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3045 Holiday Lane-___________ ___- I ForO?ce;Use ? ? Pertnd#: ? I I Permit Fee: ?L,J I ? I I Date Received: I I ? ? Staff: I L_________________I 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date: y/s 6R Site Address: ? L-°r' E Suite #: PROPERTY Name: Phone: OWNER CONTRACTOR Name: -bnF?" License#: u^c- ? i., SI S T i ?n?-?.c.~ City: State: Zip: Address: a?"` Phone: Contact Person: E TYPE OF New _ Replacement _ Repair _ Rebuild -f-modify Space _ Work in R.O.W. WORK _ _ Description of work: fkbf) ?- T Ic<,? ?C --?-'S 4 ? PERMIT TYPE COMMERCIAL ace Modif S y p New Construction Irrigation System (_ yes !_ no) (_ RPZ /_ PVB) • Rain sensors required on irrigaiion systems . Avg. GPM _(2° turbo requued unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verily that tests passed prior to pickinq up meter. Domestic: Size & Type Fire: Size & Price 3!4" meter 183.00 Avg. GPM High demand devices? _Yes _No Flushometers Yes No PRVRequired_Yes No COMMERClAL FEES: c? $50.50 Minimum (includes State Surcharge) OR contract value 8 yOci,? x 1% 00 - $ ? Permit Fee Required on ALL new 6uildings and boulevard irrigation systems -9 = $Radio Meter Read - If Permil Fee is less than $1,000, surcharge is $ 50 =$ ' Meler(s) - If Permit Fee is 5 $1,000, su¢harge increases by $.50 for each $1,000 e?'O _$ State Surcharge $1,000 Permit Fee (i.e. a$1,001-$2,000 Pertnit Fee requires a$1.00 surcharge). Following fees apply when installing a new lawn irrigation system. $ Water Permit Call Ihe City's Engineering Department, (657) 675-5646, for required fee amounis. $ Treatment Plant g Water Supply & Storage $ State Surcharge TOTAL FEES S .?•SO " h h di nces and cotles of ihe Ctly o( Eagan; that I understantl thi I hereby acknowletlge ihat ihis information is complele antl accura[e, Ihat Ihe work will be in conformance wR t e or na is not a permil bul only an applicahon for a permil, and work is not lo statl without a permit; that the work will be in accOrtlance with the approvetl plan in the case ol work which reqwres a review and approval of plans. 7C T? "aS i- X ; / sfa? "7 /6 " ` Applicant's Printed Name Aoplicaflt's Signature FOR OFFICE USE .. A?pproved By ? "•"+?i ? ' ' Date 7" ° Required.lnspections:." Under Ground 6 ,Rough Irt, TesL,r,_Gas Test?_d' Page 1 of 3 2008 COMMERCIAL - ---------, ? j ForOfGce`Use I ? Pertnit#: j PertndFee: ? Date Received: 64 I ? ? Staff: ? -----------------' BUILDING PERMIT APPLICATION Date: Site Address: SC?'ts /h L1,QjQ ?I ??/U?i TenantName: nl)L)N611?? RC`!0AUR.A.NTTenantis:_New/-/- Existing) Suite#: PROPERTY OWNER Name: ( ) {A LLC.- Phone: 0/5Z' OM - 4355 Address / Ciry / Zip: 1&5C/ W, U2 Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: touSi 2J(.TLrw OF' ' i?/AUr?14t-E-uL i ConstructionCost: ?WJ ? CONTRACTOR Name: rj?UAt" &TTJ?t,?jr,) CO"'S! License Address: 410? w 109 Y" v/-- City: :Sq?j1(y?- State: M1J Zip: ?57J7U Phone: 99-'Lcj0- ¢3&1 ContactPerson:&4/?? 4?14' ARCHITECT / Name: IA)C_ Registration #: I*)SQ ENGINEER Address: ???? r,<g4A,6 Aik , S J 56117C lUV , ?,,,1 i r City: Gw?fVIG? State:?Zip: ?75337 Phone: ??-ZJ;Z -`t(J4Z Contact Person: )Pr'tFiS Licensed plumber installing new sewerlwater service: Phone #: NOTE: Plans attd supporting documents that you submit are considered to be"publlc inforrriation,;-??ortions, of the information inay tie classifieii as non-public if `you pravide specific reasons that would permit fhe City'fo conclude that the are trade secrets. I hereby acknowledge that ihis information is complete and accurale; that the work will 6e in confortnance 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 Ihe work will be in accordance with the approved plan in ihe rase of work which requires a review and approval of plans. x BP-\aQ 3ciiKA(,e Applicant's rinted Name N ? ^ v MAR x t-? r, „E ppplicanYsSignature v 1 3 2008 Page 1 of 3 N DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation ? Public Facllity ? Accessory Building ? Apartments fd Commercial ! Industrial ? Ext. Aiteration•Apartments ? Lodging ? Greenhouse ? Ext. Alteratlon-Commercial ? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility ? Nall Salon WORK TYPES: ? New ? Interlor Improvement ? Siding O Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Demolish Foundation ? Replacement ? Windows ? Water Uamage ' Demolitfon (entire building) -give PCA handaut to epplieant ?.....n ta?nvm ou Valuation Occupancy ? A`7i MCES System Plan Review ? Code Edition SAC Units (25%_ 100 / ? Zoning rk,> Clty Water ? Census Code Stories ? Booster Pump # of Units d Square Feet - PRV # of Buildings ? Length Fire Sprinklers ? TypeofConst. ?'Bt Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) ??Final/No C.O. Foundat(on HVAC Drain Tlle Other: Roof: _Ice & Water _Final Pool: _Footings _AidGas Tests _Final ? Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows Insulation Retaining Wall ? No Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes Reviewed By: l.A'!f/' , Building Inspector -------------------------------------------------------------------------- Reviewed By: Planning -----------°--------------------------------------------------------------------- COMMERCIAL FEES: Base Fee ? 5*Z0• sa Surcharge ! 7 • sD Plan Review 3 5 g • $?j SAC-MCES SAC-City SMl Permit Financia l Guarantee S/W Surcharge Storm SewerTrunk Treatment Plant Sewer Lateral Treatment Plant (Irrigation) Street Sewer Trunk Park Dedication Water Lateral Trail Dedication Other WaterTrunk Water Quality Water Supply & Storage (WAC) Total Q ?/7G• 33 Page 2 of 3 Protectrng, maintaining and improving the health of allMinnerotanr April 17, 2008 McDonald's USA, LLC 1650 West 82nd Sueet, Suite 900 Bloomington, Minnesota 55431 Gentlemen/Ladies: Subject: Food and Beverage Equipment at McDonald's Restaurant, Eagan, Dakota County, Minnesota, Plan No. 080792 We are enclosing a copy of our report covering an examination of plans and specifications on the above-designated project. The plans and specifications appear to be in general compliance with the standazds of this department. Please see the enclosed report for additional changes and/or comments. It is the project owner's responsibility to retain the plans at the project location. This review does not pertain to the Engineering design (i.e., plumbing, swimming pools, service connections, sewage systems). A separate report regarding the Engineering Review will be sent. Ten working days prior to completion of the project, please contact Ms. Pamela Steinbach with our Metro district office at 651/632-5147 in order to arrange for a final on-site inspection. If you have any questions in regard to the information contained in this report, please contact me at 651/201-5736. Sincerely, ' d Whale , RS Environmental Health Services Section P.O. Box 64975 St. Paul, Minnesota 55164-0975 todd.whalen&ealdh.state.mn.us TJW:jIr Enclosure cc: Reprise Design, Inc. Mr. Dirk House, Plumbing Inspector Mr. Ronald Gnotke, Electrical Inspector Mr. Marty Kumm, Electrical Inspector Ms. Pamela Steinbach, Minnesota Depar[ment of Health -n ,4PR 2 3 2008 Genecal Infoxmation: 651-201-5000 • Toll-free: 888-345-0823 • TTY 651-201-5797 • ?v.healthstace.mn.us An equalopportunity employer MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on food and beverage equipment: McDonald's Restaurant, Plan No. 080792 ?--- - - ? Location` 3045 Holiday Lane, Eagan, Dakota County, Minnesota Date Examined: April 17, 2008 Date Received: March 10, 2008 Plan revision dated: March 6, 2008 Submitted by: Reprise Design, Inc., Mr. 7ames Herget, 12400 Portland Avenue South, Suite 100, Bumsville, Minnesota 55337, Phone #: 952/252-4042 Ownership: McDonald's USA, LLC, 1650 West 82nd Street, Suite 900, Bloomington, Minnesota 55431, Phone #: 952/884-4355 The following are corrections or requests for additional information necessary 6efore construction of your project: Scope of project: remodel of the existing drive thru area. The remode) will consist of enlarging drive thru to allow for a new espresso coftee area. At this time, the installation of a smoothie machine will not be allowed siuce iuformafion was not provided on the machine nor the process that McDonalds will use to make its smoothies. Resubmit plans on the addition of a smoothie machine when all the required information is collected to NIDH's plan review department for review and approval before the smoothie machines are iustailed. Equipment Standards - General Requirements: Pood and beverage equipment shall meet the applicable standazds of National Sanitation Foundation (NSF), Edison Testing Laboratories (ETT.) to NSF Standards, Underwriters Laboratory (UL) to NSF standards or Canadian Standards Association (CSA) to NSP Standards. The proper sticker, manufacturer information and embossment identiFcation shall be displayed on the equipment. (Minnesota Rule, part 4626.0505) All floor mounted food preparation equipment shall be on six (6) inch NSF legs, casters or raised four (4) inch masonry base with appropriate basecove. (Minnesota Rule, part 4626.0725 and 4626.0730) All counter mounted equipment shall be on four (4) inch NSF legs or sealed to tbe counter top unless it is less than 30 pounds