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1579 Cliff Rd I CITY 9F E„11GAN Permit No: Date: I?j Q-8 $ 3830 Pilot Knob Road B/P Na ` Date: 1:.1- I4--E% P.O.- Bbx 21199 Eagan, MN 55121 Owner. 3 S1) CliFi Ttvad I.5 R1 Thomas Lake Gent're Site Address: o,,r ncad Ctil itic < MWCC: 4?400•00pd Zoning• C?,f" City Chg: _ QO• 00Lx' No. of Units: r r L f.tst2 Acct Dep: I agree to comply with ifie City ol Eagan Permit Fee: , Ordinances. Surcharge: Misc.: Bfr SEWER SERVICE PERMIT ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box21-198, Eagan, MN 55121 N? 15722 Ph10NE:454-8100 ?s ? BUILDING PERMIT Receipt # ?` ) ? To be used for GAS STATION/CAR???yue $400 000 Date OCTOBER 14 ,19$$-_ Rf1NVRNTF.NCF. RT(1 ? Site Address 1579 CLIFF RD Lot 5 elock 1 Sec/Sub.THOMAS LAKE CNTR Parcel No. Q Name YOCUM OIL COMPANY z Address o CiryWHITE BEAR LlPhone ,o Name gosewood Construction, Inc ? i Address 1711 W County Rd B i- City Roseville Phone 6-31-3254 (StPw, "F WW Name ? z., Address ? W City Phone 1 hereby acknowledge that I have read this application and state that the information is correct and agre to comply wifh all applicable St e ot Minnesota Statutes and C' gan Ordinanc Signature of Permittee ? _ e?2'?a - !J A Building Permit is issued to: R0?EWQQD_ 0 Q??TR T??___ on the express condition that al I work shal I be done in accordance with all applicable State of Minnesota Statutes and City of Eagan OrdinanCes. Building Official F'aluaAL__ _ 7K**7k?***?**?k?*****?K*********?IC*******7?C** czrv OF EACAN CASHiER: S TEF'MINAL N0: 6$' DATFa 04/03/93 TIME: 14•;49a24 IL? : NAMEe F:f:AUS-ANDE:RS[1N r0NSTRUCTION 32:1.0 9001 1579 CL7:FF RD 713.75 3422 3(]01 1579 GLIFF fil, 463.34 21.55 9001 1579 CLTFF kLi 30.00 To+,a't ReceiF-+, Artiount ; 1a2p; .69 CR'I.06202 I.tSE:F: I Ci . NANCY ?k***?%******?K*?K******?krX*?K****?k******?K?k?K?k OFFICE USE ONLY On Site Sewage Occupancy MWCC System X_ Zoning On 5ite Well (ACtual) Const Ciry Water -X- (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. Engr./Assess. , Planner _ Council _ BIdg.Off. _ Variance _ FEES Permit Surcharge Plan Review SAC. City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL B-2B-1 PD CSC II-N V-N 621 95, --946 1-QSr 1, 946 12,249 C W oC ? pl ? + (. W ;4 D O C 1 G ? ? ?j c? 4J ? . (D cr: « 75 N tp in Iq - - ? ' 3 0 0 ? - - a. ? '3 o ? ? ? ? o € ?,? m R a ?o m° G c N Z ? O m u I u ¢ Q ? O y o ° o z Z Z ? ? ,- ' ? LLI I•? - S?? ? a ' a cc o„r - ?- a? ? W11 fN ? u It ,NC Z ? 0 93 ? L = m LL c.? ? L c ?. m 41 Q ? o C • W ?: L tcra Lu O 05 a E 0 a a ° a ? (n' ?? y ? CITY OF EAGAN ; 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for Receipt ? $ kOD, 0;7G Date Site Address 1579 C1.111'' RD Lot Block 1 Sec/Sub.TK?AS IA:a' CNTR Parcel No. rc Name YOCM4 a?It+ LOMPmNY W z Address 0 Citr •. T 'BE? Lll'Phone , o Name ? o < Address V ?W- City U? ?Q ? W Name _ ? W Address u i W City - I hereby acknowledgelhat I have read this application and state that ihe info(mation is correct and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. _ Sigqature of Permittee A Building Permit is issued to:.l'i)_?? ?G.`ATI{UCTY C'1V on the express condition that all work shall be done in eccordance with all 2pplicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official_ - OFFICE USE ONLY On Site Sewage Occupancy MWCC System Y Zoning On Site Well (Actual) Conat City Water ? (Allowabie) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. Engr./Assess. Planner Council Bldg. Off. Variance FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL B-2 B-1,j PU CSC j i I-N N-N 62' 95, 5. 3 9t .i . 5 ? -?? 775 ?w 4-400 Q6ft ) 2, 244' . 1 ? CASH RECEIPT k CASH RECEIPT " CITY OF EAGAN CITY OF EAGAN ? 3830 PILOT KNOB ROAD 3830 PILOT KNOB ROAD EAGt1N, MINNESOTA 55122 .'i _. DATE 19 FWCErveo Fna.t < AMOUNT g - :'? ?r? ? .!• & ,oo DOLLARS . ? CASH [.1 CHECK , ` . FOR ?- ? • r" ` •f r?! ? ? . I FUNO OBJECT AMOUNT r - - Thank You BY • wnae--Peyars caar Yolbv-Posting Copy Pink-Flle Copy EAGAN, MINNESOTA 55122 DATE 19 wCEWo From ' AMOUNT $ fm O CASH 0 CHECK DOLLARS FM E kt F BY f r ..+3 ? . wnne--Payers copy Yelbw-Posting Copy Pink-Flle CoPY Thank You ' ,- 1r11 T VP CHL.7NIV o `9?' . ,?. ?- "• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT RarninT.* To be used for i *40C?, 0p0 Site Address 7 Lot Block 1 Sec/Sub. •`'? '• . ? ?{ Parcel No. oc Name 3 Address 0 City Phone o Name -'%nsZT?iCLlett. 17lC °C . o ? Add ress Rd B U? City Phone Phone Signature of A Building P on the expre e that I have read this application and state that the t and agree to comply with all applicable Stale of ind City ol Eagan Ordinances. •W&t l: i Date ,19 ' OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Weti (Actuaq Const City Water (Allowable) - PRV Required # of Stories ` BoDSter Pump Length i Depth S.F. Total Footprint S.F. ? '???`?'PAOVALS FEES Engr./Assess. Permit Pianner Surcharge Council Plan Review 81dg. Off. SAG City - Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P7 Parks i • `' ? ? TOTAL , , Permit Holder Date elephone # Plumbing M Ms-? & . 6'a-led Electric /G' 1,Af'3? U Softener a ?' _' -• a 0 ? .;:L ?` -,`-? - ? '_ - ?s? ';3.--?' -' ? J ?,.v - -- Inspectlon Date Insp. COmmeltts Footings I Footings II Foundation Framing . Roofing °/Z?yy Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final C@ft.OCC. Temp.LP Deck Ftg. DQL* Final k/,116y ?',?C Well Pr. DisP• `?j•??`y ?Cy,?„ ? .?. ?• ?/ ??..?ti., ?? . ? ?'l f '? ? I (• f? j / ,/?i ?? ! Li 17 i ?. - . (ler#i#ir?te uf Orrupanry titp of Cagan loPputuPttf Df l1dIdt" 3wPthm This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at rhe teme of issuance this struclure was in compliance wiih the various ordinances of the City regulating building corrstruction or use. For the following.• ux a,saifiotion CAS STA.7CAR WA4i/CONVIIV. SICM ewa. Fl,.itNa. 15722 Oocupancr TYae B21B I Zon;,,g Disuic, PD rSC Type COOK II-id Ovmer of Building YOCLM OII• 00• Addrcss 4??'' BEAR LAKE a,a,mng nan= 1579 Q.TFF RnAD Low;ty 1 5_ P 1, MOAS I . r"itt . Building Official neu: MAY 5. 1989 POST IN A CONSPICUOUS PLACE ' • ' PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55722 PERMIT # RECEIPT # OATE: CONTRACT PRICE ' r, riG L Site Address Lot % Blocly 'Sec/Sub - m Name ? Address c City Phone ' , Name c Address p Ciry _ Phone COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES ry' I FOR: CITY OF EAGAN BLDG. TYPE WORK OESCRIPTION Res. New Mult Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FiXTU RES /?OTAL Water Closet - $3.00 th Tubs - $3.00 La tory - $3.00 $? Sho er - $3.00 j Kitch Sink - $3.00 Urinall ?det - 3.00 Laundry y - $3.00 Floor Drain - $1.50 Water Heater $1 Whirlpool - $3. Gas Piping tle - $1.50 (MINIM t)IM - 1 P PERMIn Well Disp, - $10.00 Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: . PLUMBING PERMIT CITY OF EAGAN 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 :T PRICE: '-??,.? G ?- ' PHQNE: 454-8100 Site Lot . m m ? c Name 3 Addre o Cih+ = Phone FEES COMM/INO FEE -146 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. FiATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF FOR: CITY OF EAGAN PERMIT # 'c.;... , , RECEIPT # v; -' :- DATE: BLDG. TYPE WORK DESCRIPTION Res. New ?- Mult. Add-on Comm. ly Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES TOTAL T Water Ctoset - $3.00 $ Bath Tubs - $3.00 :rLavatory - $3.00 Shower - $3.00 :21:Kitchen Sink - $3.00 UrinaliBidet - $3.00 ? Laundry Tray - S3.00 =Floor Drains - $1.50 / Water Heater - $1.50 Whiripool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Sottener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: ,' ??" ;? ? STATE S/C: ' GRAND TOTAL: ?' ?? ?1 • =?' - • ' PERMIT # * MECHANICAL PERMIT RECEIPT # CITY OF EAGAN DATE: ' '" 3630 PILOT KNOB ROAD, EAGAN, MN 55122 NTRACT PRICE: PHONE: 454-8100 For Office Use Oniy: . 4 .-e + . . n ? Site , Name .q Address c City Name I TYPE OF WORK Boiler Unit Heater Air Cond. Vent • Gas Piping Outlets # Other M BTU M BTU M BTU CFM FEE: S/C: TOTAL• ? R c I BIDG.TYPE Res. Mult Comm. ? Other WORK DESCRIPTION New 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 CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. CC]MM/INf7 FFF - to/, nF CONTRACT FEE MINIMUM RESIDENTIAI FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PEFiMIT PRICE GOES BEYOND $1,000) StGNATURE OF PERMITTEE FOR: CITY OF EAGAN 06/62/2004 07:51 6516879519 YMART EAGAN PAGE 03 . uw cu. cnny 14: yC ERG(*I EMa+MM 1JEt7 9 96879520 N0.596 DB3 FIf61ViW'k5 /?1oifid11G11 Page 2 vt B T¢rtnfs36n WnPninq Licsnse AppNcnfim Minneaotg law requhes thet you be Infqrtnad o{ the purposec and intended uses of the lnfarmafion yau provide to 16e Clty nf Eagan (the Cily) dur(ng the Iicense applicedon prooess. Any Infortnalion epvut yourself that you proMlde ta ttle Clty tlurinp the li[anae applicatian pracoes wiil be used to Idendfy you aa an applicent and W assess ynur qualfficatfons For selling tireworke Hnlhin the Ciry. If yau wlah la be consrdered tor a permit to seD Ilreworks, you are requlretl to provide trye intormativn request6d in the pwmtlt eppl'Matiqn, ff you rehm to SUppfy infolmafion requested by the Clty, it may mesn that your applicaNon will not pe oonsidered. All indivldual9 in tl19 Cily who need to know InTomQtion wlll hava aCeass. AaPiicant 5ignpture Date .........................?..«..._......M,.,.._. ...,........,?........?...?....._...._.,_,._.....?.... Aulhorixchon and Cons¢nt for Releose of Informatlon I, ? l M D 1'?- , freely and voluntadly authorize tlte Gity of.Eagan ro conduct an Name Indlvl uaI aufhnrizing release invesGgation ic obtaln the Pollowing Inftlttnatlpn fvr tha purpose of aetennini110 my eligibAity for a permn m sall firoworke: Neme: ? ow (Y-) Go- H t°S l.eat First ? Middle Date M Birth: C(O 07? onverS License #: `I asa -23-l I 57500 State rn N 1 also release the Cify of Eagan from any and all linbllky for Its receipt ene ase ef informatlon artd recards reoeived pureuant to thia conseM. I fudher acknowledge thet I have carefully road thle relasse, fully understand its terrns and Iege1 signiflcance, aha execufe it wluntarily. EKecutad tnis aay of 200?"?. Z__: aL - SI ture --0 ??, 8i8qj 2007 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 6V,6D Date I /A ? /? Site Address 15 ,]R Wq? gOQ cl Unit # Tenan[ Name 1 O&Ln'1 n i? Former Tenant Name Property Owner Telephone # ( ) Contractor pd(,/ ?e?1? )C Gl.? , ? , _ Address 6aQ vL,c pQ . Cily !S?• P?ajj State _f' JIJ 7ip s l? Telephone #((pSn C/ 8'J -(O(o I License # L-,Q q $ -C(p(Q%, _ Expires: The Applican[ is _ Owncr Contractor _ Other Work Type New Bldg _ Modify Space _ Irrigafion System** Yes No Work in public r-o-w / easement? ? RPZ _ PVB: New ? Rcpair/Rebuild _ Replace _ Reroove Rain sensors are re uired on irri ation s stems Description of Work I? ?pzz- To inquire if PreSSUm Reducmg Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5646 to verify thac hydrostatm, conductivity, and bacteria tests passed prior to oickine ua meter. Irrigation Size & Type Avg GPM 2" [urbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter $174.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) _ Contract Value $ X ]% _ ?0 $ ?0 • Permit Fee $ Meter(s) Reqmred on all new buildmgs & Loulevard imeation systems $ Radio Me[e7 Read S . State Sun;harge IC ermit ee is less than $1,000, sumharge is $.50 lf ermrt ee is more than SI,000, surcAarge is $.50 for each $1,000 owed. Following fees apply when instelling new lawn irrigatlon system $ Water Pe[init Call the Qty's Engmeering Department, 65 L675-5646, for reyuired fec amounts $ TreaUnent Plant $ Water Supply & Storage FEB 0 6 2008 $ ? S[ate Surcharge $ , "?S? •,7 ? Total Fee 1 hereby apply for n Commernnl Plumbi ermn and acknowledge that Ihe i foimation is complete and accurale; Ihat [he work will be in wnfortnance wrth the atin ordmances and codes of the City of Eagan with tna p1 h_¢` ? ?? deretand this is nu[ a permit, bul only an applicalion for a permit, and ?vork is no[ to slart wrthout a pertnip thut [he work wi0 be m accor ance wi e pp n Ihe case of w which requires n review and approval of plans. Sr,cS? (u; lleffP ? ApplicanPs PrinreA Namc pphcanPs Signa re 06,02(2904 07:51 6516879519 YMART EAGAN • ' __ ?.rurlll GIVI]'N.UIM 11tV '3 9G$795M (G'-? ? c?SV 2004 Application fbr ffrcworks Snl¢s And 5tora4E City OF Enqon 3830 Not iCnob Rond, £aqnn, MN 66122 TeiephonE &i 651-6F5-56F5 f'ax #: 651-676-5694 Date: ? ? ? ? D `( q?olicant auiroments t. This applfcreadon m?st be completed end rea+rned m least 30 days prior to sales andlor stordge cf flreworks. 