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2250 Cliff Rd/ /1 3172 5pruee Strast OQ ? l.r { j"?? (? T? St. Psul (Little Csnads), Minnesota 55177 484-8264 Tesb & Inspection Tank Test Piping Test Leak Detectors Installed D yes O no Tests Inspected By ?R s n? Company Name Tests Inspected By Company Name Date Location of Irlstailatian !-. q- cz' „ G f1 Notes . . INSPECTIUN RECURD CITY OF EAGAN PERMIT TYPE: 3834 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 1_ 01 ? t ,'.-?O I i 0nJ( 1:1 tr- f stH ! . RER(1f1TAV?TrE: TYPE OF WORK: pFSCIPIPtYflti Control No. (? 7Q. ? ,. as#ti 7 a •1 /ez/g: MC a IrATiaN/,1uHi -- - --------=--- - - - - ---?--.t ?,???: Fit oc K : i APPLICANT: h sAus nNOCRsaN (612) 721--7tiey Or.HnRKtiI ;uPER AMERtf;A :.,. ?, t? L! 1.(pN('RAt'7UR - PermR No. Permn Hoidsr Date relaphonw i `8Vtl1? VAe PLUMBING 7117 HVAC ELECTRI ELEGTR? Inspectlon Qata Msp. Commenta FooUnga l ;2- Founcmtion Framing P-*9 R«ug,Pft. io ?-13 -7Z Rou9r, Htg. ?. Fkepkm ? N Final Htg. ,v4v '?t Oreat 7est Fnel Pbg. O^ /x PI6g. Irsp¢dor- Notify Phxnber Conat. Meter ErgrJPlan ekJg.R" Oeck Ftg. Dedc Fhal , Well '? I . . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pi1ot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE AQDRESS: k 07 r 1 2760 cixFF Rn npK ci.iFF st'u ? L 41C k? i APPLICANT: xerAt?? ANnERSoN (612) 723-Tbal PERI?1Tm§UBTXIFE: ? ? TYPE OF WORK: iJEgCRIPI"TON Control No. •0syr? 07102192 MEu cAN uaS" - kf NAIiK `• T SkIPE14 AIME.RIC;A Pertnrc No. Permft Holder Dete Talephone # S/W PLUMBfNG HVAC ELEGTRiG ELECTRIG In4pwtlon Date Insp. Commertts Foolings I pxv19 1A)Z . ?undaflon Framing Roofing Rough Plbg. Rough Htg. 7 isul. Firepiece Fnal Otsat Test Flnal Pibg. Plbg. Inspector - Noi'rfy Plumber Const, Meter EngrJPien 61dg. Final r? Deck Ftg. DeCk Flnal weu Pr. Disp. . . INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Raad Pennit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: L Q T: I BR vc r. i I APPLICANS: ? ry: f.o cLxFF no ?R"s nwaEKSOM OAk CS.I.FF 6TH (612) J21w1681 PERMi,Tm%U?XjpE: TYPE OF WORK: 0E5CIR XPi'IOM Control No. ?. b oiti rosq,i R7/07. /9:• aFu PUMP r.aKaPr ?tr Y?,? ? '•. r? : ? .. . ? ? : ? ?p . _,ast - "??,:? 1'x' ? ? ?- ":""" .,?e..i, r?? t r ?? ?? '??a??? i??$? ?Vi ? ??, "??? ? ?.. = • - ..- _ ' = .. .. . ,.. ? , . , _ . .. . . _ _ ' . - ' R#'.IyAI:R`i : :,041EN ANFRtf.A , PermR No. Penntt Horder nace raephone tt S/W PLUiMBING Hvac ELEcTAic ELECTRIC Inapect{on Oate Inep. CommaMs FOOtifIgS I Foundation Framiny Roafing R°ugh Plbg. d ? 9 Z Rough Ht9- Isul. Firepface Final Fttg. Orsat Test Rnal Plbg. Pibg. Inspector - IVoti(y Plumber Gonet_ Meter EngrJPlan l1 81dg. Flnal Ueck Ftg. Deck Final wen Pc Disp. I ? I ?? g? ? ?-sa.so 2005 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date ? / /-y / D.S- Site Address ot ..zs-'o FX= /'CGCa-Q Unit # Tenant Name Sa04eFormer Tenant Name r Property Owner Telephone #(q?? Contractor Address 4uAe AQ/;°[/ e City State Zip ? Telephone # (,7-4 License # ?. ? sdetl Espires: /,?•. . o?- ??? , The Applicant is _ Owner Contractor _ Other Work Type New Bldg Modify Tenant Space RPZ PVB New Repair/Rebuild _ Replace _ Irrigation syst m Work within public right of-wayleasement _ Yes _ No Rain sensors are re uired on irri ation s stems Description of Work Ad0 L`a re- Ilq erJQ' To inquire if Pressure Reducing V alve is reqmred on new service, call 651 fi75-5646 ii3eters - Call 651-075-5300 to verify that hydrostatic, conducaviry, and bacteria tests passed prior to oickina up meter. Irrigarion Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" displacement $161.00 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 Surc6arge) /Jl,nli Ma-?' m Comract Value $ a?/ C5"!57O• ? x 1% _ $ Permit Fee $ Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Me[er Read If pemrit fee is $1,000 or less, surcharge is $.50 $ ??/ ? StBte SlliClla7ge If permit fee is over $1,000, surcharge is $.50 per $1,000 of [he Perroit Fee - - ' ' Following tees apply only when installing uew irrigation system $ J ? Water Pem'ut Call Serty Wobschall at 651-675-5024 for required fee amounts $ Treahnent Plant $ Water Supply & Storage $ S[ate Surcharge ------------------------------------------------------------------------------------------------------------------------------------------------------- $ ", ,So wrate,? I hereby apply for a Commercial Plumbing Pemiit and acknowledge tha[ the information is complete and accu re;) that?Aie wor will be conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that 1 understand th e is no pe i? b?0g-9y application for a perrtrit, and work ts not ro start without a pemut; that the work will be in accordance with the appr ,?',ed,11 plf? fii e case of wor which requires a review and approval of plans. ApplicanPs Printed Name pplicant's Signat CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Tes[ _ Gas Test ? Rough In ? Final PLANS SUBMITTED APPROVED BY: ??P -7' ?8''U?BUII,DING INSPECTOR General Information • Radio Meter Read (required on all new buIldings & boulevazd irrigation systems- $141.00 • RPZ's must be tested every yeaz and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum fee pemut per address is required for the following RPZ's: new, rebuild, reoair• remove. • Water meters include copper horn/suainer, remote wire, and touch-pad meter. METERS REOUII2ING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $125.00 4-120 1-1/2" iirig2hon syst $ 735.00 displacement smcommercial turbine*" Public Works maximum must approve continuous meter size 10 2-30 3/4" lawn imgation $161.00 4-160 2" turbine lg imgarion syst $ 931.00 maximum displacement residenrial & continuous sm commercial production lines 15 3-50 displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 twiu 65 units maximum sm commercial g continuous & lg comm bldgs ZS ini ation s stems 5-100 1-1/2" bldgs 25-64 units $429.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRLNG 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,182.00 6-500 4" compound +300 unit bidgs & $3,563.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound -W00 unit bldgs $6,076.00 very Ig comm bidgs very Ig comm bldgs I5-1000 4" turbine very lg irrigation $2,226.00 syst & production lines Commenu • To schedule inspecrion of the inside water line and bacMlow preventer, call 651-675-5675. • To arrange for water nun-on, ca11 65 1-675-5 3 00. cc: Maintenance Division Clerical Technician January 2005 oc?q'E6 2005 COMMERCIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 • Stnldural Plans (2) sets • Civil Plans (2) • Certificale of Survey (1) • CodeAnelysis (1) " • ProjectSpecs (1) • Spec. Insp. & Testing Schedule " • Soils RepoN (1) • Meter size must be established 1 d 1 1 1 1 • SAC detertnination - call 651-602 -1000 . Architecturel Plans (2) sets • Strudural Plans (2) . Civil Plans (2) • landscaping Plans (2) • CodeAnalysis (1) . Certiflcale of Survey (1) • Spec. Insp. 8 Testing Schedule (1) • Meter size must be established • Project Specs (1) • Energy Celculatians (1) " . Eleclric Power & Lighting Form (1) " • Master Exit Plan (1) • Emergency Response Site Plan (1) • Soils Report (1) . SACdetermination-ca11 6 5 1-8 02-1 000 • Fire Stoooina Submittals ? NDE)300B ,. • Arohitedurel Plans (2) sets • CodeAnalysis (1) . ProjectSpecs (1) . Key Plan (1) • MasterExritPlan (1) • Energy Calculations (1) not always" . Elec. Power & Lighting Fortn (1) not always" • Meter size must be established-'rf applicable 1 1 d 1 1 • SAC detennination - call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverege or lodging facilities. Contac[ Building Inspections for sample and if required +*• Permit for new building or addition will not be processed withou[ Emergency Response Site Plan. Date , ! S / C) S Canstruction Cast 6`T Ojoo I _o Q SiteAddress ^0(? UniGSte # Tenant Name Former Tenant Name Description of Work Property Owner Telephone #((M)fi?.3-1 01 C?.tiS, Contractor Address I ? CiTy MG-W1.? fr(ovi State P? !'J Zip S 53 Q5f Telephone #( 163 )_-L?-y'7 Arch/Engr Registration# Address <- Cih' State Zip ?4 53a`? Telephone #( 95J-) Licensed plumber installing new sewer/water service: Phone #: (? I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work i tEto`rstaxt ?io? permit; that the work will be in accordance with the approved plan in the case of work whic require?r?ew an approval ofplans. , lUL Q 6 2005 ? T Lor_-4VC- ? ?V Applicant's Printed Name Applicant's ?y - - - OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments P" 29 CommerciaUlndustrial O 32 Ext Alt-Aparhnents ? 15 Lodging ? 28 Greenhouse ? 34 Ext AIt-Commercial 0 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair 0-'33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Oemolidon (Entire Bldg only) - Give PCA handout to applica nt Valuation 4 U00 0 Type of Const ?g Width r---- Pian Rev 700% ? 25% Occupancy I_ bfi _ MCES System Census Code Zoning -- City Water ?- SAC Units ? Stories -- Booster Pump ? Nbr. of Units ` Sq. Ft. "- ' PRV ? Nbr. of Bldgs -? Length - Fire Sprinklered ? Required Inspections _ Footings (new bldg) Insulation _ Footings(deck) FinaVC.O. _ Footings (addition) ? FinaUNo C.O. _ Foundation Other Drain Tile Roof Ice Pr Decking _ Insul Final Pool Ftgs Air/Gas Tests Final ? Framing Siding Stucco Stone _ Fireplace _ R.I. _ AirTest _ Final _ _ Windows _ Approved By: Planning Bu ilding Inspector Base Fee Surcharge Plan Review SAC-MCES SAGCity SIW Permit SIW Surcharge Treatrnent Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) 6,1 el os a5A Oc) '/oS 63 Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Ofher Tofal ? /.o53,d8 Sewer Trunk Water Trunk ' ` 77 bi. 2005 Application For Fireworks Sales And Storage City Of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone #: 651-675-5675 Fax #: 651-675-5694 `Return a"es.1=3.onl Applicant requirements 1. This application must be completed and returned at least 30 days prior to sales and/or storage of fireworks. 2. A letter from the property owner granting permission to the applicant to sell and/or store fireworks on the property shall accompany the application. 3. A floor plan designating the area where the fireworks will be sold and/or stored shall accompany the application. 4. A list of the fireworks that will be sold and/or stored along with the name, weight, quantity, and material safety data sheets (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. Fee upon application for retail sellers selling exclusively consumer fireworks-$350; all other retail sellers-$100 per vendor annually payable to the City of Eagan. 7. The Fire Marshal or his/her designee will inspect the proposed location for selling and/or storing fireworks to determine if it is a suitable location. 8 A criminal record check will be done on all applicants. 9. A copy of the City of Eagan license (permit) shall be displayed by the register. Date: 05/03/05 Applicant Name: ?AUEPTNE A. 7IUASM far SPFEWY SLIPFRXvKtIGA LIC Street Address: P.O. BEY 1580 LICIIYSE DFPT. City: -%RUXU'?n State: Q-lI0 Zip: 45501-1580 Telephone #: (937 ) 863-6473 Business Name: 33PERAMMCA Oi 4464 _ Telephone#: ( 651 ) 882-9" Display Address.`g56CLIW PDAD ECW, M`I 55122-2343 Fri TF: n? 0 iy)?SI LY L? Retail seller selling exclusively consumer fireworks: _Yes X No MQ D JL Y 1 ? 