4241 Johnny Cake Ridge RdAllb97'r City of Eap
Mike Maguire
MAYOR
Paui Bakken
Cyndee Fields
Meg Tilley
COUNCII MEMBERS
Thomas Hedges
CffY ADMINISTHATOR
MUNICIPAL CENTEp
3830 Pilot Knob Road
Eagan, MN 55122-1810
657.675.5000 phone
651.675.5072fax
651.454.8535 TDD
MAINTENpNCE FApLITV
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360 fax
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAK TREE
The symbol of
strength and growth
in our community.
occober 17, Zoos
Construction 70 LLC
500 Washington Ave 5uite 3000
Minneapolis, MN 55415
SCP LLC Property Admin Dept Store 6715
One CVS Dr
Woonsockey, I2I 02895
Re: Landscape Inspection
4241 Johnny Cake 12idge Rd, Eagan, MN 55122
In January of 2004 a$5,000 landscape security deposit was submitted to the City of
Eagan in conjunction with issuance of the building permit for construction of the building
at the above referenced location. These funds are eligible for release to the depositor at
this time.
Please note that the property owner continues to be responsible for maintaining the health
of all plantings on the property. In accordance with section 11.70 of the Eagan City Code,
the property owner must maintain all landscaped azeas, and install healthy replacement
plants for any plants that die or are removed due to disease. Maintenance shall include
removal of litter, dead plant materials; unhealthy or diseased trees, and necessary
Prmung.
An inspection will be conducted by city staff next spring/summer to verify that the
condition of the landscaping is acceptable under city code. Thank you for your attention
to this matter. If you have any questions, please call me at 651-675-5684 or Planner
Sarah Thomas at 651-675-5696.
Sincerely,
Fran Dohert? /
Y
Planning Department
cc: Sarah Thomas, City Planner
i
- - - - - - - - - - - -
i
• P?,it#:
C?ty of Eap Pe ?o '? ?b
?
3830 Pilot Knob Road Jb uJ `U ? ? ?it Fee: ? ?
Ea jSS(?Eu I i
g8n MN 55122 Date Received:?? ,.•2-1`og
Phone: (651) 675-5675
Fax: (651) 675-5694 ?ff_ ? i
------------'
2008 MECHANICAL PERMIT APPLICATI
, ..
osee: =' zo o sim aaa?ess:
TenaM: C-! LS; iN G?tS Pt?CadL*C6kt pbL- (Jul Suite #: (' ?
RESIDENT / OWNER Na"e: r? S pka?s"'' Phone: j j
Address / CitX / Zp:
CONTRACTOR Name: htR 64DI,? on( u'4Z7 EkC License u:
Address: 5? c..?j XAA l \?
City: S?-• e..-y State:-dj Zip: `:?T L[ 7
Phona: $ 2 Contact Person: ?J cr-( I-'ckC, fC-&2
TYPE OF WORK _ New _ plac ent _ Additional _xAfteradon _ Demolition
Description ofwork:
NUFE,Bofhrroo?mou n?- gr?i?Md"mou'nted?me??har?ICal/? ulpmenblsreqol?e?lto
v
? '?
l
.? Z Ji C1Y" .'uF
W
scree7lett
? ?1?"
b "F Y`lae? '.yr?'^.'.
?:i !+
y
A "M' ..
??
taeLrfN
Meah
l
one vfdhe
a?a
`?pector°or
?
,y
?
,Y
'X Y e {N`»"... 0. 4+Ym
_< __ . F an rs,#o?.l m ?
l
,
;
i
a
n?
:#&B!Yr y _4`Ha?gL !?. i atv.&'e Y 4b q Ji . "-
ratf?roaodi rdrRted;s??l` t?s. _,,,._ __ ?
RESIDE /AL ?`COMM€RCIAL
PERMR TYPE
. Furnace -NewConsWCtion ?Interiarlmprovement
Air ContlRioner - Instsll Piping _ Processed
Air Exchang Gas _ EMerior HVAC Unit
_ ' HVAC uniLa must be screened
_ Heat Pum Undar / Above ground Tank (_ InsWl Remove)
Olher ' W hen InsLallinghemoving tank(s), call tor inspection by Fre
arshal arM Plumbin Ins tar
RESIDENTIAL FEES: c3eQ F(7 (
$50.50 Mlnlmum Add-on or alterafionto an existing unit (includes $.50 St te Surcharge)
$90.50 FifB f9p81f (replace bumed oiA appliances, ductwork, eta) (includes $.50 Stat Surcharge)
$ TOTALFEE
COMMERC/AL FEES:
$70.50 Underground tank i tallatioNremoval OR CoMract Va e$ x 196
$50.50 Mlnimum (includes State Surcharge)
_ $ ? Permit Fee
- If E@Lm? F@@ is less than S1.000, sumhaige is $.50.
"
s ?
- If Perm
State SurCharge
Egg is >$1,000, suroharge increases by $.50 for each =$ -
$1,000 Pertnit Fea (i.e. a$1,007-$2,000 PermR Fee requiras a$1.00 surcharge).
-+
$
-? TOTAL FE
i nereby acknovnetlge Nat inis informauon is complete and aarate: thaz the work will be in coirtortnance with the ordinances an ,7?MAY 4T EeD
I urder&land lhis is not a pertnil, 6u[ onty an ap{Nication for a pertnR, and work is rrot ro s[art wtthout a pertniC, tliat the wnAc will be plan in case of work which requlres a review
and approval of plans.
x-o-tcs tJ-{.e?CE. d,,? x2 ?1h2008
AppllcanYs PrlMed Name ApplicenYs Signature
"?G2i1212006 72:16 IFAX glr@glrinc.net
4
*Cqofhp
3690 Wk?t Knab Road
Ew uN aaTSa
Pnone:(8st) sm8m
Ftltl[. (8B'f) $T9d6?¢
2008 CAMId1ERC1AL BUI4DINQ PERMIT AF
---- bqKE
> HEATH PCTERS wp011001G
__----__-?
1
? aamnr ,?7 D?S ?
? P«mn Fa.: `7 ? ! ? i
Rswm&02 - 15 08 ,
? gb1f;._ - c 7,?.J Ccurier ?
r J
c?-) dCC(/
P?JCATION
(ta?lMlt16:,.._Newl,_.?,Exhtlngp Bullexe
PlWPERTYOWNER Ndme=-'!'p,ftdGmcffA lit? Phana:??'?"?.MC7
awmrcnyrztp: ':swm%bom ALo
AXftM lr. - aw,w _2?, oa,r.dw
rrPE OF wGRlc Dasc*tlmd wo • #F F?llt tt?l
Qonstnretloir Celt? y; . ; . ct7. OOWRACTQR NBRW' LL rA1L L.imRM*
/ddresa:'3n45 l,oy`,zE gD -
cnr• pAcrtaN eomx oti_zW: I`I
aM.:w37-a6a-o?'?n co?avgmon- lAatrru BaCE-1t•
APCNrn6Cr r w.m.: bylAU4 A, Mum AeOmanon w :!!9995
EMOIIIEEA Addreex' The i? .0 t"'
G!y;!=M AA 819fe:??Yp:?
Lledmd plueibM Imallirq po l6MMHveew aervloe: AIWM Ili
1 h=bP ookiorMdpe ilnt INe MmiMm p oo?nHeme eM AoCU/sM; tlwt1M wak+?l ha !n oadvrt??a vdtli tlr artE?riqn end wdw af M Ciqr d
E1MG tlMZ I uidrstgrd W6 iB n019 pOmi% 1kq ONy 0 YppNaBYOn 101 i pYnnl4 iM wtdlt Nnvt b WR wCvat a psift lhffi lha wk MVI G h
6oaaYdmoa NiY1 tllB8ppY0LIdpYn b 1he awal WaNt wfibl7a*d7as a reW6wAM1 dPPl"d#M
??? COIIr@ $? __ - .. _ .
Page 1 oi 3
f
.
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundatton
? Apartrnents
? Lodging
? Miscellaneous
WORK TYPES:
? New
? Addkion
? Alte?adon
? Replecement
? Public Faclllty
)( Commerciel / Industrial
? Greenhouse
? Mtennae
? Accessory Building
? Ext. Alteration-AparEments
? Ext. Alteration-Commarclal
? Ezt. Alteratfon-Public Facility
? Nail Salon
)?, Interior Improvement ? Sidtng. 0 Demoltsh Building'
? Move 8ullding ? Reroof ? Demolish Interior
? Fire Repair 0 Demolish FoundaNon
? Windows ? Water Uamage
" Damolitlon (entira building) -pive PCA handout to eppllcant
UCSt:F{IYIIVIV' ?
. /
?
Vsluatlon
?bOp r Occupancy M^ S/ MCES System
Plan Review ? Code Editian 2.DO ('i SAC Units a
(259/?_ 100g'a ? Zoning (z? City Water ?
Census Code StoAes I Booster Pump
# of Unita ? Square Feet PRV
@ af Bulldings ? Length Fire Sprinklers ?
Type of Const Width
Footings(new bldg)
Footings (dedc)
Footinge (addition)
Foundatlon
Drain Tlle
Aoof: _Ice & Water _Final
Framing
Fheplace:_R.t. _AirTest _Ffnal
Insulatlon
Revlewed By: lM`" , Building Inspector
COMMERCIAL FEES:
Base Fee 552 . 95r
Surcharge 19, •.o
Plan Aeview
SAC-MCES
SAC-City
S/W Permi[
SNU Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedicaiion
Trail Dedication
Water Quality
Water Supply 8 Storuge (WAC)
SheeVOCk
InaUC.O.
-/FInel/NO C.O.
HVAC
- aner:
Pool: _FOOtings Air/Gas Tests Final
? 5iding: _Stucco Lath _Stone Lath _Brick
WindOws
Retaining Wall
? Revlewed By:
Financial Guarantee
Starm SewerTrunk
Sewer Laterai
Street
Water Lateral
Other
Total C"V,o?
Planning
Sewer Trunk
Water Trunk
Page 2 of 3
- .L
PERMIT FEES
ContractValue $ 590.00
x .01 = $ 5.90 (so.oo)
$50.00 Minimum
$ o.so
Permit Fee
State Surcharge
To calculate surcharge
If Permit Fee is <$1,000, surcharge is 50 cents.
If Permit Fee is >$1,000, surcharge increases by $.50
for each $1,000 Permit Fee, i.e. a$1,500 Permit Fee
requires a $1.00 surcharge.
3/4" Displacement Fire Meter - $174.00
$
Fire Meter
TOTAL FEE:
$ 50.50
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and
accurate; that the wark will be in conformance with the ardinances and codes of the City of Eagan and with the
Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and
work is not to start without a permit; that the wark will be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
Shawn Solte
Applicant's Printed Name
?? ? ?.?-
Applicant's Signature
DO
Ab? City of ?apIl
3830 Pllot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651) 675-5694
2008 ME
oate: site address:
-----------------,
? ForOffice Us^e/ I
? Permit n:
I Cp? ?
? Permit Fee: I v" ? C? I
I ?
? Date Received: ?
I ?
? Staff: ?
NICAL PERMIT APPLICATION
Ps?aaM a?? - K u ur E?? Ntc ? 551z2
41 ?bbarnn.h CI??L6u?, d
Tenant: GV S PIkA-4i-r`cl4C -,( P3uC7o Suite#:
RESIDENT / WNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: ptR- (6-f'J_D«dr.l1K(, lA4WCt1A+3S license#:
Address: '?C3 v3 , t V -(
City: S? 'State: t1lij Zip: S3 ( f?
Phone: ?? ( 't?? Contact Person: 3 H 1 A-f bt-6 i2
y
TYPE OF WORK Alteration _ Demolition
?< New _ Replacement _ Additional _
Description of work: D UC `iZu cs JzP.L tf ni Ffcf S62S
NOTE: Both roof mounted and ground mounted mechanlcal equipment is required to
be screened by City Code. Please conpcf the Mechanical Inspector or one of the
Planners for lnformation on pqTW" scrrenln mefhods.
RES/DENTIAL COMM€R?lAL
PERMIT TYPE Fumace - New Constructian ?Slnterior Improvement
Air CorMi[ioner - Instalt Piping _ Processed
Air Exchanger - Gas _ EMerior HVAC Unit
`
_ HVAC units must be screened
Heat Pump Under / Above ground Tank L Install /_ Remove)
Other " When installing/removing tank(s), call for inspection by Fre
Marshal and Plumbin Ins tor
RES/DENT/AL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FirB rBpaif (repiace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
'/t
$70.50 Underground tank installation/removal OR Contract Value $ '!RCO x 1%
$50.50 Minimum (includes State Surcharge)
Permd Fee
- If Permit Fee is Ips Man $7.000, surcharge is $.50.
- If Permit Fee is >$1,OW, surcharge increases by $.50 for each =$ State SUrCharge
$1,000 Permil Fee (i.e. a$1,007-$2,000 PermR Fee requires a$1.00 surcharge).
'F0
?O TOTAL FEE
m
$
I hereby acknowledge iha[ ihis iMormation is complete aiW accura[e; Mat ihe work will 6e in coMOrmance with the ordinarces and codes of the Ciry of Eagan; thal
i urWerstand tliis is no[ a pennd, bul ony an applica[ion for a permit, arb woAc is rro[ ta start witho a permi[; that thgwork will be in accordance witti the approved
plan in the case of xork which requires a review and approval of plare. !1 I%
Xt'r?c k.60_ D'?.cd . AeA X
ApplicanYs Printed Neme ApplicaM's Signature
FOR OFFICE USE ,,. RBViewed By: DatB:
Required Inspections: _Under Ground _Y?Rough In _Air Test _Gas Service Test ?_In-floor Heat
4 ac> _ (2? \\9s
City of Eapn
d3,1-0) -----------,
I Permit#:
? Permit Fee:
?Dale Receivecl: V V? ?
? Staff: dJ? I
2008 COMMERCIAL PLUMBING PERMIT APPLICATION
Daie: A Site Address: ?"? o ti"lr .? c?Yl c, vt--A
TenaM: G U?s ?(1 ?, Y1 \.?? ?= ??' ?' c• ?P CCi l ?? Suite 1f:
PROPERTY N
OWNER ame: Phone:
CONTRACTOR Name:Il??:_ I-;, Nn\-,,,n??_License#:
Address: City: State: jYL.U Zip:
Phone:ContactPerson: Cj c.
TYPE OF New Replacement Repair Rebuild _ Modify Space Work in R.O.W.
-
WORK - - - -
Description of work:
PERMIT TYPE ,?p? r\ c? ?•vI?
j
COMMERCIAI,
,
,
?N? ewConstruction
ModifySpace
-
Irrigation System (_ yes 1 no' ( RPZ / PVB)
• Rain sensors required on irrigation systems
• Avg. GPM _(2" turbo required unless smaller size allowed 6y Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to pickina uo 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
COMMERCIAL FEES:
i
$50.50 Minimum (includes State Surcharge) OR contract vame $lJ2c9-lcs x 1%
/c0
_ $ _? 1 ) Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 _$ Radio Meter Read
- If Permit Fee is less than $1,000, surcharge is $S0 _$ Meter(s)
- If Permit Fee is >$1,000, surcharge increases by $.50 tor each $1,000
rmit F
$1
000 P
i
,
e
ee (
.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). State Surcharge
Following fees apply when installing a new lawn irrigation system. $ water Permit
Call Ihe Ci[y's Engineering Department, (651) 675-5646, tor required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES 8 JrC " ??
1 hereby acknowledge that this information is complete and accurate; Ihat the work will be In conformance with the
is not a permit, but onty an application for a permiq and work is not m start without a pertnit; that ihe work will be
requires a review antl approval ot plans. /'\
x :: ..??
ApplicanYs Printed Name
and codes oF the City of Eagan; Ihat I untlerstand this
iCe with ihe approvetl plan in the case ot work which
Page 1 of 3
Oa"? 2005 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
City Of Esgan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 Fax # 651-675-5694
Requirements: 2 complete sets of drawings and specifications
cut sheets on materials and components to be used
Ay6 ?
1?
Date 5 / l\ / OS
Site ?;ddress: ZA1 ?.I C^kc Q.?, .