and easily moveable. (Minnesota Rule, part 4626.0725 and 4626.0730) Customer seif-service beverage dispensers must be designed to operate so as to protect the ]ip contact surface of glasses. (Minnesota Rule, part 4626.0575, item D) McDonald's Restaurant Food and Beverage Equipment Plan No. 080792 Page 2 April 17, 2008 A full set of approved plans and a copy of the plan letter will be available at all times during construction (Minnesota Rule, part 4626.1720 and 4626.1725) 2. Used Food Service Equipment: Used NSF food and beverage equipment cannot be changed or altered from its original condition. It is the project owner's responsibility to ensure it meets the standazd. (Minnesota Rule, part 4626.0505) Approval of the used equipment will be made by Ms. Pam Steinbach inspecting sanitarian from our Metro district office. (Minnesota Rule, part 4626.0505) Refrigeration - General Requirements: All refrigeration facilities must maintain potentially hazardous foods at 41° F or below. (Minnesoffi Rule, part 4626.0395, item B) Each refrigeration unit must have a thermometer accurate to within +/- 2° F. (Minnesota Rule, part 4626.0560 and 4626.0620) 4. Storage Areas: Provide an adequate amount of storage space for supplies necessary for operation. (Minnesota Rule, part 4626.1725) Provide approved (NSF or equivalent) shelving to maintain food items, single-service items and equipment a minimum of six (6) inches above the floor surfaces. (Minnesota Rule, part 4626.0505, 4626.0725 and 4626.0730) 5. Handsinks: All handsinks shall be provided with hand cleanser, single-service toweling and nail brush. (Minneso[a Rule, part 4626,1440 and 4626.1445) Each handwashing sink shall provide water at a temperature of at least 110° F through a mixing valve or a combination valve. (Minnesota Rule, part 4626.1050) 6. Walls - General Requirements: Plan proposes the walls in the new espresso coffee, area to be finished with either FRP or ceramic tile which is approved. Review for compliance. Floors - General Requirements: Quarry Tile - Plan proposes quarry tile in the espresso coffee area which is approved. Review and follow the below statements. A copy of the material specifications shall be submitted for review and approval before installation. (Minnesota Rule, part 4626.1720) McDonald's Restaurant Food and Beverage Equipment Plan No. 080792 Page 3 April 17, 2008 Epoxy or polyurethane base grout shall be utilized. (Minnesota Rule, part 4626.1720) Grout shall be recommended by manufacturer for food service application. (Minnesota Rule, part 4626.1335 and manufacturers' recommendations) Non-slip quazry tile shall not impede ability to clean floors. (Minnesota Rule, part 4626.1335) Non-slip quarry tile may not be located undemeath equipment. (Minnesota Rule, part 4626.1335) All tile and grout shall be sealed per manufacturers' recommendations. (Minnesota Rule, part 4626_1335) A four inch integral basecove ('/< inch radius minimum) constructed of the same materials as the floor shall be installed at the floor/wall junctions. (Minnesota Rule, part 4626.1345) 8. Ceilings - General Requirements: Plan proposed vinyl wated acoustical cciling panels which are approved. Review for compliance. 9. Plumbing - GeneralRequirements: All plumbing plans shall be approved 6y the Minnesota Department of Labot and Industry (DOLI) or delegated agent. Submit complete plans for review to that department. (Minnesota Rule, part 4626.1040 and 1045) Submit plumbing plans to the city of Eagan for review and approval. Provide written approval from the city to the inspecting sanitarian, Ms. Pam Steinbach, during the final inspection. A separate on-site inspection will be conducted by tbe Minnesota Department of Labor and Indushy plumbing inspector or delegated agent to determine compliance with the Minnesota Plumbing Code. (Minnesota Plumbing Code, Chapter 47153130) All pipe chases that pass through walls shall be tightly sealed and covered_ (Minnesota Rule, part 4626.1340) All utility pipes shall be enclosed in walls or ceiling. (Minnesota Rule, part 4626.1340) 10. Lighting - General Requirements: Provide effective shielding such as plastic shields, plastic sleeves wiYh end eaps, shatterproof bulbs and other approved devices for all lighting fixtures in area of exposed food, clean equipment, utensils, and linens, or unwrapped single service and single use articles. (Miunesota Rule, part 4626.1375) Food preparation areas in which food or beverages are prepazed, utensils are washed shall provide a minimum of 50 foot-candles of light measured 30 inches above the floor. (Minnesota Rule, paR 4626.1470) McDonald's Restaurant Food and Beverage Equipment Plan No. 080792 Page 4 Apri] 17, 2008 11. Other Code Requirements All other approvals from local units of government shall be o6tained prior to construction beginning. This includes building construction inspections, zoning approvals or other regulatory approvals. (Minnesota Rule Chapter 1302, Construction Approvals) Review and follow the above statement Obtain an electrical inspection from the Minnesota Electrical Licensing and Inspection. All electrical systems must comply with the currently adopted edition of National Electrical Code. (Minnesota Statute, part 326244) Contact Mr. Mark Auderson, 952-445-2840, for the above inspection. Comply with the Minnesota Clean Indoor Air Act (MCIAA). (Minnesota Rule, part 4626.1820) Sincerely, oEnvironmental Health Services Section P.O. Box 64975 St. Paul, Minnesota 55164-0975 todd.whalen@heal th . state.mn.us ?r10 I -D ?? CI?EONLY L , BL RECEIPT#: SUBD. RECEIPT DATE: 'l - APPROVED BY: INSPECTOR 3$30 P1LOT KN08 iiD E4flAN, MN 551 EE (612) 681-4675 Piease complete for all commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: ?- Z`7 CONTRACT PRICE: 4' c?7 3aa W OTt?t "fYFE: )< NE JJ CGNSTRiJi, i iC3?i i`t3'i'EicIOR .iviPi.v^YntvfENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: /{rt? ? ?' OWNER NAME: ? d t'IT m PHONE #: 1 gv?0- 9B / TENANT NAME (A4PROVEMENTS ONLY): ' I O ? C? --? 5'??n e?1 7u ) P3 ? f n INSTALLER: 1998 MECt"tcAL PERMrr (COMMEttciAL) crrY oe EAsAv ADDRESS: Lo-z' G?k[ e IS?o?2 '?L-u? PHONE #: CITY: 4Ww--'z. _ STATE: ZIP: 55 3?1 ? SI6MtTIIFtE OF PERMWfEE a7 . 50 ($.50 per $1,000 of eit fee due on all permits J 3 D,V5 4&w?*-1 Lc CITY USE ONLY LOT BL RECEIPT #: SUBD. RECEIPT DATE: 1996 MECHMiCAL ?Eftmrr ? crrYoffneax S$SO PILOT KNOB itD Bl16AN MN 55122 (618) 6$1-4675 Date• Complete this section onlv if you aze installing H\7AC in single family, townhomes or condos under construction and not owner /occupied ' • HVAC: 0-100 M B T U $ 24.00 iyDDI i GNfii. JG bi BT"l7 6.00 • Gas oudets (minimum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not reauired for alteration/add-on to ductwork in existing residential units; but is required for the following: _ Install furnace _ Install air condidoning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: OWNERNAME: PHONE#: wo-w"01+"0"4W INSTALLER NAME: ? F, 1 PHONE #: STREET ADDRESS: - CITY: %? - • STATE"OV014-M.. TTV4,4*a° S GNATURE OF PERMITTEE 1S/FORMS BLD/IvfECH PERMIT (RES) - 1998 cA-vk -e.?jJ C'?YVcoMME ciar. 6Z3,?9 BUIIeDING PERMIT APPLICATION C651-681-?467? ?eCe!p f Yl 7,1-?61Y/akb#- //Q Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Crvil Plans (2) . Structu2l Plans (2) • Code Anatysis (1) " • Certificate of Survey (1) . Civil Plans (2) • Project Specs (1) • Code Analysis (1) " . Lantlscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calcula[ions (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power& Lighting Form (1)notalways" • Meter size must be esfablished • Meter size must be established • Meter size must be established - if applirable • PrqeclSpecs (1) L • Energy Calculations (1) 1 • Electric Power & Lighting Forrn (1) 1 . Master Exit Plan (1) 1 1 . FireProtectionPlan ('I)" l 1 • SoilsReport (1) 1 . MGES SAC determination letter • MC/ES SAC determination letfer • MGES SAC detarmination letter call 651-602-1000 dll 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE '3I06i WORK TYPE X NEW _ REMODEL CONSTRUCTION COST SITEADDRESS 36`-15 l4p1kofl y L.AnE c=A L flN m N TENANTNAME mclona\As COr-NnYU-tiw, SUITE# FORMER TENANT NAME DESCRIPTION OF WORK 0rJV7SkrutA- woc-i> f.urnt Wlbri(iC. V[nPer S?vuLiorQ Name: ma?rLk?S C0r-pnr;tikLv9Phone#: 9c sa ) SS`I -`I3S$ PROPERTY Last F'ust OWNER SueetAddress lln'-6 w[sE SkreeA- , Su;}e 900 Ci[y -KloOm% n? On Sta[e Mnl zip 55y 3 f Company cS' h?ntnbeC ?1\1?cr5, InC. Phone# ('ilo3 )?7y"I?0 0 CONTRACTOR StreetAddress: loln`t 1,!• V'nfd,ww s-Ercek- ?-T. o•`gon $ City State V1'4 Zip 5S 35 '?7 ARCHITECT/ ENGINEER Company ?C?G'Ka4aS eomvrc*ti(s-, Phone# ( 1v3O ) ba3-bga-a Name _ 'tOvb \!qbf`te?_ _ Registration # StreetAddress ?nr%j?7 i Du1eUW'6 City bqt' '$ fOO« S[ate \L- Zip to 0 5 a 1,1,1n ? w G-kt.,. -v- l.icensed plumber installina new sewerlwater service: Phone #: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: &/1 /// . vU7,f/ Updated 1l01 OFFICE USE ONtY- SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/In dustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. O 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE X 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFOR II/IATJQIV Census Code ?2"j ? SAC Code ?Q Na, of Units L No. of Bldgs. _ Const. (Actual) ? ? (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building sq. ft ' 'b sq. ft. ? sq. ft. 41? sq. ft. MC/ES System 9 City Water G Fire Sprinklered "TLA°'al? CpP?Mt??l?! ? ? Insulation ? Plumbing ?? Engineering ? Stucco/Stone Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other r-4c1JD6CkF'(0(, Copies Total 2-, 3R3 ,??S I , 565, ?1¢ 4(OOO , s0 q- 00, oe 100,60 6 ,7(J (v . 