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3355 Mike Collins Dr For Office Use City of Eap i Permit I 3830 Pilot Knob Road j Permit Fee: - Eagan MN 55122 Phone: (651) 675-5675 Date ReceiveMAR 2 6 2009 Fax: (651) 675-5694 I ~ Staff: I I 2009 COMMERCIAL PLU BING PERMIT APPLICATION Date: - A Site Address: &AA5 -1l Tenant: Vl) n/) Suite PROPERTY Name: 71 JnC) 5 Phone: lD6 OWNER CONTRACTOR Name: L License ~l(J3~~/ " I Address: - City: State: Zip: ~S Phone: - Contact Person: Fpl) A TYPE OF New Replacem nt Repair \ Rebuil Modify WORK Work in R.O.W. - pac - Description of work: PERMIT TYPE COMMERCIAL New Construction Modify Space Irrigation System yes no) RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking uo 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% Permit Fee Required on ALL new buildings and boulevard irrigation systems _ $ 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). ✓ l/ 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 $ D 1 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 ermit; that the work will be in accordance with the approved plan in t e of work whic requ es 'a review and approval of plans. x x Applic nYs Printed Name Applicant-Signature FOR OFFICE USE Approved By: Date: Required Inspections: _____linder Ground Rough-ln Air Test Gas Test Final PRV Required: _ Yes No Page 1 of 3 Use BLUE or BLACK Ink For Office Use-------- GIe3 City of Eajan MAY 18 2010 I Permit I ~ Permit Fee: T V I ' 3830 Pilot Knob Road C A Jet ✓acf' Eagan MN 55122 " Date Received: j Phone: (651) 675-5675 Fax: (651) 676-5694 U t i staff: 2010 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: Site dress: r yt i 1, L o 41 . S Tenant: Suite PROPERTY. OWNER Name; Phone: Address ! City / Zip: Applicant is: Owner Contractor -Qa 2, TYPE OF WORK Description of work: V`_ A Construction Cost: Estima ed Completion Date: s^~- ~U CONTRACTOR Name: l I=,f~, e ~rr~t2~+tl~ License Address: ,~)qs r n~ C City: F State: Zip: Phone: wall . Si - IgKC) Contact: Email: FIRE PERMIT TYPE WORK TYPE Sprinkler System of heads _ New -Addition Fire Pump Standpipe Alterations _ Remodel - Other: Other: DESCRIPTION OF WORK: 4L Commercial _ Residential _Educational FEES $50.50 Minimum (includes State Surcharge) OR Contract Value $ X1% Permit fee -.If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge), $ • Sy TOTAL FEE 3/4" Displacement Fire Meter - $203.00 . $ Fire Meter $ TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used 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 permit; that the work will be i c rdance with the approved plan in the case of work which requires a review and approval of plans. bloUka- Applicant's Printed Name Applicant's Signature Cclli,11~ 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.aooherstateonecall.or-g ill FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station - Final Conditions of issuance: Permit Reviewed by: Date: / / r . .. . . ..? . : :,E,, ?S.-.py'C; . _?!C'-? :. . : ,4 _ . . _??y,.? l.,r.....F:. .•inr; 2:, w , . . . , . . . . _ . CITY OF EAG AN .3 ' ??s?' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i, PHONE:454-81 00 BUILDING PERMIT Receipt # To be used for ADDjTYQN Est. value S10'0W Date JAN g , t9 gi ? 3355 MI1CE COLLINS DR SIt2 I?fPSj ll"ILI CEn t ?? ? B /S L S QFFICE U SE ONLY ? ? o lock ec ub. ••••+ P•m g4 P8fC21 N0. Occupancy - FEES amI1i0 lS PIZZA zoning rl--w 117.00 W Name (Actual) ConSt - Bldg. Permit ? ? AddreSS (Ailowable) -* Sur h r 5.00 City DUDWIIWWII PhOne # ot S?ones -37, ge c a 76' 00 plan Review g ?C J RYAI? (?!S'fR1fC7IQN Name L?h oeom -33+ sAC, eay I I ? Address S.F. To1al -?p c c I ? Clt}/ RICHFIELD PhOn@ S.F. Footprints - saC, M w C I Water Conn I On Sile Sewage _ i V Name On Site Well - Water Meter 'I y j W ?; AddresS MwCC System - ?, i W Clty Phone City Water _ Acct. Deposit SMI Permit ? PRV Required _ I hereby acknowlege that I have read this application and state that the ??r PumP - S/W Surcharge ; inlwmation is correcl and agree to comply wilh all applicable State of ? Minnesota Statutes and City of Eagan Ordinances. Treatment PI a Signature of Permitee APPROVALS Road Unit 3 R J RYAN CON8TfttACTiOtf Plan,,er ; A Building Permit is issued to: - Park Ded. on the express condition that all work shall be done in accordance with all Ca,ncil -_ ? applicable State oi Minnesota Statutes and City of Eagan Ordinances. gldy, p?. _ Copies Building Official Variance TOTAL 4 permit Np. PermR Holder Date Telephone #? WATER SEVYER PLUM8ING H.VA.C. ELECTRIC InspecHon Date Inap. Comments Footings I Foundation Framirg P-fiN Rou9h PIb9. Ra+9h FN. Isul. Freplace Fnal Htg. Final Plbg. Const Meter Pibg. Inspector - Natify Plumber Ergr./Plan Bldg. Final 4& Deck Ftg. Oedc Rnal w6u Pr.'Disp. ?'!S ? .. .. . .. ... _ ".7{_. -r. . ? . ea n/'..T!F `wF"'?i, . ?.'l?+p-c.lYMM?r? ?'.?s.r?7f? ?"'??ti?i "T'A?' l, +r ? ' CITY OF EAGAN NQ 18547 3830 Pflot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 PHONE: 454-8100 • BUILDING PJ?I?J Receipt # MENT To be used for STObtAGE $UI I.nING Esf. Value ;1 S,000 Date NOV 15 19 90 Site Address 3355 liIKE COLLINS DR 4 EACAf+tDALE CENTE OFFICE USE ONLY Lot • 13lock Sec/Sub . Rarcel No. ??n? Ti FEE S DOMINO' 3 PIZ7A Zoning 162.00 a Name (Actual) Const Bldg. Permit ? Addfe3S MIKF (AJbWab1e) h S 7.50 ? urc arge Clty PhOn@ # ot Stories ? Ptan Review 105.00 & .f RYlW CON15TRU9C''IOti Length ? Name oaPm snc cicy ? A , O Address S.F. Total - U I IEI 866 4632 a "Z snc, Mcwcc ? - . City Phone S.F. Foolprints - water Conn ?¢ !lIrTNES4TA S'IORE EQUIPMElIT OnSite Sewage _ ? W Name On Site Well - yVater Meter ?z Addl'@SS MWCCSystem - <W Clty HOPKINS PhOne City Water - Aw. Deposit it S/N P PRV Required _ erm I hereby acknowlege that I have read this application and state that the Baoster Pump - 5NV Surcharge information is correct and agree to comply with all applicable State ol Minnesota StaWtes and City of Eagan Ordinances. Treatment PI Signature of Permitee ' APPROVALS Road Unit A Building Permft is issued to: R.I RYAN COIISTSLfCTLON planner - Park Ded. on the express condition that all work shall be done in accordance with all Cou^cil - applicable State of Minnesota Statutes and City of Eagan Ordinances. gklj, pry. _ Copies 274 50 . Building Official 's Variance - TOTAL . 1 permit No. Permk Holder Date Tebphone # WATER SEWER PLUMBING $&I 7 H.V.A.C. ELECTRIC ov Inspcction Date In . Comments Foo6ngs 1 -'1-71Q/ Foundation Framirg Roofing Rough Plbg. Flougn ?ng. - O rs ls,i. Faeplace Final Htg. i Final Plbg. r Cons[. Meter Plbg. spector - Notify Plumber Ergr.lPlan Bldg. Final Dedc Flg. De4 Final weii Pr. Disp. r16aimo1nu r&nmI I FOr C CITY OF EAGAN PERMIT # _ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # I;F;(D. f`;T )' PHONE 454B100 DATE: . Site Lot. ? Add c City ? ._., ? Add ? cfty COMM./IND. FEE - 196 OF CONTRAC7 FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADO $.50 S/C PER EACH $1,000 OF PERMIT FEE) BLDG. TYPE WORK Res. New _ Mult. Add-0n Comm, Repair. Other .1. y .- ... Onty RES. PLBG. ONLY - COMPLETE THE FOLLOWING=. NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 IGtchen Sink - $3.00 UrinaUBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping OuUets - $1.50 (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. -$1Q.00 Rough Openings - $1.50 PERMIT FEE: " o • ?* ? STATES S/C: 15-0 GRAND TOTAL: Z- . f Z) BUILDING ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # I3li i 14t4 Est. Value $475?000 Date ??'ti Site Address - ' "f .- COLL.ItiS bR Lot 'Block Sec/Sub. E??? CNTR Parcel No. W Name o Address Narne _ Address City _ Name - Address I hereby acknowlege that I have read this application and state that the Information is correct and agree to comply with all applicable State of Minnesota Statutes antl City of Eagan Ordinances. Signature of Permitee ? A Building Perrnit is issued ta '?`•' ??CT ?"`° on the express condition that all work shall tie done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Building Official 19 OFFICE USE ONLY Occupancy 4?" ? FEES Zoning 1 " 1 {p,ctuaq Const ? I-? SpR Bldg. Permit 'L • `%) (Allowable) V' 1 HK I +l187Z Surcharge # of Stories Length 1 OV l Plan Review 976.00 Dep„, ia, SAC. City i. zoa. :;o S.F.Total i'8i390 1LQQQ S.F. Footprints On Site Sewage _ Water Conn On Site Well Water Meter MWCC Sys4em ? City Water _ qcct. Deposit PRV Required _ SAC, MCWCC"'' 9?'? 6 S,W Permit • '?? Booster Pump - S.W Surcharge ? • , % Treatment PI ? ? U • ' ` ' APPROVALS Road Unit , "L 7 • ` Planner - cil C park Ded. S 7 ` ' 5 _ oun Bk1g.Ofi. _ Copies - t Variance %- TOTAL "?` ? ? ' ?•' ` . . 'I?. 1 ???•? ' Permit No. Permit Holder Dete Telephone # WAVR SEWER ? PLUMBING r H.V.A.C. II C?L" E(/C- 1-xJ1 ezw ? / ELECTRIC ? ?f?? ? '.t? . ? ? r??.^_?• ? ? o ! ? ?L ' ? Inspectlon Dete Insp. Comments Footings I ? 7lP? Foundation Framing ? Roofing Rough Plbg. ? Rough Htg. ? Isul. Fireplace Final Hig. Final Plbg. - ? Const. Meter Plbg. Inspector - Notily Plumber Engr.IPlan Bldg. Final Deck Ftg. Deck Final weli Pr.Disp. ns'?8g. c tt i,.?• ?....j.,._. „ ? ?1?`s"`'.'r.?_ _7? Src G;U f ? . .. . . . . . . - . . . .. , . . . . . r . . .. . ?=?,. L-. . . . .;,., PERMIT # PLUMBING PERMiT RECEIPT # CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: ? ?Site ? Name ' ?6 Address ?'' ?' - !?/ // ,r'• (' c Ciry Phone , Name ~ '?-- - G-61Lr I ? 3 Addre5s p City Phone COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ,/ _..,? -.4r OF FOR: CITY OF EAGAN BLDG. TYPE WORK [ Res. New _ Mult. Add-on Comm. Repair . Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES TOTAL Water Closet - $3 00 ? Bath Tubs - $100 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinalJBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1 50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 we11 - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: `?!'?'?i 4,' ?, . , PERMIT # . MECHANICAL PERMIT RECEIPT # . ' CITY OF EAGAN 3830 PILOT KNOB R OAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Address - N, kC-`- ``? BLDG. TYPE WORK DESCRIPTION Lot Block . SeclSuP, ; ` ? R N ? Name ` es. ew M ft Add ?o Address -on u i R C omm. epa r c City Phone Oth er Name FEES c Address fK r o 1 c_`_ i=?,t- RES. HVAC 0-100 M BTU -$24.00 p Ciry Phone ADDITIONAL 50 M BTU - 6.00 ADO-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Ver?t. G CFM BEYOND $1,000.00) as Piping Outlets # Other C FEE: i S `-'•?r,? 4XQ wq" SIGNATURE OF PERMITTEE ? OAYToN 3 Kw u,a&t Nci+1? ? A+y ?? ?F-cw Wft' He:Hrz ? S/C: z _ r e ; ti H A 4 Wc ' TOTAL: : V,y. «ro 0, ' 47 i1KCo porC S ro"' ,i?? .,•. ?(?1 4; ; + +?•'. FOR: CITY OF EAGAN )) d 7nn. tZIu LJs %J ?'oGo2 ?dy ? ? ?-Z4$? ? y-???11?f ?,?-?-`?.? ?=?` ' C? CITY OF EAGAN Remarks Addition Eagandale Ind. Pk. #?u Lot 22 Bik 4 Parcel 10 22503 220 04 Owner A ???ez, v 11) ' ' , Street State Improvement Date Amoum Annual Years Payment Receipt Date STREETSURF. ? STREET RESTOR. GRADING ? 1 SAN SEW TRUNK ? 1970 140.56 5-62 2q *SEWER LATERAL 1972 WATERMAIN *WATER LATERAL 1972 -_(- WRTER RREA 1972 15 * STORM SEW TFiK 1972 3058.00 1 * STORM SEW LAT 1972 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition Eagandale Ind. Pk. #4 Lot 23 Blk 4 Parcel 10 22503 230 04 Owner I'jC,6 Y I?+ -, I L t ,: 1/ Street State Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. 1 STREET RESTOR. GRADING ? SAN SEW TRUNK 1970 1 *SEWER LATERAL 1972 WATERMAIN *WATER LATERAI. 1972 # 1NATER AREA 1972 # STORM SEW TRK 13q 1972 ? STORM SEW LAT 1972 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition _ Eagandale Ind. Pk #L. Lot 24 e,k 4 Parcel 10 22503 240 04 Owner ALIfL h+,.I,`, Street State Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. 1 STREET RESTOR. GRADING 1 SAN 5EW TRUNK 1 ,f. SEWER IATERAL 1972 WATERMAIN *WATER LATERAL 1972 # WATER AREA 1972 * STORM SEW TRK 1972 3060,00 -00 1 * STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SITE ADDRESS _ LoT aLocK ADDRESS: CITY, STAI PFiONE: - PLUMB9R: ADDRESS: CITY, aTAI PHONE: _ OFFICE USE ONLY PERMIT DATE WATER PERMIT #_.- SEWER PERMIT # METER # B.P. RECEIPT #" 1:? 2 READER # B.P. RECEIPT DATE METER SIZE ISSUE DATE - PRV - BOOSTER PUMP j? PERMIT REQUESTED ?E ' ' .- SEWER ? WATER ? TAPS ? COMM/IND - RESIDENTIAL ZIP '. / ? NEW - EXISTING , I AGREE TO COMPLY WITH CITY OF ZIP EAGAN ORDINANCES: OWNER: -?' , ?._ .'. - _ • ? . ? ADDRESS: - ' ' - - CITY, STATE ZIP PHONE: .L " SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Nl I oVC2, C o, SEWER & WATER PERMIT CITY OF EqGAN 3830 Pilot Knob Rct ` WATER PERI P.O. BOX 21199 METER # 4 Eagan, MN 55121 ' a?R # G METER SIZE ISSUE DATE SITE AQDRESS ? ? LOT `=BLOCK '` SEC/SUB -•. ' . . _?-/..'frJ , ?1? ?? APPUCANT: AODRESS: CITIf, S?ATE ZIP PHONE: 3 PLUMB?R: ? ADDRESS: CITY, STATE ZIP PHONE: OWNER: _ ADDRESS: _ CITY, STATE PHONE: - PLEASE ALLOW TWC ENGINEERING DEPT. SEWER PERMIT # B.P. RECEIPT # - 165, B.P. RECEIPT DATE 4/''.4/ t>" - PRV - BOOSTER PUMP PERMIT REQUESTED 1 < < • ` ? SEWER ,_, WATER ? TAPS _ COMM/IND ? NEW RESIDENTIAL - EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: •,J?-c.r_ i?1'.fK'; .." _ ' .`5 ??..?? ld.ch' ?4-c,' . 77?TU E N AA E SSUE ?RKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT OFFlCE USE ONLY PERMIT T DATE r / 21 _5 j 9 n' CITY OF EAGAN Remarks Addition Eaganaale Ind. Pk. #4 Lot 21 Bik 4 Parcel 10 22503 210 04 Owner 1 ', ?- Street State Improvement Date Amount Annual Years Payment Receipt Date STftEET SUFiF. 1 STREET RESTOR. GRADING 1973 bh.oo i SAN SEW TRUNK ?a * SEWER LATERAL - 1972 WATERMAIN * WATER LATERAL 1972 15 # WATER AREA # STORM SEW TRK 1972 5046.00 336,ho 1 ,t STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. SUILDING PER. SAC PARK CITY OF EAGAN NO 18547 • -• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT ReceiP t# EQUIPMENT To be used lor Est. Value $15, 000 Date NOV 1 5 ,?gSQ_ Sife Address 3355 MIKE COLLINS DR EAGANDALE CENTEK Lat Z?Block 4 SeGSub OFPICE USE ONLY . Parcel INDUSTRIAL PARK pccupancy B-2 FEES I-1 Zaning w Name DOMINO'S PIZZA (nauapconsi ?N BIdq.Permit 162.00 j Address 3355 MIKE COLLINS DR (anowable) V-N 7.50 r s h ° CjtEAGAN PhOne y kotSmnes 1 ge uro a ZW 0 Plan Reviaw 109.0 Length o Name R J RYAN CONSTRUCTION oepth 14_' snc, cay $a AddresS 6511 CEDAR AVE S S.F.TOtal 392 SnC n+?CWCC 392 , ? City RICHFIELD Phone 866-4632 S.F.Footprinls Water Conn On Site Sewaga _ ?W Name MINNESOTA STORE EOUIPMENT OnSiteWell _ WaterMelar _? Address 11301 W 47TH ST MWCCSystem _ a W City HOPKINS Phone Ciry water _ Acct. Deposit S/W Permil PRV Require0 _ I hereby acknowlege Ihat I have read this application and state ihat the Booscer Pump - S/yd Surcharge iniormation is correct and agree to comply with all applicable State of MinnaSOla Statutes and City Ea rdinanc . ga n O Treatmenl PI ) ' f . Signature ol P? dd r'l 1,rw J APPpOVALS Roatl Unit ?. A euildinq Parmit is issued to: R 3-RYAN CONSTRUCTION Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minn atutes andC ity ol Eagan Ordinances. esota St Bldg. Otf. - COP1eS ? ? Q i/i l(x(A (?.0!!?f ?/ llyl? 8uilding Ofticial Variance _ TOTAL 274.50 PEMcERMoia rAaiINM xoM ? ° CITY OF EAGAN Np, ? 864? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 V ? PHONE: 454-8100 'n BUILDING PERMIT Receipt # To 6e used br ADDITION Est Value $10, 000 Date JAN 9 , 7941- Site Address 3355 MIKE COLLINS DR Lot 22-2 4 Block 4 SeGSub. EAGANDALE CENTER OFFICE USE ONLY i D A Parcel No occupancy B-Z FEES . 2oning - w Name DOMINO' S PIZZA (ACluel) Const IL-N n Bldg. Peimit 117.0 ? Address (AUowaele) - p 5-0 S har e ° ?^,jtSLOOMINGTON phone $$8-$125 Y xof Stories 1 urc g 76 32' .0 PlanReview n Lenglh o Name R.7 RYAN CONSTRIiCTION Deptn I.5.1 snc, ciry ?a Address 65ll CEDAR AVE S.F,TOIaI ? c 490 snC.MCw C ? City RICHF7EtD Phone 866-4632 S.F.FOOtprints Water Conn . On Site Sewage _ Name on sae weii - Water Meter ? W 3 3 Addf85S MWCC System o gw City Phone atywater - Acct. Deposit SIN Permit PRV Required _ I hereby acknowlege that I have read this applicalion and state ihat the Boasler Pump - S/W Surcharga information is correct and agree lo comply with all applicable State of Minnesota StaWtes and City of E gan Ordinance 7reatment PI Signalure of Permil?a -+?-' [ ?M ? APPpOVALs Road Unil R J RYAN CONSTROCTION A 8uilding Permit is issued to: __ Planner - parkDed. on the express Condition ihal all work shall be done in accordance with all Council -. applicable Stale o( Minnesota StaNtes and City of Eagan Ortlinances. Bldg. OfL _ Copies yy, ? Building Oflicial A ? ? ? "?` VarianCe - TOTAL 198•0 ? ' JO'AIMOS. ?NAT' L COMMISSARY CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT OFFICE & Tobeusedfor i7TSTRTRit Est.Value $475,000 Receipt # N4 16351, + I t_f CF I 24 , i9 89 Site Address 3355 MIKE COLLINS DR Lot ZZ•23•Z4llock 4 Sec/Sub. E (?:5?p-D LE R Parcel No. "'° "' w Name DOMINO'S NATIONAL COMMISSARY o Address 314 W 86TH ST City BLOOMINGTON Phone 888-8125 o Name R d RYAN CONSTRUCTION ?¢ Address 6511 CEDAR AVE S ? City MTNN .APOi.7S phone 866-4637 ww Name LAMPERT ARCHITECTS ?,z Address 430 FIRST AVE N aW City MINNEAPOLIS Phone 340-n5o4 I hereby acknowlege that I have-re? hi ion and state that ihe iniormation is correct and agree to c r?ipl with II applicable Sta[e of Minnesota StaNtes antl City?of Eag Ordi n SignaWre of Permitee ??- A Building Permit is issued ro: R J RYAN CONSTRUCTION on the ezpress condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry ol Eagan Ordinances. Builtling Official OFFICE USE ONLY Occupancy B-Z FEES Zoning I-1 (Actuaq Const I I-N SPR Bldg. Permit 1,952.00 (nllawwle) V- 1 HR Surcharge 237.50 # of Stories 1+MEZZ Length 100' Plan Review 976.00 Depih 160' SAQ Cily 1,200.00 s.F.ro.i 18?390 snc,MCwcc6,900.00 S.F. Footprinls 16}Q?0 On Site Sewage _ Water Conn On Site Well Water Meter MWCCSyslem ? City Waler XX Accl. DePosi PRVRequired _ SOWPermit 20.00 Booster Pump - S/VJ Surcharge 1. DO Treatment PI 2., 7 3 F- nn APPROVALS Road Unit 2,407.00 Planner - park Ded. 2,572.50 COUncil - BIdg.01f. _ Copies - 19 o 2 o0 o Variance - TOTAL . , T „s d4.H= oid 18 months from E 7483 ' 90 Requ¢st Uate Rre No. f ugh-In Inspenion eQUrted? E]Reatly Nuw?Wi11 Notify InsDec- ?y ?o'.,PS tor When ReatlY Y?'d Klicensed Electrical ConVactor 1 hereby request inspaction of abova ? Owner elecVicel work installed et Street AtlAress, BoK or floute No. CiiY 3 355 lhj,r?r eocc".vs 1>P E? I A,1 ecuon o. Township Name or No. Hange No. County aDR K6 T4 Occupant IPNINTI Phone No. '0 Q/y'f/.t/e Power Supplier Adtlress ? OO - .9.vTO ST ?