2005 X Indoor Sales Outdoor Sales Dates: to to Temporary outdoor event means an exhibition or sale with a duration of 10 continuous days or less which does not occur more than once every 30 days and more than three times per year or a combination of 20 days total in a calendar year. (See Outdoor Sales of Fireworks) Fee: Outdoor Sales-$350.50 All other retail sellers-$100.50 Fireworks are regulated by MN Statutes 624.20-624.25. In addifion 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 a plication and the requirements of the issuing authority. ! 1M?"' Applicant Signature FC ? q d ?? ' rMff u, M A. MUV9CN NzSrsrW C2UR= Fireworks Application Page 3 of 9 OFFICE USEONLY NOT,WRITE BELOW:TH,IS.LINE,?u,., The Police Department has conducted a criminal background check on the aforementioned applicant. Comments: Police Department Represen ? tative ? Date Conditions of Issuance: Background check completed and approved hy EPD: ? Yes _ No Zoning approval ? Yes _ No Facility inspection complete and all violations corrected ? Yes _ No Insurance policy approved ? Yes _ No License approved by?, (? ??ll Date approved: 5 - /6 b r' ? . = Bi S ? 3 s wn s?mm s o?>"r' a£ a 9 tt-1-4 ft- ,f?-4 R iea SuparNdnY F?XO F?ko Frito F Bfl 5k 6Bn?Cry Frko macmp {x emcmp \ ?/ ? ix Plun {--41t?1 ?4 ft,1 --3ft?1 -6fl?1 -3ft?1 --4R w YNI S Snwk? 3? ?? ` STO? Sm?ll S?Ih Ceo?lr CoakMS ? P"•' am g; ? < c.ney cs c.nar pmmel Ommney.l I?el ?^W a.ewnei 6?oves lawl ° ? propsP.d ? Q Pi.v ?s ? Fw? k F y . p ?4 tt?}-3 fl4 R-- ?3 R--{?4 tt4 ft .?, " 6rmry Greery Gonry tGrul dCaxl BGn?I Cbenl?g Papef Papa, 6 ? Cn- WT .l d ? UnOY pnY.ltlB pmw-b? HBC HBC YWS /mro Au?e Rub OII O?I MY6P?g VW6 ?v b Cnvn ?ts F6h 6t1 ? pn' tYPk s--evy ?3ik p? Yop Pop C?eJaYLOU'Mr Ospry. C '1 ?p ?, ? r? N+9etlnea ? F- 3i1-:T3fl?{" -4fi? - a p 9ft i i Y a N s ;• Y ? m 6 A OM Clpanllca Ipwme Wffier 21W E E E PoP N b N ice E E E ? ?W P MtlFnv?i O° aevo?nVY N WwCSholeWaan ProPam Building Type: Large Non Standard SSA Store # 4464 Eagan, MN (4464 12152004) 1 Last Modified: 12/15J2004 ? Fireworks Application Page 2 of 9 Tennessen Warning License Application Minnesota law requires that you be informed of the purposes and intended uses of the information you provide to the City of Eagan (the City) during the license application process. Any information about yourself that you provide to the City during the license application process will be used to identify you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to supply information requested by the City, it may mean that your application will not be considered. All individu Is in the City who need to know information will have access. m ax.___- s3Jos Applicant Signature Date CaUEurnE A. 1i-IIV924 A%-LSl'aNT Q1\TIId'%SIIt Authorization and Consent for Release of Information CA'U3FILIIVE A. 711149CN for SPEMVAY SUPERMOIGA LLC , freely and voluntarily authorize the City of Eagan to conduct an Name of individual authorizing release investigation to obtain the following information for the purpose of determining my eligibility for a permit to sell fireworks: Name: 2124k9CN Last Date of Birth: 10/02/52 Driver's License #: NIAY State C?UO 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 3rd day of , I? L ? First 200 5 . Signature C'A'rFIFRTNR A. 1HIIPBOfI ASSISTANI' (S1Vilt9= ADN Middle MARSH CERTIFICATE OF INSURANCE CERTIFICATENOMBER „ NYG002308092-01 PROCUCER TXIS CERTIFICATE IS ISSUED AS A NATTER OF INFORNATION ONLY AND CONFERS M8f5I1 USA If1L NO RIGNTS IIPON THE CERTIFICATE XOLOER OTXER TXAN TNOSE PROVIDEO IN THE . 1166 Avenue of the Americas POLICV. TXIS CERTIFICATE DOES NOT AMENC, EXTEND OR ALTER THE COVERAGE NBWYOfk,NY 10036 AFPORDEO6YTHEPOLICIESDESGRIBEDNEREIN. COMPANIES AFFORDING COVERAGE I CAMPANY A AMERICAN HOME ASSURANCE CO ixsurteo COMPANY SPEEDWAY SUPERAMERICA LLC B N/A 500 SPEEOWAY DRIVE ENON, OH 45323 COMPANY C N/A COMPANV D COVERAGES ' THIS IS TO CERTIFY THAT POLICIES OF INSURANCE OESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATEO NOTVJITHSTANDING ANY REQUIREMENT, TERM OR CONOITtON OF ANY CONTRACT OR OTMER DOCUMENT W ITH RESPECT TO WHICH THE CERTIFICAiE MAV BE ISSl1ED OR MAV IES DESCRIBED MEREIN CANDITIONS AND E%CLUSIONS OF SUCH POLIGES AGGREGATE IS SU9JECT TO ALL THE TERMS PERTAIN, THE INSURANCE AFFOROEO 6V THE POLIC , LIMIiS SHOWN MAY HAVE BEEN REDUGED BV PAIO CLAIMS CO TypE0FIN5UMNCE POLICYNIIMBER POLICYEFFECTIVE DATE (MMIUD/YV) POLICI'EXPIMTION DATE (MMfOD1YV) uM1T3 ?? A GENEML4ABILIIY GL5442484 04/01105 04101/46 GENERALAGGREGATE $ 1A00,000 y COMMERCIALGENERALLIABILITV PRODUGTS-COMPfOPAG6 $ 1.000,000 ? ?OCCUR x PERSONALdADVINJUftY $ 1.000,000 CLAIMSMADE T R'S PROT ' EACH OCCURRENCE $ 1.000,000 S & COMRAC OWNER O FlRE DAMAGE A anefire $ MEDE%P An one rton $ AUT OMOBILELIABILITY COMBWED SINGLELIMR $ ANY AL1T0 ALLOWNEDAU705 BOOILVINJURV $ (Perpersm) SCHEDULED AUTOS HIREDAUTOS BOOILYINJURY $ (Per aCeICeM) NON-0WNEO AUTOS PROPERtt DAMAGE $ GAfiAGELIA6ILIN AUTOONLY - EAACCIDENT $ OTHER THAN AUiO ONLV ANV AUTO EACH ACCIDEM $ AGGREGATE $ E%CESSLIAeILITV EACHOCCIIRRENCE $ AGGREGATE $ IIMBRELUFORM $ OIHER THAN UMBREILA FORM WORKERSCOMPENSATIONAND TORVLIMITS ER EMPLOYERS' LIA8ILITY EL EACM ACCIDENT $ THE PROPRIETORI EL OISEASE-POLICY LIMIT $ PpRTNER5IEXEGUPVE INCL ELOISEASEFACHEMPLOYEE OFFICERSARE EXCL NE DESCRIPTON OF OPERATIDNSILOCATIONSlVEXICLES/SPEGAL ITEM$ works Permits for all Speedway SuperAmenca LLC locations within the Ciry of Eagan, Minnesofa. The City of Eagan, Minnesota shall F tifi t C ire ca e covers er be named as Additional Insured, subject to ihe policy terms and conditions. CERTIFICATE HOLDER CANCELLATION " SXWLOPNYOFTIEPCLICESOESCRBEDHEREIN BECMICELLEOBEF00.EiliEE%PWATIONOAIETHEflEOF THE INSUFEF PFFORDING COVERAGE WILL ENDENVOR ID MFIL _1a DATS WRIiTEN NOTICE TO THE City of Ea9an CERTFICATE MIXDfR NFMED HEREIN. IAR FMLURE TO MM. SUCH NOTCE SNnLL IMVOSE rv0 OBIIGnTiIXN DF 3830 Pilot Knob Road LNBILIiYOFANTKINDUPONTHEMSUREPPfFORDiNGCDVERAGErtSAGENT50RREPRESENTRTNES.ORiXE Eagan,MN 55122 ISSUER OF T115 CERTIFILATE. MARSN 115A INC. ?? ?d er: Sherrie 8oatrnan i , MM1(5102) VALIDASOF:OSl03/OS ?- Minnesota Division Region 9& Region 2 250 -es M?x Gross Gbght FIRE WORKS * WIfv2.5 L,3s Pyro7'8chnic Con7EKf Guaranteed Product at 51% Margin I10 S7"OkAGE Item Descri tion Barcode Cost Retail A Volume B Volume BC313-06 BC Mornin Glo 715244010111 2.49 4.99 12 6 428010 #20 Bamboo Sparkler 652009991003 1.29 2.59 12 6 P9003 #36 Momin Glo Winda 705108900336 1.34 2.99 24 12 BC230 BC Mammoth 715244002306 3.99 7.99 12 3 BC2008 BC Pot of Gold 715244020089 2.99 5.99 12 3 BC255 BC Ratta Tat 715244002559 2.99 5.99 12 3 BC277 BC Nuclear Meltdown 715244002771 4.49 8.99 4 2 LC1 Lar e Assortment Ba 652009001085 9.50 18.99 12 6 BC825 BC Ground Bloom 715244008254 4.49 8.99 20 10 BC336 BC Ba Sna s 75244003143 1.39 2.79 24 12 JP110 #10 Bamboo 680149001290 2.00 3.99 12 BC270 BC Ma num reloadable 715244002702 6.49 12.99 3 BC702 BC Colored Smoke Balls 12 k 715244007028 1.29 2.59 12 BC810 BC Tasmanian Devil 715244008100 1,49 2.99 124 6 BC218 BC Karaoke 715244002184 1.49 2.99 0 62206 BC Toy Soldier each 715244020065 1.49 2.99 3 BC340 BC Cracker Ball 715244003402 0.49 0.99 12 6 BC344 Snakes 0.99 1.99 24 12 Y36033 USA Smoke 705834360336 1.24 2.49 12 3 722058 Hells' Fire 705834220566 4.99 9.99 6 0 Y22073 MountEverest 705834220739 13.99 28.99 3 0 WB4005 Ma ic Stick 693019040374 1.40 2.99 24 12 WB4007 Tro ical Sunli ht 693019040077 2.49 5.99 6 3 WB4026 Powerful Fountain 693019040268 3.25 6.49 12 3 MWC2707 Jum in Jacks Parcel 805253021075 2.95 6.99 20 10 W64006 Devil's Trian le 690190 0 3019040060 3.25 6,49 12 3 W64010 Dream World 693019040107 3.25 6.49 12 3 WB4010 Northern Li hts Fountain 693019040664 3.25 6.49 12 3 W64026 Home Sweet Home Fountain 693019040602 4.49 9.49 4 2 WB4028 Jul 4th Fountain 693019040565 4.99 9.49 4 2 Vendor: M & D Distriburing, Inc. Phone: 651-641-0930 / Fax: 651-641-0940 (Please Note: Vendor is set up through the Enon Marketing Department) "Some cities require permits for the sale of fireworks. Permits are being obtained through licensing in Enon and permits will be sent to each location. You are not allowed to receive/sell the fireworks until your permit has been received. The following page lists all of the stores that will be selling fireworks, permit requirements and the product distribution level. CITY OF-EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT Control No. 0748 PERMITTYPE: sulLorNG Permit Number: 000971 Date Issued: 0 7/ 0 2/ 9 2 2250 CLIFF RD LOT: 1 BLOCK: 1 OAK CLZFF 6TH DESCRIPTION: ,-, PUMP CANOPY 8uilding Permit Type COMM./IND. ? Buildin4--Work Type NEW UBC Occupancy P9-2 ' Construction"7ype V-N _ 2oning k ? NB 8uilding LengCh .: 44 Build,ing.Wid.th .., 98 J f REMARKS: Qjy?,;?3 SUPER ApERICA FEE SUMMARY: vALuaTion $40,000 Base Fee ;349.50 Plan Review $227.18 . , Surcharge $20.00 .. Total Fee E596.68..... . COI?TRACT?R? - APP icant - OWNER: K AUS A D RSON 27217581 FAYETTE FUNDING 2580 MINPIEHAHA AVE 1240 W 98TH ST MINNEAPOLIS MN 55404 BLOOMINGTON MN 55431 (612) 721-7581 (612)887-6100 I hereby acknowledge that I have read this applicatinn and state that the information is correct and agree,to comply with all applicable State ot Mn. Statutes and City of Eagan Ordinances. ? - ,n Y??,A, ?,(? 1?? 1f APPLICAN?SIGNATURE ISSUED V IGNAT RE INSPECTION RECORD ? C°n ° N° 0748 CITY OF EAGAN PERMIT TYPE: BuiLDxNG. 3830 Pilot Knob Road Permit Number: 000971 Eagan, Minnesota 55123 Date Issued: 0 7 j 0 2( 9 2 (612) 681-4675 SITE ADDRESS: LoT : 1 2250 CLIFF RD OAK CLIFF 6TH PERTaAUff?ff: BLOCK: 1 APPLICANT: KRAUS ANOERSON (612) 721-7561 TYPE OF WORK: NEW PUMP CANOPY DESCRIPTION 1- REMARKSs SUPER AMERICA PERMIT # CITY OF EAGAN $^qL• 0 REACTIYATE _? ? 1992 BUILDING PERMIT APPLICATION ? 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Oate Yaluation of work Site Address: 2-Z!50 CL-IFF 121:>. STREEt SUITE 0 Tenant Name: (commercial only) LOT I BIACK I SUBD. 0AIC GL/FF Cp TJ-4 p I D M Descr.i tion of work: puMP (?oP The applicant is: ? Owner ? Contractor ? Other (Deaertbe) Name SE& 464i-1 t?kjtt--r.AKXr- Phone Property LAST FIRST Owner pddress STREET STE ! City State Zip Company ?--E N(,tar" AA?tdcATC-N4Phone COntfeCt01' Address License # Exp. City State Zip Company SEV- M4III E>oiLcxkx.: AffUCJI'CMLne Architect/ Engineer Name Registration N Address City ? State Zip Sewer E water licensed plumber . Processing time for sewer 5 water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to co with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? l 9'Z BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 Sf Porch ? 05 SF Misc. WORK TYPE j< 31 New ? 32 Addition OFFICE USE ONLY ? 06 Duplex 11 07 4-Plex ? 08 8-Plex ? 09 12-Plex O 10 Multi. Add'1 ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? ? O 11 Apt./Lodging O 12 Multi. Misc. 13 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move ? ? + . 6 i.. ? 16 Basement finish ? 17 Swim Pool X 18 Comm./Ind. O 19 Comm./Ind. Misc. O 20 Public Facility ? 21 Miscellaneous. ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) ? lst Fl. sq. ft. City Water -? UBC Occupancy M-2 2nd F1. sq. ft. PRV Required ? Zoning ?` of Storie Sq. Ft. tatal 73 z Booster Pump -- s Length - Footprint Sq. ft . Fire Sprinkler r- Depth ? On-site well Census Code On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS puMP CANOpY ? Site R Footing ? Framing ? Insulation ? Nallboard ? Final ? Draintile ? Fireplace Permit Fee 3'44,So v,i,,,ti,,,: g yD? OoJ Surcharge 20 , D Plan Review 22 , 19 License MWCC SAC City SAC Mater Conn. Mater Meter , Acct. Deposit ? 