8-D zo SOx, o-0 VALUATION $ ? J?D ) dO0 k-6- % SAC SAC Units Meter Size D d 4-- OFFICE USEPN'LY BUILDING PERMIT TYPE ? 01 Foundation ? 26 Public Facility ? 28 Greenhouse ? 25 Miscellaneous X27 Commercial/Industrial ? 29 Antennae WORK TYPE • a X 31 New ? 34 Repairs ? 37 Demolish Bldg. 0 43 Siding/Soffits/Facia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors ? 33 Alterations ? 36 Move Bldg. ? 42 Reroof ? 45 Fire Repair GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code ?JZ7 (Allowable) 1 First Floor sq. ft. 45 SAC Code _,ZQ UBC Occupancy .5 sq. ft. No. of Units I Zoning ? sq. ft. No. of Bldgs. # of Stories sq. ft. MC/ES System Length o• o sq. ft. City Water Width 43• 5'? Footprint sq. ft. ? Fire SprinkleredlKASK_QML 041 APPROVALS Planning Building CL ", tngineering Variance VALUATION: $ ?- Permit Fee 2 r?93 .?'5- Surcharge ( "1 S . w ? Plan Review L ? 1 55-5'Al ? a / t',?? MC/ESSAC 4 00 •" C%SAC a0 ° City SAC q' oa •.*? ? SAC Units Water Supply 8 Storage Meter Size SIW Permit lao - ? X S/VU Surcharge • °So '? Treatment Plant ,21-Park Dedication Trails Dedication ( ??. 2.; ? Water Quality Other ?,q?p S?p,p??(? • ?,? L?PD ?= Copies 'fotal c) a-?-t le a?. ??- • ? 4099-BUILDING PERIIdYT APPLICATSON (COMMERCIAL-??? J ' 1 . C1TY 651 6?1-4675 w++F? EAGAN S <A '-?-?-1 °4--?----- Recuirements to buildina oermit C-rA,t r?.) I o--DS Foundation Onl New Construction Interior Im rovement • Svuctural Plans (2 sets) • Architectural Plans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) . Structural Plans (2 sets) • Code Analysis (1) '• • Code Malysis (1) " • Civil Plans (2 sets) • Project Specs (1 set) ? Project Specs (t) • Landscaping Plans (2 sets) • Key Plan • Spec. Insp. & Testing Schedule " • Code Analysis (1)•' . Master Exit Plan • SAC determination letter from MC/ES - . SAC determination letter from MC/ES - call - • SAC determination letler from MC/ES - call call 651-602-1000 651-602-1000 651•602-1000 • Spec.lnsp.&TestingSchedule (1) "- • EnergyCalculations (1)notalways" • Projed Specs (1) . Elec. Power & Lighting Form (1) notalways " • EnergyCalwlations (1) " • Electric Power 8 Lightino Porm (1) K • Masler Exit Plan • Soils Re ort 1 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-215-0700 for details. DATE: September 1, 2000 WORK TYPE: X NEW REMODEL DESCRIPTION OF WORK: Construct wood frame with brick veneer structure CONSTRUCTION COST: $350,000 TENANT NAME: McDonald's Restaurant SITE ADDRESS: 3045 Holiday Lane, Eaga C7C?' Vi-t LOT 4 BLOCK 1 SUBD. Dakvew Center P.I.D. # PROPERTY OV?NER eCONTR-ACTCR ARCHITECT/ ENGINEER *:,-iz: McDonald's Corporatiaa Yhone4: 952-854-4355 Last First Sneet Adclress: 1650 W_ 82nd St., Suite 900 City BlOOminqtOil State: MN Zip: 55431 Company: Shingobee Builders, Inc. Phone#: 763-479-1300 Street Address: _ 669 N. Medina St, PO Box 8 ')(p '479) - ' 7??`7 City Loretto State: MN Zip: 55357 Compani McDonald's Corporation Plzonz4. 630-G23-6922 Name: Todd Worley Regishation #: Street Address: 711 Jorie Boulevard City Oak Brook State: IL Zip: 60523 Sewer & water licensed plumber (oNy if installina sewer & water): I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: A?/Uw xujw MN SUITE #: CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY:INSPECTOR COMMERCLAL MECH4RICAL PERM1T APPLICATION CITY Oir £Afii4N 3$30 P1LOT KNO$ RD E4fil4ft, MN 55122 651-6$1-4675 Please complete for: ali commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: 5' - /$ ' e) I SITEADDRESS: 3!9 yS Ro/i`,I - v Le.n e CV,.T7ER*:P.PdE: A^ - A_1A5 G?ra PxcrE552 - a?4- Y355 . ..?,,, _T_ (AREd CODE) TENP.iNT NAME (I3\IPRO VEMENT'S ONLY): WAS THERE A PREVIOliS TENANT IDI THIS SPACE? Y'y- N. NAME: INSTt1LLER: _Aave.nc_RrJ Enr (-. -5ervii-gs aDDRESS: .16 So PxorrE #: 763 - 55 9-/6 71/ (AREA CODE) CITY: PI y MO u f? STATE: I'YI/?? ZIP WORK TYPE: X_ New construction _ Install G. Tank 14A _ Inrenor Improvzment _ Remove U.G. Tank Y 21 2pp1 _ Processed Piping , J Specify?tianueofWork: SnSt?// Kefz.Uqv n!h? i? -t S " Wa/6C Lt?OlWcl in fieet cl d Z'ce /ft« e?f , When ixstalling/removing uteJergrotend lank, call 651-681-4675 for inspection by Fire iYlarsl:al and Plunibing Iinspector. Fees: 1% of conaact price OR $50.00 minimum fee, whichever is greater. Underground tank removallinstaliation = minimum fee Contract price: S';opv; (Xj x(°/a = 3_5Q .00 (Base Fee) State surcluarge O calculate at 5.50 for each S 1,000 Base Fee TOTAL 1'Y?? ?? $,51- r SI D V ? GN 'RE OF PERMIT"CEE Updated l/OI CITY USE ONLY PERMIT #: H t?? O ? n. RECEIPT DATE: + V ?- o COblbIERCI!!L PLUbIS1NH PERMiT AfPL[CATIOF CcrYoF BA6AN 9830 PILUr[ KAOB ltD &48f1P, JlIY 55122 681-681-4678 INt`nlvtar EMaMrCAAONS WlLL NOT BE PROCESSFD z,/-(2-ci WORK 1'YPE X New Bldg Add-on Repair _ RPZ _ PVB ,&• Irrigation system ' Must complete reverse side of applica6oa also. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK .h /1if w IGP To inquire if Pressure Reducing Valve is required on new service, ca11651-681-4646 METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oicldne uo meter Irrtgation Size & Type Avg GPM Fire Size & Price 3/4" disolacemcnt $149.00 Domestic Size 8c Type /- y C1 i 5. (i C'k YYU w?_ Avg GPM Does this include high demand devices7 _ Yes _ No . FLUSHOMETERS X Yes _ No PRV REQUIRED _ Yes _ No SiteAddress: 3d y5 /7?cD?•`??Y L-It,- Tenant Name: A Ce? , l•o 'S Telephone #: (Mea Code) Was there a previous tenant in this space? _ YXN. If Yes, Namc:, Installer Name: ??? /?? t cGi C?••i 7'i^ $ Telephone #: 763 S3-3 - Z Z/ ? (Area Code) Installer Address: 7 6 2°/ L// ? G?, C:? Ciry: jpv(?i8;nSAle State: /)Pl/ Zip Code ??f 2 2 FEES Contract price $ L 7 C9 c9u . t, 0 x 1% ($50.00 minimum) Required on all new buildings & boutevard irrigadon systems (Acct # 92204509) Surcharge: $.50 Minimum. If nco tract fee exceeds $1,OOQ calculate at 50 cents per $1,000 contract fee. ? (? (? n Total Fr ?¢'??{ ?velr58 APR 12 2001 Contract Fee $ a? U•U v Meter(s) $ ? 01 L-t . C-) 0 Radio Meter Read $ -C) o Sta Smcharge $ - ED Service $ I hereby aclmowledge that I have read this application, state that th irifotmafion is comct, and ordinances.ItistheapplicanYsresponsibiliryronotifytheproperryow rthattheCityofEaganass during its nom?al operarional and maintenance activities to the faciliti - 'thisv, S ?I --(.r?b to comply with all applicable City of Eagan no liabiliry for any damages caused by the Ciry OF PERMITTEE CITY USE ONLY REQUIRED INSPECI'lONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final 4-zo `O f BUILDING INSPECTOR PLANS SOBMITTED APPROVED BY: zd?xal CITY USE ONLY PERMIT #: RECEIPT DATE: WORK Tl'PE New Bldg Add-on Repa'v RPZ PVB • Icrigation system • Must complete reverse side of application also. Required metcr size is 2" turbo ou Ieas smaller size pertnitted by Public Works DESCRIPTION OF WORK To inquire if Pressure Reducing Valve is required on new service, call 651-6814646 ' METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oickin¢ uo meter Irrigation Size & Type Avg GPM r Fire Sizc & Price 3/4" disolacement $149.00 Domestic Size & Type Avg GPM Dces this include high demand devices? _ Yes _ No FLUSHOMETERS _ Yes _ No PRV REQUIRED _ Yes _ No Site Address: Tenant Name: Telcphone #: (Area Code) Was there a previous tenant in this spacc? _ Y_ N. If Yes, Name: Installer Name: Telephone #: (Area Code) Installer Address: City: State: Zip Code FEES Contract price $ a 1% ($50.00 minimum) Contract Fee $ Meter(s) $ Requ'ved on all new buildings & boWevard imgation systems (Acct # 92204509) Radio Meter Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculatc at State Surcharge S 50 cents per $1,000 contract fee. Total From Reverse New Service $ Totsl $ I hereby acknowledge that I have read this applicatioq state that the informarion is colrect, and agree ro comply with all applicable City of Eagan ordinances. It is the applicant's responsibiliry to notify the property owner that the Ciry of Eagan assumes no lia6ility for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this pertnit within Ciry property/right-of-way/easement. SIGNATURE OF PERMITTEE COblME{tCIAL P1.UbIB1Rfi PERM1T APF'LICATIOP Cl'tYoF eneM 3830 Pn,or Kxos Rn PJkBAF, ]!1V 55122 851-681-4678 lNCOMPLElE APPLICATIONS WlLL NOT BE PROCESSED REQU[RED INSPECTIONS: CITY USE ONLY U.G. Air Test Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR CITY USE ONLY PERMIT#: L+SUsll? RECEIPTDATE: I aS-U, Q ? °I APPROVED BY: Zzoo ! ? ?_r.t INSPECTOR COMbIERCli4I. MECH"Ci41. PFJtMIT "PLICATION CTl'Y oF F.ABlklv 8$30 PLOT KPOB fiD EASM, Mlv 55i Ea 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: ?-16 ' c"( SITE ADDRESS: .f 0 OWNER NAME: PHONE #: - (a.Rer. coDe) TENANT NAME (IMPROVEMENTS ONLl): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Yt,?t N. NAME: INSTALLER: 1?'74.D /-h cc 4 "?" /Y l'o ADnxESS: ?