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4615 Nicols Rd? CITY OF EAGAN A ?3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?,? y???? PHONE. 454-8100 BUILDING PERMIT Receipt # 7obeusedtor RE''IODFLING Estvalue $15,000 Date JANUAL2Y 28 `ub ,19 5ite Address 4615 IV ICOLS RD Erect ? Occupancy lot 1 Block 1 Sec/Sub. nUFtN I NG.ci ADi7 Remodel a Zoning a Name u'ET BUR[dSR SYSTFMS 3 Address 903 L i NIn1000 ° City ST PAUAnone 224-6294 =o Name JOSEPH P VARLEY CONST ou Address R- R. 4, BOX 45 ? c;ty iBflP" 507/334-6034 I hereby acknowledge that I have information is correct and agree Minnesota Statutes and Citv of E Signature of A Building Permit is issued to: all work shall be done in accordance Building Ofiicial Repair ? Type of Const Addition ? No. Stories Move ? Length Demolish ? Depth Int. Impr. ? Sq. Ft Install ? Approvab Fees Assessment Water 8 Sew. Police Fire Eng. Planner andstatethatthe Bld . )plicabPe State of 9 Permit q•`i"•''? Surcharge -7750 Plan Review Water Conn. Water Meter Road Unit Tr. PI. Var. Date Copie .00 Total ? l )SF:FFi P YAIZEY i:ONST on the express condition that all applicable State of Minnesota 5ta4utes and City of Eagan Ordinances. I I PKmil No. Perndt Mo1dK Deb TM"hoe» 0 Plumbiny IH.Y.A.C. + IEl*ctrk , , " d? " ?- ?; ?` ?) ? • L ? L . ? ? ? 801erw Inspsctlon Dats Inup. Commenb Foodnyal FootlnysII FoundaUan Framiny RooNny Rough Plby. Rouqh Ntq. Ingul. Ftropiace FinN Hlp. Ffnal Plbp. Wdp, Ffnal p.7i46 Grt. Oec. Dack Ftp. Dtek Frmy. Well Pr. Disp. BUILDING PERMIT Site Addr CITY OF EAGAN 3795 Pllot Knob Road Engan, MN 55122 PHONE: 454-8100 Receipt # I7ntP . Lot Block , ,Sec/54h. ,._ , .. Parcel # a Name Z • ? Address --- •- / i 1 ? ne Name -?.,? _.. . ..,a..?. .?,... z? .0. noV o? Address - - U?- Ci ' 342-5387 Name P.O. N2 5930 EreCt 0 Occupancy Alter ? Zoning Repair ? Fire Zone Etilarge Q Type of Const. Move ? # Stories Demolish ? Front ft. Grade p Depth ft. Approvab Fees Assessment Permit _ Woter & Sew. Surcharge Police Plan check Fire SAC Eng. Woter Conn. Planner Water Meter Counci I ! hereby acknowiedge that I hove read this application and state that Bldg. Off. the information is correct and agree to comply with all opplicable APC Total State of Minnesoto Statutes ond City of Eagan Ordinances. ' ?. Signature of Permittee A Building Permit is issued to: on the express condition that all work shcll be done in accordance with all applicable State of Minnesata Statutes and City of Eagon Ordinances. Building Official PcL_Lt.L_? z 6 -1 -a_,4i (.L.C 5 7 ? 3 C -0 . . hnnk # Dota Ittqed Pen?iftee Piumbing(1lf.C ?\ . 31(-+ /01 ' U e_ P , ?f fa?Q?- Mechanical $ -a,p_ i `-I-? 4? SU I C- _G Q?J INSPECTIONS DATE INSp. Rough-M Final Footings Date Insp. Date Irap. Foundation RluMbing ? Frume/ins. Mecl'bnicol Finol ? Remarks: q _z s--7 ? '/'A_ ;7?. 7K X -:?7-2? 3 7F sp?/? • vs ?" . CITY OF EAGAN ' 3795 Pilot Knob Road • Eagan, Minnesota 55122 Phone: 454-8100 ?1j • ?'? ` PERMIT Date: 3--20-79 Site Address: Lot ? 4b15 Qedar Aveswe Block 1 Sub/Sec. _ DLMli?? !'m-IoJ?l Propertiw Nome m Address 313 Scywajr B1 ?r , 3 O Flt. Pan?1 City Phone: Name V3le Y.m ? ? -?•,,. Add 301? t?3.?t:tDn_ P ress C V ' City •;? Phone: This Permit is issued on the express condition that oll work shall be Minnesoto Statutes and City of Eagan Ordinances. No. 330 Receipt No.: I3473 Single Residentiol Multi Res., Comm./Ind. I New/Alter,/Repoir. ?Cost of Installotion 7 'c-.n!; iPermit Fee r r, Surcharge Tota l done in uccordance with all applicable State of Building Official , INSPECTION REC4RD I Control Na ? ?? 't i CITY OF EAGAN PERMIT TYPE: 04' ) I +" "" 3830 Piloi Knob Road Permit Number: •000".' Eagan, Minnesota 55123 Date Issued: 03120192 (612) 681-4675 SITE ADDRESS: LQT i i at oGK I I APPLICANT: qr,it, NICqlS Hp VAALEY GON87 oURHtWl (641) 334-6034 PERMIT SUBTYPE: TYPE OF WORK: 1'tiMM/INfI. Rflrt. Al.TERA'fTOM RFNflNKS: REp1J1LD 6t}FFIT REC.EIPT M Pa'mit No. PNmK Holder Date TelephorN N SIW PLUMBING HVAC ELECTRIC ELECTRIC fnspeetton Debe Inap. Commenb Footings I FoundaUon Framing Rooflng Rough Plbg. .. Rougfi Htg. Isul. Freplece Rnal Htg. OrstN Test Final Pibg. Plbg. InspeCtor - Notily Plumber Const. Meter EngrJPlan BMg. Final ? DeCk Ftp. Dedc Fmel Well Pr. Disp. CITY OF EAGAN Remarks %? ),' , ', - , w• ' ? ? • L'?'?' --? Addition DURNINGS ADDfJ. Lot 1 BIk 1 Parcel 10 22100 010 Ol Owner ZIL'? ' /s?treet 4615 Cedar Avenue State Eagasl, UN 55122 Improvement . ?' Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK - 1 * SEWER LATERAL rt WATERMAIN WATER LATERAL WATER AREA -? qPRVTrFS t * STORM SEW TRK * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit Char e 257.25 12126 0-18-78 WATER CONN. AUILDING PER. _j _78 SAC PAR K CITY OF EAGAN 3795 WIM Knob Rood Eaese, MN 55122 ° I PHONE:4548100 BUILDING PERMIT APPLICATION N4 5lJ!3U Receipt #/rX To be uwd for Restaurant Est. Voiue 225,000 Date 10-7 R , 19-3-$-_ Site Addreas 4615 Cedar Avenue Erecr [2 Occuponcy-BI Lot 1 Block 1 Sec/Sub. Durnings qlter ? Zoning LB 10 03100 O11 25 Repoir p Fire Zone 3 Porcel # Enlarge ? Type of Const. c Nome Dan Dolan Move ? # Stories 3 Address Skyway Bldg • pe,,,uiis?, ? Front 55 ft. o ,,, St. Paul 55101,,, _ 227-7777 Grode n pepth RS _ ft. w IN.m. Adkins Bros. Cosnt. Co. u? ?d? P.O. Box 2547 bbll ? ,-:..Kansas Citv u,,...e 913/342-5387 Neme Hardees Food Svstem Inc. Address P.O. Box 1619 19/977-2000 1 hereby acknowledge tFwt I have read this application and state that fhe iniormMion is correct and ogree to comply with all applicable Stnte of Minnewta Sta[utes and Ciry of Eagan Ordirances. Signature of Pertnittee _ A Building Permit is issued ull work shall be done in c Building Official -1-k Fees Assessment - Water & Sew. Police ? Fire Eng. Plunner _ Council _ Bldg. Off. - APC Permit -"'U•jv Surcharge112 .50 Plon check 170.25 SqC 3,500.00 Woter Conn. Woter Meter n ooe nn TOtal on the expreu condition that Stme of M!pnesota Statutes and Cty of Eagan Ordinances. ( HARDEE' S) CITY OF EAGAN 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, N BUILDING PERMIT ~ PHONE: 454-8700 Receiptu To be used lor REMODEL ING Est. Value $15,000 Date- SiteAddress 4615 NICOLS RD Erect ? Lot 1 Biock 1 Sec/Sub. DURNINGS ADD Remodel N Parcel No. a I JET BURNER SYSTEMS W Name o Address 903 LINWOOD Ciry ST PAUIyhone 224-6294 0 e IN55121 - ???o? 5 %4/-3 JANUARY 28 86 ,19- Occupancy Zoning Repair ? Type of Const Addition ? Na. Stories Move ? Length Demolish ? Depth Int. Impr. ? Sq. Ft Install ? o Name JOSEPH P VARLEY CONST APpror7 $ a Address R.R. 4, BOX 45 Assessment _ ? ciry FARIBALj7hTne 507/334-6034 water&Sew. 13 a w Name Addre55 z a W City Phone I hereby acknowledge that I hav intormation is correct and re Minnesota Statutes an City oi Signature of Permittee ?I A Building Permit is i55ued to JOSE : all work shall be done in accordance with all Police - Fire Eng. Planner- Council - Permit "y"' . "'" Surcharg?0 Pian Review Water Conn. Water Meter Road Unit Tr. PI. statethatthe e(ble State of gld9' Var. Date I Copies??? Tnlnl P VIRLEY CONST "- on the express conditlon that a efState of Minn,sota tutes and City of Eagan Ordinances. Building Official COTTllITIGT;I?L USE P3Fv9ST ?C0, CITY (JP E:iGI'N 3795 PILOT ITdGB ROAD E:,Gj1N y NiCl??i,"_;SOTlI 55122 llINSEL I' DOLAN 7'tin Counc:: cy + T'a?;an hereby grants to S_C?WA`f'',*I3?i.?)G' -` of ''P PzAUL MN 55101 ? Coi.ditional U:.?