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1260 Promenade Pl05/10/2011 20:14 7634752566 City of Eaui 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 PAGE 02/02 Use BLUE or BLACK Ink Permit Fee: > i7 a_}"SI'"/ C Permit iF: q q 6 `T Date Received: Staff: 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date: /-1/1 Site Address: __,./2.462 Pi e, n Tenant: n h p,.. 1n' Suite #: PROPERTY OWNER Name; Pa -,",.t' -[7t.. Phone: ‘.C/ '" 905-- Gr%. 9 CONTRACTOR — Name: Weld & Sons Plumbing License #: v'. ' 3 $IIITiF; ne o Address: Myrna" Ma56441 City: State; Zip; Phone: 763-475-0296 Email: i 44 M r ic.Je-I cl-o_ so •�z TYPE OF_ WORK New )1 Replacement Repair Rebuild Modify Space Work In R.O.W. _ _ Description of wor: ,_,. y ikmoi-' r' Y,__r~ > ICc_G. '-YY1 e,fr PERMIT TYPE New New Construction Modify Space ._.__.. Irrigation System (_ yes / no) ( RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM .. (2" turbo required unless smaller size allowed by Public Works) Meters Cali (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type . Fire: 1 Avg. GPM High demand devices? _Yes No Flushometers Yes _No COMMERCIAL FEES: $55.00 Minimum (includes Required - If the Permit Fee is less ` o,, State Surcharge) OR Contract Value $,�,�� x 1% = $ Permit Fee on ALL new buildings and boulevard irrigation systems 3 R $ Radio Meter Read than $10,010, the surcharge is $5.00 = $ Meter(s) - if the Permit f.g is } $10,010, the surcharge Increases by $.50 for each $1,000 Permit Fee Permit Fee requires a $5,50 surcharge) _ $ State Surcharge (i.e. a $10,010-$11,000 Following fees apply Call the City's Engineering when installing a new lawn irrigation system. $ Water Permit Department, (551) 875.564€, for required fee amounts. $ Treatment Plant $ Water Supply & Storage 5 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.gooherstateonecat,orq 1 hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only en 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 approvei of plans. Applicant's Printed Name x -217-3 00-26 Applicant's Signature r { i ti I I'� 4I'Rgr��'I�' C 1 ' ,�" � g l• k R� � �� 11,1'''i `Vll• i• i"I �� t 1 I��., 4 � A i; rf i'+�� i � „ kt � r I ra ,l� S ; A ' t , '4 I , F ' I i � ,j' . 1 � i ( '1 ;, 9•i,, ti' r ! i F r 1, �f 51r r ��, ,ll 8 �� w,i r+ F'13, ii 1'fl � �y; ��p{��y�y}r(y �@11i� y +� dfi� �ii��Q �yy� 1;44+d W;t�ft69 FR ai 1�11�. Ni�i ' +�� ;1{ryy��' "' 1 W ` it ��ap ! �` {y� �nNlr1i+w I JIFi"1 �r Eu y� } 1i� ' TiE7rr P t & ' N ! } "OM �i µ� ii' ill' �4 , ( . IrWI": { �I � Gt. i , 1�� I i"1A +d;^' . th' ii,� r'y:'� 11�[f i�` 'ta � �`N �.'91#I � Ilr+�ir )1 r t° i"svy�� , N}� ! ^ "' i. i. . �{ li (.Y7 llh 1 1 F r 41 [� 1 �:i li+_ A R "I' 'Ver t� �}t� f� tl I ,i{,a}r i 1 {Sf Ai3E ,b}, i !t�{a },3t I. l Page 1 of 3 MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on food and beverage equipment: Panera Bread, Plan No. 101065 Location: 1260 Promenade Place, Eagan, Dakota County, Minnesota Date Examined: July 13, 2010 Date Received: June 10, 2010 Submitted by: Archer Mechanical, 1614 East Cliff Road, Burnsville, Minnesota 55337 Phone #: 952/894-2323 Ownership: Panera Bread, 1260 Promenade Place, Eagan, Minnesota 55121 Phone #: 651/405-0304 The following are corrections or requests for additional information necessary before construction of your project: Scope of Project: Remodel of small food facility to include new cooking equipment and exhaust hood. 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. A new undercounter refrigerator and prep table will be installed and will be field approved by Peggy Spadafore, Sanitarian. Specifications for this equipment were not submitted before plan approval. All counter mounted equipment shall be on four (4) inch NSF legs or sealed to the counter top unless it is less than 30 pounds and easily moveable. 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. 3. Storage Areas: Provide an adequate amount of storage space for supplies necessary for operation. 4. 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. Type II hood required: _Electrolux grill and egg cooker_(Captive-Aire 1612BLL) (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) Panera Bread July 13, 2010 Page 2 Food and Beverage Equipment Plan No. 101065 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 test results to Peggy Spadafore, Sanitarian during opening inspection. Sufficient tempered make-up air (at least 55° F) shall be provided and interlocked with ventilation equipment. (Minnesota Building Code 1346.0508) 5. Walls — General Requirements: Wall surfaces in splash zones or high moisture areas such as ware washing, food preparation, handsink and janitorial sink areas, etc. shall be finished with smooth, light colored, durable, non- absorbent materials to the ceiling. Approved materials include: • A fiberglass re-inforced panel (FRP), or • Ceramic tile that is smooth and cleanable. • Stainless steel or equivalent materials shall be installed behind cook line. Ensure that the wall tile is installed from the bottom of the hood to the top of the coved base. If the existing tile does not meet the bottom of the hood (there is exposed sheetrock), another row of tile or stainless steel must be applied in this area. 6 Plumbing — General Requirements: No plumbing changes made. 7. 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. (Minnesota Rule Chapter 1302, Construction 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. Sincerely: a?g,Geol* 144919 -C -- Charlotte H. Morgan, REHS, MPH Environmental Health Services, Plan Review PO Box 64975 St. Paul, Minnesota 55164-0975 charlotte.morgan@state.mn.us MINNESOTA MDH DEPARTMENT OF HEALTH Protecting, maintaining and improving the health of all Minnesotans July 13, 2010 !JULY COL! Panera Bread 1260 Promenade Place Eagan, Minnesota 55121 Gentlemen/Ladies: Subject: Food and Beverage Equipment at Panera Bread, Eagan, Dakota County, Minnesota, Plan No. 101065 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. If you have any questions in regard to the information contained in this report, please contact me at 651/201-3988. Sincerely, Charlotte H. Morgan, REHS;'MPH Environmental Health Services, Plan Review PO Box 64975 St. Paul, Minnesota 55164-0975 charlotte.morgan@state.mn.us CHM:smp Enclosure cc: Archer Mechanical Mr. Dale Schoeppner, Plumbing 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 C't7V OF EAGA4 CASN:[CRr. MG TGRMSNF+I NOa :54 b4TEo I.2/02/96 7IM4-r ±? oi.Lxe5i `%'AME. OPt1S ?256 9001. 1259 PFi6MEMAF.1? +?397?3, i 1 To+.a'_. Fizreic?t Amnlint s -13+; 33. i i . C RO673E,3 , U5E.5 ILia MAt;LYNi! . ?Nc?:?1cW'*`-Y.#??X?K?k?kk?:?;;KY,;BcktSt'nY?>kiX?F?k:XYF?k%kSRY.F i<?ckt%?'8 1NNYLC;'1'lUN KL(.;UKU °C-l'f`Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, MinneSOta 55122-1897 Date Issued: (612) 681-4675 tlf I 1 i?J NEi ?! ? 3E?4ft SITE ADDRESS: .,,. , PERMIT SUBTYPE: ' , APPLICANT: ?. ? . • TYPE OF WORK: .•k ;i i I, . .,, INSPECTION D. . DA f r t hl n R t1>1 A N R F V 1. F W E p ft Y i it A ii7 N n v A r, ZY?. A fa r? t l l f f' "F , t a r1 A ;•. r tt F r. M 10<i "R ? F L ? .? tw 4*S&o 97 Pemi Holder Date Telephone R PLUMBIN HVAC /? 3 •? ? Inspection Date Insp. Comments FOOTINGS FOUND FRAMING / ROOFING ROUGH PLUMBING lQ? (.T TP L I PLBG AIR TEST / (?LQ ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPIACE AIR TEST FINAL PLBG . ?? FINAL HTG ? z. 0 ORSAT TEST 0 BLDG FINAL Gv a?[qL DOMESTIC METER IRRIGATION METEFi FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT F.I. BSMT FINAL DECK FfG I N A L - - - - -/Qg-14 / I7 ?ryY -? -SUSTAIIRANT AEMA ? ?_..? -? ? -----=?-----?.-?------?: (fertificate of Cccu.panc? Ccim of Wagan f Zeoartmext of VKi[bacg ?3tt4ve,itiun This Cerrificate issued purswaru ro the requirements oj the Uniform Building Code certijying that at the time of issuawce this stnrcture was in compliance with rhe various ordinarcces of the Ci1y regulating buildrng corrsrructiors or use. For dee following; Ust Clusification: ?{/TNID WSC Bldg. Pertnit No. 33648 Oocupancy Type Zating Distria Owrcr of Buildins Typc Conu. Bww? ?am? 1260 P-RCMENADE PLAM t-tKr T.7s?B2. F.A['N PR[_MENaTF o.k: `, snae? ar?? ? POST IN A CONSPICUOUS PLACE SITE ADDRESS ? a?C-) p?o me ?ac?e JP j Unit # Permit # 3 ? ? B a Sect.,Sub.. eo-pa o, PY INSPECTION INSPECTOR DATE COMMENTS /?-G? ? ? ?--y ` ' U 0 1NSFLU'1'lUN KLC;UKI) ° CIT1f OF EAGAN PERMIT TYPE: • s8?0 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: .,,:, , .,. ' I : i , .., 'ahfi? PERMIT SUBTYPE: „ itii t i tt I N+i 1A M/ TYPE OF WORK: r,r a? ) INSPECTION D• . D• ? , ? ; r?•i? I N1? REMAFtKtir Pt.PoiV FtTVTC6-iFfl f3Y [1 AIF SC14 11I'E'PNk H i i" 1?Ni Y 1 N rI K r(ir) 1 Ml)kOvt MF Nl F L J,0 (A) SR6 9 7 ? s e-J' ,v7 Permit Holder PLUMBIN - - Date Telephona # f( - 7 ? HVAC Inspection Da Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST ? INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST -- FINALPLBG - - ?21??` ,- )? 90- - FINAL HTG --- - ORSAT TEST BLDG FINAL f / l?3?Q 4110 METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TES F Z-AY 9 1' SQ?? H ?14 ? HYDROSTATIC TEST ? ?' yv U e,? ?ZS? Ll BSMT R.I. BSMT FINAL DECK FiG DECK f=1NAL ?? ? ?? m// 7A I ? ?I PANARA BAKERY . ,?- '-? , %evtificate vf Cccupancv 9i#4 uf cFagan Tp«rtmear of Zni[iixg 3ni3ptctinn \ This Certificate issued pursuant to 1he nequiremerrts of the Unifarm Building Code certifying thot at the time of issuance this structune was in compliance with the various ordir+ances of rhe City regulutiicg buildiRg constnution or use. Far thefollaw Z use ClusirKaEiOft: COMh# NEW aWg.re,mNNo. 32583 Occn{-y Type M I Zoeiog Distrin PD TYPa Const. VN Owner of B?ikhng APAT::AE LLP Addrem 15466 VILLAE WQODS DR. ;•. EDEN PRAIRIE, BLiiidins Addnm 1260 PROMENA E PL LAcality L7, B2, EAGAN' PROMENADE MN o„m: otriaw - - • -?- POST IN A CONSPICUOUS PLACE SITE ADDRESS I a-L 0 40 "1 'e Yv 014`e 't" L Unit # Pe?mit #?a? ?-? ll? L B a Sect./Sub. 1- o V? ??0- f I INSPECTION I INSPECTOR I DATE I COMMENTS I INSPECTION INSPECTOR DATE COMMENTS . .,, . 2005 COMMERCIAL BUILDING PERMIT City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-6Z5-«AX # 651-675-5694 • Strudural Plans (2) sets • Civil Plans (Z) . Certifcate of Survey (7) • CodeAnatysis (1) • PrqectSpecs (1) • Spec. Insp. & Testing Schedule • Soils Report (1) . Meter size must be established 1 1 1 . 1 1 1 • SAC detertnination - call 651-602-1 000 • Architectukl Plans • Structural Pl?nc`? • Civil Plans • Landscaping Plans • Code Anatysis • CeAifcateo(Survey +- Spec. Insp. & Testing Schedule +-Meter size must be established Ca:1??- `1' I'i ? w.??c? (2) sets • Architedural Pians (2) sets (2) • CodeAnalysis (1) (2) • ProjectSpecs (1) (2) • Key Plan (1) (1) " . Master Exit Plan (1) (1) • Energy Calculations (1) not always" (1) " • Elec. Power & Lighling Fortn (1) not always'" • Meter size must be established-'rf applipble . ProjedSpecs (1) ?. Energy Calculations (1) "' 1 .+Eleclric Power & Lightirg Form (1) Master Exd Plan (1) 1 +.Emergency Response Site Plan (1) +-Soils Repart (1) 1-- -- - +-SAC determination - call 651-602-1 000 • SAC dele ination - call'651fi02-1000 Call MN Dept of Health at 651-215-0700 for details regazding foad & 6everage or lodging facilities. I •* Contac[Buildinginspectionsforsampleandifrequired , . ' IIII S??Z ? G ?`•'..'. ' *•• Permit for new building ar addition wil] not be processed without Emergency Response Site Plan. Date ? V ? :. . . J anstruction Cost C Site Address PYLoi ? ? ?_ " ?-S' ? T'r?`-?, UniUSte # ? " " Tenant Name R??(t`lLl? ? /???Q Former Tenant Name Description af Work ?t? ?-??5?? ?L L"'? '"?- ?? ?«-1-°"?-? Property Owner ? ? N Telephone # ( ) u` e' ` Contractor C-'ti l ? ??11?L? ?(F1'i1 Address (0`[3?-Q cDfarO YL cC.P? A? ? City '4-?U State Zip 0? Telephone G'ONTPceT" : 1£1! 14 fLUSE2? Aech/Engr ?T?.? Registration # Address((c? 'QW ?L.c?.L? ,A_c City State Zip Telephone # Licensed plumber installing new sewer/water service: Phone #: U I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will e in accordance with the approved plan in the casg-of worl which requires a review and approval o -? App icant's nn ame Applicant's Signature A P P L I CAT I 4EEg(o OFFICE USE ONLY Sub Types ? 