THEODORE WACHTER
Councll Members
THOMAS HED6ES
Ciry Adminishotor
E. J. VAN OVERBEKE
Ciry Clerk
This letter is a follow-up to our discussion on May 17, 1995 regarding your outdoor
greenhouse. Target Stores at Eagan was granted a one time approval for a temporary
outdoor greenhouse sale located in the southeast corner of your parking area. This
approval was conditional based on location, size, parking availability, hours of operation,
and similar concerns. Our agreement cleariy stated that no product would be displayed
outside of the agreed upon area. Please have all product removed from outside the
greenhouse area by May 25,,11995. Thank you for your cooperation.
Erik Slettedahl
Planning Division
MUNICIPAL CENTER
3830 PILOi KNOB ROAD
EAGAN, MINNESOTA 55122-1897
PHONE: (612) 681-4600
FAX:(612) 681-4612
IDD: (612) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH ANO GROWTH IN OVR COMMUNIN
Equal OpportunltylAffirmotive Actlon Employer
MAINTENANCE FACILITY
3501 COACHMAN POINT
EAGAN, MINNESOiA 55172
PHONE: (E12) 681-4300
FAX: (612) 681-4360
TDD: (612) 454-8535
oF
3830 PILOT KNOB ROAD, P.O. BOX 21199 ViC ELLISON
EAGAN, MINNESOTA 55121 nnayur
PHONE: (612) 454$700 7HOnR.ts EGArv
DAVID K. GUSTAFSON
PAMEL4 McCREA
THEODORE WACHIER
CouMll Members
December 5, 1989 nHon+nsHeoGEs
cM nam?s??rnar
EUGENEVPN OVERBEKE
Ciry Clerk
MN DEPT OF HEALTH
717 S E DELAWARE ST
P.O. BOX 9441
MINNEAPOLIS, MN 55440
ATTENTION: GARY ENGLUND, P.E. CHIEF
SECTION OF WATER SUPPLY & ENGR.
RE: TARGET YOGIIRT
2000 CL2FF LARE ROAD
L3, B1, CLIFF LARE CENTRE
Dear Mr. Englund:
This is to advise that the final plumbing inspection of the
aforementioned facility was completed on January 6, 1989.
Attached, please find copies of the inspections made by the City
of Eagan, Building Inspections Division.
Sincerely,
William Adams
Construction Inspector (Plumbing)
WA/js
Attach.
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIiY
? minnesota departrnent of health
717 s.e. delaware st. p.o: boz 9441 minneapolis 55440
O (612)629-5000
Oetober 24, 1989
Target
c/o Ms. Joan Lefto
Area Food Service Manager z- 3 121
1090 - 73rd Avenue N.E.
Frid1ey, Minaesota 55432 -;?Occt_
Gentlemen/Ladies:
Subject: Plumbing for Target Yogurt, T-360, Eagan, Dakota County,
Minnesota. Plan No. 00392
CJ??? ( '`tr i_,,
J
;.:•_
We are enclosing a copy of our report covering an examination of plans and
specifications on the above-designated project. Atso enclosed is a copy of
the report and transmittal letter to 6e forwarded to the project owner. A
set of the identified plans and specifications is aiso being returned to
you. IT I5 THE PROJECT OWNER'S RESPONSIBILITY TO RETAIN THE PLANS AT THE
PROJECT LOCATION.
Your attention is directed to the attached statement pertaining to
inspection of the plumbing. It is important that we receive the
information indicated in order that the necessary inspection may be made.
The plans and specifications appear to be in general conformance with the
standards of this Department. When the project is completed, ptease
communicate with an Environmental Health sanitarian in our Metro District
Office in Minneapolis, Minnesota (612/623-5337), in order to schedule a
final inspection.
If you have any questions in regard to plumbing inspections, please call
Roger Foster at 612/623-5385.
If you have any questions in regard to the information contained in this
report, please contact Lewis Anderson at 612/623-5357.
Sincerely yours,
Gary L. Englund, P.E., Chief
Section of Water Supply
and Well Management
GLE:LEA:paw
Enclosures
cc: Project Owner
William Adams, Plumbing Inspector I/
an equal opportunity employer ' ++IrvNF?n^ 1?_
MINNFSOTA DEPARTMENT OF HEALTH
Division of Environmental Hea(t6
REPORT OF PLANS
Plans and specifications on plumbing Target Yogurt, T-360, Eagan, Dakota County, Minnesota, Plan No. 00392
Prepared aud submitted by Tazge[, Go Ms. Ioan Lefto, Area Food Service Manager, 1090 - 73rd Avenue N.E., Fridley,
Minnesota 55432
Ownership:
Da[e Eramined: October 12, 1989 Date Received: September 14 and October 10, 1989
SCOPE: This examination is limited to the design of this particular project only iasofar as the provisions of the Minnesota
Plumbing Code, as amended, apply, and dces not cover the wa[er supply or sewerage sys[em to whic6 this piumbing system
is connected. The ex m;nation of plans is based upon the supposition that the data on which the design is based are
correct, and that necessary legal authority has bcen ob[ained to coostrud [he projed. The responsibility foc t6e design of
struchual features and the efficu.ncy of equipment mus[ be taken by the project designer. Approval is contiugen[ upon
satisfactory disposiROn of any requirements included in this report.
INSPECI'IONS: Special care should be taken to insure that the material and installation af the plumbing system are in
accordance with the provisions of the Mimesota Plumbwg Code. It is necessary tLat the State Health Depaztmen[ make
roughing-in and 5na1 iaspedions of the plumbing system to determine whether it compGes with the Code. Provisioas
should be made for applying an air test at the time of the roughing-in inspection as ouHined in Minn. Rules, p. 4715.2820,
of the Code. In order to facilitate this work, a self-addressed card is attached which should be returned to this office.
The name of [he plumbing contrador should 6e indica[ed so arrangements can be made for him [o notify [he State Health
Depaztment that the ins[alla[ion will be ready for a tcst and inspectioa
No acceptance of the plumbing iastallation can be given until inspection and testing of the roughing-in work (Minn. Rules,
p. 4715.2820, subp. 2), 6nished plumbiug (Kmn. Rules, p. 4715.2820, subQ. 3), and inspection of the comple[ed ins[allation
by a representative of the State IIealth Department indicates compliance with the provisioos of the Code.
REQUIREMENTS: NONE
Au[horization Eor cons[rudion in accordance wiW the approved plans may be withdrawn if construction is no[ undertaken
within a period of two years. The fac[ that plans have been approved does not necessarily mean that recommendations or
requirements for change will not be made at some later time whea changed condi6oos, additioaal information or advanced
knowledge make improvemen[s necessary.
Approved by.
*tk2V'4
Milton R. Belliq P.E., Supervisor
Engineering Uni[
Section of Water Supply and Well Management
6121623-5517
??.) Av"U! So r?-
I,ewis E. Anderson
Enpneering Aide
Section of Wa[er Supply and Well Managemen[
617J623-5357
L 3 ;el?
C UU
MsMO TO: TOM HEDGEB, CITY ADMINIBTRATO&
DALE RUNRLS, DZRECTOR OF COMMIINITY DSVELOPMENT
FROM: DONNA ROLLINS# SIGN INSPECTOR
DATE: JDLY 12p 1989
RE: TARGET PYLON RELOCATION
The "offending" oak tree continues to be a problem with Target.
They have requested a change of location for the Target pylon. The
new location, approximately 80' north of the existing pylon, will
continue to be in conformance with the Sign Code as to distance
from the Cub Foods pylon, setback and height. (Current height
reflects approval for above grade elevation from Cliff Road.)
;02t,? l/C .
T
,
/,2qgd 030 v I
RECE11lED MAY 12 1989
??Cn
ENqNEEl61qRCNRECTSIPIANNERS 222EASiLf17/.ECANADAROAD,ST.PAUL,MINNESOTA55117 6I2484-0272
May 11, 1989 RE: TARGET DRAINAGE PROBLEM -
CLIFF LAKE ESTATES
SEH FILE NO. 88168
Mr. Chuck Poplar
Westwood Professional Services, Inc.
7415 Wayzata Boulevard
Minneapolis, MN 55426
Dear Chuck:
This is to £ollow up on our conversation this morning regarding
the ponded water behind the curb on the south end o£ the Target
parking lot. We observed the two oaks in the low area to be
submerged in approximately 18" of water. Understanding the
pressure that was exerted to preserve trees on this site, i would
imagine this problem should be addressed immediately.
You indicate you were going to contact Ryan Construction (either
Bill McHale or Jeff Rice). Would you please let me know the
results of that conversation as the City is interested in how
this problem ia going to be handled.
If Z can be of any help in resolving this problem do not hesitate
to contact me.
Sincerely,
Jim Eulberg, P.E.
Project Manager
JEE/cmb
Attachment
cc: Tom Colbert, Director of Public Works, Eagan
Jim Sturm, City Planner, Eagan
SHORT ELLIWT ST PAUL, CHIPPEWA FALLS,
HENDklCKSON INC. MINNESOiA W15GONSIN
AIP
RYDRANT N/AUX. ppypg
a?
A
?OO• \`? ` •
I
SEH-4-,
C% ' R.E. .
'904.25
? a ixv. .
889.34 gn pVC PLUG
'orrvo..,?,?or "
j.o S '- INV. e 889.60 -
04 p .. 4 ? ? - 849. ?
eJ J , ?\ $ , PLUG,
°y ? i Gq 6 '
a •
,. ' g .
W/A?F%y
S - 37. l? 0- O'S ..- •\ % .. ?,`
• - 904. zo •' ' ?. 44c W
I?• ? 898.87 INV• N TOk OF RISER ? 895.0 ?f /7,4A5
i-'" -< ? ? ? ''So? :_. •' ,
0• `a O?'4 '.. ; \
. ... ? ,.
..........
? CB45
{6) R.E. ? 900 9 ?
1.30 / • `; 896.57 ?
t9 ?'"'`1
;98. % ?` r
'.
, SEti-?, '. ' CB - 43 `\ 1, ?_ •
? - 9A3.30 ,• ` R•E• - 900;90 i .,
`` ' ` `
INV. - 896. 0 ?'Cglgi _ y4 ,
R $ ' 90 .9. ?
ftb ? 'ca 42 Gq iHV• ? 89 .57 .
` rx.E. ' 896.80?•4?4
Ili1/, . ?
.,
g? 21'"?RCY-CL• ? ' ?`? ? :7
\ 1y1$ RCP @ 1.002
(
R.E. . 900.80U? i
MNDOT R.O. W.
/ti ( (
MBMO TO: TOM HEDGES, CITY ADMINISTRATOR
DALE RiINRLE, DIRECTOR OF COMMIINITY DEVELOPMENT
FROM: JIM STIIRM, CITY PLANNER
DATE: APRIL 14, 1989
RE: OAR TREE REMOVAL - MNDOT R.O.W.
As a result of the City's history committee meeting on April 6th,
I have contacted three divisions within the MN Dept. of
Transportation, Bill McHale - Ryan Construction, and Donald Laukka
---Targ`et,\ regarding an oak tree in the MnDot R.O.W. and placement
of the-Target pylon sign.
MnDot has not issued a permit to remove the tree and will not do
so as long as there is any interest in this action by the City of
Eagan. Mr. Kermit McRae, District 9 Engineer, informed me
yesterday that Eagan is the leader in joint MnDot/municipal
development projects. Our Park & Rides, and specifically the Knox
Lumber project, were mentioned. Kermit was originally made aware
of Target's request to remove the tree and asked that the City
comment on this request. The Environmental Services Division
within MnDot strongly opposed its removal as did Don Fashant -
R.O.W. Division.
A memo dated November 7, 1988 from the landscape unit within the
Environmental Services Division stated:
remove this tree be denied. Great care was taken durinq
constrnction to protect this tree; removing it now would
be counter-productive and wrong. No matter how many new
trees can be planted for the value of this tree, we
cannot replace a mature Bur Oak. There are alternative
locations for the sign. This tree and MnDOt should not
be compromised for an oversight on the part of Target in
locating their sign.
The original base value of the tree was $19,089. The value was
reduced through an appraisal where the 30" Bur Oak species class
was rated at 100%, the condition was rated at 70%, and the
location was rated at 60%, reducing the proposed cash value to
$8,017. These figures, and MnDot's opposition, were never
represented to the City when we were originally asked to comment
on the situation. ONLY I+IINDOT CAN MARE THE DECISION TO REMOVE THI6
TREE.
On Monday, April 10, 1989, I met Forrest Russell - Target
representative, and Bill Mcxale, on the Target site to review
alternative locations for the sign. One option was to place the
sign in the R.O.W. east of the subject tree, however, it would
.
need approval of the federal government, as well as MnDOt, and
that is very doubtful. That option appears to have been dropped
by the developer. The original location for the Target sign was
at the intersection of Cliff Road and Cliff Lake Drive. It was
relocated to the present location so the Cub Foods pylon could be
placed at that location. Target could relocate the pylon
elsewhere on their property and I will work with them if that is
their decision.
If I can be of additional assistance, please let me know.
V
JS/js
L -2?
MEFiO TOs TOM HEDGES, CITY ADMINISTRATOR
TDM COLBERT, DIRECTOR OF PUBLIC WORKS
REN VRAA, DIRECTOR OF PARKS & RECREAT
DOUG REID, CHIEF BUILDING OFFICIAL
(iED1E VADiOVERBffiCE, DIRECTOR OF FINANCE
FROM: DALE C. RUNRLE, DIRECTOR OF COMMUNITY DEVELAPMENT
DATE: MARCH 14, 1989
RE: TREE RF,N70VAL REQIIEST FOR TARGBT
CLIFF ROAD 6 CLIFF LAKE DRIVE
Target representatives, Donald W. Laukka and John C. MeCUllan of
Barton-Aschman Associates, have asked that the City of Eagan
review the Target site plan. Presently, the Target pylon sign is
located on the southeast corner of their property directly west
of MnDot right-of-way. Within this right-of-way, there are some
existing oak trees of which one is directly east of the pylon
sign. It is the request of Target's representatives that this
tree be removed in order for better visibility of the Target
sign. If thia tree is allowed to be removed, Target has
indicated that they would provide additional landscaping and
plantings in the MnDot right-of-way and around the holding pond
in the corner of Cliff Road and I-35E off ramp.
Please review the proposed site plan and indicate your concern or
preference in removal of this tree with follow-up of comments by
March 17. Thank-you.
41P;S___
600L.D TN& T2C--;E BE 'iR.IMMED fz':)2 Be7RSz vlSibW OF Si4u Z
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Ity OF
3830 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN, MINNESOiA 55121
FHONE: (612) 454-9100
March 31, 1989
MR JOHN C MULLAN
BARTON-ASCHMAN ASSOC INC
111 3RD AVE 50
MINNEAPOLIS, MN 55401
REs TREE REMOVAL
MN DOT RIGHT-OF-WAY
CLIFF RD & CLIFF LAKE DR
Dear Mr. Mullan:
V1C ELLISON
Maror
IFiOAMS EGP.N
DAVID K. GUSTAPSON
au,nEw MocaEA
THEODOfiE WACHiER
Co?ll Mombers
TMoMns HeocEs
QNAdmMlsirafp
EUGENE VAN OVERBEKE
ciN amk
The Eagan City Council reviewed the request for removal of the
oak tree located in the MnDot R.O.W. directly east of the Target
pylon sign. After discussion, it was agreed that removal of this
tree was acceptable, with the understanding that Target will
submit a landscape plan adding approximately $8,300 of additional
landscape materials around the drainage pond in the R.O.W. Once
the City has received this plan, the tree can be removed and
disposed of.
Hopefully, this clarifies your concern.
questions, please contact me.
Sincerely,
??--
Dale C. Runk,
Director of Community Development
DCR/js
AV,
If you have additional
THE LONE OAK TREE. .. THE SYMBOL OF STRENGTH AND GRON/fH IN OUR COMMUNIIY
CCMAI. NO.: 9088.801.33 Copy: Ed Oathout
CLIENP: Target Stores File 4
PRWELT: T-360 Eagan, P.C. 1352
SUBJFxT: Approval of Wall System and Plumbing
Fixture Count
Ig140 sY: Lori Johnsan
L1ATE: 18 April 1988
attention: Doug Reed
This memo is to confirm that the City of Eagan has reviewed and approved
two items that were unresolved at the Code Review Meeting.
The first item is the Architectural wall Panel (AWP) by U.S. Wall that we
are using for an exterior wall system. xSP/SLL sent a detail for your
review to determine if the AWP was acceptable for a one-hour rated wall
between Target and the abutting shopping center. You said it was an
acceptable equivalent for a one-hwr wall.
The second item is the plumbing fixture count. RSP/SLL sent information
about Target's average transactions for calculation of occupant load as a
basis to determine the number of plumbinq fixtures required. This was
revievred by the plumbing inspector as well as the building department and
the nwnber of fixtures that RSP/SLL proposed was approved.
Thank you for your prompt response on these items. Please call if your
interpretation differs from what is outlined above.
WS:rej/trc
mm9-18 trgeag
- 25p
SLL
RITTER SUPPES PLAUTZ ARCIiITECT$ LTD. - INASSOCIATION WITH SETfER LEACH & IINDSTROM INC. ARCHITECTS, ENGINEERSAND PLANNERS
1 P.pril 1988
Mr. Doug Reed
City of Eagan
3830 Pilot Knob Road
Eagan, I+IIV 55122
RE: Proposed Target Store, T-360
Cliff Road at Rahn Road
Eagan, Minnesota
Dear Mr. Reed:
I wish to thank you and your fellow staff inembers for the time spent
with me during our pteliminary review meeting on 16 March 1988. The
review was very informative. Staff cormnents incorporated into our
documents should help to reduce Plan Check and revision time as well
as possibly expediting our construction permits.
Enclosed are copies of the revised code review document for you, Steve
Hanson, Dave Wegleitner and Bill Adams. The revised document contains
all comnents received from your staff during our meeting. These
comments are shown in bold type, as a record of the discussion at the
meeting.
There are additional coimnents from a meeting with the State Health
Department snack bar drawing review and comments from a review by
Eagan mechanical inspectors. These are also in bold type.
We will be submittiny our final drawings for plan review shortly after
May 3rd. If you have any comments regarding the revised code
document, please call me at 339-0313.
Thanks again for your help.
Sincerely,
Llori hnson-Spaeth
Proje t Architect
Enclosure -
Copy: Steve Hanson
Dale wegleitner
Eill Adams
Ed Oathout
File 4
LJS:cej/cmb
10-23 trgeag
??CCbC??a?O
DickyB. Daniels, A.I.A.
Principal-in-Charge
ONE HUNDREDANDTWEMY • FIRSTAUENUE NORTH • MINNEAPOLIS MINNESOTA55401 • 612339-0313
?sFI anrEa suPPes NLnurz ARCHITEC4S L*o
INPS$pCVe'IiH $ETiEI7 LEACN&lIND5TI20MINC.
ARCHITECTS ENGINEERS PLAPlNERS
SLL MMN'eAf't?SMM ENSOiAF55NJAV612UJ39-?13
COUIIM. NO.: 9088.801.33 Copy: Ed Oathout
CLIFNP: Target Stores File 4
PRO,TECT: T-360 Eagan, P.C. 1352
SO&TECT: Occupant Load/Numb? ?of Plumbing Fixtures
I?40 BY: Lori Johnson L?
L1ATE: 29 March 1988
Attention: Doug Reed
This memo sivnmarizes a determination oP occupant load based on hourly usage
rates as calculated by Target. This information is for your use in
reviewing the required number of plumbing fixtures.
In stores similar to this one, there are an average of 181 sales
transactions per hour, with each transaction involving approximately 1.5
customers. This indicates 272 customers plus 60 employees, or 332
occupants.
FIXTURE COUNT:
REQUIRED FOR
TYPE 332 OCCUPANTS PROVIDED
Water Closets 10 10
Urinals --* 3
Lavatories 10 12
Drinkinq Fountains 3 9
Service Receptacles 2 2
*Urinals can replace up to 1/3 of required water closets.
As you can see, we exceed the required numbec of water closets and urinals
by three, the number of lavatories by tvro, and the numUer of drinking
fountains by one. i will be calling later this week to see if you find the
rnunber of fixtures we are planning to pcovide acceptable.
LJ:rej
mm3-29 trgeag
C0M. NO.: 9088.801.33 Copy: Ed Oathout
CLIIIVT: Tarqet Stores File
PROJECP: T-360 Eagan, P.C. 1352
SUBJECT: Exterior Wall Syste?
t?l? BY: Lori Johnson W
OATE: 29 March 1988
Attention: Doug Reed
Attached is the Partition 7.ype Schedule showinq the exterior wall system we
are planning to use for the Target store. This is for your review to
determine if it meets your definition of a one-hour rated wall. A2 is the
partition type that we will be using on the wall that separates Target from
the abutting shopping center. This is the wall you indicated should be
one-hour rated.
i reviewed the U.L. directory for a similar wall system. U.L. Desiqn No.
U434 is a one-hour bearing wall consisting of similar components. It is
made up of steel studs, batt insulation and 5/8" gypsum board on one side,
all of which are used in Partition Type 1a2. The other side is metal latch
and 7/8" thick Portland cement. The A2 system uses 1-1/2" thick concrete
with 1/2" face brick. The component used on A2 seems that it would be more
fire resistive than the component on U434. For this reason, we feel we-do
have a wall system that is the equivalent of at least a one-hour rated
system.