^ Per,r.it pur::ugnt to a;plica!::Loa r?aicd_-5Z2 78 Sor the following puspose CONDITIONAL LISL PPItMI?' FOR.A I3AR1'lP^.E°5 RPSTAURANT_ ON T OT 1., 'u _ -- ?m T?, „ Ii'i=F? ?1T' CI`.C_7IrD CONDITIQNS? _.L-i;_,_?_ ???,::1: Fees ?,,i:id: 75.00 yY; ,i /ICC..`4,?%...c,/ - r:,r?;yro7:T ;/y r'. . w CON;7I'PION;?L USE P'r'gMIT N0. CITY OF EaGI',N 3795 PI7AT h17CB ROAD EAGitN, rM'MEsoTA 551122 The Council of the City of Eagan hereby grants to Dgn ]b7,a,n 3?Wp,y BldZ .,_o£ Growth Pron rte?ies a Conditional Use Permit pursuant to a.pplication dated Oct 18, 9? 78 for the following purpose -,-v r i fnr a 101 py'lnn cim at the olr7 Cec7ar AvPnuP PmtrarmP _0 u 2-N/N ? S i /, A n/ ?/ $ / O I? - Dated: 72 S/78 Fees s`aid:$Zr,_n sy: 4" P4aycr Attest: ?< ?-e?-c_ C1 rk City of Eapn October 17, 2008 Mike Maguire MAYOR Paul Bakken Cyndee Fields Meg Tilley COUNCIL MEMBERS Thomas Hedges CITV ADMINISTRATOR MIINICIPAL CENTER 3830 Pilot Knob Road Eagan, MN 55122-1610 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD MAWTENANCE FAqLITY 3507 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TREE The symbol of strength and growth in our community. Madsen/Johnson Construction 901 Industrial St PO Box 486 Hudson, WI 54016 Nearco LLC 7002 6"' St N Oakdale MN 55128 Re: Landscape Inspection 4615 Nicols Rd, Eagan, MN 55122 In May of 2001 a$5,000 landscape security deposit was submitted to the City of Eagan in conjunction with issuance of the building permit for construcrion of the building at the above referenced location. These funds are eligible for release to the depositor at this time. Please note that the property owner continues to be responsible for maintaining the health of all plantings on the property. In accordance with section 11.70 of the Eagan City Code, the property owner must maintain all landscaped areas, and install healthy replacement plants for any plants that die or are removed due to disease. Maintenance shall include removal of litter, dead plant materials; unhealthy or diseased trees, and necessary prunmg. An inspection will be conducted by city staff next spring/summer to verify that the condition of the landscaping is acceptable under city code. Thank you for your attenrion to this matter. If you have any questions, please call me at 651-675-5684 or Planner 5azah Thomas at 651-675-5696. Sincerely, j?,???l `? Fran Doherty Planning Departmenf cc: Sarah Thomas, City Planner :S-k-w _11- L( c, 0 (-( -?_ CITY USE ONLY PERMIT RECEIPT DATE: 913) O I CiOMMMl. FLUMINB PEWT iRPPUC.A770H? CPl'1lOP $R61kB 3630 PH= KNOB RD $t!8l?P.1lF $6122 651-Mi-4e75 ? ?J' O 3 Date: /al WORK 7'YPE New Bldg Add-on Repair RPZ PVB Irrigation system • Must complete reverse side of applica6on also. Required meter size is 2" turbo un s smaller size permitted by Public Works DESCRIPTION OF WORK 1 pg 1 ??ETIo?S /Lf ETE1Z To inquire if Pressure Reducing Valve is required on new service, ca11 651-68 1-4646 METERS - Ca11651-681-4300 to verify that hydrostatic, conductivity, and bacteria tesu passed orior to oickin¢ uo meter Irrigation Size & Type Fire 5ize & Type Domes[ic Size & Type Does thia include high demand devices2 _ Yes _ No Avg GPM Avg GPM Avg GPM FLUSHOMETERS _ Yes , No PRV REQUIRED _ Yes _ No Site Address: A/ /J ) s m r ntp1-e, TenantName: lil/'Ce 1V S _ Telephone# (Area Code) Was there a previous tenant in this space? Z- Y_ N. If Yes, Name: IQAEE_<? Installer Name: n2j(COTiF f'?4U/C'{Ek I RX? Telephone #: ?S 7 /o ?5 (Area Code) InstallerAddress: ??SO ?.jrj e7Z1 F-L '-.. City: E zi l,y( 1--? State: /1/I 1,.,2 Zip Code FEES Contract prlce a 1% ($50.00 minimum) Contract Fee $ Meter(s) $ Required on all new buildings & boulevard irrigahon systems Radio Meter Read $ Surchazge: $.50 Minimum. If contract Fee exceeds $1,000, calculate at Stace Surcharge $ 50 cents per $1,000 contract fee. ' Total From Reverse New, Service? ,_g ? iu TOPl1G 2 8 Z?Ots I hereby acknowledge that I have read this applicarion, state that the information is wrsect, I?d a?ee to comply with s ordinances. It is the applicanYs responsibility to notify the proper[y owner that the City of Eag? assumes no liability for an} during its normal operarional and maintenance actlviries to the faciliries constructed under thi it within_Ciix p Zoyert , of Eagan bythe Ciry ----- --°°-'-'-- ? 3.S-0 CITY USE ONLY REQUIRED INSPECTIONS:+, U.G. A'v Test Gas Test _ Rough In _ Final - - - PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR ??? IRRIGATION SYSTEM (CONT) Service: _ existing (if coming off domestic line) OR _ new ? If "new service", contact Jerry WobscPrall, Finance Consultant, to confTrm adding fees for: Water Permit & Surcharge - $ 50.50 $ S ?. S 0 Water Supply & Storage - $ 860,00 LrZ t S) $_?__ ?Water Treatment Plant Chazge $516.00 per SAC unit $T? bD'D u? F}C ? i o 8 q - ??3/6.s?g? Fees to be added to fr` ont side of ippli ation GENERAL INFORMATION • Radio Meter Read (required on alt new buildings & boulevard irrigation systems- $153.00 ) • Water meters include capperhom/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8"displacement residential $115.00 4-120 1-1/2" irrigationsyst $ 727.00 sm commercial turbine•` •*must receive maximum approval from continuous Public Works 10 230 3/4" displacement lawn irrigation $149.00 4-160 2" turbine lg irrigation syst $ 849.00 meximum residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $194.00 1/4 to 160 2" compound bldgs over $ 1,757.00 ? bldg to 24 units 65 uniu maximum sm commercial & continuous & Ig comm bidgs 25 irri tion s stems 5-100 1-1/2" bldgs 25-64 units $428.00 marzimum displacement & continuous most comm bidgs 50 METEIZ.C REOUIRING 30-DAY Al)VANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lg irrigarion syst $1,184.00 6-500 4" compound +300 unit bldgs & $3,476.00 & production lines very Ig comm bldgs ' 1/2-320 3" compound +200 unit bidgs $2,212,00 10-1000 6" compound +400 unit btdgs $5,711.00 very Ig comm bidgs very lg comm bldgs 13-1000 4" turbine very Ig irrigation syst $2,132.00 & production lines Comments • To schednle inspection of the inside water line and backflow preventer, ca11651-681-4675. • To arrange for water turn-on, ca11 65 1-681-4300. cc: Kris Forster, Maintenance Division Clerica] TecMician Updated 1f01 lor)1q ?