{? 2 9 Z-// rr c,?G iva PHONE#: 763 - 5-3 .3- 2 2 (AREA CODE) CITY: hd&i,S a4alt STATE: A?/?/ ZIP: rirS-5?'22 WORK TYPE: ? New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for Plumbing linspector. Fees: I% of contract price OR $50.00 minimum fee, wluchever is greater. Underground tank removallinstallation = minimum fee ConGact price- $ 2$(7CJ•v? x 1%= $ 56• V O State surcharge • J 0 TOTAL $ S0 • J (/ (Base Fee) calculate at $.50 for each $1,000 Base Fee SIGNATIJRE OF PERMITTEE Updated 1/O1 CI1'P USE ONLF PERMIT #: RECEIPT DATE: MSIDENTiAL M?.'CiiMlCAl. PEfiMIT APPLICATION crrYogEAsm 3630 Pnoz xivos su £t4HAP MA g51 ES 651 -681,4675 Please complete for ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: STATE: Place a chec4 marir nr+xf tn the narmif wnrk tvee ZIP: New residential dwelling unit under constructionand not ownerloccupied $ 70.00 Add-on, modification or alteration to existin dwelling unit $ 50.00 • fumace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ .50 'Total $ Reminder: Call for inspeetions. TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) SIGNATURE OF PERMITTEE Updared 1101 city oF eaqan September 21, 2000 MR JERRY ROPER MCDONALD'S CORPORATION 1650 W 82ND ST #900 BLOOMINGTON MN 55431 RE: MCDONALD'S 3045 HOLIDAY LANE LOT 4, Bl, OAKVIEW CENTER Dear Jerry: PATRICIA E. AWADA Mayor PAULBAKKEN BEA BLOM9UIST PEGGY A. CARLSON $ANDRA A MASIN Courx.n nnembers THOMAS HEDGES Ciry Adminisnotor We have completed our review of the construction documents submitted in pursuit of obtaining a building permit for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless othenvise noted, all references aze to the 1997 U.B.C. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the following items be addressed. Provide 3AC determination letter from MC/ES. Provide a fire protection plan on an 8-1/2" x 11" sheet of paper and a floppy disk in Auto CAD dwg release 14 or dxf release 14. This will assist emergency personnel responding to the site. An example is enclosed. If you have any questions regazding the above requirements, please call me at 651-681-4683. Sincerely, J. Craig Novaczyk Building Inspector JCN/js MUNICIPAL CENiER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122•1897 PHONE: (651) 6814600 FAX(651)681-4612 TDD:(651)45d-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWfH IN WR COMMUNIN Equal Opportunity Empbyer www.cnyofeogan.com MAINiENANCE FAqLRV 350ICOACHMANPOIM EAGAN. MINNESOTA 55122 PHONE: (651) 681-4300 FA%:(651)681-4360 TDD:(Q51)454-8535 w U a a 4 4 y 2 a > -- Y A N K E E ? ? ? FIRE H1'DWWT t? NEY BOX ? fIRE AURM PANEI Q AUi0A1ATIC $PRMKLERS .? NON-SPPoNKLEREO ARFA ?E EIECTRIC MNN SHUTOFF 06 GAS MNN SHUTOFF O WATER SHUTOFF y? lJ flRE DEPT. CONNEC110N \J SERNCE DOOR ? ? R ??ooo?, (? ,'Sl?. •. o r?y ? n-??,.u I y D O O D L E R 0 A U IN EAGAN MN. FIRE PROTECTION PLAN 3- ,on CITY USE ONLY PERMIT #: )'-i RECEIPT DATE: 4- APPROVED BY:_?, , INSPECTOR CObIMERCIi4I. bIECHAN1ClEI. PERM1T APPLIClkTION C1TY oFEA"1Q 8$30 PILOT KftOB !tD EALSM, buv 55122 651-6$1-4675 Please complete for: all commercialAndustrial buildings muiti-family buildings when separate permits are not required for each dwelling unit DATE: ?lalSl l ? ? SITEADDRESSNV M,"? ? In l i?QN) [,tnQ--" OWNER NAME: no fJo n Q ( CY ,5 ?,? ? ? • PHONE #: ( 4'-- - - W` l - (AREA CODB) TENANT NAME (IIvIPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: fT) C0 1' IQ0 Vat) ico, I ADDRESS: 5?( U Q C)Z, PHONE#: (AREA WDE) CITY: jl? n e(1 Q , STATE: 1°\-' 1 Z1P: ,-?So? U WORK TYPE: ? New construction _ Interior Improvement _ Processed Piping Insta]] U.G. Tank Remove U.G. Tank SpecifyNature of Work: When installing/removing underground tank, call 651-681d675 for inspectian by Fire Marshal and ? Plumbing linspector. II?II? u ll ?s Fees: 1% of contract price OR $50.00 minimum fee, w}richever is greater. ? yAR 2 8 2001 I IJ Underground tank removaUinstallation = minimum fee L Contractprice: $?`I ?•?? xl%=$ C(' ?U (BaseFee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL -?) 6 "Z PERMITTEE Updated 1/01 CITY USE ONLY PERMIT #: RECEIPT DATE: USj)ENTIALMECiE[ANjC,AL ?? ??PLICiATIOR C11'Y OF i:A61RA S$SO PDAT HAOB iiD £AHRA HA Sbt EE 651-691-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ApDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: STATE: TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) Place a cheek mark nPZt tn the eermit wnrk tvne ZIP: New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existina dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ 50 Total $ Reminder: Ca!! for inspections. SIGNATURE OF PERMITI'EE Updated 1/OI ? city of eagan MEMO TO: DALE SCHOEPPNER, CHIEF BUII.DING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS MIKE RIDLEY, SENIOR PLANNER CAROL TUMINI, UTILITY BILLING CLERK BOB KRIHA, CONSTRUCTION INSPECTOR STAN LEXVOLD, CONSTRUCTION SUPERVISOR TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT PAUL HEUER, SYSTEMS ANALYST ERIC MACBETH, WATER RESOURCE COORDINATOR MARK ANDERSON, ELECTRICAL INSPECTOR SCOTT PETERSON, PLUMBING INSPECTOR FROM: BILL BRUESTLE, SENIOR INSPECTOR DATE: NNE 6, 2001 SUBJECT: MCDONALD'S r 3045-HOLIDAY LANE L LEGAL: LOT 4 BLOCK 1 OAKVIEW CENTER The Protective Inspections Division will be performing a final inspection of McDonald's at 3045 Holiday Lane on July 6, 2001. If you aze requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to retum the hold request form will be considered your approval. The person, or deparhnent, requesting the hold is responsible for no5fying and resolving any problems with the affected parties. CD/bldg msp/misc/final insp -cortvn bldgs Metropolitan Council it Improue regional compeiitioeness m a global economy Environmentai Services September 28, 2000 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, NIIV 55122 ?J Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the McDonalds to be located within the City of Eagan. This project should be charged 4 SAC Units, as deterrnined below. SAC Units Charges: Restaurant (fast food) 96 seats @ 22 seats/SAC Unit 3.91 or 4 Ifyou have any questions, call me at 602-1113. Sin rely, , L4,4, 4 &, Jodi L. Edwards Staff Specialist Municipal Services Section JLE: (320) OU0928SG cc: S. Selby, MCES Carolyn Krech, Finance DepaRment, Eagan Mary Vashro, Shingobee Builders Inc. www.metrocouncil.org Metrn Info Line 602-1888 230 East Nl2'th Street • St. Paul, Minnesota 55101-1626 • (651) 602-1005 • Fax 602-I138 • TIY 229-3760 An Equal OPP?nity &'mplayer SEP 07 100 17?32,ER Vo INTERTEC? ?'S CORP. T i^ i P2 _... . r l. [U??l=- 48 FJ BRAUiV INT_R T. 'E C E1 MCD4NA hu, 92-„J P. 2,ao2ioo?• -;;_r, 62e?a 1kQrM $eshlnoot.'tL tRJ1LYkKS 20ONALD'9 CDRP. NL.?'° 11402 i " ¦sscsaL s?aPS?rtou ?wo sstss?ta iesaaQr.e (Zo bs usad !a l,eeordanea ritii'ehs •auitloltnos tcr ipoo3al tasp.otton rnd zaASinq-y l11AnCP HLW LoCx120N Z7fPe rA0.Tacs »o. 9EAlsiT No. lhi@ sCAodu2s tm ki iiLlyd ant and inClueed ie L!e DrojtOt mptOifipaeion. 2nfosmatizr. unavA4=ibla at thae c3me to ba fill&d oua vhen applyinq for a nuildiaQ pasa+}.e. (1) tOemLt 1to, to 6* pt10ViA«I by th! 9ttS3dLeq OlticiaL. (2) use deferipCLmRs pQr [1.S.C. Saetioe j'?f,s (3) specisl En¦parcqi, ssnttnq Aq•nr. bs hlecieacor. (4) lirtn rontraoted to pnrterm uirvicei. acsxowlmogpm tacA sHDi9p=i4ts r?r?isntaCiy? mu?e sign 1d?lm., ' ointrr Etsno Mc,DonalB's Gatg rotYopaee: 9 05/00 conrs?ceor: atsier_- a e u3.lders Qas.? Aralti?aoa- tirsI ' o?t•: ?iA r !LL'71?r • sir ?? ?_9ae•e tisati Dr1t?c ' • na . .? _. ? !: J caso?. aaea e - - r Htm? •'?? in4iVidqal 0?4 4t a12 Iwospe0llve Speclal inapeesero ana ths woek they sncsnd eo on..rve aust w s0aastls•a on cKr :.vesse .lde of ehis torni. 1.09and; S_it - dtsvoiusil Dn4in4ar e! Reeold SI ? QPOeiai znopoatar ta e SOasieq AqGnt . r s ?aprsoasor AcctpLtd !or ths Wildir?q DepartoNnb sy' nats: Protecting, maintaining and impsoving the bealtb of aUMinnesotans Octaber S. 2000 McDonald's Corporation 1650 West 82nd Street. Suite 900 Bloomington, Minnesota 55431-1442 Gentlemen/Ladies: Subject: Food and Beverage Equipment at McDonald's Restaurant, Eagan. Dakota County, Minnesota, Plan No. 010926 We are enclosing a copy of our report covering an examination of plans and specifications on the above-designated project. The plans and specifications appear to be in general compliance with the standards of this department. Please see the enclosed report for additional changes and/or comments. It is the project owner's responsibility to retain the plans at the project location. ' This review does not pertain to the Engineering design (i.e., plumbing, swimming pools, service connections, sewage systems). A separate report regarding the Engineering Review will be sent. Ten working days prior to completion of the project, please contact Ms. Pam Seinbach with our Metro district office at 651/215-0861 in order to arrange for a final on-site inspection. If you have any questions in regard to the information contained in this report, please contact me at 651/215-0862. Sincerely. ?. Steve Craig" Public Health Sanitarian Environmental Health Services P.O. Box 64975 St. Paul. Minnesota 55164-0975 SJC:jIr Enclosure cc: Mr. Dirk House. Plumbing Inspector Ms. Pam