Please call if you have any questions or need more information. I will be
contacting you within a week to see if you have approved the A2 partition
type as a one-hour system.
Attachment: Partition Type Schedule
WS: rej
mm3-29a trgeag
J
,
eSp
? SLL
RITTER SUPPES PLAUTZ ARCHITECTS LTD. • IN ASSOCIATION WITH SETfER LEACH & LINDSTROM INC. ARCHfTECTS, ENGINEERS AND PLANNERS
9 March 1988
Mr. Doug Reed
Chief Building Inspector/Fire Marshal
City of Eagan
3830 Pilot Knob Road
Eagan, PIIV 55122
RE: Proposed Target Store, T-360
Cliff Road at Rahn Road
Eagan, Minnesota
Comm. No. 9088.801.33
Dear Mr. Reed:
This letter is to confirm the preliminary code review meeting that we
scheduled for Wednesday, 16 March 1988, at 10:30 a.m. at your offices
in Eagan.
Attending from RSP/SLL will be Lori Johnson-Spaeth, Project Acchitect,
and Dick Daniels, Principal-in-Charge. You indicated that you would
contact the people in your office who will be involved in the plan
check process for this project so they could also attend.
We will be bringing preliminary floor plans and a code review document
that addresses the building codes used in your area. The purpose of
the meeting is to review code issues with respect to the Target
building in hopes of resolving potential areas of conflict prior to
submitting the construction docwnents for permit.
We look forward to meeting you on March 16th.
Sincerely,
"?
Lori oet h Dick B. Daniels, A.I.A.
Proje rchitect Principal-in-Charge
Copy: Ed Oathout, Target
File 4
WS/DBD:tc
1t3-4 trgeag
ONE HUNDREDAND TWENTY • FIRSTAVENUE NORTH • MINNEAPOLIS MINNESOTA55401 • 612-339-0313
? 3, 13 ; 04 oli°a.&_ ?
MEMO T0: TOhI COLBERT, DZRECTOR OF POBLIC WORRS
JIM STURMt PLANNING DEPARTMENT
BII.L AKINS, ELECTRICAL INSPECTOR
CRAIG KNIIASENt ENGINEBRING TECH
SOE SA6RIDAN, DTILITY BILLING CLER&
FROM: DOUG REIDp BIIILDING INSPECTIONS DEPT
DATE: ?//7/89
The Protective Inspections Department will be performing a final inspection
f or oecupaney of n?000 21; ?W 1,G k e p Q CJ on
a113199 ( 1-ci r9ef)
Please return within 48 hours with your approval or denial. Failure of
response w3thin that time frame will be determined as approval. It will be
eaeh departments res ponsibility to contact the construction firm with
necessary requirements bePore final inspection and notifying the Building
Inspections Department when all requirements have been taken care of.
Thank-you.
?R/js
APPROVAL: DENIAL:
(SIGNATURE & DATE) (SIGNATURE & DATE)
z3,/jl, OJia ,Lal<e 0_en4+-e__
MEMO T0: TOM COLBERT, DIRECTOR OF PDBLIC WORRS
JIM STIIRM, PLANNING DEPSRTMENT .
BILL AKINS, ELECTRICAL INSPECTOR
CRAIG KNIIASENt ENGINEERING TECH
SUE SAERIDAN, DTILITY BILLING CL6RB
FROM: DOUG R£ID, BIIII.DING INSPECTIONS DEPT
DATE: ?//7/8g
The Protective Inspections Department will be performing a final inspection
for occupaney of c?MO (; 1i PP 1,6k e 2o G CJ on
413116 ( IGr9 e f )
Please return within 48 hours with your approval or denial. Failure of
response within that time frame will be determined as approval. It will be
each departments responsibility to contaet the construetion firm with
necessary requirements before final inspection and notifying the Huilding
Inspections Department when all requirements have been taken care of.
Thank-you.
DR /,j s
APPROVAL:
DENIAL:
(SIGNATURE & DATE)
?
MEMO T0: TOM COLBERTp DIRECTOR OF POBLIC WORKS
JIM STURM, PLANNING DEPARTMENT
BILL AKINSt ELECTRICAL INSPECTOR
CRAIG KNODSENt ENGINEERING TECH
;SOE SHERIDANg OTILITY BILLING CLERg
- ;nu
FROM: DOUG REIDl BOILDING INSPECTIONS DEPT ?
DATE: 111-2/?9
The Proteetive Inspections Department will be performing a final inspection
for occupancy of G7000 al/ f }+' Z Qke -;?O GC on
a1131,?g ( cAr9ef)
Please return within 48 hours with your approval or denial. Failure oF
response within that time frame will be determined as approval. It will be
each departments responsibility to contact the construction firm with
necessary requirements before final inspeetion and notifying the Building
Inspections Department when all requirements have been taken care of.
Thank-you.
DR/js
c _ /? ?I
APPROVAL:-fZ??? DENIAL:
(SIGtrATURE & DATE) (SIGNATURE & DATE)
c •/3 ? G. ? 3. C?/?- _
EXAIBIT 'D'
WAIVER OF HEARING No. 00247
Special Assessment Authorization
i/We hereby request and authorize the City of Eagan, NN (Dakota Co.) t
assess the following described property owned by me/us:
Cliff Lake Centre, Lots 1. 2. 3. and Outlot. Block 1, and Outlot A
to be aivided on a s uare footage bas?
for the benefit receive from the followina imorovements:
ITEM QUANTITY RATE AHOUNT PROJECT NO.
Cliff Road Upgrade 600.07 Lin.Ft. $111.70 $ 67.027.82 529
Cliff Road Sidewalk 600.07 Lin.Ft. 13.00 7,800.91 999
Lateral Benefit from
Trunk Sanitary Sewer 2,800.00 F.F. 15.85 44,380.00 64
TOTAL . . . . . . . . . . . . . . $119,208.73
to be spread over 20 years at an annual interest rate of 9 B agains
any remaining unpaid balances.
The undersigned, for themselves, their heirs, executors, administrators
successors and assigns, hereby consent to the levy of these assessments, ar
further, hereby waive notice of any and all hearings necessaty, and waiv
objections to any technical defects in any proceedings related to the=
assessments, and further waive the right to object to or appeal from thes
assessments made pursnant to this agreement.
Dated: S?(o ?AB
STATE OE MINNESOTA)
) ss.
CO[INTY OF fl?,,,,?n; ^ )
CLIFF ROAD PROPERTIES, a
Minnesota Partnership
ey:? ?•? ?v
Its: ?p ?^ -1111011
On this In`= day of {vt,,,? , :19SF, before me a Notary Publi
within and for said County, personally appear.ed an
A•b..,,rL <F FF jk, to me personally known, who, being each by me dul
sworn to be partners of the Partnership named in the foregoing instrument
and that the seal affixed to said instrument :ts the seal of said partnershii
and that said instrument was signed and sealeci on behalf of said Partnershi;
by said _Lbo.ae.. /f,F?.,._. and and the:
acknowledged said instrument to e the ?;.rqa<:t an deed of the Paztnership
....»...?.
5ya ANNE GEAC;,;;
... r?r?d4 ouaue - i.:::::: :ora L?
\?It? DAI<OTA C^vUNTY
?y Mr Co?nmuoan eaotm Aw x. . ?ros
This Docume
HAUGE, EIDE 6 KELLER, P.A.
Attorneys at Law APPROVED: ??
1260 Yankee Doodle Road, A200 ?
Town Centce Professional Bldg.
Eagan, MN 55123 gy ZZ-Z-5`-/174V
(612) 456-9000 Department of Pub ic Works
L`?? ??; Uf? L4ke ('.ERIf',?
Or
3830 PILOT KNOB ROAD, P.O, BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8700
September 1, 1988
JAMES R FELTON, PROJECT ENGINEER
700 INTERNATIONAL CENTRE
900 SECOND AVE S
MINNEAPOLIS, MN 55402
Re: Cliff Lake Centre
Dear Mr. Felton:
VIC EILISON
Mvor
THOMAS EGAN
DAV1D K. GUSTPFSON
PAMELA McCRFA
1HEODORE WACHiER
Coursfl Members
iHOMAS HEDGES
CiN ?wwator
EUGENE VAN OVERBEKE
CRy Cierk
This letter confirms our telephone conversation of August 25 with
regards to the following items which must be completed before
certificates ot occupancy will be issued to the respective
buildings:
1. Provide (as per Minnesota statutes, section 326.12,
subdivision 3) signed and certified specifications for the
Cliff Lake Retail Center buildings; and
2. Uniform Building Code section 506(b) permits buildings of
similar size and construction to the Target store to be built
only if the building is provided with an approved automatic
sprinkler system throughout and if it is entirely surrounded
and adjoined by public ways or yards not less than sixty feet
in width. '1'he Target store, as currently situated, is not
entirely surrounded by sixty-foot public ways or yards.
However, a sixty-foot yard does exist around the entire
complex of buildings located on lots 1 through 3 of Cliff
Lake Centre. Thus, the Target store would be permitted by
the second exception under UBC 504(c) if proper legal
documents between the separate parcels were created and
recorded to effectuate a common interest as a single property
for the purpose of this provision.
Sincerely,
CA? ??.
Joe Merchak
Construction Analyst
JM/mc
ec: RHC Associates Joint Venture I
Korsunsky Krank Erickson Architects, Inc
THE LONE OAK TREE...iHE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
;J13 11: 17 FP.Uhi ISKE HRCHITECTS FAGE.002
?. ' ?
:;ERTIFICAYE OF nis:ribuaoo co:
• OWNER UX itHC Associates Joint Venture I
SUBSTANTlAL co TtRACTOR ?NKE Archi tects , tn .
COMPL?1'IQIV FIELD yan Construc-,.ion ?ompany
.1fA DOCUMENT C704 OTHER ?j
/
PRO)ECT; Cliff Lake Centre ARCHiTECT:
(name, address) Edgdn, P11 nnesOtd KKE At'Chi teCts , InC.
TO (Owner):
r
i
L
DATE OF ISSUANCE:
March 24> 1989
ARCwTECi'S PROJEC7 NUMBER: $6-01-1080-02
CONTRACTOR: RJrdn Construction Company
? CONTRACT FOR: General, mechaniCal and
electricat construction
? CONTRACf DATE: duly 21, 1988
PROJEC7 OR OESIGNATED PORTiON SHALL INC!UOE: . General ConStruCtion for Butlding B only.
The Wock perFOrmed under [his Contract has been reviewed and found to be zubstantially complete. The Date of Su6sWntiai
Cumpleuon of the Project or portion thereoF designated abovc is hereby esiabiished as
which is also the date of commencement of applicable warranties requiced by the Contract Documents, except as stated yplow.
DEFINITION OF DATE OF SUSSTAN71At COMPLE710N
The Date of Substantiaf Completion of the Work or designated portion thereoF is the Dace certified by the Arcliitect when
construction is sufficiently complete, in accordance with the Contract DocumenLc, so the Owner tan ocGUpy or utilize the
? Work or designated portion thereof ior the use for which it is incended, as expressed in the Conuact Docucnents:
A list oF items to be completed or corrected, prepared hy the Contractur and veritied and amended by the qrchitect, is
attached hereto. The failure to inciude any items on such list does not aiter the responsibiiity of the Contractor to complete all
woric' in actordance with the Concract Documents. The date of commencement of warranties for items on the attached Iist will
be the date of fina{ payment unless otherwise agreed to in wri ing.
KKE Architects, Inc.
ARCH17EC7 BY
DATE
The Contracror will complete or cwrect the Work an ihe fist of items attached hereto within thl rty (30) days
from che abova flate of Substantia! CompleGon.
?an CJon Comoar,o
CONTRACTOR ??-- 6Y
DATE
The Owner accepts the Work or designated portion thereoF as su6scantiatly rompiete and will assume full possession thereoE
at
(time) on (date).
RLC--As_so_ciateS 7nint Venture i ,
OWNER BY
DA7E
The responsibilities of the Owner and the ConUactor for securiry,`maintenance, heai, utilities, damage to the Work
and insurance shall be as fo{lows:
(Note-pwneYs and Contnctv/s lega( arrd insurance wuasel should determme and revrew insurance tequbements and coverage; Conpa[tor
tliall secure corttent ol surery compuny, N any,) .
U
The Owner sha17 be responsible.
Ryan Construction Company
700 International Centre
900 Second Avenue South
tlinneapolis, t4N 55402
?1?
CERTIFICATE OF COMPLIANC£
REGARDING LOT 2, BLOC% 1?
CLIFF LAKE CENTRE,CITY OF EAGAN,
DAROTA COIINTYt MINNESOTA
The City of Eagan, Minnesota (the "City°), hereby certifies to
RHC Associates Joint Venture I, Owner of the above-described real
property (the "Compliance Lot"), that the construction of
improvements completed as of this date on the Compliance Lot as
oi this date complies in all respects with the requirements of
a certain °Agreement to Implement Certain Measures to Protect
Cliff Lake and Its Shoreline" dated January 15, 1988, made
among RHC Associates Joint Venture I, a Minnesota partnership,
the City and the DNR, a Memorandum of which was recorded on
Mav 27 , 1988, in the office oP the Dakota County
Recorder as Document No. 841321,
Nothing in this Certificate shall be construed by any
person or entity to relieve owner and Owner's successors and
assigns from the obligation of continuing compliance on the
Compliance Lot with those covenants by Developer of a
continuing nature contained in the Agreement. However, the
obligations of Owner and Owner's successors and assigns after
this date pursuant to the Agreement shall apply only to
activities and events occurring on the Compliance Lot.
Dated: March 23 ? 19 90
Approved as to content:
?
Thomas L. Hedges
City Administrat r
Approved as,to,fbrm:
MauA,/ Green, Hayes,
36hanneson Brehl
Special Counsel to
Simon,
the City of Eagan
Exhibit B
Page 1 of
Tts. lerk
a
STATE OF MINNESOTA
ss.
COUNTY OF DAKOTA
The foregoin instrument was ack
/5T day of ?h , 19?, b
the Mayor, and L4 z ??-?
City of Eagan, a Minnesota municip '
w.., M;1fl11YN l. WUCHcI?PFEHl7!G
_a? NOIAFY PUiLI, - MIt:6eS07A
`¦t`+++?,,,??;+?,? DAKOTq COUNTY vot
My Cammi;sion Exp FeS 8, 1993 x
ae.?ewo+Nx?a?nrsraase.tc.wd'TFiIS INSTRUMENT WAS DRAFTED BY:
LARKIN, HOFFMAN, DALY & LINDGREN, Ltd.
1500 Northwestern Financial Center
7900 Xerxes Avenue South
Bloomington, Minnesota 55431
(AEM)
(612) 835-3800
Exhibit B
Page 2 of 2
I1Qwn1'ECiqeCi/-I- l?AIOTo?
44 0 JChls'
?' ;, /V
, the City Clerk, of the
'..rRTIFICATE OF
. Dislribution to:
=-'?'SUBSTANTIAL AO CHETECT o
>
COMPLETION iON?TRACTOR o
AfA DOCUMEN7 G704 OThICR FX1 City of Eagan, MN
PFO)ECT: Target T-360 ARCHITECT: Director of Architecture,
(name, addre5s) Eagan, MN Target Stores
ARCHITECT'S PROJECT NUM6ER: 1352
TO (Owncr): Target Stores CONTRACTOR: Ryan Construction
F ? CONTRACT FOR: BUilding dnd $ite
? I I CONTRACT DATE: June 22, 1988
, I_ J
DATE OF ISSUANCE: 4/16/90
PROJECT OR DFSIGNAT[D PORTION SHALL INCLUDE: Lot 3, Block 1, Cliff Lake Centre
The Work performed under ihis Contract has been reviewed and found to be substantially complele. The Date of Subslantial
Completion of the Project or portion thereof designa[ed a6ove is hereby esWblished as
which is also the date of commenccmen[ of applicable warranties required by the Contract Documents, except as stated below.
DEFINITION OF DATE OF SUBSTANTIAL COMPLETION
Thc Date of Substantial Completion of the Work or designated portion thereof is the Date cerlified by the Archited when
construction is suf(iciendy complete, in accordance with the Cantract Documents, sa the Owner can occupy or u[ilize the
Work or designaled portion thereof (or the use for which it is intended, as expressed in the Contract Documents.
A list of items to bc completed or corrected, prepared by lhe Contrauor and verified and amended by the Architect, is
atWched hereto. The failure lo include any items on such list does not alter the responsibility of the Contracror to complete all
Work' in accordancc with the Contract Documents. The date of commencement of warranlies for items on the altached list will
bc the date of (inai payment unless otherwise agrecd to in wri?cing.
/
Target Stores
ARCHITECT f3Y Burton B. $hdCteY' DATE
Minnesota License No. 7377
The Contrauor will complete or correct the Work on the list of items altached hereto wilhin days
from th¢ above Date of Substan[ial Completion. NOt appl i cabl e
Not applicablc
CONTRnCfOR
DATE
6Y
The Owner accepls lhc Work or designated portion lhereoF as subsWnlially complete and will assume full possession thereof
a[ (time) on ?/,?f , (dale).
Tar4et Stores ????LG?---
OWNER ¢v illiam D. Harrison DATE
The responsibilities of the Owner and the Contracfor for security, maintenance, heat, utilities, damage to the Work
and insurance shall be as follows:
(No[e-Owner's and Contractor's lega( and insurance counscl should detennine and review insurance requiremenis and coverage; Contratlor
shall secum consent oi surety company, if any.) .
nIA DOCUMENT G704 • CCRTIRCATE OF SUOSTANTIAL COMPL&TION • APRIL 1778 [DIfION • AIAw
O 1978 • THE AMF.HICAN INSTITUiI: OF ARCHITECTS, 1735 NEW YORK AVE, N.W., WASHINGTON, D.C. 2000f, G704-i978
CERTIFICATE OF COMPLIANCE
REGARDING LOT 3, gLOCR 1,
CLIFF LAAE CENTRE, CITY OF EAGAN,
DAKOTA COIINTY, MINNESOTA
The City of Eagan,Minnesota (the ^City°), hereby certifies
to DaI'ton Hudson Coxporatior? Owner of the above-described real
property (the "Compliance Lot"), that the construction of
improvements completed as of this date on the Compliance Lot as
o= this date complies in all respects with the requirements of
a certain °Aqreement to Implement Certain Measures to Protect
Cliff Lake and Its Shoreline" dated January 15, 1988, made
amonq RHC Associates Joint Venture I, a Minnesota partnership,
the City and the DNR, a Memorandum of which was recorded on
MaY 27 , 1988, in the office of the Dakota County
Recorder as Document No. 841321 ,
Nothing in this Certificate shall be construed by any
person or entity to relieve Owner and Owner's successors and
assigns from the obligation of continuing compliance on the
Compliance Lot with those covenants by Developer of a
continuing nature contained in the Agreement. However, the
obligations of Owner and Owner's successors and assigns after
this date pursuant to the Agreement shall apply only to
activities and events occurring on the C9mg3sa,pce Lot.
Dated: March 23 t 19 90
Approved as to content:
rk
Thomas L. He ge
City Administra
Approved as
OF
ATTEST -
(:?X A. h. -A A 06'a
It lerk
een, Hayes, simon,
eson Brehl
Counsel to the City of Eagan
Exhibit B
Page 1 of
_? . . _
SOTA
ss.
COUNTY OF DAKOTA
The foregoing instrument was a
/ST day of f?!/lf1. 191v, bY
the Mayor, and Z'it/G 2Fji6 i
City oP Eagan, a Minnesota municina
olds?+++ere.nwr....»..+.w.,...
MAflItYN L WOCNfCPFENFIS
FR%^g/p?tNOTAFY Pl/?LIC - MI':NLSOTA
j ?''? ",• ,
x )?` M D o m?, ae E p, Fe aT
@btl'Gbd?MMGVMC?N: pOJJOMSM6teµf
THIS INSTRUMENT WAS DRAFTED BY:
, ...... ..r
cnrnnrat i nn _
LARKIN, HOFE'MAN, DALY & LINDGREN, Ltd.
1500 Northwestern Financial Center
7900 Xerxes Avenue South
Bloomington, Minnesota 55431
(AEM)
(612) 835-3800
me?his
17 ,
:, of the
Exhibit B
Page 2 of 2
25p
SLL
RITTER SUPPES PLAUTZ ARCHITECTS LTD. • IN ASSOCIATION WITH SETTER LEACH & LINDSTROM INC. ARCHITECTS, ENGINEERS AND PLANNERS
1 April 1988
Mr. Doug Reed
City of Eagan
3830 Pilot Knob Road
Eagan, tMl 55122
RE: Proposed Target Store, T-360
Cliff Road at Rahn Road
Eagan, Minnesota
Dear Mr. Reed:
I wish to thank you and your fellow staff inembers for the time spent
with me during our preliminary review meeting on 16 March 1988. The
review was very infocmative. Staff comments incorporated into our
documents shwld help to reduce Plan Check and revision time as well
as possibly expediting our construction permits.