(1• 10i7K orA E[G? C=e? , fAie.sz.?v? ro.v ?1.v. 550?5? Electrical Con[ractor (Company Name) Conner. or's I.icense No. E.Ql.t/A le-L EC'. /lelG p-/OPO ;/ - A Mailin0 Address (Contractor or Owner MakinBlnslailation) ??? J!7 ?7 ?G?10 TjPAlC. D !: CCVf+x Authonzed 5' ature IContr tor?Owner Makiny Installationl Phone. Number 1178- ?B'z d' MINNESOTA STATE BOAND OF ELECTNICITY THIS INSPECTION REQU[5T WILL NOT Griggs•Midway Bldg. - Noom N-181 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. Sl. Paul. MN 66104 UNLESS PNOPEH INSPECTION FEE IS Phone(612) fi42-0800 ENCLOSED. ?P /c:/p?q REQUEST FOR ELECTRICAL INSPECTION y es-ooooi-os / o/ , See ins}ructions lor comoleting this brm on baek of Vellow wpy. ??- 74_83, ' 'X ' Below Work Covered by 7his Request awf Arld' aeo. rvoe oi euiiaine noolinncea wiree eauiunie„i wi.ea Home Range Temporary Service Duplex Water Heater Lic7htiny Fixtures Apt. Building Dryer Electric HeaUn Commercial Bldy. Fumace Silo Unloader InAustrial Bldg. Air ConAitioner Bulk Milk Tank Farm en, veu y tl,e, ISnec,fv7 T nr uccify Othe, Oth(;r ompute /nspection Fee Below p Fee Servica EntrenceSixe n Fee Feeders/Svbfeeders C Fe.e Gircwts U to 200 qm s 0 to 30 Am s 0 tn 30 Am s ,pp Above 200 py, 37 to 700 Amps 31 to 100 A mps Swimming Pool Above 100 44?c?mps Above 100 s TransPormers Irrigation Booms Partial.? S i gns Spec ia l I nspect i on $ TOT Rertrks a /9o ?p y r- flough-in tpe Elecbicel ? Inspectoq hereby 'ly that the above Final ?? r'1 n pection hes been 1Z ? ? S• lIIBdB. Thia renueat vola 18 monihn imm p 24834 Request Date ' IFIr o. 7-18-91 ugh-in Inspection equiretl? u Reatly N. ' Will Noity Inspeclor = Yes ; No When Reatly9 IX licensed coniractor ] owner hereby request inspection of above electrical work at: Job Ftlaress (Slreel. Box or PoNe Na.t Ciry 3355 MIKE COLLINS DRIVE EAGAN Seqion No. TownsM1ip Name or No. Ranqe No. Counry DAKOTA Occupant (PRMT? Phone No. DOMINO'S WAREHOUSE Power Suppliei Atldress DAKOTA 4300 - 220th St. W. Elecvical Convacbr (COmpany Name, Com2ctor5license No. MUSKA ELECTRIC COMPANY 039902-5 Nailing AOCress cOmractor or Owner Makinq InslallaLOm / 1985 OAKCREST AVENUE, ROSEVI LLE, MN 55113 Aufionzed Sigmwre cOnh clo?wner Making Instaualion) Pbone NumOer 636-5820 MINNESOTA STATE BOARI? OF EgCTqICRY THIS INSPEGTION REQUEST WLLL NOT Griggs.MiCway Bldq. - Poom 5-173 ' BE ACCEPTED BY THE STATE BOnRO 1821 University Ave.. SL Paul, MN 551p0 UNLESS PROPER MSPECTION FEE IS Phone(612) 643-0800 ENCLOSED . 7/ns/?? REQUEST FOR ELECTRICAL INSPECTION %? '?, See 11151NC!ions 101 mmpleting Ihis form on back ol yellow copy. 124814 "X" Below Work Covered by This Request vT_v- ???? Lf 0 3 ?O EB C I TY ew Add Rep Type of Building AppliancesWired EquipmeniWiretl Home Range Temporery Service Duplea Water Heater Elec[ric Heating Apt Building Dryer Other (Specify) X Comm /Industrial Fumace Farm Air Conditioner °i"e"speB'Y, C°^'ra"0f5Re^'a'"s WIRE OWNER FURNISHED AMMONIA Compute Inspection Fee Below: DETECTION SENSORS. FURNISH & INSTALL ALARM ir Other Fee # ervice ntrance ae ee # Circurts eetlers Fee Swimming Pool 0 to 200 Amps ? 0 ta 100 Amps Transtormers A6ove 200 _ Amps Above 100 _ Amps Signs mspector's Use Only. TOTAL trri9ation sooms ? 15.50 Special Inspection (?? Alarm/COmmunication THIS INSTALLATION MAV BE OR ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTFiS. I, the Electrical Inspector, hereby Rough-in oate certify that ihe above inspection has been made. F;,,ai ate OFFICE USE ONLY - ? / Tnis requesl void iB montms Imm \Y a?0 n• iTl i?s sa-- e7Z he 46541 ,3 ?0 Request Date ' j ? ?J '? /J Fire o. ough-in Inapecfion equired? N ICE: ou Must Ceil Elecvicai Inspedor If A Fougbin Inspection / /? ?Ves XNO IsRequiretl. IN licensed contractor ? owner hereby request inspection of a6ave elearical work at: Job Atltlrew ?Sire , Brnc or Route No.) CIry , s L Sactian No. Township Name or No. Rarge No. Cou 0¢upanl (PRINT, Phone No. PawerjSUppliar Atltlress ecVical ConVactor (COmpany Name)?? ? ConVaclor5 License nNo. ? Meiling tltlress (COnha ror Own ? Makiig Installation) 19 Aulh a Sig re (COnlrac Ma ' g I ellation) ? Phone Number ly' 4INNESOTA STATE BOARO OF ELECTFICITW THIS INSPEGTION REpUEST WILL NOT Grigga-MiEwey 61dg. - Room S-113 BE ACCEPTED BV THE $TATE 60AR0 1821 llnivereity Ave., St. PaW, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(812) 6920800 ENCLOSEO. ? //S ?? REQUEST FOR ELECTRICAL INSPECTION /? ? See insimclions for completiN ?his tortn on back of yellow copy. ?M 4 6 5 41 "X" Below Work Covered by This Request EB-OQpp1jD8? ? U ? ew Adtl Rep. Typeof6oilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Speciiy) Farm Air Conditioner O[her (spealy) Cantractor§ Remarks G Compute lnspection Fee Below.' `r, ?A ,clz- , # Other Fe # ServiceE rance5ize Fee # Circuitslders Fee Swimming Pool 0 1200 o Amps 0 to 100 Amps Vanstormers Above 200 _ Amps Above 100 _ Amps Si9n5 Inspectar's Use Only: /? jp7qL IrrigationBooms „/??Q .?? Special Inspeciion ?X Alarm/Communication THIS INSTALIATION MAY BE ORD ED DISCONNECTED IF NOT Other Fee COMPLETED WlTHIN 18 MON ? I, the Electrical Inspector, hereby certify that the above inspection has 6een made. R°°9n-'" a, • Finai ? oare 014 ? OFFICElISE DNLY This request wid 18 mamhs imm V6 ? ?3?i167 Y 323 O ?? Request Dete Fr o. flough-in Inapection NOTICE: Vou Must Call ElecUical Inspector 3/7/94 Requiretl? If A Rough-In Inspection ?yes X)NOREADY N W 'SRaQ?o-ea. Ijip licensed contractor ? owner hereby request inspection of a6ove electrical work at: Job Address (Sireet, Box or floute No.) Ciry 3355 MIKE COLLINS DRIVE EAGAN Section No. Township Name or No. Range No. Counry DAKOTA Occupant (PflINI) Phorie rJO. DOMINO'S COMMISSARY Pawer Suppller Pddress QAKOTA Elacitlcal Conirocbr (COmpany Name) Contrac[orS license No. MUSKA ELECTRIC CDMPANY CA01287 Mailing Atltlress (COntractot or Owner Making Installation) 19 OAKCREST AVENUE ROSEVILLE MN 55113 Authori '(COnV o 0 Maki s Ilalion) Pnona Number , 636-5820 MINNESOTA STATE BOAFO OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT GHggs-MlEway Bitlg. - floom &173 BE ACCEPTEO BY THE STATE BOARD 1811 University Ave., St Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 31?7 / 9 REQUEST FOR ELECTRICAL INSPECTION ? See insUUCtions for completing this form on back of yallow copy M 67323 -"X" Below Work Covered by This Request wI °`no? TY ew Add Rep. Typeoi6uiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management X Comm./Indusirial Furnace Other(Speciy) Farm Air Conditioner otha,(s,eciN) cordrado,sRamarks: C1679 - POWER TO M.U.A. & P.R.V. compute Inspecrion Fee eei FROM EXISTING CKTS # Other Fee # ServiceEniranceSize Fee # Circuits/F eders Fee Swimming Pool 0 to 200 Amps 1 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ mps SigOS InsPador§ Use Only: T AL Irrigation Booms G - UO 20.50 Special Inspection J Alarm/Communication THIS INSTALLATION MAY BE OR ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspeaor, hereby Rough-in ? oale certify that the above inspection has been made. Final oace. OFFICE USE ONLY This reques[ void 18 months hom ?N? ? MN?,?.? ReQu st Date Fi o. / () ? Rouqn-in Inspection fiBquiratl'+ - ? Reedy Now JAI:WiII No?ify Inspector ? ?? (o J ?Yas ,?NO WhanReatly IX licensed contractor ? owner hereby request inspection of above elecirical work at: JoC Atltlress ?SVeeL.BOx or ROUte No.) 3 ?: ?• Cdy? ? Setlian No. Townshi0 Name ar No. Range N0. County ? Occup nt (PRINT? , I Phore 0. Powe Sup1pier Atltlress ls lecincal ConVaclorlComOany Name? ' ConVai Licanse No. , mailing Atldress ICOn[re?or or Ow ar Maxing Installation? Z A nz igeat- conVaqov r Ins a n? Phone yNu/mber ~ ??/?/ / ?YJ ? MINNESOTA STATE BOAND OF ELECTPICITY ? THIS INSPECTION REOUEST WILL NOT GtlggoMiEway Bltlg. - Poom S-173 BE ACCEPTED BY THE STATE BOAFO 1821 University Ave., St. Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(81H)6C2-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? e.ooool? ?? See insVUnions 1or compleling ihis form on back oi yellow ropy. ?µ ?? I ? , v d 3 3 9 2 5 -"X" Be/ow Work Covered by This Request '??m•• ? e Pdd Rep. TypeolBuilding AppliancesWired EquipmeniWire Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Othec (Specity) X Comm./Intlustrial Fumace Farm Air Conditioner Other apecily; Conirador§' R_e.yme?rka',? Compute lnspectian Fee Below: # Other Fee N ServiceEntrenceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformefs AboVe 200 _ AmpS Above 100 Amps ? 047 Signs inspacmr5 use Ony: O TpTAL Irrigation Booms ?a , j ? Speciallnspection - Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTMS. I, the Electrical Inspector, hereby certity that the aboye inspection has been made. Roug??in F;?ai ? oe l6 OFfICE USE ONLY This request void 1e months Irom ?/( 7 C> D l Cl-? b tl M410 • 00 7 Repuest Oale q? r LJ 7 Rauph-In InpsMion RequireC (VOU ual wll Inspeclor when reatly) Ves ?.NO Insp ction Olher n R gh-In ? qeaGy Naw Wlill NotiFj Inepecror Dete ReaC I?liCensed contractor ? owner hereby request inspection of above electrical work at: Jo0 Adtlress (Street. Box or Raule No.) 33s5- C?' l r City .? an Saction No. Township Name or No. Range No. Co Ocmpant IPRINT) Phone No. Pawer Supplier fWtlress Eiecmcal Conlrador (COmpany Name) Harrison Electric, Inc. . Conlradors Licenge Na. CA00808 Mailing Ahtlress (Conlracto, or Owner Making Installation) 2525 Nevada Avenue North , I1301 Go 9 AulhonzeC Signahre IConV ovOw i Making Instaliation) Phone Number ao- MINNE9Flfw STATE BOAPD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grlggn-MlEway BIEg. - Room 5-173 BE ACCEPTED BvTHE STATE BOARD 1821 UnlvaeHy Ave., 51. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Plwne(812) 6C2-0800 ENCLOSED. REQUEST FqR ELECTRICAL INSPECTION b ee-ooo i-oe ?5 3 9 .- ?„??_, 'I ? See instruclionsjer compl¢ting tpis form on back of yellow wpy. y` 1 a5a? ? C? 41039 "X" Below Work Covered by This Request Vii? ew Add Rep. TypeolBuiltling AppliancesWired EquipmentWired Home Fange Temporary Service Duplex water Heater Eleclric Heating 00t. Builtling Dryer Load Manegement Comm./Indusirial Furnace Other (Specify) Farm Air Conditioner (Dlher (syecity) Conttaclor's Remarks: / J Compute Inspection Fee Selow: ffl?631 tivi v, NOrlh W4 ?) k_?Pj1? # Other Fee # ServiceEntrence5ize Fee # Circuils/Feetlers Fee Swimming Pool 0 to 200 Amps 1 4 0 to 100 Amps Transformers A6ove 200 _ Amps Above IDO _ Amps SignS . Inspecmr§ Use Only: 70TAL ' Irrigation Booms GJ l Special Inspection ? (J Aiarm/Communication THIS INSTAlLAT10N E O dISCO NECTED IF NOT Other Fee COMPLETED WITHI ONT I, the Electricai Inspector, hereby th t ti h i Aou9min oace ty a t e above inspect on has cer been made. Friai oa?e OFFICE USE ONIY Thi5 requesl voltl 18 monihs trom 0?0 5 9 2 3 6 Request Da[e Fire No. Rouy -In Ins c n R uiretl Inspeclion Other Th Rougb-In 11 /29/ 94 (YOU st can inspecmr whon reatly) ? Reatly N. ny Will NoMy Inspedor ?? Ves ? No oale Ready IU licensed contractor ?owner hereby request inspection of above electrical work at: Job Address ISlreet Box or Routa. NoJ City 3355 MIKE COLLINS DRIVE EAGAN Section No. TownsM1ip Name or Na. ' Rangc No. . Coumy DAKOTA Occupan!(PRINT) Phone No. DOMINO'S Power Supplie, Atlaress DAKOTA Elearical Conhacmr (Company Name) Conlrflctors Llcense No. MUSKA ELECTRIC COMPANY CA01287 Mailing Atltlress (Gomracmr or Ouvner Making installation) 1985 AKCREST AVENUE ROSEVILLE, MN 55113 Aulhotlz 51 aNre (Conlraotor/Owne akln IallaOon) Phone Number 636-5820 G8219 Universy qtl?g.B RoP m S?NB ? OQ'C? I!ll ulu NIN N? a? I?? II? ?? ?? IIIN UN I T ESS PROPER NSPECTON FOEE R IS Phone 16121 692-0800 , ENCLOSED . REQUEST FOR ELECTRICAL INSPECTION ee-o l-os ? See instmctions for tompleting fiis form on back of yellow copy. c? Fl???o ?/ "X" Be/ow Work%Covered by This Request CITY 0.- 0.5.9 236 tr'' Ne Atld Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (5 ecify) Farm Air Contlitioner o'h°''s°e"`Y) °°""a"°`sRe"'a'ks` C3546 - INSTALL FEEDER,X-FORMER, Compute Inspection Fee Below: PANEL, & OUTLETS ALONG DOCKING DOORS. # Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps hom Transformers Above 200 Amps Above 100 _Am s Slgns Inspector's Uss onry. TOTAL Irrigation eooms ?? ? 85.50 Special Inspection D Alarm/Communication THIS INSTALLATION MAY B R SqDNNECTED IF NOT Other Fee COMPLETED WITHIN 18 , 5. e I, the Electrical Inspector, hereby cehif that [h b i ti h Rovgh-in o aie y y e a ove nspec on as been made. F'"al ate yj I OFFICE USE ONLY ?/I .?, / N This request voih 18 manlhs irom l? U?? / 0 ??° I? 62254 ? ( 2 Bequest Date - r' Fire N. h-In Inspectlon quiretl? ? Ready Now Notiy Inspecior WM1en Re C ? I a y ? Yes WNG I Pff6ensed corrtractor ? owner hereby request inspection of above etectrical work at: Job AAOresa (SYeaet, Bax w Route No.) ::? S b-s ? k c ' ? o Sectian Na. Township Nama or No. Rarge W. Coun / Occupent (PRINn Plione No. om ;?0'S C' dmMissa1, ies ?FSZ oQ`?9 PowerSUp r Atldress , {? JC k 1 KV/li i Q - -C V A Elntrac1a (COmpanY Name) Wir-4J LO A C, ConVeclpr$ Licenm No. o?O 80 ?{ Mailing Atltlress (Contr or or Owner Making InetallaHOn) Ss3S d?'I ?/ vo SL - _ oc Autlronz d awre (CorHrepw/Owirer Makiig Irelapation) re Phorre Numpr?l yr' ( k ?> NINNESOTA STA7E BOAND OF ELECTpIC THIS INSPECTION flEQUEST WILL NOT Griggs,Midwey Bltlg - Room S7]S BEACCEPiED BYTHE STATE BOARD 1821 Unfveraity Ava., SL Paul, NN 55104 l1NLE5S PROPER INSPEGTION FEE IS Plwne (611) 802-0800 ENClOSED. 1.2 ??COO 5 REQUEST FOR ELECTRICAL INSPECTION ? See inshuclions for wmpletlrg Nis twm on back of yellow wpy. "X' Below Work Covered by This Reques( ? EB-00001-07 " 948'<0 AdZ Rep. " Typeof uildiry AppliancesWired EquipmeniWred Home Range Temporary Service Duplex Water Heater Elec[ric Heating Apt. 8uilding Dryer Olher (Specify) Comm.Rndustrial Furnace Farm Air Conditioner Olher(specity) ConVeclor§ Pemarks: Compute lnspection Fee Belaw: ` # Other Fee # ServiceEntrenceSize Fee # CircuRS/Feetlers Fee Swimming Pool 0 to 200 Amps o to 700 Amps Z0 Transformers - Above 200 Amps Above 100 47 Amps z Signs Inspectw5 Use Ony: 77g7pL Irrigation Booms y,?p ? - . ? Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby tif h h Rough-in oate _ cer y t at t e above inspection has been made. Final oate oFFIce use oNLv r is reqaeat witl 18 months from 2007 COMMERCIAL PLUMBING PERMIT APPLICATION C? dwlk? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN NIN 55122 651-675-5675 Do not combine inside and outside plumbing on the same application; separate applications and permits are re uired. Da[e7 /2?0 / 0 I F` . Uuit # Site Address CV Tenant Name TM11 ' l0 ?.S 1?2A Former Tenant Name # ( ) T l h P t O e ep one roper y woer ? Contractor Address City Sta[e Zip Telephone # ( ) Liceuse # Eapires: The Applicant is _ Owner _ ConVactor _ Other Work Type New Bldg _ Modify Space _ Irrigation System** Yes No Work in public r-o-w / easement? _ RPZ _ PVB: New _ Repair/Rebuild _ Replace _ Remove Rein sensors are re uired on irri ation stems Description of Work - " To inquire ilPressure RrAucing Valve is reqwred on new service, call 651 fi75-5646 M¢t¢f6 - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tesls passed orior to oickine uo merer. Ivigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter ] 74.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Fiushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes Sfa[e Surcharge) ConVactValue $ x 1% _ $ PermitFee $ Meter(s) Required on all new buildings &, boulevud irrieation svs[ems $ Radio Meter Read $ State Surcharge If peimi[ fee is less than S1,000, surcM1arge is $.50 If pennit fee is more tM1an $1,000, surcM1erge is $.50 far each $1,000 owed. ' ' ' ' ' ' " "' ' ' ' "' _ _ ' _ ' "' ' ' ' ' " " _ ' ' ' _ ' "' _ ' ' " _ " _ _ ' _ ' ' _ ' ' _ ' ' ' _ ' _ ' ' ' ' ' ' ' ' " " _ ' "' ' "' -' "' ' ' -_ ' _ _ ' ' ' ' "' ' "' ' ' ' " " _ " -"' ' ' -_ ' -' ' ' ' ' ' "' _ ' ' ' _ ' -' " " -" _ Following fees apply when installing new lawn irriga[ion system $ Water Pertnit Cal I the City's Engineering Depattmmt, 651 b75-5646, for required fee amounis 1 1 $ Treatment Plant _ I $ Water Supply & Storage ? ? 1 ???? $ State Surcharge C4 A ?? . .. $ ... . Total Fee . . ... 1L3? t'hereby Apply for a Commercial PlumUmg Pe¢nit and acknowledge that the information is complete antl accurate; mat tne worK ww ce m contormance wrtn me ordinances a d codes of the CiN of ' gan and with Ihe Plumbing Cades; that I underspnd this is no? ermit, but only an application for a permit and work is not to srart vf7 t pqrmit; th?Ftl work ill be in accordance with the approved plan in [he case of workvfiich requires a review and approval of plans. mf !fi " A_? Appli Ys Printed Name Appli an s' aWre CITY USE ONLY REQUiRED INSPF,CTIONS: _ U.G. _ Air Tesf _ Gas Test _ Rough In _ Final PLANS SUBMI7TED APPROVED RV: , BIDLDING INSPECTOR General Information • Radio Me[er Read (required on all oew buildings. Boulevard irtigation systems may require a radio read -$153.00 • RPZ's mus[ be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the CiTy of Eagan. • A minimum fee permit per address is required for the following KPZ's: nw, rebuild, renair, remove. • Water meters include copper hom/strainer, remote wire, and touch-pad meter. METERS REOUIRING 4HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $136.00 4-120 1-1/2" irrigati0n syst $ 855.00 displacement or turbine*• public Works maximum small commercial must approve con[inuous me[er size 10 2-30 3/4" lawn irrigation $174.00 4-160 2" turbine large irrigation $ 1,063.00 maximum displacement residential sys[em & continuous or production lines 15 small commercial 3-50 1" displacement lazge residen6al $219.00 1/4 to 160 2" compound bldgs over $ 2,018.00 bldg to 24 uniu 65 units maximum small commercial & continuous & Iarge comm bldgs 25 irri ation s stems 5-1 00 1-1/2" 25-64unitbldgs $532.00 aacimum displacement & ntinuous Lco most comm bidgs 50 METERS REOUIRING 30.DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PWCE GPM METERS USE PRICF 5-350 3" turbine very large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00 system & produc[ion & very large lines comm. bldgs 1/2-320 3" compound +200 unit bldgs $2,577.00 ]0-]000 6" wmpound +400 unit bldgs $6,623.00 very large very large comm bldgs comm bldgs 15-1000 4" turbine very large $2,533.00 6" turbo $4,090.00 irrigation systems & production lines i.vu?u?c?ua • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • 'Co arzange for water tum-oq call 651-675-5200. cr Utiliq• Division Systems Analyst December 2006 ? ?? ?? ?