-1 ?S?E 1 1 j7, ? I ON3 COMMERCIAL BUILDING PERMIT APPLICATION ' CITY OF EAGAN 651-681-4675 ?9. :?_,. ?- 4v. x. ?.? ?? ?? S?? •? ? Foundation Onl New Construction i I r • SWCtural Plans (2) sets • Wchitecturel Plans (2) sets • Nchitect a s (?p ts • Civil Plans (2) • SWClural Plans (2) • Code An MAY 7 f?] • Certificate of Survey (1) . Civil Plans (2) • Project S ?1 2 20G 1 M y{ • Code Malysis (1) " • Landspping Plans (2) • Key Pian 1 y • ProjectSpecs (1) . CodeMalysis (1) •• • Master itPlan • Spec. Insp. 8 Testing Schedule " . Certifipte of Survey (1) • Energy M?lafions (t) o[ always" • Soils Report (1) . Spec. Insp. 8 Testlng Scheduie (1) " • Elec. Po ot always" • Meter size must be established . Meter size must be esiablished • Meter size mu5t be established - if applicable • Project Specs (t) 1 • Energy Calculations (1) '• 1 1 • Electric Power & LighGng Form (1) " 1 i • Master Ezit Plan (1) 1 1 • Pire Protection Plan (1)" 1 ! • SoilsReport (t) 1 • MC/ES SAC detertnination letter • MC/ES SAC detertnination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 wll 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota DepaRment of Health - call 651-215-0700 for details. DATE ET' a- O I WORK TYPE _ NEW ) REMODEL CONSTRUCTION COST!=OUO SITEADDRESS ?(oIS NI CHOLS ROfil) TENANTNAME WENflYs MSTfluRAtJ 1 SUITE# FORMER TENANT NAME DESCRIPTION OF WORK REMoDEL.- OF CvF\REtJT SIRuc.IU?E Tp R W?NPq\S ??-: s iuhuelw rraz„e: Fo u R CRowN Phone#: ((V5t 19N- o0 30 PROPERII' Last First OWNER I` ?l Street Address `7 '"1' y y S TH ?• IV . City C) fi K?i) LE State K)• Zip 5Jr 1 cl ? IC? I (?- IC) 1 ? Company MA DSEN I`SONQ SON Phone# SoW CONTRACTOR ?{ Street Address: I Q) =N IDU STR 1AL Ail. S-t City N U0 SOI V State W_• Zip S`i DIC ARCHITECT/ ENGINEER Company CF-0AR CORPoRIATjoN Phone# (g00 ) q17:2- ?2T73 Name G AYl'T G U S?r Registrarion it o tJ P R i NT Street Address G 0 `i w I LC,0K) i) vF- City ME N O MO N I k- State w-1. I Zip 5y '7 E) 1 Licensed piumber installina new sewerlwater servlce: Phone #: I hereby acknowledge that I have read this application, slate that the infortnation is c ct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Z Updated 1!! OFFICE USE ONLY SUBTYPE O 01 Foundation 0 14 Apartments ? 15 Lodging ? 25 Miscellaneous WORK TYPE ? 31 New ? 3 32 Addition ? ,)WC'33 Aiterations ? ? 34 Replacement ? ??6 Public Facility ? 30 Accessory Bldg. - ,Vf 27 CommerciaVlndustrial O 32 ExtAlt - Apts. _ ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors 36 Move Bldg ? 43 Reroof u 47 Repair 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code ?l?s SAC Code 30 No. of Units p No. of Bldgs. _L Const. (Actual) _-z;U (Allowable) gv UBC Occupancy _$ 3 Zoning "L iS sq. ft # of Stories I sq. ft. Length sq.ft. bVidth sq. ft. Basement sq. ft. MC/ES System First Floor sq. ft. 440 6s City Water sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS 2K'Gas Service Test jd'Heating 21'Insulation 2r Plumbing APPROVALS Planning Building gar4TG Engineering - ? StuccolStone Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies 26?3.?s 200. ou 1 737,cy VALUATION $ LIOOIODa Sp- % SAC SAC Units Meter Size E .1 OUd. °d L...dscq(¢ seco^ ( Total 9t°H (,? PERrtIT CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typin? af permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date 3 7 Yaluation of work Site Location: G.?.i?F?"-?-*? -?.? ?J; ca IS STREET STE N Tenant Name: LOT ? BLOCK ? SUBD. • ? P.I.D. / Descri tion of work: The applicant is: ? Owner Contractor ? Other (Deseribe) Name .I BS Phone ZZ4'l?zR? Property LAST FIRST Owner A'Vd,,ess 6I05 jer ma6aj Ave S7REET STE / City ?T fLcl(r State IVLKJ Zip SSI6Z Company Phone Contractor Address _ 1License # cvz?)3Z49 Exp.-3t-rA City E&?,,9cx- State ? Zip 55??1 Company Phone Architect/ Eng(neer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once are has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wit applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? i PERMIT CITIf' OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 BUILDING 000082 03/20/92 SITE ADDRESS: 4615 NICOLS RO LOT: 1 BLOCK: 1 DURNINC,S DESCRIPTION: Building Permit Type Building Work Type COMMJIND. REM. ALTERATION _ ,.. _ ? REMARKS REBUILD SOFFIT FEE SUMMARY: Base Fee Surcharge Total Fee RECEIPT 8 VALUATION $21.00 $.50 $21.50 PERMIT TYPE: Permit Number: Date Issued: gsee 3%zo%'z CONTRACTOR: - Applicant - sr. 1(Xa11/NER: VARLEY CONST 23346034 0803 49 VARLEY ON kiii.?-rX.e.e-d 16800 SHIELDSVILLE BLVD 16600 SHIELDSVILLE 8LV0 FARIBAULT MN 55021 FARIB L MN 55021 (507) 339-6034 (50 334 6034 I hereby acknowledge that I heve read this application end state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. I APPLICANT/PERMITEE SIGNATURE S-? /-"ISSU5 BY: SIGNA7URE Control No. 0077 ? _?=??1 ?'" `'C? /,' I L/ 114 ?; 1985 BUILDING PERMIT APPGICA?IQN - CI'fY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED FiITH THE CITY OF EAGAN COMMERCIAL SINGLE FAtlILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS; 1 SET OF 3 CERTIF'ICATES OF SUftVEY SPECIFICATIONS AN? 1 SET OF 7 SET OF ENERCY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For:?&X. ^ Valuation: ?SDcx? Date: Site Address G?oJs /`J1?,p?c=Ic„p Lot ? Block I Parcel/Sub r- ? Owner ?tv-rLws Address City/Zip Code ST 'Fpu(..- Phone 2Z4-(oZ°J¢ Contractor Address 12.12..9- ?^'.?J?-4S City/Zip Code FASLF_?avL:r 55021 Phone `j0?• 334-'?aD`?'?-? Arch./Engr. Address ? T City/Zip Code Phone ll Erect Occupancy Remodel ? Zoning Repair Type of Const ? Addition M U of Stories Move " Length Demolish ? Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit Water/Sewer '- Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off .?. Treatment P1 APC Parks Variance Copies TOTAL ? 50 s• ? ? DATE e- ;10 L-7 BUILDING PERMIT APPLICATION ude 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for lg_A 4-V,,.ra...A- Site Addrest; y6 e 6" ?oy,?@s p 00 Valuation ??S O bo • /C> 03160 d// c2S Lot ? Block ? See. Sub, Parcel Number lrynaoI nJS owner ?? Address ?lL?,¢-- /?L ! .? ,a-r ;t. n-1 r Kl N contractor 4jk,'H. greS. LAM;#. C-?. Addi'038 19, O. L?,.._...? C?.?? _a.,n.. G6lro AY'Ch./En4. ??r.nis Feod_? 4 W?5 ,V1C. y(& Adflresa ? o. So,c /(. 14 1 lP oc, L.I MeLLr? W. G 2784_1 Erect ? Alter Fepair Fnlarge Nbve Demolish rrade OFFICE USE Date of Approval & Initial Assessment Water/Sewer Pol ice Fire Eng. Pld[1Cler pouncil r /G Rldg. Off. A.P.C. TelePHoftb / -7 7 ? 7C 3,? JY, 6 7311 Telephone g' J3- 3 K2 'S 38 7 Telephone 2/q- 977- 20oQ OFFICr, USE . Occupancy Zoning Fire Zone ? Type of Const. ? fl of stories D Front DePth 'Y'S / y?? FEES ? Pexmit 3-Yo ?/Surcharge ?L?? 1.zz.an Check sac Z '?'-s'Da 36'ao -- ttater Conn- Vlater Meter ?._---- ?? R? TOTAL /? / ./a9 1?--.? --"? `1??