01 Foundation ??6 Public Facility ? 30 Accessory Building ? 14 Apartments )?-?27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding gr 32 Addition ? 36 Move Bldg. ? 42 Demolish (Founda6on) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demolition (EnUre Bldg only) - Give PCA handout to applicant Valuation 13 ? Oa d Type of Const V'13 Width Plan Rev 100% ? 25% Occupancy A' Z MCES System ? Census Code 3 t 8 Zoning ? City Water ? SAC Units 0 Stories ? Booster Pump Nbr. of Units o Sq. Ft. (. 0 PRV Nbr. of Bldgs ? Length '1/10 '^ o" Fire Sprinklered Required Iuspections Footings (new bldg) Footings (deck) ? Footings (addition) ? Foundation Drain Tile jRoof _ Ice Pr _ Decking _ Insul i/ Framing _ Fireplace _ R.I. _ Air Test _ Final Approved By: If D Base Fee Surcharge Plan Review SAC-MCES SAGCity S!W Permit SIW Surcharge Treatment Piant Treafinent Plant (Irrigation) Park Dedica6on Trail Dedication Water Quality Water Supply & Storage (WAC) Planning %ZInsulation ? Final/C.O. _ Final/No C.O. _ O[her Final _ Pool Ftgs AidGas Tests _ Final _ Siding _ Stucco _ Stone _ Windows CIA,,-Building Inspector 223 .'LV' tp - YO i4`s . ( t Financial Guarantee ?- Storm Sewer Trunk ? Sewer Lateral SUeet ?--, Water Lateral Other To rVA_? 3-7`. 94 ? Sewer Trunk Water Trunk s? ------------i I Fot O?ice lJse ? I City of Ea??? ; Permit# '??52 ? j I Pertnit Fee: ? 3830 Pilot Knob Road ? i Eagan MN 55122 ? Date Received: ? Phone:(651)675-5675 i I ? StaB: Fax: (651) 675-5694 _I L - - - - - - - - - - - _ _ _ _ _ 2008 MECHANICAL PERMIT APPLICATION Date: Site Addrels• V r " ? suite #: Tenant: RESIDENT / OWNER Name: Phone: Address / City Zip: ' CONTRACTOR Name: fv r License #: Address: ? 9777 1??? P State:Zip: ' O . Ciry: - V/ k)GIn t t P ?j? a /?4 C ? 52 erson: ac on Phone: ' j TYPE OF WORK _ New _ Replacement _ Add'Rional 4AHeration _ Demolition Description of work: NOTE: Both roof mounted and qround mounted mechanlcal equipment is required to be screened by Cify Code. Please contact the Mechanical Mspector or one of the Planners for iniormation on ermifted screenfn methods. RESIDENTIAL CIAL COMA PERMIT TYPE T New Construction Interior Improvement Furnace - - Install Piping _ Processed -Air Condkioner - Eutenor HVAC Unil r'a$ . Air Exchanger - HVqC unils must be screened _ Heat Pump Under I Above ground Tank Install /_ Remove) Other " When installing/removing tank(s), call for inspedion hy Fire RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 FIfB fEPBIf (replace burned out appliances, ductwork, etc.) (inCludes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: o 00 $70.50 Underground tank installation/r re?Contract Value $ x 7% $50.50 Minimum (includes State surc PR 8 R 2008 =$ Permit Fee - If Perrnit Fee is less than 51,000, surcharge is - If Perrnit Fee is > S1,000, surcharge increases y$.50 tor each State SurCharge $1,000 Permd Fee (i.e, a$1,001-$2,000 Perm' ? requires a$1.00 surcharge - $ TOTAL FEE I hereby acknowledge that this in(ortnation is complele and accurote; that the work will be in confortnance with the ordinances antl cotles ot Ine Urcy or eagan; mac I understand this is not a permit, bul only an application for a permit, and work is not to start without a pertnit; that the work will be in accordance with the approved plan in Me case o( work which requires a review and approval ot plans. i. X berh\ls x A..e.lin?n? Ainnntura AppllCanLSrnnieaname ^rr^--••--- --- E Reviewed By Date: FOR_OFFICE US t Req6ired Inspecbons '_UnderyGround ? Rough In ,=Air Test :_ ?' G a Service Test -'_M tloor Heaf YFinal 7733T 2007 COMMERCIAL PLUNIBING PERMIT APPLICATION C1TY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN NIN 55122 651-675-5675 Date ? / 10 / 0 1 Site Address la, O n t"ra me-pCLidiQ AUcyiU,Q. Uoit # Tenant Name f ec") Former Tenant Name PropertyOwner CJT`aQ?v Telephoue#((6) )q(j5-63L-)q ContraMOr C CO`,?6 (1 S -, U?M.b 1n 1Vl(. Address Skt-Q.4fi City O?l \ State Zip J5Telephone # (W License # C) b rj t q 3 PM Expires: 1311 0 T6e Appltcaot is _ Owner ContraMOr _ Other Work Type New Bidg odify Space I a'on System** Yes No Work in public r-o-w / easement? ?RPZ _ PVB: New RepaidRebuild _ Replace _ Remove Raiu sensors arired on irr' tion stems "?{ 5 ! {-.tiw ?^QPc'?.- ./I/ 1U I?-$ yr4?-? Descripdon of Work .. Yo mqwre RPressure e cmg Valve is feyuired on new service, call 651-675-5646 Meters - Call 651-675-5646 tn verify that hydros[atic, conductivity, and bacteria tests passed Qrior to oickiue uo mehr. Irrigation Size & Type Avg GPM 2" Nrbo req'd unless smaller size allowed by Public Works Fire Size & Price 3!4" meter 174.00 . Domestic Size & Type Avg GPM Iocludes hig6 demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (inclodes Stste Surcharge) Contract Value $ a p Q. G 0 x 1% Permit Fee $ Meter(s) Required on all new buildings & l+oulevard irrieazion svstems $ Radio Meter Read $ State Surcharge If 2ermit fee is kss than $1.000, surcharAe is $.50 If permit fee ia morc fhan $1,000, sorcha'ge b 5.50 for each $1,000 owed. Following fees aPPly when installing new lawo irrigation syshm--?"?-- $ ?'---?-?-?? Water Permit ?~--- Call the City's Eoginreering Depanme 1 5,? , ar,req a???'''qqqunts ? ? ? ? Treatment Plant U $ Water Supply & Smrage ?? ? APR 1 3 2007 $ statesurcharge $ p , ?(f Total Fee i cereoy appry mr a commerciai rlumbmg Yetmn ana acknowletlge Ilat the information is complete and-REu-mu; that the work will be in conformanw with the ordinances and codes of the Ciry o(Eagan and with the Plumbing Codes; that I understand Nis is wt a permit, but nnly an lication for a permit, and worl; is mt Co start withoN a permiC Nat the work will be in accordence wiffi ihe approved lan m the case of work which requye9 q rev d approval of pians. CC?rI.?a- Carl? V??b,,z? APPlicanYs ' ted Nme /Applicant's Si@nature U Protectink maintainingand improving the health ofallMinnesotans May 31, 2006 SLB ofMinnesota 2175 East 53rd Street Davenport, Iowa 52807 Gentlemen/Ladies: Subject: Food and Beverage Equipment at Panera Bread, Eagan, Dakota County, Minnesota, Plan No. 063653 We are enclosing a copy of our report covering an examination of plans and specifications on the above-designated project. The plans and specificarions appeaz to be in general compliance with the standards of this department. Piease see the enclosed report for additional changes and/or comments. It is the project owner's responsibility to retain the plans at the project location. This review,does not pertain to the Engineering design (i.e., plumbing, swimming pools, service connections, sewage systems). A separate report regarding the Engineering Review will be sent. Ten working days prior to completion of the project, please contact Ms. Pamela Steinbach with our Metro district office at 651/632-5147 in order to arrange for a final on-site inspection. If you have any quesfions in regard to the information contained in this report, please contact me at 651/643-3438. Sincerely, C1L Erin Gudlmecht Public Health Sanitarian P.O. Box 64975 St. Paul, Minnesota 55164-0975 ERG:jlr n ? ? EWE' Enclosure ?n7 ca Mr. Steve Kruser .lUl? U 6 ZUU6 Mr. Dirk House, Plumbing Inspector Ms. Pamela Steinbach, Minnesota Department of Health General Information: (651) 201-5000 • TDD/TYY: (651) 201-5797 • Minnesota Relay Service: (800) 627-3529 • www.healthstate.mn.us For direccions ro any oF the MDH locations, call (651) 201-5000 •An equal oppormnity employer MINNESOTA DEPARTMENT OF HEALTH Division of Environxnental Health REPORT ON PLANS Plans and specificarions on Food and Beverage Equipment: Panera Bread, Plan No. 063653 laC? Location: 1260 Promenade ?venne; Eagan, Dakota County, Minnesota Date Examined: May 31, 2006 Date Received: May 4, 2006 Submitted by: Mr. Steve Kruser, 1084 Goodrich Avenue, St. Paul, Minnesota 55105 Phone #: 651/775-6551 Ownership: SLB ofMinnesota, 2175 East 53rd Street, Davenport; Iowa 52807 Phone #: 563/359-5722 The following aze corrections or requests for additional information necessary before construction of your project: Food and Beverage service equipment must meet the applicable standazds of NSF Internafional. Evaluation to these standards by ETL and UL aze also approved. The proper sticker must be displayed 2. Cabinetry within the food service area: a. In a11 areas where food equipment invo]ves heat or moisture, or where food comes in contact with the surface, a stainless steel finish or equivalent is required. All service counters and other millwork surfaces shall be protected with stainless steel, plastic laminate or equivalent covering all exposed wood. b. Cut outs in millwork shall be sealed by the fabricator in an approved method. c. All counters shall be on 6-inch stainless steel legs or castors meeting NSF standards, or on a solid masonry base. d if a solid masonry base is used, the cabinet must overhang the base by at least 1", but not more than 4". e. Enclosed hollow bases are NOT permitted. For new Corian counter and cabinetry. Panera Bread -2- May 31, 2006 Food & Bev. Equip. P1an No. 063653 3. Provide an NSF approved ventilation hood over cooking equipment which will capture and eliminate moisture, vapors, smoke, fiunes and grease laden vapors. Commercial hood ventilation systems shall comply with the 2004 Minnesota Mechanical Code, which adopts NFPA 96-2001, the 2000 Intemational Mechanical Code and the 2000 International Fuel Gas Code with amendments. Ensure review of exhaust/ventilation of unit is to manufacturers speci5cations and compliant with applicable codes. A balance test performed by a qualified heating and ventilation professional must be conducted to demonstrate that the establishment has a well balanced ventilation system throughout the entire building while the ventilation hood exhaust fan(s) is operational during closed building condirions. The balance test should show that the building pressure is slightly negative between 2.0 - 5.0 Pascals. Sufficient tempered make-up air must be provided and interlocked with ventilation systems. 4. Wall surfaces in food preparation, dishwashing and storage areas and janitor's closet shall be smooth, light colored, easily cleanable and nonabsorbent to the highest levei of splash or spray. Stainless steel or equivalent materials should be installed behind the cooking line. On wall behind new deck oven. 5. All equipment must be installed on NSF approved legs or castors, be easily movable and have sufficient space surrounding the unit to be cleaned. New deck oven. 6. Provide each handwashing sink with soap, a nail brush and hand drying device or single sen-ice towels. Provide a separate handwashing sink for each food prepazation area, utensil washing area ; and toilet room. A side splash shield is needed for hand sinks to protect food preparation azeas, clean utensil storage, food storage and ice bins. The splash shield must be constructed of stainless steel and be a minunum of 12 inches high. It must be securely fastened to the wall and countertop or sink with and 1/8-inch radius cove. At handwash sink/food preparation sink depending on distance between each. 7. If inenu changes occur in the future, additional equipment or remodeling may be required and must be approved prior to installation. Contact your field sanitarian. Panera Bread -3- Food & Bev. Equip. Plan No. 063653 May 31, 2006 8. All utility lines or pipes such as elech-ical, gas, water or waste must be enclosed within the wall or ceiling. Contact Ms. Pamela 5teinbach upon receipt of this letter for an inspection. Approved: Erin Gudknecht Public Health Sanitarian P.O. Box 64975 St. Paul, Minnesota 55164-0975 city of eagan MEMO TO: DALE SCHOEPPNER, ASSISTANT BUII.DING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS PUBLIC WORKS/ENGINEERING DEPARTMENT MIKE RIDLEY, SENIOR PLANNER DIANE DOWNS, UTILITY BILLING CLERK CHARLIE BORASH, UTILITIES FROM: BII,L BRUESTLE, SEIVIOR INSPECTOR DATE: DECEMBER 17,1998 SUBJECT: FINAL INSPECTION OF PANARA BAKERY LEGAL: L7, B2, EAGAN PROMENADE The Protective Inspections Division will be performing a final inspection of 1260 Promenade Place on January 7, 1999 If you are requesting that the Certificate of Occupancy be held, please fiil out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. /j s CDPoIdg insp//finai insp - comm 61dgs ? L _rl B I SUBD. APPROVED BY:_ CITY USE ONLY RECEIPT #: 73 RECEIPT DATE }99&PLUAlB1Nfi PERMlT (COMhi£RCIi4L) / 999 crrr oF EAsAiv S$SO PILOT KNOS SD E,akHAN, MN 55122 (67E) 6$1-4675 Please complete for: Date: Work Type: _ New Bldg. _ Add-on _ Repair _ U.G. Sprinkler Description of Work: ?"IT ?