Steinbach, Minnesota Department of Health General Information: (651) 215•5800 o TDD/"I"TY: (651) 215-8980 o Minneso[a Relay Semce: (800) 627-3529 o ?.healthstatc.mn.us For directions to any of the MDH locations, call (651) 215-5800 0 An equal opportunity employer B RAU N=p INTERTEC July 5, 2001 Mr. Craig Bames McDonald's Corporation Restaurant Development 1650 West 82nd Street, Suite 900 Bloomington, MN 55431 Dear Mc Barnes: Braun IMerfec COrpowfion 6950 Wasl 146th Sireet, Suife 131 Apple Volley, Minnesota SS 124-8520 952d31d493 Fax:952-431-3084 Engmeers and Scienfisfs Serving 1he Builf ond Notural Environmenls°D Project BODX-01-049C Re: Construction Observations and Testing Services, McDonald's Restaurant, Highway 55 and Highway 149, Eagan, Mmnesota This report summarizes the conshuction observations and testing services performed for the aUove-referenced project in Eagan, Minnesota. Our services included: excavation observations and compaction testing during the soil correction of the building pad, concrete testing, and testroll observations of the pavement subgrade soils. Available Information American Engineering and Testing, Ina (AET) performed soil borings on the site for the proposed McDonald's Restaurant. The results of their soil borings were submitted in a report dated June 1, 1999, (AET job number 02-01266). Construction plans and specifications were prepared by Fullerton Building Systems, Inc. dated May 27, 1999. Building corner stakes were set in the field by surveyors and building comer offset stakes were set in the field by the excavating contractor. Braun Intertec excavation oversizing measurements and bottom of excavation elevations and compaction test ]ocations and elevations were referenced to these stakes. The exact building pad location is the responsibility of others. Proposed Construction The proposed McDonald's Restaurant will be a slab-on-grade wood frame structure, approximately 42 feet by 90 feet in plan dimension with a finished floor slab at elevation 8569 feet. The building will be supported by conventional spread footings designed with a net a]lowable soi] bearing pressure of 2,000 pounds per square foot (psf). Associated with the building will be utility and pavement construction. Excavation Observations and Compaction Testing The excavation observations and compaction'testing were performed by a senior engineering assistant from April 10 to April 24, 2001. The purpose of the excavation observations was to aid in evaluating the suitability of the soils encountered in the excavation bottoms for fill and McDonald's Corporation Project BODX-01-049C 7uty 5, 2001 Page 2 building support. Thc purpose of the compaction testmg was to aid in evaluating the engineered fill placed for building support. The excavation observations consisted of observmg the soils exposed in the bottom and sidewalls of the excavations. The consistency or density of the soils encountered in the excavation bottoms were estiinated by judging the force required to advance random, shallow (about 1 to 3 feet deep) hand auger probes. Soil classifications were determined in the fieId Uy using ASTM procedures. As indicated in the soil borings, about 5 to 8 feet of existing uncontrolled fill soils were removed from the building and oversize areas down to the underlymg natural soils. The bottom of the excavation ranged from approximate elevation 846 along the east side of the excavation to a6out 850 in the southwest portion of the excavation. The soils at the bottom of the excavation pritnarily consisted of silty sand and poorly graded sand with silt that were judged to be m a medium dense condition. The excavation was oversized 10 to 15 feet to provide ]aleral stipport to the fill and proposed building. $ee the attached sketch which shows the approximate excavation limits and hottom of excavation elevations. The majority of the old fill that was removed from the building pad was reused as engineered fill. 1'hese soils were a mixture of dayey sand and poorly graded sand with silt. The engineered fill was placed in about 1-foot lifts with a dozer and then compacted with a large, self-propelled. vibratory sheepsfoot roller. A total of nine compaction tests were taken in the engineered fill placed for building support. All compaction tests met or exceeded the minimum density requirement of 98 percent of standard Proctor maximum dry density (ASTM D 698) below footings and 95 percent of standard Proctor densiry below the floor slab. The compaction test resuks and Proctor curves have been previously submitted and are attached to this report. Concrete Testing Two sets of concrete cylinders were cast during building construction by the contractor. Set number one was cast on the footmg conerete placed and set number two was cast on the floor slab concrete. Based on the test results, the 28-day strength requirements have been met. T'he concrete test results have been previously submitted and are attached to this report. Testro ll OU servations Testroll observations were perFormed by a senior engineering assistant on June 4, 2001. The pavement su6grade soils mainly consisted of silty sand and clayey sand. The tesh'oll was performed using a loaded, double-axle tandem truck. The majority of the pavement subgrade perfonned well after one pass with the truck. Two areas of unstable subgrade soils were oUserved. These areas were around the north/northwest drive area. About 2 to 6 inches of ruttmg andlor deflection was observed afrer one pass with the truck. We recommended that these areas be subcut 6 to 8 inches and replaced with additional Class 5 aggregate base. Summary Based on the soil borings performed by AET, our excavation observations and hand auger probes, it is our opinion the soils encountered in the excavation bottoms are suitable for fill and building support. Based on our compaction test results, it appeazs the engineered fill tested is adequate for vuilding support. Based on the concrete test results, the concrete cylinders tested have met the 28-day compressive strength requirements. McDonald's Corporation Project BODX-01-049C .Tuly 5, 2001 Page 3 Based on the testroll observations and completion of the recommended correcuons, it is our opmion the pavement subgrade soils and the thicker aggregate base section around the north/northwest drive area are suitable for pavement support. General Services performed by the geotechnical and materials engineers for tlils project have been conducted witli that level of care and skill ordinarily exercised by members of the profession currently practicing in this area. No warranty, expressed or implied, is made. Tliank you for using Braun Intertec for this project. If you have any questions regarding the information contained in this report, please contact Dave YoungsROm or Greg Bialon at (952) 431-4493. Sincerely, Braun Intertec Corporation David T. Youngsh-c Senior Engineering Professional Certification: I Uereby certify that this plan, specification or report was prepared by me or under my direct supervision and that I am a duly Licensed Engineer under the laws ofthe State of Minnesota. Grego ?alon, P Associate P:incipal Registration Number: 24017 Date: Ju]y 5, 2001 Attachments: Excavation Observation Sketch Report of Field Compaction Tests, Reports 1 and 2 Proctor Curves, P-1 throuah P-3 Compressive Tes[ of Concrete Cylinders, Sets 1 and 2 Daily Observation Reports, Soil Correction and Testroll Observations c: Mr. Tony Godluski; Shingobee Builders, Inc. Building Inspection Deparnnent; City of Eagan dry/gj6skg\01049c\rpt 06/29/07 14:46 $952 885 4769 MCDO\eLD'S CORP. 0526/200c 13: QE ER6fafJ eltiGTCOM DEU 3 9952RF54769 SPECIAL [KSPECTOR FiNAL REPORT ToCi=yo ouniyof: r- Addrcss: 38'30 ?? Cit}•: Gddrce<• ?7 L Fo ooi Actent ion: Re: Final Projecc Reporc Projecc tiame- MC bw\ald1 NO.E04 p02 `J Syte: ?N Zip Coce: Vol 551 ZZ 9954vrAwk' t 8nsed upon mY personal absrnacion and u•ricten rcpores of wis aork, ic is mY judgmeni chac thc inspecicd worl waa performert, ro che bcsi ot m}' kno+.9edg:. m aecordaace w;ih the approwed plans. speci£icaeior.s, arid tF:e appliczblc +'otk.'aanship pratisioas of the L•nifor.n $uilding Code. Yerr crptyyolipc ?- 45pc:ial Inspc:iv 's ign8 u 1 Daic ?d`T U? f?. icF:o? 91-736P Psiac Fvlr Name i IJ humber cc: C]ienvOwner .Vckutct+Ertgineec To wbarn;i ma}, eonaem: This is to etrtif.• thac I prrformcd sperial inspeaion on the Foilo%?ing portiorts oF Lhe r•ork ac chc abovc address x•hirh required continuaus insptction, and srhieh [wu employcd co irspeci: - 'T-c5 KAI ab? a. S N I 10' Oversizing Legend xxx 84 Parking Lot Limits -- ' 84 847 Proposed Building 847 FF=856.9 7 10' Oversizing ' 849 ? 0) ? ? ? 848 ? 15` Oversizing Approximate Excavation Bottom 4m Approximate Excavation Limits Parking Lot Limits INT DATE SNEET BRAYNY Excavation Observations ORAWNev: DTY 1 Proposed McDonald's Restaurant APP'D BY: ?? ? S o( of INTERTEC Highway 55 and Highway 149 Joe no. BODX-Ol-049C Eagan, Alinnesota owc.no. 1 FICUREy 1 swLe 1 "=30' 2006 COMMERCIAL PLUMBING rERMiT APrLic.aTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 657-675-5675 50.50 Dafe_?,_/_2,S l Q - ; Site Address , ??/?? G a- Unit tE Tenant Name ( 6_ Former Tenant Name Property dwner T? ?