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3450 Pilot Knob Rd ---r-------------, For Office Use I _l 1 I Permit City of Eano~an 8 I Permit Fee: 1 VAY %O 3830 Pilot Knob Road If Date Received: Eagan MN 55122 ~ 1ft ,~f C- ~ I Phone: (651) 675-5675 I ~ EC`~/ I I Staf t Fax- (651) 675-5694 - - - - - I 2009 MECHANICAL PERMIT APPLICATION Date: 110 Site Address:__X Tenant: l Suite RESIDENT /OWNER Name: l-,l nncc ~j Phone: Address / City / Zip:7 CONTRACTOR Name: BWDER HEONG & C., NC- License Address: 2U Ha t st Ave. N. N 65075 City:. ate: Zip: Phone: Contact Person: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: -A ~ NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction - Interior Improvement _ Air Conditioner Install Piping Processed _ Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank (4 Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value X1% $50.50 Minimum (includes State Surcharge) $ 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 $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 wi ut a permit; that the work will be in accordance with the approved plan i ca se of work which req' review and approval of plans. / X X .w Appllcan s rinted Name Applicant's Signature FOR OFFICE USE Reviewed By: _ Date: Required Inspections: Under Ground Rough In ____,Air Test _ Gas Service Test In-floor Heat Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink I Office Use I City of Eanan I Permit#:- - I * -7 3830 Pilot Knob Road i Permit Fee: ! r I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 l Fax: (651) 675-5694 I Staff: l~ MU L----------------f 2010 MECHANICAL PERMIT APPLICATION ~J Date: 5~ t7 Site Address: 3q~d 't~'> Tenant: C l S Suite M RESIDENT / OWNER Name: 7yfV ( f I Phone: Address / City / Zip: &Wk~ CONTRACTOR Name: 1 dtrf 4 /~~Ao 4d l~hAel License Address: /0(d YlW G~ City: J-01al4l? State: Zip:.7S3fA Phone: Ot- YV -IX-T I Contact: , q),00 c,0&7,(-j Email: / C/ w e~ Tt'~9~ l fi~~~ TYPE OF WORK New Replacement X Additional Alteration Demolition 4,c1dwAlli, Description of work: ~ I ) UuS~ l'1~~ 1 Wit' fu , 4k? 61 ° NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install / _ Remove) Other when installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal R~l Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. iViN 1 ` 2010 - If Permit Fee is > $1,000, surcharge increases by $.50 for each 50 Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). r~ ®0 v TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall.ora 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 iplan inI the case of work which requires a review and approval of plans. x l/"~! ~l f Iii ?~C~[e f 1 x Applicant's Printed Name Ap icant's Signa e FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Y Rough In -Air Test -Gas Service Test -In-floor Heat Final Exterior HVAC Screening Inspection Use BLUE or BLACK ink For Office Use • ' ' Cat of Ea n Permit#: o a~ I 3830 Pilot Knob Road I Permit Fee: I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 i Fax: (651) 675-5694 I staff: 2010 COMMERCIAL BUILDING PERMIT APPLICATION - , , a .sy ifs la~' ~noio 9'-Fcf Date: yIl 1 Loto 9ftAddr**: l Tenant Name: Q1 ycil - y (Tenant Is: New l X Existing) Suite M Former Tenant: PROPERTY OWNER Name: Phone: -IS-1-498-C1400 Address / City / Zip: 3`f s"y P,),+ 1("16 /Ld Applicant is: Owner Contractor TYPE OF WORK Description of work: ~•rl) even G.nd YK ~-1-1Q Construction Cost: r7,3,0. CONTRACTOR Name: (044,,1e1' Cv-r~a,., a.tl~pJf GAG. License#: 204347q76 Address: c367o Qadd Q64 City: &-"12 State: Zip: 5-S-123 Phone: `t`la -8y1 Contact: lCrj c LJcddiv rr Email: ARCHITECT / Name: Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone M NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org I hereby acknowledge that this information is to and accurate; that the Work will be in conformance with the ordinances and codes of the City of Eagan; that I understand W* i 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 ppproved plan in the case of work which requires a review and approval of plans. Applicants Printed Name R ant's ignature APR ~ 1 Page 1 of 3 1 f - DO NOT WRITE BELOW THIS LINE :7 SUB TYPES Foundation ublic Facility _ Accessory Building Apartments _ Commercial / Industrial _ Exterior Alteration-Apartments _ Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial Miscellaneous Antennae Exterior Alteration-Public Facility WORK TYPES New /interior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation _ Replace _ Water Damage Fire Repair _ Salon Owner Change _ Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation /g.' 6,00 Occupancy MCES System V Plan Review ✓ Code Edition SAC Units /VA /V0 GA-pGI-- 0_ 0 ✓ Zoning 2 100/o City Water ( 5/o Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction ?T • J3 Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Other: Drain Tile Pool: -Footings -Air/Gas Tests -Final Roof: -Decking -Insulation -ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes "No Reviewed By: , Building Inspector Reviewed By:, Planning COMMERCIAL FEES Base Fee 3 •745" Water Quality Surcharge 1.06 Water Supply & Storage (WAC) Plan Review 2o/ .3 Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL .SZ-~• Page 2 of 3 HOUSE HEATING ADDRESS CITY SUBURB ?- OCCUPANT ?? •j''" ? T G' OWNER HEAT LOSS DATE HTG. INST. ? SOLD BY INSTALLE 8Y Eloctrieal Work By Gos Li?.:B TYPE OF HEAT GA FA?_HW STEAId SPACE HTR. ` UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE - AAAKE OF BURNER Mod.l ?V fq 3f)i.-) C'I C) Irlod•I 5erial Z3v fD/??7L-- A4ex. BTU Ratiny I N P U T MAKE OF FURNACE Mod•I CONTROLS THERM(?S?? Heat Pluq w? Vont Sise K . 6r 2 Z yalvo KIND OF LINER SIZE NONE Limit Z 716T 4/6 D.ah Hood Regularo? Limit Seitiny I/ Ff It.rs Si:• Numbe. Fan Settiny C'himney Lecatlen Inside Ovtside k' Pilot Type QhimMy Consiruefion Pilot Mok• Pilot Model Smoke Bom6 Wirinp Pilot Timiny 5'LC ' Draft Test To4 L.W. Cut OfF NrL? Door Pressur• Liphtiny (nat. Pressun Pe rcipint CO Z Date Tested Input CFH r' Pereent O ?. Con+pany T*stiny ? Z Smck T?mp. Percenf CO ? Name of Testo r • ,r----- Form 235 f .. ; HOUSE HEATING TEST RECORD ADDRESS APT. R9OOR CITY SUBURB ?"?--- OCCUPANT ?1011J io•tJ - '-"OWNER HEAT LOSS DATE MTG. INST. SOLD BY INSTALLED B7 Eloetrieal Work By Gaa Une By TYPE OF HEAT GA FA HW STEAAA SPACE HTR. UNIT HTR. OTHER k,*1 - GAS DESIGN CONVERSION ? MAKE I r'&^-4-- MAKE OF BURNER Modol 0 4JQ r43 f- 11 A-0 16 Modol Se?iol Alaz. BTU Ratinp INPUT A/AKE OF FURNACE Valv (/V9_ -7 b4- . Limif 4 4 1 17/Wi Limit SeNinq ?._ Fan Sottiny Pilot Type Pilot AAake Pilot Model? U 3L1 ? Pilot Timiny L.W. Cut Off N ('? Mod.l CONTROLS - H•at Pltp ? Yen1 Sis* Z KINO OF LINER SIZE NONE Droh Hood Ropulstor Filters Sis• Numbwr Chimney Locafion Inside Outaide Chimney Construdion Pressure 3?? Percent CO l27 Inpuf CFH ? V°4 ? Perunt OZ 7 Z Stack Temp. Percent CO ? Snroke Bom6 Draft Wirinp Teat Tap Dow Presswo Liyheinp Inst. Doee T.st.d / / `1 Company T•stinp NonM ef Tester Form 235 ? HOUSE HEATING TEST RECORD ? . 'AODRESS APT. FLOOR CITY SUBURB? OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Eleetrieal Work By Gos Lino By TYPE OF HEAT GA FA ' HW STEAM SPACE HTR. UNIT HTR. OTHER ? ? GAS DESIGN / " V CONYERSION MAKE ? ?-`-? M/?KE OF BURNER Mod•I YS C ci, {ac:> .4 ?5 ; ? r• , . L1^ Model S.rial 7,3 S`/iUoo? ? C. liAox. BTU Roeinp INPUT MAKE OF FURNACE Mod•I Valv =T Limif Limit Seriiny Fan Settin9 - Pilot Type - Pilor Makt _ Pluq , 7 Vent Si:e KIND OF SIZE NONE Drah Hood Reyulawr Filtws Sise Number Chimr?er Locetion Inside Outsidaiinney Construction Pilot Model - > >Y ' " Smoke Bomb - ? Pilot Timiny /StL Dreft L.W. Cut Off f^' ? Door Presswe_ Prossur• Percent CO,. Doh T•:e.d - ?? Test Tay (nst. Input CFH a ?' Perunt p? `-' ? Componr Testiny Stock Temp. 3 ? Percent CO Name of Tester ,?-- Form 235 HOUSE HEATING TEST RECORQ ~ADDRESS C,/ APT. FLOOR CITY SUBURB(- OCCUPANT . *t OWNER HEAT L( SS DATE HTG. IN57. SOLD BY INSTALLED BY Eleefricol Work By Gos Lino Br TYPE OF HEAT GA FA HW STEAIA SPACE HTR. UNIT HTR. OTHER ?? GAS OESIGN "MAKE AIAKE OF BURNER _ Mod.l 3 N F+ [? ?iAod.l Swiol 301&flLW QL) AAex. BTU Ratiny - INPUT L?• z?' v MAKE OF FURNACE Mod.l CONTROLS THERGAOSTA `+--??--- ?' `Heat?Pluy Vent Size 36r-66 vaI?• KIND OF LINER SIZE NONE Limit f? N1,71 l 2G 3u Droh Hood Ryuletor ? Limit Settiny ?4' Fillors Sis• Nun?ber Fan Settiny Chlmney Location Inside Oulsid Pilot Typ. Chimn.r Consr.uerion ? Pilot AAaks Pilot Mod•) Sawke Bomb Wiriny Pilot Timin9 D.oft T.st 700 L.W. Cut Off 14) Door Presswe Liyl?iinp Inst. Prossun 2'wC Percent CO Dote Teatod l G?/ 2 / -? Inpur CFH ?" I-?°??? P•.c.nt p Company Testiny v ?? I?c2 F- Swck T.mP. yv5 j P..cont CO ? Name oF T•sf.r T Form 235 CONVERSION HOUSE HEATING TEST RECORD "/ipDRESS APT. FLOOR CITY SUBURB OCCUPANT ' OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Elecfrical Work By Gas Line 8r TYPE Of HEAT GA FA ?C-HW STEAAi SPACE HTR. UNIT HTR. OTHER GAS DESIGN " MAKE Tc L,? AAAKE OF BURNER _ r Mod., Y s r o?sp Moa.l S.ricl A1ax. BTU Ratiny ? INPUT MAKE OF FURNACE Mod.l Valv 4"'? Limit 71 Limit 5otiinq Fan Settiny - Pilot Typs ? Pilot Maks ? Pilot Modsl _ Plug Vont Sis• KIND OF LINE Drah Hood _ Pilot 7iminQ L.W. Cut Off ? Pressure Percent CO 7' r 2 Input CFH Percent 02 Stack Temp. Percent CO Form 235 SIZE NONE Fi Ifers Si:e Number Chimney l.oeatien Insido Ovtsid Chimnoy Construdion Smoke Bomb Wi.inq Droft Tost Tay Dow Pressut• Li9htin9 Inst. Dah Tostod Company Testiny Nam* of Toster .. ' CQNVERSION HOU A I G TE T .. •;a. . . . - SE HE T N S RECORD ? ' ADDRESS IL"'? _AF'T. FLOOR ClTY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Eleetrical Work By Gas line By TYPE OF HEAT GA FA )L_HW STEAIiA SPACE HTR. UNIT HTR. OTHER ?? GAS DESIGN CONVERSION MAK E MAK E OF BURNER Mod.l 5 3 ? l? C7 ? Abd.l Ssriol h' /?Aw 9 hia:. BTU Rating INPU7 ??L•OGQI? MAKE OF FURNACE Mod.l CONTROLS 7HERMOSTAT Hoat Pluy 7 Vent Si:e Valve 7? 9--7--- KIND OF LINER SIZE NONE Limit 1 l ? 1 /7/6 S VV Droft Heod Reguloror Limit Settiny Filtns Sise Number Fan Seitin9 Qimner Locoflon laside Outside Pilot Type C4 Q?imney Construcfion hilot Make Pilof Model 0 3V56 Smoke 13om6 Wirinp Pilof Timinq 5-C c' v/ DraFt T•st To9 ' L.W. Cut Off f Door Pressure Liphter+p )nsl. Prossure Perceet CO Date Testod ?''•? ??+p ? Input CFH 114-100 Z Pertent 0? ? Compony Testing $tack Temp. Percent CO , Name of TosNr .? ? Form 235 HOUSE HEATING TEST RECOFtD ' ADDRESS ` APT. FLOOR CITY SUBURB y '• ' ? ./ OCCUPANT ?-'?-?-- - pWNER HEAT LOSS DATE HTG. INST. SOI.D BY INSTALLED BY Electricol Work 8y Ges Line By TYPE DF.HEAT GA FA HW STEAAI SPACE HTR. UNIT HTR. OTHER t ( ? ?O GAS DESIGN CONVERSION MAKE ? Mod.l MAKE dF BURNER Abdel Serial Z V/?v`7 Max. BTU Ratiny INPUT ? - - ?? MAKE OF FURNACE tl Abd•I r-?? 3 CONTROLS ? THERMOSjAT ? ? Heot Pluy V•nt Si:. Valv ?'?R- 3 KIND OF LINER SIZE NDNE Limit y 4 7 6 5 VQ Droft Heod Reyuleror Limit Setfiny f? FilfNS Sit• Numbe? Fan Settiny Chimney Looatioti Inaido Outsids Pilor Type 4" . 1i?-rc CC Qhimney Construetion Pilot Mak• ?r • Pilot Model Smoke Bomb 1Mirinp Pilot 7iminy OraFt Tost Tap L.W. Cut Off Door Pressw• Liqhtinp Inst. Prsssure i ? • ?' Poreont CO ? 7 Oat. Tested Input CFH : Perunt 0? Coenpany Tostin '? ' Srock Temp. 3?? Peraent CO Name ef Testor ??---?--- Form 235 MINNESOTA MDH DEPARTMENToF HEALTH 34A-0 P,/o7' eni AUG 234.00 Protecting, maintaining and improving the health of all Minnesotans August 19, 2010 Kevin Schott Capitol Construction Services, Inc. 10412 Allisonville Road, Suite 100 Fishers, Indiana 46038 Gentlemen/Ladies: Subject: Food and Beverage Equipment at Starbucks Coffee Company Blanket Application for Starbucks Stores in Minnesota, Plan No. 110072 We are enclosing a copy of our report covering an examination of plans and specifications on the above - designated projects. The plans appear to be in general compliance with the standards of this department and have been approved with corrections. Please see the enclosed report for additional changes and/or continents. Any changes to the original plans submitted must be re -submitted for approval. It is the project owner's responsibility to retain a copy of the plans at the project location and to communicate any corrections to the appropriate contractors and suppliers. Ten working days prior to completion of the project, please contact Ms. Peggy Spadafore with our Metro District Office at 651-201-3970 in order to arrange for a final opening inspection. If you have any questions in regard to the information contained in this report, please contact me at 651/201-3988. Sincer ly, Charlotte H. Morgan, REHS, MPH Environmental Health Services, Plan Review PO Box 64975 St. Paul, Minnesota 55164-0975 charlotte.morgan(U`state. mn.us CHM:smp Enclosure: cc: Mr.Ronald Gnotke, Electrical Inspector Ms. Peggy Spadafore, MN Department of Health General Information: 651-201-5000 • Toll-free: 888-345-0823 • TTY: 651-201-5797 • www.health.state.mn.us An equal opportunity employer MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on food and beverage equipment: Starbucks Coffee Company Blanket Application for Starbucks Stores in Minnesota, Plan No. 110072 Location: 3450 Pilot Knob Road, Eagan, Dakota County Date Examined: August 19, 2010 Date Received: July 27, 2010 Submitted by: Kevin Schott, Capitol Construction Services, Inc., 10412 Allisonville Road, Suite 100, Fishers, Indiana 46038 Phone #: 317/223-8031 The following are corrections or requests for additional information necessary before construction of your project: Scope of Project: Remodel of existing facility to add a TurboChef oven, model NGO. 1. Equipment Standards — General Requirements: Food and beverage equipment shall meet the applicable standards of National Sanitation Foundation (NSF), Edison Testing Laboratories (ETL) to NSF Standards, Underwriters Laboratory (UL) to NSF standards or Canadian Standards Association (CSA) to NSF Standards. The proper sticker, manufacturer information and embossment identification shall be displayed on the equipment. 2. Food contact surfaces — General Requirements: Primary food contact surfaces (tables and counters) shall be of stainless steel construction in compliance with NSF Standard No. 2 or equivalent. Solid surface countertops are also acceptable. Plastic laminate surfaces are not acceptable for food contact and food preparation surfaces. This Turbo Chef oven may not be placed on plastic laminate. 3. Refrigeration — General Requirements: Ensure that each facility has adequate refrigeration space for the storage and thawing of the new products. If upon future inspections by the Public Health Sanitarian, if he/she determines that the refrigeration space is not adequate, a separate plan review must be submitted to remedy the situation. 4. Ventilation System: Review and approval by the local building official is required prior to installation of the TurboChef NGO without exhaust ventilation. This documentation should be provided to the Sanitarian during the opening inspection. Starbucks Coffee Company August 19, 2010 Page 2 Food and Beverage Equipment Plan No. 110072 See enclosed Inter Agency Review Council (IARC) guidance documentation concerning the installation of ovens with recirculation hood systems. In the event that the local building official requires an engineer's evaluation of the space and the result is to provide additional cooling to exhaust to the outside, manufacturer's specification for an NSF approved exhaust hood will be required to be submitted to MDH for plan approval. 5. Hand Sinks: Ensure that adequate handsinks are provided in the area where the ovens are to be installed. This will be reviewed by the Public Health Sanitarian in each location. If any changes need to be made, then a separate plan review will be necessary in that location. 6. Other Code Requirements: All other approvals from local units of government shall be obtained prior to construction beginning. This includes building construction inspections, zoning approvals or other regulatory approvals. Obtain an electrical inspection from the Minnesota Electrical Licensing and Inspection. All electrical systems must comply with the currently adopted edition of National Electrical Code. Approved Finish Schedule: Public Health Sanitarians inspecting the oven installation should verify that all finishes in the new oven area meet the Minnesota Food Code requirements. Note: This plan review is a blanket approval of multiple facilities. If any specific facility needs additional changes or remodeling, that store must submit plans and specifications for a separate plan review. This will be determined by the Public Health Sanitarian during the remodeling inspection. Stores under the jurisdiction of local health departments must submit plans for approval to those departments. Starbucks Coffee Company August 19, 2010 Page 3 Food and Beverage Equipment Plan No. 110072 Here is the list from Starbucks of the stores covered by MDH in this plan approval: 3450 Pilot Knob Road 1405 Miller Trunk Hwy 641 W Bridge St, #100 16227 Kenrick Ave. 1470 Roberts St. South 14903 South Robert Trail 331 W. Superior St. 17740 Kenwood Trail 15091 Edgewood Dr Sincerely: eQoast Eagan Duluth Owatonna Lakeville MN 55122 DAKOTA COUNTY MN 55802 ST. LOUIS COUNTY STEELE COUNTY DAKOTA COUNTY DAKOTA COUNTY DAKOTA COUNTY ST. LOUIS COUNTY DAKOTA COUNTY MN 55060 MN 55044 West St. Paul MN 55118 Rosemount MN 55068 Duluth MN 55802 Lakeville MN 55044 Baxter Charlotte H. Morgan, REHS, MPH Environmental Health Services, Plan Review` PO Box 64975 St. Paul, Minnesota 55164-0975 charlotte. morgangst ate. mn. us CROW WING MN 56425 COUNTY MINNESOTA MDH DEPARTMENToF HEALTH Protecting maintaining and improving the health of all Minnesotans May 11,2010 Kathleen Miller 9005 Alger Court Inver Grove Heights, Minnesota 55077 Gentlemen/Ladies: SW 132010 3 tilio Rc'A'n,h Subject: Food and Beverage Equipment at Bruegger's, Eagan, Dakota County, Minnesota, Plan No. 100805 We are enclosing a copy of our report covering an examination of plans and specifications on the above - designated project. The plans appear to be in general compliance with the standards of this department and have been approved with corrections. Please see the enclosed report for additional changes and/or comments. Any changes to the original plans submitted must be re -submitted for approval. It is the project owner's responsibility to retain a copy of the plans at the project location and to communicate any corrections to the appropriate contractors and suppliers. Ten working days prior to completion of the project, please contact Ms. Peggy Spadafore with our Metro district office at 651-201-3979 in order to arrange for a final opening inspection. A final opening inspection for new construction cannot be conducted until the food, beverage and lodging license application is submitted with the appropriate fee to the main office at Minnesota Department of Health, Environmental Health Services Section, P.O. Box 64495, St. Paul, Minnesota 55164-0975. If you have any questions in regard to the information contained in this report, please contact me at 651/643-3451. Sincerely, C‘igheat Charlotte H. Morgan, RE MPH Environmental Health Services, Plan Review P.O. Box 64975 St. Paul, Minnesota 55164-0975 charlotte.morgan@state.mn.us CHM:jlr Enclosure cc: Champion Plumbing, LLC Mr. Dale Schoeppner, Plumbing Inspector Mr. Ronald Gnotke, Electrical Inspector Mr. Marty Kumm, Electrical Inspector Ms. Peggy Spadafore, Minnesota Department of Health General Information: 651-201-5000 • Toll-free: 888-345-0823 • TTY 651-201-5797 • www.health.state.mn.us An equal opportunity employer MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on food and beverage equipment: Bruegger's, Plan No. 100805 Location: 3450 Pilot Knob Road, Eagan, Dakota County, Minnesota Date Examined: May 11, 2010 Date Received: April 13, 2010 Submitted by: Champion Plumbing, LLC, Chris Kirchoff, 3670 Dodd Road, Eagan, Minnesota 55123 Phone #: 651/365-1340 Ownership: Kathleen Miller, 9005 Alger Court, Inver Grove Heights, Minnesota 55077 Phone #: 651/208-2812 The following are corrections or requests for additional information necessary before construction of your project: Scope of Project: Remodel of a small establishment 1. Equipment Standards — General Requirements: Food and beverage equipment shall meet the applicable standards of National Sanitation Foundation (NSF), Edison Testing Laboratories (ETL) to NSF Standards, Underwriters Laboratory (UL) to NSF standards or Canadian Standards Association (CSA) to NSF Standards. The proper sticker, manufacturer information and embossment identification shall be displayed on the equipment. (Minnesota Rule, part 4626.0505)A small NSF freezer will be installed in the front service area by the display cooler. A full set of approved plans and a copy of the plan letter will be available at all times during construction. (Minnesota Rule, part 4626.1720 and 4626.1725) 2. Ventilation System: Provide an NSF approved ventilation hood over cooking equipment which will capture and eliminate moisture, vapors, smoke, fumes, odors, heat and grease laden vapors. (Minnesota Rule, part 4626.0505 and 4626.1475) Type II hood required: oven and kettle. (Minnesota Building Code Chapter 1346.0507) All open sides of a canopy hood shall overhang equipment by at least six (6) inches. (Minnesota Building Code Chapter 1346.0507) Provide an air balance test by a qualified heating and ventilation professional. Air balance tests shall indicate the establishment's air handling units operate as designed and in compliance with applicable mechanical codes. A food preparation area should be under slight negative pressure (less than 0.02 inches -water gauge). (Minnesota Building Code 1346.0309 and 1346.0507, section 507.17.1)Provide a copy of the balance test to Mindy Lang during the opening inspection. 1 Bruegger's Food and Beverage Equipment Plan No. 100805 Page 2 May 11,2010 Sufficient tempered make-up air (at least 55° F) shall be provided and interlocked with ventilation equipment. (Minnesota Building Code 1346.0508, Minnesota Rule, part 4626.1475) This is going to be a tight operation by fitting in cooking equipment into an already small space. In the future during routine inspections, if the field inspector finds complications or problems due to the limited space, alterations to this operation will be necessary. Sincerely, >Axe* Charlotte H. Morgan, REH , MPH Environmental Health Services, Plan Review P.O. Box 64975 St. Paul, Minnesota 55164-0975 charlotte.morgan@state.mn.us ? * /A?c?. ?y S ? 2007 COMMERCIAL BUILDING PERMIT APPLICATION City OfEagan ?? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Plans are considered public information unless you state they are trade secret and why. . SWCtural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) • CodeAnalysis (1)'• . Prajed5pecs (1) • Spec Insp & Testing Schedule (1) "" • Soils Report (1) • Meter size must be esta6lished 1 1 • SACdetertnination-ca11 851-60 2-1 00 0 • Certificate of Survey (1) • Stmctural Plans (2) • Architectural Plans (2) sets • HVAC units req'd. on bld9 elev. ! site plan . Civil Plans (2) • Landscaping Plans (2) • CodeAnalysis (1) " . EnergyCalculations (1) " . Emergency Response Site Plan (7) . Spec. Insp. & Testing Schedule (1) • Electnc Power & Lighting Form (1) '• . Prolect Specs (1) . Master 6dt Plan (1) . SAC determina6on - call 851-602-1 000 • Fire Stoppin9 Submittals • Fire SuAPressioNAlarm Form reRardina food & beveraQe or . Archiledural Plans (2) sets . CodeAnalysis (1) " . ProjeGSpecs (1) .. Key Plan (1) . Master Exit Plan (1) . Energy CalculaGOns (1) not always" . Elec. Power & Lightlng Form (1) not always" . Meter size must 6e established-if applicable 1 1 1 ? 1 SAC delermination - call 651-602-1000 *• Contact Building Iaspections to see if it is required and for a sample. Permit for new building or addition will not be processed without Emergency Response Site Plan. Date ' I - /3 / O? Conshuction Cos?/SFp2Q°? ? SiteAddress / // 31? I?l1Ot ?(.KO? t- X ? Unit/S[e # Tenant Name ; - , 1 pjOS-164 /oad Former Tenant Name D riion of Work LdKS?h/ t ilew k 7 ?ryl?b,S??l°. O`JC/S`K ?l21 USd? 5i/s'i?as? f? e,p?,7 GJ?fS / Ql1at f,rtU I9 .G !L ha gs. ?x . Property Owner glLfG o'E`? 95KI6li 5??kDk G L L Telephone #(/pS'/ ) T,QOq-1GZq g ? ? / Applicant is: Owner ContreMOr q ?NCQIZ Contact #: (qSo2 ,<nTT Contractor edHtZ /1G. Address 6 04.45 / City q? ?? L??S /"" State /11 f9_ Zip SSG/Z? Telephone #(?yL) qa1_5-q111 Arch/Engr - ` -Ta4{C 4Y1i94' ? KI{ E 4rc C ? ?eA 1 ? ?(21 ? .TOL ) Registration # (tGfeL45- Address :j&b 1 St ? City ?•r/?65 State / L1h - zsP SSqo/ Telephone # ((oj,2 ) 2'3r-7 - tl?t1 Licensed plumber installing new sewer/water service: Phone #: I hereby apply for a Commercial Building Permit and acknowledge that the infortnation is complete and accura[e; that the work will be m conformance with the ordinances and codes of the City of Eagan and tha State of MN Statutes; 1 understand this is not a permit, but only an application for a pertnit, and work is not to start without a permit; that Ute work will bp•ip accordance with. ?Bppt?i t41}?pase of work which requires a review and approval of plans. a ? ? ? nSl ?-?CJLfllLtll? Applicant's Printed Name Signature k ,.?.? pHU Description: ___= 06/30/2000 04:12:49 PM =__= Christine Wold Add more complete microhelp notes. Pix-Close Detail: ___= 08/04/2000 02:28:47 PM =__= Admin All detail fields have microhelp Severity: 5 - Suggested change Status: Released /,1 d`]l l.i` (S) Tifle: F-SHAPE 3D - ID 14, The detail pane for 3D shapes needs more info DescripTlon: ___= 06/30/2000 04:14:40 PM =__= Christine Wold =___ The Detail pane includes information about the density for the 3D shape, but if there is only one density it is listed as unknown. This could cause problems, if later we add more densities and the unknown density is no longer based on the solid density. Need to have this check in place and need to list the refers to density if the density form is unknown. Ffx-Close Defail: Severity: 1- Results In lost or incorrect data = a, Sfatus: Assigned to Developerj 4-1 PPRN: 56 Tifle: FL-SHAPE 3D - ID 15 Increase ihe size of the Shape type pane DescripTlon: ___= 06/30/2000 04:20:30 PM =__= Christine Wold =___ Rather than having to use the scroll bar to view the whole shape type column, please increase the view of this pane to allow us to see the info. Fix-Close Detail: ___= 08/03/2000 04:49:37 PM =__= Admin =___ Re-arrainged window to display more info in main pane. Severlty: 3- Imporfant feature, inconvenient work-around Status: Released ?Mpo?+?vrc,= 3 Title: F-SHAPE 3D - ID 12, Order of records when new ones are added Descripfion: ___= 07/03/2000 03:39:03 PM =__= Christine Wold =___ When inserfing new records, they are added to the Ilst of food shapes, but not in alphabetical ordeR. Fix-Close Defaif: Severity: 3- Important feature, inconvenient work-around Stafus: Assiqned to Developer PRN: 158 Tifle: F-Shape 3D - IDs 42 - 45 Deleting a new posted record Description: ___= 07/03/2000 03:42:35 PM =__= Christine Wold =___ For some odd reason, deleting, saving, posting and saving again appeared to work sucessfully at first, but when I get back into the food shape window affer leaving the food with a deleted item, it appears again. It looks like an unposted change, but we are not allowed to either reject or posT it. Fix-Close Detaii: ___= 08/03/2000 04:47:14 PM =__= Admin Fixed by related change. Severity: 1- Results in lost or incorrect data Status: Released ?yn?yp?n.YC = ? i DO NOT WRITE BELOW THIS LINE Sub Types / ? 01 Foundation ? 26 Public Facility d 30 Accessozy Building ? 14 Apartments ? 27 CommerciaUIndustrial ? 32 Ext Alt Apartments ? IS Lodging ? 28 Greenhouse ? 34 ExtAlt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Types 731 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition . ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteretian ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement 'Demolition Bullding - Give PCA handout to appliwnt a Qo ? M / a ?0 $ Valuation Type of Const L Width Pian Rev 100% ? 25% Occupancy MCES System SAC Units Zoning City Water Nbr. of Units rr' Stories Booster Pump ^` - Nbr. of Bldgs -?'-' Sq. Ft. PRV Fire Sprinklered ?- Length ? , .... Required Inspections _U/ Footings (new bldg) S/48 _ Fireplace _ R.I. _ Air Test _ Final Footings (deck) _ Insulation _ Footings (addition) _ Sheetrock ? Foundation Drain Tile FinaUC.O. ? FinaUNo C.O. -- _ _ Driveway Apron _ Other oof Ice Pr Decking Insul _ Final Pool Ftgs Final AidGas Tesis ? _ _ Framing _ = = Siding _ Stucco La[h Stone Lath Final .?; t. Windows Final CIO Inspectlon: Schedule Fire Marshal to be present. _ Yes _?No Approved By: --------------------------- Planning ? Building Inspector ------------------------------------------- Base Fee a80. 2 s Surcharge A'• co Plan Review Ito SAC-MCES SAGCiTy S!W Pertnit S/W Surcharge Treatment Plant Financial Guar antee Treffiment Plant (Irrigation) Stortn Sewer Trunk Park Dedicafion Sewer Lateral Sewer Trunk Trail Dedica6on Street Water Quality Water Lateral i- Water Trunk Water Supply & Storage (WAC) Other . Total ? T ? 7I , ,. Description: ___= 08/02/2000 02:28:16 PM =__= Admin =___ Could not duplicate. See comments in fix descriptlon. 5 ___= 06/30/2000 08:53:28 AM =__= Christine Wold =___ For a food wiih no solid density, I was not able to add a 3D shape until I added the solid density, affer adding a solid density I could add a 3D shape. I also could not delete or deactivate the solid density because of the added shape and its requirement of a solid density (fhis works as expected!!l). The problem that I found was that affer deleting ihe 3D shape, the density stlll could not be deleted, even though there was no longer a shape That required it and it was in an unreleased version. We would want ihis ability and only want the restriction on deleting or deactivating if the density is really referenced in some other spot. Fix-Close Detail: ___= 08/02/2000 02:26:39 PM =__= Admin =___ Could not duplicate on current version. Need more detailed information on how this problem was created. What food was used, whai order each step was taken. This may have been resolved by some other fix since the test was made Severity: 1- Results in lost or incorrect data Stafus: No Plan To Fix SNiae.? ? d?.S = =- PRN: 151 Title: F-DEN - ID 27 New prolem making a change to the volume amount in an existing den Descriptfon: ___= 06/30/2000 10:05:09 AM =__= Christine Wold =_=_ Tried making a change in CI for an existing density record, this works for some records and does not work for others? Fix-Close Detail: ___= 08/08/2000 05:21:33 PM =__= Admin Will now update properly Severity: 1- Results in {ost or incorcect data Sfatus: Released y,(-} lJ RN: 152 Title: F-DEN relationships with ingredients Descriptfon: ___= 06/30/2000 10:12:04 AM =__= Christine Wold =___ Found a problem with how the ingredient amount unit is listed in NDS-M while testing density relatlonships. The amount unit is listed as a number rather than an abbreviation such as CP or TS. Fix-qose Detail: • Severity: 1- Results In lost or incorrect data Stalus: Released ? J 1 . ./tn?-rL_ 1-....' _....?. RN: 153 Title: F-SHAPE 3D - ID 4 Tab and shiff tab keys don't move focus. Descripfion: ___= 06/30/2000 04:10:59 PM =__= Christine Wold =___ The tab and shift tab keys do not move the tocus to the next shape. 1. The focus moves to some unknown point for the 3D shape, but not to the next shape. 2. Within the 3DP shape the tab and shiff tab key does move the focus beTween the shape type column and the thickness field, but does not move over to the reference box or back to anoTher shape. Fix-Close Detail: Severity. 4 - Workaround exisis St ta s; Assigned to Developer ? PRN: 154 TiTle: F-Shape 3D - ID b microhefp just says Ready ' .! 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan (? 3830 Pi1ot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaVindustrial buildings mul[i-family buildings when sepazate permits are not requ'ved for each dwelling unit Date0 Site Street Address ??SU PG! '0'? g-Na1 e zo Unit # Tenant Name (if applica6le)? Previous Tenant Name Property OwnW Oeo? r j.? Telephone #( ) Contractor 469?-17-- Street Address City State ?1 dt/ Zip Telephone # ??j ) ?`T - 6fOd Sond #: Expires: The Applicaot is _ Owner _ ontractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature ofWork: ln" I? 0,f-,,c'.eS *"When installing/removing underground tank, call for irtspecfion by Fire Marshal and Plumbing Inspecfor - _ ._._.?...._ ' V d Permit Fees: $7050 Underground tank installadonhemoval ? I n? A U6 550.50 Minimum (includes State Surcharge) 0 2 2004 Or bs Contract Value $ x 1% uu _$ O.D Permif Fee • If pe rmit fee is $1,000 or less, add $.50 ? By $ ja If ep rmit fee is over $1,000, add $50 for 000 it f $1 $ jd Total Fee ep rm ee every , I hereby apply for a Commercial Mechanical Pertnit and acknowledge that the information is complete and accwate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with t proved plan in the case of work which requires a review and approval of plans. he ??4?? ApplicanYs Printed Name Ap IicanYs Signature , Ins ector Approved By: ;5 0 p 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings &[ownhomeslcondos when pemuts are required for each unit Date Site Address Unit # Properry Owner Telephone # { ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Add-on ar alteration to existing dwelling uni[ $ 30.00 furnace _Additional _Replacement air exchanger airconditioner _New _ Replacement other State Surcharge $ '50 Total $ I hereby apply for a Residential Mechanical Permit and acl¢iowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand ttris is not a permit, but only an applicapon for a pemut, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval of plans. ApplicanYs Printed Name Applicant's Signature ` 2004 FIRE SUPPRESSION SYSTEMS PERNIIT APPLICATION City Of Eagan co3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Requirements: 2 complete sets of drawings and speci£cations cut sheets on materials and wrrwonents to be used Date -] SiteAddress: ?AC9I7 L.U,nb YS?rj Tenant / Building Name; -1?- Anl?.Cl, The Applicant is: _ Owner ? Contractor _ Other PROPERTY OWNER Address: City: State: Zip: Y CONTRACTOR Cu rv?M6 tT?: r c? -Pr[4?'-C'?G4tin'IN License No. Address: 1 ?O ( ADoun City: (.,unci ? State: Zip: Phone#: ESTIMATED COMPLETION DATE: FIRE PERMIT TYPE: Sprinkler System (# of heads (n )_ Fire Pump _ Standpipe Other: WORK TYPE: New Addition ? Alterations Remodel Other: DESCRIPTION OF WORK: ?Commercial Residential Educational Other: 4,6A `1 lG\.o - <, Please continue on reverse side PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ 9(T) x Al% If Permit Fee is $1,000 or less, add $.50 => If Permit Fee is over $1,000, add $.50 per $1.000 Permit Fee 3/4" Displacement Fire Meter - $155.00 TOTAL FEE: d State Surcharge _ $ 50. Permit Fee 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 pernut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Z,`aAM L. (? jt;!-e_ I Applicant's Printed Name j6?0 41J^'?l ApplicanYs Signature DO NOT WRITE BELOW THIS oCC. I COMMERCIAL YY\ v--A ac,_SCO`lr2002? UILDING PERMIT APPLICATION SAt-C.? 0 b?- CITY OF EAGAN ?-L pi 651-681-4675 <._o_Q_Q_v_S I ) - I `t -? 3 '-1 y 8 ? - Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (z) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • CertiFlcateofSurvey (1) • CivilPlans (2) • ProjectSpecs (?1 • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master Ebt Plan (?) " • Spec. Insp. & Testing Schedule " • Certifcate of Survey (i) • Energy Calculations (1) not always " • Soils Report (1) • Spec. Insp. & Testing Schedule (7) " • Elec. Po+ner & Lighting Form (1) not always • Meter size must be established • Meter size must be established • Meter size must be established -if applicable . ProjectSpecs (1) l . EnergyCalculatians (1) " ! y . Electric Power& Lighting Form (1) " y y • Master E)dt Plan (1) y y . Emergency Response Site Plan (1)'"' 1 y • Soils Report (i) y • MC/ES SAC determination letter • MClES SAC determination letter • MClES SAC determination letter ca11 651-602-1 000 ca11 651-602-1 000 ca11651-602-1000 Food & beverage or lodging racluties - sunm1[ pian io mN uepaRmern o, neaiui. uail v:, l-4 lo-u, vv " Contact Building Inspections for sample. Permit for new buildings or additions will not 6e processed without Emergency Response Site Plan. Ask Building Inspedions for requirements. DATE: /I / 3-6 a WORKTYPE: _ NEW 7`REMODEL CONSTRUCTION'COST: I? O,90 SITE ADDRESS: ?`iS? ?Iv r /Vo? ?? TENANTNAME: ?tf'je 1VnL3YP Pl7od. L.J a n SUITE#: ed? FORMER TENANT NAME, IF APPLICABLE DESCRIPTfON OF WORK T? a'? ???'[? oa f-.?r? s?q,.acre /'oarro e,pq?h ao.x Name: ?'?????'2+r2Phone#:( 90y PROPERTY LLast First OWNER ?4RE'r Fa9an Skv('oN 1-46 StreetAddress: ?q ,Oy ?ova? r2 a Adf /V --- City: /'onIe ve ?ra State: Zip: 3 a a P'a _ 1- -p- -c, Company: L Phone#: (/0).z *C? CONTRACTOR Street Address _ f/?o? L?a-E S? !y/ " dNOY ?7 7k - City: io-e /4n p State: / I/1/ Zip: SY3 oZ y ARCHITECT/ GNGINEER Company: ?'r grch Y v-/? Phone €t: Name: 5ack 4rrla6l StreetAddress: 30o f IiS? /7te N City: mI71S State: ir . Z?C?,?? L` _J Licensed plumber installing new sewedwater sen%r ? Phone I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City oT Eagan Ordinances. / Signature of Applicant: Updated 7/02 2 33q-`f?6o__ T GF? 11 U N rr1il n) h.:"I 1 I 2CC? , .-?-? OFF{CE USE ONLY SUBTYPE ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Aparhnents )( 27 CommerciaUInd ustri al ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New 35 Tenant Impr G 42 Demolish (Fou ndation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Dzmolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code qzr?J SAC Code No. of Units v No. ofBldgs. ? Const. (Actual) (Allowable) ?,•hj, UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. 8. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test 0 Heating APPROVALS Planning Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5/W Perrnit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total 17• 1J ? Insulation sq. ft. sq. ft. sq. ft. sq. ft. MCBS System City Water Fire Sprinklered q Piumbing ? Stucco/Stone Building ekAl(f.-,Engineering Variance _ VALUATION $ l3? 60 0 ? 3? 3 aS ?..SL % SAC J „1 y . 8 40 SAC Units Meter Size CITY USE ONLY T-f q PERMIT #: D b RECE[PT DATE: 2002 COINMERCL4L PLUA+IBINH PHRbIIT !lPPLICATION CI1'Y oF Swsm 3$30 PILOT KROB $D EssAx. Mv 551 gE 651-6$1-4675 INCOMPLE7E APPLICATIONS WILL NOT BE PROCESSED Date: WORK TYPE New Bldg X Add-on Repau _ RPZ PVB * Irrigation system * Jerry Wobschall to calculate fees. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK Q /Z 6K To inquire if Pressure Reducing Valve is required on new service, cal l 651-6814646 METERS - Call 651-681-4300 to verify tha[ hydrostatic, conductivity, and bacteria tests passed orior to aickina ua meter Imgation Size & Type Avg GPM Fire Size & Price 3/4" disulacement $152.00 Domestic Size & Type Avg GPM Does this iuclude high demand devices? _ Yes _ No FLUSHOMETERS _ Yes 4 No PRV REQLiII2ED _ Yes _ No SiteAddress: J`(,So Yi 1pt !-flD? Ltk,&, 102- ? J 1TN V C \O Tenant Name. ii7 ` Telephone #: _(_ U- (Area Code) Was there a pzevious tenant in this space? _ Y_ N. If Yes, Name: Installer Name: nl q-1'j}*te1 D/wtu,S AJ b Telephone #: 6S/ ?11 2 3- 3730 (Area Code) InstallerAddress: JSZ3I? ?Zr,rauSel Wo.? City: ?S-2t•.uU,tv? State: 6J Zip Code S? F'EES Con[ract price $ 3995 ?? x 1% ($50.00 min) Plbg Permit $ edb Meter(s) $ Required on all new buildings & boulevard irrigation systems Radio Meter Read $ Surcharge: $.50 Minimum. If base fee exceeds $1,000, calculate at State SurcLarge $ . J2) 50 cents per $ 1,000 base. Su6 Total/TOtal $ SZ, S0 ------- ------ ---- -- -- - ------- -°- -----------?' -------- ?