-- /" To ioquire it P: essure Reducing Vaive is reqmred on new servlce, cali 681-41 PEES 1% of contract price or $25.00 minimum Contract Price: $ X 1% = $ ? RPZ COMPLETE THIS AREA ONLY IF INSTALLING IINDERGROUND SPRINKLER SYSTEM Service: Existing (if coming off domestic line) OR _ New Backflower Preventer Permit Fee»»»»»»»»»»»»>>>»»'>>>>>>>>>>> $ 25.00 Water Flow GPM WaterMeterl" @ $189.00 or 2"Turbo @ $871.00 ' $ $ 50.00 = It "new service" add Water Permit $ State Surchazge $ .50 = $ WAC $ 807.00 = $ Water Treatment $ 444.00 = $ Arw CXJ ?'/Yl.e? /? 1? G( PermitF.ee $ - O d _ ? 5? State surcharge is $.50 per $1,000 of ep rmit fee or minimum of 5.50 per pertnit State Surcharge $ • l F $ ? ?• ? ? ee Tota I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its normal operational and maintenance adi vities to the facilities constructed under this permit within Ciry property/right-of-way/easement. SITE ADDRESS: /p< lz9 TENANTNAME: INSTALLER NAME: TELEPHONE #: 4??` STREE7' ADDRESS: r ir -C4 _ CITY: STATE: / ZIP:, sll commerciaUindustrial buildings mul[i-farnily buildings when separate building pertnits aze not required for each dwelling unit backflow preventer to be installed in commercial areas or residential boulevards SIGNANRE OF PERM[TTEE CITY USE ONLY COMMERCIAL PLUMBING PERMIT -1998 METER SIZE Domestic Irrigation UTILITY CONNECT[ON (APPLIES TO NEW SERVICE ONLY) S To determine meter size PRV Yes No * See if it is indicated on back of Building Inspections cazd ' Enter address in PIMS Screen 301 [o obtain S&W permit q • Check PIMS Screens I 10 (Remarks) • If gallons per minute aze less than 25, a 1" meter wil] be required. If gallons per minute aze more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed Plumber does not know GPMs. Before seliin2 meter ' Check PIMS Screen 320 for apnroval of inspection results. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines aze no[ required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forwazd copy to Utility Billing Clerk. • Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miscellaneous Information • The installer is to contact Building Inspections at 6814675 for inspection of the inside water line and backflow preventer. The Central Maintenance Division may be reached at 681-4300 for water tum-on. • If ineter is over 5/8", notify Central Mainrenance so they can tell you if there is one in srock before plumber goes over there. CD/Permit forms/plbg permit (comm) 1998 B ? /I APPROVED BY: CITY USE ONLY Q p ? RECEIPT #: / 0 RECEIPT DATE O ?U 9 1998 PLUb{81Nfi PERMIT (COMMEiC1AL) CI1'Y Of EAfiAN S$SO PILOT KNOB RD £Afi141V, MN 55122 (siE) 661-4675 Please complete for: all commerciaUindustrial buildings multi-family buildings when separate building permits are not requircd for each dwelling unit backflow preven[er to be installed in commercial areas or msidrntial boulevards Date: ld -19-Y.P' Work Type: _ New Bldg. _ Add-on _ Repair _ U.G. Sprinkler _ RPZ Description of Work: To inquire if PressTre Reducing Valve is required oo new service, call 681-4646. P$E.S 1% of contract price or $25.00 minimutn Contract Price: $ x 1% ?00 COMPLETE THIS AREA ONLY IF INSTt1LLING UNDERGROUND SPRINKLER SYSTEM Service: Existing (if coming off domestic line) OR _ New Backflower Preventer Permit Fee»»»»»»»»»»»»»»»»»»»»»> $ 25.00 Water Flow GPM Water Meterl" @$189.00 oI 2" Turbo @$871.00 II "new service"add Water Permit $ 50.00 = State Surcharge $ .50 = WAC $ 807.00 = Water Treatrnent $ 444.00 = Permit Eee S State surchazge is $.50 per $1,000 of permtf fee or minimum of $.50 per permit Sta[e Surcharge $ Totai Fee $ ':090 -?5 n I hereby acknowledge that I have read this application, state that the information is corsect, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the City during iu normal opemtional and maintenance activities to the facilities constructed under this permit wit6m City property/right-of-way/euement. SIT'E ADDRESS: /? l0( / TENANT NAME: &22 O.f '°t '4 INSTALLERNAME: TELEPHONE STREET ADDRESS: CITY: L? 'Paku?2 STATE: A1212 Z[P: SIGNATURE OF PERMITTEE CITY USE ONLY COMMERCIAL PLUMBING PERMIT -1998 METER SIZE PRV _ Yes _ No 1 ll Domestic [rrigation UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLY) To determine meter size • See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S& W permit # ' Check PIMS Screens 110 (Remarks) • If gallons per minure aze less than 25, a I" meter will be requ'ved. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Iospector it Licensed Plumber does not know GPMs. Before sellin¢ meter • Check PIMS Screen 320 for aoaroval of inspection resulu. No meter will be sold before all sewer and water inspections aze complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (me[er portion only), and forward copy to Utility Billing Clerk. • Enter meter size, type, receipt #, date & amount paid an PIMS Screen 110. Copy of receipt should be given to Utiliry Billing Clerk. Miscellaneous Information • 1'he installer is to contact Building Inspeaions at 6814675 for inspection of the inside water line and backflow preventer. The Central Maintenance Division may be reached at 6814300 for water tum-on. • If ineter is over 5!8", notify Central Maintenance so they can tell you if there is one in stock before plumber goes over there. CD/Permit forma/p16g permit (comm) 1998 N PLEASE COMPLETE FOR ALL COMNERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: I 0(30lq b (;pNTRp(,'r PRICB: $ 1`1, q i O NEW BUILDING X INTERIOR IMPROVEMENT WORK DE$CRIPTTON: ViSTRIWTlO1J Dl'C'7 4 DiFFUSGRS PROM (2) EKlS7(NG (2z)-pFYOP UNt"CS fNSTAi.t. H?.`oD ? EKH,0.US7 FAh1 pFZOViDED BY 07FFEFtS . INSTF(-t- E-KH?NS7' D'uCY (2) -ro i LET E,x? NkusTS . FEES 1% OF WtM= FEE $ I l a• i D PROCESSED PIPING: $25.00 MWIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,IX10 OF FEE. < ,:v TOTAL $ 1 -10(•OC) SITE ADDRESS: f 2&0 PRoMENAve OWNER NAME: P^NF-RA btZEAD TELEPHONE #: TENANT NAME: (IMPROVEhtENTS ONLY) PFk f.l ERA SREAD INSTALLER: NS/I MF-CkAniicpa. CcN?w?t:rir?cT ADDRFSS: 23cC TERRIT(?RIAiJ RCPD CITY: ST. PPtvL- STATE: MN ZIP CODE: 55 ((4 TELEPHONE #: 643- (o(673 z4z?- 4,) S l1 IG RE OF PERMITTEE CTTY INSPECTOR MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 P1I.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMFS AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTI'. NEW CONSTRUCTION ADD-ON AJC ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDTTIONAL 50 M BTU 6.00 GA$ OUTL.ETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTING CoNSTRUCTiox) $ 15.00 STATESURCHARGE TOTAL .50 STTE ADDRESS: OWNER NAME: TELEPHONE #: INSTALLER: ADDRESS: CITY: ST. ZIP CODE: T'ELEPHONE #: SIGNATURE OF PERMITTEE ? Job #88162 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: 12-16-98 CprTT'RpCT PRICE: $ 3,600.00 x NEW BUILDING INTERIOR IMPROVEMENT WORK DFSCRIPTION: Set rooftop condensing unit, hang blower coils, pipe DX and condensate. Do complete charge, check test and start. FEES 1% OF qq.FEE $ 36.00 PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ?,??? FEE. TOTAL $ 36.50 SrrE ADnRESs: 1260 Promanad OWNER NAME: panera sread TEj,,$pHONE #: TENANT NAME: (I?KPxovEMEtv'rs oNLI) INSTALLER: NS/I Mechanical Contracting Co. ADDRESS: 2300 Territorial Road CITY: st. Paul STATE: nuv ZIP CODE: 55114 TFI.RPHONE #: 651-646-8677 SfGNATURE OF PERMITTEE CITY INSPECTOR MECHANICAL PII2M1T (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 MECHANICAL PERMIT (RESIDENI7AL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS VVHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-CN I'L'RIv'ACE DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXtsnNG CoNSTxucrtoN) $ 15.00 STATE SURCHARGE TOTAL .50 SITE ADDRFSS: OWNER TELEPHONE #: INSTALLER: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITI'EE ?W ?k'M"?YF'M#?!WWPd?,'`k?F?M?XY,tW'Mi;:?'„AY>?k:d?? X?l?k"??k>$Y,; ??YF>X?;: CT7Y DF EAGAN CASH7:ER: S TF_'!'iMINAL NfJ: 786 DFlTF:; 1.0/1.6„98 TTi1_e I.5:,'37:53 ID. Nr1i'iC. S!_B {}f-- M:I:NNL-:St_1TA 2256 9001 1260 F'R4t1L:NADL. 0,626.0 i 'fot;:i7. f;eceipt Amr.uerrh,z 1.1y626.71 CRQ984i'i L.iviE.R IT1: NF4Pdf:Y yFyFyF:kY,t1X%k?e?1n?FY,t%k?1(?;4?(i$1SPr.Y,C>K???(YF7K;K??'CiY;};;(,P,cy,On>; ,",,;?CPa FERMIT ? CITYbF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMITTYPE: Bi) rLolNG Permit Number: 0 3 3 6 4 8 Date Issued: 10 / 16 / 9 8 1260 PROMENflDE PL LO7: 7 BLOCKs 2 EAGAN PROMENAfJE DESCRIPTION: ADD RESTAURANT Btwzlding'-Permit Type 6UiYding W6?0k Type 'Census Code 327 ,j t,. ? ? Y fjr . 3j u'... ... . . .. , AREA COMM./IND. MISC. ALTERATION STORES .,h? ? t "q /•- 7 f _.. . . . 7 ? _ . ,.. . REMARKS: PLAN REVIEWEp BY CRAIG NQVACZYK. ARCMITECT: WDfl & E REG # 1.0908 FEE SUMMARY: VflLUATION Rase Fee Plan Review Surcharge SAC SAC % SAC Units 5ubtotal $1,372.25 $891.96 $98.50 $6,000.08 100 6 -- $8,362.71 $197,000 CITY SAC $600.00 7REATMENT PL. _,,_,__$2, 664 Total Fee $11,626.71 CONTRACTOR: - Applicant - sT. Lzc. OWNER: SHAMROCK• CONSTRUCTION 27097580 20131565 APACHE COMMONS 1619 LEXSNGTON pARKWAY S 15466 VILLAGE WOODS OR STy PAUL MN 55165 MINNEAPOLIS MN 55347 (6.i2) 709-7580 T hereby acknowledge that S have read this application and state that the infcrr,matzctn is carrect antl agree to comply uith a11 applicable 3tate of Mn. StaCutes and G3.ty of Eagero Ordinances. L _. ? - AP /PERMITEE SIGNATURE ISSUE ATURe c'-edQ.e? i n- 13 -? k , 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) ?ITY oF EAaAN s I k, 681-4675 h, _ Submit following to obtain necessary permit Foundation Onl New Construction Interior Improvement structural plans (2 sets) architectural plans (2 sets) erchftectural plans (2 aMS) civil plans (2 sats) struGural plans (2 sets) code anatysis (1) ^ code analysis (1) " civil plans (2 sets) project spets (1 set) soils report (1) landscaping plans (2 sets) Key Plan _-_ project spees (1) cotle analysis (1) " energy calculations (1) not aNrays " Special Inspections & Testing Schedule " soils report (7) • Electric Power & Lighting Fortn (1) not aMrays " SAC delermination letter from MCANS - SAC tletermination letter from MCNVS - SAC detertnination letter from MCANS - ca11 602-1 000 w11602•7000 ca11602•1000 Speaallnspections&TestingSchedule (t) " projed specs (7) energy wlwlationa (1) " Electric Power 8 Li htin Fortn 1 " " Contact Building Inspections for sample Food 8 Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: 1 1 I 1 I V WORK TYPE: X NEW REMODEL DESCRIPTION OF WOR?K: -Vz74A. lh 2cijc3 C,-ci' CONSTRUCTION COST: ? 19 ?j ODD TENANT NAME: B^'+?-:tz^ SITE ADDRESS: T?{jor-.?-M+WOC? ? SUITE #: r-7 Lc? ? ? n LOT I BLOCK ? SUBD. ?Y O`M-2;V? ? P.I.D. #%b ?? ?a o 7 a o 2- ` 4I? p 0. ckA- C c? vy? w\?o Name: 5,a??Lr Phone #: PROPERTY Last First OWNER Street Address: "4(? lo V.?x ?e? W? CAU VA-A/U'-? City State: TJ4111 Zip: ? Company: G +y^M11?-00L Phone #: 70(1 ' -4S & 0 CONTRACTOR ? ?/ ` Street Address: I (O ?1 L€?C lµC???l Pti ? S• License # L? 1 --Z-) I S? S ciri _SZ- PA?It-- MM state: 'F'1M zsP: ARCHITECT/ / ENGINEER Company: \bJ ? 74?1,N Phone #: .0 Lio Name: }?"A1L1'P ?oLA(L- iZ IL- Registration#: Street Address:15o ??Cf?1C?Wt 4-A . (/ City State: o VAr Zip: Sewer & water licensed plumber (only if installing sewer 8 water): 1 hereby acknowledge that I have read this application and state that the information is c rreeia gree com ly with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY , BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION J?19 Comm.llnd. Misc. ? 20 Pubiic Faciliry VL33 Alterations ? 34 Repair Const. (Actuai) ?/ j Basement sq. ft. (Allowable) ?0,7- First Fioor sq. ft. UBC Occupancy ,A,3 sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building Engineering O 21 Miscellaneous ' ? 