/S eSA /? ?ti h tf Telephone #( ) 7 Contrac[or ?? ? Address City State "a, ? ip Telephone # License Expires: 12', Zj- 0 6 The Applicant is _ Owner _ Contractor Other Work Type New Bldg _ Modify Space _ Irrigation System** _ Yes No Work in public r-o-w / easement? ? RPZ _ PVB: New A Repair/Rebuild _ Replace _ Remove Rain sensors are re uired on irri ation s stems f Description of Work e_ U ? To inquire if Pressure Reducrog Valve is reqmred on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to pickin2 uo metec Irrigation Size & Type Avg GPM 2° turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter 1$ 67.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers Yes No PRV Required _ Yes _ No Permit Fee $50.50 minimum mdudes State Surcharge) ContractValue x 1% PermitFee g Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read $ State Surcharge If nermit fee is less than $1,OOQ surcharge is $ 50 If Dertnit fee is more than $1,000, surcharge is $.50 for each 51,000 owed. -------- _"""""______""""'""_"""'____"""""""____""'_""""'_'_""""""___"""""___"""""'_'__""""""""_"""'""""" Following fees apply when installing new lawn irrigation system $ Water Permit Call the City's Engineenng Department, 65 ]-675-5646, for required fee amouots $ Treatment Plant g Water Suppty & Storage s State Surcharge $ j ? J Total Fee [ hereby apply for s Commercial Plumbmg Pertnrt and acknowledge [ha[ the information is complete and accurate, that ihe work will be in confomtance with [he ordmanws and wdes of ihe C?ry of Eagan and with the Plumbmg Codes; that I understand lhis is no a permi; but onty an appLca[ion for a permrt, and work is not to start w[hout a pertniT, ih/y/ the work will be in accordance wi[h the approved plan in the case of work ?ch requites a rev?ew an approval of plans Applica?Ys Printed Name AppticanYs Signature CITY USE ONLY REQUIRED INSPECTIONS: _ U G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SIIBMITTED APPROVED BY: , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read -$141.00 . RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum tee permit per address is required for the following RPZ's: new, re6uild, repair, remove. . Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS REQUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP PM MET ERS USE PRiCE GPM METERS USE PRICE 1-20 F 5/8" residential $130.00 4-120 1-1/2" iicigltlon Syst $ 8z7-00 displacement or turbine** public Works ximum small commercial must approve tinuous meter size 10 ? 2-30 3/4" lawn irrigation $167.00 r4-160 2" turbine large irrigatio? $ 1,040.00 maximuro displacement residentia] system & continuous or , produc[ion lines 15 small commercial 3-50 1" displacement large residential $210.00 1/4 to 160 2" compound bldgs over $ 1,962.00 bldg to 24 units 65 units maximum small commercial & continuous & lazge comm bldgs 25 irri afion sysCems 5-100 1-1/2" 25-64 unit bldgs $515.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" wrbine very large irrigation $1,394.00 6-500 4" compound +300 unit bldgs $3,864.00 system & production & very large lines comm. bldgs 1/2-320 3" compound +200 unit bldgs $2,516.00 10-] 000 6" compound +400 unit bldgs $6,436.00 very large very large comm bldgs comm bldgs I5-1000 4" turbine verylarge $2,495.00 irrigation systems & production lines I Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-oq call 651-675-5200. cc: Unlity Division Sys[ems Malyst January 2006 7?C3 14? 2007COMMERCIAL PLUMSING rERAUT arrLrcnTioN ?5() -?? CITY OF EAGAN C?'' `""" 3830 PILOT KNOB ROAD, EAGAN MN 55122 GCI K7C_GC'7S Date z_ Si[e Address L dL d• Unit # Tenant Name Former Tenant Name Property Owner ?d- & r?/ ?'? ? Telephone # ( ) /!, ? o Contractor / L-& Address ?zS P 1 Q? Cit3' ,2:??& State 1-ii, Zip Telephone #Q,-,5`/ ) y S?O ?F?LIZ License# /'r/7?>, Expires: C-J7 The Applicant is _ Owner ? Contractor _ Odier Work Type New Bldg _ Modify Space _ Irrigation System** Yes No Work in public r-o-w / easement? >?RPZ _ PVB: _ New _ Repair/Rebuild _ Replace _ Remove Rain sensors are reuired on irri ation s stems Description of Work ee4la6 To inquii d Pressure Reducing Valve is reqmred on new service, call 651-675-5646 Meters - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed prior [o aickine uu meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Pubiic Works Fire Size & Price 3/4" meter $174.00 Domestic Si2e & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minin:um (includes State Surcharge) ContractValue $ x 1°/o = $ PermitFee $ Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Metec Read $ State Surcharge Ifpermitfie is less [han $1,000, surcharge is $ 50 If germit Cee is more than $I,ODQ surc6arge is 5.50 for each $1,000 oweel. + Following fees apply ,vhen installing new lawn in-igation system 'Water Peitnit Call the Qty's Engineering Department, 651-675-5646, fonxquired fee amounts $ Trealment Plant $ Water Supply & Storage $ State Surcharge $ Total Fee I hereby apply for a Commercial Plumbing Pertnit and acknowledge that the information is complete and accurate; that the work will be in confomiance with the ordinances and codes of the City of Eagan and with the Plumbing Cndes; [hat I understand this is n a permiy hut only an application for a permit, and work is not to slart wi hout a perniit, that die worl< will be in aecordance with the approved plan in the case o?f vrork??requires a revie? and aq pproval otplans. C!L / ApplicanPs Prin ed Name AppltcanYs Signature Use BLUE or BLACK Ink For Office Use / I j Permit '~L I City of Eapn I Permit Fee: 3830 Pilot Knob Road .:Eagan MN 55122 Date Received: -7 -l l 2 Phone: (651) 675-5675 JUL 19 2011 1 Fax: (651) 675-5694 Staff: T_ I 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applicatio s. Date: 7" /2-Z Z- Site Address: Tenant: Suite PROPERTY OWNER Name: L 6 r, /1 ✓ fA, 7-s Phone: Name: m / ?I -vf IZ 1Y License CONTRACTOR Address:g8~~~/~i U e"Ile bra city: l/ Stater/y Zip: Phone: ~b ° mail: PL GC/< / i E TYPE OF _ New Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W. WORK Description of work: COMMERCIAL New Construction Modify Space Irrigation System yes no) ( RPZ PVB) • Rain sensors required on irrigation systems PERMIT TYPE . Avg. GPM (2° turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking uo meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes No Flushometers -Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x1% Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee i.e. a $10,010411,000 Permit Fee requires a $5.50 surcharge) $ 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 = $ 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 plans. X /W 2, 4v~ W x l a _ Applican 's Printed Name Applicant's Signature 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 .14AY/1W/2013/FRI 01,42 FM City of Eagan Fax; May 1U 2U13 U1;44pm FUU1/UU1 FAX No, 651-975-5694 P. 001/001 401' City of aaalicaccs40 31330 Pilot Knob Road May g'�013 Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675.6694 Date; e "say Use BLUE or BLACK Ink 1 For Ofttce Use %� ��% M'ermlt s: 1/ r ., L l 64 Permh Foe: Cm Date Received; S A V3 Staff 2013 COMMERCIAL BUILDING PERMIT APPLICATION 2013 site Address' 3045 Holiday Lane 'Tenant Name McDonald's Restaurant (Tenant Is: New / x Existing) Sutra*: Former Tenant: s/x Property Owner Name: McDonald's UCA, LLC Phone: 152-496-4161 Address /City /Zip: 16So west e2nd street, Suits 10o bloomingcon, MN 55431 Applicant is: Owner Contractor X A,rebiteec'e Oftico •'Type of Wo* Description of work interior ADA remodeling Construction Cost $200,000.00 Contractor Name: TBD awl aTr-yl License ft: 1 P- GSU S 2. : :iy:AddrsjV` M PL5 State: MN) Zip: 9--A- Phone: 117-- 33 $ 1L-1 Lcontact-16M rT a email: Archltectnglneer •Licensed Name: Brian PObeYC Jol+neon Registration #• laoso Address: 12400 Portland Avcauc South, Suite 100 City' aurnaville State: MN ZJp: 56337 Phone: 952-563-3711 Contact Person: Talkki Stijl"' Email: nae 1sonOrcprisodesign, erne plumber installing new sewer/water service: Phone if: NOTE: Plans end supporting documents that you submit are considered to be public information. Portions of the Information may be ciassil•<edas non-public If you provide sp ecrtc reasons that would permit the City to . conclude that the are trade secrets. CALL. BEFORE YOU DIG. Gail Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Cell 48 hours before you intend to dig to receive locates or underground utilities. netionaterritateoneeall_Orq I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinanoes and codes of the City of Eagan; that 1 understand thls 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 worlywhich reques a rev p and approval of plans. Mikk1 (Nelson Applicant's Printed Name CON -RAMP- tiAt ate.; 141.1~ X Applicants ,ignature KreAabe51%1ozrU - Page 1 of 3 DO NOT WRITE BELOW TH LINE SUB TYPES j,Foundation _ Public Facility ✓Commercial / Industrial _ Accessory Building _ Apartments _ Greenhouse / Tent Miscellaneous Antennae WORK TYPES New Addition Alteration _ Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100% ✓ ) Census Code # of Units # of Buildings Type of Construction /Interior Improvement Exterior Improvement Repair Water Damage 6 4 V.8 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Decking _Insulation Ice & Water _Final Framing Fireplace: _Rough In _Air Test Final Insulation Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: ct Reviewed By: Cal 4- , 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 MF3G 3212. Sheetrock MCES System SAC Units 2�eii- City Water Booster Pump PRV Fire Sprinklers b V/ Final / C.O. Required Final / No C.O. Required Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wail Erosion Control Yes No 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 Water Quality It. 56 . g 106•a -o tb-ic.01 a' 8? o • .