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3044 Holiday LaneCity of Eapii 3830 P lot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /� Permit#: \ 1001D Permit Fee: (10.°Q Date Received: t --r 1 1 & 16 Staff: 2013 COMMERCIAL PLUMBING PERMIT APPLICATION n Please submit two (2) sets of plans with all commercial applications. Date: /I , i a (') ) Site Address: _.5t)4 (40 \ Tenant: . , t C �-tz�-(� r 1 YA-t CL 3 ? R Suite #: Property Owner Name: l+C> 1 I C SIG I �i �") t�1'l.%j'�Ce '''ie_3, Tit�\ Phone: ''''-) d ? C- 7 CO , Contractor Name: V i CC Y • 041) C'd'r )r- Address: 9103 NcuocAp( r �66:: (2, 4&Q.. State: MA -2 Zip: Cj C+4. Gf Phone: .7S -L' :C t ' Email: Type of Work New Replacement :=A -"Rebuild Modify Space Repairppir Work in R.O.W..O.WDescription — — _ (� of work: 1...-C3 Lk_ t \ c 1i--( 7 1{ Permit Type COMMERCIAL New Construction Modify Space No _ Irrigation System (i yes / no) (_ RPZ / PVB) _ • Rain sensors required on irrigation systems • Avg, GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers Yes MM ' . FEES: 60.00 Minimum cludes $5.00 State Surcharge) OR Contract Value $ x 1% = $ Permit Fee Required on *If the project valuation ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read $ Meter(s) is over $1 million, please call for Surcharge $ State Surcharge Following fees apply Contact the City's Engineering when installing a new lawn irrigation system $ Water Permit Department, (651) 675-5646, for required fee amounts. $_ Treatment Plant $ Water Supply & Storage $ State Surcharge = $ LO 0 , Car TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage, Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 wo k 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 approv o plans. x CR M --ti,; i' (- cjer, Applicant's Printed Name p icant's Sign re FOR OFFICE USE Approved $y: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final PRV Required: Yes No Page 1 of 3 GONrrNUE C';]:7Y rF' I_n01FlN (':FlsH:i:G::R; J£, ii::kMTNFaL tdlle 030 ?A7F:.' CY'r'%i'2/99 'T':I'MI"_: i`.;„46:0 .'. ILi c NAMF:: lit.ll_.f.DAY C:OMf'ANSI-:i 3068 9220 3045 I-I[11..7:DAY L.N 7v4BS.00 370 9c.'.i:'C1 304:'5 t10f_T{JAV E..N SO.fitl 'i'ot,a:l. fier..eipi: Amuertil,: 4iy99c'.817 CRi i4t163 USER 7:1i: ;i.}N ?k??#*?k??kY?ke?NcY??;+k?KNcX rX*k<?cNc* ???;?r???CHc??;?k?CXc??C CITY Of" F(tf_;FlN l.".A3H:I:f:lt;: lS TI2:F'M7'P!(-t!_ tdO: 030 L7Fr'rl::., Cli':2r`?!`.-}9 17itE; 15:46:::31 I(J r. NAt"fl= e EIUI_IDAY Cf?NiF'ANiE5 4 3F.!1.(] :)I701 30YYIFI01...]:UAY LM 4,421.25 3866 937"3 30481HC;I...:LI?AY L.id 1 7 P:,(7C).Qi) 3E35:5 9;:'r.?h 3045`tOLI:DAV l_N 62`e4`).44 342? 90p:l 0::141d'4ir1i_7DAY I_Pi 274:S73.89. ::3446 9001 304?AL:[liF1Y !_N Kl3.U0 2275 9c.'.20 304r,'4ICIL..I)?AY t_M 1.t=,p63c.'..1.)f7 i?1";'i 900i. 304ACII...TDfaY LN 0.50 3743 `-aii?'r.'.:[:1 30A'Ti?HlJL.]:T.!rlY l_N F;tl.nO 'i.?if:i;i 3liL7i 30A•;Nl-IU!..1'LIAY I..N :37"5,,00 3W 9375 30ir`NOt.:r.DAr i._rt 1,784.80 C4::7.:1.4063 C(JN'T':I:NUE: I.1Sl:::k 711: JAN i.:;C]NI"7N1.S1=: 'KN:?X?X<??k7kYn? ? J?*?X 'M?k1k>X'rR?k ,Yt9Fx;k:?#?"?M*?k?Ikhr?tMXC?(X( ? 1999 BUILDING PERMIT APPLICATION (COMMERCIAL) ? ? ? ? CITY OF EAGAN 651 681-4675 Re uirements to buildin ermit Foundation Onl New Construction Interior Im rovement • Structural Plans (2 sets) • Architecturel Plans (2 sets)d • Architedurdl Plans (2 seLS) . CivilPlans (2sets) • SWcturalPlans (2sets)v f • CodeAnalysis (1)" Cafe Malysis (1) " • Civil Plans (2 sefs) • Projed Specs (1 seU • Prqect Specs (t) • landscaping Plans (2 sets)? • Key Plan , • Spec. Insp. & Testlng 5chedule " • Code Malysis (1) " J dogie ExiFpas • SAC delermination letter from MClES - • SAC detertninatlon letter from MClES - pll ? • SAC delertninaGOn letter from MC/ES • call call 651-602-1000 651-602-1000 651-602-1000 . Spec.lnsp.&TestingSchedule (1) "? • EnergyCalalations (1)notalways" . ProjectSpecs (W • . (1)notalv+ays" • EnergyCalculations (1) " . Electric Power & Lightlng Fortn (1) " . Master Exit Plan • Soils Re ort 1 •' Contact eultlmg inspections for sampie Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-215-0700 for details. OATE: June 3, 1999 DESCRIPTION OF WORK: Construction of convience Gtore w/ carwach WORK TYPE: X NEW _ REMODEL ???,qRa_go CONSTRUCTIONCOST: $750,000.00 TENANTNAME: Holiday Sta ion-gto e SITE ADDRESS: ?90 SUITE #: LOT i_ BLOCK 7-_ SUBD. c9v.avtew ct-i.rrca P.I.D. # Nazne:Holiday Companies - Geil, Joel Phone#: (612) 830-8700 PROPERTY Last First OWNER StreetAddress: 4567 W. 80th Street - Ciry M ls. State: t.t1a. Zip: 55349., _ HoESc?x - D?/E 830 Company: Gh •grit, R i 1.i s, r Phone lt: (612) 429}3ee CONTRACTOR StreetAddress: 279 N. Nedina Street C;ty Loretto State: MN Zip: 55357 !o/z ---S33o -8? a ARCHITECT/ ENGINEER Company: Sagat Builders, P.A. Phone#: (612) 479-1300 Name: John Saget Registation#: 12365 StreetAddress: 4159 Grand Ave. S. Ciry Mpls. State: MN. Zip: 55409 Sewer & water licensed plumber (onlv if installin9 sewer 8 water): Not Yet Awarded l hereby acknowledge that I have read this application, state that the information is wrrect, and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. /J • ? ? Signature of Applicant: Ua? 17. OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 26 Public Facility ? 28 Greenhouse ? 25 Miscellaneous A 27 CommerciaVlndustrial ? 29 Antennae WORK TYPE ??WGCF, SiAVbAJ 'r^ g 31 New ? 34 Repairs 0 37 Demolish Bidg. ? 43 Siding/Soffits/Facia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Inte(or) ? 44 Windows/Doors O 33 Alterations ? 36 Move Bldg. O 42 Reroof ? 45 Fire Repair GENERAL INFORMATION Const. (Actual) V-? All bl Basement sa. ft. Census rode - ( owa e) First Floor sq. ft. SAC Code ? UBC Occupancy s16 - NA - sq. ft. No. of Units ?- Zoning T jb sq. ft. No. of Bldgs. # of Stories ! sq. ft. MC/ES System Length -7 b sq. ft. City Water Width '72? Footprint sq. ft. Fire Sprinklered APPROVALS Planning Building l L/Ql? Engineering - - ?J Variance Permit Fee 5urcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Traiis Dedication Water Quality Other Copies Total 421 z5"i 37'S , b a ? 2?$73 1 B/ ? l lv, Soo . o ?,/ %sac , ? VALUATION: L. (oaG . d G' sAC urits ? ?!? ? 7, 4 BS, o a,/ 41, f¢ I,7 S?.So ?/l, 942• f?? Meter Size 100014 10 g 750,, coc) rnaY€;`r P7„ MAY 2 g Mg I Ip Olo oa L? B _g- CITY USE ONLY RECEIPT #: SUBD. aVI GW RECEIPT DATE Q? ''"I 1 APPROVED BY: , INSPECTOR PLUMBING PERMIT # L13 l 1999 PLUmsuve PERmrr (COHUtEEtcta?L) crrY oe EAsu" S$SO PILQT KNQS fiD EA&AN, MN 55122 (651) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separare buildmg permits aze not required for each dwelling umt installation of backtlow preventer in commercial azeas or residential boulevards Date: -2,0 WorkType: NewBldg. _ Add-on _ Repair _ U.G. Sprinkler _ RPZ Description of Work: To inquire it Pressure Reducing Valve is required on new service, ca11681-4646. P£FS 1% of contract price or $30.00 minimum Conhact Price: $GGU x 1% COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROLIND SPRINKLER SYSTEM BackSlow Preventer Permit Fee - $ 30.00 Water Meter: 2" Turbo - $ 889.00 unless plan approved for smaller size Service: _ existing (if coming off domestic line) OR _ new Ij"neii, servrce" contactJenv Wofiscliall Finance Constdtant to confrrm addine fees for Water Pemut & Surcharge - $ 50.50 Water Supply & Srorage - $ 825.00 Water Treatrnent Plant Charge - $ 468.00 State surcharge is calculated from Permit Fee at right - 5.50 for each $1.000 with a minimum of $.50 due State Surcharge $ .50 Total Fee $ a 9 0. 