35 Tenant Finish O 37 Demolition MC/WS System • City Water Fire Sprinklered Census Code ? SAC Code ? o Census Bldg. o? Census Unit Variance Permit Fee Valuation: Surcharge 9S<.?O Plan Review MC/WSSAC (ooov ..n Iooox 4 City SAC Co 0 0. ?/ o o ? L Water Conn. S/W Permit S/VN Surcharge Treatment PI. 'L?& 4 Park Ded. Trails Ded. Water Qual. Other Copies Totai: 2 . 1 % SAC ? SAC Units Meter Size $ D d ?- CITY OF EAGAN CASH.T.ER: S TE:FiMiINAL NOe rBi DATE: 07/24/98 TIMG: 13:14:54 ID: NAME: AF'ACHE C0TIMONS 2256 9001 1260 F'ROMFPtADE 37597.00 t Tota1 Fieceipt, Amolln+,; 37537.00 CR035Zi8 USER SLi: NAMf.Y CITY OF EAGAH CA5H7FR: S 1'ERMINAL NO: 781 DATE- 07/24/38 TTMr: 13:25:43 ILI : NFlME: ANCO CQNSTfiUCTILIN CD INC 225E 3001 12E0 F'FOMENALIE a7+0$.ii Total Recezpt Amount: 51708.71 CR095281 lJ5Ek TU: NANCY W- Y OF EAGAN 3830 Pilot Knob Aoad Eagan, Minnesota 55122-1897 (612) 681-4675 FERMIT PERMITTYPE: auxLozNG Permit Number: 0 3 2 5 8 3 Date Issued: 07/2 2/9$ SITE ADDRESS: 1260 PROMENADE PL LOT: 7 BLOCK: 2 EAGAN PRQMENADE DESCRIPTION: PANFlRA BAKERY Q,Ij?jJ?d-j'n>q?Permit 7ype COMM./IND. fiu?jdtnq "BdVrk Type NEW ??`UEiC OcGUpar?;?t M ? ? Construotian 4?4pe, VN PD ;,? ° 70 `A U S?ilding 4J?3th 56 L "P+ , Pu tVkdr,s tctr7, 2s N ? o-t y f???" 4 R 9 6 4 2 G a?i?s=? 327 5 T 0 R E 5 r, a n k s??} ?fi? t« i:.k'. '. REMARKS: PLAN REVIEWEq "SHELL" QNLY-- BY DALE SCHOEPPNEi2 INTERSOR IMPROVEMENT PERMIT REQUZRED FEE SUMMARY: VALUA7ION $215,008 Base Fae $1,462.25 CITY SAC $200.00 plan Review $950.46 S/W PERMIT $100.00 Surcharge $167.50 S/W SURCHARGE $.50 SAC $2,000.00 TREATMENT PLANT $888.00 SAC % 100 PARK pED. $3q597.00 SAC Units 2 Subtotal $4,520.21 Total Fee ? ? ? 7,?50 .c??- -,.? ?-?- ? ? 5t51?ti r".. ??l b? ?U • CONTRACTOR: - Appriaant - ANCO CONST CO INC 24769662 35,'40 MONTGOMERIE AVE 08EP HAVEN MN 55391 (612) 476-9662 f i X htreby ackr,t ? =-,?rrg?ormata?r Statutes ? OWNER: APATCNE LLP15R66 VILIAE WOODS pR EDEN PRAIRIE MN 55347 (612)975-3600 ,dg;e that: i hAve read thf,% eppl3cation arrtf state that the 1 ? 4ndg9r.ea tG ovmpjy with ai2?aPP7:if€able St3te c+f Rin. SIGNA7UPE VISSUED BY: SIGNATURE A 1yo'S _?1 1 ? ING PERMIT APPLICATION (COMMERCIAL) ci ? ? CITY OF EAGAN sgs= ? - 681-4675 Submit followin to obtain necessary ermit Foundation Onl New Construction Interior Improvement struGUrel plans (2 aets) architecturel plans (2 sets) arohitedural plans (2 sets) civil plans (2 sels) structurel plana (2 sets) code analysis (7) ^ aotle analysis (1) " civil plans (2 seta) projed specs (t set) aoils report (1) landscaping plans (2 sets) Key Plan proJedspecs (7) codeanalysis (1)" energycalculationa (t)not aAvays" Special Inspections & Testing Schedule " soils report (1) Electric Power 8. LighGng Form (1) rwt aM1vays " SAC determination letter from MCANS - SAC tleterminaFon letter finm MCNVS - 5AC defertnination letter from MCMIS - call 602•7000 call 602-1000 cell 602-1000 Special Inspeotions & Testing Schedule (1) " Proled sPecs (1) energyplculations (1) ^ Elactrie Power 8 Li htin Fonn (1) " Contact Building Inspedions for sample Food & Beverege or Lodging facilities: Plan must be submitted to Minnesota Department of Health, Call 215-4700 for details. U dATE: C? • 30 •`? $ WORK TYPE: _2?_ NEW _ REMODEL DESCRIPTION OF WORK: QDLY Be o2 SHct// edn Sfl•2.vC?io,?J Oi?L.? CONSTRUCTION COST: Z/f 4900 TENANT NAME: /?•s?gag !gf?. IZie ,-e SITE ADDRESS: /LOT 7 BLOCK_'' SUBD. N SUITE #: P.I.O. # Name:dPy fG4 e GGO -ZiE? S-'Z&b /+yPhone #: 5!75 -36 o d PROPERTY Las First ?x ; g7 S OWNER Street Address: 1571146 P/iLL.ec ,e- AI A291 122 CitY i5j ? P24'i+-ie State: 107•f? Zip: .SS_3`-I7 a? ?7•,dear 3,?f Company: LCn /J (?Pnh0? O -Y'A/C hone #: 1 L/7 6'??6L ??d e5-6Z9Z CONTRACTOR Street Address 0qp15- License # -;7 390 ciri 6 e-a i> s/ 4 v?-- ,./ srate: 144/ zip: 53 -,7 si ARCHITECT/ / ENGINEBR Campany: f?2T?Gi Phone fi: p?? -/36 v Name: Registration #: /S?,Q/S Z . StreetAddress: 'li/05-POl' e'la l?,./1 /-T. City Ry 5 //" /(g State: IQ/v , Zip: :5r- rti 3 Sewer & water licensed plumber (only'rf installing sewer & water): 1 hereby acknowledge that I have read this application and state that the infortnation is mt with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 19 Comm./Ind. Misc. Jv3' 18 Comm./lnd. ? 20 Public Faciiity WORK TYPE 1 `l1L . _..f .. ? 21 Miscellaneous JA e,?? ?? y ? rhfea^%ar i+^?rat-a?..+..?' ??aµw/? ley?rcEP lp 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) VN_ (Allowabie) VN" UBC Occupancy m Zoning ? # of Stories Length 9e Depth APPROVALS Planning Sasement sq. ft. First Floor sq. ft. sq. ft. sq.ft. ' sq. ft. sq.ft. Footprint sq. ft. Building Q_.S 5'6 z Engineering I'ermit Fee . 2, Valuation: Surcharge Plan Review MC/WS SAC 2o oo . 2,r o City 5AC z o a _ 2,e /pa Water Conn. SNN Permit /DO, SlW 5urcharge ,50 Treatment PI. 8ke 2,r yyy Park Ded. Sraits Ded. ?--" Water Quai. Other ao La,1s,ro;w1 seevr;ff. Sm Copies ? Total: ? 35 Tenant Finish ? 37 Demolition MC/WS System City Water Fire Sprinklered Census Code SAC Code Census Bldg. Census Unit Variance $ 2/S o? °O ::L 322 30 % SAC SAC Units 2 Meter Size ? CITY USE ONLY CITY Of E4filF1V S$SO PILOT K1VOB iiD EAsAv, Mv ssY ss (sys) 681-4675 Piease complete for. all commerciaUindustrial buildings mu 1i-Mmily buildings when separate permits are not required for each dwelling uniY ? ? oa DATE: - CONTRACT PRICE: g Q?d 9V CiK1C i YYE: ?"/ iVEW C;ON51Tt11C;7TON IN1'ERIOR IMPROVEIv1ENT DESCRIPTION OF WORK: r,,QQ??? 5-T?? \ sO?xZ1J'? ID FEES: 1% of contract price OR $25.00 miuimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING ?PER?vI!I?T FEE I STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IIvfPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE #: N I A #: 4-1Z'1360 CITY: STATE: ZIP: y?53a' ? SIGNATURE OF PCAMTTEE . .S? ] 99$ M£CflANICAL f MIT (COIYIMEftC1AL) ?•- . CTTY USE ONLY LOT BL SUBD. RECEIPT #: _ RECEIPT DATE: 199$ MECtIANICAL P£itMIT (itESIDENTIAcL) crrY of EAs,a?a 3830 ru.or [cPOS an EAfiRA MN 55122 (61E)681-4675 Date: Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied ' • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL-50 M BTU 6.00 • Gas oudets ( minimum of one required @$3.00 ea.) • State Surchazge: .50 . TOTAL: Complete this section anlv if you aze remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: , _ Install furnace _ Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minnnum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .SU TotaL• $ 20.50 SITE ADDRESS: OWNER NAME: PHONE #: INSTALLER NAME: PHONE #: STREET ADDRESS: CITY: ]S/FORMS BLDMIECH PERMIT (RES) - 1998 STATE: ZIP: SIGNATURE OF PERMITTEE 2006 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 • Strudural Plans (2) sets I- Architectural Plans (2) • Civil Plans (2) • Certificate of Survey (1) . CodeMalysis (t) " . PrqectSpecs (1) • Spec. Insp. & Tesdng Schedule " • Sails Report (1) . Meter size must be established 1 1 1 1 L 1 • SAC determination - rall 651-602-1000 . SVuCtural Plans (2) + Civil Plans (2) • Landscaping Plans (2) • Code Analysis (1) " . Certificate of Survey (1) • Spec. Insp. & Testing Schedule (1) " • Meter size must be established . ProjedSpecs (1) • EnergyCalcula6ons (1) • Electric Power & Lighting Form (1) • Master Exit Plan (1). • Emergency Response Site Plan (1) . Soils Report (1) • SAC delermination • call 651-602-1000 . Fire Stopping Submittals 4 ;a g1'r • Architectural Plans (2) sets • CodeAnalysis (1) . PrajectSpecs (1) • KeyPlan (7) • Masfer Exit Plan (1) . Energy Calculations (1) not always" • Elec. Power & Lighting Fortn (1) not aiways" . Meter size must be establishetl-rf applicable 1 b 1 l , .. l. • SAC detertninadon - call 651-602-1000 Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilities. "• Contact Building Inspections for sample and if required •"* Permit for new building or addition will not be processed without Emergency Response Site Plan. Date ? / J / ?? ConstrucEion Cost I r7, ? _ SiteAddress ?? LZcpC7 Llt 0 UniUSte # Tenant Name rz4oo Former Tenant Name ? ? Description of Work ?Li2Ht7,l fkt.tVQ, ?`L.?wt(YJNL? MAY 4 Property Owner fPAYt?S? b? Jl?'-N Tetep Applicant is: ? Cootractor w er O n Con[act #: ( 6? ) ?7? Contractor ' " ? ? ? 1v ?-t? ?K- S C Address Cl`Y') Yl ( 7c'Ji City ?(• ?'?-FL State Zip (0 Telephone #((?pi ( Arch/Engr J78we 1'-/G?kSc-s-Z Registration iF Address 'yU Y2tC4 (C) 8!?( 6C2 City State _ V,164 Zip ?'(ZjS- Telephane #(? l) 7???o n? ( Licensed plumber installing new sewer/water service: Phone #: I hereby apply for a Commercial Building Pemut and acknowledge that the information is compiete and accurate; tnat tne worx wiu be m 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 withou[ a permit; that the work will be ' ccordance wiffi t?,e approved plan in the case of work which requires a review and approval of plans. ?? ? ?-\z?Uc- VaqS&-i,_ ApplicanYs Printed Name Applicant's ' ure DO NOT WRTlE BELOW THI.S LINE Sub Types ? Ol Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments R? 27 Commercial/Industrial ? 32 Ext Alt-Aparhnents ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercia] ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 0- 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (EMire BVdg only) - Give PCA handout to appficaM Valuation /7, SOb Type of Const - Width Plan Rev 100% ? 25% _ Occupancy A ;Z MCES System - SAC Units Zoning - City Water - Nbr. of Units Stories - Booster Pump - Nbr. of Bldgs r Sq. Ft. - PRV ----? Length - Fire Sprinklered Required Inspections _ Footings (new bldg) _ Fireplace _ R.I. _ Au Test _ Final _ Footings (deck) _ Insulation _ Footings (addition) _ Sheetrock Foundarion FinaUC.O. Drain Tile 1?: FinaUNo C.O. _ Driveway Apron Other Roof Ice Pr Decking Final Insul _ Pool Ftgs Air/Gas Tests Final _ ? Framing _ _ _ Siding _ Stucco Lath _ Stone Lath ^ Final Windows t h ? No Y Final C/O Inspection: Sch edule Fire al to be presen . Mars es _ Approved By: Planning s ke, L_ Building Inspector Base Fee 3 • 2S Surcharge 9.00 Plan Review / 90, 6 ! SAC-MCES SAGCity S!W Permit S1VJ Surcharge TreatrnentPlant Treahnent Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) Flnancial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Ofher Total -?` q9a. 86 Sewer Trunk Water Trunk 03105/:005 00:36 03 ?s9 F5164586a9 KRUSER<COtdSTRUCT I Of J 2006 COMMERCIAL MEC HANICA.L PERMIT ArrLtcnTzaN Ci1y Qf Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Plcase completc for: commortiallindustrial bu7ding5 multi-femily buildings whan 5epar'ste Permits arc pQj sequired for eacA dweHing unil PAr,E 01 Date ?! 113 I a(o S[te Street Address 1z,J U¢it # Tenaot Name (if sppiicahte) ?LaPdA?? Previous Tensnt Name Properiy Owner 0f° lM +?c c9'S?/`? Telephone # ?- t or Contrac ^ 1$7BI 1? ? Street Address Aa2 C"ty ? , 'N Zip 553?? Telaphoaet+ (?Sa ) LI'q2 ' n30g' State ` Bond tt: 1-3 S 4(DS7 01 Expires: The Applitant is ? Owner ? Coatrector Othet Work Type New Construction ? Underground Tank _ Install _Remove "see below ? interfor kmprovemenQ$f#Aa) ? lnstall Piping _ProceSSed Gas f Wock: t N k- ure o a ? (tl2czL Over1 *'Whert installing/removing underground nk, cafl fnr Inspection by Fire Marshal end Plumbing Inspector PeTmit Ftt5: 470.50 Underground kok mslaliationircmoval , y5p.,50 iximum (includes Sute 5urchargc) Contract Value S?OSn ?^. x 1% PermiR Fee g State Surcharge I{St fes ts less than 51,000, aAd $.50 If ZEmit fu is mare thaa $1,000, s+vchargt is S.SO frrr every 31,000 owed. . $ (ps • 5O Fotai Pee th ' on is com lete and ?urare• shat the work i he.eby apply for a Commerc9al Mechanical Permit and acknowledge that e mforrz?s t i p ? wiil be ia cnnformance with the ordinancea and codes of the Ciry of Esgan and with the Mechanical Codes; titaz 1 unaerstana this is not a permit, but onty an application for e permit, and work is aoc ro start without a permit; that the woxk will be in accordancE with the apptoved p1a11 in thc tase of work wh1Ch xequires a feview and appfovsl Of pl . AppiicsnCs Printed Neme Appli, Ps Si azuze Approved By: Inspector Date: R¢quire.d Inspectioas: _ U.G. R.I. _ A.ir 7est _ Ges Service Test _ Infloor Heat Ibinal MRY-15-2006 MON 03:16PM ID: PAGE:1 Jun 08 06 11:33a Corey Carlson (651] 653-3200 p.2 3 ? Sa' S o 2006 COMMERCXAL PLUMBING PERMIT APPLiCA'i'fON v? S? CTl'Y pF EAGAN 3830 PILOT ICNOB iZOAD, EAGAN MN 55122 651-675-5675 na"(0 '?