Tenant / Building Nasne: C?JS Qti a+^ 4c.N
The Applicant is: Owner ? Contractor Other
PROPERTY OWNER Abu-
Address:
City: State: Zip:
CONTRACTOR ?5 G A QE ?-'RE ?ao T E c-r, ? MN License #: C- 07b
Address: 3oZJa C.wke' i?1e City: rl?Tt,e 44 t3kDf,
State: Yvn ni Zip: 551? ? Phone #: 651- 171-88-N
5 / Zu / 05
ESTIMATED COMPLETION DATE:
FIRE PERMIT TYPE: ? 5prinkler System (# of heads 2-_ Fire Pump _ Standpipe
Other:
WORKTYPE: New Addition Alterations ?Remodel
Other:
DESGRIPTION OF WORK: L/?Commercial Residential Educational
Other:
II ; ? MAY ? 3 nn
Please continue on reverse side E' _-
PERIVIIT FEE: $50.50 Minimum Fee (includes State Surcharge)
Con tract Value $ Soo x .01 = $ PermitFee
• If Permit Fee is $1,000 or less, add $.50 => $ State Surchazge
If Permit Fee is over $1,000, add $.50 per
$1,000 Permit Fee
3/4" Displacement Fire Meter - $161.00 $
TOTAL FEE: s S 0. 5 v
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City of Bagan and with the
Minnesota Building/Fire Codes; that I understand tlus is not a permit, but only an application for a permit, and
work is not to start without a permit; that the wark will be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
t- }}J4-
?eN An-?Vor
Applicant's Printed Name ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE
REQUIRED INSPECTIONS
Hydrostatic Flow Aiann _ Brain Test Rough In
_ Trip _ Pump Test _ Gentral Station ? Final
i
Conditions of Issuance:
Permit Approved b• Date: J? ? 116 ( 0 6?1
2005 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Date ??
SiteAddress lLy(?f O h r1 v? y CG- ?<??V??jQ? 1 (Z? Uuit# `, ':"'
Tenant Name Former Tenant Name
Property Owner ?_IUS Telephone # ( )
Contractor L0. ?
Address City
State AoS m ? r, Zip 51E Q Telephone # gZ ZO
License # Expires:
T6e Applicant is _ Owner _ Contractor _ Other
Work Type New Bldg _ Modify Tenant Space RPZ PVB New Repair/Rebuild _ Replace
_ Irrigation system Work wifhin public right of-way/easement _ Yes _ No
Rain sensors are re uired on irri aGon s stems
Description of Work IN& :K,?_ ` O Gci._y-e., 10-f 20..k yt?) C.` ?Y-? Sk t1 ?
To inquire if Ressure Reducing Valve is required on new service, call 651-675-5646
Meters - Ca11 65 1-675-5 300 to verify that hydrosta[iq conductivity, and bacteria tests passed orior to nickine un meter.
?,;
Irrigation Size & Type Avg GPM Y' turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" disnlacement $161.00
Domestic Size & Type Avg GPM Includes high demand devices? ` Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
?Permit Fee $50.50 minimum (iucludes State Surcharge) Contract Value $ ?- ? x 1% _ $ 5,0' @? Pernut Fee
$ Meter(s)
Required on all new buildings & 6oulevard irriaa[ion svstems $ Radio MeTer Read
If pemut tee is $1,000 or 1¢ss, sureharge is $.50 $ $Y310 $UiC173ig0
If permit fee is over $1,000, surcharge is $.50 per $1,000 of the Permit Fee
Following fees apply only when installing new irrigation system $ W ater Pernut
Calf Jerry Wobschatl at 651-675-5074 for required fee amounts
$ TreatmentPlant
$ Water Supply & Storage
$ State Suucharge
--------------------- ---------- ?---------- ---------------------------------------- --------------------------------------- ---------------------------------------
$ !S- ' S 0 Totat Fee
1 hereby apply for a Commercial Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will be in
confonxmnce with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an
application for a pemnt, and work is no[ to start without a pemvt; that the work will be in accordance with the approved plan in the case of work
which requires a review and approval of plans. ,,,????/?/????' l?.
Lye
7
ApplicanYs Printed Name ApplicanPs Signature
LS14
2005 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan 1VIn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,? /G -3-?
C?-4-" A`a5
. Struclural Plans (2) sets . Architectural Plans (2) seGS • Archdectural Plans (2) sets
• Civil Plans (2) • Strudural Plans (2) • Code Anatysis (7)
• CeAificate of Survey (1) • Civil Plans (2) . Project Specs (1)
• Code Anatysis (1) " . Landscaping Plans (2) • Key Plan (1)
• ProjectSpecs (1) . CodeAnalysis (1) " • MaslerExdPian (1)
. Spec. Insp. & Testing Schedule " . Certificate of Survey (1) . Energy Calculations (1) not always•'
• Soils Report (1) . Spec. Insp. & 7esting Schedule (1) " • Elec. Power & Lighting Form (1) not always"'
. Meter size musl be established • Meter size must be established • Meter size musl be established-if applicable
1 • ProjectSpecs (1)
l • EnergyCalculations (1) " 1 ,
1 . Eledric Power 8 Lighting Fortn (1) ° 1
1 . Master Exit Plan (t) 1
1 . Emergency Response Ske Plan (t)'"' 1
1 . Soils RepoA (1) 1
• SAC detertnination - cell 651-602-1 000 • 5AC determination - call 651-602-1 000 • SAC determinalion - cell 651-602-1000
MN Dept of Heal[h at
food & bevera¢e or lodein¢ facilities.
•• contact nuumng mspections for sample and if required
••' Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date A ri 1/ 18 / 2005 Construction Cost $40,000.00
SiteAddrF3s'? Johnny Cake Ridqe Roa Unit/Ste #
TenantName Mlnute C11n7C Former Tenant Name (Inslde exl5tinq
CVS/Pharmacy)
DescriptionotWork Addition of 75 sq. ft. "Minute Clinic" Room inside of an existing
armacy
PropertyOwner CVS/Phdrmdcy Telephone#( 248 ) 888-6326
Contractor GLR
Address 3819 Wi se Road City Da_Yton
State Ohio ZiP 45414 Telep6one#(937 ) 890-0510
Arch/Engr Gi ffel s.: Registration k 42995
Address 25200 Telegraph Rd. City Southfield
State MI Zip 48034 Telephone #(248 ) 936-8674
Licensed plumber installing new sewerlwater service : N/A Phone #: L--_)
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work whic re?tu s?a r1?v
approval of plans. [ ??- ? LS Uir
,/ I?
"? II?? I?PR 2 0 20D5 L
Anthonv Ricciuti ?
ApplicanYs Printed Name nlican's ienature
OFFICE USE ONLY
Sub Types
? Ol Foundation ? 26 Public Facility ? 30 Accessory Building
? 14 Apartments ?'?27 Commercial/Industrial ? 32 Ext AIt-Aparhnents
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial
? 25 Miscellaneous ? 29 Antennae ? 35 Ext AIt-Public Facility
? 37 Nail Salon
Work Types
? 31 New iB'35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to appllcant
Valuatfon 19 000 ? Occupancy
Census Code 437 Zoning
SAC Units Stories
Nbr. of Units V Sq. Ft.
Nbr. of Bldgs Length
L B
L Wid
h
Type of Const .
? t
Required Inspections
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
?
NT5
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
Insulation
? FinaVC.O.
FinaVNo C.O.
Other
Roof
? Framing Ice Pr Decking _ Insul Final Pool
_ Siding
_ Fireplace _ R.I. Air Test _ Final _ W indows
Approved By: L l cPlanning CML- Building Inspector
Base Fee 5'43 - T-T
Surcharge 7,19 • tv
Plan Review ?l5'J • 1 ?
MCES SAC
Ciry SAC
Water Supply & Storage (WAC)
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Water Trunk
Sewer Trunk
Other
rotai
_ Ftgs _ Air/Gas Tests _ Final
_ Stucco _ Stone
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate pertnits are not required for each dwelling unit
Date,-) / C?LA_ ??,_?
Site Street Address y? 1 ?ph n n,, `?k p ?A Unit #
Tenant Name (if applicable) (LO-Ll ??(-4qe_CT Previous Tenant Name
PropertyOwner (?-US '3?nq,r(Y1GCtf Telephone#( )
Contractor Zr'lC
StreetAddress d+a? 16, ck)rcn7( E)CCJ7"40 City -5, `?}. PCntw.k
staee jY1o ziP 501 S Telephone #( 65I ) U 5l
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see below
Interior Improvement _ Install Piping _Processed _Gas
NatureofWork:--?,4s4Yxtl $ CIC-or Lti?c.lkYr? C?Ler
'*When insfalling/removing undergrouttd tank, call for inspection by Fire Marshal and Plumbing lnspector
Permit Fees: $70S0 Underground tank installation/removal
$5050 Minimam (includes State Surcharge)
or
Conhact Value $? 5 00 -OG x 1% _$ C1 Jr . L'"D Permit Fee
• If gtrmit fee is $1,000 or less, add $.50 => $ ? 5-0 State Surchazge
If Rtrmit fee is over $1,000, add $.50 for
every $1,000 ep rmit fee $ c1 cS. ?50 Total Fee
I hereby apply for a Commercial Mechanical Permit and acknow]edge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which rPa ?i? r?zPview and approval of plans. ,
Applicant's Printed Name 11 0 AU G 0 9 2004 APplicanYs Signature
Approved By: Inspector
2004 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
r 3830 PILOT KNOB ROAD, EAGAN MN 55122
C5 5 b ? a- 651-675-5675
Dete?I -1/0-4 -I'D C!
Site Address _ `t Z- ?} l 30 /r-,J rv Y eW-l.cC YLti-*&{s y2o.YO Unit #
Tenant Name e. V s Former Tenant Name
Property Owner Telephone # ( )
Contractor C/AKOtff _P[.u ?/3rWG-
Address 30S'13 kbrv"jW'rC Dk_ City 49?4?
State y'l r.) . Zip ST12_2 Telephone #(&i )4S?e- 6'64r
The Applicant is _ Owner Conhactor Other
WorkType NewBldg _ Add-on _ Repair RPZ P Irrigation system *
' Jerr?? R'o6scha0 m calcnlate fees. Rr nired metrr size is ?" turbu uniess si alier si ermitted bv Pnblic
Description of Work ..2?7"Ln ??-ssLrx-o?.l ?? 9 T'6Yt ? 4?
To inquire if Prtssure Reducing Valve is required on new service, ca11651 fi75-5646
Meters - Ca11 65 1-675-5 300 to verify that hydrostatic, con uctivity, an a tests pasud orior to nickine uo meter
Irrigation Size & Type ? vg
Fire Size & Price 3/4" displacement 5155.00
Domestic Size & Type Avg GPNI Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ r- ,"
1% _ 00 B
F
50
x ase
ee
$
,
? ?U
$
Meter(s)
Required on all new buitdings & boulevazd irrieation svstems $ ? Radio Meter Read
If base fee is $1,000 or less, surcharge is $.SO $ -?`-? State Surcharge
Ifbase fee is over $1,000, surcharge is $.50 per $1,000 oCthe Base Fee
Following fees apply only when installing new irrigation system
Contact Jerry Wobschall a[ 651-675-5024 for re
uired fee
o
s $ 750 , 0 Water Permit
FJ
?
q
?
? ?, ,.,?.K ?
?
$ ca/?G??? ??? ?
rea ent Plant g
T 0 T ?
?
D $CBar??j QrJl.?/"Waier Supply & Storag
AUG 0 4 2004 $ - StateSurcharge
------------- ---------------------- ---------------- ----------- --------- - -----
By - ------------------------ --------------------------------------------
$ U J Total Fee
I hereby apply for a Commercial Plumbing Pertnit and aclmowledge that the informazion is complete and acwrate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I unde tand this is not a pemut, but only an
application a p mut, and work is not to start withou[ a peimit; that the work will be in accordan the approved ptan in the case of work
which re Zir
v
iew and app bal f l
Appli ?rinted Name Applic ature
m anY •
1
linvosato
OEPAR7MENT OF ADMINIS7RAT(ON
August 31, 2004
APPROVEDFOR USE
CVS Corporation
One CVS Dr.
Woonsocket RI 02885
RE: Vertical Reciprocating Conveyo - Elevator ID# -10653PT04-05
Site: CVS Pharmacy #6715
4241 Johnny Cake Ridge Rd.
Eagan 55122
Dear Sir/Madam:
Minnesota Statutes Chapter 16B provides that the Department of Administration, Building
Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and
maniifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector frorc
the Elevator Safety Section recently inspected your facility and determined it meets
requirements of the Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for
Elevators and Escalators does not necessarily assure compliance with the
Americans With Disabilities Act of 1990.
Sincerely,
BUILDING CODES AND STANDARDS
.? ?=4VVV"--
Jim Weaver
State Elevatorlnspector
Pw/kad (CE-2)
Schoeppner, Dale R., BO, City of Eagan
Skarnes, Inc
Velmeir construction
ElFOrmCE2
Building Codes and Standards, 408 Metro Square Bldg., 121 7th Place E, St. Paul, MN 55101-2181
P: 651296.4639 / F: 651.297.1973 / TTY: 651.627.3529 and ask for 296.9929
www, bu ildingcodes.admin.state. m n.us
? Metropolitan Council
Buildirzg communities tha[ work ?/? JQPYYJ/?:iJ C?"?r-? ?t]?? (?d? .
?
October 24, 2003
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
??C?T ri ?+??
II I OCT 2 9 2003
The Metropolitan Council Environmental Services Division has determined SAC for the
CV"S Pharmacy to be located at Juhnny Cake Ridge Rd. & Difrley Rd. within the City of
Eagan.
This project should be charged 3 SAC Units, as determined below.
SAC Units
Charges:
Retail
9360 sq. ft. @ 3000 sq. ft./SAC Unit 312 or 3
Ifyou have any questions, call me at 651-602-1113.
Sincerely,
?? (I
Jodi L. Edwards
Staff Specialist
Municipal Services Section
JLE: (330)
03102458
cc: S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
Rudy Baker, URS Corporation
www.metrocounciLorg Metro Info Line 602-1888
230 Eaet Fifth Street • SL Paul. Minnesota 551011826 • (651) 6024005 • Fax 6024138 • 1TY 291-0904
An Equa/ Opporfunity EmPtoyer
RUG 17 2004 10:55 FR 6516591379 TO 99528833242 P.02i08
AMERICAN
ENG[NEERING
TesTinc, INC.
REPORT OF PROJECT TESTING SERVICES
PROJECT;
CVS PHARMACY
DIFFZEY RD. & 70HNNY CAKE RIDGE RD
EAGAN, MINNE30TA
AET JOB NO.: 20-04151
REPORTED Tp:
CONSULTANTS
• OEOTECHNICAL
• MATERIALS
• ENVIRONMENTAL
VELNIEIR COMPANIES
7900 LNTERNATIONAL DRNE
SUITE 200
BLOOMINGTON, MN 55425
ATTN: 7IM LaVALLE
DA1'E: AUGUST lb, 2004
INTRODUCTION
This report summarizes the resulcs of the project testiag services we conducted for the CVS
Phazmacy building at the referenced intersecdon in Eagan, Minnesota. Our services were
conducted on an will-call basis as euthorized on April 30, 2004 by Jim LaValle from Velmeir .
Companies. The scope of our work included the following:
o Observe che soils in the bottoms of the footing excavations for the buildiag and judge their
suitability for structural support.
0 Perform soil compaction tests in fill placed for the project.
• Observe che reinforcing steel placed in certain conerete structural elements of the building, and
judge for compliance with approved project plans,
• Perform on-site testina of plastic concrete,
o Perform compressive strength testing of conerete test cylinders.
• Observe welded and bolted connections for the structural steel frame and roof.
• Summarize the resul[s of our services in a written report,
Tho documenl shall nol 6a reproducga, ercepi In lull, wlthaut writlan epprovpl of Americen Engmeering Tecting, Inc.
550 Clsveland Avenus Norlh • St. Paul, MN 55114 • 651•658•9007 - Fax 651•659•1379
Oululh • MenRelo . Marshall. Rochester. Wausau • fiepid City. • Piena. Sloux Fd115
Arv AFFIqMMrvE ACTiON qN0 EOUAL OPVORTUNIIY EMGIOVEq
AUG 17 2004 10:55 FR 6516591379 TO 99526633242 P.03i08
AET q20-04151 - Page 2 of 7
PROJECT IlVFORMATION
T'he const7uction recendq completed consists of a new C'VS Pharmacy building. We understand
the building will:
• Have one above-grade level, with a mezzanine level in a portion of the strucmre.
• Have a finis6ed floor elevation of 945.5.
• Be supponed by convenrional spread footings designed using an allowable soil bearing
pressure of up to 2,000 pounds per squaze foot (psf).
• Ftave bottom-of-footing elevations at minitnwn frost protection depttis or lower.
• Have approximace overall dimensions of 96' by 137'.
• Have steel stud walls with a brick exterior, a suvctucal steel frame, and a metal deck roof
supported on steel joists.
• Bc able to tolerare up to 1" of toca] settlement and ih" of differential sectlement.
• Be constructed in accordance with applicable building code requiremencs.
Please note that deviauvns from the above design informadon could necessitate altering our
conclusions and recommendations. Contacc us if the information stated is differen[ from the actual
design.
Building location and elevation information obtained at the site, and presented in dris report, was
referenced to off-set building locadon aad elevation stakes set at the site by the contractor and/or
the project sucveyor.