5/W Permit ? S/W Surchar9e Treatment Pl. Road Unit Park Ded. ? Trails Ded. Copies Other Total: -7w, -6 ?, SAC % SAC Units PERMIT C°" °"°. 0746 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 I !J __ J BUILDING 000972 97/02/92 SITE ADDRESS: 2250 CIIFF RD LOT: 1 BLOCK: 1 OAK CIIFF 6TH DESCRIPTION: ? CAR WA3H 8uild"i'ng Perm3t Type COpIM./IND. 8uilding',Work Type NEW UBC Occupancy 8-1 Construction",7ype V-N Zaning ? NB Building Length : 20 Building Width ? 34 Building stories 1 ?Square Feet_ ' 680 C'- , ?,' i. . :A REMARKS: ? O)q-7 x ? SUPER AMERICA FEE SUMMARY: Base Fee Plan Review Surcharge SAC 9AC 8 SAC Units Subtotal VALUATION $594.50 $386.43 E45.00 #5.600.00 100 8 $6,625.93 PERMIT TYPE: Permit Number: Datelssued: $90,000 MWCC SAC $800.00 TREATMENT PLANT $2.400.00 Total Fee $9,825.93 CONTRACTOR: - APPlicant - OWNER: KRAUS ANDERSON 27217581 FAYETTE FUNDING 2500 MINNEHAHA AVE 1240 W 98TH ST MINNEAPOIIS IqPI 55484 BLOOPfIN6TON 19N 55431 (612) 721-7581 (612)687-6100 2 hereby acknowledge that I have read thie application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ` L APPLICANT/PERMITEE SIGNATURE ? 13 SUEO B 51 NATU E ? INSPECTION RECORD ControlNo. 0746 CITYOFEAGAN PERMITTYPE: euiLozNG... 3830 Pilot Knob Road Permit Number: 000972 Eagan, Minnesota 55123 Date Issued: 0 7/ 0 2/ 9 2 (612) 681-4675 SITEADDRESS: LoT: i 2250 CLIFF RD OAK CLIFF 6TH PERMIoNNU/BIND E: BLOCK: 1 APPLICANT: KRAU3 ANDERSON (612) 721-7581 TYPE OF WORK: NEW DESCRIPTION CAR WA3H INSPECTION FOOTING .A . FRAMINa D• IN3ULATION FINAL REMARKS: SUPER AMERICA r- 7 ? ? PERMIT # REACTIYATE _ . CITY OF EAGAN -s qsq L6• 13 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys,.l copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of , specifications, 1 copy of energy calcs. Penalty applies when typing of permlt is requested, but not picked up by last working day ' of month in Nhich re uest is made or lot chan e is re uested once ermit is issued. Date Valuation of work ? ?D,ODO, = Site Address: ZZ? C4-1 FF 12 D, STREET SUITE t Tenant Name: (commercial only) 6UPE2AMEIZIc^. LOT ? BIACK ? SUBD. QaK GC.fFF Coa P.I.D. iR Descrl tion of work: GAc- WA'SH 13r-i lc-Dr?4 Cs7 The applicant is: 0 Owner ? Contractor ? Other (Describe) Name SeE V04ti1 Phone Property LAsT FIRSi - Owner Address STREET STE / City State Zip Company AA=acate? Phone COtltfeCt01' Address _ License # Exp. City State Zip Company f!?Um>k& AP?UC*te!?4hone Architect/ Englneer Name Registration N Address City State Zip Sewer b water licensed plumber Processing time for sewer Q water permits is two days once area has een approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to compl ith all applicable State of Minnesota Stdtutes and City of Eagan Ordinances. Signature of Applicant: ? "1 ? q Z OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation O 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE X 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex O 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? . ` ? r .. ? 11 Apt./Lodging O 16 Basement Finish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory )( 18 Comm./Ind. ? 14 Fireplace: ? 19 Comm./Ind. Misc. ? 15 Deck O 20 Public Facility ? 21 Mtscellaneous 0 35 Tenant Finish ? 31 Demolish O 36 Move Const. (Actual) Basement sq. ft. MWCC System YES (Allowable) UBC Occupancy V-N g-i Ist F1. sq. ft. 2nd F1. sq. ft. City Water PRY Required rs Zoning 8 f S _MB Sq. Ft. total bSv Booster PumP o tories Length f z Footprtnt Sq. ft. 6 9v On-site well Fire Sprinkler Census Code 3 27 Depth 3 y, On-site sewage SAC Code , _3 o APPROVALS Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS e,aR u,RSH auILDIr,G ? Site ? Footing O Framing ? Insulation O Mallboard ? Final , ? Oraintile ? fireplace Permi t Fee $`ly, Sn Surcharge Dp Plan Review 366.143 License 1 - MWCC SAC __Y0_0 - City SAC Sl On Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl . z y?o Road Unit _,. Park Ded. Trails Ded. Copies Other Total : 9g2S.93 veimcta,: S Q 0,00 c7 ? 8' ..S'c-C u,, ; t$ SAC % ? pc) SAC Units = >\ CITY OF EAGAN PERMIT 3830 Pilot Knob Road Eagan, M i nnesota 55123 (612) 681-4675 I PERMIT TYPE: Permit Number Date Issued: Control No. 0747 BUILDING 000970 0 7/ 0 2/ 9 Z SITE ADDRESS: 2250 CLIFF RO LOT: 1 BLOCK: 1 OAK CLIFF 6TH DESCRIPTION: STATION/STORE -Build'ing Permit Type C019M./IND. _ Building,,Work Type NEW , UBC Occupancy B-2 Gonstruction'7ype V-N Zoning NB Building Length 70 Building Width 54 \ Building stories -- 1 -- ;';,Square Fest 3,560 REMARKS: C Q 1 SUPER AMERICA S & W CONTRACTOR - FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $395,000 MWCC SAC S & W PERMIT S & W SURCHARGE TREATMENT PLANT ROAD UNIT PARK DEDICATION TRAIL DEDICATION Total Fee . $1,672.00 ;1,086.80 $197.50 ;1,400.00 100 2 ;4,356.30 CONRAR SCA?DRSON 2500 MINNEHAHA MINNEAPOLIS PIN (612) 721-7581 ppiicanc - 27217581......_ _ -- AVE 55484 $200.00 ;30.@0 $.50 $600.00 $1,256.28 $2,640.70 $2.743.20 $11,826.98 OWNER: FAYET7E FUNOIH6 1240 W 98TN ST BLOOPIINGTON MN (612)887-6100 55431 I hereby acknowledge that I have read this application and state Chat the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ? I APPLICANTlPERMITE SIGNATURE .n ?r m 1f ISSUED B : SIGNATII(i? INSPECTION RECORD ControlNo. 0747 CITYOFEAGAN PERMITTYPE: suiLoIN6. . 3830 Pilot Knob Road Permit Number: 000970 " Eagan, Minnesota 55123 Date Issued: 07 J02/92 (612) 681-4675 SITEADDRESS: LoT: 1 2250 CLIFF RD OAK CLIFF 6TH PERTaAUMeE: BLoCK: i APPLICANT: KRAUS ANDERSOIV (612) 721-7581 TYPE OF WORK: NEW STATION/STORE DESCRIPTION INSPECTION FOOTING .. . FRAMING .. INSULATION FINAL REMARKS: SUPER AMERICA S b W CONTRACTOR - F- -1 ? J PERMIT N CIIY OF EAGAN -? f(, ? 26.1 `1 ?? 1992 BUILDIN 681-467'S APPLICATION SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAI 2 sets of architectural.8 structural plans, l set of specifications, 1 copy of energy cal.cs. Penalty applies when typinq of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Mav 7_ /_.199Z. Valuation of work $r?o 3g S. u° ? Site Address:ZZSOC>iff Road a -' `?? STREET STE 0 Tenant Name: (commercial only) SuperArierica Group Inc L0 BLOCK ?_ suao. Oak Cliff P.I.D. i q aa? Jescri tion of work: Construct a New Su erAmerica Station/Store The applicant is: El Owner 11 Contractor ? Other coescribe> Name ?oe?upPrbmerijOCaLimited Partnership Phone 612/887-6100 Property u5T FIRST Owner pddress 1240 West 98th Street STREET STE Y City 6looniington State Minnesota Zjp 55431 Company To Be Determined Vrru9 ridr.rSOn Phone ql1-9-01 COntl'8Ct0r Address IL D innv hr 1\r, rw , License # _ Exp. City Plor,pifl4?0n State 1r4? ZiP ? Company SuperAmerica Group, Inc. Phone 612/887-6100 Arch,itecU Engineer Name Williari K. Ferris Registration # 77944 Address 1240 West 98th Street City Bloomington State Minnesota Zip 550.31 Sewer & water licensed plumber To Be Determined. . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to com with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Sianature of Applicant: 033a L 0. XtlYl OFFICE USE ONLY BUILDING PERMIT TYPE O 01 foundation ? 05 Apt. Bldg ? 09 Basement finish O 02 SF Dwg. O 06 Garage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace . ? 11 Res. Add. ? 04 Multi-fam. T.H. ? 08 Deck O 12 Res. Porch WORK TYPE ?W31 New ? 33 Alterations ? 35 Move ? 32 Addition O 34 Tenant finish O 36 Demoltsh GENERAL INFORMATION ` . ? r? 04$ Comm/1nd New ? 14 Lomm/Ind Add ? 15 Comn/Ind Rem ? 16 Public Fac. ? 17 Agricultural Const. (Actual) i Basement sq. ft. MWCC System Yc"? (aiTowable) lst F1. sq. ft. City Water ?c5 UBC Occupancy ?Z 2nd F1. sq. f't. PRV Required Zoning -NS-- Sq. Ft. total 355n Booster Pump # of Stories 1 Footprint Sq. ft. 35 sa ' fire Sprinkler Length 70 On-site well Census Code 3 zti Depth _3_4? On-site sewage SAC Code -30 APPROVALS Planning Engineering Building Variance REGIUIRED INSPECTIONS sTA.noN sroaE ? Site ? Footing O Framing ? Wallboard ? Final O Draintile ? Insulation ? Fireplace Permit Fee SurchaYge Plan Review l'cense MWCC SAC City SAC Mater Conn. Mater Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road tlnit Park Ded. Trails Ded. Copies Other Tota1: SAC 9K 100 SAC Units Z L z, oa v.l,.t;o,:. s 395; oo a + I 6 39, 5'a roa6.so p?;?-r i5r 1000,0- _ _ aysMx3.s? Io3? .sa 200 ?G?z,oo ?po ,?u?Qc.HM?v£ - 39 s,ooo )C, Oac>s' ?2 !°17. S'0 -°- PLAN P?F_VjEW ao.oa ro2 n651/ = loas,Qo tooo IZo,4D UNi-[ 1.J?ZA,?rt? X 11`l0 = 125?.23 ZS?.? L p?JD ChAKKS E TA A 16f DablLS'f]oA1 AS OiEk S? - z /j m wcc "f12, Pl . Assessments ,?c 9??ss L_L B ?y MECHANICAL PERMIT RECEIP'P # SUBD. (612) 6814675 DATE S a5 9?- RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII Y DR'ELLINGS. ALSO, COMPLETE FOR TORNHOMES/CONDOS WHEN SEPARATE PFRMTI'S pgg gEQNgEp FOR EACH DWEIddNG UN1T. OWNER: ADD-ON A/C ADD-ON EURNACE ? SITE ADDRFSS: ADD ON/REMODEL (MSTING CONSTRUGTION ONL1) $ 15.00 INSTALLER: HVAC: 0-100 M BTU 24.00 PHONE #: ADDTI'IONAL SO M BTU 6.00 ADDRESS: GAS OUTLEl'S - MDIIMUM 1@ $3 EA. C1TP: ZIP: SURCHARGE: $ .50 SIGNATURE: TOTAL: $ NO PERMIT REQUIRED FOR DUCTWORK ONLY! COMMERCIAL PLEASE COMPLE!'E THIS PORTION FOR ALL COMMERCLIIJINDUSTRIAL BUILDINGS. AISO COMPLETE FOR APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUII,DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DR'ELLING UNTf. ? WORK DESCRIPTION: , CON1'RACf PRICE ODDc OD FEES E ? . og' 14lg , ?/?? ? ?/°?Y ATE SURCHARG I S S.50 FOR EAC$ $1,000 OF PERMTT FEE. $ PROCESSED PIPING • $25.00 S MINIMiTM FEE - $25.00 OWNER: TOTAL: $ANXW SrrE.wDREsS: G?c ?. /Zv. so TExaNr: surrE nvSTAraML- 14, 0. ? G nnnxESS: /aO3 CI1'P: ZIP: % PHONE #: 9 ?f - CT11' SIG?ATURE: ? J ? ? SIGNATURE: ? ? ?,? CTTY OF EAGAN L? B? ? MECHAIVICAL PERNIIT xECErnr #(2 019ya SUBA ? (612) 681-4675 DATE 4 CQ 9?-- RESIDENI7AI. PLFASE COMPLE!'E UPPER PORTION ONLY FOR SINGLE FAMII.Y DWF.Li.IIVGS. ALSO, COMPLEI'E FOR TOWNHOMES/CONDOS WHEN SEPARATE PIIthIITS ARE REQUIRID FOR EACH DR'ELI.IIdG ITNIT. OWNER FEES SITE ADDRFSS: ADD ONJREMODII, (F)QSTING CONSTRUCITON ONLl) $ 15.00 WSTALLER HVAC: 0-100 M BTU 24•00 PHONE #: ADDITIONAL 50 M BTU 6.00 ADDRFSS: GAS OU1T.EfS • MQVIMiTM 1@ $3 EA. CTI1': ZIP: SURCHARGE $ SO SIGNAI'[7RE TOTAL: S COMbiIItCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIIINDUSTRIAL BUILDINGS. ALSO COMPLEl'E FOR APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUILDINGS R'HEN SEPARATE PIItMITS ARE NOT REQUIRED FOR EACA DR'ELLING UNIT. WORK DFSCRIPTION: CONTRACI' PRICE: 0, ?SZ? i% oF coNrxncr FEF. FEES Q,e4a4e{ y- V,"e G:?cg STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMiT FEE. $ w/ Ti?,t FIA2C s ys tu-VA?-?-D - PROCESSED PIPING • $25.00 hmviWUM FEE - $25.00 S 69 OR'NER: s IoWe?VI44 TOTAL: p S S?,?D?S: 95 TEN„NT: surlE #: . :. , INSTALLER: ?r,,pLEL!1,6r GvIA/NTE.-?i*NCc ADDRFSS: 31'7a sP,euc? 5? , . ;-.. . crrY: 5T ?L M?l zff': Ss/i7 PHONE #: CITY S A SIGNATURE 1? P; ?x ydiV61?V? " CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT XNOB ROAD EAGAN, MN 55122 PERMIT # ? PHONE: (612) 454-8100 RECEIPT # 7 , ? N lI+Q-L P? ,k1?NSt'td7s;????T DATE: ???p??Z?;;r PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & > ::...:... .. . :. ... TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOH EACA UNIT. --^--------------------- -------------------°--°---'--------------------------- WORK DESCRIPTION FEES NEW CONST _ AD'u ON REPAIR OWNER NAME: SITE ADDRESS: LOT: BLACK SUBA. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: ADD-ON MINIMUM $15.00 HVA(; 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SIIBTOTAL: $ STATE SURCHARGE: .50 TOTAL: SIGNATURE OF PERMITTEE S GOMki?ACTti?."j,I!ND17STRTAx.:' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE ? NOT REQUIRED FOR EACA DWELLING iTNIT. 