-...-/2 U?° Plac? SiteAddress ?Z(p0 ??bMe`na? ^?CV'L?CA?? Uuit# TeoantName ?? ?rYfa? FormerTenaotName ? Properry Owuer '&Y12l0. '-&eoA Tdephone # ((051 ') 406 - D3 0 ? Contractor Ca["160YN l `W0?Di?n?a?j ?nC ? Addrees ...112.Q QerAoll `J'?Ce?' City Va/1'6t,[.,2?s HC%Ah_)? State ? Zip ASS k5-) Telephone#(tu$I) 98 Licease # Db l2? QYYI Eapires: lZ 12-DQfa 7'he Applicani is ? Owner Contrac[or ? Other WorkType _NewBldg ModifySpace IrrigatioeSystem** Yes No Work, %puM"ig' 1 easement7 RPZ _ PVB: New ? RepaidRebuild _ Replace _ I?ode (,j ? J Rsin seosors arc r uered oo irri9tion stems ?Descriptinn of Work To inquire ifPriasure Reducing Valve is reQUired on ?Kw ux.rice, ca11651-675-5646 b'j; ?K i, ex, C-O'If • .? ?? ? 0 Mebers - Call 651fi75-5300 to v?i y thaz hydrostazic, mn?Wclivity, and bacteria rests passed ?rior to oickiw un o?e?ter. Lrigation Size & Type Avg GPM 2" turbo req'd unless smaller 5"vz allowed by ' Works Fve Size & Price 314" me[er 167.00 I Domeslic SiDe & Type Avg GPM loeladea hig6 demand de?iCea? _ YesNo i Flnshometers _ Yes _ No PRV Required _ Yes _ No Permit Fec $50.50 ni (inelvdes Sta[e Srrchs`ge) Contrad Value $ x I Yo = $ Permit Fce s Reqnired oa alt cew 6nildings & boule d i[ri ' ? stems $ ? Met S Radio Meter Read $ .5v 6taoe Surcharge 6 If oermit fce is lrsa thae SI.900. sorcharxe0 $.50 lfpE" fee ie mere ihan S400D, surehsrl:it is 5.50 for aeL $1.000 owM. I Following fces aPPlY whan installiog eew, lawo irtigsfioo system ? r?ater Permit can We ciry•s Faiginaering Departmenc, 65 1-675-s6M16, iw required fee amoums _ S Treatnent Plant t Water Supply & Storege $ ? Stste Surctiarge S 7?' •? O Tofal Fee - 1 hereby apply far a Cammeicid Pluro6ing Permft and ac&?wwiNgc tliat the iMormation ? ?omplete and accu?aa? that t6e ?wjF: will be in contamnnce wi[h 1hc ..wa ..+ u- a.iry oc csgan ara wim ane rhimbmg C;oaes; mnz I uodersmnd tlhis is cwt art, but an applicd}iOn fof a pettnit. md wark is nM SO sbrt w a perm'rk tha! the work will 6e in acwrdantt wiM fte approvetl plan in the as: oFxwr7 cllFe rcview aM a?mvW of pians. ?} f W ??G?1 V ?C1? Applxcatifs Printe Name AppiicanYs Signamre i ? rJ o P 1&?, sK.ez? A,nL/ r?r5 Sc 4 7Y- P. Jl?j ? -°-7 T? ??? 240 c?Ec ,? -?c ?d ?? / 2007 FIRE SUPPRES5ION SYSTEMS rExMrr nrrLicATTON 1) City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Requirements: 2 comple[e sets of drawings and specificatioas 4 AY2>?,._ ll( Date 5/ a l?? ey Site Address: Tenant / Building Name: The Applicant is: _ Owner _ Contractor ? Other PROPERTY OWNER Address: Ciry: State: Zip: CONTRACTOR F0i 2 m a/l tPi (e o64M3 MN License #: Address: 2P % Ipta? PJ,4-1hl3..city; ?'"'-a%rmbIL t" State: fn A) Zip: /J ? J Phone #: ,7 0 7- Z 3 5- ? ESTIMATED COMPLETION DATE: 20 FIRE PERMIT TYPE: _ Sprinkler System (# of heads Fire Pump _ Standpipe Other: Q {1S b4L )C+ Ir2 WORK TYPE: X New Addirion Alterations Remodel Other: DESCRIPTION OF WORK: Commercial Residential Educarional ? Other: W Au. ? - Please con6nue on neat page . PERMIT FEES Contract Value $ 39GD.da x .Ol = $ SO' 19D Permit Fee $50.00 Minimum 5a State Surcharge To calculate surcharge If Permit Fee is <g1,000, 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 TOTAL FEE: $ 5p ,5a Fire Meter I hereby apply for a Fire Suppression System pernvt and aclmowledge 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 Uvs is not a pemtit, but only an application for a permit, and work is not to start without a permit; thaY the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. .Dee 9i'14mu0i9d-a- ? QQ 1?1`22I? /-?.-?-Gz=L Applicant's Printed Name ApplicanYs Signature of EaUaIl RMM 2 2 2008 City b 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 Date: 1_ _____________, Fo? Office Use ? j Permit #: ? Permit Fee: i j Date Received: ? I i sla"' J - - - - - - - - - - - - 2008 MECHANICAL PERMIT APPLICATION siteaaaress: labo ?cz7,?-?made 1Ic\ce Tenant: ?? Suite #: RESIDENT/OWNER Name:(A_l« 1k-)?nc.5 Phone: Address / City / Zip: 6 (:VY? ? , ?? CONTRACTOR Na'T'e?7-61 License M: address: QICI ? 5. ('oncC"d 'SE Ciry; S, `J4 PC.± I.1 State: )MIJ_ Zip: 5561 5 Phone:OSI-LIS1--)SOLI ContactPerson:eGl[nSP i TYPE OF WORK New _ Replacement _ Additional _ Alterafion _ Demolition i Descnptionofwork; Wc?rti ?z, ? ? b r L?of NOTE: Both roof mounted and ground mounted mechanical equlpmenf is required to be scrcened by City Code. Please contact the Mechenlca! Inspector or one of the Planners for iniormafion on rmftted screen! methods. PERMIT TYPE RESIDENT/AL COMMEHC/AL Interior Im rovement w Constructian ? N Fumace _ p e Air Corulitioner _ Instail Piping _ Processed Air Ezchanger _ Gas _ Exterior HVAC Unit " _ HVAC units musl be screened _ Heat Pump Under / Above ground Tank L Install /_ Remove) Other " When Installinghemoving tank(s), call for inspection by Fire Marshal arxl Plumbin Ins ctor RESlDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire r@pair (replace burned out appliances, ductwork, etc.) (includes $50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract value $ 10 000 _ x 1% 1 $50.50 Minimum (includes State Surcharge) Parmit Fee - If Permrt Fee is less than E7,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each =$ SfBte SurChargO $7,000 Permit Fee (i.e. a$1,001-$2,000 PermR Fee requires a$7.00 surcharge). TAL FEE 1 ? S? • $ TO I hereby acknovAetlge that this infortnation is complete and accurate; that the wak will be in conformance with ihe ordinances and cades of the City of Eagan; Ihat I untlerstand this is not a permit, buf only an application for e permit, and work is not to start without a per that [he work will b in axordance with the approved plan in ihe case pf xnrk which requires a review antl approval of plans. X App iCaM's Printed Name A p" t s S gnW FOR OFFICE USE By: ? Required Inspections: _Under Ground - Rough In _Air Test _Gas Service Test _In-floor Heat Date: City of Bapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 5 3 --It) Tenant: 1!► 44010 /46. X66- Use BLUE or BLACK Ink Permit #: J / Permit Fee: Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION 1D100 Promenacie Place. Site Address: RcLn erg-- " - eco Suite #: z RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: 1-4r a-1 Cr- 1 echo. an t co --i License #: Address: i lie 11-k C tZ E City: UV( ✓ 1 It -e, State: '1(111 N Zip: ,5'.a --i Phone: q6 ^ 29 4 — D 3 d 3 Contact: S +-17149 , CriC' Email: S}nLLre o1ce.. 2 Cychermectncan lc -e i , cc," TYPE OF WORK New Replacement X Additional Alteration Demolition Description of work: 'P L c\ el 'hall% can 'VoctSba' Aver. NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL _ New Construction Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger _ Gas Exterior I-IVAC Unit Heat Pump _ Under / Above ground Tank ( Install / _ Remove) _ _ Other *" When installing/removing tank(s), call for inspection by Fire Marshal and Plumbins Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $ TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ 3, y 0G co x1% _ $ So SD Permit Fee - If Permit Fee is Tess than $1,000, = $ - Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 = $ SD •S O 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.acoherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla x 3 - c ne ce Applicant's Printed Name FOR OFFICE USE Required Inspections: Applicant's Si Reviewed By:�_ Date: ough In _Air Test Gas Service Test Exterior HVAC Screening Inspection 04/27/2012 11:00 7634752566 461' City of Eaiall 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 675-5675 Fax: (651) 675-5694 PAGE 02/03 Use BLUE or BLACK Ink For Office Use Permit ff: Permit Fee: %I) 0 Date Received: Staff: 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of pians with all commercial applications. Date: V-271 2- Site Address: /2- Tenant: Pa -hilt B r Suite #: Name: Ppe._r1 e r -C4,_. 0 Phone: Name: ' /• — S , , br /9� License #: j� �/t'� .3� %O Address:/�'v1/Mer L42M t) State: /%/l%Zip: Xi Phone: //3" 1%75--02 96 Email: /!eg//a1 Alekifet S©dS .CO,.t New Replacement Repair XRebuild _ Modify Space Work in R.O.W. Description of work: _ge-L U r Id- d— 2--e-- / R 1Pz- lot- .540—f - � COMMERCIAL New Construction Modify Space D ;spell PP5et-- r-, Irrigation System (_ yes / _._ no) L RPZ 1— 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 poor to picking uD meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes No Flushometors Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x 1% $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 3 $ Radio Meter Read - If the Eg t�i�t Feo Is Tess than $10,010, the surcharge Is $5.00 $ Meter(s) • If the Pert(( Fee Is > $10,010, the surcharge increases by $.50 for each $1,000 Penult Fee i.e. a $10,010411 000 Permit Fee re•uires a $5.50 surcha .e) $_ State Surcharge Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage State Surcharge $ ‘0, 00 TOTAL FEE CALL B. FORE YOU PIG. Cali Gopher State One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities• www.00pherstateQnecall orq 1 hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan: that I understand this is not a permit, but only an application for a permit, and work Is not to start without a 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 Applicant's Printed Name Applicant's Signature .,r,l,. ir��;f•gp;•71�1'1`ror.e,;...r..,..rat „ .�:_.i.,:;',r�p.i�7I�.� :..,n,. . ..1"�.,.;+�{t101�g,.n1y,i�.y,Qr[...1y`y.i.Q•,i.:.rFr',,:. .;�.r:lt' �A.i1;.�t9.s.',,%,'I, .Ej�rh, ..El.1.Y',,,I.r�(WiC;14s. ,![�',. rM4Il1 �!. .:�ttl .'l.,:l,.�..h. r .• . ii• f.IYy.,rl,i 1!.1 t,. .g tt I.r ,.rr �rvu;,.,. I1.h.� r;:p,r..,klr.;r..:�,,r� il,r+ri.I..'.4ri:t'I.i:Ervr+l, 1Il, . ,L1h�,.:r1'�.1..',l(E,f,rr1 {i�'1l.,(r �l'. fI%v,:rf;l,r.rl. 1�.,!,l1,r. . I6.•.r.rq P,I11t.rn.rr.91y..,.. t,E•r ,„i:rr..-t.IrnthF it,,fG,1l'1�.,{,IIl,L,, I1Ic�vyrlr1Ii.. ,�.flI,Lr1 :1r.��r.,1I•l.YJ:I;ltl;+arIJrIreL1.4p1Y�rra':.v, 'iSc„,Isr:'vrart.,i..r1r.!v�.r',I}.,7,I1•1 .II,.r ePIIh��J,;.r'iIVli,rt.�.�Yl-a.:,1.lr..n(mr.f..',L,I..;we.:,.,,.I.E.V:.IN..L�•'.•1,I. I..� i..I,v.t�:...l.,.,.rr...1.1rp.1:1�.;7.;1:..`�l:..e.l•y.:..,Pid',.w..:,..:..:;:.r,.,..t.,..h,::-..ru.:,.t.�,r.r' `nl,.�{I :,,�;;.r, �Sr`l.:.j.«'i;,S`.�'•�.'br;SyY', ::rS.�.,7q��f.:.,Y'..aL,,,.Iy..Ia:r:,Pf,,,,I{1(,.rr,,,,..:l..,�1��J,i-,,{y1,I...,.r,reo,Jl.1��.o.,',.a9:,:,,3.v,.L.....�,�1rr.,g,M.9,'.1:;l:1p+;.[,lr+r,.,nlr,1..ll.11..l.i1r.4,l�r1,`r:,.'•iI,Yr!:f J (i �;nn..i.i,�Wlh,r1b^r,,iIN ,,ti i1 ,r,,a1,�4*,..,.,r,{!1,dI Ii`:.r+r.l,rr..)t.,.t.lg.11N.l.,�.,�u�1.;,.gr;.:Ir.V�„+.YVry.4.�,t•!t�..lL.f.{r:ir_t:rgi t.:+�G.`1rI•+, „�X.:'SEfvy.r{Ji'i,ie�VI{,,1Ie,..rI,. ,,yrS,I.Fj} Sil! 1LIrl`t,s�r.i1. :,Y (.t1Y�m�alaYt'fil .:(,, !u, gl1le.r,I.",i:i�6a`,1C'4r- R�,�:r:!Uat,rj�11r rr1. u ldd.t;,�l,1.µI,'l•r....,.r,,7ytlUu,air1f�7;r.l.1�Y'1 1(rrI.I*�Ir I:1I,,`1Lr1.•fI1.:1,1'..r(..r,{r.t%{=�,yir!r1..ir;fr1N1• ;•-r-.'.?. ;.�rrr,., ,,brr1 rte' • Page 1 of 3 Date: CityofEaaaft 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK ink For Office Use Permit#: /i0 Tia 7 Permit Fee Date Receded: Staff: 2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* 2 `,//L•' Site Address: Tenant: !"A Ai� it A /2-60 Pito If (/LJ4J i'- PL-. Suite #: 3� drY7\ pAyo N�+ a 7r1+ Y S'ii yM1i Fl t ?f l r Y3� °) � "? 4" !4 Name: Phone: Address / City / Zip: Applicant is Owner Contractor ,ticok ��V' � l 1�. �YY?� � ) ' 'ilry l4tay iV f } ,y , r ,.n�� . � �f�r4 � 0,, U' � 4 l/vs�'!�G« 4.- NfivVeaitoi5 47 SeAt t!<c-�A kr 40.rHot i 9 faxfS. Description of work: At I.to>}�7 sen /ICN L tS4 KtiA a t ' _i, Goo. -- X43 / i/L Construction Cost � Estimated Completion Date: "p G �, xttl� HC 6 ¢S.0 w k 7 � � „� � O T Mo ®t"-, Y .i kl.w,* ., ..:,,.,.,,. Intl Fire Protection84• Name: License #: G 22275 Meadowbrook Ave. N Address: City: Skandia, MN 55073 State: Zip: Phone: /L ...Z, L --ii- c 7 Contact:Pr7rA 1.