-- - -----------------°----- pplementar •ngation y fees system new Su for ir • . ? ? WaterPermit e ? $ 50.00 Contact Jerry Wobschall at (651) 681-4624 reg?r,fe , Treatment Plaut s ? $ 540.00 '?? ty? ? Water Supply & Stor age $ State Surcharge $ Total $ I hereby acknowledge tha[ I have read this applicadon, state that the information is corr t, and agee to comply with a? applicable Ciry of Eagan ordinances. It is the applicanfs responsibility to notifythe property owner that the City of an assumes no liability for anydamages caused bythe CiTy during its normal operational and maintenance activities to the facilities constructed un this mt withil?ry operty/right-of-way/easement. / v SIGNA'I'CJRE OF PERMITTEE /-r CITY USE ONLY REQUIRED INSPECTIONS: X U.G. _ Air Test _ Gas Test __C'Rough In _tl Final PLANS SUBMITTED APPROVED BY: . 7 P??'' BUILDING INSPECTOR GENERAI. INFORMATION • Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $157.00 (Acct Code # 92204509) • RPZ's must be rebuilY every five years. A minimum fee permiT (per address) is required for RPZ rebuilding or repairing. • Water meters include copper hom/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $118.00 4-120 1-1/2" irrigation syst $ 745.00 smcommercial turbine** **mustreceive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine Ig irrigation syst $ 923.00 maximum residential gt continuous sm commercial production lines 15 3-50 1" disptacement very lg res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 25 irri ation s stems 5-100 1-1/2" bldgs 25-64 units $439.00 maximum displacement & continuous most comm bldgs 50 METF.RS RF.OUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE YRICE GPM MET'ERS USE PRICE 5-350 3" turbine very lg irrigation syst $1,214.00 6-5D0 4" compound +300 unit bldgs & $3,562.00 & producCion lines very Ig comm bldgs 1l2-320 3" compound +200 unit bldgs $2,264.00 10-1000 6" compound +400 unit bidgs $5,900.00 very lg coruii bldgs very lg comm bld$s 15-1000 4" turbine very Ig irrigation syst $2,184.00 & producrion lines ?.ouuucuu • To schedule inspection of the inside water line and backflow preventer, ca11 65 1-68 1-4675. • To arrange for water tum-on, call 651-681-4300. cc: Kris Forster, Maintenance Division Clerical Technician Updated 2/02 CITY USE ONLY PERMIT #: I-) I___? () ?_)_ APPROVED BY: 67 P r1 ??? '?__. INSPECTOR RECEIPT DATE: 8002 COMMERCIAL MECHlN1CtlL PER14IIT APPLICATION CITY 0F E!k&m 3$30 PILOT KNOB {iD EA6A1V,1NN 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: ??o _? SITEEwDxESS: P140-r &A?oB /?p OWNER NAME: w, ll(/FM LyiTefcp PHONE #: - TENANT NAME (IMPROVEMENTS ONLY): 7;*5 11faBIC6 PlV'EyV'?5 CCVVPJ9N/v WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y? N. NAME: INSTALLER: ?/VG STREETADDRESS: Y?1.9 Ul-e'YT sS-,Zl .S7• CITY: S_?' Zf! UGS ?/?ihZK TELEPHONE #: Q_';?? ^ Y'F1 O WORK TYPE: New conshucrion ?C Interior Improvement _ Processed Piping STATE: /16N ZIP: _ Install U.G. Tank Remove U.G. Tank S?P? P?4?uc? wORK Specify Nature of Work: 17A? 412 ?lSZ2tQuz??N /?vGZ...iG F2DM ;Fyv5-7?v6 27// V'!!?V1 &47,V lr*yti/ When installing/removing undergraund tank, call 651-681-4675 for inspectton by Fire MarsAgLat Plumbing inspector. r,-,- 'Ov2, n N Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee 0 Contractprice: $?35D x 1%= $ 0-49V (Base Fee) State surcharge TOTAL J5-D $_W..1TdT NQV 2 0 ?'- ? °.;? calculate at $.50 for each $1,000 Base Fee /gt( &tef'61 SIGNATURE OF PERMITTEE Updated 1/02 CITY USE ONLY PERMIT#: O ( RECEIPT DATE: E00 COINIYIE{tCIlEL PLU1IBIAH PEftMTf APPLICA110R arYoFEAHAR S$SO PILOT KROB RD E4&AA, EuV 55]EE 657$$1-4675 INCOMPLEfE APPLICATIONS WILL N07 SE PROCESSEd Date: /e2 - ? ' G) Z, WORK TYPE )4?'New Bldg Add-on Repair _ RPZ PVB * Imgation system * Jerry Wobschall to calculate fees. Reyuired meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK To inquire if Pressure Reducing Valve is required on new service, ca11651-682-4646 METERS - Ca11 65 1-68 1-4300 to verify that hydrostauc, conductivity, and bacteria tests passed orior to pickine uo meter Imgation Size & Type Avg GPM Fire Size & Price 3/4" disnlacement $152.00 Domestic Size & Type Avg GPM Does this include high demand devices? Yes No FLUSHOMETERS _ Yes g No PRV REQUIRED _ Yes _ No SiteAddress: Y-5D ?/L_QT 1'?T.LJd/S 176, TenantName: /W/„$'T /() 7"4 /(/' Telephone#: W as there a previous tenant in this space? _ YA N. If Yes, Name: (Area InstallerName: //VL//L e ?GA6 Telephone#: 63- e-179` (Area Code) InstallerAddress:2C? ?? ?[Q ? p? City: /?L.•LF State: ?'?/? Zip Code FEES Contract price $ x 1% ($50.00 min) Plbg Permit Mefer(s) Required on all new buildings & 6oulevard irrigation systems Radio Meter Read Surcharge: $.50 Minnnum. If base fee exceeds $1,000, calculate at State SureBarge 50 cents per $1,000 base. Sub TotaVTotal Supplementary fees for new irrigation system: Water Permit ContactJerry Wobschall at (651) 681-4624 regardingfees Treatment Plant Water Supply & Storag State Surc6a D Tor?i Tin OCT $ ?0.4!9 • $ $ $ 50.00 $ 540.00 I here6y aclmowledge that I have read this application, state that the information is correct, and agree t4omply with al _ lica of Eagan ordinances.ItistheapplicanYsresponsibi]ity tonotifythepropertyownerthattheCityofEaganassumesnoliabiliryforanydamagescwse bytheCiry during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SIGNATURE OF PERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: U.G. YAir Test _ Gas Test ZRough In ?Final PLANS SUBMITTED APPROVED BY: /???ro BUILDING INSPECTOR GENERAI, INFORMATION • Radio Meter Read (required on all new bwldings & boulevard irrigation systems- $157.00 (Awt Code # 9220-4509) . RPZ's must be rebuilt every five years. A minimum fee permit (per address) is requued for RPZ rebuilding or repairing. • Water meters include copper hom/snainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $118.00 4-120 1-1/2" irrigation syst $ 745.00 smcommercial turbine** **mustreceive maxnnum approval from j continuous Public Works 10 2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine lg irrigation syst $ 923.00 maximum residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $199.00 1/4 to 160 2" compound hldgs over $ 1,798.00 bldg to 24 units 65 units maxinnitri sm commercial & continuous & Ig comm bldgs 25 irri ation s stems 5-100 1-1/2" bldgs 25-64 units $439.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM Y[ETERS USF. PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & produclion lines very lg comm bldgs 1/2-320 3"compound +200 unit bldgs $2,264.00 10-1000 6"compound +400 unit bldgs $5,900.00 very ]g comm bldgs very lg comm bldgs 15-1000 4" turbine very lg irrigation syst $2,184.00 & producUOn lines Comments • To schedule inspection of the inside water line and backflow preventer, cali 651-681-4675. • To anange for water Auu-on, ca11 65 1-68 14300. ce: Kris Forster, Maintenance Division Gerical Technician Updated 2(02 4',??E ? city of eagan TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL DALE WEGLEITNER, FiRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARK.R NIIKE RIDLEY, SENIOR PLANNER CAROL TUMINI, UTILITY BILLING CLERK BOB KRIHA, CONSTRUCTION INSPECTOR STAN LEXVOLD, CONSTRUCTION SUPERVISOR TOM COLBERT, PUBLIC WORKS DIRECTOR MEMO JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS & EQIIIPMENT PAUL HEUER, SYSTEMS ANALYST ERIC MACBETH, WATER RESOURCE COORDINATOR MARK ANDERSON, ELECTRICAL INSPECTOR SCOTT PETERSON, PLUMBING INSPECTOR FROM: TERRY ZELENKA, COMBINATION IN3PECTOR DATE: OCTOBER 22, 2002 SUBJECT: FINAL INSPECTION FOR 3470 PII.OT KNOB ROAD EAGAN TRANSIT RAMP LEGAL: LOT 1 BLOCK 1 EAGAN TRANSIT RAMP The Protective Inspections Division will be performing a final inspection at 3470 Pilot Knob Road on Thursday, October 31, 2002. If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any prohlems with the affected parties. CD/bldg insp/misc/final insp - comm bidgs CITY USE ONLY PERMIT #: t' I q (' ? S,? RECEIPT DATE: 2002 CObIMEftCIFtL PLUM$INfi ?EOtf lkPPLICATiOA ? CrrYoFEAsAR 3930 Pnor Kxos gn EAsA1v, Mv 55122 651-681-4675 ' INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date: /'// 7ld Z- WORK TYPE New Bldg Add-on Repair _ RPZ PVB ` Irrigation system * Jerry Wobschall to calculate fees. Required meter size is 2" turbo unless smaller size permitted hy Public Works OF WORK To inquire if Pressure Reducing Vaive is required on new service, call 651-681-4646 METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tes[s passed prior to pickin¢ up meter Irrigation Size & Type ire Size & Price 3/4" disulacement $152.00 Domestic Size & Type Does [his incl ude high demand devices? _ Yes _ No FLUSHOMETERS _ Yes _ No Site Address: Avg GPM Avg GPM PRV REQiIIRED Yes No Tenant Name: j?z a cx.? viz?_t Was there a previous tenan[ in this space? _ Y ?N. IfYes, Name: _ Ins[a1lerName: '?1-.p7h-e25 ?iK? ?rJ?ec"+i?rJ Installer Address: %q7 D L?a S¢ H City: ?I k- fl,'o 2 ,r Telephane #: (Area Code) Telephone #: 7c; yr - 2Z 90 (Area Code) State: m N Zip Code S`J 33c? FEES Contract price $ x 1% ($50.00 min) Plbg Permit $ Meter(s) $ Requued on all new buildings & boulevard irrigation systems Radio Meter Read $ Surcharge: $.50 Minimum. If hase fee exceeds $1,OOQ calculate at State Surcharge $ 50 cents per $1,000 base. Sub TotaVTotal $ -----------'------------------------------------------------------------------------'------------------'-----------° Supplementary fees for new irrigation system: Water Permit $ 50.00 Contact Jerry Wobschall at (651) 681-4624 regarding fees Treatment Plant 540.00 Wafer Supply 8c Sto?ag?l State Surc6arge $ -, 1 Total , $ _ ey = _--- I hereby acknowledge that I have read this applicarion, sta[e that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibil ity ro notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its noimal operational and maintenance activities to the facilities constructed unde this permi[ wi[hin City property/right-of-way/easement. r SIGNATURE OF PERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: . BUILDING INSPECTOR GENERAI. INFORMATION • Radio Meter Read (required on all new buildings & houlevard irrigation systems- $157.00 (Acct Code # 9220-4509) • 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"displacement residenrial $118.00 4-120 1-1/2" imgarionsyst $ 745.00 sm commercial turbine" '*must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine ]g imgation syst $ 923.00 maxirnum residential & continuous sm commercial production lines IS 3-50 1" displacement very lg res $199.00 1/4 to 160 2" compound 61dgs over $ 1,798.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comn 61dgs 25 ird ation s stems 5-100 1-I/2" bldgs 25-64 units $439.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIItING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM RS USE PRICE GPM METERS USE PRICE 5-350 very Ig irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 F & production lines very lg comm bldgs 1i2-320 und ' p o +200 unit bldgs $2,264.00 10-1000 6" compound +400 unit hldgs $5,900.00 very Ig comm bldgs very lg comm bldgs 15-1000 4rb ii n e very lg irrigaAOn syst $2,184.00 & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To arrange for water tum-on, ca11 65 1-68 1-43 00. cc: Kris Forsler, Maintenance Division Ctencal Technioian Updated 2/02 S ? } S??MERCIAL ? 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN ? Q) I U 651-681-4675 l -?" '-) T't Foundation Onl New Construction Interior Im rovement • StrucWral Plans (2) sets • Architecturel Plans (2) sets • Architectural Plans (2) sets . Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificateof5urvey (1) • CivilPlans (2) • ProjectSpecs (1) • CodeAnalysis (1) • LandscapingPlans (2) • KeyPlan (1) . ProjectSpecs (1) . CodeAnalysis (1) • MasterEwtPlan (1) • Spec. Insp. & Testing Sdiedule • CertiFlcate of Survey (1) • Energy Calculations (t) not always" • Soils Report (1) . Spec. Insp. & Tesiing Schedule (1) • EIeC. Power & Lighting Form (1) not always" • Me[er size must be established • Meter size mus[ be established • Meter size must be established - if applica6le • Project5pecs (1) 1 • EnergyCalculations (1) " d 1 • Electnc Power & Lighting Form (1) " ! 1 . Master Exit Plan (1) 1 d . Fire Protection Plan (7)" 1 d • SoilsReport (1) ! . MCfES SAC determination letter . MClES SAC determination letter • MClES SAC determination letter p11 6 51-6 02-1 00 0 ca11651-602-7000 ca11657•602-1000 ' " Contact Building Inspections for sample DATE: Food 8 b? raor I g? g facifit?ORK TYPEan to MNEW art?REMODEL CaICONSTRUCTIfON COST?,Q?d oG SITE ADDRESS: 34?'J0 Fit4t ?/ 71 no 6 Roa..d TENANTNAME: MiSf;h 7-2h eXPhc,°SS SUITE#: 1D? FORMER TENANT NAME, IF APPLICABLE: /VfJ DESCRIPTION OF WORK ??I"F?rna/ I?Emodel:ha ti Name: 8c1Kal,' l??[ ? ?( ! d,//Y) ' Phone #: ?( O? ) PROPERTY Last First OWNER / YI? A0 SheetAddress: a?9 /?0 Vd- ead /Varfh City: ?DhTL° `/??02. 17e.aU7 State: ?L zip: 3a082 Mc.y,ac?ref Fhd[? Sfrae?n ? .TbRhy SGhOdhGjOYA Company: ?;Sf --'n '4X.e/"CSS LLC. Phone#: ( 952 ) 4?32- /?3/02 CONTRACTOR ' ' SheetAddress:/.Y,6.3 / 3!? 4 S Lt'• W, City: ?'?bI'le yaa°vV State: Mjl/ Zip: C05 F'rie,T?C Zh-?ercor ?°SlQF1 ARCHITECT/ -' v ENGINEER Company:AW 5-14 -'/7 17 EXpj-0,S$ Phone#: c 9-62- ?'6432' 4•3I 2 Name: Regishation #: Sheet Address: CiTy: State: Licensed plumber installing new sewerlwater service: 5 ? t( Do lde?-, Jr• ? ?? ?? z? : AUG 2 0 2002 I hereby acknowledge that I have read this application, state that the information is correct, and ag?eato ? le State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant,'s!Y .?a.?.?? dat 1/02 rL ?? , Z11CJ. /'??d' h OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments 27 Commercial/Industrial ? >< 32 Ext Alt - Apts. ? 15 Lodging , ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneo us ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New 35 Tenant Impr ? 42 Demolish (Fo undation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 AlteraGons ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Qa 7 Zoning sq. ft. SAC Code 030 # of Stories sq. ft. No. of Units o Length sq. ft. No. of Bldgs. f Width sq. ft. Const. (Actual) Z".A Basementsq.8. MCBSSystem ? (Allowable) ?• r,( First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered ? MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation Q Plumbing ? Stucco/Stone APPROVALS Planning Building ? Engineering Variance VALUATION $ 10 1000 "S'? Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & 5torage 5/W Permit 5/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total )-+• "-I ? % SAC SAC Units Meter Size . cinr use oroLr PERMIT S'-f 9 ?-- ? ` RECEIPT DATE: APPROVED BY: ? P INSPECTOR 8008 COM14IUCIAL MECH"CAI. PEiMIT "PWCATION CITY oF E4Hi4N 3$30 PILOT KAOB iiD EAfliRbT, bIN 551 EE 651-6$1-4675 3-ns $1209a3 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: 6 'ao2'0O-L siTE aDDxESS: 3'q50 p l LOT K NOB RD. OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLI): AMI S T 'N T14N WAS THERE A PREVIOUS TENAN'I' 1N THIS SPACE? Y4 N. NAME: INSTALLER: G0IJRAD MECk14UfCAL C.OMT LGG sTxEaT aDDREss: 609 IAXAvs Iu 6_ ciTY: MDL5 sTaTE: ,MN zrn: SSLi 1`3 TELEPHONE#: GIZ -379-6zoQ WORK TYPE: New construction Iastall U.G. Tank Interior Improvement _ Remove U.G. Tank _ Processed Piping SpecifyNatureofWork:yA7!;llhG. J)4 d c?worK? t PFi.tSerS rr9 S1ts ?. eachaus? . E X LS?', v?? s{ 'ToN • When installing/removing underground tank, call 651-681-4675 for inspecHon by Fire Marshal_and= .?: PlumbBng inspector. ? ? l v Fees: 1% of con4act price OR $50.00 minimum fee, whichevez is greater. ?O??sp?G 2 6?0?2 1??'1 Underground tank removaUinstallation = minimum fee 5-6 .O (.7. Contract price: $q 96 ? x I % _ $ ? (Base Fee) -_ _ _ _ - ? - State surcharge o %TO calculate at $.50 for each $1,000 Base Fee TOTAL $ ? 1 V SIGNAT[JRE OF PERMITTEE Updated 1/02 CITY USE ONLY PERMIT #: RECEIPT DATE: 8008 ftESIDENTIAL MECHi4AICihI. i'EiM1T ?PPLICATIOR crrY or $as,4tv S$SO PILOT KAOB {iD EAHAP b!N 551 EE 851-8$1-4675 Please complete for: ? Date: SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: single family dwellings townhomes and condos when permits are required for each unit STATE: Place a check mark next to the permit work type ZIP: Add-on, modification or alteration to existin? dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ .50 E TOtal $ SIGNATLJRE OF PERMITTEE TELEPHONE #: TELEPHONE #: 1102 PERMIT #: s o Ss"-), F' CITY USE ONLY RECEIPT DATE: APPROVED BY: 5 ? ? ?-4-10 Z-, INSPECTOR 2002 COMM£fiCIAL MECHA1VICAL PERMPI' AP#'LICATION CITYOf £ACA1V S$SO PILOT K1VOB $D EAsA1v, Mlu 55122 651-6$1-4675 b2-- Please complete for. atl commerciaVindustrial buiidings multi-family buildings when separate permits are not required for each dwelling unit DATE: 5 l Z? ? bZ SITE AD?RTR Y 1 Lw7t Ki?-lr?M ZMaD?? 2t9rPHONE#:T5Z_ ?35e--'7500 OWNERNAME: ? VQU,Ev I(2pt,1SiT4Vt616 --i ? TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ YkN. NAME: INSTALLER: 5Gt'a?00(46 MEAW1C4L sTREETADDxESS: L7,6 F'>6.tDI,,EP01I.1r '!)tuVE-r CITY: ?XJ• -5F ?AOL STATE: l"1O ZIP: SS075 TELEPHONE#: {US- ) - ,2. / a - 99 ?3 WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify When insta[ling/rnmoving underground tank, cal! 651-681-467 3'n*ecl'ron ry ? arsha! and Plumbdng inspector. 9 MAY 2 8 2002 Fees: i% of conffact price OR $50.00 mioimum fee, whichever is gea er. Underground tank removaVinstallation = minimum fee gy Contract price: $?noov x 1%= $ 7ifon (Base Fee) ? State surchazge •'5L-) calculate at $.50 for each $1,000 Base Fee TOTAL $ 2?70 sp SIGNATURE OF PERMITTEE Updated 1/02 CITY USE ONLY PERMIT N: RECEIPT pATE: 2002 RESIDENTIAL MECHANIClki. PE#t14[IT APPI.ICAT[ON crrY oe E,aeAu 3$30 PWOT KNOB {iD EA6AN MN 55122 651-681-4675 Please complete for: ? Date: SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: STATE: Piace a check mark next to the permit work type TELEPHONE #: TELEPHONE #: ZIP: Add-on, modification or alteration to existina dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Nature ot work: State Surchar e $ 50 Total $ SIGNATURE OF PERMITTEE single family dwellings townhomes and condos when permits are required for each unit I (02 COMMERCIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 V7 69/ Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis • Certificata of Sorvey (1) . Civil Plans (2) • Project Specs ? (7) • Code Analysis (1) • Landscaping Plans (2) • Key Plan ? (1) • Project Specs (1) • Code Malysis (1) " • Master Ezit Plan (t) . Spec. Insp. & TesGng Schedule ^ • Cerfificate of Survey (i) • Energy Calculations . (1)nofalways" • Soils Report (1) • Spec. Insp. 8 Testlng Schedule (t) • Elec. Power S LighUng Fortn (1)'notalways° • Meter size must be establishad • Meter size must be esfablished • Mefer size must be established -if . applica6le . . ProjectSpecs (1) ,L • EnergyCalculations (1) 1 • Electric Power & LighGng Fortn (1) b • MasterExitPian (1) 1 1 • FireProtectlonPlan (1)" 1 1 . SoilsReport . . (i) . MC/ES SAC detertnination letter . MGES SAC determination letter . MGES SAC deterrninadon letter wll 657-602-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. ? m? DATE 0 1? D WORK T?Y1PE A/ NEW _ REMODEL CONSTRUCTION G,OST S?? ODO -- SITE ADDRESS ?J ?v(? T ?t7fi ??n?O r? ? J ? `? ??? ?T I Q? TENANT NAME l?? 1 Fi L FFL ? SUITE # fac_ FORMER TENANT NAME DESCRIPTION OF WORK PROPERTY OWNER (L Name: NlC?'-L GA&kll) sT-4T!?ip LU-Phone#: `7( ?3) 1.2 1 R Last First Street Address ILQ -fA-L ?Tu 21? citY ?v F-fl(4 N State f--4- Zip 3aG1o??R e Company S C y m0 v, f? Phone #('P S r ) ? S a"`? a!/ CONTRACTOR Sffeet Address: City State Zip ARCHITECT/ n f ENGINEER Company kK-f ?? af-E Phone # ( A7 ?? ) 3? ? ? ? ? a 3 Name A oC K kYMw'q ? Registration# Street Address 3 ao ?t a -L,+ A-? ?ND n??- City State Zip ?sLt17 Licensed plumber installina new sewer/water service: Phone #: I here6y acknowledge that I have read this application, state that the information is ec?and agree to ply w1th all applicatile State ot Minnesota Statutes and City of Eagan Ordinances. / ?? //, ? Signature of Applican SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous WORK TYPE ? 31 New ? 32 Addition ? ? 33 Alterations ? ? 34 Replacement ? OFFICE''USE ONLY ? 26 Public Facility ? 30 Accessory Bldg. A 27 Commercial/In dustrial ? 32 Ext Alt - Apts. ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 29 Antennae ? 35 Ext Alt - PF ? 37 Naii Salon 35 Tenant Impr ? 42 Demolish (Found) ? 46 WindowslDoors 36 Move Bldg ? 43 Reroof ? 47 Repair 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 44-7 SAC Code 3 D No. of Units c? No. of Bidgs. Const. (Actual) 7Z•?l (Allowable) -IT UBC Occupancy 9_ Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building sq. ft. sq. ft. sq. ft. sq.ft. MC/E5 System ? Ciry Water Fire Sprinklered ? Insulation ? Plumbing ? Stucco/Stone &Aj-&-? Engineering Variance Permit Fee "Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage SIW Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VALUATION $ % SAC SAC Units Meter Size oe 6, OC?O Total FF?Ji7 : ? .. 0-- ? m Zn Y 0.. I? 5514559960 FRk N0. :6514569960 .. . _ . . ,. . ? ? ? a Oct. 12 2001 11:40AM P1 DA- I) jZAl,tE eblels r?JxsF MSO La--?--?J ? ? 01-1-Uj.t,aU.:4 I nl_-Z?'g +t " w?r w I%rwm Oee.arc oe?wr am.r... . w?. -- 0? Ii4P AlmM • r wrnss WfMpc P.4i;aK11'1Cz 6t,IMh1AR7 ba RErau. sPdCES . ie•-o- 143iio" cx5p) e3 eccEsaUBLE sra..Ls; R RPN-lli.T LMQ ?99 TTvAFIStT 8PAC;ES s 8•-6• (I :CCE°4IBL.E STAL.L8) n?aarLre dW TUq 1.EVEL RrN"4p w? aw? TOTAL, TI?I11%91T $}dpCE$, 'ygig TOT,6,L FRETAIL SpAiCeB. 66 ++o .?c?erY ua 1 TOTAL CITY USE ONLY PERMIT #: 10 - 1 ?- V RECEIPT DATE: " i ?I sv 4 COMb[E{iC1AL PLUbI$1NH PEitMIT APPLICATION C17'Y OP f.A6AA 3930 PILOT KFOB {iD K146AR, bIN 55122 851-881-4675 lNCOMPLETE APPLICATIONS WlLL NOT BE PROCESSED WORK 7'YPE New Bldg Y Add-on Repair RPZ PVB ` Irrigation system • Jerxy Wobschall to calculate fees. Required meter size ia 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK A.01? T-W ? Fi-,oo2 S l N'K 5 To inquire if Pressure Reducing Valve is required on new service, ca11 65 1-681-4646 ME1'ERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tests passed urior to oickins uu meter Irrigation Size & T}pe Fire Size & Price Avg GPM 3/4" disnlacement $149.00 Domestic Size & Type Does this include high demand devices? _ Yes _ No Avg GPM FLUSHOMETERS Yes No PRV REQUIRED _ Yes _ No Site Address: 3415- 0 P i r-O T f=Yl 0 6 R. LI :0:L fD s TenantName: -P?t. Telephone#: GS f YS?? 3 ag y (area caae) Was there a previous tenant in this space7 _ YY,,N. If Yes, Name: 1 Installer Name: Wr"F?N r_?=? L- 1/Y6 E.C_L"F Telephone #: CtS _ rnm Coaol Installer Address: Ciry: 1-3 Jt-J I'V F_ FEES Contract price $ x 1°/a ($50.00 min) Required on all new buildings & boulevard irrigatlon systems Surcharge: $.50 Minimum. IFc no tract fee exceeds $1,000, calculate at 50 cents per $1,000 contract fee. Supplementery fees it inataRing irrigation system: Contact Jerry Wohschall at (651) 687-4624 regarding fee State: ?R Zip Code Plbg Permit $ Meter(s) , - $ - Radio Meter Read $ ' State Surcharge i S , - . Total '-,., ----- $ --?.?.?---?? -- WaterPermit S SOAO Treatment Plant $ 516.00 Water Supply & Storage $ Stste Surcharge $ .50 Total $ I hereby ac}mowledge that I have read this applicarion, state that the informarion is correct, and agree to comply wiih all applicable Ciry of Eagan ordinances.ItistheapplicanYsresponsibilirytonotifythepropertyownerthattheCity ofEaganassumesnoliabiliryfor nydamagescausedbytheCity during its normal operational and maintenance activiries to the facilities constructed under thi it within Ciry perty/right-of-way/easement. SIG URE OF PERMITTEE IRRIGATION SYSTEM (CONT) CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final BUILDING INSPECTOR PLANS SUBMTTTED APPROVED SY: ? /?- /9- O( GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $153.00 (Acct Code # 9220-4509) • Water meters include copperhom/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8"displacement residenual $115.00 4-120 1-1/2" irrigationsyst $ 727.00 sm commercial nubine" *'"must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $149.00 4160 2" turbine Ig irrigation syst $ 899.00 macimum residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $194.00 1/4 ro 160 2" compound bldgs over $ 1,757.00 bldg to 24 units 65 units mauimum sm commercial & continuous & Ig comm hldgs 25 irri ation s stems 5-100 1-1/2" bldgs 25-64 units $428.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30.DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig ittigation syst $1,184.00 6-500 4" compound +300 unit bldgs & $3,476.00 & production lines very lg comm bldgs I/2-320 3" compound +Zpp unit bldgs $2,212.00 10-1000 6" compound +400 unit bldgs $5,711.00 very lg comm bldgs very lg comm bidgs 15-1000 4" tur6ine very Ig imgation syst $2,132.00 & production lines Comments • To schedule inspection of the inside water line and backflow preventer, ca11 65 1-68 1-4675. • To arrange for water tum-on, ca11651-681-4300. cc; Kris Forster, Ma¢ueoance Division Clerical Technician Updated 9/01 CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: INSPECTOR COMMERC1AL MECHi41VICAcL P£i2MIT APPLICATfQN CITY OF £Afii4N 5$30 PILOT K1V0$ RD F-l4fiAN. MN 55122 651-6$1-4695 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DAT'E: 1 a )f 4/n1 srrE twDxEss: 3YCo P, J.t-r km„ra Rp vn)Ar >as OWNER NAME: ?R - m r- <' tn v- c PHONE #: 6s7'• 4sd: 3'15y ( Sr rnoRE' ? (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): $'Hm 6- WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: WL-tivztZ. I.I/L NwV $ .Zo-o ADDRESS: 'I131 OLO Sja; uj `r»IrMoRin/. PHONE#: 6S1 984J? (AREA CODE) CITY: EA Gq n) STATE: 1nn7 ZII': WORK'I1'PE: New construction Install U.G. Tank ::I/Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: l)ucr Wa+o4 When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of conhzct price OR $50.00 minimum fee, whichever is greater. Underground tank removaVinstallation = muwnum fee Conuact price: $ ..5tco X 1°a = $ -5-'?) - w? (Base Fee) State surcharge 5-b TOTAL $ 50 ? calculate at $.50 for each $1,000 Base Fee ? IGN TURE OF PERMITTEE Updared 1/Ol CITY USE ONLY PERMIT #: RECEIPT DATE: ltE.S[DENTIAL MECHAN1CAL PEftMIT APPL.ICAT10N CITY OF f.AfikN S$SO PILOT KNO$ iiD EAfilkN MN 55122 651-681-4675 Please complete for: Date SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: cirr: STATE: Ptace a check mark nest te the eermit work tvoe TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) ZIP: New residential dwelling uriit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existino dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other F:ature of work: State Surchar e $ .50 rotal $ Reminder: Cal1 for inspections. SIGMATURE OF PERMITTEE ? single family dwellings townhomes and condos when permits are required for each unit UpJated I/Ol CITY USE ONLY PERMIT #r RECEIPT DATE: ` l" I- O I COMMERCIAL PLUbI$INH i'EiMIT APPLICRTION CrrYoF r.AsM saso Pu.ar Rxos ftn ?fl8Afl.1NA $51 ES 881-8$1-4875 INCOMPLETE APPllCATiONS WILL NOT BE PROCESSED Date: ? WORK TI'PE New Bldg Add-on Repair RPZ PVB ' Irrigation system " Must complete reverse side of application also. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTTON OF WORK To inquire if Pressure Reducing Valve is required on new service, csll 651-6814646 METERS - Ca11651-681-4300 to verify that hydrostatic, conductiviry, and bacteria tests passed prlor to oickine uo meter Irrigation Size Bc Type Avg GPM Fire Size & Price 3/4" disolacement $149.00 Domestic Size & Type Avg GPM Doea this include high demend devices? _ Yes _ No FLUSHOMETERS Yes No ? PRRED _ Yes _ No SiteAddress: aI: ? 1 ?? Tenant Name: ? 1LL ? I L.St-1 ?.L J Telephone #: (Area Code) Was there a previ us tenant in thi space? _ Y x N. If es, Name: Installer Name? ? lF??U-y-s?1PI (? Telephone -) nnn nrri A 1C? i A-J, (n«coae) Installer Ciry: _ State: I x 1 I\p Zip Code_J-f-jk-A--J Contract Fee $ ?- Z 1- 1 1 1 Meter(s) $ Radio Meter Read $ 1 ?((?(? +? PEES Contract price $ ll ,• 1-6-1__) s 1% ($30.00 miuimum) Requ'ved on all new buildutgs & boulevard irrigation systems (Acet # 9220-4509) Surcharge: $.50 Minunum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 contract fee. Total From Reverse I hereby aclaowledge that I have read this application, state that the in ordinances. It is the applicanYs responsibility to notifythe properiy owver during irs normal operational and maintenance activities to the facilities c State Surcharge $ -?? New ice $ S-(D tal S -O ?Fe to comply with all plicable Ciry of Eagan s?m np liabiliry for any cinages caused by the Ciry OF YEItM17'Ibt; CITY USE ONLY v REQUIRED INSPECI'IONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: 10 - `yJ I - 6 1 h Y , BUILDING INSPECT4 IRRIGATION SYSTEM (CONT) Service: _ existing (if coming off domestic line) OR _ new Ij "new service"; enntact Jerry Wobschall, Finance Consultant, to confrrm adding fees for: Water Permit & Surchatge - $ 50.50 $ Water Supply & Storage - $ 860.00 $ Water Treatment Plant Charge - $516.00 per SAC unit $ Fees to be added to front side of applicaHon $ GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard'urigation systems- $153.00 (Acct Code # 9220-4509) • Water meters include copperhorn/strainey remote wire, and touch-pad meter GPM METERS USE PR[CE GPM METERS USE PRICE I-20 5/8" displacement residential $115.00 4-120 1-1/2" irrigation syst $ 727.00 sm commercial turbine•' *•must teceive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $149.00 4-160 2" turbine lg nrigation syst $ 899.00 maximum residential & continuous sm commercial production lines IS 3-50 1" displacement very Ig res $194.00 1/4 to 160 2" compound bldgs over $ 1,757.00 bldg to 24 units 65 units roaximum sm commercial & continuous & lg comm bldgs 25 uri rion s stems 5-100 1-1/2" bldgs 25-64 units $428.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig inigation syst $1,184.00 6-500 4" compound +300 unit bldgs 8c $3,476.00 & production tines very lg comm bidgs 1/2-320 3" compound +200 unit bldgs $2,212.00 10-1000 6" compound +400 unit bldgs $5,711.00 very lg comm bldgs , very Ig comm bldgs I5-1000 4" turbine very lg irrigation syst $2,132.00 & producrionlines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To arrangc for water tum-on, call 651-681-4300. cc; Kris Forster, Maintenance Divisian Clerical Technicien Updated 1/01 612 333 7596 10/12/2001 15:36 FAR 612 333 7596 K K E ARCHI'CECTS . KKE Korsunsky Krank Erlckson Architects,lnc, 3UC' Fii's[ Ao'erue Norl., Minr:eapc;is, MN 55401-1681 Gt2/33h4200 6121342-9267 F?,X Memorandurrx Project: Premier Cleaners/Eagan Station KKE No. 01-08-1059-22 To: Craig Novaczyk - City of Eagan Prom: 7ack Amdat \? D Date: October 12, 2001 Subject: Code Analysis Premier Cleaners Eagan Station Tenant Space 105 1,250 SF Occupancy - M Construction Type - IfN Oc;cupant Lvad - 42 /dlj IA001/001 VIA FAX 651/681-4694 Copy to: Seyxnour Glatzer via fax 651/456-996Q bOC TCJ.2 :1lCFlI[2CClILL i??3R.:lfl? In?e:ioe' Uesign -?? ? 10 1 I (5 N _ ,`P? ` ?- -a-?-- ''? COM ERCIAL? ? 3 1 V?2QC122-BUILDING PERMIT APPLICATION -?? CITY OF EAGAN 651-681,,?675 (/? r kn?? 3?-F?57 ? ?,????•?-? Foundation Onl New Construction Interior Im rovement • SWcturel Plans (2) sets • Archilectural Plans (2) sets • Architectural Plans (2) sets • Civll Plans (2) . StrucNrel Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • CodeMalysis (1) •' . LandscapingPlans (2) • KeyPlan (7) . ProjectSpecs (1) • CodeMalysis (1)" • Master Exit Plan (1) • Spec. Insp. & Testing Schedule . Certificate of Survey (1) • Energy Calculations (1) not always" . SoilsRepod (1) . Spec.lnsp.&TestingSchedule (1) • EIec.POwer&LightingForm (1)notalways" • Meter size must be established • Meter size must be established • Meter size must be eslablished - if applicable . ProjectSpecs (1) 1 • EnergyCalculations (1) " l 1 • Electric Power & Lightlng Form (i) " 1 1 • Master Exit Plan (1) 1 l • Fire Protection Plan (1)" 1 1 • SoilsReport (1) 1 . MC1ES SAC determination letter • MCIE5 SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 657$02-7000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: 3- Z WORK TYPE: ?/. EW REM EL CONSTRUCTION COST: S SITEADDRESS: TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLIC LE: DESCRIPTION OF WORK PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: ?i'! , yf I,ast G StreetAddress 100 City: - ?Sf Company: ? W14 A,ryt/i7?1 Phone #: ?c S a ) gs ?) =1 t:?;n v State: )-?N Zip: Phone#: (?/ ) ? ? 064? StreetAddress:ffZfXB [A,f%C, 4-a aV Z__? City: State: Zip: Company: Name: Street Address: Phone #: 61Z ) 3Y- 72q Registrarion #: City: _ a7aJ State: !?Y?? Zip: 5?? Licensed plumber installing new sewedwater service:Phone #: (?iJS? 1 7?i`1 ??? I hereby acknowledge that I have read this application, state that the information i rre t, and a ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican / . Updated 1/02 OFFICE USE ONLY SUBTYPE ,- ^. ? 01 Foundarion ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Founda6on) ? 46 Windows/Doors ? 32 Addition G 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building ? Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered Q Plumbing ? Stucco/Stone Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VALUATION $ % SAC SAC Units Meter Size Total ? COMMERCIAL ' m TY ?'/`?002. SUILDING PERMIT APPLICATION S? ? d CITY OF EAGAN ? 651-681-4675 Foundation OnI 4 New Construction Interior Im rovement • StructuralPlans (2) sets • ArchitecturalPlans (2)seLs • ArchitecWraiPlans (2) sets . Civil Plans (2) . Strudu2l Plans (2) • Code Analysis (1) " • CertificateofSurvey (1) • CivilPlans (2) • ProjectSpecs (1) . Code Analysis (7) " . Landscaping Plans (2) • Key Plan (1) • ProjectSpece (1) • CodeAnalysis (1) ° • MasterEptPlan (1) • Spec. Insp. & TesGng Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soiis Report (7) . 5pec. Insp. & Testing Schedule (1) " • Elec. Pw.er & Lighting Form (1) notalways" • Metar siae must be established • Meter sim must be established • Meter size must be esta6lished -if applicahle . ProjectSpecs (1) ! • EnergyCalculations (t) 1 • Electric Power 8 Lighting Form (1) •" 1 1 • Master Ezt Plan (1) l 1 • Fire Protection Pian (1)" 1 1 • SoilsRepoA (1) • MGES SAC determination letter • MC/ES SAC determination letter • MClES SAC determin on letter call 651-602-1000 cal1651-602-1000 ca11651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for d ails. DATE: WORK TYPE: ?t NEW. _ REMODEL CONSTRUCTIO COST: SITE ADDRESS; Y?? 1? FLb ? 1?l Lal' IFf.tOk3 E2L? .?? 7C TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: - DESCRIPTION OF WORK 150i6,44J `ZP?ot DI.1 ' PROPERTY OWNER CONTRACTOR 7ev ?3 2'1 Name: City: 13Up{._V;E0J I G4d5i? Last Fust ARCHTTECT/ ENGINEER Company: _ Sueet Address: City: Company: ?..? Name: ? Street Address: ? ,. . Phone #: State: Phone #: (_lQJ,_. Registrauon #: >6 ztp: c5ea'3n '0=.,O -r*A1f47 PcvE7- F4OC'''" SQYfr_- &C-?o Ciry: M,1w?sf?ot?vs state: MN zip: M-Av?+? l• Licensed plum6er installing new sewer/water service: Phone #: I - ) I hereby acknowledge that I have read this application, state that the information is or Act, nd agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of App i Updated 1 /D2 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Aparhnents 8K27 CommetciaUlndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE / 31 23ew ? 35 Tenant Impr ? 42 Demolish (Fo undation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 32I Zoning ?D 3?Lrw/sq. ft. 'f30 faO SAC Code 3 D # of Stories sq. ft. No. ofUnits _LcW I,ength sq. ft. No. of Bldgs. 1 Width 93 ? sq. ft. Const. (Actual) ib_ Basement sq. ft. ? MCBS System ?ts (Allowable) ?BG`O 10_ - F?'jst Floor sq. ft. K' k cf t1? ' City Water ' ccupancy -Z p sq. ft. 2 u f 000 Fire Sprinklered 4es S6? MISCELLANEOUS INSPEC TIONS ? Gas Service Test ? Heafing ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance (ts' VALUATION $ ?{C Permit Fee ,i 5urcharge Plan Review MC/ESSAC 1?400.00 ? °loSAC l00 City SAC IOD. QO / SAC Units Water Supply & Storage Meter Size S/W Permit ?pp.Qp S/W Surcharge , 50 Treatment Plant 540. b0 Park Dedication Trails Dedication Water Quality Other G*µg" k4. Copies Soo . o0 5?000•00 ? W G h?ED i???l?ca+to? ? W ( Cowh^ac.?e?' ? Total ? Metropolitan Council ? lmproue reglonal competitiu2ness in a global economy Environmental Seruices April 23, 2001 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MIV 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Eagan Transit Station to be located within the City of Eagan. This project should be charged 5 SAC Units, as determined below. SAC Units Charges: Retail 15177 sq. R. @ 3000 sq. ft./SAC Unit If you have any questions, call me at 602-1113. Sincerely, Qrc(? J. Jodi L. Edwazds &Arrb Staff Specialist Municipal Services Section JLE: (330) 010423SJ cc: " S. Selby, MCES Carolyn Krech, Finance Department, Eagan 7ack Amdal, KKE 5.06 or 5 APR 2 5 2001 www.metrocouncIl.arg Metro Info Llne 602-1888 230 East FYfth Street • SL Paul, Minnesofa 55101-1626 •(651) 602-1005 • Fax802-3l38 • TIY 2293760 A. Equril Opporhinihj Empiayer *MV oF eagan PATR[CI.4 E. AWADA Mayor PAUL BAKICEN PECGY CARISON CYNDEE FIELDS MEG T'ILI.EY Cowcil Mem6ers THOMAS HEDGFS GryAdministramr Municipal Center. 3830 PBoc Knob Road Eagan, MN 55122-1897 Phone: 65I.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maincenance Faciliry: 3501 Coadvnan Point Fagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.dtyofngan.com THELONEOAKTREE 'Me rymbol oFsacngth and growtli in our communiry February 4, 2002 MRKYLE WII.LIAMS LSA DESIGN INC. 250 THIRD AVENUE NORTH SUITE 600 MINNEAPOLIS MN 55401 RE: EAGAN TRANSIT-STATIQN-.-_ ??347 P OB.EOAD y '1-EAc1GAPQ`MN 55122 Dear Mr. Williams: We have started our review of the construcrion documents submitted in pwsuit of obtaining a building pemut for the above-refecenced project. This review is not intended to be an exhaustive and comprehensive report. Unless otherwise noted, all references aze to the 1997 U.B.C. It is our goal that this review will help you in complying with the applicable codes and we aze, therefore, requesting that the items checked below be addressed: 2 sets Architectural Plans 2 sets Structural Plans 2 sets Civil Plans 2 sets Landscaping Plans 1 Code Analysis 1 Certificate of Survey ? 1 Spec. Insp. & Testing Schedule Other 1 Project Specs ? 1 Energy Calcularions ? 1 Elechic Power & Lighting Form 1 Master Exit Plan ? 1 Fire Protection Plan (see below)* ? 1 MC/ES SAC determinadon letter 1 Soils Report If you have any questions regazding the above items, please feel free to contact me at 651-681- 4676. S1IICCICly, /" jx?? Mike Lence Senior Inspector ML/ld Enclosures * If Fire Protection Plan is checked above, please provide a plan on an 8-1/2" x 11" sheet of paper and a floppy disk - dxf Auto CAD release 14. This will assist emergency personnel responding to the site. An example is enclosed. CITY USE ONLY PERMIT#: RECEIPTDATE: APPROVED BY: INSPECTOR ?1-9-61 CObIMEftCIAL MEC"NICAL PERMIT APPLiCATION C1TY Oi' EA6ukN 3930 PILOT KNOB RD KE6M, biA 5518E 651-6$1-4675 Please complete for: all commercialfindustrial buildings muiti-family buildings when separate permits are not required for each dwelling unit DATE: /l- r" a K SITE ADDRESS: ? b`YL> Y/G D 7- /`LiCJD,e OWNER NAME: ?d"? %GL!