Enclosed are copies of the revised code review document for you, Steve
Hanson, Dave Wegleitner and eill Adams. The revised document contains
all coimnents received from your staff during ouc meeting. These
comments are shown in bold type, as a record of the discussion at the
meeting.
There are additional comments from a meeting with the State Health
Department snack bar drawinq review and comments from a review by
Eagan mechanical inspectors. These are also in bold type.
We will be submitting our final drawings for plan review shortly after
May 3rd. if you have any comments regarding the revised code
document, please call me at 339-0313.
Thanks again for your help.
Sincerely,
L'ori hnson-Spaeth'
Proje t Architect
Dick,B. Daniels, A.I.A.
Principal-in-Charge
EnClosure
Copy: Steve Hanson
Dale Wegleitner
Bill Adams
Ed Oathout
File 4
LJS:rej/cmb
1t3-23 trgeag
ONEHUNDREDANDTWEfVTY• FIRSTAVENUENORTH • MINNEAPOLISMINNESOTA55401 • 612-339-0313
M&y0 T0: JAY BERTHE - POLICE DEPT.
ED KIRSCHT, SR. ENGINEERING TECH.
CRAIG KNUDSEN, ENGINEERING TECH.
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
JIM STURM, PLANNING DEPT.
JON HOHENSTEIN, ADMINISTRATION
HILL AKINS, ELECTRICAL INSPECTOR
JOE CONNOLLY, WATER DEPT.
FROM: DOUG REID, CHIEF HUILDING OFFICIAL
DATE • :'... .. .. :.) '.LG
1he preliminary
plans for TARGE'r
are in our plan review
construction
your review
Please return this form to Joe Merchak with your initialed comments and the
date of review. Failure to return Porm to Joe within five (5) days will be
considered your approval. If you have any ob3ections to approval of these
plans, it is your responsibility to aotify this department aad resolve any
problems. I
1Yiank-you.
/JS
?
5-3/-3 s
MEHO T0: JAY HERTHE - POLICE DEPT.
ED KIRSCHT, SR. ENGINEERING TECH.
CRAIG KNUDSEN, ENGINEERING TECH.
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
JIM STURM, PLANNING DEPT.
JON HOHENSTEIN, ADMINISTRATION
BILL AKINS, ELECTRICAL INSPECTOR
JOE CONNOLLY, WATER DEPT.
FROM: DOUG REID, CHIEF BUILDING OFFICZAL
DATE • :... .. . ; ? '_'!.?.
1he preliminary construction X
plans for TARGET
are in our plan review section for your review and comments.
Please return this form to Joe Merchak with your initialed comments and the
date of review. Failure to return Porm to Joe within five (5) days will be
considered qour approval. If you have any objections to approval of these
plans, ib is your responsibility to notify this department and resolve any
problems.
lhank-you.
/JS
MEyO T0: JAY HERTHE - POLICE DEPT.
ED KIRSCHT, SR. ENGINEERING TECH.
CRAIG KNUDSEN, ENGINEERING TECH.
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
JIM STURM, PLANNING DEPT.
JON HOHENSTEIN, ADMINISTRATION
BZLL AKINS, ELECTRICAL INSPECTOR
JOE CONNOLLY, WATER DEPT.
FROM: DOUG REID, CHIEF BUILDZNG OFFICIAL
DATE • , .; ,.' ,. ca ti;
1he preliminary
plans for
are in our
construction X
RGET
ew section for your review and comments.
Please return this form to Joe Merchak with your initialed comments and the
date of review. Failure to return form to Joe within five (5) days xill be
considered qour approval. if you have any objeetions to approval of these
plans, it is your responsibility to aotify this department and resolve any
problems. ,
Thank-you.
?J 7
/JS
MEMO T0: JAY BERTHE - POLICE DEPT.
ED KIRSCHT, SR. ENGINEEAING TECH.
CRAIG KNUDSEN, ENGINEERING TECH.
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
JIM STURM, PLANNING DEPT.
JON HOHENSTEZN, ADMZNISTRATZON
BILL AKINS, ELECTRICAL INSPECTOR
JOE CONNOLLY, WATER DEPT.
FROM: DOUG REID, CHIEF BUILDING OFFICIAL
DATE•'..t.t ?i :`:;:?'
1he preliminary construction X
plans for TARGE"r
are in our plan review section for your review and comments.
Please return this form to Joe Merchak with your initialed comments and the
date of review. Failure to return form to Joe within five (5) days will be
considered your approval. If you have any objections to approval of these
plans, it is your responsibility to notify this department and resolve any
problems. 1Ysank-you.
/JS
CITY USE ONLY
PERMIT #: L'I 0 S I-.J RECEIPT DATE: / O-(/ ?
CO11dbIERCIAL PLUM8INH PEIilYI1T AfY'LICAT10N
CtTY 0F EA6RN
3830 Pu.or xaoe Rn
KA6i4A, MN 55122
851-8$1-4875
lNCOMPlETE APPLICATIONS WILL NQT BE PROCESSED
nate: ! -- $ -O Z
WORK 1'I'PE New Bldg Add-on _ Repair RPZ _ PVB Irrigation system
• Must complete reverse side of s Sication also. Required meter size is 2" turbo unless smaller size permitted by Public Works
DESCRIPTIONOF WORK ZPISTALI. hSE.W rT„ }SAT1F (!: SroCKAR6k JR?J'sET hIKjff4' n
To inquire if Pressnre Reducing Valve is requfred on new service, call
METERS - Ca11651-681-4300 to vecify that hydrostauc, conductiviry, and bacteria tests passed prior to oickine up meter -
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" disolacement $149.00
Domestic Size & Type Avg GPM
Does this include higb demand devices? , Yes _ No
FLUSHOMEI'ERS X Yes _ No PRV REQUIRED _ Yes
Sice wddress: `LpDQ ', (, l FF (.AKiC (ZpftN _
Tenant Name: _ J_ I?Icl7YiT
Was there a previous tenant in this space? _ Y _ N. If Yes, Name:
Installer Name: WwC-L i l. U th& /j6- dOT&•
?
Ji,N . 8'Zooa ?
i
X- No
Telephone S l • &98' 670(a
(Mea Code)
Telephone #: (DS ? %SZ ' 1S(D5
(Area Code)
InstallerAddres?s:? ?_E?`7f5") ?/f7?ftAl/J. 1?N4??
City: rii/?CZiT?v State:
FEES Contract price $ ISQDD x 1% ($50.00 minimum)
Required on all new buildings & boulevard irrigatton systema
Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at
50 cents per $1,000 c9ntract fee.
Total From Reverse
J Zip Code S S 12- Z.
Co¢tract Fee $ 150• o0
Meter(s) $ "-'
Radio Meter Read $
StateSurcharge $ . SD
New Service $ ?
Total $ ? 5;0• SO
I hereby acknowledge that I have read this application, state that the information is correct, and agee to comply with all applicable Ciry of Eagan
ordinances. It is the applicanYs responsi6ility to norifytheproperty owner ihat the City of Eagan assumes no liability for any damages caused by the City
during its normal operational and maintenance activities to the facilities constructed under this peimit within City property/rightof-way/easement.
./)G. . ?2 A An
- SIGNATURE OF PERMITTEE
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.O. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: 'S P f .7?O ?. _, BUII.DING INSPECTOR
COMMERCLAL
yCtY ?iJILDING PERMIT APPLIG&MAR, I?.?'? ?
CITY OF EAGAN d-U ?
1'ClIQ? 651-681-4675 ' '
Foundation ON New Construction Jnterioclm rovement
• StrucWral Plans (2) seGs • Architecturel Plans (2) sets • Nchitectural Plans (2) seLs
• Civil Plans (2) • SWcNral Plans (2) • Code Malysis (1) "' .
• Certificate of Survey (1) . Civil Plans (2) • ProJect Specs (1)
• CodeAnalysis (1) • LandscapingPlans (2) . KeyPlan (1)
• Project Specs (1) . Code Malysis (1) • Master E)dt Plan (1)
• Spec. Insp. & Testing Schedule •' . Certiflcate of Survey (1) • Energy Calalations (1) not always'*
• Soils Report (1) . Spec. Insp. 8 Testing Schedule (1) " • Elec. Povier & Lighting Fortn (1) not always"
• Meter siae must be established • Meter siffi must be established • Meter si2n must be established -if applicable
• ProjectSpecs (1)
1 . EnergyCalculaGons (1)
1 • ElecMc PoHer & Lighting Form (1)
1 • Master E)fit Plan (1) 1
1 . Fire Protectlon Plan (1)"' 1
1 • SoilsReport (1) 1
• MGES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC delermination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
" Contact Building Inspections for sample
Food & beverage or lodging faciliGes: Plan must be suhmitted to Minnesota Department of Health - call 651-215-0700 for details.
DATE ', - Z7 ' d 1 WORK TYPE _ NEW REMODEL CONSTRUCTION COST Z 2 w,+ t 1' a?
SITEADDRESS 'ZObO Mi-L 64J1-C E0o-0, rn I.I
TENANT NAME ASUITE #
FORMER TENANT NAME
DESCRIPTION OF WORK l M?L I???C ' ?_
j Oi-??-
Name: y?; e[ Sp?-? ra,?.•.? Phone#: ?( 1 Z )-7 (c '-
PROPERTY Last Fust
OWNER n
StreetAddress
City ?r?v?2 e?-ar??i S State ?'"1 7J Zip ? y 4 3
I I a/a
V? ?J.,'s??-r.
Company?}.)P?i S YhneJ # ? r2
CONTRACTOR / J
Street Address: 7to4 S?M hCSA LSL
City M1r\nz o? pplt5 ' State M? Zip S 5?Z 3
ARCHITECT/ /
EN(iINEER Company Phone #(? ? Z ? 3 3g - 0 3,13
Name T?e d a, ,-a s0--, Registration #
Street Address
City ?' ?1n e.A po? ? S Sta[e
n'1 p
Licensed plumber installina new sewer/water service: AZA- Phone #:
Zip
b1
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:k??. m • L_
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments A 27 Commercial/Industrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg 0 43 Reroof ? 47 Repair
g 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code 437
SAC Code 5
No. of Units O
No. of Bldgs. ?
Const. (Actual)
(Allowable)
UBC Occupancy ?
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
Building
V' 0 sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System -?-
City Water ?-
Fire Sprinklered ?-
? Insulation ? Plumbing ? Stucco/Stone
?1('0" Engineering Variance
°?q9a-4 C)
1? (' 0.0c)
c?tia?,oc?
I?
&-0
VALUATION $ Z J 2-0 0) O o 6 ?
% SAC
SAC Units
Meter Size
1?7.T,-0_ .-11o
/ 9, a 1 3, LI ?,-
6126777102 RSP RRCHITECTS 182 P02 DEC 19 101 09:25
nbr nrcmtn<b Lw. ? ? ?
120 F,: Sf Ave??ue Nor,h
Minr,eapolis, MN 55401
(),.r.?
http?//www.rsparch.com - , -FAJZ&er
iAX 6 t 2• 339 • 6760 ,. ??v
612 • 339 • 0313 Z000 WFF LP? kE P-f,?)
. Memorandum
CON[rI. NO: 9101.038.00
CLIENT: Target Corporation
PROJECT: T-0340 Eagan, Minnesota
Copy: Henry Gcabowski - Targec
Paul Neilson - Target
SF, BK, NH, ACO - RSP
File
SUBJECT: Accessibility Issues AdLb
?P
MEMO BY: Nicole Hueser/Aimee O'Leary
DATE: 19 December 2001
Attention: Craig Novaczyk
City of Ea$an
The following ouilines Tnrget's position in response to the City of 5agan's concern about accessible path
of vavel to e conference room for employees with disabilities.
W ithin the scope of worlc, Target has updated all areas along the path of travet on the main floor serving
the public. The following items are already included in the consuuction documents, their estimnted
cons[ruction coses sre [o be applied cowards the 20% maximum;
Upgrade Men's & Women's Toilet 12ooms
\ew Un'ssex Toilet Room
New Accessible Checkouts
Fitting ftooms Upgtade
Electronics Service Area
Jewelry Service Area
Phazmacy Service Area
Food Service
Exit Ramp at rear of building.
The cost otproviding an elevator in tha existing facility ($150,000-estimated) in addition to the other
improvements would exceed the "ap to 20%" of the total coastruction doflars Target is required to spend
on uccessibility upgrades.
Target has provided "like" facilities on the main level of ihe building, and will add a loungelconference
rooin to serve employees, including chose with disabilities. Tazget believes these improvements meet the
in[ent of the Minnesota ACCessibility Code.
The hiring practices of Target in no way discrimiaate against persons with disabilities.
This store has served the Eagan Community since 1988 and Target will continue to malce every effort to
maintain their fncility to current standards.
p/7n?N«Olnimodd/EagnNMl:I101ACO.dw EAGAN ?
roo'?REVIEWED
DATE 1 1?l`1 ` oI
L BUILDING INSPECTIONS DEPT._
3 ssi?
I PERMIT #: 1-4 '1
CITY USE ONLY
APPROVED BY:_ _S P z-"-", INSPECTOR
")""t- C) ?
RECEIPT DATE: ? --
COMMEftCIAI. MECfiA1VICAL PEitMIT APPI.ICATION
CITY OP EAfiAN
3830 PILOT KNO$ RD
E4HAN, MN 55128
651-681-4675
Please complete for: all commercial/industrial buiidings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: c,2/& l.1-
SITE ADDRESS: o2L4t9p (4? ZiQZ
OWNERNAME: A"67 S? PHONE #: l0/Z- - -7&I-09Z2,
(AREA CADE)
TENANTNAME (IMPROVEMENTS ONLY): /fE2?i,?0''?T
WAS THERE A PREVIOUS TENANT IN THIS SPACE? --'f-1V. NAME:
INSTALLER: Y7Sf?? ?'?FT/l167?- (?"(,A'Y1?.4-/?•S? %-4?
144f/ ?'44425 /M??,T- Al+rE
EwDxESS: A,76 40--oy zloga9 rxorrEa: las / - 1o4G7 -CgS9
(ARBA CODE)
CIT'I': _ S7. ?f}uL. ,/7 STATE: 41AI_ ZIP: 6-2r/?
WORK TYPE:
Specify Nature of Work,
p2odipd- ? /2cr,
When installing/rem,
Plumbing linspector.
New construction
? Interior Improvement
_ Processed Piping
underground tank,
_ Install U.G. Tank
Remove U.G. Tank
651-681-4675 for inspection by Fire Marshal and
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
? ?
'/
Contract price: $? ? x 1%= $ (Base Fee)
State surchazge X? calculate at $.50 for each $1,000 Base Fee
TOT $ X? ?
b ?? .
?
SIG O PERM[TTEE
Updated 1/Ol
2005 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
$L-l l a4 . ('09
• Strudurel Plans (2) sets
• Civil Plans (2)
• Certificate of Survey (7)
• CodeAnalysis (1) "
• ProjectSpecs (1)
• Spec. Insp. & Testing Schedule "
• 5oils Report (1)
• Meler size must be established
1
1
1
1
1
d
• SAC determination - call 651-602-1 000
a[
beverage or
Contact Building Inspections for sample and if required
w"• permit for new building or addition will not be processed without Emergency Response Site Plan.
Date ? Construction Cost d?0 O O O
Site Address z d 0 O (? )C. C ? Unit/Ste #
TenantNamr::J;i /Z,6e[" Former Tenant Name 10119
?cription of
r IP0
6% n T O^J
/-1!i1
PropertyOwner L ? ?/?6 4 N T'4 n.m
?2 Telephone # ( )
5
Contractor vr,
Address 27 C> City ;E?DEN E?? ?(-.
State Zip S'5,T tll` Telephone #(q$ in in
E i
# ?
Arch/
ngr Regis[rat
on
Address bn !t;?r ,q-rn r 4 V C '
_Rl-1p- a430,0 City 51?
State -M N + h ?
Zip -JSIS/ 0::?_ Telephone # (?!f )
?-
N q.
Licensed plumber installing new sewer/water service: Phone #:
'7'"
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance, with the approved plan in the case of work which requires a review and
approval of pians.
?DAV ) 7J Z
ApplicanYs Printed Name Appli t's Signature
• Archkectural Plans (2) sels • Architectural Plans (2) sets
• Strudural Plans (2) • Code Analysis (1) '•
• Civil Plans (2) • Projed Specs (1)
• Landscaping Plans (2) • Key Plan (1)
• CodeAnalysis (t) " • Master Exit Plan (1)
• Certificate of Survey (1) • Energy Calculations (t) not always"
• Spec. Insp. 8 Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) nol always"'
• Mefer size must be established • Meter size must be established-if applicable
. ProjeciSpecs (1)
• EnergyCalculations (1)
• Electric Power 8 Lighting Form (1)
• Master Exit Plan (1) 1
. Emergency Response Site Plan (1)
• Soils Report (1) 1
. SACdetermination-ca11 6 5 1-602-1 000 • SACdetermination-ca11 651-602-1 000
OFFICE USE ONLY
Sub Types
L) O] Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Akeration
? 34 Replacement
0 26 Public Facility
i0' 27 CommerciaUlndustrial
? 28 Greenhouse
? 29 Antennae
tz? 35 Int Improvement ? 38
? 36 Move Bldg. ? 42
? 37 Demolish (Bldg)` ? 43
*Demotltion (Entire Bldg only) - Give P
oti
Valuation -qs-or 000
Plan Rev 100% V 25% _
Census Code ?
SAC Units -d ?
Nbr. of Units 0
Nbr. of Bldgs ?
Required Inspections
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
_ Driveway Apron
? 30 Accessory Building
? 32 Ext Alt-Apartments
? 34 Ext Alt-Commercial
? 35 Ext Alt-Public Facility
? 37 Nail Salon
Demolish (Interior) ? 44 Siding
Demolish (Foundation) ? 45 Fire Repair
Reroof ? 46 Windows/Doors
CA handout to applicant
Type of Const a ` lf?_) Width
Occupancy W ( MCES System
Zoning j?r Z City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
_ Roof Ice Pr _ Decking _ Insul Final'
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insula[ion
FinaVC.O.
? Final/No C.O.
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco _ Stone
_ Windows
Approved,By: ? Planning ? Building Inspector
Base Fee
Surcharge
Plan Review
SAC-MCES
SAGCity
S/W Permit
SIW Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
Z'3`13 .7 T
` Y??7
«
Financial Guarantee
Stortn Sewer Trunk
Sewer Lateral '
SVeet
Water Lateral
Other
Total
Sewer Trunk
Water Trunk
2006 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
? City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 Fax # 651-675-5694
Requirements: 2 complete seu of drawings and specifications
cut sheets on materials and comoonents [o be used
Date ! 106 / o G
Site Address: 7_00 0 C L lrF LP.KE, ?J•
Tenant / Building Name: f A Q Gr??
r
The Applicant is: _ Owner -?4 Contractor _ Other
PROPERTY OWNER
Address:
City: State: Zip:
CONTRACTOR ?I?LL EG7/aH MNLicense#: 03
Address: ? 3 7 d.s ZG ?'4?. City: /? ? T LS
State: ? ta Zip: _ 7 T l Phone #:
ESTIMATED COMPLETION DATE: ? l? l L? L
FIRE PERMIT TYPE: ? Sprinkler System (# of heads 4_ Fire Pump _ Standpipe
Other.
WORK TYPE: _ New _ Addition _ Alterations ? Remodel
Other:
DESCRIPTION OF WORK: ? Commercial _ Residential _ Educational
Other:
11 c D
o
_ „x td 16 Z0 6 _
.,I ..
Please continue on reverse side
r
PERMIT FEE: $50.50 Mintmum Fee (includes 5[ate Surcharge)
ContractValue $ /{s00 x Al = $ 954O..QnPermitFee
• If Permit Fee is $1,000 or less, add $.50 => $
]f Permit Fee is over $1,000, add $.50 per
$1.000 Permit Fee
3/4" Displacement Fire Meter - $167.00
TOTAL FEE:
$
s -4:?0, ?c?
State Surcharge
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the
Minnesota Building/Fire Codes; that 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 wi11 be in accordance with the approved plan in the case of
work which requires a review and approval ofplaXApApP1tc-anVs /
,.-,?r9M,?y ,4• ,q?(GCJ.?D Applicant's Printed Name iSignature
DO NOT WRITE BELOW THIS LINE
2006 COMMERCIAL PLUMBING PExMiT arrLicnTiorr
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Date
L/
a/
.
-
-
j
?
Unit #
Site Address lav,roo
Tenant Name Former Tenant Name J?
?
?-----
Praperty Owner Telephone # ( - )
--
Contractor
D( ?lC ' - ? - --- ----- - -= - - - --- --
Address ? CitY
rflo
_
o?-I Telephone#(?Q?j?) -I?7YJ
Zi
t
St
WKiwn
a
e
P
_
License # UV 1 1 T Iv 1 _ Expires: ?
The Applicant is _ Owner _ Contractor _ Other
Work Type New Bldg _ Modify Space _Irrigation System*° Yes No Work in public rvo-w / easement?
RPZ PVB: New _ Repair/Rebuild _ Replace _ Remove
Rain se sors are re uired on irri ation s stems
Description of Work
o iure Red ucing Valve is required on new service, call 51-675-5 6
Meters - Call 651-675-5300 to verify that hydrosratic, conductivity, and bacteria tests passed grior to nickin¢ ua meter.
Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" meter $167.00 . .
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers Yes No PRV Required _ Yes _ No
Permit Fee $50.50 minimum State Surcharge) . ?
ContractValue $ x 1% _ $ PermitFee
g Meter(s)
Required on all new buildings & boulevard irrieation svsiems $ Radio Meter.Read
$ State Surctiarge '
If pennit fee is Icss [han $1,000, surcharge is $.50
. . If pertnit fee is more than $3,000, sure6arge is $.50 tor each $1,000 owed.
'"""' "'"_'_'"- - ""_"'""' '
'_"""'
_
-'"'- '__"_'_""""-_-'_""""""'_""""""'_""""'""'_-'_""""'-"'_""'_'_""_'_""""_"
Following fees apply when installing new lawn irrigation system $ Wate[ Pertnit. ;
W!I the CiTy's Engineering Depar[ment, 65 ]-675-5646, for required fee amounts
g TreatmentPlant
$ Water Supply & Storage I
$ / !V State Surcharge
$ Total Fee ?
I hereby apply for a Commercial Plumbing Pecmit and acknowledge that the information is complete ecurate; that the work will be in confocmance with the
ordinances and codes of the City of Eagan and with the Plumbing Codes; that I undentand this is no p it, but only an applicati not to
s without a pem iY, ? that the work wi ir apcordance with the approved plan in the casc of wo w requires a revi an approval of plans.
%% A I
I I 'CJI
?
ApplicanYsP intedName ature
I 201q
2006 COMMERCIAL NIECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: wmmercial/indusVial huildings
multi-family huildings when separate permits are not reyuired for each dwelling unit
Date]DL/11_/-Dra_
Site Street Address ?OWC1kF "P_ m Unit #
'Cenant Name (if applica6lej r'ky?'(`
a Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address -- ?n t- City ?
State ??(\yl Zip ?j? ?- Telephone # 2=Z7
Bond #• ?J`Oq, y'1-1-1 Expires: ? 1 ?p
The Applicant is _ Owner ? Contrac[or _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove '*see below
? Interior Improve ent Install Piping _ Processed _Gas
`I 7
NatureofWork:
"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fe¢5: $70.50 Underground tank ios[allation/removal
$5050 Minimum (includes State Swcharge) ??
??
or
ContractValue $ ?i???,(f( } x 1% _ $ PermitFee
??? ? $ State Surcharge
If nermit ee i es ss than S1,000, add $_50 ? ----
?
If nermit fee is more than $1,000, surch ?ge
JAN 1 s 2006 is $.50 for every $ 1,000 owed. ^t
$ ?? Tota ^----
I hereby appty for a Commercial Mechanical Permi[ and acknowiedge that the information is complete and acwrate; that the work
will be in wnformance wi[h the ordinances and codes of the City of Eagan and with the Mechanical Codes; that 1 understand this is
not a permit, 6ut only an application for a permit, and work is not to start without a?ermit that Yhe work wilt be in accordance with
[he approved plan in the case of work which requires a review and approval of pl? s.
ApplicanC's Printed ame ApplicanYs SignattuidU
D
?
?
Approved By: , Inspector Date:
Required Inspectionr. _ U.G. _ R.I. 'II.. Air Test - Gas Serv ice Tes[ _ Infloor Heat Final
!?-l0p.So
2006 Application For Fireworks Sales And 5torage
City Of Bagan
3830 pilot Knob Raad, Eagan, MN 55122
Telephone #: 651-675-5675 Fax #: 651-675-5694
r
?
es?1!;3° onl
Aanlicant requ,iremenEs
1. This application must he completed and returned at least 30 days prior to sales andlor storage of firewarks.
2. A letter from the property owner granting permisslon to the applicant to sell and/or siore fireworks on Ute property
shall accompany the application.
r3. A floor plan designating the area where the flreworks will be sold andlar stored shall accompany the spplicatioa
A. A list of the fireworks that will be sold andlor stored elang with the name, weight, quantily, and material saFety data
sheels (MSDS) shall be included.
5, A copy of the cerfificate of insurance coverage as per Clty af Eagan Ciry Ordinance No. 387, Chapter 6, Section 6.58
Fireworks is required. .
6. Fee upon applicafion for retail sellers selling axclusfvaly oonsumer fireworks-$350; all other retail sellers-$100 per
vendor annually payable to the City of Eagan,
7: The Fire Marshal or his/her designee will Inspect the proposed location for selling and/or storing flreworks to
detertnine ff it is a suitable locatian.
8 A criminal record chack wili be done on all applicants.
9. A capy of the Cily of Eagan license (permit) shall be displayed by the reglster.
Qate: ??x1d Y
Appllcant
f # z c;17,2-p.P6(
Street Ad dress: 'e ecc z`/. f31ty; Z`c•
c-?
y
State: _ r yJ ..aJ Zip: 5si zZ Telephone #: (L$l ) ?k K e2dl°
_
Business Name: -0?? 1-) Telephone#: ((6,7 ) ?? Vd P
Oisplay Address: l7j.
Retail seller sslling Oxclusively consumer flreworks; _Yes Ic- No
'?CIndoor Sales
`OuWoorSales Dates: to
to
to
Temporary outdoar event means an exhlbitlon or sal6 Wifh a duratlon of 10 continuous days a lass whlch does not occur
more tlian once every 30 days and mora than thrae times par year ar a comhination of 20 days Wtal in a plendaf year. (5ee
Outdoor Sales of Firewarks)
Fee: Outdoor Sales-$350.50 All ather retail sellers-$100.5o
Fireworks are regulated by MN Sbtutes 82420-624.25. In additlon
shall comply with Ciry of Eagan Ordinance No. 387, SecGan 8.53 Fii
I understand and agree to comply with 811 iho pravisions
displays, sales, storage and use of fireworks
1 Standsrds.
requiromants ef !he issuing authority,
Apri121, 2006
ATTN: Store Manager - Target #360
It is once again fireworks season. As your corporate fireworks vendor, it
is our usual policy to take care of all permitting for our customers.
However, the City of Eagan will not allow us to apply for/renew your
permit to sell Minnesota legal fireworks inside your store this season.
Please complete the enclosed application and forward all information to
Fire Marshal Dale Whitlenger's office at 3830 Pilot Knob Road. I
apologize for this inconvenience but fell that strong 4`E` of July sales will
more than compensate. If you have any questions or if there is any
additional information you or the City may require, please do not
hesitate to contact me at 1-800-243-1189 ext.492.
Sincerely, ?
? J
C
Charles Walker
T'NTO Fireworks
Director of Compliance
AMERICAN PROMOTIONAL EVENTS, INC.
P.O. 80X 1318 • 4517 HELTON DRIVE • FLORENCE, AL 35630
PHONE (256) 764-6131 • FAX (256) 760-0154
www.tntfireworks.com
p [?(??[!M? ?i
? MAY' i 6 2CiiS
ACORD,.
1
CERTIFICATE OF INSURANCE
ISSUEDATE
oan,aoos
PRODUCER
MCGRIFF, SEIBELS & WILLIAMS, INC
P.O. Boz 10265
. This certificate is issued as a malter of information only and confers no rights
upon ihe Certi?irate Hoider. This Certlficate does not amend, extend or alter the
coverage afforded by ihe policies below.
Birmingham, AL 35202
205-252-9871
COMPANIES AFFORDING COVERAGE
ComApany Crum & Forster Insurance Comparry
INSURED
American Promotional Evenls, Inc. Company
B
dba TNT Fireworks
P.O. Box 1378
Florence, AL 35637
Company
C
Company
D
Company
E
This is to certi(y that the policies of insurance described herein have been issued to the Insured named herein for the poliey perlod indicated. NoiwiMshanding
any requirement, term or condition oi contraa or other document wiM respect to which this certificate may be issued or may pertain, the insurence aHOrded by
the policies described herein is subjed to all the terms, conditions and exclusbns of such policies. Limits shown may have been reduced by paid daims.
CO
LT TYPE OF IN5URANCE POLICY NUMBER EFFECTIVE
EXPIRATION LIMITS OF LIABILfTY
A GENERAL LIABILITY GL0090947 11/0112005 EACH OCCURRENCE $ 1,000,000
IM CanmercielGeneralUebiliry 11101/2006 FIREDAMAGE $ 700,000
? Claima Matle ImOccurrenca
m
r
'a
?
ec
t
t
'P
t
O
ti
MEDICALEXPENSE
$ EXCLUDED
n
an
,
e
e
rec
ars
ro
ec
ori
?sia:so,ooo PERS.AND ADVERTISINGINJURY $ 1,000,000
? GENERALAGGREGATE $ 2,000,000
Geneai ngmegeta ume appre: per: PRODUCTS AND COMfl OPER. AGG. $ 2,000,000
0Policy ? Proi,,,, OLOCalion
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
?Mylwlomabila BODILYIN URY Per rson $
? NI Ownetl lwlrnnabilas
? Schatluletl Au1
mo0il
BODILY INJURY Per acddenl
$
as
0
? HireO PLlomobilas PROPERTY DAMAGE Per acddent $
? Non-avnao Mnomobiies COMPREHENSIVE
0 COLLISION
WORKERS' COMPENSATION WC Sfatuto Limit O[her
ANO EMPLOYERS' LIABILITY EL EACH ACCIDENT $
EL DI EASE Each em lo e $
EL DISEASE Polic Limit $
EXCESS LIABILITY EACH OCCURRENCE $
? Occurtenoa ?Cieima MaEe AGGREGATE $
$
$
$
$
$
CERTIFICATE HOLDER SHOULD ANY OF THE A80VE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATETHEREOF, THE ISSUING INSURER WILL ENDEAVORTO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFf, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
TARGET 0360
CITY OF EAGAN
2000 CLIFF LAKE ROAD
EAGAN, MN 55122
USA Authorizea Representafive
? ??-?•+`??
. naqe 1 of 1_ _ ceraecaceinn 12PHGA6P
- REPRINT - PACK LIST - REPRINT -
21369 Ord er #: 406709-53-00002
Chain Store Sales-Wisconsin Order Dat e: 3/7/06
CUS T PO: 201449
Terms: Net 60 Days S LSMN: Chain Stores - East
Sold To: 1410006 Ship To: 1040223 - TAR0360
TARGET - CORPORATE 000 1 TARGET 036 0
PO BOX 1296 2000 CL IFF LAKE ROAD
MINNEAPOLIS, MN 55440 EAGAN, NN 55122
Desc/Case Packing Item Quanti ty Selling Suggested
CP # Ordere d Units Sell
------- Price
------
-------------------------------
*,r***********,r*****?******* ----------------------
Assortments --- -----------
*****,r*,r*****,r*+* ****?*
BLAST MASTER S/S - COM 100994 3 CS 9 EA 79•97
3/1 009090209
COMET TRAY S/5 - PDQ J06 101435 14 CS 210 EA 9.97
15/1 009090002
MOON SHOT TRAY S/S - ALL JO 101451 11 CS 11 EA 99.97
1/1 009090008
SOLAR BURST TRAY - S/S J06 101445 7 CS 35 EA 29.97
5/1 009090005
STAR BURST TRAY 5/5-PDQ J06 101440 29 CS 290 EA 19.97
10/1 27736014392
SUNSCAPE BAG S/S - PDQ 101137 1 CS 18 EA 6.97
18/1 009090003
TTIT SUPER STAR TRAY S/S - COM 100766 2 CS 8 EA 49.97
4/1 009090138
?+***+?****?***+,r,r,r***?**** Base Fountains ,r**,r,r,r****,r*******?,r***
AMERICAN PRIDE FOUNTAIN - PDQ 200380 1 CS 8 EA 14.97
8/1 009090212
BUY 2 GET 1 FREE FTN PK - AM 200373 12 CS 144 EA 9.97
12/3 009090165
BUY 2 GET 2 FREE FTN PAK - PD 200381 2 CS 30 EA 4.97
15/4 009090213
TRIPLE PAK FOUNTAIN - COM 200505 2 CS 10 PK 19.97
5/3 009090004
**,r,r****+,r.?**+?**??***,r?** Novelties ,r**,r?,r,r,r***,r*?**s***??*
ASST. COLOR SNAKE TNT -J06 AM 320399 1 CS 192 BG 1.00
6/32/4/5 009090111
SIG FUN POPPER 4 PK - PDQ 320218 1 CS 72 EA 1•97
72/4 009090231
FUN SNAPPERS TNT - 3 PACK PDQ 320282 11 CS 1760 BX 1.00
5/32/150 009090113
POPPER FUN PAK 320006 3 CS 432 BX 1.00
2/72/7 009090148
:???*********?*********•*.,r Sparkle rs *********???*,r*****,r,r**
#8 GOLD SPARKLER U.S. FLAG PD 380084 12 CS 720 PK 1.87
60/6/6 009090160
14" DOUBLE PAK MORNING GLORY 380211 2 CS 432 PK 1.00
4/54/12 009090110
Page No 1
- REPRINT - PACK LIST - REPRINT -
Order #: 406709-53-00002
Desc/Case Packing Item Quantity Selling Suggested
CP # Ordered Units Sell Price
--------------------------------------------------------------------------------
Case Totals: 114 CS
Total Pallets: PL
Total Repack Cases: CS
Page No 2
BOL No: 406709 TNT Fireworks P
Bill of Lading - REPRINT
Shipper: 22069 Sales Assoc:
TNT WAREHOUSE - WISCONSIN CUST PO #:
223 COUNTY HIGHWAY A Order #:
BLACK RIVER FAI,LS, WI 54615 Route:
WLSL Lic #= Zone:
Vendor #: VENDOR NO. 1035906 Freight Code:
Sold To: 1410006
TARGET - CORPORATE 0001
PO SOX 1296
MINNEAPOLIS, MN 55440
SFM #:
ut Pro Number Sticker Here
Chain Stores - East
201449
406709-53-00002
MN
435 Stop:
Ship To: 1040223
TARGET 0360
2000 CLIFF LAKE ROAD
EAGAN, MN 55122
SFM #:
Phone #: 651-688-8706
***??********•***+?*******?*?+******??*?*+**???**?***+,r*+****,r,r***+?***??*******
Emergency Response Nbr: (800)255-3924 Payment Terms: Net 60 Days
*?*?**+?+***+**?****??*******?*?+******************??**r******??*********??****+
HM Description of Articles weight Shipping # of Cases
Class Pieces
X FIREWORKS, 1.4G, UN0336, PG II 2915 LBS 85 87 [X]
NOVELTIES - NMFC 64300-02 637 LBS 85 27 [X]
Totals: 3552 LBS 114
****?**?*********?*************??******?***********???***?*****?*****?**********
Net Explosive Mass: 729 LBS
*****t??tr,t,t*****+??,t**?,t,t,t,tt,r,tttt,t***?****t,t*?***r,rtt*,r,r?**,t,t,t*?**,r,rt****??,t,t*+*
Checked By:
Received By:
Delivered By:
Order:
Ship To:
Sold To:
Received Date:
Placards Tendered By:
Delivery Instructions
Page No 1
TNTO FIREWORKS
Site Plan Worksheet
ADDRESS dUdO (I1? 441 16
CITY 2r?4? STATE V ZIP J5-122- PHONE S/_gO'-JI7d6
STORE NAME 1 LOCATION # l GEi ?0
TYPE OF EVENT: In-store sales of state-approved fireworks
NORTH
__-
cn1 iru
SPECIAI INSTURCTIONS
SIGNA'
MANAGER ITNTO Representative
TE ?? U??
? Flfeworks AppljC2tion
Paga 2 of 8
Tennessen Waming
License Rpplication
Minnesota law requires that you be informed of the purposes and Intended uses of the informaUon you provide tn the Cily
oF Eagan (the City) during the license application process.
Any informatlan about yourself that you provide to the City during the license application process wlll be used to identify
you as sn applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for
a permil to sell fireworks, you are required ta provide the information requested in the permit applfration. if you refuse to
supply fnfarm` equestetl by the City, it may mean that your application will not he considered.
All?duaJs in thAty who need to knaw information wili hava access.
4?
Date
Authorizatian and Consent for Release of Tnformation
# 36 b
EnY?.) xwz--r er , Freely end voluntarily authorize fhe City of Eagan to conduot an
Name af individual author' 'ng release
investigation to obtain the following informatlon for the purpose of determining my eligibillty for a permit to seli flreworks:
Na„B: £?f,eSQ"I
Last First Midcfie
Date of B(rth: prfvePS License #: 7??O/I6 72,J State N/1I
I also refease the City of Eagan from any and all liability for its receipt and use of informatlon and records recsived
pursuant to this consent. I further acknowlsdge that I have careFully read this release, fully understand its terms and legel
significance, and execute it volunterily,
Executed this GN day of 00 ,?. 767 ignature
⸮ⴠ൶䘊物睥牯獫䄠灰楬慣楴湯慐敧㌠漠ഹ✊മ✊䙏䥆㽃啉剓儠ㅨ奌佄丠呏圠䥒䕔㤠䱅坏吠䥈⹓䥌䕎桔潐楬散䐠灥牡浴湥⁴敨潣摮捵整牣浩湩污戠捡杫潲湵档捥湯琠敨愠潦敲敭瑮潩敮灡汰捩湡潃浭湥獴ഺ倊汯捩‧敄慰瑲湲湥剴灥敲敳瑮瑡癩䌊湯楤汴湯景䤠獳慵据㩥〰ന漊瑡ൡ䈊捡杫潲湵档捥潣灭敬整湡灡牰癯摥戠⁹偅㩄夠獥丠൯娊湯湩灡牰癯污㼠夠獥张丠൯䘊捳汩瑩⁹湩灳捥楴湯挠浡汰瑥湡污楶汯瑡潩獮爠牡敲瑣摥夠獥丠൯䤊獮牵湡散瀠污捩⁹灡牰癯摥㼠夠獥张丠൯⠊㼱尿⼠‿ഡ䰊捩湥敳愠灰潲敶灢㼭⁊䩉䬿⽟愠瑡灡牰癯摥›‿㽊㼠
: W rr? ' a °UI'H:3' onl
Application For Fireworks Sales f1nd Storage
City Of Bagan
38301'ilot Knob Road, Eagan, MN 55122
Telephone #; 651-675-5675 Fax #: 651-675-5694
-el'/db• ?O
? a
V `?e%? ?
fi Ap
Applicant recuiremenEs
1. This application must be completed and returned st least 30 days prior to sales and/or storage oF Breurorks.
2. A letter from the property owner granting permisslon to the appiicant to seil and/or store fireworks on the properEy
shall accompany the application.
3. A floor pian designating Ihe area where the flreworks will 6e sold sndlnr stared shall accompany the applicatian.
4. A list of the freworks that will he sold and/or stored along with the name, welght, quandty, and material safety data
sheets (MSOS) shall be includsd.
5, A copy of the cerEificate of insurance coverage ae per Clty af Eagsn City Ordinsnce No. 387, Ghapter 6, Section 6,53
Fireworks is required.
8. Pee upon appliqtion for retail sellers selling excluslvely oonsumer firewnrks-$350: all other retail seffers-$100 per
vendor annually payable m the City of Eagsn.
7. The Fire Marshal or his/her designee will Inspect the proposad IacaHon for selling and/or storing freworks zo
detertnine If it is a suifable Incation.
8 A criminal recard check win ba done on au applicants.
8. A copy of the Cily of Eagan license (permit) shall 6e displayed by ihe register.
uata; 7
Applicant Nama: TQ? cf ? .3Go
StreetAddress: 2000 G/•« Lcrkc 'Pd. City; ?4 G
State: /y1i4/ Zlp: SS122 Selephone#; (?-56 Buslness Mame: %r.r,?e f 14`-?(-L3 Telaphons#:
Oisplay Addrass: Zovo cl,4fF L4 ?? ,(
Retail seller selling e=iusively consumer fYreworks; _Yas
-LIndoor Sales
._Outdoor3alas Dates: to
-?f No
to to
Temporary outdoor event means an exhipiGon or sale wlth a duratlon of 10 cantinuous days or iess which does not occur
more than once every 30 days and more tlien three times par year or a combinaUon of 20 days totaf in a calendatyear. (See
OuWoor 3eles of Freworks)
Fae: Outdoor Sales-$350.50 All other retail sallers-$100.50
Fireworks are regulated IIy MM Statutes 824.20-624.25. In additlon to these state lews, atl
shall comply with Ciry of Eagen Ordinance No. 387, Section 8.53 FirewoA[s and-NFPA112
I understand and agree tn comply with all tha pravisions of
sales, storage and use of flreworks
the issuing authority,
Fireworks AppljCdGon
Pega 2 of 8
Tenuessen DVaming
License Application
Minnesota law requires that yau be informe0 pf the purposes and tntended uses of the information you provide to the Cily
of Eagan (the City) durfng the license application prncass.
Any informatinn abaut yourself that you provide ta the City during the lioense appllcatian process wiU 6e used to identi(y
you as an applicant and to assess yaur qualificatlons for selling firaworks within the City. If you wish to be considered fnr
a permil to sell fireworks, you are required to provida the information requested in ihe permiY appliqtion. IE you refuse to
supply infarmation requested hy the City, it may mean that ynur application wlll not be considered.