©D,k,z4 Email: FIRE PERMIT TYPE Sprinkler System (# of heads J 3)— — Fire Pump Standpipe — Other: WORK TYPE New _ Addition — Alterations _L Remodel Other: DESCRIPTION OF WORK: "GCommercial Residential Educational FEES $60.00 Minimum (includes State Surcharge) OR Contract Value $ 2- -7( - >. x 1% - If the Permit Fee is less than $10,010, surcharge is $ 5.00 S5• " ` = $ Permit Fee If the Permit Fee is > $10,010, for - surcharge increases by $.50 each $1,000 Permit Fee (i.e, a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ 6. v . Surcharge _ $ 6.0. + ° TOTAL FEE 3/4" Displacement Fire Meter - $231.00 = $ Fire Meter _ $ TOTAL FEE equirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the Information is complete and accurate; that the work will be in conformance with the ordinances and codas Of the City of Eagan and with the Minnesota Building/Fire Codes; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ! l%t= 4. IIJJ)/''riaieot Applicant's Printed Name Applicant's Signature CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.000herstateonecallorg 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: /07 3/ -2— Permit Feer / ' 14 ;i/ Date Received: 1 d Staff: ate -t( 2012 COMMERCIAL BUILDING PERMIT APPLICATION L� Date: 08/08/12 Site Address: 1260 Promenade Place, Eagan, MN 55121 (-CP- Tenant Name: Panera Bread #1299 Name: Apache Commons , LLP (Tenant is: New / X Existing) Suite #: N/A Former Tenant: Phone: (612) 580-1572 Address / City / Zip: Applicant is: Owner Contractor Description of work: building alterations associated with an addition m.� Construction Cost: q Qa 000 of a drive-thru window Name: WA. (-. 5, (II c.'I-117i-\License #: Address:&030 rL r/.tt e—Mr 5 /00 City: Pl�1tit-44+A MA)) Zip: 55-4-141Phone: 7 4v 3 — r 3 /!„ State: ;, Contact: L L1 / -e 01 Email ow 009/ Name: David L . Hoffman, FAIA Registration #: 26296 Address: 345 Riverview, Suite 200 City: Wichita State: KS Zip: 67203 Phone: (316) 268-0230 Contact Person: Trent Rlntoul Email: trintoul@law-kingdon.com Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting do the information may be rciassift. en hat you as non-public conclude tfra submit a d to be public in; CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x / /71 R l [1 L x _ `4 Applicant's Printed Name Applicant's Signa ure Page 1 of 3 DO NOT WRI E BELOW THIS LINE SUB TYPES /�� Foundation 7 Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100% . 4 Census Code #of Units # of Buildings Type of Construction Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage 51-001000 yes vB REQUIRED INSPECTIONS Footings (New Building) /Footings (Deck) ✓Footings (Addition) %//Foundation Drain Tile Occupancy Code Edition Zoning Stories Square Feet Length Width oof: _Decking _Insulation _Ice & Water /Framing Fireplace: _Rough In .,Insulation Meter Size: Air Test __Final Final Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* DernDiish Interior T Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers t/1 0 — VdrLe.rar+•• k.cren CaefrrT yes Sheetrock Final / C.O. Required Final / No C.O. Required Other: Pool: Footings _Air/Gas Tests Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes /No Reviewed By: Mg k L ° , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality .285-6.75 ;co , oc' 1, $56. Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk --" Water Trunk Street Lateral Street �---- Water Lateral Other: L4l5c4-re �f 5-00 TOTAL /1 T/� 6 7 Page 2 of 3 City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 *22.6741—CD& 4_4--". 4()OtitScutiviA Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: c=206 VO 7O79- Date Received: /t3Ji z- Staff: 67 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 10/31 /12.. Site Address: IZ X00 47r'OM1L°ln&etaP ce Tenant: P4er0. &.k RESIDENT / OWNER CONTRACTOR TYPE OF WORK Suite #: -J Phone: License #: City: 5.fen Pm.; State: $'1i Zip: S'IS34' # Contact: girt 'C. RESIDENTIAL FEES: 1 $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) = COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) *If the project valuation is over $1 million, please call for Surcharge Email: r3Con reta5 a (eel frobIre. C •M, New Replacement / Additional X Alteration Demolition Description of work: ..'' /0/.0,-1-4---5. e' 7�— 5 kg - 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. COMMERCIAL RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas Interior Improvement Processed )( Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) TOTAL FEE OR Contract Value $ 201 CO 0, 00 x 1% = $ 2.0 0 Permit Fee = $ 5.00 Surcharge* = $ 2.0 S.00 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.qopherstateonecallorg 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. Cert 'f"e r t Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspection Undergroundough In Tes Test Final HVAC Screening **City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ft c Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: 7-13-/z_ Staff: 4Y6--) 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Please/submit two (2) sets of plans with all commercial applications.j Date: f! 1/12 Site Address: 1240 ProMBilw.de MICE, Tenant: g 11e Pq &re4c Suite #: Name: Phone: Name: S IetYlaR'fitU,S hAw b 11y J Inc • License #: 05€0655 Address: /12 E 5 S+, Su:'le /01 City: Ch4SkA State:MA) Zip:5'53I Phone: C%2) £Io / - OI2g Email: 34,50n @S 4equ5pitln4b f1=. G®ryt New Replacement Repair Rebuild Modify Space _Work in R.O.W. Description of work: Peak' tesit00wt5 * •"S 11 Z sdn.%s sl 2 -C1061-a('41i1 Rs en 'khert COMMERCIAL New Construction l< 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: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ 1 x1000 x1% = $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is Tess than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) $ State Surcharge Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge =$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 -7Q,say1 SieirOCreiµ5 Applicant's Printed Name FOR OFF ICE1 SE,.. Required Ec— Apl ant's Signature Page 1 of 3 Panera #1299 Eagan, Mn. PN 11122 Re: Air Balance Chart By: Jim Decker DLH Architect Date: NOVEMBER 2, 2012 Air balance Chart (revised) UNIT supply cfm return cfm exhaust cfm oa cfm pressure rtu 1 4500 3000 1500 + 1500 rtu 2 4500 3000 1500 + 1500 ef 1 200 (-) 200 ef 2 200 (-) 200 ef 3 1400 (-) 1400 ef 4 525 (-) 525 ef 5 300 (-) 300 new rtu 1200 1080 120 + 120 total + 495 Engineering • Nanning • Interiors Landscapes lawl(ingdon. Inc. # r i ^ Use BLUE or BLACK Ink --------i � For Office Use - � ' t � D L/ I n�} n� �n n� ��1��.�,� I Permit#: 11 6� V tl�u ' � i 3830 Pilot Knob Road Q��j �� j Permit Fee: � �D I I Eagan MN 55122 I '�"/ � Phone: (651)675-5675 � Date Received: i Fax: (651)675-5694 � Staff: �� U ' �,\� 2014 COMMERCIAL BUILDING PERMIT APPLICATION �` U��,� Date: , 3� I4 Site Address: �2�� {�� "� � ��Nr,,i1�1 i� ��2` Tenant Name: ��N�� ``�`'`p (Tenant is: New/�Existing) Suite#: Former Tenant: 7 � � A � D'I � �� ''� � �Qia1G�� '�1m��✓' LLT Phone: �� 2. C� � � Name: � ��,�� : Address/City/Zip: ��y � , ,� :' Applicant is: v Owner Contractor � � � p� '� Description of work: f�'��► �� ,§ ' %'�: Construction Cost: �� `�� ' r ° � ; Name: C',O�rP�fibL CDIJST�(,��,�. �IU(�icense#: r� ��;: � � Address: � I Q S I �I(,(.�E Sa� I.,I�ICJ'� City: 'F�S�'� CO[it�e�C'�1'. � �° " p: � �' � • 311 57 � 54��5 � I�� ; % � `' State: �1`� ' Zi �63 Phone: �y � � � � � , `� �s xF: r�. � Contact: �� Email: „ CG�KKT Can�'�T B lu.SP�- A - � c'� 8 � ,��3�� y Registration#: T��2 1 �� , � ��` Name: ` ��;.... . (1� S��Ey � City: CA"mN"��7� � v : Address: 1�`�1'+��'f1l'��EI'�l�I �- � � m�4 z� o213q -,'1— 'S��-9�013 '� � �g � State: p: Phone: �� `r �� ; ' % ��; ContactPerson: CoI.I.GEI� N4ZE�%C� Email: ��T.CI p1'1 Gv(�?-2 . GD Licensed plumber installing new sewer/water service: Phone#: J4t�7�:Plar�s;a�it�s�p,�rtfr�r��t�c ' �a�` #��s �'n��r��t�� d a i��r�l��r�rr,r�r�� Prir�l'ir�rn�u� tt��in�1`m�tti`� �tt�;��f�� rX�li�if,y�u�ntvt'��pe�rff� l '` �� `�t�e�kf�33+erm�!`th�G�#,�r t� , �, � � � , , , � �, ... �+I��a#the are'�r��+�r��s" �% d,.,.��, �� 1" , � 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. o herstateonecall.or 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 wor , ich requires a revi an approval of plans. x CO(,�GN ��Ci�Q� x ApplicanYs Printed Name A t's Si natur Page 1 of 3 "�— t.c,�_ , _. . . ��,(.p� �t'u,,.-�e�.�r,l.t �I DO NOT WRITE BELOW THIS LINE r a'�(.�� SUB TYPES Foundation Public Facility Exterior Alteration-Apartments —� — — ✓ Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New '� Interior Improvement Siding _ Demolish Building* ✓Addition _ Exterior Improvement _ Reroof _ Demolish Interior _ Alteration _ Repair _ Windows _ Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall _ Salon Owner Change "Demolition of entire building-give PCA handout to applicant DESCRIPTION � / Valuation �v��dd0 '` Occupancy ,A ' Z MCES System � Plan Review ✓ Code Edition �MSJ3G SAC Units 0/L�l�: (25%_100%� Zoning '�� City Water � Census Code Stories / Booster Pump #of Units � Square Feet S•� PRV � #of Buildings � Length Fire Sprinklers Type of Construction 1T•$ 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: v Yes No �° Reviewed By: �`�° , Building Inspector Reviewed By: ' , Planning COMMERCIAL FEES Base Fee ��•�� Water Quality Surcharge '�a• °'� Water Sampling Fee Plan Review '��-$q Water Supply 8�Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S�W Permit�Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL ��2?g.G� Page 2 of 3 ` ' � a-�7v`�Z-- Dale Schoeppner September 15, 2014 Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Panera Bread to be located at 1260 Promenade Place in Eagan Promenade within the City of Eagan. It is the Council's understanding that this project entails the remodel of the kitchen. There is no change of use or increase in seats. No additional SAC is due. The business information was provided to MCES by the applicant at this time. It is also 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 iessica.nve(c�metc.state.mn.us. Sincerely, Jessie Nye Supervisor, ES Revenue (SAC) JN: 140915A5 Determination expiration: 09/15/2016 cc: David Lorentz, Core States Group (email) Amy Griffin, City of Eagan (email) File, MCES �.-��....w._---� �,�...�.- •� -..- - . � :� y. ; . - . .� � �� . �.� � . • �•�, . . . . tv��TR��..IT�1 c c� u r� c t �. � . . •... .. - I� ��`�� ` � Use BLUE or BLACK Ink /� G��-- ----------, L'�'N� b � For office Use I � I �t O�� n CALL ANNA WICKS WITH PERMIT FEE I Permit#: �ta� ��C.� � 14� ��1 651-464-2988 I Permit Fee: l �� 3830 Pilot Knob Road i � , <j ` � Eagan MN 55722 awicks@cpandh.COm I Date Received: �' � Phone:(651)675-5675 � � I Fax:(651)675-5694 � Staff: � ___�__��_ ��_____J . / 2014 COMMERCIAL PLUMBING PERMIT APPLICATION � Please submit two(2)sets of plans with all commercial applications. � > � �_ Date: Site Address: 1 c�� c1� ��_C'�C'��L'-- �J1�.L�- �� Tenant: �� , Suite#: ,.. �Property � �� _ - __�_� OWngr Name: Phone: Name: Commercial Plumbing and Heating, Inc. �icense#: PM059469 Contractor AddreSS: 24428 Greenway Ave. c�ty: Forest Lake State:��zip: 55025 Phone: 651-464-2988 Email: aWICkS cpandh.com Typ@ Of WOr'k ' —New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W. Descriptionofwork: ��. �� f�' �� <��`� ' COMMERCIAL _New Construction �Modify Space _Irrigation System(_yes/�o)(_RPZ/_PVB) • Rain sensors required on irrigation systems P@CCTIIt T�/p@, • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed rior to ickin u meter. Domestic:Size&Type_ �/t ��= �`XrI vY�� '� '" 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 yy�t�,l �i'�Gt%IrCG� L�i�!=` %C�S:�,�i['�S�G�'` �-- $ 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 a witho permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o ns. X �-J O v�,�1� L.S-%'"�� X ....,._. 0 Applicant's Printed Name App s ignature FOR OFFICE USE Approvetl By. ` ""� Date: � � Required Inspections.';�Under Ground �Raugh-In ,,�Air Tesf Gas,Test �,Final PRV Required:_Yes y No , ' Meter Related Items: Meter Size �Radio Read StafF: Page 1 of 3 Use BLUE or BLACK Ink ——, ��Nl� L� F-FJ�-- i Fo�o�e�eu� ------- i ; ,�.�, � � ��L� �� C�4 ��L� �ll .