BACKG1tOUNA YNFORMATION
Prior to construction, a Report of Addi[ional Subsurface Exploration and C3eorechnica] Revicw
was prcpared for this project by American Engineering Testing, Inc. The report was dated
RUG 17 2004 10:56 FR 6516591379 TO 99528833242 P.04i08
AET 1i20-04151 • Page 3 of 7
October 27, 2003 (AET #01-01790). Refer to the Report of Additional Subsurface Exploration
and Geotechnical Review for more detailed information about the soi] conditions and the
recommendations for building support.
)EXCAVATION OBSERVATIONS
V?e perfortned observa[ions of the excavations for all of the foundations of the CVS Pbarmacy
building. We were not present at the site on a full-time basis, Besides observing the soils
exposed, we drilled shaliow hand augcr borings and perfocmed hand cone peneu'ometer probes
in the bottoms of the excavations. The soils encountered were classified in general accordance
with ASTM: D2488. Estimases were made of the stren;th properaes of the soils based on their
resistance to advancement of the hand auger and from the hand cone penetrometer readings. The
soils were also compazed to tLose described in the Report of Additional 3ubsurface Exploradon
and Geotechnical Review and associated boring logs.
The soils exposed in the footing excavaaon bottoms for the building consisted of previously placed
and compacced fill. These fl] soils were comprised of sands, silty sands, clayey sands and sandy
tean clays. These fill soils were judged to be well compacted, as documented in our prelirninary
soil borings. Our hand cone penetrometer readings indicated the fill soils in che bottoms of rLe
excavaaons should be capable of supporting unit stresses of up to 2,000 psf. VJe judged the soils
in the footing excavation bottoms to be suitable for support of the anticipated foundation loads.
The observed excavations were at design bottom-of-footing elevations at the time of our sice visics.
SOIL COMPACTION TESTS
We have performed a total of 24 soil compaction tests in fill placed for the project. The results
of these tests were reported separa[ely, in our Reports of Soil Density Testing dated May 10,
2004, May 25, 2004 and August 4, 2004. Generally, the reports indicate that the results of our
AUG 17 2004 10:56 FR 6516591379 TD 99528833242 P.05i08
AET It20-04151 - Page 4 of 7
tcsu fmally met or exceeded the specified compaction levels at the locations and elevations tested.
Refer to the results of these repores for more details.
REINFORCING STEEL OBSERVATIONS
Before concrete was placed for most of the foundations and foundation walls of the building,
personnel from AET observed the locacion and placement of mild reinforcing steel. Our
observations were perfocmed on a will-call basis, coordinated with Velmeir Companies personncl.
Our observations were performed on May 5, 10, 11, 12, 18 and 28, 2004. Our services included
the following:
• Review the most current approved structural drawings present at the jobsite.
• Measure the sizes of the formwork and verifying conformance wi[h structural drawings.
• Document the bar sizes, the number of bars, the spacing of bazs and verify general
conformance with the approved drawings.
• Document tllat adequaCe bar clearance was provided from foims, subgrade Soils, or future
concrete surfaces using chairs or other approved devices.
• Document general conformance with specified cover requirements.
• Observe the general appeazance of the reinforcing steel bars and formwork.
During our observations, we did note some deficiencies that needed correcdon beforc concrete
placement. These deficiencies included inadequate cover 6ctween the bars and the ground sutface,
hooked dowels not being tied in placc before the coacrece was placed, and improper placement
of reinforcing steel mats in coluinn pads. These deficiencies were noted to the site personnel and
corrections were then made before concrete was placed. Based on the resulcs of our observations,
it is our opinion that rhe reinforcing steel placed, and finally observed in the structural elements
placed on these dates, was in substantial compliance with the current structural drawings.
AUG 17 2004 10:56 FR 6516591379 TO 99526833242 P.06i08
AET N20-04151 - Page 5 of 7
AET does not perform surveying services. Therefore, our observations of the reinforcing steel
were based on the positioning of the formwork by the contractor. We are not responsble for the
exact ]ocations of the fozmwork.
CONCRETE TESTING
We performed testing of the plastic concrete as it was being placed for various struc[ural elements
for the building during the period from May 4, 2004 to June 29, 2004, Our services included the
following;
• Document tHat the correct mix was delivered to the jobsite.
• Measuxe the slwnp of the plastic concrete.
• Measure the percentage of entrained and entrapped air.
• Decernune the temperaiure of the concrete.
• Cast 6" diameter by 12" high test cylinders.
All testing was performed in accordance wich current ASTM procedures. The resvlts of the on-
site cescing were presented in our Reports of Plastic Concrete Tesring, Copies of these reports
were issued previously under separate cover. The results of our tests generally satisfied the
project specifications.
We also performed compressive sveagth testing of 15 sets of test cyIinders casc from concrese chac
was placed for the project. All but one ser of cylinders were cast by AET personnel. The results
of these tests were presented in our Reports of Compressive 3trength of Cylindrical Concrete
Specimens. Copies of chese reports were previousiy submitted under separate cover. The results
of the compressive suength tesu exceeded the 28-day design compressive suengths.
AUG 17 2004 10:56 FR 6516591379 TD 99526833242 P.07i08
AET #20-04151 - Page fi of 7
OBSERVAI'IONS OF WELDED AND BOLTED CONNECTIONS
On July 6, 2004, an NDT technician from our firm observed.field welded and bolted connecuons
for the suuctural stcel frame and decfcing of the building, These welded and 6olted connections
were ohserved and cested for comptiance wirh project drawings/details and project specifications.
The results were preseated in our Report of Structural Steel, Decking Obsezvations, which was
presented previously, under separate cover.
Visual weld observations were also judged for compliance with the requirements of the AV?S D 1.1
Structural Welding Code SeCtion 6(steel) and AWS D1.3 Structural Welding Code Section 6
(sheet steel). Individual welds were judged for quality, siae, and length. TEK screws and puddle
welds used for fastetring the decking were chccked for proper ]ocacion, spacing and quantity per
the project structural drawings.
Bolted connecdons were observed for compliance with AISC Specifications for Structural Joints
using ASTM A325 or A490 Bolts. The high-strength bolted connectians were observed for
intimare concact of all plies, and tha[ a washer was installed behind or under the nuc. The bolts
used were designed to indicate a predetermined cension or torque. All Uolts chat were observed
were done so to docttment that the tension indicators were fractured.
Based on our observarions, it is our judgment that the field welded connections which our
technicians observed satisfied the requirements of the referenced codes and applicable project
specifications. Our observations of the bolted connections indicated that all plies were in imimate
contact and satisfied the requirements of the contract documents. Our observations of tLe metal
decking indicated [hat the puddle weld and TEK screw installation sarisfied the requiremeuts of
the referenced codes and the appIieable project specifications.
PUG 17 2064 10:56 FR
,0.ET /120-04151- Page 7 of 7
The areas which were observed are [dentified in our Tieport of Strucrural S[eel, Decking
Observations.
CLOSURE
To protect the client, the public and American Engineering Testing, Inc., this report (and all
supporting information) is provided foz the addressee's own use. No representations are made
to parties other than the addressee.
Our services on this project have been conducted to Chose standards considered normal for
services of [his type at this time and location. Other than this, no warranty, either express or
implied, is intended.
SIGNATURES
Report Prepared By:
o0o,VMOL467p, 00/1)/?
Michael P. McCarthy, PE
Principal Engineer/Division Manager
MN License No. 16688
Report Reviewed By:
John J.
Seniox
MN Li
6516591379 TO 99528833242 P.08i08
No, 40802
** TOTAL PHGE.08 **
. ,,. RUG 17 2004 10:55 FR ?
AAx6SICAN
Eivcom$BUVs
TEszyrnrs, 11--.
6516591379 TO 99528833242 P.91/08
FAX TR.ANSMISSION
AMERICAN ENGINEERING TESTING, INC,
550 Cleveland Avenue North
Sc. Paul, MN 55114
(651) 659-9001
Far,: (651) 659-1379
To: Jim LaValle
Company: Velmeir Cvmpanies
Fax N: 952-883-3242
From: Michael P. McCarthy, PB
Subject: CVS - Eagan, MN (N20-(}4151)
Date: August 17, 2004 (10:51AM)
pages; 8, including this cover sheet.
Phone N: 952-883-3241
Clirect Dial #: (651) 659-1364
Comments:
Jim;
pttached is our final report concerning project testing for the referenced project. Hard copies wero mailed roday.
If you have any questions or need additional assistance, please call me ac 651-659•1364 or e-mail me at
mmccarthyAamengtest. com.
Thank You,
AOA&V-
Michael P. McCarthy, PE
Principal Engineer/Division Manager
American Engineering Testing, Inc.
Thisjacsimi(e and arry files rransmitred wlth rr are confrdenNal and inrended solely for the use ajthe individual or emiry ro
whom fhey are addresaed This commnnlcarion may conlain mareria! protecred by aftorney-client prrvr(egc If yau are irol
the inrended recipienr or fhe person resyonsib(e for delivering [he jacsimrle to the rntended iecipient, be advised ihar you
have received lhrs transmission In error and thai any use, disseminarron, Jorwarding, printing or copying ojthis
infarmulion Is rrricNy prohlbired Ijyou have received this jacsimrlc in error, p(ease nafify us af 1-800•972-6364.
ACS714(06N7)
?
October 29, 2003
Mr. Craig Novaczyk
Senior Inspector
City oF Eagan
3830 Pilot Knob Road
Eagan,MN 55122-1897
Subject CVS Pharmacy Permit Application
Deaz Mr. Novaczyk:
We respectfully request written confirmaqon that the raised Security Observation Area (SOA) and ladder
access to the roof as indicated on our dowments ue acceptable to the City. This may take any form that is
comenient for you. We raise these issues because other municipalities have questioned our approach either
due to ADA or code compliance concerns. However, after review and explanation the municipalities have
found our solutions acceptable.
First, the SOA is a raised floor and dces not have handicap access into the space because this azea is a
security observation area that has a primary function of maintaining store surveillance. It also contains the
main controls for phones, Point of Service equipment (POS), corporate connection for computers, digital
video recording (DVR) for security, and store safe, each of which do not require continual monitoring. The
room is always ]ceked and the only person that has access to the key is the store manager. Minnesota
Accessibility Code Chapter 1341.0401 Subpart 5, Item B. states that accessibility is not required to
observation galleries used primarily for security areas, for which this azea qualifies.
Second, our dceuments indicate roof access via a vertical ladder through a roof scuttle. Prior to March 26,
2003, State of Minnesota amendments to the Uniform Mechanical Code required a stair that was not more
than 60 degrees measured from the hori2ontal. Subsequent to this date, this section was repealed without
providing alternate language. We request acceptance of the vertical ladder as indicated on our documents
as there are no code restrictions.
We look forwazd to any questions you may have and are at your disposal.
Sincerel?
URSoration
Peter M. Styx, A/?/?
IA ?
Architecmral Manager
cc: John L. Kauppila, V meir Companies
Sandie Johnson, Velmeir Companies
George M. Lewis, URS
David Eggerding, URS
Thresher Square
700 Third Sireet South
Minneapolis, MN 55415-1199
612.370.0700 Tel
672.370.1378 Faz
TO: DAVE BENNETT, UTILITY CONSTRUCTION INSPECTOR
DALE WEGLEITNER, FIRE MARSHAL
ERIC MACBETH, WATER RESOURCES COORDINATOR
GREGG HOVE, CITY FORESTER
JOHN GORDER, ASSISTANT CITY ENGINEER
KENT THERKELSEN, CHIEF OF POLICE
MARK ANDERSON, ELECTRICAL INSPECTOR
MIKE RIDLEY, SENIOR PLANNER
PAUL HEUER, SYSTEMS ANALYST
SCOTT PETERSON, BUILDING INSPECTOR
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
TOM PEPPER, CHIEF FINANCIAL OFFICER
FROM: CRAIG NOVACZYK, SENIOR INSPECTOR
DATE: OCTOBER 29, 2003
RE: CVS PHARMACY
LOT 1 BLOCK 1 DIFFLEY PLAZA
4241 JOHNNY CAKE RIDGE RD
The plans are in our plan review section far your review and comment.
#31
Please return this form to mv attention with your signed comments and the date of review
within seven days. ff you have any concerns with these plans, please so indicate on this form and
notify and resolve these issues with the affected parties. If you are requesting that issuance oFthe
building permit be held, please fill out the proper "hold" request form.
? Yes ? No landscape security required
? Yes ? No water quality dedication
? Yes ? No park dedication
? Yes ? No trail dedication
? Yes ? No tree dedication
? Yes CCg""No PRV Required
ZONING?
METER SIZE
?
Si' ature
12-2-/-03
Date
CD/FORMSBLDC INSP/PLAN REVIEW CRAfG N REVISED 9- 02
Indicate any fees that are to be collected with the building permit:
AMOUNT
TO: DAVE BENNETT,UTILITY CONSTRUCTIONINSPECTOR
DALE WEGLEITNER, FIRE MARSHAL
ERIC MACBETH, WATER RESOURCES COORDINATOR
GREGG HOVE, CITY FORESTER
JOHN GORDER, ASSISTANT CITY ENGINEER
KENT THERKELSEN, CHIEF OF POLICE
MARK ANDERSON, ELECTRICAL 1NSPECTOR
MIKE RIDLEY, SENIOR PLANNER
PAUL HEUER, SYSTEMS ANALYST
_$COTT PETERSON;BUII.DING INSPECTOR
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
TOM PEPPER, CHIEF FINANCIAL OFFICER
FROM: CRAIG NOVACZYK, SENIOR INSPECTOR
DATE: OCTOBER 29, 2003
RE: CVSPHARMACY
LOT 1 BLOCK 1 DIFFLEY PLAZA
4241 JOHNNY CAKE RIDGE RD
The plans are in our plan review section for your review and comment.
Please return this form to my attention with your signed comments and the date of review
within seven days. If you have any concerns with these plans, please so indicate on this form and
notify and resolve these issues with the affected parties. If you are requesting that issuance of the
building permit be held, please fill out the proper "hold" request form.
Comments: 0
#31
Indicate any fees that are to be collected with the building permit:
AMOUNT
? Yes ? No landscape security required
? Yes ? No water quality dedication
? Yes ? No park dedication
? Yes ? No trail dedication
? Yes ? No tree dedication
O Yes ? No PRV Required
ZONING?
METER SIZE
-!?p
Signature
Date
CD/FORMSBLUG INSP/PLAN REVIEW CRAIG N REVISED 9- 02
TO: DAVE BENNETT, UTILITY CONSTRUCTION INSPECTOR
DALE WEGLEITNER, FIRE MARSHAL
ERIC MACBETH, WATER RESOURCES COORDINATOR
GREGG HOVE, CITY FORESTER
JOHN GORDER, ASSISTANT CITY ENGINEER
KENT THERKELSEN, CHIEF OF POLICE
MARK ANDERSON, ELECTRICAL INSPECTOR
=14IIKE RIDLEY; SENIOR PLANNER
PAUL HEUER, SYSTEMS ANALYST
SCOTT PETERSON, BUILDING INSPECTOR
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
TOM PEPPER, CHIEF FINANCIAL OFFICER
FROM: CRAIG NOVACZYK, SENIOR INSPECTOR
DATE: OCTOBER 29, 2003
RE: CVS PIIARMACY
LOT 1 BLOCK 1 DIFFLEY PLAZA
4241 JOHNNY CAKE RIDGE RD
The plans aze in our plan review section for your review and comment.
#31
Please return this form to mv attention with your signed comments and the date of review
within seven days. If you have any concerns with these plans, please so indicate on this form and
notify and resolve these issues with the affected parties. If you are requesting that issuance of the
building permit be held, please fill out the proper "hold" request form.
Comments:
14-S
Indicate any fees that are to be collected with the building permit:
AMOUNT
It Yes ? No landscape security required $15+?? 670 Z O N I N G?01'?
O Yes ? No water quality dedication MET R SIZE
9 Yes ? No park dedication ` O 3- ?-ao ?{?j 70 . 04 ? 4
53 Yes ? No trail dedication /, 0 35 - °
? Yes ? No tree dedication l
? Yes ? No PRV Required
.
gnature
ll-&-v 5
Date
CD/FORMS/BLDG INSP/PLAN REV IEW CRAIG N REV ISED 9- 02
TO: DAVE BENNETT, UTILITY CONSTRUCTION INSPECTOR
DALE WEGLEITNER, FIRE MARSHAL
ER1C MACBETH, WATER RESOURCES COORDINATOR
GREGG HOVE, CITY FORESTER
JOHN GORDER, ASSISTANT CITY ENGINEER
KENT THERKELSEN, CHIEF OF POLICE
MARK ANDERSON, ELECTRICAL INSPECTOR
MIKE RIDLEY, SENIOR PLANNER
PAUL HEUER, SYSTEMS ANALYST
SCOTT PETERSON, BUILDING INSPECTOR
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
Fr?M? Tc.? -PEEPER, CHIEF FINANCIAL OFFICER
? •-FROnI-
f d: CRAIG NOVACZYK, SENIOR INSPECTOR
DATE: OCTOBER 29, 2003
RE: CVSPHARMACY
LOT 1 BLOCK 1 DIFFLEY PLAZA
4241 JOHNNY CAKE RIDGE RD
The plans are in our plan review section for your review and comment.