50 I hereby aclrnowledge that I have read this application, state that the infoimation is coirect, and agree to comply with all applicable City of Eagan ordmances. It is the applicanYs responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry during its normal operational and maintenance activities to the facilities constructed under this permit within Ciry property/righaof-way/easement. SITE ADDRESS: (-.-f,vr TENAN'T NAME: GG'*j S/? TELEPHONE #: ' (AREA CODE) INSTALLER NAME: VUSO I V ??1`"'ri k? nj r? L TELEPHONE #: (7 1C y?er? (AREA CODH) STREETADDRESS: ISe-SJ A Sy?"h 57 S CITY: r!7cA<.2 S STATE: /?i? ZIP: ??3 -T. SIGNATURE OF PERMITTEE CITY USE ONLY DOMESTIC METER SIZE COMPOUND TURBO PRV: Yes No • Contact Utility Billing Division for price: 651- 6814631. IRRIGATION METER SIZE: • 2" turbo unless approval for smaller meter granted hy Public Works. • Contact Utiliry Billing Division for pdce: 651-681-4631. PRIOR TO SELLING A METER: • Enter site address on Screen 301, Permit Inquiry, to obtain sewer and water permit number. • On PIMS Screen 320, enter sewer and water pemvt # to check that hydrostatic, conductiviry, and bacteria tests have been approved. If not, do not issue meter. Niiscellaneous Information • Meter larger than 518" - ask plumber to wait while you call Central Maintenance (ext. 300) and verify that one is in stock. • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To schedule water turn-on, ca1165]-681-4300. CD/Permit forms/plbg permit (comm) 1999 L CITY USE ONLY ? BL RECEIPT#: SUBD. L RECEIPT DATE: () ??JI f7 ? l APPROVED BY: , INSPECTOR MECHANICAL PERMIT #: 15w 19991HECfiAN1CPcL fERMIT (COMMEftCIiRI.) CITY dF EA&AN S$SO PILOT KNOB fiD EAfiAN, MN 55122 (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: R - CONTRACT PRICE: ?2'<l,ODo ` eO WORK Tl'PE: ? New conshuction _ Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) **NOTE: When installing/removing underground tank, ca11 65 1-68 1-4675 for inspection by fire marshal and plumbing mspector. DESCRIPTION OF WORK: ! ? v/? e, FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1% PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: 30 OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: /11C nDDREss: /!"`A,6,.PHONE#: a12- - (AREA CODE) CITY: ?c7 STATE: ZIP: SI T[JRE PE ITTEE ? ,?'Q . 0 21 af ?;2 $70,00 ($.50 per $1,000 of pemut fee due on all pemuts.) ? S-0 zel"'>, LOT BL SUSD. CITY USE ONLY RECEIPT #: RECEIPT DATE: MECHAN7CAL PERMIT # 1999 MECHANICAL PEfiMIT (RESID£NTIAI) CIi']' OE Ei4filkN S$SO PII.OT KNOB RD £A6AA MN 551 YE (651) 6$1-4675 Date: Complete this section on if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BN 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge .50 Total $ Complete this secrion o»lv if you are remodeling, adding to, or repairing an existing single family dwelling, towmhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration Repair _ Other Rerninder: Ca11681-4675 for inspections. Furnace _ Air exchanger Air conditioning Other $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: _ PHONE #: (AREA CODE) PHONE #: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE Cities DiLyital ? Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. . . r. i°:..',t"?ur•?' iYu?.. ?• oX;.??Y d:{? -.YA tir ..• I . ?.r ? , .•Y ?:. 3? l,.. ? 9FIME;AG ? - { ' q4o?.'??'?y.r,y^???``n0??'7C?.a1".y?',??ya?'?t???: • ?.`ir`";' ? ?;9(1 vi::??>a:?, ?-a?•?,-l:.:'1,?'Ja?°.r:l'..,.? ?+... ? ??, s" 'f?;? •y` ?G! ?;S?+J'.n ?. •'??'M' ?Tf?iiy}, ? ??"?=: .?.w-?*???*; .74 • ' '' ?i??}? u ??$H ? . ? M { .e, i.,.t. FA t?:<TI;?• 7 ? /?{? ?( .? ?? 3 t? i r i4U,?.r . k 0i?. 32fi.:?:?._ _ i ? B .? CITY USE ONLY RECEIPT #: SUBD. ? ci.k ?j ie RECEIPT DATE APPROVED BY: , INSPECTOR PLUMBING PERMIT # 1999 PLUMBINfi PERMTT (COMMERCIAL) C[TY Of' E4fiAN 3$30 PILOT KNOB ftD E,al6AN,1HN 55122 (651) 681-4675 Please complere for all commercia]/industrial buildings multi-family buildings when sepazare budding permits aze not required for each dwelling unit installation of backflow preventer in commercial azeas or residential boulevards Date: Work Type: A New Bldg. _ Add-on _ Repau _ U.G. Sprinkler _ RPZ Description of Work: To inquire if Pressure Reducing Valve is required on new service, ca11 6 8 1-464 6. fEES 1% of contract price or $30.00 minimum Conuact Price: $ x 1% = 5 Backtlow Preventer Permit Fee - $ 30.00 Water Meter. 2" Turbo - $ 889.00 unless plan approved for smaller size Service: _ existing (if coming off domestic line) OR IP "new servrce". cantacl Jerm Wo6scha1l Finance Consultant to confrnr addine fees for: Water Permit & Surcharge - 5 50.50 Water Supply & Storage - $ 825.00 Water Treatment Plant Charge - $ 468.00 Permit Fee $ Stare surcharge is calculated from Permit Fee at right - 5.50 for each $1.000 with a minimum of $.50 due State Surcharge $ - 5 C) Total Fee $ I hereby acknowledge that I have read this applicatioq state that the information is conect, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibiliry to notify the proper[y owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its normal operational and maintenance activities to the faciliries conshucted under this permit within Ciry property/right-of-way/easement. SITE ADDRESS: TENANTNAME: r-a •/ 4/Z J-o G' 1'ELEPHONE#: 7 (AREA CODE) 1NSTALLER NAME: T'ELEPHONE #: Gaj?j"1JDD " --v ? AREA CODE) _?? STREETADDRESS: CITY: ? Jp `kl'/I ` STATE: /\ J _ ZIP: ,?- SIGNATURE OF PERMITTEE CITY USE ONLY DOMESTIC METER SIZE COMPOUND TURBO PRV: Yes No • Contac[ Uti[ity Billing Division for price: 651- 681-4631. IRRIGATION METER SIZE: • 2" turbo unless approval for smaller meter granted by Public Works. • Contact Uulity Billing Division for price: 651-681-4631. PRIOR TO SELLIA'G A METER: • Enter site address on Screen 301, Permit Inquiry, to ohtain sewer and water permit number. • On PIMS Screen 320, enrer sewer and wacer permit # to check that hydrostaric, conductiviry, and bacteria tests have been approved. If not, do not issue meter. ' Miscellaneous Information • Meter larger than 5/8" - ask plumber to wait wMle you call Central Maintenance (ext. 300) and verify that one is in stock. i • To schedule inspection of the inside water line and backflow preventer, ca11 65 1-68 1-4675. • To schedule watertum-on,ca11651-681-4300. CD/Permit forms/pibg permit (comm) 1999 6129368910 OGT-26-99 TUE 2:36 PM VOSON PLUN°ING FAX N0, 6129388910 P. 1 FROM ' FqX N0. : Oet. 26 19998:BE?3M_ Pl rwL'*, ca"t), watiew c14'iz? r? 617 13th Ave So Mopkins Minnesvta 55343? (612) 935 - 3556 _ Voson ?lumbing ?575 Sth St. S. HopkJns MN 55343 REPORT OF WATEH ANALVSIS Lad q; 38019 JO/27/J999 4-T7al 2?? C// ??ly)s Our Laboratory repor[s these analytital results, Qeter`nined on a sample taken byCLIENTOn 1012117999 from the (ollowing locaclon: ,o ?Ot,A Holiday Eagan,Mn ? f??a ? s•vJ 1 ? /VO / Coliform Bacieria <1/100 ml The resu/ts oJ'these tesrs indicare thar this welJ is proAucing water that meets the atandprds for F.H.A, V.A., or conventiona!lopns. Thtr report is on anvlysis for cofiform and niYrate on/y and Aoes not induQe rrnalysls of LeaA and orh¢r contaminants. (t/nless as speclffed by client). Twin Gty Water Cllnie, lnc. Bill Van ArsdaJe M.J>'icM IuMr.f.y W6m1nnalyyi.ReUcn1e Gnxiltin; I1rlqr?ea' Boiler WetY(Arntienb ?r re? y onnc.:i 10 city of eagan MEMO TO: DALE SCHOEPPNER, ASSISTANT BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS PUBLIC WORKS/ENGINEERING DEPARTMENT MIKE RIDLEY, SENIOR PLANNER DIANE DOWNS, UTILITY BILLING CLERK CHARLIE BORASH, UTILITIES FROM: BILL BRUESTLE, SENIOR INSPECTOR DATE: OCTOBER 5,1999 SUBJECT: FINAL INSPECTION OF : 3044 HOLIDAY LANE LEGAL: 1 Ll, B2, OAKVIEW CENTER 7 The Protective Inspections Division will be performing a final inspection of Holidav Station Store on October 29, 1999. 