2. A letter hom the property ownw granting pertntseian to the applican? to sall antl/or store fireworks on ihe proPertl' shal{ accomp2ny u+a application. 3, A floor plan desiBnaling Ihe aroa urhere the fireworks wilt be sold and/or storetl shall accamp8ny dha epplicatiwi. 4. A list of the fiteavortrs that wtll ba sole andloi sWroc along wilh the name, waight, quanfity, and maierlal safety data sheets (MSDS) shall be InctudEd, 5. A copy of the certificate of insurance eoverage as per City of Eagan City OrdinanrP No..378, Chgpter e, sedcn 6.53 p'aeworks is requiretl. 6. Fea upon applicsrian far reraii sanere samne excJuawely cansumer flreworks-$360; an oMer refail seners4101 Dar vendor ennualy payable m the City of Eagan. 7. The fire chief or hielher aesignoe wiq tnspe¢t the proposed locatlon (or selling andlor stadng flreworks to delermine ff II Is e aultabie IQCation. 9 A crimind rac0+d check wlll be done on all appllcants. , 9. A copy of the Clty of F.a9an Iicense (perfnit) sha11 be displayed ny lhe register_ nppnCane 8tr0et Addte9s: _ Stato: rn N Bus{nser Names qisplay _ xip, Talephono #t F9].5% d02 / ? . J? ? "M JUO 1 PAGE el 1 5 fbkcYA?,v f3i _ talwphonelP: ( 0 ? n No Ratafl sa Ier aelfln0 sxcluslvely conaumsr flreworks: _Yee indoor Sates _Outdoar 3ales (9ee Outdoar sei•a ot Frcewcrks) "?-? Fao: Outdoor Salas • 8350.50 All other retail sellel't • $100,50 D? l?J J? F{rgwurks are f?egulated by MN Stetutes 824.20-62425. In addRion to these state Isws, uee of flreworks shall cbmplY wifh Ciry of F_agan Qrdinance No. 378, 5ectlon 4,63 Flrewarke. T I understand and agree to cmnpiY with aIt tne pravisfons of mts application the iremer,ts ot the isauin9 au1?rortLY, nt Srgnasure -.?- ..4.,, 06/02/2004 07:51 6516879519 YMART EAGAN PAGE 03 a., c'uVJv 14: by EHGJ*I FIVC'FCQM DEU i %979520 N0.596 D03 . Fireworks Appfioafion Page2vf8 T¢rrnfsscn Nfatninq Licenss Appllco+ion MkrnesMa law raqutres fhat ynu 6e Infortneq of ths purposec end Intenqad uses of the lnfarmatinn yau provide to th0 Gfty nf Fagan (the G!y) daring fhe ilcense appUcadon prooess. Any lnfonnafion ebqut yourselF that yrou provlda ta ttle City tlurlnp the liwnae application pracgw wip be used tp IdeMt(y you as an appficant and W easess yaur qualWicatlons for selling flreworke within tthe City. lf you wlah to be conaidered for a permit to sell ffreworks, you are requiretl to prov;de 1ne Intormetion requested ;n the parmtt appl'natinn, ft you reruae to supply information reQUested 6y the Clcy, it may mean tllat your appl'icaqon w;ll not ba considered, All individuAls in iha City who nead to know Infamation wAI have aceass_ ?-/ --7-CS oate -- -, -_i. ?nww?qNlMw????/?M??????.1/?IMM???w?+????ll???ti??w?w????MMl1?????????????w V II????wwwe??YP111?Y?\ Authrsrixntion and Consent for 12eleosa af Inform4filon 8 J'?"'a' freely and voluntariry authorize the Gity ot Eagan ro conduct an Name fndhr uel sulhahzing release invastlgation w odlafn the fnllowfng Infortnation for tha purpose of aeterminino my el"gbGity Fur a perme m sell firaMrorke: rien,e: ?oc,v w) ??? t•.,,? l?a cl ?S Last First ? Mlddle Date of Birth: ?610 orivera Liaense X: `I252"23- l I S 5?0 State rn N I also releese the City oF Eagan from any eod all linblllty {w its reoeipt ena uae ef inFormstlon and recarde reoeived pursuant W this consenl, I furthv adcrwwledge thet 1 have carefully road thls relaasa, fully undetsfand its tarrtts and leget signMicance, nnq exacuto it wluntaeily. EYecuted enis day ot___?-?/..?/?^-Q- , 200?'?. St wre 71 .,s -.i:! ?4"? ?. ??°? G•??1 b516879519 96i01/26g4 ?,q;?g YMART EAGAN a ERG9N FJVG+cUM DEU ? 96979520 Firaworks pppiicadon Page 3 of e Da':?!IGTV#l7'lilS Lll?i,E? ? ?,F?i ? • The Police oepydment has conqucWd a crimfial backgnpund CheGk on ihe eforamentioned appficanl, Comments; Pollce Oapartment Representative &IG?- d5/ Data PAGE 64 hO.595 pN ... CqndlUons of Issuence; BOckpround cAeck compleled and appreued 6y EPM Zaning approval FeGlity inspacUon aomplete end all vialatlons qvrroC}ed Insurence poilcy approved Lic2nse approveQ by - Yes hkO Yes _ Np - Y493 _. No .. ? Yas _ No aate appfoved: ??. ? 06/03/2004 07:04 6516879519 v , .. 0 ? 0 YMART EAGAN ? ------q 1 ---mo F I---?---._---43 -W. _..-__ , ? ,. I L... \ 7 1 d I1fi4R'ON ???, ? .?' • ? ?' S ..?... . \ t ? ?I ? I ? -T-1 C J ??T I ; ml a ??- h ?`?C vur k5 ; ? STakt F,'?e Wos ?S wdiN Ioot t unr PA6E 01 I . ? 1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ,3 q ZI INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES 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 ONZTS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhMERC2AL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICA2IONS AND 7 ScT OF ENERGY CALCULATIONS -EP. 1-9 1988 ? G,4,?vA5N _ ' To Be Used For:lOvUe.v/ez.zc'S7dgE/?'4s sraValuationr•?: 000 ?? '• •- Date: 9 8 1$7g CLIFF ?j4 D Site Address ,- •'`? .fa n'? ^`& L-? , nccTrc nev nnn v Lot ? Block On site sewage MWCC system Parcel/Sub ?/J$1?1fjS L.9XF ?'??2 On site well City water ? Owner yOG Un O/e- PAV required _ Booster Pump _ Address City/Zip Code Z;rF ,y.&) , Phone Contraetor kSeu'oop C'tAarJ'TPdc7j01d rA Address /7// w c?d(Jwry Ra 'e City/Zip Code ?=-leuabwar4_v; T-,??kE Phone Areh./Engr. /?70/?iQ/SON?wAG/,?ARV/ Address e;/89 -70u2TL/ 57- City/Zip Code Wf1/12F' BC%?f' L/3Kc d?1??/? Phone # (a -3a87 Oecupancy ,B-Z 8-I Zoning Pr> CSL Actual Const YL.-N Allowable 7SZ-11 !k of stories Length 9y _ S" Depth S.F. Total 5 Footprint S.F. APPROVALS FEES Engr/Assess Planner Council Bldg. Off. 6 l0 14 Variance ? Permit /SSC7 Surcharge 200 Plan Review 7r)S SAC, City _ O O SAC, MF1CC yyo0 Water Conn Water Meter - Road Unit 944 Treatment P1 1(,37- Parks N46 Copies TOTAL \ 15 loom = 5? ?{ 3?M x 3,ZS- ?j7S --- ? 5 50 uP2.[,H A12.GE ? 400?, o0o x. ooos = 200 _ .„ PLAN REVe-IJ FEE : ISSO X5o/ = 71S ? ?f23nn ?,r X ,oy6- Iqy6 ,q? ??? x 9-7 s)`c-(?E SRc- NASEt? o N g l c rry ? X/oo= goo Mwc-L Sx55o = yyoo TREA?, pLaNr Y x2Ou= l632 3 -5 0 c? S Submit following to obtain necessarv oermit ct?" U - Foundation Onl New Construction Interior Im rovement sWCtural plans (2 sets) architecturel plans (2 se4s) arcliitecturel pians (2 sets) civil plans (2 sets) structural plans (2 sets) code analysis (1) " code analysis (1) " civil plans (2 sets) projeCt specs (7 set) projed specs (1) landscaping plans (2 sets) Key Plan Special Inspections & Testing Schetlule " code analysis (1) •• energy calculations (1)notaM2ys « sods report (1) Electric Power 8 Lighting Form (1) nol always ° SAC determination letter from MC/ES - SAC determinaticn letter hom MClES - SAC determination letter from MClES - call 602-7000 ca11 602-1000 nll 602-7000 Special Inspections & Testing Schedule (1) " projecl specs (1) energyplwlaLons (1) " Electnc Power & Li htin Farm 1 " ° Gontact duiitling Inspections for sample Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. DATE: 9 L _ WORK TYPE: _ DESCRIPTION OF WORK: CITY OF EAGAN q (651) 681-4675 Uf Li" / CONSTRUCTION COST: cvd 1 OOo TENANT NAME: ?e >Caeo SITE ADDRESS: I-?-71 LOT S--BLOCK I SUBD-I-?AUVA0. S LC,,L C'e -Je rP,I.D. # Call 215-0700 for details. NEW X REMUDEL SU ITE #: Tame: / v C kvv? Phone #: l 7J ?l - q/q f PROPERTY Last First OWNER n StreetAddress:,27(q City State. Zip: ! I Company: 1?/?Li.et S-/'fxe?r.SnN Phone #: (?p Ia? 796, - 77 COrTR4CTOR StreetAddress?/„?? J(F.r??o?n, ?TIV? , City ??fG?e 1',n2 S State: . 1?1n. Zip: 5,5-0 Iq ARCHITECTi ENGINEER Company: Phone #: Name: Registration # Street Address: Cirv State: Zip: Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge tha e read this application, state that the information is correct, and agree to comply with all applicable State of ' s ij f Eagan Ordinances. ?J 4 MAR 2 8 1999 Signature of Applicant: ,ra v (N=--- c, l2 0-?? y 3 5 - 1999 BUII.DING PERMIT APPLICATION (COMMERCIAL) OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) ? (Allowable) ?L - &I_ UBC Occupancy Zoning ? # of Stories - Length ? Width APPROVALS Planning ,X 19 Comm./Ind. Misc. ? 20 Public Facility ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq, ft. sq. ft. sq.ft. sq. ft. sq. ft. Footprint sq. ft. Building -?J Engineering Census Code 4'? -7 SAC Code 36 Census Unit I Census Bldg. v 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 Totai 30.UC?3 y c? 3 .9 y- la() -1 .(' 9 VALUATION % SAC SAC Units Meter Size 0 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition $ ?O, 000? ? 3 ? CITY USE ONLY L ? B ? RECEIPT#:? 106,2?1So SUBD. 4.(Z4114Q? RECEIPTDATE Wllc_L/?? APPROVED BY:_ INSPECTOR PLUMBIIVG PERMIT #35I toJ 1999 PLUM$uv? ?ERMrr (corr[raEttcIAL) errY aF EAGAx 3830 PiLOr xrvo$ ftn EAHAIV, MN 5518E (651)6$1-4675 Please complece for: all commercialAndustrial buildings multi-family buildings when separate building permits are not required for each dwelling unit installation of backIlow preventer m commercia] areas or residential boulevards Date: Work Type: _ New Bldg. v Add-on _ Repair _ U.G. Spnnkler _ RPZ T-?--- n Descrip[ionofNVork: y`?QJ4rrr s2_?.J c /nY?-??? z _[??? To inquire if Pressure Reducing Valve is required on ne ervice, call 651-'4646. ?EFS 1% of con[ract price or $30.00 minimum Contract Price: $ acia "x 1% _ $ .Cd IT COMPLETE THIS AREA ONLY IF 1NSTALLING LINDERGROUND SPRINKLER SYSTEM Backflow Preventer Permit Fee - $ 30.00 R'ater Aleter: 2" Turbo - $ 889.00 unless plan approved for smaller sizc Sen iee: _ existmg (if commg off domestic line) OR _ new /f "ireir sevvice". coi7lnct Jeriv Wobschall Fiirnrire ConsuTtmif to cwifir•m addrne fees 1'or: Water Pennit & Surcharge - $ 50.50 Water Supply & Storage - $ 825.00 Water Treatment Plant Charge - 5 468.00 Fee State surcharge is calculated from Pemut Fee at nght - 5.50 for each S1.ooo with a minimum of S.50 due State Surcharge S - r,- o To[al Fee $ 1 U :-L?-o I hereby acknowledge that I have read this application, state that the informarion is coaect, and agree to comply with al] applicable Ciry of L-agan ordinances. It is the applicanYs responsibility to notify the property owner that [he Gry of Eagan assumes no liability for any damages caused by the Ciry during its normal operational and maintenance activities to the faciliees constructed under ffiis permit within City property/nght-of-way/easement. , SITE ADDRESS: v TEIv'ANT NAME: ??? o; ? TELEPHONE #: (AREA CODE) INSTALLER NAME: TELEPHONE #: 6S/- Y? f% Y o pl,; (ARLA CODE) STREET ADDRESS: rol • ?J?Q?jj- ld?crz? ci?: -'?Q sr rE: zIr: S .?l17 ? IGNATCIRE OF PERMITTEE L? L / OFFICE USE ONLY RECEIPT #: 5-9/4? SUBD. /??? ?S 41L'C ? DATE' 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: . all commerciairndustrial buildings. . multi-famiiy buildings when separete permits are aW required for each dweAing unit. DATE G- a7- R? CONTRACT PRICE:????? d WORK TYPE: _ NEW CONSTRUCTION ? ADD ON _ REPAIR DESCRIPTION OF WORK: PZ?VACf t?PO -;? 6?ATX:-?2 IS WATER METER REQUIRED7 _ YES X NO. IF SO, PLEASE PROVIDE THE FOLLOWING' WATER FLOW: GPM. ARE FLUSHOMETER:3 TO BE INSTALLED? _ YES XKNO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES ?'NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichaver is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. cs?? CONTRACT PRICE x 1% STATE SURCHARGE s ? S o TOTAL o? "Jr -r SITE ADDRESS: `? ?? C A 9AA1 TENANT NAME: ??)?ACD cnvL _ STE. # OWNER NAME: 14Cc? 016 INSTALLER: zzz ADDRE55: 6s S. pW?Clss° ?GUP? CITY: STATE: ZIP: SS1? PHONE SIGNATURF: PLIC T OFFICE USE ONLY METER SIZE: " DATE: ?? ?i ? INSPECTOR ?17) _ CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DAiE- ? 1- MC. MO AMoUNT ? . s 3? ?- czz. x pOLuRy ? CASH CMECK ? C 1487 Whd,-0a,m copy Velkwr-Pcsswig CqPY Pink-Flle CoPY Thank You ev u'. ='zc,?.? IF EXISTING S'iRCC'1SJRE, DATE OF ORIGINAL BLILDING PERMIT ISSCANCE: . (Mon Year PRFSENT ZONING/PROPOSID GSE: N((7rF: PAYWNP OF FEE AT TSME OF aPriscATIoN DOEs Nar ooNsriTUTE APPRovaL oF rExMrT. irtsrncrrorr oF sMM ANn/CR MMM T.raT30135 WIId. t10T BE SC.fED- [7LFD UNPIL PIItMIT AAS ?i APPROVID. Print ___________ _________ P e ase . ` 1) pROPERTY ADDRESS: 1-!S?7q 9-C p 14 •» LEGAL DESCRIPTION: •- _ Lot Block Subdivision or Tax Parce ID Q CObIIMff,RCIAL/REfA2L/OFFICE ? ?IaL'STP.Zn.I. n INSTIIUTIONAL/GOVERNMENT ? R-1 SINGLE FAMILY u R-2 DLrrLEX (Two Lhits) ? R-3 'InWNHOUSE (Three + Units) ( Lnits) ? R-4 APAR'1MFNp/COAIDOMINICM ( Units ) 2) ? rAnE: nMxESS: CITY, STATE, 2ZP: PHONE: CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 3) ' tuAM: 4) ADDRESS: CITY, 5"PATE, 2IP: PHONE: •• a•.i ?.,ni?7 WE ADDRESS CITY, STATE, ZIP PHONE: CV'a°'? ? 