Please return this form to mv attention with your signed comments and the date of review
within seven days. If you have any concerns with these plans, please so indicate on this form and
notify and resolve these issues with the affected parties. If you are requesting that issuance of the
building permit be held, please fill out the proper "hold" request form.
Comments: %o/+l 10
?oilP?f l ad,l,
=rr ,
/, w R G
Indicate any fees that are to be collected with the building permit:
AMOUNT
? Yes ? No landscape security required
? Yes ? No water quality dedication
? Yes ? No park dedication
? Yes ? o trail dedication
? Yes o tree dedication
? Yes , N PRV Required
Signature I
CD/FORMS/QLDG INSP/PLAN REVIEW CRAIG N
#31
ZONING?
METER SIZE
fb -3 i ,D3
Date
REVISED 9- 02
TO: DAVE BENNETT, UTILITY CONSTRUCTION INSPECTOR
DALE WEGLEITNER, FII2E MARSHAL
ERIC MACBETH, WATER RESOURCES COORDINATOR
GREGG HOVE, CITY FORESTER
JOHN GORDER, ASSISTANT CITY ENGINEER
KENT THERKELSEN, CHIEF OF POLICE
MARK ANDERSON, ELECTRICAL INSPECTOR
MIKE RIDLEY, SEIVIOR PLANNER
C_PA_UL HEUER; SYSTEMS ANALYST
SCOTT PETERSON, BUILDING INSPECTOR
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
TOM PEPPER, CffiEF FINANCIAL OFFICER
FROM: CRAIG NOVACZYK, SEPIIOR INSPECTOR
DATE: OCTOBER 29, 2003
RE: CVSPHARMACY
LOT 1 BLOCK 1 DIFFLEY PLA7,A
4241 JOHNNY CAKE RIDGE RD
The plans are in ow plan review section for your review and comment.
Please return this form to mv attention with your signed comments and the date of review
within seven days. If you have any concems with these plans, please so indicate on this form and
notify and resolve these issues with the affected parties. If you are requesting that issuance of the
building permit be held, please fill out the proper "hold" request form.
Comments:
Indicate any fees that aze to be collected with the building pertnit:
AMOUNT
? Yes ? No landscape security required
? Yes ? No water quality dedication
? Yes ? No park dedication
? Yes ? No trail dedication
? Yes ? No tree dedication
? Yes ? No PRV Required
¢,a?---
Signature
CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N
#31
ZONING?
METER SIZE
Date
R6V ISED 9- D2
TO: DAVE BENNETT, UTILITY CONSTRUCTION INSPECTOR
DALE WEGLEITNER, FIRE MARSIiAL
ERIC MACBETH, WATER RESOURCES COORDINATOR
GREGG I30VE; CITY FORESTER
JOHN GORDER, ASSISTANT CITY ENGINEER
KENT THERKELSEN, CffiEF OF POLICE
MARK ANDERSON, ELECTRICAL INSPECTOR
MIKE RIDLEY, SENIOR PLANNER
PAUL HEUER, SYSTEMS ANALYST
SCOTT PETERSON, BUILDING INSPECTOR
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
TOM PEPPER, CHIEF FINANCIAL OFFICER
FROM: CRAIG NOVACZYK, SEIVIOR INSPECTOR
DATE: OCTOBER 29, 2003
RE: CVS PHARMACY
LOT 1 BLOCK 1 DIFFLEY PLA7.A
4241 JOHNNY CAKE RIDGE RD
The plans are in our plan review section for your review and comment.
#31
Please return this form to my attention with your signed comments and the date of review
within seven days. If you have any concerns with these plans, please so indicate on this form and
notify and resolve these issues with the affected parties. If you are requesting that issuance of the
building permit be held, please fill out the proper "hold" request form.
Comments:
Indicate any fees that are to be collected with the building permit:
AMOUNT
? Yes ? No landscape security required
? Yes W- No water quality dedication
? Yes ? No park dedication
? Yes ? No trail dedication
? Yes ? No tree dedication
? es ? No PRV Required
?
G
SignafurdL/
ZONING?
METER SIZE
Date
CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02
TO:
FROM:
DATE:
RE:
DAVE BENNETT, UTILITY
INSPECTOR #31
DALE WEGLEITNER, FTRE MARSHAI.
ERIC MACBETH, WATER RESOURCES COORDINATOR
<GREGG FIOVE, C'ITY FORESTER
JOHN GORDER, ASSISTANT CITY ENGINEER
KENT THERKELSEN, CHIEF OF POLICE
MARK ANDERSON, ELECTRICAL INSPECTOR
MIKE RIDLEY, SEN[OR PLANNER
PAUL HEUER, SYSTEMS ANALYST
SCOTT PETERSON, BUILDING INSPECTOR
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
TOM PEPPER, CHIEF FINANCIAL OFFICER
CRAIG NOVACZYK, SENIOR INSPECTOR
OCTOBER 29, 2003
CVSPHARMACY
LOT 1 BLOCK 1 DIFFLEY PLA7.A
4241 JOHNNY CAKE RIDGE RD
The plans are in our plan review section for your review and comment.
Please return this form to my attention with your signed comments and the date of review
within seven days. If you have any concerns with these plans, please so indicate on this form and
notify and resolve these issues with the affected parties. If you aze requesting that issuance of the
building permit be held, please fill out the proper "hold" request form.
Comments:
Indicate any fees that are to be collected with the building permit:
AMOUNT
? Yes ? No landscape security required
? Yes ? No water quality dedication
? Yes ? No park dedication
? Yes ? No trail dedication
? Yes No tree dedication
? Yes ? N - PRV Required
Signature
?
CD/FORMSBLDG INSP/PLAN REVILW CRAIG N
ZONING?
METER SIZE
Date
REV fSBD 9- 02
4b!
MEMO
city of eagan
TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL
DALE WEGLEITNER, FIItE MARSHAI.
PAUL OLSON, SUPERINTENDENT OF PARKS
MIICE RIDLEY, SEIVIOR PLANNER
CAROL TUNIDVI, UTII,IT'Y BILLING CLERK
TIM PAHR, ENGINEERING TECffivIC1AN
LEON WEILAND, CONSTRUCTION INSPECTOR
CONSTRUCTION SUPERVLSOR
TOM COLBERT, PUBLIC WORKS DII2ECTOR
JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER
TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT
PAUL FIEUER, SYSTEMS ANALYST
ERIC MACBETli, WATER RESOURCE COORDINATOR
MARK ANDERSON, ELECTRICAL INSPECTOR
SCOTT PETERSON, PLUNLBING INSPECTOR
CRAIG NOVACZYK, SErTIOR INSPECTOR
FROM: TERRY ZELENKA, COMBINA'I`ION INSPECTOR
DAT'E: AUGUST 6, 2004
SUBJECT: FINAL INSPECTION FOR CVS PHARMACY
4241 JOHNNY CAKE RIDGE ROAD
LEGAL: LOT 1 BLOCK 1 DIFFI,EY PLAZA
The Protective Inspections Division will be performing a final inspection at 4241 Johnny
Cake Ridge Aoad on Friday, August 20, 2004.
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.
6514888883
26 Rug 04 16:18 flIR COnD ASSOC 6514888893 p.l
AIR
CONDITIONING
ASSOCiATES, INC_
F?om: Bob Bonnell CeIL• (651) 248-6132
Fax:
Company f. ?7?' d F 6F i A^'
ro: gas
Phone: •.b 5/ L>; 5 6 7S Fax ?,51 675 5-&7'-(
Oate: f/-,6 lL/ Time: tf ``b P,o-, Pages I?-_-- --
27 Y'S47 tf- AI!` Y3kl_.0 NGL.,. ?11Y^
r,R?a^,, /-?ert",'7 R CA 6E???y&
26 Rug 04 16118 flIR GOhD FSSOG 6514888883 p.2
PERMIT
..
Clty Of F.c`ZbiiIl ^ i'ormat Typc: Mechanical
3$30 !'1LOT KNOLS KU .. Pemiit Nuntbcr: EA064648
LAGAN, MN 55122 (651)675-$675 _ DatclssucJ: 06/07/2004
Sitc Address: 4241 Johnny Cakc: Ridge [Zd
Lot: 1 I31ack I nddiiiow Uif7lcy Pla•,.a
Pin: 10-20500-010-0I
Usc: (;V$ Pharnacy
L ?
Descriptian:
Sub Typc: Cotiuucreial
Wurk'1'ypc: pjictu[ion
[k.scription: rooftop IIVAC SysLcm
Rceuarks:
Fcc Samxnary:
M i; • Pcrmil Pce %
vatuaUO»: $03,000.00
630A0 (011,1088
5urcllargc - 1'iXtxl
0.50 9001.2195
Tat•rl Fccq: w.tieso
Contractor: ? Owner:
- Arriicai,c -
Aii Condiliuning AswciafCS
089 Picrcc 6utlcr Rd St. Lic.; GACiAN MN C:VS LLC
St. Paul, MN 55104 1 CV,y' DR
(651) 4SS-0291
WOONSOCKL'3', Kl 2895
1 hcrcby ucknuwlcclgc tbat I fiavc rcad this applicalion and stalc that thc infoiniation is
01' Miyfnesuta Stalutcs and City of }iafan OrJinanccs. ?.
Applic:inUPcrnutcr: Signamrc
all applicablc Statc
Issucd By. Signaturc
26 Aug 04 16:18 FIR COnD flSSOC 6514898863 p.3
IbYWVG
, Y??? .
SSOLYATE$ AC• firnr'cm:cnuncNisr.rww_.w.sc.rwi(0i) imMAR$A a?___??
Aooecss SANny (p? 2G? ?_/zop? EA AN 1"4/1? .
- - - - - ?J ?---
OCGIIPANT GV SPIPYI"?AGJ _--'-`
TYPE OF )ILAT Fw '_?__NV ------- STLAIf___
__` Uli
OYMER?_______ _
IIARE
--
____'--..-`________---_.._ r±
_INPU7 ?ylle??/?(?Qt/[!
LG
--..-_
---
Npr'Ih MODEC f?11 122-ONI52Yi-k--scaieL y
/1!DNin o3h_d?7-----_--
?IC TNERHOSiAT
" L'A+arla/_`yp?v/G(?h.G(%ANTICIPA
.."
'
____^^'.."___ TOR________
-"__"'_"""
LSl13T /
` C
SEri'IAG
f'.AN CbxTAOL _'_???YUN1L _ ____ SETT$NG ?L? ?GOhAS
1'I{.OY TYPE_ _MAXE
PILOT 7IMaN -7
U
L
hObEL Wti?MI &?
VETT ? ___
-____'"""_
-'--
N
--___..___'_"_--_' TTPE _"_
`
TIL7ER"
_ _ _.._ -----`_ _--`---__ ___ - ??----...? - -..?.--__-__
RE6lILATOH A?/??? ro/
__ ?_____-Z L -„-___ ORAFT NOOD
1111R. PRES.^._ ?? r _ / L. ? " _.. _G02 % G I ? • ?
iHrur crq-I?-,O I1C£ ------- oa x 1 O I B• E?
-------- --- - -----------------
STAG][ Tsnr__.3-4L_42A4_'?-_--------- co x ?7
°_-------°-° °-----------
srzLuce ---NOOy/ll?___- /)- ---° erFiex?cr -7`7?•..2 ?Y?i =---
TE ;7ER _"!? ?_ S7C 7?'?? G oF C.1 ?3_gl?roo 3 ti8'_
-----------------
(y .
CORtlENT5. ' DAlE... AI2,3
vOURGQuKf1E NvAC COMRAG70R
26 Rug 04 16:19 RIR COND FlSSOG 6514988683
--- 1?
??,SSOGAT£S d?C. ? r?rm?,c oun ,n? i ?r r?ui, ?m[ 5,ta i K.:?) •nnazs+
e
yU'I N
AREA JP-4 aF ?-1-
'__ ^__••_'___"_"
ADDPESS 0 o 4 Ni
----------°------
OCGVYANT G v 5 P/
PERlII7 . F?A N-y__k__N_k----
k2 PjrR9fL. /LoPA.
TYI'C nF IIEAT FA V ?ryY------- ST[An_ _
nnne _..?_-Lb P K''----------`-----°----•
tlODEL L.... SEaIlAL
rxeanosr?r__C.N?r-/1/ ?(7FNPW,ALIA ANT=LIYi
..'..^ '_ "
E7TSNG
LIIIIY ------- /l )S c - . -----------S
-,-I--'---
FAN CpNTROL---_C !?!A- SCTTING
-/?----- ?°--------
PILOT TYp[ ?J5-? ____ltANE
f`IIOT YItliN4• 7 './,c ryUDEI
?
VENT $TyE ?
---- y -----------------rrre
._UX------- O7N6R____ .
_xxrur dp???---?vD
1TOR"'__r _"_____""_"_„_
__- -43 - r b------
f
_°--
___1`br LC ---- °°J ----
- ..__
__f-? ?j?kCR!C
------- ------------------
BEGtlL?70R M/!{i h"DI jL.? ?S ____`--- - l^'^-___`
_--'-"_'--"_
11AA. PRF55 1 • L /
----1--s - '°------------cos x ------`?'-?` -
-
16 - -----
iM?VT CFN-1??01 e------------ oz x 9 T 6
-------- -- ------ ----------------
GTAGN TElIV__ J JDf„?_trv ___ Co x -? -
^"""»..-___"
SPILLA6E "' JVUZ7t'_" _EYFICxENCY 7
TESYER "" (1?I ?y UCn ?H'i?? C tlF ca,1 ??l (AQOD 3 F+p '
__
99A
W Q ]
611EMT5, ' •• ` ••.• DATE R
..?_I?.Lzq__
•,
p.4
Yp(/n(;pMl'(flE H VAC C01VtAAC70n
26 Fug 04 16:18 AIR COnD RSSOC 6514888883 p.5
- ?iIGi1?VG
m ?
_ SSOGAT£S MC. r..,rrrm•rxvrirn?sr,r.?t,anv.urai?se??moxn
? ?F 3
?r
ANgA o
ADDRE5s 004A/Ny_ G
occur..r G V S hAr x+?
-.--------------- P--------
TT/'E OF kEAT Fa ? xv
rertni7 ._ r A b.? Y9-----
? +2/.?y?,_/LAA?_ rA_IPn; h/1/
5 w M.Xe ----=LIQ' r K -°----------(.-I--°-----xne? _?GD?bUD -----
.y?? MODCI ? l_n G?7J ?ND? I 25??/ ^,,ENIAL
? ` TNER1105TAT
AMT TGI VATOR___
__'-"'_ ____'--'-"__'
LIIITT 0
rAx conrxoL ___L-lk-G7n?'e?--------- scrr:xa
' ----- ------------------
PI107 TYPE
---___?--!--/?--------------h.KE ---vb_in?5_v_?1_-i/?/??n??r_v_/f
PILOT TlhxryU._` -7..^r L' MObEL /T?' J
------------- _..1?-____- __'-
vENT GI2E '..... ,.L a_ t ------------------ TYPE _
?
FIL7EAs __--------"____---_______..--___^--____-..---.....................
REGIILATOfl__?A'??f?'Z1I __ DRAeT MOOD
. '-'- '_`__'_"_'_'
11AN.PRE55
_?????._ G02 x y-?
.
iHruT CFx----- D oz x
--^"-------°----_ ----°----------'------
STeCx TEtlP__?_L_Zn.,",_ _ CO x f
"_-
SPILLAGE _„. ,?V Ok^. e __' -- _-_f""`r"_ ¢FFICIENCY '---'^" --"'?_.'_ D_/L'
. D_
__
TESTER ?6U'1_?3• ---- ,(3canP/1------ ,.c oF c. J_ 9R.DOD368'
------ v'---------
COnnExrs. DeTEZ121`_?1__ ?-,
YIX/RCQNPLE7E NVAC CCNTRACTOR
26 flug 04 16:18 flIR GOnD RSSOG 6514888883 p.6
=???SSOC/AT IlUC
ES . caanrc??ccourin+?sr.rnu?.aw.x+?aitcsr?+m?.nnr
? ?aF
AREA
?`?Y YEM FA
__
'__
qIT . _
. . ADDRE55 7 Z +_f __ VO4N/1IY Z_akg r2? /,egt 1Z.pA4 EAJPN
K,
OGCUPANT _ ____GV S ?IANIMAG?l ?