//??•P?? PHONE #: (AREA CODE) TENANT NAME (IlviPROVEMENTS ONLI): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y,-tN. NAME: INSTALLER: 8Y /4fjG?' aDDREss: 1P,55, eO• PHONE#: 76 ,3 - Sl'-'7 9 /9 ?c? (AREA CODE) CITY: AWW0? %?G5TATE: H"i/rl ZIP: ? WORK TYPE: SpecifyNature When installing/remnvfng underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbinglinspector. Fees: 1% of conhact price Olt $50.00 minimum fee, wtrichever is greater. . Underground tank removaUinstallation = minimum fee , Contract price: $'52ay x 1%_$ 6-0O0 (Base Fee) State surcharge ,$'O calculate at $.50 for each $1,000 Base Fee TOTAL $ SD- 5ZI SIGNATURE OF PERMITTEE Upda[ed 1101 New conshuction Install U.G. Tank Interior Improvement _ Remove U.G. Tank _ Processed Piping CITY USE ONLY PERMTC #: RECEIPT DATE: RESIDERTIAL MECHkNICAI. PEJM1T APPLIClETIOft crrYoF EAsAv 3830 PH= Kvos Rn f.AHRP MlY 55122 651-681-4e75 Please complete for. Date: SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: ciTV: STATE: Placa a c6aclr mar4 nnvf fn fhn nnrmi} wnrM fimn ZIP: New residentiat dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modfication or alteration to existina dwelling unit $ 50.00 • fumace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ .50 Total $ Reminder: Call for rnspections. SIGNATURE OF PERNIITTEE ? single family dwellings townhomes and condos when permits are required for each unit TELEPHONE #: (AREA CODE) TELEPHONE #: (nRen eooe) Updated 1/Ol CITY USE ONLY PERMIT #: "t ? -?- 1) 01 RECEIPT DATE: APPROVED 8Y: -5 e ?, INSPECTOR COMMEftCIAL MECELLIkAICAL PER14I1T i4PP11CATIOR CITY OF EA&i4A 3$90 PILOT KAOB EiD EA6lkft, MN 551 EE 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separafe permits are not required for each dwelling unit DATE: 1 ly??- E) i SITE ADDRESS: OWNER NAME: -PHONE #: %)_- U CODE) TENANT NAME (IIpROVEMENTS ONLI): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ YX N. NAME: INSTALLER: , , " S ADDRESS: ?L, PHONE #:?V?S ( CITY: CA . STATE: CA ZIP: `?1?04 WORK TYPE: ? New construcrion _ Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: 1? V/-l Ci When instaUing/removing underground tank, call 651-681-4675 for inspeciion by Fire Marshal and Plwmbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, wlrichever is gteater. Underground tank removalliastallation = m;n;mum fee O 7 Contract price: $ 1% _ $ (Base Fee) J State surchazge .?? calculate at $.50 for each $1,000 Base Fea h? TOTAL $ I F PERMI'fTEE Updated 1/01 CITY USE ONLY PERMIT #: RECEII'T DATE: ?UMENUAj. MEL'MRICiAL PERYff AP'PLIL'ATIOR Cl7'Y OF E146M S$SO P1LOT KAOB RD £A6t4P MlY bS 1 E8 e51-681-4675 Please complete for. D single family dwellings townhomes and condos when permits are required for each unit Date: 01 SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: STATE: Placa a check mark nert te the oarmit work tvoe TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) ZIP: New residential dwelfing unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ .50 Total $ Reminder: Call for inspections. SIGNATURE OF PERMITTEE Updated V01 CITY USE ONLY PERMIT #: RECEIPT DATE: CObIMCIAL i'LUM$INH PEi;MIT APPL[CAT[OF C[IYoP 8f?8141Y 3680 PDA'C KFOB {iD $A6RF, bllY 551 EE 651-e61-4s75 (NCOMPLETE APPLlCADONS W1LL NOT 8E PROCESSED Date: ?l' g ` Q l WORK TYPE New Bldg Addon _ Repair RPZ PVB • Lrigation system ` Must completc reverse side of application also. Required meter size is 2" turbo unlesa smaller size permitted by Public Works DESCRIPTION OF WORK To inquire if Pressure Reducing Valve is required on new service, ca11651fi81-4646 METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oickine uo meter Irrigation Size & Type Fire Size & Type Domesric Size & Type Does this include high demand devicesT FLiiSHOMETERS Site Address: Tenant Name: Yes No _ Yes Avg GPM Avg GPM Avg GPM No PRV REQUIRED Yes _ No -Rd s% d A) Telephone #: Was there a previous tenant in this space7 _ YX?Id. If Yes, Name: Installer Name: D:JC.. ,0F? G Installer Address: 2t (Area Code) Telephone #: ?6 ?y " V 7 (Aroa Code) City: `w?41? _;2:f1 ? State: //IViU Zip Code FEES Contract price 0-9 x 1% ($50.00 minimum) Contract Fee $ '300'00 Required on all new buildings & boulevard irrigation systems SurcLarge: $.50 Minimum. If contract fee exceeds $1,000, calculate at 50 cenu per $1,000 contract fee. Total From Reverse Meter(s) s Radlo Meter Read $ State Surcharge New Service Totai S I hereby aclmowledge that I have read this applicarion, state that the informafion is cortect, and agree to comply with all appticahle City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City ofEagan assumes no liabilityfor any damages caused bythe City during its normal operational and maintenance activities to the facilities constructed under this permit within Cigpropeghaof•way/easement. SIGNATUIt'E OF PERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: 1? }? " Uf , BUILDING INSPECTOR IRRIGATION SYSTEM (CON'I) Service: _ existing (if coming off domestic line) OR _ new If "new service" ; contact Jerry Wobschall, Finance Coneultant, to confrm addingfees for: Water Permit & Surchazge - $ 50.50 Water Supply & Storage - $ 860.00 Water Treatment Plant Charge - $516.00 per SAC unit Fees to be added to front side of appllcaNon GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $153.00 ) • Water meters include copperhom/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" irrigation syst $ 727.00 sm commercial turbine*" *"`must receive maximum approval from continuous Public Works ]0 2-30 3/4" displacement lawn irrigation $149.00 4-160 2" hubine Ig irrigation syst $ 899.00 maximum residential & continuous sm commercial production lines rs 3-50 1" displacement very lg res $194.00 1/4 to 160 2" compound bldgs over $ 1,757.00 bidg to 24 uniu 65 uniu maximum sm commercial & continuous & ]g comm bldgs 25 irri ation s stems 5-100 1-1/2" 61dga 25-64 units $428.00 maximum displacement & continuous most comm bldgs SO GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irngation syst $I,184.00 6500 4" compound +300 unit bldgs & $3,476.00 & production lines very Ig comm bldgs 1/2-320 3" compound +Zpp umt bldgs $2,212.00 10.1000 6" compound +400 unit bldgs $5,711.00 very !g comm bldgs very Ig comm bldgs 15-1000 4" turbine very ]g icrigation eyst $2,132.00 & production lines Comments • To schedule inspecuon of tUe inside water line and backflow preventer, ca11 65 1-68 1-4675. • To arrange for water tum-on, call 651-681-4300. cc: Kris Forger, Maintenance Divicion Clerical Technician LJpdetad 1l01 CITY USE ONLY PERMIT #: [ ?2 S_ RECEIPT DATE: APPROVED BY: J/ INSPECTOR COMMMCIAL MECHkA1C!!I. P£itM1T APPLICATION CI'PY OF E4FM 3$30 PILOT KROB fiD EAGe1v, aiN 55122 651-681-4675 Please compiete for: all commerciaUndustrial buildings multi-family buildings when saparate permits are not required for each dwelling unit DATE: "I S 0b ?a?Q. _ SITEADDRESS: KD• OWNERNAME: EA('YRRI STI3TIDN MALL PHONE#: (AREA CODE) TENANT NAME (IbiPROVEMENTS ONLI): WAS 1'HERE A PREVIOUS TENANT IN THIS SPACE? _ Y_S,/N. NAME: INSTALLER: AnDREss: 4q5l ??1. '16 T rxorrE #: Sa -$ 35- 3 810 (AREA CODE) CTTY: PDI04 STATE: MN ZIP: JrJq 3S WORK Tl'PE: ? New construction _ Install U.G. Tank _ InteriorImprovement _ Remove U.G.Tank _ Processed Piping I SpecifyNature ofWork ?f1(STRLf.. ROOFTDP UNl1S ? G/45 P/P/NG When Installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1°/a of conffact price OR $50.00 minimum fee, whichever is greater. Underground tanlc removaUinstallation = minimum fee Conhactprice: $39,300 xl%=$ 398.no (BaseFee) State surcharge lq,g? , 5Qalculate at $.50 for TOTAL AUG ; CUU1 IL',?; g/3 ? U?? ? (? ??? SIG ATURE OF Updated 1/O1 CITY USE ONLY PERMIT #: RECEIPT DATE: RESIDFP1 IlkL MECHARICAI. PERNiT APPLiCATiON crrY oF Ensax 3830 Pu oz xxos Ru EAsMauv ssiss 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: STATE: Place a check mark next to the nermit work tvne TELEPHONE #: (AREA CADE) TELEPHONE #: , (RREA CODE) ZIP: New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modificatian or alteration to existina dwelling unit $ 50.00 • fumace replacement • air exchanger • air conditioner • other Nature of work: State Surcha e $ .50 Total $ Reminder: Cadl for inspections. SIGNATURE OF PERMITTEE Updaled 1/01 CITY USE ONLY PERMIT ? 4 L ? ? O RECEIPT DATE: D- - U ?- EOOE COMME{iC1liL PLUM$Ift6 PEiMIT RPPLICATIOP • . : ; .. __ C1TY oF EE?6Rlv S$SO PILOT SROB RD Elk6AN. MF 55122 651-681-4675 INCOMPLETE APPUCATIONS WILL NOT BE PROCESSED Date: WORK 1'YPE J(New Bldg Add-on Repair _ RPZ _ PVB _• Irrigation system ' Jerry Wobschall to calculate fees. Required meter size is 2" turbo unless smaller size permined by Public Works DESCRIPTION OF WORK T ii 9 (PLj WIA?{?Ii '? t To inquire if Pressur Reducing Valve is requir on new service, ca11651 8 646 METERS - Call 65 1r6814300 to verify that hydrostauc, conductivity, and bacteria tests passed orior to oickin¢ un meter Iaigation Size & Type Avg GPM VaPRFO F've Size & Price 3/4" disnlacement sis2.oo 12002 Domestic Size 8c Type Avg GPM Docs this include high demand devices? _ Yes _ No n FLUSHOMETERS 1,/Yes _ No PRV REQUIRED Yes. Site Address: :P[ I r+ V 1\.Q Is Tenant Name: & TG Telephone #: (Area Code) _ . Was there a previous)enant in th s space? _ Y)&. IFYes, ame: Installer Name: (,,?/ i rCJ ? 1eOt ?/Lt.Telephone #: ?8 ? r (Area Code) Installer A ess: z C? c- City: ,tL" .P State: /e6x, Zip Code ? FEES Contract price $01 , /B-d x 1% ($50.00 min) Plbg Permit $ -6 q l. (L) () Meter(s) $ Required on all new buildings & boulevard irrigation systems Radio Meter Resd $ 5? Surcharge: $.50 Minimum. If base fee exceeds $1,000, calculate at State Surcharge S - 50 cents per $1,000 base. ' ?-y \) - Sub Total/I o[al $ Supplementary fees for new irrigation system: Wster'Permit $ 50.00 Contact'Jerry Wobschall at (651) 681-4624 regarding fees Treafineut Plaot $ 540.00 Water Supply & Storage $ State Surcharge $ Total $ I hereby aclmowledge that I have read this application, state that the informarion is co ect, and agree to comply with all applicable City of Eagan ordiaances.ItistheapplicanPsresponsibility tonotifythepropertyownerthattheCiryo agan assumes no liability foranydsmagescausedbytheCiry during its noimal operarional and maintenance activiries ro the facilities conswcted e rs pertn t m City property/n tof-way/easement _ ,'- , , , .,'19 OF PERMITTEE IRRIGATION SYSTEM (CONT) CITY USE ONLY REQUIRED INSPECI'IONS: _ U.G. _ Air Test _ Gas Test _ Rough In Final l?f-Z -uz PLANS SUBMITTED APPROVED SY: ?? . BUILDING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buildings 8c boulevard urigation systems- $157.00 (Acct Code # 9220-4509) • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residentia] $118.00 4-120 1-1/2" irrigation syst $ 745.00 sm commercial turbine*' *'must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $152.00 4160 2" turbine Ig irrigation syst $ 923.00 maximum residential & continuous sm commercial production iines IS 3-50 1" displacement very lg res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 25 uriation s tems 5-100 1-1/2" bldgs 25-64 units $439.00 mazimum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig urigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & production lines very lg comm bldgs 1/2-320 3" compound +Zpp unit bldgs $2,264.00 10-1000 6" compound +400 unit bldgs $5,900.00 very lg comm bldgs very Ig comm bldgs 15-1000 4" turbine very ]g irrigation syst $2,184.00 & production lines Comments • To schedule inspection of the inside water line and backflow preventey call 651-681-4675. • To arrange for water turnon, call 651-681-4300. cc: KriS Forster, Maintenance Division Clerical Technicien Updated 10/01 ?rl II ? ????• . wo.$?e? 0 n? ? - 4?V C ERCIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 , 3qs c? , Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • Architecturel Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • SUucWrel Plans (2) • Code Analysis (1) " • Certifcate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (t) " • Master Ezit Plan (1) • Spec. Insp. & Testing Schedule "' • Certificate of Survey (t) . Energy Calculalions (1) not always" . Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" . Meter size must be esta6lished • Meter size must be established • Meter size must be established - if applicable • Project5pecs (1) 1 • EnergyCalculalions (1) 1 . • Electric Power& Lighting Form (1) " L d • Master Exil Plan (t) 1 1 • Fire Protection Plan (1)" 1 1 • SoilSRepart (1) 1 . MGES SAC determination letter • MGES SAC detertnination letter • MC/ES SAC determinalion letter call 651-602-1000 call 651-602-7000 call 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for deta'ils. DATE 2-28-01 SITE ADDRESS--WO-9190 TENANT NAME N/A -?) FORMER TENANT NAME t WORK TYPE x NEW REMODEL DESCRIPTION OF WORK New Construction - Shell sui PROPERTY O WNER corrTxwcTox Name: Baker Eagan Station LLC Last First StreetAddress 209 Royal Turn Road NOrth City Pontevedra Zjp 32082 Company Stahl Construction Company Phone# ( 952 ? 931-9300 StreetAddress: 5900 Rowland Road City Minnetonka State Minnesota Zip 55343 ARCHITECT/ ENGINEER Company KKE Architects, Inc. Phone# ( 612 ? 339-4200 Name Jack Amdahl Registration # 17421 Street Address 300 First Avenue South Ciry Minneapolis State 9 Licensed piumber installinq new sewerlwater service: t :sota Zip 55401 1? Ll ? = 3 C)o?- _ Phone #: ( )_ I hereby acknowledge that I have read this application, state that the information is w c ?a reemply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~"?- (??\. ei WU. ?, .. Updated 1101 CONSTRUCTION (/;?, 000 . 00 SUITE 2 8 2001 Phone#: 90( 4 ) 280-5910 State Florida OFFICE USE ONLY . ' • , SUBTYPE •. ' ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ,)<27 Commercial/in dustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ?<'31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 297 Zoning ? Q sq. ft. SAC Code 30 _ # of Stories 1 sq. ft. No. of Units ? Length _ sq. ft. No. of Bidgs. I Width 0,2s;,,4 ioo' sq. ft. Const. (Actual) Basement sq. ft. MC/ES System Yis (Allowable) ,yl- First Floor sq. ft. i y-0135 City Water Ycr UBC Occupancy M sq. ft. Fire Sprinklered '.s MISCELLANEOUS INSPEC TIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Bu ilding Engineering Variance ,ou VALUATION $ ? ?S Q00 Permit Fee ?s, asa.s0 ? Surcharge ? W2, 50 Plan Review 3 4/Y. / 3 MC/ES SAC 1 ? 5 750.00 % SAC /Oo City SAC S00 .GO SAC Units Water Supply & Storage $/S,1 I \ Meter Size S/W Permit 00 , an S/W Surcharge , SD Treatment Plant ?a ? $£s0.d0 Park Dedication ? 3 ? 3? 6, pp Trails Dedication ? 9 2,0. 06 Water Quality Cther Copies Total ? 641 10,,j y I J Nletropolitan Council Improue regjonal competlttueness in u glo6al economy Environmentai Services Apri123, 2001 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: sNSO P',iC-A x-&b Q "I The Metropolitan Council Environmental Services Division has determined SAC for the Eagan Transit Station to be located within the City ofEagan. This project should be charged 5 SAC Units, as determined below. Charges: Retail 15177 sq. ft. @ 3000 sq. R./SAC Unit If you have any questions, call me at 602-1113. Sincerely, a6VT'b Qo? C^. Jodi . Edwards Staff Specialist Municipal Services Section 7LE: (330) 010423SJ cc: S. 3elby, MCES Carolyn Krech, Finance Department, Eagan Jack Amdai, KKE wwm. metrocouncll.org SAC Units 5.06 or 5 APR 2 5 2001 IU MeVO Info Line 602-1688 230 Eaet Ftlth Street • SL Paul. Minnesota 55101-1826 •(851) 602-1005 • Faz 802-1I38 • T17 2293760 M PAuat OPPwlunl[v Employer WAIVER OF HEARING NO. 630 SPECIAL ASSESSMENT AUTHORIZATION FOR CONNECTION CHARGES The Minnesota Valley Transit Authority hereby requests and authorizes the City of Eagan, MN (Dakota County) to assess the following described property owned by the Minnesota valley Transit Authority: Lot 1, Block 1, MVTA Eagan Transit Station, for the following connection and availability chazges: Item Quantity Rate Amount Water Lateral 481.12 F.F. $29.05/ Sq. Ft. $13, 976.54 Storm Sewer Trunk 210 899 Sq. Ft. .132/ Sq. Ft. 27,838.67 Total $41,815.21 to be spread for a term of 10 years at an annual interest rate of 7.00% against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, interest will be chazged from the signing date to date of payment. The undersigned, for themselves, their heirs, executors, adminisuators, successors and assigns, hereby consent to the assessment of these connection chazges, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to this assessment and further waive the right to object to or appeal from the assessment made pursuant to this agreement. Dated i ? Notary S? 1 V ??1 1 MARYSWENSON NOTAHY PUBt16MINNESOTA YIy Cpm*9m6$mJm.31, 2DM Minnesota Valley Transit Authority Fee Owner By: Beverley Miller • ts: Executive Director J-1'-?9 ?? - July 28, 2000 Mark Henderson LSA Design, Inc. 250 Third Avenue North Suite 600 Minneapolis, MN. 55401 RE: MVTA Eagan Transit Station Deaz Mazk, I forwazded your letter and attachments to Tom Colbert, the City's Public Works Director for review of the connection chazges that I had proposed. He reviewed your situation and comments and concluded the City should collect a Water Lateral Connection charge for 481.12 feet along Yankee Doodle Road. Therefore, the total connection charges using the 2000 rates are computed at: Improvement Usage Rate Measure Charge Water Lateral CI $28.40/F.F.. 481.12 F.F. $13,663.81 Trunk Storm Sewer Cl .129/Sq. Ft. 210,899 Sq. Ft. 27,205.97 Total $40,869.78 These charges can be assessed to the property or be paid in cash at the time of issuance of the building permit. I apologize for the lateness of this response, however Tom was extremely busy addressing the storm water problems caused by the recent storm that flooded many parcels in the City. Since ely, Jerry Wobschall CC: ParceT File *citV oF eagan PATRICIA E AWqDA March 5, 2002 Mayror MR KYLE WII.LIAMS rAU[' B'axtcFN LSA DESIGN INC PEGGYCARISON 250 THIRD AVE NO #600 C.'YNDEE FfELDS MINNEAPOLIS MN 55401 MEGTTLI.EY RE; EAGAN TRANSIT STATION Council Members 3470 PILOT KNOB ROAD Deaz Mr. Williams: THOMAS HEDGFS We have completed our review of the construcrion documents submitted in pursuit of obtaining a CiryAdmini?mecor building permit for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless othenvise noted, all references are to the 2000 I.B.C. It is our goal that this review will help you in complying with the applicable codes and we aze, therefore, requesting that the following items be addressed. Municipal Cencer. 3830 Piloc Kno6 xoad 1. Reference to goveming codes on Sheet A1.0 should read: • Mechanical Code - UMC 91 with MN Amendments Eagan, MN 55122-1897 • Electricacl Code -1VEC 99 Phone: 651.681.4600 Fas: 651.681.4612 z. Post occupant load sigII in assembly room. TDD: 651.454.8535 3. Handicap signage shall meet the requirements of NIN. Rules 1341.0476. 4. Submitted soils report references a two-level parking garage; verify testing was done for Maiacenmu Fac;licy: a proposed three-level parking structure. 3501 Coachman Point 5. Submit a completed building permit application, including name and address of Eagan,MNSSI2z conhzctor. Phone: 651.681.4300 6. Foundation azea encompassing heated space to be insulated with a minimum R-5; this is Fu: 651.681.4360 not indicated on drawings. TDD: 651.454.8535 If you have any questions regazding the above, please feel free to contact me at 651-681-4676. www.ciryofeagxa.com Sincerely, / " ?L Mike Lence THELONEOAKTREE Seniorlnspector Therymbolofarength ML/js and growdt in our community CITY USE ONLY PERNIIT RECEIPT DATE: ? COMM£itCli41. PLUM$IAfi PE{ibiff APPLICflT10N Cl'[Y OF fJk64N S$SO P1LOT i{POB RD Et46AN, M1V 5518E 651-661-4e75 INCOMPkV APPUCA7)ONS WILL NOT 8E PROGESSED Date: a " WORK TI'PE New Bldg Add-on Repair RPZ PVB ' Irrigation system • Must complete reverse side of application also. Required meter size is 2" turbo unlesft smaller size permitted by Public Works DESCRIPTIONOFWORK N:- V"/ F «0 S+PC i4ILL4-2 -:5 Y6 T'=A-1 To inquire if Pressure Reducing Valve is required on new service, call 651-6814646 METERS - Ca11 65 1-68 1-4300 to verify that hydrostatic, conducriviry, and bacteria tests passed prior to uicldn¢ uo meter Irrigation Size & Type Fire Size & Price Domestic Size & Type Does this include high demand devices? FLUSHOME7'ERS _ Yes _ No Site Address: _ Yes _ No 3/4" disolacement $149.00 Avg GPM Avg GPM PRV REQUIRED _ Yes _ No ILor ki.raB eD, Tenant Name: eA G kN TOq,951T S fA r i o f{ Telephone #: (Area Code) Was there a previous tenant in this space7 _ Y_C9 If Yes, Name: Installer Name: 6 1 L 8 E IZ T F N LoM P A 5-5 Installernddress:44 S? W• 7(? rz4 .sTe,cC f City: ED / Al A State: FEES Contract price $ x 1% ($50.00 minimum) Requ'ved on all new buildings & boulevsrd irrigation systems (Acct # 9220-4509) Surcharge: $.50 Minimum. If contrect fee exceeds $1,000, calwlate at 50 cenu per $1,000 conuact fee. Total From Reverse M N zip c«te 35-4 3 S Contract Fee $ Meter(s) $ 1-4, °o Radio Meter Read $ State Surchsrge S New Service $ Total $ u I , 6 0 I hereby acknowledge that I have read this applicarion, stste that the information u correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicanPs responsibiliryto notifythe property owner that the Ciry of Eagan assumes no liabiliry for any damages caused bythe Ciry during its norsnal operational and maintenance activities to the facilities consavcted under this permit within City property/right-of-way/easement. (Z SIGNATURE OF PERMiTTEE CITY USE ONLY REQ[JIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: . BUILDING INSPECTOR Telephone #: ?.SZ g 3.S -3 g/b (Area Code) IRRIGATION SYSTEM (CONT) Servlce: _ existing (if coming off domestic line) OR _ new If "new service"; contact Jerry Wobschall, Finance Consultant, ro confrrm adding fees for: Water Permit & Surcharge - $ 50.50 $ Water Supply & Storage - $ 860.00 $ Water Treatrnent Plant Charge - $516.00 per SAC unit $ Fees to be added to front side of application $ GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $153.00 (Acct Code # 92204509) • Water meters include copperhom/strainer, remote wire, and touch-pad meter . GPM METERS USE PRICE GPM METERS USE PRICE I-20 5/8"displacement residential $115.00 4-120 1-1/2" irrigationsyst $ 727.00 smcommercial turbine*• ••mustreceive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigaNon $149.00 4-160 2" turbine lg irrigation syst $ 899.00 maximum residential & continuous sm commercial production lines IS 3-50 I" displacement very lg res $194.00 1/4 to 160 2" compound bldgs over $ 1,757.00 bldg to 24 units 65 units maximum sm commercial & continuous 8c Ig comm bldgs 25 irri tion s stems 5-100 1-I/2" bldgs 25-64 units $428.00 maximum displacement & continuous most comm bldgs SO METERS REOUIRING 30.DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig imgation 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 +Zpp unit bldgs $2,212.00 I0-I000 6" compound +400 unit bldgs $5,711.00 very ]g comm bldgs very Ig comm bldgs 15-1000 4" turbine very ]g irrigation syst $2,132.00 & production lines Comments • To schedule inspection of the inside water line and bacldlow preventer, ca11 65 1-68 1-4675. • To arrange for water tum-on, ca11651-681-4300. cc: Kris Forster, Maintenance Diviaion Clerical TecMician Updated 1/01 ?-Alp, CITY USE ONLY PERMIT #: 451 U ' ?1 RECEIPT DATE: C0316!£tiCllekL f'LLTMMIIV6 PEiiIYIIT R"LICATIOF CITY OF BAaAR SfW Pll.OT KR08 RD 8t4P. !!N'361 SE e51-661-4e75 INCOMPLEIE APPLICATlONS WAL NOT 8E PROCESSED Date: (v ' Z/ "Q L, J. WORK TI'PE /New Bldg Add-on _ Repair RPZ PVB ' Irrigation system ' Must complete reverse side of applicarion aiso. Required meter size is 2" turiw unless smaller size permitted by Public Works \ ? DESCRIPTION OF WORK $u%?i?i ?.?/2 'r?g1Jr,Jt B?Ta ??UA'$SI 31%d!.` To inquire if Pressure Reducing Valve is required on new service, call 651-681-4646 '_k_3,41 ME1'ERS - Call 651-681-4300 to verify that hydrostatic, conductiviTy, and bacteria tests passed orior to nicldne uo meter '?`C f' ?o'r'1 ?, Ov? Irrigation Size & Type Avg GPM Fire Size & Type Avg GPM Domestic Size & Type Avg GPM Lft Dces this include high demand devices? ' Ye No FLUSHOMETERS Yes / No PRV REQUIRED _ Yes ?No SiteAddress: 345o -P11-oT Kb1eZ 74 _ TenantNazne: kXL.Lia.N $?XeG.BwrLfGE?twJ.S?A'hoJ I?CTelephone#: ?'9oye- 2$0 -59I0 (Area Codej . . Was there a previous tenant in this space? _ Y ?N. If Yes, Name: InstallerName: M%O'C+V`1 Telephone#: -I63'1 S1`1/00 {? (Area Code) InstallerAddress: 9)03 S?AJQ`??+RT 5'?¢ksr City: State: "0 Zip Code SS441 oe FEES Contract price S Q00 OD x 1% ($50.00 minimum) Contract Fee S Jr I`J " ?i 2$ 00 Meter(s) $ A19 1 ? U O Required on all aew buildings & boulevard irrigaHon systems ?,Radio Meter Read $ I t? _t) 0? Surcharge: $.50 Minimum. If contract fee exceeds $1,00Q calwlate at State Surcharge $ 50 cents per $1,000 contract fee. ' Total From Reverse New Service $ Totel s l `a 14a. S? I hereby acknowledge that I have read this appticanon, state that the infoimation is conect, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the Ciry of n assumes no liabiliry for any damages caused by the Ciry dtuing its noimat operational and maintenence activities to the facilitles constructed der his permit within City propertylright-of-way/easement. SI ATURE OF PERMITTEE .7 CITY USE ONLY REQUIRED INSPECI'IONS: _ U.G. _ Air Test Gas Test _ Rough In _ Final b-2fr v( PLANS SUBMITTED APPROVED BY: , BUII.DING INSPECTOR IRRIGATION SYSTEM (CONT) Service: _ existing (if coming off domestic line) OR _ new If "new servece", contact ,lerry Wobschall, Finance Consultant, to confrrm adding fees for: Water Permit & Surchazge - $ 50.50 $ Water Supply & Swrage - $ 860.00 $ Water Treatment Plant Charge - $516,00 per SAC unit $ Fees to be added to front side of apptlcation $ GENERAL INFORMATION • Radfo Meter Read (required on all new buildings & boulevard irrigauon systems- $153.00 ) • Water meters include copperhom/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" irrigation syst $ 727.00 sm commeroial turbine"• •*must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $149.00 4-160 2" turbine lg irrigation syst $ 899.00 maximum residential & contmuous 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 units maximum sm commercial & continuous & Ig comm bldgs 25 irri tion s stems 5-100 1-1J2" bldgs 25-64 units $428.00 meximum displacement & continuous most comm bldgs 50 METERS RFOUIRNG 30.DAY ADVANCE NOTICE PROR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5350 3" tur6ine very Ig urigation syst $t,l &4.00 6-500 4" compound +300 unit bldgs & $3,476.00 & production linea very Ig comm bidgs 1/2-320 3" compound +200 unit bldgs $2,212.00 10-1000 6" compound +400 unit bldgs $5,711.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig imgation syst $2,132.00 & productionlines mments • To schedule inspection of the inside water line and bacldlow preventer, ca11651-681-4675. • To azrange for water wrn-on, ca11 65 1-68 1-4300. cc: Kris Forstu, Mavrtenance Division Clerical Technician Updated 1/01 ? Lot i Block ?) ?- PID# Jf.C? ??1 '5-- Plat Sewef /water pCrmit # Date ' ' f 1 Receipt # dxl h o 1" p no. ? CITY OF EAGAN ? 1999 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES ?,. EXISTING COMMERCIAL PROPERTY Sewer L,ateral charge @ $21.85/ff Trunk @ $1,835/acre City SAC @ $ ] 00/unit Base SAC @ $1,050/unit Date paid Receipt # Sewer permit & surchazge Subtotal Total es fI, J? SP4,tw 5°-DO vsfL'RM=So.ov ?V-1-U?r?g .5? Water $ Lateral charge @ $27.85/ff $ Trunk @ $1,920/acre Water supply & storage @ $3,030/acre Treahnent plant @ $468/SAC unit Water permit & surcharge 50.50 50.50 Subtotal s $ _ Plumbing permit & surchazge 30.50 Total $ S Sewer and Water Sewer lateral charge @ $Z 1.85/ff $ Water lateral chazge @ $27.85/ff Sewer trunk @ $1,835/acre Water trunk @ $1,920/acre City SAC @ $100/unit Base SAC @ $1,050lunit Date paid Receipt # Water supply & storage @ $3,030/acre Treatment plant @ $468/SAC unit Sewer and water permit & surcharge 100.50 suncotal s Plumbing permit & swchazge 30.50 Total g=LZOY-0 Number of SAC unrts is determined by the Metropolitan Council Errvironmental Services (651-602-1000). ------ -------- ------- --------- ----- --------- ------ ------- ------- -------- ------ ------- ----------- ------- ------- - ? OFFICE USE ONLY Propert owner II 1i?tuL'?'? A 2A.?cS, T J4,p? -? ?I, PRV required 3y?? ?t?ar ???"V Address ,raAKnl?0relr 'f4?As I I SrI4l-? -/Lb E' 2 I R-O-W Permit: City Cty. Phone number ? Unpaid ? Permit Fees Plumber -00 ?aew, 3- 600 ,i I Ciry financed ?? ? r ' city of eaqan MEMO TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS MIKE RIDLEY, SENIOR PLANNER CAROL TUNIINI, UTILITY BILLING CLERK BOB KRIHA, CONSTRUCTION INSPECTOR STAN LEXVOLD, CONSTRUCTION SUPERVISOR TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DE5IGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT PAUL HEUER, SYSTEMS ANALYST ERIC MACBETH, WATER RESOURCE COORDINATOR MARK ANDERSON, ELECTRICAL INSPECTOR 5COTT PETERSON, PLUMBING INSPECTOR FROM: TERRY ZELENKA, COMBINATION INSPECTOR DATE: OCTOBER 2, 2001 SUBJECT: FINAL INSPECTION i 3450 PILOT KNOB ROAD EAGAN TRANSIT STATION LEGAL: LOT 1 BLOCK 1 MVTA EAGAN TRANSIT STATION The Protective Inspections Division will be performing a fmal inspection of 3450 Pilot Knob Road on Thursday, October 11, 2001. If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, ar department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. CD/bldg insp/misc/final insp • comm bldgs ? . ??- , 14 (.0 ?H '-A 's- I S, --1 L'(- L. q c:?-- Foundation Onl New Construction . Interior Im rovement • Structural Plans (2) sets • ArchitecNral Plans (2) sels • Architectural Plans (2) sets • Civil Plans (2) . Structural Plans (2) • Code Anarysis (1) " • Certificate of 5urvey (1) • Civil Plans (2) • Project Specs (1) • Code Malysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) . Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Cer6ficate of Survey (1) • Energy Calculations . (1) not always" • SoilsReport (1) . Spec.Insp.BTestingSchedule (1) " • EIec.Power&LighUngForm (1) not always" • Meter size must be estahlished • Meter size musl be esWblished • Meter size must be esta6lished - if applicable • ProjectSpecs (t) . 1 • EnergyCalculations (1) " 1 d • Electric Power & Lighdng Fortn (1) ! • Master Exit Plan (1) 1 L • Fire Protection Plan (1) 1 • Soils Report (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter . MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 pll 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-07 0 for details. DATE CJ O WORK TYPE 2(NEW _ REMODEL CONSTRUCTION COST ?7?? ?7S SITEADDRESS 34,50 r.-VIob PoaC5i • TENANTNAME CO/es Sa/0 FORMER TENANT NAME y? SUITE # ? 7 / 3P DESCRIPTION OF WORK ?640 1 ?-°1m'/f ?7l'1 /s7 49 V 166?&1-iv Name: _ ??? Phone#: PROPERTY Last First OWNER I A' ° JJ StreetAddress llj?o ?U?V? /V lCo//? CiTy &(rm3 U?/ I/e- State /,/A) Zip CONTRACTOR Company Sheet Address: City &a v?r.? vi Jle State rn/V Zip ARCHITECT/ d`. ??-?J 0 / 2 ?7 7? ENGINEER Company /! J??/'V?1 l? Phone #( JEo`? 4;'?/;b Name .41clo `( PIG{ 7C?)C/s7? Street Address //L'CJV 74''1 %Gt J f• lln) II IAI ? City ?? YJYIP?p??/?Q - S[ate ' ?'nsr?(e s/??ce an Licensed plumber installina new sewerlwater service: (5?60? ??? /i/? • Phone ZC'A77 J441¢7e ?- I hereby acknowledge that I have read this application, state that the information is corre nd gree o ly II applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Updated 1/Ot 61 1 conCUExcLAL Lp,?'0.i-.111UILDING PERMIT AEPLICATION CITY OF EAGAN 651-681-4675 OFFICE USE ONLY . . ? SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartmen ts ?27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code K3"7 Zaning p? sq. ft. SAC Code _30 # of Stories J sq. ft. No. of Units U Length sq. ft. No. of Bidgs. 1 Width sq. ft. Const. (Actual) TI/V Basement sq. ft. MC/ES System cs (Allowabie) N First Floor sq. ft. 4bAI City Water ar UBC Occupancy sq. ft. Fire Sp rinklered Ycs MISCELLANEOUS INSPECTIONS ? Gas Service Test ;B'Heating ? Insulation 1?' Plumbing ? Stucco/Stone APPROVALS Planning Building &--rn Engineering Variance VALUATION $? 7 y? OGO Permit Fee Surcharge u Plan Review 30 MC/ES SAC OSD , DO % SAC lUU City SAC / 700,00 SAC Units -7_ Water Supply & Stora ge Meter Size S/W Permit S/W Surcharge Treatment Plant 3 612 . Park Dedication Traiis Dedication Water Quality Other Copies Total 1 Sa746, KS f ' Metropolitan Council Improue regional competitiueness in a globo June 18, 2001 Dale Schoeppner Building Official Gity of Eagan 3830 Pilot Knob Road Eagan, MI?T 55122 Dear Mr. Schoeppner: leconomy Environmental Services , J{}y 19 2001 _..' "..... .....mrmtrTinN The MetropoGtan Council Environmental Services Division has determined SAC for the Cole's Salon to be located at Eagan Trar.sit Station within Yhe City of Eagan. This project should be charged 7 SAC Units, as determined below. SAC Units Charges: Cutting Stations 34 stations @ 4 stations/SAC Unit 8.50 Manicure 11 employees @ 14 employees/SAC Unit 0.79 Total Charge: 9.29 Credits: Retail 6091 sq. ft. @ 3000 sq. ft./SAC Unit 2.03 Net Charge: 7.26 or 7 If you have any questions, call me at 602-1113. Sincelgly, l/ a 4. ?'? .f?ll 7odi L. Edwards Staff Specialist Municipal Services Section 7LE: (95) 01061854 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan David Wafock, Skarphol Construction Group www.metrocouncll.org Metro Into Line 602-1888 230 East PoRh Slreel • SL Paul. Minnesota 55 10 1-1626 •(651) 602-1005 • Fae 602-1138 • 7'IY 2293760 w PERMIT#: H Co ( "D ') CITY USE ONLY APPROVED BY: 1/. /p , INSPECTOR RECEIPT DATE: -1 - 1-1- oI COMMERC!lkl. MECfiAN1CAL PERM1T APPLICATIOR CITY OF $A8l4N 3830 PILOT KNOB RD KA6AN, MA 551 EE 651-681-4675 Please complete for: all commercial/industrial buildings multi-family 6uildings when separate permits are not required for each dwelling unit DATE: 7-/ 3- oZ 0 0/ srrEtwDREss: 3 yS0 ??" /o -?- n 0 ?2d OWNER NAME: C, o?e `s S n n t a r Y o u PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: E0 .f ??(J ?. r /Y Ea,7', n a 5? C o o!. In o ADDREss: /,Zs3 -7 -Da A bu_rv Way PHONE#: (ARF.A CODE) CITY: 2o Sf-rn o u, n+- STATE: M A) ZIP: SSO 6 0 WORK Tl'PE: ? New construction _ Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nature of W ork: S 5 clk?+wark 4- S. . , E r ' f f Aea.-F. eeouerV Uen+;lafor as per p/a.rl When installing/removing underground tahk, call 651-681-4675 for inspection by Fire Marshal and Plumbing linspector. nn 1 TOTAL Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Undergound tank removaUinstallaHon = minimum fee 1Contract price: 6 0 x 1%_$ ?a (Base Fee) F.!400.BWai--sF]Fee- State swcharge calcutate at $.50 for each $ a 2 o?? . C? fATURE OF PERMIT"fEE Updated 1/Ol CITY• USE ONLY PERMIT #: RECEIPT DATE: RUIDENTIAL MEGH"CAI. PEfiMIT APPLIClFTIOA crrY or $Asex 3830 fII.OT ILAOB RD £A6AF M1Y b51 EE 881-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: OWNER NAME: TELEPHONE #: (AREA CODE) INSTALLER NAME: STREET ADDRESS: TELEPHONE #: CITY: STATE: ZIP: Plaea a rheck mark nnx4 fn fha nnrmi} wnrlr 4vna (AREA CODE) New residentiai dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existin dwelling unit $ 50.00 • fumace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ .50 Total $ Reminder: Ca11 for inspections. SIGNATURE OF PERMITTEE Updated 1/Ot CITY USE ONLY PERMIT #: 14 L PRV REQUIRED Yes ?- 10 + 1C COMMEitCilkL PLUMSINH PERMiT llPPI1CATlOft t 2- CI7'Y OF Si46kA ? 3830 PILO'f KFOB {iD £R6AA, MlY 581E4 e61-881-4875 INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date: 1' 1'-0' WORK 71'PE ' New Bldg Add-on _ Repair RPZ PVB ` irrigation system • Must complete reverse side of application also. Required meter size is 2" turbo onlees smaller size pertnitted by Public Works DESCRIPTION OF WORK ,0I0h1 _4 YOY To inquire if Pressure edu I is required on new service, call 651-681-4646 METERS - Ca11651-681-4300 to veri£y that hydrostetic, conductivity, and bacteria tesu passed Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disulacement $149.00 Domestic Size & T}pe Avg GPM Dcea tlils include high demand devices? _ Yes _ No FLUSHOMETERS _ Yes _ No Site Address: 1 J u t 11200, i RECEIPT DATE: ` ` " 6 Tenant Name: l ? 1 P?? c?Q ? 0 ?l Telephone #: vl S a- ' g 3 ?'? 0 U (Alea Code) Was there a previous tenant in this space7 _ Y_ N. If Yes, Name:. Insraller Name: 6r Cdf WPSf NI e(;h, Installer Address: CiTy: i Telephone #: 1?7? - 2(D 3- fpZ??, (Area Code) State: FEES Contract price $5Z1 0 0 Q, 0 s x 1% ($50.00 minimum) Requ'ved on all new buildings & boulevard irrigaHon systems (Acct # 9220-4509) Surcharge: $50 Minimum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 conuact fee. Total From Reverse NA_ Zip Code 30 Contract Fee Meter(s) $ Radio Meter Read $ State Surcharge $ • ,?U New Service $ Totat $ I hereby aclmowledge that I have read this applicarion, state that the infonnation is cortect, d agree to c ly with all applicable Ciry of Eagan ordinances. It is the applicanfs responsibiliryto nodfy the property owner thet the City of Ea sumes no liab ty for any damages caused by the Ciry during its normal operarional and maincenance activities to the facilities constructed under th' permit within ' property/right-of-way/easement. ? SIGNAT OF PERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ A'v Test _ Gas Test _ Rough In _ Final /)-?`7 - (,L-0/ PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR IRRIGATION SYSTEM (CONT) Service: _ existing (if coming off domestic line) OR _ new If "new service ", contact Jerry Wobschall, Finance Consultanr, ro confrrm adding fees for: Water Permit & Surcharge - $ 50.50 $ Water Supply & Storage - $ 860.00 $ Water Treatment Plant Charge - $516.00 per SAC unit $ Fees to be added to front side of application $ GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $153.00 (Acet Code # 9220-4509) • Water meters include copperhom/strainer, remote wire, and rouch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $115,00 4120 1-I/2" irrigauon syst $ 727.00 sm commercial turbine'• "'must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $149.00 4-160 2" twbine lg trrigation syst $ 899.00 maximum 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 units maximum sm commercial & continuous & Ig comm bldgs 25 irsi tion s stems 5-100 1-1/2" bldgs 25-64 units $428.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PR[OR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very !g irrigation syst $1,184.00 6500 4" compound +300 unit bldgs & $3,476.00 & production lines very Ig comm bldgs 1/2-320 3" compound +Zpp unit bldgs $2,212.00 ]0-]000 6" compound +400 unit bldgs $5,711.00 very Ig comm bldgs very lg comm bldgs 15-1000 4" turbine very lg irrigation syst $2,132.00 & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To arrange for water tum-on, ca11 65 1-68 1-4300. cc: Kris Forsta, Maintrnence Division Clerical TxLnicim Updated 1/0I m JTW COMMERCIAL BUILDING PERMIT APPLICATION ' CITY OF EAGAN ?Ya651-681-4675 c?.?.?..? (, 19 ? ci ) Foundation Onl New Construction Interior Im rovemeni • SWCtural Pfans (2) sets • Architecturel Plans (2) seLs • Architectural Plans (2) seis • CivilPlans (2) • SWCturalPlans (2) • CodeAnalysis' (1) •' • Certificate of Survey (1) . Civil Plans (2) • Projed Specs (1) • CodeMalysis (1)" • LandscapingPlans (2) • KeyPlan (1) • ProjectSpecs (t) • CodeAnalysis (1) ^ • Master Exit Plan (1) • Spec. Insp. & TesGng Schedule " • Certifiwte of Survey (1) • Enargy Calwlatlons (i) not aiways" • Soiis Report (1) . Spec. Insp. & Testing Schedule (t) " • Elec. Power 8 Lighting Fortn (1) nolalways" . Meter size must be established • Meter size must be established • Meter size must be establlshed - if applicable • ProjedSpecs (1) 1 • Energy Calculations (1) " ! 