0 747 l ee'-V1 5GL l 1)4Tg? pliaers r.icense: Active ??l,?t'?-L•L? .?'j??, ExPirea Not recorded r1ASTER LICEVSE# !DL sta?'tial 5) '? r• • ?• : a • a• ?? - ? CONNFFCPZON 2lT CITY SEWER IQ,?, CON[gJLTION 'PO CITY WATER rv( OTHER_?7?^I?.iUi . y : /?? P n-IZ/13? y C?7 , trt? 6) ,. . . ?- o ? PLEASE HOID APPRO`IEU PEl:UW F'QR PICK-Up BY ONE OF ABOVE PLFASE MAII, ApPROVF9 PERMIT R+qe1l.! 2. 3, 4, ABOVE 4), rrirr_la nr,ol FOR .CITY USE ONLY PERMIT # ISS[]ED Pd w/Bldg. Permit FEES: $ $ eld S-V SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLLDE SURCHARGE) $ ?- $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ 5 Z? O. O`Z) $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ 16 -?' Z $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ (a 73 Z- • OO $ oL /lT?J TOTAL - ,?e,2 ?- y' Fb' 3 A z RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST BE DIVISION LIS ISSUED By THE ENGINEERING . T AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITION5: APPROVED BY: TTTLE: DATE : /p / j ??? DAKOTA COUNTY NAME / DESCRIPTION AND DELINQUENT TAX RECORD 11 PARCEL fDEN TIFfCATIpN DI57HICT; CAriAlY Y h l ' W PRpVERTY P DIST _PLpT . LpT BLK . Se oo Oistrict $ OESC RI TION SccLoi TO`"N OLOCK wrq? 10 75925 050 O1 DIVISIC'N 001T231 19E G THCMAS LAKE C6N ER TRANSFER OATE CRV.NO. lA$T GRANTEE 5 1 J ?fj ? ??YI? ? T w-- ??' ? r ac i? . , ST/1 G W/-'rTE?'t k Ci jJ 1 /", 5.? 0{ 6(210 Ot-3422 01-3445 01-3446 01-2155 75-3860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 28-3855 NO. Bldg. Permit Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. Park Ded. TOTAL / 0, 0 ?- '7-<? ?'- e ? ? 75-9as- o.yo ol INVOICE Schelen AMS? orr Mayeron & Associates, lnc. 2021 Easl Ilennrpin Avenue Minneapohs, MN 5541:5 612-33 L N6fi0 FA%331-SSUG Pnginccrs Survcyurs Planncis October 12, 1988 To: City of Eagan Attn: Tom Colbert 3830 Pilot Knob Road Comm. No. 124-4069-75 Eagan P•1N 55122 Protessional Engineering ServiCes In conjunction with review of sanitary sewer, water, storm sewer, and parking lot layout for the Yocum Oil Company located on Lot 5, Block 1 of Thomas Lake Center Addition. Time and expenses for the month of July, 1988. DIRECT PERSONNEL COST J. Wingard 7.50 hours @$27.50 per hour $206.25 Factor x 2.25 This Invoice $464.06 TOTAL AMOUNT OF THIS INVOICE IS $464.06 11 city oF eagan / 5' Ig ,6r?- . TNOMASEGAN March 8, 1993 ""°''°` PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER T'EXACO STORE CounCil Members STORE MANAGER/OWNER THOMAS HEDGES 1579 CLIFF RD CiN Admminshator EAGAN MN 55122 EUGENE VAN OVERBEKE City perk Dear Sir/Madam: 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 aIl 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, ??M _,??, , ? , ?????_? Kim Eggers Zoning Administrator /js Enc. cc: Yocum Superstore #2 Inc, 2719 Stillwater Rd., St. Paul, MN 55119 MUNICIPAI CENTER 3830 PILOi KNOB ROAD EAGAN, MINNESOiA 55122-1897 PHONE', (612) 681d60C FAX:(612) 681-4612 iDD (672)454$535 THE LONE OAK TREE THE SVMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equat Opportuni}y/Affirmafive AcTion Employer MAINTENANCE FACILIiY 3501 COACHMAN POINT EAGAN, MINNESOiA 55122 PHONE: (612) 681-4300 PAX: (612) 681-4360 iDD:(612)45d-8535 1?? 15??5',_ cc "° - O l :ity of eegan MUNICIPAL CENiER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55 7 22-1 89) PHONE: (512) 681-4600 FAX: (612) 681-4612 MAINTENANCE FACIIITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE; (612) 681-4300 FAX: (612) 581 •4360 THOMASEGAN Mayot JUlY 20, 1992 TEXACO STORE STORE MANAGER/OWNER 1579 CLIFF RD EAGAN MN 55122 Dear Sir/Madam: PATRICIA AWADA PAMELA McCREA TIM PAWLENN THEODORE WACHTER Counell Members THOMAS HEDGES Ciry Atlminlnslrator EUGENE VAN OVERBEKE Ctly Clerk 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 Permit for all outdoor storage/display. In an effort to allow existing businesses time to comply with this requirement, the City Councii allowed six months, or until May 28, 1992, before enforcement would begin. For your convenience, I have enclosed a copy of the new ordinance which defines outdoor storage/display and lists minimum requiremenu to be met. Conditional Use Pemvt 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 schedu]e of compliance as soon as possible. If you have questions regarding this matter, feel free to contact me at 681-4685. Sincerely, . G? Eggers Zoning Administrator /js Enc. cc: Yocum Superstore #2 Inc., 2719 Stillwater Rd., St. Paul, MN 55119 THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Attirmative Aeflon Employer FIriE MARSHAL DIVISION STCTE OF MINNESOTA - DEPAATMENT OF PUBLIC SAFETY Market House 289 East Fifth'StreeE St. Paul, MN 55101 = . 612-296-7641 FLAMMABLE AND COMBUSTIBLE LIQUIDS PLAN REVIEW GUIDELINE Please fill in the follouing lnformation completelyi Where not applicable mark NA. Sncomplete information will result in the plans being returned. Date-??g4 For: Company ?QCpM /?/lL CGM/" Addreaa _ f S 7l GL-11 ff f/ ?-,•-_--------- -?_.? cicy Eu94,, , MH ssiz1 ? Contaet TaNy ?%pcur? Phone 641 - 739 Tank Info: Size Capacity , Produet Construction L 9"Yt/ 2 9'YZ/' 3 9 Y,ll " y, 9?YZ)/ /O.l?l?G q, / D/65eG sr? op Srs?/ _ /U,GOgaa/ 9eytil" Sl', 03 S7'we/ Ax / %al O,PF_rlruri GL s Ti /'3 51t./ Equipment: Submersible_L SuCtion Piping(material) GG/ / -- v_ aHi2?`t?? CGrrrl?oa T?,! Type: Full Serve Self Serve !/ • ? Corrosion: Soil Type 5,,.6// 5 nV5 *--? s??a is dt9?'G OHM/ChI 'SlIry. 6 Protection: T ? ? F!Nr??YDe Anodes Installe?d ?J4?]CT ?G.tC;'y`, p;?? .p,!?'8 Z/n c ,lSt?tl?Pi' " All material aubmitted shall a Include p1oL plan of property I buildings, surface water.s,.and• FMPLCUIDE 1 1 /0!i/85 SCi /flI A1,1 plans submitted must show at least the following information When applica- ble. Check each item below that appears on the plan or mark NA 1f not?appli- cable. a Give measurements from?tanks and dispensers to: Property Lines, Buildings, Drivevays, Surface Waters, Self-Serve Attendant Location. Yes N/A (`'l ( ) Scale (? ? ) ProperLy Lines (?' ( ) Building(s) Yes N/A (`? ( ) Vent Pipe Termination Height Vent Pipe Size (? ( ) Piping Layout Tank Size ( gallons ) (y' ( ) Location of Dispensers ("?" ( ) Tank Size (dimensions) ( ) (`'rWatcrways Product in Tank Tnnk 11urY pnpt.h (? ( ) Concrete Thickness Over Tank (?' ( ) Tank Fill Opening (? ( ) Driveways ( ?Y ( ) Emergency Controls REMARKS 'D. t3: (&I ( ) Dispenser Protection n1Vnn: Nn ^mokinR-^hut off Mnta,r, Mlntmum +igea for• nulf-nurwo 16 years old - GN c*Kw,0y Ga`Npry ('? ( ) Firc Extinpuishcr (? ( ) Self-Serve Attendant I,ocation GX ( ) Underground Tank Locations & Clearances BY: Zal/ E'qa?pa,s?t C?/ - ?PhhIS Lc?1`r Company:_ Z a4 Co Address: 31U/ S?,r?nor 5?- /.IF_ ? City, State, Zip: "/'LS ri?y ? p r . Phone: 6?• S ? "' .e? .5 i r 3c/? "e 6??> S EP 4988 NTnii, Dsrf- PuF:'? i,a`r?ti \, x" VEnrs I . i? to.?nh I S clC e i"= 119' J ?T ` ^? ?? ? p ? L L ' •. ( co? ,,, 1 rROVacr re??,? - ,/ . Dis vEnsE R ctrn l • 7 6 r? : ?' .?.' . ? ?. w... . r I L' i, clfl u' + ?% ? ? 3 y . ! . m 3 sueneys?sc! aw•? cryo ? t CMtq6 ?ty ? I v?t6G (rYi1 4N[E/D Id?OG/ GA4 GL?N S?? .. SV?M6,101JP7(?Y/ 4 8*C„r f/? j' CKV*NRED PH! w/coya,yrr *s?d 9, tnrc INO0E5 I 4 E^ I l I ti v r ? iJ v ? I ` v I ? 4 Q I ?. I 1 I I ? ? ? ? ? ? ? i ? -! iR?iit+P rr c fNe _ I x?ycNrS .r.. y._ roGVO,cI?c. srrvi sreeR?:rsd? ¢ ? j , P?n cvntanMbNT fFSEl. , ? /fEN IAIIlfd Me?vxotf C*yIJ ? 7I ? C ? O TAMR sCM]W (TLG IdO) iTY/) I 1 Q U Q . ?f+M% oI?L< ?•,•? F ?1 ?=1x? -9=1x? -.v=-f 3 NU sJ'+oR/xb SB?P-(M`N'AI EIG (%P) ? - - sHo?rrv . ? caNres ' eHntiw. . : -: rr: NIjr ? b -???T10? n e' b0' E'VP CeHCna F.+•'Et sbw-afF N{t Err/NGwyqy4 p"-_ -YU r,. c,nc E- 2 2 7. 9i --,% OIVISION OF STATE FIRE MARSHAL MARKETHOUSE 289 EAST 5TM STREET 5T. PAUL, MINNESOTA 55101 TEIEPHONE: (612) 296?7641 ? STATE OF MINNESOTA September 28, 1988 DEPARTMENT OF PUBLIC SAFETY File No, 88000416 Zahl Equipment Company 3101 Spring Street Northeast Minneapolis, MN 55413 Yucum Oil Company, 1579 Cliff Road, Eagan, MN. Underground installatic Re: of three.(3) 10,000 gallon Sti-P3 steel tanks for gasoline and one (1) 10,000 gallon Sti-P3 tank for diesel.with coated cathodic protected galvanized steel piping. For disoensing. To Whom it may Concern: I % The plans for the above installation have been reviewed pursuant to Minnesota Statutes, 1974, Chapter 299F.19. Preliminary approval is given for the aforementioned project subject to comp7iance with the provisions of Minnesota Statutes, State Fire Marshal Regulations, and local,ordi- nances and permits. Construction sha11 be in conformance with the standards contained in National Fire Protection Association Pamphlet 30, Flammable and Combustible Liquids Code (1981 edition as amended). Fina) approval will be given following an inspection of the facility by either your area local fire authority or Deputy State Fire Marshal. Approval of the project described in this letter does not relieve the applicant of re- sponsibility to other Federal, State or local agencies regarding adherence to regulations or the need to obtain necessary approval. Questions concerning this project should be addressed in writing to our office for a for- mal response. Please refer to the file number listed above in all future correspondence concerning this project. Yours very truly, J_J Thoma ?hn ac e, S ate Fire Marshal by: P. Lo us Deputy State Fire Marshal - Code Soecialist COPY DISTRIBUTION: White-facility, Blue-fire Department, Green-Central Office, Pink-Codes Specialist, Gold-Investigator, Yellow-Pollution Control Agency AN EQUAL OPPORTUNITY EMPLOYER FIdE MARSHAL DIVISION STATE OF HINNESOTA DEPARTMENT OF PUBLIC SAFETY Market House. 289 East'Fifth"Street St. Paul, !4I 55101 = 612-296-7641 FLMASASLE AND COFIDUSTIHLE LIQUIDS PLAN REVIEi7 GUIDELINE Please Pill in the follouirlg information completelyi Where not applieable mark NA. Incomplete information uill result in the plans being returned. Date Z3??4 » For: Company -Y//e#,yj /'j/G CGMAiA/1' Addres3 CSty ' Contact Tayy ?%Gcuri Phonc G/,Z Tank Info: Size , CaDacity Produet Construction 1_ 9'kt/? 2 9"YZ/' 3 9I Y1// N. 9i" I I /G,keG 4 s / ai6sFL STiOj Srer/ (GGO?aR/ 9e5Abp ST, 03 5?'?et/ _ ?ayia g,d %U" /'A°.ErNUr/ [/L ST, rj Sn?? Equipment: Submersible_4:::" Suction Pipin8 (material) - G,Iv_ pn_ize}1 t?f G?rrverse T?,l Type: Full Serve Self Serve !/ • Corrosion: Soil Type oxrvcr4 S/ , 6 Protection: TYPe Anodes Installed', Ta&,?'}'?lk?T f-'?Paf,,. .NSP.CTIOfJ • i ° All materlal submitted shall be lasible 'a d.?„ .,...?._ ° Include plot plan of property shouing?loeytioi buildings, aurface trater.s,-ead.ot?r oerr. e.a FMPLGUIDE t t/OL/85 D?"t4: : ??P 1,998 Tx'ftrsu DePf : P?bl'v $v?5iy lIA/L-4,0J sr,Pf All plana submitted must show at least the follouing Snformation when applica- ble. Check each iCem beloa that appears on the plan or mark NA if not•appli- cable. ' d Give measurements from?tanks and dispensers to: Property L1nes, Buildings, Driveuays, Surface Waters, Self-Serve Attendant Locatian. Yes N/A (`fi ( ) Scale Property Lines (?' ( ) Huilding(s) Yes N/A (`? ( ) Vent Pipe Termination Height M Yent Pipe Size (L4 ( ) Piping Layout (-Y ( ) Tank Size ( gallons ) M ( ) Location of Dispensers (-l ( ) Tank Size (dimensions) ( ) (`'l?waterways Product in Tank Tnnk Iqtry pr•p1.1i (? ( ) Concrete Thickness Over Tank (a' ( ) Tank Fill Opening ( ?' ( ) Drivevays (?-Y ( ) Emergency Controls (Pf ( ) Dispenser Proteetion (? ( ) Sly,nn: Nrr .^.mnkinp,-ihUt orr Mota,r, M I n I muui iigo fbt' nul f'-narwa 16 years old - ON C.}NGi?y GaLk.vry (11? ( ) Fire I:xtinp,uisher (L-r ( ) Self-Serve Attendant Location (?X ( ) Underground Tank Locations & Clearances By:_ Cf/ - PPNhIS Lq/rl`i' Company:__Z a4 ! Ey4,d Co Address: 3/(// S?IIlq9 Sj'/A? - ?ENL"i`u.`?:.D ? City, State, Zip: J%f'LS , r?y 0 '??BEtCT TO FI^JAi. i; iS^ECTION nrt;'i ANY ii-?ANG;=S hdf?T?D. Phone: 331 BSSL ? C,)nfiP Lt,^ ':,??? 1LF/ ? _„t 7G tu3ti?'y3A i'/ REMIlRKS: Ey: DatA: Be C. (navro sc.cf ) , 7 /RODpGP . D!s vEnsfq (1rP ) ?I;t co', , -? ? P 1 . '' .,A •? k-? • ? l • ? O ?a °?- ? a ? • U a 41 j1J F. ^ a F ? '' YJ i; ? L„ ? W l Q ? p ;r `° FJT x~VEnrS ?- ni - °e ? .. y `" ; : ? d nI `, • E '+? sue/+61t/O?i RuM - " w/CfFR /srecril tr j Q ?•w.c.'+c M?