..-'-`__"-"'
T'fPE OF IIEAT FA ??_'qr------- S7&Ah .... UH....... OTNffl
flAK£ r------------
tlODEL 19?JG?I?SER2At, - IRPU7 115LJ2_....????
L!/f/!lD ja
„
rxcRnosrni___p?n.vaQE?4tV/_AprteiPSroR
' -----`-
'-°-`
S,/C-
LIM2T (?__^__'__"'+E77ING -----'--'------'-
_,__
_"-"_
95G, r
i'AN COHTROL?!?C? _______5E7TXNC _
CD S??rfR S
PIWT T7PF, ""
`_ "
_"_'_...._.MAKfi
_
_
PII.QT TItlING____! _JeC- .
----------- IIOD6l /
(?277
YENT i3ZE------- W -'_______________ T7PE J-/:/?lt
iILT6NS
`,. Hppp _?..?-----`___'--------`-
REGULATOR- --`__ DRA7'`T_
IIAN. PRE55 31, S
_____ "'_? C '__^^___`G02 %
y
I? _?
INVUT CfH ------- I Z' > "' 02 k
-----------------
_?J
-----
---------------
STAGR 7EFP "????
'w' ? ?..------- '_------ CO S /
-
••` '
.."__'_._-
SYILLAOE ". f/P??l/1
Ob' / ?D
"' _ EPFIC26ACY
-
TE5TEft
---- --- ---------------------------
aon
C op c . 1?g g v
connExtst I
nArE"-RJ_-C /?1?
rauncounerE Hvwc cavrrucTon
26 Rug 04 16:18 RIR COnD ASSOC 6514888883 p.7
??/OY?NVC'i
SSO47AY?5 /MC. r?rvcncrountnisc?nu?.nwo:.wllcsqum-ae?+
?ArA ? O?___ ---? PErt?IT .__ ? A b.b ??_- Y?--__-
---?- .
N
"
'__""____"_ y ""'„ ___'_` --------
---?--1---
-----
OCGUPANT V S I'AYMALJ'
------ _ ? _------P ------------ -------------
-------------------
7YPE ai HEAT YA_ -L-?-My ....... .. ?TqAryUNOTNER "
^ '.'.'_"_"
MA/(E __-- yYrL -----------------
dODEI AID"D71LiGP'4 SERlAL NlrAljy(Yl q3 L
THERIIOSTAT__Z;NaY2 ?A/VPW?y((h'_AM'?IGIPATOR____-4
' "___ -_-`_
__"_'_'__- "
LiniT ,.. ..__O/SC__,__°""__°SC1'TiNG '..`_ )_6$°
FAM CbM7AOl___.c?GGIn)N!C--------- SEMING _____.n
/? ...."?..??.._??'
1`IWY TYPE ?J1-l IlAKE ?_4??I??Dn CyNTrbIC?_..
_
PILOT TIIIINI:___--7 5ee' . nUDEL p-ly_
--- ----------------
-- - -------- - --------
vFNT aIZEN...... TYPE.
........... ----.--__'--_
PILTEXS
FEGULATOR_ MN4 lfrI1l_31"____..._ DRAFT 110031 ?-
____'
-"_..____
MAN.PFE55'___-'S C02 X
'-_" '
TMVUT CFN---- UU
_'______^""_____ 42 z ____"_'_""-"
STAGF TEIIP.... al b_______-------- GO X ------ ` - J
----L-----------_
SPZLLA6E ...?/O?1 EFF(CT6NGY --? ??? u • d ?C
/? /?•??"_/}__ / __ ???? ??..
TEGTER c OP F I I`?yR?LDbD 3 bS?-
------`----------------°------° _
WnrtENTSt - 7 ,
YWRCQMt1C7( NVAC CONlftAGTOR
26 Rug 04 16:19 AIR COnD RSSOC 6514898883 p.8
? "IAB 9i2-02 • .
(flCvpyright, tiMACNn 20)2
• I'?t:? 1 of 5 '
, •
4
stwacNa AIR oUTL:E-l'
- . : •rrsx uLt>oRx .
(17o?V Ilood) ,
PkOJ1iC1' ? CVS PtiARMACY^ ?AGAN SYST'I:M RTU-1 (10 ton )
OUTI.IiT MANUI'A(-CUIZIiR CARNES_ TEYC A)'I'AItAI'US ALNOR FLOW HOOD
' ooxLF r
?
DESZCN
rIr,ni.
AR ?'?
TYpE
SZ'LE rA IR kLOW
FM (L/s
)
nncrLc>w
ri;kc3srrrol?
'
? <7+M11/al biS1CN
2
x2 14"
550
S90
1d7
2 .layin 1 q?? 550 570 109
3 $" 225 230 102
4 a" 225.• 225 100
5 ? 225 225 100
6 8"
„ 225 225 100.
8 14" 550 595 99
9 100, 225 220 97
0 10" 225 230 102
1 10" 275` 280 707 '
z 81• 225 220 97
3 10" ' 775 270 98
12L:MA[LKS:
TtST D/irE _ 08/23/2004 K17AU1N[;S I3Y
VA) HVAC SYSTEMS Tesiing, Adjusting & Balancing • 7'hird Edition
16.15
s
i
,
t
i
?
i
i
? i
;
1.
i
i
1:
26 Rug 04 16:19
f? TA3 4[3-62
0Copyrig6t, SMACIQn 2002
511?,AC?Ip-
?
? N
[6
*MA
?and alone VAV box not ;
jtL??{}t?ti yct wired, Manually opened to get readings. ?
1 TC.STDACLi08/23/2004 RIiADIN(iS13Y_1t9lf.r/`'t 67qwPiP
I.
. • {;
i?
'i
M ENA? HVAC SYSTEMS Testing. Adjusting & Ba[ancing • Third Edition 16.75
13F20JECj' _ CVS PHARMACY - EAGAN yyS•l•E.M RTU-2 (10 ton )
OL1TL1'I' MANlJFnCCURI;R CARNES_ TEtiTp)>pA1tATUS ALNOR FLOW 'HOpD
RIR cann FSSOC
fi514888883
Pa6C . x _ OI' $
p.9
nix ovrc.Ex
•rFs'l' I2F,l'ORT '
(Io low t"oai) ,
011PLFiI' nYCIGN I'Itl"[.IMIPlAItY PINAI.
AItIiA
\F,RVI[q
Nfl.
'1'YI'f;
SI%li A]IU+I.UW
('I7M7U.) AlIt19.0W
CTM/l.hl AIILI;iAW
CPMf11x1 ]'I:ILCI$N'(()F
741!$1(ifV
1 la n 74" 585 590 101
z t 58,5 590 1 1
3, 150
7
106
ar.,r,wp,Y 4 611 7 40 . 140 7 00'
RESTROOM S 6" 700
700
104
100 100 100
i
° 1,2
90
1
8 14" 585 580 99
9 74" 585 580 99
10 14" 585 580 99
L9XZJQE 11 70" 300 300 100
26 Fug 04 16:19
? TA[3 9A-02
(ti9Ccpyrig6t, SMACNn 2(02
SIMII?.i -
N
FIR COMD RSSOC
PItOJ[;CP CVS PHARMACI' - EAGAN
OUTLI'1' MANUPAC'1'UItIiIt CARNES
6514888883 p.10
9
Pagc 3 S
?
ntx ovxLUqx
TLST IiGPOit'r
(F16w Hood) .
SVS'I'I;1v1.RTU-3 (3 ton)
'I'iiS'P AJ?I'AI;/(?'[)S ALNOR FLOW HOOD
flU'YI.I{f I1E:SI(iN 1'KI1.IMINARY 1•IMAI,
AH7'.A
til$IiVPI)
'I'1'1•P:
,l'IZE
AfItPLUW
('PM(Il.l
A1kPLUW
Alitl°LUW
t'fMlllxl 7rov
.HARMACY 1 a in g" 175 185 106
Z
3• '' 8"
8" 775
150 180
155 103
103
4 8.1 754 160 106
5 8" 150 150 100
6 6" 125 130 104.
7 6" 7-25 . 125 160
w
liL:MA[iKS:
T[STDAf1ip,81231.2.9_03.._ [t1iAUIN(i513Y_
EHVAC SYS7EMS 7esting, Atljusting & Balancing .1'hird Edifion
16.15
,
s
1
i
i
i
E:
i;
??
26 Rug 04 16:19
wb?
TA[3 9If-02
OCopyright. SMACNA 2002
FIR COND RSSOC
6514898883
PagC 4 of `C; •
AIR UU'1'LiET
'A'A? S1' ILX;I'OKx
m
1
„(I.-[ow Hrwd) ,
PkU1I'sCl' CVS PHARMACY - EAGAN SYS'S'1;1v1. _RTU-4,?_. tOtl
0U7LI-'f MANUFACI'Uk1i1t CARNES__ _ '17iS0' AJ'PN2K1'US _ALNOR_ FLOW HOOD
!IU'I'IJCI' DICsI<:N 1'lil?I.IMINAIfY I+INAI.
ANGA
tiliNVi[I)
NI).
9'YI'li
UZf: A[IiN.UW
f'17MtI/.1 A11tI:lA)W
c'PMUI.) AlIt19.pW
[14MII10 19;It(7iN'Cpl?
DICCIf74
6" 450 410 t
' . "
zzanine 3, n n '
4 210 230 109
7 X6 11'5 • 125 108
RGMARKI: ,
? TGST DATI; 08 2 1L2004 i{IiADINGti 13Y !-D ?rl_ /? • ?bNN?/? ..
IR5 HVAC SYSTEMS Testin9, Adjusting & 8alanCing . 7hird EditiOn
16.15
p.ll
?
i
i
'r
i
?
i
i
I
i?.
??
26 Rug 04 16:19
? TqB 913-DZ
WCopyright. SMACNA 70I2
MI?CNA-
FIR COND RSSOC
I?f1gC S Of S 1
nIii ouTLEx
e
1
PORT
(Flow liond) ,
PROJE(T CVS PHARMACY - EAGAN_ _ SYS'I'IiM RTV-5 (S tOX1)
OUTLIs'1' MANUIAC11)idly[< caRNES 1T-STn1'DANAI'US ALNOR FL6W 'HOOD
Iqi.11f;N 1'HIiI.IMINAItY fINAI.
AIZIiA
tiEltVtiP
Nf).
'IYFIi
SI%l? AIHI'I.UW
f'PMlllsl Alkl'LOW
('PMlIJ.1 AIRImI.I)W
[`I'Mtl/v) 17•;ItfliMCpl'
I)I-NIfiN
retail-
LLLY-W-Q-y- 1
4 ''
la i
4' 12"
1211
1 '
„ 600
200 640
i 10
1QO
LO5
RGMARKS:
? TI:STnAI'E:_ 08/23I2004 KF:AI)IN6513Y?-d ?7 ,?j' ?D!1_hJ.II
(?„11) HVAC SYSTEM$ Testing, Adjusting & Balancing • Third Edifion 16.15
?xe?
6514888883
p.12
;
i
i
6
s
I
i
I
?
MINNESOTA DEPARTMENT OF
AGRICULTURE
FROM'1'Hf FARM TO YOUK FAMILY
? 5?r '? ? 2004
I
September 27, 2004
Ms. Michelle Capso
5333 Camden Av. N.
Brooklyn Center, MN 55430
License # 20085411
Dear Ms. Capso:
Dakota County
The plans for this project were received after your conshuction project was started. In the fixture,
please snbmit all required plan review information at least 30 days prior to the start of construction.
These plans were received on August 13, 2004 and the plan review application indicated construction
began on April 1, 2004.
This office has completed a preliminary plan review for the CVS Pharmacy store located at 4241
Johnny Cake Ridge Rd in Eagan, Minnesota. The plan review was conducted as required by
Minnesota Statute Chapter 28A and the Minnesota Food Code Chapter 4626. The Ivfinnesota food
code is the priinary governing document for tYus review and may be found on line at
www.leg.staie.mn.us/IeeJstatutes.aso by requesting Minnesota Rule Chapter 4626.
All appropriate permits from the Iocal authorities shall be applied for and issued prior to
starting any work on the site. Failure to comply with this may result in a delay or this office not
issuing your retail Food Handlers license until the proper permits are issued. Our inspector will
verify that the permits 6ave been obtained.
The N1ir,.-iesota Departme:rt of Agriculture grants prelunuaary plan approval to the plans for this
proposed food establishment. Upon this agency certifying that all items in this review have been
addressed, final plan approval will be granted. This preliminary plan approval is based upon the plans
submitted to this office. Anv deviation from the app,roved plans and specifications must have prior
a_pproval from tYris aQencv.
Preliminary approval of the plans and specifications does not consfitute endorsement or
acceptance of tLe completed establishment. Periodic on-site inspecHons may be made during
construcfion. A fmal inspection of the completed establishment, with equipment installed, must
be conducted to determine if it complies with the requirements of tNe Minnesota Food Code.
Contact Food Inspector Norm Danner at 651429-8595 to arrange for a final inspection prior to
stocking any food products. An aoticipated completion opening date of August 9, 2004 was
indicated on the applicarion form and you are listed as a contact for this project at 763-560-2381.
90 West Plato Boulevard • SL Paul, MN 55107-2094 • 651-297•2200 • 1-800-967-AGRI • www.mda.state.mn.os
An Equal Opportunity Employer • TTY: 6511297-5353/1-800-627-3529
Ms. Capso
September 27, 2004
Page 2
General Comments
This review was for a 13,000 sq. foot newly constructed store. The plans submitted indicate onlv
»reuackaeed foods will be sold in this store. This store will be restricted to the sale of
preuackaeed foods onlv, since facilities are not available for food preparetion or the sale of bulk
unpackaged foods.
Licensing of your firm is dependent upon proper installation of an apprdved water supply,
plumbing and waste system. Our inspector will review your approval letters from the
appropriate authorities to insure these requirements are met. Pursuant to MS 31.175 a license
shall not be issued or renewed without approved plumbing, water and waste systems. Also our
inspector will review approvals from building and fire officials before granHng final approvaL
Please provide copies of approvals for review at the final inspection. (4626.0980)
Minnesota requires that all equipmeot be Certified to the National Sanitafion Foundation
Standards for clean abilitv, durabilitv and oerformaoce. New or used eauiument not meetine
t6ese standards are qrohibited. Anv eauipment installed that does not meet these standards mav
be ordered removed.
Your submitted alans show a walk-in cooler, mop sink with mop and broom oreanizer and men
and women's toilet rooms.
The room finish schedule indicates the retail area floor will be camet tile with a vinvl base The
toilet rooms will have vinvl tile floors with a vinvl base a aainted avnsum wallboard ceiline and
waterproof wall aaueLs. Anv backstock food storage areas will reauire finished and osinted walls
with a coved base. The nlans show the back storaee area walls as unpainted The floor material is
Gsted as sealed concrete in the receivine and back storaee areas The nlans show waterproof wall
panels will be installed as the wall material on the walls adiacent to the mop sink
The following listed items will be verified by our inspector at the final plan review inspection. Please
address each item listed below.
Equipment
Food equipment shall meet the applicable National Sanitation Foundation (NSF) International food
service standazds. The equipment sha11 be determined by NSF International or an American Nafional
Standards Institute (ANSI) Z34.1 accredited independent entiTy, including Underwriters Laboratory or
the Edison Testing Laboratory, to be equivalent to the NSF Intemational Standard. The use of
equipment, that does not meet the NSF standards, prohibited. Bakery equipment must comply
with the Bakery Industry Sanitation Standards Committee (BISSC). (4626.0505)
Custom fahricated or modified equipment must be construMed by a contractor listed by NSF
Internationa[. The name and address of the fabricator for custom fabricated equipment must be
idenfified. (4626.0505)
? Ms. Capso
September 27, 2004
Page 3
All service counters and other millwork surfaces shall be protected with staiuless steel, plastic laminate,
or equivalent, covering all exposed wood. . They aze required to be installed on six-inch legs or a solid
base. All areas of the custom fabricated counters shall meet the requirements of NSF International
Standard No. 35. All hazd grain decor wood (e.g. oak) sha11 be properly sealed with a polyurethane or
varnish-like material. (4626.0505)
Used equipment meeting NSF International, NAMA, or BISSC standards, specifted at the time of
installation is permitted if it: met the NSF International, NAMA, or BISSC standards, in effect at the
time it was manufactured, remains in good repair, is capable of being maintained in a sanitary
condition, and is approved by the regulatory authority. Yonr inspector will evaluate any used
equipment to determine if it is acceptable.
(462(x0505)
Retail shelving and refrigeration and freezer display cases shall be desigr.ed and constructed to be
durable and to retain their characteristic qualities under normal use. (4626.0505)
Provide sufficient refrigeration to hold a11 readily perishable food products at 41 °F or less.