9?--- ? ,f? --- ??'-- -- ---=? =' ----- -?`?------------------------------------ CONTRACT PRICE: FEES OWNER NAME: SUPER AMERICA SITE ADDRESS: 2250 CLIFF ROAD LO'f: I BLOCK ? SUBD. W ? INSTALLER: STATE MECHANICAL INC. ADDRESS: 5050 W 220TH ST. CITY: FARMINGTON ZIP: 55024 PHONE #: 463-82 FOR:? CITY OF EAGAN 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. ricCi.c33:.i PiriNC, _ $25.00 $25.00 MIhIMUM FEE. CONTRACT PRIC6 x 18 $ lo L'I O t'? STATE SURCHARGE $ ? d e) TOTAL: $?!% (SIGNATURE) L? PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. AISO FOR MULTI- FAMILY BUII.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH DWELLING UNTT. _ PTE?'W CONSTRUCI'IOAi D ON kl' -REPAUt WORK DESCRIPTION: _., n-4, c CONTRACT PRICE: $ dO Ti RRe 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE. 14*_INIM?lJD4 FF. $ 35.90 <"" CONTRACT PRICE X 1% STATESURCHARGE TOTAL SITE ADDRESS: oqll? $ 55. c90 $ .50 TENANT NAME: ? T 9 T ?C Iiti 9 d` t C ?.?- STE. # OWNER NAME: AA? 4d? iCC ?.?- INSTALLER: (,r?' V x1rK_ V\, ?'C ?l ADDRESS: N AJ Y Ap / CITY: STATE: /? l lil Z? CODE: ? PHONE #: r) ?! FOR: CITY OF EAG APPLICANT 1994 PLUMBING PERMIT (CObII4IERCIAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 L_L B? ? ME HAHICAL PERMiT RECEIPT #? O O?7 -?? SUBD. ? l/ (612) 651-4675 DA1'E /747 tlll RESIDENTTAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII Y DWELLiNGS. ALSO, COMPLEI'E FOR TORNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELLING UNTf. oWNER ADD-ON A/C AD?-ON Fi1RNACE? STl'E ADDRFSS: ADD ON/REMODII. (EXISTING CONSTRUCTION ONLI) $ 15.00 INSTALLER: HVAC: 0-100 M BTU 24.00 PHONE #: ADDI1'IONAL 50 M BTU 6.00 ADDRESS: GAS 0 U17.Ef5 • MINIMiTM L@ $3 EA. CT1T: ZIF: SURCHARGE: $ .SO SIGNATURE: TOTAL: $ NO PERMIT REQUIRED FOR DUCTWO?tK ONLY! COMMERCUL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAI, BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTAER MULTI-FAMII Y BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH DWEI,LING UNTT. WORK DESCRIPTION: , CONTRACP PRICE: 3GQo- FEES S S?l 1'% OF CONTRACl' FEE. ` '1 STATE SURCHARGE I3 $.sO FOR EACH ^ r_ ?? ? ? ? $1,000 OF PERMTf FEE. $ .? 3 0 odLS 9 PROCESSED PIPING - $23.00 $ MIDiIMUM FEE - $25.00 .6D OR'NER: Suffz= AWt£1/1-lCoa4- TOTAL: $ ?-a SrMADDPXSS: 59s0 '- TENANT: SUM #: INSTALLER: nnnxESS: GF3 ?i2 ? t- ? rl-? ? CTI'Y: />1S (Vl.PL)- ZIP:SS4Is PHONE #: CTI'Y SIGNATURE: SIGNATURE: ? CITY USE ONLY L? BL RECEIPT#: l SUBD. RECEIPT I]ATE: ! 7) APPROVEDBY: INSPECTOR MECHANICALPERMIT#: 3???LI ? 1999 MECHAN1C14L PERMIT (COMM£RC1AL) CI1'Y OF £AfiAN S$SO PILOT KNOB RD fr4fiAN, bIN 551 E2 (651) 6$1-4675 Please complete for: all commercial/industrial buildings mu!ti-family buildings +Nhc;n separate permits arc nqt reqljired for each dwe!ling unit DATE: 11/16/99 CONTRACTPRICE: J,pp WORK TYPE: NEW CONSTRUCI'fON X INTERIOR IMPROVEMENT DESCRIPTION OF WORK: INSTALL NEW CAR WASH EQUIPMIIVT PIPING FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL 30.Uc7 r 3U ($.50 per $1,000 of eit fee due on all permits.) SITE ADDRESS: 2250 CLIFF ROAD OWN£RNAME: SUPE[t t1MERICA TENANT NAME (IMPROVEMENTS ONLl): _ INSTALLER: STATE MECIIANICAL INC. ADDRE3S: 5050 W 220TH ST Cyry: FARMINGTON PHONE #: 651 _ (AREA CODE) STATE: M PHONE #: - (AREA CODE) 463-8220 Zip: 55024 ? N(lU 2 2 ;?_ _SI O PERMIT7EE . BPECTAT, INSPEC'1'ZON AND TESTIAIG SCtIEDULE (To be used in sccordance with the "Cui9elinee for Special inapection and Testing") PROJECT NAML LOCATION HROJECT N0. -4 4 G 4 (1) YSlZNTT N0. 970 97Z s o eec Type of Report Fre e Aeeigned 4 O Z60 ?LWS 1 FaTe._e_h,...T T997''ING SCRF.DL]T.E (, u) ? o P ? ?•?? o osl aa o " ZZZ? T6l lµT@-?n.?? T Note9t Thie echadule to b9 £ilied out and included in the pxoject spacification. xaformation unavaLlabla at Chat time to be Pilled OuC when applyinq for a buildtng permit. (2) Pezmit No. to be provi,@ed by the suilding p£ficial. (2) uae deecriptione per U.B.C. Section 306. (3) Specl.al Ia6p8CEpL', Teeting Agent or Fnbricator. (4) Fi.em contra,cted to perform aet+ricea. ACI4QOWLEDd&MENTS Each egpropriaCe re8reaanta ive mun ign beiow: Ownez':_I,?? Firm: ? vtn.a,c c,4?, Date: C Contrect Firm: Date: ? Architect:. 4 Fitm: ? C.ti Dahe: (o? $ER. i?? FiYM: ?!2CL Date: Tu?.u .?, l'L- " SI• Fl.em• Date: •SI• Firm: Date: mn: Firm: Date: TA: Firm: Date: F: Fiz'm: Date: F, Fi.rm: Date: • Tho lndi.vidual namee of a],1 prospective special inepactors and the work they intand to obgerve muat be idenCi£ied on the ravsrse sida of thie form. tegend: SEF2 s Structural Engineer of Record SI = Special Inspector TA ? Teeting Aoent s. rabricator Aceepted for the Bu3.18ing Department By ac Oate: 57SCIAL INSPECTTOBi BCHEDVLE EX'I'ERIOR ENVEIAPE AVERAGE "U" COMPITI'ATION C. PRQ7ECT NAE sA # 44 [Pd F.?l?aaN %e-,6,p- wasN PRQTECT LOCATION ?pGRN M IIJN?507P- -? PRQJECT N0. '-I Z'00 ; DC-- M DkTE 7- (- 9 Z Determine working square £ootage of each 1. Total exposed wall area ....... ?Ac?jCo sq. ft. x 0.23 = 2. Total roof/ceiling area ....... -7sa. ft. x 0.06 = ? a. Total type 1 window area ........................ b. 1'otal type 2 window area ....................... c. Total type 3 window area ........................ d. Total wood or metal door area .................. 224,5 e. Total glass door area .......................... f. Total sliding glass door area .................. g. Total fireplace wall area ....................... h. Total type 1 wall area ......................... i. Total type 2 wall area .......................... j. Total type 3 wall area ......................... R. Total type 4 wall area ......................... 1. Total type 5 wall area ........................ m. Total type 6 wall area .......................... n. Totai type 7 wall area .......................... o. Total type 8 wall area ........................... . Determine 'V' value of each wall segment a. X "V' _ b. X "U" s c. X "V' _ d. 224-,? X"U" p, ro a 22,d? e. X "V' ° f. X "V' ° 8• X "V' _ h. {231,? X'RJ" a.vfS = ?lg.? i. X "U" _ j. X "U' _ k. X "U" _ 1. X "U' M. X '91" _ n. Ji "U" _ O• X "U" ° 3. .........................................7'OTAL = IZ o.q y If item N3 is the same as, or less than item N1, you have met the intent of SBC6006(c)2. p. Total type 1 skylight area ...................... q. Total type 2 skylight area ... ................ r. Total net insulated type 1 roof area .......... J;?? s. Total net insulated type 2 roof area ........... t. 7'otal net insulated type 3 roof area ........... ' u. Total net insulated type 4 roof area ............ Determine "U' value for each mof/ceiling segment p, X "U" _ q. X "V' ° T. X"Ut - a, acD ° 4A, I 5. x IlUi t. x I1r, _ U. X 1fU11 s 4. ......................................... 1V?/LL+ ' C If total of tt4 is the same as, or less than N2, you have met the intent of SBC 6006(c)1. Alternate Building EnveZope Design To utilize the total envelope system, the values established by the sun of items lt3 and #4 shall not be greater than the swn of items 01 and #2. ` l + z. r? 9 , o 3. ?20. + 4. . cAP-' lnlASN ?I?t'aAfi-! ? r? i N ti?EsaTP. Io) 8(o,F ar -p1UN 7 cl5* V? U_H - - - - --- - 106, `7(vo- ?TU_H . f'pY-07-1992 13:05 FR019 SR MIDUEST 1 TO 96814612 P.01 8ystdn Name :#9459 SYST@f SIZING SSNmAY OS-D6-82 C?-'??' 9 Sta-t? tAOation : Minneapoli.s, Minnesota elock Lcad v2.03 , Prepared Hy : R.L. FEIG 5 AS$pC14TE5 Page l of 2 Mk**?**A?#t!******A**R*N* AR*f1rRltflMR}lr1e?lR?ifYYf*Rkfftflkf*#*R#?a*?*R*}RR* TAB8 I. SIZING OATA " COOLING ........""----°-------.. ....-....-`-------------°-.... -_.._..--`--------.... __ _.." Total coil load - 47,010 HTtt/hr Lcad occurs @ Jvly 1600 Settsible coil load = 76,790 BTI7/hr out.dppr Db/Wb = 91.3/ 74.$ F Tbtal 2one sensi.ble= 70,323 B'1"U/hr Coil Conc7itions: , Supply Y.mperature = 57.0 F Enteri.ng Db/t4b = 77:9/ 65.3 F SLVply air (actual)= 3,531 CkM Ieaving Db/iPb = 56.6/ 56.1 F `• Supply air (std) = 3f927 CFM Apparatus dewpoin t= 55.5 E t Ventilatiam air = 491 CM Eypass factor = 0.950 r 4i.rect exhaust air = 274 CF'tf Resulting zam RH = 51.8 8 K Reheat required = p gT7/}r rloor area. Ts4 t1 ' 3..356 Tbta1' -coil -1oad' ; 8.09 'lbn. ? . OverallV-value 0.106 5ensible cail lcdd =6.56 Ton - verit air CFM/sqFe = _ 0.13 . . SQFT/TOra -913'.13 ? vent air CFM/p2c5on •••= 1540 Cooling /tsr/sg£t , . = '28.91 Coolirx3 M/sqft 1.05 xABLE 2. SXZING DATA -- HEATING Heating c.vil losd = 115,521 g(U/hr Haatinq B7IV/hr/sqft - 39.42 Ventilation 1paKi = 39,727 HTU/hx Heating CEM/sqft s 1.05 1bta1 zone 1cad ? 75,793 8Tp/hr Floor area (sqft) = 3,356 VenEilation airflrnr- 941 CFM Overall U-value = 0.106 Supply airElaa, - 3,531 CM Vent air CeM/sqft - 9.13 Vent air CEM/persan = 15.00 ------ - -------------- - ----- -------- --------- - -------------- - ------- TASLZ 3. IWU1' AATA -- MTHE3t City =MrAneapolis Sumer dxy-}ruib = 82.4 F mte ' M3nnesota Cbincident wet-bullm 75.0 F Data SouYCe = ASHRAE 18 Daily Range = 22.0 F Latltuds = 44,9 deg. Winter dxy-txilb =-16.0 F Elevatfon = 822.0 ft AGnos. Ctear. Nua. = 1.00 TAHI.E 9. INPClP DATA -- HVAC SYSTFM System T7rpe : Clg & Warm Air 9tq $yst.en 5tart . 600 Durati.on _ 29 hra siznac spEcxFIcnTioNs Supply . 57.0 F ventilata.on , ls.oo CET7/person Exhaust - 270 cFri FAN Configuration statzr Fressure : Draw-Thxa . 0.50 in. THMQ$TAT SETPOINTS Cool,ing (cRC) . 76.0 F CooFing (UnoCC) : 76.0 F Heating . 70.0 F FAcra:s Coil aypass 0.050 Safety (Sens) . 0 8 Safety (Lateat) : 0 g Heating Safety : 0 8 M'IYIRN AIR PLENUM : N 7 O ? ? N i 3 ? a ? ? ? w ? i Q ? ? ? 3 m O ? TOTfL P.01 ?? SUPERAMERICA, June 30, 1992 Mr. Joe Merchak Construction Analyst Protective Inspections Dept. City of Eagan Municipal Center 3830 Pilot Knob Road Eagan, MN 55122-1897 Re: SuperAmerica Station/Store #4464 Dear Mr. Merchak: SuperAmerica Group, Inc. 1240 West 98th Street Blaomington, MN 55431 (612) 887-6100 (612) 887-6158 FAX Zn receipt of your plan review letter dated June 15, 1992, we have made necessary revisions and have provided additional information as listed: General Comments: 1. Separate applications have been made of the store, canopy and car wash. 2. A copy of the letter from the Metropolitan Waste Control Commission is enclosed. 3. A copy of the letter from the Minnesota Department of Agriculture and Health is enclosed. 4. Cover sheets for the project manual signed by the appropriate design professionals are enalosed. 5. A copy of the "Special Inspection and Testing Schedule" with assigned firm names is enclosed. 6. The referenced standards will be adhered to for the construction of this facility. 7. The "ADA" standards have been met on this project. Where Minnesota rules provide for more stringent standards these have been met also. SUB5IDIARY OFASHLAND OIL, INC. ^ y station store: 8. Office space is provided in the area marked "Clean-Up" and not in the "Security" Area. 9. Roof access has been added to plans. Two prints of revised drawings are enclosed. 10. Storage space for recyclable materials will be provided in the trash enclosure area. 11. Energy calculations are enclosed. 12. Lighting power budget data is enclosed. 13. Two prints of sheet #10 are enclosed with structural engineer signature. 14. An accessible drinking fountain has been added to the plans. Two prints of revised drawings are enclosed. 15. Exterior walls of building consist of a minimum one-hour fire-resistive construction Car Wash: 16. A sand interceptor has been added to plans. Two prints of revised drawings enclosed. 