(.7 • ? ?i PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUII:DINGS. ALSO FOR IvIIJI,TI- FAMILY BUILDINGS WHEN SEPARATE PERIVIITS ARE NOT REQUIRED" FOR EACI°I DWELLING UNTT. _ NEW CONSTRUCTION ADD ON ? REPAIR WORK DESCRIP170N: /2e'?iR?? .?? ? CONTRACf PRICE: $ FEE: 196 OF CONTRACT FEE, STATE SURCHARGE: $.50 FOR EACH $1,000 OF ;...._` FEE. MINIIVIUM FEE $ 25.00 ??? CONTRACT PRICE X 1% $ STATESURCHARGE $_ TOTAL $? - 175, SITE ADDRESS: ZZ TENANT NAME: STE. # owxEx xAME: A2lee S S?3S INSTALLER: O70e?-/CG?d <?f? ADDRESS: /%??? ? ? ? CIT'Y: s STATE: PHONE #: Z FOR: CITY OF EAGAN 2-1? . N ZIP %20?-?2oa??? nrrLIcnxT 1994'PLUMBING PER1ViIT (COMMERCIAI.) C'1TY DF EAGAN 3830 PILOT KNbB RD EAGAN MN 55122 (612) 681-4675 CITY USE ONLY L 1 L ( RECEIPT #: 14016' 7 SUBD. /L RECEIPT DATE: ????? u -19g7'MECHANICAL PERMIT (COMMERCIAL) ? ig ? CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: D all commerciaUndustrial buildings. ? muRi-family buildings when separate permits are not required for each dwelling unit. DATE: «I ? l? CONTRACT PRICE: 0 0 4 WORK TYPE: NEW CONSTRUCTION L,// INTERIOR IMPROVEMENT DESCRIPTION OF WORK: (!-L, ?611 ?W' a-'lu4" FEES: ?$25.00 minimum fee or 1°h of wntrect price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1% I0'?8 PROCESSED PIPING STATE SURCHARGE 10 TOTAL j;ld • -?T SITERCDREuS 46oI6' OWNER NAME: I'?G?? UXX-S ? TELEPHONE #: (DI ?- 4S ?- q I U Q TENANT NAME: (innPROVEMENTS oNLv) INSTALLER: dL e a ? ADDRESS: '5Ivt?b k7Y ? )) CITY: &??LO STATE: NUV Z,P: 55 iz-z -J '/ .r PHONE#. 106 i - `1 ?? - S SIGNATURE: "/ ???u %v 3 SIGNATURE OF PERM EE CITY (NSPECTOR C;n-C??? q 1-1 ?c.?.?r??-??.r ? ?l?r?a,a??s ? PLEASF'_. ?r??? o?•?•??? DAKDTA COUHiY HIGHWAY oEDGRIMENi TRI.. N•.APPLIC ATIO?! ?OR ACCESS DRIVEYIAY OR ENTRANCE PERhII (Appllc.n[ to bs ' prinl or Irpe aoolicalion. Fill nul / copies, sign and mail lo Caurly Highway DepartmenL ' Sketch Drop_rSy, Presenl and Proposed Drivewars and Relation lo Courly Hi9hway on back al all 1 coDi ? ???..?., ..Ncme o( Addrcss SoFa<Aa Tel. ?-J oa _ {?pplicant FF?N? ?AHL _ 4?OlS ??OAI' ?cK. .? nome of. 6r?04 =.+e? t? Narei .a F?.Sq-? Praperty0wrerr ;,,_K t Qr .esToc.^-?Add«5s= ??_?onAr l??4. \J.?A 7e1. Jel,• 00 LoCafiOn: HAtOttS ?F EASAJ . . . [0. Qd. ' m Coor.ty Miles N-S•E-W af C?1FF Rd (GLCb One) (3yeclfl< ro?d. LnG.-.ct. er m.d ln:s: .ctlon) . Legal Description I,s sFaxn on Your Tae SlafenenfJ . of Property ?.? ' ?'- i f _ Purpoze of Cri?cwcy Fj Residen[a ts a BuilJ;rq to EeCanS:rucied G^o ET'Connercial (specify type) W:iat 57 1 Yes KindI? PJTA0 check Will tF.e Svil2in9 be Q Temporary or ?ermanent ? yroper ? Is the Pwper.y in Q Plc:ted or C] Unpletted A:ea squcros Dis'ar,ce from center of hishwcy to,(GqaT of building, or (ront of pvmp isicnd is Fe=t• Is Icr.d hi5ticr? _ or level? with highwcy,. _ She.• fe<t 2!n:.:ei Sl+e.. :e.t S Inc?c? ' ilar:Scr of Prosent Crivewcys :o Prcperty`O Dete Proposed Crive'cy Will be Necjed ?6 1 Give Exoct locct:on of Propesad Driv^way to Prc?erty G;ve Exact Lot.tion oF Pres<nt Drivewcy to Proptry ' ' ' ---- - - -'- ' - -= .- t,'i?. iD.e u• u? :ed..`.c. ?':S e.4e ?C:?1<.ttoe fq y<c.(ulon to eona[rvet ehe w<:ea. Grive?+v ?t tS. eSo?. :oc.?len, ..IC G3.e?nY lo be•eon.tn<ted te rm!cr.a Wieh t`?e a•?-Ca._a`a! t.:e H!:F.+_-Y Dep:<e.nt u+d to "y ?pec!n1 pra?!ala-.? Inc:eieE fe :`< pe :-3t. i! .„=<d a1.t .ll Werr WIA o C..-e to tCe w:i+!+etloe e[ th. }i!Ch+'aY Da:.v:c.enL II ia fur:Ser .? eed eSat no We:k'In eoe_.ecSm nlt1 -ill b< atcf.ed antli tT- 3 Gi^i ? ?L DSu Sitr.c!vre of .?.'ypLconl DO NOT WR1TE BELOH TNIS LINE - NoT vALiD U::LESZ ACCESS DRIYEK'AY OR ENT?A!:CE P[ :M(T ?' SIG.`:cD AND NU5l3EnED ernil Nu'r. er Perr..i:sion is hereSy 5.cnted for the conztruction of the d: iveway es described in t5e above opplication, scid drivewey to be cons!ructed in accordence wi;h 1fie Minnesota Highway Qepcrf.r.ents Orivewcy Stendard Plete No. and suSjed !o tk:e :equirer=r.ts on rcvcrse si?e cnd t5e (olfowing special provisions: As per County Board action on September 11, 7979, you are hereby permitted one 26' wide driveway at your south property line with 15' radiuses to existing black top. No culvert required. You must remove the inplaee teniporary driveoray within 15 days after receipt of this permit. ? :ERTLFLED MAIL - RETURPi RECEIPT REQUESTED (t is expressly vndersfood that t6is permit is condifioned upon replccene:f or reslo:eticn aE the trunk highwey to ifs ariginol or to a sotisfactory cond*lt;on. It is Fur:her undr. stocd that this permit is 7?.sucd suSject to the approval of locoi citY, vitta9e j or borough cutharitiez F.cving jo7nt supervizion cver said street or 6iyhway,: en., r.?mu r. eP,.e••a? DkKO1A COU6T1( HkGHY1dY DEPkRTN?ENT 0 u-Vtr to .t jpGrent " v ews ,a c.,:,..r ofi" (] PInE to .4"' Af'rnt. Of.u r - . , 4 ?iF . ? ? 0 G•na lo ?f.nirij+!:+J or S'r. Gev . Dale Coun. Engir.ter ?l -• 1 L zuA J 0 LC???MECflANICAI AND SERVICE CONTRACTORS HEATIN(i•VENTILATIN(i•AIR CONDITIONINO•CONTROL SYSTEMS TELEPHONf 6!2/827-5331 3012CL/NTONAVENUESOUTH M/NNEAPOLIS,M/NNESOTA55409 May 1, 1979 City of Eagan 3795 Pilot Knob Road St. Paul, Minnesota 55111 ATTENTION: HEATING INSPECTOR Gentlemen: Enclosed plense find test report(s) submitted in com- pli4nce with applicable building regulatione, for rrork done within your ,jurisdiction, HARLEE'S RESTAURANT, CEDAR AVEN[7E & CLIFF ROAD, EAGAN, Should there be azny question regarding this work, please contnct our Mr. MICHAEL R. THIENES , reference Tob Number .778-315 , by telephone at 27-5331• Yours very truly, YALE, INC. CHAEtL,ES J. CJD:rst Enclosure: Test Report - 4 'L1,9` n ??, ? !'y? ? ?e?aE. Mcc' i n.<.oxs ?uoci..?a. o. ivNc.•o111 ?.c. ovorA.orssuuec.+o<...cer..oU.. IcE •G?IEFYgNiy [pyiiMp[NT Y?OrI iTRIMly, 1CCi0[NTS Ow OTwE. [ .UfEf ?[VOnO 0u11 CONT901 HEATING TEST RECORD ADDRESS .IJ OCCUPANT ? vtr? t' "OWNER FLOOR CITY 0E?6W/N1 TYPE OF HEAT D-F_FA ±!' HW_STEAM_UNIT HTR. _OTNER MAKE MAKE Mod.l - - ? ?? -" • ?^d0 Mod•I 3 S?rial $?riel ?? INPUT ? INPLT C THERMOSTAT p? ?NTRO Z ?7 NT OLS THERMOSTAT ? Valve yaiv? F Limll Limit . Limit SaMinq Limif Sottinq d.. Fan Ssrring OA Fon Seeriny ? n Pilot Trp. Pilot Typ. Pilot Meks . Mab ? ' ? Pilot Pilot Medsl Pilot Model ? - Pilot Timing _,???yi?ynld Pilot Timin¢ L.W. Cut Of! ? L.W. Cut Off Prossure 3' P?rcsnf C02 -?J? I t CFH Prosaun Parcant C02 -?- ? ? rtpu __ pNcsnt OZ Psrcent O Inpuf CFH ?• y? Srock Tsmp. ?? Percvnf CO ? c Z Staek T?mp. Porcent CO v VanT Size VoM Six- ? - KIND OF NER?__A _ 517F ? KIND OF I R SIZE Oraft Uhgel Test 7a9 L? Drait Test Tap .r ??I 17- Q` N /? MAKE MAKE -l/Vn i Modol Abdel ? D c ; "E'Serial °? ? Q . Srial /1LL ? 'INPUT ' INPUT 3eA1;4A?L! ?l CON?RDLS THERMOSTAT /V CONT S . THERMOSTA L?m?f L - Limil SeMinp C Limit SeMinq d Fen $sff{nq h E?)1 GJ ? IC Fan SOMinp _4e r ej ? zi" eM /TTcs?J At`DEI/6if% Pilot Typs -' Pilot Type Pilot Maka O ? Sz' Pilot Mako -- ?J' '- Pilm Medel 61 l^- V 1_ Pilor Abd.l Pilot Tlmin ? 