Food Protection
Thermometers must be provided in all coolers and freezers where potentially hazardous food is stored,
and must be located in an azea that is representative of the true air temperature. (4626.0705) The
internal temperature of potentially hazardous food must be maintained at 41 °F or below, or 140
degrees Fahrenheit or above. (4626.0395) All freezer units sha11 hold food frozen. (4626.0370)
Installations
Seal (caulk) all annulaz openings around pipes and other conduits, where they pass through walls and
floors. Seal all junctures between the wall surface and the edges of attached equipment with approved
caullc/sealing compountL (4626.1395A, (1))
All doors to the outside of the establishment must be self-closing and vermin proo£ (4626.1395A.
(3))
Li tin
Provide at least 10-foot candles (110 LLFX) of light intensity, at a distance of 30 inches from the floor,
in the wa7k-in refrigeration units, dry food storage areas, and during periods of cleaning. Provide at
least 20-foot candles (220 LUX) of light intensity, at a distance of 30 inches from the floor, for areas
where food is provided for constuner self-service, including buffets and salad bars, or where fresh
produce or packaged foods are sold or offered for consumption, inside equipment includipg reach-in
and under counter refrigerators, in utensil storage azeas, in areas behind a baz used for ware washing,
and in toilet rooms. (4626.1470)
Ms. Capso ?
September 27, 2004
Page 4
Provide at least 50-foot candles (540 LUX) of Iight intensity for areas where food employees are
working with utensils and equipment where safety is a factor and areas used for waze washing.
(4626.1470)
Plumbing
At least one toilet facility and not fewer than the number required by law sha11 be provided.
*(4626.1075) These facilities must be conveniently located and aceessible to employees at all times. *
(4626.1095) Toilet rooms must be provided with adequate ventilation, hand cleanser, single-use towels
or hand drying devices, tissue paper and waste paper receptacles. Toilet rooms shall have at least one
covered waste receptacle for sanitary napkins, paper towels or diapers. (4626.1260)
Plumbing plans must be submitted to the Minnesota Department of Health, Engineering Unit, or
delegated authority for review and approval prior to instaltation. All plumbing must be insYalled
according to the Minnesota Plumbing Code, including current amendments. *(4626.1045)
Equipment connected to the potable water supply sha11 be protected from back-siphonage. Equipment
with submerged inlet lines (dish machine, gazbage disposal, steam table, urinal, etc.) shall be equipped
with an approved backflow preventor; this includes all threaded hose bib connections. *(46261085a.)
(Toilets shall be equipped with an anti-siphonage ball cock assembly_ Please contact a licensed
plumber or refer to the Minnesota plumbing code.
Install a hot water heater in accordance.with NSF Standard #5, (4626.0505) It must be of adequate size
and recovery rate to provide hot water to all taps during peak water usage. Lack of hot water will
require the installalion of additional hot water capacity. (96261025)
General Labeline
Provide complete labeling information is provided on a!1 prepackaged food products offered for sale at
self-service. The labeling of these prepackaged food products must include, but is not limited to: 1)
The name of the product; 2) Name, address and zip code of manufacturer, packer or distributor; 3)
Complete listing of ingredients in the order of predominance by weight. 4) Net weight. Provide open
quality assurance dates on all prepackaged foods with a shelf life of 90 days or less. (4626.0435)
Sinks
Install hand washing sinks in all food preparation, food dispensing, toilet rooms and utensil washing
areas. Generally this is within 20 feet as a person walks. *(4626. 1095) Provide hand cleanser and
single-use towels at the hand-wash sinks.
Install at ieast one service sink or curbed unit with a floor drain for disposal of mop water and similar
liquid waste. (46261080) Provide hooks or hang-up brackets at the utility sink for storage of mops
and brooms.
? Ms. Capso
September 27, 2004
Page 5
Storaee
Provide adequate shelving covering the food operation to ensure that food products, utensils or single-
service articles are stored at least six inches ofFthe floor. (962&0730A.) Food storage shelving used
in walk-in refrigerators must be in conformance with NSF standazd #2. Chrome or zino-plated shelving
without an approved factory applied hard-baked protective coating is not approved for this purpose.
(4626.0505 B) Retail shelving shall be designed and constructed to be durable and to retain their
characteristic qualities under normal use conditions. (4626.0505A.)
Provide an area for storage of employee's personal belongings that is separate from food, clean
equipment, and single service supplies. (4626.1360)
Provide an approved area for storage of chemicals, which is sepazate from food, food equipment, and
single service articles. (4626.I600)
Room Finishes
The floors, floor coverings, walls, wall coverings, and ceiling surfaces sha11 be designed, conshucted,
and installed so they aze: a) smooth, durable and easily cleanable where food operations aze
conducted; b) nonabsorbent, for food preparation areas, walk-in refrigerators, ware washing areas,
toilet rooms, janitorial areas, laundry azeas, interior garbage, refuse storage rooms, and azeas subject to
flushing or spray-cleaning methods, or other areas subject to moisture. (46261325)
Concrete, sealed or unsealed, is prohibited: a) where food product packages, containers, or cases in
those areas are opened. b) Under equipment in food preparation and service areas including under
service cases. c) in walk-in refrigerators or freezers, ware washing azeas, toilet rooms, mobile food
establishment servicing areas, hand wash azeas, janitorial, laundry areas, interior gazbage and refuse
storage rooms, areas subject to flushing or spray-cleaning methods and azeas subject to moisture.
(46261335 D.)
5ealed concrete is nermitted: in areas used exclusively far refuse storage. The floor beneath the
display shelving units, display refrigeration units, and display freezer units located in the consumer
shopping areas if readily movable, must be designed so that it is smooth and easily cleanable, and the
floor beneath these units aze maintained m a clean and sanitary condition. (46261335 D.)
Unsealed eoncrete is oermitted: Outside garbage and refuse containers, including compactors stored
on a smooth and nonabsorbent surface. (4626.I230)
Vinvl floorin2 is pro6ibited: in a walk-in cooler or freezer. (4626_1335 C.)
Floor and wall iunctures: Shall be coved and closed to no larger than one millimeter (1/32 inch)
when cleaning methods other than water flushing aze used for cleaning floors. At the floor wall
juncture where the fiberglass panel meets the floor an acceptable base coving such as stainless, quarry
or other pre-approved materials must be instalied. (9626.1345A.) Where water flushing is used coving
shall be sealed. (4626.1345B.) Glued rubber coving may not be acceptable on fiberglass panels, as it
may not bond to the fiberglass material.
Ms. Capso
September 27, 2004
Page 6
Floor snrfaces: Shall in the food preparation, food storage, and utensil washing aieas be consttucted
of smooth, durable, nonabsorbent, easiIy cleanable materials, which resist the wear, and abuse to which
they aze subjected.
The wa1Ts and ceiling in the food prepazation, utensit washing and toilet room areas shall be smooth,
non-absorbent, and easily cieanable. (4626.1335A)
Ceilines: Perforated or fissured drop lay-in ceiling panels are prohibited in food preparation, food
service, and utensil washing or toilet room azeas. (4626.1360B.)
Miscellaneous
In accordance with the Minnesota Clean Indoor Air Act, this establishment sha11 be posted as NO
SMOKING ALLOWED. Post signs at all public entrances.
17?is fac7ity may not be constructed, remodeled or converted, except in accordance with the
plans and specifications as approved by this department. Please cootact me for approv$1 of any
proposed changes or additions. (46261720)
Thank you for your coopera6on in addressing the items outlined in this letter. I shall remain available
for consultation and review of your facility's construction progress. Should you encounter any
problems though the course of your construction or equipment installation activities, please call me at
651-297-1072.
Sincerely,
?l?.?-c?A.a-.Ct' @ •
Richard P. Bruecker
Acting Food Standards Compliance Officer
Dairy and Food Inspection Division
JR:
C: Norm Danner, Food Inspector
Lorna Girazd, Supervisor
City Building Official
Mr. Jim LaVa11e, Velmeir
LI s7LJl JOhl?j l?'o Ad#?d
ai?-
MEMO
' City of Eagan
TO: File
?
FROM: Sheila Cartney, Planner ?
DATE: September 7, 2004
SUBJECT: CVS Pharmacy - trash enclosure
The CVS Pharmacy at Diffley Plaza has a detached and attached trash enclosure. The
original CUP plans for the drive-thru do not show a detached trash enclosure. When the
building permit plans were reviewed, the CUP plans were used for comparison. Since tLe
CUP plans did not indicate a detached trash enclosure staff wasn't looking for one on the
building permit plans and missed the detached structure during review. Staff noticed the
detached structure upon a field inspection.
2004 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
' City Of Eagan
3830 Pilot Knob Road, Eagan Ma 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Requirements: 2 complete sets of drawings and speciFications
cut sheeu on materials and components to be used
Date o I lOe l U
,
5ite Address: 69v/ a itL
4001
Tenant / Building Name:
The Applicant is: _ Owner ? Contractor Other
PROPERTY OWNER V eJ M,!?;j
Address: /`Z 0!?) C? r
City: State:
'g
? ?
?
??
d
--
CONTRACTOR /
j
?
I License No.
Address: ?e- XJE, City: QjYIe.
State: rn? Zip: Phone #: -7&3'"7P40
ESTIMATED COMPLETION
o) / o l
DATE:
F'IRE PERMIT TYPE: ? Sprinkler System (# of heads Fire Pump _ Standpipe
Other:
WORK TYPE: ? New _ Addition _ Alterations _ Remodel
Other: 10 ?j F? ?l? 1J T
'' l 1
Educational
Residential y
DESCRIPTION OF WORK: J` Commercial
_ _
SC orher:
Please continue on reverse side
PERMIT FEE: $50.50 Minimum Fee (includes State Surchazge)
ContracY Value $ '-72? JCJC/ x .01°fo
If Permit Fee is $1,000 or less, add $.50 =:>
If Permit Fee is over $1,000, add $.50 per
_ $ ? ? Permit Fee
$ 5tate Surchazge
$1,000 Permit Fee
3/4" Displacement Fire Meter - $155.00
TOTAL FEE:
$ -'C55 oa
.?-
$
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the
Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and
work is not to start without a pernut; that the work will be in accordance with the approved plaji in the case of
work whic requires a review and a roval of plans.
Applican s Printed Na e
DO NOT WRITE BELOW THIS LINE
MEMO
city of eagan
TO: DALE SCHOEPPNER, CFIIEF BUII.DING OFFICTAi,
DALE WEGLEITNER, FII2E MARSHAT,
PAUL OLSON, SUPERINTENDENT OF PARKS
NIII{E RIDLEY, SEIVIOR PI.ANNER
CAROL TUNIINI, UTILITY BILLING CLERK
TIM PAffit, ENGINEERING TECHNICIAN
LEON WEILAND, CONSTRUCTION INSPECTOR
CONSTRUCITON SUPERVISOR
TOM COLBERT, PUBLIC WORKS DIRECTOR
JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER
TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT
PAUL HEUER, SYSTEMS ANALYST
ERIC MACBETH, WATER RESOURCE COORDINATOR
MARK ANDERSON, ELECTRICAL INSPECTOR
SCOTT PETERSON, PLUMBING INSPECTOR
CRAIG NOVACZYK, SEIVIOR INSPECTOR
FROM: TERRY ZELENKA, COMBINATION INSPECTOR
DATE: AUGUST 6, 2004
SUBJECT: FINAL INSPECITON FQR CVS PHARMACY
4241 JOHNNY CAKE RIDGE ROAD
LEGAL: LOT 1 BLOCK 1 DIFFLEY PLAZA
The Protective Inspections Division will be performing a final inspection at 4241 7ohnny
Cake Ftidge Road on Friday, August 20, 2004.
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.
??I
(,::? '2l-Co 413
• Structural Plans
• Civil Plans
• CertiFlcate of Survey
• Code Analysis
• Project Specs
• Spec. Insp. & Testing Schedule
• Soils Report
• Meter size must be established
b
i
1
1
1
1
tq seis • Arcn¢eaurai rians
(2) • Structural Plans
(1) . Civil Plans
(1) • landscaping Plans
(1) . CodeAnalysis
' • Certifwate of Survey
N
(1) . Spec. Insp. & Testing Schedule
. Meter size must be established
. Project Specs
. Energy Calculations
• Electric Power & Lighting Form
. Master Exit Plan
• Emergency Response Site Pian
. Soils Report
• aAu aeierminauon - can eni-euz-ioou i.
-D- a , 48 L L?
(2) sets . ArchiteUUral Plans (Z) sels
(2) • Code Analysis (1) •`
(2) • ProjectSpecs (t)
(2) • Key Plan (1)
(7) . Master Exit Plan (1)
(1) • Energy Calculations (1) not always""
(7) " • Elec. Power & Lighting Form (t) not always"
• Meter size musl be established-if applicable
(?)
(?) ..
l?)
(1)
Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilii
** Contact I3uilding Inspections for sample and if required when it states "no[ always".
*•' Pennit for new building or addition will no[ be processed withou[ Cmergency Response Site Plan.
Date d!K 12.8 / d 7
Site Address yz y/ aHNl???
Tenan[ Name c ?S PwteMAcv Construction Cost 1.3 /0
0A441 k9lDhi P-U • UniuSte #
Former Tenant Name 91A
DescriptionoFWork ill1.CJ CUS )0144l2_MACy
Property Owner C US QN40,fY1Ar,y ONf. Q.U,S Q 0ML
,eZ aa?9s Telephone #(40/ ) 71, S- /SOQ
Contractor V£LmgIA9, 00 N 6TA4dC.'T/6 1%
Address 7980 ZU7?r_MI}77ONfk- )OaZ14 "ZCJD
State f17A(. Zip ST 'VZs City 434[bmlNl,7jjlv
Telephone #(9SZ) 8T3 '32 W
Arch/Engr G/ RS C'OR?J)
Address ??o ?S)640--146 50
State M/CM A}-N Zip Registration #
City
Telephone #(G/6 ) S??y 'loli v 0-
Licensedplumberinstallingnewsewerlwaterservice: Phone#: ?`'ys
I hereby apply far a Commercial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?37-4vz/0 m'YIIA-NABI.IJ w0 ' L
Applicant's Printed Name Applicant's Signature
uezmC?n?, comP?r?S
r31 c) ck_ I Q l a z(!I. ??-- w(I a13 5 ?
C' 2004 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
OFFICE USE ONLY
Sub Types
? Ol Foundation G 26 Public Facility ? 30 Accessory Building
? 14 Apartments ? 27 CommerciaUIndustrial ? 32 Ext Alt-Aparhnents
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Faciliry
? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
0 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demolition (Entire Bltlg anly) - Give PCA handout to applieant
Valuation } 2,00 ? Occupancy w
A MCES System
Census Code 33`, Zoning ?
?
N'L? City Water ?
SAC Units 3 Stones ? Booster Pump
Nbr. of Units ? sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered ?
Type of Const Width ?J
Red Inspections
7?ootings (new bldg)
_ Footings (deck)
FooYmgs(addition)
?Foundarion
Drain Tile
_ Roof Ice Pr _ Decking _1<1nsul 1-4inal
_ ,,,Framing
_ Fireplace _ R.I. _ Au Test _ Final
Approved By:
Planning
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Other
Total
?`70?v .rl S
?'}O O C7
30CD .00
lo0•0 U
_!5O
?a.oO
1kG'7o .o0
lc)"33.oc7
SODU.GO
aa 4
? Insularion
? FinaUC.O.
_ FinallNo C.O
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding _ Stucco _ Stone
W indows
Building Inspector
? a vLC4 S c.a.?U_
c) c-L I
? 2004 COMMERCIAL BUiLDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephoue # 651-675-5675 FAX # 651-675-5694
Foundation Onl New Buildin Interior Im rovement
. Structural Plans (2) sets • Architectu2l Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • StrucW21 Pians (2) • Code Analysis (1) "
. Certificate of Survey (1) . Civil Plans (2) • Project Specs (1)
• CodeAnarysis (1)" • LandscapingPians (2) • KeyPlan (1)
• Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1)
. Spec. Insp. & Testing Schedule " . Certifcate of Survey (1) • Energy Calculations (1) not always*'
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always'"
. Meter size must be established • Meter size must be esta6lished • Meter size must be established-if applicable
i • ProjectSpecs (1)
l • EnergyCalculations (1) " L
1 • Electric Power & Lighting Form
"
(1)
. y
1 . Master Exit Plan (7) 1
1 • Emergency Response Site Plan (t)
1 • Soils Report (1) 1
. SAC determination - call 651-602-1 000 • SAC determination - call 651-602-1000 SAC determinatlon - call 651-602-1000
Call MN Dept of Health at 651-215-0700 for details regazding food & beverage or lodging facilities.
"• Contact Building Inspecrions foc sample and if tequired when it states "not always".