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 will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. /js CUPoIdg insp//final insp - comm bldgs . , Con?act No.: Project No.: Submittal Date: - - ` C'ITY O F FAGAN CFVVER & WATER P ERMIT RELEASE FORM PROJECT DESCRIPTION: II/L3? 452-rN7Z?lZ Substantial Completion of Sewer & Water /A 107- 42I?'J?? ? " ' Date of Occurrence T FP I- PFRMISSION TO HOOK UP S C MT RY FWER WA"I'FR MAIN Lines Lamped and Acceptable Properly Chlorinated & Fiushed Deflection Mandrel Test Passed Enrire System Pressure Tested Manhole Structures Properly Enrire System Conductivity Tested Constructed (Cstg. & Cover, Rings, Cone, All Valve Boxes Accessible, Straight 1 ft. Sections, Final Rim Setting, 8c & Keyed Build and Invert) All Valves Opened or Closed as Approp. Infiltration Test Bacteria Test Compieted RVI . S All Wye Locarions Confirmed All Curb Boxes Exposed, Set to Proper Grade & Marked with Fence Post Required Service Risers Televised .1o9 Psc?vr?i T STEP II• FLn L USE PERMIT (OCCUPANCY) STORM SFWER Lines Lamped & Acceptable STBEETS Material Tests Checked & Passed CB Structures Properly Constructed (Conc. Compressive Strength & Air (Cstg & Cover, Rings, 1 ft. Section, Content, Bitum. Extract & Gradarion, Invert, Final Cstg. Setting & Build, Gravel Base Gradation). DL-DR Correctly Set Rings & Cstg. Utility Shuctures & Lines Clear & Free Set in Full Bed of Mortar) of Debris & Gravel (Gate Valves Keyed) Aprons, Dissipaters & Rip Rap Praperly Installed ('OMMENTS; RECOMNtENDATION: I herein verify that the tests and inspections indicated above have been successfully completed. Any daviauons or exceptions are described in my comments. With this considered, I recommend that pecmission to hook up or permissron for occupanc y be granted as appropriate to the above indications. . Signed: r ect[nspe q 8 99 Contirmed by: Public Work epaRment GFomis.Yr.Luts/Szw,YcWatPcrmrtRelForm Jac } r .P ? PROJECT DESCRIPTION: Substantial Completion of Sewer & Water w0!/• ??fo'-7 Date of Occurrence STFp I• ? PERMI54ION TO HOOK UP C NiT RY WER Lines Lamped and Acceptabie ? Deflecrion Mandrel Test Passed ? Manhole Structures Properly Constructed (Cstg. & Cover, Rings, Cone, 1 ft. Secrions, Final R.im Setting, & Build and Invert) ? InfilRarion Test ? Properly Chlorinated & Flushed v?'- Entire System Pressure Tested ?7 Entire System Conductivity Tested _y,' All Valve Boxes Accessible, Straight & Keyed ? All Valves Opened or Closed as Approp. %7- Bacteria Test Completed Lines Lamped & Acceptable _ CB Structures Properly Constucted (Cstg & Caver, Rings, 1 ft. Secrion, Invert, Final Cstg. Setting & Build, DL-DR Correctly Set Rings & Cstg. _ Set in Full Bed of Mortar) Aprons, Dissipaters & Rip Rap Properly Installed Material Tesu Checked & Passed (Conc. Compressive Strengch & Air Content, Bitum. Exuact & Gradarion, Gravel Base Gradation). Utiliry Structures & Lines Cleaz & Free of Debris & Gravel (Gate Valves Keyed) RECOMMENDATION: I herein verify that the tests and inspections indicated above have been successfully completed. Any deviations or exceptions are described in my comments. With this considered, I recommend that ptrmission to hook up or permission for occupancy be granred as pp priat o t e above indications. Signed: Pr ec nspecto Confirmed by: Public Works llep rcment Contract No.: ProjectNo.: -E - Submittal Datc: i? ?1TY OF .A . N ? All Wye Locarions Confirmed tv All Curb Boxes Exposed, Set to Proper Grade & Mazked with Fence Post -6 V?A- Required Service Risers Televised ?- A- i ? Metropolitan Council n L I Working fcr the Region, Planning for the Future v? f i,.i C?K+-Qr Environmental Seruices 7une 21, 1999 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Deaz Mr. Schoeppner: RECEIVED JUN 2 3 1999 BY: The Metropolitan Council Environmental Services Division has reviewed the SAC assignment for the Holiday Station. The original letter for this deternunation was dated 7une 8, 1999. This project is located within the City of Eagan. This project should be charged 16 SAC Units, instead of the 26 units originally assigned. The SAC review is based on new updated information. This determination follows: SAC Units Charges: Retail 2352 sq. ft. @ 3000 sq. ft./SAC Unit Gas Pumping Car Wash 40 gallons/car x 100 cars/day @ 274 gallons/5AC Unit Ifyou have any questions, call me at 602-1113. Sincerely, 6? 7odi L. Edwards Staff Specialist ? Municipal Services Section JLE: (385) 99062152 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Dean Townsend, Holiday Companies 0.78 1.00 14.60 Total Charge: 16.38 or 16 -?k- 230 East FiRh Sh-eet St. Paul, Minnesota 55101-1626 (651) 602-1005 Faac 602-1183 TDD/Tf72293760 An Equal Oppommity Empfoyer ? Metropolitan Council Working for the Region, Planning for the Future 7une 8, 1999 <Dale Schoeppner? Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear W. Schoeppner: RECEItTED JUN D 9 1999 BY: The Metropolitan Council Environmental Services Division has deternilned SAC for the Holidzy Station to be located wit!un :he City afEagan. This project should be charged 26 SAC Units, as deternuned below. SAC Units Charges: Retail 2352 sq. ft. @ 3000 sq. ft./SAC Unit Gas Pumping Car Wash 65 gallons/car x 100 cars/day @ 274 gallons/SAC Unit 0.78 1.00 23.72 Tota1 Charge: 25.50 or 26 C?-frYJJ,?*m T-o If you have any questions, call me at 602-1113. 5incerely, 4 CO-i 7odi L. Edwards Staff Specialist Municipal Services Section JLE: (385) 99060854 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan 7oel Geil, Holiday Companies (e,39 ov-, l(0 um tTe, 230 East F1fth Street SL Paul, Mlnnesota 55101-1626 [651) 602-1000 Faz 602-1550 TDD/TTY 297-0904 Metro Info Gne 602-1888 An Eqval Opportunity Emplnyer 612 479 3267 NOV.10.19991 c 4:52PA FR SHINGOBEE HUILDERS 651 647 2744 T0'961247932EN0.864 P 2P.2?2i23 UPOR OF WELriED ANA BUY.TEB CONNMCTLON OBSEBVATION? PROJfiCT: HOI,IDAY STATTp1V STORE #318 HWY 55 8c IANE OAK RpAD EAGAN, MINNESOTA AET JOB NO: 02r01505 gEPf)iiTED 1'Os HOUAAY STA'fIOIV STORES, INC P.O. BOX 12?A MINNEAPOY.IS, MN 55440-1224 AT'!'N: JOEL CrIEL CC: SHINGOBEE CON5TRC7CTlON DATE: NOVF.MBTR 101 1999 Dats of Observations: Septcmber, 1999. xte.ference Doc,timasnts: Drawings wCre availab]e on site. AW5 A1.1 Suuetural welding code (Steel) and D1.3 5ssuctu-4 Weldiag Code (Sbeet stcel). AISC 5pxification for Strucmral Joiats Using ASTM A323 or A490 Bolts persounel: Larry Obarg, SNT-TC-IA Lzve1 II, AWS CWL Scope of Work: Visually observe field welding of ScrucWral steel and bar joi5ts. Visually observe roof deck welding and fasteners• Visually observe high strength bnlted connec6ons for wasber installation aud ply comact. gesultg; Upon final observations, Feeld welding of saucnual steel and bar joist connections sausfy requiremenu ofi dre referenced code and projecc specifications. Deck welding and mechanical fasteners satisfy the rePerence code and projr,ct speciflcations, visual observatioas of acceasible bolted cormeckions iadicate all plies are in inrimate contact and satisfy zequirmenks of srnig tight condition. NOV.10._1999 rc 4:53 612 479 3267 Ph1? FR SHINGOBEE BUILDERS 651 647 •2744 TO %124'79326N0.804 P.23i23 P.K?