> CMtm6enry vet`e r*rd -? DI?4Fi'???rf ? ?P?C?tN vlfan?a .4M[fID Nsct?p r6 I67reA? - =; : `'' SY+H6 JOiM?y/ ?Rf/'?Cwe /0'.owGAa , ? lv,iDf/ 6IC B?G,?' F/lL 2` 6ItY*NafO /iM I w./cellocpn rHE o- ZNrc dN0065 :• 4 , -? . • *• Y:.: v ? _ - f?uoe?f rr c ine . ? T Y.qF SlfGPPIY4 I . ? csN?es ? - ' enntiw• 7;'YEN?S ?n• I y._ rW00?G[. srrvs sr?p?d,rK ?r (fYt f ' 11 Con7a+qMGNT f 4 I ?SP1 , • • /I?N ?.' MN!!IO , roeNxacs [*r/I I ` 11? O ? U/AcfAO 0 7pN{st?nw!'rctarp) irrn U1 I O U O ' INM/'?aL? rt ? I? I ' 3 ifoB"7 ? Ols/. I W NU SMet/IK - ' ? se.r-a?m+f ., erc (PYp) ( a ? ? I ? $ ' 7 /IIGOn[) Q 50 ' o?sr I ? I ? 3 /IO6sr! I ? IsI. C ? . =i?6j?EV5EWED 0 SU$JECi 1"Q Fi(x,Qt. lNSaEC? A,vc ANY chANr,ES ,vor? C CoIlflC? CiCrtL?'iitL.^;I?!-r ;?;::ir R r ? (o ? /r') w!; , `i iiVPlL- ? ?? .?:t: : I . ?- #U• ,?• ' I vk,rc, tr [ irc E- 72 7. 91 --o ? S€? 1908 :F,I N iEOT S?oRF wewce E+ec .io.r_oeF N{Q Er?MCMWpp,f , , L oT S 2?Loc/c I 7/-torA,45 L-4'4-Ec6"? r T ya?f c>t CoN.s7?S-. --?--..?.-_ M-- yu? ?x ? .:?4'c5r) - 9 ao X ? o -- Apo TRASH ..,?1147 F? _ ?a r G lo'Z Sk 3 = 2N ? - --- S?8 L oo s -?-- I -?- 1? Y /4?s 2 3? 20u Co" v . C,Zta r3?.=-- 30 Z Y C/M,Amq4- - --C> --?- ?n74 -- ZM:? k" 2=49 0-1- ??--- FOxEO sCA-rs ?` c? = z - ' ? i --- ,?? w l,l F+1 1 K,Tt?L?/`' -- .?DfI z b lf?_ 7?a ? _"__"__.. ?..........u i :ML? •nnuw•?iaannVc ? Commercicii ; STANDARD WORKSHEET Site Address ,1r-?Ce"e,,..? ?j14- ? - - , i Owner Contrector Phone pate /p:-/p _gZ' euilding Type 1_Z "111• Ae'sident141 1"AZ• t3 storiea tK1 "B" Othec F Assembly (Describe type from Tsble 3 or . Mea (A) U-Value U x A show calculationa on Page 2) (Sq Ft) Insulated Area -rj/p45 ?7,?v -7Q' S Fre mSky -?+ Oth .? - d M U -T• 2 ts U-Value, (lJxA)/(A) from il-Value (from table) NNMM1FiF 111FMkMf iMNN%N 7ff, 7 . D?$ ¦¦.??. _ ?iFRifIF¦ IInsulated Area S/ - b$?? /(03.? I Framihq Area15%. s . 0_L'_ Z41, ? ?ii7 • ?J? ? i ?? ?. O x aticw-ldall G4244,,s14- /35v ,.O?f ? Foundation Windows e 0 a Other (describe) 4 ? e n . 4 Totals Z/ +?r*rrr S, 5 Average U-Ualue, (UxA)/tA? from Line 4 .?2cP +?*f *++1 6 Re uired U-Value (from table) r?rrw• ¦rr??? If line 2 is greater than Line 3, or Line 5 greater than Line 6, comPlete e 0 the folla+ing to determine reduction of UxA needed to meet code. ? 7 Area (Line 1) + Area (Line 4),? + LI _ £ v 8 U x A (Line 1) + UxA (I,iae 4),12L71 + 5_tF._ +?**x** ? ,? o ° Area (Line 1) x U-ValuefLine 315?? r ?0(' - *??**¦ ,?O(o.?{'i ? 10 Area (Line 4) x U-Value(Line 6)?x '/0 _ **???+? ¢Z/. ? W ? 11 Budget, Line 9+ Line 10 +??***k 0 12 Actual (Line 8) - Budget(Line 11)Z?- H If line 12 is greater than 0, adjust assemblies to reduce Lina 8 to be less than or equal to Line 1t CITY USE ONLY PERMIT#: S-" ?l (?j RECEIPT DATE: EOOE CObIMEliCL4L PLUM$1N6 PE1tM1T l1PPI.ICATION C11Y OP Ef?6kF 3830 ru.oT icrtos ttn $lk6RF, UIY 55122 051-661-4675 UVCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date: ? - 12- 7 ' 11- i WORK TYPE New Bldg X Add-on Repair RPZ PVB Imgation system ' lerry Wobschall to calculate fees. Required meter size is 2" mrbo nu less smaller size permitted by Public Works DESCRIPTION OF WORK To inquireif Pressure Reducing Valve is required ou new servlce, call METERS - Ca11651-681-4300 to verify that hydrostatic, conductiviry, and bacteria tests passed prior to nicldne uo meter Irrigarion Size & Type Avg GPM F've Size & Price 3/4" disnlacement $152 00 Domestic Size & Type Avg GPM Does this include high demand devices? _ Yes Y No FLUSHOMEI'ERS _ Yes X No PRV REQUIRED _ Yes _.,?L No site nddress: 7G1 e- / '4-r foGv?.? TenantName: I-Au"i? Telephone#: ? "(Area Code) Was there a previous tenant in this space? k Y_ N. If Yes, Name: ' jr, mr- Installer Name: (t Y?i 44-P['f1 Telephone #: --;;/ ? - -7 - -ZZU) (ama Coae) InstallerAddress: NU:? {?i ?C?/IGOI? ? City: J?/«j/yf I State: ////,() ZipCode 55 `fyI FEES tra t C rice 00 min) 2c x 1% ($50 $?4 Plbg Permit $ SU .(9 v p on c . . Meter(s) Required on all new buildings & boulevard irrigation systems Rsdio Meter Read Surcharge: $.50 Minimum. If base fee exceeds $1,000, calculate at Stste Surchaxge 50 cents per $1,000 base. Sub TotaVl'otal $ Supplementary fees for new Irrigation system: Contact Jerry Wobschall at (651) 681-4624 regaMing fees Water Permit $ 50.00 Treatment Plant ..?_$ Water Supply &e944 ? State Surcharge r1 - r q Total '-? I hereby aclmowledge that 1 have read this application, state that the information is conect, and agree to comply with all applica6le Ciry of Eagan ordinances. It is the applicanFs responsibiliryto noti£y the property owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the Ciry during its normal operational and maintenance activiries to the faciliries constructed under this permit within City property/right-of-way/easement. -? '?-??I? ?-..% ? -C72 - SIGNATURE OF PERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: ? U.G. X Air Test _ Gas Test ? Rough In ?d' Final PLANS SUBMITTED APPROVED BY: S 1C BUILDING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 (Acct Code # 9220-4509) • RPZ's must be rebuilt every five years. A minimum fee permit (per address) is required for RPZ rebuilding or repairing. • Water meters include copperhorn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $118.00 4120 1-1/2" irrigation syst $ 745.00 sm commercial turbine'* •*must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $152.00 4160 2" turbine lg irrigation syst $ 923.00 maximum residential gz continuous sm commercia] , production lines 15 3-50 I" displacement very lg res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 uniu maximum sm commercial & continuous & lg comm bldgs ZS nri tion s stems 5-100 1-1/2" bldgs 25-64 units $439.00 mauimum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lg irrigation syst $ I,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & production lines very lg comm bldgs 1/2-320 3" compound +200 unit bldgs $2,264.00 10.1000 6" compound +400 unit bldgs $5,900.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" tur6ine very Ig urigation syst $2,184.00 & production lines i,omments • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To azrangc for water turn-on, ca11 65 1-68 1-4300. cc: Kns Foester, Maintenance Division Clerical Technician Updatd3 2/02 g.JQt,? ? PERMIT City of Eagan Permit Type: Fireworks 3830 Pilot Knob Rd Permit Number: EA083279 ;agan, MN 55122 ? Date Issued: 05/29/2008 651) 675-5675 Clty of E*R n,ww.ci.eagan.mn.us Site Address: 1579 Cliff Rd _ot 5 Block: 1 Addition: Thomas Lake Center 'ID: 10-75925-050-01 Jse: Holiday #31 Description: iub Type: Indoor Retail Sales yVork Type: Indoor Display 3escription: iales Dates: 05/29/2008to 1 UOU2008 to to Comments: Sign Permit Required: N Tent Permit Required: N Temporary Event: N Number of Days: 0 Fee Summary: IndoorSates $100.00 0801.4097 Surcharge-Fixed $0.50 9001.2195 Total: $100.50 Contractor: Owner: Yocum Oil Eagan LLC 2719 Stillwater Rd St Paul MN 55119 - Applicant - hereby aclcnowledge that 1 have read this application and state that the information is corcect and agree to comply with all applicable State )f Minnesota Statutes and Ciri of Eaean Ordinances. v City of Eap VAPR Tj (dA 3830 Pilot Knob Road 2 5 20000$ Eagan MN 55722 Phone: (651) 675-5675 Fax: (651) 675-5694 t- 8`3a7? l ?`rewa"ks 119D-s O 2008 FIREWORK$S-ALES AND STORAGE APPLICATION Retum a es 1-3 onl ,q Aoulicant reauirements c-?? 1. An application must be completed and returned at least 30 days prior [o outdoor sa/es and/or s rd of llrewoiks. 2. An applications for indoor sales of fireworks must be submitted between April 1 st and June 1 st 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. --+4 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 he sold and/or stored along with the name, weight, quantiry, and material safely 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: Business Name: Y&(?!YL S C10lli4LCci1 *V3? Telephone#: (?prl ) 6? 7- -I?20 Dlsplay Address: I 5 '7 ?I C(i ?? nr,r? -?it qaYl - MCN SS/ LZ Applicant Name: ?Q[,i ?? (7 i 1 \\?i Street Address: d 11'7? 7WkwGt-?tX rb - State: //I/V Zip:S-<Yq Telephone#: Retail seller selling exclusively consumer fireworks: ? Yes k Indoor Sales Outdoor Sales Dates: to to Please check the selections that aoolv to this oermit to Outdoor Sales $410.50 All other retail sellers $100.50 (includes: $280.00 Fireworks Permit $128.50 Tent Pertnit; $2.00 State Surcha e) _ Sign Permit $ 25.00 Temporary outdoor event means an exhibition or sale with a duration of 70 or less continuous days which does not oxur 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 Firewarks). Fireworks are regulated by MN Statutes 62420-624.25. 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 e e i menis of the isswng authority. Apphcan Sign ure 1 City: ??el-c"ef, 0 Cl 739-9/y _ Na y., R Fireworks. Application Page2of9 YD ?u?,-s I?a?; day sbv,(C, "n ? ? 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 yourseif 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. ,? ,?- y lly olto Applicant Si nature Date Authorization and Consent for Release of Information i freely and voluntarily authorize the City of Eagan to conduct an Name vidual authorizing release investigation to obtain the following information for the purpose of determining my eligibility for a permit to sell fireworks: Name: fvA W.00004-R5 Lasti First Middle Date of Birth: 6/ Gj7__7? Driver's License #: ") J6 ' 743 rJS sZ5tate ? (AN 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 14 day of 200 8?. i Signature A "l Fireworks. Application Page 3 of 9 OFFICE USE OPJLY DO NOT WRITE BELOW THIS LINE The Police Depar ent has conducted a criminal background check on the aforementioned applicant. Comments: ,?f ???lele -L -Yc) ? C ? #?y '?olise-Depa entative Date Conditions of Issuance: Background check completed and approved by EPD: Zoning approval Facility inspection complete and all violations corrected Insurance policy approved Need Site plan, sign permit and written permission of property owner Building Permit Application for Tent License approved by D',? Yes _ No _Lz--?Yes _ No _ Yes _ No J???Yes _ No V Yes _ No _ Yes N?/.? -t-,-?o Date approved: 'f!? ;?;2'7r eF 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 Bolluyt:??l SUBJECT: Background for Fireworks Application - Yocum's Holiday Store The Eagan Police Department has conducted a background investigation as authorized by the applicants Authorization for Release of Information. A review of the applicant's criminal history, local police contacts andlor 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 applicafion. Cc:08-2520 g-2/2004 15:21 6516879519 \ YMART EAGAN i PAGE 01 7 •d O6tE'oN WdlE:l 400d 'Z •unp f't?Gv?U??S yYocum 0il Company, Inc. City of Eagan 3830 Piolot Knob Road Eagan, MN 55122 To Whom It May Concem: Pertormance Fuels , Heating Fuels Ypcum's Holltlay Statlonstores Ouallty Lqbrtcardts Heating, Ventllating & Air Contlitfoning Petroleum Equipment sales & 5ervice Enclosed you will tind our application to sell fireworks indoors. I have enclosed all requested information for this permit. We aze requesting the permit for our Holiday Stationstore location at: 1579 Cliff Road. If you are missing any information or have any questions, please contact me at 651-738-1744. Thank You, Andy Bauman Retail Operations Coordinator Yocum Oil Company, Inc Phone (651) 738-1744 Fax (651) 739-6400 An F.qua1 Opportunity &mplo}er Corporate 2719 Stillwater Road Ipyya 5520 Miehe Drroe, #7 0'f'fIC2 St Paul, Minnesota 55119 Grimes, lowa 50999 MN 651/739-9141 • WI 715/386-6466 515/9863762 800/848-9926 800/451-6904 FAX 651/739-6400 FAX 866/7434692 www vocumoil.com ACORD^^CERTIFICATE OF LIABiLITY INSURANCE I DATE(MMlDD/YWY) 04/09/2008 PRODUCER (651) 777-7469 Monson' A enc Inc. 4 Y. 1737 Cope Avenue East THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. St. Paul, MN 55109-2686 - INSIJRERS AFFORDING COVERAGE NAIC # INSURED INSURERA EMC INSORANCE COMPANIES Z'OCllID Oil Company, IIIC. INSUftERB 2719 Stillwater Road INSURERC $t. Pdlll, MN .SrJ119 INSURERD - INSURER E CIl\/FGEGFS THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO7HE INSURED NAMEO ABOVE FOR THE POLICY PERIOD INDICATED. NOTMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRAC7 OR O7HER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDI710N5 OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUU'L T9 V pTEYMM D MM D?N P LIMITS LTR INSRO rypE OF INSURANCE POLICV NOMBER DI Y D ) /O DATE A GENERAL LIAeILITY EACH OCCURRENCE $ 1,000,OOO DAMAGETORENTEI OOO lOO X COMMERCIALGENERALIIABILITV FREMISES Eaoccurrence $ ? CLAIMSMADE E OCCUR 8D9 32 32 08 11/01/2007 11/01/2008 MEDEXP AMa^eperson) $ $,000 PERSONAL&AOVINJURY $ 1,000,000 ? I I I GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 EC T LOC POLICV J AUT OMOBILELIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accidenQ ALLONMEDAUTOS BOOILVINJURY $ SCHEDULED AUTOS (Par person) HIREO AUTOS BODILV INJURY $ NON-OWNED AUTOS (Per accitlanp PROPERTVDPMAGE $ (Per eccidenQ GARAGELIA6ILIN AUTOONLV - EAACCIDENT $ ANYAUTO OTHERTHAN E.4ACC $ AUTOONLY pGG 8 EXCESSIUM6RELLA UA9ILIN EACH OCCURRENCE $ OCCUR ? CLAIMSMAOE AGGREGATE $ $ DEOUCPBIE RETENTION $ $ WOftKER3COMPEN5AT10NANU ? I I I TORYLIMITS O ER EMPLOVERS' LIA8ILITV E L EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERlMEM6EREXCLUOED' ELDISEASE - EAEMPLOYEE $ Ifyas,tlescnbeuntler SPECIAL PROVISIONS below EL DISEASE - POLICVLIMIT $ OIHER OESCRIPTION OF OPERATIONSILOCATIONSNEHICLESfEXCLUSIONS AUUED BV ENUORSEMENT/SPECIAL PRONSIONS Eagan named as additional insuxed with respect to the sale of fire wosks. ceucciiennu "v^ - ( ? - SHDULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE THE E%PIRA710N OHiE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DNYS WRITTEN NOTICE TO THE CERTIFICAiE HOLDER NAMED TO THE LEFf, BUT C1Cy of Eagan FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIAe1LITY OF ANY KINO UPON TME 3830 Pilot Knob Road INSUREft,ITSAGENTSORREPftESENTAiIVES. ? /J .?? AIITHORIZEO REPRESENTATVE 7 i' --y_? .o vv Ea an MN 55122- i ,-? ACORD 25 (2001108) BAI.VKUIiVKYVKNIIVIY I966 91,,; INS025 (ome) 05 ELECTRONIC LASER FORMS, INC -(600)327-0545 Page 1 of 2 Mzy.28..20C8, 2:35PM c Profit, Inc P.O,Eox 203 Corner Hwy 14 & 131 North Readstown. WI54652 605-629-5725 Bffl 7o T AoliCay SmNw Sroce 3831 1579 CaffRd Eagm4 MN 53122 Ship To Holidey Stetion Stoss 3831 1579 GLffRd F,agan, MN 55122 P.o, Number Tertns Rep Ship Via F.O.B, Projct I Pbil srsnoos Haliday 3831 Quatty Item Code Desviption PriCe Eaeh UPC Retail Amount TcewNumba 730-08-wGvl ReW1 Value$754.73 6 bagcoruiva! Canoon Camival Bsg 2.04 703834200074 3.99 12.24 3 bcattaak4pk B.C. Anack Vchicle 4pk 1,36 7I5244003070 3.99 4•08 3 ripcordu¢ole Rip Cord Smoke 3pk 1.70 016597253899 4.99 5.10 10 bRnafcc6 S.C. Snakes 6pks 0.68 715244003440 1.99 6.80 16 CNSNAP6PK CN 9nap 6yk 0.68 705834320262 1.99 10.89 36 agsmbal112 SLogun Smoke 8a1b 12pk 1.02 680149007858 2.99 36.72 g prmsrnoke Army gmoke2pk. tbroode 1.36 016591253743 3.99 4.08 6 cnplatmagpop6 CmmnPiswlMegpamPoDpels6pk. Q68 703834320123 $1.99 4.08 16 boerbsll B,C.CieekerBnlls6pk 0.55 717244003402 1.59 8.80 g gpart#]048/618 Shogun#l03psrklees6pk 1.70 680149001290 4.99 13.60 1 Squeepking FF Quoen or King? Pnt. 4.42 033943030032 $12•99 4.42 2 Mumdanoe DrumDancLngFbt 3.40 680149002020 9,99 6•80 2 wdgdxics WLida Gad Zooks (magreloedab(e) 4.76 705108302703 313.99 9,S2 3 bcra.stat B.C. Rats-Tat-Tst Fut. 1.70 715241002559 54.99 5.10 3 bccascgryac B.C. Casele Gcysa Fnt 1.70 713744D02627 54.99 5.10 2 bcmemmnfL B.C. Martunoth Fnt 3.06 715244002306 8.99 6.12 2 bccuckldUa B.C. GYwkoo Killa Bee Combo 4pk 2.04 713244201426 599 4.08 2 boculcsswl BC Cacelesa ia Califomia 241I 1.70 713144020768 499 3.40 6 botoysold S.C. Toy Soldier 1,02 715244020065 2.99 6.12 3 wepbqufnt W.C. Pip Squak Fnt 1.36 805253113039 3.99 4.08 2 tlmdeI Fam3lyDellgbt 1.36 630149004598 3.99 2.72 5 lkte^ren Ltxlry 3e'ven Fnt 3pk 0.58 632009902153 199 3•4D p suvpga SaMpp gpri?p Fat 2.04 680149004581 5.99 4.08 ' 3 hcjawbou B.C.lewWyBwcFat 0.66 715244020515 13" 2.04 6 bckarauke B.C. Kmaoke Fnk 3pk 1.02 715244002784 2.99 6.12 10 CNlmorecko CN L"erEcho IZl41516 0.34 703834320514 .99 3.40 12 claasstsiagle Cdae Smoke'hbe 3iagle 4 assorted 361411 0.62 652009103413 1.79 7•44 6 snow& 9aowF7akeFnt, 0.45 1660149004635 329 2,70 4 arasmoke Caauaa U9A Smoke Fa[ 0,68 905834360336 7.99 2,72 24 bogrdbim B.C. Ci+ound Bloom 6pk. 0.45 77529A008Z54 1.29 10.50 Totai n • .J •rin e.'n nnn Bnvoice date InwiCe Ot s1snoos ams Ne, CiO3 F. 2 W'dSO:OI 'lZ'AEW awil pania?aa „ ,...... ......-. .? ?o,. May. 28. _ 26082.3EPM C Profits, Inc P.O. Box 203 corner x.wy 14 8t 131 xorth Readstown, WI 54652 608-624-5725 519 To Holidu Station Ston 31131 1579 qu$Rd Bagan, MN 55122 PJo, 0'Ch ?. ? W750:61 'lb'AEN 1w11 paeia)ay 111VOtCe pa? H lnr" a s ao?s E59 Ship To Holiday S1Stion Stote 3831 1579 CutlRd Ee?. MN 55722 P.O. Numbar Terma ReD Ship F.O.B, Pmod Phil 5/5/2008 Hnliday 3831 Quarrtity Item Code Deacription Price Each UPC Retail Amount 12 hulahaop Hule Hoopa 011 552009903358 1.49 6.12 6 Wory36 FF Moming Glvry N36 96/6 1.36 693734945244 3.99 8.16 2 momdnys MSUi Mednpe fouat 6111 1.36 652009902368 3.99 2.72 4 sproucoloi PS Sprouting Coloes 74l2pk 1.19 016597255877 3.69 4.76 3 psIIowcrbwc2 PS F]ower Box eaCh 1.02 01659R53884 z.99 3•06 S bcjump6l2A SC 7uotDing Jacka 80/6l24 I.02 713244821242 S2.99 8.16 2 pefluhbrktllance PS Flaah of Shcllance 5.10 693234932065 16.99 10.20 2 psenatic PS EcraCC 40/1 2.04 893234932096 5.99 4.09 1 I bcrain£uv BC Rsaibow Fira Fountain 4.08 715344021035 11,99 4.08 Total $237.88 )/?ll? 1+111 I?I?I'? G II?10nTMLY?1 11 Ml?v \I ?• •I???? r+??? ?? Ce?• L?A h1ay. 28. , 20C8 2:36PM U. 0105 P. 4 • . WUSQ: OI Ii 'Aew ewijpania)q AAA'?ERSAL SAFETY DA4A• SHEBT rS93M t.ec coxsuMae FMZwoBxs ?Pqte E'rapaeed: Mach 31, 1999 IFwMow Cosiponenta: Coatains pytotechnic composi?iou - s sofid mRtws of ocd 8od Ami that wa burn if igaited. These items a++e eiaseffied ae tTND336 1.4(3 Comumer F'aearorlwby the U.S. DeparlasaR of Ttavepottatson. No chensied eompo9itian is pryosed durimg uonmi hapolulg amd ytprage, P,?veieaiK9ie?ir?1 C.'kwra?f?si.wi.+ io wehr: slight ' ee aod Odor. All pyioiedu,ic eompoaitlon ia coatai:?ed ixi s eadoaetd casing. Fire and F.rrleg? _ lfased ahs uebia` Nledia: F1ood with waeec if a ama amouat of 6oteWOrb is iwotved, ESre Flgbting PeveeduRS: Do aot uae su8bcst6oa uetbods - devioes eoataio tbeir awm oxygen. 2f a large ofSreworin ue invplved, allow t6em to bura and ptevent sprCad offire. t Fire and SWpsBoo Hasqrds: F'ueworks wll1 burn rapidl7 m tka avens of 6ce. g ctiv' nola biCer: StsDk adhiasie to Avald: Opm $mLa, ymoldpg, 4COpIPlLib7litj (Mate777d4 to AYYtd}: fixpowre to weta may cauae items tv detaionte. gaseednoe Deeompo03eloa or Hypraducp: 3umke6 muogeR oaides, and s+slfur oxides auy be proeucod in a 5re. l4isafdOOi pab'mil$?tFOO: WU1 nCT OCCi7f. 10aNQ HASardr. Exposurc to finishai iterna dces not poae atry health hszard. " ,y??ioin t1rCa(A B?ed{ins,?d Ciae Siepe to be "Caken io Caae M¦eerial a Iideaaed or Spmeds No amvYing or open 8amea ia vieialty of apiited aiaL Cmre&Ay piok up and ptus spilled itean in cardboard aazsons- 5weap uP au?Y WtDO9ed cAamied opoeitioa with e nariuai-86e:r bruah. w,m m"nl Mswoa: DisDOSe by bunning in eompliancs wah staee wsd 1oca1 rogulatinm,. susiem ta be takea in HanMag and 3toriag; Avoid oyw IIm sa rsrs, wSdn@. and 6igh tempereaxee (e6nve 120 degees F). K4eP SlOP9inB WGaO cooJ and dry. ?aoten6Mesanrsa R?spiratory protettioa: Noae requ'sred ahea huodlipg 5aisped items. tectivo Givrai Nau requ*ed aWSYdeeit Prsetica: N6 amokiag in viciniq of5rewrotlcs. r.irnxr•r.ivcy PSj)NK? i?M) ?36Z4 0 -d Pcic_c?a_ona SJfl9PItT11kT1 1.1 nu? v ennv re Ce.. Mav. 28. ,2008 2:36PM fvo. 0105 P .. W'd56:pt '?Z'AeW auil pIni:?aa ENI=RGENCY RES.POivSE INFOit1V[ATION F,?REwottxs UKW6 (E72LOBNB 1.40) Ps .U' (Forsxerly dass,lJlad as CL&V C EXPT,OSIYES, Caioesan Ffiewurtrs) ? Na.q)emiw compodnm ie soteasea or e,pmed acrms amam! 6.oaue8, mmge. ae44+aoportatioa Ia tLe avae oPe vehlUt Sra ur ifaatease Leet eeaeba die argo uq the 4frowwb tee Ulely to igwi4. Y3uY +ivM bum, 'P+udiV bwa+s8 poti4ke Ta a bmfled xea A mnss aptodvn i9 not espee" SmWos and IIelead?lly-iRiGROi i+6e6 wffl be pcoduaed ia a lik ir14C l4oMVrIm ana spiUed 06 We medt af AG aeCl4escbW d0 DQL ijaltt4 MaS eaa 7afdy be Di*e4 sV wA RPxlaBca. 7'hr esa ?wM be 1PCpe akaxed of v?eevsgaey People whiie th's u heLs doue. r - Sn cue of 5m rtop traSic. iwtife ehe immodiaa are; nd ewy entry: Kecp maeaeawy peoIDk awaY. - Fits m urgo erea eau bo faugh: vrit6 wsoer spny ifaxnqrY, althouBA disyoael aad aias clmn up wi)1 be simPlifud 3 matwial it allowed to Oam. Tly to pfevmt otLnr typet of Lre fsorn seaeking the eargo ataa. SsIC•cwdined 6re?lhiaE dpptrttns (SCBq) end struetiteal ftteFigixlar's y[oteetive qosluog wil! provide soau MAfteQ proketl.om. Faehgbtets ehauld retrat if 8¢e appmaahes argo aeca aud uca u+ucewed hose 6oSdia tD d'aect wata smy oa 5re. Fer addittoeel Mtm'maTkm, ed2 4e ShjMM wing tFu entmgmcy tetepipae nmvba liskd oq thc aldppiag peyen; tP 9iett u rm wwer, esA Clem-7e2'a 76-IIars asiwbcr (809,E55 792d). EM 3ksikfgF (other tLap cargo a*a): F7ood witL weter. Tize thea mv smn agaie. Unheek aud sepamk haooor 4om vnau, if posstble. Rmmve veLiole tLrt iu aat {a,•ehsd ia _°ua Som fna mea iY You cao do +o withouraisk. If mrgo am ie expoaed ro 4a[ vd Oamac, diea warcr aprey an outtide of coutabsa to eaet it dowa. Coalmue apnr.urtit xell aRer fm ia ovc ZUQRU: Do 10 move earge or rebie;e if ceegv hu beea c:posed te heat. • . ' Wid'draw 6vey Orw if md wheo Fue reuites eargo ead lee {aa buia, if s8uatloa 91bws. Lf £ve mast be lought, Gaod with -seer cpeay, V.s fire0g3tiat roun m p:avent sycead o[Cre so sOJacmt swcaae aoa meteriaLs. Peompt{Y iaolete tLs sccaa by mmoving sA pntous fto,a ihe vicinity aF the incidmt 06fatm snase isdaccisuam 5om comya tmt 9amositics liRid an Rle ihiPPin6 PtPm- I UJLL OF CAR? sauc off el! igoinoa aauam. Thae shall be eo !},vu, srpolpug, too]a wyiblc of pfodueing Wadcs, w flamcs m tbe riemity r[tLe cppka mnateal. ? CautiowlY Dick Ny tho aDil]ed Eevkes and pkce 16em at wdbotrd cactons. FELUAM caA cmeageocr mcdi W csrc. Use fiesg aid rtaoamr oceadcig to tbe nstnee of rhe iajiery. ..J I ...- --- -..... - ..._....__..L- __ .. _.- .. .. - '. - -?? '- -- .. INSPECTION RECORD City of Eagan Permit Type: Fireworks 3830 Pilot Knob xd Permit Number: EA083279 Eagan, MN 55122 Date Issued: 05/29/2008 (651) 675-5675 www.ci.eagan.mn.us Site Address: 1579 Cliff Rd Lot: 5 Block: 1 Addition: Thomas Lake Center PID: 10-75925-050-01 IIse: Holiday #31 Sub Type: Indoor Retail Sales Yocum Oil Eagan LLC Work Type: Indoor Display Description: ":g,,::-? - k;, .?='-T=tuspecnon-type=- inspeemr'x?1??? Final S^30'09Qs= ? * Contractor is responsible for erosion control. * House #s required for final inspection. * 4-hour notice for permanent water tum-on for new building: 651-675-5300. 06762/2004 07:51 6516679519 YMART EAGAN PAGE 02 ' -- ?,,,•m, ci.u+?wri uk.v i 96879520 , ' N0.5% 902 2W4 Application for f irsworkr Sales And 5toraqf City OF £aqon 3830 P1ot iCnob Rond, £aqan, MN 58122 TclcphonE t, 651-635ti5695 Pnac *: 651-675-6694 ? g u `q. ? 9RA1!MISl9uh'ements 2" Th is appltcation must pe completep end returned at least 30 days pnor to seles and/or storaga of Brevrorks, . A letter hom the property owner granting pemdse;on to the applicant to sall aneler store fheuwrks on !he properry, shall accompany me applioation, 3. A floor plan designating tne aroa whera the frewoncs wili be soid aadlor storeo ghall accompvy !he applicatlon. 4. A list of the fireworfcs that wi11 De sofd anQJa storod aiung wlih tne neme, wBight, quanfity, qnd m9teNal 6afety data sneets (M3pS) shall be +ncludea, 6. A copy of the ceitiiflcate ot insurance eoverage as per City of Eagan City Ordinanc,@ No., 378, Chapter e, secdon 6.53 F'vewaks is requiretl. 6_ Fee upen appli:,etian ;er rereii senere aenlne exclualvely consurtrer flrewarks4360; all oMer Bt2i1 seller5-$Ipp 0er vendor ennualty payablo !c the City of F.agen, 7. The fire chief or his/her desiQnoe wiq fnspect the proposed locatlqn for selling anQlor stodng flreworks to delermine if ft Is a witabla locanon. 8 p criminal recprd check wlll be done on all applicants. 8. A copy of the Clty of Fagan Ilcanse (permit) shall be displayed ey tha register. DM: (a I q IaL-( nppllcentNama; OGVm C) < <- Cj 9treet Address: IcI ??i tt W Rd StaEa: ? N zip; 7elephone#: (W?l ) `7 50 " (p `f3L( -,,.•----- ._......_._,,..__.._._,..........._..r.....,,.,..???_..._„........