All ind' ' u s in the City whn need tv know information wifl have access.
?r
?'
pplicant nat ' ?` ?
Aure
Date
.a.uthorization and Consent for Release of Information
Freely and voluntarily authorize the City of Eagan to conduct an
Name af indiwdual authorizing release
investigation to ob ' the fnllowing informadon for the purpasa of determining my eligibillty for a permit to sel) freworks_
Nams: ?i ?? ? %? %
LaSt
First h9iddle
Date of Birth: priver's License /V `/3 State ?
I also release the City of Eagan from any and all liability for its receipt and use of information and records received
pursuant to this cansent. I fuKher aoknawledge that I have carefully read 4his release, fuily understend its ferms and legal
signiFicance, and axecute It volunterily.
Executed this day of
楆敲潷欿灒汰捩瑡潩൮倊条″景㤠〡㼠楆䕣歉匱乑奌佄丠㽏⁔剗呉⁅䕂佌⁗楦䥈ⱓ䥌䕎桔潐楬散䐠灥牡浴湥⁴慨湣摮捵整牣浩湩污瀠捡杫潲湵桡捥湯琠敨愠潦敲敭䝮湯摥愠灰楬慣瑮മ䌊浯敭汮㩳潐楬散䐠灥牡牴敮瑮删灥敲敳瑮瑡癩慄整潃摮瑩潬獮漠獉畳湡散഻䈊捡杫潲湵桯捥潣灭敬整湡灡牰癯摥戠⁹偅㩄夠獥丠൯娊湯湩灡牰癯污夠獥㼠丠൯䘊敡汴物⁹湩灳敥楴湯挠浯汰瑥湡污楶汯瑡潩獮挠牡敲瑣摥夠獥丠൯䤊獮牵湡散瀠汯捩⁹灡牰癯摥尠‡教 潎ൔ唊散獮灡牰癯‿慑整愠灰潲敶㭤㘮✠ ‹㜰
- REPRINT - PACK LIST - REPRINT -
21369 Ord er #: 538083-53-00002
Chain 9tore Sales-Wisconsin Order Dat e: 3/21/07
CUS T PO: 0201512
Terms: Net 60 Days S LSMN: Chain Stores - East
Sold To: 1410006 Ship To: 1040223 - TAR0360
TARGET - CORPORATE 000 1 TARGET 036 0
PO BOX 1296 2000 CLIFF LAKE ROAD
MINNEAPOLIS, MN 55440 EAGAN, MN 55122
Desc/Case Packing Item Quanti ty Selling Suggested
------------
-- CP # Ordere d Units Sell
- Price
-
---
--------------
*************?***,r**?*,r**** ----------------------
Assortments --- -----------------
*,c,r*******,r****,r* -
----
*?****
BIG BOMB BOX SS ALL J07 101619 5 CS 10 EA 99.99
2/1 27736010745
COMET BAG S/5 ALL- 06 101580 12 CS 192 EA 9.97
16/1 27736019526
SOLAR BURST TRAY - S/S J06 101445 8 CS 40 EA 29.97
5/1 27736014385
STAR BURST TRAY S/S-PDQ J06 101440 20 CS 200 EA 19.97
10/1 27736014392
TNT SUPER STAR TRAY S/S-COM J 101449 3 CS 12 EA 49.97
4/1 27736009855
,r**?*?,r*?***???,r*******+*** Base Fountains ***************** **x***
HIDDEN TREASURE J07 200746 2 CS 36 EA 7.49
18/1 27736019960
PIRATE'S REVENGE J07 200739 2 CS 24 EA 14.99
12/1 27736019700
SPIRAL LITE FTN - 2 PACK JO 200749 2 CS 72 EA 4.99
36/2 27736020010
SUPER VALUE PACK J07 200722 9 CS 108 EA 9.99
12/3 27736017775
*,r??,r**x******x*********?*,r Novelties *******?********* ***,r*,r
BIG FUN POPPER 4 PK - PDQ 320218 1 CS 72 EA 1.97
72/4 27736012572
PART'Y POPPERS 10 PACK-DSP NYO 320340 1 CS 192 EA 1.00
192/1 27736018567
TNT SNAP PDQ 3PAK J06 320393 6 CS 918 PK 1.00
153/3 27736013081
******************??**•,+**? Smoke ************,r**** +??*?*
PULLSTRING SMK GRENADE 2PK PD 351034 2 CS 120 EA 4.99
4/15/2 27736017782
********************???,r*** Sparklers ?,r?*******?****** ,r*****
#8 ASSORT BOX GOLD TNT PDQ 19 380126A 12 CS 720 PK 1.99
60/6/6 27736006250
14" DOUBLE PAK MORNING GLORY 380211 2 CS 432 PK 1.00
4/54/12 27736017522
Page No 1
- RfiPRINT - PACK LIST - REPRINT -
Order #: 538083-53-00002
Desc/Case Packing Item Quantity Selling Suggested
CP # Ordered Units Sell Price
--------------------------------------------------------------------------------
Case Totals: 87 CS
Total Pallets: PL
Total Repack Cases:
CS
Page No 2
BOL No: 538083 TNT Fireworks P
Bill of Lading - REPRINT
Shipper: 22069 Sales Assoc:
TNT WAREHOUSE - WISCONSIN CUST PO #:
223 COUNTY HIGHWAY A Order #:
BLACK RIVER FALLS, WI 54615 Route:
WLSL Lic #: Zone:
Vendor #: VENDOR NO. 1035906 Freight Code:
Sold To: 1410006
TARGET - CORPORATE 0001
PO BOX 1296
MINNEAPOLIS, MN 55440
SFM #:
ut Pro Number Sticker Here
Chain Stores - East
0201512
538083-53-00002
MN
435 Stop:
Ship To: 1040223
TARGET 0360
2000 CLIFF LAKE ROAD
EAGAN, NIId 55122
SFM #:
Phone #= 651-688-8706
,t,r,r,r****?,t?*****,t,r,ct*,t***,r***,r?*,r********+t***+r*rrr*******?*?*?*?*,r*?**********,r*?
Emergency Response Nhr: (800)255-3924 Payment Terms: Net 60 Days
?,r***?*,r**,r****,r?***,r*,r******,r*****?*******?*?**************,r+r+rx*+*?**,r???******
HM Description of Articles Weight Shipping # of Cases
Class Pieces
X FIREWORIZS, 1.4G, UN0336, PG II 2106 LBS 85 67 [X]
NOVELTIES - NMFC 64300-02 528 LBS 85 20 [X]
Totals: 2634 LBS 87
***t*,r+,t*,t**,t+,t**,t****,r,t**,t*,t**+t,t+,t**tt*t*t*ttr*,t*,e,t**,t*,t**?*,t****,t*,tr,tt**,t?t**
Net Explosive Mass: 527 LBS
*?******?*?***??****,r******?*?**************************************************
Checked By:
Received By:
Delivered By:
Order:
Ship To:
Sold To:
Received Date:
Placards Tendered By:
Delivery Instructions
Page No 1
ACORD CERTIFICATE OF INSURANCE ISSUE?.TE
-
„ 04„612oo,
PRODUCER This certificate is issued as a matter M in(ormatlon only and confers rro rights
MCGRIFF, SEIBELS & WILLIAMS
INC upon the Cert?cate Holder. This Certificate does not amend, extend or alter the
,
P
O
Boz 10265 . coverage aHorded 6y the policies below.
.
.
Birmingham, Al 35202
205-252-9871 COMPANIES AFFORDING COVERAGE
Com?^1' Gum 8 Forster Specially Ins. Co.
INSURED Company
American Promotional EvenLS, Inc. B
dba TNT Firevrorks
P.O. Bwc 1318 Company
Florence, AL 35637 C
Company
D
Company
E
Thls is b certify that Ne poilcies of insurance described Frerein have been issued to the Insured named herein for the policy period indicated. Notwkhstanding
any requirement, ferm or condition of contract or other document wilh respect to which Mis certificate may be Issued or may pertain, the insurance afforded by
the pdicies described herein is sub}ect to all the terms, conditions and exclusions of such policies. Limits shown may have been raduced by paitl Gaims.
CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY
LT EXPIRATION
A GENERAL LIABILITV 6L0100992 11101l2006 EACH OCCURRENCE $ 1.000,000
0 comms?iaic..iu?aM 1110112007 FIREDAMAGE $ 100,000
?aaims?ae 0 oa,,.
? ownen• ena cono-ecmro'v?w MEDICALEXPENSE $ EXCLUDED
0 sirt:SSO,aoo PERS.ANDAWERTISINGINJURY $ 7,000,000
? GENERAL AGGREGATE $ 2,000,000
Generw nqpreqem umaeppree per: PRODUCTS AND COMP. OPER. AGG. $ 2,000,000
alPalicy ? Proled 01.ocatlon
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
?w+ynummobib
? BO IL INJ RY P¢ e ?n $
All OnrreC AummoOiles
?SchetluleEAutomobibs
BODILYINJURY Peraccident
$
? tiirea ?mmoni)ee PROPER7Y DAMAGE Per accident $
? Noiw.?a ?wmomiee COMPREHENSIVE
? COLLISION
WORKERS' COMPENSATION WC Statuto Limil Other
AND EMPLOYERS' LIABILITY EL EACH ACCIDENT $
EL D S SE Eac em I e $
E DISEASE PoII Limit $
EXCES$ LIABILITY EACH OCCURRENCE $
?ownrence ElGa'uneMede AGGREGATE $
$
$
$
$
$
The Certificate Holders are named as Addkional Insureds with respecl to General Liability as required by written contrect subjec[ to policy terms, conditions, and
ezclusions.
CERTIFICATE HOLDER SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE
LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
TARGET #360 Authorized RepresenWtive
CITY OF EAGAN
2000 CLIFF LAKE ROAD
EAGAN, MN 55122
USA
Pa e 1 of 1 CeNfimtelDN 1320SIZ5
MATERIAL SAFET'Y DATA SHEET - Consumer Fireworks
SECTION 1- IDEN1'IT'I': Consumer Fireworks at Retail Locations
Im ortefs Name American Promotional Events/TNT Fireworks
Emergency Telephone
Number Normal Business Aours - 800-243-1189
After Hours - ChemTel - 800-255-3924
Address Co onte Office
4511 Helton Dr.
Florence, AL 35630
SECTION 2- Haz$rdous In redients/IdentiInformation
Consumer fireworks contain various mixtures of oxidizers and fuels, and are designed to burn and produce
visible and audible effecu when they are caused to ignite by a user. The oxidizers include potassium
nitrate, strontium nitrate and potassium perclilorate. Fuels include charcoal, sulfur, starch, and aluwinum.
All chemical composition is contained within the device, and there should be minimal-to-no exposure to
the chemicals under normal conditions of handling of the type typically involved in retail sales operations.
TLe chemical mixtures are stable to temperatures up to at least 250°F, and no ignition of these devices
should occur during normal handling, transportation, movement, and storage. A match or other flame or
heat source is re uired to iguite fhe fuse on the devices in order to cause the devices to o rate.
SECTION 3- PHYSICAL/CHEMICAL CHARACTERISTICS
Boil' Point N/A S ecific Gravi (H20=1) N/A
Va r Pressure mm H N/A Meltin Point N/A
Vapor Density (AIR=1) N/A Evapontion Rate
u 1 Acetate = 1
N/A - All solids
Solubility in Water: sli ht
A earance and Odor. All chemical co osirion is contained inside a cardboazd or other container
SECTION 4- FIRE AND EXPLOSION HAZARD DATA
Flash Point (Method Used I'tion tem eiahve exceeds 250°F
Flammable Limits N/A - no va or resent
LEL N/A UEL N/A
Extin 'shin Media Water
Special Fire Fighting Procedures: Evacuate the area if a fire reaches the Sreworks and they begin to burn
vigorously. Allow sprinklers to function, if present - they shauld control the fire, Otherwise, evacuate the
azea and await azrival of fire fiters.
Unusual Fire and Explosion Hazards - Suffocation methods should not be used - fhe devices contain their
own oxygen. Use a shmng water flow instead. A fire that has reached consumer fireworks may produce
substantial smoke as well as flame, sparks, and burning pmjectiles. Once consumer fireworks begin
bnrning, all peisons must immediately evacuate the area. Only fue fighters wearing appropriate safety
equipment should ever consider approaching an area where consumer Sreworks are on fire. Remote
Srefighting methods should be use whenever possible. Where conditions permit, it may be advisable to
allow the fireworks to bum to co letion - tlus will eatl sim li clean-u efforts.
SECTION 5- REACTIVITY DATA
Stability Unstable Conditions to Avoid: Open flames, hot surfaces,
Stable X rough 6andling
Inco atibiliaterials to Avoid none
Hazardous Decom osition or B roducts Considerable smoke ma be roduced in a fire
Hazazdous May Occur Conditions to Avoid: N/A
Polymerization Will Not Occur X
SL?'Cl'ION 6- HEALTH HAZARD DATA
Routes of En In6alation N Skin N In estion N
Health Hazards Health hazazds should be minimal - all chemical composition is contained
(Acute and Clvonic) inside sealed devices. If leakage occurs and contact with skin occurs, be sure w
wash hands ro tly, and before ea ' or dnnking.
'
Cazcino enicity NT'P N/A LARC Mono lvs N/A OSHA Re ated N/A
Signs and Sympmms N/A
of Ex osure
Medical Conditions None, except in case of fire. Smoke exposure is then the greatest possible
Generally Aggravated concern (in addition to fire).
b Ex osure
Emergency and First Evacuate area if a fire reaches the fireworlcs. If smoke inhalation occurs, remove
Aid Procedures ersons to fresh sir and contact emer enc medical se:vices
SECTION 7- PREC AUTIONS FOR SAFE HANDLING AND USE
Steps to Be Taken in Cautiously pick up the spilled devices and place them in a marked container.
Case Material is Contact your American PromotionaUTNT representative for removal
Released or S illed inshuctions,
Waste Disposal Method Contact your American Promotional/'TNT tepresentakive for disposal
information.
Precautions to Be Taken Avoid extreme temperatures, open flame and sparks, and rough handling
in Handling and Storing
Other Precautiovs Intentional misuse/mischiefposes the greatest concern with ihese devices in a
retail setting. Monitor the fueworks display azea oa an ongoing basis, and keep
young clilldren, intoxicated peraons, and any time of open flame out of the
5reworks area. No smoldn is ever ermitted near fireworks.
SECTION 8 - CONTROL MEASURES
Res iraWry Protecuon S ec' T e N/A - no v r or dust ex osure with intact items
Ventilation Local Exhausi N/A S ecial N/A
[ Mechanical General) N/A Other N/A
rrotective Gloves - not u'ued for retail sales Eye Protection N/A
vu,cr rroiecnve c lottung/hquipment - none required for retail
2
TNTO FIREWORKS
Site Plan Worksheet
ADDRESS Zdd4
CITY A?OW STATE ZIP -531Z Z PHONE ?S/
STORE NAME I LOCATION #
TYPE OF EVENT: In•store sales of state-aoproved fireworks
SOUTH fgQ& W/
SPECWL INSTURCTIONS
1!( ld
MANAGER I TNT@ Representative
F,irewarks Appljca(ion ?
Paga 2 of 8
Tennessen Waming
Liccnse Application
Minnesola law requires thaf you he informeG of the purposes and Intended uses of the informaUan you provide io the City
oF Eegan (the City) during the license application process.
Any informaUon abaut yourseff that you provide to the City during the license application process wlp he used to identlfy
you as an applicant and to assess yaur quelifications far seiling fireworks w(thin the City. If you wish to be coRSidered for
a parmit to sell fireworks, you are required to Provide the information requested in the permit applicaUon. If you refuse to
supply infarmation requasted by tha City, it may mean that your appiication will not be considered.
Alf fnd" ? u s in the Ity who need to know information will have access.
Applicant nature
Date
.....e_e........_ ..................??.............?....................................».__........»?......_..._....
,Authorization and Conaent for Releasa of Information
freely and voluntarlly authorize the City of Eagan to conductan
Name of Indiwdual authorizing releass
investigation to ob ' tha fallowing informatlon for the purpose of determining my eligibillty for a permit to sell fueworks:
?
Name: AelfC
?
Last F?ir/st Middle
Date af BfRh: 0WI-IL ortver's License i?: _ N72/3 Sfate .?
I also release tha City of Eagan from any and all liability for fts receipt and use of informaGon and records received
pursuant to this consent. I further acknowledge that I have earefully read this release, fully undarstand its Eertns and legal
significance, and exeaute it voluntarily.
Executed this day of
Fireworks Application
Paga 3 04 9
.,;,..?c . . ? .. ,
i ?
0FFI0Eat1$,R 4NLY
d0 NDT WRITE QELOUY THIS LINE
The Police pepartment has conducted a criminal background check on the aforementionetl applicant.
//
Commenls: ?? C.?('?.c?A ,' ? U e/?„ ,,.,, y- .l.c,n ., /, /; //_ . '
Z3
Police DepaRment Representetive
Conditions of Issuance:
Oate
Background check campleted and approved by EPD: ? Yes ? No
Zoning approvel ? yes = No
Faeility inspeCdon camplete and all violations corrected Yes No
Insurance polfcy approved ? I Yes _ No
T
Lleense approv Oate approVed:
INSPECTION RECORD
City of Eagan Permit Type: Fireworks
3830 Pilot Knob Rd Peemit Number: EA083277
Eagan, MN 55122 Date Issued: 05/30/2008
(651) 675-5675
www.ci.eagan.mn.us
Site Address: 2000 Cliff Lake Rd
Lot: 3 Block: 1 Addition: Cliff Lake Centre
PID: 10-17780-030-01
Use: Target Store #360
Sub Type: Indoor Retail Sales Tazget
Work Type: Legal Consumer Fireworks
Description:
.?InspectionTYDe Date??-? ?"'`Insaector
I Final IZ;-fe9?0 I^ i.w,f/( I
* Contractor is responsible for erosion control.
* House #s required for final inspection.
• 4-hour notice for permanent water tum-on for new building: 65 ]-675-5300.
e
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
651) 6755675
Nww.ci.eagan.mn.us
PERMIT
Permit Type: Fireworks
Permit Number: EA083277
Date Issued: 05/30/2008
City f bRaR
Site Address: 2000
Lot: 3 Block: I
PID: 10-17780-030-01
Jse: Tareet Store #360
Description:
Cliff Lake Rd
Addition: Cliff Lake Centre
iub Type: Indoor Retail Sales
Work Type: Legal Consumer Fireworks
Description:
iales Dates: 05129/2008 to I llOll2008
to
ro
Sign Permit Required: N
Tent Permit Required: N
Temporary Event: N
Number of Days: 0
Comments: PLEASE CALL FOR FINAL INSPECTION 651-675-5690.
Fee SummSCy: Indoor Sales $100.00 0801.4097
Surcharge-Fixed $0.50 9001.2195
TotaL• $100.50
Contractor:
Owner:
Target
%Targe[ Corpora[ion T-0360
PO Box 9456 - Property Tax Dept
Minneapolis MN 55440.9456
- Applicant -
hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
)f Minnesota Stamtes and Ciry of Eagan Ordinances.
.?.
,R , .?i11":3'oril
Application For Fueworks Sales And Storage
City Of Bagan
3830 Pilot Knob Road Ea an, MN 55122
p one : 1-675-5675 Fax : - -5694
?Ez-) -? -7
Apnliqnt requiremenEs
1. This application must be completed and retumed at least 90 days priar to sales andlor storage of fireworks.
2. A letter from the property owner grarrting permisslon ta the applicant to 6ell and/or store fireworks on the prnperty
shall accompany the applicatian.
3. A floor plan designating the area where the flrewarks will he sold and/or stored shall accompany the epplicatian_
A. A list of the fveworks that will he sold antllor stored along with the neme, weight, quantity, and material safaty data
sheets (MSDS) shafl be inciudad.
5, A copy of the cerfificata of insurance coverege as per Clty of Eagan Chy Ordinance No. 387, Chapter 6, Section 6.53
Fireworks is required. .
8. Fee upon eppliea6an far retail sellers selling exClusfvely consumer firaworks-$950; all other retaif seliers-$100 per
vendor annually payabie m the City of Eagan.
7: The pire Marshal or his/her designee will Inspect the proposed locatlon for selling and/or stating fireworks to
defermine if It is a suitable iocation.
8 A criminal record check will be done on all applicanis.
9. A copy of the Cily of Eagan license (permit) shall 6e displayed by tha register.
Date; .5-- /' off
Apptlcant Namo:
StreatAddress: ?o-U[') LZ31 lc,[e K City:
gtate: 2ip: S. ? Telaphone #: (/3/)
BusinessName: % i7,Q(,ET O Telephone#: (GS/
Display Addrass: S.qh"E
RaYail seller sslling exeiusively eonsumer fireworks: ?Yes _ No
x Indoor Safes
_Outdoor Seles Dates: to to fo
Temporary outdoor event means an exhlbitlon or sale wNh a duraBon of 10 continuous days w less which doas not occur
mare than nnce every 30 days end more then three times par year nr a combinatlon of 20 days btaf in a calenCar year. (See
Outdoor 8aies ot Firewoncs)
Fee: Outdoor Sales-$350.50 All other retail sellers-$1 00.50
Freworks are regulated ny MN Statutes H24.2D-62425. In additlan to these state lews, aQ dispiays, sales, storage and usa of flrewnrks
shall cpmply with City of Eegan Drdinence No. 387, 9ecGon 8.63 Firaworks and NFPA 1124 Sfandards.