•ca AET # 02•01505- Pxge 2 Due to restricted access puznp canopy observations wem nnt made. Terst Methods: visual weld observations were perFornud in aacnrdsnw wirh the requirements af Section 6 of rhe 5uucwral Walding Code (Steel), or 5ecuan 7 of the Saucwral Welding Cods (sheet steel). Individual welds were judged far quality, 5ize and iength- Remarks I2eport Prepared By: The high-strength bolted coitnecuans were observed far intimate contaat of all plies and that a washet was insralled behind or under the nut- The holts used were of che alreraaxive dasign intended m indicate a ptedetennincd teasion or Wrque, Within the spccified scope, sla balts were,observed w ensure thc tension indicawzs were fraccured as required hy the raferatced wdes and t11e projeet specification. Our work was authorized by Ioel Giel of Holiday Companies. :2,U4.0-, ?- Lazry R. q?erg NDT Tec ian Manager, ort Reviewed. By. Reip- ? 5 g NDTJMetallurv *k TOT19L PRW. 23 *k 2005 COMMERCIAL PLUMBING PERMIT APPLICA'ITON CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date Site Address L0. v) t Unit # Tenant Name Former Tenant Name Property Owner Telephone # ( ) Contractor Address i31 Z-?-2 (_E!? V City State 6k Zip 3? Telephone#?Ij_) License # 7 Y?? IN Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Bldg _ Modify Tenant Space RPZ PVB New Repair/Ttebuild _ Replace _ Irrigation system Work within public right of-way/easement _ Yes _ No Rain sensors are re uired on irri ation s stems Description of Work LL LA " To inquire iCPressure Reducing Valve is required on new service, ca11651t>75-5646 Meters - Ca11 65 1-675-5300 to verify that hydros[atic, conductivity, and 6acteria tests passed prior to oickine uo meter. Irrigarion Size & Type Avg GPM 2" hubo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" disnlacement $161.00 Domesnc Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Conuact Value $ x 1% _$ Permit Fee $ Meter(s) Required on all new buildings & boulevazd irrigation svstems $ Radio Meter Read if permit fee is $1,0011 or less, surcharge is $.50 $ $t2Y0 SlliC}lazg0 If permit fee is aver $1,000, surcharge is $SO per $1,000 otthe Permi[ Fee Following fees apply only when ins[alling new irrigation system ? $ ? Water Pemut ? Call lerry Wobschall at 651-675-5024 for roquired fee amounts I TreaunentPlant Water Supply & Storage State Surcharge ---------------------------------- - -------------------------------------°------------------------ ----f EH- Total Fee I hereby apply for a Commercial Plumbing Pevnit and aclmowledge that the information is complete and cura[e; that the work will be in conformance with the ordinances and codes oF the City of Eagan and with the Plumbing Codes; ihat I understan this is not a permit, but only an applicadon for a pemut, and work is not ro start without a pettnit; tha[ the work will be in a rdance wit the a roved plan in the case of work which requires a review and approval of plans. EA? ( ApplicanPs Printed N? ApplicanPs Sign re CITY USE ONLY . ? REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final ' PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $141.00 • RPZ's must be tested every year and rebuilt every five years. Test resulu should be mailed to Paul Heuer at the Ciry of Eagan. • A minimum fee pemut per address is required for ihe following RPZ's: new, rebuild, re air remove. • Water meters include copper hom/strainer, remote wire, and touch-pad meter. METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $125.00 4-120 1-1/2" irrigation sySt $ 735.00 displacement smcommercial turbine** public Works maximum must approve continuous meter size 10 2-30 3/4" lawn irrigation $161.00 4-160 2" turbine Ig urigation syst $ 931.00 maximum displacement residential & continuous sm commercial production lines IS 3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 uniu 65 units maximum sm commercial gt continuous & lg comm bldgs 25 arion s stems 5-100 1-1/2" bldgs 25-64 units $429.00 maximum displacement & continuous most comm bldgs 50 IL METERS REOiJIRING 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" compouud +300 unit bldgs & $3,563.00 syst & production very lg comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very Ig comm bldgs very Ig comm bidgs 15-1000 4" turbine very Ig irrigaHon $2,226.00 syst & production tines To schedule inspecrion of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water tum-oq ca11 65 1-675-5 3 00. cc. Maintenance Division Clerical Technician January 2005 Afti 4Th' City of EapIl 3830 Pilot Knpb Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: -----,-----------i ? For"!OHice,Use I ? Permit I ? Permit Fee: 70 5 r? I j Date Received,.(YN<<' i ? 1 Staff_v 10.VY1C4I 2008 MECHANICAL PERMIT APPLICATION Address• 30 n Suite RESIDENT/OWNER Name: r/olcc?it?/ C? ar) ?405 Phone:g5.;?-g30F91,7I ? N1 N .S ? Address / City / Zip: e-n n GY?.+7 CONTRACTOR Name: /??nhcso?ra P??i'o?tu#'1 SefJ1r.?License#: !"1PGh 6lJr nddress: 68'2 Ave /i/E Ciry: ? Y[/? n ta E),p/,S' State: 1Vl? Zip: Phone: ContactPerson: ?? ?wUv? TYPEOFWORK moli[ion -New _Replacement ?Additional _Alteratlon _De / Descriptlon.otwork: '?KE< 7 ?'r75G d?it'S71? ? S NO.TE: Both'r'ooi.modrited-and.ground mounted mechanicaf equlpmeot (s required:fo; `- -= Iie saeerted by City Code: !Please contsctthe: Mechanica! Inspector or one'of ihe -- Planner's for:information on' rmitted screenin methods. RESIDENT/AL COMMERCIAL PERMIT TYPE New ConsVUCtion _ IMerior Improvemen[ Fumace ? Install Piping _ Processed Air Conditioner Air Exchanger - -Gas _ E#enor HVAC Unit ' HVAC uniLS must be screened _ Heat Pump Undef / Above ground Tank (_ Install / Remove) pther " When inslalling/removirg tank(s), call for inspectlon by Fre - Marshal and Plumbi In tor RESIDENTIAL FEES: $50.50 Minimum Add-on or atteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value x 7% $50.50 Minimum (includes State Surcharge) - $ Pertnit Fee - If Permd F?g is less than $1,000, surcharge is $.50. - If Pertnit Fee is > 57.000, sumhar9e increases by $.50 for each =$ StBte Surcharge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). ??• ?? TOTAI FEE $ 1 hereby acknovAedBe that this iniorma6on is complete aM accurate; thel Me work vrili he in coMOrtnance with llie ortlinances anW cooes or me Giry of eaaan; mar I untlersland this is not e perrnit, 6u[ only an applicanon for a pertnit, antl work is rwt to start wRhou[ a pertnit; tliat the work will be in accordance with Ihe apprwed plan in the case of workwhich requires a review, and approval oi plans.1? r57 x 1 J?L x Applicant's Printed Name AppiicanYs Signature FOR Required _Under Ground _L Rough ln Reviewed By: Gas Service Test In-floor Heat Flnal 1 ? 08 41? City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 (?CC? Fax: (651) 675-5694 ?,ts-??a Ic?s ?----------------- i ?i orr? u5e ? ? Permit# ? I ll ? I PermitFee: CO?'Sc-` ? ? /U-a3 ; I Date Received: I j Staff: _ L ----- 2008 COMMERCIAL PLUMBING PERMIT APPLICA Date: I li? DZ4 'GR Site Address: Tenant: C?SJ?A? Suite QCT 2 3 2008 PROPERTY Name: Phone: cl OWNER ? CONTRACTOR Name: N,S n License #: 0J???-0 0PJYl ? Address: Gf I O?'? {?cq I.?fCity: ??(A ?N-Q- State: MQip: f? ? p? ? Phone. JtG??? 7?C( o-?O l? Contact Person: (? ?-Of'??J1V??'? TYPE OF New I?V-Replacement _ Repair _ Rebuild _ Modify Space - _ Work in R.O.W. WORK /1 i D f C 5 l S F; ? ?L T Or 7HE ption o escr work: FO A[1 YN (,OAW 7lON R ouyf vm r EM Ca1tWA5k ERviQWi PERMIT TYPE COMMERCIAL _ 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 Call (651) 675-5646 to verity that tests passed prior to oickinq uq meter. Domestic: Size & Type Fire: Size & Price 3/4" meter ?? 