(0 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . .. . • . . inierior p . - . Strudural Plans (2) sets . Architectural Plans (2) sets • Archftectural Plans (2) sets . Civil Plans (2) • Structurel Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (t) • Code Analysis (1) ° • Landscaping Plans (2) • Key Plan (1) . ProjectSpea (1) • CodeAnalysis (1) " • MaslerExitPlan (1) • Spec. Insp. & Testing Schedule " • Cert'fiicate af Survey (t) • Energy Calculations (1) not ahvays"• • Soils RepoA (t) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not ahvays" • Meter size must be established • Meter size musl be established • Meter size musf be established-if applicable j • ProjectSpecs (1) 4 . EnergyCalculations (1) 1 • Eledric Power & Lighting Form (1) ! • Master Exit Plan (1) 1 1 . Emergency Response Ske Plan (1) 1 • Soils Report (1) 1 . SAC detertnination - call 651802-1000 • SAC detertnination - call 651-602-1000 • SAC determination - call 651-602-1000 . Fire Slo in Submittals Call MN Dept of Health at 651-215-0700 for details regazding (ood & beverage or lodging facilities. ** Contac[ Building Inspections for sample and if required **• Permit for new buiiding or addition wilt not be pmcessed wi[hout Emergency Response Site Plan. Date Construction Cost 76262. CJD Site Address UniUSte # Tenant Name S Former Tenant Name ? ? Description of Work ? - fJ ' ? • ' Property Owner Telephone # ? Contractor Address 9 / CitY State Zip Telephone # Arch/Engr Registration # Address CitY State Zip Telephone # ( ) Licensed plumber installing new sewer/water service: Phone #: I hereby apply for a Commercial Building Permit and acknowledge that the utformation 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 petmit, but only an application for a permit, and work is not to start without a pennit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. `21? Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 14 Apartmenu ? 15 Lodging ? 25 Miscelianeous ? 26 Public Facility ? 27 CommerciaUlndushial ? 28 Greenhouse ? 29 Antennae ? 30 Accessory Building ? 32 Ext Alt-Apartments ? 34 Ext Alt-Commercial ? 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. 0 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement •Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation Type of Const Width Plan Rev 100% _ 25% _ Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Required Inspections _ Footings (new bldg) Insulation _ Footings(deck) Final/C.O. _ Footings (addition) FinaVNo C.O. _ Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing Siding Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ _ Windows Approved By: Planning Building Inspector -------------------------- Base Fee ---------- ------ Surcharge Plan Review SAC-MCES SAGCity SIW Pertnit S/W Surcharge Treatment Plant Financial Guarantee Treatment Plant (Irriga6on) Storm Sewer Trunk Park Dedication • Sewer Lateral Sewer Trunk Trail Dedication Street Water 4uality Water Lateral Water Trunk Water Supply & Storage (WAC) Other PLUMBING (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 =F= Telephone # 651-675-5675 FAX # 651-675-5674 Date .5 / 0`1 c? l 0 3 / Site Address .3 3 S? M /? ? K? C?0 /( l hS ?r; Ve__,?, Unit it Tenant Name _DD/YJ /i7 0S Former Tenant Name Property Owuer -Dd m / /'1 O-s Telephone # ( 6s-h 6O O -oc ?02 / ?3 10 ck ?/um b lCC n CC)l2 / Contracmr - / C{h 7 Address -< 7 3 F Z?-? tTVAe SO ity 1 ? G ?/ State A Zip G Telephone # ( /a O ?p ( -75-3/ The Applicant is _ Owner Contractor Other Work Type _ New Bldg Add-on Repair _L RPZ PVB Irrigation system * ' der Wobschall to calculate fees. R uired meter size is 2" turbo unless smaller size ermitted bv Public Works Description of Work ?R To inqui if Pressure Reducing Valve is required on new service, call 651 b75-5646 Meters - Call 651-675-5300 ro verify that hydros[atic, conductivity, and bacteria tests passed urior to oickine uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $156 00 Domesric Size Bc Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Req uired _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) 56 Connact Value $ x Al % _$ Base Fee $ Meter(s) Required on all new buildings & boulevard irriea[ion svstems $ J4dio Meter Read If base fee is $1,000 ar less, surcharge is $.50 If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee $ r Ia I? 7 !` tate Surchazge Following fees apply only when installing new irrigation system $?.? ,. Water Pertnit Contact Jerry Wobschall a[ 651 fi75-5024 for required fee amounts L i $ i Treatrnent Plant $ y - Water Supply & Storage $ State Surcharge -------------------------°----------------------------------------------------- -------------- ----°------------- ?Q ------?--y---------------------------------------- ? v $ . Total Fee i nereoy appry cor a commerciai Piumbmg Yermit and acknowledge that the information is complete and accurate; [hat the work will be in conformance with the ordinances and codes of the City of Eagan and with the Pl bi odes; at I understand this is not a permit, but only an application for a permit, and work is not to start without a pertnit that the work e i r ance with e approved plan in the case of work requjre revigvtan approv 1 of p ns. ? ?/, , ApplicanYs Prinred Name A icanPs Signature CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMiTTED APPROVED BY: i f BUILDiNG 1NSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevazd imgation systems- $157.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1/2" irrigation syst $ 781.00 displacement smcommercial tu*bine** must receiVe maximum appTOV81 continuous lo from Public Works 2-30 3/4" lawn irrigation $156.00 4-160 2" turbine lg rzrigation syst $ 982.00 maximum displacement residential & continuous sm coxnmercial production lines 15 3-50 1" displacement very lg res $200.00 1/4 to 160 2" compound bldgs over $ 1,860.00 bldg to 24 units 65 units maximwn sm commercial & continuous & lg comm bldgs 25 uri ation s tems 5-100 1-1/2" bldgs 25-64 units $484.00 maximum displacement & continuous most comm bldgs 50 METERS REQUIItING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS tiSE PRICE 5-350 3" tur6ine very ]g irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00 syst & production very !g comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00 very lg comm bldgs very Ig wmm bldgs 15-1000 4" turbine very Ig irrigation $2,329.00 syst & production lines Couunenu • To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675. • To arrange for water turn-on, ca11651-675-5300. ce: Maintenance Division Clerical Technician Updared 1/03 1990 BIIILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL i7NITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRES5E5 FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PRDCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. 1FIA,L-aInG To Se Used For: la?v Valuation: ?S ?oc?o Date: \AL0Z1> Site Address 3355 ?\v-? ?? . Lot Z? Block I.? 2 + ? n n t Parcel/Sub ?qmt fi L ?yipAOx 1FY1f?. ,}?fiAR ? Owner Address City/Zip Code G?LA`e? trtW • Phone Contractor 5?.. J • ?'jQ ?S?JS l , Address City/Zip Code?C.Gk????r?,y`1 ?S4'Z,3 Phone rD(,(o 3pry Arch. /Engr . ???,•? .?SC?; ??o _ ? Address City/Zip Code?,????5 1Mu..SS?°z3, OFFICE USE ONLY FEES Occupancy 8'Z Zoning I'1 Actual Const V- N Bldg. Permit 00 Allowable Surcharge 1150 # of stories I Plan Review /ps,0a Length 25, SAC, City Depth /y' SAC, MWCC S.F. Total 3e112, Water Conn Footprint S. F. 3 9 Z- Water Meter. Acct. Deposit On site sewa ge_ S/W Permit On site well _ S/W Surcharge MWCC System Treatment P1. City water _ Road Unit PRV _ Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner TOTAL AD Council 11I? Bldg. Off. Variance Phone # 1991 ? p APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGZSTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING YERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMIT5 IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMSER. A'D'J1T10N -- RV-FR IGaAl?oN nr1AcH1lJERYRooA1 To Be Used For:-42?)o Valuation: O O? Date: 9 Site Address OFFZCE USE ONLY Lot ' -'1 Block ? Parcel/Sub ?/ymtltYp. Ln?. ?n? NA Owner u.. ?, Address ? City/Zip Code Phone b1;b- `p1ZS Contractor ? AddYess CoSI\?J?,? J?'?? City/Zip Code Phone GX>G " ?? ? Arch./Engr. Address City/Zip Code Occupancy 5'2 Zoning Actual Const -ir_- h1 Allowable # of stories I Length Depth IS-4" S.F. Total ?}l7' Footprint S.F. q4t2' On site sewage_ On site well MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner. Council Bldg. Off. Variance C0MMERCIAL FE S Bldg. Permit iLf}LOC7 Surcharge `5-00 Plan Review 26,oc1 SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL in,ppd Fl GuRE REFLECTS oMyl ?aL ue ??s c,ecd rr NAS 8m? # 7HIS Phone # H??//? GIUFJyFDk F?S PAID oN &Rd* /854? FOR A ?ACJYED SroR16,6' „(?/??1? ,$U/LD1NG Wli1cH IA1IC.L NOT BE,$G//Lr //? agrees that all work shall be done in accordance with ^(Signatu.?e? Contractor) 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS all applicable State of Minnesota Statutes and City of Eagan Ordinances.. eM , 1989 BUILDI9G PBBlIIT APPLICA?20N - CI?Y OF SAGAN SIAGLE FIFIII.Y DStELLIAG3 1051 INCLODE 2 SEPS OF PL9NSt 3 CERTIFICITFS DF SORYEY, 1 SET OF ENERGY CALCOL9TIONS AOTSs ADDHffiSES F08 CABNSB LOt3 - CD6TRAClO8/HOHEOWNSR lOST DESIG6ATE iiSICH ADDRSSS LS DE4IREA. HO CH6NGFS WII.L B& ALLOiiED ONCE B[III.DING P89!!IT 13 7330ED. !lOLTIPLS DfiEI.LINGS 8SNlAL OHITS FOE SALS IIBIl3 i OF 09It8 INCLIIDE 2 SETS OF PLANS, CERTIFICATE OF 3DS4SY - CBSCK IfTPS BLDG. DSPT.9 1.3ET OF ENERGY CALCQL9TION5 (MMRCIAL INQ.ODE p SETS OF ARCHITECTURAL 6 STROCTURAL PLANSt 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCUL9TIONS 11 .-? OFFIGE ? 41 , q To Be Used For: 0l%T Rt%aTl01J Paluation: 475 Oa0 Date: _A(4'R? ? 9aJ Site 9ddress 3355 M 1 KE CO41 u5 DR pFFICE OSg ONLY Lot =Z,s3Z4B1ock ? jE2 iFIDNSTK?AI OCCttp817Cy ?`Z M'ZPareel/Sub E?aueke.E G?q- p aotli const ?-ei sPR MAWnML CoMMI%ARY AllOilabl8 fIR. Owuer DoMtAfe' S `kft'tZ-? A of atoriea + Ma ze, Length I o o e Address 31 y Wesd' S'f'ree'fi Depth Ibo' S.F. Tota1 I,$ 35D City/Zip Code ?loom?n?-,?ah MN c;-SLj2o Footprint S.F. (G ppu Phone pn aite sexage Contraetor CoiuSPRuaCtOU Address (eS (k CQDA. AuR_ Se City/Zip Code MALS S 5az3 Phone 866- 4CP3 Z- (RoN, ArCh./Eagr. GAMPQRT 4RcHiT¢CTS Aadress 430 (9f l?a.t )j On site well MMCC System ? City water PRV required _ Hooster Pump _ ?PPBOPALS Plaaaer _ Couneil Bldg. Off. =412¢ Varisnce Counel7. Bldg. Permit I°ISZ,ou 3urcharge 3? 4,SC) Plan Review o.o SAC, City 1200,00 o S9Cl MF1CC 690010 Water Conn ---- Water Meter - acet. Deposit - 5/Yi Permit ao S/W Surcharge 1 Treatment Pl. a r36,ao Boad Unit z 4 O '7. oo Park Ded. 251) 2 .Sv Copies TOTEL City/Zlp Code MPLI-s _ Mu S94"01 -? Phone i` SOTS: Sexer 6 Water Permit Pees and acnount dsposit feea xill be included itt the building permit fee. Procesaing time for aewer and mater permits is txo days onoe a lioenaed plumber haa applied far a pamit at City Hall. " UALLt2,?\T I 7 N ir isr a, 000 63g,so 3r75K x 3,so _ I 31z. 5? ?ju 2 ?H A ?2c>-E ?---- ?!'?s? R-a\j I c?,.? IcisZ x se7 - r1 r)? oa ____------ •-'?? 1'?xrr?o = i2ct7 • wlwcc.. 6900' TKc-AT G.m,7T- I2xzz?c = 2 Qf3(0 ?- ? ? Poh'D (.l IV I Tj Z , 36 A-r-,2eS 95?1?7 Z. C2 LI C) `7 , 2 a' a `t ° P s ?. ?, . Io??oo S,r X ?01.5 = 2 `5`) '4 "tPv fiIETROPOLITRO ? LUR/TE COl1TROL MWCC 866-1 commifrion INDUSTRIAL: SEWER CONNECTION APPLICATION Comparrynarrie Domino's National Commissary Newbuilding Location address Mi ke Col l i ns Dri ve ? guilding addition Eagan, Minnesota ?Exist+ngbuitding Maiiing address 314 West 86th Street Bloomington, Minnesota 55420 Phone No. 888'8125 Company representative Greg Cross Title Manager 1. Nature of business Pi zza dough producti on and di stri bution 2. Projected date for process start up November 1989 3. Total facility area (sq. ft.) 15,000 (current) 18,370 (projected) 4. No. of employees 24 (current) 24 (projected) 5. Operating hours per day 24 (current) 24 (projected) 6. Operating days per year 300 (current) 300 (projected) 7. Watersupply Bloomi'ngton Fac. Eag? . CLFf9BVT a. Municipal water supply 5,960 5,060 gal/day * b. Well water suppty 0 0 gal/day c. Other (specity) 0 0 gal/day d. Total water supply (7a + 7b + 7c) 5,960 5,060 gal/day 8. Waste discharge to sanitary sewer a. Sanitary waste discharge 300 300 gal/day b. Uncontaminated oooling water 0 0 gal/day c. Industrial waste discharge 3,900 3,000 gal/day d. Total discharge to sanitary sewer (8a + Sb + 8c) 4,300 3,300 gal/day ** 9. Change in waste discharge Projected total discharge (8d) - Current total discharge (8d) = 3,300 gaUday 10. SAC units Change in discharge (9) 12.04 = SAC units 274 11. SACcharge SACunits(1o) 12 x Unitcharge $575 =$6,900 SACcharge 12. Cooling water discharge to storm sewer 0 gal/day * New equipment will reduce water usage ** Difference between water supply and waste to sanitary sewer is lost to product MW CC 868- 2 13. Pretreatment [Refer to MR 5900.4000 - 4100 of the Waste Discharge Rules.] Does the company plan any in-house treatment of wastes? No If yes, describe. 14. Sampling & flow measuring: [Refer to MR 5900.3100 of the Waste Discharge Rules.] Indicate location of sewer access point and describe flowmeter and means of sampling. Manhole is available for samplin9 at propert line. Cleanout is available inside buildi 15. Additional information, sketches or descriptions may be attached for the purpose of adequately describing the waste discharge. Di scharge i s cl ean-up water for dough manufacturi ng process. This is to certify that Domino's National Commissarv agrees to comply with Waste Discharge Rules of the Metropolitan Disposal System, including applying for an Industrial Discharge Permit prior to the discharge of any wastewater. I understand that this SAC determination is subject to a one-year review of projected wastewater volumes. Signature of company offiiciai `=? ?? Gw"?- Date `+I 131 B9 TitleManager Transmitted by Community of Signature Title Phone No. Date Approved by Metropolitan Waste Control Commission a30 r?r S?''? Sdv-e?{ St. Paul, Minnesota 55101 Signature Title ' Phone No. 222-8423 Date Cities DiRital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. _ REC'D MAR Z 4 Vaua . . -:? --- ? TROPOLiTM UdWCC 866-1 - CO(17ROL MDUSTRIAL: SEWER CONNECTION APPUCATION ? Cy Domino's 'National -°Gortinissaryl[N Newbuilding = ?n addr fAi ke Col l ins Dri ve p Buitding ?addition Eagan, Minnesota O7-1- Current Maiiing address 314 West 86th Street 55420 Minnesota uilding Company representative uT ey r U» 1. Nature of business Pizza d gh p 2. Projected date for prceess start up t 3. To?al faciiiry area (sq. ft.) 15,000 4. No. of employees 24 5. OperaGng hours per day 24 6. Operating days per year 300 7. Water supply ? r a. Municipal water supply : b. Weit water supply ? c. Other (specify) ? d. Total water supply (7i1/?7b + 7c) 8. Waste discharge to s?ttary sewer ion and di 544a 0 Ea r.,+ -6,c • '1D 31,AM gal/day 0 gal/day 0 gal/day I(."-A-,%?00 gal/day waste ciischarge Sanitar 300 gal/day y a ? coofing water b. Ur?contami 0 gal/day ? V Industrial aste discharge c 3,900 gal/day . d. Total ?scharge to sanRary sewer (8a + Sb + 8c) 4,300 4,3 gal/day 9. Chan in waste discharge Projected lotal discharge (8d) - Current total discharge (8d) _ y30' Ay gal/day 10. SAC units Change in discharge (9) ?l1-YSAC t-u units u)**e-fS"PV1y "4 274 6c.-4w #?s ldsP 4a Prod?? SAC Charge SAC units (10) t(o 11 x Unit charge ?` s?? _* SAC charge . 12. Cooling water discharge to storm sewer 0 gal/day ?Phone No. $88'8125 ? itle Manager bution ;370 (projected) 24 (projected) 24 (projected) 300 (projected) tat,ti. 6. C.o$6 ?(/y/89 ge ?--- --- --- - - - ----------- - - 13. Pretreatment [Aefer to MR 5900.4000 - 4100 ot tlhe Waste Discharge Rules.] Does the company plan -- any in-house treatment of wastes? Na If yes, describe. 14. Sampling BQ,fIi of sewer acc? Manhole is measuring: [Refer to MR 59003100 of the Waste Discharge Rules.] Indicate location point and describe flowmeter and means of sampling. vailable for sampling at street i i pa ab4. in-sidte_ b?" ,. >al System, ir I understand 15. Additional information, sket es or descriptions may be attached for the pur se of adequately describing the waste discharge. Dis rge is clean-up water for dough; anufacturing process. This is to certify that Domino's NAional Commi ss Waste Discharge Rules of the Metropolitai Permit prior to the discharge of any wastE one-year review of projected wastewater Signature of company official _ Date 3/28/89 Title Transmitted by Community of Signature Title PFane No. ? agrees to comply with ng applying for an Industrial Discharge this SAC determination is subject to a Date Approved by Metropolitan Vjdste Control Commission 350 MeVO re St. Pau n 0 5ignature - Title YGC/( 8Y 17 Phone No. 222-8423 Date 4& /i G b? A L4, 544+14 rvy ' (I ,ti . ? • DOMINO'S PIZZA EAGAN, MINNESOTA Gross Wall Area Gross Roof Area ENERGY CODE ANALYSIS 13,050 Sq. Ft. x 16,000 Sq. Ft. x TOTAL Sq. Ft. x U 23 U = 3001.5 06 U = 960.0 = 3961.5 ACTUAL CONSTRUCTION SQ. FT. x U 1. Single Glass '0- Sq. Ft. x U= 2. Double Glass 572 Sq. Ft. x •55 U= 314.6 3. Triple Glass -0- Sq. Ft. x U= 4 Door H.,M.. Type 1 42 Sq. Ft. x •25 U_ 10.5 . O.H. Type 2 ? Sq. Ft. x ? U = Type 3 Sq. Ft. x U= 5. Net Wall (Total) 12004 Sq. Ft. Type 1 12004 Sq. Ft. x .076 U= 912.3 Type 2 -0- Sq. Ft. x U= Type 3 -0- Sq. Ft. x ?