9 6 ??'`' Pilot Tlminp 9 L.W. Cu+ Off L.W. Cue OFf ?N Prosaura 5 Psremf CO v ? ? Preisun Percent C0 Z +1 IrryutCFH?.?_parcant OZ ?' pC ' 2 InpufCFH Percent 0 2 1 Staek Temp. ' P?rcvnt CO 6 Smek T?mp. ?Percent C0 c? Vent Siz° Vont Size KIND OF LINER ?- SIZET KIND OF INER SIZE Drah Test Tap 0.aft T•st Top , ., DaN T•stsd TELEPNONE 827•5331 ^ Nom? ei TesNr L?..?J ? I' rC '- - 'a ` lf ?LLC ?[ J /L?/?• 3012 CL/NTONAVE. SO. M/NNEAPOL/S, M/NN. 55008 J ob No. ? v? , ? • LEO MURPHY ? MAVOR 4 TXOMAS EGAN MARK PARRANTO JAMES A. SMITM THEOOORE WACHTER COUNCIL MEMBENS March 9, 1979 Dan Dolan Realtors Skyway Building St. Paul, MN 55101 Attn: Dan Iblan LI f3 1 ?urnin.95 TXOMAS MEDGES CITY AOMINISTFATON AIYCE BOLKE CITY CLERR CITY OF EAGAN 3796 PILOT KNOB ROAO EAGAN. MINNESOTA 33122 PIIONE 45I-6100 y0?1(F?1 ? RE: ROPD UDTIT Q3ARGE HARDF.ES RFSTAURNAT Dear Mr. Dolan: Fticlosed is the Flzgineers Report which was adopted by CoLmcil Resolution on March 21, 1978. 2 have starred the sections in the report that apply to the restaurant. The chazges assessed to you were for 1.127 acres at $225.00 per acre which equaled $253.75. Sincerely, CSTY C&' EAGAN ?.?.?.- Dale S. Peterson Bu3lding Inspector DSP:tlp IIiclosure THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNI7Y. DAN DOLAN, REALTORS • SKYWAY BU[LDiNG • ST. PAUL, MINNESOTA 55101 TELEPHONE:22]-7]]7 March 6, 1979 Mr. S. Peterson, Buildinq Inspector City of Eagan 3795 Pilot Knob Road Eagan, Minnesota 55122 Dear Dale: z am enclosinq a copy of the building permit application dated August 9, 1978 with a question. On the lower righthand corner under "fees" rather illegibly written are the words "road unit 1.15 acres" for which a fee is shown as $257.25. Kindly write me explaining if this fee is an assessment and if so, for what purpose? Yours very truly, DAN DOLAN, REALTORS . , Daniel F. Dolan DFD:m enclosure '-?. 11Aq 21 /9r9 LEO MURYHY MAYOF THOMAS EGAN MAHK PARRANTO JpME3 A. SMITH TNEODORE WACMTER COIINCIL MEMBEPS August 16, 1978 TO: Adkins Bros. Const. Co. P. O. Box 2547 Kansas City, Kansas 66110 FROM: Dale Peterson, Building Official THOMAS NEDGES CITY AOMINISTRRTOR ALTCE 90LNE CITV CLERK RE: P sed Hardee's Restaurant, Code Corrections,? rnings Addi o ct S Jaer -? dnrFor?n ?ldy caee 1973 Gentlemen: Below are requirements not covered in your plans: Sect. 5502a. 1 Handicapped ramp access at curb near designated spaces. Sect. 3312 (b). Exit signs as amended;letters in Exit signs shall be a minimum of 6" in height. Exit signs are required at all exits. Panic hardware can be excluded if doors are marked per the exception in Sect. 3316 a. SBC 6001 Energy Code. Energy calculations as per ASHRAE 90-75 calculated on 8159 degree days. SBC 7727 Suspended Ceiling Plenum. Shall be noncombustible construction and shall have no combustibles in such area. This includes plastic D.W.V, p pe and all eYectrical, telephone?Muzak wiring must be encase?in metal conduit. Section 2305 c as amended - A snow (live) load of 40 PSF is required. Certified calculations are necessary to insure requirements are met. ??ans ? 5?actFicnto?s yy1dsi ,?IP C?er7"e Fo-pc? ?i?J J A/1 F'nyl/7Per ep.s?e?v.? Dale S. Peterson Building Official CITY OF EAGAN TNE.LONE OAK TREE ... TME SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNI7Y. lE0 MURPHY ? rnwvon THOMAS EGAN MAPN PARRANTA JAMES A. SMITH -TMEODORE WFCHTER COVNCIL MEM6ER5 August 29, 1978 CITY OF EAGAN 3798PILOT KNOB ROAD . EAGAN, MINNESOTA 55122 PNONE 454-B100 uo?a? ?Iz Adkins Bros. Const. Co. P. O. Box 2547 Kansas City, Y.ansas, 66110 Re: Proposed 'Hardee's' Gentlemen: ?FJ+O/M? Ap5;? ES ' 'c'?i++?+J'? ? ALYCE BOI.KE CITY CLERK I am in receipt of the roof load calculations as of this date. As stated in my previous letter, the State of Minnesota has amended UBC 1973 Section 2305-c to a 40-pound live load. T`-e reason for the amendment is that our snow load is usually of long duration and does continuously build up thru our wi.nter months. The structural components must be upgraded to meet the 40-pound live load requirements. Very truly yours, CITY OF EAGAN Dale S. Peterson Building Official dsp lco ` THE LONEOAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. COha3iAL"_t?YC'S Mr9TEN.iAL .ac TES'3 CEF{,1'MCATI? 'el r/ Qu- vr?? PA$T "A" GENE:iV+L PROCEDURC L"vON CONPCE'P!OV Oi \VO;?K, ih::Pi;Cfi04 AND 'fL515 SffFLL BL AfADG 6Y 'I')IC C'JNTRAQOR'S AEPREScNTAI'IVF. AND WIT4[SSED Hy pN D'NNER'S kLPkESENI'\"f1YL, P.LL DEPCCPS 51igLL UI3 CORRFCTEiJ p,r;p 515T!!! L[FI' IN SCHVICtt PCPOHfl COMI'.^.ACTOR'S ME;Y flNALLY LEAVF, TN^ J06. A CHRTIFiCATC CHALL BE F{I.CCU OllT TND 9GNcD BY IlOTfI P.cYR&SF.N:A'I'IVFS_ COVILS SNTLL 6E YRF.PARF_D FGR nPPROViNG TllTHORITIBS. OWNE45 AND COti'RaAG T'OR. Cf IS UNUEPSTOJi] THF, OWNER'S REPRBSflNfATIVES SIGNA"NItG IN KO WT1' PRElLi?ICF.S dNY CLAIM AGAINST CONTRACTOA FOA PAIICTY MATHRIAL 2DOR WORKS61V913. ON PA!I.LIRG '!O COMVLY \Y{Tfl APPROVI`:G All'tHORITSS RLQUINEM6'4T'S ON LOCAL OkOIiANC65. E°xowe!Rn rve.ME - ? DA"fE w '-_??J?._Y?Ge-?_._ ' Sg PFp.^vRTY ADERv CE r D BY A?vROVRtUTHORIT ('V 5J NAtJ;[?? ?V PLAr:S 1\STALLATION CUVrOR^d5'fp ACGF PT[? FLANS - ---?' ' -- . : Y?:S FO Q F.(ZO??ras)!a]' USED iS APPRGVh'f? yrs r0 ? IF NO, STATL UEVIA'f10N5 HAS PE:RSD4 IN C1LA4GL O:' FlRP EQUIpMF,NT HEF.N iNST'RUCI'cD Ati ?'O LOCAiIOfi OF CONTRpL VALVcS ANU CAIEIi. llF'CHIS TcW EQUIG?icVT? YFS ? 'L ? Ik NO, GXPL4P.v JVSTRUC- - '_ TLOPI$ HAS A COVY O ]YS'fRUGTION AND MAINTGN t ANCS CHAAT N¢F.N / LE£f AT PLANT! YFS 0 YO ? Ir NO. E%PLAtv PLl'sHlNe I9„- th,. ?i•??ii?i?d izi?r u.iu. 'va[rr i. 1Ienr w inai.cnred by nn cnllection o' [nreIsn m¢terinJ In burlxn Lagn at outlets evuh ns K71,ruu1,1r.a Llow-otfs. FLinb " /Itnsv w?l le=s O'uu ibU (;10[ fm' 6-Inch oI", Hnd v. ?nller. 1000 GPSI for 8-Inuh ?IUC. 1300 OP21 (a! 30-InCh PIPP, a,.<l POf ) GLOf im' 13- mT plpu. ..unnl? procluae stSmdued finw rnms, obcuin maxb1ium avaiLRLle. ' '1'Iy`S'r FIl"DLiGafA'P[C_ F[pdrnsLitic cervts xlmll Ue mnd, :¢ n' le_a:r tM1:In 200 Y5I fur two Iwu[s or 60P5[ xbm-e eLtt?e pressu:•p in e C . of 159 PS3. Di[(eLe114S.V <lr-Ili]la cnlcf clPppm's .v}lail 1Ae I2C ??pm (lUrp?K ttut [O pfe\'PnL [lolnngC, /p RpOVxg1otin(1 plPtng 1eLLkn60 9huIIUE 3[OYPfd. ULSCRT_P- i.pAA?ill.;: \ea. piPe Inid mith ruLLer doskutedJ"in:s n!iall, it tFe xurkm:vi.•hiP is .r.itl.[ar{nr>'. Tuce tit[le o nn IerikaRe nt the 7ohrta. The - -111113"t, of Ie:ikaFC ut the Suint ehtJl nat c-vicet 2 4u?i[s per Lam' Per 300 jolntx Irrespna[iceA' nt pi0e dlame[oM1 The Ic.VUigc Eha!1 bo dia- ' t 11 itr.] ., u.I J^:??[n If a.h iLuge o x[ n Ltv lo;i,v tTu u_inll¢llun shn.l be c nsitlmcd neutivlnc[op and .':rg iet?nll'n .' ? 'f`jQN atl _A a- pfl ` 1Id wiGi Ciu(Le3 IwH u, t: i_.'Giute J°tntc ?b.)3 It ibe n'oi'k? - IP P5 catlstnetn Y. hue i.[[le n nU l.:.l nSe:L` LM1c J' t:. ?A.i, )niit h¢?: ig lenl.