_ - ..._.._- i l c? Bus{nsosNamet Talephonsu: (K) orsauy adaress: CG`hf &a.x,?Aaa. n, 1Y11J 551 a a- ' Repil sa ?er aelling excluolvely conaumar flra?rks: 'Yes ` Ha fndoar Sales -OutdoQ,r3al99 (3ee Outdoor 3elea of Firoworks) Faa: Outdoor Sales •$35U.5p qll other refsif sellere •$1Q0,80 n16 2004 ? Ffr6wurks ere regulate0 ny MN Stetutes 624.20-624,25, in addiMn ta fiase state iews, j uae of flraworks shall comply with Ctry oP Eagan Ordinance No. 375, Sectlon 4.63 Flrewarke. I understand and agree to compiy with all the prov4sfans oF thls aDPlleatlon and the re iremanra ai ths iasuing authorlty. . ? p ent Slpnaiure ..w ..?a.,? ???, ' 8-612 CtJRB & C~UTTER , ~ ~ i ~ • - . ~ . ~ ,0 . . . ~ ~ ~~G..i~ . . ~ . ~ . ~ ' e~ ° - u PARKING- 2 2341 Bi - 2~~ 2341 BITUMI OUS WEAR a ~ ~ PARKING-4„ 313~ Al -4; 313~ AGG, BASE CL 5(100°/p CRUSHED) ~ I NOTE~ INP T U OR OUTPUT CURB SHALL BE USED .L BE USED WHERE DICTATED ' I BY S I LOPE INTO OR OUT OF CURBS. ~ ~ 3S. ~ I _ ~ ~ I BtOCK & GRA' ~ BtOCK &~GRAVEI CURB tNLET SEOIMENT FILTER ~ ~ 1,~~'Set the 3takes. 2. Ezcavate a 4"x4~" french ~ i ~ a. Two cani upslope aiong the line of a. Two cancrete hlocks shail he placed on their sides abutti~g the stakes. ~ ~P ~ curb~at ~ b. A Z-incf ~ curb~at either side of the intet opening. : b• A Z-inch by 4 inch stud shall be cut and piaced through the outer \ ~ holes of - - - - - - - - I c. Concret¢ holes of each spacer 61ock ta help keep the front blocks in place. ~ ' • i Concrete bioc~s shail be piaced on their sides across the front ~ y ~ oP the i °r~ Plate 1. ~i.x. oP the iniet an~ abutting the spacer biocks as iltustrated in ,j~ j ~ r~.> Plate 1.08h ~ ~i 3! i ~t ( : 'i'' a: ~ ?-j ~ !r d4~~~ EXISTING CURB 46, ~lI,G ~ d• Wire mes \ , of the c d• Wire mesh shall be placed over the outside verticai face (we6bin9) ~ i , of the concrete blocks to prevent stone from being washed through y~~ ~o~~~ ~ ~,.r j~~"~ / ~ ~ t he hole the holes in the blocks. Chicken wire ar hardware cloth with F~QW II~~I ~ ~jil~ ~ ~ ~ ~ 1/4-inch I / I e: VON&T Nc 1/4-inch openings shail be used. " 4n e: VON&T No.l Caarse`Aggregate shall be piled aoainst the wire to / ~ ~EX. 6" GV. the tap f. If tfie s EX. 6" DIP ' - EX. 6" DtP- - - the top of. the barrier as shown in Plate 1.08h. 3. 5taple 9iYter material to 4. Back£ilt and compact the ' f. If the stone fiiter<becomes clogged with sediment so that it m st~kesand eXtend itin#o 0xtavated sott. SH PI T T ` HOL~~ = , no longe RAISE MAN ~ ; , ~ / a Ek. 6 GV. pulled a no longer'adequateiy perfarms its function, the stone must be ' the trenth. pulled away fran the Clacks, cleaned and replaced. ' H GRADE ~ GRAVEL 'CONSTRUC . TO FlNI ~ ~ TBON ENTRANCE ~ ' .qi.o ' ENVIR~-FENCE _ ~ ~ ` : ~ ! ~ I ' • . ~ Q. ° ~ No. 3 « bar Bo qhnb ~ rt . t ~ ! ~ ` 0~0 REMOVE EXIST. CURB EXIST. CURB _-_.9l,7iE=~„REMOVE EXIST. CURB KI w„ 8 SCIE ti ; - - ~ T~ _ ~ - - ~ w ~ - f . - - - ~1~~ "i"' ~ , c' L 12 bryaiw enon ~ide ~ ~ j ~ ~ ~ ~WirE Screen ~ otcosringlEmoocaed . il f . , y In wnc milar ana ' ~ i ~ ~ ~ - ~ ~ ; ~r ~ • , ~ ~ _ - CQ~dSTRUC3'C~ONGR~'~~;A Rc,~o' , CONS7RUCT Ct~NCRETE APRON' ,e Gra~e~ . i~tf _ _ .rrY..~ . . . , • . . . Grm~el Pi'Iter . _ cuM _ _ _ _ . _ ~ ' / ~ . I _ . , . . ~ , . . (2-3 Fock) ~ , . i . m ~ .'r~/~i, 'I , , 2 I (2-3 ~ Rock 1 .,0 . . . ~ n ~ . t , : : . : . : : . : . . . . ~ / ~ . - _ . . . . . . ^ ~ ~ ' ' ~ Finish Gratle~; - ~ ~ ~ ~ py, ~i~~~ . ~ ~ 2{~ ~ 4ti ~0 ~ . Finish Gratle~;. tv ~ . ; , : ~ ~03 ~ _ .~:,~.4~'.:a»Rc~~:; . , ' C~-102 ioo'-iz' ~~P ; ST ~flH-1~~ _ E~B T. , : . m~ t - - _ ~ cenc~ere ~ . - _ ' ' ' .a~ CancRie ~ ~ Cenc calmr:m~~iocese ' t- , ~ °V 94~~56 9$~.: . . . , . ; i~ ~ - - \ ~ . r4~ . . J ~ . ~ Q . . . ~ . , . , : ~..42'1 QAS .~<::~~~~'t:::, ``:?'~~:'?::i~ii...;?:':::.i;;:::?,-;:?::;:.;:.::~s::3»•;.;;:.;:..~. ~ ~51ack N ; ~Q a! 9 CUT IN WYE S"37.65I~ROUTNEW INVERT , F , o o . • . . . : : : : > ~ r io' i~~ ~ ' ~ . a~ Conc arb mn . - 51ock ' <o~~ina ana nnq~ ' COHSTRUCi10N OF A FYLTER BARRIE3i y ~ ~ , : ; _ , ~ _ ~ ryp . ~ : • : . ~ E 8" PVC SAN 36% N 4 ` . . I FLOWI,lNE ~nz,~xa Canc aa}ummnt ~n z, ~x a , zo~~as " "3e"" SCAL~ IN FEET Canc aaWment--c ~ . :~1 . , . ~ ~ . . ~ ~ " . . . v~ rinqa ~ ~ ~ ~ ~ I . ~z ~ o, REST~RE EXEST. CUR~ ~ P VEMENT ~ ~ ~ Q ~ , , DRAI AGF & TIIITY ASF~AE • ~ : : 3 : ~ ~-yP~ 3 ~ ° r~"~a o~~' v ~ Source: Instaliation of Straw and Fabric Filter Barriers I for,Sediment,Contral, Sherwoad and Wyant ~e \ ~ CA . N ~ . ~ ~ ~ . 943 ~ . ' ~ ~.B,r. fF ~.9~; I . ' crom ~nun o. ~ame . a io~~ee,o~~,~o ~SE: OntiT curb and tter are in 1ece, catch basins at lcw I / ~ I ~ ~ " Z W ~ Q ~ . . . ' ou~,~ae or cmc 9u P poiTSts sh311 i~e ; oa~~~~m~,f n~, E C ringed with Fabric Fiitex 8arriers, constructed as sham' abwe, Catch `~4~5 " ~ ~ ~43,~ ~ ~'~X ~ 5~ ~ ~ ~ ~ N Q ~ ~ Y ~i~ ~ ~ ~ 3.Z 943,4 3 ~ ~ k{ p~ ~ / ~4 ~ p ( " basins which are not at 1aa points:shal2 be plated untii curb and gutter ~J I A, are in place. After curb and guttex are in piace, use Biock and Gravel ~ ~ d ~ ~ R: +#~~~i~~~ ; ~ aa~ ~ C~ U ' s gl V ~t W \ µgp Q I -;',~-i ~a~ o~ ~~o~,~~m, T~P OF U~` HYDe ~UADRA T c~~a iniet s~,~ Fiieers, con~tru~t~a ~ st;~ t~ ~ a~razi o~ enis' p mmi ea maa ro CL{FF ROAQ A D~H~ qS Plan. --ti=~-- ~~,e~ ~a,~~~9. CENTER DRlV - ~ ~ C~ ~~~i~~',,~~~ ~~I~E~~ N ~ a ~ z. ~ $ ~ ~ ~ a~ I . . . ' oD . N ° ' e~ „v ~"YI'~ ' ~ ~ ~ . ° o~ I . . ~ N ~ , N M ~ Z , I E El~EV.-945':~0 ~ U t0 h j ' ~ ~ ~ ~ ' j ~ 5 ~ . .I ~ ' . . 944 . Q \ I - ~ ~ ~ Simcmro NO SCOiQ ~ ~ I ~ L3 G . : o y~ : ~ ~ N ~ W 3~' i~a 35' 5` 2.d ~ LQ' SECTION V . ~ ' ~ - ~ * \ BLOi ~ ~ f ~ : i . BLOCK AND GP,AVE1 CURB IN1ET SEDIMENT FILTER W \ N, W t~ a i'3 ~y a ~ i 4~3,7 qq3.~ , 944,4 ~ 94Y,4 ~ / w Q Q i Plate L08h Maiotenance X:"- , q 3 ~ N tW 1. The strEicture 1. The striicture shall he inspected after each rain and repairs made ~ W F'a ~ 0 ~ ~ ~ as neeAtd. ~ ~ 'h 3a`'b Ra~.s w.~,s ~ > . _ ~ / ~ ~ ~ . as nee4~d. ~ ~ ' OC 0,U a Y ql~ 4,,,_._,., qq3,R 4 3.9 / ~ i Z. Sedrmenl: shall 0 q~~ f - ; ( ' sions when thE Z. Sedimenl shali be removed and the trap restored to its original dimen- : sions when the sediment has attumulated to 1/2 the design depth of h- wn1 ' LL7 `A~ ' ~ I ~ ~ ' the tr~l~. Ren N ~ ~ V 70~ ~ `a< g( 4 ~ and in such a the trnp. Removed sediment shail be deposited in a suitable area and in such a manner that it Nill not erode. ~ ( (J ' = ' c I op ~ t 1/2tCOPPER ° V'IATER SERVICE ~ K~~ 'y ~ ' ~E e"~ ~ ~ < EX. 8" PVC SAN. < r ~ . ~ , oa : ~ ~~i ~ ( MI . dEPTN) ~ N a q ~ ~ . ~ C~ ~ ~ ` ! ` p~ <qn ~Q'~ ( ~ ~ "m ~ Date ~ c~'~" ` ~°1 a /~1 ~ ~ ' i~ `v ~ ` S/8 o I~ q , ~a ~ Q~, z ~0 ~ ; ~ ~n w~AGAN ENGIAIEERIN'G DE~~' : u~ ~ o ~ ~ T ~ I~ ~ ~ ~ , ~ i ~ ~ , ~i w I~ I~~ ,a 9~4,2 ~ 44.A~; CONYENIENCE STORE ~ Q p ~1 ~ ~ y i I ~ ~ w ~ ~ ~ i ~J i I ~ ~ Laf BGa~IC ! T~Ow~~s ~~1~~c~~u~ ~ ~ l~ w ~ . ~D~ ~ i a ,t~ ~ p i ao ~ , ~ ~~6 U~ Il~~~ E'D ~~ooR F~~U~ I ~ ~ , Qj ~ SH I ~ o~o ~ e o ~ 0 945, 4~ ' ~ I ( . /a I V h G t, I~'. ~ ~ ' , ` ~ V , ~ a ~ ~ ST ~IIH 90 ~ No~~ ~>e.o . ~ a om ,roaeaoe~~ r~ooaso o.x.<asc.e; .oa erB ses.su a oay r~r ~n. ~ wv , ~ _ _ _ . - _ . - ~ ~ ~ ~ . _ _ _ ~ _ bI , ~ _ _ _ _ ~ _ _ ~ , _ ' . ~ ~ ~ ~ I. E, :e~:ce ~or~ s~_,.,. saai: ~be lace3 as y ~ f., ~i '/o% ' . . P $,~~o. ~ .~...i ~ . ..~..~~.1 ~ ~ ..~..~a.'. .y.~.~.~ : . ~ ~ . . v..... _ „L ~ s . Z . C+, ~.E---_-. f . . . . ~~.r . . i ~ Si:Utv'R OII ~ - C ^ . . / ~ . ~ . L i_ D1~1 dIl d~ Ot:10I I~C3t:ons ~as ~ Q ~ a ~ 94~,9' 443. 4 . y,~. 6 , . . . . . :.o ~:{LI c~9 ~ ~ ' , .~.e.e~~...~~..~....~~.• ....e...~.e.e. . ~ I U ,`b i , ~ a.:zc:za 6y tae e,,~ ee_ anc snall be maintained . i ~ p~ ° ~Z - ~ ~o . ~ i ~ au .~e t+~e e^t:.e corst~ct~on oer= 1 ~ ~ _od. v, ~ W ' ~ y ' ' ~o. ~ . ~i ~ ` - 7' ~ N ~ `Q _ _ . 0 o e e e~.~ ..~.o.e.~.~.....~.....- .o...oo~.~e.a.~.,.,.... .~.e.<.~.<.<.a.... . - e~ . .~o .e.e. ~ `v~ W 943.7 j43,? 444 r 4444 ~ Tc.cse~_ s~a__ be spr__~ o i:c.^.es tt~ci or, f_ar.t ~ < r o: 1ots. >,P.<.<oo., N > ' , asd rzs. ~ 's ~ ' ,,,.<.aoo.,..,.,,.. <.,w,,..a;T>~~' e>~~el'e~~>..o,o,,.a,e . e.ea,a:~~~:: :~~~~,e o..o a a , „ e, .7~P... ~4~.:X,~: T.4'P..... 4~.:~~.;. ~ . . ~ M H ' ' tl ~ X ~ /z 0 I y,o I . . . . . . I W ~ I 4k 3. The con[ractor ' it s~.atl sea^_ a slones ter ~ ~ ~ ~ , ~ ~0 Q TyP 94~k ~ . . . ~ th z 4 ~0 1 wi:.: !L~, ?ct Mic 5 seea at a ratz ~ M, (d " 5 , ..~N ~H:;:~~A~~ ..r.. ~ i ~ ~ ~ y, ~ p~ oi ~0 pe:: per ac_ ;,d sc,sL muic uiGh t•, e ~ 4, H.Oi. _ ` ,'p _ .........,.a...,....... T..,..--..~.-. . , . ~ . , . . . . ~ ; I Q ~ i 5 au~c: at a rac=_ ot 1.°00 pouads per acre. i<.....~.~...~...~ I W ~ ~ _ ~ ` ti3. ...............e.e.,.,., ...,,..,,.....e,,. ~ . e , ...o.. , . . . , , . . ~ ts ri4~•7 9 4. T'ne con[_ac~or saai? sze~ ~d ~u1c7 t'- - Q ~ ~ «e .~oove P' .6 o . . . . ..a. . o., . . ...o.,.. . . . . :4:~~0 . . . . . , ,o.,o„o,.,aooaa.,, aoo....ao.o,. ,...a..d..aooa..aaa o...,..,..,.oa.,aoe ,,,.vo,. .e, . . o.oe ,oe.,,o a...... ..,.o, o .....eo . ' G ~ siooes uccn c wo;eticr, o[ t:;e c~sc.-sctian oi '~•"<>o>.< ¢ ~e ~ b . ~ . . ' . . . ~ ° ~ ~p s~~a siaoe~ ~ . _ ana snai_ ~a~RCa_:~ sa.d seedin ane ~ ~ . .q. ~ '1 ra. . . o . o . ~ u F= Z ~ I t 3 ' muic7iag U:C_., Sdt:5L2CC~Ij Clli~ establis~e.^.G. 21 STORM SE~IER v~ ~ ~ ' . ~::X~...~~~' . , . ~.Q.~}Q..~o,. ...:.E00~.._:{.~,.,.~.P:.~,.,°~:~fl'~"o....... . ~ ..~d. .Q. ,i . .,~~:...i°2....~,~.~,..~.,.Q;;~~,..,~,..:i ; »--vT :a . . . ~ _ f . . ~.„o....... tD~ 5. E~vi:o .e::ce or st_ac oales sa~l! be re~oved N S. Q 40 ~ ,a a...........,....,.........,,;,..,.,...,.a,.............~. a 8 .a.. Q ~ upcn t:., di-_---cn o: t4e e..; ae~_. . _ . . . . . . : ; . , o a o < . : a "G;:........,......... r , ..o a~ ,~p ..tf7tt~ ,1 ~ 9~~ ' ~ . . ~i~~ e~ /vp~g 6. Tt:e toosoi_ saa_l 5e octa~ae_ ::~a G`~e sit2. . a . g~ i , . . . . . ..I~: ~ ~v7~~~".,.e.. ....,....o.. > . a ~ . , . .a > . .a o, . 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P...,...,.,., . . ~ . , • y , . , ....e . . . :;2+~~' ~-~o. . . ..~~~-~4..::: ~ ~ ..z 30.0o Ihoa,<,<>,,.,.a ~ ~ DRAINAGE AND UTILITY EASE~§E(~T ~ ioo ,a,ao,,.e.e..ee.,, ,e....o,,.e.,,e..e. .oaeo,,,a.,,ooaaso ..e........,..o.o ,o ,.,a., > m_ r•• ~:.°,1 . . ..e.e.~~ ~.~.~.~...o.~.......... ~.~....A.I.~+P ...m ~n a- . ~ ~ W ~ ~ 3 ~ ~ .1~ ~ ..................e..... . ......o W ~ ~ N ~ ,.o e.~~ :o ~ . . : . ; . . ...e.. . . a.. . . e:~4~:. ::~0~~=~4~~0 •~~oQ =~~~:~o..... ~ ,ooo.oeooo...<a $ ,rsoo.oe,oo...<oo..a..,.e Qas4..,.oaaa.oea,e....o,o,>oa..oo.o, o~oa.a , .o„ao,,..a..:..,,o,,., .a,o.,.: .o.,.e.. .,..a,; .o...o,.o ,;...ao ....oe.;, ~ o..a:. ,e..o...< ~ ,.,.,a.,..,~<a„e..,a,,..e.,o.,o.,o;oo...,a,o,.aae,> ...,...T.S~P,.;:~o ~ 7'S~a,,...a ~ 9 q ~a o - 44 y, _ ~ ~:F..IN9'~' • i4~~ ~ o,.......,... . _ t~~bt .S Fj ~ o . N _ r~J ',r r7 T,E'f~/G. (~Y CovNYy'; L . a ~ N _ : ~.21.. ,e.~.. ~~g~ `P.P. , ,r AVERHEAD POWER UNE , pP D A ~ r P-- ^P . g...,.... ~1 o . ::3~° . . . 2~:~ o....., ....,o..o . . . ...,.o.,.......,.o.., ....,...o . . ? ---OP - G ~ G _ . ~ o,aa,oo....,:< _ 4 GASPAAIPd - C c ~ ~ . ~~0 ~ .,~a ,aa ,,.e. . ..o ,a,...,. .a..... .o ...ee ....,...e . .a ~ . ~ , ~E .i. , FK~f'O~FD Bb-r8 Cavco;~Nry~.~_ ~ • G - G ~ r , n G-------__--- ~ r r - - ~ ' • 5.,/ a . .,I,Ip:.....~~...~.EP...~;..0:"~6~°fo 6 6ASMAIN ~ G i , , , . ~ . ~:i~: . , , . _ . . . , : • TEL. BOX ~ . . . . ~.~e~~ .~e.• . . r•.n.• ..a~• .~n.. .....~,..ea...,,.. ~ ~ ~ • . 4 • _ , _ . _ _ ~ _ _ - - - _ _ _ ;;<o.,...<>.>., ~ - - - I.; ..,,..,..oo..,...,.,..., . • •~e ~ . • ~.~Q .o o p ~ r~~e. ~ ~ • • e e eoeooeeeoeeroeeeseaaeooeeaaaeeoeeaoeoeo~eoeeeeeeeaeeeoeo~aeeoooaooaeeeeeaaa0eaaee ?aeeeees ssaeee~ ,p<o.,...<>.>.;..,<>....~e,...,«.....<e..e.o..ea..<,oa~lo ,~~...a.e... ,,..,>o. ~~s~.~~ <a..>. ~ i~ , , ..u . t~ S ~ ~ . , ..r~'~+ ; T~~~....'~ ~e T ` _ T T - T T , . _ _ . . . . t. . •:i c r ..Z ~ . . ..g.. .,g,. . , . , _ , . . . ~O~'~...~.!_~,...,... . ; _ _ , _ _ ' - . _ - , - - EDGE OF PAVEMENT = ~ ~ . . . . . . ~ . . . . ~ ~+~@ . . .,.~,~:e~ . ~5~..,... . . > . ~ p~ q o,o.....,.>o, . . . . ~s~e~e9 is s i~~~ h< . . ~ . , ....,...t ~ ;~eoo,.ee..ae>o.,.. .e~.e.o.> ..<ee..ee.. . .oe.<.oo•.o e..a.e,.,.. .eaa.e..o. e. o.o..veae. ,e...,..e eee.eo<, ...oeoo. :w>4 + e,... ' ° ' <,,...e.o e....., ~ . . . _ , . . , . _ . . ..e . LiFF 1 W . ~ ~ 1N~TER SERV6CE PEPE ~HA~L ~E 1 1!2" SEA LESS'C~PPER ~`YPE K~7,5' ~I~, ~~p~~~ , SA~ITARY SE ER PlPE SEiA1.L ~E" 5DR-26. ' ~ ST~R SE E PIPE SHAL! ~E CLASS PR~SSURE REDUCiN~a ~Al.VE IS REQU6REt~ F~R ~LDG SER~iCE. ` . . . ~:~:n ; _ , , ~ : . . ,:x.....,.~....~;,.::...:~... . : , . ~•.v.., . . av~~m~ ; . , . . 5 . . . . . r~..,., s. . . . ~ . . ~ _ , < I I I t ~ DESIfiNEd 1 CHEC~~KED~~%~ s9~ETl R~'~ HEREBY CERYIPY THAT THI$ PI.AN W 3 - FJFitPP16iLU 6'4,7$i. b e _ . _ ~ CONSU`TI G EGINEEAS, ` PREPAREO BY ME OR UNDER MY D9RECT 4G, ORAWN DA,TE ROBfm ' Pl`ANNEAS and lA 5UAVEY At : sUPERVISBON aNO TWAT I AM A oulY , F IL R E61ST E R EO q. rr.~C-&is Ad COMPANY, ENGINGERING UMDER TME AVS F TME,.SjATE , - - I t.4 4 0F MIN T . ' COMPRNY . CONVENIEN( WASH ~ SCALE MIENCE STORE CAR za' 2710 SrILLWATER ROAa. I 'R ys d~ ~r s~d~ s~,e~ < a' J0S N0. 0F. ST. PAUO., MINNESOTA 55119 ~ • , s. N0. DAl'E 6Y REMARKS ATE ~8 R G. N0. ~/oo LOT 5' LC ~ E~ N , ~T 5, BLOCK 1, THOMAS L ' INNEsOTa 1617.01 1000 EAST 14 61h STREEt, BURNSVII.LE a MlNNESOTA 55337 PH 432 -3000 REVISIONS ' GAN ~ ' ~~v - ~ . . ~ ~ ~-~1~ CUR~ ~r GUT~'~R ! ~J L M/°~' I ~ ~ ~ ~ , • ! - . f~ ~.X I~ , , a ..~.~__.y. , , .s ; , ~ ~ , • , ~ / ~ i ~~~P ~-~C ; ~.p.__ ' ~A. 'a, , s . . . ~ ~ , , o ~~~~ar~~- ~ ~ E7 ~ ~iI ~~`T~ ~7! ! 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T~P (~F ~U7" ~N HYD. ~E. ~U~df~AMT ~ ~ ~z~~: r~~:r.«~ ~ ~ ~ ~azts ini~t s~d3m~rst ~iit~rs, s~st~set~3 as :~r iis t~ ~t~:~ i~ ~ , , r E~. .,a lNV. 93fi:t5 8 ) ~ ; ' s, > : . . . ~ , , u~ 0. , I _ ~ , _ , . w r~ ~Ntr.-s3a.o5 w , ; g ~ y Q ~ 1 ' ~ ~ ° ~ z PAV~~Et~T ; , ~ . . . 9 P ~ E T~?R EXBST6NG C~JR~ ~ o. - y , I - ~ ~ ~ ~ ~ R ~ ` ~ ~~v~ ~ ~ ~~A~ ~ ~ plt~s. =~~e~.~~ ~ ` ; n~ N ~ Cu~ ~ ~ / ~ ~ ~~c ~ ~ ~ ~ ~ ~ ~ . ~ ~ ~~D ~ ~ e~rF v~~~~E , ~ ~ , ti / 1 _ , , ~ , ~ ~ ~ ' I ~ ~ ~ q , • i N ~ / ~ ~ U~ LV.E . ` ~ ' 35' 5 ~C 2d / ' ~ > ~ „ ~ - _...T-----~ ~ U.1 ; ke ~n ~ - - _ , , • # C ~ ~ _ + / ~ t~~ ~ ~ ~ ~o t 1 ~ ~ i w ~~A ` 1, ~n+.~i:c~~-~~a~~ o:; s~~~w ~a1es sz~a?~ ~1ac~i un'`_- as shc~wn ~~tazs~ n~~tt a~d a~ n±~h~r l~~a~~.~?us ~°e°; ' ~ I I ~ . ~ ~ ~ I ,x / w j~' 4 T ~ s ~~8 ,~x.s ~~,t:~~~~~ ~ ~ ~ ~ ~f~~ ~ G~hQ y Sw ~,:y 4 ~s dz:.eW :~o ~ ap the ~~~i~esx a.ar~d `s~ie3.~, c~~~r~ia- g~~ t~in~d d~.::~; ~Er~ e~~i.~e canst:~a~~iott ~e:is~d, ; ~0_ ~ , ~ - ~ ~ / Q- .~t, ° ~ i ~ ,r ` ' v ~s + , ! 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G~6 I ~v ~ / G _ . ,r C ~ ~ ~ ,R ~ _BY f,~~N7~ ~5 ~ - i ~ae J Q . / ~ f ,~L~CK'~,~YCmi1~EG,l~.~-~Ei~TMENT~dtt'~_ ~ ~ ~ ~ ~ SwMrte' 19 1?~ #~~i ; . ~ ~ TEL.~t3X , / ~ ~ , ` i~4~'td~~~~ / , / Ft~ ~t~r~tur~e ~ti 3~ i~~f~d e~t~ s~~h r~,i~r ~ t+~"s E ~ ~ / ' ~ T ~ T - _ --,L-- T ~ ~ ~ ~ as ts~ed~. ' ~ ~ . 7 _ _ _ T , - - - - - _ - / _ _ _ - - _ - _ 2. Sedi~aenf sha13 t~e r~mv~l a~d ike trap r~strirre~i b 9LS a~igts+at ~fons xfi~rs the sedi~aent:has ~~~si tar 1)~ de5`igin, tr~ ~a~€ aF Pav~~~r / - ~ ~ ~ t~e ~r~p. ~ uetl sedt~e~t~s~a13 ~ ~iis~~es~ Sn~aS~~~e m~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ antl ~n snch ~ marmer tfiat if ~~1~ n~it ~ie. : ~ / , \ , ` . ~.~e~~ ~ ~ ~ C~~f R4AQ , h ~ ~ ~ - , - X--__________~ - ~ ,3~~~ ~ ~ , r q~r - ~~,3 ~ M~ ~ ~44-`~ ~oi~~ 91~ jp~~~ / i~iD . r' • ~ . / . . . . t . .s . ~ . . ~ JI "F ~ ,4 . k "v$., Q . . ~ ~ ~ f3~lQ~ ~ r #t >}k~,va:~t., ; ~a i ,x J ~ ~ . _ . ~ ~ - ~ ~ F~~r~, , . ' t , ~ c~~~~.~. ~r`~~~ 3,~. ~ ~ ~ ~ ~ ~ V ~ ` ~1 ~ , . z ~ l e 5 o~s 9~ t P~P~ r~~l1"~~. ~ ~ ~ ~ ~ , ~,~r~ ~ ~~`~`=.i.,f ` ~~r, ` ~1~=..w~ _ C1;4~r - , ~ , F,. , ~ . ~1~ ~~1"~ ~9i~~i. ~ 4,~i.~~~ , ~ ~ ,d~,K~ , ~ ~ ~ . M ; ~ ~ ~ , ~ ~ ,d~~~. 4 ~ ~E ~...z . _ r ~ ~ ~ ~ ~ k ~ . ~ ~ ~Lr t.a ~ , ~i ~ t ~ k; . .w. ~ _ ~i'~' ~E ~ _ ~~~i ~ ~~f~ ~ F~~~iJ~13~~ v~~ _ ~ ~ y , ~ ~ ~ g , , . . . . i , . . , , . : . . . . . , . r:. ~ . . . . . . . ~ . . . . . , ~ . . . ~ _ . _ . :4. I I ' " ~ . . . . . . . D i"m , : , 3f<: A, , , OESIGNE CMEC~EC ~ .~r~~. SN~~T1 ~EY. CONSUOeTING ENOINf"ERS, PfBEPAREO BY ME OR UNDER MY DIRECT 4G, ti ORAWW OAtE S> < < ' SUPERVISION AND TNAT I AM A DULY ROSE PANNCR5 and `AND SUAVEVQAS : REGOSTEREO FO TT YOCUM OIL ; . COMPANY ~ scAcE NGINEGRINW" uroDER 7kE AwS F TaE,~SgsrE CONVENIEN( OF MIN T 41ENCE STORE & CAR WASH 1. 1 ` 20 f~ 2~' 19 S~"~L~R ROAd f" ~F aa~ r~a. j~ q~ o~' COMPRNY. I N ~ w, . 0 ` N0. DATE 9Y REMARI(S , 16~7y01 ~ 1"~~~s i ATE ~Ra. H0. : ~ REVISIONS . , ~ 1~~a T 59 BLOCK 1, "fiH AS LAKE CENT ~~~~~~OTA : EAST 04 69h STAEE7, SURNSViLLE , MINNES07A 55337 PN 432 ° 3000 : Use BLUE or BLACK Ink �-----------------� �� For Office Use I �� U t q I Permit#: l��^ �� i �� 11�� J U L J i L�1� I Permit Fee: Cp�. � I 3830 Pilot Knob Road I n_ �/_ Eagan MN 55122 gY; � � Date Received: � � � Phone: (651)675-5675 Q ,� Fax: (651)675-5694 � Staff: �-�-1/ j -----------------� 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: ��'��/1F Site Address: ls'�I �/��{ /�Cr � Tenant: �OCo C�t-� S�G��7l�r`a # Y�"� Suite#: � —� �4��,�� ,��.�,��,,,��,��,��,� ��,,��,,,��.� �.�,��,� � Q�y��- �� Name ��ft�C�� Sf��b� Phone � «��,�,, .��, .��:Q� P.a,,,��.�,�� ,a„��,��.�„�� ,�ro�,� ,..��,�� tia��.,,�P��,m�- �.��.,.�,�� ;� Name: i'Yl� %-�S�n°��l`'If�YV d'�f'Chltnic�(' (��hSu�4�icense#: �YhCo`1(��/8' � � C'Q��r � Address: �IZ2Z C��r er��/S 2C� City: �i'YaG«�if State: m�Zip: SSa3� � � Phone: (�f Z• ZZ�-S��$" Email. iYl-e-tS-U�Sfi`r�,.L.�G a� e�1�idr�/. ltW� � ��, �� . � � ' � New Replacement �Repair _Rebuild _Modify Space Work in R.O.W. T��b��!� — — — � Description of work: �1��f�V"�`�G4/ �� COMMERCIAL �� _New Construction _Modify Space H�� _Irrigation System(_yes/_no)(�kRPZ/_PVB) • Rain sensors required on irrigation systems ��1�1l��j��6 ' • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) � Meters Call(651)675-5646 to verity that tests passed prior to aickina up metec � � Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers Yes No ,�-.�`:,��.�,.a�,;;�.��.��,.,�,�,�, — — — � COMMERCIAL FEES Contract Value$ ��-d� x.01 � $55.00 Permit Fee Minimum � _$ `-�;5.pa Permit Fee � "`If contract value is LESS than$10,010,Surcharge=$5.00 =$ �.U(� Surcharge* � "'`If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 � � � '"*If the pro ject valuation is over$1 million, please call for Surchar ge -$ ��' TOTAL FEE a �,��,�,� ��,.�,�. ��.�� Following fees apply when installing a new lawn irrigation system �� $ �� IVater Permit ' � Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant � $ Water Supply&Storage $ State Surcharge _$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)45�1-0002 for protection against underground utility damage. A 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 wilt be in accordance with the approved plan in the case of work which requires a review and approval of plans. �^ . � x �`?Gl�� t'�+�I x � �'1 Applicant's Printed Name ApplicanYs Signature f?�C�Ftt��U�E ; . . �ved B5/ L1ate-��.—...:� � � � �, ""R�t}�r�#ri��f��t��. ____(}nc�r fatc�und �;�t�=�rt TAer�est ��a�� T„�i� P��i' _.; ,� _,�es-_� M�#�r��tec��: M�t��ze` ` ��:ac9 �l�s�im�r St�: , Page 1 of 3 ly, _ -�� ____Use BWE or BLACK Ink I ——' .� � For Office Use I �4Vl !1� �11 t'�` j Permit#: �� l I Y � t ' ��- ' 3830 Pilot Knob Road µp ,(�\�"�5 �i� � Permit Fee: � Ea anMN55122 �( V I ��'��'� � 9 ` � � Date Received: � Phone:(651)675-5675 �� i Fax:(651)675-5694 � Staff: ____��___��___J 2014 COMMERCIAL PLUMBING PERMIT APPLICATION �, Please submit two(2)sets of plans with all commercial applications. Date: 1� ,�� Site Address: ��1 �'1 1...�� 't`�� Tenant: `�"� ` � "�� Suite#: ,Property r .-� �v�- OWtt@e . Name: � ,,V"�C._. .. G� Phone:�7[� �� cl �?��—� ' Name: Commercial Plumbing and Heating, In�. �icense#: PM059469 Contractor ;' Address: 24428 Greenway Ave. c�ty: Forest Lake state:_pdp�zip: 55025 Phone: 651-464-2988 Email: awiCks@Cpalldh.COm Type Of Work '' —New _V'LReplacement _Repair _Rebuild f�Modify Space _Work in R.O.W. Description of work: ,� tK,,,,f" ', �r u ��n�vr � ,� � r.h�t COMMERCIAL _New Construction �Modify Space Ircigation System(_yes/_no)(_RPZ/_PVB) • Rain sensors required on irrigation systems Permit Type . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed arior to oickinq ua meter. ' Domestic:Size&Type Fire: 1 Avg.GPM High demand devices?_Yes No Flushometers_Yes_No COMMERCIAL FEES Contract Value$ �(�� n;�� x.01 $55.00 Permit Fee Minimum _$ Permit Fee 'If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge* ""If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 *`*If the project valuation is over$1 million,please call for Surcharge -$ TOTAL FEE _ _ _ __ Following fees apply when installing a new lawn irrigation system Contact the Citys Engineering Department,(651)675-5646,for required fee amounts. CALL ANNA WICKS WITH PERMIT FEE ' 651-464-2988 awicks@cpandh.com . CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x �C'�i.��. 'C`"_�-�`r�� x �(�'-. �- Applicant's Printed Name Applicant's Signatur FOR OFFICE USE Approved By: Date �� ..: . �, _��'� < : � Required Inspections: �der Ground ough-ln _Air Test _Gas Test ,�Final PRV Required =:Yes ;�ia �� Meter Related Items: Meter Size ' Radio Read' Staff: Page 1 of 3 • � . Use BLUE or BLACK Ink P ,--------------- --� � For Office Use � � �� I Clt of �� a� $''� � y, *•_. � Permit#: I I � � I j Permit Fee: � = I 3830 Pilot Knob Road � ., ��t;; � ,� �(�'�t} � i Eagan MN 55122 i � ,' � Date Received: � Phone: (651)675-5675 Fax: (651)675-5694 ` j i � � Staff: � `_�______________J 2014 COMMERCIAL BUILDING PERMIT APPLICATION j�� 3 9-30-2014 1579 Cliff Road, Eagan, MN 55122 I��`r`� � Date: Site Address: �� Tenant Name: HOIICIa)/ StatlOilStOC'e (Tenant is: New/ X Existing) Suite#: Former Tenant: .�"�� Name: JBke Bauer Pnone: 952-830-8839 �_ ��operty Owner�� 4567 American Boulevard West, Bloomington, MN 55437 Address/City/Zip: Applicant is: X Owner Contractor �� `�� Interior Remodel, Checkout, Drink bar, Restroom. �`T ��Of WOI'�C �� Description of work: Yp . � � Construction Cost: ��'�1��.�� , � - �� Name: °��'�� i.��° ` l b�� License#: � � ��Contractor� � �� Address: ��G�l ,�� vd l��S� city: ��aa''''�' '``,��D� �� : State: �N Zip: ��3 / Phone: ��oZ' g3� � g�3 I ...�� eti,��bN.u.i,°,i° !,/ , Contact: �0.1J�.� Email: ��o�� R l0 �t�c5.�yh `: Name: N�A Registration#: N�A Architect/Engineer' Add�ess: N�A c�ty: N/A '.:� state: N/A zip: N/A Pnone: N/A Contact Person: N/A Email: N�A Licensed plumber installing new sewer/water service: N�A Phone#: N�A 'NOTE:�Plans and suppo�#�n��locum�nt�that you submi�are co�s�d�re��a�r�p�rb/��r��r�ia�i r�'�'''F��Srtr�rt��r f , .. ;r' t � ' / l ` F .%/:r .'``" ``;.^ f` f ' '� �f ff��`f�� i�x ir�/ :; ,F ;' �� thg rnfcrmat�or�m��b��las��isa)a��on pu�,l��it',�c��i proviale� ��#r��`a�oi��i��w�u�p �t tl��Ci#�#c� � � ;�,. . �. �� s � � � r ,�,r;s i /l'r!, l��``�;±i��,i�!��/f�+�''�,� /�,/ ,�.,si�s,+,� i� , ,, ., q�clude`#�ia�``�`tie are,tr� �`�s�k��`��` ,,� , � � �, , „ �, f � , �, r,,r„ E,.� �,� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goqherstateonecall.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 uires a review and approval of plans. X Jake Bauer � X Applicant's Printed Name ppli nt's Signature Page 1 of 3 . _ � � �� C,�� DO NOT WRITE BELOW THIS LINE � �� `�� SUB TYPES Foundation Public Facility Exterior Alteration-Apartments �Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial _ Apartments _ Greenhouse/Tent Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* ddition 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 �v Valuation �� Occupancy _'�► ` MCES System � '`�' � Plan Review �;c.�� Code Edition � �C SAC Units .-- � - �"�by (25%_100%�' Zoning 4��'j) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation Other: i Drain Tile Pool:_Footings _Air/Gas Tests _Final '' � Roof: Decking _Insulation _Ice&Water Final Siding:_Stucco Lath Stone Lath Brick Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes ,/ No Reviewed By: 1 Y 4�'� L� , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee �� /(�(� ,�� Water Quality Surcharge 1`�02.50 Water Sampling Fee Plan Review �{0{, 3 Water Supply 8�Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S�W Permit 8 Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: � Water Quality TOTAL 3�J7. Page 2 of 3 rKVM IUIHL KthHIGtHAIION SYSiEMS, INC (THU) NOV 20 2D14 � 4 :50/SI. 14 :46/No. 6�11b1b�6U N 1 Use BLUE or BLACK Ink �----- , For Oifice Use ^ -, I �\ ��I—� 1 � ��( � I Cit� of Ea�a� ' ��)_�=_'� .Q�' , Pemu�*: � �OrV �-{/ � i Uf I 3830 Pilot Knob Road � � PQ��F�' 9�if � Ea an MN 55122 !`� c � 11 � � Phone:(651)675-5675 ��` �'� � Date Received: ` `�Z'( I I Fax:(6b1�6T5�694 � � C1 I � Staff--------------I 2014 MECHANICAL PERMIT APPLICATION �Q��'�$� ❑ Please submit two(2)sets of plans with ali commercial applications. �`�� Date: 11��"1�'� Site Address: ! ��C1 ��I-� C-�' `� .►`� Tenant: � Suite�1: �� h - '-� ' ; Name: ` Phone: ; Residsr�t#�� -, --�;;�;-T4`T,'��`T'''�"� Address/City/Zip: - --_ -��.-=�u - -- � � � � _ '~�� ° ° Name: � l License#: -�� . �� Address: `7-� I.JJ City: �. ...1"r'�CiG.�� - '' �` '.Y�_;�, State:. Y�n Zip: S� )� Phone: ��s�1� 3� �� - =; Contact: Email: T� _New ,�Replacement _Additional _Alteration Demoli6on . �1_ L�...