I understand and agree to comply with all the pravisions of this application aq reqWrements f th issw g autfiarity,
/
,
Ao ' t4?iua
@
l aryet 5t?re
Fireworks Appljqtion
Pege 2 of 9
Tennessen 'OVarning
Licenae Application
Minnasota law requires that you ba informetl of the purposes and Intended uses of the infortnation you provide to fhe Cily
cf Eagan (the Cily) during the license appiication process.
Any infarmatian about yourself that you provide to ihe City during the license applicatlon process will be used to idenGfy
you as an appiicant and to asaess your qualifications for selling fireworks within the City. If you wish to be considered for
e permiF to sell fireworks, you are required to provide tha information requeated in the permit appticaGon. H you refuse to
supply Information requested by the City, it may mean that your application will noc be considered.
All individuals in the City who need to know information will hava access.
pate
Authorizatian and Cansent for ltelease of Infnrutatian
1. 6 (%i te'r , Y. Wr,/ ; freely and voluntarily authorize the Gty of Eaqan fo eonduct an
a f individual authorizing release
investiga6an to obtain the foilowing information for the purpnse of determinlne my eligibility for a permit to se0 fireworks:
Neme:
Last irst Middle
Date of Bfrth: YU oriver's License it: &Y'-l Q?) State /1/L/
1 also release the City of Eagan fram any and ell liahility for iks receipt and usa of information and records received
pursuant to this cansent. I further acknowledge that I have carefulty read this release, fully undarstand its Fertns and legal
significance, and execute it volunteHiy,
Ezecuted this _Ig-74 day of /f/?; Zpp_j?.
%? .
u
? . ..
, •, ,
Firewarks RppllCdlion
Paga 2 of 9
Tenaessen'4qaming
License Application
I a?ye? 5tvr?
Minnasota law requires that you be informed of the purposes and Intanded uses of the informatian you provide ta the City
oF Eagan (the City) during the I(cense appliGetlon prbcess.
Any informatian abaut yourself that you provide to che City during the license application pracess wlll be used to identify
you as an applicant and to assess yaur quelifcations for selling fireworks within !he City. If you wish to be considered for
e permit to sell fireworks, you are required to provide the information requeated in the permit appfication. If you refuse to
supply information requestetl by tha Ciry, it may mean that yaur application will not be considsred.
All individuals in the City who need to knaw infqrmation wiil h2ve access.
S- ? ? i
Date
.........e......r_... .................°__----...........___....»..........?».........__....._...._...._...r.....r?_..._
Authorization and Consent for Release of Information
I. 6 r'i 1r??, ? r ?, rf ; Freely and voluntarily autharize the City of Eagan Eo conduct an
a f fndividual authorizing ralease
investigafion to ohtain the fallowing informaqon for the purpnse of determining my eligibility for a permit to sell frreworks:
Name: S =CYr
Last ? irst I Middle
Da1a trP Birlh: ,3 -?SJ' jl U Oriver's License #: State .?%'?P?
I also release the City of Eagan from any and all liability for its receipt and use of iniormation and records received
pursuarrt to this cansent. I furNier acknawledge that I have carefully read this release, fully understand its ferms and legal
significance, and execute it wluntarily,
FYe'uted this /s,-/- day of _ ,4%,? , 200_L.
U
.. . ,
Fireworks ApplicaGon
Page 3 of 9
.........
, , ? ..
?
:pfFICgItlA9 QNLY '
DO NO,T WRITE BELbW TNIS,LINE
entetire
Conditions of Issuance;
?12a1o?
Date
Background check completed and apprnved by EPO: ? Yes _ No
2oning approval 1"---,Yes ` No
Faciliry inspecqon camplete and a11 violations corrected _ ?Yes - NO
Insurance policy approved .?L Yes No
License approved pate approved: ?-?q- ??
The Pollce Departmenl has conduded a criminai beckground oheck on the aforementioned applicaM.
MEMORANDUM
EAGAN POLICE DEPARTMENT
3830 Pilot Knob Road
Eagan, MN 55122
651-675-5700
651-675-5707 FAX
DATE: May 22, 2008
TO: City of Eagan - Darrin Bramwell
FROM: Sgt. Steve Bolluy??
SUBJECT: Background for Fireworks Application - Target Store
The Eagan Police Department has conducted a background investigation as authorized
by the applicants Authorization ior Re/ease of Information. A review of the applicant's
criminal history, local police contacts and/or records, driving status, and warrant
history was completed.
After completion of the background for the license applicant, the police department
finds no cause to deny the application.
Cc:08-2998
I Ben Seidel am the Manager of the Eagan Tazgei Store T-0360 at 2000 Cliff Lake Road,
Eagan, MN. I give TNT the suthorization to sell fireworks at my store for the following
holidays {Memorial Day, 0 of )uly and New years).
Ben Seidel
?
2003 iarget SWr69. Tho 9Wlseye Design enQ Taipe1 en replatere0 tretlemarkf d Tarql &aMA Inc. qA rlphb re6ervetl Sterl3omat0inp le a wrvlco muk oi tAa Tigm NboCa Foundailon.
Na1
' ACORD,Y CERTIFICATE OF INSURANCE
1
ISSUEDATE
05l28/2008
PRODUCER This certificate is issued as a matter of information only and confers no nghts
MCGRIFF, SEIBELS & WILLIAMS
INC upon lhe Certificate Holder. This CertiFlcate does not amend, eMend or alter the
,
P.O. Box 10265 . coverage afforded 6y the policies below.
Birmingham, AL 35202
205-252-9871 COMPANIES AFFORDING COVERAGE
Company Crum & Forster Specialty Ins. Co.
A
INSURED Company
American Promotional Events, Inc. B
dba TNT Fireworks
P.O. Boz 1318 Company
Florence, AL 35631 C
Company
0
Company
E
This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding
any requirement, term or condition of contract or other document with respeci to which ihis certificate may be issued or may pertain, the insurance aNorded 6y
the policies described herein is subject to all [he terms, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims.
CO NPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY
LT EXPIRATION
A GENERAL LIABILITY GL0111010 11/0112007 EACH OCCURRENCE $ 1,000,000
?COmmemialGanerzlLiabiliry 11/0112008 FIREDAMAGE $ 100,000
? Claims Maae 0 Occurrence
?o,vners•aneCo-vactors'Pmtecuon
MEDICALEXPENSE
$ EXCLUDED
? sia:55o,00o PERS. AND ADVERTISING INJURY $ 1,000,000
O GENER4LAGGREGATE $ 2,000,000
Generai neere5aleumiteppliasper: PRODUCTS AND COMP. OPER. AGG. $ 2,000,000
MPolicy ? P"jec? Di-sciGOn
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
? Any Auwmobile BODILV WJURY Per erson $
?AIIOwneEqutomobiles
? ScheOUletl Aulomobiles BODILY INJURY Per accident $
? wrea rwmmoenias PROPERiY DAMAGE Per accident $
? Nonpmetl AutpnoCiles COMPREHENSIVE
0 COLLISION
WORKERS' COMPENSATION
' WC Statutor Limit Other
AND EMPLOYERS
LIABILITY EL EACH ACCIDENT $
EL DISEASE Each em lo ee $
El DISEASE Poli Limii $
EXCESS LIABILITV EACH OCCURRENCE $
? Ocnirtence ?Gaims Matla qGGREGATE $
$
$
$
$
$
This certiFlcate only applies to INSIDE THE STORE SALES OF MINNESOTA APPROVED FIREWORKS @ TARGET 0360,12000 CLIFF LAKE ROAD, EAGAN,
MN, 55122.
The Certificate Holders are named as Add itional Insureds wi[h resped to General Liability as required by written contract subject to policy terms, condilions, and
exclusions.
CERTIFICATE HOLUER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES.
qTY OF EAGAN Authorized Representative
3830 PILOT KNOB ROAD
EAGAN, MN 55122
USA
ea e 1 ot 1 Cer4fcalelDM 1M7XWJRA
' - REPRINT - PACK LIST - REPRINT -
21369 ? Order #: 672688-S3-00002
Chain Store Sales-Wisconsin Order Date: 3/26/08
CUST PO: 0201601
Terms: Net 60 Days SLSMN: Chain Stores - East
SOld To: 1410006 Ship To: 1040223 - TAR0360
TARGET - CORPORATE 00001 TARGET 0360
PO BOX 1296 2000 CLIFF LAKE ROAD
MINNEAPOLIS, MN 55440 EAGAN, MN 55122
Desc/Case Packing Item Selling Suggested
CP # Units Sell Price
--------------------------------------------------------------------------------
*+?*****?**?,r**???+**++,r**+ Assortments **+,?+,r?*+**,r***+?*,r***+
COMET BAG S/S ALL- 06 101580
16/1 009 13 0015
MEGA SHOT SS - ALL JOS 101745A
2/1 009 13 0018
SOLAR BURST TRAY - S/S PDQ JO 101445
5/1 009 13 0007
STAR BURST TRAY S/S PDQ J06 101440
10/1 009 13 0005
TNT SUPER STAR TRAY S/5-COM J 101449
4/1 009 13 0138
*************************** Base Fountains
HIDDEN TREASURE J07 200746
18/1 009 13 0045
SPIRAL LITE FTN - 2 PACK JO 200749
36/2 009 13 0048
SUPER VALUE PACK J07 200722
12/3 009 13 0051
TRIPLE PAK FOUNTAIN - COM 200505
5/3 009 13 0004
*************************** Novelties
FUN SNAPPERS TNT - 3 PACK PDQ 320282
5/32/150 009 13 0113
PARTY POPPERS 10 PACK-DSP NYO 320340
192/1 009 13 0088
*++++**+,r**+***********++*? Smoke
PULLSTRING SMK GRENADE 2PK PD 351034
4/15/2 009 13 0050
*,t+,r*,t**?*?*++++*?,t,t,t,t++?*s Spdrkl2rS
#8 ASSORT BOX GOLD TNT PDQ 380126
60/6/6 009 13 0160
14" DOUBLE PAK MORNING GLORY 380211
4/54/12 009 13 0110
Case Totals:
Total Pallets:
Total Repack Cases:
144 EA 9.97
6 EA 99.99
45 EA 29.97
50 EA 20.99
16 EA 54.99
*?*****?*******??******
18 EA 7.99
36 EA 4.99
48 EA 9.99
10 PK 21.99
,r+***r**?******+?**,r***
1120 BX 1.00
192 EA 1.00
+?*******+t*******++***
60 EA 4.99
?*r*????**?******r*rr**
120 PK 2.00
432 PIt 1.00
51 CS
PL
CS
*** ATTENTION TARGET STORE ***
BOL 1qo:.6z2688 TNT Fireworks P
Bill of Lading - REPRINT
Shipper: 22069 Sales Assoc:
TNT WAREHOUSE - WISCONSIN CUST PO #:
223 COUNTY HIGHWAY A Order #:
BLACK RIVER FALLS, WI 54615 Route:
WLSL Lic #: Zone:
Vendor #: VENDOR NO. 1035906 Freight Code:
ut Pro Number Sticker Here
Chain Stores - East
0201601
672688-53-00002
hIIQ
435 Stop:
Sold To: 1410006 Ship TO: 1040223
TARGET - CORPORATE 00001 TARGET 0360
PO BOX 1296 2000 CLIFF LAKE ROAD
MINNEAPOLIS, P'IId 55440 EAGAN, MN 55122
SFM #: SFM #=
Phone #: 651-688-8706
*****??*******?????**+++****+*?**+*???****+??*??r*?******+??***********?*+**?***
Emergency Response Nbr: (800)255-3924 Payment Terms: Net 60 Days
*?+**?*???+********?****???******++*+***?*r*********?+?+**r*****?**+?***?******?
HM Description of Articles Weight Shipping # of Cases
Class Pieces
X FIREWORKS, 1.4G, UN0336, PG II 1229 LBS 85 41 [X]
NOVELTIES - NMFC 64300-02 263 LBS 85 10 [XI
Totals: 1492 LBS 51
*******+++*+******,r+,r*+,r*,r**,r***********+****,r***,r*?,r*******+****:********+*?*?*
Net Explosive Mass: 307 LBS
**++*,t,t+?***?*??*,rt******+r****,t*****,r*r***,t,t,t*,rt+?*t*****?**??***t?**,t,t,t,t**++***
Checked By:
Received By:
Delivered By:
Order:
Ship To:
Sold To:
Received Date:
Placards Tendered By:
Delivery Instructions
Page No 1
TNTO FIREWORKS
Site Plan Worksheet
ADDRESS 20LYC} C.I 1,f Zc.11,,
CITY STATE A1.,i/ ZIP J?S%a _ PHONE
l ~ ?_
STORE NAME! LOCATION #
TYPE OF EVENT: In-store sales of state•aqproved fireworks
NORTH
U V e,V'
?
SOUTH
/ I ?-- - 4J/
,TE Clf
1 TNT8 Representative
MATERIAL SAFETY DATA SHEET - Consumer Fireworks
SECTION 1- IDENTTTY: Consumer Fireworks at Retail Locations
Im orter's Name American Promotional Events/TNT Fireworks
Emergency Telephone
Number Normal Business Hours - 800-243-1189
After Hours - ChemTel - 800-255-3924
Address Co orate Office
4511 Helton Dr.
Florence, AL 35630
SECTION 2- Hazardous In redients/Identi Information
Consumer fireworks contain various mixhues of oxidizers and fuels, and are designed to bum and produce
visible and audible effects when they are caused to ignite by a user. The oxidizers include potassium
nitrate, strontium nihate and potassium perchlorate. Fuels include chazcoal, sulfiu, starch, and aluminum.
All chemical composition is contained within the device, and there should be minimal-to-no exposure to
the chemicals under normal conditions of handling of the type typically involved in retail sales operations.
The chemical mixtures are stable to temperatures up to at least 250°F, and no igniGon of these devices
should occur during normal handling, transportation, movement, and storage. A match or other flame or
heat source is re uired to ignite the fuse on the devices in order to cause the devices to o erate.
SECTION 3- PHYSICAL/CHEMICAL CHARACTERISTICS
Boilin Point N/A S ecific Gmvit (H2?1) N/A
Va or Pressure (mm H) N/A Meltin Point N/A
Vapor Density (AIK=1) N/A Evaporation Rate
u 1 Acetate = 1
N/A - All so6ds
Solubili in Water: sliht
Appearance and Odor. All chemical composition is contaioed inside a cardboard or other container
SECTION 4- FIRE AND EXPLOSION HAZARD DATA
Flash Point (Method Used) I'tion temperature exceeds 250°F
Flammable Limits N/A - no va or resent
LEL N/A UEL N/A
Extin uishing Media Water
Special Fire Fighting Procedures: Evacuate the azea if a fire reaches the fireworks and they begin to burn
vigorously. Allow sprinklers to function, if present - they should control the fue. Otherwise, evacuate the
azea and await arrival of fire fi hters.
Unusua] Fue and Explosion Hazards - Suffocation methods should not be used - the devices contain their
own oxygen. Use a strong water flow instead. A fire tUat has reached consuxner fireworks may produce
substantial smoke as well as flame, sparks, and buming projectiles. Once consumer fireworks begin
buming, all persons must immediately evacuate the area. Only fire fighters wearing appropriate safety
equipment should ever consider approaching an area where consumer fireworks are on fire. Remote
fue6ghting methods should be use whenever possible. Where conditions permit, it may be advisable to
allow the fueworks to bum to com letion - this will reatly si li clean-u efforts.
? • .
SECTION 5- REACTIVITY DATA
Stability Unstable Condifions to Avoid: Open flames, hot surfaces,
Stable X rough handling
Incom atibili Materials to Avoid) none
Hazardous Decom osidon or B roducts Considerable smoke may be roduced in a fire
Hazardous May Occur Conditions to Avoid: N/A
Polymerization
Will Not Occur
X
SECTION 6- HEALTH HAZARD DATA
Routes of Entry Inhalation N Skin N I estion N
Health Hazards Health hazazds should be minimal - all chemical composition is contained
(Acute and Cluonic) inside sealed devices. If leakage occurs and contact with skin occurs, be sure to
wash hands rom fl, and before eating drinking.
or
Cazcinogenicit hs N/A OSHA Re ulated N/A
NT'P N/A IARC Mono
Signs and Symptoms N/A
of Ex osure
Medical Conditions None, except in case of fue. Smoke exposure is then the greatest possible
Generally Aggravated conceru (iu addition to £ue).
b Ex osure
Emergency and Ficst Evacuate azea if a fire reaches the fireworks. If smoke inhalation occurs, cemove
Aid Procedures persons to fresh air and contact emer ency medical services
SECTLON 7- PRECAUTIONS FOR SAFE HANDLING AND USE
Steps to Be Taken in Cautiously pick up the spilled devices and place them in a mazked container.
Case Material is Contact your American PromorionaUT'NT representative for removal
Released or S illed instructions.
Waste Disposal Method Contact your American PromotionaUTNT representadve for disposal
inforntatiou.
Precautions to Be Taken Avoid extreme temperatures, open flame and sparks, and rough handling
in Handling and Storing
Other Precautions Intentional misuse/mischief poses the greatest concern with these devices in a
retail setting. Monitor the fueworks display area on an ongoing basis, and keep
young cluldren, intoxicated persons, and any time of open flame out of the
fireworks area. No smokin is ever emvtted near Sreworks.
SECTION 8 - CONTROL MEASURES
Res 'uato Protecrion (S ecif T e) N/A - no va or or dust ex osure with intact items
Ventilation L,ocalExttaustN/A S ecialN/A
Mechanical General) N/A Other N/A
Protective Gloves - not reuired for retail sales E e Protection N/A
Other Protective Clothin E ui ment - none r uired for retail sales
Wark/Hygienic Practices - wash hands after handlin Freworks and before eatin or drinking
2
;-
1_12CWOMEIJ) .??. ?-? ,,, A?,
. . . . . _ . . -?, }-?._ ..
? PARTITION TYPES : ''= ?
• ?. WPJ.I. T11'?5
.
.
?
Sa?n?FRA?_ NOTES
1).PwII7ION SYMBOL- MA`f SE.USED .IN
: ,CON°JUNCTION W ITH NOTES TO
_ '`` MODIFY CONS-fRUCTIDN FOR.I?JIQUE
? CQt?1DiTI?NS • ?`' '? ? ` '`
...YN .ti... .
2) STEEL STUD GAUGES ARE"OET'ERMINED
EyY HEIGF-?T AND. SPACING:SEESPEC-?'
FICATIONS FDIZ REQUI.REMEIJTS.
STUD S ARE 24" O:G, Uktp,
PiN?iSH ?CE ?f0 FIDN1151-I; fAGE D W PLpJ.I,
5)C,YP DD. A`r EXTEWR', gllktl; EXTfFNPS
'a}r C+w IH *PP4i* ,; ; PI11I) .
ct.& plwp ro yrtwcrv" 'VIPIWW?
UNtF445 hlrrrED otr1EANK,E ON RaoMl FwirSN 52--imPuLP-
1?NT
1) ee? v7L, Ifo//sI4 FOIzl`(i • SW
P-cnF C.ONt4G-Gju7N. • •
-&L
2,
-
?L
GOW• FP??
?I? hPPGE ?
METp,LhTUD W/INSUL,-!o
W/V/>Pvie 6q11REr-1PvEW-
FPGE VENmr- 1/2 "TdIUS;OVEK-
TYPIGPL THIGY+KL'E6'7 GM.e-. FPLE
mIZ WPGE
t1EfPl. S7uD W/IA.?SUL,-Zv
r-j..P.MF= Rlk--TAP-bNNT V.15,
? 7-1q1?UC! IF I-1o G11o.?. G?•
I ?_I
S= SOUND RA-i'ED ; SEE SPEC.
FOR INSUL. RE.QUIREMENTS.
F = FIRE RA-f'ED CONSTRUC-fION;
FIKIlSHES E'CTEtiIA TO 801-TOM
OF STRQCTURE A5-OVE.
3 = DISGRE-f`E PAIR-TITI01I
CONSTRUCTION 7YPE NO•
A = ARCHITECTURAL WALI-
PANEL COMST[ZUC.TIOtJ
S = STEEL. STUD COI.I571ZUC-TI0I,I'
w = woop sTUD coNSTRUG71oN
S115
GOAiL. FPGE
PlR SPKr: .
t%-J?. sTuo wiitiW?-& FLAME R??KV*4fi VKI=:? POQFR?*i
ET(PP.?7. 10 4"P-"AJS , ?=ItiI, G.L>•
(TO °.,'CW-jc?,. IF !JO HN GLCV.)
i
FPLE VENEEr- 1/2 ° 114I05 OVER-
TYPILPL T1JILrjF.iE9h lr-,A,CAq5 FP10
PIF WpzE
METPL 6TUD W /I?SUL,-Ca
pLAME f2E?ARt?I-rC' V, t5, .
c?(P. ?D. 1'p4?f*?YJJ? -ItiI.GL.Cy,
(Tos-rQLr,.,iF -o
?