_ 6. Skylight -0- Sq. Ft. x U= 7. Net Roof Type 1 16000 Sq. Ft. x .06 u= 960.0 Type 2 -0- Sq. Ft. x U= TOTAL Sq. Ft. x U = 2305.4 Actual Construction U x Sq. Ft, is Less Than Code Requirements. I be-^b9 rer,:fv :;',an. sPeciEica:ion ol rc,;::r: •. - . a r2rua?:=? :;i:°cE -u,• P.cix:,;:? _ ?e -._ .atirs o: L';eJ 9 S 73 ? y !E!!0 TOs PAT GEAGAN - POLICE DEPT. ED BIRSCHT, SR. ENGINEERING TECH. CRAIG KJUASENg fiNGINSERING TECB. ,,I20M COLBERT, DIBSCfOH OF POBLIC iiOHSS ? JIM STURM, PL9NNING DEPT. JON HOHENSTEINg ADMINIST&ATION BILL AKINS, ELECTRICAL IN3PECTOR JOE CONNOLLY, WATER DEPT. FROM: DOUG REID9 CHIEF BUILDING OFFICIAL DATE: .3 `IS's?? The preliminary conatruetion " plans for ?0MIU05 rP?Z'eA 3U)1...b/YU' are in our plan reviea seetion for your review and comments. Please return this Form to Joe Merchak with your initialed eomments and the date of revic3x. Failure to return form to Joe vithin five (5) daya will be oonsidered yoia approval. IP you have any objeetione to approval of theae plans, it is yonr reaponsibility to notify this departmmt and resolve eny problems. ` Thank-you. CA' ?? ? ^._.? /JS 7JE1 (Signature) (Date) °,KC ? ? . ZE;? y MEMO T0: PAT GEAGAN - POLICE DEPT. ED KIRSCHTO SR. ENGINEERING TECH. CRAIG KNUASEN, ENGINEERING TECH. TOM COLBERT, DIAECTOR OF POBLIC WORSS ? JIM STORM, PLANNING DEPT. JON HOHENSTEINg ADMINISTRATION BILL ARINS, ELECTRICAL INSPECTOR JOE CONNOLLY, WATER DEPT. FROM: DOUG REID, CHIEF BUILDING OFFICIAL DATE: .3'IS"9? The preliminary construction X plans for ? O M 1 NOS ?? 2e-A 1U)(.'b/N6' are in our plan review seetion for your review and comments. Please return this form to Joe Merehak with your initialed comments and the date of review. Failure to reLurn form to Joe xithin five (5) daya vill be considered your approval. IF you have any objeetions to approval of theae plans, it is your responaibility to notify this department and resolve any problems. Thank-you. w /JS 3--/? ? (Signature) Date) E?_ -U 7-e, , z4i y MEMO T0: PAT GEAGAN - POLICE DEPT. ED gIRSCHT, SR. ENGINEEAING TECH. CRAIG SNUDSEN, ENGINEERING TECH. TOM COLBERT, DIAECTOR OF PDBLIC WORSS JIM STURM, PLANNING DEPT. JON HOHENSTEIN, ADMINISTRATION BILL AKINS, ELECTRZCAL INSPECTOR JOE CONNOLLY, WATER DEPT. ? FROM: DOUG REID, CHIEF BUILDING OFFICIAL DATE: 3' I S" g? The preliminary construction K plans for D)O M I N05 Pl ze.A are in our plan review section for your reniew and com Please return this form to Joe Merchak with your initialed comments and the date of review. Failure to return form to Joe within five (5) daYa xill be eonsidered your approval. If you have any objeotiona to approval of these plans, it is your responsibility to aotify this department and resolve any problems. Thank-you. /JJ (Signature) Date) 24?y MEMO T0: PAT GEAGAN - POLICE DEPT. ED KIRSCBTo SR. ENGINEERING TECH. CRAIG KNUDSEN, ENGINEERING TECH. TOM COLBERT, DIAECTOR OF PIIBLIC WORBS JIM STURM, PLANNING DEPT.i JON HOHENSTEIN, AD14INISTR9TION BILL ARINS, ELECTRICAL IN3PECTOR JOE CONNOLLY, NATER DEPT. EROM: DOUG REID, CHIEF BUILDING OFFICIAL DATE: 3 ` J s - g ? The preliminary plans for ?O are in our nlan i construetion " P? ?_?Z_A I U ,LZ/N6- your Please return this form to Joe Merchak with your initialed caments and the date of review. Failure to return form to Joe within five (5) days will be considered your approval. If qou have any objectioas to approval of these pians, it ia your respoasibility to notify this department and reaolve any problems. Thank-you. /JS _A? J'? (Signa ure) (Date) uw ?? ;4? y MEMO T0: PAT GEAGAN - POLICE DEPT. ED KIRSCHTI SR. ENGINEERING TECH. CRAIG KNUASENt ENGINEERING TECH. TOM COLBERT, DIRECTOR OF POBLIC AORBS JIM STURM, PLANNING DEPT. JON 80HENSTEIN, ADMINISTRATION BILL 9RINS, ELECTRICAL INSPECTOR JOE CONNOLLYO WATER DEPT. FROM: DOUG REID, CHIEF BUILDING OFFICIAL DATE : 3 ' I s" g 1? The preliminary plans for ? omI NOs rp, are ia our alan review sectior construetion ?< '_'A 3 U 1 c.-D/N6- r your review and comments. Please return this form to Joe Merchak with your initialed comments and the date of review. Failure to return form to Joe vithin five (5) da9a will be conaidered your approval. If you t?ave any objeetions to approval of t6ese plans, it is your reaponsibility to notify this department and reaolve anq pro6lems. Thank-you. /J3 ?- (Signature) ' CDate) a1? 15-0 3 OF 3830 PILOT KN08 ROAD. P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONEt (612) 454-8100 April 25, 1989 n DOMINO'S PIZZA DISTRIBUTION CORPORATION 30 FRANK LIAYD WRIGHT DRIVE ANN ARBOR MICHIGAN 48106 ATTN AARON CAUFER VIC ELLISON nAOVOr niorans ec,w DAV1D K. GUSTAFSON PAMEL4 McCREf+ niEOOOaE wncrrtEa CouncliMemben 7HOMP.i HEDGES City Pdmin?olor EUGENEVAN OVERBEKE cary c?? Re: Dominols Pizza Warehouse_on_Mike_COllins__Drive__ I,ots 22,?23 6 24 of EaqanBale Center Industrial Pk. No. 4--? City of Eaqan MN --- ?--- --Dear Mr. Caufer: The City of Eagan's Engineering Department has reviewed the parking lot, sanitary sewer, water main, storm sewer and grading layout plan for the Domino's Pizza Warehouse development on Mike Collins Drive. We will require that the design of the storm sewer system serving your site meet the minimum requirements of our Engineering Standards and City Ordinances. The latest set of plans for this development as submitted to the City today by Ron Ryan of R.J. Ryan Construction does meet these requirements. The storm sewer system as shown will handle a five- year rainfall event and the low area along the railroad tracks along the west side of the development will be adequately drained by a new catch basin draining directly to the City's public storm sewer system. The City gave the developer two options to provide for the adequate drainage of the low area along the railroad tracks. The first option would allow the developer to construct the storm sewer privately. The second option would require the developer to petition the City to construct the storm sewer as a public improvement project with assessments to all the benefitted property owners. The City appreciates the cooperation that you have given to us in preparing the plans for this development. Sincerely, cc: Ron Ryan, R.J. Ryan ? Construction Ed Kirsc t Senior Engineering Technician EK/jj THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIiY CASH RECEIPT CITYPOF EAGAN 3830 ROAD EAGAN, MINNESOTA 55122 DATE 9 7 ? 19? ?cEn?o //J'? • 4 AMOUNT $ J _J S? e,-0 . ? 8 DOLLp,RS ? CASH L8"?CHECK ? - FUND OBJECT - ? AMOUNT Cr?) Thank You BY Gu' ? r-z y 3377 .;hi:e- Aayerc CWY . Vellow-.pusti?y CpY Pink-File Cupy ZQyandqle C'enter.L?4 W.4?1 MEMO TO: TOM COLBERT, DIRECTOR OF PUBLIC WORRS ED RIRSCHTl ENGINEERING TECANICIAN CRAtG RNUDSEN, ENGINEERINfi TECHNICIAN JIM STURM, CITY YLANNER SILL ARINS, ELECTRICAL INSPECTOR JOE MERCHAR, CONSTRUCTI013 ANALYST UTILITY BILLING CLERR FROM: DOUG REID, CHIEF BUILDING OFFICIAL D A T E : /0/S/09 The Protective Inspections Division will be performing a final inspection for occupancy of? 3,355 4ni kP l'o I I l n 5 (-',?e- on /0//D/009 m?noe5 N?4'? mmissary? Please return this form within 48 hours indicating your approval or denial. Failure of response within that time frame will be determined as approval. It will be each department's respcnsibility to contaat the construction firm with necessary rer;a.rements before final insecL:iori anu :4_if:?in-cr the Building Inspections Division when all req.uirements have been met. Thank- you. DR/js APPROVAL: DATE: 4 ( DENIAL: DATE: ?,ts ,fo Xe /-Y d ??/ e P.-- Y? / // ? `,,, / ? /fe `r(J? °L ??e Z901;VCS)4 ? ?i'v? ? ? - ?--? ?/Y/FS'?? ???? CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVECROUND PIPING _ _ _.,.. - - ' - PROCEDURE Upon compie6onof work, inspection and tesu shall 6e mede by the contraetor's representetive and wftnessed by an owner's representative. All __.defecn shall be wrrected and symm left in service before contractor's penonnel flnelly leave tha job. .. . . .. ?. ? A certificate shall be filled out and signed 6y both representatives. Copies ahall be preparad for appravinp authoritiea, ownen anW conLnctar. It is undentoad the owner's representative's signacure in no way prejudices any claim ageinst controctor for faulty meterial, poor workmanship, or failura to wmply with aoProving autharity's requiremenu ar local ordinancea. ?..,..-". ? , ,..,?,? - . . . . . . . . . . L?o??,? ??o s P2za _ 'PROVING AVTHOf31TY(5) NAMES )ua RElc? -- -- JDb l? .._++ 3? f'?I LOT K I PLANS G . ? INS7ALLATION CONFOFMS TO ACCEPTED PLANS YES Cj NO EqUiPMENT USED IS APPROVED e'{ES ONO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE E4UIPMENT BEEN INSTRVCTED AS TO LOCRTION YES ONO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT IFNO, EXPWIN _ . . _ - ' . .. INSTRUCTIONS - --- ' NAVE COPIES OF APPROPRIATE INSTRUCTIONS ANO CARE AND MAINTENANCE CNARTS pffvEs QNO - AND NFPA 33i48EEN LEFT ON PREMISES ' IF NO, EXPIAIN , LOCATION SUPPLIES BLDGS. OFSVSTEM MAKE MOOEL YEAR OF ORIFICE QUAN?ITV TEMPERATURE _ MANUPACTURE SIZE . RATING L ' S tt? SPRINKtERS _ ?? DEw L 'h. I PIPECONFORM5T0 ? STANDARD YES QNO PIPE AND FITTINGS CONFORM TO STANOARD ?S 0 NO FITTINGS IF NO, EXPLAIN ALARM OE V ICE MAXIMUM TME TO OPERAlE THROUGN TEST PIPE ALARM VAWE TYPE - MAKE MODEL MIN, SEC. OR FLOW INDICATOR . DRY VALVE d??• MAKE MODEL SERIRL NO. MAKE MOOEL SERIAL NO. TIME WATER ALARM TIMETOTRIP' WATER AIR TRIP POINT REACHE? OPERATED pqESSURE PRESSURE AIRPRF3SUPE 7ESTOUTLET' PflOPERLY DRYPIPE MIN, SEC. 75A P51 PSI MIN. SEC. VES NO OPERATING TEST Without - Q.O.D. wim Q.O.D. IF NO,EXPLAIN __ ' ' - ' _.-:. .. --°------- '*MEASURED FROM THE TtME INSPECTOR'S TEST CONNECTION VAWE IS OPENED. 85A (1080) PRINTED IN TNE U.S.0. FOR NAiIONAL FIRE SPRINKLER ASSOCIATION, INC., P.O. 80% 1000. PAiTERSON, N.Y. 12563 QELECTRIC ?HYORAULIC ONQ DETECTINGMEDIASVPERVISED 1--]yES ?NO AIVD/ORHEMOTECONTROLSTATIONS I-Iv?c I?n? DELUGE & I5 THERE AN ACCESSIBLE FACILITV IN EACH CIRCUIT FOR TESTING IF NO, EXPLAIN PREACTION ? YES ? NO VALVES MAKE MOOEL DOES EACH CIRCUR OPERATE SUF£RVI510N LOSSALqRM DOES EACH CIRCU IT OPERATE VALVE ftEl_EPSE MAXIMVM TIME TO OFERATERELEASE VES NO VES NO MIN. SEC. HYDROSTATIC: Hydrostatic tests shall 6e maAe at not less than 200 psi (13.6 ban) for two hours or 50 psi 13.4 bars) above static pressure in exceu of 150 psi 1102 ban) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All ahoveground piping leakage shall he stopped. TEST FLUSHING: Flow the requirerl rate until watar is clear as indicatad hy no collection of foreign material in hurlep bags at outlets such as h r ' n s d bl ff Fl h f OESCRIPTION y a c an owo s. us at lows not less than 400 GPM (1514 L/min) for 4•inch pipe. 600 GPM (2271 L/min) for 5-inch pipe, 750 GPM (2839 L/min) for 6•inch pipe, 1000 GPM (3785 L/min) for S-inch pipe, 1500 GPM 15678 L/min) tor 104nch pipe and 2000 '- . GPM (7570 L/min) tor 12-inch pipe. When supply cannot produce stipulated flow rates, obtain maximum evailable. P UMATIC: Establish 40 psi 127 bars) air pressure and measure drop which shall not exceed 1•:4 psi (0.1 6ars) in 24 hours. Test pre ssure tan s at normal water level and eir pressure and measure airpressure drop which shall not exceed 1-X Psi (0.7 bars) in 24 hours. .4LL PIPING HYDROSTATICALLY TESTED AT .5-w PSI FOR HRS. IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTEO OYES ? NO ' . . - EQUIPMENT OPERATESPROPERLV ? VES ? NO pRAIN READING OF GAGE LOCATEO N R WATER SUPPLY TEST PIPE: RE5IDUALPR` RE WITM VALVE IN TEST PIPE OPEN W IDE ? u TESTS TEST STqTIC PRESSUfiE: 17 PSI - Underground mains and lead in connections to ryatem risars fluahed before connection made to sprinkler piping. VERIFIED BY COPY OF THE U FORM NO, BSB ?YES ? NO OTHER . ExPLAIN - FWSHEO eY INSTALLER OF UNDER• . . GROUND SPRINKLERPIPING ?YES ?NO BLANKTESTING NUMBER USE? LOCATIONS NUMBEF REMOVED GASKETS - - WELDED PIPING ? YES ? NO IF YES ... 00 YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLV ?? WITH E ' TH REQUIREMENTS OF AT LEAST AWS D30.9. LEVEL AR3 . . . I? I 1 ES ? NO WELDING 00 VOU CERTIFY THAT THE WELDIN. WAS PERFORMED BV WELDERS 4UALIFIED IN ?I COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS D30.9, LEVEL AR-3 LI YES ? NO DO YOU CERTIFV THAT WELDING WAS CARRIED OUT IN COMPLIANCE WtTH A DOCUMENTED 4UALITY CONTROL PROCEOURE TO INSURE THAT ALL DISCS ARE ... . RETRIEVEO, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG ANO OTHER WELDING RESIOUE qRE REMOVEO, AND THqT TME INTERNAL DIAMETERS OF ETOYES ? NO PIP ING ARE NOT PEIVETRATEO HYDRAULIC NAMEPLp,TE PROV IOE ?F NO, EXPI,.qIN - DATA NAMEPLATE YES ? NO DATE T IN SERViCE WITH ALL GONTROI V.QLVE$ OP.EN: ' REMARKS ? ILZ 11663 . _ - A ? . .. . NAME OF SPRINKIER ONTRACTOR vi K? AUroM Arm- sp i N kLF co sr. RqL TESTS WITNESSED V SIGNATURES F ROP TY O NE (,pS?I? TIT DAT ,.{n __ ? I ?/.r• FpR AOO ION DATE 'L _ J iGnr?S ? CASH RECEIPT v ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55722 l DATE ? - I C7 19 NELEIVED ?/? ? n Ff6.1 •`?i?i`--?) ?iL-s???? AMOUNT $ /? ?, ?, n 8 DOLLARS im ? CASH 'tj CHECK Copy L a a, 03, ? ( f ? 7 (z? J'j y°k y FUND O&IECT AMOUNT QU 3711o Thank You C 2253 whit'PaYffsCopy velww-POLUg copy Pink-Fpe Copy I 'y ?? s sE (r DRAINACrE AND UTILITY EASEMENT THIS LTSILITY EASEMENT,.made thisqQW2j1-f4' day of 1989, between DOMINO'S PIZZA DISTRIBU'rION CORP., a Michigan corporation, herein referred to as "Lnndowner" and the CITY OF EAGAN, a municiPal corporation, organixefl under the laws of the 5tate of Minnesota, herei.nafter referred ta as the "City'"- W I T N E S S E T Fi: That the Landowner, in consideration of the sum of One Dollar {$1.00} and other good and valuable consideration, the receipt and sufficiency of which is hereby aeknowledged, does hereby c3rant and convey unto the City, its successors and assigns, a permanent easement £or drainage and utility purposes, over, across and under the following described premises, situated within Dakota County, Mianesota, to-wit: That part of Lots 22, 23, and 24, Block 4, Eagandale Center Zndustrial Park No. 4, according to the recorded plat thereof, Dakota County, Minnesota, described as follows: The north 10.00 feet of Lot 22, Slock 4, and The west 30.06 feet of Lots 22, 23 and 24, of said Block 4, and The south 10.00 feet of Lot 24, said Block 4. Sec also Exhibit "A" attached hereto and incorporatied herein. The grant of the foreqoing permanent easemeat for drainage and utility purposes includes th¢ right of the City, its contractors, agents and servants to enter upon the premises at a1l reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits and mains; dnd the further right to remove trees, brush, undergrowth and other obstructions. After completion of such construction, maintenance, repair or removal, the City shall restoze the premises to the condition in which it was found priar to the commencement of such actions, save vnly for the necessary removal of trees, brush, undergrowth and other obstructions. And the Landowner, its heirs and assiqns, does eovenan'C wa.tYe the City, its successors and assa,gns, that it is the Landowner of u the premises aforesaid and has good right to grant and convey the easement herein to the City. IN TESTIMONY Wf3ERFAF, the Landowner has caused this easement to be executed as of the day and year first above written. DOMIND'S PI22A DISTRIHUTION CORP., a Michiqan corporation By: MScHA L ;?o=Gn Itsc vicE ?t.fisdrwT ? ; ? J EP1YEe+ ? gyIts? J? : ?,,?Ab??, e?F ?EAI. ES7AtE STATE OF Michiaan 1 ) ss. COUNTY OF waGh ,-naw) On this 21st day of Der?ymbPr , 1989, before me a Notary Public within and for said County, personally appeared ' D and Ri .k S'azhPncon to me personally nown, who being each by me duly sworn, each did say that they are respectively the Vice President and ManaQer of Real Estate of the Corporation named n the foregoing instrument, and that the seal af£ixed to said instrument is the corporate seal of said corporation, and that said instrument was siqned and sealed on behalf of saifl corporation by suthority of its Soard of Directors and said Minhaal p_ c?, oq,?_ and Rick s hPn?on acknowledged said instrument to be the free act e; and deed of the corporation. Notary Publ c IERESA QLIEEN ZE%M No1aY VudIC. Washfsrcow CouMy. tr7 MI' CornrAislpl Eq*es AprN 24, 1991 -2- `.w APPFiOV6D A$ TO FORM: P ci y?At orney's offi e D te: t - O(- `tU ?i APPROVED AS TO C4NTENT: Public orks Depaxtment Date: I-IC-90 THIS INSTRUMENT WAS DRAFTED BY: McMENOMY & SEVERSON, P.A. 7300 West 147th Street P.O. Sox 24329 Apple valley, P'III 55124 (612) 432-3136 JPE -3- '?.w f. :. ., :?,. ' ? ? ..e ?' .y .. • t . ?? ? ??? Z ' ? . ? .. ? ' . ,: : / .',.. i''??i? Z .2 r': , , ? ? ' ' ? ' d W . ! i'? t• ? , ' . '? , .. . .. . . . . .?'W ? ? •'" . ' , jj ?. . -1 fr? . ? `j ' + . ,• ' ? ? •. i ? . Q F f ? . ? ' : .. . . , _ . ? 22 N ALE I wR ...? IAL a 'w 23 = • ? 30. DRAINAGE 8 UTILITV EAS6MENT 341.32 'w Y r. °o 24 r ? 25 W ? W y 341.77? > ? J 26 r ? ? aaz oo d W ? 4 a ? O 27 O • I •O I ? ' 342.22 I 28 . ' 342 44 S 89` Df 45? E fA111b1t A • W p y - cc 0 ? 2 = J " 0 U ? W I Y -j Ci :I 1 {L ? .? = i : . .. , ? Metropolitan Council Working for the Region, P(anning for the Future Environmental Ser-vices 7une 3, 1997 Domino's National Conunissary Corporation 3355 Mike Collins Drive Eagan, MN 55121 ATTN: Todd Murchison Re: Second Notice regarding payment of SAC as specified in Part E- Specific Pemut Conditions for Industrial Dischazge Permit Number 884 According to our records, no payment has been received as of yet by the City of Eagan for SAC chazges associated with the renewal of the dischazge permit for the facility located at 3355 Milce Collins Drive. Payment of SAC fees was due May 30, 1997. This letter is to serve as a sewnd norice to Domino's National Commissary Corporation that payment of SAC fees is a condition of your Industrial Discharge Pernut and failure to purchase SAC is a violation of Section 205.00 of the Waste Discharge Rules and may result in enforcement action being taken against the company. Fees must be remitted to the City of Eagan within 30 days of receipt of this letter in order to avoid receiving a Notice of Violation. Upon payment to the city, please retum the pink copy of the enclosed SAC Purchase Form to our offices for verification of payment. Please be awaze that some cities use SAC deternunations to assess municipal impact or connection fees which are exclusive of the SAC chazge. If you have any questions, you may call me at 6024707. Sincerely, 16ael, at?? Mazk Pierson Senior Engineer Industrial Waste Section, MCES Enclosure cc: Dale Schoeppner, City ofEagan Sandy Selby, MCES Renee Gutzman, MCES 230 East Fi([h Street SL Paul, Minneso[a 55101-1633 (612) 222-8423 Fax 229-2183 TDD/TTY 2293760 an eye,d ovp?wnay emviov? sB3rro rArrc,E Metropolitan Council Environmental Services SAC PURCHASE FORM The Metropolitan Council Pnvironmental Semces has determiaed that Company Name: Facility Address: Fagan, Mn 55121 Community: 3355 Mike Collins Drive Daidno's National CamdssarY CorP. city of Fagan permit No.. is reuired to obtain 4 Service Availability Charge (SAC) units at the 19 95 rate of $ 850 perunitfor an increase in the volume of wastewaterdischarged co the Memopoli- tan Disposal System. Payment of applicable SAC is a Permit Condition described in Secrion 205.00 of the Waste Diccharge Rulec for the Metropolitan Digywsal Svstem. Totai amount due: $ 3°40D Note: Payment of SAC does not relieve companies of charges assessed by cammunities for an increase in the volume of wastewater discharged through the local sanitary sewer. «*r*x?