1 • E10ttric PowBr 8 LighUng FOrtn (1) " 1 1 • Masler Exit Plan (t) 1 1 • FireProtectionPlan (1)" 1 1 Soils Report (1) 1 • MGES SAC determination letter • MC/ES SAC determination letter . MGES SAC determination letter call 651-602-1000 pll 651-602•7000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE OLF WrK TyrjE REMODEL CONSTRUCTION COS4I I ???. SITE ADDRESS ?3 qt)` ( ryE. CO4-r \N _)E,<" TENANT NAME IVLF$LGK•S COPFFF /flM2StIY SUITE # FORMER TENANT NAME ^ DESCRIPTION OF WORK Name: Yir^t-c.p--? t*-L. Phone#: ( la ? Z) 613 ' IZIZ PROPERTY Last us[ OWNER StreetAddress &GCJ S,7CLTA I&q , `JIIIT-F? 11'14 City M11JI??i-Po1?15 State Mf? Zip 5wGo C='nP=ny IJG.'Phone# ( 651 .l '(0 CONTRACTOR SneetAddress: 1I64-6 Mr4 SfFEET &6=0 ? r ctcy L#K-f- e1.rMv st8 P 66?4z-?158Co ? APR. 2 5 200 ? ARCHITECT/ ENGINEER Company ,Nl. I T`LLIJO-r-- A. Phone # 541- 131Z Y----- Name IT egisuarion# ?aD Saeet Address ZLq kIor,4 5P4,,;*1D ST. . 57-,?b ( _ City I 0 o I_I S - State Zip 554P11- 1/F54- Licensed plumber installina new sewerlwater service: Phone #: I hereby acknowledge that I have read this application, state that the information is Minnesota Statutes and City of Eagan Ordinances. _ agree to cqOnply with all applicable State of SignaWre of OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apartments O 15 Lodging ? 25 Miscellaneous WORK TYPE ? 26 Public Facility )Sj?-27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 30 Accessory Bldg. ? 32 Ext Alt - Apts. ? 34 Ext Alt - Comm. 0 35 Ext Alt - PF ? 37 Nail Salon • ? , - I ? 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors Z] 32 Addition ? 36 Move Bldg ? 43 Reroof u 47 Repair ? 33 Aiterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 'y3 7 Zoning P O sq. ft. SRC Cods 3 # of Sferias f sq. ft. No. of Units 6_ Length 6'0 sq. ft. No. of Bldgs. t Width 9- ti.5 sq. ft. Const. (Actual) -jjii? Basement sq. ft. MC/ES System et? (Allowable) D? A/ First Floorsq. ft. 1 ?;L3 City Water ?, ea UBC Occupancy A-3 sq. ft. _ Fire Sprinklered es MISCELLANEOUS INSPECTIONS ? Gas Service Test ar-Reating ? Insulation Plumbing ? Stucco/Stone APPROVALS Planning Building &re . Engineering Variance Permit Fee 1? 0 yq, 7 5 Surcharge S 5,00 Plan Review 6IRZ, 3y MClES SAC ? ? I S 0, 0 U City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant E16, 00 Park Dedication Trails Dedication Water Quality Other Copies VALUATION $ IOOn % SAC T°O SAC Units Meter Size _ Total 3 ?? -t) . 0 5 r ' it Metropolit" Council lmproue regional competitiueness in a global economy Environmental Seruices Apri123, 2001 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has reviewed the SAC assignment for the SYarbucks. The original letter for this determination was dated Apri16, 2001. This project is located at the Eagan Transit Station within the City of Eagan. This project should be charged 1 SAC Unit, as originally assigned. The SAC review is based on new updated information. This determination follows: SAC Units Charges: Coffee Shop 28 seats @ 23 seats/SAC Unit Credits: Retail 1723 sq. ft. @ 3000 sq. ft./5AC Unit 1.22 0.57 Net Charge: 0.65 or 1 It is the Council's understanding that the Eagan Transit Station, will pay the base retail SAC charge. If you have any questions, call me at 602-1113. Sincerely, ^ ? ? . l? I Jodi L. Edwards Staff Specialist Municipal Services Section JLE: (320) 010423 SD cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Mitch Booth, CM Architecture www. metrocouncll. org ???? r r l? ls ?? ; ?I APR 25 2001 Me[ro Into Llne 602-1868 230 East FIRh Stree[ • St Paul. Mlnnesota 55I01-1626 • (651) 602-1005 • Farz 602-1 l38 • 11Y 229-3780 An M ^l OppwwnLLy EYnplayer cirsr usE oNr.Y PERIbar?r RBCEIPrnwlM Sme & 1ype I Date: `!•//-? f WOBK'TYPE X New HWg _ Add-m _ RcpaQ RPZ PVB _" hrigaIIm syMem • Mmt oanpl?oe eewse dde afapptiadon ako. Rcqmed mnoer sine it 2` M6o gm iimallw srm pamitmd by Pu61ic Warla DESCRIE"1'IOAI OF WOItK ro hmpdm ff Presme Resisiting vahe is reqohred os ww srvke, ea11661fi81-4646 W1'ER.S-((a0 651fi81-4300 to vctifY dW hYi1mstattic, cwAwtivih', md bactcria Les1s pasctad udor to okldna on mehr FWc DOIMMMli. M?P881IIT 1kF'PL[Cik7i0P GiYtlFS? ?8so?l?P?GB? z11B81ymin1!! r 6S1-4A1-1b78 NOTBE size & Rioe 31,C disnlacemmt ' Domestic Stiae & 1we Does 1Le inelode higp demsod devicesP _ Yes sae namoa- _ No s?o ?ok ?vc?b P11tv TmmtName: S7rrc b?.?t,?S C? ? VI/as Ihae a pwvions tmmt m tLus spaoe? _ YX N. If Yes, Name:, ItM11cNam`. Cc? Avg GPM $149.00 Avg GPM IRED _ Yos _ No „? I? a?• I??- Y?,a 4, _ . Tekphone #: (Am Co&) TWepbom #: 9 5a 8$y-,7 23 (??) lastaua wadress: ?2nt SIi- 2 cSty: State: MU ZipCode 554zo FEB3 CoWaet prioe S z 1% (S5Q00 minimam) Requued m sll oew bmldougs & bodevard migation systems (Aed # 92204509) SmcLarge: E.SO Mmmum. If eh t fee excceds 51,000, calculau at 50 cems pa E1,00U contraa fce. Totel From Reverce Contract Fee S I 45. 50 Meter(s) $ Radio Mehr Read S Stste Smeharge S • :5r-> New Servke S Tohl I hmeby acknowIMp Wat I have iead this applitxtim srsme thst t6e mfamalion is canct, and avee to ad'mmm It is the sppbcmWs rapavsbitity to notify the property owm thu the City of Fegen assumas no muiog os nanmal apasaioosl aod manscasuce acavffies to the facilities rnoat[ucoad ryda ttiis pycmit with s 14b•oo >mpty with all applicable Ciry of fiagen blity ibr mYdmmges caused bYft CLtY CitY ProPftt"t-of-way/easemeat CITY USE RSQODtF,D INSPF.CIiONS: _ U.G. _ A'v Test _ Gas Test _ Rough In _ Froal PLANS SIIBMPITED APPROVED BY: 6 P 4-?^?/, BUII.DING INSPECTOR IRRIGATION SYSTEM (C01v'r) ' ' Service: _ existing (if coming off domestic line) OR _ new If „new service", contact Jerry Wobschall, Finance Consultant, to con'firm addrng fees jor: Water Permit & Surcharge - $ 50.50 - $ - • Water Supply & Storage - $ 860.00 . $ Water Treatment Plant Charge - $516.00 per SAC unit $ Fees to be added to front stde of applicaHon $ GENERAL INFORMATION • Radio Meter Read (required uii a31i;,v b'uildings & 6oulevard irrigation systems- $153.00 (Acct Code k 9220-4509) • Water meters include copperhom/suainer, remote wire, and touch-pad meter - GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8"displacement residential $115.00 4120 1-112" irrigationsyst $ 727.00 sm commercial turbine" *'must receive maximum approval from - continuous Public Works 10 2-30 3/4" dieplacement lavm iriigation $149.00 4-160 2° turbine Ig irrigation syst $ 899.00 maximum residentia] 8c continuoua sm commercial production lines IS 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 mauimum sm commercial & continuous & lg comm bldgs 25 irri ation s stems 5-100 1-1/2" bldgs 25-64 units $428.00 maximum displacement & continuous most comm bldgs 50 GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lg irrigation syst $1,184.00 6500 4" compound +300 unit bldgs & $3,476.00 & productian lines very Ig comm bldgs . 1/2-320 3" compound +Zpp utlirbldgs ? $2,212.60' •' `? . 1000 ' ' 6" ?ompodnd' +400 unit bldgs $5,711.00 very Ig eomm bldgs. ... :: , " .: ;' very Ig comm bldgs 15-1000 4" nubine very ]g irrigation syst $2,132.00 .... . .. ,.... & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To arrange for water turn-on, call 651-6814300. cc: Kns Forsrer, Maintenarice Division Clerical TecMician Updazed I701 CITY USE ONLY PERMIT #: 9 -Z ? lo ` RECEIPT DATE: APPROVED BY: ? P INSPECTOR COMMEftCL4L 11ECEANICA1. PFItM1T APPLICATION CITYOF EA&!kN 3850 PILOT KNOB !iD E,asAx, Mv 551 EE 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: to' 3 -O j SITE ADDRESS: 3q$ d LUT K0d G grJ Af) r= ? ftiA U SS 1 l Z., OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): S T!> R B U Ll'" S WAS THERE A PREVIOUS TENANT IN THIS SPACE? VY N. NAME: INSTALLER: C, Q GA e2i_s o a.-1 A( ?t Cc ti,Q C-G I ADDRESS: IL?a M2 y aQLT AJ7€ iUc). PHONE #: (, ( 2 - S,'l (-Z 6`t %) (AREA CODE) CITY: IM P C_S ' STATE: YM 103 ZIP; L? WORK TYPE: New conshuction Install U.G. Tank Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: J A)S C AI.C_ ?')vN41 X?2 8 l GFV S?iPS ? Is ? `o? s-r TG AC.GO rv? art O/?,?aT?-? (J ? w -crx?? eLA A) _ When installing/removing underground tank, ca11 651-681-4675 jor inspection by Fire Marshal and P[umbing Iinspector. Fees: 1% of conuact price OR $50.00 minlmum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contractprice: $?_xl%=$ $,S (Base Statesurcharge ? ?Z) TOTAL $? 3?9 •a`I i-- ?1 ? F- J i?• ''? I? ?i`? n1? ' !??i - u - ?J $.50 for each $1,000 Bas Fee R.a'.-,_-- 9. ?'L, ? SIGNATURE OF PERMITTEE Updated 1/01 CITY,USE ONLY PERMIT #: RECEIPT DATE: MIDENTIAL MECHkNICAL PEMTf APPLICFcTION crrYog ensm 3830 PII.OT KAOB iiD EABAN M1Y 55122 631-691-4675 Please complete for: ? single family dwellings townhomes and wndos when permits are required for each unit Date: SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: STATE: Plaee a eheck mark nPYt te ihe earmit wnrk tvoe TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) ZIP: New residential dweliing unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existina dweiling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: ' State Surchar e $ .50 Tota I $ Reminder: Cal[forinspections. SIGNATURE OF PERM[TTEE Updated 1/01 ??? l f?loc.k l ??Y??? COMMEACIAL W?v T'A iYjING PERMIT APPLICATION , ? • CITY OF EAGAN 651-681-4675 Phone # ( gJ 7 ) 9 Registration # Foundation Onl New Construction Interior Im rovement • SWctural Plans (2) seGS • NchitecWral Plans (2) sets • Architectural Plans (2) sets • CivilPfans (2) • SWcturalPlans (2) • CodeAnalysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landspping Plans (2) • Key Plan (1) • Project Specs (1) . Code Analysis (1) ° • Master Ebt Plan (1) • Spec. Insp. 8 Testing Schedule " • Cartificate of Survey (1) • Energy Caiculations (1) not always- . Soils Report (1) . Spec. Insp. & Testing Schedule (1) ^ • Efec. Pov.er & Lightlng Form (1) notalways•• • Meter siae must be established • Meter sizB must be es[ablished • Meter siza must tie established - if applicable . Project5pecs (1) 1 • EnergyCalculaGOns (1) 1 • ElecVic Po%+.er & Lighdng Form (1) " l. 1 • Master Etit Plan (1) 1 1 • Fire Protectlon Plan (1)'" 1 y . Soiis Report (1) 1 • MGES SAC determination letter • MGES SAC detertnination letter. • MGES SAC determinatlon letter call 651-602-1000 call 651-602-1000 cafl fi51-602-1000? " Contact Building Inspections for sample Food & heverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE WORK TYPE EW REMO?f-C NST.R C??SIOrN} COST? ? 1? ?)•'`.? "?. ?YiCi?I''Cil ? a s• SITE ADO iJ v TENANT NAM - _, D a ? ? 3 SUITE # /0-3 FORMER TENANT NAME DESCRIPTION OF WORK 7C4A1 D u-r Name: ?a k en ?? r? I Phone#: ?Ic D y? a? +?'? ^ .?'9 I a PROPERTY Last First OWiVER - - -+ . ?c CONTRAGTOR City 1' AA/lP. V c jY`a ' State ` lehidh Zip 3 0? 0 0'0 Companyf?p!5 e.W0 r, t) L&.vSt, ?n.'?ic•-'5 Phone# ( & `J 2 ). /, 3 1 -170 () Street C7. i ? City ?p h A Se ? r I/e State 4,tJ Zip / / 3 ARCHITECT/ 1 ) ENGIPIEER Company p/yq U *?+l sY i'1 r5 ` Td r,ame mA4 Street Address I.a S-19 Licensed plumber City pAI'Ic ?! c1 s 6e- State I hereby acknowledge that I have read this application, state that the information is S (? ,L `6 a.L? iNOftZip Cvdtg tl' 7 Phone #: ( 7di 3.1? 4VI-My A and agree to comply with aII applieaBle State of Minnesota Statutes and City of Eagan Ordinances. `?????? Signature of Applicant:?..r? Updated 1/01 OFFICE USE ONLY ? SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments A 27 Commercial/Industrial ? 32 Ext Alt -Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bidg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning D sq.ft. SAC Code 150 # of Stories sq. ft. No. of Units I Length sq. ft. No. of Bldgs. Width sq. ft. ' Const. (Actual) Basement sq. ft. MC/ES System 7 (Allowa6le) First Floor sq. ft. City Water ? UBC Occupancy p? • aj sq. ft. Fire Sprinklered MISCELLANEOUS INSPEC TIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Bu ilding Cr'?v3 Engineering Variance J 1-VALUATION $ G 5Z7 U O ?-? ? Permit Fee t ? ?3 Surcharge C) ? Plan Review C? 1-94 MC/ES SAC ?- 3 U 0 , 0 _') % SAC I U U c7 Ciry SAC '?- O 0 0 U SAC Units a" Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedicatiqn Trails Dedication Water Quality Other Copies : Total s (, , lo ?S a - ? I Metropolitan Council ?'Improue regional [ompetitiueness in a global economy Environmental Seruices September 21, 2001 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Boston Market to be located at Eagan Station within the City of Eagan. This project should be charged 2 SAC Units, as deternuned below. SAC Units Charges: Restaurant (fast food) 56 seats @ 22 seats/SAC Unit Credits: Retail 2940 sq. ft. @ 3000 sq. ft./SAC Unit If you have any questions, call me at 602-11 l 3. Sincerely, QCI?L d J Jo wards Staff Specialist Municipaf Services Section JLE: (320) 01092155 2.55 0.98 Net Charge: 1.57 or 2 -_- , ? , ?. Cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan _ __- Tom Nutley, Chipman Adams Ltd. www.metrocauncil.org Me[ro Info Line 602-I888 230 Fas[ Fifth Slreet • SL Paul, Minnesota 55101-I626 • (651) 602-1005 • Fazc 602-1138 • TIY 229-3760 An Pquqt Opporturuty E,nployer CHIPMAN ADAMS LTD. . ARCHITECTS 1550 N NORTHWEST HWY 4th FLOOR PARK RIDGE, IL 60068 (847) 298-6900 (847) 298-6966 http://www.ca-ltd.com TRANSMITTAL City of Eagan 3830 Pilot Knob Road Eagan, Mn 55122 PHONE: ATTN.: guilding Inspections Dept. FROM: Tom Nutley RE: Boston Market Eagan Station Eagan, Mn. ENCLOSED PLEASE FIND THE FOLLOWING: 2 Full size sets of architectural drawings for plan review Please call with any questions or comments DATE: September 14, 2001 VIA : Fedex Standard PROJECT #: 01-6826 IF ENCLOSURE(S) ARE NOT AS NOTED, PLEASE NOTIFY CHIPMAN ADAMS LTD. AT ONCE. d"6t11C?.?.,,..0 ,.AX;;M::}'k"r°=.n...... C.CTY LL I?1\(Y"A? _ V C'3i;-iTr R: J;i iT::.fiM7Nr;j_ NO: 928 Dpl°f':•r 19i0i99 'iTMQ 0`:?:i.c.,,'`;tJ 302 990; 3470 f'! T }.}.,1t; rirl :;CI.QO ?_S 5_ 9071 2470 I.., r H+* E; ;,:':i CI ''.-5;] 3116 2220 1, .+jp" TL!;'t3i7 633.00 T::11:al (ier...lp'r, F1mr:.AFii: 4165,50 Mi.71:'' ' U`,F;; )'I:. .:iA? L ? B ? SUBD. '?>e_b l? APPROVED BY: RECEIPT #: V' ? I -? 1 RECEIPT DATE PLiJMBING PERMIT # ;?l p J ? 1999 PLUMsuv? PEEtMrr fcoMMEtciaLl crrY oF f-As,euv S$SO f'ILOT KNfJB IiD F-AfiM,14IN 55122 (651) 6$1-4675 Please complete for: all commerciaUindusttial buildings multi-family buildings when separate building permits aze not required foceach dwelling unit installation of backflow preventer in commercial areas or residential boulevards Date:? f I 1 Work Type: _ New Bldg. _ Add-on _ Repair _ U.G. Sprinkler ? RPZ Description To inquire if Pressure Reducing Valve is required on new service, ca11681-4646. fEFS 1% of conhact price or $30.00 minimum Conhact Price: x I% _ $ COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROLIIVI) SPRINKLER SYSTEM Backf7aw Preventer Permit Fee - $ 30.00 f4>" 'T?,rbo Water Meter. 2" Turbo - $ 889.00 unless plan approved for smaller size Service: _ existing (if coming off domestic line) OR _ new !( „neu, service". contactJerrv Wobschall Finance Consultm2t to confirm ndrling,[ es for Water Permit & Surcharge - $ 50.50 Water Supply & Smrage - $ 825.00 Water Treatment Plant Charge - $ 468.00 Permit Fee 30.OC? s c, ??5.oa State surcharge is calculated from Pernvt Fee at right - S.so for each Q1.000 with a minimum of $.50 due State Surcharge $ - Sa Total Fee $ (, (, S • cs 0 I hereby acknowledge that I have read this application, state that the information is cotrect, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during iu normal operational and maintenance activities to the faciliries constructed under this permit within City property/right-of-w sement.? ' ?_\ ???\ si? nDnttESS: l )c TENANT NAME: ? INSTALLER NAME: ? ?? TELEPHONE #: (nxar, cooe) TELEPHOr'E#: e5?V- %sa-1S6S? (AREA CODE) STREETADDRESS: I CITY: STATE: zIP: 5-SP? CITY USE ONLY INSPECTOR TCJRE OF PERMITTEE CITY USE ONLY DOMESTIC METER SIZE _ COMPOUND TURBO PRV: Yes No • Contact Utiliry Billing Division for price: 651- 681-4631. IRRIGATION METER SIZE: • 2" hubo unless approval for smaller meter granted by Public Works. • Contact Utility Billing Division for price: 651-6814631. PRIOR TO SELLING A NiETER: • Enter site address on Screen 301, Permit Inquiry, to obtain sewer and water pernut number. • On PIMS Screen 320, enter sewer and water permit # to check that hydrostatic, conductivity, and bacteria tesu have been approved. If not, do not issue meter. Miscellaneous Information • Meter larger than 5/8" - ask plum6er ro wait while you call Central Maintenance (ext. 300) and verify that one is in stock. . To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To schedule water turn-on, call 651-681-4300. CD/Permit formyplbgpermit (comm)Q999 ? ,f ipti M E M ORANaD U(M n - TO: KENT THERKELSEN, CHIEF OF POLICE #2 TOM PEPPER, CHIEF FINANCIAL OFFICER JAMIE VERBRUGGE, ASSISTANT CITY ADMINISTRATOR MARK ANDERSON, ELECTRICAL INSPECTOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR TOM COLBERT, PUBLIC WORKS DIItECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER FROM: MIKE LENCE, SENIOR INSPECTOR DATE: FEBRUARY 4, 2002 RE: PLAN REVIEW - EAGAN TRANSIT STATION 3470 PILOT KNOB RD LOT 1, BLOCK 1 MVTA The plans are in our plan review section for your review and comment. Please return this form to mv attenHon with your signed comments and the date of review within seven days. If you have any concems with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you aze requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that aze to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No pazk dedication 0 Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No PAV Required ZONING? PD METER SIZE Signature Date CD/FORMS/PLAN REVIEW MIKE L UPDATED 4-6-O1 FIRE SUPPRESSION SYSTEMS Permit Application t-, I ?o City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and components [o be used l?zo.SZ? Date C9 ( l C6 lC) --'> Site Address: 3Lt-7c) ?? ?°? k Nob Rcct? Tenant / Building Name: The Applicant is: _ Owner _ Contractor // Other 01a ? PROPERTY OWNER Address: 34 '2 City: State: Zip: CONTRACTOR MN License No. Address: 7 QS'C? L`- ??? l0 City: Eik K'VPf State: I'11I? Zip: 5?-3 3c7 Phone#: qyt ao't9v ESTIMATED COMPLETION DATE: d l l aO l o3 FIRE PERMIT TYPE: _ Sprinkler System (# of heads Fire Pump _ Standpipe ? Other: WORK TYPE: New a,"Addition Alterations Remodel Other: DESCRIPTIoN OF WORK: t'/ Commercial Residential Educational Other: PLEASE COMPLETE REVERSE SIDE PERMIT FEE: ---• ,l?.? G ContractValue $ x .Ol% _ $ PertnitFee • If Permit Fee is $1,000 or less, add $.50 => $ State Surchazge If Permit Fee is over $1,000, add $30 per 1 000 Permit Fee 3/4" Displacement Fire Meter -$156.00 $ / a b . 5' d TOTAL FEE: $50.50 Minimum Fee (includes State Surcharge) $ I hereby apply for a Fire Suppression System pemut and acknowledge that the informarion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Wi)1i Wvv? 14• F<,C')?- vV??? ?1 ? Applicant's Printed Name Applicant's Signature // 860? f Date DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS _ Hydrostatic _ Flow Alarm _ Drain Test _ Trip _ Pump Test _ Centrai Station Final Conditions of Issuance: Permit Approved by: Date: / / 347 o P?;? " "- it Metropolitan Council Building communities that work Ehvironmental Seruices February 24, 2002 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Eagan Transit 5tation to be located within the City of Eagan. This project should be charged 1 SAC Unit, as deterrruned below. SAC Units Charges: Fixture Units 19 f.u. @ 17 f.u./SAC Unit 1.12 or 1 Ifyou have any questions, call me at 602-1113. Sincerely, ? A. &'u? Jodt L. Edwards Staff Specialist Municipal Services Section J'LE: (303) 020224SF Cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Steve Tracy, LSA Design q)? FEB 2 7 2002 www.metrowunr.iLorg Metro In(o Line 602-1888 230 East Fifth Street • SL Paul, Minnesota 55101-1626 • (651) 602-1005 • Fax 602-1138 • TTY 291-0904 An FqualOpportwtity Employer *cft oF eagen PATRICIA E. AWADA Mayor PAUL BAIQCEN PEGGY CARLSON C7NDEE FIELDS MEG TII.LEY Cowdl Man6ers THOMAS HEDGES CiryAdminittrator Mmiupal Cenmr. 3830 Pilot Knob Road Eagan, MN 55122•1597 Phonr. 651.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maintenan« Facility: 3501 Coachman Point Eagan, MN 55122 Phonr. 651.68I.4300 Fax: 651.681.4360 T'DD: 651.454.8535 www.dtyofagan.com THELONEOAKTREH The rymbol afmrngh and grwrth in our mmmuniry February 4, 2002 MR KYLE W ILLIAMS LSA DESIGN INC. 250 THIItD AVENUE NORTH SUITE 600 MINNEAPOLIS MN 55401 RE: !EAGAN AGAN-?ISI-?STA'F 470 PII.OT KNOB RO j/ n?? O MN 55122 ? ?? -? Deaz W. Williams: We have started our review of the construcrion documents submitted in pursuit of obtaining a building pemut 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 1997 U.B.C. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the items checked below be addressed: 2 sets Architectural Plans 2 sets Structural Plans ? 2 sets Civil Plans ? 2 sets Landscaping Plans 1 Code Analysis ? 1 Certificate of Survey ? ? 1 Spec. Insp. & Testing Schedule Other 1 Project Specs 1 Energy Calcularions 1 Electric Power & Lighting Form 1 Master Exit Plan 1 Fire Protection Plan (see below)* 1 MC/ES SAC deterrninarion letter 1 Soils Report If you have any questions regazding the above items, please feel free to contact me at 651-681- 4676. Sincerely, '" jz.? Mike Lence Senior Inspector ML/ld Enclosures * If Fire Protection Plan is checked above, please provide a plan on an 8-1/2" x 11" sheet of paper and a floppy disk - dxf Auto CAD release 14. This will assist emergency personnel responding to the site. An example is enclosed. ? Z . . ? BFECIAL IN8P8CTION I?ND TEBTING SCSEDULE (TO be uaed in aceordance with the 'Guldelinea !or Special Inepection and Teecinq-) PAOJECT NAHB LOCATION YROJECT NO. (1) p^RNIT NO. ? Type of Report AseigneC ec on ArtiCl Desc tion 2 FL m 3 Fre enc Firm ? ?? -lots.i vnl ; •z1 Ih Week EwtE M*Vodv o • Ma% OQj t. V ??0 . rmikeir"nA S o n0t.5.5 ?.k wwab . S c: a? I ?zo •e -L5 W S a on "S o 3. 4- 1,10I.S.q c+a +r?' 095? 9•80.3 -10 • UYVI& S' c-a Notes: Thia ec.*.e3ule to be :i11ed out and included in the project apeciiicaticn. Ini=z=:_ unavailable at that time to be filled out vhen applying for a building permit. (1) Permit No. to be provided by the Buildinq Official. (2) Uee deacriptiona per U.B.C. Section 170j.S (3) Special Snapector, Teetinq Aqent or Fabricator. (4) Firm eontracted to perform eervices. ACRNOWLEDCEMENTS =ach appropziate repreeentative must sign tielow: owne t:m: Mnnesdt'+Va"u Fate: ?.'t/}r.j - 7•2r.•o2 Cont irm: (?„v? - C,c ? bate: Z- V. oZ A:ch irm:?$h G Date: 2•?h.02- SER: irm: ??JkeY &?...YM 40&i t .Date: -z- 02 • SI: irm: ('y MiS Date: 2.2(v•o'L • SI: Firm: Date: TA: C?L Firm: .q Date: ?•ZG• ? iA: Fi[m: Date: F: Firm: Date: F: Firm: Date: • The individual namee of all pcoepective epecial inspectore and the work they incend :_ obeerve muot be identlfied on the reveree eide of this form. Leqend: SER ? Structural Enqineer of Record 5I ? Special 2nspactor TA ? TsatLng Agent F= Fabricator Accepted for the euilding Oepartment ey Oate: 6PL'CIII. i}lSPBCTION 6CHEDVI.L ` . o ?. . . ., . . ? ' ?? , . .. . . ? .. . . . ? .? ? , . A?5?zc6b y?$?G?i?? Q?-en??s S?-?,..??'?--?. ?; rv? C'SS??C ?G(f`D Gw.csi-?/ ^^A-synr? ? ? ? C.? I t ?; `?- Se?, , .?.r ? ?--?-nv,t} 'r'{ ?-?,? ? ,?,.,, ,? ,? , ? •, ?'r?x, c?"'?- c? • . ? ? 6DSDELINLB TOR BPECIIIL IRBDECT20N ]1ND TL8TZF0 PvRP"OlEs '!o provide n method for eamplyinq vSth the •peeiel Sn"eGion snd tootinq zpulremsnes ot the Unlfocm Buildinq Code (U.B.C.) and othar required •truetural 1nspaetlone ee suthorisW by V.B.C. 9ootion 10 b.3•S DETORi • TEAMI2 G11 EE ISSUEaI Tha •nqineer of reeotd ¦hall eaeplat• the Spociel In"etion and Testinq Sctfedule. The eompleted •ehsdul• 1• an •lenent oi the eonstruetion doaumenti and after permlt istuanco, baeanes part ?f the buildinq departmant spprovad plan• and speeifleations- Sh* canpletod •ahWul• ¦hall include the lollovinq. , 1. A•paelfle listinq of the items rpulrinq absorvation and tesiinq. ' 2. Sha •seoclsted •pecifLcation seetion and articla whieh dalinee the, applieeble standard• by rhieh to iudqe eonformance vith the spycoved olans aad spseifieations in aeeordsne* wilh U.B.C., Seotion 170I.5The ¦pealfieetions saetion should also inelude the deqree or baeSe o[ oDSaroation and tootinq; i.a., intermitient/wL11-call or full-GLne/continuoue. 3. ?he frequeney of reportinq, i.s., 1nGermittsnt, weekly, monthly, per tloor, etc. 6. The partiee ceaponsiDle tor perforainq the obeervntion and testinq vork. 5. The required aeknov:edgements by eeeh deeignated party. ALQU2RLl¢NTS: 'Special Inepeetion' (work requiring o0aervation and judqamsnt) and 'Testing' (vork analysinq maGeriala in accordance with approvad standarde) ehall meet the m!nlmum requirements of the Xinneaota Stete Building Code uhieh includee V.B.C. Section;7o1 snd the approved plane nnd spaeifieatione. (note: Obaervation and tssting vark doee not prevent he normal fleld involvement and record raviev proceee ot the Engineer of Aecord, nor ¦hell it relieve the eontraetor o[ any responeibility to complete the vork in accordanee vith the approved drawinqe end specitieatlona.) . RLSPOASIHZL2iIL5: Special 2nepector OCeerve the aork assigned for eonformance vith the buildinq department approved plsns, speeilieatione and applieable vorkmenship provieions oi the V:B.C. 2. Submit Snepeceion rapor!• Lo the building otfieisl, the seruetural engineer of reeord, and other deeiqnated peceone in seeordance with the Spacisl Inspaetion SaAedule. 3. 8ring .^.onconforminq items to the immadlate attention of the eontreetor for aorrection, then, !f uneorraeted, to the onglneer oC reeord end to eh* buildinq officisl. 4. Submit s flnsl aiqned report staeinq whalher the vork raquirinq ?peeial inepection ves, to the bast of*his/her knovledge, in ooniormenee with the approvsd plene, •paclfications and the epplleeCla workmenehip provlslons of the eode. TostLnq rgant 1. ieee the work aeeiqnad !or eonformenee vith the buildinq depertment approved plan• end •paeifieetions. _. SuEmit reporte o[ the teit raevlte to the buildlnq offleial, the ¦tructural engineer ot racord, and other designated persone in aceordance vith the 4eeting Schedule. Date: To Ciq or County of: _ Address: _ City: - pttention: Re: Final Project Report Projecc Name: _ Address: To µhom it may concern: This is co cenify thac I performed special inspec[ion on the following portions of the work at the above address which required continuous inspection, and which I was empioyed to inspcc[: Baszd upon mq personal obsenation and written repores of this µork. it is my judgment that the inspected work wai performed, to the best of my knouledge. in accordance with the approvcd plans, specificatioas, and [hz applicable workmanship provisions of the Uniform Building Code. Very truh vours. (Spc:ial lnspector's Signature) Print Full Name cc: ClienUOwner ArchiceceEngineer Stace: Zip Code: SPECIAL [!VSPECTOR FIN'AL REPORT Datt ID Number 25 , * . 3417 0 puol? fz? " GME CONSULTANTS, INC. CONSULTING ENGINEERS 14000 21 st Ave. No. / Minneapolis, MN 55447 Phone (763) 559-1859 / Fax (763) 559-0720 Date May 8, 2002 Penn-Co Construction, Inc. 2995 Lone Oak Circle, Suite 5 Eagan, Minnesota 55121 Attention: Ms. Sarah Maelon X 8nclosed please find 2 copies of Location Diagram Boring Logs X Laboratory Compaction Data X Field Reports X Field Compaction Data Gradation Teat Data Dynamic Cone Penetrometer Test Data X 3tatic Cona Penetrometer Test Data Concrete Teat Cylinder Reports Masonry Test Reports Bituminous Test Data FHA/VA Lot and Block Tabulation FHA/VA Compaction Summary FHA/VA Development Statement Sealed Jar 3amples X Caisson Depth and Obstruction Report Remarks: GME Project No.: 9857 Structure/Project:Eagan Transit Station Parking Ramp Location: Eagan, NIIQ n mAY o q 2002 COPIES TO: Mr. William Fossing - Walker Parking Consultants Mr. Kyle Williams - LSA Design, Inc. Senior Inspector - City of Eagan Sinceraly, GMfi CONSULTANT3, INC. ? Leslie J. Nordby, E . Project Engineer WILLIAM C. KWASNY, P.E. GREGORY R. REUTER, P.E., P.G. MARK D. MIILSOP, PG. THOMAS P. VENEMA, P.E. WILLIAM E. BLOEMENDAL, P.E. RYAN F. SCHMIDT, P.E. An Equal Opporwnity Employer W:\LSN\9B59Trane LtY.cd TAMMY A. HAKANSON, PE. ERIN J. 0'BRIEN, P.E. RICHARD W. PENNINGS, P.E. GIVIE CONSULTANTS, iNC. Project: Eaqan Transit Station. Parkina Ramp Eaqan Minnesota CONSULTING ENGINEERS General CoMractor. Penn-Co Construction. Inc. 14000 21st qvenue North Caisson Contractor. Atlas Foundation Com4anv Minneapolis, Minnesota 55447 ArohitecHEngineer: LSA DesianlWalker Parkina Consultarrts 783-559-1859 Fax: 763-559-0720 Owner: Minnesota Vailev Transit Authoritv GME Project Number: 9857 ADDITIONAL DRILLED DEPT Caisson G1S D•1S E-1S F-1S Drilied 4/5 4/8 418 414 Concrete 415 4/8 4/8 4/5 Additional Drilled Depth 0 0 0 0 Obstructions (minutes) 75 0 15 10 Caisson A-3S D-3S B-4S Drilled 4Y3 4/17 413 Concrete 4/3 4117 4/3 Additional Drilled Depth 0 0 D Obstructions (minutes) 80 5 15 Caisson K-6S M-6S N-BS Drilled 4/5 4/4 4/1 Concrete 4/5 4/4 411 Additional Drilled Depth 0 0 0 Ohstructions (minutes) 5 15 20 Caisson K 10S M-10S E-115 Drilled 4/9 4/2 Mq Concrete 4/9 4/2 q/q Additional Drilled Depth 0 0 0 Obstructions (minutes) 0 40 10 Caisson L-14S G-15S Drilled 418 4l8,9 Concrete 4/8 4/9 Additional Drilled Depth 0 p Obstructions (minutes) 40 80 Total Number of Caissons Drilled: Total Additional Feet Drilled: Total Delays for Obstructions in Minutes: Remarks: Prepared By. J. N. Essex, C.E.T ? Apprwed By: HS AND OBSTACLES FOR CAISSONS G-1 S H-15 G2S D-2S E-2S F-2S G-2S H-2S 4/11 4/12 4/5 4/8 4/8 4/9 4/12 4112 4112 4/12 4!5 , 418 4/8 4/9 q/12 q/12 0 0 0 0 0 0 0 0 5 20 0 10 0 20 0 10 C-5S E-5S FSS G-5S H-5S K-SS 4/16 '. 4/17 4t18 4l15 4115 4/4 4/1 B 4117 4/16 4H 5 4/15 4/4 0 0 D 0 0 0 20 10 0 0 15 10 G7S G-8S H-SS K-8S p-g , 4/4 4/17 4I16 4/5 4/4 4/4 4/17 4/17 4!5 4/4 0 0 0 0 0 0 0 10 0 0 F-11 S H-12S J-12S F-13S G-13S K-13-S 419 4l15 4117 4/4 4/12 4116 4112 4/15 1/17 4/5 4/15 4/18 0 0 0 0 0 0 20 20 5 5 0 0 H-16S J-16S J-17S 419 4/18 4112,15 4/11 4/16 M15 0 0 0 25 10 70 88 36 1380 Date: Date: • ? Project Eagan TransitStation Parking Ramn Eavan Minnesota GME CONSULTANTS, 1N(?'¦ General Contractor. Penn-Co Construction Inc. CONSULTING ENGINEERS Caisson Contractor: Atlas Foundation Comoanv 14000 21st Avenue North ArchitecUEngineer. LSA DesiaNWalker Parkina Consultants Minneapolis, Minnesota 55447 Owner: MinnesotaValle TransitAuthori 763-559-1859 Fax: 763559-0720 ADDITIONAL DRILLED DEPTFiS AND OBSTRUCTIONS GME Project Number: 9867 Caisson AA-1 N Z-1 N Y-1 N X-1 N NC? RSONS W-1 N V 1 N T ?? Drilled 3/26 3126 3127 3/28 3/28 - 3l28 -1 N 3/28 1 3/29 3129 BB_2N Concrete Additional Drilled Depth 3/26 0 3/26 0 3127 3r28 3128 3/29 3/29 3l29 3/28 3/27 3/27 Obstructions (minutes) 15 25 0 25 D 4 3 0 0 0 3 15 10 5 15 20 20 30 Caisson CC3N Z3N Y-3N X3N W-3N V3N U-3N T3P1 S-3N R3N Drilled 3/26 3/28 3127 3/28 3/29 3129 412 412 4/3 4/3 DD-4N Concrete Additional Drilled De th 3l27 0 3127 3128 3/28 3f29 4/1 4/2 4/2 4/3 4/3 3/21 3/21 p Obstructiqns (minutes) 25 p 15 a 2Q g 6 6 0 ? 95 5 80 10 30 5 15 0 Caisson DDSN B13-5N Z-5N YSN X5N W-5N V-SN U5N T-SN SSN Drilled 3119 3119 3118 3f19 3/20 3/21 3122 3/22 3/25 3125 EE-6N Concrete Additional Drilled De th 3/20 0 3119 3l19 3/19 3120 3/21 3122 3l22 3l28 326 3119 3/20 p ObstrucHons (minutes) 10 2 0 0 0 2 0 0 0 0 0 ? 15 0 20 10 0 25 15 Caisson EE-7N DD-7N CC-7N 1313-7N Z-7N Y-7N X-7N W-7N V-7N U-7N T 7N Drilled Concrete 3118 3/19 3/19 3119 4/1 4/1 3/20 3120 3l21 3122 3Y25 - 3122 S-7N 3/25 R-7N 3/22 Additional Drilled Depth 0 3119 0 3/20 412 412 3121 3121 3/21 3/22 3/25 3/22 3/25 3/25 Obstructions (minutes) 10 0 0 10 0 35 0 0 0 2 0 0 0 0 0 15 15 5 5 15 10 0 0 0 Rernarks: Prepared By. J. N. Essex, C.E.T APRaed By. Date: d5- ? o Z_ Date: ? GME CONSU LTANTS, INC. Geotechnical • Materials • Environmental Minneapolis, MN Crosby, MN (763) 559-1859 (218) 546-6371 International Falls, MN Janesville, WI (218] 283-2958 (608) 752-8050 Duluth, MN Menomonie, WI (218) 722-4323 [7151 235-8844 Chicago, IL (708) 430-1D71 DAILY FIELD REPORT GME Jab Na.9 Joh Namt;2!: ` Location TO (? q p AM ?' ? TIME: %' O? PM/DATE: 0?9 WEATHEF: x' -7 k?• Location of Work: L& LA? Excavadon Base Soil: Type of ' nsite/I ported): Elevation of Base Soil: 1 7 Elevation of Fill Placement: - Finished Elevation: 45) ? ic c ?juiiof _nok PaSst'ncr . refiesfecA _V/a d-- *13 I aSSivr, v Follow-up Report Required? YES ? NO ? Plane and Specifications: By: Date: SIGNED: ATEe93 /Z- / O ZI 0 Did You Observe Anything Unexpected? VuMNACTION TEST REPORT ? 1 PROJECT AND LOCATION: ?GGV? t ffnr1S? i '4n-krn, ARCHITECT OR ENGINEER: CONTRACTOR: OWNER/DEVELOPER: DATE: 3 Z? 6Z. GME PROJ. NO.: ? 657 GME CONSULTANTS, INC. Geotechnicel • Materials • Environmental 14000 21st Avenue No. ' Minneepolis, MN 55447 [763) 559-1859 Fax(763) 559-0720 SUtl . CONTRACT OR: TEST NUM6EH I DATE 31z LOCATION OF TEST k tA EIEVATION ' WATER CONTENT M) OPTIMUM MOISTUBE (%) MApK FIELD UENSITY (pcf) MAXIMUM OENSITY (pcfl COMPACTION I%1 SPECIFIEO COMPACTION (%) PASSED ? COMMENTS o ¢x ' 911 lo.o R.a I 13i,o ?7 RS ?A ll+esks 3 xAA 1 60 wt-Vt. rctr.?- j-?'h n5s? 4 X AA - 914 ' ? a. ? ? ?g . ?} ? v ?ruu.t4s . 3?5 x X 914 7.8 izv.5 ? Z ? - x 3.5 91? r It•o ?17.1 8`I `a 3. S x ? '[lo 9.5 128.5 q g ? L CampaGon BesN pc . Method Of Feld O ereitv Measnemer: - ? ASTM 0 1557-78 (MadlieE Pronod ? ASTM 0 698 78 (Slanderd Proctor) O ASiM 0 1556 ISand Conel ? ASTM 0 2922 INuclearl __". _. ._.._., . " _. . .... -.F -.._.-_ . . .'."_?.?y.. The above test locations: ? Were selectee by GME Consultants ? Were not selectetl Ey GME Consultams 4 ,GME CONSULTANTS, INC. Geatechnical • Materials • Environmental Minneapolis, MN [763) 559-1859 International Falis, MN (218) 283-2958 Duluth. MN (218) 722-4323 Crosby, MN [2181 546-6371 Janesville, WI (608) 752-8050 Menomonie, WI (715) 235-8844 Chicago, IL (708) 430-1071 DAILY FIELD REPORT GME Job No. !J ? / Job Name / Location TO TIME: AM/P /DATE: ??/ ?•L / LJ ' WEATHER: Location of Work: y (` Ezcavation Base Soil: r Type af Fill nsite mported): m-a Elevation of Basa Soil: / Elevauon of Fill Placement: L Finishad Elevation: qlLl- ? ? U03 _ Follow-up Report Required? YES ? NO ? Plans and Specifications: By: SIGNED. ATE: (J' /Q2/a 12 Date• Did You Observe Anything Unexpected? ?m? GME CONSULTANTS, INC. Geotechnical • Materiels • Environmentel 74000 21 st Avenue No. Minneapalis, MN 55447 . (763] 559•1859 Fex(763)559-0720 GME PROJECT NO. 957 STATIC CONE PENETROMETER REPORT PROJECT AND LOCATION ARCHITECT OR ENGINEER CONTRACTOR DESIGN SOIL BEARING PRESSURE -3-060 psf. GENERAL AREA TESTED [] SLAB [] FOOTINGS [] REQUIRED PERCENT COMPACTION UTILITY TRENCHES/>d-f PARKING LOT [] FIELD TEST DATA REPORT TES'r NUMBEH DATE TEST ELEV. TEST tACATION SOIL DESCRIPTION N ROMEfER DING ADEQUATE FOR DESIGN pEMARKS x COMPACTION T PROJECT AND LOCATION: ARCHITECT OR ENGINEER: CONTRACTOR: OWNER/DEVELOPER: DATE: GME PROJ. NO.: GME CONSULTANTS, INC. Geotechnical • Materials • Environmental 14000 21 st Avenue No. ' Minneapolis, MN 55447 (763) 559-1859 Fax (763) 559-0720 SUB. TEST NOMBEB OATE LOCATION OP TFST ELEVATION WATER CONTENT (%) OPTIMUM MOISTIIRE I%1 MARK FIELD DENSITY Ipcfl MAXIMUM OENSITY (pcf) COMPACTION 1%) SPECIFIEO COMPACTION - I%I ' PASSED ? COMMENTS l 4/z 3.S x X 91q. q.l 12?.g a.31.II 61? `iS` oZ ¢/Z- 3 . S K -,x- 910 ?'1. lo ?/ I'2S ? ,? ? & IV c? 1 4j3 /4 K 44 ? l 12.1 q.? 1 f 2r 4 13 f. o q 4 ? s t/ a 4/3 S?c {4 ?I?Q tl,?, ? t2s.a li[f, q8 ? ? REPORT O'Yx % Campeclion Based On: Melhod ot Fidd Density M¢asmements: The above test locations: ? ASTM 0 1557-78 (Modilied Proctar) ? 0.5TM 0 1556 (Sand Conel ? Were selected hy GME ConsuMants ? ASTM 0 698 78 (SfandaN Pmdorl ? ASTM 0 2922 INuoleed ' ? Were not selected hy GME Caneultents GME COl11SULTAIIlTS, INC. Geotechnical • Materials • Emiranmental Minneapolis. MN Crosby, MN Willmar, MN [763) 559-1959 (218) 546-6371 (320) 231-3941 International Falls. MN Janesville, WI Chicago, IL (218) 283-2956 (608) 752-8050 (708) 430-1071 Duluth, MN Menomonie, WI [2181 722-4323 (715) 235-8844 DAILY FIELD REPORT GME Job No. 7 _ Job NameeFw?ozooi Location ?-- TO TIME: ? If AM PM/DATE: WEATHER: 3oO Location of Work: Excavation Base Soii: Type of tOnsite Imported): Elevation of Base Soil: Elevation of Fill Placement: b?-? ? . Finished Elevation: r ?' ri r .3 ? S?(o,s 2 ' , Z SG? Follaw-up Report Required? YES ? NO ? Plans and Specifications: By: SIGNED:, ATE: Q/Q 16 Date• Did You Observe Anything Unexpected? : GME CONSULTANTS, INC. Geotechnical • Materials • Environmental Minneapolis, MN Crosby, MN (763) 559•1859 (218) 546-6371 International Falls, MN Janesville, WI (218) 283-2958 (606) 752-8050 Duluth, MN Menamanie, WI (218) 722-4323 (715) 235-8844 Chicago, IL (708] 43Q1071 DAILY FIELD REPORT GME Job No. q gs 7 Job Name&6hi/1 'W? ? Location J / TO 71ME: AM/ DATE: - - , ? Location of Work: f Excavation 8ase Soil: Type of Fill [Onsite/Imported]: ElevaTaon of Base Soil: ?S - Elevation of Fill Placement: Finished Elevation: OQ z -? D Q„ I .,A d Follow-up Report Required? YES ? NO ? Plans and Specifications: By: Date: SIGNED: , DATE: Did You Observe Anything Unexpected? 1,?1 COMPACTION TEST REPORT PROJECT AND LOCATION: ARCHITECT OR ENGINEER: CONTRACTOR: OWNER/DEVELOPER• CONTRACTOR:a?11y r DATE: 9" -O -z- GME PROJ. NO.: 9 rS -7 TEST NUMBEp DA7E ffi LOCATION OF TEST L` ? „ ??? ? ao' ELEVATION 7, WA7ER CONTENT I%1 g . ? OP7IMUM MOISTORE (%) Q, MARK FIELO DENSITY Ipcf1 07 SUB. MAl(IMOM DENSITY (pcn `?5 ' i 7 - -l ?- ? !0 ' ?P?, 5 m a t 6 % CwnDaction Bue E On; ? ASTM 0 1557-78 (Modi Method of Field Demiry Measuremems: fieA Rocmtl ? ASTM D 1556 ISand Canei ? ASTM 0 698-78 (StandaM Proetotl ? pSTM 0 2922 Mutl¢ar) GME CONSULTANTS, INC. Geotechnical • Materials • EnvironmenWl 74000 21st Avenue No. ' Minneapolis, MN 55447 (763] 559-1859 Fax [763] 559-0720 The a6ove test locations: ? Were selected by GME Consultants ? Were not selected by GME Consultant. GME CONSULTAMTS, INC. Gaotechnical • Materials • Emironmantal Minneapolis. MN (763) 559-1859 International Falls, MN (218) 283-2958 Duluth, MN (218) 722-4323 Crosby, MN (218) 546-6371 Janesville, WI (608) 752-8050 Menomonie, WI (715) 235-8844 Chicago. IL (708) 430-1071 DAILY FIELD REPORT GME Job No. Job Name Location TO /e( - TIME' WEATHER: AM/PM/OATE: li&-C«/? " 6q?/ M/lJ . Location of Wark: ? 5ccavation Base Soil: Type of ill [Onsite/ portedl: L _jn Elevation of Base Soil: Elevation of Fill Placement: Finished Elevation: ? , ? Follow-up Report Required? YES ? NO O Plans and Specifications: 6y: SIGNED:, ATE: Date: Did You 06serve Anything Unexpected? ???? COMPACTION PROJECT AND LOCATION: ARCHITECT OR ENGINEER: CONTRACTOR: OWNER/DEVELOPER: DATE: 4I iR/O ?- GME PROJ. NO_: GME CONSULTANTS, INC. Geotechnical • Materials • Environmental 14000 27st Avenue Na. ? Minneapolis. MN 55447 [763] 559-7859 Fax (763) 559-0720 SUB.CONTRACTOR: TEST NUMBEN UATE LOCATION OF TEST ELEVATION WATEfl CONTENT (%) OPTIMUM MOISTURE (%1 MARK FIELD DENSITY (pcfl MA%IMUM OENSITY Ipcfi COMPACTION N SPECIFIED COMPACTION (%I PASSED ? COMMENTS k4 N q l4 9• j 0I.:Z l 133,1 131,0 1004- a T x los 114 q•g iay.? 99 ? 3 J? lo S 911 4 a iJ'c C?r?nc.- eF aI 0.b p-?- OYt c I''( ?.l °? 'n.? '..?,f'?•A _fD _l s V s exls+?ny bi:?W<?? q.??.lxv?e .? 9 . 4 12's.6 `lR , q,? loc2 ioa ? '] ?.;?? fo.l 130,? ?oo'" ? TESTREPORTI? LA UM l V'A,VIS ?? S?ClX1 f/?