?
?
i
?
?
-?-
55
I" CARE 50#RD
4 Gi16TU?
GYP.,6D• ,
6`fl°rpUM BD. IIJ,5I17r,
' . ` .
3- 1 n
,7
?Wb° NEVtI. *N99 ro
ytp.UCTUFLC-:, ?v?RY OrH?t?
yTVD
Dpp NU PT?Y
I2, o"
RA,owp.1I u.oTH To Git'izLrruw
?.
(0° MT-TAIr STUE) w/ GOrIT< 35/t,"
wIUF,- N0R-i2,5NTMETDT4kkf 00ONC12
&'-v" o.c.. Fl';!u'Y,
GYP. ?D•
!d' ME.TP.L S-fUD 6YP bR 0o'TH SIDES
53S>
,&.AQ
S!v _
i/2."
4 "V?v
For Office Use
p, I
IL'~ I
f ~a Permit
City o
I
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 i I
Fax: (651) 675-5694 i Staff:
I
2008 FIRE SUPPRESSION SYSTEMS ~ PERMIT APPLICATION*
Date: e?4 Site Address: 4QDO ( 1a Za e /C ~ 2 d
Tenant: Suite
PROPERTY OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
th MALUO
TYPE OF WORK Description of work Aer COY ed ! lead
Construction Cost. :M Estimated Completion Date: h/ 0 9
CONTRACTOR Name: hervc fim fechat? License 039
Address: 870 ✓ Olo ~G cJ cte_., ~lQ
City: &M0to% State: Zip:
Phone: ~~Q 3. OQ . d 5~5 Contact Person: XdkL ! S
FIRE PERMIT TYPE WORK TYPE
Sprinkler System of heads New
_ Fire Pump _X Addition
Alterations
Standpipe _ Remodel
Other: Other:
DESCRIPTION OF WORK: Commercial _ Residential _ Educational
FEES
$50.50 Minimum (includes State Surcharge) OR Contract Value $ .y~ x1%
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). ~Q • 50
$ TOTAL FEE
3/4" Displacement Fire Meter - $183.00 $ Fire Meter
$ TOTAL FEE
'Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but
only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work
which requires a review and approval of plans.
x &t,d &,VW-5 x
Applicant's Printed Name Appl'icant's Signature
2ccc C14 tLcc
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Ac. Rough In
Trip Pump Test Central Station Final
Conditions of Issuance:
Date:
Permit Reviewed b / 7
Application For Fireworks Sales And Storage
City Of Eagan
3830 Pilot Knob Road, Eagan, Ali 55122 MAY 11
Telephone 651-675-5675 Fax 651-675-5694
rn .R Rn1!+3,o
Applicant requirements
1. This application must be completed and returned at least 30 days prior to sales andlor storage of fireworks.
2. A letter from the property owner granting permission to the applicant to sell and/or store fireworks on the property
shall accompany the application.
3. A floor plan designating the area where the fireworks will be sold and/or stored shall accompany the application.
4. A list of the fireworks that will be sold and/or stored along with the name, weight, quantity, and material safety data
sheets (MSOS) shall be included.
5. A copy of the certificate of insurance coverage as per City of Eagan City Ordinance No. 387, Chapter 6, Section 6.53
Fireworks is required.
S. Fee upon application for retail sellers selling exclusively consumer fireworks-$350; all other retail sellers-$100 per
vendor annually payable to the City of Eagan.
7. The Fire Marshal or his/her designee will Inspect the proposed location for selling and/or storing fireworks to
~
determine If it is a suitable location.
8 A criminal record check will be done on all applicants,
9. A copy of the City of Fagan license (permit) shall be displayed by the register.
Date:'
Applicant Name: 06&r Street Address: cJ 1c „l City:
state: Zip: S-Sla1~L Telephone ( C.F.
Business Nam: / W06fr Telephone#: ( )
Display Address: S Ao"E
Retail seller selling exclusively consumer fireworks: _Yes No
X Indoor Sales
`Outdoor Sales Dates: to to to
Temporary outdoor event means an exhibition or sale with a duration of 10 continuous days or less which does not occur
more than once every 30 days and more than three times per year or a combination of 20 days total in a calendar year. (See
Outdoor Sales of Fireworks)
Fee: Outdoor Sales-$350.50 All other retail sellers-$100.50
Fireworks are regulated oy MN Statutes 824.20-62425. In addition to these state laws, all displays, sales, storage and use of fireworks
shall comply with City of Eagan Ordinance No. 387, Section 8.53 Fireworks and NFPA 1124 Standards.
I understand and agree to comply with all the provisions of this applicatio the r Irani f the issuing authority,
Aooiicant Sinnstr era
Fireworks Application
Page 2 of 9
Tennessen Warning
License Application
Minnesota law requires that you be informed of the purposes and Intended uses of the information you provide t0 the City
of Eagan (the City) during the license application process.
Any information about yourself that you provide to the City during the license application process will be used to identify
you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for
a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to
supply information requested by the City, it may mean that your application will not be considered.
All individuals in the City who need to stion will have access.
Applican Sig r Date
Authorization and Consent for Release of Information
I, 'freely and voluntarily authorize the City of Eagan to conduct an
ame of individual authorizing release
investigation to obtain the following information for the purpose of determining my eligibility for a permit to sell fireworks:
Name:
Last Rat Middle
Date of Birth: ~ J Pfd ' Driver's License C B3`~/eS"^S>~f State 11,1
I also release the City of Eagan from any and all liability for its receipt and use of information and records received
pursuant to this consent. I further acknowledge that 1 have carefully read this release, fully understand its terms and legal
significance, and execute it voluntarily.
Executed this day of q , 2001-
igna
Fireworks Application
Page 3 of 9
`Q F109,10,9 ONLY
DO NQT' WRITE BELOW THIS. LINE
The Police Department has conducted a criminal background check on the aforementioned applicant.
Comments:
x`12 ~ y
Poli artment presentative Date
Conditions of Issuance:
Background check completed and approved by EPD: Yes No
Zoning approval Yes No
Facility inspection complete and all violations corrected yes No
Insurance policy approved Yes No
Date approved:
License approv
19 16 /1 It-10,0
-S3-00834993
- REPRINT - PACK LIST - REPRINT -
21369 Order 834993-S3-00002
Chain Store Sales-Wisconsin Order Date: 4/9/09
CUST PO: 0201681
Terms: Net 60 Days SLSMN: Chain Stores - East
Sold To: 1410006 Ship To: 1040223 - TAR0360
TARGET - CORPORATE 00001 TARGET 0360
PO BOX 1296 2000 CLIFF LAKE ROAD
MINNEAPOLIS, MN 55440 EAGAN, MN 55122
Desc/Case Packing Item Selling Suggested
CP # Units Sell Price
Assortments
MEGA SHOT SS - ALL J08 101745A 4 EA 99.99
2/1 009130018
MEGA SHOT SS - ALL J08 101745A 4 EA 99.99
2/1 009130018
SOLAR BURST TRAY SS - COM J08 101727 25 EA 29.97
5/1 009130007
STAR BURST TRAY SS-COM J08 101731 70 EA 20.99
10/1 009130005
STORM SHOWER SS J09 101868A 120 EA 9.99
24/1 009 13 0053
TNT SUPER STAR SS - COM J08 101755 12 EA 54.99
4/1 009130138
Base Fountains
RAINBOW'S END - AM J09 200821 18 EA 14.99
18/1 27736023851
SPIRAL LITE FTN - 2 PACK JO 200749 36 EA 4.99
36/2 009130048
SUPER VALUE PACK J07 200722 24 EA 9.99
12/3 009130051
TRIPLE PAK FOUNTAIN - COM 200505 15 PK 21.99
5/3 009130004
Novelties**********************
2 PAK SNAP PDQ 398 J09 320516B 796 EA 1.00
398/1 009 13 0104
Smoke
PULLSTRING SMK GRENADE 2PK PD 351034 60 EA 4.99
4/15/2 27736017782
Sparklers
#8 SPRKLERS ASST BOX PDQ J09 380247 252 EA 2.00
84/6/5 009 13 0103
Page No 1
REPRINT - PACK LIST - REPRINT
Order 834993-53-00002
Desc/Case Packing Item Selling Suggested
CP # Units Sell Price
Case Totals: 37 CS
Total Pallets: PL
Total Repack Cases: CS
ATTENTION TARGET STORE
For all information on TNT Program go on your workbench
under keyword "FIREWORKS". Call 800-243-1189 if you
need further assistance.
Page No 2
~53-00834993
Put Pro Number Sticker Here
TNT Fireworks
Bill of Lading - REPRINT
Shipper: 22069 Sales Assoc: Chain Stores - East
TNT WAREHOUSE - WISCONSIN CUST PO 0201681
223 COUNTY HIGHWAY A Order 834993-53-00002
BLACK RIVER FALLS, WI 54615 Route: MN
WLSL Lic Zone: 435 Stop:
Vendor VENDOR NO. 1035906 Freight Code:
Sold To: 1410006 Ship To: 1040223
TARGET - CORPORATE 00001 TARGET 0360
PO BOX 1296 2000 CLIFF LAKE ROAD
MINNEAPOLIS, MN 55440 EAGAN, MN 55122
SFM SFM
Phone 651-688-8706
Emergency Response Nbr: (800)255-3924 Payment Terms: Net 60 Days
HM Description of Articles Weight Shipping # of Cases
Class Pieces
X UN 0336, FIREWORKS 1.4G, PG II 856 LBS 85 30 [X]
NOVELTIES - NMFC 56290-4 242 LBS 150 5 [X]
Totals: 1098 LBS 35
Net Explosive Mass: 214 LBS
Checked By:
Received By: Received Date:
Delivered By: Placards Tendered By:
Delivery Instructions
Order:
Ship To:
Sold To:
Page No 1
TNT® FIREWORKS
Site Plan Worksheet
ADDRESS JQCD ?l 4`
CITY c~ STATE ZIP
STORE NAME / LOCATION # e.
TYPE OF EVENT: In-store sales of state-approved fireworks
NORTH
75
Cc ,/G
ci,` Ik
~j
SOUTH
SPECIAL INSTURCTIONS
I
SIGNATURE DATE -OR
E MAfgGER/ TNT® Representative
MATERIAL SAFETY DATA SHEET - Consumer Fireworks
SECTION 1- IDENTITY: Consumer Fireworks 1AG
Importer's Name American Promotional Events/TNT Fireworks
Emergency Telephone Normal Business Hours - 800-243-1189
Number After Hours - ChemTel - 800-255-3924
Address Corporate Office
4511 Helton Dr.
Florence, AL 35630
SECTION 2 - Hazardous Ingredients/Identity Information
Consumer fireworks contain various mixtures of oxidizers and fuels, and are designed to burn and produce
visible and audible effects when they are caused to ignite by a user. The oxidizers include potassium
nitrate, strontium nitrate and potassium perchlorate. Fuels include charcoal, sulfur, starch, and aluminum.
All chemical composition is contained within the device, and there should be minimal-to-no exposure to
the chemicals under normal conditions of handling of the type typically involved in retail sales operations.
The chemical mixtures are stable to temperatures up to at least 250°F, and no ignition of these devices
should occur during normal handling, transportation, movement, and storage. A match or other flame or
heat source is required to ignite the fuse on the devices in order to cause the devices to operate.
SECTION 3- PHYSICAL/CHEMICAL CHARACTERISTICS
Boiling Point N/A Specific Gravity (H20= 1) N/A
Vapor Pressure mm H) N/A Melting Point N/A
Vapor Density (AIR= 1) N/A Evaporation Rate
(Butyl Acetate = 1) N/A - All solids
Solubility in Water: slight
Appearance and Odor: All chemical composition is contained inside a cardboard or other container
SECTION 4- FIRE AND EXPLOSION HAZARD DATA
Flash Point Method Used) Ignition temperature exceeds 250°F
Flammable Limits N/A - no vapor resent
LEL N/A UEL N/A
Extinguishing Media Water
Special Fire Fighting Procedures: Evacuate the area if a fire reaches the fireworks and they begin to burn
vigorously. Allow sprinklers to function, if present - they should control the fire. Otherwise, evacuate the
area and await arrival of fire fighters.
Unusual Fire and Explosion Hazards Suffocation methods should not be used - the devices contain their
own oxygen. Use a strong water flow instead. A fire that has reached consumer fireworks may produce
substantial smoke as well as flame, sparks, and burning projectiles. Once consumer fireworks begin
burning, all persons must immediately evacuate the area. Only fire fighters wearing appropriate safety
equipment should ever consider approaching an area where consumer fireworks are on fire. Remote
firefighting methods should be use whenever possible. Where conditions permit, it may be advisable to
allow the fireworks to bum to completion - this will greatly simplify clean-up efforts.
1
SECTION 5- REACTIVITY DATA
Stability Unstable Conditions to Avoid: Open flames, hot surfaces,
Stable X rough handling
Incompatibility (Materials to Avoid) none
Hazardous Decomposition or Byproducts Considerable smoke may be produced in a fire
Hazardous May Occur Conditions to Avoid: N/A
Polymerization Will Not Occur X
SECTION 6 - HEALTH HAZARD DATA
Routes of Entry Inhalation N Skin N Ingestion N
Health Hazards Health hazards should be minimal - all chemical composition is contained
(Acute and Chronic) inside sealed devices. If leakage occurs and contact with skin occurs, be sure to
wash hands promptly, and before eating or drinking.
Carcinogenicity NT? N/A IARC Monographs N/A OSHA Re ated N/A
Signs and Symptoms N/A
of Exposure
Medical Conditions None, except in case of fire. Smoke exposure is then the greatest possible
Generally Aggravated concern (in addition to fire).
by Exposure
Emergency and First Evacuate area if a fire reaches the fireworks. If smoke inhalation occurs, remove
Aid Procedures persons to fresh air and contact emergency medical services
SECTION 7 - PRECAUTIONS FOR SAFE HANDLING AND USE
Steps to Be Taken in Cautiously pick up the spilled devices and place them in a marked container.
Case Material is Contact your American Promotional/TNT representative for removal
Released or Spilled instructions.
Waste Disposal Method Contact your American Promotional/TNT representative for disposal
information.
Precautions to Be Taken Avoid extreme temperatures, open flame and sparks, and rough handling
in Handling and Storing
Other Precautions Intentional misuse/mischief poses the greatest concern with these devices in a
retail setting. Monitor the fireworks display area on an ongoing basis, and keep
young children, intoxicated persons, and any time of open flame out of the
fireworks area. No smoking is ever permitted near fireworks.
SECTION 8 - CONTROL MEASURES
Respiratory Protection (Specify Type) N/A - no vapor or dust exposure with intact items
Ventilation Local Exhaust N/A Special N/A
Mechanical (General) N/A Other N/A
Protective Gloves - not required for retail sales Eye Protection N/A
Other Protective Clothing/Equipment - none re uired for retail sales
Work/Hygienic Practices - wash hands after handling fireworks and before eating or drinking
2
Use BLUE or BLACK Ink
r
E Ce. ( U6 I For Office Use
40PO" I
Permit 3 2,2 6a City of ~r I Permit Fee: r
3830 Pilot Knob Road i''f ► I
~ I I
S
Eagan MN 55122 o I Date Received..
I
Phone. (651) 675-5675
Fax: (651) 675-5694 Staff- - -
2010 MECHANICAL PERMIT APPLICATION
Date: O Site Address: o~0'~U S f..~t fl A-7
Tenant: Suite
RESIDENT / OWNER Name: ~ZUil ~iU1Z1~- Phone:
Address / City / Zip: ELF
CONTRACTOR Name: ~vtt ~ r YC*AW s (&t- License 3/ 8 S
Address: 9GL1q (A-T,rr,4-Ka ~ city:
State: Zip: 0 Phone:
Contact: T~D~'
> et U IG Email:
TYPE OF WORK New Replacement X Additional Alteration Demolition
Description of work: Tt,S sfi ll-1.C~ 'T~~-1 ftf&~- 6D FX V 5
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace New Construction Interior Improvement
_ Air Conditioner Install Piping Processed
Air Exchanger Gas _,&Exterior HVAC Unit
_ Heat Pump _ Under /Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ SOS X11%
$50.50 Minimum (includes State Surcharge) _ $ 0,6-0
permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). -
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.orn
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 n to start withoutJa permit; that the work will be in accordance
with the approved plan in the case of work which req Tres a review and approval of plans.
x ~~y9 ® 0 x
Applicant's Printed Name Ap ' ant's Signature
FOR OFFICE USE Reviewed By: ~zr Date: d
Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test -In-floor Heat ni~Final
Exterior HVAC Screening Inspection
Nelson-Rude & Associates, Inc. 910049th Avenue North
Structural - Mechanical - Electrical Minneapolis, MN 55428
Consulting Engineers
September 1, 2010
Scott Peterson
City Of Eagan
Eagan Municipal Center
Eagan, MN 55122
Re: Vacuum Piping
Target Store T-0360
2000 Cliff Lake Road
Eagan, MN 55112
NRA Comm. No.: 10-007-00
Dear Mr Peterson:
The vacuum piping at the Target store is an engineered condensate drainage system from
AcornVac. Target has hundreds of these systems installed across the country. There have been
no problems with the installations due to expansion on the pressure PVC piping. All of the
piping is within the store and does not see any wide temperature changes. Adding expansion
joints to the system would be detrimental to the functionality of this engineered condensate
removal system. Target will maintain this system to make sure that condensate is removed from
the refrigerated cases.
Please contact our office with any questions.
Thank You,
r
Michael D. Woehrle, P.E.
j. 2010+.1000" ccav"ndenee.100901hr._sfr... sp-doe
Srrott F. Rudie, P.E.
Andrew N. Erdman, P.E. Tel: (763) 367-76000
Joseph M. Pearce, RE Fax: (763) 367-7601
Michael D. Woehrle, P.E.
www.neisonrudle.com
07/29i2014 09:52 7635193932 PAGE 01/03
, Use BI.U�or BLAGK InK
�_�._ –,
� For Offlce Usa �+r r 1
�/_ � I
� �� j Pem�it#: �'� �
City of E � i Permit Fee: � �/� �, I
1
3830 Pilot Knob Road �
� � Date Rec2lved: ' I
Eagan MN 5617.2 • �
Phone:(661)6T5-6675 �
Fax:(B51)675�694 I S���,___ � y______�
2014 COMMERCIA,L PLUIV�BING PERMIT APPLICATION ��"
� ��
❑ P l e a s e submit two(2)sets of plans with all commercial applicatlons. �
4 e �� �
o��.��-i� S��Add,�g9� a ba C' l� �,
Tenant: Suibe#:
�`G�.r•...,_..,_.._...._...._
._.......,..�,..,...._--------�.........,...,�.
,
,....,.,,� ......._.._._.__.....,...,
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----......._...._.....,
� prope� , Name: Gr�"� �G�J� -�D��" D �f��
�� Owner Phone.
� --._..__.�
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Kl��� -' �.Q��G'V License#: f m O�J �,� -- II
: Name: . �,�J- � �
Contractor I Address: � a' �h � c�tv: � ��i►'��`�h 5tate:�'Yl IJ Zip:„y 5�� ,,,�
q
I Phone: �O �� _ �' S�J 7" Email:��-1.���.^��°c:. �E �}_�..�°��--�-�Y�'�.._.,w......_d
1_._...,,.�,..,,...�_..^. _.____._...._,._,_....,_.._._.__� ....._.__,,,._._ ___.... i
iType of Work ! —New �Replacement �Repair �,,,_Rebui1d _,�,Modiiy Space _work in R.O.W. �
� Descrlpttonofwo�ic: Reptc���;� �Pr�55c���- rcc��.c��{ 1�eb��L� ����
5,. ....._._----_._ � COMMERClAL_.�_�__�N,..�,__...�_.----.�._....-Modlfy S aoe ���b v� �o w:� fC
ew Construction P
� � Irrlgadon 9ysbem(_yes/,,,no)(�.,RP2/_PVB) �
� � . Raln sertvors requlred on Irrigation 5ystems �
Pertnit Type � . Avg_GPM (2"tu�bo requlr�d unless smaller size ellowed by Publlc Works) �
Mebarg Call(651)87�5646 to veriry that tests passed p�or,�►„Ri,Gkina un nfeter. �
� Domastlr.Slze&Type F��� �
� I Avg.GPIIA High demand devlces9 Yas�No Flu9ho�rs Yas,�No �
{.._._,..,...,�._._....,,.,r..,.:..�-----.—._..._,.....,_.__.,.,..,.,.�..._..���,...._.......,..._...._.....,,.._..._ ...—.._...�.......�..,......,,,..-.....-,_, __.____.__�
�� COMMERCIAI�FEES Contract value$ x.01 �
I
$55.00 Permit Fee Mlnlmum =g Permit Feo �
P �
"if contract value is LESS than$10,010,Surottarge=$5.00 �$ Suroharge'
� **If cantract value is GR6AT�R than$10,010,Surcharc,�e=Contrad Value x$0.0005
i =$ ?OYAI F6E
�i "*"If the project valuation is over$1 miltion,please call tor Surtharge �__ ���_�^_�„�„w�,,._
�__..�............__._._._..._......___..�.. �m $ Water Perm�l
� �ollowing fees apply when Inatalling a new lawn irrigation sys
� Contact the Clys Englneering DeparMneM,(851)675-5646,for requi2d fee emounts. $ TreatrnEnt Plant �
� I
$ Water Supply&Storage �
$ State Surcharge
_............�.,..,,,.....__..:...._._r.—•°--- �..,..r.....�....,..._.._�_-•----�.�..,..,.- _ --........ _...._,�.�. .,�_.�....�.,.....�._...�...._,,.....