83.00 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No PRV Required _Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR contrac[ value $•-(o4 000 x 1% _loo. _ $ Permit Fee Required on ALL new buildings and beulevard irrigation systems ?_$ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = S Meter(s) CINSTNV - If Permd Fee is, $1,000, surcharge increases by $ 50 for each $1,000 sO h $1,000 Permit Fee (i.e. a 81,001-$2,000 Permi[ Fee reqwres a$1.00 surchar9e) = S ? State Surc arge Following fees apply when installing a new lawn irrigation system. $ Water Percnit Call the City's Engineering Oepartment, (651) 675-5646, for required fee amounts. § Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ (c>U • SO I here6y acknowledge that this informalion is complele and accurate; lhat the work wili be in conformance wrth ihe ordinances and cotles of [he Qty ot Eagan; that I understand [his is nat a permrt, but only an application for a permit, and work is not to start without a permit, that the work will be ccordance with ihe appmved plan in the case o( work which reqwres a review and approval of plans x;rt,r--U i, C x ?etc ` i0 -.;L o? ApplicanYs Printed Name Applic 's Signature Page 1 of 3 2008 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY (if applicable) Date: ;::`"?'FOR;OFFICE"USE•`ONGY.:` - P -, ? .. 5$ . PRV requlred roperty Owner. 1 2 ? t: S y.. Address: Phone Numbe r: GYy.R O W Pe?mit ?. ". Y ' Plumber. Contact Name: +`- S Cou nty R O?VII Pe mit +-'_° i r',' ? SEWER ` ..i , . ?? ' WATEW . . E,8 5 : 4" Sewer Service $1,589.00 1" Water Service $2,660.00 Sewer lateral charge @$28.301 ff Water lateral charge @$36.00 I ff Sewer trunk @$1,150/ connection Water trunk @$2,500 / acre City SAC @$100lunit Water supply storage @$3,930 1 acre MCES SAC @$1,825/ unit Receipt#: , Date: Receipt #: , Date: Treatment Plant @$690 ! unit Septic abandonment $50.00 Permit Fee $50.00 Permit Fee $50.00 State Surcharge $0.50 S[ateSurcharge $0.50 'PlumbingPermitReqoired - watermetertobe acquired with burlding permit TOTAL: TOTAL: W .,- -.E ? SER & ? - - - ? . W1?tTE Ft , . _ . . ? „ 4" Sewer Service $1,589.00 1" Water Service $2,660.00 Sewer lateral charge @ $28.301ff Water lateral charge @ $28.60lff Sewer trunk @ $1,150/connection Water trunk @ $1,2001connection City SAC MCES SAC Receipt # , Date Water suppiy & storage Receipt # , Date Treatment plant Septic abandonment $50.00 Permit Fee $100.00 State Surcharge $0.50 'Plumbing Permif Required - wafer meter lo be acquired with building permil TOTAL: .,-,.__ ?.0, ?.,U unns is oererminea oy tne naetropolitan Council Environmental Services (651) 602-1000. Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk 6y assessment in the past. 1-5 SAC units $1,540/ SAC unit 6-10 SAC units $385 ! SAC unit "-----'----------- 11+SAC units $155/SAC Unit ? Permit#: ? I I ? Permit Fee. I I I I I I Date Received: I I I j StaN: j L - - - - - - - - - - - - - - - - - I Cc: City of Eagan Finance Department Page 2 of 3 4b? City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Faz: (651) 6755694 ---------, ? For OHice Use I ? I ? I Permit #: ? IT ? j Permit Fee: i ? ? Date Received: ' I (to • ? ? I ? i ? ? Statf: ?iO?YY?CLI ? I 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: VIO0 g Site Address: 30 TenaMName: I'Vvlvai/ S74honS(Tenant is: _ New / _X Existing) Suite #: PROPERTY OWNER Name: ,o%ww?// (,e,,... panits Phone: 9S2 v30 8853'f i ? Address / City / rp: nn e?l?Ob?%/ ?d Applicant is: _ Owner A Contractor TYPE OF WORK Description of work: L?qnd? /? J' Q?/? Ne? ?e l Q'15Q4hSN?fs Constructian Cost:? 1Coi g.??<OQ Li # &ON 0 114u O A 1 CONTRACTOR cense : Name: wne-46 7 M -c , 01 l Address: 69?2_ /T?e- /,)F Ciry: 1411, 'nnr-e+pal S State: RAI zip: Ssyg? Phone: 745 7g? 7' 9? Contact Person: ARCHITECT / gistration #: Name: ? n ? ??m G /I Re ENGINEER / Address: ?FC. Garopy ° //a7 44 A/. ? Ga rr e?" s I/1/ zi y6? 3 S t P: ta e: Ciry: Phone: S'v0 8 3? 1X2- Contact Person: Licensed plumber installing new sewer/water service: AIZA Phone #: -? N07E: Plans and supporting documents that you su6mlt are considered to be public information. Portions of the information may be dassi/ied as non public if you provide specific reasons thaf would perm/t the City to conclude that the are frdde secrets. I hereby acknowledge that this informelian is complete and accurete; thal [he xrork will be in conformance with the ordinances and codes of the City oi Eagan; that I understarM this is not apermit, but only an applicatwn for a permit, antl work is not to start without a permit; that the work will be in accordance with lhe approved plan in Ui'e cese of xrork which requires a review and approval of plars. _ X ?? t ?? x Applicant's Printed Name Applican 's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation ? Public Faciiity ? Accessory Building ? Apartments ? Commercial / Irniustrial ? Ext. Alteration-Apartments ? Lodging ? Greenhoux ? Ext. Alteration-Commercial ? Miscellaneous ? Mtennae ? Ext• Nteration-Public Facility ? Nail Salon WORK TYPES: ? New ? IMerlor Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Demolish Foundation ? Replacement ? Windows ? Water Damage ` Demolition (enHre building) -give PCA handout to applirant DESCRIPTION: r1 o ? " Valuatlon /?a Occupancy N? MCES System Plan Review y P i Code Edition SAC Units '- _ (25%100%x Zoning pi7 CiryWater ? Census Code ? Storles '- Booster Pump "-' # of Units ? Square Feet " PRV "-' 1f of Buildings ? Length ^ Fire Sprinklers ? Type of Const. ? Width REQUIRED INSPECTIONS Footings (new bldg) SheeTrock Meter Size: Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drein Tile Other: Decking _ Insolation _ Final _ IcerWater PooL' _Footings _Air/Gas Tests Fin81 RoOf: _ .7 Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows Insulation Retaining Wall i l M h b !/Yes rNo t Final C/O Inspection: Schedule F e presen . re ars to a Reviewed By: iia, L. - - ------------------ Building Inspector -------------------------- Reviewed By: , Planning -----------------------------------------------------------------°-------- COMMERCIAL FEES: Base Fee ffo , -25 Surcharge 38-5-40 Plan Review ,?jr7 • 7? SAC-MCES SAC-City S/W Permit S/W Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication W ater Quality Water Supply & Storage (WAC) Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total ? Sewer Trunk Water Trunk Page 2 of 3 Cit? of E?? 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 -- ---------, ? Fo Office Llse I I /^/n ? Permit#: i ? Pertnit Fee: I i ? ? Date Received: i ? Staff: -----------------' 2008 COMMERCIAL PLUMBING PERMIT APPLICATION oate: Site Address: c- Tenant: ?L`' ?1?CL?? ???k.?'\?''1'?:?'?Z"y]"L'_• ? Suite #: PROPERTY i7f Name: Phone: °75?-3C)-X70)TJ SOek OWNER ?e CONTRACTOR Name: jM ? fiGAg .vaCQ9& (`:SGLicense#: : L%1'VU State: L,?Pi p Address (a Phone: 2L-'1) mr? -r?(f% 17 Contact Person: r(?- TYPE OF Repair _ Rebuild _ Modify Space _ Work in R.O.W. New ? Replacement WORK _ - t Description of work: PERMITTYPE COMMERCIAL _ New Construction _ Modify Space _ Irrigation System (_ yes /_ no) RPZ /_ PVB) • Rain sensors required on irrigation systems • Avg. GPM _(2" turbo reqwred unless smaller size allowed by Public Works) Meters Call (651) 675-5646 [o verity that tests passed prior to pickina up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 183.00 Avg. GPM High demand devices? _Yes No Flushometers Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contraet VaWe S x 1% F (-f'P i _$ ee erm t Required on ALL new buildings and boulevard irrigation systems ?