\ % Canpectmn Based On: Method ol Pield DemitY Meesuremmis: The above test locations: ? ASTM 0 155770 IMadified Poocmr) ? ASTM 0 1556 ISand Conel ? Were selected by GME Cansukanta ? ASTM 0 698 78 iStanderd Piocror) ? ASTM 0 2922 (Nudearl ? Were not selected by GME Conwltan[s GME CONSULTANTS, INC. GME Jah No. Geotechnical • Materials • Environmental Minneapolis, MN Croshy, MN Chicago, IL Job Name . (763) 559-1659 (218] 546-6371 - [708) 4341071 International Falis, MN ? Janesville, WI Location (218] 283-2956 (608) 752-8050 - Duluth, MN Menamanie, WI (219J 722-4323 (715) 235-8844 DAILY FIELD REPORT TO ?,?^ n^ `?D TIME: AM/ M/DATE: iL'f YYI 1 WEATHER: Locaiian of Work: 2 ? Excavation Base Soil:? Type af Onsite mportedl: . Elevation of Base Soil: ^ti`P Z ? Elevation of Fill Placement: Finished Elevation: Q ' '? .. l O / Follow-up Report Required? YES ? NO ? Plans and Specifications: By: SIGNED DATE:Q!?/ Date: Did You Ohserve Anything Unexpected? COMPACTION TES REP1ORT PROJECT AND LOCATION: CatiA?i V'ANSIT . g(,d ARCHITECT OR ENGINEER: ? DATE: ? CONTRACTOR: qL41 V1- CU GME PROJ. NO.: ? OWNER/DEVELOPER: SUB. TEST NUMBEfl OATE LOCATION OF TEST ELEVATION WATEB CONTENT (9G) OPTIMUM MOISTUHE (%) MABK FIELO OENSITY (pcf) MAXIMUM DENSITY (pcfl COMPACTION 1%) SPECIFIEU COMPACTION - 1%1 PASSED ? COMMENTS 301 SE a E ?•v?tr • ?lctbcvt io.a 124.I 17-7.5- °I°I 95 ? a ? 9. R las. ? q q i v 3 4 0. vt 12i?c y. iaa?.a tOO? lbo r? 130,2 1 00+ f v GME CON5ULTANTS, INC. Geotechnical • Materials • Environmental I FEN 14000 21 st Avenue No. Minneapolis, MN 55447 [763] 559-1859 Fax.(763]559-0720 % Cwipaction Based On: Method of Feld Density Meuuremenls: The above test locatione: ? RSTM 0 155778 IMaAifmd Prxlorl O ASTM 0 1556 (Sand Cone) ? Were selected 6y GME Consultants ? ASTM 0 69878 (Standard Pmctor) ? ASTM 0 2922 (Nuclear) ? Were not salected by GME Consultants GME CONSULTANTS, INC. Geotechnical • Materials • Environmental Minneapolis. MN (763) 559-1859 International Falls, MN (218) 283-2958 Duluth, MN (218) 722-4323 Crosby, MN (218) 546-6371 Janesville, WI (608) 752-8050 Menomanie, WI (715) 235-8844 Willmer, MN (320] 231-3941 Chicago. IL (706) 430-1071 DAILY FIELD REPORT GME Job No. Job Name Location ?H,"^' _ TO 'fll! NN CO - CDNST. _ TIME: 3•6J WEATHER: 500 AM, OI DATE: dY/ d? 5vNOfY Location of Work: 6Vfi1'E(U1A=N TQ{NL{{ $ik,4CF1?.?-- Excavation Base Soil: S=L'TY Sfl/J D 72.ttE (,(tA"E'- Type of Fi ( nsite/ ported): Elevation of Base Soil: U/`IKNO-N Elevation of Fill Placement: _(p I - 2. ? -`11 FeoM ACAD Finished Elevation: Rry¢p ?66PrtDC DBSMVE BACKGII.---vJ1a Or- wR?E2HhV/ flRENGIF gW OF STRRBuclLS VILDYN0 - i"roLE W^S R'LQ.EetDY r}R.TZA«Y: fZ I:LE.D i??=dR PlJ WT PREvSa-'S Tesrs -?E2E ,}KfN S3Y mH'EYL .Lnispr<701Q. ?ERfORM-FJ? Gom mtTSO^/ T'ES?S o^? P4'`I'GtD 139r-1CF-7[G l/JFFYGN ?S rO+^QRCTED BY ,yM,fJLC. CtMalf plGFtE(Z. jmtLL "I Mn.inrl3 oF- soZ?- wtR6 rovND `?a &F a2`( WEfi 4- So?I' d- WEQE7 gfMo-tp G/ftfN FOv?vD. Follaw-up Report Required? YES ? NO x Plans and 5pecifications: By: SIGNED: DATE: Oate• Did You Observe Anything Unexpected? Na IVlUI COMPACTION TEST REPORT PROJECT AND LOCATION: ARCHITECT OR ENGIfVEER: CONTRACTOR: TPon OWNER/DEVELOPER: _ ?'ry?M lCny1 S?n• ???tw DATE: GY-o1 - CD CJw0 ' GME PROJ. NO. `1E57 GME CONSULTANTS, IMC. Geotechnical • Materials • Environmental 74000 21st Avenue No. ' Minneapolis. MN 55447 (763) 559-1859 Fax(763j559-0720 sua cnrvraccrna- TEST NUMBEB DATE LOCATION OF ifST ELEYATION WATER CONTENT OPTIMUM MOISTURE rAl MApK FIELD DENSITY (pcfl MAXIMUM OENSITY Ipcfl COMPACTION (%) SPECIFIED COMPACTION (%1 PASSEO ? COMMENTS I. UG ?1 ? WFST $DC OF ..vMEQ.M]J I ' 6 q.3°? 7•Z? ' I . ( l 3t.o ??? 4s! '? 2 25swn' °° A. em vtNe - Z ?Z °( ? l2$.q 9$H l ? 3 s.-c .s 129. 1 98•', f! ? `l ,< _Z? 9-8? ? t?o•z 94.?I'? rem? ? 5 t4 l6, g•?? ? ?y?z ?? ""•"?••„°„ °•,°? ???. MethoO 0f ?ieW Density Mwurements: The above test locations: ? PSTM 0 1557-78 (MO6fied Pmclor) F9 ASTM 0 1558 ISaM Conal ?Were selected by GME Cansultants ?ASTM 0 688-78 IStandud Pmcwr) jQ ASTM 0 2922 (NUCleeFl Were not selecred by GME Conaultants r- ,GME CONSULTANTS, INC. Geotechnical • Materiale • Environmental Minneapolis, MN (763) 559-1859 International Falls, MN (218) 283-2956 Duluth, MN (218) 722-4323 Cras6y, MN (218) 546-6371 Janesville, WI [608) 752-8050 Menomonie, WI (715] 235-8844 GME Job No. y ?S7 Chicego, IL Job Name? ??•.•.yT (708] 43Q1071 ? Locadon F4 DAILY FIELD REPORT TO t?z ?•C? . n S?i7//a L TIME: AM/PM/DATE: t/`?O° 4,.?? st WEATHER'?? Location of Work: AlQ ? ? ?? Dac-K:?o?' xfzw- Excavation Basa Soil: Type of Fill (Onsite/Imparted): x y ?. Elevation of Base Soil: 7, s Elevation of FII Placament: ..?p '412 Finished Elevation: 'r'a 2 .0 eAc' .? ? C7n f r ? l 1 / &@/K !¢. a rf O I .1 u.•iT C r 31i.? ? . • JtY 71 a Follow-up Report Required? YES ? Plans and Specifications: By: NO 1?P SIGNED:(j),, DATE: y//8 / dZ, Date: Did You Observe Anything Unexpected? om? COMPACTION TEST REPORT PROJECT AND LOCATION: ARCHITECT OR ENGINEER: CONTRACTOR: 1'ew1,11 e.? i DATE: 7117 - GME PROJ. NO.: ??- GME CONSULTANTS, INC. Geotechnical • Materials • Environmental 14000 27st Avenua No. • Minneapolis, MN 55447 (763) 559-1859 Fax (763) 559-0720 OWNERlDEVELOPER: S+o^? n!V SUB. CONTRACTOR: TEST NUMBEN OATE LOCATION OF Tf.ST TNoc,,{-p fJ,j ELEVATIOX WATEB CONTENT (%1 OPTIMUM MOISTUBE (%) MARK FIELD DENSITY (pefl MAXIMIIM DENSITY (pcf) COMPACTION (%) SPECIFIED COMPACTION (%1 PASSED ? COMMENTS WQ ri1nf+4Q Tec m ear -(o. ? Z.G• ?'j ? ? Z t3R.3 127 ? too Z y?, ?? J.7 ?.? Z ?3Z.s ,06 ; 91 y?7 „ it -3,5 ?.S Z 131.1 coo S .? I, 0 5.?! •? z ? 106 eoo ? ? % ComDaztion BaseG On: Method of Fald OensitY Meesuramenis: The above test locatians: ? ASTM D 1557-78 IModified Pioctor) ? RSTM U 1556 (Sand Canel ? Were selected by GME Conaultanta ? ASTM D 698 ie »taMard Prvctml ? 0.5TM 0 2922 INudearl ? Were not salectetl 6y GME ConsuNants , GME CONSULTANTS INC ? , . Geotechnical-Materials-Environmental 14000 21st Avenue North Minneapolis, Minnesota 55447 13 9 [7631559-1859 13 OISTURE - DENSITY RELATIONS OF SOILS AND 7 SOIL-AGGREGATE MIXTURE 13 5 13 TE: 4/3/2002 GME PROJECT NO. 9857 3 OJECT:?an Transit Station MJ 131 Eapan, Minnesota CATION: 129 G ,qPH NO. 2 SAMPLE NO. z 127 OURCE OF MATERIAL: On Site 125 SOIL DESCRIPTION: Brown fne to medium SAND WITH SILT 123 ?- O ? 121 UNIFIED CLASSIFICATION: SP-SM U m li9 METHOD OF TEST: ASTM: G 698 Method B U w 117 CLAY PREPAR,4TION: No a 0 115 ATURAL MOISTURE CONTENT: a.? 1 3 ERCENT PASSING NO. 200 SIEVE: OPTIMUM MOISTURE CONTENT: 9.1 % ? 111 Z MAXIMUM DRY DENSITY: 127•5 pcf 0 109 > 0 107 105 103 2ero air void curve for specific grsvilias ot -2.60 101 I ?'a? 97 95 91 89 10 15 20 25 MOISTURE CONTENT- PERCENT OF DRY WEIGHT 35 Eg GME CONSULTANTS, INC• [7631559-1859 139 AGGREGATE MIXTURE 137 SOIL- 135 133 131 LOCA 3 129 GRAPH NO, 3 SAMPLE NO. Site O 127 n SO.U Dark brown CLAY, trace silt 125 SO IL DESCRIPTION: 123 ? 0 UNIFIED CLASSIFICATION: CL 121 LL U m 11 ? U W 1?7 a p 115 z 200 SIEVE: PERCENT PASSING NO ? . a 113 ? 11 ? w 109 0 r ? 107 0 105 103 2.80 2.60 101 NI N 0 5 10 15 20 25 30 35 MOISTURE CONTENT - PERCENT OF DRY WEIGHT Geolechnical-MaterialsEnvironmen W I 14000 21st Avenue North Minneapolis, MinnesMa 55447 RELATIONS OF SOILS AND MOISTURE - DENSITY 4I3l2002 GME PROJECT NO. 9857 DATE : Eagan Transit Station PROJECT: TION: Eagan Minnesota RCE OF MATERIAL: -- METHOD OF TEST: ASTM: D 1557 Method B 9 Yes CLAY PREPARATION: ATURAL MOISTURE CONTENT: % % OPTIMUM MOISTURE CONTENT: 8•4 % 133 0 ? . pcf MAXIMUM DRY DENSITY: Zarop'.? ?oid curve for specific gravities of - 2.70 99 97 95 93 91 89 87 85 ! GME COIOISULTAIVTS, INC. Geotechnical • Materials • Environmental Minneapolis, MN Croshy, MN Menomonie, WI (763] 559-1 B59 [218) 546-6371 [715] 235-8844 International Falls, MN Ft. McCay/LaCrosse. WI Willmar, MN [2183 283-2958 (608) 785-1915 (320) 231-3941 Duluth, MN Janesville, WI Chicago, IL (219] 722-4323 (608) 752-8050 [708] 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Job No. T- Job Name IAG/N/?s? Location `4,;st1 A''? TO v e o TIME: AM/PM/DATE: 3 / ri WEATHER: 30 d SJ?ry Location of Placement: l?4 ry' •` 15.20w11 4 ?/ ; ' r5-? Supplier: iQLA Specified Slump i Mix Numher q4go_Cru. Mix plasticized? Yes n/ Required 28 Day Strength DOO No X_ Specified Air Content ? TEST CYL SLUMP AIR TEMPERATURE 'F TIME TRUCK WATER ED C.Y./ C C Y # SET p gEFORE AFTER PLASTICIZER CONTENT MIX AIR NUMBER ADD . . . SAMPLE FREOUENCY ? 3?rz G 3$ z?y z 3 4 5 6 7 8 9 10 Samples cast by: GME ? Contractar Samples cast in: 6" x 12" x 4" x B" Cylinders were cured on site where? ?osa fc Method of Placement Via: Truck Chute x Power Buggy Schedule far testing af cylinders: c? .v Number of cylinders cast per set Bucket Pump Truck ooA S I COMMENTS: Signed Date Cyl' ders brought into GME La6 for curing and testing z- Signed REV. 4100 , GME CONSULTANTS, INC. Geotechnical • Materials • Environmental Minneapolis, MN Cros6y, MN Menomonie, WI (763) 559-1859 (218] 546-6371 [715) 235-8644 International Falls, MN Ft. McCoy/LaCrosse, WI Willmar, MN (218) 283-2958 (600) 785-1915 [320] 231-3941 Duluth, MN Janesville, WI Chicago, IL (218) 722-4323 [608] 752-8050 (708] 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Job No. ?`- Job Name Location?r TO TIME: AM/PM/DATE: 3 WEATHER: :?., 5 Location of ?a Placement: ( ,B1SJ!ild!$ ? .SN J! JrN £? ? ?C - ??7? ?? Supplier: ?(?/t Mix Number ?ao C/er?+?? Required 28 Oay Strength ?d o Specified Slump 3- ? Mix plasticized? Yes No i?C_ Specified Air Content TEST CYL SLUMP AIR TEMPERATURE'F TIME TRUCK WATER C.Y./ # SET # gEFORE AFfER PLASTICIZER CONTENT MIX AIR NUMBER ADDED C.C.Y. SAMPLE FREOUENCY ? 314 -- Gs 3 ?0?-?Z i 2 3 4 5 L 6 7 8 9 10 Samples cast hy: GME Cantractor Number of cylinders cast per set ? Samples cast in: 6" x 12" 4" x S" Cylinders were cured on site where? e-fl0 1l Method of Placement Via: Truck Chute Power 8uggy Bucket Pump Truck Schedule for testing of cylinders: S!° s ? okv?D /vs COMMENTS: Signed Date Cylinders 6rought into GME Lab for curing and testing -.3_ c z Signed REV. 4/00 SaME CONSULTANTS, INC. Geotechnical • Materials • Environmental Minneapolis, MN Crosby, MN Menomanie, WI [763] 559-1859 (2181 546-6371 (715) 235-6844 International Falls, MN Ft. McCoy/LaCrosse, WI Willmar, MN (218) 283-2958 (608) 785-1915 (3201231-3941 Duluth, MN Janesville, WI Chicago, IL (218) 722-4323 (608) 752-8050 [709] 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Job No. Job Name4.6w?flrS7>flZe_- Location??? TD ? TIME: AM/PM/DATE: OZ- WEATHER: SI,U44s O/61 - Loc ion of Placement: G'C-?? G?_.J?N ?D ?s/? -J_L/, ?-7nJj x-?A/ 0 t?7i? Supplier: Specified Slump . Mix Num6er ioo Required 28 Day Strength ?ao u Mix plasticized? Yes No _<_ Specified Air Content TEST CYL SLUMP AIR TEMPERATURE 'F TIME TRUCK WATER C.Y./ Y C C [ 5#T gEFORE AFfER PLASTICIZER CONTENT MIX AIR NUMBER ADDED . . SAMPLE FREDUENCY ? G s 7- d 2 - 3 4 5 6 7 8 9 10 Samples cast by: GME K Contractor Number of cylinders cast per set ? Samples cast in: 6" x 12" 1C 4" x 8" Cylinders were cured on site where? 31- a Y? Method of Placement Via: Truck Chute X Power Buggy 6ucket Pump Truck Schedule for testing of cylinders: 72 f JiE SP /- /fo"P COMMENTS: Signed Cylind rs 6r,ought into GME Lab for curing and testing -_ /2-422) /s1.3? Signed ? / MtV.9(W GME CONSULTANTS, INC. Geatechnical • Materiala • Environmental Minneapolis. MN Crosby. MN Menomonie, WI (763J 559-1859 (218) 546-6371 (715) 235-9844 International Falls, MN Ft. McCay/LaCrosse, WI Willmar, MN (218) 283-2958 (608) 765-1915 (320) 231-3941 Duluth, MN Janesville, WI Chicago, IL f218J 722-4323 (608) 752-8050 . (708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Jab Na. Job Name 4444? TiGt.?i. 7 Locatian TO ???t/ ? TIME: AM/PM/DATE: WEATHER: "TtL/s Lacati n of Placement: ,vZ S1?? IN? T ??/_ ?? '? Supplier: i-tV'rz _ Mix Number ??0 C41.J-,w/ Required 28 Day Strength Specified Slump I ?? Mix plasticized? Yes No Specified Air Content ? TEST CYL SLUMP AIR TEMPERATURE'F TIME TRUCK WATER C.Y./ # SET # gEFORE AFfER PLASTICIZER CONTENT MIX AIR NUMBER ADDEO C.C.Y. SAMPLE FREQUENCY 1 X. Zo 21l z 3 4 5 6 7 B 9 10 Samples cast by: GME X Contractor Number of cylinders cast per set Samples cast in: 6" x 12" 7<1 4" x 8" Cylinders were cured an site where? C-.00 ?1 Method of Placement Via: Truck Chute X Power Buggy Bucket Pump Truck Schedule far testing of cylinders: 7. 2? e-Y S? JP Ma D s,0141t,tr 4 ? ? ? COMMENTS: Signed Date Gylinders brought into GME La6 for curing and testing -3-- / 2G / C.) _Z,,,? Signed REV. arao Q'aME CONSULTANTS, INC. Geotechnical • Materials • Environmental Minneapolis, MN Crosby. MN Menomonie, WI (763) 559-1859 (218) 546-6371 (715) 235-8844 International Falls. MN Ft. McCoy/LaCrosse, WI Wilimar, MN (218) 283-2958 (608) 785-1915 (320] 231-3941 Duluth, MN Janesville, WI Chicago, IL (216) 7224323 (608) 752-8050 (708) 430-1071 DAILY FIELO REPORT FIELD TESTING OF FRESH CONCRETE GME Joh No. ! Job Name &ae?y Location46:?eoy? TO _ TIME: •? W-EATHER- AM/PM/DATE: /O L : ? T Location of Placement:niv.u?> , f Supplier: Mix Number CA, , r Specified Slump Mix plasticized? Yes IF_ s&.? Required 28 Day Strength No Specified Air Content - TEST CYL SLIJMP AIR TEMPERATURE'F TIME TRUCK WATER C.Y./ # SET # gEFORE AFTER PLASTICIZER CONTENT MIX AIR NIJMBER . ADDED C.C.Y. SAMPLE FREDUENCY 1 z 3 4 5 6 7 8 9 10 Samples cast by: GME Contractor Samples cast in: 6" x 12" q" x g° Cylinders were cured an site where? _C° -.do +, Method af Placement Via: Truck Chute _!K_.. power Buggy Schedule for testing of cylinders: Number of cylinders cast per set Bucket Pump Truck COMMEMTS: O 0 f o 2 Signed ?ate Cylinders brought into GME Lab for curing and testing _ -3 ro Signed / / aEV. 4100 GME CONSiJLTA911TS, INC. Geotechnical • Materials • Environmental Minneapolis, MN Crosby, MN Menomonie, WI (763) 559-1859 (21 B) 546-6371 (715) 235-8844 International Falls, MN Ft. McCoy/LaCrosse, WI Willmar, MN (218) 283-2958 (608) 785-1915 (32O) 2313941 Duluth. MN Janesville, WI Chicago, IL (218) 722-4323 (606] 752-8050 (708) 430-1071 DAILY PIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Job No. Job Name ?C+?1-?` ?,/" Location t TO M TIME: AM/PM/DATE: ?/ ? /U WEATHER: . ? ?NN ?-?' /• Location of? Placement: Supplier: Mix Num6er ?opO ?F? Specified Slump 3.4 Mix plasticized? Yes uo^? Required 28 Day Strength No Specified Air Content TEST CYL SLUMP AIR TEMPERATURE 'F TIME TRUCK WATER C.Y./ # SET # gEFORE AFfER PLASTICIZER CONT ENT MIX AIR NUMBER ADDED C.C.Y. SAMPLE FREQUENCY 1 3 M(a 2 rf Z 7 ?l4 3 4 5 6 7 8 9 10 n Samples cast by: GME I><1t Samples cast in: 6" x 12" 0` Cylinders were cured an site where? Method of Placement Via: Truck Chute Schedule for testing af cylinders: Contractor a- Power 8uggy Number of cylinders cast per set 7- Bucket Pump Truck COMMEIIITS: Signed c? ^ Date cg a 71 Cyli rs brought into GME Lab for curing and testing ? Signed . REV.4/00 ( C;91IIE CONSULTANTS, INC. Geotechnical • Materials • Environmental Minneapolis, MN Croshy, MN Menomonie, WI (763) 559-1859 (218) 546-6371 (715] 235-8844 International Falls, MN Ft. McCoy/LaCrosse, WI Willmar, MN (218) 283-2958 (608) 785-1915 (320] 231-3941 Duluth, MN Janesville, WI Chicago, IL (218) 722-4323 [6081 752-8050 (706] 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Joh No. Job Name_?? Location TO TIME: _ AM/PM/DATE: OZ `?`i?'N " WEATHER: Location ? Placement: ??m??? / tfa ?? ?S ?/?? ?? Supplier: Specified Slump ? Mix Number ?? ??1? ? Required 28 Day Strength ..T?'d Mix plasticized? Yes No Specified Air Content '^-J TEST CYL SLUMP AIR TEMPERATURE 'F TIME TRUCK WATER C.Y./ # SET # gEFORE q?R PLASTICIZER CONTENT MIX AIR NUMBER ADDED C.C.Y. SAMPLE FREOUENCY 1 C ( 2 3 4 5 6 7 8 9 10 Samples cast by: GME Contractor Number of cylinders cast per set Samples cast in: 6" x 12" 4" x 8" Gylinders were cured an site where? ?`- /t ?+-•? -;4?, !,A22 .4 Method of Placement Via: Truck Chute Power 8uggy Bucket Pump Truck Schedule for testing af cylinders: C COMMENTS: Signe C7l? - ? O ?Date__,--5,_ Cyli ers brought into GME Lab for curing and testing Signed REV. 4/00 GiVIE CONSlILTANTS, INC. Geotechnical • Materials • Environmental Minneapolis, MN Crosby, MN Menomonie, WI (763] 559-1859 [218) 546-6371 (715] 235-8844 i.,c=rnor.ional Falls, MN Ft. McCoy/LaCrosse. WI Willmar, MN (218) 283-2958 (608) 785-1915 (320] 237-3947 0 Janesville, W' Chicago, IL ( 218] 7 2-4323 (ti08] 752-8050 f708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF PRESN CONCRETE GME Job Na. ;Fs d`- Job Name1«-Tl'-?«<?? Location ??,'},?? TO TIME: AM/PM/DATE: 3 / Z$ g.dr WEATHER:,' Location of / Placement: m../ n I Supplier: _?r` Mix Num6er _ 0 rZI ..-? Required 28 Oay Strength f) O J Specified Slump 7-4 Mix plasticrzed? Yes Na _X, Specified Air Content - TEST CYL SLUMP AIR TEMPERATURE'F TIME TRUCK WATER C.Y./ # 5ET # q?R BEFORE PLASTICIZER CONTENT MIX AIR NUMBER ADDED C.C.Y. SAMPLE FREQUENCY ?0 2 ??Z (? 2S2D ? 3 4 5 6 7 8 9 10 Samples cast by: GME Contractor Number of cylinders cast per set Samples cast in: 6" x 12" ?L q•• x g•• Cjlinders were cured on site where? t"" Method of Placement Via: Truck Chute K Power Buggy Bucket Pump Truck Schedule for testing of cylinders: sz l1 _ K-= COMMENTS: Signed D - C9 Q Date Cylinders brought into GME Lab for curing and testing Signe?A2/9?? L ¦ GME CONSiJLTANTS, 1911C. Geotechnical • Materials • Environmental Minneapolis, MN Croshy, MN Menomonie, WI (763] 559-1859 (218) 546-6371 (715) 235-8844 International Falls, MN Ft. McCoy/LaCrosse, WI Willmar, MN (216) 283-2958 (608) 785-1915 (320) 2313941 Duluth, MN Janesville, WI Chicaga, IL (218) 722-4323 (606) 752-8050 (708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE C ' .... , GME Joh No. '- Job Name:i??.,,,.- '.•/ ,.> Lacation TO TIME: ? AM/PM/DATE: 3/ 29 /O Z £^? WEATHER: NN ocation of Placement: ? Supplier: Mix Num6er (!,,?/ o?? / Oz? Required 28 Day Strength d 3 Specified Slump 3-'`f Mix plasticized? Yes No Specified Air Content '-- TEST CYL SLUMP AIR TEMPERATURE'F TIME TRUCK WATER C.Y./ # SET # gEFORE AFTER PLASTICIZER CONTENT MIX AIR NUMBER ADDED C.C.Y. SAMPLE FREOUENCY ? 3 Yz I" Y 2?`? ? 2(?g a ? l2? r 3 4 5 6 7 8 9 10 • Samples cast 6y: GME ? Contractor Number of cylinders cast per set Samples cast in: 6" x 12" x- 4" x 8" Cylinders were cured an site where? C? /o,ev Method of Placement Via: Truck Chute X_ power 8uggy Bucket Pump Truck Schedule for testing of cylinders: _- COMMENTS: Signed Cylinders hrought into GME Lab for curing and p ? Q o testing /o -p-_ Signed ?i??L? ('?: GME CONSULTANTS, INC. Geoteehnical • Materials • Environmental Minneapolis, MN Crosby, MN Menomonie, WI (7631559-1859 (218) 546-6371 (715) 235-8844 International Falls, MN Ft. McCoy/LaCrosse, WI Willmar, MN (216) 283-2958 [608J 785-1915 [320J 231-3941 Duluth, MN Janesville, WI Chicago, IL (218) 722-4323 f608J 752-BO50 (708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Job No. ' S^ 1? Job Name? Location 1 i'? ?`l ?? TO TIME: AM/PM/DATE: WEATHER: ?, ??? ?h.:ti.? Location of Placement: -? ?d ? Supplier: Specified Slump ?? ? I .,. Mix NumbeP,, Mix plasticized? C4122 Yes _ .•'? Required 28 Day Strength Y-kao_ No _IX Specified Air Content TEST CYL SLUMP AIR TEMPERATURE 'F TIME TRUCK WATER C.Y./ # SET # gEFORE AFTER PLASTICIZER CONTENT MIX AIR NUMBER ADDED C.C.Y. SAMPLE FREQLJENCY ? Z -- _ 2 Y4, z 3 4 5 6 7 8 9 10 Samples cast by: GME 04, Contractor Samples cast in: 6" x 92" L,7L- 4" x 8" Cylinders were cured on site where? C-.4eYC Method of Placement Via: Truck Chute ? Power Buggy Schedule for testing of cylinders: s:- Ko ? s Number of cylinders cast per set Bucket Pump Truck COMMENTS: Signed n "- 0 z Date ?- Cylinders brou t into GME Lab for curing and testing /-7 /-' 7--" Signed aev.aroo 'G9VIE CONSULTANTS, 1NC. Geotechnical • Materials • Environmental Minneapolis, MN Crosby, MN Menomonie, WI (763) 559-1859 (218] 546-6371 [7151 235-8844 International Falls, MN Ft. McCoy/LaCrasse, WI Willmar, MN (29B) 283-2958 (608] 785-1915 (320) 239-3941 Ouluth, MN Janesville, WI Chicago, IL (218) 722-4323 (609) 752-8050 (708) 430-1079 DAILY FIELD REPORT FIELU TESTING DF FRESH CONCRETE GME Job No. Jo6 Name?'r? . Location-i?,? TO Z TIME: AM/PM/DATE: / . oL 4f '-? - P -- _ WEATHER: LO ' LO IJ 1 rSN ?r.? Location of t: fs ' .' ?1 JN C Pl ? ? ? ?^? , ? _T . acemen Supplier: Mix Numher Required 28 Day Strength Specified Slump Mlx pla sticized? Yes No Specified Air Content TEST CYL SLUMP AIR TEMPERATURE 'F TIME TRUCK WATER C.Y./ C Y # SET CONTENT NUMBER ADDED .C. . # BEFORE AFTER MIX AIR SAMPLE PLASTICIZER FREQUENCY 1 -2 2 3 4 5 6 7 8 9 10 Samples cast by: GME ?L Cantractor Number of cylinders cast per set Samples cast in: 6" x 12" t>el 4" x 9" Cylinders were cured an site where? rZT1 c> >-- Method of Placement Via: Truck Chute i?C. _. Power Buggy Bucket Pump Truck Schedule for testing of cylinders: ` Zrf Z' - S:P X(d c SP 'Gr S-z COMMEIdTS: Signed , ? Date -- ? O Cylinders brought into GME Lab for curing and G testing 114 T. Signed G7KF-.?i W i.? ! nev. wou ' GME CONSULTANTS, IIlIC. Geotechnical • Materials • Enviranmental Minneapolis, MN Crosby, MN Menomonie, WI [763) 559-1859 [218] 546-6371 (715) 235-8844 International Falis, MN FL McCay/LaCrosse, WI Willmar, MN (218) 283-2956 (608) 785-1915 [3201 231-3941 Dvluth, MN Janesville, WI Chicago, IL (218) 722-4323 [608] 752-8050 [708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Jo6 No. r Joh Name Location ? TO ? N• fL. - 7 _ TIME: AM/PM/DATF:/ } Q Z - WEATHER: Q j 5 s„v„i . Location of^? Placement: - Supplier: CfT264z?A Mix Number Specified Slump 3' y Mix plasticized? 4/067 Required 28 Day Strength ? Oo O Yes __ No ? Specified Air Content !o t?? TEST CYL SLUMP AIR TEMPERATURE 'F TIME TRUCK WATER C.Y./ # SET # gEFORE AFfER PLASTICIZER CONTENT MIX AIR . NUMBER ADDED C.C.Y. SAMPLE FREQUENCY 2 3 4 5 6 7 c 8 9 10 Samples cast by: GME ? Contractor Samples cast in: 6" x 12" 4" x 8" Cylinders were cured on site where? ?? X Method of Piacement Via: Truck CFiute Power Buggy Schedule for testing of cylinders: 7= Z 77--Z S SC° •- 5r Number of cylinders cast per set Bucket Pump Truck ?,(o? ? ??-. r COMMENTS: Signed ate /__7 /y Cylinde brou t into GME Lab for curing and testing / e / C X Signed ??T -o? REV. 4/00 •[;ME CONSULTANYS, INC. Gaotechnical • Materials • Environmental Minneapolis, MN Crosby, MN Menomonie, WI (7631 559-1659 (218) 546-6371 (715) 235-8844 International Falls, MN Ft. McCoy/LaCrosse. WI Willmar, MN (218) 283-2958 (608] 785-1915 [320] 231-3941 Duluth, MN Janesville, WI Chicaga, IL (218) 722-4323 (608] 752-8050 [708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Job No. Job NameZi/I? Location ("46, 9-? TO TIME: AM/PM/DA / WEATHER: ?C S ?Vti? -? / C) Location of // Placement: ?? !Q Supplier: /i Uh, Mix Number 00) o0 C4(2. Specified Slump Mix plasticized? Yes _ / )? ? Required 28 Day Strength 3CO': No x Specified Air Content ? TEST CYL SLUMP AIR TEMPERATURE 'F TIME TRtJCK WATER C.Y./ # SEf # gEFORE AFfER PLASTICIZER CONTENT MIX AIR NUMBER ADDEO C.C.Y. SAMPLE FREQUENCY 1 3 z 3- 4 5 6 7 8 9 10 Samples cast by: GME ? Contractor Samples cast in: 6" x 12" ? 4" x 8" Cylinders were cured an site where? 4c -/f o X Method of Placement Via: Truck Chute _OC_ Power Buggy $chedule far testing of cylinders; 1$- ZA' - S P lJu,o Num6er of cylinders cast per set Bucket Pump Truck / COMMENTS: Signed 0 Oate Cylinders brou t into GME Lab for curing and testing ? Signed 1? / REV. W00 -GeH1E C0111SULTANTS, 1111C. Geotechnical • Materials • Environmental Minneapalis, MN Crosby, MN Menomonie, WI (763) 559-1B59 [218] 546-6371 (715) 235-8844 International Falls, MN Ft. McCoy/LaCrosse, WI Willmar, MN (218) 263-2958 (6081 785-1915 [320) 231-3941 Duluch, MN Janesville, WI Chicago, IL (218) 722-4323 (606) 752-8050 (708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Jo6 No. L ?J^? / Joh Name Location C?? TO TIME: AM/PM/DATE: _ WEATHER: Locatio of g c // Placement: (f&Sv? ) /! ?J??' 7S? '?f , ?j n , C ys /?' c/f /?-,SS Su lier: Alll-t Mix Number pp y0 Specified Slump Mix plasticized? Yes 00 ? ?- / / ?ioo-p fufo..? Required 28 Day Strength No Specified Air Content TEST CYL SLLIMP AIR TEMPERATURE °F TIME TRUCK WATER C.Y./ # SEf # gEFORE AFTER PLASTICIZER CONTENT MIX AIR NUMBER ADDED C.C.Y. SAMPLE FREQUENCY 3 2 3 4 5 6 7 S 9 10 Samples cast 6y: GME Contractor Number of cylinders cast per set Samples cast in: 6" x 12" 4" x 8" Cylinders were cured an site where? --/6 %C? Method of Placement Via: Truck Chute CX Power Buggy Bucket Pump Truck Schedule far testing of cylinders: 21T- 2F y/ /.eac0 rP 4? fa acr.?, COMMENTS: Signed V o g- D(O S Z Oate / /'D Z-. Cylin rs brou ht into GME Lab for curing and testing / t /-n lT i Signed ? / L ? ? REV.aroo 'GME COi11SULTA111TS, 1111C. Geotechnical • Maoarials • Environmental Minneapolis, MN Crosby, MN Menomanie, WI (763] 559-1659 [218) 546-6371 [715) 235-8844 International Falls, MN Ft. McCoy/LaCrosse, WI Willmar, MN (218) 283-2958 (6081 785-1915 (320) 231-3941 Duluth, MN Janesville, WI Chicago, IL (218) 722-4323 (608] 752-8050 (708) 430-1071 UAILY FIELD REPORT FIELD TE5TING OF FRESH CONCRETE GME Job No. ? (^ Job Name ??7, Location???? TO TIME: - AM/PM/DATE: WEATHER: Location af Placement: lC- ' 1 W `" ? /p Supplier: l?.... Specified Slump ?. ?? Mix Number Mix plasticized? Yes Required 28 Day Strength ?'? No Specified Air Content d( TEST CYL kUMP AIR TEMPERATURE 'F TIME TRUCK WATER C.Y./ # SET # gEFORE AFTER PLASTICIZER CONTENT MIX AIR NIJMBER ADDED C.C.Y. SAMPLE FREQUENCY 5_2 2 3 4 5 6 7 8 9 10 Samples cast by: GME ? Contractor Number of cylinders cast per set Samples cast in: 6" x 12" 4" x 8" Cylinders were cured on site where? ?•`??? Method of Placement Via: Truck Chute ? Power Buggy 8ucket Pump Truck Schedute for testing af cylinders: S ' COMMENTS: Signed ? - -' Date Cylinders brau??,g///ht into GME Lab for curing and testing - ;Y- / ?- Signed REV. 4/00 'G9VIE C01115ULTJJo11C19YS, 691iC. 6eotechnical • Materials • Environmental Minneapolis. MN Cros6y. MN Menomonie, WI (763] 559-1859 (218) 546-6371 (715] 235-8844 International Falls, MN Ft. McCoy/LaCrosse, WI Willmar, MN (216) 283-2958 (608) 785-1915 (3201 231-3941 Ouluth, MN Janesville', WI Chicago. IL (218) 722-4323 (608) 752-8050 (7081 430-1071 GAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Job No. ? v - .--, Jo6 Name Location Z-'?Y?rt..? TO - ??i - TIME: AM/PM/DATE: WEATHER: Location of Placement: i r!- s_? l.> ,.+,., Supplier: -11 Specified Slump _ !?- Mix Number Mix plasticized? Required 28 Day Strength Yes No Specified Air Content ?.?_ TEST CYL SLIJMP AIR TEMPERATIJRE 'F TIME TRUCK WATER C.Y./ C Y # SET # gEF?RE AFTER PLASTICIZER CONTENT MIX AIR NUMBER ADDED .C. . SAMPLE FREQUENCY 2 3 4 5 E 6 7 8 9 10 Samples cast 6y: GME Contractor _ Samples cast in: 6" x 12" '4" x 8" Cylinders were cured on site where? Method of Placement Via: Truck Chute `Power Buggy Schedule for testing of cylinders: Number of cylinders cast per set Bucket Pump Truck COMMENTS: Signed ??.. :- Q Date Cyli ers brou t int GME Lab for curing and testing Z-- r Signed ,GME CONSULTANTS, INC. Geatechnical • Materials • Environmental Minneapolis, MN Croshy, MN Menomonie, WI [763) 559-1859 (218] 546-6379 j715) 235-BB44 International Falls, MN Ft. McCoy/LaCrosse. WI Willmar, MN [218) 283-2958 [6081 785-1915 [320J 231-3941 Ouluch, MN Janesville, WI Chicago, IL [218] 722-4323 (608) 752-8050 (708] 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Joh No. Job Name Location TO TIME: AM/PM/DATE: Xl_ WEATHER: Location of ? Placement: t AQj?'i _ Supplier: Mix Number Required 28 Day Strength 3?'? Specified Slump Mix plasticized? Yes No rs_ Specified Air Content r- CYL SLUMP AIR TEMPERATURE 'F TIME TRUCK WATER OOED C.Y./ C C Y F SET # gEFORE AFTER PLASTICIZER CONTENT MIX AIR NUMBER A . . . SAMPLE FREOLJENCY 314 2 3 4 5 6 7 8 9 10 Samples cast 6y: GME Contractor Num6er of cylinders cast per set Samples cast in: 6" x 12" °4_1 4" x 8" Cylinders were cured on site where? Method of Placement Via: Truck Chu?t-e7 ? Power Buggy 8ucket Pump Truck Schedule for testing af cylinders: r" s COMMENTS: Signed ate Cyiinders hrought into GME Lab for curing and testing O z} Signed FIEV. 4/00 'GME CONSULTANTS, INC. Gentechnical • Materials • Environmental Minneapolis, MN Cros6y, MN Menomonie, WI (763) 559-7859 (218) 546-6371 (775) 235-8844 International Palls, MN Ft. McCoy/LaCrosse, WI Wiilmar, MN (21B) 263-2958 (608) 785-9915 [320] 231-3941 Duluth, MN Janesville, WI Chicago, IL [218] 722-4323 (608] 752-8050 (708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Joh No. `f5 Job Name . T 54i']-.i Locatian J.Mt?,,.41 ?/ TO ___ TIME: WEATHER: t AM/PM/DATE: / / G Z Lo ion of Placement: A t SS A'-S '--? Supplier: Mix Numher Specified Slump Mix plasticized? Yes equired 28 Day Strength cj?7v No ?5Z_ Specified Air Content TEST CYL SLUMP AIF TEMPERATURE °F TIME TRUCK WATER C.Y./ _ # SET # BEFORE AFfER PLASTICIZER CONTENT MIX AIR NUMBER ADOED C.C.Y. SAMPLE FREQUENCY ? ? ?Z ? 5^ ? ?? ??Z ZJv 2 3 4 5 6 7 8 9 10 Samples cast by: GME Contractor Samples cast in: 6" x 12" 4" x B" Cylinders were cured on site where? C?0%i- Method af Placement Via: Truck Chute Power 8uggy Schedule far testing of cylinders: - i ( 4 Number of cylinders cast per set - Bucket Pump Truck S COMMENTS: Signed Cylinders brou ht into GME Lah for curing and testing Signed ? REV 4/00 ,GME CON59JLTAI111'S, 1NC. Geotechnieal • Materials • Environmental Minneapolis, MN Crosby, MN Menomonie, WI (763) 559-1859 (218) 546-6371 (715) 235-8844 International Falls. MN Ft. McCoy/LaCrosse, WI Willmar, MN (218) 283-2958 (608) 785-1915 . (320) 231-3941 Duluth. MN Janesville, WI Chicago. IL (218) 722-4323 (fi08) 752-8050 (708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Jo6 No. / 8 5- ? Job Name? ?/f.19i7?? Location_f'#? ??f? TO /f (?M TIME: AM/PM/DATE: / / /Q L / WEATHER: Locatian of ?1a Placement: v7' /Std / /5 Supplier: 4LAe Specified Slump I, `( Mix Number !?d . r.v? Required 28 Oay Strength .rao J Mix plasticized? Yes No k Specified Air Content 1? TEST CYL SLUMP AIR TEMPERATURE °F TIME TRUCK WATER C.Y./ # SET # gEFORE AFiER PLASTICIZER CONTENT MIX AIR NUMBER ADDED C.C.Y. SAMPLE FREQUENCY , 3 ? 3 4 5 6 7 8 9 10 Samples cast by: GME ? Contractor Numher of cylinders cast per set Samples cast in: 6" x 12" OL 4" x 8" Cjlinders were cured on site where? C' •/so ?c Method of Placement Via: Truck Chute ? Power Buggy Bucket Pump Truck Schedule for testing af cylinders: 7' 2a: z J- Sc? /V+?• Jr 1C,-?4 COMMENTS: Signed ? ZDat g/ht into GME Lab for curing and Cylinders 6rou c testing Z Signed IV - REV. a/00 -GME CON59JLTA911TS, Il11C. Geoteehnical • Materials • Environmental Minneapolis, MN Crosby, MN Menamanie, WI p631 559-1859 (218) 546-6371 f7151 235-8644 International Falls, MN Ft. McCoy/LaCrosse, WI Willmar, MN (218] 283-2958 (608) 785-1915 (320) 231-3941 Duluth, MN Janesville, WI Chicago, IL (218) 722-4323 [608] 752-8050 (7D8) 430-1071 DAILY FIELD REPORT FIELD TESTING OP FRESH CONCRETE GME Jo6 No. Job Name •?'? Lo cat io n ?i1+Gti'??/y? 70 s?y TIME: AM/PM/OATE: x) L-- WEATHER: d/U ? t?..?... Loc ion of / Placement:sc ?/JJcs? ?` C / ?? , (T? '?s ? ZS " ? S ? Supplier: Specified Slump ? ' i Mix Num6er a06 9/J1 plasticized? Yes ? 4-? Required 28 Day Strength oa a? No x Specified Air Content -- TEST CYL SLUMP AIR TEMPERATURE 'F TIME TRUCK WATER . C.Y./ # SET # gEFORE AFTER PLASTICIZER CONTENT MIX AIR NUMBER AOOED C.C.Y. SAMPLE FREQUENCY ? 3'Iz 2 3 4 5 6 7 8 9 10 Samples cast by: GME ?-- Contractor Samples cast in: 6" x 12" ? 4" x 8" Cylinders were cured on site where? ea K Method of Placement Via: Truck Chute ? Power Buggy Schedule for testing of cylinders: •?Y S Numher of cylinders cast per set Bucket Pump Truck S? COMMENTS: 5igned Oate / / 2 /0 Z Cylinders brought inta GME La6 for curing and testing _ j' //57 Signed !L= e ntv. 4100 ?GIVIE C0111SULTANTS, INC. Geatechnioal • Materials • Environmental Minneapolis, MN Crosby, MN Menomonie, WI (763) 559-1859 I2181 546-6371 (715) 235-8044 International Falis, MN Ft. McCoy/LaCrosse, WI Willmar, MN (218) 283-2958 (608] 785-1995 (320) 239-3941 DuWth, MN Janesville, WI Chicago, IL (218) 722-4323 [608) 752-6050 (706) 430-1071 DAILY FIELD REPORT FIELD TESTING OP FRESM CONCRETE GME Joh No. / Yf 7- Joh Name 7R.l.uli?s?7f%?i-? Location-A4?-W. -l? TO TIME: AM/PM/OA'TE: WEATHER: Location of ^? 5 Placement: l'itr Supplier: ?l?., Specified Slump !/ sn n? t Mix Num6er 7" 064 e-'A1 Required 28 Oay Strength yc?o 0 V Mix plasticized? Yes No h Specified Air Content ? TEST CYL SLUMP AIR TEMPERATIJRE °F TIME TRUCK WATER C.V./ # SEf # gEFORE AFTER PLASTICIZER CONTENT MIX AIR NUMBER ADDED C.C.Y. SAMPLE FREOUENCY ? 3??2 ?• Z Cv 8' 70 f.` 30 53/ 2 3 4 5 6 7 8 9 10 Samples cast by: GME ? Contractor Samples cast in: 6" x 12" ? 4" x 8" Cylinders were cured on site where? ?-116 k Method of Placement Via: Truck Chute ? Power Buggy Schedule for testing of cylinders: s? •?i •'??• ??" S(? ?G7 Number of cylinders cast per set Bucket / Pump Truck /rocD t/ 7`M. 1q 'a?? COMMENTS: Signed Z Date t- Cylinders brought into GME Lab far curing and testing __y /_/?? - / o Z- Signed f' /1" Rev.aroo `GlVIE COi1iSULTANYS, iiVC. Geotechnical • Materials • Environmental Minneapolis, MN Crasby, MN Menomonie. WI (763) 559-1859 (218] 546-6371 (715] 235-8844 International Falls. MN Ft. McCoy/LaCrasse, WI Willmar, MN (2181 283-2958 [608] 785-1915 (320] 231-3941 Duluth, MN Janesville, WI Chicaga, IL (218] 722-4323 (608) 752-8050 [708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Job No. 9 '4-r -x- ??i9?J.T ,J''?Tt+?? Job N a m e Locatian 5?r.?,?.v? .?1? TO TIME: AM/PM/DATE: 7 /,/,S {0L / WEATHER: 41O j S?/NN Location of Placement: ? /1teN s? ?- Supplier: AIl//t Mix Number ??? G?JI+?? Required 28 Day Strength aa o Specified Slump 3- ? Mix plasticized? Yes No K_ Specified Air Content TEST CYL SLUMP AIR TEMPERATURE 'F TIME TRUCK WATER C.Y./ # SET # gEFORE AFTER PLASTICIZER CONTENT MIX AIR NLJMBER ADDE? C.C.Y. SAMPLE FREQIJENCY 1 2(2 0260 ZZ? 2 3 4 5 6 7 8 9 10 Samples cast by: GME Contractor Samples cast in: 6" x 12" 4" x B" Cylinders were cured an site where? C? do v, Method of Placement Via: Truck Chute Coe, Power Buggy Schedule for testing of cylinders: • 2- 2 30 /?oc0 Number of cylinders cast per set ? 8ucket Pump Truck Tr° COMMENTS: Signed n. t F O b oat _/? / G Z Cylinders 6ro ht into GME La6 for curing and ? testing Signed REV. 4/00 `GME CONSl9LTANTS, IiVC. Geotechnical • Materials a Emironmental Minneapolis, MN Cros6y, MN Menomonie, WI [763] 559-1859 (218) 546-6371 (715) 235-8844 InternaGional Falls, MN Ft. McCoy/LaCrasse, WI Willmar, MN (218) 283-2958 (608] 785-1915 [320] 2313941 Duluth, MN Janesville, WI Chicago, IL (218) 722-4323 I6081752-8050 [708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Job Na C? Iff ? Job Name Location Le'? TO TIME: / AM/PM/DATE: /OL WEATHER Location of Placement: d?. Supplier: ?f.? Specified Slump a T?i Mix Numher n G( Required 28 Day Strength .? e O Mix plasticized? Yes No Specified Air Content 6 TEST CYL SLUMP A(R TEMPERATURE 'F TIME TRUCK WATER C.Y./ C C # SET # gEFORE AFTER PLASTICIZER CONTENT MIX AIR NLJMBER ADDED . .Y. SAMPLE FREOUENCY 1 Jr ?/4 lp. S 7& 5-/ 2 3 4 5 6 7 B 9 10 Samples cast hy: GME ? Contractor Samples cast in: 6" x 12" 4" x 8" Cylinders were cured on site where? C-ido }C Method of Placement Via: Truck Chute Power Buggy Schedule for testing of cylinders: Z r S/ Number of cylinders cast per set 6 Bucket Pump Truck +c S / 5_7 COMMENT5: Signed M 6037 Date?/ Cylinders brought into GME Lab for curing and r 7v e ox /< - tetlZ w. 0 testing y/ V / o 2 t NnN .f.C / A Signed / aEV 4100 GME C0111SlILTA9VTS, Il11C. Geotechnical • Materials • Environmental Minneapolis, MN Crosby, MN Menomonie, WI (763) 559-1859 (218) 546-6379 (715) 235-6844 International Falls. MN Ft. McCoy/LaCrosse, WI Willmar, MN [218) 283-2958 (608] 785-1915 (320) 231-3949 Ouluth, MN Janesville, WI Chicago, IL (2181 722-4323 (608) 752-8050 (708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Job No. 1`379'r1_;L Joh NameZ Nsif 5"" %;,, -, Location GlGf.r ? /?J?? TO j'MN ? TIME: AM/PM/DATE: /O Z WEATHER: O S SJ.??" Location of Placement: 4 issa??S f p•r ? Supplier: 04X Mix Number Specified Slump Mix plasticized? e" 4e?r.r? Required 28 Day Strength Od o Yes No ?1 Specified Air Content TEST CYL SLUMP AIR TEMPERATURE °F TIME TRUCK WATER C.Y./ # SET # gEFORE AFTER PLASTICIZER CONTE NT MIX AIR NLJMBER ADDEO C.C.Y. SAMPLE FREQUENCY 1 z 3 4 5 6 7 8 9 10 Samples cast by: GME ? Samples cast in: 6" x 12" ?- Cylinders were cured on site where? C• Method of Placement Via: Truck Chute Schedule for testing af cylinders: 2 Contractor Numher of cylinders cast per set 4" x 8" ? o y x Power Buggy /6'ucket Pump Truck ? ,(/oc 0 ir COMMENTS: Signed Date Cylinders brought into GME Lab for curing and testing Signed REV. 4100 ? ,GME CONSiJ LTA111TS, INC. Geoteehnical • Materials • Environmental Minneapolis, MN Crosby, MN Menamanie, WI [763) 559-1859 (2181 546-6371 (715) 235-8844 International Falls, MN Ft. McCay/LaCrosse, WI Willmar, MN (218] 283-2958 (608) 785-1995 (320) 231-3941 Duluth, MN Janesville, WI Chicago, IL (218] 722-4323 (608) 752-8050 (708) 430-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Job No. f4A,? ?/?;I.?si? Job Namer Location?N?. ?'? TO li?i? (p _ TIME: AM/PM/DATE: Jpo//7 162 _ WEATHER: f?/p,ol ? Z Location of ? Placement: I ?t'utc U.NNl / ?/[ ' /?i ??" ??i C? • 3?/ l/Y - ?? ?t (ON , Supplier: C£w Specified Slump ft s {+.rL Mix Numher Mix plasticized? so6G P Required 28 Day Strength SO o 0 Yes No SpeciFied Air Content 6}/ TEST CYL SLUMP AIR TEMPERATURE °F TIME TRUCK WATER C.Y./ # SET # gEFORE AFTER PLASTICIZER CONTENT MIX . AIR NUM9ER ADDEO C.C.Y. SAMPLE FREQUENCY q'/L 4?0 : s'v 63Z - ?fr? z 3 4 5 ' 6 ' 7 8 9 10 5amples cast by: GME 'x Contractor Samples cast in: 6" x 12" ? 4" x 8" Cylinders were cured on site where? C' 40 K. Method of Placement Via: Truck Chute Power Buggy Schedule for testing of cylinders: 7 Z? ? If. 2 7jt 5 P 3,0 ' Number of cylinders cast per set Bu6ket !K Pump Truck /Ii c. 0 J r s sz A96.0? COMMENTS: Signed 2 2 ?? o Date Cylinders brought into GME Lab for curing and testing Signed AEV aroo ,GIVIE COi11S6J LTAi11TS, f911C. Geotechnical • Materials • Environmental Minneapolis. MN Crosby, MN Menomonie, WI (763) 559-1859 (218) 546-6371 (715) 235-8844 International Falls, MN Ft. McCoy/LaCrosse, WI Willmar, MN [216] 283-2958 (608) 785-1915 [3201 2313941 Duluth, MN Janesviile, WI Chicago, IL [21 B] 722-4323 (608) 752-6050 [708] 43D-1071 DAILY FIELD REPORT FIELD TESTING OF FRESH CONCRETE GME Ja6 Na. / 45- -v2- Jab Name /Ri..rs. X_070aan..i Location 1??.' -&Z TO TIME: AM/PM/OATE: ,O Z ? WEATHER: O , _saNN Location of Placement:? I4f.n/ ? 9 J.S e-r' 121-4 1-75 Supplier: ?I? 001 Specified Slump ' , Mix Number 450?0 0??lJ•?? Required 28 Day Strength Oo A Mix plasticized? Yes No x Specified Air Content TEST CYL SLUMP AIR TEMPERATURE °F TIME TRLICK WATER C.Y./ # SET # gEFORE AFfER PLASTICIZER CONTENT MIX AIR NUMBER ADDED C.C.Y. SAMPLE FREQUENCY 1 Z, U 7 `/ Yo 2 Y?/Z ? 3 7'e z:s? zi 3 4 5 6 7 8 9 10 Samples cast by: GME Contractor Samples cast in: 6" x 12" ? 4" x 6" Cylinders were cured on site where? C- I;u)< Method of Placement Via: Truck Chute 0<? Power Buggy Schedule for testing of cylinders: ?• t-If ' L,e '.5/? /?• ? o Numher of cylinders cast per set ? Buck t Pump Truck T?A7 ?i COMMENTS: 3e i. Signed O Yab • 0 SoZ'? Date_?/f Cylind rs brought into GME Lab for curing and testing Signed REV. 4100 GiViE Ci31115UL'fAPJTS, li1lC, 3eotechnical • Materials • Envirnnmental Ainneapolis, MN Creshy, MN Menomanie WI 7631 559-1859 (218) 546-6371 , (715) 235-8844 iternational Falis, MN Ft. McCoy/LaCrosse, WI Willmar MN 2187 283-2958 (6087 785-1915 , (320] 231-3941 )uluch, MN Janesville, WI Chicago, IL 218) 722-4323 (606) 752-BO50 (708] 430-1071 DAILY FIELO REPORT FIELD TESTiiI]G OF FRESH CO CRETE ro Location 3f Plar.ement ? S?2c GME Job Na. Jab Name Location_ TIME: AM/PM/DATE: G Z WEATHER: ?Q f ???,•ryc?