_$ ��dJ TOTAL FEE
� _....W,..,....,_.._..._.,.......,.._.,_.._.� ..._........,..._._..�_�. � ..._,._.._,_,_.�-�._,.�r...__._.......,.,........._�.�.._
CALL��FOR�YOU DIG. Call�opher St�t6 Ona Cell at(651)464-0002 for proteClio�agalnst undorground utillty damdge. \
I hereby adcnowledge U�et lhis IMormatlon Is c�mplele and accurate; lhat the work wlll be In cenfomtance wtth 1he ordlnances end CodeA of the Clty of
Eagan; thal I untlerstend this is nol a pertnit, bul only an appllcatlon for a permtt, 8nd w0�1c Is nol to slart wlthout a permft;that Rhe wark wlll be In
ecCOrde�ce with the approved plan In the CaSe oF wark whlch requires a rEvi2w end approval oi plans.
l7 •
x I r— x /
Appllcant's Printed ame Appllc�n�'s Signatur
FOR OFFIC�USE Approved By: ���
Requlr�d Insp�cUons: ____Under Grou�d ^Rough-In ,"J4ir Test .,,^Gas Test _„rFinal PRV R¢qulrcd:,,,W,Yes_No
Meter Related Items: Meter Size Radfo Read Staff:
Page 1 of 3
3
� � �;
�� Use BLUE or BLACK Ink
�D ---------; ,;
�--------
� For Office Use ;
' /��' ' (�� ' ;'
C�� of �a aIl ���,���� i Permit#: I
�'- i
� � Permit Fee: � I
3830 Pilot Knob Road �
Eagan MN 55122 I �
Phone:(651)675-5675 � Date Received: � r r/ � ,
Fax:(651)675-5694 � � `'
JUL 0 6 2015 � Sta : �
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date:F��q/1� Site Address: 2000 CLIFF LAKE ROAD
TARGET
Tenant: Suite#:
_..�
��
Name: Phone:
' ���'����� =� Address/City/Zip:
` ', ��: Applicant is: Owner X Contractor
.�. ��,���� Description of work:
Add 3 wet sprinkler heads: per fire marshal request. �
�� . �
' ' ` Construction Cost: $1086.31 Estimated Completion Date: 6/01/15 �
�,�.,:
« �
E ,,! ' VIKING AUTOMATIC SUPPLY C00005 '
- ~ r, Name: License#:
�:
j ����' Address: 301 YORK AVE City: ST. PAUL
��������
'�� : State: MN Z�p: 55130 Phone: 651-558-3300
= z �� �� Katie O'Donnell katie.odonnell@vikingsprinkler.us �
` " ': Contact: Email:
j ,
_� � �
h
FIRE PERMIT TYPE WORK TYPE �
X Spnnkler System(#of heads3 ) New X Addition
Fire Pump _Standpipe Alterations _Remodel
Other: Other:
DESCRlQTlQN�F WORK: X Gommercial Residential Educational
FEES Contract Value$ 550.00 x.01 �
$55.00 Permit Fee Minimum _$ 55.00 Permit Fee
"If contract value is LESS than$10,010,Surcharge=$5.00
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 =$ 5.00 Surcharge*
**"If the project valuation is over$1 million, please call for Surcharge 60.00
_$ TOTAL FEE
.�.,..�,,..
3/4"Displacement Fire Meter-$260.00 =$ Fire Meter
_$ 60.00 TOTAL FEE m�
*Requirements:2 complete se�s 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 x
Applicant's Printed Name ApplicanYs Signature
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r Permit#:JI/(//} 7
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EAGAN -4-L9;4-- --,14‘ Permit Fee:.�.. Staff:
L- --_.,_
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment ecvd: ? ..Yes _No
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-
Email: buildinginspections c(�.cityofeagan.com � CEIVE Plans: Electronic Paper
Plan Submittal:eplansOcityofeagan.com I i
I MAR 2 0 2019
2019 COMMERCIAL M ,. . - . ► _ RMIT APPLICATION
'I Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the
submittal,submitted via email,CD or flash drive //' G/ nn
Date: 3 c//v -oZO/ 9 Site Address: cnOC) (//AC ah I21
Tenant: f u 4,-+ Suite#:
Owner Name: ---rar ( 1 p Phone: 70 3 3' 7- 7(gal)
Address/City/Zip:/ /00() Ai/Gala," /14G1 /
Name: �/J�C�I'UE�A �ci`CL,"' License#:_ fi
Address: . 2() Minds/zed AV /l City: /5' <—
T/!/e4A
Contractor /y�y1 ' c/ / �1 l ,/
State: /2ZQ Zip: .�(A i c�- Phone: �(_0 ) �74 vir
Contact: 1� Email:
New �C Replacement Additional Alteration Demolition
Type of Work Description of work: 2f214 r f i r2 g)t /Dp lA[/l/1c1
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
COMMERCIAL
New Construction Interior Improvement
—
Permit Type Install Piping Processed
—
Gas x Exterior HVAC Unit
_Under/Above ground Tank (_Install/_Remove)
COMMERCIAL FEES / w
Contract Value$ S.; ()W x.015
$60.00 Permit Fee Minimum Q
$75.00 Underground tank removal, includes State Surcharge =$ / S Permit Fee
_$ 3.7 S d Surcharge
Surcharge=Contract Value x$0.0005 r
If the project valuation is over$1 million, please call for Surcharge =$ /007. S I TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start ' out a/permit the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
l"" POVSa FU
Applicanrinted Name Applicant's Signat re
FOR OFFICE USE
Required Inspections: Reviewed By:_ Date b-5-1(/
Underground Rough In Air Test . Gas Service Test In*floor Heat Y Final HVAC Screening
\&CI
4/1
For Office Use CI
Permit#:
/sq0ay
Permit Fee:-- Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E C E IVE Payment Recvd: „Yes No I
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 j
Plan Submittal:eplans@cityofeagan.com FEB 1 1 2019 L Plans: ElectronicPaper
2018 COMMERCIAL BUIL T APPLICATION
Date: 02/06/2019 Site Address: 2000 Cliff Lake Road Egan, MN 55122
Tenant Name: Target 03100 (Tenant is: New/ f Existing) Suite#:
Former Tenant:
Name: Target Phone: 612-781-5444
Property Owner Address/City/Zip: 50 S. 10th Street Suite 400
Applicant is: ✓ Owner Contractor
Type of Work Description of work:
Interior and Exterior Remodel
Construction Cost: 1,100,000'00
Name: TBD GI-61viA COWS"-. 1146 - License#:
Contractor Address: <<� NIT. E t4 . City: VVI PC17 -
State: M iJ Zip: 5S42-1 Phone: (A 2- ' 360•
Contact: B RA Ariv TtifirCES Email: br'iali ee-t wi n .&owl
Name: L. Brown PendletonRegistration#: 21042
Architect/Engineer
Address: 1805 N. 2nd Street pity: Rogers
Zip: 72756 Phone: 479-619-3998
State: AR
Contact Person: Stephanie Email: sew@teamofchoice.com
Licensed plumber installing new sewer/water service: Phone#:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.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 pla.Stephanie Whorton, Owner Agent /1/) ',
Applicant's Printed Name Ap. can ignature
r /, -(-7°°V
DO NOT WRITE BELOW HIS /LINE
- Sly TYPES 9000 C I ; -( L/��� 1
Foundation _ Public Facility _ Exterior Alteration-Apartments
I/ Commercial/Industrial Accessory Building _',Exterior Alteration-Commercial
Apartments _ Greenhouse/Tent — Exterior Alteration-Public Facility
Miscellaneous _ Antennae
WORK TYPES
New ✓Interior Improvement Siding _ Demolish Building*
Addition _ Exterior Improvement Reroof _ Demolish Interior
Alteration _ Repair Windows _ Demolish Foundation
Replace _ Water Damage Fire Repair _ Retaining Wall
Salon Owner Change *Demolition of entire building—give PCA handout to applicant
—
DESCRIPTION /
Valuation (f(O0,COO. eo Occupancy N/1 MCES System ✓
Plan Review ✓ Code Edition 201$ MBG SAC Units O/A(o&t4AN4t I N Mt.DC OCG,WM>
(25%_100% " Zoning City Water ✓
Census Code Stories 1 Booster Pump
#of Units Square Feet 1116 73 3 PRV /
#of Buildings 1 Length Fire Sprinklers
Type of Construction 1r.113 Width
REQUIRED INSPECTIONS
Footings_New Building_Deck_Addition Drain Tile
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier Erosion Control
/Framing 30 Minutes 1/1 Hour Steel Reinforcement
Insulation Street/Curb Cut Inspection
Sheetrock Other:
Roof:_Decking _Insulation _Ice&Water Final /Meter Size:
—7 Siding:_Stucco Lath _Stone Lath _Brick V EFIS ✓ Electronic Set of Final Revised Plans
Windows
Fireplace:_Rough In _Air Test _Final Final/C.O.Required
Pool:_Footings _Air/Gas Tests _Final .Final/No C.O.Required
Final C/O Inspection::Sct e l Fire Marshal to be present: ✓Yes No
Reviewed By: 4 , Planning New Business to Eagan: ith
Reviewed By: CaA1&i , Building Inspector
FEES Water Quality
Base Fee L 35G. 75- Storm Sewer Trunk
Surcharge 540 • Sewer Trunk
Plan Review ' /3/ . 81 Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit&Surcharge Water Lateral
Treatment Plant — Stormwater Performance Security
Treatment Plant(Irrigation) Landscape Security
Park Dedication Other:
Trail Dedication TOTAL: 4fi "/ 0 .9 . (' 7
Page 2 of 3
•
,,,�p�,/ For Office Use �/'L
♦ - i v Permit#: Y 0°/_1_2_06-1 id
� ♦ :, E AG A N
V
1iw / 0°7. b Gj
4,-�� ���, P I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 0 r Payment Recvd: Yes A. No I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 e I A f
Email: buildinginspectionscityofeaqan.com �1, 1, Plans:_Electronic Paper I
Plan Submittal: eplans(c�cityofeagan.com 1A-11,5
2019 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,
submitted via email, CD or flash drive
Date: G"Z-) -1 5 Site Address: Z docs GA :C-4- Lot-1 .- rr-C2—
Tenant: -ros-r6r Suite#:
Property
Owner Name: Phone:
,T Name: JRH Plumbing License#: 063834 PM
4 ai actor Address: 652 Laurel Ave City. Hudson State: WI zip: 54016
Phone: 651-470-6020 Email: jimh@jrhplumbing.corn
New Construction ✓ Addition ✓ Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work: Demo food court add a starbucks, relocate 2-case drains, update restrooms
Type of W'o, Irrigation System( yes/ ✓ no)( RPZ/_PVB)
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required-Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices?_Yes No Flushometers_Yes_No
COMMERCIAL FEES Contract Value$ 65,000.00 x.015
$60.00 Permit Fee Minimum
$60.00 PVB/RPZ Permit(includes State Surcharge) $ 975 Permit Fee
$ 32.50 Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call City for Surcharge $ 1007.50 TOTAL FEE
The following fees may apply when installing a new lawn irrigation system or $ Water Permit
connecting a new water service.
$ Treatment Plant
Contact the City's Engineering Department,(651)675-5646,for required fee amounts.
$ Meter Fee
$ Radio Read
$ State Surcharge
=$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.citvofeagan.com/subscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that 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.
xJames Hansen x 7 ---
Applicant's Printed Name Applic s Signature
Page 1 of 4
/5 6 7
FOR OFFICE USE
tE/1_7____
Approved By: Date•
44e
Required Inspections: Y Under Ground \-R6ugh-In 1,,adrTest _Gas Test (Final PRV Required:_Yes_No
Meter Related Items: Meter Size Radio Read Manometer Staff:
g.M
Page 2 of 4
1
For Office Use �j r_
o •• ,%:41.14 °,0°.,0 E AGA Permit#: ✓/0( )
Li- tp_ i
.... ..., Permit Fee:
1% 103
�; Jut Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: Yes No
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
Email: buildinginspections(adcityofeagan.com I Plans: Electronic Paper
Plan Submittal:eplansecityofeagan.com \� L
i)J
Q- n
2019 COMMERCIAL MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the
submittal, submitted via email, CD or flash drive
Date: 7--/7---/9 Site Address: Z £/ 4`4k _ ee
Tenant: 79€t &7 Suite#:
Name: T/-c04_�` Phone:
Owner
Address/City/Zip:
Name: 4 ifild•-oSeja#7,17,41License#:
Contractor Address:��'?,��y�� City: ,re.c.dhir....
State: M/✓ Zip: 3y / Phone: ! 57- 2)}4- 3 9 9?
1.
Contact: __YEmail: _ ' i ice•= i
New Replacement Additional �eration Demolition
Type of Work Description of work:
NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
COMMERCIAL
New Construction Interior Improvement
Permit Type Install Piping Processed
Gas Exterior HVAC Unit
—
Under/Above ground Tank ( Install/_Remove)
COMMERCIAL FEES
Contract Value$ & 7 V 0P x.015
$60.00 Permit Fee Minimum
$75.00 Underground tank removal, includes State Surcharge =$ Permit Fee
7
Surcharge=Contract Value x$0.0005 =$ / Surcharge
g Y
If the project valuation is over$1 million, please call for Surcharge =$ 4S& TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacgan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x J, &EIri y �o�c _ /
Applicant's Printed Name Ap , n s Si. ature
FOR OFFICE USE
4e/
Required Inspections: Reviewed lay: ` Date: -411-1i
Underground ____ ' h in Air Test Gas Service Test In-floor Heat r Final HVAC Screening
, 1
For Office Use
Permit#: /.5.----76-6—'S—
__,
` �,� Perm -
Permit Fee: 6.2. T
�
E4;GAN ° °'9
Staff:
--"""% i
p Payment Recvd: Yes No
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 I TDD: (651).44-8535 I FAX:(651)675-5694 I Plans: Electronic Paper
buildinginspectionscityofeagan.com L -'
2019 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: C\ I 2 119 Site Address: 2000 Cliff Lake Rd.
Tenant: Target Suite#:
0 Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components
Name: Phone:
,,,..Property owner',,. Address/City/Zip:
_. ,.,„ ,,„ „ , Applicant is: Owner Contractor
�.. .< Relocate sprinklers for remodel, customer service, dressing rc
Type O Work Description of work:
Construction Cost:$5,875 Estimated Completion Date:
Name: Escape Fire Protection License#: c086
Contractor
Address: 3000 Centerville Rd. city. Little Canada
MN Zip: 55117 Phone: 651-771-8874
Contact: Angie Hopping Email: ahopping@escapefire.com
FIRE PERMIT TYPE WORK TYPE
✓ Sprinkler System(#of heads I 1—) New Addition
Fire Pump Standpipe Alterations Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES
Contract Value$59875 x.01
$60.00 Permit Fee Minimum
_$ 60.00 Permit Fee
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ 2.94 Surcharge
$100.00 Residential New(includes State Surcharge) _$ 62.94 TOTAL FEE
3/4"Fire Meter-$290.00 =$0 Fire Meter
Radio Read(required with Fire Meters)-$190 =$62.94 TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.cityofeagan.com/subscribe.
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances
and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a permitonly 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 requir a re ' w and approval of pla .
A
x Angie Hopping x c
Applicant's Printed Name Applicant's Signature
• / 7 ��
6
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: I., 3 i /9
`6
(✓�` -101
r i For Office Use g/" •�I
Permit#: /��C7° -mo 1,�9
\,® i /P
PermitFee:�/ �� �� G
' Staff:
MAY 14 2019 Payment cvd: Yes No
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Lectroner
Plans
Plan Submittal: eplans(acitvofeaaan.com __ _
2019 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 5/14/2019 Site Address: 2000 Cliff Lake Rd, Eagan, MN 55122
Tenant Name: Verizon Wireless (Tenant is: If New/ Existing) Suite#:
Former Tenant:
Name: Target Phone:
Property OwnerAddress/city/zip: 2000 Cliff Lake Rd, Eagan, MN 55122
Applicant is: Owner ✓ Contractor
Description of work: In building DAS
TypefWork'' i //// / a..Construction Cost: J77 3/ *b.
Name: ""` ';G~1 6.,„:1- License#:
82S 3�- l '4 ' City: ,n4.wtii.1v
Contctor, Address�:A / J
r, ,, ' State: MN Zip: SS9%3 Phone: �-8'I� 565-7+Z �3
Contact: /I'll file-- 'ile. `.;:� Email: /'t .F•GG�l+�� �i Uu�''a1kwit.lo"
Name:
Kimley Horn 53824
Registration#:
ArchitetlEngineer
Address: 802 Gervais St City: Columbia
`.. state: SC Zip: 29201 Phone: 803-403-8558
Nicholas Williamson
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
NOTE:Plans and supporting documents that you submit are consideredto be public itnfonnation. Portions of the information maybe
classified as non-public if you provide Specific mfrs that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X Stephanie Long
Stephanie Long DDatigie:tally2019.0signed by5.141548:Stephanie48-05'00'
Long
X
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE / - .67 ,
SUB TYPES _: C t., l f L,?/ C1.
_ Foundation _ Public Facility _ Exterior Alteration-Apartments
Commercial/Industrial _ Accessory Building _
y Exterior Alteration-Commercial
_\Apartments _ Greenhouse/Tent — Exterior Alteration-Public Facility
Miscellaneous Antennae
—
WORK TYPES
_ New Interior Improvement Siding _ Demolish Building*
Addition )4 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 1 dA r'
3, 4'' Occupancy IC'� Q MCES System
Plan Review lCode Edition ZOK dA L.. SAC Units
(25%_100%'X ) Zoning ' City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction ffQ Width
REQUIRED INSPECTIONS
Footings_New Building_Deck_Addition Drain Tile
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier Erosion Control
Framing 30 Minutes 1 Hour Steel Reinforcement
Insulation StreetlCurb Cut Inspection
Sheetrock Other:
Roof:_Decking _Insulation _Ice&Water _Final Meter Size:
Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans
Windows
Fireplace:_Rough In _Air Test _Final Final/C.O.Required
Pool:_Footings _Air/Gas Tests _Final Final/No C.O.Required
Final CIO Inspection: Sche*. -,..: e Marshal to be present: Yes -V No
A Reviewed By: , / I , Planning New Business to Eagan:
Reviewed By: , , Building Inspector
FEESWater Quality
Base Fee r / ,V6. Storm Sewer Trunk
'
gb
Surcharge V O2. Sewer Trunk
Plan Review t 936. a- Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit& Surcharge Water Lateral
Treatment Plant Stormwater Performance Security
Treatment Plant(Irrigation) Landscape Security _
,
C0p,.
Park Dedication Other: 39 �.`2� Q. 7 c1
II
Trail Dedication TOTAL., 2 968.
Page 2 of 3
Peggy Fleck
From: Peggy Fleck
Sent: Wednesday, November 13, 2019 9:59 AM
To: Michael McClain (Vertical Limit)
Subject: RE: [External] 2000 Cliff Lake Rd -Verizon Wireless
Attachments: 2000 Cliff Lake Rd - Verizon Wirelesss.pdf
Attached is a copy of the front page of the building permit application. Is that helpful?
4 C 1 Peggy Fleck
r e_ ,�° > Clerical -Community Development
% "" ""`'' 3830 Pilot Knob Rd I Eagan, MN 55122
, «a / Ofce: 651-675-5674
M •
��+tH�'� I1 t � �fvlB1 1 i1y`)i: c�C��rl .:;'gym
From: Michael McClain (Vertical Limit)<m.mcclain@verticallimit.com>
Sent:Wednesday, November 13, 2019 9:53 AM
To: Peggy Fleck<pfleck@cityofeagan.com>
Subject: RE: [External] 2000 Cliff Lake Rd -Verizon Wireless
Could you please send over what this permit is for?
Thanks
1.1ichael McClain / Technical Systems Specialist / V'crtical I.urrir ('Otrstsuc(ion / M 763.772.2950
From: Peggy Fleck<pfleck@cityofeagan.com>
Sent: Wednesday, November 13, 2019 9:31 AM
To: Michael McClain (Vertical Limit)<m.mcclain@verticallimit.com>
Subject: [External] 2000 Cliff Lake Rd -Verizon Wireless
Hello Mike,
We called you on August 20th to let you know your building permit is ready for pickup for the above address. The fee is
$2,468.99. Just inquiring about the status of the project?
Thank you,
Peggy
1
"---- ----N
/ 0 El
, , , 0 Peggy Fleck
Clerical -Community Development
1
3830 Pilot Knob Rd 1 Eagan, MN 55122
0 0
\ ,
#4 /_...--...÷7-_...-.. " Office:651-675-5674
.4r(rso Is htips://vvww.cityofeagan.com
--„,_
2