= S Radio Meter Read - tl Permit Fee is less than $1,000, surcharge is $ 50 =$ Meter(s) - If Permit Fee is >$1,00D, surcharge increases by $.501or each $7,000 $1,000 Permit Fse (i,e. a$7,001-$2,000 Permit Fee re4uires a$1.00 sumharge). State Surcharge Following fees apply when installing a new lawn irrigation system. $ water Pertnit I Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in I understand this is not a permit, hut only an application tor a permiL and work is not [o start plan m the case of work which requires a review and approval of plans, x ?7C.i V\ C, h anc \ x ApplicanYs Printed Name AI FOR OFFICE USE Required Inspectfons: Under Ground PRV Reauired: Yes No Approved By: _ _Rough-In _Air Test wrth the ordinances and codes ot the Ciry oi Eagan; that nd; [ha[ the vrork vnll be in accordance wilh [he approved iignattuW lyr Date: _Gas Test __?Final Page 1 of 3 Use BLUE or BLACK In - - - - - - - - - - - - - - - Jr ~E' `~IfL l lt~J~,~ \~rl~' For Office Use Permit City of Eap I Permit Fee: ' 3830 Pilot Knob Road I Date Received: Eagan MN 55122 RECEIVED Phone: 651 675-5675 - Staff: Fax: (651) 675-5694 DES. U 8 2011 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date: Site Address: 3 Cm 4 \-\t, VX L& -A-IL Tenant: `-`v Suite PROPERTY ; OWNER Name: ll Phone: Name: p*icense#: CONTRACTOR S~-t~>✓ Address: _q 10-35 ~CXVDc> City: bko-o~ State: mcnp: 's5gq Phone: ?IP-3 7 f (v Vo t 7 Email TYPE OF -New -Replacement _Repair _Rebuild -)~ModifySpace _ Work in R.O.W. WORK Description of work: COMMERCIAL New Construction _ Modify Space _ Irrigation System yes no) RPZ / _ PVB) e 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 L FEES: $5 .00 Feaquired (includes State Surcharge) OR Contract Value $ Q9W.0b x1% Permit Fee on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee - i.e. a $10,010-$11,000 Permit Fee re uires a $5.50 surchar e $ C State Surcharge Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage State Surcharge _ $ `J ? -TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla x At1V~~S Si>= a x Applicant's Printed Name App ' s SighqLujo/ FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-In J-jAir Test Gas Test Final PRV Required: _ Yes No Page 1 of 3 .ti Use BLUE or BLACK Ink For Office Use 22 ~y I Io2. J~~ I j Permit City of Ea aI Permit Fee 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 RECEIVED I I Fax: (651) 675-5694 i Staff: DEC 0 6 2011 ---------J Lem- h, 53k 1 2011 COMMERCIAL BUILDING PERMIT APPLICATION Date: 11/10/11 Site Address: 3044 Holiday Lane Tenant Name: Holiday store 4318 (Tenant is: New / x Existing) Suite Former Tenant: N/A J kfW* Arli~p ~C IS? I1 L. a, L`dale Terminal Co. 952.830.8839 PROPERTY OWNER Name: Phone: Address /City/Zip: 4567 American Blvd, Bloomington, MN 55437 Applicant is: X Owner Contractor Remodel of drink bar area, new cabinets and finishes, Revise plumbing and electrical for revised TYPE OF WORK Description of work: equipment locations Construction Cost: 25, 000.00 CONTRACTOR Name: N/A HtLI Cy"-%/ 43r&716 J License Address: ` S O GiCI~I. City; UOM State:M N • Zip: 554jq Phone: ~SZ '9256 - OO37 ` a Contact: • A f1- Pte- Email: tow a ARCHITECT Name: N/A Registration ENGINEER Address: City: State: Zip: Phone: 9 Contact Person: Email Licensed plumber installing new sewer/water service: N/A Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of : the information may be classified as non-public if you provide specific reasons that would permit the City to gM conclude that they are trade secrets. m ,9._ 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.gor)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work w ,ti' h requires a review and approval of plans. X Jacob Bauer X Applicant's Printed Name cant's Signature Page 1 of 3 oqq DO NOT WRITE BELOW THIS LINE /h1:3) `5 SUB TYPES Foundation / Public Facility _ Accessory Building _ Apartments 7_ Commercial / Industrial _ Exterior Alteration-Apartments _ Lodging _ Greenhouse/ Tent _ Exterior Alteration-Commercial Miscellaneous Antennae Exterior Alteration-Public Facility WORK TYPES ` New V Interior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION ~ Valuation ZS OO Occupancy MCES System Ar Plan Review J Code Edition U07 I4R,G SAC Units t46 C&lVkNGF- Lw 0%d* Oft- OA:b (25%100% Zoning City Water Census Code Stories Booster Pump # of Units 0 Square Feet PRV # of Buildings ( Length Fire Sprinklers Type of Construction _f.eq Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Other: Drain Tile Pool: -Footings Air/Gas Tests -Final Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: / Final C/O Inspection: Schedule Fire Marshal to be present: Yes V No Reviewed By: Building Inspector Reviewed By:_ Planning COMMERCIAL FEES Base Fee 4 (3 .DU Water Quality Surcharge 12 -!50 Water Supply & Storage (WAC) Plan Review 2~~ • ~S~ Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL 6a~•a} Page 2 of 3 Ce - (a U_se_BLUE or BLACK Ink VA I \ For Office Use I Permit City of Ea non P NEID ~0- Permit Fee: 3830 Pilot Knob Road 202 I Eagan MN 55122 Date Received: Z- I I Phone: (651) 675-5675 j I Fax: (651) 675-5694 I Staff_------__-_ 2012 MECHANICAL PERMIT APPLICATION Date: Site Address: 3n %A-A tAa 1k At ~ L 2 V- L Tenant: k 'l a 2° Suite RESIDENT / OWNER Name: IIAA12,64 l:o yv~ ► 2 ►n~n~ Phone: cis A - Is 50 - kh-cl 1 Address / City / Zip: ~SCo "I 60 t=` Sk- • Yft i `-~S44 C7 Name: tM~~.~~~ ..tea A~ License CONTRACTOR Address: G14 l.2 l2v 2 V~.y (J City: ~a~~rmkl•-t.n a t State: Zip: ~z 11g Phone: 7_-.S- Contact Email: °Vo re V"1z v-5 cP Contact: New S~ Replacement Additional Alteration Demolition Uw..t TYPE OF WORK Description of worke (~~,Lc4 ~w. -CU w L I NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement PERMIT TYPE t -Air Conditioner Install Piping Processed Air Exchanger K Gas X Exterior HVAC Unit Heat Pump Under/ Above ground Tank (_Install/_ Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ . S x1% I $60.00 Minimum (includes State Surcharge) _ J~ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ 1S,00 Surcharge 3 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee TOTAL FEE (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) Go 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. .aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a 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 Q v r-~ \rf Q V 4. d.c x Applicant's Printed Name Appl Ys Signature FOR OFFICE USE r Date: Required Inspections: Reviewed By: \P Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink �-----------------, � � For Office Use � . � �(�' (� � C�4 Ul il� �l! JC �(J i Permit#: �� 1 CJ�, i �.y. �I 3830 Pilot Knob Road \��15 V i Permit Fee� � �S° �'�r) " I Eagan MN 55122 �, ' �' � Date Received: ��3 � Phone: (651)675-5675 � Fax:(651)675-5694 � Staff: � � ________________ J 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: Site Address: ��y �v�'��1 G-�+'��'. Tenant: ��L�� ,,� ��e�-� � "�,,,` �/'�. Suite#: Property {'�yy��- Name: Phone: Name:��^•�1n�„-� /V1�'�rn.�„r�[� License#: �,,^'�,�t��c'�; Cfl11tPaCtOC Address: I I?� ,�t��`1C�C� ��,1 City: ��l'��A.:�` State:�Zip:, Sc� � Phone: � � Email: �1��"+r '�� L\►'��'�Y ��n p_..�1� ��y(;,Q T�tpB flf�1lOCk —New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work:��"' ��,� � �(��%�� i ' COMMERCIAL _New Construction �Modify Space Irrigation System(_yes/_no)�RPZ/_PVB) • Rain sensors required on irrigation systems �e��T�p� • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter. Domestic:Size&Type Fi�e: 1 Avg.GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES Contract Value$ i�a,�Ci x.01 $55.00 Permit Fee Minimum �� _$ i i�t ` �� Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 =$��. �t✓1..