*s***«*r**rr*.?*******s«*?r*rrrrr?rr****?r?«*x«««s****s*??*+??***«*«*r**rr VIItg'ICATION OF PUR(.'HASE To be completed by Community offical I verify ihaat has gurchased SAC units on Signed: (comPanY name) (name) repmsenting: (community name) (date) (dtie) white original - to Company yeUow copy - to Community (to be submiued to MCPS with monttily SAC report) pink copy - to Iadustrial Waste Section, MCFS (to be submitted by company) , i ? Metrop Working for the olitan Council P(anning for the Future October 31, 1996 Todd Murchison Domino's Nadonal Commissary Corporation 3355 Mike Collins Drive Eagan, Mn 55121 Dear Todd Murchison: Environmental 5ervices , , 4;? -Z 3 ' a? -?d 1,9R?l This letter is a follow-up to the letter sent on March 7, 1996 regarding a preliminary volume review for the Service Availability Charge (SAC) system for Permit Number 8841ocated at 3355 Mike Collins Drive. In that letter, you were notified that your firm has increased its wastewater discharge to the sanitary sewer and potentially could be subject to a SAC purchase of $9,350 (11 units at the 1995 rate of $850 per SAC unit) at the time your Industrial Discharge Permit is renewed. At this point, you have two options. First you may purchase SAC equivalent to the increase in dischazge to the sanitary sewer based on the preliminary volume review. If you choose this option, a SAC Purchase Form will be enclosed with your renewed Industrial Discharge Permit. The form must be brought to the City of Fagan and be completed by a city representative indicating that SAC has been purchased. A permit condition in your renewed pernut allows 30 days for the SAC purchase. Your second option is to conduct a 30 day wastewater volume study. If you choose this option, please inform the engineer referenced below. The study must be completed and results submitted to the Metropolitan Council Environmental Services (MCES) by 7anuary 2, 1997. Guidelines for completing the wastewater volume study are attached. Based on the results of the study, the MCES will determine a current SAC equivalent of your wastewater flow. The SAC rate applied to the current 5AC equivalent will be the rate in effect at the start of the 30 day wastewater volume study. The 1996 SAC rate is $900 per unit. The SAC rate is subject to change every 7anuary. To determine your futn's SAC liability, the MCFS wffi use the lesser SAC equivalent of the preliminary volume review and the 30 day wastewater volume study. If a SAC purchase is required, a SAC Purchase Form will be enclosed with your renewed Industriai Discharge Permit, and the above described method for completing the form and purchasing SAC will be applied. It should be noted that some cities use SAC deteiminations to assess municipal impact or connection fees which are exclusive of the SAC charge. If you aze unsure as to whether or not these fees are applicable in your city, you should call the city offices to inquire. At this tune, no money should be sent to our offices. , SAC payment shall be made to the city at the time of permit renewal using the SAC Purchase Form. 230 East FiRh Street SL Paul, Mlnnesota 55101-1633 (612) 222-8423 Fax 229-2183 7'DD/TIY 229-3760 r Todd Murchison October 31, 1996 page 2 Please direct any questions to Mark Pierson at 772-7007. Sincerely, C?g H `?C??, Izo H. Hermes, P.E. Industrial Waste Manager MCES Industrial Waste Section Attachment cc: Da1e Schoeppner, City of Eagan S. Selby, MCES Mark Pierson, MCES Metropolitan Council Environmental Services Guideline for SAC Volume Study Contact the engineer in charge of your pernrit before commencing with the wastewater volume study option. Special condidons, other than those specified in this guideline, may apply to your facility. The wastewater volume study shall consist of a minimum of 30 continuous days of volume data acquired fmm the use of incoming water meter(s) and/or fmm a wastewater effluent flow measuring device. Deduct meters shall also be used when losses to lawn sprinkling, evaporation, product loss, etc., exist at the facility. If these losses cannot be accounted for by meter, the permittee shall submit to the MCES engineering calculations estimating these losses and/or conduct effluent flow measuring fmm an MCFS approved monitoring site. - All values used to determine the actual or calculated daily wastewater flow volumes shall be submitted for each day of the study. Also, indicate the daily acdvity taidng place at the facility during the study (e.g. full operation, cooling water clean up). Please account for any unusual events, such as a spill, that may have occurred during the volume study time frame. The results of this study shall be submitted to the MCFS by January 2, 1997. MCPS staff will calculate a SAC equivalent based on an average of the 5 highest daily wastewater flows. The MCES reserves the right to conduct additional volume monitoring if deemed necessary. oF 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE (614) 454-8100 FAX, (fi'I P) 454-8363 December 26, 1991 MR MARK HANSON PE BONESTROO ROSENE ANDERLIK & ASSOCIATES 2335 W TH 36 ST PAUL MN 55113 nioxas Ec.AN Msyw DAVID K. GUSTAFSON PAMEIA hkCREA TIM PAWtEMY THEODORE WACHTER Couricil Members THOMASHEDGES Ciry Adminl5t2tOf . EUGENE VAN OVERBEKE Crty Clerk Re: Lots 20 & 21, SloCk 4, EBqaIId81@ CBAter IIIdustTial PAYk #4` Sanitary 8ewer Service City Project #50 - Eagan Record Plan #103 Dear Mark: During the past few weeks, City staff has been working with the Heinen Company who is planning an 8,000 square foot office and warehouse facility at 3329 Mike Collins Drive. The record plans prepared by your office do not specifically reference a sewer service to the above-referenced parcels by stationing in plan view or a riser in profile. There is some symbol in plan view which references or indicates a riser was/should have been constructed. I would like you to research your records for any correspondence, etc., which requests that a service not be constructed. Televising records do not show a sanitary service to these lots. Attached for your information is a copy of a letter from The Heinen Company which CiCy staff is preparing a response to. Thank you for your timely review. Sin erely, - ZW k qcha 1 P. . Foer sch, P.E./L.S. Assistant City Engineer MPF/jj Enclosure cc: 3ohn wingard, Development/Design Engineer Tom Colbert, Director of,Public Works THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROVJfH IN OUR COMMUNITY Equal Opportunity/Atfirmative Action Emp{oyer - ? RCCtiVcrl CEC 2 3 10 71330 K-Tel Drive • Minneapolis, Minnesota 55343 • Telephone (612) 936-9800 • FAX (612) 936-9546 The Heinen Company Division ot PBBS December 19, 1991 Mr. Tom Colhert Director of Publio Works City of Eagan 3830 Pilot Knob Road Eaqan, HN 55122-1897 Subject: The Heinen Company Building, Dear Mr. Colbert, 2+p 3329 Mike Collins Dr. I am writing you to state our extreme discontent with sewer acoess conditons located at the above address. it is our intention to construct an 8,000 square foot office and warehouse facility on this site. The work zequired for connection of sewer and water to the site is, in our opinion, excessive. The main sewer line is located 35 feet below street level, and it would seem that the City of Eagan did not have the foresight to put in place a sewer tapping for the parcel on which we aould like to 6uild. Since the City did not put this tappinq in the sewer line, which is located in the middle of Mike Collins Dr., it will cost our firm an additional $10,420.00 to dig down 35 feet and install a tapping for sewer access which should already have been there. In addition to this, you are requiring us to install a manhole riser in our lateral connection for no apparent reason but for the convenience of the City. The installation of this portion will add an additional $1,050.00 to our construction costs. To our knowledge, this is neither an ordinance or a policy, nor was it required of any other facility on Mike Collins Dr. It is our contention that we are paying an amount of $2,052.00 to the City of Eagan for "3ewer Access Charges", and the City is making it our responsihility to make that access. What is the sewer access oharge for? We have not disputed any requirements thus far in the permitting process, and are wi111ng to abide by any ordinances or policies that are in effect to date, however with the unusual costs we are being forced to absorb, we feel the need to ask the City to either waive the Sewer Access Charge, absorb some of the tremendous financial burden which we must carry, or, at the very least, waive or pay for the manhole riser, which is for the convenience of the City, and currently does not seem to be an ordinance or written policy. If need be, we ask that we be placed on the agenda to discuss our position with the City Council. Please let me know what can be done to rectify this matter as soon as possible. Thank you. Sincerely, Joel V. Carberry ? The Heinen Co. REQOEBT FOR HOLD Date: ) I - Z.(0 - 17 ( pro,ect name: 'W?;,.s.,ti Ccrmn.??. - G;G,v P?oi Address: Legal description: L 204-21 g__±_ Sec/Sub f? a,?tiaxe =tM?'- Reason for hold: A,,. e ? Place hold on: ?11<? Issuance of building permit Certificate of Occupancy other (please explain) Signa re If approved, this "hold" will remain in effect fo tYA days. Upon expiration, the hold may be renewed fo fifteen-day periods. orking tional .? ? ? 2004 COMMERC'IAI. PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ? 3 651-675-5675 s !::?-0. Zo Date .? 0n,? Site Address C6 Ul N S ? n l/Pi Unit # Tenant Name VO YYl 1 mp 5 (1 Z2?',A--? Former Tenant Name Property Owner DO rn i n o 5 Telephone #(?S? ) l0 0 D? oZ ?a / Contractor BtA fOLk Tl(,{ymIDIYL ? Address -1 -7 T31 tLk AQ?'e- Sa City Id1 E State N N Telephone#t(p12?--69=153( The Applicant is _ Owner Con4actor _ Other WorkType _ NewBldg _ Add-on Repair J_ RPZ PVB Irrigationsystem * Jer Wobschall to calculate fees. Re uired mMCr size is?" turbo unless smaller size ermitted b Public Works Description of Work z ???z- S.O. oW3V To inquire if Pressure Reducing Valve is required cfn new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and 6acteria tests passed prior to oickin¢ uo meter Imgation Size & Type Avg GPM Fire Size & Price 3/4" displacement $155.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1°/a =$ ? O?1156 Base Fee $ Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read IFbase fee is $1,000 nr Iesa, surcherge is $.50 $ State Surcharge If base Cee is over $1,000, surchargc is $SO per $1,000 of the Baze Fce Following fees apply only when installing oew irrigation system^ Water Pernvt? ` Contact Jerry Wobschall at 651fi75-5024 for required fee amoon[s J1 $ Treatment Plant $ Water Supply & Storage - $ ' State Surcharge -------------------------------- ----------------------------------------------------------------- `°-=-?-------------`_'----°------------?----1------------ 4? Total Fee 1 hereby apply for a Commercial Plumbing Permit and acknowledge that the infortna[ion is complete and accurace; Ihat the work will be in conformance with the ordinances and codes of the Ciry o£ Eagan and with the Plumbing Codes; that I understand this is not a pertnit, but onty an application for a permit, and work is not to start without a permit that the work I be in accor ance wi[h the approved plan in the case of work which requires a review and approval of plans. ,Jeonife? Gl I o J? ApplicanPs Printed Name ppl anPs Sig ature CITY USE ONLY ' REQUIRED [NSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Fina] PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $141.00 • RPZ's must be rebuilt every five yeazs. A minimum fee pemut per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/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" ii7lgatiOn sySt $ 788•00 displacement sm commercial turbine*' piUSt reC¢ive ma zim un approval eom;r:uMs io from Public Works 2-30 3/4" lawn irrigarion $155.00 4-160 2" nubine Ig irrigation syst $ 992.00 masimum displacement residenrial & conrinLou? 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 maximam sm commercial Bc cominuous & Ig comm bldgs 25 irri arion s stems 5-100 1-1/2" bldgs 25-64 units $488.00 maYimum displacement & contimious most comm bldgs >0 METERS REOLJIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UF GPM METERS liSE PRICE GPM IvIETERS USE PR[CE 5-350 3" turbine very lg irrigation $1,338.00 6-500 4" compound +300 unit bidgs & $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 bidgs $6,124.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation $2,384.00 syst & production Iines i,ommenu • To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675. • To arrange for water tum-on, ca11651-675-5300. cc: Main[enance Division Clerical Technician Updated 8(03 it Metropolitan Council October 31, 2005 Eavimnmental Seruices Pat Renne Domino's National Commissary Corp ,. 3355.Mike Collins Dr " ?-Eagan, MN 55121 Dear Mr. Renne: This letter is a follow-up to the letter sent on February 28, 2005 regarding a preliminary volume review for the Service Availability Charge (SAC) system for Permit Number 884 located at 3355 Mike Colfins Drive, Eagan, MN. In that letter, you were notified that your firm has increased its wastewater dischazge to the sanitary sewer. As a result, it potentially could be subject to a SAC payment of $7,750 (5 units at the 2006 rate of $1,550 per SAC unit) at the time your Induslrial Dischazge Pernut is renewed. MCES never received back the SAC intent form attached to the above letter. At this point, you have two oprions. First you may pay SAC equivalent to the increase in discharge to the sanitary sewer based on the preliminary volume review, or documented discharge volume from a 30 day volume sludy. If you choose this option, a SAC Payment Form will be enclosed with your renewed Industrial Discharge Permit. The form must be brought to the City of Eagan and be completed by a city representative indicating that SAC was paid. A permit condition in your renewed permit allows 30 days for the SAC payment. Your second option is to conduct an additiona130.day wastewater volume study. If you choose this optioq please inform the engineer referenced below. The study must be completed and results submitted to Metropolitan Council Environmental Services (MCES) by December 31, 2005. Guidelines for completing the wastewater volume study are attached. Based on the results of the study, MCES will determine a current SAC equivalent of your wastewater flow. The SAC rate applied to the cuffent SAC equivalent will be the rate in effect at the start ofthe 30-day wastewater volume study. The SAC rate is subject to change every Januazy. To determine your firm's SAC liability, MCES will use the lesser SAC equivalent of the preliminary volume review and the 30-day wastewater volume study. If a SAC payment is required, a"SAC Payment Form" will be enclosed with your renewed Industrial Dischuge Permit, and the above described method for completing the form and payment of SAC will be applied. It should be noted that some cities use SAC determinations to assess municipal impact or connection fees which aze exclusive of the SAC charge. If you are unsure as to whether or not these fees are applicable in your city, you should call the city offices to inquire. At this time, no money should be sent to our offices. SAC payment shall be made to the city at the time of permit renewal using the "SAC Payment Form." Piease be aware of the fact that the information contained in this letter is accurate under the cucrent SAC policy. You will be notified in the future of any change in policy which might affect the status of this or future SAC reviews. www.metrocouncil.org Metro Info Line 602-1888 230 East Fifth Street • St Paul, Minnesota 55I01-1626 •(651) 602-1005 • Fax 602-1138 • TTY 291-0904 Art Equo( OPPartuniry Employer Pat Renne 10/31/OS Page 2 Minnesota Technical Assistance Program (MnTAP) offers assistance to industries with pollution prevention concerns, including the reduction of wastewater volumes. ff you aze able to reduce the discharge volume of your facility, the potential SAC liability indicated in this letter could be reduced or eliminated. The services provided by MnTAP aze free. For more information, call MnTAP at (612) 624-1300. Please direct any questions to Berhane Worku at (651) 602-4717 or via e-mail at berhane.worku@metc. state.mn. Sincerely, V ` ??d'1hPJLs?EC.? Leo H. Hermes, P.E. Industrial Waste Manager Industrial Waste & Pollution Prevention Section Metropolitan Council Environmental Services Attachment Cc: Carolyn Krech, City of Eagan Sandy Selby, MCES Berhane Worku, MCES Metropolitan Council Environmental Services Guideline for SAC Volume Study • Contact the engineer in charge of your permit before commencing with the wastewater volume study option. Special conditions, other than those specified in this guideline, may apply to your facility. • The wastewater volume study shall consist of a minimum of 30 operating days of volume