--z, C.,,,,.,, .. [;i',:,?? y ?_ N u _ i?- r__;' ? Supplier: (:;1. i?,4 Mix Numher __Required 28 Oay Strength ?21L _ Specified Slump I " y-!?" _Mix plasticized? Yes ? No SpeciFied Air Conr.anr. TEST SLUMP AIR TEMPER7ITUAE 'F TIME TRUCK WATER C Y / # F5ET gEFO RE q?q PLASTICIZER CONTENT IX IR NUMBER ADOED - . . C.C.Y. SAMPLE FREQUENCY ' 03 2 r9 Go :vs /S - y i 3 g 4/t3 * (43 e 9 10 Samples cast by: GME C` Contractor Samples cast in: 6" x 12" 4" x 8" Zylinders were cured an site where? 0 fC blethod of Placement Via: Truck Chute Power Buggy 3chedule for testing aF cylinders: Number of cylinders cast per set t<_ Bucket pump Truck COMMEN7S: Signed z. Oate ?_ / / o Z Cylinders brought into GME Lah for curing and testing Signed REV. 4/00 01vI:t 4ai.riu5L3L9A317T5, 1Nd:. 3emtechnical • Materials • Environmental vtinneapolis, MN Cros6y. MN 763) 559•1859 (2181546-6371 n[ernational Falls, iViv Ft. McCoy/LaCrosse, WI 2181 293-2958 (6081 785-1915 Juluth. MN Janesville, WI 218) 722-4323 (608) 752-8050 F)ELD TD Menamanie, WI (715) 235-8044 Willmar, MN (3201 231 •3941 Chicago, IL (709] 430-1071 DAILY FIELO REPOfFT TESTiNG OF FRESH CONCRETE GP.9= J--h Nn. _4 Joh Name Location__ >Lr.? TIME: AM/PM/OATE_? WEATHER: of -Supplier: _'/ Mix Number Specified Slump - ? Mix plasticized? 5V ( ? !? 1l Required 28 Day Strength s?'Oa Yes PC-- No Specified Air Cantent f/ TEST CYL IR TEMPERATURE'F TIME TRUCK WATER C.Y / # SET # S ;CONTENT MIX AIR NUMBER ADOED . C.C.Y. SAMPLE FREOUENCY 2 2 /a 3 6 4/Zq a ? 5(P y s p Slzo s E (?(17 7 F V(1 8 s 10 Samples cast by: GME X Contractor Samples cast in: 6" x 12" _(%` 4" x 8" Cylinders were cured an site where? _ C- ?-tg Method of Placement Via: Truck Chute Power Buggy Schedule for testing of cylinders: - 21 ? Number of cylinders cast per set d7 ' Bucket ,0<_ Pump Truck COMMSNTS: 2 Signed Date Cylinders hrought into GME Lab for curing and testing Signed ? d aev.aroo -Wt CONSULZANTS, 1rJC. 3eotechnical • Materiafs • Environmental 9inneapolis, MN Croshy, MN Menamanie WI 7631 559-1859 (218) 546-6371 , (775) 235•8844 iternational Falls, MN FL P.I:Coy/LaCrosse, WI Wilimar MN 2181283-2958 (609; 785-1915 , (3201231-3941 luluth, MN Janesville, WI Chicago, IL 218) 722-4323 (608) 752-8050 (708) 430-1071 GME Job No. Ja6 Name Location_?if DA1LY FIELD REPORT FIELD TPSTING OF PRES}i CONCRETE TD TIME: _ AM/PM/DATE: WEATHER: -- Location of / Placement? Supplier. .? Mix Number 154? L? Required 28 Day Strength Qv 0 SpeciFied Slump ' - / Mix lasticized? Yes /y P V? NO Soecifiarl Air f'.nntc.,r TE5T CYL SL MP AIR TEMPERATURE 'F TIME TRUCK WATER C Y / # SET # gEFORE qFTER PLASTICIZER CONTENT MIX AIR NLJM6ER ADDEO - . . C.C.Y. SAMPLE FREQUENCY. ?5 2 4(?D 5? S? 2 G 2 .?.1 v ?. rY b' 3 9130 4 C .S/ZJ 5 D srZ? 6 e -6/?8 8 9 10 3amples case 6y: GME ? Contractor 3amples cast in: 6" x 12" 4" x 8" "ylinders were cured an site where? _ Cs? oY, Nethod of Placement Via: Truck Chute Power Buggy 3chedule far testing af cylinders: Num6er of cylinders cast per set Bucket Pump Truck -- :DMMENTS: Signed Date Cylinders hrought into GME La6 for curing and testing Signed pFV dNY1 311/1E F:GP.1:iULTAIUTS, lNC. 7eatechnical • Materials • Environmental 4inneapolis, MN Croshy. MiV Menamonie, WI 763) 559-1859 (218) 546-6371 (775) 275-8844 iternational Falls, MN Fc McCoy/LaCrosse, WI Willmar, MN 3181 283-2958 (c08) 785-1915 (320] 231-3941 )uluth, MN Janesville, WI Chicago, IL 2181722-4323 (608J 752-8050 (708) 430-1071 GN1E Job No. 1/ Job Name , / T' sj??i?. location DA1LY FlELD REPORT FIELD TESTING OF FRESH CONCRETE TO location of TIME: _ AM/PM/DA7E: WEATHER: /. O ? ??. , Supplier: Gf... ? y1_ ' - Mix Numh06 (o Giy Required 28 Day Strength yQ C n Specified Slump 3,.??_Mix plasticized? Yes _ No X Rncr?ficri n;? r,..,.,.,.. 1-4 / TEST CYL SLUMP AIR TEMPERATURE 'F TIME TRUCK WATER C Y / # SET # BEFORE A?q PLASTICI2ER CONTENT MIX AIR NUMBER ADDEO . . C.C.Y. SAMPLE FREOUENCY 2 ? ir o ? , _7.1o 91 j? ? 3 ? ?3a 4 ? S/LI s ? 5(z 1 s E ?(IY 7 e 9 10 Samples cast by: GME Contractor Samples cast in: 6" x 12" CK_? 4" x 8" Cylinders were cured an site where? C- /T y Z Method of Placement Via: Truck Chute ? Power Buggy Schedule for testing of cylinders: Number of cylinders cast per set Bucket L'?%( Pump Truck COMMETVlTS: p • Signed Oate ?_ / '2 ? d2 Cylinders h t into GME Lab for curing and testing ? Signed I -? Reu a/ao G,P14f C0NSUi.TA!?,1i'S INC , . Geatechnical • Materiais • Enviranmenta( n Minneapoii5, MN ;7fi37 55&1859 Croshy. MN (2181 546-6371 r Menomonie, WI nternational Falls, MN 210) 283 2958 Ft. McCoy/LaCrosse, N11 (715) 235-8844 Willmar, MN • juluth, MN (608) 785-1915 Janesvilie WI (320) 231-3941 v 2181 722.4323 , (608] 752-8050 Chicago, IL (708] 430•1071 bA1LY FIELO REPORT FIELD TESTIiVG OF FRESH CONCRETE 70 GME Jab No. 1Y J o b Name Locationf(4.? ? Location of TIME: AM/PM/C"-TE_J//, 3- /n Z WEATHER: ? p 'S ??„ -,_ _ , Placement: ,j,A/? 5- I v•..,s ,_? S-?, X ?i(? Su lier: ----- Pp y^" ""`? • Mix fVumher 11;?!Y,f? Required 28 pay Strength o ? Specified Slump 3=y??S = l Mi:? plasticized? Yes ---- /_ No Specified Air Cantent /?c^!?/ WATER T# T SCyl- ET SLl1MP AIR TEMPERATURE 'F ;3[3;s-c? RUCK C.Y./ # BEFORE AFTER CONTENT UMBER ADOEO C.C.Y. MIX AIR PLASTICIZEF SAMPLE ? FREQUENCY ?- ? ? 3 /IZ rz. 2 S/c 3 g 4 G 3'/t3 5 p :?iz3 6 F (I20 7 ?= 6( 2. e s io iamples cast by: GME ? Contractor iamples cast in: 6" x 12" 4" x 8, :ylinders were cured on site where? ?-P3 o Aethod of Placement Via: Truck Chute Power Buggy ichedule for testing af cylinders ?? 2Z. )k, _ a , , :Oii/IMENTS: Date ,L/ / ? / UZ Cylinders braught into GME Lah for curing and testing --[ / ? Signed Number of cylinders cast per set 8ucket . )<_ pump Truck , bME COnISULTANTS, INC. Geoeeehnical • Matarials • Environmental - Minneapolis, MN Cros6y, MN [763J 559-1859 [218] 546-6371 Menomonie, WI Internatiqnal Falls, MN Ft. McCoy/LaCrosse, WI (715] 235-8844 (218) 283-2956 [608) 785-1915 Wiltmer, MN Dufu[h, MN Janesville, Wi I320] 231-3941 [218) 722-4323 (608) 752-8050 Chicago, IL . [708) 430-1077 FIELD T STINGFOF F ESH CONCRETE TO -li? S- TlME: AM/PM/DA7E: Location of Supplier. CZj Specified Slump TEST CYL # SET # ft6fj -7i c , BEFORE AFfER PLASTiCIZER GME Joh No. / 6 ? Jo6 Name Locatian-4r4z?,/ i _ Mix Number Required 28 Day Strength _Mix plasticized? Yes -_iK No Specified Air Content ? AIR TEMPEFATURE 'F TIME CONTENT TRUCK WqTER C.Y./ , MIX AIF NUMBER ADDED C.C.Y. SAMPLE FREQUENGY A ? 6 1:3 e-i zol? Samples cast by: GME - Samples cast in: 6" x 12" Cylinders were cured on site where. _0 Method of Placement Via: Truck Chute Schedule far testing of cyfinders: _???, (0 Contractor Number of cylinders cast per seG 4" x B" _ Power 8uggy Bucket 7 9_ pump Truck _,4 . ? - - Date Cylind rs brought into GME Lab for curing and testing _J- 1__2 / oL Signed MECHANAL (COMMERCIAL) Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: wmmercial/indus[rial buildings multi-family buildings when separate permits are not required for each dwclling unit.. '461a( % 1 FSb . 1?--o Date__?/ S / OQ' '' 11 () IC?? 'f.??6 b SiteAddress Unit# Tenant Name (if applicable)Y1C7_ 7TdT101? Previous Tenartt Name Property Owner ?Fy V?k 'm" 1'f AvrpC7Z.1'1'/ Telephone #( ) Contractor S4AMM&& HCLA.?t.GLItL •J•kXL StreetAddress -k-,Z.llW_ City 5CL ST ??.-- State l"I LA Zip -?js0"js Telephone #( 65k ) 2J4'Z.-:-qF4VVT? The Applicant is _ Owner ?Contractor _ Other Work Type Newconstruction UndergroundTank _ Install _Remove ?Interior Improvement Call for inspection during installationlremoval of tank Processed Piping Nature of Work: ? 1.? N CF? ?? ?? ? M F? n. Permit Fee 550.50 Mlnlmum Fee (includes State Surcharge) IN JAN 0 ContractValue $ i a,dOox 1% $ L$? Perm 3 • If permit fee is $1,000 or less, add $.50 ? $ _?+ Y State Surcharge If permit fee is over $1,000, add $.50 per $ 1,000 Permit Fee ?C7 ? T $ • otal Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and acwrate; that the work Mechanical Co es; that I understand this is will be in wnformance with the ordinances and codes of the City of EagaevL%-% not a permit, but only an appiication for a permit, and work is not to start , the wor will be in accordancc with the approved plan in the case of work which requires a review and approval \ Applicant's Printed Name Applicant's Signatu e ? /?' Approved By: 5 C , Inspector Date: A d T MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits aze required for each unit Date Site Address Unit # Property Owner Telephone # ( ) Contractor SMeet Address State Zip City Telephone # ( ) The Applicant is _ Owner Contractor Other Add-on, modi£cation or alteraflon to existing dwelling unit furnace replacement air exchanger air conditioner other $ 30.00 State Surcharge $ .50 Total g I hereby appty for a Residential Mechanical Permic and aclrnowledge thaY the infnrmarion is complete and accurate; that the work will be in conformauce with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a pemut, but only an application for a permit, and work is not to start without a pemilt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature V ? 2004 COMMERCIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 c) Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Onl New Buildin Interior Im rovement • SWCtural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Structural Plans (2) . Code Anatysis (1) " • CertifipteofSurvey (1) . CivilPlans (2) . ProjectSpecs (1) • Code Analysis (1) " . Landscaping Plans (2) . Key Plan (1) . ProjectSpecs (1) • CodeAnalysis (1) . Master Exit Plan (1) • Spec. Insp. & Tes6ng Schedule " . Certificate of Survey (1) . Energy Calculations (1) not always" . Soils RepoR (1) . Spec. Insp. & Testing Schedule (1) . Elec. Power & Lighting Fortn (1) not always" • Meter size must be eshablished • Meter sizs musl be established • Meter size must be established-if applicable L • ProjectSpecs (1) 1 • Energy Calculations. . (1) 1 • EledMC Power & Lighting Fortn (1) 1 • Master Exit Plan ° • (1) 1 b • Emergency Response Site Plan (1) 1 • Soils Repart (1) 1 • SAC determinatlon - call 651-602-1000 . SAC detertnination - ca11 651-602-1 000 SAC detertninatlon - call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. *• Contac[ Building Inspections for sample and if required when it states "not always". Pertnit for oew building or addition will not be processed without Emergency Response Site Plan. Date 22. Construction Cost 175- j ° u° Site Address UniUSte # TenantName Former Tenant Name Description af Work ?ot..?L Property Owner _/?L-wc ?° ?"a- V ??? Ti.-s r?}G•?. {"! Telephone #( 7 6 3) S 3 -7- y f'3 Y Contractor pc.-.?-Ce ??s-f'•??1-?? Address Z!'I S 5[ate M N Zip SS/ Z I City E? .., Telephone #( GSi ) 2 p7 -OL y g Arch/Engr LS A I?...; ? .? Address 21'0 6 0o State Zip 5 S`1 a/ Registration # City Telephone #( 6#L) Licensed plumber installing new sewerlwater servfce: N/4 Phone #: ? I hereby apply for a Commercial Building Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. ApplicanYs Printed Name ApplicanY ignature OFFICE USE ONLY Sub Types C Ol Foundation C 14 Apartments C 15 Lodging 25 - Miscellaneous rk Types 1 New ? 32 Addit ? 33 Altera ? 34 Repla Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? ion ? tion ? cement 175i o00 Of-& 937 -- o -- 0 , A 26 Public Faciliry J 27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ,1 30 Accessory Building _J 32 Ext Alt-Aparhnents -1 34 Ext Alt-Commercial D 35 Ext Alt-Public Facility ? 37 Nail Salon 35 Int Improvement ? 38 Demolish (Interior) 36 Move Bldg. ? 42 Demolish (FOUndaGOn) 37 Demolish (Bldg)' ? 43 Reraof 'Uemolition ( t! Bidg only) - Give PCA hando t to applicark a?v ? r,? Occupancy S.Zi A"' S MCES System Zoning FA - 07 . Ciry Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth Required Inspections _ Footings (new bldg) Foorings(deck) ? Footings (addition) ? Foundation Drain Tile Roof Ice Pr _ Decking _ Insul ? Framing _ Fireplace _ R.I. _ Au Tes[ _ Final Approved By: Base Fee Surcharge , Plan Review MCES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total ?Insulation ? FinaUC.O. _ FinaUNo C.O. Other Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding _ Stucco _ Stone Windows Planning niO? Building Inspector 1 3 -1 S ur7 .SO 1 '8? .ci y 9- `4 -?,- 0 - 1 1 ? 44 Siding ? 45 Fire Repair ? 46 Windaws/Doors ? ? (?, Ll ? g9 2004 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 • Siructural Plans (2) sets • Civil Plans (2) • Certifcate of Survey (1) • CodeAnalysis (1) • Project Spea (1) • Spec. Insp. 8 Testing Schedule " • Soils RepoA (1) . Meter size must be established l., 1 1 b 1 L . car, nPtPminAer,o _ n,u Fsi_Fro_innn ?V)Z? • Arohilectural Plans (2) sets • Archilectural Plans (2) sets • Strudural Plans (2) • Code Analysis (1) " • Civil Plans (2) • Project Specs (1) . Landscaping Plans (2) • Key Plan (1) • Code Analysis (1) • Master Ezit Plan (1) • CeAifcate of Survey (1) • Energy Calculations (1) nol always" • Spec. Insp. & Testing Schedule (1) ° • Elec. Power & Lighting Fortn (1) not always"' • Mater size musl be established • Meter size must be established-iF applicable • ProjectSpecs (t) . , . EnergyCalculations (1) " d . Eledric Power & Lighting Form (1) • Master Ezit Plan (1) 1 . Emergency Response Sfte Plan (1)'° 1 • SoilsReport (1) d . Rar. ?,u rst-Am_i nnn SAC detertnination -wll fi Call MN Uept ofHCalth at 651-215-0700 for details regarding food & beverage or lodging facilit " Contact Building Inspections for sample and if required when it states "not always". **" Permit for new building or addition will not be processed without Emergency Rcsponse Site Plan. Date J? /107ail4 Site Address Tenant Name-r ww Const/rqction Cost G ?\i DO O. s?D ?[? ( SIIfM /OZ ) UniUSte # 40Z Former Tenant Name Description of Work ( 0i'L ? ?- rT44`i Property Owner Telephone #(sj'j) 7 S4-0= Contractar 6=LvC7L1 ?LiAj{c 'u G Address localt State City Zip Telephone # ?51 -?,3 Arch/ ngr L-A, 41U%4??,?M tt Address MOZ -5%cauai7o State i Registration # AzsS l City ?.s p,o T Zipw7? 4% Telep6one # (5ift 345- It I?- MS ?k ? Zb' Licensed plumber installing new sewerlwater service: Phone #: ? MAY 1 7 2004 I hereby apply for a Commercial Building Permit and acknowledge that the inform n is complete and ate; that the work will be in conformance with the ordinances and codes of the City f Eagan and the State f MN Statutes; I understand this is not a permit, but only an application for a permit, an' hout a permit; that the work will be in accordance with the approved plan in of wor? hich requires a review and approval of plans. r? A t'inte ? me ? Applicant's 3' natw OFFICE USE ONLY Sub Types ? 01 Foundarion ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 AReration ? 34 Replacement ? 26 Public Facility }( 27 Commercial/Industrial ? 28 Crreenhouse ? 29 Antennae ? 30 Accessory Building ? 32 Ext Alt-Aparhnents ? 34 Ext Alt-Commercial ? 35 Ext Alt-Public Facility ? 37 Nail Salon A 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 'Demolitlon (Entire Bldg only) - Give PCA handout to appliwnt Valuation 4aj 000 ^ Occupancy Census Code 4,67 Zoning SAC Units Stories Nbr. of Units o Sq. Ft. Nbr. of Bldgs I Lengih TypeafConst Q• B Width Required Inspections _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile M MCES System ? - City Water ? ! Booster Pump ? PRV ? Fire Sprinklered Roof Ice Pr Decking _ Insul Fina1 ? Framing _ Fireplace _ R.I. _ Au Test _ Final Insularion ? FinaVC.O. Final/No C.O. ? Other r-//i-F. Q+W/-KM!! _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding _ Stucco _ S[one _ Windows Approved By: Planning Cm/ Building Inspector Base Fee Surcharge Plan Review MCES SAC City SAC Water Supply & Storage (WAC) SNV Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total 2004 COM.MERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN (.Ol+ " 1+ 3830 PILOT KNOB ROAD, EAGAN NIN 55122 651-675-5675 'dzfslas s vC !Iq? sz .?V nate 0/ ? Id / 0 1/ Site Address cw% D ,%?JGo! 'e"& W. Unit # Tenant Name 406opf+ yiP44,f'7- (5??!/otJ Former Tenant Name Property Owner 14//NN Vf L46Y `'?,CA.V6iV?if W;Kyjc?J Telephone # (? ) ?'?ol ` '7$0-0 Contractor lw.J.??llZ?L 00%M. //T? G'044,4J6 Me?.tlS"aJRL. Address /710 /qMXAA/46,p 4??V. City Z44ro.t) State It-I/-1 Zip .S$ lZf Telephone # ((s/ ) ?/S2 - 1645 The Applicant is _ Owner Contractor _ Other Work Type _ New Bldg _ Add-on _ Repair _2? RPZ PVB Irrigation sysfem * "Aerry Wohschall ro calculate fees. Re uired meler siu is 2^ hirbo unless smaller size ermit[ed by Public Works Description of Work /Pm v/LD AOML A?Pta' To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Ca11 65 1-6 75-5 3 00 to verify that hydrostatic, conductiviTy, and bacteria tests pacsed prfor to aickine uo meter Irrigarion Size & Type Avg GPM Fire Size & Price 3/4" disolacement $155.00 Domestic Size & Type Avg GPM Licludes high demand devices? _ Yes _ No Flus6ometers _ Yes _ No PRV Required _ Yes _ No Permit Fee 50 ' aum (includes Stace Surcharge) Contract Value $ x I% _$ Base Fee $ Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read Ifbase fee is $1,000 or less, surcharge is $.50 $ State SuiC}lazg0 If base fee is over $1,000, surcharge is $SD per $1,000 of the Base Fee Following fees apply only when installing new irrigation system $ Water Perxnit Contact Srny Wobschall al 651-675-5024 for required fee amounts $ TreahnentPlant $ Water Supply & Storage $ Sbte Surcharga ----------------------------------------------------------------------------°------------ -------------------------- s 50• SO ------------------------------------- TotalFee I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance wi[h the ordinaaces and codes of the City of Eagan and with the Plumbing Codes; thaz I understand this is not a pemut, but only an application for a pernvt, and work is noi to start without a pemnt; that the work wi11 be in accordance witb the approved plan in ihe case of work which requires a review and approval of plans. /j 1.9.PG ?t??l C/.r ApplicanPs Printed Name Appl anYS Signanue CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR Geneeal Information • Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $141.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • W$ter roeters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE I-20 5/8" residential $121.00 4-120 I-1/2" irrigation syst $ 788•00 displacement sm commercial turbine*' must receive maximum approval continuous from Public 10 Works 2-30 3/4" lawn irrigation $155.00 4-160 2" turhine lg irrigation syst $ 992.00 masimum displacement residential & continuous sm commercial praduction lines IS 3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bidgs over $ 1,880.00 hldg to 24 units 65 uniu maximwn sm commercial & contimious & Ig comm bldgs 25 irsi ation s stems 5-100 1-1/2" bldgs 25-64 units $488.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRINC 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE CPM METERS US6 PR[CE $3?0 3" turbine very Ig irrigation $1,338A0 6-500 4" compound +300 unit bldgs & $3,749.00 syst & production very lg comm bldgs lines 1/2-320 3" compound +200 nuit bldgs $2,407.00 10-1000 G" componnd +400 mtit bldgs $6,124.00 very Ig comm bldgs ven' Ig comm bldgs 15-1000 4" turbine very, Ig irrigatiou $2,384.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675. • To azrange for water tum-on, call 651-675-5300. cc: Maintenance Division Clerical Tahnician Updared 9/03 ? - 651 687 9527 FEB. 25. 2004 10:50AM PENN-CO CONSTRUCTION N0. 8635 P• 1 Building Confidence Through Pertormance Document Transmrttal To; Craig Novacgk Pax: 651-675F694 Company: City of Eagau From: Mike Maki Y1ate: February25, 2004 POr"MsmM0 Construction, inc. Total Number of Pages includhng this tranamittal page: 15 Eagan Trsnsit Stadon Attached ia a copy ot GME's inapection report for the footings at the wsftiug ores rnnstrncted at the Eagan Tranait 5tstion. ? -347 d P?LOT KN6r? This transmission is inbended only for che use of the addressee snd may wntaln information [hat is privileged and confidai[ial. if you ate not the intended recipien4 or the emPloyee or agont rcajwnsible for deiivoring the roessage m the incended rec;pienf, you arc hmby norified tha[ any disseminazion, distribntion, or coyyiag of this Gotumunication is saialy prohibited. lf you have rxeived fhis canmunicaHon in earor, pleaae aotify us immediately. Penn-Co Construction, Inc 2995 Lone pak Circle, Suite 5 Eagao, ivCinneaota 55121 Phone: (651) 687-0648 Fu: (651) 687-0947 ? FE6.25.2664 10:51AM PENN-CO CONSTRUCTION N0.863§ P.2 ' GME CONSULTANTS, INC. CONSUL71N6 ENGINEERS 14000 21 st Ave. No. / Minneapolis, MN 55447 Phone (763) 559-1859 / Faxl7631559•0720 December 1, 2003 Mr. Mike Maki, Project Manager Penn-Co Construction, Inc. 2995 Lone Oak Circle, Suite 5 Eagan, Minnesota 55121 GME Project No- 9857 RE: Summary report for construction observaCion and testing foY modifications of the bus turnaround, and construction of the new enclosed waiting area, Eagan Transit SCation, Fhas¢ II Dear Mr. Maki: In accordance with your acceptance of our contract datad July 25, 2003 we have been performing construction observation and testing for the parking ramp renovations. This work is a continuation of our previous services. Eaclosed Waitirig Area Foundation Sase Testia Foundation excavation was pexformed for support of new partition walls, to enclose the existing, open waiting area. The work was performed on grid 2-S, between grids Ii and D, and along grid D, between grids 1-5 and 2-S. An excavation approximately 2 feet wide, and about 3 1/2 foot deep was excavated along the above-referenced grid lines for "eaxth-formed" footinge. We performed Dynamic Cone Penetrometer tests at the base of the trench. The base soils consisted of existing silty sand with some clay (fill) similar to that encountered in borings performed by RET, in their geoeechnical report dated necember 12, 2000. our Dynamic Cone Penetrometer tests, and visual observations indicated that the base soils were adequate for the deeign bearing pressure of 2,500 psf at the times and locations Cested. WILLIAM C. KWASNY, P.E. 7FIOMAS P. VENEMA. PE. PYAN F. SCHMiD7. PE WILLIAM E. BLDEMENOAL, 0E. GREGORY A. REUTER, P.E., P.G. RICHARD W. PENNINGS, P.E. M Epuel OpperCUniry EmplayBr ?E8.25.2004 10:51AM PENN-CO CONSTRUCTION N0.8635 P.3 Mr. Mike Maki GME Projeet No 9957 2 December 1, 2003 Reiaforcement Observation We observed foundation reinforcement. we observed that a single mat of No. 4 bars, tied 12 inches on center each way, was placed within the foundation trench. The mat was centered in the trench. eottom, horizontal bars were also placed. The reinforcement met the requirements of project drawings. Concrete TesLing We cast a set of test cylinders for the toundation concrete. Cemstone mix 4066 was used. We performed slump, temperatura and air entrainment tests, along with casting a set of test cylinders. As required by project specifications, we performed slump tests for each truck. Two trucks were ordered for the earth-formed foundation walls; we cast one set of cylinders on the first truck and then performed slump tests on the second truck. Our test cylinders to date indicate that the required compressive strength of 4,000 psi would be achieved at 56 daye. we also cast a set of cy].inders for the slab sill, on top of the earth-formed foundation wall]footing. Cemstone mix 4066 was used. The slump and air entrainment tests we performed were within the mix design specificatione. Our concrete cylinder tests to date indicate Chat the required strength of 4,000 pei ahould be achieved. Hus Turnaround Soil 3ubarade and Baee A new sidewalk and curb was placed on the eaet side of the bue turnaround. This area was widened, with brick pavers, and a new sidewalk and curb placed on the east side of the brick pavers. The subgrade consi.sted of clayey sand and sand Chat was placed during site grading for the ramp in 2002 and 2003. A recycled Class 5 was placed as the eidewalk base. The subgrade and base soils were compacted with a vibratory campactor. We performed Dynamic Cone Penetrometer teste in the base and subgrade soils. Our tests indicated that the soils were in a dense condition, and in our opinion, were adequate for the support of the new si.dewalk and curb. " FEB. 25. 2004 10;51AM PENN-CO CONSTRUCTION N0. 8635 P, 4 Mr. Mi.ke Maki 3 DeCember 1, 2003 GME Project No. 9857 Construction blankets were placed aEter sidewalk were placed about one to two completed. We performed checking of the the subgrade soils were not freezing. 01 base and subgrade soils were not frozen, 40°F arid 450F. Conerete P18cemeat grading. The curb arid weeks after grading wae subgrade, to monitor that zr tests indicate that the wiCh temperatures between Concrete was placed for the sidewalk on November 18, 2603. We cast a set of test cylinders, along with perfozming slump, temperature and air entrainment tests. Our tests indicated that the slump and air entrainment were within the xequirements of Cemstone mix 4066. our concrete cylinder tests to date indicate that the required strength of 4,000 psi should be met. The concrete sidewalk was then covered with insulating blankets after it sufficiently set. Late Fall Placement of Concrete Flat Work Concrete flat work, placed zn the late fall, should be blanketed and protected from cold temperatures as long as possible. The uae of deicing salts should be avoided durirzg the fizst winter; this increases the number of freezing and thawing cycles which can affect the surface of the concrete. Concrete placed in late fall is more wlnerable to surface scaling since it may not be at, or above its design strengtih, or have a mature structure prior to being subjective to freezing and thawing cycles. Blanketing and/or tenting and heating can be performed to help the concrete cure to i.ts design strength. Staz?dard of Care The conclusions contained in this report repsesent our professional opi.nione, based on our a.nr.erpretation of the site obsexvar.ions and test data. These opinions were arrived at in accordance with currently accepted engineezing praetices at this time and Zocation. Other than this, no warranty is implied or intended. °'' FE6.25.2004 10:51AM PENN-CO CONSTRUCTION NQ. 8635 P.5 Mr. Mike Maki GME Project No 9857 4 December 1, 2003 Closure This completes vur scope of work for this phase of the project- Please refer to the enclosed Daily Field Reports, Dynamic Cone PeneCrometer I2eport and Compressi.ve Strength Test Reports fox' specific information. Additional concrete compressive strangth reports will be submitted as the tests are performed. If you have any questions regarding this report, please contact us. Sincerely, GME CONSULT S, INC- f ??' v Thomas . Venema, Principal Engineex/Vice PresidenC Ryan F. Schmidt, P.E. ProjeCt Engineer EncJ.osures: Daily Field Reports Dynamic Cone Penetrometer Report Concrete Strength Reporte cc: Mr. Kyle williams, AIA LSA Design, Inc. Mr. Thomas Bright, FMA MVTA TPV:ccc We\TPV\9857 Peo;i Ayt-Ccc.OaG 2004 COMA'IERCIAL PLITMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ? 651-675-5675 a t??n .1?;b Date -el SiteAddress 3Y!?O /_-`,[eT Unit# Su.??- fO Z Tenant Name 'T- /1+ 6,4 ?7-0- Former Tenaot Name Property Owner Telephone # ( ) Contractor n"' ee,4 4v?71^ <o Address g y?sr Cl.v-? /?7 City o State d{1/'V Zip Sr3'z1 z2 Telephone #( 76f ) 533? 2 The Appticant is _ Owner Contractor _ Other Work Type _ New Bldg Add-on Repair RPZ PVB Irrigation system k rnWobsrhall to ca lculate fees. Re uimA mcler size is?" tnrbo unless smaller siie ermitted by Public N'orks Description of Work y%'Sl?l /2e°rr ,?^/1s?-f' d lu.? (...eM•r?.Gy ? +.3 ?«.S°'bK To inquim if PreSSUreReducing Valve is requir on new service, call 651-675-5646 - Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to nickine u o meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disolacement $155.00 Domestic Size & Type Avg GPM Includes high Aemand devices! _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (incWdes State Surcharge) Contract Value $ 2 x 1% _ $ ? •? ? Base Fee $ Meter(s) Required on all new buildings & boulevard irrisation svstems $ Radio Meter Read If base Fce is $1,000 or less, surcharge is 530 $ StatC SUICb3Tge If base fee is over $1,000, surcharge is $30 per $1,000 of the Base Fee Following fees apply only w6en installing new irtigation system $ Water Peraiit Conqct Selry Wobschall at 651-675-5024 for required fee amounu $ Treatrnent Plant Water Supply & Storage State Surchatge Jl1L1_??n(14-- --- --- --------- --------------- ----------- ? Total Fee I hereby apply for a Commercial Plumbing Permit and aclmoAVAgm_-*"ee-inffean+atni_.Lt omplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with [he Plumbing Co es; that I understand this is not a permit, but only an application for a permit, and work is not to start without a peanit; that [he work will be in accordance with t approved plan in the case of work which requires a review and approvai of plans. (/V /?d//4;47 z7av1 XAg:?e= ApplicanPs Printed Name y? ? pp icanPs Signat re CITY USE ONLY REQUIRED INSPECI'IONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: P-7??'U? , BUILDING INSPECTORGeneral Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • 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" lrrtgation syst $ 788.00 displacement sm commercial turbine'• must receiVe maximum approval continuous from Public 10 Works 2-30 3/4" lawn irrigation $I55.00 4-160 2" turbine Ig irrigation syst $ 992.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00 bldg to 24 units 65 units maximum sm commercial & continuous & Ig comm bldgs 25 irri ation s stems 5-100 1-1/2" bldgs 25-64 units $488.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE CPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,338.00 6-500 4" compound +300 unit bldgs & $3,749.00 syst & production very Ig comm bldgs lines 1/2-320 3" cmnpound +200 unit bldgs $2,407.00 10-1000 6^ componnd +400 unit bidgs $6,724.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation $2,384.00 sy5c & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water tum-on, cail 651-675-5300. cc: Maintenance Division Clerical7echnician uPaecea sros -WA3 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 • SWdural Plans (2) sets I. ArChitetlurel Plans (2) sets • Civil Plans • Certificate of Survey • Code Analysis . projed gpecs • Spec. Insp. & Testing Schedule " . Soils Report . Meter size must be eslablistced 1 (2) (?) (1) (1) • SACdetertninalion-ca11651-602-1000 • Shudural Plans (Z) • Civil Plans (2) • Landscaping Plaris (2) • CodeMalysis (1) " • Certificate of Survey (1) • Spec. Insp. & Testing Sdiedule (1) " . MeMr s¢e must be established . ProjectSpecs (1) • EnergyCakulations (1) " • Eledric Power 8 Lighling Form (1) " • Master E)dt Plan (1) . Emergency Response Site Plan (1)'TM • SoilsReport (1) • SAC tletertnina6on - call 651b02-1000 • Fire Stopping SubmiNals 57?? ??{ . Archi[ecWral Plans (2) sets g,/ • CodeMalysis (7) ° ? • ProlectSPecs (1) • KeyPoan (1) fi • Master Ex0 Plan (1) ? • Energy Calwlations (1) rrot ahxays° • Elec. Power & Lighting Fortn (1) nM always" • Meter size musl 6e establ'ishcd-if applicable 1 J ) ) ) . SAC determination - pll 6511602-1000 Call MN Dept of Health at 651-201-4500 for details cegarding food & beveroge or lalging racim •* Contact Building Inspec[ions for sample and if required Permit for vew building or addition will not be processed wit}wu[ Emergency Response Sifi Plan. ?j// Date p?"J' 16{6 Site Add?l" 1?T 4c.?DEj Fo TenantNaroe [t G Coustruction Cost -?- .r? UniUSte # FormerTeuaotName E2 Cl-Ehti)E2...S Description of Work 1 _ r f K?/ = u _ PropertyOwner Ha 0 5 L007 Telephooe#( ) Applicant is: _ Owoer _?C Contractor Contact #: (I (S ) ??? - ck"Q contrsctor RO LUVl0 /.7V 1Lh1K6- GO Ap • i Address J,37-4- PWfih1t'X!Q) 704 State Wr_ 1L City /VM Zip 0017 Telephone#( ) &Cf!/'70NO Arch/Engr LAXIVY l7tuc.J.&AJ ((.A aaaress f 15 Rr?rr ?r State W ? r/'7 AM Registration # Citr ?(v Zip A40t(a Telephone #(715) Z`f'240 'MiDQ .3R& - 73 ISS Licensed plumber installing new sewerlwater service: Phone I hereby apply for a Commercial Building Permit and acknowledge that the infortnatian is complete and accurate; that the work wiu be in conforznance with the ordinances and codes of the City of Eagan and the State of MN Statutes; [ 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. 2007 COMMERCIAL BLTiLDING rERWr nrrUcnTTOx rou D. l2nGt4/YO Z_-z 0. Applicant's Printed Name ApplicanYs Signature DO NOT WRI'I'E BELOW 1'HLS LLNE Sub Types ? Ol Foundation ? 26 Public Faciliry ? 30 Accessory Building ? 14 Aparhnents ,2' 27 CommerciaUindustrial ? 32 Ext Alt Apathnents ? 15 Lodging Cl 28 Greenhouse ? 34 ExtAlt-Commercial u 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ?35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 13 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement 'Demolition Building - Give PCA handout to applicant Valuadon 256, o?o ? Type of Const '?1 g wdth r Plan Rev 100% __V/ 25°k _ Occupancy k' y MCES System SAC Units Zoning ? Cily Water Nbr. of Units 0 . Stories ? Booster Pump Nbr. af Bldgs ? Sq. Ft. PRV Fire Sprinklered -41v? Length Required Inspections _ Footings (new bldg) _ Fireplace _ R1. _ Air Test _ Final _ Foatings (deck) _ InsuLation , Footings (addition) Sheetrock _ Foundation ? FinaUC.O. Drain Tile Final/No C.O. _ _ Driveway Apron ? Other 'FI P.'Fi C*VL4(-1 N fw- Roof Ice Pr ? Decking _ Insul - Final Pool Ftgs AidGas Tes[s Final h Fi l Framing _ na _ Siding _ Stucco Lath _ Stone Lat Windows Final CIO Inspection: Schedule Fire Marshal to be present. _ Yes _ No Approved By: ? Planning 1ffl (/ Building Inspector Base Fee Surcharge Plan Review SAC-MCES SAGCity S/W Pertnit SIW Surcharge Treatment Plant Treatment Plant (Irtigation) Park Dedica6on Trail Dedication Water Qualiry Water Supply & Storage (WAC) lq5G,7S - ( ?? •00 ? (?i?b•DG{ ` ? 6 0 • ? ?- ? (0 6 e . n-0 s Financial Guarantce Storm Sewer Trunk Sewer Laterdl Street Water Lateral Otlier Total Sewer Trunk Water Trunk 'Metropolitan Council u Februazy 7, 2007 Dale Schoeppner Building Official City oF Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Deaz Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Bruegger's Bagels to be located at 3450 Pilot Knob Road within the City of Eagan. This project should be chazged 1 SAC Unit, as determined below. SAC Units Charges:. Restaurant (fast food) 34 seats @ 22 seats/SAC Unit 1.55 Credits: Retail (6/2001) 1384 sq. ft. @ 3000 sq. ft./SAC Unit 0.46 Net Charge: 1.09 or 1 If you have any questions, call me at 651-602-1378. Sincerely, Jessie Nye SAC Technician Environmental Services Division JN:kb: 070207A7 cc: S. Se1by; MCES Gazolyn Krech, Finance, Eagan FEB Q 9 2007 Eric Rolland, Rolland Commercial Troy Longen www.metrocouncil.org 390 Robert Street North • St. Paul, MN 55101-1805 •(651) 602-1000 • Fax (651) 602-1550 • TTY (651) 291-0904 An Fqun! Opportunity EmpWyer 7&- r?J 2007 COMMERCIAL MECHANICAL rExMIT ArrLtcaTioN Ciiy Of Eagan 3830 Pitot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commereiaUindustrial buildings multi-familv Iwildinss whea seoarsie nermits are not reauved For each dwellin¢ unit Date 11-6 ,.07 ? Site Street Addresa ?CJ ?,' l a fiK n ? b ? o a? uoit n/ as Tenant Neme (it appticsb4) h P U P 9 d?'T S R ad Previous Tenant Name PropertyOwoer ,?UA? "40 110'fflA7Lo/CId / L/i?'{?,r/Y•Telephoae#(6S/ ) .ZDq- 7120' Contractor & /7` / 1-/J/ Street Address p o2 ? 2c?e tA AU P City <PJ /YI?J'S? t Statc LeJ Z Zip Telephone #(7/S )a ?/7- 5??3 Bond#: <)"le/)O/LlQD Ezpires: 127 The Applicant is _ Owner ? Conhactor _ O[her Work Type ? New Consttuction Intenor Improvement _ Install Piping _ Processed _ Gas Under/Above ground Tank Insmll Remwe When installing/removing tank(s), call for mspection by Fire Marshal and Plumbing Inspector NatffeofWork: K(?/0<!!?'n?1 Ol- G/o!K d4t?SP/S r")%;'1'ld?r11AB?S'1 - Permit Fees S7a50 Uadergromd mnk inetallation/removal $50.50 Mih4srrm (includee Sute Surcharge) or ContractValue $ Y,SOD ? x 1% PermitFee $ State Surcharge To calculate surchatge If Permi[ F?e is less than $1,000, surcLazge is 50 cents. If Permit Fee is> $1,000, snrcLarge incroases by 5.50 for each $1,000 Pazmit Fee (i.e. a 51,001-$2,000 Pemiit Fce reqtires a $1.00 surcLarge). $ SLg, SO TotalFee I hereby acknowledge thet this infoxmation is complete and accurate; that the work will be in conformance with the ordinsnces and codes of ffie City of Eagm and wiffi the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pennit; that the work will be in accordance with the apprwed p m ;thhee se of work which req sareviewan proval?plans. t?/J? ApplieanPs Ptinted Name AppheanYs Signature Approved By: , Inspeetor Date: Requued Inspections: _ U.G. ?R.I. _ Air Test _ Gas Service Test _ Infloor Heat _XlFinal o2i23/2007 11:59 FA% 17152466229 Dowd Rellance q ") rax Server 2/23/2007 11:28 AM PAGE 2/004 Fax Server CAPITOL ZNDEMNXTY CORPORATION 1600 Aspen Commons, Niid3[cton, 4VI 53562, PO Sox 5900, Madison WI 53705 Phonc (608) 829a200 6ond Dcpartrnc:nt Fax(603) 329-7413 OONTIlVLiAT10N CF.ATIFLCATE Capiwl TLidemnity Corpoiation (heranatter ca1(ed thc Company) hucbycondnues vi fo? =ts . ?o Bond No. LP10001400 in the suin of Twenlv k]veThonsand and No/1 (10 DolIus ($25,600.00) behalf of Bench Meehxnic»L Inc_ in favor of Nf(Y Dept ofAdminivti?(ion Bu7$iR¢ Codes & S4andaux1s Divinion for the (e#ended) term 6egutnitig on the 221td day of llooemberi005 nnci rndingonlhe 22ad dayof Decem6cr,201Y,',subjecttosIlIhecovenarrtsandconditionvofsaidf,c'rni This eontinuation is exncuied upon Lhe expres,c oonditionthat the Compan}'s lia6ility uxn said Hond ead this nnd ull wnlinuaLions Iiwreot shall net 6e cumulazive and Ehtil1 in no eveiri <>:rc?l =tic sum of 7wenrv F9ce Thourind and NOf(tM DnHarc fS25,(HHLMi). N WITNESS VSrHE REOF, the Company has eaused lltis insmimem io be signed !n il, 3tFcecs yraper fbr the pL.rposc eu:d its oorporaL; seul to be herzto affirod this Tebrqarv 23, 2607. CAYITOLTNDEMNI CO'APO]??TIOh ?-\aW' an.(84jmry) Allest 8y SenLl Ros mary e' -in-fac2 (Tidc) C7C•F1?1-239-DDi 5r99} 02/23:2007 11:59 FA% 17152466229 Domd Rellance ?G'rl u1c rax SEYVeY 2/23/2007 11:28 AM FAGE 3/004 Fdx Serv2r OEC-196-21?H3 06! SB 3ET1i7f P£bXPNfCAL INC. 735 247 55:6 ^, a2? ,_.? s- - ,. D?paM»nioiAd+oWs4atlYn b1"LDW6 COaEB AHd BTIWDARDS DTY1SiOW 40161Wo 9qwn Hulldin0 1116se 7tb Place. 61 Pamd, MN 65141-11 o t 651.226,4630 FA7C• o5129T.7973 MY: 88G.827.9525 ?.v.w.MAldlroaod?q,gdTln.afaM-me?. us . - -----?..? wnrkee.e,ra Dp ih* arnfr b.a?+anka)Eode (etaprer lsra)z. eoNO NUMBER: t o n p t.; Inciudiny paq Insullatlana, heatlng, vanlUrtion, alr Amounl: $25,81110 conditioninq6 }uetbuming,ret"qerat{onI6d1i1fAM EFiECT1YEpA75: Piusuanftonwinrmsolu,a?nav?mant Benek Mechanlcal. Inc. ,y??h???;??iya?nm? lacsledet, 628 290th Avenue. 5omeCSttyti7I 54025 a3PrirMpalan0 Ca itol Indemnit Cot nrativn , a ce?p0?0ti0t19Ceived Ln ima=act a furtr+y lu.:ineylniReSlaleefhmotmat.wllhpsPrieitlp,doMcslrela0a( 4610 Unlvei5lCV A.ve.. `1adS5pr,HI3iC' as Sucety. theG suocessars, aul9nu, and b9ai morexNaiiree aie hdd ard rirm'y b?,rd_ io?n4y arz eevorally, lo kho Stete of M1nneAla antl any 1}ir0 perty ewtainirg Iwndhf bcv wiUiftIr4gtvme of tnn ba+e Ml fa,v*na?c :?, Ihu omounl d TwennfFNe 7noqs anp Ddiav (iZ9,000), es Df m4ded in M':nnesafn Slawle 928.992(a). TTts bor.A a(cr Lhe bmeritol perions suMeArig Mandal loss by rrason of Ihe conlradnts wBVra ro comply wllh ihe irro uilu Mac-hanicW Gode (htimosoia Rulae. Chaptor 1348) wiian pea(art*g r.ak in Ue 51a10 of IAnnesol a. . The Condlllon oF th15 MM ¢ U1TI t?a P/1(YJpyl ly9 ?pnirjqQd b d0 q85. AvaUrq, vNlltblipyy Wpf,M, ay in^.Al'orting, /ual Durrivip, pr refrigmo6on work wilhln the SLata of HNnOSON_ 1f the Pfindoal faiThlully eamplibs `rilh ine Sialo of M??