17. RPZ backflow preventer has been added and two prints of revised drawings enclosed. 18. Pressure relief valve on boiler will be provided. 19. Exterior walls of car wash consist of a minimum one-hour fire resistive construction. 20. Enerqy calculations are enclosed. Canopy: 21. Two prints of canopy design certified by a licensed engineer are enclosed. If you need further information or clarification, please feel free to call. Thank you. 5' cerely, ? r William K. Ferris Design Architeat CC: G. K. Hill M. O'Donnell June 29, 1992 le Minnesota Department of Agriculture William Ferris, A.I.A. Super America 1240 West 98th 5treet Bloomington, MN 55431 Dear Mr. Ferris: This correspondence is to confirm receipt of the plans covering the Super America, located at 2250 Cliff Road, Eagan, Minnesota. The plans and specifications appear to be in qeneral conformity with the standards of the Minnesota Retail Food Store Rules and with this department; however, the following items, additions and/or clarification's are necessary: 1. All food service equipment must meet the applicable Standards of Construction of the National Sanitation Foundation (NSF). 2. Adequate aoAroved NSF or equivalent shelving covering the food service operation must be provided to ensure that food products, utensils or single service articles are stored at least six inches off the floor. Ensure the storage shelving located in the back "stockroom" is fabricated of approved materials. 3. The lights located in the back storage area must be shielded or shatter-resistant. 4. The specifications included a storage enclosure. Provide additional information relating to the location and use of this enclosure for approval. 5. The floors in the food preparation, food storage, utensil washing and toilet rooms must be of a smooth durable material with a cove base at the wall/floor junctures. Ensure the concrete floors in the storage areas, utility room, and pop storage closet are properlv sealed. 6. Ensure that all exposed wood areas of the custom fabricated "Superfast snack areas" are covered with a pressure laminated plastic material and is in conformance with NSF Standard No. 35 (Laminated Plastics for Surfacing Food Service Equipment). 7. Provide and routinely use a chemical test kit to determine the strength of the sanitizing agent in the final rinse water of the three compartment sink. • 90 West Plato 8oulevard • Saint Paul, Minnesota 55107-2094 •(612) 297-2200 • Fax (612) 297-5522 • M equal oPP?nM wnWoYw W.Ferris, Super June 29, 1992 Page 2 America (Eagan) 8. The food and beverage counter must be installed on a minimum of six inch sanitary legs. 9. The food storage shelving used in the walk-in refrigerators must be NSF approved stainless steel, factory pre-coated epoxy or Metroseals or other approved material designed for this type of environment. Chrome or zinc-plated shelving without an approved factory applied hard-baked protective coating is not approved for this purpose. 10. In accordance with the Minnesota Clean Indoor Air Act, this establishment shall be posted as NO SMUKING ALLOWED. Signs shall be placed at public entrances. 11. Toilet rooms must be provided with self-closing doors, adequate ventilation, hand cleanser, single-use towels or hand drying devices, tissue paper and waste paper receptacles. Toilet rooms used by women shall have at least one covered waste receptacle. 12. All doors to the outside of the establishment must be self-closing and vermin proof. 13. If a post-mix beveraqe system is provided, an approved pressure type back flow preventer upstream from the control valve on the carbonator (water line to the carbonator) is required. This facility may not be constructed, remodeled or converted except in accordance with the plans and specifications as approved by this Department. Please contact me for approval of any proposed changes or additions. You are authorized to begin construction on this project contingent upon meeting the aforementioned criteria. Should you encounter any problems through the course of your construction or equipment installation activities, please feel free to call on me to discuss alternatives which may be available to you. Thank you for your consideration and cooperation in addressing the items outlined in this letter. An anticipated opening date of September 9, 1992 was indicated on the application form. Please notify Food Inspector Terry Scheiber at (612) 296-2627, prior to completion so that a construction inspection may be scheduled. The retail food facility cannot open for business until it has been inspected and approved, and att appropriate license is issued by this department. W.Ferris, Super June 29, 1992 Page 3 America (Eagan) I shall remain available for consultation and review of your facility's construction progress. Sincerely, Lorna Girard, R.S. Food Standards Compliance Officer Food Inspection Division LG:lah cc: Howard J. Anderson, Assistant Director Food Inspection Robert Moehrle, Supervisor Terry Scheiber, Food Inspector MEMO TO: DIANE DOWNS, UTIIITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECH DATE: OCTOBER 27, 1992 SUBJECT: Streetlight Energy Cost Lot 1, Block 1, Oakcliff 6th Addition Super America 2250 Cliff Road This memo is to +nform your department to start to invoice the energy cost of $40.00 per quarter to Lot 1, Block 1, Oakcliff 6th Addition effective November 1, 1992. This quarterly rate is based upon the energy rate of one 250 watt streetiight at $40.00 per quarter. Edward J. Kirscht cc: Michael P. Foertsch EJK/jf SC ? - , ':5-3 SSS 0 (O 6 1 MEMO TO: DIANE DOWNS, UTILITY BILLINQ CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: SEPTEMBER 11, 1992 SUBJECT: Lot 1, Block 1, Oak Clift 6th Addition 2250 Cliff Road Super America I have computed the R.E.F.'s for the Super America Convenience Store located at 2250 Ciiff Road and the total R.E.F.'s are 5.7. Please start to invoice the 5.7 R.E.F.'s effective October 1. 1992. My computations are based upon a site plan dated May 4, 1992 prepared by R.L. Feig and Associates, Inc. The total plat area is 1.1 acres of which .89 acres is impermeable surface and/or 81% is impermeable surface. Edward J. Kirsc Sr. Eng. Tech. cc: Mike Foertsch EJK/jf / i A, ?? 4 6? :ity of eagan MUNICIPAI CENTER 3830 PILOT KN08 ROAD EAGAN. MINNESOTA 55722-1897 PHONE: (612) 681-4600 FAX:(612)681•4612 MAINTENANCE FAqLITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE; (612) 681-4300 FAX: (612) 681-4360 THOMASEGAN Mayor June 15, 1992 WILLIAM K FERRIS SUPERAMERICA GROUP INC 1240 W 98TH ST BLOOMINGTON MN 55431 RE: SUPERAMERICA STATION/STORE #4464 Dear Mr. Fenis: PATRICIA AWADA PAMELA McCREA TIM PAWLENTY THEODORE WACHTER Cauncll Members THOMAS HEDGES Ciry Atlmininsirafor EUGENE VAN OVERBEKE Ciy Clerk We have completed our review of the plans and specifications submitted for the above- referenced project. It is our hope that this report will be of benefit to you in achieving a project that complies with the various state and local codes, laws and ordinances. Genera] comments: 1. Please make applications for separate building permits for the station/store building, the car wash building, and the canopy structure - UBC sections 301(a) and 302(a). 2. Please submit a copy of the letter from the Metropolitan Waste Control Commission which has the SAC unit detemvnation apportioning SAC units to each building. 3. Please submit a copy of the letters of approval from the Minnesota Departmentsof Agriculture and Health. 4. The project manual must be signed and certified by the design professional - Minnesota Rules, part 1800.4200 Subpart 3. 5. Please complete the assigned firm column and obtain all the proper acknowledgment signatures on the "Special Inspection and Testing Schedule". Each special inspector, testing agent, and fabricator must submit a Fina] Inspection/Testing Report or Certificate of Compliance, as applicable, to our division before a Certificate of Occupancy will be issued for the buildings - UBC sections 302(c) and 306(c), item 3. THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GRONRH IN OUR COMMUNITY Equai Opportunlty/Afflrmaflve AcTion Employer 6. Please note that the Uniform BuildinQ Code Standards referenced in the building code (a list of the standards occurs in Chapter 60) are a part of the code. Other standards providing equivalent performance may be used only when such alternates are approved by the building off'icial under the provisions of section 105 of the building code - UBC section 6001. 7. Where a specific requirement of Minnesota Rules, Chapter 1340, provides for minimum standards more stringent than those of the federal P.mericans with Disabilities Act (ADA), that specific Chapter 1340 requirement will appiy. Station Store: 8. The room labeled "security" may not be used as an occupied space (office, etc.) without providing an exit path not passing through the stock room - UBC 3303(e). 9. Provide roof access complying with the provisions of UBC, section 514, as amended by Minnesota Rules 1305.1750. 10. Provide space for recyclable materials - UBC section 515, as amended by Minnesota Rules, part 1305.1775. See also Minnesota Rules, part 1305.1370. Please note that storage space for recyclable materials and trash must also comply with section 11.201(d) of the fire code 11. Submit energy calculations substantiating compliance with the Minnesota Energy Code - MEC, section 104.2. 12. Verify that the proposed lighting power budget complies with MEC, section 505, Subpart 2 as amended by Minnesota Rules, part 7670.0800. 13. Engineer must certify structural design shown on sheet #10 of the drawings - Minnesota Rules, Chapter 1800, parts 4200 and 5200. 14. Provide handicap accessible drinking fountain - UBC Table 5-E and UBC section 511(c). 15. The plans show the station/store is to be lacated 18'-4" from one of the property lines. Please note that the exterior walls within 20 feet of the property line must be of one-hour fire-resistive construction - UBC section 504(b) and table No. 5-A. Car Wash: 16. Provide a sand interceptor for the car wash - Minnesota Rules, part 4715.0200. The sand interceptor must be located ahead of the inflammable waste trap - Minnesota Rules, part 4715.1120. 17. Provide reduced pressure zone (RPZ) backflow preventer on the water fill line to the boiler - Minnesota Rules 4715.1940. 18. Provide a pressure relief valve on boiler - Minnesota Rules, part 4715.2200. 14. The plans show the car wash within 10 feet of a property line. Please note that exterior walls within must be designed and maintained as one-hour fire-resistive construction with all openings protected - UBC section 504(b). 20. Submit energy calculations substantiating compliance with the Minnesota Energy Code - MEC, section 104.2. Canopy: 21. Submit a design that is certified by a licensed engineer - UBC, section 302(b) and Minnesota Rules, Chapter 1800. Sincerely, do,e A ¢,wl? Joe Merchak, Construction Analyst Protective Inspections Division JM/js CC: Doug Reid, Chief Building Official ? STATE OF MINNESOTA DEPARTAIENT OF PUBLIC SAFETY DIVISION OF STATE FIRE MARSHALL 285 BIGELOW BUILDINO 460 NORiH SYNDICATE STREET ST. MUL. MINNESOTA 55104 TELEPHONE: (812) 8 0.9 3 0 8 0 June _ 5. 1992 Petroleum Main£ennce`?s??? ,.,• ? 3172 TpraceStreet'? st. Paul> t4N?,55117,,.. Ed Puchtel (612),4844264 • ?t??