„ . l i?il,yht <L P 'weel =hall l?e .1' red.i.enk?ge shill nn[ eed 1 e.. l6qItld vre) yer hlnn' pvr lnch o[ pine dimneteo?l" L. The IexRt.?c J'all Le diytributcd ncer all 7oioL'. I[ autl, lenkage uIcui., a.lnnw.t on ? ti:ely ut n(env )uints, tFe insbaliItlov _ihrzll Le eunslderetl'm?..i?i.=fncU?n- :md necessnxY rePflft'v nmde. P;st,0bllsh 0 P51 ale Pre5?d n:icure dn,p wTich 4hn11 nnl exceed ly F51 in ?i hours. 'CesG pressurp tank8 ut noimnl vatcr Iccel mtl presyp[o and 1 easure v ir preneum dro?? wliich rehxll nut ezCeBd 1? L'SI In 24 huun. . ^ PART "B" - UNDEfIGROUND PIPI;v'G F'EDS BLUGS. LOC.ATZpN FI PC TYPtS ' CLASS - . .--"-- - -TYPC in'ti: ?-- -- urvLx- ----- - -- GHOU!VD Conroanu ?ro ? srqNU?a? res ? no p IF NO, FXPGTIN ' P:PILS A?iJ? 10!NTS NEF.DING ANC`i02AfG CLAUf:iO. STR.. '..D. O@ EP.CKED IY YF S [] No ?-- . F?CCOHDANCL \[TH y +J9AkU JCItyT$ i: LX?LAIN - ------- 1'ESTS Fy,US3ING HYi1 ATIC - - LEAKAGB PEQUIREIJ , N'v-W l]NCeRGRUfIND PIPING FLIlSH[D ACCORDI"IG 9'O ' NUAkp yES E) '- -?- 6Y ICOMPANY) HDW FLLSI{ING kWVV 41n$ p:1TAI9ED: PLBLIf. µ'ATE0. [] TA1'K OH R2[F.RVOIR ? iIAE pGMP 0 TkiROI1GH µ'fiqT TYPC OPHA'ING FLUSHING - xrn. nurr. O orren e? LETUI45 PLCSHED ACCORD:NG TO STANDARa ns ,I,E51,$ UY (CO!n.VANYt NOW YW>HING FLOW WA II'LASN2D: PUO \YAiFA [3 TASA OP A£SFRVUIp ? f16L PUMY ? "IHROIIGH R'}IAT PE OPHtlING. V[ptii. TU TLAA'Cti S 5CI4[1T ? OYF.M PIVC ? Pmm No, 95 Pri.oed I. U.S.A. NYDiiOSTATIC I ni.[ Nti?,?? t[!;oeecvounc eiP:uc :?ive^.osr 'rirnt:,v resTr:o nr rsi Foz ?in?as ---- ? ---- -- Tl>S'i ? T'LOTTL AMOp::"f OF LETK.4GF hi2ASURED ' LE7IHAGE ? GALS. H6UlS ,pL`ST _ f-ntto iauce GAI.S. NOURS , .__ _ . . _? NliNe R WSTALLF6 FIYI1RAMb ?-TLL OCLR4T! aAfbFA(,TORICY ---- `?-?--- --- I `-- -- YES ? ND ? \UAT R COti?FOt VALVLi L[[] WI[ . OPfy xes na ? COPITP6L ir +o siArr ra uh ???j.V?? HOSC TIIRLAL OF iIRC DtPA INtN': NNYECt'IJNS AND FI1oRnNTS 1M1CERCHI4GFA9tG W,fH THOir OP tIRF.' DEPAR7FIENT ArvSwE!EWG ALA2S1i ves xo ? ? O?1Tt' CIET !9 FAb'iCF. / f;E-';.aR,S ---------- _ - I. ---- - -- NAMP OT SPCINh t (( NTAAf,r04 POR PA022RTY OWNER (SI N9D) TITGF' Pt1TlTS \ Pt B -------- ? FOH? IIEI ] LER CCYYHAGSOR (SIGNED) ?Alr SlGN''??RFS ? yt TS WITNc StD BY TITLL DTTE__ PAF.T G' - Si RI[v:iI.ER GWATER S°RAY ABOVEGROUtiD Pi°IDIG ;Fi[.e uur sernianT=vvii _e? roa rnen eisEu1 - LOG11'fU'J-_._..??"ser.urss?ecs.: . IIYDRDSTAlIC: ALL PIPING. TF?: ? i FNi:U"dATtC. ilRY 1'iPiNG. DRAIN REG2llt?ik*) EQUIPMENT OPE£.AT70N hLL. .._........._ . __._..._.. AR'= MODLL 512E pItANTITY "CEA1 L.?fIRC 1 9TIhG SYf1\:YLERS, ?.O O P '??. .. P14 __- - -- ' -- ? -(-?J --- ----t ?0 ------ SPRAY \C?.Z.I,"F,5 ??--- -._--- ?--?1? . - , ---1.i-?? -. __-?5.1?----- .- _ I PiPF: Anil ? htl ENUCd.^Ohi'DCONP02?1S'[O.'__.... . I ik If•.1•1.NGS NONE. 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P.XPLAIN - P2tSACSIi?i?3 rDOtiS FACIi CIR6LIIT OPERnT' OE' IACN CIR,CIIlT OPF.aA'f0 MAXIMIiM TIMc TO V:?I.i?EJ MAAG NGD.`.L SUPERVISWN L053 ALARSfI P ? vnC*JB ReLGnSui DPEAA?E P,'vf.EIlSe: - - " VGS N6 NO ? PU. F'1PiNG H'iD^n:iSl'T.T(CALL}' qpgff.D AT-J?9? __ PS[ F02 HOURS llN1 161\G P'.E RAI"I ALLY ]LSIED: hb ?i -- Tt,jms - LCttJI2Mf-T 02E}LAlfS P-OP R Y ?? ? -_- II NO S AT 4CASDN U AIY 9f5'I'R! 4JING CP f;( 1 LOCA'f£'.U hCAV WAThk $llPVLY TCCT P!PE. Rc9OUAl V E15LIRL Wliti 4ALV6 Ri'f:51' PIPF. OTPh N'f STAT[C PR SSLIl. PSI . ? P?? ? NUMNF,R 113Fp ? LOCATIONS NlIMt182 REMOVfiD $: t1NA ? _"- T'r.52ID;G t ti'ri.vr:n oaizRnz.Ln riPacc ?? rs ? xo ? I li ll 5 DO lOL. ( f[ TICI A? AP Ef 6At l 1[ GOA fRAI ?( R 9 kl4C t 3 AVT L Dl t M: R2NCP5 AFZt Qi-Ai fY9}•D 1 OR V F.LU- ?`r.ASKPT$ Il( ORRA/iA< ll ACt UftllAA! ] NI9 fS 111P, IC}:Utlft >I A Ib O A lii: i'(ll ? 2 AAD 1 F 1 c lRP V] -tif S OOpT U t.l iQA Iti. ? Q[ SilllCd2l0A AVDAF U}OP, RF:i,U[AL AND L 2TLS\G PitUCf UU} S W[ L].LS, Y1CAL .I.S. A.AII WLLUING AND IIRVLIVC L)a I.L./a'IOk2t. .i.1L;, l.l)!'CIJV 1 4? YO [j R Dll LLhT IN SkRVICe WI-f ARdL VALV£5 GPIN, i ??d:1 tK5 ? _-- h4M„ O. SV"EyIRKLER CON'(4ACfOR ?O_ PrVP TY W\ A'?e ED? T aYl C' °?G`A1U4' ;S FOA SPR1NRtFA CONTRhCTOR (SfGi:PD (//?? 1'SIS .Jit'=FSSI:D 6Y TR[E??. m7C? CITY USE ONLY ? PERMIT #: RECEIPT DATE: APPROVED BY: , INSPECTOR ? - (W'O COMMEftCIAL MEC}IlkNICAI. PEftM1T ?PPLICATION CITY OF EA 6i4N 3$30 PILOT KNOB ftD EMUU, H[x 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: („-) 2 -O I SITE ADDRESS: NIGWoZS ?? 15AGAN MN. LSlzz OWNER NAME: Fouk G eowu 1 NG.. PHONE #: toS I - 71 y- Do 30 (:ARFA CODH) TENAN7N.4ME(IMPROVEMENTSONLY): 1ZE6AulzANr WASTHEREAPREVIOUSTErAhTNTHISSPACE? //, Y N. NAME: }?pVLpEG S INSTALLER -rb-rru. [A6c-+1AWGqL SE2?icF? I NL, ADDRESS: q7:;) g?yaewAJ AOIE rxoNEb-51 - 7tA -93b7 (AR[A CODE) CITY: S'r YAuL pA!U, STATE: M, A; N ZIP: 5307I WORK Tl'PE: New cons[ruction Instal] U.G. v InteriorImprovement RemoveU. .? an?UN 1 5 Z??? _ Processed Piping Specify Narure Wheu iiistalliug/removing underground tank, ca11 651-681-4675 far ii:spection by Fire Marshal mrd Plumbing Iinspector. Fees: 1% of conaact price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $'71,5oo-"+ x 1%= $ 71 _5"' (Base Fee) State surcharge , fja TOTAL $_ 7J$ -:Ep calculate at 5.50 for each $1,000 Base Fee ? 477? Pl?»GT MANi?bER SIG\:4T1,'RE OF PER1v11TTEE Updated 1/O1 CITY USE ONLY PEgMIT #: RECEIPT DATE: lO ? I l • "' COMM£itC[AL MUMSIFH M.RM1T AMIICATIOF CPC1loF BR6!?N 5830 P11I71' HBOB $D Slk6AR, !iN'Slfl EE 881-881-4875 0 INCOMPLETE APPUCATIONS WILL NOT BE PROCESSED ??qY D Date: z 9 200r /-?M WORK 1'YPE New Bldg l,/ Add-on Repair RPZ PVB BY ` Itrigetion system ' Must compfete reverse side of application also. Required meter size is 2" turbo unless smaller size perntitted'by DESCRIPTIONOF WORK To inquire if Pressure Reducing Valve is required on new service, ca11 6 51-681-4646 METERS - Ca11 65 1-68 1-43 00 to verify that hydrostatic, conducdvity, and bacteria tests passed nrior to oickine uo meter Irrigation Size & Type Avg GPM Fire Size & Type Avg GPM Domestic Size & Type ? (f! Avg GPM Does this include high demand devices? Yes No F?J3 ?? .lrm:: _ _ FLUSHOMETERS _ es _ No PRV REQUIRED _ Yes _ No Site Address: A (o ( S N I GHC?)l,!!F? /?b . Tenant Name: _ WE N 1JY lS out?- C 2ty1u/J I ?JG Telephone #: (Area Code) Was there a previous tenant in this space2 X Y_ N. If Yes, Name: ?A EZpti?- ' G, i2J-4,7 ; Installer Name: a&-QI'?L 1'?Z-- -*4 F{TG Telephone #: G{Z (P c` _S (Area Code) InstallerAddress: S(?, KEN,u? grL L?I? . City: k A G-A .1i State: Zip Code ?SI 2. L '/oo ;50 , oa FEES Contract price $,v_1 C? QV-' ? x 1% ($50.00 minimum) Contract Fee $ Meter(s) $ ! 9y. ov RequireA on all oew buildings & boulevard irrigaHon systems Radio Meter Read $_ ? S 77 /Jlo Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge $ .?U 50 cents per $1,000 contract fee, Total From Reverse New Service $ Total $ ?