�. w �� ._ � Permit#: � d� I � � � � o�r t s � � � '� � Z��r, � Permit Fee: � 3830 Pilot Knob Road "� I Eagan MN 55122 ; � j Date Received: � Phone:(651)675-5675 =' � •;_ I I Fax:(657)675-5694 �`� � Staff: I _��_�_�_�_�_�__�_J 2014 MECHANICAL PERMIT APPLICATION Please submit two(2)sets of plans with all commercial applications. � Date: �C?\\��,�-1 Site Address: ��.0 �f��-'��-�' �� ' Tenant• �- �--'� e- Suite#• �C'��.� � , ° Name: Phone: ��Resident/Qwner '� Address/City/Zip: Name: Commercial Plumbina and Heating. Inc. �icense#: PM059469 Contractor ' Adaress: 24428 Greenw�Ave c�ty: Forest Lake � '' State: MN zip: 55025 Phone: �,51 4R4-�ARf� cor,tact: Anna Wicks Ema�i: awicksC�a cpandh.com _ New Replacement Additional �Alteration Demolition , � � �� Type of Work Description of work: � ' , NOTE:'Roof mounted'and ground mounted mechanical equipment is required`to be screened by`City Code.'Please contact#he Mect►anical Inspectorfor info�mation on pe�mitted screening'methods. , �- �; ' _ �;. ' � RESIDENTIAL COMMER AL Fumace _New Construction ✓ Interior Improvement �Permlt.f e —Air Conditioner _Install Piping _Processed Yp Air Exchanger Gas _Exterior HVAC Unit ,r, 1 -- _ _ __ _ __ Heat Pump Under/Above� _Other CALL ANNA WICKS W1TH PERMIT FEE RESIDENTIAL FEES 651-464-2988 $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) awicks@cpandh.com $100.00 Residential New(includes$5.00 State Surcharge) COMMERCIAL FEES Contract Value$ /�� x.01 $55.00 Permit Fee Minimum _$ Permit Fee $70.00 Underground tank installation/removal *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 I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wi the rdinances 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 a permi;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 ��`I J�.�� X Applicant's Printed Name Applicant's Signature FQR OFFICE U3E �,.� , , �� -� ' ' ` G "...,� ``� } � . Requi�ed Inspections �' Reviewetl By � � � � �3at�� El�dergrourtc�,,, ''``Roug�tn - 'Air Test, �`Gas Serwice Test". In-flaor Heat 3� Fiiiat . `- HVAC Screen�ng . + ,�¢d ��' Use BWE or BLACK Ink �'� �\Gr5 i-----------------, �'j � For Office Use � 'll �'� I � a.a� j 1'�� I Permit#: U � � � �� . � � Pennit Fee: j 3830 Pilot Knob Road !'� ` Eagan MN 55722 r�.�! � � I I Phone:(651)675-5675 "'�y� �� ' " �`� � Date Received: �� Fax:(651)675-5694 �� Staff: � � `��____��___�J 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: I�I�y I�� Site Address: / Z �Q �/La✓��.-��p� Pi-A�E Tenant: I AN�/�,A 3�@.C�D #� �v2 3 Suite#: Name: Phone: � ��I �� '� Address/City/Zip: .: Applicant is: Owner Contractor Description of work: D� P� �E�-� c�l i� ,a�Pit,n. � �Pj2 i,v�-c(,r�2 �J�j p f�,ti N e � ��1l11�r1� t��.�.- Construction Cost:� �'G��GG Estimated Completion Date: �� / ,� ' Name: �1r��iNC�! F�/LC ��i�c-i-7a�..� ,t u� License#: C-c'2/ , �;. �. `, ��'�#�� Address: �2`t— �(q 2.d��--G :�f. ��E City: 1�'I /'LS. State: /{�11�.�. zip: SS��3 Phone: ��Z-33 / —/�- / / � Contact: �� "vl �i,�.��1-i��L EmaiL• .J,.�,KC�m,nwi,s'�'-Fi✓G�-�,��d'-J,'� � FIRE PERMIT TYPE WORK TYPE �Sprinkler System(#of heads� ) New _Addition _Fire Pump _Standpipe �Alterations _Remodel Other. Other: DESCRIPTION OF WORK: �Commercial _Residential _Educational FEES /i �° Contract Value$ � `t�QD:"� x.01 $55.00 Permit Fee Minimum =$ ,j�.�� Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 � o� *"`If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 =$ .S .'' Surcharge' '""`If the project valuation is over$1 million, please call for Surcharge d b _$ �� -� TOTAL FEE 3/4"Displacement Fire Meter-$260.00 =$ Fire Meter _$ TOTAL FEE *Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is com ete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Build' g/Fir 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� accord nce with the approved plan in the case of work which requires a review and approval of plans. x ��K'1� �- �I..z�✓i-�}�E�'L x Applicant's Printed Name ApplicanY Si nature � Ia-�aa� ��Q�� =E��QUIi��t1 l�+ISF+�CTI�3NS ' �I�l-os��f��, _ �'lct�nr.�llarm AFain Tes� F�p�gi��r. ' „�,�,,.,,,_; T�tp Pump T'est C�n#rai Sta#ican ��in�i ;��nditi�ns df I�s��ihce: .' s Perrni�Rsvisw�d la - — ..��;'��/,�ar'''t,+� ��te: ��, / .�.� f � .� "� . Use BLUE or BLACK Ink �------- --------i � For Office Use � � • `_ � �J�� I 1 ��} O� nn �� t I Permit#: ��','r I_.�z �:..R: .,� 1 p.A ��_� I /` b !li�� Permit Fee: ��" � I✓ 3830 Pilot Knob Road �,�� ,,.� / � Eagan MN 55122 i �"(a°'�7 � Phone: (651) 675-5675 � Date Received: i Fax: (651)675-5694 � Staff: � � `�_______�___�_�_J 2015 COMMERCIAL BUILDING PERMIT APPLICATION Date: May 5,2015 Site Address: 1260 Promenade Place Tenant Name: Panera Bread BC#1299 (Tenant is: New/ X Existing) Suite#: Former Tenant: ;�� k,k�� ' �' Name: Panera, LLC Phone: 314.984.1000 � �� n�� '�Q��F 3630 S.Ge er Road,Suite 100,Sunset Hills, MO 63127 � � �� ,� Address/City/Zip: Y �� ri E� :��r�� = ��` � ��, ��`� F r��`��y� ��,,x�_� Applicant is: Owner Contractor X Architect `��°�� ,"�'�� °.��,��A ! Description of work: Rework service line equip; Install new ordering kiosk stations �r �`�� ""�"_' t��`�� -�� `�� 3�� Construction Cost: $�3,2� �� '' � �' �� g�' J �s� '`,� i�� `� G� ��"��t� Name: �Q"FDf�n1'E"T�-�afl +�r✓iGe_s' License#: { "�ru�"a1�,v��✓ J�,,h.r—'^"`a� t��B.P . � � . .. � � � ��k �� ,�a�� Address: ��dQ ��i-�/'ri ��u�'� -�. ��City: Li S�E r�"r ��`�'C�b� �t k�� r��.� `��4� �� y� �� 3 ��,�� p: �34 3�� s'�� , State: � Zi ��.3� Phone: .• �. � k� �� —, � e � � + 4��r� � o � ��r��`�� i h�� `r��" ��"�� j '� � Contact: r t �' �� . Email: .. 4 ,c A �. { n �5+ E S �ax �c,� �` '�P � is;.�`"-t� �'6 �� . ; �� , Name: Thomas A.Tyler Architect, Cindy Mehrtens, Designer Re istration#: 25089 � � � � d�� 9� _� r ��,�r�� w '�� i� � � � �' 450 Weidman Road St.Louis ��,r��l#� �� Address: City: ��' i� �� `�r�t� � � ,��°��k�r<�� , State: M� Zip: 63011 Phone: 636.386�6707 r�� '�� z �� k� �s �� s�� Contact Person: Cindy Mehrtens� Email: cindym@answersinacom Licensed plumber installing new sewer/water service: Phone#: ��'L� la�,��,��, � ��pc��r�� ents��►�x�iu��ti� r ar��c�n��er� ��r�#��rn�p��ttt« ��' �►s�'�t � � 5 � � " � � �, i F �: �6.�ww a �_'"� 7� � � � - * „+` ,ui'�� ,��; ��in��rrm��ic�r�,��;�be��i��t�s r��,�ro�r�rovi,,d�s�ec�'"�►��s��s�t�ra�A�� ,��.�' �� - ��' n� �—'�=`�,r" _�� '`��<<�� '�,aG`Q C�� ., �,�� £ ,�p� �"� t � n ; � �, n -, .��„ � �! ��at°f�re are tra!��r�t�� '.r� � �„�w � �� _- k�� 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.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. �- X Cindy Mehrtens X ApplicanYs Printed Name Applic ignature Page 1 of 3 . � /��c� �'2or�:�r�� ( t DO NOT WRITE BELOW THIS LINE �� -/ � SUB TYPES /F�oundation _ 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" �ddition _ 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 �� 4 Occupancy �o� MCES System �_ Plan Review �_ Code Edition �OOrf St3� SAC Units � s�k !�� (25%_100%� Zoning � City Water �"s"``�'O Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction ��_ Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) Final/C.O.Required Footings(Addition) �inal/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: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: Yes �No � Reviewed By:�� f--, . Building Inspector Reviewed By: ��-��`� � , Planning COMMERCIAL FEES BaseFee aSD• '7S WaterQuality Surcharge '�. 40 Water Sampling Fee Plan Review /(�,(.q� Water Supply 8�Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S8�W Permit 8 Surcharge Water Trunk Treatment Piant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL ��.'T� Page 2 of 3 JUN-16-2015 10:24R FROM: T0:6516755694 P.2 Use BLUE or BLACK Ink -----------------, � Fo►Office Use I Clt of Ea a� �� ` ��L� (�(�,. j Permlt#: � / / � � I 1 /�� I Pertnit Fee: �•/ � 3830 Pllot Knob Road ��S i Eagan MN 55122 � � _ �g— �� Phone:(661)675-5675 ��j•�.; � Dale Received: � Fax:(651)675-5694 i sta�: i �, , t � . '�; �-----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submlt two(2)sets of plans wlth all commerclal appllcatlons. , �,p Date: � S Slte Address: � Z- � � 1 Y'0►'V1�� G..(,�t', � �fi.C`� Tenant: f ��'e-��- ��'e-� Suite#: ResldendOwner Name: Pc�v��v`G�. �rc�a.� _Phone: Address/Cit�r/Zip: Name: b � : C : �icense�: I 3 q g Contractor Address: f� rr}U( Ca lti n.� �Q a�. �S City: Yh ott�o� State: /,�1 I�Zip: ss�6 Phone: Q S z" �� '" Z 6 6 � �ontact: 4-Q°'� �. ; Ol � �.�'' Emaii: 1 r;d l Q.r � Gt,�i�l0� S : +�• �G�'i-i New Replacement Additional � Alteration Demolition Type of Work Descriptlon of work: NOTE:Roof mounted and ground mounted mechanical equlpmont Is required to be screened by City Code. Please contact the Mechanical Inspector for informatlon on permitted screening methods. RES/DENT/AL COMMERCIAL Fumace New Construction V Interior Improvement— 0115 Air Conditioner install Piping Proceased r4h92 �oB�1 �Permit Type — — — Air Exchanger Gas _Exle�ior HVAG Unit _Heat Pump UnderlAbove gtound Tank �Install!_Remave) Other � RES/DENT/AL FEES a60.00 Mlnlmum Add or alteratlon to an existing unit(inciudes$5.�0 State Surcharge) �100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIA�FEES Contract Va1ue$ �O n v � C7� x.01 �55.00 Permit Fee Mlnlmum �70.00 Underground tank InstallatloNremoval =$ 5 '�J� t� � Permii Fee `If contract value is LESS than$10,010.Surcharge=$5.00 =$ �� Surcharge• "if contract value is GREATER than$10,010,Surcha�ge=Contract Value x$0.0005 p� :1 •"•If the project valuation is over$1 mtllion,please call for Surcharge =$ �O � � 4 �� TOTAL FEE I hereby acknovuledge that this Informalion is complete and accurate; that lhe work will be in confor►nance with the ordinances and codes of the City of Eagan;that I understand this is not a pertnit,bul only an appllcation tor a permit,and work is not to staA without a permit;that the wark will be in accordance wlth the approved plan in the case of work which requires a review and approval af plans. � x �-e-c�.jn �S,�u,✓� (�- � ;r.�l�r x - Appllcant's Printed Name T App anYs Slgnature FOR OFFICE USE Required Inapectioas: Reviawed 8y: Date: Unde�ground Rough In Air Test Gas$ervice Test In-�oor Heat Final HVAC Screening 41' Ciq of 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JAN 222016 1-14-2ol44Qco .d Use BLUE or BLACK Ink For Office Use Permit #: /1. /7 lFF� Permit Fee: Cl/ 0 ' 0 � ) Date Received: Staff: 2016 COMMERCIAL PLUMBING PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Date: (" i q —4941(..Q Site Address: Tenant: 1,260 Promenade. Pi iQJ 'LQ C x t, Ca i�a� 5I `�a�s�c�az99 Suite #: J Name: Pant r 6reAci Phone: o ( "' q° S 0 (f Name: j d vu/ I ' QC, 01 Alt I License #'. P o5 O 1 Address: 1(? IG7 E CIA ic). £City: + aftmf.L State: 1`11t4Zip: 5533 7 Phone: CIS `g6 -5IW Email: New replacement __ Repair Rebuild Modify Space Work in R.O.W. Description of work: COMMERCIAL__ New Ccrstructien _ Modify Space Irrigation System yes /2-RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking uo meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes Wo Flushometers '(es _i'10 COMMERCIAL FEES Contract Value $ 0 x .01 $60.00 Permit Fee Minimum = $ COQ..a Permit Fee $60.00 PVB/RPZ Permit (includes State Surcharge) = $ Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call 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 E \t1 Applicant's Printed Name Applicant's Signature Page 1 of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a+#/2E&0,2&IE.:<V&F,2&N 5#A/?.&FI&&;;VV8F2,*0&32+4.1&FI&&;;8W' J:K(L&V:;9'W<K 6&.2E2@A&0$%,Q#2*42&.0&6&.0X2&E20*&.+1&0BB#+$0+,&0,*&102&.0&.2&+,HE/0+,&+1&$EE2$&0,*&04E22&&$/B#A&Q+.&0##&0BB#+$0@#2&>02& H&F+,,210&>0?21&0,*&N+A&H&Y040,&ZE*+,0,$21M )BB#+$0,T52E/+22 &>+4,0?E2611?2*&"A &>+4,0?E2 RE C EI VED For Office Use AUG 14 2019 Permit#: /5--7-- ----?' .s i i i,• Permit Fee: CCJ C' C../ %. ',. .0 ,0 E AGA N Staff: Pa ent Recvd:ZYes No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 lite ns: Electronic Paper buildinc inspectionsCa�citvofeagan.com 2019 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 3--3-- ( Site Address: l aLco Pro ry1 e,r1G Au e_ Tenant: G IN-P d`.4 -Y-Nw-.�.c.a Suite#: O Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components ' Name: k _ Phone: �•� :1,P iv'r 1x4191" Address/City/Zip: tf7-7-i`::- - :7; *--':,:',-.'„-',f44 „ ' 4 _". : A.