„?I RE: Super America, Cliff Road & Slater Road, , Eagan, MN. , Michael 0'DOnnell (612)887-6150:.' The installation eP four (4) STI-P3 underground tanks for dispensing at a aelP service Pacility. There will be one (1) 12,000 gallon and two (2) 10,000 gallon tanka for gasoline and one (1) 10,000 gallon tank Por dieael. The system Will have leak detectlon and overfill protection. To Whom it may eoncern: The plans Por the above inatallation have been reviewed pursuant to Minneaota Statutea, 1984, Chapter 299F.19. Preliminary approval is given for the aforementioned project subject to compliance with the provisiona oP Minnesota Statutes, State Fire Marshal Regulationa, and local ordinances and permits. Construction shall be in conformance with Article 79, Flammable and Combustible Liquids, contained in Minnesota Uniform Fire Code (1988 edition as amended). Final 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 responsibility to other Federal. State or local agencies regarding adherence to regulations or the need to obtain necessary approval. Questiona concerning thia project should be addressed in writing to our office Por a formal responae. PleaBe Tefer to the file number listed above in all future correspondence concerning this project. Yours verq truly, Thomas R. BraCe, State Fire Marshal v i?"'""` J n D. Eibner Deputy State Fire Marshal - Code,Specialist JDE File No.: 92210 M.P.C.A. Certification Number: 0037 Proposed Date of Installation: 06/14/1992 Date of Preliminary Approval; 06/05/1992 °° 0°079-06 (?AM FACI LITY . 'STATE FIR$_ , rp,?Vl$ION,, ' 185 S2G8LON° BOIL6346 4;°, .., . , • 450 NORTB BYNDICATB, 8TR88T: 32. PAOL. 2N 551'04-? ., ?' IINDSRCiROUND FTiAbIDtAHLB AND CODIBIISTIHLB LIQIIIDS, '° gf??jiEVIEW SiUIDBLINE PLEASE READ THE FOLLOWING INE'ORMATTON BEFORE BEGINNING: - Fi11 in the inEormation blanks compietely. - where not appliceble mark NA. '??9 - Submit all material in dupliqate; include one guideline sheet Por ggMh plan to be reviewed. F` - Idclude plot plan oE property showing location of adjacent streets, highwaye, buildings, surface waters, and other immediate aurroundings. - Ineomplata inlormation will raeult in the Dlans being returaed. Date: ?? ??lg' mo day year Tank S/ta: , Company:'Sujew Contractor. ci ? Contact: t?D 'pG1CHTL-7- ? Phone MPCA Contractor CertiBcadon Alumber. G63r1 ? Tank Intormation: . Capaciry: 1 /A ?a 2 i? ? / Product: 1 UNCrx D ? 2 PC,uS U.G:,ar,5wr??-•?.Cr.?'? 4:QIcfSrZ Construction:l -67"'I P3 2 :5T, 3 -5r) P3 4??i ? P3 " a • ` ,--'z-s?? 1 i = t = _, ? PlpTng (materia!): Vent Lines?Dispensing Lines? -;?'' '"" , , .'?ReStoht ?N?? ,it"-'y •''•;,lCr : 1.. . T.ype: Full Service • Seii Service?_rage ; .,.... ...... ._ ........... .._. Corroslon Protectlon: Yes ' No Type of Anodes lnstaJled: Tanks ??i`s Pipinq-?? ? ... _......1 ' • '„ r , Date of lnstallation: ' mo day year YJL,77Nd ? Phone Kco J14eKZr p0i21 9000 Tf1NK rLi^/c-- Leak DetsaNon Method: Tanks Piping and ,, SpiJl Preventlon (ContaJnment Basin): Yes?_ No • O+ierflll ProtecNon: Type„4 1/t= 10411 .?c.al / ? Depth to Ground Water. - i'/UIA ArrchoNng: Required_ 19119 Not Required ryae oi a8ckrul: dLe?icl ::?N D f Ap plans w6mitted rtwst show at least the folbwing infortnatton on ptot plan. Give measure- Y N/71 / YES N/A 1 1 Bul•l PsoO?eCy Lla?) ? ? f 1 1 1 dlnql?l? • y?! f 1 f) tank 41ie, ? ? f 1 ( i Produec !n 'Cank ? 1)'hnk euCy MpCh ? ?1 1 UQ ( 1 Conereu Thtcknus ovec Tank PQ 1) ? i 1'Cank lSL1 Oponlnq ? D0 1 1 f 1 Otlvways XV_ 1 1'merqency ConcaoU e?r ( 1 Luk Oteaeelon ? ?r4 f 1 OverGl11 fracaeclon D'4 f 1 spill erwencton ? b0 1 1 V•rtC PtOo TtrmlMClon 'rype ? Vonc PSDe, Slxe PiplnQ Layaue,/Locaclan ot Oisp*naecs'' 6taeervaYa OLR*na*r Pracwtlen°/ Slqnu No Soqklnq-ShuC OC[ Motot ./ Ninlmum a99 [oe $41f Yecve, - 16 Yeaca Old 20be .lin. FSre OcCtaQU1sRte S*l! Serv* Acctndant Laaacloa ? tank Loqcton and Cleacaaces Baekdill lype ? NOTICS: ONE COPY MUST BE PRESENT AT SITE FOR REVIZELV. oerua vsa oerr,x acprax RevLew Stamp .1rea Stamp in ?sea - REviEwEo ? :+raJEtr ro FINU wsvEcrtON ':At+D ANY CNAtJGES NOTEQ • C01-tAC1 LOCAL PtRE ItUTFEae!'P7E OR10R TO VRO]ECT START. Nl.,.r ::$OTA STATE FIRE A11ARSfiOI pr°°°gs complac -oaca rfal aa ouc LZ ?tiscallanQaus Intormacion S-% Z- l 9 oa?: f ,. ? .q .TcAlp ('ree,a.a4ra+ 20^) ? PPM 9,n,=,o w vNt Krrs ? a T<wIc ,PS . ??_-/;_. + ? T 2 v1/ENj s" • ., u' L-t_, ? 4HE • ; .: <_. - " ?, .._ • ` .._ .... r. _. . ??+NK L?NppE v(D _ ? ? 9 ?lt ' Flcch?ac-;50 pill M? . f4,? K A,Jo?- - • a - _?y?jCAL._Su81'`ET?-?SYs?,"1 .? _._ Tr -- REVIEINED - • warcr tO FINA1 WSPECTION AND /14tY Ci1AP1GE5 NOTEQ . • GCNTACT LOCAL FIRE /CUTF1dPJW PRIOR TO PROJfCT START. MINvi50TA STATE FIRE MARSFW ?A wro? -- 5`- ? z- /Z"'.f?'KF/u- ? M/N/MNM 611 GcWG.4ww1 S7M kE,ryFaeeEp /3 ft Dq7rl-+- 3Ft *4fa? /G. Gor-) 5-1i-i'3 /-'Lu5 DUU %U,C?OU STi-/'3 ,XCAVATLOrJ Dl?prFF g? i-P3 raNL???D ?u/-'? DiFSFL -- REVIEWED - • waJrct ro FINru. wsPEcrrcHN Ai•1D ANY CWANGES NOTED. • CC ^J.ACT LOCAL FIRf A'UTFORM QtpR TO PROJfCT SFART. MJtvrvE50TA STATE FIRE AAARStiAt /J /, Dat._ :ity of eagan MUNICIPAL CENiER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (612) 681-4500 FAX: (612) 681•4672 August 20, 1992 MAINiENANCE FAqLITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122 PHONE: (612) 681-4300 FAX: (612) 681•4360 MR BILL FERRIS SUPERAMERICA GROUP INC 1240 W 98TH ST BLOOMINGTON MN 55431 Dear Bill: THOMASEGAN Mayor PATRICIA AWADA PAMELA McCREA TIM PAWIENTY THEODORE WACHIER CouncA Members THOMAS HEDGES Clry Atlmininsirator EUGENE VAN OVERBEKE Clry Clerk I have received your request regarding the location of the boiler for the car wash building at 2250 Cliff Road: We have discussed the proposed ]ocation on the roof according to the attached drawing and feel it is acceptable as proposed. If you have any questions regarding this matter, please call me at 681-4695. Sincerely, Steve Hanson, Asst. Building Official Building Inspections Division Department of Community Development SH/js attach. THE LONE OAK TREE ... THE SYMBOL Of STREN6TH AND GROWTH IN OUR COMMUNITY Equai Opportunity/Anirmative Action Employer 1 -? - • SUPERAMERICA ? DESIGN, ENGINEERING & CONSTRUCTION LETTER OF TRANSMITTAL TO: C17Y OF EAAr?r? 38so I°IcJar KS406 ecbo E04CT4+4 ,tjloue:?;,? ?tT: ST??? ? • 0 WE ARE SENDING YOU HEREWITH THE FOLLOWING: 4 Plans ? Specifications ? ? Details ? Shop Drawings ? Documents ? Originals/Artwork Quan. No. Issue Da e Description or Commeni 8 I 2 THESE ARE TRANSMITTED AS CHECKED BELOW: P? For Your Use ? For Review & Comment ? ? As Requested ? For Your Files ? For Completion ? For Consultation ? For Bids ? For Approval TRANSMITTED VIA: ? Delivered ? First Class Mail ? Parcel Post ? Overnight Mail ,?kCourier ? Picked Up ? ? FAX # ? Inter Company Mail ? Third Class Mail REMARKS: !S"C a?_.?e? - 7[E4F b'['TA?CAEO SK-F--tCr4 !Z-401,4S -Til--- FR?oPEX?Eo 1-.G?A?ior-( fW- TI-Ec WE. ?rsc? ??SSFA ??c L6ti' ?? I f? YhU t 1? ??T(?c ?lcT uprt-?_2 SuperAmerica Group Inc. 1240 West 98th Street Bloomington, MN 55431 612/887-6100 DATE: g4q 2 RE: 'S,& 4` 444o4 CLIFf J ? For Signatures ? Return Copies FROM: ? . . COPING SINGLE PLY ROOFING BATTEN SEAM ROOFING PEDIMENT ENCLOSURE TO ? PEDIMENT HAVE ACCESS PANEL THIS END FLUE DE-ICING BOILER NORTH dt ..,,,...,w r CAR WASH cli PARTIAL ROOF PLAN z' t°o 0 m o JrASUPERAMERICA SHOWING BOILER LOCATION 4 a 0? e N ? * e °D . t t ...........,.... .,oo._,a._...,.. ..... 4 G o 0 0 , CASH RECEIPT CITY OF EAGAN . 3839 PILOT KNOB HOAD EAGAN, MINNESOTA 55122 DATE tip-7 ,s GZ S4(A-? ra.f AMOUNT f ? ?? ? V v P & ".?) WUARS ,0 O CASH ?j CHHCK r w„ ?,? ar? ? I??? t2d? ?-s•t?. , Thank You BY C021184 Wh"--Pft..CWV ? YNbw-Pw*q CWY GY*-FM Caq' WTE CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 CASH RECEIPT ._ 9 rECE?o rnw ?. ? i (.., . ../ fi.! ? AMOUNT s - i I ? 1 % `? ?,I?I I ? ? ?A_r I ? . /? - i F ? a r ? oauAs ? CASH Kj CHECK i ' = •>'_Y ? ?. - , i i?? L i. _ Fl1ND OB.IECT qMpUNT Thank You n ? BY_?^ ?l..W?C.<i? r / C021104 ? ? ? ok*-FNG cwy , lIEMO TOS 8T8V8 BANSON, A88ISTANT BIIILDINa OFFICIAL JIM STIIRM, CITY PLANNER JOB lIERCBAK, CONBTRUCTION ANALYBT DALB WEGLEITNER, FIRB DEPARTMENT BILL ARINS, ELECTRICAL INSPECTOR POBLIC WORRS/EN(iINEERZNG DEPARTMENT t)TILITY BZLLIN(i CLERK FROIL: DODIi ABZD, CHIEF BDILDINa OFFICIAL DATE: 9//<//902. SIIBJECT: FINAL INSPBCTION The Protective Inspections Department will be performing a final inspection of G?J~? ?? ?rIf, 2/ GY• on 5 u p rner; era A Certificate of Occupancy will be issued following our approval. If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form within five working days from the date of this notice will be considered your approval. CITY USE ONLY y„...,- ?.°l U 3 ? PERM[T #: RECEIPT DATE: INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date: ?2` it' Z FFEB 13 2002 By ?' VVORK TYPE New Bldg Add-on Repair _A/ RPZ PVB • Irrigation system • Jerry Wobschall to calculate fees. Required meter size is 2" turbo unlese smaller size permitted by Public Works DESCRIPTION OF WORK C)?- EOOE COMMERCIAL PLUMSINH PERMIT APPLICATIOA C1TY OF Ek6kA 3830 PILOT KNO$ gD eASAN.IV!!lY 551SE 851-6$1-4875 To inquire if Pressure Reducing Valve is required on newiservice, call METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to pickine uo meter Irrigation Size & Type Fire Size & Price 3/4" disnlacement $152.00 Domestic Size & T}pe Does this include high demand devices? _ Yes _ No Avg GPM Avg GPM FLUSHOMETERS _ Yes _ No PRV REQUIRED _ Yes _ No Site Address: 2 ZSO ??? ?"? Il O rt0 Tenant Name: ? ?? Q,Y'j ? ('.Cti .? 4(/J q Telephone #: 66 / o SZ- `?D ? (Area Code) Was there a previous tenant in this space? _ Y? N. If Yes, Name: InstallerName: _j1J,:, VVcv-j ??UYVliJ1?'lG ? ?'IC f Telephane #: ?1 -7'? Q' 1 Z-Z (0 (Area Code) InstallerAddress: Z2,7 - ? L CiTy: /? ?{- 4b_,L?? State: d7) N} Zip Code FEES Contract price $ x 1% ($50.00 min) Required on all new buildings $ boulevard irrigation systems Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calwlate at 50 cents per $1,000 contract fee. Plbg Permit Meter(s) Radio Meter Read State Surcharge Sub TotallTotal 6 $ $ S E .5_6 $ Supplementary fees For new irrigadan system: Contact Jerry Wobschall at (651) 681-4624 regarding fees Water Permit Treatment Plant $ 50.00 $ 540.00 Water Supply & Storage $ State Surcharge $ Tota, s ?5v,5r? I hereby aclmowledge that I have read this application, sta[e [hat the infonnation Is coaect, d agree to co ly with all applicable Ciry of Eagan ordinances.Itistheapplicant'sresponsibilirytonotifythepropertyownerthattheCiryofEa sumesnol' iryforanydamagescausedbytheCSry during its normal operational and maintenance activities to the facilities constructed underermit wit ',#y prope?ty/righaof-way/easement. OF PERMITTEE CITY USE ONLY PERM[T #: Ij 9 O ? RECEIPT DATE: . EOOE COMbt£RCIAL PLUM$ING PERMIT APPI1CAT10A C17'Y OF EA6AF 5880 PILOT I{NOB i{D E.G". MN 55122 p ? ? ? 0 ?l 651-e81-4675 INCOMPLETE APPLICAAONS W1LL NOT 6E PROCESSED F E B 1 3 20 j!J L Date, 7,1 1' Z_ WORK 7'YPE New Bldg Add-on Repair ?RPZ PVB ' Irrigation system • Jerry Wobschall to calculate fees. Required meter size is 2" turbo nu less smaller size permitted by Public Works ? DESCRIPTION OF WORK METERS - Ca11 65 1-68 1-43 00 to verify that hydrostariq conductiviry, and bacteria tests passed Irriga[ion Size & Type Fue Size & Price 3/4" disnlacement $152.00 Domestic Size & Type Does this include higfi demand devices7 _ Yes _ No Avg GPM Avg GPM FLUSHOMETERS _ Yes No PRV REQUIRED _ Yes _ No Site Address: (?01 i'f- LoGA Tenant Nam?Lt<f)Lr ?J - - vN'i ?C?. Te -yyt lephone #: Ft?Z. ?Ot? ? I Was there a previous tenant in this space? Y?N. If Yes, Name: :t (area Code) ? Instal]erName: (,lTelephone#: 6s1 77? ? ??d ??