data acquired from the use o£ incoming water meter(s) and/or from a wastewater effluent flow measuring device. • The volume study shall be conducted from approximately 60 to 30 days prior to permit renewal. • Deduct meters shall also be used when losses to lawn sprinkling, evaporation, product loss, etc., exist at the facility. If these losses cannot be accounted for by meter, the permittee shall submit to the MCES engineering calculations estimating these losses and/or conduct effluent flow measuring from an MCES approved monitoring site. • All values used to determine the actual or calculated daily wastewater flow volumes shall be submitted for e.ach day of the study. Also, indicate the daily activity taking place at the facility during the study (e.g. full operation, cooling water cleanup). • Piease account for any unusual events, such as a spill, that may have occurred during the volume study time frame. The results of this study shall be submitted to the MCES by 12/31/05. MCES staff will calculate a SAC equivalent based on an average of 30 daily wastewater flows. MCES reserves the right to conduct additional volume monitoring if deemed necessary. ? Metropolitan Councii Febiuary 28, 2005 Domino's National _Corrunissary Corp 3355_M1e Collins-Dr - -?? Eagan, MN 55121 ATTN: Pat Renne Enaironmentaf Services Re: Wastewater Volume Review for Permit Number 884 Located at 3355 Mike Collins Drive, EaBan, MIlV As part o£the MCES Service Availability Charge (SAC) policy, all industries holding an "Industrial Dischazge Permit" are subject to a wastewater volume review one yeu prior to the expiraUon of their permit. SAC is a"connection" fee which has been levied since 1973 for new wnnections or increased volume discharged by existing users to the Metropolitan Disposal System (MDS). SAC revenue is used to pay for the unused reserve capacity portion of debt service for capital improvements. The wastewater volume review serves as a method for detecting wastewater volume increases from a faciliry. Ctiurent wastewater volumes are convertefl to a SAC equivalent and compared to a SAC baseline value. Any increases over the baseline value, or the value for SAC credits, whichever is greater, haue the potential to be assessed 3AC. Three years ago, a wastewater volume review for your facility took piace. At that time, wastewater volumes from your facility were noted to be below SAC baseline and/or SAC cred'R levels. For pomino's National Commissary Corp, the subsequem wastewater volume review for your facility has been completed. The preliminary evaluation of wastewater flows indicates an increased use of the sanitary sewer, above the SAC baseline and/or SAC credit levels, equivalent to 5 SAC units. Please refer to the attached "Wastewater Volume Reviev.?' for the resuks of the review. Based on the 2005 SAC rate of $1,450 per unit, this increase will result in a charge of $7,250 due at the time of permit renewal. A follow-up letter wiil be mailed to you four months prior to perntit renewat describing two options regarding a potetrtial SAC payment. The first option wili be to pay SAC based on the preliminary volume review results and the SAC rate in effect at 6me of payment. The second option will be to conduct a 30-day wastewater volume study to deternvne the updated SAC equivalent of wastewater flows. The SAC rate charged is the rate in effect ai the time of payment. The volume study option will be beneficisl to your company if you choose to initiate wastewater reduction measures to reduce or eliminate U?e amount of SAC due. A final enclosure is the "SAC Statement of Intent " Please wmplete and return it to MCES by 3/31 /O5. www.metrocouncil.arg Me[ro Info Line 602d888 230 East Fifth Street • St. Paul, Minnesota 55101-1626 •(651) 602-1005 • Farz 602-1138 • TTY 291-0904 Art Equa( OppoRUniry Employes Pat Renne 2J28/OS page 2 With either option, a"SAC Paymern Form" will be enclosed with your industry's renewed "Industrial Dischazge PemuY' stating the amount of SAC due, if a SAC payment is required. It should be noted that some cities use SAC determinations to assess municipal impact or connection fees which are exclusive of the SAC charge. If you are unsure as to whether or not these fees aze applicable in your city, you should call the ciry offices to inquire. At this 6mc, no money should be sent to our offices. SAC payment shall be made to the city at the time of pernvt renewal using the "SAC Paymern Form." Please he aware of the fact that the information contained in this letter is accurate under the current SAC policy. You will be notified in the future of any change in policy, which might effect the status ofthis, or future SAC reviews. Minnesota Technical Assistance Program (MnTAP) offers assistance to industries with pollution prevention concerns, including the reduction of wastewater volumes. If you are able to reduce the dischazge volume of your facility, the potential SAC liability indicated in this letter could be reduced or eliminated. The services provided by MnTAP are free. For more information, call MnTAP at (612) 624-1300. If you haue any questions, please wntact Berhane Worku at (651) 602-4717 or via e-mail at berhane.worku@metc. state.mn. Sincerely, I,eo H. Herntes, P.E. Industrial Waste Manager Industrial Waste & Pollution Preverrtion Sedion Metropolitan Council Environmental Seivices Enclosures Cc: Cazolyn Krech, City of Eagan Sandy Selby, MCES Berhane Worku, MCES LHH:ptn Metropolitan Council Environmental Services wastewater votume Review Industrial Discharge Permit Renewai Company Name Domino's National Commicsarv Com Pernut Number 884 Penuit F.xpiration Date 2/28/06 SAC equivalexit of the July_ - Dec., 2004 30 Units Self-Monitoring Report (Total wastewater volume/total nwnber of operation days equals average daily wastewater volume. Each SAC unit equals 274 gallons.) Modified SAC Baseline Value 25 Units (MCFS policy determined the SAC baseline value to be the SAC equivalent of the volume reported in the final self-monitoring report for 1991. 1he modified SAC baseline value represents the SAC baseline value, plus any SAC units paid after the 1991 baseline date, or the value for 5AC credits*, whichever is gmater.) This review indirates fhat the SAC equivalent of the curreni wastewater volume exceeds the modified SAC baseline value. 'Ihe permiuee has the option to condud a wastewater volunne study prior to permit expiration. The MCES will make a final determination as to the pennittee's SAC liability based on the preliminary volume data and the 5AC equivalent determined fmm the wastewater volume study. In the iuterim, the industrial user has the option to undertake volume redudion measures to reduce or eliminate SAC associated with this peimit renewal. * MCES SAC payme,nt records may not be current, therefore, the credit value may be revised to account for unidentified credits, if the pemiittee can pmvide pmof of their eacistence. C_'/?__..?-• . ? ? Re ' ed by Date ,r ? MBtTOpO11tSII C01U1C1l Building communittes that work Environmentai Services October 31; 2002 Pat Renne Domino's National Commissaty Cotp 3355-M9ke Collins IJrive ? ? Fagdri, NIIV 55121 Dear Mr. Renne: This letter is a follow-up to the letter sent on February 28, 2002 regarding a preliminary volume review for the Service Availability Charge (SAC) system for Pemut Number 8841ocated at 3355 Mike Collins Drive. In tUat letter, you were notified that your firm tias increased its wastewater discYiarge to the sanitary sewer. As a result, it potentially could be subject to a 5AC purcbase of $13,200 (11 units at the 2002 iate of $1,200 per SAC unit) at the time your Industrial Discharge Permit is renewed. At this point, you have two options. First you may purchase SAC equivalent to the increase in discharge to the sanitary sewer based on the preliminary volume review. If you choose tlvs option, a SAC Purchase Form will be enclosed with your renewed Industrial Discharge Permit. The form must be bmught to the City of Fagan and be completed by a city representative indicating that SAC has been purchased. A pennit condition in your renewed permit allows 30 days for the SAG purchase. , . ? Your second option is to conduct a 30-day wastewater volume study. If you choose this opiion, please inform the engineer referenced below. The study must be completeti and results submitted to Metropolitan Council Environmental Seivices (MCFS) by December 31, 2002. Guidelines for completing the wastewater volume sludy are attachefl. Based on the results of the study, MCFS will determiue a current SAC equivalent of your wastewater flow. The SAC zate applied to the current SAC equivalent will be the rate in effect at the stazt of the 30-day wastewater volume study. The 2003 SAC iate is $1,275 per unit. The SAC iate is subject to chaange every January. To deterntine your firm's SAC liability, MCES will use the lesser SAC equivalent of the preliminary volume review and the 30-day wastewater volume study. If a SAC purchase is required, a SAC Purchase Form will be enclosed with your renewed Industrial Discharge Pernut, and the above described method for completing the form and purchasing SAC will be applied. It should be noted that some cities use SAC detemvnations to assess municipal impact or connechion fees wluch are exclusive of the SAC charge. If you are unsure as to whether or not these fees are applicable in your city, you should call the city offices to inquire. At this thne, no money should be seirt to our offices. SAC payment shall be made to the city at the time of permit renewal using the SAC Purchase Form. -trocouncii.org Metro Info Liae 802-1888 230 EastFYtth Strcet • St. Pavl, Mlanesota 85101-1626 •(651) 602•1005 • Faz 602-1138 •'YI'Y 291-0904 Aa Fquel Opyartoatty Employer Pat Renne October 31, 2002 page 2 Please be aware of the fact that the information containerl in this letter is accuiate under the current SAC policy. You will be notified in the fuhue of any cLange in policy which might effect the status of this or future SAC reviews. Mumesota Teclurical Assistance Program (MnTAP) offers assistance to industries with pollution prevernion concerns, including the reduckion of wastewater volumes. If you are able to reduce the discharge volume of your facility, the potential SAC liability indicated in this letter could be reduced or eliminated. The services provided by MnTAP are free. For more infomnarion, call MnTAP at (612) 624-1300. Please directany questionsto Berhane D. Worku at 651-602-4717. Sincerely, C;?g m. Ak .."'w- I.eo H. Hermes, P.E. Industrial Waste Manager MCFS Industaial Waste Seckion Attachment cc: Carolyn Krech, City of Eagan Sandy Selby, MCFS Berhane D. Worku, MCES L.HH:ptn • Metropolitan Council Environmental Services Guideline far SAC Valume Study - Contact the engineer in charge of your pernut before commencing with the wastewater volume study option. Special conditions, other than those specified in this guideline, may apply to your facility. - The wastewater volume study shall consist of a minimum of 30 continuous days of volume data acquired from the use of incoming water meter(s) and/or from a wastewater effluent flow measuring device. - Deduct meters shall also be used when losses to lawn sprinkling, evaporatian, product loss, etc., exist at the facility. If these losses cannot be accounted for by meter, the perxrrittee shall submit to the MCES engineering calculations estimating these losses and/or conduct effluent flow measuring from an MCES approved monitoring site. - All values used to deternune the actual or calculated daily wastewater flow volumes shall be submitted for each day of the study. Also, indicate the daily activity taking place at the facility during the study (e.g. full operation, cooling water clean up). - Please account for any unusual events, such as a spill, that may have occurred during the volume study time frame. The results of this study shall be submitted to the MCE5 by December 31, 2002. MCES staff will calculate a SAC equivalent based on an average of the 5 highest daily wastewater flows. The MCES reserves the right to conduct additional volume momtoring if deemed necessary. --------- , I Pertnit #: I ? I ? I ? PermitFee: ' I 66 I p?A p (? ? Date Receive?IF?R B?2o?'°' I ? Statt: ? I - - - - - - - - - - - - 2009 COMMERCIAL BING PERMIT APPLICATION AQ5-Y, Date: -,33,07 SiteAddress: ?3355 C 7enant lvll /1a5 Sulte #: P ROPERTY ?Wd S OWNER Name: Phone: CONTRACTOR Name: G r ? 4icense #: ?LL?J3 ?i?/ ?M ? Address: ? J City: State: ?.Zip: SJ ? Phone: Contact Person: TYPE OF New Replacem nt Rep ir - - - Work in R.O.W. Rebuil ModifY Pac_ WORK Description of work: - ? PERMIT TYPE COMMERCIAL _ New Constructlon N, Modlty Space _ Irrlgation System (_ yes /_ no) (_ RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM _(2" turbo required unless smaller size allowed by Public Works) . Meters Call (651) 675-5646 to verity that tests passed orior to oicking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 03.00 Avg. GPM Hlgh demand devlces4 _Yes _No FlushomMers _Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Convact Value S x t% - ?n it F P _ $ ertn ee Requlred on ALL new buildings and boulevard irrigatlon systems 4= S Radio Meter Read - If Permit Fee is lese ihan $1,000, surcharge ic $.50 =$ Meter(s) - If Pe i ai is> $1,000, surcharge increases by $.50 for each $1,000 $7,000 Permit Fee (i.e. a$1,001-$2,000 Pertnit Fee requires a$1.00 suroharge). _$ '? V Slate Surcharge Following fees apply when installing a new lawn Irrigatlon system. $ Water Permit Call the City's Engineering Departmen4 (651) 675-5646, for requlretl fee amounts. $ Treatment Plarn $ W ater Supply & Slorage $ State Sumharge TOTAL PEES $ • 5 I hereby acknowtedge that this infortnation is complete and awurate; that the work will be in coMormance with ihe ordinances antl cotles of tne Gity ot tagarr, tna[ I untleretantl this is rwt a pertnit, b I nly an application for a permit, antl work is not [o start witFrout a rmit; that the vrork will be in accortlance wRh the approved plan in e W work whic reqs areview and approval of plans. X X Applic nYs Printed Name Applicant sSignature Page 1 of 3 ? oate: 2009 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES '-EXISTING COMMERCIAL PROPERTY (if applicable) ' Property Owner: Address: Plumber: Phone Number: Contact Name: Sewer Service Water Service Sewer laterel charge Water lateral charge Sewer trunk Water trunk City SAC @ $100 / untt Water supply storage MCES SAC @ $2,000 / unit Receipt #: , Date: Receipt #: , Date: Treatment Plant @ $735/ unit Septic abandonment $ 50.OD Permlt Fee $ 50.00 Permit Fee $ 50.00 State Surcharge $0.50 StBteSUrCherge $0.50 'P/umbingPermilRequired-watermeterlobe acquired wifh buifding permit TOTAL: TOTAL: Sewer Service Water 5ervice Sewer lateral charge Water lateral charge ' Sewer trunk Water trunk City SAC MCES SAC Receipt # , Date Water supply & storege Receipt # , Date Treatment plant Septic abandonment $ 50.00 Permit Fee $100.00 State Surcharge $ 0.50 `Plum6ing Permit Required - water meter to be acquired with building permit TOTAL: of SAC units Is determined 6v the Metronolitan Counci! Environmental Services /6511602-1000. Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past. 1-5 SAC units $ 7,635 / SAC unit 6-10 SAC units $ 410 / SAC unit j i i - 11+ SAC units $ 465 / SAC Unit ? ` i I Permit k: I I i . .. ? Pertnit Fee: - . . I I ? . . .?..DateReceived: ? . I I . . _ . . . ? .. .? . ? Statt: ? -- ? Cc: City of Eagan Finance Department Page 2 of 3 i - r ~ ~ ~ ~ ~~+y~ YDa ' ~ ;z~ ~fNG DATA SfTE LOCATIOi~ aa z~ ` ro d~N o ~PoU ~ J4:: ~ ~ T! m ~ d&~ I COMMON NAME QTY LATIN NAME SIZE ROOT , ~ ~ co Lake k W.,... ........90 0 9 ~ . S r 9 , ~i _ _ _ _ . . _a~i~a~-~ _-__.__._f~~~s~r~~~___ _ ~y,~ ~y... ~ ~ WCS ~ ~FA.PF. I~y ~n ar, ~ ~I.'.e "4~ ~o ,hYt.~ _ . . ~ K.:;.;.;r....;:~ : Y~;:•....?F.. ae. ~ a ~~a ; . rLak . 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' , ~ ~ Ai ~ ~ . ~ „ , ~ ~Q,~, a,,.e~., ~ V C i c.~t~eti ` ~ i ~ t~ ~ , ~ ~ ~ ~ ~ ~J .5 0 ~ c~ s b . , ~ C.~lC., ~~Af~ ~ ~ r oor e ev ~ on ~ ~ s , ~ ~ ~ ~ ~ ~re~ _ a ~i,~ . _ ~ - ~ ~ ~ , _ _ . _ i ~ ( ~o ~ ' I 5 , ; , _ _ ~ ~ ~ I. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 6 -~f~C~ a ~ ~ ~ !r~ ~ a ~ ~ ~ ~E,o y ou,,: J , , yD,o ,o ~r~ : 0 ~ - - - ~ ~ ~ ~ ~ e~ O. ~r~~ ~ ~ ) 0 , ~ ~ ~ S~..s.~~ . ~ ~ 7.^s . e.ow~. P`j . ~ M _ _IY!--tN ~ vJ ~ p ~ ~ G~_~~. w/ i ~a.M ~QJ1r~n~' ~ Vv~t1~~-V _ ~ ~ _ _ -_~t~1~~-V _ _ _ 2 " a~ ~ ~ ~ ~~'D p ~ ' ' Cj~.,p , , _ ` . - - ,o ~ ~ _ ~ _ ~ ~ ~ ~ _ I ~ : ~ ~ ~ , ~ : ~ j - ~ ~ ' ' \ ? . - • ~:l~ ~ - Q: ~ ~ ~ ~ ~ ~ _ ~ Pcw~l' o o ~ ~ U~ ~ " , ' ~ ~ ~ ~ ~ , ; _ . - - ~ ~ ~ - • _ tJ~~~.C` - ~ i ~ ~ ~ ~ _ ~ ~ ~ ~ S" ~ - _ 1 ' ~ _ S, ~ ~ , . ~ ~ ~ ~ i . ~ , - ~ ~ ~ ~ N f•S ~ ~ ~ ~ ~ ; f ~ ~ $ - - _ f ~ ~ _ - - - , ~ ; ~ ~ d~~ ! ~ ~ ~ c~r U ~ C ~ ~ ~ ; ±-~.tt_. 2 ' ~ . ~ ' ~ ~ ~ ~ E ~ , 2 ~ ,~t~;.~ ~~.~~~t.~~; C~' ~ i ~ ~ ~ , ~ . ~ ~ ` ~ . ~a~°~~~ ~ ~ ~ ~ ~ ~ ~ ~ ~l e i , c (~,y- ~ ~ ~ . ~i~ ~ _ _ I \ ~ ~ ~t~:_~ ~ ~ ~ S I k1 ~ ~ ~ - - ~ a _ . ~ y~ ~ - ~ G ~ S~, ~ ~~,r,.} , ~ ~ I I~ ~ _ ^ _ _ _ _ ~ I ~ ~ - .f~~1C.(_._. a.V111"[~i ._~I.~~Uv~~ ~ , , ~ ~ , ~ ' ~ , ~ r ; at ~~.1~--___ _ f _H( ~ , ~m~. ~ ~ ' ~ , ) h `v~ ~ . • ~/3,a n . . . . ~ ~ J . 0'~. ~ ~ ' i ~ . ~ ~ . ~ ~ ~ + ~ _ ~ ~~~F_P ~r _ ~ ~ „ , „ a ~ _ ~ ~ ~-l~ i~~N~6N'~~ ~ ~ 1'~~ , n, _H1~i~ x~~~~~_ n1' p ~~n ~ 11~! ~ ~ ~ . , , I ~ Ii Mt~ ~ p~ t~'V~~ ~~~'M~ r . ~ . ~ . } ~ [~e~ ; ~ ~ ~ ~ ` ~ ~l . ~ , ~ ` C:~~ ~ ~ _ ~I r.. ~ C~N GL- ~ ~ ~~~t~ _ ~ i~ G~„ r„~r,,~ r~~~c; ~0~~ Cfu5~20~~ 4 ~v~; . ~ ~ 1 INAc~E- ~ l ll2 ~ a~~ ~ S a ~ ` ~ ~ ~eya~'~ l~'(I~ITy p r~~ , q^~ . N~ ~ p t C ~I t~ an u er _ ~ • t~ ~ ~ ~ ~ ~ 9 }~R,~ i _ ~ _ ~ ~ ~ ~ ~~.p _ ; ~ , 1, , ~ 7~~~'~~ ~a~~ ~ ~ n ~ ~ ~ ~ ~ ~ ~ . f 0 120 I d • ~ RE:VISIAJ . ~ . . SET - ~ ~ . . . . - - - - . . _ _ _ _ G~NFI~AL NOTBS : 1) A11 canstructian sttall confarm to City of Eaq~n standards and specifir.ations. ~d C~$ ~ o g . _ 0.. w ;~N 2) Cantraetor shall notify City of Eagan public Wc~rks Department ~f~~I M~ ° ~a z y <ym ° ; z ~ u 98 hours ~rior to commeneing any work in the ri6ht of way of ~ ~ ~ ° 8 . publie streets. ~ ~ ~ N~ _ ~7~~ ~~a : Cq~g , ~ 3) References in the plans or ~peci.fications ta MNDQT Specifica-- ~IV 1'~,~1`C- `°V1~ ~rVIS Y V ~ ~ ~ I . 1 ~ ~ . tians ~hall mPan the Editinn of Minnesota Department of ~ Transportation Standard 5pecifications for Cons~ruction, With n ~ ~ ~ ~ Latest Revisions. j ~ ~ ~ ~ f~~ ~ ~ O ~ ~ ~ ~ ~ • ~ ~ ~ daaox .Jawwa" ~ 4) All fire hydr~nts shall be Waterous Model WB-67 Series 100 a ~ a ~ a ~ u, 0 ~ yQ O t- Wik~, 2 Flex` ~la M~rke~h. ~ ~ N B 5) All water mains shAl1 be of Class 52 Ductile Iron Pipe. YI H~V~3 ~ \ ~ 1-~w~ J +PD 6) vices shal ° , ~ ~ A~~ ~ W~J2~ ~ ~ iF:'~~ ~1 D- tY ~ F- I- ~ 7) Sanitary Sewer mains shall b~ of aDR-35 Pol ' ~vinyl Chloride V~~J~ ~ ~ w ~ ~ ~ ~ ~ ~'i 9-~w< W ' pipe, except where cover exeeeds 18 feet, as sho~rr~ on the l.ans. p g Z ~ ~o° At these locations, SDR -26 hea ~all i e shala. ~ ° , ( `?Y ) P P be used. ~ ~ °~~a ~ F ,QJ /w ~ + q) ~ a~ c~ ~ w ! ~ ~ c~ ~ ~ ° 8) Sa~aitary Sewer services shall be of SDR-26 Pol n Yvi yl Chloride e[t n y ~U W 'j~~ n nn , ~ ° ~ V . pipe, 4" diameter. • aC ~ ~ ~ Q,~ a~6 ~ ~ v~ f~v'"~ ~ ` ~ w ~ U ~ ~ ~ J ~ ~ ~ ~ 0 9 Mini:muun cnver for water a n ~ ) m i s and services sha~.l e , ~ ~ ~,,c.~i.e~~l.. . ~ b 7.5 feet. ~ ,p~ , _ _ ; t . 10) Concrete far curb and Rutter shall conforn to Section C of ~ ~ C,P SU~~ . , ~ ~y ~ _ ~q R~~ ~ ~ ~ ~ ~ , ~ ~ ~ ~ the City oP Eagan Engineering Guidelin~s Manual. , ~ ...r-..~-- ~u~ ~ ~x ? .~..p ~Q ~ ~ ~ ~ ~ , t ~ aVf~Y:. 860.2 O. Z,~ ° 0 ~ ~ ~ ~ ~~E ~ ~ ~ ~ ~ ~ 11) Bituminous Pavinq shall conforan to 5ection P of the City of - . ~ rt..~t ~ ~ ~ - ~ ` ~ , T„~. ~ Sa$an EnBineering Guidelines M~nual. , _ _ . _.y 343.0 ~ ~ ~ _ , ~B ~..~z _ _ , , ~ ~ ~ - ~ _ _ R _ - / ` ~~o ~ 1 ~ ~ ~~ve~. CI~~~ I 2 , ~ 2~ ~2 ~ • ~ ~ ~ ~ ` - a/ ~ ~N~- ~s ~ n~~ i ~ ' , ~ ; /O \ u~ ~ ~ m / 1~ - ~r~~ti~ , ~ ~ ' ~v~~~~ v~~~~~`Ca,"C~c~ ~ ~ ' ~ ~ ~ ° , ~ ~ ~ ~ ~~~ti Wt~~~. ~s«.. ~ T ~ ~ ~ ~ ~ ~ ` f ~ ~ ri ~ (o\ ~~i ~ e i ~ ~ . I ~ ~ ~ . M ~ ` , p` c . ~ , i~ ~ ' ~ ~ ~ ~J ! ~y ~C,_ , r.~, ~ ~,e;,~c ~ ' ~ ~ . B ~t ~~G~.~~ ( ~ ; ~ l ~ i ~ ~ ~~c, ~'A~ t~t~~.°t~ °Co_ ~ , ~ ~ ~ ~ ' • I ~ I I ' ~ .~__~~-T~ I . - I,~ i~ ~ C ~ ~ ~4 ~ ~,~a~T ~ Q • ' ( / t, d ~ , ' ~ ~ ~ ~ i ~ ~ ~ ° ~ ' ' ~ ~ D A ~ r r ~ ' \ C ~ 'r ~ ~ 0 ~ 4 ` ~ ~ , ~ ~ ~ ~ / ~ / ~ ~ ~ ~ i ~ ~ ~ ' ~ ~ ^ , ~ , ~ ~ p ~ g ~ ~ ~ ~ _ ~cnss 4~ ! ~ , a c.~ _ \ i 'l j , ~ r \ ^ ~ (y`a~ wEt = ' ` . ; ~ G ~-~~T. -~Q , - , w iTN , ~tR~ x : I ; E _ , r~e~~ ~ E r~ w~-r~r~r+~ ~ I~~ ~ vA~.'J ~ ` I • 0 ~ ~ ~_p_~ r f I'~P, ~w~ ~ U , ~ ~ ~ ; 4~s~~/_, e ~ I _ ~ 4 oor ~ ev r ~ ~n , .v ~ s ; ~~/iG ~E , ~ ~ t; ~ ~ ~ . 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S , ~ ~ - ; a ~ / ~ ~ ~ ~ : r I~IV'~ A~ 7~~,.0 , Q~~ ~ i , 1 . 6 ~ , ~ 1„ ~ .d . ~ , w~ . ; - _ n w , \ i ~ ° IL zs Y~ ~m.~.~~ 34~ ~ 0 20 s~''~ X ~ c ~ ~ G ~X A (00 ~ . ~ C Pf PK I N ~OT _ . ~ i \ ~ . ~b ~ ` ~ . << . ~ ~ ~ ~ ~ ~ , , ~ ~ ~ ~ ~ ~ )IN G DATA SITE L.OCA~CLON , r ~~n , Y COMMON NAME QT LAl"1N NAME S1ZE R001' Nb ~p ,~.gk~ V~ ~ ~ ~ ~y,}1~~ p, . . - _ _ _ _ _ _ --Z~~v.t,a_~ -----~_ti ~.s~'~~w~. _ _ _ ~ , . ; ~ - - - _ - _ _ _ _ _ _ - _ _ _ _ _ ; ~ ~ * ° ~ ~ ~F Q ~ ~ . ~~p ~ ~ ~ •e ; ,~Y' Horses - a . . , . _ 7'~~ -~T _ ~(~:C~c_c~,G.~Ci.)Z~~~~ _._~~o _ _ _ ~ r~ G~~?"_~_.. ~ r~. __?~2'~'_ ~t,~~ '~L~: ~A,~?_?S~~_.~^1-~,. _ _ - y Lak : . -sPf~r~-- _ - _ - _..___t . _ . ~"s~`r _ r a9 ~ ~ _ ~ ~iy, i ~~~c _ _€~w~_ _~N ~--~-~~=_~a~-. ~7.~_._._ _ ------.u. _ _ _ _ ~ _ . _ _t,~Y _ - .o. _ _ _ - ~ ~ _ ~ o°~f~, , ~ ; r~~ ~ ~ ~ ~ , z~tav _ _ r . - . IOME 0AK L~S RD. ~ , F,A.U. , ' ~ ~ ~ .__._(~~~r°---~tc- - ~_._~IJ~S__~oG~~_ _~ea' (5: --~I~~~`~-C~P_~5~71'_--~_~_~_:=.-~5~ . ~~~C~-- . _ _ ~S~Uc~ ~a~~i~~~,1~5~ . . ~ ; _ _ _ N :.6 ~ ~ ~r~e~~ ~ t~ k"` _ . . ~ 9 ~ F•AP . ' ; ' +3r :CL~ ~~1ftw _ ~ _ _ _ _ _ . . _ _ _ _ `T'~t~`" _ ~ : ~ ~ CL~ _ . _ , - ~~~I ~ y, rA ~ S~ c,,: ~ j~ ~j fY~ ~ ~ , S~d~' N~ --l°'~'-~ -~~~uM------'~-~+~L~~~ _ - - _ - - _ ~t~~--~~5~". ~.i1~. . ~ , _ _ /~~y~~ ( ~ ~7 ~ / ~ C G WY' ~ t,ry ~ ~ ~.r ~ a~e.._ _ ___~_t~~~. ~ _ _ , ac IT ~ ~ ~ ! _ ' _ ~ll , F;~ ~ ~ ~ y _ (~4D1 tJ'I'= _1--- ~pCJst-U~$:__~1SJ,~+?~J'I" _ _ . _ ~ _ _ .F: ~1~ _ Ni~~(~5~ _~.~rV-t~'~~~TU~.~~IUC~'~~ _ _ _ _ ~°EG?M~. . ~ _1U~~'~"~~'~'~T~:~"7-~~~'h~~~1F~ . _ llp c p , k. ~ ~ ~ ~ ~ _ _ ~ . ooODl E~ pp ,;o ~ E., tos, ~ • , ~ - ~ _ _ , . _ _ ~__..~~~t~~_1~0~ --~7~ - -0 i t.,, r' ~ ~ d ~~T L~ac~Sr -~at~aa-"C~h``'~-c~^d-'Tt~4a5--__ 2,~~~ _t~/~__ _ . ~SU-~- _S"c7N~P.~t~.~=~? _ _ . _ . St~E~(Nt~ _ _ _ . y r ~ ~ ~ ~ , . . o ~ ~ i ~ ~ a~ ~ ~ _ ~ L.a`..'- s _ _ 9~ ~ 1 x Ic I ~ b~tr ,~~I3 ~ t~ , - LL--- _ ~?f~- _ _ - . , - - _ _ _ _ _ - q ' ' ' ~ ~ ~ ~ GJ ~i ~ ~ ~ L~.Nf ~ ~ 10 ~ a ~ ~ ~ ~ ~ ~ '~L =t` ~ t` - - - _ _.._-'3~ ~J_1...__ - . Y o _ p 7~:: w ~ . ; -~-~--s;;lt?~„~N_i_i~~,~4__.--~-pn7 - - - - . - a , , , . ' , ~ ~ ~ Fash ~ c ~ke 5~ ~ x ' ~ ~a t~ ~ , W ~ . .y~y . _ _ ~ V G~ ~ ~IO~ (~J ~5 ,C"~. W _a~.. _ c~o p~,,tc.~/ _ _ - _ _ . _ _ _ _ . . _ _ _ ~ _ _ - t ~ , : J ~ - ~ I.. ~ d~ . m ~ ~ 'i _ _ ~ - WESCOTT . WC5 . ~ ~i~ ~ , ~j t,y'~ F- _ . _ _ - - . _ _ _ _ - _ _ _ P~__~d - ------~~sv_~~ ~ _ _ _ _ _ 3l - - - - ~ ~ ! l. - _ ~r c~ t~ z r I' ` 'w~` ~ - - Har;eY ~~.k ~ J ,t : - _ _ _ • G,,` ' ~ ~'i V~ ~ ~ ~ s - _ , • u; ~ ~~,~k~ ~Bald ` ~ ~ _ ~ ~ ~ - - ~ ~ Lake - _ _ . . _ _ _ - _ - _ ~ - - _ _ _ M qg - M ; ; ~ , , ~ ^ _ _ _ _ _ , _ _ ~ N_ McCarthy ~ i;~ F.a , j'' w ~ d ~ ~ fi ~a.. ~ ~ ; ~ ~ ~ ~ _ ~ _ _ . _ _ _ ~ _ _ _ _ ~ as ~ ~ ~ I `r ~ ~ ~ ~ ~ ; 6ikk o4 curb ' _ _ 343.0 ~ - - ~ ~ ~ . e ~ ~ ~ ~ 2 ~ ~ r f? , , ~ . ~ _ ' ~ ~ ~ ; ' i e ~ _ ~ ~ ~I ~ClIOfl 0$ ' N ' ~ ~ ~ r ~ ' ~ ~ _ ~ ~ ; , . . 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Lc_ I 8830 Pilot Knob Road I VED I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 3 y . 2012 I Staff: j Fax: (651) 675-5694 2012 COMMERCIAL PLUM ING-PERMIT APPLICATION t6 7 L=. u S Date: Site Address: Tenant: ) ®(S~ Suite r PROPERTY OWNER Name: .1_a nt 0`5 Phone: tkl -10 Name:~B LOC-K RAN IV 11~ (2,)License CONTRACTOR Address: -7731 -tom5 City: State: Zip: Phone: 3 Email j1 , f TYPE OF -New _ Replace ent Repair Rebuild _ Modify Space _ Work in R.O.W. WORK Description of work: COMMERCIAL _ New Construction _4 Modify Space Irrigation System yes no) RPZ PVB) • Rain sensors required on irrigation systems PERMIT TYPE . Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking u2 meter. Domestic: Size& Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x1% 60. Dh Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee $ State Surcharge i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surchar e Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge _ $ U0• TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of ' to start without a permit; that the work will be in Eagan; that I understand this is not a permit, but only an application for a permit, aff accordance with the approved plan in the case of work which requires a review and appr(& awb x to x App can ts Printed Name Applrc Ys 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 -vim"' Use BLUE or BLACK Ink f j , For Office Use I a I Permit CA of fia an ; y , rr I Permit Fee: 0 3830 Pilot Knob Road ~ 11 Eagan MN 55122 I I APR X017 i Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff- I 2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 2 l 2- Site Address: 3 Slit 0465 Tenant: 1 `lr Suite Name: 5- Phone: PROPERTY OWNER Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Cat--r M ec to tWea Construction Cost: Estimated Completion Date: 6-3-12- Name: n a PLI4C-L-h04 License CONTRACTOR Address: Yj 3 tyl , d1 iA e.kCIn X' ,c City: { PQ i State: Zip: Phone: (t~ s ~r) 3y 0 Contact: 4v~ Email: FIRE PERMIT TYPE WORK TYPE Sprinkler System of heads) New _ Addition Fire Pump _ StandpipeC Alterations - Remodel Other. Other. DESCRIPTION OF WORK: Commercial Residential Educational FEES $60.00 Minimum (includes State Surcharge) OR Contract Value $ S:~--20 x1% - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Permit Fee - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ Surcharge _ $ 1,0 TOTAL FEE 3/4" Displacement Fire Meter - $231.00 Fire Meter TOTAL FEE "Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used 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 permit; that the work will be in ordance with the ap roved plan in the case of work which requires a review and approval of plans. x iUa.Q , k er\A ~ x Applicant's Printed Name Applicants Signature CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gor)herstateonecall.ora FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed bjc_ Date: / r 3c) / Use BLUE or BLACK Ink Ch 66 ~ - ~ I For Office Use ~ 0- 7 I l) ~V 1 Permit / C✓ 411b~ non City of EaV ~ s I 3830 Pilot Knob Road i Permit Fee: Eagan MN 55122 E Date Received: ' Phone: (651) 675-5675 lUlv L 1 LU12 j staff: I Fax: (651) 675-5694 L -----------------I 2012 MECHANICAL PERMIT APPLICATION Date: G^.c V// 2-d Site Address: -33 53' JlO?~ rS Suite#:7 -a~bz Tenant: i"10 ~ o nJ RESIDENT / OWNER Name: Phone: Address / City / Zip: Name: leo, //14 14,t fi; , r .412 , rr` L License CONTRACTOR Address: p d /.36 ;w 77 City: 4_41ee<rrl(c- State:Rkn-o~ Zip: Shy`/ Phone: to /Z - 9/ 9- `-/747 Contact: _ (f f !4 11Ax Email: Td ku LGrq A-_X0/2 "6-K-A14T, A14- - New replacement Additional Alteration Demolition TYPE OF WORK Description of work: /LC.it~-tc°_-- ra?D®O I ~o' v NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL _ Furnace New Construction Interior Improvement Air Conditioner PERMIT TYPE Install Piping Processed ~r Air Exchanger 2C Gas Exterior HVAC Unit fo PS _ Heat Pump _ Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ / 2, $ -d d x1% $60.00 Minimum (includes State Surcharge) _ ✓Q Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ S` d~ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee ~t (i.e. a $10,010411,010 Permit Fee requires a$ 5.50 surcharge) _ $ 7'~C TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with theeaapproved plan in the case of work which requires a review and approval of plans. btx r )ku- x zftod.~ Applicant's Printed Name Appli n 's Signature FOR OFFICE USE -1-1 Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Oct 23 13 01:04p Jim Murr Plumbing 651-457-4256 p.1 Use BLUE or BLACK Ink r__-.--------------1 I For Office Use 1 t nn I Cif of Ea ~ll I Permit ft; ct j t '-4 3830 Pilot Knob Road f Permit Fee: t~ Eagan MN 55122 Date Received; Phone: (651) 675-5675 - I o Fax: (651) 675-5694 j Staff. L-_-------•------- 2013 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. l (7~ Date: [ 0 47 3 -41, Site Address: 33 5 f'1 i l~ 4n' ; rs Tenant: ~C"r'^ Suite: Property Owner Name: Phone: Name: U,, r^Q(, Y'~w .~,r ~'t< License c✓ t 1, bPI^ } Contractor Address (lRs3' ' ~S-. { City: State f"'n} Zip; S Scr 5 c, i Phone:~~i '7 <<r r j -'1CC f'~37 Email: IV f*nQr c 1), py~o+ T of Work New _Replacement -Repair _Rebuild _ Modify Space _ Work in R.O.W. ype 9 a Description of work: COMMERCIAL _ New Construction _ Modify Space Irrigation System yes I _ no)( _ RPZ I _ PVB) t Rain sensors required on irrigation systems Permit Type ; Avg. GPM (2' turbo required unless smaller size allowed by Public Works) r _ Meters Call (651 ) 675-5646 to verity that tests passed prior to Picking up meter. a Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes No Flushometers -Yes _No COMMERCIAL FEES Contract Value $ $c CZ) X.01 $55.00 Permit Fee Minimum = $ ~5 e-; Permit Fee If contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge' "If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 "'If the project valuation is over $1 million, please cap for Surcharge = $ TOTAL FEE } Following fees apply when installing a new lawn irrigation system $ Water Permit t r Contact the Citys Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant I 3 $ Water Supply & Storage a ~ t $ State Surcharge I 1~C7 sc~ I L TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.org 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 x_/Yh- _ Applicant's Printed Name Applicant'6 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 U_s_e_B_LUE or BLACK Ink ` For Office Use --~J -1-- ZI c{~~~ Permit City of Eap Re I I Permit Fee: 3830 Pilot Knob Road 7 7A I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: - - - 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please su it two (2) sets of plans with all commercial r P ap~ plica1 titi~o 7~ . Date: Site Address: i ut, Tenant: '_L0000 S Suite # Property Owner Name: a~1C~5 Phone: f Q~- 1 r Name: LGti License C1~~l.C i ~l d 1 Contractor Address: I City: IGV State:(Zip: 31 Phone: Email Go ,(vf New _ Replacement - Repair Rebuild _ Modify Space _ Work in R.O.W. Type of Work Description of work: COMMERCIAL _ New Construction _ Modify Space _ Irrigation System yes / no) RPZ / _ PVB) • Rain sensors required on irrigation systems Permit Type . Avg. GPM (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES Contract Value $ X.01 $55.00 Permit Fee Minimum _ $ Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 = $ d~ Surcharge* **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge _ $ (~4~-~'C ~ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordan a with the approve plan in the case of work which requires a review and approval of fans. x X' Appl' ant's Printed Name App is nt's Signature FOR OFFICE USE Approved By Date: Required Inspections: -Under Ground _Roug -ln Air Test -Gas Test -Final PRV Required: _ Yes _ No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of 3 � I ', ' Use BLUE or BLACK Ink I r_________________. I I I For Office Use � I • ]�,1" �/�( � i (�/ �ry�� I � /L,ft-/ll.�,,,0 �(l� � Permit#: �I��C�(U � � Clt of �� a� �� Y � I Permit Fee: ' ��• � 3830 Pilot Knob Road i � Eagan MN 55122 AU6 1 1 2014 � � , Phone: (651) 675-5675 � Date Received: � I I Fax: (651) 675-5694 �Y:� _.____ j Staff: � li �-------- --------! � I t r!� 2014 COMMERCIAL BUILDING PERMIT APPLICATION ��\�� n1� Date: �"' ��/� site Address: � � � � �� r�. �� i(�(��S �� 1 V l� Tenant Name: (Tenant is: New/ Existing) Suite#: � Former Tenant: Name:��(.( �� Phone: PFOpePty OWtlel' Address/City/Zip: Applicant is: Owner Contractor � Type of Work ' Description of work: ,�Af S T A-L L L U/�I� �I�I � �)C !�� Construction Cost: �C� C��(? (7� � Name: �0 H�N l� l�L 5!�/i( �(��1�S� (��C License#: t3 G Ci�✓ � ��i �7 � Contractor Address: �,�� V H•N 6�U�tiN r�V j�. City: � � rI ��t- State:��Zip: 5 SJ�(>�j Phone: ��" ,� I Ci ' � �q '�l Contact: �b�1'N I�ICLS�/ll Email:f�CiLSCi��f GUNS'�A'/2�L�o( /''t/�lt�iGvi`1 Name: L�� LN(�1��v �N L Registration#: Architect/Engineer Address: �S� ��b� �B� City: wt7�1� �perac� State:� ?�Zip: S�( �G 'S�?.�o Phone: Contact Person: M^1 _��[�{ Email: �� Y•�'►'1� Licensed plumber installing new sewer/water service: PMone#: NOTE:Plans and supporting alacumenfs that you submit are considered to be public infarmation. Portions of the informatian may be Glassified as non-public if you provide specific reasons that wQUld permit the City to ', �� conclude-that tfie�� a�e frade�secrets.�'� ' CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. ' Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq ', I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and �� codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start 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. ',I X �a N-� v. rv I,��u�v X ApplicanYs Printed Name Ap icanYs Signature Page 1 of 3 3�3 �:� ,�i,i�lc,� C� II�nS �r. � DO NOT WRITE BELOW THIS LINE / �� ' SUB TYPES Foundation Public Facility Exterior Alteration-Apartments � Commercial/Industrial Accessory Building Exterior Alteration-Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New Interior Improvement Siding Demolish Building' _ Addition � Exterior Improvement Reroof Demolish Interior _ Alteration _ Repair Windows Demolish Foundation _ Replace _ Water Damage Fire Repair Retaining Wall _ Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Sa�OGb •� Occupancy 8'�'S•� MCES System � � Plan Review ✓ Code Edition �7�,gG, SAC Units Q D� wp/L�G (25%_100%� Zoning 7" ' � City Water Census Code Stories � Booster Pump #of Units O Square Feet PRV #of Buildings � Length Fire Sprinklers Type of Construction , '� Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) Final/C.O. Required � Footings(Addition) �Final/No C.O. Required �Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick Framing Windows Fireplace:_Rough In _Air Test Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Ins ection: Schedule Fire Marshal to be resent: Yes ° " No p p Reviewed By: . ��,v. , Building Inspector ' Reviewed By: 5-T• , Planning COMMERCIAL FEES Base Fee , , �08/�7S� Water Quality � Surcharge Z'�� Water Sampling Fee Plan Review Q�j.l Water Supply & Storage (WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit& Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL��.�9 Page 2 of 3 ,SC -n4. . 7/54,11/r- /z4L0 City of Eapil Mike Maguire Mayor Paul Bakken Cyndee Fields Gary Hansen Meg Tilley Council Members Dave Osberg City Administrator Municipal Center 3830 Pilot Knob Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD Maintenance Facility 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. August 15, 2014 John Nelson Construction LLC 427 Van Buren Ave St. Paul, MN 55103 RE: The Proposed Project/Addition for Dominos 3355 Mike Collins Drive Dear Mr. Nelson: We have started our review of the construction documents submitted in pursuit of obtaining a building permit for the above -referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless otherwise noted, all references are to the 2006 I.B.C. It is our goal that this review will help you in complying with the applicable codes. Provide the following details so that we may complete our review of your proposed project: 1. Provide two (2) sets of scaled architectural and structural plans. These plans shall include the licensed architect's and engineer's seals. The plans shall show the existing conditions as well as the proposed changes. 2. Provide a Code Analysis (required submittal document). 3. Provide a Key Plan (required submittal document). 4. Provide a site plan that indicates the amount of impervious surface on the entire lot. The site plan shall also indicate the replacement location of any landscaping that may have to be removed. 