-o its o • e-tp Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTALi /s a' • 44, Page 2 of 3 Dale Schoeppner Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: April 22, 2013 The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for McDonald's to be located at 3045 Holiday Lane within the City of Eagan. The City will be charged 2 SAC Units for this project, as determined below. SAC Units 120 seats in new plan — 96 seats (paid 4/01) = 2.40 Charges: Net Charge: 2.40 or 2 It is the Council's understanding there will be no outdoor seating. If at any time outdoor seating is added, a determination is required, as it is also subject to SAC evaluation. The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us. Karon Cappaert SAC Program Technical Specialist Environmental Services Division KC:kg: 13042263 Determination expiration: 04/22/2015 cc: J. Nye, MCES Amy Griffin, Eagan (email) Nikki Nelson, Reprise Design (email) 390 Robert Street North ( St. Paul, MN 55101-1805 Phone 651.602.1000 1 Fax 651.602.1550 1 TTY 651.291.0904 1 metrocouncil.org An Equal Opportunity Employer MEoTROINOLI AN May 14 13 10:03a Haas MAY/I4/2013/TUE 08:49 AM City of Eagan rh City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 1%.S �Vei D 763-323-7791 rtO, OD] - i D -'.nn r p.2 i, UUI Use BLUE or BLACK Ink For Office Use �(J Penni#: Paten t=om: lam, Dale Received: S '/1( - Staff: 2013 COMMERCIAL PLUMBING PERMIT APPLICATION Please submit two (2) sets of plans with all commercial applications. Date; Site Address: .30 115 Call �c/1 Tenant: Suite p: Property%l'� OwnerrName: e. iJ CJd+ Rhona: _ • Contractor . Name: /4G{-0 Pea T71 L/r1JQ' vi/4414GL'cense #: P' y4'y yO Address: TP/3 Adis' 4/4- city: � 7 I (hitt,. State: Mt/Zip: SS.3C 9 Phone:M-323_ 151'4 Email: A pletTr1e7i17c 5 /714_,1 • derkt Type of Work ... NewReplacement Repair Rebuild Modify Space Work in R.O.W. — — Description of work: • - Permit Type ( " COMMERCIAL New Construction N Modify Space _Yes No Irrigation System (_ yes I no) ( 1_ PUB) allowed by Public Works) picking up meter. ^ _ ,RPI Rain sensors required on irrigation systems . Avg. GPM (Z" turbo required unless smaller size Meters Call (651) 675-5646 to verity that tests passed prior to Domestic: Size & Type Fire: 1 Flushometers Avg. GPM High demand devices? _Yes No COMMERCIAL FEES: $55.00 Minimum ALL new buildings and boulevard irrigation systems is over $1 million. please call for Surcharge Contract Value = $ $ /0f 000 x 1% Required on *(f the project valuation / ° ° Permit Fee $ Radio Meter Read $- Meter(s) $ $5.00 State Surcharge' Following tees 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 _ $ I U) TOTAL FEE GALL BEFORE YOU DIG. Call Gopher State One Call at (551) 451-0002 for protection against underground utility damage- Call 48 hours before you intend to dig to receive Iocatab of underground utilities. www.aopherstaleonecall.orq I hereby acknowledge that this information is complete and accurate: that the Work will be in confo ence with the ordinances and codas of the City of Eagan: that I understand this is not a permit, but only an application for a permit and work n t to sjarwithout a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval Q1 fa X C CZ -Z" -X ( del' Applicant's Printed Name FOR OFFICE:USE Applicant's Signature AP.R►.: Date: • Byi Required inspections: Under Ground oug In ('Airhst•_Gas Test • 'Eisai, :,• PRV.. Ftd*Hred'_Yes:—Na Page 1 of 3 4/0111' City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MM 1 7 7013c),A' ,‘3 Use BLUE or BLACK Ink 1 For Office Use Permit #: 110(12r5/5 Permit Fee: C20 -°D c Date Received: J �1 / j-'1 ( 3 Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 5/14/13 Site Address: 3045 Holiday Lane Tenant: McDonalds Restaurant Suite #: J Resident/Owner Name: Phone: Address / City / Zip: Contractor Name: Modern Heating and Air Conditioning License#: Address: 2318 First Street NE City: Minneapolis State: MN Zip: 55418 Phone: 612-781-3358 Contact: Chad Good Email: cgood@modernhtg.com Type of Work New x Replacement Additional Alteration Demolition Description of work: Replace existing diffusers 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. Permit Type RESIDENTIAL Furnace COMMERCIAL New Construction X Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas 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 bumed out appliances, ductwork, etc.) (includes Surcharge) $5.00 State Surcharge) = $ TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 Minimum $1 million, please call for Surcharge Contract Value $ 3, 900 x 1% = $ 50 Permit Fee *If the project valuation is over = $ 5.00 Surcharge* _ $ 55 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.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 w • . 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 Chad Good Applicant's Printed Name x Applican s Signature FOR OFFICE USE Required Inspections: Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening Reviewed By: Date: C ice' /1 44t111 C!ty of EaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use �i Permit #: ` I o U 3' Permit Fee: 93(3,(A 3(2,,UA Date Received: Staff: 3 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 4 April 2013 Site Address: 3045 Holiday Lane Tenant Name: McDonald's Restaurant (Tenant is: New / x Existing) Suite #: Former Tenant: N/A Property Owner Name: McDonald's USA, LLC Phone: 952-486-4162 Address /city /zip: 1650 West 82nd Street, Suite 900 Bloomington, MN 55431 Applicant is: Owner Contractor X Architect's Office Type of Work D@SCrIpt. OfWOrk. Interior ADA remodeling, Exterior drive-thru and facade re -branding lib Construction Cost: $350,000.00 (rA(b Z.o,bco...) $ 1561066 Contractor Name: TBD 6re1 h i' (y i License #: 112(6 t'(5) Address: itas NiarcbtiCe Ave S , S l V City: An pI.S . State: rvi IV Zip: 5S ?Oc Phone: (01 D " 33 g " 1 oCi Contact: ( m NcicS4eatricr Email: Architect/Engineer Name: Brian Robert Johnson Registration #: 18050 Burnsville AddreSS: 12400 Portland Avenue South, Suite 100 City: State: MN Zip: 55337 Phone: 952-562-3725 Contact Person: Nikki Nelson Email: nnelson@reprisedesign.com Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit theCity to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 Nikki Nelson Applicant's Printed Name err«tc. 1j)1,'kar'_ Applicant's Signature Page 1 of 3 C,cfret. O�h 1,d C4�- DO OT WRITE BELOW TS LINE 11 GUI SUB TYPES Foundation Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace _ Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100% ✓) Census Code # of Units # of Buildings Public Facility Accessory Building Greenhouse / Tent Antennae /Interior Improvement Exterior Improvement Repair Water Damage 15d, Doo °11" Type of Construction V.5 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) oundation Drain Tile /Roof: _Decking _Insulation _Ice & Water _Final V Framing Fireplace: _Rough In _Air Test Final Insulation Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: f.0" , 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 A2 2b67 M51SG. Sheetrock MCES System SAC Units (Z)g.N1dV4Laf Coin -p V/ City Water Booster Pump PRV Fire Sprinklers / Final / C.O. Required ✓ Final / No C.O. Required b Other: Pool: Footings _Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall Erosion Control Yes /No Reviewed By: , Planning COMMERCIAL FEES Base Fee 1, 3 SG .7s Surcharge 1 S . O-► Plan Review 951 .847 MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL j, 0/3. G41 Page 2 of 3 WDEPARTME E S O T A NToFNfAITN Protecting, maintaining and improving the health of all Minnesotans April 22, 2013 McDonald's USA, LLC 1650 West 82nd Street #900 Bloomington, Minnesota 55431 Dear Ladies and Gentlemen: Subject: McDonald's Restaurant, 3045 Holiday Lane, Eagan, Dakota County, Minnesota, Project No. 130481 Thank you for submitting plans for remodel to the Minnesota Department of Health (MDH). We are enclosing a copy of our report covering an examination of plans and specifications on the above designated project. The plans appear to be in general compliance with the standards of this department and have been approved with the following changes. Please seethe enclosed report for the changes and/or comments. Ten working days prior to completion of the project, please contact me in order to arrange for a final opening inspection. If you have any questions, please contact me at 651-201-3988 or charlotte.morgan@state.mn.us. I look forward to working with you on the successful completion of your project. Sincerely, ( AO,t` Charlotte H. Morgan, REHS, MPH Environmental Health Services, Plan