/ ,,LQ(,,1 ' ' ? (Area Code) Installer Address: 22 v i / ?-(? 7? ?7 City: ? -t'CC_4_? State: Zip Code J6 f d P i FEES Contract price $ x 1% ($50.00 min) erm t Plbg $ Meter(s) $ Required on all new buildings & boulevard irrigation systems Radio Meter Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge $ 50 cents per $1,000 contract fee. Sub TotaUl'otal $ -------- ----'--------- ----------------- --'-- Supplementary fees tor new irrigation system: ----_'_---..... - Water Permit --_.-___ $ ___?-----____---'- 50.00 ContactJerry Wobschall at (651) 681-4624 regardingfees TreaMent Plant $ 540.00 Water Supply & Storage $ State Surcharge $ .SLJ 5D Total $ ? I hereby acknowledge that I have read this application, state that the information is correct, awl)igree to comply ith all applicable Ciry of Eagan ordinances.ItistheapplicanPSresponsibilirytonorifythepropertyownerthattheCityofEa n umesnoliabforanydamagescausedbytheCiry during its normal operational and maintenance activities to the faciliries c?WCted un ' permit ?ith' property4ight-of-way/easement. OF PERMITTEE 7?53 9?,' ??, ?sa 2006 COMMERCIAL PLUMBING PERMTC APPLICATION CITY OF EAGAN • • 3830 PILOT KNOB ROAD, EAGAN NIN 55122 651-675-5675 Date 10 / S / O(.O (J(j(? SiteAddress aa5o CAlfT ?OlA Unit# TenantName SV.QE?{ pfhRr,cQ # yyc0y FormerTenantName Property Owner SV2C.x,..,C.. ct, Telephone # (6TJ I ) qJ,'" RO Contractor Address g§ SA41TH AWAcSn BLVO Crty State ST PAUL. MN 55117-1092 zip Telephone #((051) License # Expires: 1 Z )3i 1p(o The Applicant is _ Owner Contractor _ OUter Work Type New Bldg Modify Space trrigaGon System*" Yes No Work in public ro-w / easement? _ x RPZ _ PVB: New _ R epaidRebuild _X Replace _ Remove Rain sensors are required an irri ation s stems P 'Q 1 0.Cp yC., ` Description of Work e? ,. To inquire iFPressure ICeducing Va1ve is required on new service, ca11 651-67 5-5 696 Meters - Ca11 65 1-67 5-5 3 00 to verify [Laz hydrostatic, conductivity, mid bac[ene tests passed orior to oickine uo mekr. Irrigation Size & Type Avg GPM 2" turbo req'd unle.cs smaller size allowed by Public Works Fire Size & Price 3/4" meter 167A0 Domesric Size & Type Avg GPM Includes high dwnand devices? _ Yes _ No Flushometers _ Yes No PRV Required _ Yes _ No Permit Fee $50.50 mmimum (includes S[atc Surcharge) ?? ? Contract Value $ x 1% PermitFee ° $ • S $ Meter(s) Required on aIl new buildings &. 6oulevard "vrieation svstems $ Radio Meter Read $ State Surchazge If penm[ fee is lesv than $1,000, surc6arge is $.50 If Demit fee [s more than S1,000, sorc6arge is $SO for esch $1,000 owed. -?---- ----- Following tees apply wheo installing new lawn irrigafiou system Water Permit ?--- $_'?-'--?- Call the Ctty's 8ngineering qeparUnenf, 651-675-5696, for required fce amoums $ Treatrnent Plant $ Water Supply & Storage $ State Surchazge $ Total Fce 1 hereby apply for a Commercisl Plumbing Pemut and acknowledge that [he mformanon is complete and accurate; that the work wtll 6e m canfotmance wrth the ordmartces and codes of the City of Fagan and wrth the Plumbmg Codes, tha[ I undersiand this is not e=mu, but only an apphca[ion for e pem?i[, and work is not to staz[ wrthout a permiT, that the work wili be in accordance with the apprmed plan in the case o£work wf ch nquves,v,iew and approval af ptans ?l L L L ?? \J ApplicanYsPrintedName Applicmrt' r H(EUI HOPSESHM COONiEP EOUIPNENi pPAMIXG aMEeu .m?u I. ftEMOVE EXISiING AiiENpANi COUNiEP AND EOOIPIENI. 2. VEPIFI MIiX OtlIEP'S flEPPESENiAi1YE fWIPlENI T0 6E PEINSIALIED. l. 4001FY/EMLfW E%ISiING ELEQPICAL dND COMIUNIGiION CONOUIiS 4ND PULL NEM MIflING AS PEOOIREO- 4. NOi 1I5E0. s. ixsruL iza roi*, ao Aua aune*, Ss- aFr <xueeeu urocL xeLesioi. 6. RELOCIiE IiY CS SNOIIN. 1. IXSi0.L NEN SiOREFPONI NIiN fINISH 10 NILCN E%ISiIN4 YIiH EWAIIY SP.1CED WIXp01Y PANELS ANp NEM DOUiS. A MODIFI SNELVINC LAYOUi AS SNOMN. 9. NOi OSEO. 10. 1LL IPEAS OU1510E CLOUOED SECiIOX 10 REMAIN UNCNANGEO. 11. IXSi.ILI .1X11-fA71LllE NRi IX AIIEND.1Ni .IPEA. 12. PPOVIOE 120 VOLi PECEPiPtLE ABOVE CEILIX4 IUSEO FOH OYEflXEM P0.CR ffPCH1N015EP1. DIYENSION REOUIRES FIELD YERIFICATION L ? A POR i IGN OF THE MAIN P,SSISTANCE COUNTER SHALL BE AT LEAST 36" IN LENGTH JVITH P MAXIMUM HEIGHT nF 36" ABOUr TfE fINISHED FLOOR. ? 8 uSf 9W T p ?IaGI CABINET PLAN R??9?WED BY Mike ?.e,,? DATE=7??2? as BUILDING INSPECTIONS DEPT. CONiRRCiOR Po00 SENVICE NOiES NOiES: I.LONTflACiOF TO VEflIFY pLL AFEAS PROIOR i0 CONSiFUCiION FOOD SERVICE GENERAL NOTES: 1. RELOCATE E%I5i1NL EQIIIPMFNi AS SHOWN PNO ALL flELRiED UiILIiIES 2. INSTALL dLL OWNEA PAOVIUEO EOUIPMENi AND FELATE IITILITIES. 3. NEW COUNiER PPOVIDED BY CA91NEi MFNOiACiOFEN RNp INSiALLED 9Y CONiPACifR. 4. BIU AS ALi A:INSiALL NEW LRP ON MRLLS BEHIND NEW COONiEFS. 5. BIU AS ALi B:GOqiPAGiOB i0 INSiALL FPSi F000 SIGNS PER DIRECtION OL OMNEAS HEP. 6. RESTOFE i0 OAIGINAL OF 6EiiEH CONDIiION ALL AFEAS EFFECTED 6T CONSiR11CilON. i. ALL MAiEAlALS REMOVED DURING LONSiRUCiION SHALL BE DISPOSE OF OfF SIiE. B. li NEW SINR IS i0 BE INSTAILED CONiHA[iOA NIISi VEPIFY E%ISi1NG SANIiARY IS ACCESSIBLE. 9.810 AS ALi C: PAINi INTEflIOH i0 MEET PqOJECi 21 SPECIFICATIDNS. E w ? ? Z ? ??? ? ? 0 J ? ? .?. I --- - - 74.16' ? ? 4 ?h 03=9"-- ? K qa4T ? ?" , ? O ? n cn ? I i : I V ' 34N 31V15 ViOSVIIIINlW 'iiVVlS .03f03d Ot lfGW "Jac*{lr},y 3m 1V701 i:)dl*:U:) • ? 'd310N S3mVHJ ANV Q!sd wpl1D-7dSM WN1! Ol ll.f6"6 0 1 ,- a31Vl3lAlH -, .4 , i ?' ?•< _ ? "° ..?.? r?. UPERA?Eg I`CN:. °>-=SrarroNisTaRE - , 68":k2' R CC HASONRY aLDG. "QN7EkI0R DIHENS10NS7 :.?,z ,;, ? . .. :,?.g JrCCG 5212 V M604D . E?NEl2(7?.C?/ CC NT ? _fiiORAGE 50':10• 7? . . I . D' n / ? CAR IJASH 18':32' i ;i ri ?f- ? 1- ? ?// , ZG ?-- = . '? --- - - 50.11' - - --- , (? ?Q 1"I n 1 n ?' u ? - + -? r G r ? P :? _ • ---? - I I ? •: ?p'.. I IH r-I ca 0 ? i ? ?^h +i?t L?, 4 PRCO 71biN? oFF l?GE /6 rJO 5`NOKE ? -- I . I - ? r ?.(?•?` _??'Y??p. /?KcDuC'f# C ? v - ? ? ? \ M / -Ejumpr7r,?Nuzpt EAc ti, ,S?DEr RtC Z32.A?+DS'` ? , ??? \ ? 1 1 fD 0'1 N IIIr4 co cr_ ? N IJ'1 Or) ? ? ? r i ? cr_ ; c? W ? Q ? ¢ Y I I Ai ? n I ,-to I ? ti ; 1 ? , 8 i =s ? 6?. ? i; k. ' ?. M ,:1 ?.? }; ? 3 ?• .r ? .- :# i; ;?- > a, N < a "' T ^ ? `.i ••} x: . • ? o D 0 O ? ?? ah m. 0 v V ? ?O 4b /O ,. V rw ? . : F ' ? . ? jo ? ,, ? .,. ... . ? _ a H O ? O • D jC > ? ?o ?o < f7'1 ? Z ° 01 O 0 ? ?o ?O ?O ?O 0 ? 0 0 0 ATTENDANT'S STA7ION INTERCOM MICROPHONE EMERGENCY CUT-OFF SWITCHES 20x DRY CHEMICAL FIRE EXTINGUISHER INVENTORY MONITORING SYSTEM. RUN 3/4" 0 CONDUIT FOR uIRIING FROM OPENING IN U.G. TANK TO UTILITY ROOM. RUN AN INDEPENDENT CONDUIT FOR EACH TANK IN THE SAME TRENCH AS SUBMERGIBLE PUMP 41IRING. ZINC ANODES - SUPPLIED ON STI-P3 U.G. STORAGE TANKS. SEE DET. 3/2 FILL PIPES w/ ANODE PROVER - TYP. SEE DETS. 7/2 b 24/2 OBSERVATION d RECOVERY uELL SEE DET. 15/2 PRODUCT DISPENSER. SEE DETS. 22/2t 23/2 b 26/2 FOR PIPING INFORMATION 2"0 PRODUCT VENT PIPING 6 STACKS. SEE DETS. 19/2 b 20/2 SUBMERGIBLE PUMPS. SEE DET. 9/2 PROVIDE TEE JOINT IN PRODUCT LINES UNDERGROUND STORAGE TANK #1 12.000 GALLON# 9'x 25' UNDERGROUND STORAGE TANK x2 10,000 GALLON. 9'x 21' UNDERGROUND STORAGE TANK #3 10.000 GALLON, 9'x 21' UNDERGROUND STORAGE TANK *4 10.000 GALLON, 9'x 21' 2".0 VAPOR RECOVERY PIPING 2" J0 P I P I NG FROM TANK #1 2"0 PIPING FROM TANK #2 2",0 PIPING FROM TANK 03 2"0 PIPING FROM TANK x4 XANK PRODUCT KEY ? TANK PRODUCT 1 REGULAR UNLEADED 2 PREMIUM UNLEADED 3 SUPER UNLEADED 4 DIESEL NOTES: , ., ? ? ? i k ? j•. f: ; ? • / 4153 3 1 57 Use BLUE or BLACK Ink For Office Use ~f Permit P. Id / / / City of Eatfl Pemut Fee: _ 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date: Site Address:~5~' G~L/t It'd Tenant: ' , ° ~Cc'G/~ S Suite PROPERTY OWNER Name: Sp,,' p4we,- syy- 't Phone: 5~~Jkg'7 - ~/1a CONTRACTOR Name: -License*. Address: z) lei. el city: ~r1 Stater/Lizip: s s~ - Phone: *-2 Email: Q Ce'e'~ti~fii~ @ i s~~eCL7. TYPE OF - New _ Replacement _ Repair Y Rebuild _ Modify Space _Work in R.O.W. WORK Description of work: 71D -Ahig 'UPS Y /w 622- .~9--V'j COMMERCIAL PERMIT TYPE _ New Construction _ Modify Space _ irrigation System yes / _ no) RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2' turbo required unless smaller size allowed by Public Works) _ Meters Cali (651) 675-5646 to verity that tests passed prior to pickino uo metes. Domestic: Size $ Type Fire: I Avg. GPM High demand devices? Yes _No Flushometers Yes _No COMMERCIAL FEES: $55.00 Minimum (includes State Surcharge) OR Contract Value $ x1% $ 6 Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 = $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Pennit Fee $ State Surcharge (i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) Following fees apply when installing a new lawn Irrigation system. $ Water Permit Cali the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply $ Storage $ State Surcharge TOTAL FEES $ 56- CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.orcg I hereby acknowledge that this information Is complete and accurate; that the work win 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 pem* 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 g-"4 le, )6 mn rs-l x l W Applica 's Printed Name Applicant' ignature FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-in Air Test Gas Test Final PRV Required: _ Yes No Page 1 of 3 EUCI • x For Office Use , : 4 � � , V� GC EAGAN ... 66 � eI�, .Q Permit#: /50I •�j�. v Permit Fee: rti`� •lr �'rO Date Received: Ce 4�C 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 JUN 0 5 2Ui8 (651)675-56751 TDD: (651)454-8535( FAX: (651)675-5694 Staff: \� buildinginspections(c�cityofeagan.com -i L `� 2018 COMMERCIAL PLUM G PERMITAIPPLICATION ❑ Please submit two(2)sets of plans with 1.�alllccommercial applications. Date: //c.._-,\,f-)\\"5 Site Address: cj-- .1-c-"\I Tenant: .L ' ( Nit Y" .)( \ C Suite#: Property Owner ''' Name: Phone: Name: v- s,ry\Z (l`j.j A V\U.-1 \Y `r. -, e#: V(ti. 11-\- j\\.1 Contractor Address:i C-�� f(ZL�A\ itr -\.r/ k-t lLl Mate: Zip: Phone:‘,0Gj\ " -c (4_34' c » �• Email: cr �� /i r i Type cif eit New .Replacement _Repair _Rebuild _Modify Space Work in R.O.W. Description of work: COMMERCIAL New Construction Modify Space Irrigation System(_yes/_no)( RPZ/ )4, PVB) ` r _ . 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$ 5 --;.D.°0 cx.01 $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit(includes State Surcharge) =$ kc-)e3 ' 0(2) Permit Fee =$ - Surcharge Surcharge=Contract Value x$0.0005 !\ If the project valuation is over$1 million, please call for Surcharge =$ (4.3(...) • U0 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.citvofeagan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x -I t'l\ -� t� l C.21. N" s- S/ ; x � 1 . -l.-- I C� Applicant's Printed Name Applicant's Signature c� .�,�. ,fir"" r "n s? ,,,, �a`�"x� s nw ,a,' �s. *r�:., F 0 FICC USk a 4�x � � ' a a^ App-o{ed By r a o-4 i ,r z-3 Date z c ; pAo i'4 _.;:, yam*" , , �i `" - r ? .1".zfi§ '" 3 'u Re ulred Ins echo Under round �R ' l: ® $f:41..",F 4: o �� q p �►s g Atr Test Gas Tes 1-�fna� Reglt�i� �_kYo f l '" nff - 's.... " "' ' - - .W, & S "r,1,9 7 nom# s ' >Ni ,},,l' Meter .trAla elated..lt-,111.,4,-,-. 4 sMeter S, e .. a lta Read Manometet?,. , , -..".3 . ,�.n .A . �. g: . i Page 1 of 3 �r) Y coli , �� For Office Use � ff....--7 a / --.'