- � fi �►� Oesc�iption of work: r � � ; , �� . ._._._.._ � � � ��_� .�_ ��- _��1� ��'��-�� - �� - �`��!��"�'�..._:.. ��arb Lr�mi��r��4_�ie�'�= �+�` _.� x _. _._.,...____,. .._ .._.._.._ ..,:_...�...._. . __._., _ - ,:;:��:�._ -- - _--�- ,, �:,,,:_ RES/DENT/AL COMMERCIAL _ —�,� �:- � ...�-�?'s—�—��-__�..�: Fumace New Construction Interior Improvemenl �. -�F .,a'°-m — — -- .r -�'-s f:..�"-�— . -: '�, _ ��--� �� _Air Conditioner �Install Piping _Processed ,I ` `"�°"=`��.-.;.-�:;; AirExchanger Gas ExteriorHVAC Unit � .��,_�'°J' 1�,., � � - � ,`_�' s�:' _Heat Pump UnderlAbove ground Tank �Install/_Remove) :: ; .:' � '; , Other RESIDENTIAt FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL fEE COMMERCIAL FEES Contract Value$ 3 d� � x.01 555.00 Permit Fee Minimum s70.00 Undergrou�d tank installationlremoval =$ 5.�� Permit Fee •If contract value is LESS than$10,010,Surcharge=$5.00 =$ S,�l� Surcharge' `"If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 ••'If the projed valuation is over$1 million,please catl for Surcharge _$ �,� TOTAL FEE I hereby acknowledge Ihat fhis information is complete and accurate; that the woAc will be in confonnance with lhe ordinances and eodes of Ihe Cify of Eagan;that I understand this is not a pertnit,but only an application for a permit,and work is not lo staA without a pertnit:that the work will be in accordance with the approved pla�in the case of work which requires a review and approval of plans. x�'�,.► 4. �k r1� x�,a �� (,. �e� ApplicanYs ted Name ApplicanCs Sig ture F(��k:E U3E LY �f i t n t 1� r x � � ' �, Required;lndp�ctlons �� °s r - j, a f � i t ��7""7 � ��7� �� •_ ._ ., � f « . - •: . �._UrWe�ground, �:RougF�in '�/�rT`eee�; �` ;E3as Servkae Test:.;.,_Itt�floor,_�t_.. ..�r:`.:�Mal...,__HV1�C Screenmg_.._..:•. �. , � � Use BLUE or BLACK Ink �----------------, � For Office Use I I � j Permit#: � � Cit of Ea aIl ; . �� ; � � Permit Fee: �� 3830 Pilot Knob Road � i Eagan MN 55122 j 2� i Date Received:� � �J' �5 Phone: (651) 675-5675 � ��'�t' � i \_ I Fax: (651) 675-5694 +t�,, �n ., r I Staff:SC� � �, ,,, 1 � ..t . l.,.ai� -----------------� 2015 COMMERCIAL BUILDING PERMIT APPLICATION �ate: I�R 3b 1� SiteAddress:1c�� (>�i�h'� /�dC.. Tenant Name: �t�a C� � � �,� (Tenant is: New/�r Existing) Suite#: Former Tenant: ��,F''�'��`�''�:��`;�`� � f :� ` �� ;r/ � Name: � ,1�12 �i Phone: �i,��-�3� r�� ` �'�� i' ,� / �s/� � � t�J f��''� � r ✓{f� • L�I � f //! �I f��`� �`�` Address/City/Zip: ��, ,�� ; �f�� f�;��`, � �'f�,��`f'��,��i''�� - A licant is: Owner Contractor ,�„� .f G%� �,i� PP �� ; � � � �� '� .� �� ,�` n � ,�%� x� Description of work:��eP�/l, �� b ��1,[�.�x.. ��Q,�ZPX c�.�('[A� �� '�� A `� �� 6 � ,�` '� �;,r�'�,,�,�,,�f Construction Cost: 8� � � � � ��f��f� � ,` ��,!�� Name: � �� / ��r� `� �� .11; iQ/? Licen e#: � � � f��f � /_ � r' , �'`��`� f '� Address: �� ll✓� �, City: ;� , , , � ��`�f''�� ' State:�Zip: �� Phone: SfJ � � � S�-(� �c�� 7 � � �` ,�� Contact: ��1'-C� �� Email: I - ��-�(�� '� �.�'. n � � -I 7�� ``r�;�;� ��' n f f � /'� /` ` Name: /'1 rL�,��,�in,,�ax Cmw'�ny�rLi �/c�- Registration#: ��G:-U� � ,�� `` � /,} ��. c�� ,i.!��`,`�� ,�� %"'` Address:"1�5� � �, c� C� ��P.� �� City: ✓t� � , „ � , + � ;�f ��` State:��Zip: J'c�� Phone: (1��Z � ��v'`d��`S � � (�, Contact Person�� 1'e�vtc,� Email: CJ Ao�i` �5✓te-�`-`��^ �'1 �'� �1 Licensed plumber installing new sewer/water service: Phone#: � ,� ii .,�i �� i% , ,�; � f!� r� » � i � ./' �Ffr„�.t .,�s�/ . i .�. y � . /. .. �� ' ��;%/� �',«f r%F�,r�' "� f,�� ,�` ,� ..'. s.��, � ; �� , : ,�..r �� .�, %r/� /� � r` !�.,� �` � �` � i�� /, / ��' �`•' % ,� � �'�j�,*'��f�f l'��',ff`'f��,'�/'�' '� f f` ��/ �' r'.��'' � , � � �.'' ,r',� i � ,. � � �� ..� f r ��f � � /�,r„�`'`/'��,;, `'f r.F�.r� r l ...�. ',� 'f f`, , „.,�s`` �/ r F 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.gonherstateonecall.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 r quires review and approval of plans. x �l.�� c�.,1� x Applicant's Printed Name ic 's Signature �%`Z� Page 1 of 3 �✓1i�i��L M�II.�l` ' � .� ( �. . , i l �'� � �� f� �'�' DO NOT WRITE BELOW THIS LINE � J 1 �� SUB TYPES Foundation _ Public Facility _ Exterior Alteration-Apartments ✓ Commercial/Industrial _ Accessory Building Exterior Alteration-Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New Interior Improvement _ Siding _ Demolish Building* _ Addition ✓ 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 J�,��f"iG C� � Occupancy ��' , �'? MCES System � �` Plan Review v' Code Edition �,E J ,/c��,, SAC Units �XT• !�/f�L¢��, (25%_100%� Zoning --��'� City Water Census Code Stories � Booster Pump #of Units �' Square Feet �jU PRV #of Buildings 1 Length Fire Sprinklers Type of Construction ��3 Width REQUIRED INSPECTIONS � Footings(New Building) Sheetrock � Footings(Deck) Final/C.O. Required Footings(Addition) ✓`� Final/No C.O. Required -� Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final CIO Inspection: Schedule Fire Marshal to be present: Yes �No �,..�� L Reviewed By: ��'� , Building Inspector Reviewed By: ✓ , Planning COMMERCIAL FEES Base Fee 7f�l . Z�' Water Quality Surcharge Z7• s� Water Sampling Fee Plan Review ¢!o�7• �/ Water Supply 8 Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S8�W Permit�Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL �/Z/�Z,.� Page 2 of 3 A IA ` YLO L.tl. .f For Office Use tt ► ►,, ‘‘.% ,,,,,,,, E AG A N ,,, a l o�t Permit#: fçt)� /1 S Permit Fee: E tt;, ll4� Ian .....•••••"="•••.„,.. idr -S4w* Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 RECIEr:ama�:—aa�--- ssd,Vt Payment Recvd: Yes to (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 I Email:buildinginspections(a�cityofeagan.com JUL 0 6 2018 I Plans: Electronic Paper Plan Submittal:eplans(a�citvofeagan.com L- ____, 2018 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 -1 /� r, )) (t Date: / Site•Address: 15 !9 0�.I.-(4. IC, -C Tenant: E'Ic-C \aL---C.Ss‘..- " .(7)+C ��:�� 1 3 7 Suite#: Property Owner Name: 1 � 1 t"_S t C-C)f C,`K'v.1' Phone: Name: \C`.4--C SLS, r+ ..\'\\C 06), C'Lnse#: p(Y\ 0(o Lo 9 Contractor Address: ci 10.7) (�(~ c A St N- c1ty: @�tj \yjt State:>fYl Ic ip: „t73..3 C4 Lt 67 Phone:6(o .).-1(1.J., f o 17 Email: 1 )\ t.'A/1 i . .<I-c f ° t` �.Q rY New 'Replacement —Repair —Rebuild —Modify Space Work in R.O.W. Type of Work — — Description of work: o-a_ c_ia.Jl,k3CUI e fj it Ip YYl V/l..* COMMERCIAL _New Construction _Modify Space Irrigation System( yes/_no)( RPZ/ PVB) • Rain sensors required on irrigation systems Permit Type • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices?_Yes_No Flushometers_Yes_No COMMERCIAL FEES Contract Value$ J I COS (- x.01 $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit(includes State Surcharge) _$ Permit Fee _$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge _$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with t . . ...-s 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 inrth th- ...roved plan in the case of work which requires a review xdapprovalof Pose,'- - b fv-et Po Applicant's Printed Name A.• ant's Sign. re FOR OFFICE USE Approved By: /°le ' ' .1 q .,`re . Required Inspections: Under Ground Rough-In "�: Air Test ; Gas Test` Final PRV Required: Yes No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of 3 l 1 For OfficeU e i Permit#: f //6/ I iqo ` 1 , I , Z II i :tFee � '�1- _— 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 IECEI�E � 0. (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Plan Submittal: eplanscitvofeagan.com DEC 1 8 � L Plans: Electronic Paper I 2018 COMMERCIAL BUIL I _ Payment Recvd: Yes o I APPLICATION Date: 12/17/2018 Site Address: 1579 Cliff Rd, Eagan MN 55122 Tenant Name: Holiday Stationstore #437 (Tenant is: New/ 1 Existing) Suite#: Former Tenant: Name: Holiday Stationstores, LLC Phone: 952-830-8884 Property ownerAddress/city/zip: 4567 American Blvd W Bloomington MN 55437 Applicant is: ✓ Owner ✓ Contractor Update the drink bar area by modifying cabinets and adding/relocating equipment Type Of Work Description of work: Construction Cost: 10,000 Name: Holiday Stationstores License#: �� Address: 4567 American Blvd W city: Bloomington ; Contractor , State: MN Zip: 55437 Phone: 952-830-8839 Contact: Joel Geil Email: joel.geil@holidaycompanies.com Name: Registration#: Archttect/Enginee Address: City: „, State: Zip: Phone: ,' ,:',f,,,„74:,,' '' Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: i01014'''Pi r 'ands upporting documents that you submit are considered to be public information Portioni of the information may bei ..,#-,:. --,,,' 0 'if yo ; rovide speci#c 0,400.that would;permit 01'City t9:0,nclude that they are trade 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.citvofeanan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Joel Geil X D .ems Applicant's Printed Name Ap ant's Signature • DO NOT WRITE BELOW THIS LINE SUB TYPES / 3----7 C l 1 Er kd, J S- //(. _ Foundation — Public Facility _ Exterior Alteration-Apartments _/Commercial/Industrial — Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse/Tent — Exterior Alteration-Public Facility Miscellaneous Antennae — WORK TYPES / New /Interior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration Repair Windows Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ( D) bbb. D'4) Occupancy IVI MCES System IJ A Plan Review V Code Edition Za IS M$G SAC Units f1D C VNGS, I*1 us:lE oP,OCL. LD. (25%_100% V) Zoning City Water Census Code Stories I Booster Pump #of Units 0 Square Feet PRV #of Buildings I Length Fire Sprinklers Type of Construction V•f. 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 Street/Curb 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/N C.O. Required Final CIO Inspection: Sc• • ; Fire Marshal to be present: Yes V No Reviewed By: _ , Planning New Business to Eagan: I\1 n r Reviewed By: lam, 4' , Building Inspector FEES Water Quality Base Fee I a l .I S Storm Sewer Trunk Surcharge 5• oto Sewer Trunk Plan Review 11-4 .104 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: �t Trail Dedication TOTAL: 1 3Z 1.31 Page 2 of 3 161—oic For Office Use ' � � � • EAGAN Permit#: /5- e 9s cc____ 1 •1 v� e. ,� ,r,r Permit Fee: ' .0-1 Staff: midi 3830 PILOT KNOB ROAD EAGAN,MN 55122-1810 `Payment Recvd: Yes Zqo , (651)675-5675 TDD:(651)454-8535 I FAX:(651)675-56 �+E 1 V E Email:bulldinoinspectionsacityofeagan.com Plans: Electronic�Paper Plan Submittal:eplans a(�citvofeaaan.com JAN 31 2019 �- 2019 COMMERCIAL P MVIBING PE IT 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: I I I 0 1 I"t Site Address: 1 c 1°I C 11 {' - �l• Tenant: H O t iCk f/L J I A)1 t 0 11 c ye, 1: J--1 Suite#: Property Owner Name: HO 1, 1(1C1, ll Cn 1r1'\ pall i ES Phone: Name: coal I(1�1(/I((/�01, pI l/1lM 1 V\ ' �uLi� nse�i#: y�`'13\�� Contractor Address:' 1$ v►Qtryvq r\VUity: YQ�� .v��CJ State:MN Zip: Phone: SOS I`''I lvt't-2°l W Email: f 1Ok'Y\' o n ,CiprAtit In QmV New _Replacement _Repair _Rebuild j Modify Space _Work in R.O.W. Type of Work I g, Description of work: tf inh'� b 0r- ) PModo� s �elocv� �-pti-ef 03 P eivip vnpi1� COMMERCIAL New Construction 6/Modify Space Irrigation System(_yes I---no)(_RPZ/ PVB) • Rain sensors required on irrigation systems Permit Type • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices?_Yes_No Flushometers_Yes_No COMMERCIAL FEES Contract Value$ -S-0( UU x.015 $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit(includes State Surcharge) =$ Permit Fee _$ 2 U Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Enninaarinn nanartmant /AM-I1 a7s_cn46,for required fee amounts. $ Treatment Plant CALL ALISSA ANTON WITH $ Meter Fee PERMIT FEE OR QUESTIONS. $ _ _ State Surcharge _ 651-464-2988 =$ TOTAL FEE You r Aanton@cpandh.com the City of proposed ordinances by signing up for an email update on the City's website at www.c CALL L 4 for protection against underground utility damage. I hereby acknowledge that this information Is complete and accurate;that the work will be In conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work Is not to start without a permit;that the work will be In accordance with the approved plan in the case of work which requires a review and approval of plans. X NYY-, S 1Gt?,1 6 xN AA02Y_ �I,EA-U Applicant's Printed Name Applicant's Signature FOR OFFICE USE .+Approved By: Date:.t_i____I Re q P aired Ins actions:. Under Ground Rough-ln _Air Test Gas Test Final PRV Required Yes No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of 3