=a n!na+aNCei Coda uw indemntnds eny peraw dew'ug or mrrscGrvj Dus;nnss.mn the VdnOyat Irom 3ny IMs a, aamag e xoasionea Cy the faB)ne of ine or;ndnd to emmly wft any of ftSaws and nden of pre Shie cJ Hflnnasr.tj. r? e., ro obupauan Umder lhls Ea,a xtan accrue: ahanAso. Wa a?C9ganon p?ao ramaun in 4p1 Ioiee ana eNe2 Tho terrMot uik bond aFuO bc mntinuou: and s1wN owaUlule a newebUpat?w fn LvsymW S25,ooc 0r snr. xn?m+ 6vnd ppfod Dne%ideO. howwyr. Ihat tlw y99rqpWp kb0mly of lntl SWapr Ior aY potapnf for rny onn arwrol 6.vid parorj xneN In na eveM axcend ihe rum of S?J'.000. 7ne Goid may ba CanmOed Ey the SLjroq, u lo GAwe DeCNa, Dy givnq w?Uten nvlfes Dr QMMao a1ea. a^6vsan.f lu ::n PAntlpyl at *e Adidrexe ae ctaled N%thh haM, arq{o 1ha BdYdtng Codes Veid 6lenderds ONl4&bn. Uap.ummpnt cf nandrdwaTa+x "eadnMs appeare en 5his poM_ Thk01M) daYSaila the maNhg of tlwl rootlco, l'nSO Mnd anau bc nu? and wle as to any (iabtlily Ihcreafter adsfny, the Sureb remalNig ILade, hovmv.r, su6jeet ro all the iccmm. 0n3 provisbns W iAis 6on4, ra eny ena 811 eda wrered py yifa bond uo m the date or Uhe caneollation. S?grwdan6wMSUeauus' 22 ?er f -. DecemLec • ? p?_ eY na Pr?eldeni 6rVite Pre?';;^_r.r (M.5.60i.}}9.QfM0.21. AG:GC'9t9 Taqoi os;os2006 07:2e aM P40• 20f lMG fawm mual also be campileNd mAtfie ualW Powu ey AMorney %tteChse. Pegca 1 and 2 of thti Eand fefen mual bs IReeompanl.tl 6y s??em dallar) ftSleS peY'aLb tn the MlnWwta Stale Troayvrer a^.d rna!b4 annwiY to the Departmanc of Mmtnlavetlon, Bu1W1ng todea ond 8tandudA Oivf:lon, aon 6Wr sqva.e Bultding. t21 Esst nA Pb-o. SL P¦„1. NN 66701.77Y7. CJwdg rNWnIA ler ron.papP?ntwill he chaiqMi oT'20 (c? 02i23 i2007 11:59 FA8 17152466229 Dorrd Rellance '2?. ono ? i ? ran xive,r G/Z?/200/ 11:28 AM PAGE 4/004 Fdx S?YvEY cAPiroL uvnEbMrY coRPoRATiox 10001400 . ? . . POWER OF A17URNEY ; IQNOw AL4 FSN BY TyESE PRE36N7'S.ISn rh CAIITpL pVpgMMIy CDRPORATION, a mrponrioo ef dK SM ot wis:esw, ?-,n:g I:t pe'v,c49oT-e<. in ma Ciry o(Modiwa W raoua doe. m.iro. cwmin,re ma grwv¢ QILVEIl N. 4DU7PASON, pAVID L BGBIQiOLpPA OR [. IOAN-N HOP . . . . „ .? ti . . ici uve wtd 1.4ul ACO " ?7lo-fn0. m rtuki? acua. wl md adrva toro`d' oo lu DeGelf, u wery, cnL a iu ?et eMdeed imy u,on!? Mntu, 1?? end eo,Npscts of f.ecryay'ry, prmid<d dw ao boed at mdozddmrS? auc?of Q @?? of uvcry{dlp escai¢d uaQp? Vyy autMnry :ha11 amw?nc NO'f' N DCCIMD $I.000.000.00 . . . , ,.. : - „ . . . _..... ' 'i ?.. 1 . . - J. : . , . : • , ,' .. .. ,I , . ....; , . . Thif }Uwer af Anome ? YieLcaoled aod in sigMd anp rnIed 6y heumlle uoEer and Ly tLe 1u?horiry of rt?t Icilau?og ??p?uHon ud?ed W?h?E]oi? ol Difenon of CMITOL 4YDEPW![Y COR7'OBn170NU a vrcedo` ?ly dicd aod Iield aa ml. IJN d?y of hUy,1L02 'RESOL?'ED, ?? ?Ac Prcaideut, and Eve?yo?e YceRctident the ScereWy o? Ttmwsf. ?ctio¢ iodividvally or ahervi?e. bc and ?.6rf 6:r-?- ?ur. 8-d Ne Vn+2* *ad eutha'varioo to epp,iw by a P? of Attorocy fm•t6e P?T?4 only of eicmnfng md enqGn,g bondt rcd mCmnkicm .?;? oetcr witinKS cOlip,NOry jp Ibt ytW[ tyrnvf, onc or more vimprezidCpv, p?Y?qyt ecrt4riu ppd pltotory(a}ia-fBC?',a?[h aqwinur L^ hnx'Ur. '7o°'m md dwin wnul V we6 offiees le the bvsivm ef Ne Corpamdoo; 0e ei5nanqt of aue6 Wian end xa} oFihe Corya*tivu mey !_ , Tiud rr su:? pwc? of ?ne[Ley o[,oo'epy evCFieare rtlan? thcrtm bjr (?imile. ?eny wch pCwei of rt?mey er cerdfiee?a bmtiog'NGh !L ictile n?;..'-.? c: or foc.iralle acnl she11 6e.rolid end bieding upon d6c Coryenlion fo the Cunue vi+D rtipece co ?y Mod ar u+dtrtabeg or udsa d*iti.ip cbl?gi?:ry i:. tLe nnwre thaeof co whicA il ic atmehed. qyY R?h nppoinaarnf inepr 6e moleed fa? Caut. m rvitboul ove. by ?OY 0f Yitl eReen. u icy ime:' [7i WIiYE55 W9EREOF, ebe CAPITOL INDYIW 77Y CORP'ORA7701Y hu caustd We?e Drofrna m be siiped by iC oRccr ?e:igard ?t: iv cerpocuc ud a be hnclo eRud duly eanud by ia lreaeurct, thia 1944y of UcIuher, 3007. • _ , • .. oP . - . . . . : I:'_ wNasi; r '.. ? CwPITOL INDBIIW[7V CORPORATtnN . `'°"k'.? '16orms K Mm:on SEAL be?id F PwFj Tertstuer . v Pmldrnf iutdC60'. . ':' .. :r . ? t 'f i • ?' ? rl ? srnTE oF wIscoxsTr;; couxrir or oAi.E ss.: j •'°' b. '' ? On thc 19 ary o( Onober. 2003 before me pertooaUy ome Devi6 F. P¢Wy. m me Lnovn, who 6einp 6y me duty e.vpm, dld dr.posc ?d cry'. i.'..-..' Se rtneo ie LEc Cwnry of Dsne. Sma of wixmna wrt he in PtCyjdW and CEO o( CAPfY'OL INOFNNI7Y CORFpRAT10N, tc cc,rnc.-+?ti•, d?+crib<7 in md vdyich euewc4 the-above iam?mew; ILal Ec knou't t6e sd of 16e uid eerporptim: tbm the ceaI BRXad to Wd Incc?.m:ee ii rnrymnv icN thiaz n wiis su effiaed M Otder of ? bmrd of Ditccro? a(miA jmpoiatioo md tAM he <ipeG NA eunn Wnetu bY Ilke cret.. . . .:': : .. t ,. •?• KYIWRO A. AV IK 0 STni2 OF wI5CON5M 5.5,: . M? Notary Poblic. Donn r wI COUN'C.Y.OF Dn[l' "'' ?. ". ` i r- •,; : Ny Coe?mw?oo:FaDay - 2 CEKTlF,7CNH, ` 10.1 IC.rE,.?. „ : • ' 4 ! 1 S ?: . aY . ?. ' f ?i?l?i..: f! .. ' 1. 16c.vt1'dmeRO?'4 ?,<?eclM 1D ILt officc r.tamC 6cloWZoow ?<?iarwoDml,W GMfI'OL INOEMNl'iY CO8PORATIONW.r:'.ra:i.^, Corponton. put6orurd te make 1hn eQtlfkue, pp HE{EBV CHRid"Y that Ihe fineguicg pYtled Posv ofAKaoey tmmlPl in NJI (or.a sad ¢u ooi bern revolxd uad lvithamort, Na[ t6a Resolutiuo af $0 8oetd of D'viceton, qe[ fortL io the Pova of qtrorpey is pou' in fortc. Slveed md 5ceJ.4 .t fLo Ciry of Mamsoo. S? ef w„e„„s;n mie 2 7,A dar of hraCjB.+.har 2'f1 rt 3 •' .? , . „ . ,.an. .n;:?. '4., P Y .. ?"t s .. . ?(?I/?.1.r? 1 l/Y ? . l/ wvium seervary "fHfS-DOCiMflM 7? NPT VALID UNLESS PRINiCD ON4BLUE SHADBD 6ACKOROVN0 Wft'it A RED 9ERIAGNCM9PR M THC,U4PP.c. A7dFrC. FNND CO&N& FFi6 BACK OF TFIIS DOCUMENT,COtSfA*S A p'e(7EAMARK IF YOll HAVS ANY ?1?1LS170N5. CQ ?..P.h'^-G THE'aU7M2rITICRI'OF'fHf^' 1? DOCLMFMCALL80U-975-6di0i: 3 qJ 0 P< ?ooe P? . ?uJc- ioq ? COLE'S SALON 6009 SF MOBiLE PHONE i - BOSTON MARKET EAGANSMOKE SHOP ? BRUEGGER'S 1388 S.F. STARBUCKS 1761 S.F. ' . N SC?1LE MI FffT SQUARE FOOTAGE PLAN _ Q 3 60 r? DfiS16 Bm=SWGM Dnnra? ?e?lc LEASNOPLAN ? SI09 . PMAW I? •' ?, ?V ??? T? << 20 7- OMMERCIAL MECHANICAL rE?iT ArrLicATiorr City Of Eagan bf? • 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 / Please complete for: commercial/industrial buildings multi-familv buildin¢s when separate nermits are not required for each dwellin¢ unit Date-?3 / 30 /67 Site Street Address 31SU plv4 I- kw0 /3 ?p! Unit # Tenant Name (if applicable) /-t ! EX A Q / previous Tenant Name Property Owner Telephone # ( ) Contractor ? t? ,O ?1 A v' ft' T? Stree[Address ? oZ 3 30 G J q- ?",vR S? City State m rt) Zip S S 3 7$' Telephone #( 9s ?) ? 90 - 31? 6 d 3 5-5-/ B F_ a /-O 7 E i on xp res: / The Applicant is _ Owner I Con tractor _ Other Wark Type New Construction V Interior Improveme nt _ Install Piping _ Processed _ Gas Under/Above ground Tank Install Remove When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector NatureofWork: ::17/7 s fA-!/ (o S?o o J y d- ?D C (=s?-? ? 5 ? ?(zi +n.) l PefmiY F¢¢S $70.50 Underground tank ins[allation/removal $50.50 Mirtimeex, (includes State Surcharge) or Contract Value $ 730, ?-O x 1% _ $ ? Permit Fee $ ; JV State Surcharge To calculate surcharge If Permit Fee is less than $1,000, surcharge is 50 cents. If Permit Fee is >$1,000, surcharge increases by $.50 for each $1,000 Pemvt Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 s h8rge). $ Total Fee 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 and with the Mechanical Codes; that I understand this is not a permit, but only an applicarion for a pernut, and work is not to start without a pernut; tha[ the work will be in accordance with the approved plan m the case of work wluch requires a review and approval of plans. . Jok'A t3 ervH s ? Applicant's Printed Name A icant's Signa[ure Approved By: Inspector Gas Service Test _ Infloor Heat X Final Required Inspections: - U.G. - R.I. - Air Test 2007 RESIDENTIAL MECHANICAL rERMrT arrLicaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please compfete for. single family,dwellin.gs & townhomes/condos when permits are required for each unit Date Site Address Uoit # Property Owuer Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Band #: Expires: The Applicant is _ Owner _ Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 _ furnace _Additional _Replacement _ New air exchanger air conditioner heat pump other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Pemnt 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 Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pemut that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name Applicant's Signature T\ A?& U) rtd4-??u?? r uu.ck 2oo?/F'IRE SUPPRESSION SYSTEM5 PExMiT aPrLicaT o? 3 w City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Fax # 651-675-5694 70 Requuements: 2 complete sets of drawings and specifications cut sheets on matenals and com onents to be used Date a) / Dc?) Site Address: Tenant / Building Name: ? ara?'? ? The Applicant is: _ Owner ? Contractor _ Other PROPERTY OVVNER Address: City: State: Zip: CONTRACTOR MN License #: Address: City: State: Zip: Phone #: ESTIMATED COMPLETION DATE: / Vq FdRE PEItTvIIT'TYPE: ? Sprinkler Spstem (# of heads Fire Pump _ Standpipe Other: WORK TYPE: _ New _ Addition ? Alterations _ Remodel Other: DESCRIPTION OF WORK: ? Commercial _ Residential _ Educational _ Other: Please continue on reverse side PERMTT FEE: $SO.SOMinimum Fee (includes State Surcharge) Contract Value $ x .01 If Permit Fee is $1,000 or less, add $.50 => If Permit Fee is over $1,000, add $.50 per $1.000 Permit Fee _ $ EQ.s`--' Permit Fee State 5urcharge 3/4" Displacement Fire Meter - $167.00 TOTAL FEE: ? -it;> t5z) :4SO I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. , y ApplicanYs i ature NOT WRITE BELOW THIS LINE 77?oC? ?0? 2007COMMERCIAL PLUMBING rERMiT arrLicaTiorr CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 3 75 e??6 6ct_67C_G67S ( 1 .,.,- - - ^ . Date M Site Address _,??? G^ Q I?O ? Unit # Tenant Name Former Tenant Name Property Owner Telephone # ( ) tKq Contractbr eC? s _ `? ???vfC ?. ,?,?/l• ? ?? Address City [?Y? ? ?! State. (/'t_- Zip {lv Telephone # ?? ) y ?? ? Nr ? License#`?'?I Expires: ? Q7 ?06/9'CCb -? The Applicant is _ Owner .X Conlracror _ Other Work Type New Bldg Pe-' Modify Space _ Irrigation System** _ Yes No Work in public r-o-w ! easement? ? RPZ' PVB: New _ RepairBebuild _ Replace _ Remove, Rain sensors are re uired on irri atio? s stems Description of Work To inquire if Pressure Reducmg Valve is required on new rnce, call 651-675-5646 Meters - Call 651-675-5646 to verify that hydrostatic, wnductivity, and bacteria [ests passeA prior to oickin2 up meter. Irrigation Size & Type Avg GPM 2" wrbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter $174.00 Domestic Size & Type Avg GPM Includes high deman ce ?_ Yes _ No Flushometers Yes No PRV Required _ Yes _ No Permit Fee $50.50 miniiravm (indudes S[ate Surcharge) Contract Value $?? 0CP x 1% _ $ (D Q?-Permit Fee T g Meter(s) Required on all new buildings & boulevard irti2ation s st? $ Radio Mete[ Read $ ? State Surehazge If vermit fce is less [han $1,000, surcharge is $.50 [f vertnit fee is mare than $1,000, surcharge is $.50 for each $1,000 owed. Following fees apply when installing new lawn irrigation system $ Watei Pemut Call the City's Engineenng Department, 651-675-5646, for required fee amounts $ TreahnentPlant g Water Supply & Storage $ State Surcharge ?- $ ? Total Fee . . . _ . . . , _ _'._'._. .t_..i_ ...,..i, ..dn ho :, ?,..,FY.?.???P .?;th the I herehy apply for a Commerciat Plumbmg Perm¢ ana acenowieoge mat me miomwuun is wiupLow a,., =????o.•, .-' •.- -... " -- - ----------- ordinances and codes of the CiTy of Eagan and with the Plumbing Codes; [ha[ I understand this is not a permi[, but only an appticadon for a permit, and work is no[ to start without a permiT, [hat the work will be in accordance with [he approved plan in the wse of w Fk'tvhie qdires a review and approval of plans. n ApplicanPs Printed Name Appli anYs ignature REQUiREDINSPECTIONS: PLANSSUBMITTED CITY USE ONLY U.G. _ Air Test _ Gas Test _ Rough In _ Final APPROVED SY: `" ' ?DING INSPECTOR General Information • Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read -$153.00 • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum fee pernvt per address is required for the following RPZ's: new, rebuild, re air, remove. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $136.00 4-120 1-1/2" i1Tig3tlon Syst $ 855.00 displacement or turbine" Public Works maximum small commercial must approve continuous meter size 10 2-30 314" lawn irrigation $174.00 4-160 2° wrbine large irrigaAOn $ 1,063.00 maximum displacement residential .. , system & continuous or production lines ] 5 small commercial 3-50 1" disptacement large residential $219.00 1/4 to 160 2" compound bldgs over $ 2,018.00 bldg to 24 units 65 units maximum small commercial & continuous & large comm bldgs 25 irrigation systems 5-100 1-1/2" ' 25-64 unitbldgs $532.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00 system & production & very large lines comm. bldgs I ll2-320 3" compound +200 unit bldgs $2,577.00 10-1000 6° compound +400 unit bidgs $6,623.00 I very large very large - comm bldgs comm bldgs 15-1000 4"turbine very laxge $2,533.00 6"turbo $4,090.00 I inigarion systems & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water tum-on, call 651-675-5200. cc: Uti]iTy Division Systems AnaTyst Decembu 2006. -7Oq03 2007 COMMERCIAL PLUMBING PERMIT APPLICATION CI'I'Y OF EAGAN 38 ?T-?1VOB ROAD, EAGAN MN 55122 /? 1 651-675-5675 ? Date ..5?' 1-,9-1 Site Address 7,-?' Unit # Tenant Name ,C%f461 ?,Gay Former Tenant Naroe Property Owner k4:-VC- ?d,(?,y??Q Telephone # (']/) } 7G0 - O {?? Contractor .G_/GNRdvw ??ls-t' ?76- /i?G' - Address 1069 130 -n"?'46 City16crJ.0oA4 State Al-7- Zip Telephone # (7i f ) 2?YI6 -,?`fZZ License # ?'1i° 2J ;7` Expires: / w-,-40 The Applicant is _ Owner _ Contractor _ Other Work Type New Bldg _ Modify Space , Irrigation System*" Yes No Work in public rro-w / easement7 _RPZ _ PVB: New _ Repair/Rebuild _ Replace _ Remove Rain sensors are re uired on irri ation s atems Description of Work ?YriiO Q9-71tk'qDH . f?Glra`K? o n new aervioe L?'iiS1i651? To inquire if Pressure Reducing alve is required ,ca1?<=S b75-5646 Meters - Call 651-675-5646 to verify that hydrostatiq wnductivity, and bacteria tests passed orior to pickine up meter. Imgation Size & Type Avg GPM 2" hubo req'd mmless smaller size allowed by Public Works Fire Size & Price 3/4" meter $174.00 Domestic 3ize & Type Avg GPM Includes high demand devices? _ Yes _ No F7ushometers _ Yes _ No PRV Required _ Yes _ No Perntit Fee $5050 minrmum (includes State Surcharge) Contrac[ Value $ x 1% _ $ 4527/ - d-D Permit Fee $ Meter(s) Required on all new buildings & bonlevard irrieation svstems $ Radio Meter Read $ a State Surchazge ifpe'mi[ Fee is leas than $1,000, surcharge is $.50 If nermit fee ie moro than $1,000, surehxrge n $.50 Por each $1,000 awed. - _ _ _ ' _ ' ' ' " " " - " " " " "' ' " - _ . ' " - - " " "' "' ' ' ' _ ' ' ' -' " _ Following fees apply when installing new lawn irriguHon sys[em $ Water PeID1i[ Call the Ci[y's Engineering Departmenf, 651-675-5646, For required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge $ Total Fee I hereby apply !or a Commercial PlumUmg Permit and acknowledge that the infonnution is complete and accurale; Ihat the work witl be in confafmance with the ordinances and codes oF the City of Exgan and with the Plumbing CoAes; [hat I understand this is nol a permit, 6ut only an eppiicalion far a pemi[, and work is nol lo start withou( e permit; thaf the work will 6e in accordance with the uppmved plan in the case of w wh requi review approval of plans. ??? ?iz?E'i" ApplicanPsPrin[edName pplicant?-- Ys 3ignaNre - - CITY USE ONLY ? UIRED D INSPECTIONS: U.G. Air Test Ges Test _ Rough In _ Fiiial FREQ i, PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOIZ ' General Information . Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read -$153.00 . RPZ's must be tested every year and rebuilt every five years. Tes[ results should be mailed to Paul Heuer at the City of Eagan. . A minimum fee permit per address is requued for the fallowing RPZ's: new, rebuild, reoair, remove. • Water roeters include copper hom/strainer, remote wire, and touch-pad meter. METERS REOUIItING 4-HOUR 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" imgatlOn Syst $ 855.00 displncement or turbine** public Works maximum small commercial must approve continuous meter sixe ]0 230 3/4" lawn irrigation $174.00 4-160 2" turbine large itrigation $ 1,063.00 maximum displacemen[ residential sys[em & continuous or production lines 15 small commercial 3-50 1" displacement ]arge residential $219.00 1/4 to 160 2" compound bldgs over $ 2,018.00 bldg to 24 units 65 units maximum small commercial & continuous & large comm bldgs 25 irriaGon s stems 5-100 1- 25-64 unit bldgs $532.00 maximum displlcement & continuous most comm bldgs 50 METERS REOUIItING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE GPM NLETERS USE PRICE 5-350 3" turbine very large itrigation F$1,41 6-500 4" compound +300 uni[ bidgs $3,956.00 system & producuon & very large lines comm. bldgs 1/2320 3" compound +z00 unit bldgs . 10-1000 6" compound +400 unit bldgs $6,623.00 very large very Iarge comm bldgs comm bldgs 15-1000 4" turbine very large $2,533.00 6" hubo $4,090.00 irrigation systems & production lines Comments • To schedute inspec[ion of the inside water tine and backflow preventer, call 651-675-5675. • To arsange for wa[er tum-on, call 651-675-5200. cc: U[ility Division Systems Analyst Duember 2006 ? 2007 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Koob Road, Eagan Mn 55122 Telephone # 651-675-5675 Plnng nro rnncirlarar: rsioblir infnrmalinn ;Pnlgcc ynu cta4a fhay ara tC3{!B Sa! • Struclural Plans (2) sets . Civil Plans (2) • Certificate of Survey (1) • CoAeAnalysis (1) •` • Projed Specs (1) . Spec Insp & Testing Schedule (1) " . Soils Report (1) • Meter size must be establishetl . SAC detertnination - call 651-602-1000 • Soils Reporl (1) • Certificate of Survey (1) • Structural Plans (2) • ArchiteGUral PIanS (2) sets 0 HVAC uni[s req'A. on 61dg elev . I site plan • Civil Plans (2) • Landscaping Plans (2) • CodeAnalysis (1) . EnergyCalculaNons (i) • Emergency Response Site Plan (1) • Spec. losp. & Testing Schedule (i) " • ElecVic Power 8 Lighting Form (1) " . ProjectSpecs (1) • Master Exit Plan (1) • SACdetermination-ca11657E02-1 D00 • Fire Sloppirg Su6mittals • Fire SuppressioNAlartn Fortn • Architectural Mans (2) sets . CodeAnalysis (1) " • PrqettSpecs (1) • KeyPlan (1) • Mas[er 6dt Plan (1) . Emrgy Calwlations (t) not always" . Elec. Power & Lightirg Form (t) not always`• • Mefersizemusl0eestablished-iFapplicable ) 1 1 1 1 . SAC determination - call 651E02-1000 Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilit " CuntaG. Building Inspections tu see if it is cequired and for a sample. **• Peimit for new building or addition will not be processed without Bmergency Response Site Plan. Date 3 / / l l 0 7 Construction Cost @.rl 90 SiteAddress 34% D lJzc?°? -? -55(23 UniVSte# ?G' ? Tenant Name L64C44Z ? 17 5/1 t-6.1k%' -'Lf f) Former Tenant Name - 7- Descripdon of Work ? Proper[yOwner L ? ?/ `' / (? i?.(F,s?('C?'1GlUV4Cc' Telephoue#rIL? Applicant is: /-/Owner _ C o ntractor ContaM #: S.S ({ ? 7 c?5 Contractor (z. / ' (( 6- ?-- Address ?? - • c /? City /l7C'hG?G f4. "f State Zip Telephone #(?.? ) 1.S ??-/ U 7 H ArcWEngr ? v?pl' M!; VtA Vi?:.? Registration# -? Address Z -?L., C. City ?- State Zip Telephoue #4A5t) L•- c 't -1 ? C p2-3?: Licensed plumber installing new sewerlwater service: Phone #: (j 1 hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; thai the work will be in accordance with the approved plan in ihe case of work which requires a review and approval of plans. -" Mex ?.4-?L -_.?, ????WE ApplicanYs Printed Name Applicant's Signature MAR 2 0 2D07 ,. DO NOT WRITE BELOW THIS LINE Sub Types ? Ol Foundation ?.26 Public Facility F, 30 Accessory Building ? 14 Apartments 227 Commercial/industrial ? 32 ExtAlt Apartmenu ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae u 35 Ext Alt-Public Facility ? 37 Nail Salon W ork Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 3 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ,i3 Alteration ? 37 Demolish (81dg)* ? 43 Reroof ? 46 WindowsfDoors ? 34 Replacement •Demolttlon Building - Give PCA handout to applieant Valuatlon Type of Const Ja- ' B Width ? ° B ? Plan Rev 100% 2 5 /a Occupancy MCES System SAC Unds - ? '? ? Zoning ? City Water Nbr. of Unds Q Stories Booster Pump Nbr. of BWgs ? Sq. Ft. PRV Fire Sprinklered Length _ Footings (netv bldg) _ Fireplace _ R.I. _ Air Test _ Final _ Footings (deck) _ Insularion Footings (addition) / Sheetrock Foundation ? FinaUC.O. Drain Tile FinaVNo C.O. _ Driveway Apron _ Other Roof Ice Pr Decking Insul Final Pool Ftgs AidGas Tesks Final ? Framing _ _ Siding Stucco Lath _ Stone Lath _ Final Windows Final C/O Inspection: Schedule Fire Marshal to be preseM. it'Yes VINo ? + Zr? Approved By: ? Planning Building Inspector W? Y Required Inspectioos Base Fee Suroharge Plan Review SAC-MCES SAGCity SM! Permit SMI Surcharge Treatmem Plan[ Treatment Plant (Irtigation) Park Dedica6on Trail Dedicafion Water Quality Water Supply & Storage (1VAC) Financial Guarantee Storm Sewer Trunk Sewer La[eral Street Water Lateral Other Total 24L . SY Sewer Trunk Water Trunk , /77• DD lIS'•a y / 2007 FIRE SUPPRESSION SYSTEMS PERMiT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Requirements: 2 complete sets of drawings and specificarions _ti. ea ???.6z Cul S[leClB Ou ul"0.LCLLala uu wiu v Date 12 / o-i_ Site Address: a'-{ S ?t te-t- Y^06 K-Q Tenant / Building Name: ir 11 The Applicant is: _ Owner Contractor _ Other PROPERTY OWNER SsDcnn•2- Address: City: State: Zip: CONTRACTOR \ ??/YM 6t f?A, ? 'ret' ?icAn- MN License #: Address: 52,5 ,Q-t)P (A) City: State: '14') Zip: 5516 -3 Phone #: ESTIMATED COMPLETION DATE: _q - / ZD / 0:?7_ FIRE PERMIT TPPE: 2( Sprinkler System (# of heads Fire Pump _ Standpipe Other: - ? ? WORK TI'PE: New _ Addition ? Alterations APItemoUei007 Other: DESCRIPTION OF WORK: ? Commercial _ Residential _ Educational _ Other: ? a'x+o 3 u wit mi+^,r&n t 7 tM.e A I& k&u VIPA4P COOt1T11P On OPYf TAPP. PERMIT FEES Contract Value $ Q(y ?- x.O1 =$ JL) Permit Fee $50.00 Minimum $ •,&0 State Surcharge To calculate surcharge If Permit Fee is <$1,000, surcharge is 50 cents. If Permit Fee is >$1,000, surcharge increases by $.50 for each $1,000 Permit Fee, i.e. a$1,500 Permit Fee requires a $1.00 surcharge. 3/4" Displacement Fire Meter -$174.00 $ Fire Meter TOTAL FEE: $ I hereby apply for a Fire Suppression System pertnit 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 petmit, but only an application for a permit, and work is not to start without a pemut; that the work wil] be in accordance with the approved plan in the case of work which requires a review and approval of plans. -6y??Q Applicant's Printed Name ApplicanYs Signature DO NOT WRITE BELOW THIS LINE REQUIRED YNSPECTIONS _ Hydrostatic _ Flow Alarm _ Drain Test X_ Rough In _ Trip _ Pump Test _ Central Station 4- Final . Condirions of Issuance: Permit Approved Date: ? / _? / ? 2007 FIRE SUPPRESSION SYSTEMS rERMiT arrLicaTiorr City Of Eagan L) ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Requirements: 2 complete sets of drawings and specifications cut sheets on materiais and components to be used Date Site Address: / Q d ? ad. " 4.( Tenant / Building Name: 0V-Q D- 0-7b / /7 d The Applicant is: _ Owner -k?)Contractox _ rJther PROPERTY OWNER Address: City: State: Zip: CONTRACTOR AkgGY'?, MN License #: Address: City: phS State: ? Zip: Phone #?P(?= ESTIMATED COMPLETION DATE: , -1__ / r)_-4-_ F1RE PERMIT TYPE: )p Sprinkler System (# of heads Fire Pump _ Standpipe Other: WORK TYPE: _ New _ Addition Alterations emod D el D MAR 2 2 2007 Other: DESCRIPTION OF WORK: iLo Commercial _ Residential _ Educational _ Other: h?t BCIi-IIA Gt 7? .? LI/ Please continue on next page PERMIT FEES ? . Dv Contract Value $ , ?U x Permit Fee $ .00 Minimum $ -(5-D State Surcharge To calculate surcharge If Permit Fee is <$1,000, surcharge is 50 cents. If Permit Fee is >$1,000, surcharge increases by $.50 for each $1,000 Permit Fee, i.e. a$1,50o Permit Fee requires a $1.00 surcharge. 3/4" Displacement Fire Meter - $174.00 TOTAL FFE: $ Fire Meter $ 17-D -'S" ?k-" 1 hereby apply for a Fire Suppression SysYem permit and acknowledge that the information is complete and accurate; that the wark will be in conformance with the ordinances and codes of the City of Eagan and with the 1vlinnesota Building/Fire Codes; that I understand this is not a permit, but only an application far 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 wark which requires a review and approval of plans. ?I )l'-r Ol Applicant's Printed Name pp icant's Signature DO NOT WRITE BELOW TH1S LINE ? z<,; . ^ ?` ? City of Eap 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ? JUL 2 5 2008 c4d?-4` ez r ------ ___________I , Fot Olf? t V?? ?? I ? ? Permit #: I j Permil Fee: • ? ?% ? ? I i ? D21e ReCeNetl' I i ? ? $taff: ?----------------- 2008 MECHANICAL PERAAIT APPLICATION Date: 71L}IUE Site Address: 1YTb 3i.wT Vcvui, Tenant: L?%? -Nw-N Lwa.rvl Suih! 0: RESIDENT / OWNER Name: Phorie= Address / City / Zip: CONTRACTOR Name: Kk* Mtiw4nt.c?? I.icense#: Address: ?\CiL Lc4at'p LK w1 1z City: State: MN, Zip: 554`V11 Phone: ZAs3-Z$to- 4,n.5OO CoMactPerson: 1??1T4 L, TYPE OF WORK New y. ReplacemeM _Addilional _Nteration Demolition Oescrip2i6n of wak: I«st?aw r1? ?.?,:F ??v A..J l?a+cAYt ?i ?u.s? ?M uJ u.? - i.a 1u:k.W 1?ct;? NOTE: 8oih rool mourrted and groemd.rrwunted meclarMCat equipment fs requlred fo be screeired by City Code? P/eswcontacl the Arachanica! lnWctor or one ot the . Pt&nrters lor info?mat?on on pemiffed screanln methods. RES/DENTtAt GOMMERC/AL PERMIT TYPE Interiorlmprovement New Construcfi^ Furnara - - Air Cont85oner - lrmta Porig Processed _ Air Encharger -Gas _Y_? Exterior HVAC Unit ' HVAG uni[s must be screened _ Heat Pump Under / Abwe 9rourxl Tank I listall /_ Removel O[her '" When rtislai6rghemw'vg TaNcIs1, call fw ir6Pection 6y Fre - Marshy arM plum ' Ins or RESIDENTIAL FEES: $50.50 Mlnimum Add-on or alteration to an existing uni[ (incudes yS0 State Surcharge) $90.50 Fire repair (replace ourrwd aut appliances, auctvrortc, e[c.) (indudes $.50 Shte Surcharge) $ TOTAL FEE COMMERC/AL FEES: $70.50 Underground tank installationlremoval OR Contract Va1ue $ 54-zic - x i% $50.50 Mlnlmum (includes State Surcharge) _ $ SG Permit Fee - If Permft Fee is less Man $1,000, surcharge is $-50- h S urC 8rg6 - If Permft Fee is > $1,OW, surcharga increases by $-50 fw pch =$ S18te $7,000 Permft Fee (i.e. a$1,001-$2,OD0 Permft Fee requires a$1.00 surcharge). TOTAL FEE I hereby adcnovAedge that this infomiatan i6 oomPleN aM aDcura[e: mat ttie wonc wu De m comomnanw wm+ me amnar.as aru wu? .1 Um ..uy v; L.ya,..??. I understand this is not a permR. but ony an application ta a pertnil, and wwk is not to start w&Iqut a permik tliat ilre wak wdi be in accordanoe xi[h the approved plan in the case of work vAiich requires a review and apprwal d plara- _?- x \?aA wlLtl?.+N?tA? x_J ' AnNiraM'c RinIM NRmw ?/10PiN:8M'S 5191181Uf8 FOR OFFlCE USE Reviewed By: pa1e: ? ' Required Inspections: _Uruler Ground Rough In _Air Test _Gas Servke Test _In-floar Heat _yFinal My Of Eapn 3830 Pilot Knob Road Eagan MN 55722 Phone:(651)675-5675 Fax:(651)675•5694 - ---------, j For Office Use I I Permit #: ? I ? Permk Fee: 0 I i ? ? Date Received: ? I ? ? Staif: ? ----------------- 2008 FIRE SUPPRESSION SYSTEMS PERAAIT APPLICATION' DatB: Ske Address: `,150 PI C.OT kNO' (ZJb,. TenaM: LEF/kNN CAiN Suite PROPERTY OWNER Name: Phore: Address / City / Z1p: Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: 3NST LUNr? RcNS vL, i![.6 S E Conshuction Cost: )'°-0-D• W Estimated Completion Date: 7? g CONTRACTOR Name: /0Q!-TI{CAN t? FlR-57 "-ECc?R-+Tf License#: !-? Address: 414lqs L. 77n ?S t city: M??v,tic?Ff???s state:/`? zip: Phone:'tsa2-61.3 elcIoS CoMac[ Person: L7e-O6 /o-tvQ? FIRE PERMIT TYPE WORK TYPE _ Sprinkler System (# of heads ? _ New Fire Pump _ Addition - Alterations Standpipe ? Remodel Z?4jither. fviUL Other: -, _ DESCRIPTION OF WORK: Commercial _ ResidentiaL _ Educational FEES $50.50 Minimum (includes State Surcharge) OR CoMract Value x 1% _ $ ?O• Permit Fee - It Permit Fee is Iess than $1,000, surcharge is $-50. - If Perrnit Fee is > S1,000, surcharge increases by $.50 for each =$ St8t8 Surcharge $1,000 Permi[ Fee (i.e. a$1,001-$2,000 Permi[ Fee requires a$1.00 surcharge). TOTAL FEE 314" DisplacemeM Fre Meter -$183.00 $ '----------- Fire Meter $ ?d • S? TOTAL FEE 'RequiremeMS: 2 complete sets of tlrawings antl speCmcatfons, cu[ snee[s on maienais ana ?' 'punen.s w? iix.+ I hereby apply for a Fre Suqxessian System permit and adcnovAedge that the irrformffiion is complete and accurate; Mat the work will be in coMormarce wi[h the ordinances arW cqdes W the City of Eagan arxi wiM the Minnasota Bui inglFi2 Codes; that I untlerstand [his is nW a permi[, but only an applicafion for a pertnk, arM work is not to sfart witlaut a pertnit ?1 the xrork xvll accordance with approved plen in the case W work which requires a review and approv[U of plans. x "')?-?O 7?NCraC x Applicant's Pri ed Name gnature FOR OFFlCE USE REOUIRED INSPECTIONS _ Hydrostatic _ Trip Conditions of lssuance: Flow Alarm _ Drain Test X Rough In Pump Test _ CeMral Statian A- Final Permit Reviewed Date: ?/?/? r' -?M-..-..:.-`•°ice.----------- - 40? ? ?llse Clty Of Eap ; Pertnit#: ? ,?p? ; 3830 Pilot Knob Road ? PermitFee: ?v -? ? Eagan MN 55122 j i Phone: (651) 675-5675 I Dare Received: ?• 1?!'v? ? Fax: (651) 675-5694 j Staff: L -----------------? 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 9 OS Site Address: 3q 7 0 K00b fP'Ct' EQ qa4^ renant: M V TA Tir Gt ?S I?6,LGCh- o in ? Suite #: PRoPERTY Name:y?\/T??YGtk51'? ?G+.???? Phone: OWNER CONTRACTOR Name: .D«. m T-)r0 'T) tU w+ b 1 ?` q License #: 0fo 6(91'J -- d -PM -?7,? Address: 55115 Cy Qt? 5-E. 4-y LQQGe,U 111?, State:M4 Zip: J?' 0q4 Phone: 3Jr" 2-`t?q (o-t a.Q Contact Person: JeAA h TYPE OF New Replacement Repair Rebuild Modify Space Work in R.O.W. WORK Pli l)a? ?PZ D i f k Vf I!Z l ?U? escr on o wor : v . . PERMIT TYPE COMMERC/AL New Construction Modify Space Irrigation System (` yes 1_ no) RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM _ (Z" turbo required unfess sma(ler size atlowed by Pubiic Works) Meters Call (651) 6755646 to verity that tests passed onor to oickina uo meter. Domestic: Size & Type Fire: Size & Price 314" meter 183.00 Avg. GPM High demand devices? _Yes _No Flushomeiers Yes No PRV Required Yes No COMMERCiAL FEES: $50.50 Minimum (includes State Surcharge) OR Conuact Value $ x 7°/, _ $ Permit Fee Required on ALL new buiidings and boulevard iirigation systems 4 _$ Radio Meter Read - if Pennit Fee is less than E1,000, surcharge is $.50 =$ Meter(s) - If Permi Fee is >$1,000, surcharge increases by $.50 for each $'I,ODO $7,000 Pennit Fee (i.e. a$1,OD1-$2,000 Permtt Fee requires a$1.00 surcharge). _$ State Surcharge Following fees apply when instailing a new lawn irrigation system. $ Water Permit Call the Gity's Engineering Department, (651) 675-5646, tor required fee amounts. - , . $ Treatment Plant $ Water Supply & Storege $ State Surcharge TOTAL FEES 5 O- ? =?Py a?..tIV..;=6a= kila< <ili? illiolFTIaLion ?s comprece ana accuraie; mac me worK win oe m conmrtnance v,ntn tne ominances and codes ot the ciry a eagan; mat i untlerstand this is not a permit, but onty an applica6on for a pertnd, and wolit is not to start without a permit; that the work wiil be in acmrtlance wRh ihe approved plan in the cyse W work which requires s review and approv(al of plans. X?"bO YQ lq LQY 5O ln Applicanf's Printed Name ant's Sianat re FOR OFFICE USE . -,-. ? .. o ....., a ?....'..:.s.. _..? .. Page 1 of riLE - 3`iSD PIiui KW B r'-10 il I city oF eagan PATRICIA E. AWADA MaYOr July 7, 1999 Deaz Property Owner: PAl1L BAKKEN BEA BLOMQUIST PEGGV A. CARLSON SANDRA A. MASIN CouncilMembers THOMAS HEDGES CiN Adminisiwtor E. J. VAN OVERBEKE Ciry Clerk Re: Application for Grading/Excavation - EX-15-1599 - MVTA Park & Ride Site Southeast Corner Yankee Doodle Road & Pilot Knob Road This letter is to inform you that the City has received an application to alter the existing topography through grading/excavating of approximately 5.2 acres of the above-referenced parcel located within 350' of your property. This activity is associated with the proposed expansion and reconstruction of a pazking lot. As with all development, the City is reviewing plans associated with these improvements and anticipates the issuance of a grading permit by July 21, 1999. If you have any questions or concems regarding the City's review and processing of this Grading Permit, please contact the Enginee:ing Division of the Public Works Deparhnent at City Hall, 651/681-4646 by July 19, 1999. ? 82iU/ hn Gorder Engineering Division Cc: Mayor and City Council Tom Hedges, City Administrator Tom Colbert, Director of Public Works Zoning Administration : MUNICIPALCENTER 3830 PILOT KNOB ROAD EAGAN. MINNESGTA 55122-1897 PHONE- (651) 681-4600 FAX'.(651)681-d612 IDD:(657)a5a-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN Equcl Opportunity Employer MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122 PHONE: (651) 681-4300 FAX'.(651) 681-4360 TDD:(651)45a-8535 City of Eapft 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Of ice Use Permit #:� / C Permit Fee: V ' O Date Received: Staff: 2010 COMMERCIAL PLUMBING PERMIT APPLICATION Date: q /i'/Zola Site Address: 3 `f -C-0 P; l'Aoto Rook/ Tenant: QfUe 74'rf l eiel1 Suite #: J PROPERTY OWNER (11; )I-V Phone: 4S1 - 4es-6.100 Name:. J 7 Le, License #: CI i �� P�CONTRACTOR Name: C ;u.n3 Address: 3(, 70 iddcf /Ziac( City: 6-,74:2-) State: (11"t-, Zip: SS's 2,3 Phone: 6 (/"' 3G,5-13YU Email: c- ! P c tiev y)a. rn'"4'V•"< /- TYPE OF WORK New Replacement Repair Rebuild )4 Modify Space Work in R.O.W. _ _ _„-- _ Description of work: Aida Ik j1'e r ac... -1 ©irk CO P 4 cr dr.)-. 41+2../ fit, P6te- PERMIT TYPE COMMERCIAL New Construction X Modify Space _ Irrigation System ( yes / no) ( RPZ / PVB) _ J • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes _No Flushometers Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ !87 Tx 1% Required - If Permit Fee is less than _ $ Jra•S.° Permit Fee on ALL new buildings and boulevard irrigation systems 3 = $ —" Radio Meter Read $1,000, surcharge is $.50 = $ -"" Meter(s) - If Permit Eft is > $1,000, surcharge increases by $.50 for each $1,000 a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ . Jo State Surcharge $1,000 Permit Fee (i.e. Following fees apply Call the City's Engineering when installing a new lawn irrigationsystem. $ Water Permit Department, (651) 675-5646fforrteqIISy 'r-,. v- : ts. $ Treatment Plant $ Water Supply & Storage ht R 0 1 2-°10 $ State Surcharge TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x CIAri1 1(ii4La Applicant's Printed Name FOR OFFICE USE x Applicant's ignatu re Approved By: ' Date: Required Inspections: _Under Ground Rough -In Air Test _Gas Test inal PRV Required: _ Yes No Page 1 of 3 flu 11912-c 40°' City of hp niq. 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use/o �/� l� Permit#: "' 63c Permit Fee: /ii Date Received: �1 f O17 Staff: t 2012 MECHANICAL PERMIT APPLICATION Date: Site Address:/ /L_)7 Z fJC)j Tenant: i, -'e S 47--1 fes- ___ rJ RESIDENT I OWN Suite #: Phone: )-4.5Z- v)L Lf 1 1-< Add ress?Q/ , 11.30)(--3 k State: 11,N Zip:�0 Phone oti -1.?' i c�-✓ License #: City: ContactLt' 2-t i 6 .L J� Emaijc,�'t'H-t��t�;�'L- -T i1�' A Replacement Additional Alteration Demolition W 1 1 Ftro fJ d 542-- r5 • Description of work:'"1�-t TE: Roof moand ground mount; eanequipment requicrned by ode; Please contactuntedthe Mechanical Insedpmectochrrafnoircal information oni is permittedred screening besee metho RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank (_ Install / Remove) 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) $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - 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) OR Contract Value $2./ /0 O x 1% _ $ ��"9 6)6 Permit Fee _ $ .00 Surcharge _$ 7( ' 61( TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance h 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 no to start with ut permit; that the work will be in accordance with th, approved plan in the case of work which requires a review and approval of plans. �,t-S (t ApplicaVs Printed Name FOR OFFICE USE '. Required Inspections: • Underground Rough x Applican Air Test Gas Service Test In -floor Heat Final Nov. 19, 2013 12:17PM No. 0461 P. 1 Use BLUE or BLACK Ink For Office Use. l • j Permit it O Ea i Permit Fee: S¢~ I Ed 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 1 1 Staff: I Fax: (651) 676-6694 L 2013 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: 11/19/2013 Fee, $66.00 City Sewer X City Water X Repair Disconnect Description Of Work: Replace existing gate valve on irrigation service StreetAddress for, Proposed Work 3450 Pilot Knob Rd Name: MVTA Phone:952-217-8266 Owner Information Address/ City/ Zip; 11550 Rupp Dr./ Burnsville / 55337 Applicant is: Owner X Contractor Licensed Pipelayer Master Plumber X Property Owner Name: Modern Piping, Inc. Phone: 763-786-7800 Address/City/Zip: 8370 West I35W Service Dr. Pipelayer Training Certification Card or Master Plumber License 060471-PM / PC643165 I acknowledge that the information is complete and accurate and that the work will be In conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes. I understand this is not a permit, but only an application for a permit, and work is not to start without a permit. Nick Kopp Applicant (Print Name) Applicant's Signature CALL BEFORE YOU DIG. Call Gopher State 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.godherstateonecall.orci City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. ;^� Date: 12/30 ' PO Site Address: 39 E 0 1 10+ �L�o b ILU�I (( �c1sar1 1 t " CL Tenant: Suite #: Name: Phone: Name: Ikk fl gr,)L LLL- License #: 17c. (4,52 32_ Address: . Q .00A Cit : l %� � � y � W Ta l � State:l o Ny Zip / 1 f Phone!! -�1st'Lp231 Email: rr barI5N'1 nI/14.nim r (6r)-"1 _ New ,Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. ee i' ' QX%SfrW 6 PL ''1lir j �fia / i2 w11-4 /UPbv' Description of work: COMMERCIAL _ New Construction ,k Modify Space _ Irrigation System ( yes / _ no) ( RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES $55.00 Permit Fee Minimum *If contract value is LESS than $10,010, Surcharge = $5.00 **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 Contract Value $ Z500 x .01 C©_ Permit Fee Surcharge* TOTAL FEE Following fees apply when installing a new lawn irrigation system Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Water Permit $ Treatment Plant $ Water Supply & Storage $ State Surcharge =$ 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. 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 pernit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x31(1,A-J , Applicant's Prints ame � t � . g � Use BL�UE or BLACK Ink r-�...