� Surcharge" **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 d """If the project valuation is over$1 million,please call for Surcharge -$ I t�� ` � � 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 �.��,,�m,�,� �,��.�,,�,,..�,�,�� s_ ,��,.M � � ..,� ��,�,�,��,,....��, ..��u �.u.,�,,,,,,.�.,� _$ ��` �� TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ��•C �-��, �'�:s- x ��'��':'`�,/'✓� Applicant's Printed Name Ap icant's Signature �. , , �=�1�UFFtC�US�' APproved By �`�� ; �" �.,�y ;e! �� , � r., . �. . � �. . Required Inspec�r�� r�d�;r"�rc�ur�c1;''�'Raugt�-i� �Nr T�st G�s`tes� ��ina1 l��tV R�quireci�,�, ;�'�"��,No Meter Related�tennsx; �let�r Siae Rad'ro R�ad� Manorneter�. ` S#��F., , s F ; : �. �. ti�' .: �.. .. � �, , . . _ � Page 1 of 3 Use BLUE or BLACK Ink � For Office Use ---------j • I � � I Clt of �� Il I Permit#: I � � j Permit Fee: �.JJ U ��i 3830 Pilot Knob Road � i i Eagan MN 55122 ' � Date Received: j Phone: (651)675-5675 Fax: (651) 675-5694 �' j I � Staff: 1 `��J / ' 2014 COMMERCIAL BUILDING PERMIT APPLICATION ��¢ �' 11/4/2014 3044 Holida Lane, Ea an MN 55121 f��f � Date: Site Address: y 9 �7 Tenant Name: HOIICIB�/ St8t1011StOC'@S (Tenant is: New/ X Existing) Suite#: Former Tenant: Name: SCOtt Alpaugh Pho�e: 952-830-8888 � �Pr�perty±��rner;; 4567 American Boulevard West, Bloomington MN 55437 Address/City/Zip: ;�� Applicant is: X Owner Contractor �� Description ofwork: ReStfOOtl1 R@1710C�@� � T�ipe of Worl� - . Construction Cost: $45,�0�.�� ` Name: �F� L�G'. —— `! , � ST�� ° ;:; aaa�ss:_ �°��`� !�{t�, c?a�ur� ��/ '�� 5�� c�ty: - —��urti's V�71�.., � <ContraG#�r , . State: �`�'�� Zip: J�-�%�� P ne: 7-?�- 89d^�i�s� �C'�ri �O f�/�� .�� I� �"!a`� Contact: ��"'� ��a�r�� Email: �S"lr�m��"Ca�'�r�1CC�e CUYI+ � �" Name: ��A Registration#: �/� Architect/Er�gineer Address: N�A �;ty. N/A � ,, . state: N/A zip: N/A Pno�e: N/A °� Contact Person: N�A Email: N/A � Licensed plumber installing new seweNwater service: N�A Phone#: N�A ;�orF:'Pia��ndst�tp�rsrti�r�g��rc�rhe�t� ��.�o�tsu�r��ar�,��.,�,d�r��s�� `�� , � �t� � ,. `�� `�r,' � ;/ ..,1 / �', ; ,� �y r,r`� fi'�`�//��/' �v°,r�i�;r:ar„//",�� !�z�.1��;-y/' " ,;,ti►��nformatior�rn�r��t�cl��sr�`„�, �,��j�p -p�r��r�you provral�sp�e�� ;�.� �'r�s�#�`c�` �f�� t� ,,, � ' i; .. � �:� �/// "Jr/.r�✓�`%✓ �;:L� ,,, ",�.,, ,i;,. �,�/,:�;f,�,�fi�f,�� r i/,,�� f5- .�fi�,��;j:�� r �J�,. �� f,�r ,�,s F�;� ;,�, ,�:%`'� / � / ,�,�o-`Q�i. q� [s.�� .�,i�� `'�f��ff,/'��i,�i�;'/'' .�` �!F`^`l��r'f.;'rf�.f,,�rT``%f�'� �''�``'r'" . ,,, ,,,,,,,,, ,. ,.r�,y,�,. ,,��-.�r�. i ...,�fYf ��,__,��,,.. ;. �r�i1.,�� , x,a1,.Gf �.+ :��.JF�f f�`�`/�fr.:��'z f/��f.!�,�i. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an app'cation 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 rk wh' e ' s a review nd approval of plans. X Scott Alpaugh X Applicant's Printed Name ApplicanYs Signatu �4.,,,,-�-G_c+: _�.h 5��.��:-�{-� Page 1 of 3 �d �-,.�,a�-k.� { � ��-j «�;�4 �� DO NOT WRITE BELOW IS LINE ` �� SUB TYPES �oundation Public Facility Exterior Alteration-Apartments ommercial/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 e�Alteration _ Repair _ Windows _ Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION �v�. �` Valuation �,t��G'° Occupancy N MCES System �yL�S �..(� Plan Review � �— ''��""�� 1/�� Code Edition ��'C'J �'��✓" SAC Units � /�r'�` —1-== �y� ' (25%_100%_) Zoning � City Water � �,,��s�'i� Census Code Stories Booster Pump � i�"��"� #of Units Square Feet PRV � �(`CsT��` � #of Buildings Length Fire Sprinklers "N� Type of Construction =�� Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) Final/C.O.Required Footings(Addition) .�Final/No C.O.Required Foundation Other: Drain Tile PooL•_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick ✓Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: Yes �o {. `" , Reviewed By: N�� -'�`'`�'`��Building Inspector Reviewed By: Planning COMMERCIAL FEES Base Fee ��i�� Water Quality Surcharge �a.�'jj Water Sampling Fee Plan Review �}�,�0' Water Supply�Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S8�W Permit 8�Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL � �j�sg`�� Page 2 of 3 City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AN 2 J 2016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: �f / " af` Date Received: /6 �-�' Staff: 2016 COMMERCIAL PLUMBING PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Date: 4-26-2016 Site Address: 3044 HOLIDAY LANE Tenant: HOLIDAY STATIONSTORE #318 Suite #: Property Owner Name: HOLIDAY COMPANIES Phone: 952-830-8700 Contractor Name: MID -CITY MECHANICAL CORP. License #: PM 063619 Address: 9103 DAVENPORT ST. NE City: BLAINEState: MN Zip: 55449 Phone: 763.786.8617 Email: MIKE.L@MIDCITYMECHANICAL.COM New ✓ Replacement Repair , Rebuild Modify Space � Work in R.O.W. Description of work: WATER PIPING FOR THE REPLACEMENT OF THE CARWASH EQUIPMENT COMMERCIAL 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 Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes �No Flushometers Yes �No COMMERCIAL FEES $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit (includes State Surcharge) Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ 4,300.00 _ $ 60.00 $"2.15 $ 62.15 x.01 Permit Fee Surcharge TOTAL FEE Following fees apply when installing a new lawn irrigation system Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Water Permit $ Treatment Plant $ Water Supply & Storage $ State Surcharge $ 62.15 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that l 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 (J13 t 2)..s - c� Applicant's Printed Name era -- A icant's Signature FOR OFFICE USE Approved By: � '1 Date: Required Inspections: Under Ground Rough -In Air Test '-Gas Test Final PRV Required: Y Meter Related Items: Meter Size Radio Read Manometer ' Staff: City of Eaiall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2016 COMMERC AL BUILDING PERMIT APPLICATION Site Address: (411- t1171 0'13 1 Name: Property Owner Address City / Zip Type of Woit''k Description of work: tieltv'l kf)A5(71'4% CPA I Applicant is: (Tenant is: New vi Existing) Suite #: Former Tenant: tuzitiA fiv4, ner V Contractor t,() II Name: Contractor Address; 1,‘'Iiirlot I State: IV‘Ii az 4. • 1 PA JA, i Contact: Name: Architect/Engineer ! Address. ' I State: Zip: Phone: ; •:, z Contact Person. .........—. Email: ............._„....„,........_—............-...........,,„..4_—_,.....-----_,...„.........,„„„,__.____......,— Licensed plumber installingnew sewer/water service: Phone #: NOTE:.iii;s and suppoiting documents that you submit are conshiertad to be public infamtation. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets, _ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wwwoonnerstateonecall.org i hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, pa 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 re uires a„eypt_ai nd approval of plans. d. Phone: 'License #: City: gtkirtail cr91, g9 Email: et' Registration #: City: „ IP 1\1 Applicant's Printed Name Applicangign ture 4,a Page 1 of 3 "SDLI1 \Aki DO NOT WRITE BELW THIS LINE L31,001 *SUB TYPES Foundation Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage DESCRIPTION Valuation SiDeoOccupancy Plan Review Code Edition (25%_ 100% ) Zoning Census Code Stories # of Units Square Feet # of Buildings 1 Length Type of Construction TC• B Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Drain Tile Roof: _Decking _Insulation _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test Final Insulation Sheetrock Windows Final CIO Inspection: Schedule Fire Marshal to be present: Yes (No Reviewed By: , , Building Inspector Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant /14 MCES System 2b l M34- SAC Units T-12 City Water Booster Pump PRV Fire Sprinklers Final / C.O. Required of Final / No C.O. Required Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Retaining Wall Erosion Control Concrete Entrance Apron Meter Size: Electronic Plans Required Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Col)( S <20 )4: /2- • r° D . ta-r) Water Quality Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: S ``Zr $'-6 TOTAL: Co PI S f-,5" 4-.3 I. 00 Page 2 of 3 For Office Use Permit#: /✓. L// I 2_1C : itFee taff: Payment Recvd: Yes o 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 r' EEI'li/''E (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Plans:_Electronic _Paper an.com Plan Submittal: eplansecit ofea L y g DEC 18 2018 2018 COMMERCIAL BUIL NG PERM! PPLICATION Date: 12/17/2018 Site Address: 3044 Holiday Lane, Eagan MN 55121 Tenant Name: Holiday Stationstore #318 (Tenant is: New/ ✓ Existing) Suite#: Former Tenant: Name: Lyndale Terminal, LLC Phone: 952-830-8839 Property Owner . . 4567 American Blvd W Bloomington MN 55437 City 9 Address/City/Zip. Applicant is: 1 Owner ✓ Contractor Update the drink bar area modifying cabinets and adding/relocating equipment Type of Work Description of work: P fY 9 9 9 Construction Cost: 10,000 Name: Holiday Stationstores License#: Contractor Address: 4567 American Blvd W city: Bloomington state:• MN N Zip: 55437 Phone: 952-830-8839 Contact: Tim Kiczula Email: tim.kiczula@holidaycompanies.com Name: Registration#: Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: .N?,�E; + , up .$fig t uments that yo u. ubmit are considered to be public information, Porbgns of ire informs o day bef class e sn .cifyou p i`de s cific reasons that would permit the City to conclude that they ared r#s ort { You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. 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 plans. X Tim Kiczula ' X Applicant's Printed Name Ap li ant's S' ature DO NOT WRITE BELOW THIS LINE /_.<--Z 4-/P-7 SUB TYPES . 0(-1/-1 /-Ill cIit Foundation , Lg _ — Public Facility — Exteri r Alteration-Apartments _/Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse/Tent — Exterior Alteration-Public Facility Miscellaneous Antennae — WORK TYPES New _/Interior Improvement Siding _ Demolish Building* — Addition _ Exterior Improvement Reroof _ Demolish Interior — Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant — DESCRIPTION Valuation I D3 oob. 1.44) Occupancy Nil MCES System I4 A Plan Review V Code Edition 1.49 IS Mi&G SAC Units Nit) CA4A146S, I%I OW et OCC. L-D. (25%_100% ✓) Zoning Tp City Water Census Code Stories I Booster Pump #of Units 0 Square Feet PRV #of Buildings I Length Fire Sprinklers Type of Construction V• fj Width REQUIRED INSPECTIONS Footings_New Building_Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation _Ice&Water _Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans Windows Fireplace:_Rough In Air Test _Final /Final/C.O. Required Pool:_Footings Air/Gas Tests _Final ✓ Final/N C.O. Required Final CIO Inspection: Sc Fire Marshal to be present: Yes V No Reviewed By: +� , Planning New Business to Eagan: D Reviewed By: O1 47 , Building Inspector FEES Water Quality Base Fee l a I .I c Storm Sewer Trunk Surcharge 6. on Sewer Trunk Plan Review 114 .b4 Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit& Surcharge Water Lateral Treatment Plant -- Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: 4 3Z I.31 Page 2 of 3 For Office Use (11A1:9 ga 1 Permit#:/ �� - �"` :` ", `, E AGA N Permit Fee: . Staff: .-----a==Tx.=a.= =i 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810Payment Recvd: Yes No I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694'.o.—IL.E IVE Email: buildinainspections(@citvofeaoan.com Paper Plans: Electronic Pa Plan Submittal: eplansta-�citvofeaoan.com MAR 0 2 2020 L p I BY: mPC 2020 COMMERCIAL MECHANICAL PERMIT APPLICATION ❑ Please submit two(2) sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email, CD or flash drive Date: 03/02/2020 Site Address: 3044 Holiday Lane - Eagan, MN 55121 Tenant: Holiday Station Stores #318 Suite#: Owner Name: Holiday Companies Phone: 952-830-8014 Address/ it Zip: 4567 american Blvd. - Bloomington, MN 55437 City/ Y P Name: Pump & Meter Service, Inc. License#: MPCA#607 11303 Exclesior Blvd. Hopkins Contractor Address: City: State: MN Zip: 55343 Phone: 0: (952) 930-4800 C: (612) 590-1679 Contact: Travis Rittenbach Email: trittenbach@pump-meter.com New V Replacement Additional Alteration Demolition Type of Work Description of work: Replace product lines w/ new & Install containment sumps. NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. COMMERCIAL Note: _New Construction Interior Improvement Replacing existing underground product line Permit Type V Install Piping see note Processed through existing ducting. Install (7) Tank sumps and (11) dispenser containment sumps. West (5) Gas Exterior HVAC Unit islands stay as is. New dispensers only. 1 Under/Above ground Tank ( Install/ Remove) COMMERCIAL FEES $55,000.00 Contract Value$ x.015 $60.00 Permit Fee Minimum $825.00 $75.00 Underground tank removal, includes State Surcharge =$ Permit Fee $27.50 I =$ Surcharge Surcharge =Contract Value x$0.0005 $852.50 If the project valuation is over$1 million, please call for Surcharge =$ 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.citvofeaaan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start 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. xTravis Rittenbach /4.44.A4.1...// .- �a.:ci Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date,3/c f 22 '/Underground dr Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening ' Peggy Fleck / d �b� 99Y From: Travis Rittenbach <trittenbach@pump-meter.com> Sent: Monday, March 02, 2020 10:39 AM To: Building Inspections; Electronic Plans Subject: Permit Application - Holiday Store#318 Eagan - Repipe product lines Attachments: Permit Application MechanicalCommercial_Holiday#318 Eagan.pdf; Scope Layout Sketch Holiday .pdf Good morning, Attached is the mechanical permit application that Scott requested be filled out. I have also attached an aerial view of the site to go along with the scope.This project is to replace the old Total Containment product piping and (TC) containment sumps that are at(7)tanks& (11) dispensers.The west(5) dispensers were added to the system some time back and are to compliance.We will be opening the concrete ate the fuel tanks to replace the (STP)Submersible Turbine Pump's containment. Removing the dispenser, island and existing TC containment with new dispenser containment. While these points are open we will utilize the existing product line to use as a pull string and pull in new flexible product lines through the existing ducting.The new product lines are Franklin Fueling double walled product piping. Concrete at tank top section will be repoured. Island forms replaced.All dispensers will be replaced with newer models as long as they have been removed from island. Dispensers have been supplied to us from (owner) Holiday Companies. Scheduled start date is April 13`h. MPCA 10-Day application has been submitted. If you have any questions please reach out to me. Travis Rittenbach Pump and Meter Service, Inc. Sales Manager 0: 952.933.4800 ext. 614 I C: 612.590.1679 trittenbach@pump-meter.com 1