•licant is: Owner X, Contractor 14:i1--N,'1'''L' -,:1'.,,‘1.'y'ji.valles4:A:',,i7,,,I;Pa Description of work:' �A_.9 Cork:x{04 Lac.,, a a- Cliff Old!'_. „, ,,y,, ,, ,.,, Construction Cost: r .r toi, Estimated Corn•letion Date: 'S • JOS! Wi7r-t - •'", �'- ` ; Summit Fire Protection C-075 b F t, a ,,. Name: License#: z A 575 Minnehaha Ave W St. Paul Tra r� �� rr�r,2_��-�. ��f � Address: City: g MN 55103 651-251-1880 " State: Zip: Phone: * 3 - : s rinkler ermit summitcous.com i. '''''', Contact: % ' t Email: p p FIRE PERMIT TYPE WORK TYPE Sprinkler System(#of heads a) NewAddition — Fire Pump Standpipe Alterations Remodel — Other: X. Other: (Yl• ` .... •,l DESCRIPTION OF WORK: )- Commercial Residential Educational FEES 806Contract Value$ x.01 $60.00 Permit Fee Minimum =$ (OC) -- Permit Fee Surcharge=Contract Value x$0.0005 '/ If the project valuation is over$1 million, please call for Surcharge =$ '`t 0 Surcharge $100.00 Residential New(includes State Surcharge) =$ Codi '40 TOTAL FEE 3/4"Fire Meter-$290.00 =$ Fire Meter Radio Read(required with Fire Meters)-$190 =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.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 a: it,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 re. ire-a review d approval of s. x K \,NINA \ v..al- x ,iav L .,ectil Applicant's Printed Name Applicant's Signature FOR OFFiCE USE REQUIRED INSPECTIONS` 44''', � ' i� g' a x 3m� �� : `r•+3 i�' 'r' �, a. Y'�,a r�"�a� �� t� �_ �`��;-Hydrostatic � � � OW-alarm ': ,,,,‘A,. rai est �. �. '> �� Y r"dpt � '� '� p Yq„C �� r � 3 S:4' Yvry a w ��'? 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"k t.,,-,.'b-x- qt` a.. ; ', 3a'+ s r ;""}. a 1 ; ; _ ,.. : H � r �.', .gry,.,.vy>.�5'=� ��'-a'�3 � ��... -, roi�'� , a �' ..'.+'�'� _ :::-.':1-,_':--,11-:., 1 :v-�y�� ,r ��zzrr �y } = .. q::; .: .t.+ :. : p' ` :.: . :roi-- ter.,”, ;; f r.Y 4..,.,l:, ` � ,. mY - � .' :r -e ,a. � r>•.,- "., '� r c $' � :� »kn moi° �'3 m, � � � x x, y� *$�. � :...,.., > &..-� �� r�.�� .,. `s+a,_ .�= Z •� ' :.:§�i.> �y;'&�a�: ,a:� "+ � ��t h -,,M4;'1-170,t1 w�� : .. �,r <a �a a� , :, d �' � w .: , t t'f!=� <�, ,,:... �'� � �.;3.. k+ �� ,>,2 } .S.,��+,m# G4q„•�y � ,_ ,. Permit Reviewed b r!. � pate:' / "' r+'§ 4 .1.�«'^+3 :�- '�� .r-,. ..e "*N. .�sq7sa'i-Srt�F " ..j.. .;�. �'* .;Ia p..r :tea .p �,�.S,.Y,s.a In i s s i r'" -.s au" k4. r .� .`�.:,,. . v ,,}.`_-� -d ';a... }� �.''..�;r a t"-.f�'.: ��.>a�.,x Fs �' `�,k �+ � ';,��,> �` �ru ra'�' da ; ,;{, �r '+r ' ,��. "`s:& t va`,Y-_�, a,,,,_,0. �` 1 p# ate._ tt '- 'rte" �.'., ,'° ,y.."x €. --� s< t•.�.�4-C z,< � ,a�', 't r'`yrt� �t''§ i.''f''''''''-'-',''',.':'-''' 'J� 'P `r P 0.a T sr �a®.Y3_ t .�,, � a+., ,i3`,p z t",'�§ ° a .w!;3,A�e ,e"�.+�.a ,. -cc;,, f �s s Plano aec d EAGAN 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694 bu ildinginspectionsnucityofeagan.com flECEIV CBCT 0 2 2019 COMMERCIAL FIRE ALARM((( Date: 10/2/19 site Address: 1260 Promenade PI Tenant: Panera Bread For Office Use �% Permit #: /5? 7 Permit Fee: ate Received: a LICATION Suite #: le Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components Name: Address / City / Zip: Applicant is: Phone: Owner Contractor Description of work: Replacement of ailing fire alarm control panel with addition of ce Construction Cost: 1500.00 Estimated Completion Date: ASAP Name: (verify US, Inc License #: TS711373 Address: 8180 Upland CircleCity: Chanhassen State: MN Zip: 55317 Phone: 952-227-5463 Contact: Douglas Emery Email: douglas.emery@iverify.us New Addition ✓ Alterations DESCRIPTION OF WORK: Remodel Other: ✓ Commercial Residential Educational FEES $60.00 Permit Fee Minimum Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $1500.00 _ $ 60.00 =$ .75 _ $ 60.75 x .01 Permit Fee Surcharge* TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. I hereby apply for a Fire Alarm 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. x Douglas Emery Applicant's Printed Name FOR OFFICE USE Required Inspet 9 Reviewed x Douglas Eme Applicant's Signature signed 09 Douglas Emery 5, E=dougles emerya hed iew.mn. O=Nenry. ew Corpsman, CN=Douglas Emery 1 atteai to Me accuracy and integrity of Mrs 18.10.02 10:0a:58M'00' Final Fire Alarm Test EAGAN 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-56751 TDD: (651) 454-8535 1 FAX: (651) 675-5694 buildinginspectionscityofeagan.com OCT 07 For Office Use Permit #: Permit Fee: 60- Staff: LQv " Staff: L Pay;;^ ment tRecvd: Yes No Vans: Electronic _ Paper 2019 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 10/4/19 Tenant: PANERA Site Address: 1260 PROMENADE PL. Suite #: E Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components Name: Phone: Owner Address / City / Zip: Applicant is: Owner Contractor Description of work: INSTALL DRY SIDEWALLS IN COOLER/FREEZERS PER CI $1450.00 10/30/19 Construction Cost: Estimated Completion Date: .................................... _........ Name: ESCAPE FIRE PRO. License #: C086 Address: 3000 CENTERVILLE RD. City: LITTLE CANADA Phone: 651-77$-8874 State: MN Zip: 55117 Contact: DOUG BAKLUND Email: DBAKLUND@ESCAPEFIRE.COM FIRE PERMIT TYPE ✓ Sprinkler System (# of heads 5) Fire Pump Standpipe Other: DESCRIPTION OF WORK: V Commercial WORK TYPE New V Alterations Other: Addition Remodel Residential Educational $60.00 Permit Fee Minimum Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ . r . Surcharge $100.00 Residential New (includes State Surcharge) _ $ 60.72 TOTAL FEE 3/4" Fire Meter - $290.00 x .01 Permit Fee Radio Read (required with Fire Meters) - $190 =$ =$ Fire Meter TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. ,DOUG BAKLUND Applicant's Printed Name x Applicant's Signature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Trip Conditions of Issuance: isrolc/e' Flow Alarm Pump Test Central Station `. Permit Reviewed by: • . o! For Office�5/ "/ f0 �.a Permit*: �•,� :: /of, Permit Fee: 5' - - , 2 •.. -- EAGAN ,i CC 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 ^ Recvd: Yes_No (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Plans:Plan Submittal:eplans(a?citvofeavan.com L — PaperElectronic -' 2019 COMMERCIAL BUILDING PERMIT APPLICATION Date: 2019 Site Address: 1260 Promenade Place Eagan MN 55121 Tenant Name: (Tenant is:_New I_Existing) Suite 0: Former Tenant Name: Panera, LLC Phone: Property Owner Address/city/Dp: 3630 S. Geyer Road, Ste. 100 St. Louis MO, 63127 Applicant Is: _Owner 1 Contractor Type of Work Description A brief scope of what we will be doing is like for like millwork contusion Cost: $100,000.00 Name: Powerhouse License#: I R714339 • Contractor Address: 812 s. Crowley Rd. Ste A ,. Crowley state: TXrp: 76036 Phone: 817-297-8575 EXT 7186 Contact: Christina Mikeska Email: christina.mikeska@powerhousenow.com Name: WD Partners Registration#: Archltect/Englneer Address: City: DISCOVERY BLVD. City: Dublin State: OH Zip: 43217 Phone: 614.634.7287 ContactPerson: Jason Stults Email:jason.stults@wdpartners.com Ucensed plumber installing rm sewer/water service: Phone S: MOTE Plans and supporting documents that you submit aro 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 bade secrets. You may subscribe to receive an electronic nodicatlon from the City of proposed ordinances by signing up for an email update on the City's website at www.chvofeaean.comisubscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Cal 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateoneoali,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. r�rA,VPJ x Applicants Printed Name App t' natu DO NOT WRITE BELOW THIS LINE /3/ 4/6 veUfrrYPES / 0 a&gle/7/46 Pf: Foundation Public Facility _ Exterior Alteration-Apartments t _ /Industrial — Accessory Building _ Exterior Alteration-Commercial Apartments Greenhouse/Tent — Exterior Alteration-Public Facility Miscellaneous T Antennae — WORK TYPES 'interior New Improvement Siding Demolish Building* P _ d g * _ g _ 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 /Po 4120 Occupancy /Q-i- MCES System / Plan Review s Code Edition 1.4)C Ih g t- SAC Units / per `CPG" (25%_100%.Zi Zoning ,1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction I R Width REQUIRED INSPECTIONS Footings„,_New Building_Deck Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof: Decking _Insulation _Ice&Water _Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans 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 ' = , shal to be present-X. Yes No Reviewed By: /� Planning New Business to Eagan: Reviewed By: `/L; -----_ , Building Inspector FEES s Water Quality Base Fee $ss. d0 SC Storm Sewer Trunk Surcharge Sa .41” Sewer Trunk Plan Review ► C86- S'" Water Trunk MCES SAC a 4Y85. -2- Street Lateral 0 City SAC 1 p 7 . Street S&W Permit&Surcharge 4 9SS Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: i Trail Dedication TOTAL: Sy 3 SZ Page 2 of 3 1 l MCES USE:Letter Reference: 18083067 Address ID:5276 Payment ID:414771 / 1 / Zl//_ 6 Date of Determination: 08/30/18 Determination Expiration:08/30/20 Greetings! Please see the determination below. Project Name: Panera Project Address: 1260 Promenade Place Suite#/Campus: N/A City Name: Eagan Applicant: Eric Van Oss,WD Partners Special Notes: None Charge Calculation: Food & Drink: 5140 sq.ft. @ 300 sq.ft./SAC= 17.13 Food & Drink-Outdoor Seating: 681 sq.ft. @ 1200 sq.ft./SAC=0.57 Total Charge: 17.70 Credit Calculation: Panera Bread (SAC 10/98) Food&Drink(Non-Conforming GSF): 5140 sq.ft. @ 300 sq.ft./SAC= 17.13 Total Credit: 17.1 Net SAC: 0.57 —or— 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: cors.mccullough@jmetc.state.mn.us. Thank you, Cory McCullough SAC Technician Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram 390 Robert Street North I St. Paul, MN 55101-1805 21111 Phone 651.602.1000 ( Fax 651.602.1550 I TTY 651.291.0904 metrocouncil.org METROPOLITAN COUNCIL An Equal Opportunity Eioioyor r. lbi1to��,il TI 2LgS NW 'ue6e3 `' o 0 r �.� 2J'11(v> n 47 i i 8 *z�x a�e�d epeuewad 09ZG �,� ' Z o i la ! 1 a "� I� 66Z L#a!eO AJale9 -� ' . s i i i k� 1 IE Ee e W e 1 . 1, le : a �j R A i ; i i5 it R; 1 81eiti w ill �R iv / 1 !g i 1 11 lig 1 '<'4 i PIIIMiligpl 01 .10r 11 h '9 i W i it l' Ihilligill11111181111!illt':Igig olgrirji Idli/ ;►- °i r = 1 e 1 1!B zI ¢i11� shya § � � � � ss 84Q 6 1 RI hBILIMI ell 11 III 11 II I' 1 '® 1_. ♦* 1 >- ._ \ . • ,i 1o N DI ® 4 '- _ gay -. I L 21' ! *7 I 0 i 1 1t 1„; a -- _T_ _1 I. i i9 161 1 I. ri , 5 �o q q 1 r For Office UseeC i � Permit#:/�oL I 7-_ EAGAN Permit Fee4o rn : Staff: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 rPayment Recvd: _Yes No (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Email:buildinginspections@cityofeagan.com Plans: Electronic Paper Plan Submittal:eplansta'�.cityofeagan.com 2020 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email,CD or flash drive Date: 2 - 21-,249 Site Address: 42642 Pr en ria. -e- t'J_ Tenant: Suite#: Property Owner Name: a-✓1'e..- +- 13t�o�c►-cL Phone: ‘-.5-7 �O�S—0.30 Name: 4 cl •` $oi Pf t��t�r t ` icense#: tez9367S Contractor Address: 3y/0 ryer j�4; P y-�od State: y/ ,�,/ �� / Y �i �fit/zip:SSS<y/ Phone: 4 3 / .0 2-94 Email: 17 iiM� '"�-'So✓15 [Z,•44 New Construction Addition Modify Space Replacement Repair X Rebuild Work in Right-Of-Way Description of work: > V i IdG , PZ Type of Work Irrigation System(_yes/_no)OC RPZ/_PVB) • Rain sensors required on Irrigation systems • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meter Required-Call Utilities at(651)675-5200 to verity tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 Average GPM High demand devices? Yes_No Flushometers Yes_No COMMERCIAL FEES Contract Value$ 3 x.015 $60.00 Permit Fee Minimum $ ! , DD $60.00 PVB/RPZ Permit(includes State Surcharge) r 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. $ Treatment Plant Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Meter Fee $ Radio Read $ State Surcharge _$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate;that the work will be In conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;th he work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x iv/ Aar - /77iLL � x �, Applicant's Printed Name Applicant's Signature Page 1 of 4