5. Verify the locations of both the sanitary sewer and water lines within the lot. 6. Provide details for the stair guards and handrails. 7. Provide a code complying detail for the proposed ramp guard (reference Sections 1010.9.1, 1010.9.2, 1010.10 and 1013 for requirements). Please make the necessary revisions to the plans and resubmit them for review. Thank you in advance for your attention to these items. If you have any questions concerning this letter, please call me at (651) 675-5683. Sincerely, J-6 2/1,07451/_, Craig Novaczyk Senior Building Inspector Cc: Mike Ridley, City Planner City of Evan Yeo TO: Mike Ridley, Planning #43 FROM: Craig Novaczyk. Senior Building Inspector DATE: August 15, 2014 RE: Plan Review For: Proposed Project/Addition for Domino's 3355 Mike Collins Drive The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments within i days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. if you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: Indicate below any fees that are to be collected with the building permit. Amount Landscape Security Required Zoning: Water Quality Dedication Meter Size: Park Dedication Trail Dedication Tree Dedication PRV Required irrigation -Treatment Plant Sewer/Water Permit ❑ Yes ❑ No El Yes D No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No El Yes ❑ No ❑ Yes ❑ No ❑ Yes 0 No Signature Date G:\Building Inspections\FORMS\Commercial Bldgs Final & Plan Review Letters Sent : 05/15/18 at 10 :20 AM From: 6128692631 To: 6516755694 Page: 2 For Office Use I( . 21, 1 ,fi` f , ::: _____ a.„ e: Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 i FAX:(651)675-5694 Staff: Plan Submittal:eplansecityofeagan.com L- 2018 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,submitted via email,CD or flash drive Date: MAY 15,2018 Site Address: 3355 MIKE COLLINS DRIVE Tenant: DOMINO'S PIZZA Suite#: --- Property :.Owner: Name: DOMINO'S PIZZA Phone: 651-688-2929 n .._.._ Name: BLAYLOCK PLUMBING COMPANY License#: 063200 Contractor Address: 7731 4TH AVE S City: RICHFIELD State: MN zip: 55423 : : Phone: 612-869-7531 Email: robin@blaylockplumbing.com o"' New —Replacement Repair —Rebuild Modify Space —Work in R.O.W. `'Type-oflork` — — RA:::�� 1$ r, Description of work: N COMMERCIAL New Construction Modify S ace Irrigation System(_ I/yes I no)( 1/RPZ I PVB)7;fr -�p _ � �, 4_:. • Rain sensors required on irrigation systems , j.f j `C � � � Permit Type • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verily that tests passed prior to picking up meter. pe Fire: 1 ':,,,,,;.-'64,'.:4-,", ` Avg.GPM Size&T High demand devices?_Yes_No Flushometers Yes_No COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum / � $60.00 PVBIRPZ Permit(includes State Surcharge) =$ t J•co Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ 1400 ,CO TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5645,for required fee amounts. $ Treatment Plant $ Water Supply&Storage _ $ State Surcharge _$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.comisubscribe. 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 Wit 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 thcase of work kwwhich r.quires a review and approval of plans. 0ZVryr X____Lz2.____....----------.------- . AppltCant's Printed Name Applicant's Signature FOR OFFICE USE . 7 Approved By. . _ __.�...- _t. -. .- Date: -- Required Inspections: ' Under.Ground _I ough-ln :;.:. ':/ki0Ti.it Gas Test =Final : PRV.Required:_Yes ' , No 'Meter:Related Items:'. .MeteSiea - r. adikRead - , ManometerStaff: Page 1of3 jl For Office Use( F/ j co Permit#: .•//,, •••� 4 as/6-0 E AGA N Permit Fee: �� •••• •♦r0 Staff: Payment Recvd:ted( Yes No 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I ` (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 I Plans: Electronic Paper buildinclinsaections(a�citvofeagan.com L 2019 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 4-20-19 Site Address: 3355 Mike Collins Dr Tenant: Domino's Pizza Suite#: 0 Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components Name: same Phone: i Address/City/Zip: A..licant is: Owner ✓ Contractor t ° replace all dry heads with new in freezer and coolers ,' Description of work: Construction Cost: 8000 Estimated Com.letion Date: June 2019 Name: Summit Fire Protection License#: C-075 t. u Address: 575 Minnehaha Ave W City: St. Paul } t. State: MN Zip: 55103 Phone: 651-251-1880 t " Tad Wikstrom twikstrom@summitcous.com t.« .. , . . Contact: Email: FIRE PERMIT TYPE WORK TYPE Sprinkler System(#of headk3h ) _New _Addition Fire Pump _Standpipe 1 Alterations _Remodel Other: Other: DESCRIPTION OF WORK: Commercial Residential Educational FEES 8000 $60.00 Permit Fee Minimum Contract Value$ x.01 _$ 80'00 Permit Fee Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ 4 Surcharge $100.00 Residential New(includes State Surcharge) _$ 84.00 TOTAL FEE 3/4"Iii-- 00 _$ Fire Meter RadktRiattNquk1444th ffr )-$190 =$ 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.citvofeasaan.com/subscribe. 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 p ,but only an appli tion 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 req ' - - review and 1 of plans. � x ` , to diP�A ikdt- x p _eucer Applicant's Printed Name App icant's Signature ^s,ptr' .Y� ` 1"" �S " z ' ".,`� .b4 � "+ 'd to rfi • d ' {�[! ic+ ,w r s s ^ `' A}3ih.m r '''ife e} w r '�.„';',.(''7, 44 "SrP r ! > v ' my 'A " as 563 + ',° Pd°a, Py ' !'' rGy'�" ky "* '',: " P `{&" mr ' .:s ra,y » uSr `*,-11!:•:1'."' s' a:` ''^1£^J a, .' 1ay,p a 3,, la'' G �` tt�*'rgy,t�} ,y w?"p*t.x "`", 3S arrr P"t"` w B :4 S {`t9j+ . ..":',:;;x';'.4.;;;; Y�, ryaa i S t R " �',.'..,,-,:`,5.4'41,44.;',.—'3 ,� x xtraYt'a" "V°0 Pt •, 4 trys i'''',:''':'''''''''`'''" , / '4,2,,a k ! �` S�' it ?+I�os^��+ ar :,.i. + .3"e= .:„sI " 7 !,' b"» a "-.> "?3kp"k .r�d�++� a� " '*Ert3"� t' +q $ #t ': y �¢ � s Wi spy«�`�c� ; }" r z,,kr} * ' r �''nt 1L?p 'y r� f &i f?,,':;,T' 4 t F { `. 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'�s k1 ad,3 , ^".z 5F e �.i ., v xt � a " ..� wi e ., ,{:4",,tv ,rutk', x: S, ,x:., r r nl,& For Office Use Cr' rjt Permit#: , /�/� + 1, • 1)); /��'' t1ia •: • : ::: E AG A N, I f &A4-1 ) Permit Fee: [) Z ! ,,15, • p t A rI S , Staff: P / EwE CEPayment Recvd: _Yes TITlo 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 it,, (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-56 DE`+ 8 2019 Plans: Electronic )(Paper Plan Submittal:eplans aacityofeagan.com L L 2019 COMMERCIAL BLM.. . ' c - - IT APPLICATION 11-26-19 Date: Site Address: 3355 Mike Collins Drive Domin's Pizza Tenant Name: (Tenant is: New/ V Existing) Suite#: Former Tenant: N/A Domino's RE, LLC Name: Phone: 4 „:04,f 3 ., Address/city/Zip: PO Box 1463, Ann Arbor, MI 48106 r J ;t i F x 0 � Applicant is: Owner ✓ Contractor . s.'.' ' Description of work: Divide existing open office space into separate offices a x ,,,..„„,,',,,,it,,,.„--,,„„„,4,4,--1.,,=M., ,` , Construction Cost: $32,405.00 2, ` , wName: Mission Constructon,Inc., License#: „ ''` `` 4150; Address: City: Industrial Park Blvd Plymouth 000 ' State: MN Zip: 55441 Phone: 612-741-5398�'' Contact: Jay Allen Email: jaya@missionconstruction.comai rrv; ,-c.',.:?,:','',(::,-,t'-'. ;,i Kaeding Architecture 51456 ,;� Name: Registration#: Ty 235 W Main Street #201 Waconia ,, ,,� , Address: City: t, 7 , State: MN Zip: Phone:55387 952-451-9763 '' ' Jennifer Kaeding kaedin kaedin arch.com . ��.4., Contact Person: Email: 9�! 9 Licensed plumber installing new sewer/water service: Phone#: s, .,, a .n ,. . .., t<. a .. ,..,.. . moo _ .r.,. . c .ri., . .„ ,E. p� S_ . °' . s,K.�, ;. ..., i.,,.fix. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the CIty's website at www.citvofeaaan.com/subscribe. CALL BEFORE 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 confo nce with the o :fiances 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,,,.:' to start wit ; permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of,s . xJay Allen / i Applicant's Printed Name c=�''< Signature DO NOT WRITE BELOW THIS LINE /�q ," '' SUB TYPES 3 35 (11; K6 (c////1 .DW- . _ Foundation _ Public Facility _ Exterior Alteration-Apartments Commercial/industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New V interior Improvement Siding _ Demolish Building* Addition _ Exterior improvement Reroof _ Demolish interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant — DESCRIPTION / , Valuation ' 0 Occupancy MCES System ✓ Plan Review Code Edition G SAC Units a/ (25%_100% Zoning -( City Water Census Code Stories 1 4- MS-17- Booster Pump #of Units 0 Square Feet PRV / #of Buildings I Length Fire Sprinklers ✓ Type of Construction 3:c•F5 Width REQUIRED INSPECTIONS Footings_New Building_Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier / Erosion Control Framing 30 Minutes 1/ 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation _Ice&Water Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans Windows Fireplace:_Rough In Air Test _Final 1/Final/C.O.Required Pool:_Footings Air/Gas Tests Final Final/No C.O.Required Final C/O Inspection: Schedule F' hal to be present: ` Yes No Reviewed By: , Planning New Business to Eagan: N1O Reviewed By: 0,---11/& , Building Inspector FEES �// Water Quality Base Fee 7gy,B-0 Storm Sewer Trunk Surcharge 6•.50 Sewer Trunk Plan Review 3 24.35' Water Trunk MCES SAC --- Street Lateral City SAC — Street S&W Permit&Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: ,(� Trail Dedication TOTAL: /P 1939,$$" Page 2 of 3 • MCES USE:Letter Reference: 200107A2 Address ID:5211 Payment ID:429530 / 61 Date of Determination:01/07/20 Determination Expiration:01/07/22 Greetings! Please see the determination below. Project Name: Domino's Pizza Project Address: 3355 Mike Collins Drive Suite#/Campus: N/A City Name: Eagan Applicant: Jay Allen, Mission Construction Inc. Special Notes: None Charge Calculation: Mixed Use: 17,689 sq. ft. @ 3800 sq. ft./SAC=4.66 Total Charge: 4.66 Credit Calculation: Dominos(Non-Conforming GSF 04/89) Mixed Use: 17,689 sq.ft. @ 3800 sq. ft./SAC=4.66 Total Credit: 4.66 Net SAC: 0 = 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: toni.janzig@metc.state.mn.us. Thank you, Toni Janzig SAC Technician Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram _------- — 390 Robert Street North I St. Paul. MN 55101-1805 Phone 651.602.1000 I Fax 651.602.1550 I TTY 651.291.0904 metrocouncil.org METROPOLITAN COUNCIL An Equal Opportunity Employer • L>-' p ,.1`- -6M4diliii .a: , cYz 1,0 MIL Z. EQa 4 O 4!1180 11♦t a 8 a O i® Vim. a DO tfi°�wai 111111111111II11111II1111� 33 3O 3 Q\ ® h m § i1 5L< h I i L 'di E b 'u3 #� i gi tiP m3 ig ig h _ 61 rig O g lil'@tagis$ iPhig`rEt 8,8 in °`3Y 3=8 412 II i s F 3 g 31 ; 1 g `@ 3 3 'z' o ! !< s i q <> % 3 r„g e 5 agoggN W INP'hi ° ;lig 4a 0p g; Y i ' s w s O a= 1 P 1 m° �= s 0 s � li L6' Q w < 3” s° 5 F a c7 b E �a Jilt�s � � s 3�� s�� a �<��Y.° �$�gaG�:�� g� Hal ® s � � � � L < w 3 € $ F ." a no0 4 qis 1Nw-°< Y ° s ¢ m w ;i 3E 1g 83 8 i3 IE ;20 z P-V tE!,z 0,:m7.,g o^dg�° t oio®t = w to . @ '! E Y. a z Z 'e os 8® S 3a° s..3n go-� < $E Z s 3 E° � �° � 8 � °m m 4"°o�Q�<° g, �� 3 `y+a= s� E w Sqa �o ® E y � O 0 # i ° 10 1= Y- 1401 1 $S `oaa',!N "O,_gag g :3 =E° o O gi 0 P s• °F o 0 g o 4 £' 3 �: 3 ff 3s 86��E°C �� 30 � � g g`o "zW o & y 14 2 Z 11 E .i 8i 8 B° 1 g 114° '`a Y`a 11381 `< , 117°01x3 1 g53!%g 1122 2111; s Z ag 5i Y o e s O m a aE G3 § 1 3 @aS` g456°eoa pp s8. 3 �= e 5 8 - c 3 E o � gs � : a 2�� YmY �l� �.°_�_ �$<34B�w�`sa �°_ ��€ d �o � � O i o t xY x42 1. st Y1 'i,€ € igMi igt8 °p m2iu<1;h1;31 8g t- i K z0 °° v< ' i o° s i; o g U $ 8a 8 so a �p €oS 0g< €; $8s OY Ya ��'J $_€ ilk; Y gs °0 7 o L.' gi a ®® 4 4 € a '31 p 1115 wad vv gi 1 a ;11 ,°1";R€ ° 2 °11$$€ � lk; o i i; i ; i_ i <i 13 s .<g >11' i to °<lg 10' 3s N. € os l=g . r.g.Y.aU .T8.x. , x<4 x ., p eg NE .< o < ' < - - - r 4 4 4 . . e a _ Z a 61, a's 1 o qh=qr $i 0 J - Z x s E Y Y E R.a a e 0 1 .5u_ 828. 811 c : w w R ' 1 a py 0 2 1 2 8 6 - g a _� i 3�% 08 is g €iS 2 i -1 jim mg o0 � ° iilml ; y ) gW Tis c- miM — a __ —I I = !ISPP '.. / O— — — r 1 0 c s LL§ o, N 4D a For OUse 0116Ck Qp- Permit#: / D�-� 4 t : ; ,� 14y1� �C(Ot ::1tF / 0' 10 E AG A N 41=4,, II `_ i 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 CE'VE Payment Recvd: A.Yes _No (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 FEB 19 2020 Plans:_Electronic aper buildinginspections(ct�citvofeagan.com __ 2020 FIRE SUPPRESSION SN EM& - IT APPLICATION Date: 2-14-2020 Site Address: 3355 Mike Collins Drive Tenant: Domino's Suite#: 0 Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components Name: Phone: Property Owner Address/City/Zip: _ Applicant is: Owner Contractor Description of work: Relocate (1) Add (3) sprinkler heads for small remodel. Type of Work — --- $600.00 2-24-2020 Construction Cost: Estimated Completion Date:— _ Name: Frontier Fire Protection License#: C120 Contractor Address: 550 County Road D West #18 City: New Brighton State: MN Zip: 55112 Phone: 651-489-1200 Contact: Dave Gazda Email: dgazda@frontierfiremn.com ' FIRE PERMIT TYPE „II WORK TYPE I( Sprinkler System(#of heads T) —New _Addition Fire Pump !Standpipe r Alterations ✓ Remodel Other: Other: DESCRIPTION OF WORK: ✓ Commercial Residential Educational FEES 600.00 Contract Value$ _x.01 $60.00 Permit Fee Minimum =$ 60.00 Permit Fee Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ .30 Surcharge $100.00 Residential New (includes State Surcharge) =$ 60.30 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.cityofeaaan.com/subscribe. 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 rmit,but only an ap licatio or 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 wilt' requi s a review and ap royal tans. x Dave Gazda x Applicant's Printed Name Applicant's Signature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test `_ Central Station / Final Conditions of Issuance: Q ___ , act Permit Reviewed by: 4. i/ Date: / -S/ d IVE FEBo � zozo r-For Office Use 1 �� BY: \ (� Permit#. / V ,,,, EA t._. .,. �, !t 1 ( Permit Fee: ..„„01:7-....,„""•••. /' e m J Q) . Staff: C'" —s.. rr 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 e-/' ,, rPayment Recvd: Yes No � (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 I Email:buildinginspectionst�cityofeagan.com �t 0 p 104/'1.5 (,2 Plans:_Electronic _Paper I Plan Submittal:eplans( citvofeaoan.com ,A-Ck-- 2020 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email,CD or flash drive M ��" * n Date: 2/c/2,p2O Site Address:Q31Sf hi lie 611 iN/'5 i11i► J e. Tenant: (�I'0PMI iNO $ /�1�2.24 bI5I ►ii0t"�'t04 cam:C'Uf 1. Suite#: . i "/ '"s4s' Owner;`" Name: Phone: g Name: Budget Pkok /Ay 006-el i License#: pin QJ $r 41 0 /Address: 5,' MWY /6i /V•Pkt&City: f/y/NLO(�."& state:/i ,)zip:s'9`ifK t Phone: 6!2-111.-o r if 9 Email: .hs Pe.50let®6wd 5 et pla rola;Alto kr) ►(CD SA New Construction Addition Modify Space . ,,7-///a pore 1-el/6- , , '( Replacement Repair Rebuild Work in Right-Of-Way Description of work: 1G./9 14 c ti-i.d L.41) 1- 'r Alt C gf .TA1 ppit f ire' I1i.t/{lea µ . Type NvAfk _Irrigation System( yes/_no)(_RPZ/_PVB) C j'I I —763 - 6...- /- aoa b • Rain sensors required on irrigation systems v t • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meter Required—Call Utilities at(651)675-5200 to verity tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 `" Average GPM High demand devices?_Yes_No Flushometers Yes_No COMMERCIAL FEES Value$ J S4 5 �. x.015 $60.00 Permit Fee Minimum $ CJD Permit Fee $60.00 PVB/RPZ Permit(includes State Surcharge) .� $ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call City for Surcharge $ _0 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.citvofeagan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the wor will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x X7/e/1/ / x ,,, 11;401 Applicant's Printed Name Applicant's Signature Page 1 of 4 /(°(),. ,>.';,, 10,,,f0s.,7...... ' ;:*'• , :,:,.,*, F ....zie;iusE Approved Br Du Riiaiihred:; OR4Or''"'' nal Testti . ' P.,- gh4ln ;:"` Air Test _Gas ,-- -•ii;ii-'16t.,',, ......„,, . under Oroun manometer_ Required lase.n-ii Radio Rea _-....-- pa Related"min , t , Page 2 of 4 _-C Y 1' 40,E I k-, �f )S- -, ��,/ For Office Use i w`'t i CA U Permit#:_I/4Z .?/ .-- / —+C�. a r tt lL1/ !„ ': ." ,.. AGAN r Permit Fee: ` Staff __._. 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 `Payment Recvd: Yes'J( No (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Email:buildinoinspectionsCa?citvofeayan.com ___ tans _Electronic _ Paper Plan Submittal: eplansacityofeacian.com L 2020 COMMERCIAL MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of paper plans with all commercial applications as well as an electronic set of the submittal,submitted via email, CD or flash drive 2/13/2020 3355 Mike Colins Drive Date: Site Address: Tenant: Domino's Pizza Suite#: Owner Name:. Phone: —_ Address/City/ZiP Wend Services, Inc. MB003164 Name: License# I 8148 Pillsbury Ave S cit Bloomington Contractor I Address: y: — --- i State: MN Zip 55420 Phone: 952-881-1557 Contact: Jesse Ciersdorf Email: jgiersdorf@wenclservices.com New Replacement Additional / Alteration Demolition Type of Work Description of work Relocate Diffusers an, eggcrate for new office layout. NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City 1 Code. Please contact the Mechanical Inspector for information on permitted screening methods. � COMMERCIAL. �.�..��..�,� m. .��,. ..�.� ��. New Construction ✓ Interior Improvement Permit Type _Install Piping Processed ' Gas Exterior HVAC Unit I I Under/Above ground Tank (�Install/ Remove) COMMERCIAL FEES Contract Value$1848.00 x.0151 $60.00 Permit Fee Minimum 60.00 $75.00 Underground tank removal,includes State Surcharge =$ Permit Fee _ $ .92 Surcharge Surcharge=Contract Value x$0.0005 60.92 If the project valuation is over$1 million,please call for Surcharge = $ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.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 Jesse Giersdorf44.(e/ i".64, 01 x Applicant's Printed Name A icant's Signat e FOR OFFICE USE Z/2— Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat (-Final HVAC Screening