Review P.O. Box 64975 St. Paul, MN 55164-0975 charlotte.morgan@state.mn.us CHM: cb Enclosures CC: Nikki Nelson, Reprise Design Brian Robert Johnson, Reprise Design Peggy Spadafore, Minnesota Department of Health Wendy Spanier, Minnesota Department of Health William Adams, Plumbing Inspector Dale Schoeppner, Building Official Ronald Gnotke, Electrical Inspector General Information: 651-201-5000 • Toll-free: 888-345-0823 • TTY. 651-201-5797 www.health.state.mn.us An equal opportunity employer MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on Rem Food: McDonald's Restaurant, Project No. 130481 Location: 3045 Holiday Lane, Eagan, MN 55121, Dakota County Date Approved: April 22, 2013 Date Received: March 25, 2013 Submitted by: Nikki Nelson, Reprise Design, 12400 Portland Avenue South #100, Burnsville, MN 55337, (952) 562-3725 Brian Robert Johnson, Reprise Design, 12400 Portland Avenue South 4100, Burnsville, MN 55337, (952) 562-3725 Ownership: McDonald's USA, LLC, 1650 West 82nd Street 4900, Bloomington, MN 55431, (952) 486-4162 Scope of Project: Remodel of a medium foodservice to include upgrading the ceiling finish in the foodservice areas, adding a new mop sink, upgrading the front counter and beverage area finishes. There will no changes in the equipment location or finishes in the kitchen area other than a new ceiling. The existing foodservice equipment will be reinstalled in exactly the same location including handwashing sink locations. No food is permitted in the establishment until approval from the Health Authority is given. The foodservice facility may not operate during remodeling construction. Approved Finish Schedule Finish Area Walls: Ceilin : Floor & Basecove: Kitchen and existing Vinyl tiles existing support area: Front service existing Smooth vinyl tiles existing area: Beverage area: Ceramic tile Smooth vinyl tiles Decorative floor tile with a stainless steel cove base under the cabinet New mop sink Existing Smooth vinyl tiles existing area: Construction Specifics: Pay particular attention to the bolded items McDonald's Restaurant Rem Food 130481 Page 2 4/22/13 You are responsible for all aspects of the Minnesota Food Code. This code is available at iip://www.health.state.mn.us/divs/eh/food/code/index.html. 1. Equipment Standards - General Requirements: Food and beverage equipment shall meet the applicable standards for one of the following: • National Sanitation Foundation (NSF). • Edison Testing Laboratories (ETL) to NSF Standards. • Underwriters Laboratory (UL) to NSF standards. • Canadian Standards Association (CSA) to NSF Standards. Equipment shall bear the NSF or equivalent sticker and manufacturer information. No changes were proposed for any foodservice equipment location. Reinstallation of foodservice equipment in the exact locations will be evaluated during the opening inspection conducted by the Minnesota Department of Health. Wood is prohibited within a foodservice area. Wood doors or frames, wood shelving, wood cabinets and wood windows are not allowed. 2. Food Service Equipment: Table-mounted equipment that is not easily movable shall be sealed to the table or elevated on four (4) inch NSF legs. All floor mounted equipment shall be elevated on six (6) inch NSF legs or casters. 3. Food contact surfaces: Primary food contact surfaces (tables and counters) shall be of stainless steel construction in compliance with NSF Standard No. 2 or equivalent. Plastic laminate surfaces are not acceptable for food contact and food preparation surfaces. 4. Cabinetry: Cabinetry located within a foodservice area: front service area (new) and beverage area (existing). All service cabinets shall be protected with plastic laminate or equivalent to Standard No. 35 covering all exposed surfaces. The cabinets installed on this project will be constructed of. plastic laminate. The approved countertop finish on the cabinetry is: Corian solid surface. McDonald's Restaurant Rem Food 130481 Page 3 4/22/13 Verify that the base on the existing beverage cabinet is mounted on either a solid raised masonry base (four inch) or six (6) inch NSF legs or heavy duty castors. Enclosed hollow base cabinets are not allowed. This will be evaluated during the opening inspection by the Minnesota Department of Health. Wood cabinets are not acceptable in foodservice areas. Laminate shall not be used on surfaces subject to intentional, expected or reasonable direct food contact. Non-food contact surfaces of equipment that are exposed to splash, spillage or frequent cleaning shall be constructed of a corrosion-resistant, nonabsorbent and smooth material. Exposed wood surfaces on cabinets and under counter tops shall be covered to provide a smooth and easily cleanable surface. Ensure that the underside of the front service counter has no exposed wood support. FRP or similar should be used to cover any exposed wood. Cutouts in millwork shall be made and sealed by the fabricator. Exposed wood is not permitted in cut out areas. 5. Ventilation System: A specification sheet for a type II hood was received with the submittal. However, the plans show no changes in the ventilation hoods in the kitchen. MDH will verify that the biscuit oven is properly ventilation with a type II NSF approved exhaust hood during the opening inspection. 6. Walls: Update wall finish in the mop sink area and the beverage station. Wall surfaces in splash zones or high moisture areas such as warewashing, food preparation sinks, handsinks and janitorial sink areas shall be finished with smooth, light colored, durable, non-absorbent materials. Approved materials include: a. A fiberglass re-enforced panel (FRP), or b. Ceramic tile that is smooth and cleanable. c. Stainless steel or equivalent materials. Wood is not an approved material for a wall finish. Utility service lines and pipes shall not be unnecessarily exposed. McDonald's Restaurant Rem Food 130481 Page 4 4/22/13 7. Floors: Where a wall meets the floor it must be properly coved within any foodservice area. A four inch integral base cove shall be installed at all floor/wall junctions. _nri°ect Iettiod Incoi°rect Aiethgd Non-slip tile may not be located underneath equipment. 8. Ceilings: Ceilings in kitchens, bars and bar service areas, other rooms where food is stored, prepared, or washed, toilet rooms and janitorial rooms shall be smooth, non-absorbent, durable and easy to clean. Acceptable materials include: a. Vinyl coated acoustic ceiling panels; b. Semi-gloss painted gypsum board (washable); c. Non-absorbent; d. Smooth in texture; and e. No exposed rafters bar joists or trusses are permitted. 9. Janitorial Area: New installation area Janitorial areas shall have FRP, ceramic tile or equivalent, stainless steel or cleanable block walls in the splash area. Unfinished gypsum wallboard is not acceptable in the janitorial area. Provide vacuum breakers at all threaded hose bibs. No wye adapters. Chemical or detergent dispensers shall provide appropriate backflow prevention devices. McDonald's Restaurant Rem Food 130481 Page 5 4/22/13 10. Plumbing: All plumbing plans shall be approved by the City of Eagan. Provide at opening inspection evidence that the plumbing system has been inspected and approval given by the local building official or a representative from the Department of Labor and Industry (DOLI). All plumbing equipment shall be installed in accordance with the Minnesota Plumbing Code for a commercial establishment. All pipe chases that pass through walls shall be tightly sealed and covered. All utility pipes shall be enclosed in walls or ceiling. Utility lines must not be placed on the floor and must be installed at least 6" off the floor. Wye adapters are not permitted. Indirect waste pipes shall not discharge into hand sinks, prep sinks or three-compartment sinks. Telltale drains are required for food service sinks (3 compartment, food preparation and dump sinks) or as required during the plumbing plan review. 11. Lighting: Food preparation areas in which food or beverages are prepared, utensils are washed shall provide a minimum of 50 foot-candles of shielded light measured 30 inches above the floor. Ensure that the lighting in the front service area and the beverage area is shielded. McDonald's Restaurant Rem Food 130481 Page 6 4/22/13 12. Front counter: The interior of front counter shall be finished with approved flooring, base cove and wall materials. Counter Top Cen-,trucrionExample a E f E~n°sc t Ensure that the integral cove base is properly installed at the floor wall juncture on the foodservice side of the front counter. McDonald's Restaurant Rem Food 130481 Page 7 4/22/13 13. Other Code Requirements: For information on the Minnesota. Clean Indoor Air Act (MCIAA) contact 651-201-4601 or visit their website at http://www.health.state.mn.us/divs/eh/air. Contact MN Electrical Licensing & Inspection at 651-284-5026 or visit their website at http://www.dli.mn.gov/CCLD/Electrical.asp for information on electrical requirements and the name of the electrical inspector in your area. Sincerely, Charlotte H. Morgan, REHS, MPH Environmental Health Services, Plan Review P.O. Box 64975 St. Paul, MN 55164-0975 charlotte.morgan@state.mn.us