---��..��.,-.__.,__ � For Office U e I Clt' ' ��a c��.� ' of �a a� REC��Ea � Permit#: i � � � �� 3$30 Pilot Knob Rqad ��6 0? �Da� � Permit Fee: �� I Eagan MN �5122 i � �$`. � Phone: (651) 675-5675 I Date Received: � Fax: (651) 675-5694 � � j Staff: � � l_____ _r.__------� 2p14 COMMERCIAL. BUILDING PERMIT APPLICATION � � g� � � �` I � � �_�� Date: � � �'��L�� Site Address: .l(� � L� � . � ' -------�---r- Tenant Name:__ �-��1 f�`,S �C'� ��! � (Tenant is: New/ Existin S ' _..,...... ...� g) u�te#:� Former Tenant: � � � Name: �� E?y�- ' � C� �� r✓ • �-�i�1� Pro ert C. � ' '. �Nr�Y�� PCOne: �� ,"7 � p Y Own e r ��C�,%--��N �C� �c t .c�.�..� � S�t �_ Address/City/Zip: r '�- , 1�,,�; S I � ' Applicant is: Owner �Contractor Description of work:_ ��1,�-�'�`y w^ � Type of Work �---�--�--�` t �.. ,��r��-��e ti-*�-- Construction Cost: `_� � Name: �C�. ��_ ��r�'�-� License#: Address: �t� . � a � f' .--- , } Contractor � }C,� Il� � c�i �l-e.� ��(' City: ��!',�s ��_;� State: � �'1� Zip: �^� � � Phone: E71 ��"_ 7 � D .--� �� y -�--,.--�-- Contact�`�-�{''�1.;L� 1� EmaiL• � � � +��' �"1 • �6 ��i�� Name:�,;�� "�„�-��j T Registration#: �ZC: -�"'�-a�T,� -�-�---'--.�- � Architect/Engineer Aadress: `}�I°2 -�i i.-��.t�--G-La1ti.�v'i� �1�'t�- jl� City: M��u�-�ia�QE,�,r.r,. �-----�-�— State:�T Zip: 17 '�'J�-`�'�^ Phone: "�l��j° '�J�T'�'��'� �x:r. -�i� '= Contact Person:�,i.,8.�.,��_;��p,,�r��j Emaii: �'�U�oiN��-�(�i'�''►�U ��, 1 -�� Licensed plumber installing new sewer/water serviqe: Phone#: ' NOTE:P/ans and scipporting dQ�aments that,y"ou subm�t are consideretl'fo be` ublic information: Porfions of fhe information may be class�fiec)as non public if you provltle�pe�'lfic�reaso s tliat.woulal permit fhe City to ' °con'c/uale;fha't'the ;are `tra`de secrefs: CALL BEFORE YOU DIG. Cail Gopher State One Call at(651)454-0002 for protection against undergrq4nd utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qo�herstateonecall oro i hereby acknowledge that this information is complete and accurate; that the work ' be in conformanCe with the ordinanCes and codes of the City of Eagan; that I understand this is not a permit, but only an appiication or a permit, an rk is not to start without a pe�r�he work will be in accordance with the approved pian in the case of wor `w ch quires a r 'ie and apprqval of plans. X � �� `�,�� ' -. —�- X , t-�a�U ApplicanYs Printed Name Applica Ys Signature Page 1 of 3 � �' � e kT DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Public Facility Exterior Alteration-Apartments ✓Commercial/Industriai � Accessory Building T Exterior Alteration-GommerCiai _ Apartments � Greenhouse/Tent T Exterior Alteration-PubliC Facility Miscellaneous Antennae WORK TYPES / � New ✓ Interior improvement � Siding � Demolish Building' _ Addition � Exterior Improvement T Reroof T pemolish Interipr � Alteration T.Repair _ Windows T Demplish Foundation _ Replace T Water Damage � Fire Repair � Retaining Wali _ Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION � � Valuation 5��Q6L' ''"� Occupancy �' MCES System/ � Plan Review ✓ Code Edition Zo0�M5�G SAC Units O/,Illo Lfl�►'NG�/N 1JS�et�.L.� . � -�-�--- (25%_100%� Zoning � City Water � Census Code Stories Booster Pump #of Units �� Square Feet � PRV f` #of Buildings � Length Fire Sprinklers �M' 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 TAir/Gas Tests �Final Roof:_Decking �Insulation _Ice&Water TFinal Siding:_Stucco Lath �Stone Lath TBrick ✓( Framing Windows Fireplace:TRough In _Air Test TFinal Retaining Wall Insulation Erosion Control Meter Size: � ; � Final CIO Inspection: Schedule Fire Marshal to be present: `� Yes No Reviewed By: ��C' , Building Inspector Reviewed By: '! ,T, Planning COMMERCIAL FEES Base Fee ��•7� Water Quality Surcharge ZS•�v Water Sampling Fee Plan Review ��3• �7 Water Supply 8� Storage (WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk SS�W Permit & Surcharge Water Trunk Treatment Plant Street L,ateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Qther: WaterQuality TQTAL �i' /,/ �%.� —,--�., Page 2 of 3 � Use BLUE or BLACK Ink � r--- ' �� I For Office Use � l� � � �J I I � G C�� Perrni #: � �N5 d � t �� I clt of E� �� IC , . � Y � � M G D Permit Fee: 3830 Pilot Knob Road RECEB , � Eagan MN 55122 I � g �� j Date Received: I Phone: (651)675-5675 A��7 � I Fax: (651)675-5694 I Staff: � �-----------------I 2014 COMMERCIAL PLUMBING PERMIT APPLICATION �"� �� ❑ Please submit two (2)sets of plans with all commercial applications. l�c� Date: d / l Site Address: �-! ��' ��%�/ /��a� �"� Tenant: �O[t��S �K�[ C�� Suite#: PropertY . OWngr, Name: Phone: Name: ��C C('tt��(� �l��+�► 5 License#: � ��a .5� Contractor Address: � � ��8 �ar�e e�- c�ty: Z31�d� State:M'") Zi �.� � —� P�� `�' Phone: �'a'-� ��a'��'�� Email: Type Of WOI'k ' —New _Replacement _Repair �/Rebuild _Modify Space _Work in R.O.W. I Description of work: �'►'�-Q �"��►� $ i� 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 pickinq 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=$5.00 =$ 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 € _$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X (��1�� lVe fs�� X L�.,�..�,�► 11 �.��<,� ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE;USE Approved By: ' �" Date:� Z° � Required Inspections: �nder Ground ,�ough-In _Air Test '.Gas Test �Final PRV Required: Yes No Meter Related Items: Meter Size Radi4 Read Manometer : Staff:` Page 1 of 3 09/15/2014 13: 29 6123311161 OLSEN FIRE PaGE 01/02 � . Use BLU�or RLACK Ink �-------,^..,....�___._...� �b �(�� /''/� � For Offica Use - � ��•f7 G�t .nf �a a� �� I Permit�: . �i � � � � � � 3830 Pilot Knob Road �` SEP 15 2014 ? � j Permlt Fco; � ; Eagan MN b5122 ( ,�� Date Received; � Phons:(651)675-5675 ��f�_ ��e_"„'_'T' I I Fax:(651)675�694 � i StafF; � I 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date; —/"-��-1 SiteAddress: �Jy�� /j0� �j�nb Tenant• L-O��5 iT�f 1 r �� /'� Sulte#• Name: Phone: Address!Ciry/Zip: Applic2nt is: Owner ,�Contrdctor �n I / (' EA/5 ' > Description of work; 1`!�i 5� o f CL �u S'� �„�;,_,C,�sD�G. hPlldS -1��r�Ca � �'v'/r� � Construction Cost Estlmated Completion Date: Name: 0l�/'� ��,�{:�rn�ec.�id,-� Llcense#: �C�� Addrass� 30� ! l,c�i.I.Sr�n_��' N� c�tY: l�i�nrlpG'�O�IL� � — - - — - --r � Sfate:��2ip; ��-� '�O,'rPhone:�;,,��.3/�� Contact: l�1P✓/r► (��Sfh Email: " ` � �/ F1RE P�RMIT TYP� WORK TYPE �Spnnkler System(�t of heads�,� New �Addltion Fire Pump _Standpipe ,�AlFerations _Remodel Other. Other. DESCRIPTION OF WORK; �Commerciel �Residential �Educational F��s �l�Qsc. carll G-e� a l- C�/�°33/- 3/1/�'zir c�i'�c��ir�P �, �' o�t�act Value$ �.DOx.01 $55.00 Permit Fee Mlnimun� =g S`.S��D Permit Fee '� '*If contract value is LESS th��$10,010,Surcharge=$5.D0 �', "If contract value is GREAT�R than$1o,010,Suroharge=Contract Value x$0.0005 �$ �,p0 Surcharge"' I "�If the project valuation is ov�r$1 million, please call for Surcharge I� _$ �D TOTAL FEfi 3/4"Displacemont Fire Meter-$260.00 =$ Flre Meter =$ T�TA��EE `Roqulraments:Z complete s@ts of drawings and specificatlo�ns,cut sheets on materlals and components to be used I hereby apP�Y for a Kire Suppression System permit and acknawledge that Yho informetion is complele and accurate;that the work wlll De in conrormance wlth tho ordinancea snd coc�es of the City M�agan and wlth tho Minnesota BuildinglFlre Codes;fhat I understand thls Is not a pennit,but only an application for a permlt,and work is not to slart wlthout a permit;that the work wlll ba in aceordence wifh th0 approved pian irt the case of work which requlr�s a review 9nd approval of plans. x — ApplicanYs Printed Name A an s Signa 5' � � � � L � � � -t�,4 lyi1i r N 1I 1 4 V ` 'nJ/ ED 0� � Pb'^�I N�1 �)��iy1�JI�I� t'��tl+.1�� I9�� I,I'�1'[. �{" .�17 ��I� �' ` 7) '� � A ��7;1 r � � ;� l'� i r N '� ' �/M1 l)�.�1� W�% d �� Yt) �1uY I� � j'^ !) i) �1�g� F i � r YV��',4mi'�j� p,N� J'".I' ��Pr1'�1'}��7� �j�I��i'��y�,$�i�y,+��" �t�l�5��.� �ra �y'�'i . �k! ��„•I` ,."' . �� ,;; �� . � ' .� � � 1� ��t �u�11�'�4'1��f. 4x`4r�,�;I �rr�( �ln �� 'J,� �t; t {r� � �r � �d,.l �� ( � j' ��. �� `4 L� � �J�a 'Y t'��u�1��i pF�Q��f��J �� .+�8� �� "� I. �. ,.[y �� l l, 1�,��.,It, ��J�'p ��p��l��I �� V� ' �a�,,, �1 � � Y �� [� l� t� �,�.A i >> � rl 1. � � t 1 � �,1 L I ��'I 1� � ,�!^� �k��i�� ~ \ '�, ��j�1��,�,�s�,� '�'�l��4��id1;` '� t d ?t,+ � ' � ;,� , , � �� ,� ` ; � , ��'., ��1�.��,a� � �,, ; ,i� � , ��2,�� {�,��,�;�� q��., � ,� ,�� '�,, ��'� � �� '. , �� iH� a1d��I��1iW I�i ' n o- ��i�r��,! 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It7'� ��.� �� ,�4� y 111� ��4.:I;1�IIf4:1b�U��a� II��.��IU� SLLLt<r��i°II •r.��1 1 .y. .iti �N1� � l�!u, a ,��'',�. t 1 .;,ny � p � T,—,:� �6 X� �'.J. . �.{I n 4q�9 ( 1 � � . a�V' ��iinw� .�h W ��..�. 1 t a.^!!i ��.Qd,�, 1I � � ,,� , (�. 'r��)17�C . A. ��':t�. ,..��II'�I� I",�i1,,. ��I�iJ�� . Ut� ,I.y,� � , � � ii� �� f��ri7� ��..�,9 �, !�.� n i, ! ! .4�'+,�!, p ,��.��,,��,��j��.'�� x�� p��1ai)�..��7r ..-,I`✓. !y..�,,.,., r k�Jp.� .`.�,4 . d�. :,( �� .�i„�' � ��;.� t. f��. d i�f�.,j� {�� ,�.�� .�.�� y��ia �p ��1'Ul�'i:�C�i�,`;11i'l�IUC��N1�r i��' a 1�� p�r,��1�C�� ,a„�� '� �{Y�'j 'i' ty.1, �� y��( y"�`� � ��I� �`1 ,��(, Y ��' '�{y�4�,,�(� .w'7 ��. F'pS� .1R li�.: °:: aMi��'��1+.��llC:t.�'v1�6 GW,i�.�itl�r @�d ,�ll��t�f .��L��..lI�Y��'1��11R�.�,iB�;171�1��1A't11��+11G��UJA�.wa1, s�...,�iiUA��,��nC9kU" �i fY�F�� ,�1 �!iif �Ifl�l. i � � � 7/21/17 02 : 42PM CDT '8663716823 ' -> 6516755694 Pg 4/4 ,. t1 l Use BLUE or BLACK Ink CV For Office Use 14� �� 4,01 City n f Eaagn Permit#: U 66 of Eaan /„ i v 3830 Pilot Knob Road 11, 1 ��n Permit Fens; lSl l Eagan MN 55122 cy Date Received: ?I'f Phone:(651)675.5675 Fax:(651)675-5694 1.\ LStaff: 2017 MECHANICAL PERMIT APPLICATION 0 Please submit two(2)sets of plans with all commercial applications. Date: 712 i/I 1 Site Address: ` l Its )(AV gb 5-00filt_ �l i\-1 '557._12.3 - Tenant: - ))bb'Lk __ J Suite#: D Resident/Owner Name: Phone: Address/City/Zip: l/� Name: !"1(d1n1 fix! _License#: Contractor Address: 21.0IOU Pew1uf Carty S t E 1 City: EiLO State: 1.41, Zip: 5502-0 Phone:O52.- 2-12.-,`��at& Contact:�1k Sk!t Q Email: 'Ifir1Ky&e r ►-r »te ,hO. ,(Ai . Corr) New Replacement Additional _Alteration Demolition Type of Work Description of work: 2.e.¢'kkU •xl 'ren leiTU NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for Information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction _Interior Improvement Permit Type —Air r:nndilinner Install Piping Processed Air Exchanger _Gas _,_Y...Exterior HVAC Unit —Heat Pump Under/Above ground Tank (,_Install/_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes Slate Surcharge $100.00 Residential New,includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ 2-5t x.01 $60.00 Permit Fee Minimum /� $75.00 Underground tank Installation/removal,includes State Surcharge =$ �n•CD Permit Fee =$ I 2-5 Surcharge Surcharge=Contract Value x$0.0005 if the project valuation is over$1 million,please call for Surcharge m$ h71. 2,5 TOTAL FEE 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 nota permit,but only an application for a permit,end work i 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. xS-}e,1n Applicant's edited NameAPP ican Signature 9 FOR OFFICE USE 2ki/ Required Inspections: Reviewed By: Q Date: _Underground _Rough In _Air Test _Gas Service Test __,In floor Heat Final HVAC Screening Use BLUE or BLACK Ink S r For Office Use jji� \�'� Permit /�q7 `i--� Cyofaaii �r ��, f /� j 3830 Pilot Knob Road 17 Permit Fee: / (J 7 d Eagan MN 55122 `. Date Received: p Phone:(651)675-5675 r, ( / v Staff: )J 2017 MECHANICAL PERMIT APPLICATION E Please submit two(2)sets of plans with all commercial applications. Date: 'e 1 111 Site Address: 34 SO p) 1 ut KYiok' tte tl N OUn Tenant: l'" rY1 0191 I L Suite#: 10 2- ? aro� ro f; ,# " t Name: Phone :,Resident/Owner ` y r. � ;. , yAddress/City/Zip: 4.,, r , x, f � " ' Name: Vv ` V ' ' SUsL License#:�is .cL. � hi 4 • I tr' •�i $ Address: 2u('o "1S � N Sie B City: L.ortoYax, ¢; r� a State: IAN Zip: SS340 Phone: 1103 • 41 to• 2"132: (ix 1- e) ,,,1'4.'''',:`4:,,,",,,,..,1 "0 S,`u'.,0 � b P�f �; ,4" =° It i, Contact: MO H Ae' Email: ® �W 7-°°° . (�Q Y1'l '" � t � i , '`i New Replacement Additional Alteration Demolition Y i2.�191.OlC.e. 4 torn R-TU U1� fur Li Ke_ 0,� ; �.s Of Ork' � Description of work r;. � ,,, IOT- :goo fmountted4'"i • gro ind mounted mechanical equ f e t re uf` " g •t•,y 4(t ' 1,0 Please conte a Mechanics Ins ector for inf��rma o on �0, :• t_.�._ ' �.. ,i,� Iii .. .. .r..a... .,..:. .,.. P t F ,..;.i O. z RESIDENTIAL ��'x. � �� x � #� COMMERCIAL #'7 t : r � ; Furnace New Construction Interior Improvement "-i Air Conditioner Install Piping 6'.41;;;.'; rmt T p:04;1::.. — Processed 4 4.4 . q,� F�' . . Air Exchanger Gas : ,,.� Exterior HVAC Unit .14. > Heat Pump Under/Above ground Tank ( Install/_Remove)r L :. t - C . -. ` . �, Other— RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES +O Z-� Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank Installation/removal,includes State Surcharge =$ 102 .11 Permit Fee SSurcharge=Contract Value x$0.0005 =$ - ' Surcharge If the project valuation is over$1 million,please call for Surcharge =$ 101•GI 1 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 /off work which requires a review and approval of plans. 9.--)PAAA__,....--ap x be b Ha t/1�e r x Applicant's Printed Name Appl' a is Signature • :.. F CEF Ery' '.: dw ::ri a % x . 3 s",a k �s.4 - , ' r " e° E' "�ir': ! ' ,<t, it $,)a. Zr* ,KkMr -t "� :: t°-' ,. li, e.: p1,,, ,hil* � rls•e t $ ``- � a, .,G7" � rU r. ' R@V)eredat .n s +b Y ` c . ° '0112. r� `"4� A- s s .,a 0aGex ' < e , ' . , : tUs, l'ergrou !:ai . ?,g �sR 5 f ,^�eogirTeSt0,70,400 ..ek Ptvgat1; i ` ' 'ii' E Itt Ll ° ` E l )6,25 c 0 s Fiona,f*if . a i e x p fif # ;SSE 4-,-,T,4-1,5-3-F,,,,: ` FAX 0,10t, w;9-,:x^34 , w ._. 2018 COMMERCIAL PLUMBING PERMIT APPLICATION Please a mit two sets of paper plans with ail commercial applications ss well as an tonic 501 01 t t* subrilittab s..,#hatted via orriait CD or flash drive Dow. ? r site .: . i-,,,/. . m u ry , s, i .ere Rept" -NEM 4 She# _ ?IR* _. ,E,R.. Vti f Work a _- - , P .. a COMMERCIAL ni=+_ ,D:r -g# ., _ v xittc pa i 1 I initiation System ..-'-< is e <t°:b _ i44AD f,rtr+D04cost a a<. co.rfcAeccc cc ° Perrrrit T t i ass Inini 'Oro ranionti oftif in ii is iri co Cs .l be` ,..Ex noon`s' Et 2,1 e s a a etteteetut,to swits tEst tat Ittetwww s t =,- „asp_- B <eues ttt St.... type' t ; AVV-GPM PD91 17 Yee 40 COMMERCIAL FEES tirCZ' i -' permit $60.001 irslttrrt _._._ . 380.00 �' snit; ; State e Sate s t , ac , acct c E cram',i r i a r a be r , r y . . A L E Fest wel teas Y hen Install,no a new lawn irrigation y .. .,..k *..,'41i, F Penn _' . :P int in'C R" % 'C434,444441 -a3ss, °i^:'d* we y,b'*iv F' 7° _-fi , s_ £a"# ?-,gig:_nt_s - £ 9 d _s 5 4E` 4's�` �_ ca _ _ +e TOTAL FEE ...,.» �«..-._._.-a......�.. may ritest races �µ.�.r r r - I? It p pfs31 i. tom(( let r sig ora s Cos* r st ".w 4....d R °<^fi • I a Z fir 3 �w £ m x JEb +9�P`.i�f ► 3 Gopher Vett �i.r: 6 4 € t +. , "?a ..fh rig.s �"`°#a+� a � c. ... r fF�°' as*as � ems 3 ,z 4�r a-�' �r, "[c€a a}-..,..,:or, s & "�"� �. � €�` f 4,1'-',.44,9a4- , dsal.,,i 44 'e ' r AIP M,:a tj .4,VIr'.= WK.': :;rd 1: n<ist VOtt T"'t ;Or "`< .w< r *s y„a :. .. ,, ,It€<,a`a 0,: - >.-a w V4,41-4:4` ',:. h 4 4.4,,ow S+s* c"P, a'r `t, � # ,c.„,_ ,v4 �4 3 Applicant's Prunt i Name Applicant's Signa4une F1 is ,. Did Li'.,.� FOR . i * . wede ..<,... orts. ron v In T t t Fv4 o * , Y.: Ya ,___11i$ r .,.- ; Meter Size RadioManometer , Staff Pa.ir `' '_ &if For Office Use 41"Idiv? V1513 TPermit#: 57/1 eF , • ,c,c , , , , , , EAGAN nl,CQ: ZQ19 :tFee: 5 I Payment Recvd: Yes >(No I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 �� I Plans: Electronic Paper j Plan Submittal:eplansOcitvofeagan.comL 1�‘ Q re.P% \n 2019 COMMERCIAL BUILDING PERMIT APPLIbATION Date: 8/5/19 Site Address: 3450 Pilot Knob Road # 106 Tenant Name: Club Pilates (Tenant is: ✓ New/ Existing) Suite#: 106 Former Tenant: Starbucks Name: Minnesota Valley Transit Authority Phone: Property Owner Address/city/Zip: 100 east Highway 13 Burnsville MN 55337 Applicant is: Owner ✓ Contractor Type of Work Description of work: Tenant Improvement Construction Cost: 82,500 Name: Bracon, LLC License#: Contractor Address: 3312 164th Ave NW City: Andover State: MN Zip: 55304 Phone: 612 366 9415 Contact: Chad Murdoff Email: cmurdoff@braconllc.com Name: Architectural Consortium, LLC Registration#: 22285 Architect/Engineer Address: 901 North 3rd Street # 220 City: Minneapolis State: MN Zip: 55401 Phone: 612 436 4030 Contact Person: Brett Loftesness Email: bloftesnes@archconsort.com Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goDherstateonecall.ora 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. Chad Murdoff x X 4//111--,/ Applicant's Printed Name Applicant's Signature DO NOT WRITE BEL9W THIS LINE / 5 7/(3' SUB 1'(PES .5--6 i'10 /- 416%b / _,C7 -#- y 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 V SOO Occupancy g MCES System Plan Review Code Edition Zo)5 it C. SAC Units O r 11!Gre (25% 100%') Zoning City Water ✓ Census Code Stories Booster Pump — #of Units Square Feet ;7e 9 PRV — #of Buildings Length Fire Sprinklers �/ Type of Construction sre Width '76 r CO REQUIRED INSPECTIONS Footings New Building Deck Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes X 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 7< Final/C.O. Required Pool: Footings Air/Gas Tests Final Final/No C.O. Required Final CIO Inspection: Sch— r: Fire Marshal to be present: )< Yes No • Reviewed By: " !dJ - , Planning New Business to Eagan: 7,ii Reviewed By: /.d/A,_ - , Building Inspector FEES , Zs Water Quality Base Fee 9�9 Storm Sewer Trunk Surcharge V 4/. �' Sewer Trunk Plan Review V ‘O /. 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: L Trail Dedication TOTAL: ! S7 y, 7 Page 2 of 3 MCES USE:Letter Reference: 190816A4 Address ID:5563 Payment ID:424140 5-7/ Date of Determination:8/16/19 Determination Expiration:8/16/21 Greetings! Please see the determination below. Project Name: Club Pilates Project Address: 3450 Pilot Knob Road Suite#/Campus: #106 City Name: Eagan Applicant: Chad Murdoff, Bracon, LLC Special Notes: none Charge Calculation: Fitness: 1659 sq.ft. @ 1600 sq.ft./SAC= 1.04 Total Charge: 1.04 Credit Calculation: Starbucks(SAC 9/01)= 1.22 Total Credit: .L22. Net SAC: -0.18 = 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: Michael.Winkels@metc.state.mn.us. Thank you, Mike Winkels SAC Technician Please visit our SAC website by going to:www.metrocouncil.org/SACprogram 390 t-iobert Street North i )30 MN .`5151 'r0O Phone 651.605.1050 I F<_i : 651.130:' 550 ilk' 0504 metrocouncil.oro METROPOLITAN COUNCIL o, gi J m €� n H D N G J O W s 6 �. Hi Q gym wa0 —I �— w� 1 . , .i E - iliiia. mZit2 0 , � w N s _� 11 p lit s co a e=� 0 g a U a �� 1 i 2 1111 i m o 6 ;iii a ig 4t 'ft Will 011'2 ; ;11 Sig 14-4 ti .ill 1:1 .04 '" I rid @ @ .CA C-.i .o-.1 \-7 .O-1 r .01 .01 hl O I \q____) 4 ,+--rj -_,-77-r__,, 1 � 1 f 7' `'_ I I .-_-=_,-: I' I- '-4`--f'-' 1F,_ --0 11 1 , 1 a IL1III 3„ 1-67•74. _+ o.t 1 3 1 1 .T H. ' 1 3 s ! 1 F.t ! t �� I f`--'i I' }°ons i`-'"-�5� ' �N !� _ k 0 I a ws °^° w "' $vtsE iA •O"s 11 i ',--D 1 T --i:---k-- ----''. '---—' - ---- '-'. '------- ''.--- II .'„ C=. diel . , . -,. _ — eNk vir___ h _--rc 7__� nrc-m- :ar 'm'r .- wimn irs < r </ Tn"l6F 0 I S ( ( T I 17 T I T I a C ho < -1!P I I I I I ' i - : : ), § b ill ' -_-ALL'.- I.__ , .1, 4 ..k-L1.. )›.1'-a-'.�s-�- it-'_,LL .-� b _ o _ �q ® „ ”" y ria. len t.1 A.1 < .0... ). .o-.1 ' OA r .o-.1 .CAL:t J 1 i 111 / ii1 11 Ilii li p f it 1111 1 Ti — „ 's : B dpi � � Id �SB3lli 11 Y F , It lflil 1- /Ill ! Ili� wg 111 ! JIc r!i 1 p s$ x@ �¢ @ g & 11 I! i 111 d ie >: . 111.1__ 0 151 1gi _ C; _ v I <<<< Ill 4444 .� F_ �� NQ 5 d gss Sl 4'ikikk ., vi ,,. !P. :', A ____4 II ,t ?:i. ifl It !? .11 ?4 7 Lx1 IxA d ----_ 1;1 14 a ii y- bl 4 R q 11 J ; i''' til IL i h •___________ p 14 4 N ^z .i si .0 :i • .. .. .l sib '' ! ! 31111 .4,0- < 8 g@ e p € ° yflLLNI ;11 iT 8 ti ix §EP qi 14 !iti ,, _1 61Efil g ' i, °s 51 !sg 1 it 5 ill go ' Ast @st Njeoi .I le 1 �p a te; a y.get 1 P 111 IA : ail r:4 ! �'� i 1:9Aft,!Zii1l�!�!iS�i!i!�!�!y li1ii11i1i• t � k � b li @ 33 O it ; l�� t 2 4111 /- 1 _ ,li / ll a { i For Office Use Vittno C Vvz.u� � • ,.„., ,,,,,, EAGAN �'• , Permit#: /-3 1 co 5, I 'j0. �s �...e .,., Pemtit Fee: 0,...—...,,,,, � RECEIVED Staff: 4 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: Yes No (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 SEP 0 3 2019 Email: buildinginspectionsecitvofeaaan.com Plans: Electronic Paper Plan Submittal:eplans©cityofeagan.com 2019 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: 8125/19 Site Address: 3450 Pilot Knob Road Tenant: Club Pilates suite#: 106 Property Owner Name: City of Eagan Transit Commislon&Minnesota Valley Transit Authority. phone: 651-675-5000 Name: Century Plumbing, IncLicense#: 064766-PM Contractor Address: 590 Hayward Ave NCity. Oakdale State: MN zip: Phone: 651-653-9390 Email: 55128 New Construction Addition ✓ Modify Space Replacement Repair Rebuild Work in Right-Of-Way Description of work: Restroom Relocation , Storae Room Mop sinkand water heater Type of Work irrigation System(_yes/_no)(_RPZ I_PVB) • Rain sensors required on irrigation systems • 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 oickina ula meter. Domestic:Size&Type Fire: 1 Average GPM High demand devices? Yes No Flushomet rs Yes_No COMMERCIAL FEES Contract Value$ 12,300 x.015 $60.00 Permit Fee Minimum184.50 $60.00 PVB/RPZ Permit(includes State Surcharge) $ Permit Fee $ 6.15 Surcharge Surcharge=Contract Value x$0.0005 190.65 If the project valuation is over$1 million,please call City for Surcharge $ 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 _$190.65 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 YAM cltvofeagan.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 with•ut 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. xJeffrey W Blasena x ui Zife....-------•-.......__ Applicant's Printed Name ,• • •I.i ' -Ignature Page 1 of 4 . . • FOR OFFICE USE Approved By: P Date: c I (G� Required inspections: ifder Ground CI-Rough-In _LeAff Test Gas Test JFInaI PRV Required: Yes No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 2 of 4 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 bu i ld i nqi nsoection sacityofeaga n. com CEIVED SEP 26 2019 For Office Use Permit #: 75K070) (p0 Permit Fee: / C Date Received: -076 - Staff: L 2018 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 9/19/19 Site Address: Tenant: CLUB PILATES 3450 PILOT KNOB ROAD Suite #: 106 0 Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components Property Owner 1 Name: Phone: Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: RELOCATE HEADS Construction Cost: 1'900.00 Estimated Completion Date: 02/19/2020 Contractor Name: ESCAPE FIRE PROTECTION License #: C-086 Address: 3000 CENTERVILLE RD. City: LITTLE CANADA State: MN Zip: 55113 Phone: 651-771-8874 Contact: BRIAN WEBER Email: BRIAN@ESCAPEFIRE.COM FIRE PERMIT TYPE 1 Sprinkler System (# of heads 19) Standpipe WORK TYPE New Pump _ —Addition ✓ Alterations — Remodel —Fire — Other: Other: DESCRIPTION OF WORK: ✓ Commercial Residential — Educational ALES,------. — $60.00 Permit Fee Minimum Contract Value $1900.00x .01 = $ ) tee Permit Fee S -- •- - Valuex$0.0005 If the project valuation is over $1 million, please call for Surcharge $100.00 Residential New (includes State Surcharge) = $ .95 Surcharge IC = $ I `'�v TOTAL FEE 3/4" Fire Meter - $290.00 = $ N/A Fire Meter _ $ N/A 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 Clty's website at www.citvofeasian.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 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. )ALEC HELSETH Applicant's Printed Name Applicant's Signature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Trip Pump Test Central Station Conditions of Issuance: Permit Reviewed b EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 Email: buildindinspectionsacityofeagan.com Plan Submittal: eplans(a�citvofeadan.com BY: For Office Use Permit* .5ec//Y Permit Fee: Staff: L Payment Recvd: Yes v No L Plans: Electronic Paper kir) °-'9" /9 / 2019 COMMERCIAL MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email, CD or flash drive Date: Tenant: lc? Site Address: 34/60 Gc4L ?JL -r 2nknob R� Suite #: /L►t� Name: Phone: Address:/5'7 &j,€ 124)1•�+ rkLc. 124)City: f )A lnb-(e State: /0A) Zip: / 0 Phone: Contact&07 r2,4,464,- Email: Soo11?iJeYT -!)!C- License #: New Replacement Additional Alteration Demolition Description of work: COMMERCIAL New Construction X Interior Improvement Install Piping Processed Gas Exterior HVAC Unit _ Under/Above ground Tank ( Install / _ Remove) l&c.A.ce.. 4.k ;,'r;,i 01 -'fus `s G4)17k N e1' X44► ►,�� sting -Q-0, 7. ,_ `7f'roi-) COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ 4:3‹,� ) =$ =$ x .015 Permit Fee 5 0 0 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.cityofeagan.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. xSco7tj G� Applicant's Printed Name For Office Usei°,76 Permit#: I/ 81l.o5 / r 1 %,t , :,, E AGA N Permit Fee:___711 c' s -# w �� rr � %....• ..,r ECEIE ''; Staff: ��► '' ` —--,Tr i I SEP 3 0u-' !',1 Payment Recvd: _Yes ✓No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 � (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Imo' I Plans:_Electronic \-/.Paper Plan Submittal:eblanst citvofeagan.com BY: L J 2019 COMMERCIAL BUILDING PERMIT APPLICATION Date: ',f "/9 • Site Address: /a PiM-- K-ieib ,lee( ,... E,Kiii 0-/—z3 Tenant Name: et9/ e' .! .b'i (Tenant is: New/Existing) Suite#: C Former Tenant: Name: 5' IdPi gea,l Phone:e' — 6/3 -VJZ/ Property Owner 39,'-6f I �j/c'F Kn' ' ire( Address/City/Zip: Applicant is: Owner Contractor q y Description of work: �.:dA c,i Al v /- T ) ' /a. d!`Ld, ./ Type of Work / Construction Cost: .3 Zf, tie• dil—e:' T© 00 Name: 1 ply 4 CtNSTR,UCTI61.1 I N • License#: • ' Address: �5 1414r iCV'E City: FOW-A liesit Gantraotor. State: M i Zip: 55152-C Phone: (4'5 1) 21 C • t',R b Contact: Vit&I Email: (Slbrlc(0,44 tl-Lb1'1r1 pl 1 et. •Gbv►'1 {,, p 14/ Re Name: '�"roSStih �'!/�� 9 �l� f/�� istration#:9 ArChlteCt/Ertgineer Address: //Z Lair-0)14a( /91/e'5 City: 0,I/7,41 State: 411V Zip: �-3 rZ-2 Phone: 7f /535 -7/// Contact Person: Pan -14) Email: lvi-0k/st(l farch17 Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents that you submit are considered to be public fnforma#on. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.00aherstateonecall.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 wit = t 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 pta),s. X hid-5� c/ Ai / x Applicant's Printed Name Applicant's ''•na re DO N9T WRITE BELOW T IS LINE / /‘eZ5 , SUB TYPES / l'-f,6,0 s I © � 'rKnob f I 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 3a2S,ado. s Occupancy .B MCES System Plan Review V Code Edition 1615 MSc SAC Units 1 (25%_100% ✓) Zoning 'Y City Water ✓ Census Code Stories l Booster Pump #of Units 0 Square Feet 7,S$"$ PRV / #of Buildings I Length Fire Sprinklers V Type of Construction 1E45 Width REQUIRED INSPECTIONS Footings_New Building_Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control 4/-7 Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection V Sheetrock V Other: faS 9TG1'P1A/(o Roof:_Decking _Insulation _Ice&Water _Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick EFIS �- Electronic Set of Final Revised Plans Windows Fireplace:_Rough In _Air Test _Final / Final/C.O. Required Pool:_Footings _Air/Gas Tests _Final ✓ Final/No C.O. Required Final C/O Inspection: Schedule f4c Marshal to be present: ✓ Yes No . I Reviewed By: , Planning New Business to Eagan: N,ti (perikkisienc) Reviewed By: el-k 4 , Building Inspector FEES Water Quality Base Fee 2/ti.tt •7Y-Storm Sewer Trunk Surcharge l`Z.5b Sewer Trunk Plan Review I/ 564:91 Water Trunk MCES SAC 2¢$S.aoStreet Lateral City SAC in.'ID Street S&W Permit& Surcharge Water Lateral Treatment Plant 4155.$b Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: 7/ 10/2.3g. Page 2 of 3 MCES USE:Letter Reference: 191029B8 Address ID:5563 Payment ID:42675766- Date of Determination: 10/29/19 Determination Expiration: 10/29/21 Greetings! Please see the determination below. Project Name: Cole's Salon Project Address: 3450 Pilot Knob Road Suite#/Campus: 101-102/Eagan Transit Station City Name: Eagan Applicant: Dan Cayemberg,TWP Architects Special Notes: None Charge Calculation: Barber/Salon Spa: 7186 sq.ft. @ 700 sq.ft./SAC= 10.27 Total Charge: 10.27 Credit Calculation: Coles Salon (SAC 07/01)=9.29 Eagan Transit Station (SAC 06/01) Retail: 1165 sq.ft. @ 3000 sq.ft./SAC=0.39 Total Credit: 9.68 Net SAC: 0.59 = 1 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 St. Paul. MN 55101-1 805 Phone 651.602.1000 j Fax 651.602.1550 TTY 651.291.0904 I nretrocouncil.org METROPOLITAN &�i310pF�u1t h C O U N C I L 1 at T 2 s 1= ill$ - ,$� ; 51' i1ilhIh! J s � hh .� N. l V\ C 61 /. ,? t 1 a i 0 ., r '61 2 ! i l i i i yob,'' C ''' ''1 El ! • ccs r6 Oi . lEt.! 'itil 'Ali Qi LS2 22'ht , 4 . � *S� � I ' .. } � aa2 .�r o��c W. WC V x00080 e e oo * .t , L_ e °° , ',6' jog ®� ° ° o CD C (1) :::::. • ,,s_ ,t___,,,,,,,. t, ,G\ t4,8_ a) • . ,t , %I 'ST ,/' ''''a r 7 ;c ° S. i o —o Y JOYJ roxo w.oixa I _ ZF ce 4 a) I- l w k IX a U C o O 0 M U) O ...=03C M 1 Nigg gg II 1111MIN as O 21-? g N 3 3 �° S 9 S i' a " co G e,. a o1 @i@J 1. ., g e 8 r ; 1 Z d co a- ;.'t --1i .q O3 E la 111 ..' 1 I'l CO so ¢ EE s E 1 1 A 1i S CZ w 1! !'l f ki ii II i £s� 5 n Y C /*S For Office Use i s , b C l t✓ Permit#: /�� i % a 1 1 a j/t � 1 / / EAGAN Sa 0a >1 r, f 3/• �� tea• a Permit Fee: / ,,..�.,.,,. Staff: 3830 PILOT KNOB ROAD J EAGAN, MN 55122.1810 � Payment Recvd: Yes)No tVE ��. (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675- // Email:buildinginsoections(a)_citvofeaoan.com I Plans:_Electronic _Paper Plan Submittal:epiansAcitvofeaoan.com DEC 05 2019L J 2019 COMMERCIAL M 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: 12/03/19 site Address: 3450 Pilot Knob Rd Tenant: Coles salonsuite#: C ......--------..7 . _._ .�_. _......n._...m_.,.--...._._._..._.___.l IOwner Name: Phone: i Address t City I Zip: I • Name: Air Conditioning Associates License#: 55 W Ivy Ave St Paul i Contractor Address: City. I I State: MN Zip: Phone:55117 651-488-0291 i Jim Harvey info@acamn.com Contact: Email: l New Replacement Additional ✓ Alteration Demolition i Type of Work mDescription of worky� Relocate diffusers, relocate exhaust for manicure/pedicure sti lNOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City it I Code. Please contact the Mechanical Inspector for Information on permitted screening methods. i COMMERCIAL , ____I New Construction _Interior Improvement Permit Type ^Install Piping _Processed _Gas Exterior HVAC Unit I'I Under/Above ground Tank ( Install/_Remove) COMMERCIAL FEES a5oa.ao Contract Value$ x.015 $60.00 Permit Fee Minimum $75.00 Underground tank removal,includes State Surcharge =$ 127.5 Permit Fee _$4.25 Surcharge Surcharge=Contract Value x$0.0005 { If the project valuation is over$1 million,please call for Surcharge =$ 131 75 µµ TOTAL FEE 1 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.comisubscribe. 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. xJim Harvey x Applicant's Printed Name Applicant's Signature FOR OFFICE USED j Required Inspections: Reviewed By: ' 't Dater l a l f _Underground Rough In _.___._Air Test —Gas Service Test _In-floor Heat Final _HVAC Screening / \.g / - • ._ - , , HVAC Simplified Approach Option Part I Project Name:Coles Salon Project Address:3450 Pilot Knob Rd. suite C Date:12/03/19 City:Eagan Zip:55123 HVAC System Designer of Record:Existing Telephone: ' Contact Person:Jim Harvey Telephone:651-488-0291 Qualifications X (g)All HVAC equipment is controlled by a ❑ (k)Piping is insulated in accordance with manual changeover or dual setpoint Tables 6.8.3A and 6.83B.Insulation X The building is 2 stories or less in height thermostat. exposed to weather is suitable for outdoor and has a gross floor area is less than service.Cellular foam insulation is 25,000 ft2(2,323 m2),and ❑ (h)Heat pumps equipped with auxiliary protected from water and solar radiation. All HVAC systems comply with Section internal electric resistance heaters(if any) pPiping Y PY either have controls to prevent ❑ Exception: is located within 6.3.2. supplemental heater operation when the manufactured HVAC units. Requirements heating load can be met by the heat J'w'C (I)Ductwork and plenums are insulated In pump alone or are regulated by NAECA accordance with Tables 6.8.2A and 6.8.28 X (a)All systems serve a single HVAC and meet the requirements of Table and sealed in accordance with section zone. 6.8.1B. 6.4.4.2.1 X (b)The equipment meets the variable X (I)The system controls do not permit X (m)Construction documents require air airflow requirements of Section 6.4.3.10. reheat or any other form of simultaneous systems to be balanced in accordance with heating and cooling for humidity control. industry-accepted procedures. X (c)Cooling(if any)is provided by a X (j)Systems are provided with a time ��{( unitary packaged or split-system air switch that(1)can start and stop the Jul (n)Outdoor air Intake and exhaust systems conditioner that is either air-cooled or system under different schedules for meet the requirements of Section 6.4.3.4. evaporatively cooled and meets the seven different day-types per week;(2)is X (o)Where separate heating and cooling efficiency requirements shown in Table capable of retaining programming and equipment serve the same temperature 6.8.1.List equipment in the table below. time setting during a loss of power for a zone,thermostats are interlocked to ��(( (d)All HVAC systems meet the period of at least 10 h;(3)includes an prevent simultaneous heating and cooling. ,tel Y accessible manual override that allows economizer requirements of Section temporary operation of the system for up ❑ (p)Systems with a design supply airflow 6.5.1 to 2 h;(4)is capable of temperature greater than 10,000 cfm(4,700 I/s)have �{ (e)Heating(if any)shall beprovided b setback down to 55°F(13°C)during off optimum start controls. Jo+. y hours;and(r5)is capable of temperature ��(( a unitary packaged or split-system heat setup to 90'F(32°C)during off hours. J�'l (q)The systems comply with the demand pump,a fuel-fired furnace,an electric control ventilation requirements in Section resistance heater or a baseboard system U Exception:System serves 6.4.3.9. connected to a boiler.Hydronic heating if hotel/motel guest rooms. used serves a single zone. All heating equipment meets the efficiency U Exception:System operates requirements of the Standard.List continuously. equipment in table below. ❑ Exception: System has both a X (f)The HVAC systems meet the exhaust cooling or heating capacity less than air energy recovery requirements of 15,000 Btu/h(4.4 kW)and a supply Section 6.5.6.1. fan motor power greater than 3/4 hp. Equipment Efficiency Heating Cooling Airside econ? System Mfg.& Equipment Rated Rated Minimum Rated Rated Minimum (Y,N/A or Econ.Min. Tag(s) Model No. Type Capacity Efficiency Efficiency Capacity Efficiency Efficiency except#) Efficiency Existing ;\NSI/aSHR1E/IES Standard 90.1-2010 1 For Office Use 257 _� Permit t-S /✓{/"(� E AGA N % t r , L(A k � lbws b 5--„,.."4,.., :r,,,, Permit Fee: , ' x.__ _., E(-I I Staff: %l E LJ I,I V Payment Recvd: 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 DEC 1 1 2019 I Plans: Electronic XPaper buildinginspections@cityofeagan.com L 2019 FIRE SUPPRESSION PSTEMS PERMIT APPLICATION Date: 12-11-19 Site Address: 3450 Pilot Knob Road Tenant: Cole's Salon - Eagan Station C Suite#: ❑ Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components Name: Schafer Richardson Phone: 612-371-3000 Property Owner 900 North Third St., Mpls., MN. 55401 Address/City/Zip: Applicant is: Owner ✓ Contractor Typo of W� Description of work: Relocate existing sprinkler heads for the tenant remodel. $ 6,100.00 03/01/2020 k Construction Cost: Estimated Completion Date: Name: Viking Automatic Sprinkler License#: C005 Address: 301 York Ave. City: St. Paul MN. 55130 651-558-3254 State: Zip: Phone: Contact: Dave Anderson Email: dave.anderson@vikingsprinkler.us FIRE PERMIT TYPE WORK TYPE V Sprinkler System (#of heads _New _Addition Fire Pump _Standpipe Alterations I/ Remodel Other: Other: DESCRIPTION OF WORK: V Commercial Residential Educational FEES 6100.00 $60.00 Permit Fee Minimum Contract Value$ x.01 _$ 61.00 Permit Fee Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ 3.05 Surcharge $100.00 Residential New(includes State Surcharge) =$ 64.05 TOTAL FEE 3/4”Fire-Meter',Sg9 =$ NA Fire Meter Radio Read(required with Fire Meters)-$190 =$64.05 TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that .e work will be in conforma .,-with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a• it,bu . •,lication for a per ',an, work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which re-a r- ie i d a..rov. .f plans. xDavid S Anderson x Applicant's Printed Name Applicant's Signature _ gas �...,,...� FOR OFFICE,JSE REQUIRED INSPECTIONS Hydr static E`lo rAlar Drain Test augh.In � Pump�" � CtraT S�+n Final Conditions of Issuance:, ;r Permit Reviewed by , " � Dats V I r -1 For Office Use L� / /� so �` �` '� �r I I 1. ��l/7� I Permit#: r r EAGAN ..., ``•` `F�' PiOnsermit Fee: ?'i Staff: iiz., 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 G '��E r Payment Recvd: —Yes 2(-No I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Email: buildinainspectionsCcD_cityofeagan.com DEC 1 S 2019 — Plan Submittal:eplansc citvofeagan.com Plans: Electronic Paper I J 2019 COMMERCIAL PLUM :. -= ,I i _ APPLICATION 0'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: -/g-6/ ! Site Address: 3Y-6v JO/7L gall_ 4.1 '& ;/-e... 6 Tenant: , Sioad1 Suite#: Property r � Owner Name:a 5 Sal' 4 Phone: Name: ! ►42_ >va/, License#: PA/P6-0---Z Contractor' Address: W� // ' A4, W 1 - City: i _�yr--Y State:��f Zip:--S75;30V Phone: .3 -3 - �� ! GDrr'i :yam � Email: /.,� i i�H� �. Qi . New Construction Addition Modify Space Replacement Repair Rebuild ork in Right-Of-Way 7 Description of work:yeefayU c a , i^i^ooALI ftj9µn4 �S,` S , ,,,,,, Type of w Irrigation System(_yes/_no)L RPZ/_PVB) • Rain sensors required on irrigation systems • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meter Required-Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 Average GPM High demand devices?_Yes_No Flushometers_Yes_No COMMERCIAL FEES Contract Value$ S5 4-06•cj6 x.015 $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit(includes State Surcharge) $ Permit Fee Surcharge=Contract Value x$0.0005 $ Surcharge If the project valuation is over$1 million,please call City for Surcharge $ TOTAL FEE The following fees may apply when installing a new lawn irrigation system or $ Water Permit connecting a new water service. Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ 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.citvofeanan.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 wIthou c pe• it; ,a he work will be in accordance with the approved plan i e ca¢e of rk which requires a review and approval of plans. �� / / " X Applicant's Printed Name Applicant' Signature Page 1 of 4 FOR OFFICE USE Required Inspections: -„,,urtcler Gio-urid lest easTeet.,, Final ',pRv Required. yes Nu Meter RiOattltl'Itetro*«," Page 2 of 4