-r7,,257-0 I hereby aclmowledge that I have read this applicadoq state that the infolmation is correct, and agree ro comply with all applicable Ciry of Eagan ordinances. It is the epplicanYs responsibiliry to notify the property owuer that the Ciry of Eagan assumes no liabiliry for any damages caused by the City during its normal operational and maimenance activities to the faciliries constructed under th?is permit within City property/right-of-way/easement. SIGNATURE OF PERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Ges Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: zllet? O BUILDING INSPECTOR FAX COVER SHEET City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Phone: (651) 681-4600 Fax: (651) 681-4694 TO: Chris Fax#: FROM: Linda Dralle Fax #: (651) 681-4694 DATE: June 19, 2001 RE: 1" Displacement Meter & Radio Read JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DE VELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: BARRY GREIVE, COMBINATION BUILDING INSPECTOR DATE: MAY 3, 2001 RE: PLAN REVIEW/WENDY'S/4615 NICOLS RD The plans aze in our plan review section for your review and comment. Please return this form to mv attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No landscape security required water quality dedication park dedicarion trail dedication tree dedication Signature ZONING? METER SIZE Date CD/FORMSlPLAN REVIEW B.4RRY G UPDATED4-6-O1 TO: KENT THERKELSEN, CHIEF OF POLICE #19 Protecting, maintaining and improving the healtb afall Minnesotans - : LI 6?yJ / May 7, 2001 Fourcrown. Inc. c/o Mr. Dan Opitz 7445 Fourth Street North Oakdale. Minnesota 55128 Dear Mr. Opitz: Subject: Food and Beverage Equipment at Wendy's. Eagan, Dakota County, Minnesota, Plan No. 013119 We are enclosing a copy of our report covering an examination of plans and specifications on the above-designated project. The plans and specifications appear to be in general compliance with the standards of this department. Please see the enclosed report for additional changes and/or comments. Also enclosed is a copy of the report and transmittal letter to be forwarded to the project owner. It is the project owner's responsibility to retain the plans at the project location. This review does not pertain to the Engineering design (i.e., plumbing, swimming pools, service connections, sewage systems). A separate report regarding the Engineering Review will be sent. Ten working days prior to completion of the project, please contact Ms. Pamela Steinbach with our Metro district office at 651/632-5147 in order to arrange for a final on-site inspection. If you have any questions in regard to the information contained in this report, please contact me at 651/215-0862. Sincerely, /j L2 Steve Craig Public Health Sanitarian Environmental Health Services P.O. Box 64975 St. Paul, Minnesota 55164-0975 S,]C: j 1 r Enclosure cc: Mr. Dirk House, Plumbing Inspector Ms. Pamela Steinbach, Minnesota Department of Health General InFormation: (651) 215-5800 0 TDD/'I"IY: (651) 215-8980 a Minneso[a Relay Service: (800) 6273529 0 www.health.sta[e.mn.us For direccions to any of [he MDH lo<auons, call (651) 215-5800 m M equal opportunity employer MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on food and beverage equipment: Wendy's, Plan No. 013119 Location: 4615 Nichols Road, Eagan. Dakota County. Minnesota Date Examined: May 7, 2001 Date Received: May 3, 2001 Submitted by: Fourcrown, Inc., c/o Mr. Oan Opitz, 7445 Fourth Street North, Oakdale. Minnesota 55128 Ownership: The following are corrections or requests for additional information necessary before constructian of your project: l. All food and'beverage service equipment must meet the applicable standards of NSF International. This includes being constructed by an NSF authorized manufacturer or fabricator. Any alteration to the approved piece of equipment renders that equipment null and void as NSF approved. 2. Primary food preparation surfaces (tables/counters) must be of stainless steel construction in compliance with Standard No. 2 of NSF International. 3. Canopy and hood construction must meet the applicable standards of NSF International. Additionally, the requirements of the Minnesota Uniform Mechanical Code (Section 2000) covering commercial kitchen ventilation systems must also be met. 4. Provide a minimum of a three-compartment sink meeting the applicable standards of NSF International with two integrally attached drainboards in the utensil washing area. Bar glass washing sinks are not acceptable for food utensil washing and sanitizing. 5. Frovide ard routinely use a chemicai iest kit to determine ihe sirengih of the sanitizing agent in the final rinse water of the three-compartment utensil washing sink. 6. Walk-in cooler shelving must be NSF International approved stainless steel, factory precoated epoxy, or other materials designed for this type environment. Chrome shelving is not approved. 7. Al1 equipment must be installed so that it is easily cleanable, that is, either easily movable, sealed in place or having sufficient space surrounding the unit to clean in place. 8. All artificial lighting fixtures located in food preparation areas, food storage areas, dishwashing areas and walk-ins shall be effectively shielded to prevent glass breakage onto food or food contact surfaces. Wendy's -2- May 7, 2001 Food and Beverage Equipment Plan No. 013119 Install a sufficient number of vapor-proof light fixtures in the walk-in cooler and/or freezer to provide a minimum of 10 foot-candles of light throughout the unit(s). 9. A separate on-site inspection will be conducted by the state plumbing inspector to determine compliance with the Minnesota Plumbing Code. 10. Hollow base cabinetry is not approved. Cabinetry must be on 6 inch legs for easy cleaning, or on solid concrete pedestals. 11. Provide a handsink convenient to the prep area. Approved: ab-? ?L (Z- Steve Craig Public Health Sanitarian Environmental Health Services P.O. Box 64975 St. Paul, Minnesota 55164-0975 2006 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 s-a.. -fo Date ?'S / D:->' / c6 SiteAddress L4k-6(5- 'yZD Unit# Tenant Name L,,,e? Former Tenanf Name PropertyOwner Telephone#(&' ) Contractor Address -363a ya?L--- nJ0L City Stafe 1.n,J Telephone#(6t0 License # dp Expires: The Applicant is _ Owner ?-"Contractor _ Other Work Type New Bldg _ Modify Space _ Irrigation System'* Yes No Work in public r-o-w / easement? yRPZ _ PVB: New ?,--Repair/Rebuild _ Replace _ Remove Rain sensors are re uired on irri ation s stems Description of Work ???:•? ?RPZ 3?'s To inquire if Passure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydros[atic, conductiviTy, and bacteria tests passed prior to vickine uv meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter 167.