•x* permit for new building or addi[ion will not be processed without Emergency Response $ite Plan. -
Date 1 / 5 / 61 Construction Cost M
Site Address A7,41 '??wlr z"?f,: Z(ow, R. 'C12 UniUSte #
Tenant Name i_ c? ?c A:::? Former Tenant Name uPC
Description oF Work wsW G.V S QPP{A,? 1, L51/
Property Owner 1) 6wr= GU Telephone #(QD1 ) 716 1560
Contractor TQJ`T? ? NL
Address 51 City
State MW. Zip 5 ? Telephone #(?jq, ) ?-73 Z 1 eo
Arch/Engr Registration # 4o3b ,
Address () mvl%? City
State
Zip ? -?
Telephone #(UY+) ?*??' g50G)
Licensed plumber installing new sewerlwater service:?iYt?rD'[??e' Phone #.
,.IjU
I hereby apply for a Commercial Building Permit and acknowledge that the informati on? is comp e and accurate;
that the work will be in conformance with the ordinances and codes of the City of `Eagan and=t?? of MN
Statutes; I understand this is not a permit, but only an applicarion 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 which requires a review and
approval of plans.
Lo11,h"f4?c.Ticl. r10 l'I,IL .Sl?Yf?P?EU,o, "?'
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ol Foundation ? 26 Public Facility ? 30 Accessory Building
Ei 14 Apartments ? 27 Commercial/Indush-ial ? 32 Ext Alt-Aparhnents
? 15 Lodging ? 28 Greenhouse G 34 Ext Alt-Commercial
? 25 Miscellaneous Cl 29 Antennae G 35 Ext Alt-Public Facility
? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteratlon ? 37 Demolish (Bidg)' ? 43 Reroof t] 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to appiicant
Valuation I) -w, Od0 Occupancy M MCES System
-
Census Code S 7-7 Zoning NE) City Water 7
SAC Units 3 Stories 2- Booster Pump
Nbr. of Units ? Sq. Ft. !31(o3q PRV
Nbr. of Bldgs ?
Length l35 11 ?
Fire Sprinklered
Type of Const ?.' rzl Width a-rj 1
Re ired Inspections ; ., .
? Footings (new bldg) Insulauon
_ Footings (deck) FinaUC O
/Footings(addirion) FinaUNo C.O.
V/ Foundation Other
Drain Tile ` /Roof Ice Pr Decking ? Insul ? Final Pool Ftgs Air/Gas Tesu Final
?/ Framing _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. J Air Test _ Final Witldotvs , .
Approved By: Planning Building Inspector
Base Fee
Surcharge - ,.
Plan Review
MCES SAC ,
City SAC
Water Supply•& Storage
S/W Permit
SIW Surcharge, .
Treatment Plant Park Dedication
Trails Dedication
Water Quality
Copies
Other
Total
V703
(o2b ? , .
435 -1 • qf
S 4 • o-o ,
46
300 • o?o _ _ .
. . s .
/06. po
• 50
2352 • s-o `?` ?.r?q,' tiNta' i??? Fo? l9ZIZl6?11??v ?- .
? (76 , d+
f DA;
?, o o a, m-a LArND ?GGAA?f?V6.. D?oS tT
2004 COMIIERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
f?? 3830 PILOT KNOB ROAD, EAGAN MN 55122
s 651-675-5675
Date (0 / s / 0 4
Site Address _ 4 Z4 1 Zc, kjv C c4 t« ? c OCY6s U nit k
Teoant Name Former Tenant Name
Property Owner Telephone # ( )
Contractor OHkorA PLinwi6c--il6,
Address 3 65-0 k ?7.7N6'1?? E, G 1(J2. City
S[ate ?V1 nv n; cF3 oa vq Zip Telephone #{?'r/
The Applicant is _ Owner ? Contractor Other
Work Type ? New Bldg _ Add-on _ Repair RPZ PVB Irrigation system *
"Jer Wnbschall [o calcuiate tees. Re uired me[cr sizc is 2" turbn unless smaller size ermitted b Public Works
Description oF Work Ne tJ 2aYi n-e - 54-r.l +t Sft 42a-crp DrG rtcni s
To inquire if Pressure Reducing Valve is required on new service, call 657675-5646
Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oickine un meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" disolacement $155 00
Domestic Size & Type Avg GPM Includes hfgh demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes XN,
Permit Fee $50.50 minimum (includes State Surcharge) ?
?ok
Contract Value $ Z Ff ? c1 cJ U X 1% _$ se Fee
J Meter(s)
Required on al] new buildings & boulevazd irrieation svstems J Radio Meter Read
If base Cee is $1,000 or Iess, surcharge is $.50 $ $yytC $uiC]lysge
If 6ase fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee
-?
?
-- _--_
?---?
Following fees apply only when installing new irrigation system $ --_-----_?-_-?_?
Water Permit
Contac[ 7erty Wobschall at 651-675-5024 for required fee amounts
$ TreatmentPlant
$ Water Supply & Smrage
$ State Surcharge
------------°-------------------------------------------------------------------------------°
$ , -;1 -30 , ? ---------------------------------
Tota] Fee
I hereby apply for a Commercial Plumbing Permit and aclrnowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; [hat I understand this is not a permit, but only an
apptication for a pemvt, and work is not to start without a permit that the work will be in accordance with the approved ptan in the case of work
which requires a review and approval of plans. - /
?
ApplicanPS Printed Name Applicant',?fi gnamre
?
CITY USE ONLY
REQUIRED INSPECT[ONS: ? 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 & boulevazd irrigation systems- $141.00
• RPZ's must be rebuilt every five yeazs. A minimum tee pemut per address is required for RPZ rebuilding or repairing.
• Water meters include copper hom/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residenrial $121.00 4-120 1-1/2" iicigation 5y5t $ 788•00
displacement sm commercial turbine** must 1'eCeive
maximum
i
SppPOV81
cont
nuous
to from Public
Works
2-30 3/4" lawn irrigation $155.00 4-160 2" turbine Ig irrigation syst $ 992.00
maximum displacement residenrial &
continuous sm commercial production lines
IS
3-50 1" displacement very ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & lg comm bldgs
25 irti ations stems
5-100 1-1/2" bldgs 25-64 unita $488.00
maximum displacement &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE N01'ICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation $1,338.00 6-500 4" compound +300 uoit bldgs & $3,749.00
syst & production very Ig comm bldgs
lines
1/2-320 3" compound +200 unit bldgs $2,407.00 10-1000 6" compound +400 unit bldgs $6,124.00
very Ig comm bldgs very Ig comm bldgs
15-1000 4" turbine very lg irrigation $2,384.00
syst
L
& producYion lines I
(;omments
• To schedule inspection oFthe inside water line and backflow preventer, ca11651-675-5675.
• To arrange for water turn-on, ca1165]-675-5300.
cc: Maintenance Division Cierical'Pechnician Updated 8/03
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Ruad, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaVindustrial buildings
multi-family buildings when separate pertnits are not required for each dwelling unit
? ? 3-0
Date 0`A ?
Si
dd
424 1 it #?
U
te Street A
ress n
z -_
Tenant Name (if applicable) ? v? Y IA-?.4r?-8••s-[
? Previous Tenant Name
n D??
Property Owner C:v S ?'
?a.??+--'-?-i Telephone #( )
Contractor ?CQ- Cow7D1`ilC1) l1?C, ?? X'-Uhl?? tA-??
? ?? WOJ °
Street Address City
State K 113 . Zip Telephone # ( (051
Bond #: Expires:
The Applicant is _ Owner X Conhactor _ Other
'
-
`
Work Type
JUN 0 1 'c004
? New Construction _ Underground T ank _ Install _ ove see below
_ Interior Improvemente _ Install Piping Processed _G By
Nature of Work: e ? ,..?
**When installing/removing underground tank, cal! for inspection by Fire Marshal and Plumbing lnspecfor
Pel'IOIt Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge) ?
Conhact VaSue $ or
Do-o x 1% ? 30
_$ Permit Fee
• If permit fee is $1,000 or less, add $.50 ? $ •`? State Surchazge
IFpermit fee is over $1,000, add $.50 for
l F
every $1,000 nemut fee ee
$ Tota
I here6y apply for a Commercial Mechanical Pemut and acknowledge that the informarion is complete and accurate; that t6e work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Meclianical Codes; that I understand this is
not a permit, but only an applicarion for a permit, and work is not to start without a pemvt; that the work will be in accordance with
th lan in the case work which requires a review and approval ofp
7?S fJ , h2 V-(-2 c- /a--
ApplicanYs Printed Name Applicant's Signature
Approved By: 5 r Gbjk34 , Inspector
1?j `,- t (3 { o ck- I
,3
2004 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan n n?
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
P, „ .?? ? ? tR-k-i
Foundation Onl New Buildin Interior Im rovement
. Shucturel Plans (2) sets . Architecturel Plans (2) sefs '. Architectural Plans (2) seis
• Civil Plans (2) • Structural Plans (2) • Code Analysis (1) °
• Certificate of Survey (1) . Civil Plans (2) . Project Specs (1)
. CodeAnalysis (1) " . LandscapingPlans (2) • KeyPlan (1)
• Project Specs (1) . Code Analysis (t) •' . Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " . Certificate of Survey (1) • Energy Calculafions (1) not always••
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) "' • Elec. Power & Lighting Form (1) not always"
• Meter size must be established • Meter size must be est2blished • Meter size must be esfablished-if applica6le
1 . ProjectSpecs (1)
1 . EnergyCalculafions (1) „ 1
1 • Electric Power & Lighting Fortn (1)
1 • Master Exit Plan (1) 1
1 • Emergency Response Site Plan (1) ^" b
1 . SoilsReport (1) L
. SAC detertninafion -call 651-602-1000 • SAC determination -call 651-602-1 000 SAC determination - rall 651-602-1000
Call MN DepY of Heslth at 651-215-0700 for detaits regarding food & beverage or lodging facilities.
** Contact Building Inspections for sample and if required when it states "not atways".
"• Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date l / 5 / ? g Construction Cost 1,3M
SiteAddress 4MI p,D ?r2UniUSte#
Tenant Name eV ap Former Tenant Name
Description oF Work MsMJ G-1J 5 pk?? RMAw-
Property Owner 1,) G Telephone #(.fDi )7(p StlO
Contractor '?Qt}l.'?'1 ? N L
Address ?115 City p?'I
State M? Zip 5 ? Telephone #(?12,
Arch/Engr Registration# Aa,
Address ?PAWo?p DQall?? City
State
161W tf
Zip 4V4(0 Telephone # ( 'R?{+) ? ??" ?J?' 0?
f112(?n
u ?? i
1
Licensed plumber i
nstalling new sewerlwater service: ?
?V6L?1r ?ILIN{6 Phone #:
^454?
'
? u
LA -FI hereby apply for a Commercial Building Permit and acknowledge that the inforxnati is comp e and acc?rate;
that the work will be in conformance with the ordinances and codes of the City of ?E?iganand=t e e-of'MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of rk which requires a review and
approval of plans.
Go1,4fi'CR?+c:c'tot.l 70 114C .WV?A?E. U,P, Uig
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
7 01 Foundation
? 14 Aparhnents
? 15 I.odging
C 25 Miscellaneous
Work Types
71 26 Public Facility ?l 30 Accessory Building
D 27 Commercial/Industrial ? 32 Bxt Alt-Aparhnents
-1
28
Greenhouse
?
34
Ext Alt-Commercial
? 29 Antennae ? 35 Ext Alt-Public Facility
C 37 Nail Salon
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior)
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation)
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof
? 34 Replacement 'Demolition (Entire Bldg anly) - Give PCA handout to applicent
l 3tn oo 9:Ll. M
Valuation ? i O
Census Code ?JZ7_
SAC Units 3
Nbr. of Units ?
Nbr. of Bldgs ?
Type of Canst
Occupancy _
Zoning N ?
Stones ?-
Sq. Ft. t3, 63q
Length
Width arj ?
MCES System
City water
Booster Pump
PRV
Fire Sprinklered
? 44 Siding
? 45 Fire Repair
? 46 Windows/Doors
?
?
?
Re ired Inspections
Footings (new bldg) Insulation
_ Footings (deck) FinaUC.O:
/Footings (addirion) FinaUNo C.O.
V/ Foundation Other
Drain Tile '
Roof Ice Pr Decking _ Insul ? Final Pool Ftgs Air/Gas Tests Final
J Fraxning _ Siding _ Stucco _ Stnne
_ Fireplace _ R.I. Air Test _ Final
Approved By: Planning ? CdPW?7Building Inspector
----------- ------------- ------- ----- ------------------------------------------------°--------------- ---------------- ---------- --
?
Base Fee
Surcharge?.Plan Review
MCES SAC
City SAG
Water Supply & S;orag8
S/W Permit
S/W Surcharqe
.y
Total V7 03
Treatment PlaAnt
Park Dedication
Trails Dedication
Water Quality
Copies
Other
("20 • ?
' ?3??•?q-
¢ b `5 d . m-o
3bo ? ?-
,• , r
j06, bb
Q'q7b . &A
1 a„4,3 • aG
-?.
?, ooa, a?-a ??y-NO?c?r,v?4.. D?oSrr
29; ?e` . ?? . << _ .. . .. _ . . . .
• SO
1352 •?o'`?" r=X704 uNrd- A-Dotb F?t- W-16A°114v A91V-
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - - -
I For Office Use
I
Permit
I C I
Cit of Ea an I
I ~j r 5
3830 Pilot Knob Road I Permit Fee:
Eagan MN 55122 Date Received:
I
Phone: (651) 675-5675 j
Fax: (651) 675-5694 I Staff-----------------
2009 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 7 ~d /7 r140!7 C~ k C. kte`, if XQ
Tenant: Suite
PROPERTY
OWNER Name: CVS PHARMACY Phone: 952-921-9020
CONTRACTOR Name: EGAN COMPANY License 5 8728
Address: 12-
7625 BOONE AVENUE NO City: BROOKLYN PAR State: MN Zip: 5 5 4 2 8
Phone: 763-591-5572 Contact Person: CHRIS FERN
TYPE OF -New _Replacement -Repair X Rebuild _ Modify Space _ Work in R.O.W.
WORK Description of work: RPZ REBUILD
PERMIT TYPE COMMERCIAL
i New Construction Modify Space
1 Irrigation System (X yes / _ no) ( X 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: Size & Price 3/4" meter 203.00
Avg. GPM High demand devices? -Yes No Flushometers Yes No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR Contract Value $ X1%
= $ 5 0 . 0 0 Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 _ $ Radio Meter Read
- If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s)
- If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ 5 State Surcharge
Following fees apply when installing a new lawn irrigation system. $ Water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $ 5 0 . 5 0
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 inA/ Abe case of work which requires a review and approval of plans.
Applicant'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
City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use �(
Permit#: //`� % i t"
Permit Fee: (oc?
�
Date Received: r)--1 013
Staff: ,2
2013 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: S /0 3
Description Of Work:
City Sewer City Water Repair
rim air
Disconnect
Fee: $65.00
Street Address for Proposed Work
Owner Infori
ration
Name: C v S
Address / City / Zip:
Applicant is:
Phone:
Owner
Contractor
Licensed Pipelayer e Master Plumber Property Owner
Name: 6 Fes- V ' �' l a 5 Phone:
6/0,-+Z-2(yo
Address / City / Zip: `/ (o D Ay? c4,„/ r/) 3
Pipelayer Training Certification Card #: or Master ' ber License #:
I acknowledge that the information is complete and accurate and that the . � ill be in conformance with the ordinances and codes
of the City of Eagan and the State of MN Statutes. I understand this is n• ermit, but only an application for a permit, and work is
not to start without a permit.
91rotttf-1 4
Applicant (Print Name) Li ppli !nt's Signature
CALL BEFORE YOU DIG. Call Gopher State One CaII 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
Use BLUE or BLACK Ink
For Office Use I
I /A ~ 3 t1L f3
Permit
.>.+%~;VEIVE ; I
City of Eap
I o~
3830 Pilot Knob Road JUN 4 LVnh% I Permit Fee:
Eagan MN 55122 I
I Date Received: I
I
Phone: (651) 675-5675 1 1
Fax: (651) 675-5694 BY.. 1 Staff: J
L----------------~
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
0 Please submit two (2) sets of plans with all commercial applications. n
Date: Site Address: 142,IJ I ,_yhr)n4 ~(A.ke rZidqa R Ua~j
Tenant: Suite
Property
Owner Name: ~C, V S Ph OL ML C l~, Phone:
v Name: Y 1 `i~~i(Y~bi YlA tt~-I tlA~ icense
)
Contractor Address: j.2 (P0 t'6t.Y) IArY\ ~ 0 L6 City: P& VI j State: 14 Zip: 5-5110
Phone: li/5 I-;Z-)-H_5LP LP Email: bar-br\(P,Sn^IQote>12k.GQr"
Type of Work - New X Replacement _ Repair ^ Rebuild _ Modify Space _ Work in R.O.W.
Description of work 122D1c~~e~ IZPz- N®gLoL~O, FP~Cd Z~r kA25y
COMMERCIAL New Construrtion ! Modify Space 1A►i I'~l he W p~d D u
Irrigation System yes / _ no) RPZ / _ PVB)
' • Rain sensors required on irrigation systems
Permit Type Avg. GPM (2° turbo required unless smaller size allowed by Public Works)
_ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
' Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes No Flushometers -Yes No
COMMERCIAL FEES Contract Value 0 D X.01
$55.00 Permit Fee Minimum
_ $ 55, ob Permit Fee
*If contract val+te is t_ESS than $10.010, Surcharge = $$5.00 = $ - 7_() Surcharge*
-1f contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge = $ D u od _ TOTAL FEE
Following fees apply when installing a new lawn irrigation system $ T 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. \
I hereby acknowledge that this infcrrnetion is complete and accurate; :hat 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 whirr, requires a review and approval of plans.
M1 Cha ea CQr l`Ai C6 x. I,., ~
Applicant's Printed Name Applic nt's Signature
FOR OFFICE USE Approved By: Date:
Required Inspections: -Under Ground 'Rough-In Air Test Gas Test -Final PRV Required: - Yes - No
Meter Related Items: Meter Size Radio Read Manometer Staff:
Page 1 of 3
Use BLUE or BLACK Ink
2014 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY (if applicable)
Date: FOR OFFICE USE ONLY
PRV required
Property Owner:
City R-O-W Permit
Address: Phone Number: County R-O-W Permit
Plumber: Contact Name: Plumbing Permit
SEWER WATER
Sewer Service Water Service
Sewer lateral charge Water lateral charge
Sewer trunk Water trunk
City SAC @ $100/unit Water supply storage
MCES SAC @ $2,485/unit Receipt _ Date:
Receipt Date: Treatment Plant @ $828/unit
Permit Fee $60.00 Permit Fee $60.00
State Surcharge _$5.00 State Surcharge -$5.00
TOTAL: 'Plumbing Permit Required - water meter to be
acquired with building permit TOTAL:
SEWER & WATER
Sewer Service
Water Service
Sewer lateral charge
Water lateral charge _
Sewer trunk
Water trunk -
City SAC
MCES SAC
Receipt # Date
Water supply & storage
Receipt # Date
i Treatment plant _
3
Permit Fee $120.00 _
State Surcharge $5.00
"Plumbing Permit Required - water meter to be
acquired with building permit TOTAL:
Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000.
Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past.
1-5 SAC units 1,780.00 per SAC unit
6-10 SAC units 8,900.00 plus 445.00 per SAC unit over 5 I For Office Use ;
11+ SAC units 11,130.00 plus 178.00 per SAC unit over 10 I
Permit
I f
I Permit Fee:
i
Date Received:
i I
I Staff: I
L
Cc: City of Eagan Finance Department
Page 2 of 3
�Y°10
. 1 1 ` 0 i'
For Office Use 1
Permit#: /64 3oS 1
, v e7 3-, , 4 t Permit Fee:_ l 9C-
,
M Staff: I
1
�� D ,-- _-... .,
Payment Recvd: Yes No
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
1 .CEIVE
I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569DEC 12 j I
Plan Submittal:eplans(c�cityoteagan,com 2019 LPlans: XElectronic PaperI
BY
2019 COMMERCIAL BUILDING PER1GItT APPLICATION
Date: Site Address: 4241 JOHNNY CAKE RIDGE RD
Tenant Name: CVS PHARMACY (Tenant is: New/ ✓ Existing) Suite#:
Former Tenant:
Name: DIANE QUICK Phone: 248-637-9800
$ Property Owner Address/City/Zip: PO BOX 629
Applicant is: V Owner Contractor
Description of work: INTERIOR REMODEL
Type of Work p
Construction Cost: 300,000
Name: TBD j W• 6 Pr Tl icense#:
Contractor Address: 3 17-61 to 1£'ll V---0V---01/4"t>A' City: INtbR-i 4 0LM5T
State: 0" Zip: Phone: C' 40 3 1(o -`-b?
Contact: �t3t� - 7/ -4-7_6---q
Email ���
Name: JOHN POLSINELLI _ �� Registration#: 48930
150 W. Jefferson Ave Suite 1300 Detroit
Architect/Engineer Address: City:
MI 48226 313-324-3142
State: Zip: Phone:
Contact Person:
Jessica Walter •
Email: Jessica.Walter@norr.com
( u
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 N you provide specific reasons that would permit the City to conclude that they are trade secrets. 1
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.cityofeaaan.comisubscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gonherstateonecall.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 approv f plans.
x Jessica Walter X 1fctr -._
Applicant's Printed Name Ap ant's Signature "
DO NOT WRITE BELOW THIS LI /J 7
• SUB TYPES 2704T 1 n-011(hi Lf C �EXd & I.
Foundation Public Facility __ Exterior Alteration-Apartments
V 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 V. 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 300,000.60 Occupancy 14 MCES System 1/
Plan Review / V Code Edition 2015'wit SAC Units 0/ILSIT> .�- _,
(25% 100% v ) Zoning City Water
Census Code Stories I Booster Pump
#of Units 0 Square Feet 14 1$E PRV /
#of Buildings I Length Fire Sprinklers
Type of Construction V.rS Width
REQUIRED INSPECTIONS
Footings_New Building_Deck Addition Drain Tile
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier / Erosion Control
tl m 7 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
____T
Windows
Fireplace: Rough In Air Test Final Final/C.O.Required
Pool:_Footings Air/Gas Tests _Final V�Final I No C.O.Required
Final CIO Inspection: Schedule Fire Mars Ito be present: ✓Yes No -
Reviewed By: N , Planning New Business to Eagan: 11 0
Reviewed By: fiee4(o , Building Inspector
FEES Water Quality
Base Fee Z,2.5(..1<-Storm Sewer Trunk _ _ I
Surcharge 5 0•t.-u Sewer Trunk
Plan Review I/`{ G L• SI 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: 1
Trail Dedication TOTAL: 5/ 873• L L7
Page 2 of 3
MtES USE: Letter Reference: 191216B3 Address ID:357854 Payment ID:428679
Date of Determination: 12/16/19 Determination Expiration: 12/16/21
Greetings!
Please see the determination below.
Project Name: CVS Pharmacy
Project Address: 4241 Johnny Cake Ridge Road
Suite#/Campus: n/a
City Name: Eagan
Applicant: Jessica Walter, Norr
Special Notes: none
Charge Calculation:
Retail: 12,205 sq.ft. @ 3050 sq.ft./SAC=4.00
Total Charge: 4.00
Credit Calculation:
CVS Pharmacy(Non-Conforming GSF 1/04)
Retail: 12,205 sq. ft. @ 3050 sq. ft./SAC=4.00
Total Credit: 4.00
Net SAC: 0.00 = 0 SAC Due
The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the
business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be
made. If you have any questions email me at:Jessica.nye(dmetc.state.mn.us.
Thank you,
Jessie Nye
Manager, SAC Program
Please visit our SAC website by going to: www.metrocouncil.org/SACprogram
390 Robert Street North I St. Paul, MN 55101 1805
Phone 651.602.1000 I Fax 651.602.1550IV I 651.291.0904 rnetrocouncil.org METROPOLITAN
COUNCIL
U N C
An Equal Oppprtun(ty Employer
0 Pi For Office Use
? / ��e Permit#: (2 � D-" ,
° s DPermit Fee:
W1
Staff: % I
'}�__ I
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 CEIVE 1Payment Recvd: Yes/ \Na I
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-569 I
Email: buildinginspections@cityofeagan.corn FEB 2 4 2020I
Plans:_Electronic _Paper I
Plan Submittal:eolans(a7cityofeagan.com J
2020 COMMERCIAL POI, ►v4 IT APPLICATION
❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,
submitted via email,CD or flash drive (�Alt Date: Z'4/ lt) Site Address: LI 7-1-1-1 ,N b .k,nCAlt ici e.„ kc
Tenant:C{/ .% "} t3 Suite#:
1 Property ^2.- 1--CI'O t;,,)i'�, I
Owner me 1 yV Iy 4� �' _VcPhone. t Ys�
A-c, I RA.LiAkba,*lye-
Name: tt ,^, t �l r, 4_, {tel License#:
pc Lcieme, 6
Contractor l Q.�� W. I at.�(Q.. 4° y ' st L& PV o� f 11{v p:S'Lith
Address: Cit State Zi
Phone-2; ZO 12,c Email: 1Ac S(' er, afi..1010tru c. t,YYt
New Construct on Addition Modify Space " T
Replacement Repair Rebuild Work in Right-Of-Way
•
Description of work: . U`1. 4 1 . l i +! Abia-A ► _f_ . ..,' . tk
Type of Work Irrigation System(_yes/_no)(_RPZ/__PVB) S� ,
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
i
Meter Required-Call Utilities at(651)675-5200 to verity tests passed prior to picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices? Yes No Flushometers_Yes No
COMMERCIAL FEES
Contract Value$. 1..)°C) x.015 "1r
-
$60.00 Permit Fee Minimum
$60.00 PVB/RPZ Permit(includes State Surcharge) $ °� ,.1110 Permit Fee
$ 1°y9.) Surcharge
Surcharge=Contract Value x$0.0005 ii
If the project valuation is over$1 million,please call City for Surcharge $ 1io TOTAL FEE
The following fees may apply when installing a new lawn irrigation system or $ Water Permit
connecting a new water service.
$ Treatment Plant
Contact the City's Engineering Department,(651)675-5646,for required fee amounts.
$ Meter Fee
$ Radio Read
$ State Surcharge
=$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.c ityofeaga n.comts u bscri be.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I
understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved
plan in thecaseofwork which requires a review and approval of plans.
At41s �l. 1r x f
`
Applicant's Printed Name . ..licant's Signatu -
Page 1 of 4
FOR OFFICE USE
Approved By: DateiZCt(
(Jif
Required Inspections: Under Ground Rough-In _Air Test Gas Test Final PRV Required: Yes—No
Meter Related Items: Meter Size Radio Read Manometer Staff:
Page 2 of 4
R , 1
For Office Use ,
Permit#: 160/-7 J
i. Permit Fee: (p
E AGA N
•� REC El . . . Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 MAR 0 4 2020 I P. I ent Recvd: Yes No
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
!Oen-. Electronic_ Paper
buildinginspections@citvofeaoan.com L_
2020 FIRE SUPPRESSION SYSTEMS PERMITfAPPLICATION
Date: 314 -I Site Address: ( 1Lvvvv j C �,..tr bZ% e_. (.,
Tenant: C_Ai S Suite#:
0 Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components
,.,,,,,, ,,.,,,,,,,4,,..;,.
�� q
t
Name: Phone:
# s
ar !;
Prop .N ,nkr Address/City/Zip:
:.• Applicant is: Owner Contractor
Description of work: Y'c ci ii,k.- ttV3 -Ip c3._ Vl c�t�WIL ,C,t
;Type of WQr ,. 1
Construction Cost: Estimated Completion Date: J`Z o)7-U
Name: t: , y--� -g'- C i lot/\ License#: C__C (i
, Address:,- 3-7-.) ��,(i`-P.( �� !•-cJ City: L. _'___ I,� _ �. `__
y } State: NZip: 6�_ )1 1,1 Phone: (D S,. • L l-d Y")L4
', Contact: AtA. o'r Email: B €!)e-f5 P,,e_i.(.D t^^
FIRE PERMIT TYPE WORK TYPE
Sprinkler System(#of heads _New —Addition
Fire Pump ''tandpipe _Alterations Y Remodel
,, -Other:
Other:
fESCRIPTION OF WORK: NA, Commercial _Residential _Educational
• FEES /�ax'
$60.00 Permit Fee Minimum Contract Value$ x.01
Surcharge=Contract Value x$0.0005 =$ (PO Permit Fee
If the project valuation is over$1 million,please call for Surcharge =$ / C) , Surcharge
6
$100.00 Residential New(includes State Surcharge) =$ 0 - -----U TOTAL FEE
3/4"Fire Meter-$290.00 =$ Fire Meter
Radio Read(required with Fire Meters)-$200 =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.cityofeagan.com/subscribe.
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurat-;that the work will be in conformance with the ordinances
and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a pe .•',b,t only an application for a permit,and work is not to start
without a permit;that the wo will be in accordance with the approved plan in the case of work which re. ' -s a r iew andpproval of ns.
x 10.
�ib1 x 4.A
Appli an s Printed Name Applicant's�igna ure U
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough an
Trip Pump Test Central Station
Final
}
Conditions of Issuance:
Permit Reviewed by: , Date: l 0
1
For Office Use /� [�
Pennit#: / 6 0 6 g'r::?‘„/"►
E PG A N Permit Fee: l '3 '�L Staff:
MAR0aaaaaaaaaamrasa aa�
3830 PILOT KNOB ROAD EAGAN,MN 55122-1810 '� 20z® Payment R d: Yes No
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 ilii/
,
Email:buildinginsections[dtcityofeaaan.com I Plans:
t Electronic Paper
Plan Submittal:eplans@cityofeagan.com L___ A \\Q
CA ��
\b
2020 COMMERCIAL MECHANICAL PERMIT APPLICATION zs
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: 3/5/2020 Site Address: 4241 Jonny Cake Ridge Road
Tenant:CVS Suite#:
Name: CVS Phone:
Owner
Address City/zip: 1 CVS Drive Woonsocket, RI 02895
Name: JJJC, LLC. License#: MB 006116
Contrat�x
Address: 7964 Brooklyn Blvd#162 city_ Brooklyn Park
State: MN zip:55445 Phone: 612-483-0902
Contact:Tom Green Email: JJJCLLC@Gmail.com
_New _Replacement _Additional ✓ Alteration Demolition
Type of Work Description of work: /N 5T]l LC a Tin CO;I c C cJ n i o A d r FFv See
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 screed inettaide.
COMMERCIAL
—New Construction ✓ Interior Improvement
permit Type _Install Piping _Processed
Gas Exterior HVAC Unit
Under/Above ground Tank (_Install/ Remove)
COMMERCIAL FEES 9,900.00
$60.00 Permit Fee Minimum Contract Value$ x.015
$75.00 Underground tank removal,includes State Surcharge =$ 148.50 Permit Fee
Surcharge=Contract Value x$0.0005 =$ 4.95 Surcharge
If the project valuation is over$1 million,please call for Surcharge =$ 153.45 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.
x Peter Kraemer x /4P AP/e/A-°—
Applicant's Printed Name Applicant's ature
FOR OFFICE USE
Required moons: „ Reviewed By: ,,.,,.,tate:r'
Underground ,,,,; Rough In Air Test bets Service Test In-floor Heat Final -,HVAC Screening
BACKFLOW PREVENTER TEST REPORT
HARRIS
909 Montreal Circle
St, Paul, Minnesota 55102
��^j �� 651.602.6806
Address
�y ( Ity9
Zipr--
-
Owner
.,Date
Telephone No. „
-_p
C
Make and Model of Device ,b.? t _
Size
Serial No. 5 j
€
Locallan of
Device
...-
Cheek Valve
gi
Check Valve
q2
Pressure Differential
Across 41
Pressure Differential
when Relief Opens
Strainer
Leaked
Leaked
P.S.1,
None
Test Before
Repair
Close
1
Closed
�
P.S.I.
cleaned
Describe
�i c1�
{�C° Y` "�'
§"
3 ... �'! V tk2.-. , . b'i.. L-ti.,t.. z E -
Repair
Leaked
=LeakedP.S.I.Flnat
Toat
Closed
}
Cleaned
I
Cleaned
Cleaned FL
Q
Qommenls/Matodela Used:
Replaced:
lik7
Replaced:
Replaced: Lia`,?
,yp"J�",
L
Disc
Disc
DISC:
Spring7
rrrFrzl
���-7IIIr
Spring
Upper ��—�
Guide
Guide
t�l.
`EQ1Q1
Lower ;
Pin Retainer
tom.
`I-1�
Pin Retainer
Spring
Hinge Rotainor
Hinge Retainer
Diaphragm:
Seat
Seat
r�.
i,a� y
�®
Large:
.R
Diaphragm
Diaphragm
Upper
w
a
Lower
r—L
`�
Small
Seat:. EOA
Upper
Ea
Lower EMA
Spacer:
Lower
Final Teat
Closed Tight
ET=61
Closed Tight
Opened at. -L be
Reduced Pressure
The above report Is certified to be true, Certification Number fiF67161' Date-� "- 2 L
Initial Test By Nick t71ib6f Representing Harris
Repaired By Representing
Final Test By Representing
While - City Yellow - customer
Pink -File