-‘-----<-- ' � o m � ��v�`��a V !t Permit#: 1 1 j G s � i� r poi r. ` ciA&�� dk' 1 I '6�0 �l ,o, �`: ,�„ a ,� . C� e.... ..a `� � eim/ic Permit Fee: -� �� Staff; 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 iEll `Payment Recvd: _Yes No , (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 OCTmail:bulldinelnsoectionsta7.citvofeagan.com la6,r 17 2019 Plans: Electronic Paper Plan Submittal:eplans a citvofeaoan.com L 2019 COMMERCIAL PLUM APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email,illCD or flash drive r�/� Date:/ Ing/j "/ Site Address: el-Z-6-C) C\\�� \-O`''-c\fr Tenant: 'e4 W Suite#: Property Owner Name:g n ( f i� e/a Lcl1J Phone: I — r"-,`�>�^ Name(—&1Alm e(C& �..pI)Y11\2 V ` '[-eih rOLicense#: Contractor (2 ---1(.:24' / y 'l + 1- �M1 M(� UZ Address: �n C/��n V" �'c y: State: Zip: Phone:ll�6)-Lit11�--2 i Email: /d n�"Un c�(�id h Cori New ,4 Replacement ^Repair _Rebuild _Modify Space Work in R,O,W, Type of Work Description of work: k ?'' _i"1,'E tai,t r tee", yYtti.;ii,rm?S ,, i),-,qp L;,.4,1 >o 'L ',..,,,,p i ec pl,,.... ' COMMERCIAL New Construction Modify Space Irrigation System(_yes/ no)(_RPZ I_PVB) • Rain sensors required on Irrigation systems Permit Type • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) _Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices?_Yes No Flushometers_Yes No COMMERCIAL FEES Contract Value$ 2.'5 2.C, . x.015 $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit(includes State Surcharge) `, _$ (ea OCA Permit Fee w =$ 1 2 4 Surcharge Surcharge=Contract Value x$0.0005 �°�({i� , If the project valuation Is over$1 million,please call for Surcharge =$ le'0• Z(e 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 $ Meter Fee $ 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 websiteat www.cltvofeaaan,comfsubsc ri be. 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. ��q, p ` ��^� X 7a V e cr`'1,— X `)%ti v"l..- ) (111/ -)c/ / K.:9 Applicant's Printed Nam Applicant's Signatur FOR OFFICE USE Approved By: Date: IC) c)-- ( /l; Required inspections: _Under Ground Rough-In_ Air Test Gas Test _Final PRV Required: Yes ; o l Meter Related Items: Meter Size . Radio Read Manometer Staff: Page 1 of 3 For Office Use/_ h / I1/ Permit#: �lr�0` .-`--7- � D-' �- • • , EAGANj�SK I ✓t-9 47/___ / /l *, i i ,� '^di S ::tF �cie or 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ' 91 `k Payment Recvd: Yes2K.10 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5 Plan Submittal: eplanst citvofeagan.com FEB 9 202 L Plans:_Electronic PaperJ 2019 COMMERCIAL Bel is - - :a ' IT APPLICATION Date: 2/4/20 Site Address: 2250 Cliff Rd. Eagan MN Tenant Name: ty,kaCkt,00 . 4j. 4464 (Tenant is: New/ Existing)JSuite#: 44 X\ Y1G 01,1 11 Former Tenant: Name: iaft4i15Dti (Lt y Phone: 931- %4- Property OwnerAddress/City/Zip: vDYDn ©kip 11-5 l 3 I Applicant is: Owner X Contractor Type Of Work Description of work: P ICttQC�- C W4A W Q-�' \ -J Yp �, gEW r i1 Z4-1,44(intik 15)10, L A,A1 'In ° Construction Cost: _ oi�� • Name: SWITNA- 'J'i0 l WA I(Vft+7d License#: _4. �f. ' ;:.s d' 0cl Contractor Address: lQ4`'S )JR.-, City: Clair� State: M ) Zip: 19) 'ti- Phone: 4 004- Ock `t'` Contact: t ' ' # + , • Email: ' , . 0 1* ,i 1 410 L /. , , ^ �A& -- Name: rlCLfl LtAt �Cfl't, Registration#: 5 4-i _�I c 1 ichcttc:d L. ?,700.t2.r, �+ � ^� f Architect/Engineer Address: 7.C)1 C) Ck1-ko,�r St. i City: 1 a 1 State: 6)14 Zip: `'i"l"l V- , Phone: zt U- 4Ci 1- `l i Contact Person: Email: Licensed plumber installing new sewer/water service: ?�YV)(AY)C - Phone#: NOTE:Plans and supporting documents that you submit are considered be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.comisubscrib,;.. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of' ns. 1 x Andrew Jones x `, 11! • Applicant's Printedlciame Appl :-ns . , ure DO NOT WRITE BELOW THIS LINE // /..5- - -- SUB TYPES 6; C I; • -‘— Foundation _ Public Facility _ Exterior Alteration-Apa(r�nts 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 ,,n Valuation '?ZI DDD. I-0 Occupancy ? /', MCES System /s//A Plan Review ✓ Code Edition O 5-/t'/& SAC Units A/ CO-A,V6r' /PIVIS Bit ea ,1-1) • (25%_100% ` ) Zoning City Water ✓ Census Code Stories I Booster Pump #of Units V Square Feet /25/ PRV / #of Buildings / Length Fire Sprinklers 1/0 Type of Construction V• 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 I C.O. Required Pool:_Footings _Air/Gas Tests _Final - Final/No C.O. Required Final C/O Inspection: Schedule Fire1/Laohal to be present: Yes No AIReviewed By: , Planning New Business to Eagan: D Reviewed By: 6 r, , Building Inspector FEES Water Quality Base Fee 34 B• 7.5- Storm Sewer Trunk Surcharge 1/• s-o Sewer Trunk Plan Review 2 3 9. G q Water Trunk MCES SAC `— Street Lateral City SAC — Street S&W Permit& Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: G If• LAI Page 2 of 3 hik / 0/ ' c/ SLn►tl►tC!' PROPERTIES January 31, 2020 City of Eagan Building Department 3830 Pilot Knob Road Eagan MN 55122-1810 Reference: Speedway#4464 Dear Plan Reviewer: Please see attached application for building permit as well as 3 sets of drawings submitted for review. This project is actually an equipment change out of the existing coffee counter with Speedway's new "Bean to Coffee" equipment. No structural changes to occur and the new equipment will utilize the existing power and water. There will be some electrical and plumbing connections. The permit applications for plumbing and electrical will be submitted once we have finalized our subcontractors. Upon review please advise if you need any additional information for permitting will be required, and if I can pay the fees over the phone. Thank you in advance for your time, we look forward to working in Farmington. S'ncerely, l i a e s Projec Coordinator Summit Properties 404-804-0566 pwages@sumprop.com 1720 Peachtree Street NE. Suite 920,Atlanta, GA 30309 Office: 404-804-0566 Fax:248-625-5116 4 RECEIVED For Office U NOV 18 2019 Permit#: Di ) ` O( ') 4 %., '. •0 ., EAGAN Permit Fee: / ..... ......• Staff: � Payment Recvd: —Yes No 3830 PILOT KNOB ROAD i EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 I Plans: Electronic —Paper Plan Submittal:eplans@citvofeaaan.com L — 2019 COMMERCIAL BUILDING PERMIT APPLICATIONl ' a,.lAi01 Date: 11/18/2019 Site Address: 2250 Cliff Road `n`1 Tenant Name: Speedway#4464 ci (Tenant is: New/ ✓ Existing) Suite#: �` 7b Former Tenant: 1J/O y °,"z`4 * c Name: Realty Income Properties 3 LLC t A, K Phone: Cr 11995 El Camino Real San Deigo, CA 92130 3 �° :-'',:.:,,-,-;,,,,,,--,7,--,,,,--41---..,-,7-- . r Address/City/Zip: g ;Al '1",: t'-g4` s '1 ti 4iVi> SUS ° �„r �1, ,. Applicant is: Owner ✓ Contractor Pt M , k ' ° .-° Description of work: Tuckpoint Masonry Restoration per attacehed Report 5,�1 I/M ASK•7m�MI tX 1 A+w � t tiu Construction Cost: $170,000 p,,. 4 ;:.sit-.4%. 41:- ° Shingobee Builders kA, Name: License#: y` f z 4. f 669 N Medina St Loretto Pf-o goi`'�I ,,..,„ ,„,.,,,,,„..,,,,i,,,,„.,..,,,„„ Address: Cit • 0� . ory. + �� AState: MN Zip: 55357 Phone: 612-500-3824 2 L( ;,.,,,,7,.,7%,:7,-,i,'" kk ' �,"`, `'; 7 Paul Block pblock@shingobee.com .%1:0141‘0.4.4:244A Contact: Email: et 4 !,x E 3 5 Name: ,t # Registration#: ''.:'..iii '£ ef k, • i Address: City: State: Zip: Phone: k. U r t $ kir K ,,, 3 Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: s y � ��,, yy77,,(o �,roli Yb t 0-04 ,, ! ��toft''atiti r °,14::*},:roi f-,e� ;', .-n1 a fp. I7 t 1 ''�'• f clans: f . ' .. * e ,,, reasons that wouii . ', i.1 to co Acs,' -I3 t,t-4-7e,,, t- ry lr '.':- - . n`."Pc ' You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. CALL BEFORE YOgi 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.aoaherstateonecali.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 6 c4 i Applicant's Printed Name Ap icant's Signa ure :asa C 1,-�-f Re( . ' DO NOT WRITE BELOW THIS LINE 1 S-COLO 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 of"k. d- 611,11_ ��iv- Valuation t+ ``7 a o a u Occupancy 141 MCES System Plan Review Code Edition 24/5 h1 Q(__ SAC Units (25%_100% ) Zoning .1-' City Water Census Code Stories Booster Pump #of Units Square Feet PRV - #of Buildings Length Fire Sprinklers Type of Construction Z/3 Width REQUIRED INSPECTIONS Footings_New Building Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall --X-- Vapor Barrier Erosion Control �( Framing 30 Minutes' ' 1 Hour -X 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 )C Final/No C.O.Required Final CIO Inspection: Sr e Fi - Marshal to be present: Yes I >e No Reviewed By: ; Ac Planning New Business to Eagan: /17 lAW Reviewed By: .1 Building Inspector FEES -7-s- Water Quality Base Fee /5 / . Storm Sewer Trunk I Surcharge g S = Sewer Trunk Plan Review 1 4 S1 $5. 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: 69 Trail Dedication - TOTAL: Z S Z d . - Page 2 of 3 24428 Greenway Avenue Forest Lake, MN 55025 (651) 464-2988 REGULATED BACKFLOW ASSEMBLY RBA TEST REPORT NAME OF BUILDING, OWNER/OCCUPANT CONTACT NAME AND PHONE NUMBER Speedway ADDRESS CITY STATE ZIP CODE 155122 2250 Cliff road Eagan Mn APPLICANT COMPANY NAME CONTRACTOR LICENSE # CONTACT NAME AND PHONE NUMBER Commercial Plumbing & heating, Inc. Melinda Wisgerhof ADDRESS CITY STATE ZIP CODE EMAIL 24428 Greenway Ave Forest Lake MN 55025 mwisgerhof@cpandh.com TESTER NAME TESTER CERTIFICATION # PHONE Clint Pream BF065696 651-464-2988 TEST EQUIPMENT MANUFACTURER TEST EQUIPMENT MODEL# TEST EQUIPMENT SERIAL# TESTING EQUIPMENT CALIBRATION DATE 12/2/22 Mid -West 845 11150355 TYPE OF WORK AND FEE INFORMATION (check one) _Install _Relocate _Remove _Replace and SN# of Replaced Device 2385710 Rebuild Test BACKFLOW ASSEMBLY DETAIL INFORMATION Type (check one): X Reduced Pressure Principal or Pressure Principal Fire Protection Reduced Pressure Detector Fire Protection Double Check Valve Double Check Detector Fire Protection Pressure Vacuum Breaker Spill Resistant Pressure Vacuum Breaker Manufacturer: Wilkins Model # 975x12 Serial # Acg4130 Size: 11 /2" (inches) System Serviced Carwash Location in bldg. Floor # Room # TEST RESULTS: Q Pass ❑Fail (COMPLETE APPLICABLE ASSEMBLY TYPE SECTION BELOW) Reduced Pressure Principal or Reduced Pressure Detector Fire Protection (RP) — TEST RESULTS Pressure Differential Check Valve #2 Shutoff Valve #2 Check Valve #1 Relief Valve Initial Closed Tight X X Closed Tight_Yes_No Closed Tight X Yes _No aL 2 8 Opened psid Test _Yes _No pressure Drop Across Check Valve #1 psid Final Closed Tight Test Closed Tight _Yes _No Closed TightYes_No _Yes _No pressure Drop Across Check Valve #1 psid Opened psid Double Check Valve or Double Check Detector Fire Protection (DC) -TEST RESULTS Check Valve #1 Check Valve #2 Shutoff Valve #2 Initial Test Closed Tight _Yes _No psid Closed Tight _Yes No psid Closed Tight Yes No Final Test Closed Tight Yes_No psid Closed Tight _Yes _No psid Closed Tight Yes No Pressure Vacuum Breaker (PUB) or Spill Resistant Vacuum Breaker (SRVB) — TEST RESULTS Air Inlet Valve Check Valve Shutoff #2 Initial Test Failed to Open YES NO Closed Tight YES NO Closed Tight YES NO Opened at psid Pressure Drop Across Check Valve #1 Final Test Opened at psid Closed Tight YES NO Closed Tight YES NO Pressure Drop Across Check Valve #1 Describe parts and repairs when needed: CERTIFICATION: I hereby certify the foregoing informa ' provided by me to be correct and that the tested device is functioning in compliance with State of Minnesota Plumbing Code, Chapter 4714 TESTER'S SIGNATURE: TEST DATE: 2/3/22