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Reqoired _ Yes _ No Permit Fee $50.50 minimurre (includes State Surcharge) Con[ract VfilUC $ x 1'./6 _ $ G?o Permit Fee ' $ Meter(s). Required on all new buildings & boulevard irrieation svstems $ Radio Metei Read s-o $ State Surcharge If oertnit fee is Icss than 81,000, surc6acge is $.50 If oermit fee is more tM1an $1,000, surcharge is $.50 for each $1,000 owed. - ' ' ' "' _ _ _ _ ' ' ' "' ' ' _ _ ' ' ' ' ' ' ' ' _ ' _ "' ' ' _ ' Following fees apply when installing new lawn irrigation System $ Watei Permi[ Call the City's Engineering Departmen[, 651=675=5646;:forreqnired fre amounis Treatment Plant -0 ,? Water Supply & Storage LLCI? $ State Surcharge Total Fee r 1 hereby apply for a Commercial Plumbina Permit aod`acknowleAge that the infoRnation is comple[e and accurate; ma[ the worK wW De m conIOanance wim me ordinances aod codes of the City of Eagan and with the Plumbing Codes; tha[ I understand this is no[ a permi[, but only an application for a pertnit, and work is not to start without a permit; that the work will be in accordaoce with the approved plan in the case of work which reqnires a review and approval of plans. ,4pplicanYs Printed Name App1iQifiYs Signature ; ; ~ ~ ~ ~ , ~ i , ~ , _ _ _ _ _ . _ i _ ~ ~ . ~ ~ ~ ~ ~ ~ , . _ _ _ . . ~ ~ a. _~.___,n .r.~. ~ ~ ~ ~ ~ ~ ~ ~ ~ ` l , b ""~G' :?a~ast~i~a~tt~PJ~si~'.a735r,'aiw,l*an~s~*+aw+;~y. ~..,~ax;uttwa°:+:~. . wwm . ~us~s,r p.~^.~~, ' . j ~ - ~ ' ~ . ~ ~ . , , . . , . . . ~ ~ , , . . , , : . . . ~ . . ..,.~„~..,.m,~,.. y,..,..-. ~ _a ~ ~m. e ~r~~..~ : a.«.ayai ~ , . , . . . , . . . . 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' 2 ~ . . . ~ t ' . . ~ ~ ~ ~ ~ ~ ~ r~, ~ e~,~° ~~l ~ ~ . . f - . . % . . . . ~ . i ~ i ° , ~ ~ ~ ; ~ H ~ ~ ~ ` = . 4~, ~,..r~...,~k'`d ~ t x., . . ~m~,...*~..m. . "•a.n, ~ v 'Y ~ F,r~ ~g'~~9,~' , r~ a G ~ , ~f ~ ~ ~ ~ ~ ~ ~ ti~~~~~~`""~°;~i;~:i~.~~7„,>~~'il,.~ *.~~1~k ~ i:)~~,....M~e- ~T`?'4s,.,.~~` ~ ~~~~~~~~6i~e~~"~ ~ a py ~ ~ ~ ~ ^ N ~ . . ' . Y..~. . . ~ . ~ . ? a ~ ~ y f ~ ~ y ~ < ~ . ~ 'k ~ k ' ~ , , , ~ , 1Z . . . . - . i. . . ~ . . . . , ; : { M...~.ww.. , ~ , _o.~..~ rn R!~' ~ } r... ~ ..,„„e ~ `S ~~r ~ r , 1 ~°i~~fi ~/~Y~ ~g- , / ~ t ~ j ~y~~G f~a ~ ~,lt ~ r . ~ t~ Y ~ + ~ i: ~ ~ ~;.x- , > ~ : c~-~ r.~ ~ E ~ ' i rr , ~ "_^a REVISIQMS: SFRiftKLERS f N~ZZLES: . . o ~ s * . , . ,~0~ NAME ~ t i ~ ~ , , Et ~ ~ :.~1' - ~ ` ~ , f~~ ~ ~ . , ri , . _ °I.s; ` ` l, _~~~~<r ~ ' ~ ~ f ~ p q ~7 ~ r ~ . . , 9 p': s...~~ ty . , ~ . _ . . . . . . ~ . DES~R#PT!(?N SYMBOL SIZE tEMP. Qi1AN. . , ~ . . . ~ . e . . . , S-.:..f . , . WY'~ ~ . . ~ ffi "°"C.' . 5 . , ~ i ' . . . ~ ~ . . ~ BR,GSSi3PR#f,NT e ' ~ ~ ~4i z ~ ~ ~ ~ ~ ~ ~ , ~ ~ ~ F, i ' , ~ , ~ ~ ~ , ~ ~ , ~ ~ , , _ a, . ~ ~..L.. ° el ' IS BRASS PEND t?N CQNC PfPE , i- ~..,u.- ~.~.~.~,,.M.~..~,.ww, ww_~,._.a..~...~ . ~ ~ ' ~.~.~~~,.~M_~,,.. u~ ~ri „ ,n ,,.,i. , . . . _ ~ . . _._.r..,~ ~ ~ ~ ~ _~m _ ~ BRass PEND_ QN ExP PIQE ; . i_ ....L..~ , ! , . _ . . . • i . _ ~ ~ ~ . , ~ ~ _ . CklR(7h4E FEtdGEs`'T ; ~ . , . ~n ~ ~ . . ~ ~ . ~ Fl63SH PENDENr ` r~~~~~ ; ~ ~ ~ ~ ~ ~ ~ ~ ~ , ACCEP~'A{~GE~BY: ~R~a~r.~S,aEWa~.c tNECKEt34`f: A.S.'~~F4CS`SMT. CONT.~~NO; ~~~~i~ca~. s;~0~~ALL. ~ SCAtE: flAl'E: A.S. F.fJR JOB.. SHfET N4., DR~~PENZEN,~ , ~ . ~ . ~ ~ < m , z lq„ k Sep 08 11 04:56p Dan Opitz 651-289-2162 p.3 Use BLUE or BLACK lnkc i Far Office e - f I i City of EaRan l Perrrtit: I I Permit Fee: i ! 3830 Pilot Knob Road I Date Re d: Eagan MN 55122 I l Phone: (651) 675-5675 staff: Fax: (651) 675-5694 / 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date Site Address' C lam! S PL. Tenant; ( Suite # PROPERTY OWNER Name: Phone: nse#: ~~rn 11r~~ A Name: CONTRACTOR Address: City: J::~Pt at 4AN, Stater Zip: ~51 Phone: (4 jSj S Email: • TYPE OF _ New _ Replacement Repair Rebui:d _ Modify Spaoe _ Work in R.O.W. WORK ' Description of work: COMMERCIAL New Construction Modify Space _ Irrigation System yes I_ no} ( RPZ! PCB) 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: $55.00 Minimum (includes State Surcharge) OR Contract Value $ x1% Permit Fee Required on ALL new buildings and boulevard irrigation systems 3 $ 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 suroharge increases by $.50 for each $1,000 Permit Fee i.e. a $10,01Cr$11 1,000 Permit Fee requires a $5.50 surchar e $ State Surcharge Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5348, for required fee amounts. $ Treatment Plant S Water Supply & Storage S State Surcharge = $ 56, 60 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protec ion against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecali.om I hereby acknovrledge 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 rot a permit, but only an app3cation for a pe.•mit, and work is not to start withmit 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 \ 1M Q,t tiSrt t.._ Applicants Printed Name Ap icanfs ignature FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-In Air Test Pas Test Final PRV Required: _Yes _No Pare 1 of 3 01/12/2012 15:35 110500 P.001/001 Use BLUE or BLACK Ink For Office Use I City of Eawn ; Permits; 6 1 Permit Fee: , I 3830 Pilot Knob Road 1 ; Eagan MN 55122 1 Date Received: Phone: (661 6TS-5675 1 stat. Fax: (651) 675-5694 1 INFLOW. INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: (`tZ-20 rt Site address: 1461S' ~..~mco S 12e Tenant: f.tJtr~l ~S Suite my: 3 ! 3 Name: Phone. ' RESIDENT / OWNER Address ! City / Zip: I 0 Name: Ne~r~r• ~ c is License lP 01603 Address: 3650 Ka»-b-- a"- City: CONTRACTOR ( State: -%ft.3 Zip: S'3 4'4Z-- Phone: _ bs r -7Sq I i contact Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) i TYPE OF WORK imp Pump Repair Repair I Other. Other E i ) 3 Description of worfr: Te -D~ fi DESCRIPTION i S7 s% k ea-ox- S t c•~ 6~a _ A r a PEES ° $60.001 Each (includes $5.00 State Surcharge) } TOTAL FEE $ "Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow. or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher Stato One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aophe meonecall.orn 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 1 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. Applicanfa Printed Name Appl fs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final ? t4m'= S" - e-,,- " -K:p -R-- e- ~C~'T-- CITY- OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: _ Eagan, MN 55122 DATE: - Zoning: No. of Units: Owner: Address: Site Address: Plumber: - Meter No.: Connection Charge: Size: - Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: _ Total: By Date Paid: Date of Insp.:_ _ Insp.:- CITY., OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: - No. of Units: - - Owner: - - Y- - Address: Site Address - Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: - - - Surcharge: B Misc. Charges: - Date of Insp.: Total: Date Paid: