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3830 Sibley Memorial Hwy . . , ~ ~ `p Remarks - / , . , , ~ ption 19 Lot Blk Parcel 10 0190T O11 05 ~ Street State ~ L 1 f 7 - / \ Improvement ~ D e Amount Annual Years Payment ReceDate 1 STREETSURF. 1976 $9002.88 $900.30 10 5401.76 AO 10 12-15-78 toW STREET RESTOR. pAVING 970 $4726.51 $472.65 10 GRADING PAVING 1975 6790.33 $679.03 10 3395 A007210 12-15-78 SAN SEW TRUNK SEWER LATERAL Cedar Grove Acq. wa 1972 $2096.00 $83.84 1425.28 A007210 12-15-78 WATERMAIN *I WATERLATERAL 1972 0 $26 . 5 1 H70.08 A0072I0 I2-I5-78 * WATER AREA 1972 15 STORM 5EW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT . s - :i Z i~ WATER CONN r- 8UILOIN ER. SAC Fi K CITY OF EAGAN Remarks RAX Roast RaeC---`._ Addition S ~Lot Blk Parcel 10 01900 O11 OS Owne? stre 3530 Sibley Mem Hwy tata Eagan, MN 55122 . -..___-----~Improvement Date Amount Aneiuat Years Payment Receipt Date STREET SURF. STREET RESTOR, GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit Charge .0 11245 8-10-78 WATER CONfd. BUILDING PER. #4935 SAC 2500.00 11245 9-10-78 PARK 3172 Sprute Strsat St. Paui (littlt Cansdal, Minnesota 55117 484-8264 Tsses & Inspeetion Tan k Test Piping Test Leak Detectors Installed ? yes O no Tesu InsVCted By Il Company Name ' Y-ZXE u Tests Inspected By / - , Company Name Date Location of Installation Notes CITY OF EA(iAN NO 8630 + 3795 PiIM Knob Road Fagan, MN 55111 ' PHONEs 454-8100 BUILDING PERMIT rteceior T. M usad fer RESTAURANT ADD'N.Est, Volue $40,000 Date Novembei 4. , 19-83--- Site Address 3830 Siblev Memorial Hwv. Erecr ? Occupancy B'2 Lot 2 Blxk 1 Sec/Sub. Cedarvale 2nd Airer ? Zonin9 CSC Pnrcel # 10-16901-020-01 Repair ? Fire Zone NA Enloroa X$ TYPe of Const. rc Name Rax Restaurants, Inc. _ Move p # Srories = Address 1169 Dublin Road (41716) DemoNsh [3 Length ZS'E" ~ C; Columbus,OH phone, _ Gmde ? Depth 12 Sq. Ft.309 ~ Nu-Look Remodelerc Avwo.al. Fees o Name tu 621 E. 38th St. Assessment Perrnir 238.00 o Address Ci Mpls. 55407 phone 823-8355 Water 8 Sew. Surcharge 20.00 Polica - Plan check 119.00 Gw Nome WolfganQ DoerschlaQ LTD Fim SpC NA 4~ Address $50 MichiQan Ave. (44715)Eng, WoterConn. NA -,W Ci Columbus, OH pha„e (614) 221-0840 Planner WaterMeterNA_ Council Road Unit NA I hereby acknowledga that I hove read this apDlication ond stote thaf Bldg. Off. the inlormotion is correct ond agree to comply with all opplicable $3~7.~~ Stote of Minnewta Statutes and City of Eagon Ordinances. APC TWOI . Sipnature of Permittee A Building Permll Is issue-d fo: Tfu-Look Remod'e ers on rhe exPreu condition thai oll work sholl be done in acwrdonce with "a pp ica SC o iawesot $tatutes ard Ciry of Eugan Ordinances. Buildinq Of(iciol ~ ws , CITY OF EAGANniO~ g'tD~ Include ? sets of plans, YU~~1 site plan w/elevations & p BUILDING PERMIT APPLICATION 1 set of_ energy calculations. 7b Be Used F~j=_71gjg~~ Valuation LI_p_,_Q v. 0 C) Date & DG4- 8 3 s i t e Ada r e s 5 3 S.3 D !3Jb 1~-`~ A1£wAOriai Nl,Jf ~ O F F I C E U S E O N L Y Lot z Block ~ Sec./Sub. SEceno~i+ao•~'soErecf Occupancy Parcel ~ d'- l ~0 ~ C7 ~-O2 CJ - C7 ~ Alter zoning G S G Repair Fire Zone ONmer: l~Ax ,Zc'-~~aale.J~v~s -117c Enlar9e-= TYPe of Const. Nbve # Stories Address: z~, nemlish Front 2S' 8'ft. City/zip Code: Gol„~„~ b~~ f, 0 iC> L13Z fb Grade Depth a ft. Phone I /y- G Z~I-69 00 x ZS/ APPROVAIS FFRS Contractor: N Li- - L~K ~Itod S-u` Assessnents Pezmit Address: f0? 1 E~ 35s+k S-~ ~ ?aater/Scwer Surcharge , - Police Plan Check City/zip Cbde: /T'/.;7nEypo/~ s ~SSYo7'ire SAC Phone ~ Z- 3 - $ ~ S,5 Eng • Water Conn. 'leA ° Planner Water Meter Arch./Eng•FC d,G 1ns zcr F,IA~ sl gci0ff. Road Unit Address: J*So Vn rz~ A Uc- APC City/zip Code: Go I uwtb L&s O lJ i a U3e15 Phone Z/ O S' 4/ O TOTAL o,.v S Z G (,l> 7 y` h S T PA-cc l~ n~ ~ rv rv zz4 i3°~3 S S'ia i Zq4's 0 033 CITY OF EAGAN 3795 Pilot Keo6 RoedEagae, MN 55724 N2 4935 / PHONE: 454-8100 BUILDING PERMIT APPUCATION /6o Receipi Restaurant Est. Value Dote 8/10/78 19_ To be used for 5ite Address 3830 Sible h1em. H . Erect Ki occupancy B3 Lot ~ Block Sec/Sub. C~~OJ-`fG~ E Z'~:i- Alter ? Zoning CSC parcel # 10 01900 Oll 05 Repnir ? Fire Zone 3 Enlarge ? Type ot Const. VN w Nome Dick Stryker Move ? # sm.ie: 1 W Addrcss 4 Beebe Lane 42 fr. Demoiish ? Front Cit Ph, ne 457-3770 Grode ? Depth 73 - k. o Nama Const. 70 Avorovala Foea o~ ~r~ 1430 W. Cty. Rd. C Asseument _ Permit 275.50 _ u~ . dU -4390 Water & Sew. Surchorge 80.00 Ci Phone Fischer Efl P°l'ce 9/8Z78 Plan check 131•75 ba w Name g' Fire SAC 2500,00 ~z 420 Endicott x0 Address Eng. . Water Conn. <w CI • dU Phone - Planner Water Meter Co,,,,c;i 8f1 78 Road Unit 225.00 1 hereby ackrwwledge thot I read this application and smte thot Bidg. Off. the informotion is mrrect nd agree to comply with all applicable AP~ 7 25 7g Taa~ 3~218.25 State of Minnesota Stotute a City a9 di s. Signature of Permitte ' A Building Permit is issued o: on the express rnndition that oll xrork sholl be done in rda h appiiccble State of Minnesota Statutes and City of Eagan Ordinances. Building Officiol . CONDITTONAL USE Fn^C',~tiiZT N0. CITY OF E1tG?1N ' 3795 PiLOT ISNOB RO:sD SAG N, A11Y17ESOTA 55122 The Cauncil of The City of Easan hereby grants to Rax Roast Bee 3830 Sibley Mem Hwy of Ea4an MN 55122 a Conditional Use Permit pursuant to application dated 9/ZZ/'7g _for the following purpose Conditional Use Permit to erect 3 py~Qn sign in accordance- with Ordinancel6. Dated: 11 2 78 Fees Paid: 75.00 .Attest:, ~~-a-1, Clerk~~ • CONDITIONaL USE FffKlT N0. CITY OF ElsGAPJ 3795 PILOT RNOB ROAD FF+G..:J, MIIQIM50TA 55122 The Council of The City of EaQan hereby grants to CCnst1'~xctiori 70, _ Ine. of 1430 W. Co,Rd. C, a Conditional Use Perm.it 5t. Paul, Minn. pursuant to application dated July 5, 1978 for the follo*.aing purpose for approval of Constructiai 70 for Rax Roast Beef-3F~5a-~^~- ~ _ Restatmant wlth drive up window, sub ect to attached A P C x^ocomieidations Dated:8-1-78 Fees Paid: $:75.00 By'--"--=---==-- ~ P;ayo Y Attest• ~v, Cler - . , `~~~~~1~.Q~' M&te2Il9PMMm ~~AM~Sm&m*b Qa6 3172 swuc. su..t st. Paul (littl. cansda). Minnesoa 55117 484,8264 Tosts & Iropection Tank Test Piping Test T ~ : ' Leak Detectors Installed O yes ? no Tests Inspected By ~ Company Name -VIA Tests Inspected By Company Name Date Location of Installation Notes - i(',,,r 13ee cinr oF EA"N ~ 979s Pllee Knob Road Besan, MN 55122 N° 4935 PHONEs 454-8100 BUILDING PERMIT ReceiPt #k To be uaed for "i~'tt Est. Value " Date , 19 Site Address 3830 -jibi •'e':'• ''rif• Erect Occupancy Lot Block Sec/Sub. Alter ? Zoning Paroel # Q? = U5 Repair ? Fire Zone 3 Enlorpe ? Type of Const. of Name `I'rykEr Move ? # Stories - W Z qddress Demolish ? Front ft. - 7, , . Ci Phone Grode ? Depth ft. ~ Name 70 Approvels Feea ~ o o~ ~d~~ ~-Y• t` • Assessment ' Permit _ u ' • :'~%'a `d+-%i- Woter & Sew. SurcF?orge ~ Ci Phone Police b1-81 78 Plan check - - 1 ~C~il~l ..-itl.~• 'U NQRe ~ ~r"~'~ . r1 Gai. t Fire 5/1C xc Address Eng. Water Conn. V v • ' C:U G- 3,3 3 tW G phone Planner Water Meter Council d 1 78 ~.J~. I hereby ocknowledge thot I hcve read this application and stote that gldg. Off. ~ Q_ !L, the Informaition is correct ond ogree to comply with all applicable APC ~f 2/~% Total ~1~• S t a t e o f M i n n e s o t a S t a t u t e s c n d C i ry o f E a g a n ; O r d i n a n c e s. ~ Signoture of PeRnittee A Building Permit is issued to: on the express condition thct all work shall be done in occordance with oll applic.able Stute of Minnesotc Stotutes and City of Eogan Ordinances. Building Official I - : ,F: . _ . ~ r. . , ~ .~7~•,F. . . . . ; oT~_ T._ . _ b ~ h . v ~ • . , - - P Penwit # pafO Isw~d pon?kfN Plumbing 9- e -,,e- r Mechanicnl 76~J3 --10 - C C) • ~-Qt tr ( I C-9 INSPECTION$ DATE INSP. Raqh-In Finol Footings Date Irup. Dats Inap. Foundation Plumbing -7V Frome/ins. _ Mechonicol Final Remarks: arY oF EAGAN l < ~e 86iQ 3795 Pllot Keob Road Ee9on, MN 55122 PHONE: 454-8100 ~ BUILDING PERMIT Receipt # - To be wed Mr "r"STAU 1T:'U-AT A.DD' it.Est Value 'Y4 000 Dote November 4, , 19 0 3 Sire /lddreu 3330 SibLey Memorial Hwv. E.ecc ? Occupor,cy B-2 Lot ~ Blxk 1 5ec/Sub. Cedarvale Ztd Alter ? Zoninq CSC Paru1 # i0-16901-020- O1 Repair ? Fire Zone I'A I: ax Restauzants, Inc. Enlorps Type of Const. ac Noma Move ? ~t Sto?ies_ z ~rcn 1169 Dublin .~oa~ (43215) Oemolish p Length 2' 9 Ci Colu.~nbus,OH ph,, (E14) 424-6900 Grade p Depth 12 Sq. Ft.L9 :vu-Look r~p~nodelere Ap~orab F•e• ~ o Name b. o~ Address "21 E. 33t:t St. Assessment Pe~it aO.UU °fpl s. 55407 823-3355 Woter 8 Sew. Surcharga G I~ o Fa~~F ~1oer Chla~ LTU Police Plan check il`• OO Nome Firc 5/1C 14A i? /Wdress ~'D iiicnigan 1lve. (43215) En9, WuterConn. Nti ~W Ci Colur~bus, OFi (614) 221-084J Plonner WaterMeter "A Council Roud Unit 11lA I hereby acknowledge thot 1 hava reod this application and state that gldg. Off. the information is correct ond agree to comply with oll opplicnble .T.~al $ 37 7.~)~~ State of Minnesota Stotutes and City of Eaflon Ordinontes. Sipnoture of Pertnittes 1W-LOOt Kemo e eLS expross condition thn~ A Building Permit Is Issued to: all work sholl be done in ocoordance with oll applica0la Siote of MimTf-wta Statutes ond City of Eapon Ordinances. Bufldinq Officfol RJ.,tri. Parmit No. Permit Holdar Misc. Permit No. Holdar dU74 (o k,"i-e-~fr F(tc• 17- 83 Inspection Date Inap. Other Footingt ~ Foundation Framinp Rough Plb¢ Rouph HVA Inwlation Final Plba ~ Final HVAC Flnal Water Dascribe Location: YVell - Sewe? I Pr. Dbp. ~ CASH RECEIPT CITY OF EAGAM 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 1 f wecarveo FROM AMOUNT $ I & DOLLARS QaQSf ue~ ? CIiECK ~ ~ ~ ~J CASH ROR PUNO CODE AMOUNT Th nkYou eY White-Payers Copy Yellow-Posting Copy Pink-File Copy C17Y OF EAGAN Remarks RaY's-Rnast BePf - ~~O Addition CEDARVALE 2ND ADDN. Lot 2 Blk 1 Parcel 10 16901 020 01 Owner- ' street 3830 Sibley Mem Hwy State ESga11, ARV 55122 ~ %11 , _ i Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 10 iCI under a ce 1976 STAEET RESTOR. _ 970 10 P' d under a cel O11 05 GRADING 3,5 1985 19,210.63 1221.06 10 avin 975 10 'd under a cel O11 05 5AN SEW TRUNK 5EWER LATERAL Cedar Grove Ac .j 972 25 'd under a cel O11 OS WATERMAIN * WATER LATERAI. ' 972 IS iCI under a cel o11 05 * yt1ATER AREA 972 STORM SEW 1!M40 .y- 1985 12 207.32 1221.73 STORM SEW LAT a~L 3 i,; , 0 3/. p C'011~.3 1-2 CURB & GUTTER SIDEWALK STREET LiGHT Roa Unit 225.0 11245 8-I0-78 WATER CONN. AUIIDING PER. sRC 2500.00 11245 8-10-78 PARK ~ . INSPECTIUN RECORD ~ CIT1( QF EAGAN PERIIAIT TYPE: 3830 Pilat Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: . •ii. ~ ~~~•~i i~, . ~ ~:F, , , , , ~O~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ~ ~ - Permit No. Permit Flolder Date Telephone N SNV , PLUMBING HVAC 3 0~/ 3 ~ 'g,~(r K ELE I ELECTRIC Inspection Dete Insp. Comments Footings I Foundatfon Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bidg. Final Deck Ftg. Deck Final weu Pr. Disp. ogov 6,K- INSPECTION RECORD ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEAQDRESS: APPLICANT: PERMIT SUBTYPE: . TYPE OF WORK: INSPECTION . ~ ~ - PermR No. Permft Nolder Date Teiephone # S/VN , PLUMBtNG HVAC ELECTRIC I ELECTRIC I Inspsctbn Date Insp. Comments Footings I I Foundatan Framing Roofing Rough Plbg. Rough Htg. I Isul. Fl?eplace I Finel Htg. I Orsat Te.st Flnal Plbg. Plbg. Inspector - Notily Plumber I Const. Meter Engr,/Plan Bldp. Finel I Deck Ftg. Deck Final Well Pr. Disp. .-...:"f~t..~• . . . 1: ~i;,i_ ? . ~•f'^~y~' . ^~M,~: "r . s l w ~ WeL'tifiCQte of cCCIipRItC~ WU4 Df CfSgtq[ - ~e.~trtyaeut ef ~$xit~i~g ~n~}~ectintt This Certificate issued pursuant to the requirements of the Uniform Building Code certrfying tirat at the time of issuance tfeis structuru was rR complrance wrrh the various ordinances of the City regulating bailding constnrction or use. For the jollowing: uY ctwirwafion: _]OW/nvn tKrqC-ANSgRT T:.xnrn alag. Pumii No. 22463 o-w-y ryp. Ba/R 1 zoting nisu:a rya cana. - ownerotBuilainE ANSART TF.XAC7l !T"RP Ad3ess 3830STNRY Mh7K]RTAT. H,j5(. F.Af`N ' suiwing naatiss 3830 HtJY 13 Locartyt.2, R1, (EnARVAiF. 7NIl ` i ~ - ~ vane: 01/19/94 t BWding OrtidW . POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3795 Pilot Knob Road Eogan, Minnamta 55122 Phone: 454-8100 ~ A'IECfi, PLU.MBING _ 311 pERMIT No. DaYe. September 6, 1978 Receipt No.: 11569 Single I Site Address: 3830 Sibley Mem. fiw,%. Residential Z / Multi Res., Comm./fnd. Lot ~1L Block _dI Sub/Sec. ast Ileef Restai:sar.t !•,er; Name New/Alter./Repair. . ~ Address Cost of Instollation City Phone: Permit Fee Name '':iahl & OZSaT1 P1?-x7,. .50 ~ Surcha rge ~ Address 3157 ChiCago Ave. L ' O City S Phone: Total This Permit is issued on the express condition thot all work shall be done in uccordance with oll applicable State of Minnesota Statutes ond City of Eogon Ordinontes. Building Official Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee _ Fill in numbered spaces S/C Type or Prini legibly , Tot. _ 1. Date 2. Installation Cost 3. Job Address ' Lot ;Blk) Trac~ 4. Owner 5. Contractor , c:~... Phone 6. Address % 7. City State ~ Zip r- 8. Building Type: Residential ? Commercial p Institutional O 9. Work Description: New 0 Add ~ Alter p Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well / Kitchen Sink Urinal/Bidet Other Laundry Tray / Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with alt ordinances and codes governing this type of work. Signed : for g~C FJbb,jh J Final Inspections: Oate Insp. Date Insp. This is your perrrlit when nyml)ered and approved. Approved , , , , ( ~ . _ CITY QF EAGAN 454-8100 ~9. C'z C 3 O 41 + 00 194 ~ PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE t~ CONTRACT PRIC • PHONE 454-8100 Site Add f; ' n. '"J BLDG. TYPE WORK DESCRIPTION Lot Biock Sec/Sub Res. New 4- Nam a L ' -Nr Mult Add-on ~ B Address ~ ' ~ ~ ~ • Comm. Repair c City.,~Z4, n/P Phone ~Other ~ r P F NO. FIXTURES TOTAL Name ~T Water Closet - $3.00 $ 3 Address = A,' Bath TUb3 - $3.00 p Ciry • 4 ~ ~ Phone Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMUM - RESIDENTIAL FEE _$10,00 Laundry Tray -$3.00 MINIMUM - COMMIIND FEE _20,pp Floor Drains -$1.50 STATE SURCHARGE PER PERMIT _ .50 Water Heater -$1.50 (ADD $.50 S/C IF PERMIT PRiCE GOES ~-Whirlpool -$3.00 ~u S BEYOND $1,000.00) Gas Piping Outlets - $1.50~~ lC~ Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 51GNATURE OF PERM( I~EE FEE , ~ STATE SlC: FOR CITY OF GAN GRAND TOTAL: ~ U CITY OF EAGAN 3795 Pilot Knob Road Eagen, Minnasofa 55122 ~,.~"UMI-C7-, AIR PHIUTF?TFr Phone: 454-8100 PERMIT No, 1353 Date: 11 2¢78 Receipt No.: 12441 I Site Address: 3~ 5~1~ ~i'~Y Single Residential ~armi #11 01900 011 0 1-3 I Lot Block Sub/Sec. _ Multi Res., Comm./Ind. Name D:Lc* ftZ~~ (FaX mglot Beefl New/Alter./Repair. . c Address 4Beebe T-v* Cost of Installntion 3 O City St- PMA Phone: 427-3770 permit Fee ll'o . Nome C• 0• CB=18M ALC Surcharge .50 . ~ Address 709 BraMOrd A~--'n'x' e 0 U City - ' Phone: Totol This Permit is issued on the express condition thot all work sholl be done in occordonce with oll applicable State of Minnesoto Stotutes ond City of Eagan Ordinances. Building Official . ~ . . . i ' . . • . IirL. . t•. ' ~ . SEWER SERVICE PERMIT CITT pp EAGAN pERMIT NO.: 3795 Pilot Keob RO°d DATE: Eogan, MN 55122 No. of Units: ~ Zoning: Qwner. Address: Site Address: PVumber: 1 agree to wunply with !he City of Ea9aa Connection Charge: Account Deposit: Ordinances. permit Fee: Surcharge: Misc. Charges: BY Total: Date of lnsp.: Date Poid: 1 nsp•: WATEit SERVICE PERMIT CITN-#F EAGAN PERMIT NO.: 374&i p;lct ICnob Road QATE: F.~gue, MN 55122 No. of Units: Zoniny: - Owner: Address: .SL• 1 Q Site Address: ~ Plum6er. Connection Charge: ' Meter No.: qccount Deposit: Size: Permit Fee: Reader No.: 1 agree to eomPlY with t6e City of Eogan ~ caCharges: Ordinances. TotaL• Dote Poid: BY I nsp.: Dote of Insp.: I ~ °y Req esi Data FI No. Rough-In Inq ~ Requiretl Ins eCtian OtnerThan Rough-In (VOU ist cell ins^ cior when ready) ~ Reatly Now Will Notlly Inspec1or ? Yes ~ No Dete flsatl I fk licensed contractor ? owner hereby request inspection of above electrical work at: Jab Atltlress (SVeet, Box or Route No.) City .3830 , c /~7 ~r.42 .sf~? Section No. Township Name or No. Range No. Counry Occupanl(PRINn Phone No. ~X•ACO Power Supplier Adtlress Electdcal Controcta (Company Name) CoNradors License No. 6? .o~t> .GI ~.?c• C.9 or7 .S' Mailing Atlaress (COnVacmr or Owner Making Installatron) /Y?Gr' T7GL/!~ /'/A~ S.S082 6077 L/Oi!'E EL/Y!O G( Aumonzed SignaWre (Cont r/ er king Install ion) Phone Number el3q- ~yyo MINNESOTA ATE BOARU OF ELEGTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway Bltlg. - Foom 5-126 BE ACCEPTED BY THE STATE BOARO 1821 Univeniry Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS . Phone (6121 662-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-aaooi-os 0 O 3 2 ~ See instructions for cdmpletinq thiS fwm on ~eck oi yelbw copy. ~ ~ "X" Below Work Coverad 6y This Request Ne Ail fiep. Type of Building Appliances Wired Equipment Wired Home Range Temporery Service Duplax Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Other (Specity) Farm Air Conditioner Omer (speciry) Conlraclor's Ramalics: Compufe Inspection Fee 8elow: # Other Fee # Service Entrence Size Fee # Circuits/Feeders Fee 5wimmin Pool 0 to 200 Am s / 0 to 100 Am s .S - Transformers Above 200_Amps Above 100 -Am s Signs Lp ~insaeccors use anry: TDTAL Irrigation Booms J~ ~ Zs j= ' S ecial Ins ection - Alarm/Communication TXIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, Ihe Electrical Inspector, hereby Rough-in Date ceAiy that Me above inspection has Fnai WVf oa~ F~ . been made. • OFFICE USE ONLY This request voitl 18 months Irom M 6 6 0 8 9~,~, ftequest Oate Fire No. Reugh-in Inspedan NOTICE: You Must Call Electrical Inspetlor flequiretl? ~ If A Fough-In Inspectian ~yqg o IsRequired. I icensed contractor ? owner hereby request inspection of above electrical work at: Job Atll (Sireet, Box or Route No.) City 3 Q f70&/4"'U Section Na Townsthip Na e or No. Parge No. County Occopant(PFINT) Phone Na. ~ Ce PowerSupplier Address Eledrical CoMrador (COmpany Name) ConVaclor§ License No. C 67 / / Mailing Address (COntrector or Owner Making Insiallation) p 7~ ezyw - ri~. Jh/ LGC?CLT c~+ ~ils`. II 2. A41Mrizetl SignaWre (COMradorlOwner Making Installalion) Phone Numher ' sutG~ :P_ 73~f ~ MINNESOTA STATE BOAHD OF ELECTHICRV THIS INSPECTION REQUEST WIIL NOT Grlggs-Mitlway Bldg. - Room 5193 BE ACCEPTED BV THE STATE e0AR0 1821 Univttsity Ave., 31. Peul, MN 55100 UNLESS PROPER IkSPECTION FEE IS Phone(612)6G2-0B00 ENCLOSEO. REQUEST FOR` ELECTRICAL WSPECTION ee-ooooi-oa ~ See instrutlions tor cbinpleting tnib torm on back of yellow copy rpn ~ ` C)~0O J "X° Below Work Covered by This Request ewAddRep. Typeot6uilding AppliancesWired Equipmen[Wired Home Fange Temporary Service Duplex Water Heater Electric Heating Apt. 8uilding Dryer Load Management Comm./Industrial Furnace Other (Specify) Fartn Air Conditioner Olher (specify) Convacmr's Remarksj,4sy.p4.e_ / Campute Inspection Fee Below: Jjyf eyyu, Z-S65!% plr 7%-jtdeq 1e%,ViFI ~yOr.aS ,04 # Olher Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Poal 0 to 200 Amps o to 100 Amps y Transformers Above 200 _ Amps Ahove_t Amps SignS ° Inspecror5 Use Only: 'L J TOTAL ~ Irrigation Booms r~ ~ 3~•y''~ ~ ~ Special Inspection Alarm/Communication THIS INSTALLATION MAV BE OR RE SCQNNECTEO IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1, the Electrical Inspector, hereby Rouqn-m oaie -certify that Ihe above inspection has Fin ~ oat been made. OFFICE USE ONLY ' This request witl 18 monihs from . f Thjs r: c~ voiE lt "t t ~eC l O` t C~~ctrual£ z wL ltl mon rom • ` ~.rs7.q rri ~D~oO ,§e4eest Dat Gire No. Rouph_in Insuecti fleq tl? Ffleady Now Will Nolity InsPCr.- 1 s N. ior CVhen ReaJy 2rLice ed Electrical Contrector 1 hareby reQUest inspec<ioa ol above ? Owner electrical work inmtalled al: Street` ~Adtlress, ~eox or Rowe No`. Citv V ~7 ~ J/.C?F"' ~/'70ri4( ection o. Township Nnme or No. Banee No. Cou7 ~ty ~C/~L X Occu t IPflINTI Phone Nu. S U r~ Power Suppl er Address Elect ic~ntractm ICOmpanY N mal Contrnr.tor's License No. Mailine .4ddress ICOMractor or Own t Making Instailatio 1~/~ k aL'L(y Y ~ - /V(f Auth rized Sign ure (Conv c JOw r a' y Installation) ry Phona Number h1 A STATE BOAND OF ELECTHICITV THIS INSPECTION NEQUEST WILL NOT ri •MiAwey 81dB- Room N-791 0E ACCEPTED BY THE STATE BOARD t UnivarsitY Ave., St. Paul. MN 66104 UNLESS PNOPEN INSPECTION FEE IS Phone 16121 297-2171 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-oouoi.a ~ , See instruCtians for complatirp this torm on beck of vallow copy. -n 7 q ""X"' Below Work Covered by This Request QQ z i Atla Peo. - TyDa oi 9uilding Applianms WireA Equiument Wired Home Range Temporary ServiCe' Ouplex Water Heater Lightiny Fi#ures Apt. BuilAing Dryer Electric Heatin Commeroial Bldg. fumace Silo Unloader Industrial BIAg. Air ConAitioner Bulk Milk Tank Fafm Other peci v OtherlSPecifyl llwr Snucify Oiher Othr.r ompute lnspection Fee Below p Pee ServicaEntranca5iza q Fee Fee.ders/5ubfeetlers N Fee Ci~cuits 0 to 200 qm s0 to 30 qm s 0 to 30 Am s Above 200 qmps 31 to 100 qmps 37 to 100 A s Swimming Pool Above 100- Amps Above 100_Am - Transtormers Irrigation Boorcis O Partial:'Other Fee Signs Special Inspec[ion Remerks $ `0/~'~ TOT Q ~m flouBh-in Da[e ~he EleeVieal Inspector, hereby certify that the above Final /'.oZ74sdaoec.tion has been 491 mb repue6t void 1B montln fmm This .equest void ,e maths ,,oe,~ •A - n L O,r Y d Rd, <lo 6 ~8 q Requesl Oate Fire No. flough-in Inspection Pequ red? ~ROaAy Now CIViT~lNotily. InsOec- T ' tes ?NO for When Ready . {]'ticensed Elactrical ConVactor I hereby renuest inspection of nbove ? Owner eleeVicel work installatl at SVae[ Address. Boa or Route No. Gitv q C ~ W? ecuon o. Township ame or No. flange No. Counqty~~/~,/}~- x/R/'ti-~/ r ~ Occupdnl(PRINT) Phone No. f~' Power SupDlier AAtlress Elect/,jcal,COn[rar.mr (COmpany Namel Conlractor's Liconse No_ l JF L jKC (2f) Malling Address IComrac[or or Owner Makine InstailaEon) c-~ Authorized Si tme nVa tor Ow r Makine In Ilation. Phone Number q~f ~lY MINNESOTA STqTE BOA F ELECTRICITY THIS INSPECTION NEQUEST WILL NOT Griggs-MidweY Bltlg. - aom N-191 BE ACCEPTED BY THE STATE BOAflD 1827 UniversitV Ave., St. Paul, MN 55104 UNLESS PROPEH INSPECTION FEE IS Phone (612) 297-2717 ENCLOSEU. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ' Sea inslructions tor completinq this form on baek of Yollow copy. ~O ~ pp •Q ~ -i ~ ~ ~ '"X" Be/ow Work Covered by This Request d ~ Nw4Addj NeD• TYae ol Building ADDliancee WireA Equipment Wired Home Range Temaorary -rvice Duplex Water Heater Lfghtiny FixNres Apt. Building Dryer Electric Heatin Commercial Bldy. Furnace $ilo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othxr peci v ther ISperifyl t er SpeciFy Othe, 01h.r Compute nspection Fee Below p Fea ServiceEntranceSixa d Pee ieders r#1 Fee Circuits 0 to 200 qm 5 0 m 30 Am s Above 200 qm ps ps 31 to 100 q y Swintining PooAm s Above 100_Amps Transiormers rr~s Pertia6'Other ICZ7 Signs c[ion ~ Remerks OTA E ( Q .m RouBh-in Da~e the E ec ncal ~ ~y Insoector, hereby certifY that the above Final o^~e pection has been ~ -a ~5 da. fltla repuest void 18 monthe Fram This requesi wid Q ~ ~ I O S 18 IIS4,7o L a~ L5 Cc o( ~~-e~ IQ C?L~ Hequest Date Fire No. BoueD-~~ Inspectian I I ~ fleqwretl? Reatly Nuw ~II No1ifY Inspec- • ~ ?Yes ?Na or When HeadY Licensed Elechicai Conlractor 1 here4y request insoectlon of above ? Owner electricel work imtalled at: ~ 5[rees Address, Box o~-Rmjte No. ' Citv ~ ecbon o. Townshi0 Name a-HO.y flang o. ounry J 11 % ~ Ocg ~ M) _ Phone No. Power 5 pVli / Atldress > Rm~n!g i Gontr _ICom~Va9Y CoMrar.wr's License No. Address~ ~JCnlt C/ IA a~ InsWilation) ~ S . ~ _~/~t'//G~-~' PM1One Numbe~ oriz Si ~ IC t cter Ow r Making Ins[all 1 / NI NESOTA STpTE BOARD OF ELFC7AICITY THIS INSPECTIDN 6EQUEST WILL NOT Gripgs-Midway Bldp. - R. N-191 BE ACCEPTED BY THE STqTE BOARD 1821 Universitv Ave-. SL Paul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS Phore 16121 297-2111 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION R Ee-00001'04 ' , S. inshuetions Iw completin9 [his torm m back ot Yellow copy. / 615,470 Be/ow Work 6overed by This Request 'A 3/ B S Fda Reo• ry ot Buiieing Apoliances wired Equiomant Wired ~ Home Range Temporary Service Duplex Water Heater Gghtiq Fixtures Apt. 8uilding Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader industriat Bidg. Air Conditioner Bulk Milk Tank Ferm -Other oeciW ONer ISoecftyl 1 r SVeci y Ovher 01her ompute lnspection Fee Be%w t Fee Service EntremeSize p Fee Peeders/SUbteeders # fee Circuits 0to200Am 0to30Ams \%s d0~tn30Ams A6ove 200 Amps 31 to 100 qmps p 31 to 700 AmpS Swimming Pool Above 100_Amps Ahove 100_Amps Transiormers Imgation Boorts Partfal: Other Fee Sig~s Special Inspec!ion 5 lo•U C~ ' ~L(FE~ Nemwrks IiouBh-in . / , <he Elehtr,ical~ ' Inspector, hereby titv tM1at the above Final r^` nsoection hes been .de. Tt"napues[ vold /8 monW tran 1 This request voiE 44 0 -g 6 18 rtqnths Imm • C 3g4.1 G*2~ $1, Ccda~cv.lr Requ~DalE ~ Fire No. pouphrt-ietl?n Inspection Oqu Ae eady Nuw Q Will Notify Inspec- ~ 0 Yes UJN15- mr When Headv Licen's'ed Elecvical Convacmr 1 hereby requesx insoection of above ? OwnEr electrical work installed ei: Streat Address, Boz or Home No. Ciry~ ez~ ecvon o. Townshi0 ame or o. Range No. County V c1 I -~~u ~ Oc nt (PHINT) ' Phone No. ~0`~Vl ' Power $u00 ier Atltl s Electr~ Contra tor ICompany Namel Contrar.cor's Licensc No~ ~L ~ 211- aL a c. C 032 6V Mai11nB Address ICOnVac or or Owner Making Inslailationl C~ C25 7 ~'3 L (J ?O Authoriz tl ignawre Cu~raclor~ r MAkiny Installation)` Phone N~b~ 7 7 MINNESOTA STATE BOANO OF ELECTFICITY THIS INSPECTION NEQUEST WILL NOT Griggs-Mitlwey Bldg. - Room N•191 gE ACCEPTED BV THE STATE BOAND 1 University Ave., St. Paul, MN 55104 VNLE55 PHOPEP INSPECTION FEE IS ,21 797 21t1 ENCLOSED. REQUEST FOR ELECTRICAL WSPECTION EB-0{0001-04 'I I10 See instructions for comoletinB this }wm an beck of yellow eopy. "X" Below Work Covered by 7his Request . 1 v' ! Nsv4Addj Rep. Type of Builtling Aocliancea Wired. EquiVmem Wired Home Range Temporary Service Duple.x Water Heater Lightiny Fixtures Apt uilding piyer ElectricHeabn ommercial Bldg. Fumace Silo Unloader. InduStrial Bidg. Air Conditioner Bulk Milk Tank Farm tnx, oeci y mer (specclyl t.r uec~ y Other ~;r ompute Inspection Fee Below p Fea ServiceEntranca3iza tt Fea Fawdms/5ub(aeders k Fea Circuits 0 to 200 Am s 0 to 30 qm s Qc3v 0 to 30 Am Above 200 qm ~s 31 to 700 qmps 37 to 100 A Swimming Pool Above 100_Am s Above 100_Am~s Transiormers Irngation Booms Partial."Oth Fee $igns Special Inspection emarks S!~'~/~'Q TOTAL F • ~ flough-in Date I, the Elect ical Insoector, h certiiy tMt ihe ebove Final D:ue ingpection has been mede. 18 monttre Irom (i~1~G OFFlCE USF. ONLY This requul wid 18 monlhs Irom wlidarim date qinted ~is box. ~ III Illl IIIII IIIIII III IIIII II II I II~-~-~ ° ~"VI C'~~ * 0 4 2 4 2 2 2 8* PLEASE PRINT OR TYPE L1 Requasl Doro Rceghin ivpection raqoGed2 ? Yes ? No Inspecfion Oiher Than RougMn: ? Rwdy Now OWII Coll la-aQ'~(p (I'oumusl<allPoeinspeciorwhenreody) DoteReody: I, ~ licensed conhactor ? owner hereby request inspection of the above electrical work at: Job Address (5ho0, Box, ar Raula No.) Ciy tp Code 3g3a Sj'bl 7Y1e,n,- Hw Ea n sslaa Scabn No. Township Name w o. Range o. fire No. Co'n ~a Ko k-~- Occvpont Phone No. C2C~.¢l,rva,~~ T-~X0.CA Power Supplbr Addreu Eleai«A Convacpr (Canpony Nome) Conrvaclor Licenu No. Moaler lic. No. (Plant Ekcr. Onm TT Fjec}r,-c SF..'rviC.L ~c C19009617 hbi' Addrms ~Conhacror or Owrnr Perfo~ming InsMllalion) oX 7(p /1 _ /YI ti S23 G7 Aulfwrized Si nolure ~Conhador or er Perfoemtng Ilor,on~ Phore No. 3a~ 85~~s ~f7s9 E lA-l l 8/96 STATE BOApD COPY - SEE INSTfiUCTIONS ON BACK OF YELLOW COPV REQUEST FOR ELECTRICAL INSPECTION67 ~ - 424,~ ~2 [81 1~821 Univ rstaty ABve rRm. 5-1~28, ISt. Paul. MN 55104 Phone 642-0800 Home Duplex A t. Bldg. Other: New Addn Commerciol Indushial Farm Remod Re ir ' Air Cond. Htg. Equip. Waier Hh. Load M mt plher: D er Range Elec. Heaf Temp. Senice "X" obave the work corered 6y this requesG Enter remarks in ihis space and on the back of fhe white copy only. o n p2rm i~- # ya y-al 7 1a1101q& Calculafe Inspeclion Fee - This Inspedion Requesl will not be accepfed wifhoui the correct fee: Other fee A Service Entrance Size Fee # Circuifs/Fttders Fee Mobile Home Park Stall 0 to 200 Amps 0 l0 100 Amps Sireet Ltg./Tmffic Sig. Above 20Am s Above 100-Amps Transformer/Generafor INSPECfOWS USE ONLY TOTAL Sign/Oudine Ltg. Xfinr. Alarm/Remote Conhol Swimming Pool i ho.e ceni ihm inspec~d he abnrical m:Omia, dax.ibed h"n ~ the dares vaad Irci9tltion Boom RoupMn . . Dofa Speciallnspeclion Final Dole Investigative F. THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. OFFlCE USE ONLY This requesl wid 78 manlhs kom wlidofim dale printed in Ihis 6ax. 141 - ~7r5z~z 0 4 2 4 2 L 7 8* PLEASE PRINT OR TYPE ~ ~ 5 Requev fbb Nough in inspecfion required? ? Yrs N. Inspanion Oiher hwn RaugMn: Reody Now OWi0 Call ~ a (You musl mll tfie inspectw whm ueody) Dare Reody: I, [A licensed conhactor ? owner hereby request inspeclion of fhe a6ove elechical work at: hb Address (Shael, Bor, or Roule Not _ Ciry r - Zip Gode ~ Sib`le m 1 i I(~rll0ri'0.) W F0. 55- Secfion No. Township Name n Na. Range No. Fire No. Couny (XkG ~ ~~~~~r ~on, M Ce v 2~cac.o Power Supplier Address EkcMcal Comracror (Cwnpany Name Cantrodor Wmse No. AAosbr lic No. (%ont Elect. Only) S-re?f ~~-;~S~v c ~o 0 7 ~Nwi' g Address (Canhoaor o/r O~wirer Perfoiming Insbllotion) ox y7(~ /-f ~UU nAg- M k1 .S63 Authorized ' nowre IConn r Orme '~onI Phone No. 3a S4s-~~s9 STATE BOAHO COPY - SEE INS'fHUC710N5 ON BACK OF YELLOW COPY ~ r~r~ . REf~UEST FOR ELECTRICAL INSPECTION 4 2 4-L17 ~ 1^821 Uoieivers ity A e Rm. SI-1ect28, 5t. Paul, MN 55704 Phone (612) 642-0800 Home DuplE Apt.6ldg. Other: New Addn Commerciol Indushial Form Remod Re a i r Air Cond. H}g. Equip. Waler Hh. Load Mgmt. pther Q er Range Elec. Neol Temp. Service "X" o6ove the work covered by tFis request. Enter remorks in lfiis space and on fhe back of dre while mpy only. Chaly,d H pumQs . 0.6ded i-arK monii-or q- an em~.rt~emc~ Shvt-~a-F~' Calculate Inspecfion Fee - This Inspecfian Requesf will not be xcepted withouf the corrxt fen: Other Fee # Service Entrance Size Fee # C'rrcuits/Feeders Fee Mobile Home Park Stall 0 ro 200 Amps 0 ro 100 Amps $heet Lig./Tm(fic Sig. Above 200_Am s - A ve -Amps Tmnsformer/Generator INSPECTOF'S USE ONy'/- TOTIL ~O $ign/Oudine Llg. Xfmr. Alarm/Remofe Confrol $wimming Pool i here em thm i inspeciad the msmllanon described herein on the dores smred Ircigation Boom go„e , oa~ $pecial Inspecfion Fiiwl Investigafive Fee THIS INSTALLATION MAY BE ORDE D UISCONN IF NOT COMPLETEU WITHIN 8 MONTH . oFFlCe use oNLY This requesl .rotd 78 masnihs hom~lidmn~ k p~ red in ~ 6ox. lillll II III IIII III III II I III I III II~'~~' G?~~~~rd 9°7 0 4 2 4 2 4 9 L~K PLEASE PRINT OR TYPE ;!G1"Q ~ Requen Ihle RoogMn inspecrion reqoired? ? yes No Inspeclian OTher Than Rooqhln: ~0.eady N. O Will Call ~You must call ~e inspecror when ready~ DaM Y.eady: licensed conhactor owner hereby request inspeciion of the a6ove elechicol work ai: Job Address [Shxl, Boz, r Ciy Zip Coda 3~. b Ea a Ssl 11 a SaGion No. Township Name or No. Ronge No. fire No. [Ph... upuupaai W. Tzxct.c.o Power Sapplrer Addrass eiectri<ai comracar [cmPeny Name) Convamr l icense No. Nweler Lic. No. JPlam EIM. Only) Sr Elec-I-~-« Se,-Yl°c.~ Z c 07 (ca, o~, Per(orming Insbllmian) o ~ rn~ s6a3c-7 Aulh«ized Si olure [Conhocror or Owmr Pedo 'ng Insmll l Phwe No. - ~ 3ao $ys-y789 EB000 1 A7 I 8/96 STATE BOANU COPY - SEE INSTfiUCTIONS ON BACK OF YELLOW COPY ~_~3/'r'I 7 REQUEST FOR ELECTRICAL INSPECTION - 4L T-24~+ ~ 8~21eUniverseN Ave Rm. Se 28, SI. Paul, MN 55104 - Phone (612) 642-0800 Home Du lex A t. Bldg. Other: New Addn ' Commercial 11 Industrial Farm Remod Re air Air Cond. Htg. E uip. WaMr. Hir. load Mgmt Olher. D er Range Elec. Heal Temp. Service "X" above the work covered by this requesf. Enler remarks in Ihis space and on Ihe back of fhe white copy only. Pum Q C,~1C~n~e-OV PJr Calculate Inspection Fee - This Inspection Request wil) nof be accepted wifhout fhe correcf feo: O[her Fee # Service Entrance Size Fee N Circuits/Feeders Fee Mo6ile Home Park Stall 0 ro 200 Amps 0 ro 100 Amps Sheet Ltg./Troffic Sig. Above 20Am s Above 100_Amps Tmnsformer/Generator INSPECTOp'S USE ONLV TOTA O~ Sign/Oudine Llg. Xfmr. Alarm/Remole Control Swimming Pool I hara ceniFy thm i.mllman deuabad herai.on the dore. swkd Irrigation Boom pa9hA. pnro Speciallnspeclion Final Invesligafive Fee THIS INSTALLATION MAY BE ORDERED DISCONN IF NOT COMPLETED WI RIN 18 M NTHS. d 050 9 B.. io r~ 9 D5l Raqu st Da!e iire No. Fouphin InspectlOn ReQUi O RaeOy Now 91 ill Nolity Inspector - as G No N1hen Rea0y9 Icensed contractor ] owner hereby request inspection of above electrical work at: Job Aeeren (Sireet. Box or Route No.~ Ciry 3 3 ERGqf'I Section No. Township Name or Range No. County ' oT o«uPem (PaiNr) n Sqri l e X4 Pnone No. Power Supplier Atldress ' ElecVical ConlraMOr ICompany Neme) CoMrBdorS License No. T R kC ~?J~ Mailinq AOtl~ess (COnlractor or O.vner Making Insiallation) i2b- Nulhorizea &gnaWre iConlractonOwner king Ins ation, PV. a Number ~ .MINNESOTA STATE BOARD OF ELECTHICRY THIS INSPECTION REpUEST WILL NOT Grlgga-MlCway BIUg. - Room 5173 BE ACCEPTED BV THE STATE BOAFD 21821 Unlveraity Ava.. 51. Paul. MN 551110 UNLESS PROPER INSPEGTION FEE IS Pfwne (612) 642-0800 ENCLOSED. ~D7 9~, REQUEST FOR ELECTRICAL INSPECTION ~e/g,oooy,-(18 p ? See inslrudions for canpletinq ihis lorm on nck o1 yellow copy. LS hr,, 019 "X" 82low~Work Covered by This Request ~~`ti~ )A Q ewAdtl Rep. TypaofBuilding AppliancesWired EquipmentWirad Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Otheo-(Specify) Comm./Industrial Furnaca Farm Air Conditioner Other (specily) ConVatlorS Remarks: Compute Inspection Fee Below: # Other Fee 8 ServiceENrencaSize I Fee # Circuits/Feeders F a • Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A6ove 700 _ Amps Signs insil Use ony, TOTAL , JQ ~Q . ~0 , Irrigation Booms /o~/ Special Inspection Aiarm/Communication TMIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee ~ Q COMPLETED WITHIN 18 HS. f I, the EleCtriCal InspeCtor, hereby Rough-in e~e n ~ ! d" certify that the above inspection has . been made. OFFlCE USE ONLY Tnis request voitl 18 montns from / Report Name: Owners City of Eagan Printed:09/06/2005 Page: 1 Owner Report 10-16901-020-01- 3830 Sibley Memorial Hwy Owner Owner Name Owner Address Citv/State/Zip Owner Taxoaver Residenl Che D~ ate I Current Owner(s) II Bassil Dyab 3830 Sibley Memorial Hwy Eagan MN 55122 y Y Y 101071200; #11""c1tVoFaagan PATRICIA E. AWADA Moyor PAULBAKKEN BEA BLOMQUIST PEGGY A. CARLSON SANDRA A. MASIN CouncilMgmbers June 23, 2000 THOMAS HEDGES Ctry /+tlminrsrrotor Per our inspection dated June 21, 2000, at 3830 Sibley Memorial Highway with Steven Bannister, all cooking equipment will be under the cooking hood and the fire suppression system will be brought up-to-date to meet the minimmn requirements of the code per his dtawings. ~ Dale Weglei ner ~ Terry Zelenka Fire Marshal Combination Building Inspector MUNICIPAL CENiER THE LONE OAK TREE MAIMENANCE FACILITY 3830 PILOT KNOB ROAD THE SYMBOI OF STRENGTH qND GROWfH IN OUR COMMUNIN 3501 COACHMAN POIM EAGAN. MINNES0IA 55M-1897 EAGAN. MINNESOTA 55122 PHONE: (651) 681-4600 PHONE: (651) 601.4300 Fnx: (651) 68 1-4512 Equal OppoAunlty Employer FAX: (651) bB t-436o TDD: (651) 454-8535 wwW.CMpf9pAOn.COT TDD: (651) 454-8535 r1t'G MEMO - city of eagan MEMO TO: Mike Ridley, Senior Planner FROM: Erik Slettedahl, Planning Intern DATE: August 31, 1995 SUBJECT: Hussein Ansari Conditional Use Permit-Texaco September 7, 1993- The City Council approved a Conditional Use Permit allowing a motor fuel station and pylon sign on Lot 2, Block 1 Cedarvale 2nd Addition. January 19, 1994 A letter was sent from City Planner, Jim Sturm reminding Mr. Ansari of the following conditions that must be met by June 1, 1994: A. Condition #4 states that a landscape plan shall be reviewed and approved by Staff prior to issuance of a building permit. The approved plan was submitted to the City on October 22, 1993 prepared by Keenan Landscaping. B. Condition #8 states that a trash enclosure shall be attached to the building and constructed of the same building materials. The June 1, 1994 deadline was an extension granted to Mr. Ansari to ailow enough time for completion of the landscaping and trash enclosure. Typically, these items should be completed by the time a Certificate of Occupancy is issued. A copy of the letter signed by Mr. Ansari is attached. June 9, 1994- The Texaco site was inspected and neither of the above conditions had been met. July 7, 1994- A notification was sent to Mr. Ansari from Shannon Tyree informing him that he is now in violation of City Code and the Conditional Use Permit. November 14, 1994- Mr. Ansari sent a letter to the Mayor of Eagan asking to speak at the next Councii meeting to explain why the conditions have not been met. The letter mainly addresses financial hardship associated with the construction process and that they feel they are being singled out because surrounding businesses have not been required to provide improvements on their property. November 29, 1994- Mr. Ansari met with Planners Tyree and Ridley to discuss the site. See attached copy of ineeting notes. August 31, 1995- The site was reinspected and showed no attached garbage enclosure and no new landscaping. - ,(,.2~ /~1, r~~ a•? city oF eagan THOMASEGAN January 19, 1994 MaYO, PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN MR HUSSEIN ANSARI THEODORE WACHtER 3830 SIBLEY MEMORIAL HWY couocll Marotiei: EAGAN MN 55122 iHOMAS HEDGES ' . City ACmin6liator DC8r MI. AOSSfI: E.J. VAN OVERBEKE Cily Cleik On September 7, 1993, the City Council approved a Conditional Use Permit allowing a motor fuel station and pylon sign on Lot 2, Block 1, Cedarvale 2nd Addition. Condition #4 states that a landscape plan shall be reviewed and approved by staff prior to issuance of a building permit. That plan was prepared by Keenan Landscaping and was submitted to the City on October 22, 1993. Please be advised that this landscape plan must be implemented by June 1994 at which time City staff will inspect for compliance. Condition #8 states that a trash enclosure shall be attached to the buildins and constnacted of the same building materials. This trash enclosure must be constructed byJune 1, 1994, as well. Failure to complete these items would place you in violation of your Conditional Use Permit. TypicaUy, tliese items must be completed by the time a Certificate of pccupancy permit is issued. T3est Wishes to you in your new endeavor. The City is excited to see redevelopment in the Cedarvale area and hopefully this extended time table wili allow you enough time to get the required work completed. If I may be of help regarding the ]andscape requirements or installation, please feel free to contact Project Planner Shannon Tyree at 681-4687 or myself. SincerelyM~,~C ~ Jim Sturm City Planner JS/js ! cc: Peggy Reichert, Director of Community Development Shannon Tyree, Project Planner ' ' I, Fiussein Ansari, agree to complete the landscaping and {r;tsh enclosure requirements by June 1994. ILYN L WUqiEi1P 10 { _ Owner. NO7Al1YVY6UC-MIN so.. DAKOTA COUNTY MUNICIPAL CENTER THE LONE OAK 7REE 1 • ~ FACILIIY 3830 PI101 KNOB ROAO iHE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV 3501 COACHMAN POINI EAGAN, MINNESOtA 55122•1897 EAGAN. MINNESOtA 55122 PHONEt(61Z) 6B1-0600 PHONE:(612)6B1-d300 FAX: (612)681-4612 Equal OppoitunBy/Alflimotlve Actlon Employei FAX: (612)661-4360 IDo: 1G171 45AA535 . fbD' /AV1 A5A•85]5 - _ _ . -1- . , - - --1- - - ~ _ ; _ i •.J , ~ ~ , - - - - jC~ ~ ~ • _ - - - - - - _ - - i - - ~ j ' _ 1. ~ - ...I . ; ; ~ i - - - - s - _ - - - - - - 9 ~ 1 , . , - , ~ , L- - - ~ - _ - ) , ~ ; . ~ . i. _ . ..1 - ~~J- - - ~ - - - - - ~ - i ~f i ~ - I . - - 7 ~ , - - t - = - - ; - - - _i - - ; ~ - _ -f-0 ' - - - , ; _ , ; _ - t , ; . . _ , ~ - _ _ ~ , _ ? _ - ; _ ~1 : , - ~ - - - - - - - ~ + . ~ ~ , . ~ _ _ _ ' ; ; _ ; A~ , ~v - - - - ' - - - - ~ . ~ j C+ ! - - ~ - ~ _ _ _ ~ ' ~ ~ - ' ~ - = i I - - - ' _ - - - , i . - _ ~ ~ - - • - ~ - ~ : _ _ _ _ i - , ~ ~ - - - - - ~ - ~ 4 ~ - - 1,------~--- - - - ~ i ~ ~ i : • _ - - - - ' _ _ _ ' . . ~ ' MEMO citv of eaaan TO: Mayor Tom Egan City Councllmembers THRU: Reggy Reichert, Community Development Director FROM: Shannon Tyree DATE: December 15, 1994 SUBJECT: Conditional Use Permit - Lot 2, Block 1, Cedarvale 2nd Addition. A meeting with Mr. Ansari was held on November 29, 1994 to discuss the conditions of approval for the Conditional Use Permit approved for that use on September 7, 1993. The Conditional Use Permit was granted allowing the use of a pyion sign and an automobile service station for Lot 2, Block 1, Cedarvale 2nd Addition with 11 conditions. During our meeting Mr. Ansari expressed that when the Conditional Use Permit was being processed his main concern and focus was to have the "idea" of the Texaco approved and not all all of the conditions. He also informed us that he sees the Texaco station being developed in phases. The first phase is the Texaco station itself; next is the car wash and then finally a Texaco Quick Lube. The Texaco Station has a kitchen inside as well as a drive-thru window (remanent of the former RAX restaurant) Mr. Ansari originally used this as a deli. However, that part of the business was not doing so well and so they decided to discontinue it. Mr. Ansari has had discussions with Subway Fast Food Restaurant about occupying the space. ~ i• . r I *dt%) oF eagan THOMASEGAN January 19, 1994 Moyo, PATRIqA AWADA SHAWN HUNTER SANDRA A. MASIN n1R HUSSEIN ANSARI THEOOORE WACNTER 3830 SIBLEY MEMORIAL HWY CouncllMpmber5 EAGAN MN 55122 7HOMAS HEDGES City AdminlsltOlor DC3r MT. AILSSl1: - E. J. VAN OVEReEKE Clly Clerk On September 7, 1993, the City Council approved a Conditional Use Permit allowing a motor fuel station and pylon sign on Lot 2, Block 1, Cedarvale 2nd Addition. Condition #4 states that a landscape plan shall be reviewed and approved by staff prior to issuance of a building permit. That plan was prepared by Keenan Landscaping and was submitted to the City on October 22, 1993. Please be advised that this landscape plan must be implemented by June l, 1994 at which time City staff will inspect for compliance. Condition #8 states that a trash enclosure shall be attached to the building and constructed of the same building materials. This trash enclosure must be constructed by June 1, 1994, as well. Failure to compiete these items would place you in violation of your Conditional Use Permit. Typically, tliese items must be completed by the time a Certificate of Occupancy permit is issued. i3est Wishes to you in your new endeavor. The City is excited to see redevelopment in the Cedarvale area and hopefully this extended time table will allow you enough time to get the required work completed. If I may be of help regarding the landscape requirements or installation, please feel free to contact Project Planner Shannon Tyree at 681-4687 or myself. Sincerely, Jim Sturm City Planner JS/js cc: Peggy Reichert, Director of Communiry Development Shannon Tyree, Project Pianner ! l, Flussein Ansari, agree to complete the landscaping and trash enclosure requirements by June 1, 1994. RILYN L WUCHERP IG ~CT. ~ '}A ~TApY P~UC - MIM SOTA DAKOTA COUNTY MUNICIPAI CENTER THE IONE OAK TREE fi FACILITY • 3830 PitOT KNOB ROAD THE SYMBOI OF STRENGTH AND GROWTH IN Ol1R COMMUNITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122~1897 EAGAN. MINNESOtA 55122 PHONE: (612) 681-4600 VHONE: (612) 681-4300 FAx: (612) 6e1-4612 Equal OppoduNfy/Afllrmalive Adlon Employer Fqx: (612) 691-4360 iDD:(612)d5A-B535 iDD:(612) 454-8535 Serial # 7 i ~ 2 ChiP # 0 3s9 y s~ 9 .p Permit # Address: .3£S' 3 d 10 1 AGREE TO COMPLY H CI'Ix~ J~N ORDINANCES s `t1 ~ Signature: ~ - - ; A - _ _ . ~ :1L At-4,~ ~ . - . . ~ . . , ~ . . _ . - . . k?~ ~ .;Y.;r.. . , : . . . . ' . , ~ ' L'r ~ H E!1 O R]1 N D IJ H TO: JIM S'TUR19, CITY FL1\TTIIER FTT GEAGAN, POLICE CFIIEF JOt1 fi0i1FN5'PEIM, ASSIS'tA1TT TO 'CI[F. CITY ADM.T.HIS`PRTTOR DTLE WEGLEITt1ER, FIRE MARSf1AL BILL AKINS, ELEC'PRICAL INSFEC'COR PUBLIC WORKS/EflGINEF.RIIIG/OT:[L:ITIES/STRF..E'PS , GENE V7INOVERflEKE, FINAt1CE DIREC'I'OR RICII BRASClT, WATER RFSOi)RCES COORDINATOR FROMs DOUG REID, CtlIEF BUILDItIG OFFICIAL D11TE: IC) 0' I I 'W I~ RE: PL71N REVIEW The _ preliminary X construction pl7ins for ~'1?~r_t~~I / are in our plan review section for your review and comment. Flease return this form to Joe Merchak with your signed comments and ttie date vf review. A"HA~ If you have any ob}ections to approval of these plans, it is your responsibility to notify this depar.tment and resolve any proh].ems with the affected parties. If you are requestinq that the issunnce oE the buildinq permit he held, please fill out the proper hol.d reqnest form. Thank-yoti- COHMENTSs A-49 n h G i ~1 iJ/7 C l 2. /U<I/7IYt•61c/ n ure UTte sign O, ` PERMIT ~ CITY OF EAGAN 3830 Pifot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 2 4 6 3 (612) 681-4675 Date Issued: 11 / 0 3/ 9 3 SITE ADDRESS: 3830 HWY 13 LOT: 2 BLOCK: 1 EDARVALE 2N~ P.I.N.: 10-16901-020-01 C P` DESCRIPTION: B~t'ildfnr,~ .Permit Type COMM./IND. MISC. ~uild3ng'l'~ork Type ALTERATION ~ OBC (ICcupan.cy_, B-2 B-1 {f ° ! G , /r Y \'d F/ qj REMARKS: FEE SUMMARY: VALURTION $40,000 Base Fee $349.50 (3 SITE-SPECSFIC $.00 Plan Review $227.18 5AC CREDITS) .00 Surcharge $20.00 7ota1 Fee $596.68 Total Fee $596.68 CONTRACTOR: - Applicant - OWNER: PETROLEUM MAINTENANCE 24848264 ANSARY TEXACO CORP 3172 SPRUCE S7 3830 SIBLEY MEMORIAL WWY ST PAUL MN 56117 EAGAN MN 55122 (612) 484-8264 (612)452-5991 I 40reby acknbwledge thaZ I have read this appl3cation arid staGe that thi5~ a.nfarmativn is ooi-rect a»d agree to ce'mply with a2], appliGahle 5tate pf Mn. StatuLee a d City of Eagan Ordinances. O~Q R,nwG1. ~ APPLICANT/ ERMITEE IGNATURE I SUED BY: IGN~TURE ~ -REACTiYATE• CITY OF EAGAN PERi1I'i #1993 BUILDING PERMIT APPLICATION $Jj,,Lj 12-4 681-4675 cc~1~ .l 1- SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. MERCIAL 2 sets of architectural E structural plans, 1 set of specifications, 1 copy of energy calcs. Venalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change i_s requested once permit is issued. Date / n Valuation of work 40 , o 0 0 Site Address: 3 g,3 a S~ b le7 /hv~w~ rio-~ "w!;:X _ iTREEi iU1TE 1 Tenant Name: (commercial only) T-eYa,C-Z IAT B1ACK FSUBD. 1 Y.I.D. M Descri tion of work: The applicant is: ? Owner ~Contractor ? Other (Describe) Name A* SaA.-,c T~racw~.e Go r~ . Phone ySl- S99 ( P!'OD@I'ty usT fIRST Owner Address 393o rr~.-rajL l-~w ' STREET STE 0 City State 1n ed ZipS Company L+ D Lo~..'f~'a ky -1~1,;41+rm Phone 48~F- 81(W' 317 ~ S rk ,e, 11"~G~nterrr,ce Co ntra ctor Address ~ c License # Exp. c;ty L;+41.q- Cav,.o.e2o... State !~rj ' ZiP SY 117 Company Phone Architect/ Engineer Name Registration y Address City State ZjP Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply ' all applicable State of Minnesota Statutes and City of Eagan Ordinances. - Signature of Applicant: t OFFICE USE ONLY ~ . BUILDING PERMIT TYPE ~ O 01 Foundation ? 06 Duplex ? ll Apt./Lodging4,,D 16 Basement Finish ? 02 5F Dwg. O 07 4-Plex ? 12 Mult1. Misc: " -?'i'T Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory :R 18 Coam./Ind. ? 04 SF Porch ? 09 12-Plex O 14 Ftreplace ? 19 Coium./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck E3 20 Public facility ? 21 Miscellaneous WORK TYPE ? 31 New 33 Alterations ? 35 Tenant finish 037 Demolish ? 32 Addition ? 34 Repair ?.36 Move GENERAL INFORMATION Const. (Actual) " Basement sq.,ft. MWCL System (Allowable) lst Fl. sq. ft. City Mater UBC Occupancy ~-1 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump i' of Stories Footprint Sq. ft. Fire Sprinkler length On-site well Census Code 4 37 Depth On-slte sewage SAC Code - " 5SO r APPROVALS o , Planning Building Assessments Engineering Yariance REDUIRED INSPECTIONS ' E3 Site 0 Footing JZ framing O Insulation ? Wallboard Final ? Draintile 0 Fireplace Permit fee 314 9,50 v.iu.cip,: . 8 4a.1oao Surcharge Pl,an Review . License " MWCC SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 5&9 SAC % IDO S%'?~.SGEr_jRc SAC Units C35c~2EDiTs ~ ~ Metropolitan Waste Control Commission Mears Park Centre, 230 East Fifth Street, St. Paul, Minnesota SS IO1-1633 ' 612 222-8423 October 29, 1993 Mr. Joe Merchak Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Merchak: The Metropolitan Waste Control Commission determined SAC for the Cedarvale Texaco to be located at 3830 Sibley Memorial Highway witnin the City of Eagan. This project should be credited 3 SAC Units, as determined below. SAC Units Charges: Retail 1568 sq. ft. @ 3000 sq. ft./SAC Unit. 0.52 Gas Pumping 1.00 Net Charge: 1.52 Credits: Rax Restaurant - Paid 8/78 5.00 Net Credit: 3.48 or 3 ********,t****tc**~**,t,t,t,t,t,t***,t*******,t,t,t******,t********,t*******,k****,t,t If NET SAC UNITS is a CREDIT BALANCE, please indicate how many will be reserved as Site-specific ~ units of credit(Form 92RCR) or taken as City-wide units of credit(Form 92A). After credits are taken in this section, send a copy of this letter to the SAC auditor at the Metropolitan Waste Control Commission. If you have any questions, call Jodi Edwards at 229-2113. Sincerely, Ro~ger W JaLg* Planner RWJ:SLE 93102952 - cc: S. Selby, MWCC e t~ q Carolyn Krech, Fi~uelOpporWniry/Attlrmadvell~tlon~mployer Michael Zetzman ~ ~A, ~ sraTe oF MiNNesoTa DEPApTMENT6FPUBLICSAFETY '~F1S@ t!o.: 93378-" DIVISION OF STATE FIRE MARSHALL 2&5 BIGELOW BUIIDING GSONORTHSVNDICATESTREET t:.F.C.A. Certification Nuniber: 0037 ST. PAUL; MINNESOTA 55104 TELEPHONE: (612) 643-3080 ` Proposeo Date cf Installation: 10/18/1993 `i'DD: (612) 297-2100 Late of Preliminary Apprcval: 10/05/1993 Gctober 6, 1943 Fetroleum Naintenance 3172 Spruce Street st. Faui, rari 55117 Ed Fuchtel (612)4E4-$264 RE: Niediterranean Cusine (Ansari Corp); 383~, .,Jtley HUJ,way, , Eagan, I.N. 55122, uael Ansari- (612)452-5991 ` - Instal3aticn of- three,.un~'~a+~2§ beE&7~e.") oi'---- - - gasoline and diesel fuel at.a self service station. Leak fletectior and overfill protection to be provided. 4'0 47hom it may concern: The pluns for the above inst411ation have been reviewed pursuant to "inneseta Statutes, 1984, Chapter 299F.19. freliminary approval is given for the aforementiened project avtject tc compliance Nith the proeisions of P•:inneeota Ststutes, State Fire Piarahal Regulations, and local orainances and permits. Construction shall be in ' conPormance with Article 79, Flammable and Combuatlble Liquina, contained A in Minneeota Uniform Fire Code (1991 edition as amended). Final approval rrill be Qiven folloyinp an inspection of the facility by either your area local fire authority or Deputy State Fire P~arshal. Approval of the project describeti in thia letter does not zelieve the applicant of responsibility to other Federal, Stzte or local agencies regardinp adherer.ce to regulations or the need to obtain necessary approval. - fuestions concerning thd:s ptnjsc5•#Bld be addreesed in ririting to 'our office for a formal response. Please refer to the file number listed above in al]. future correspondence concerning this pro,ject. Yours very truly, Thonas R~. $ra Qta e Fire P•:arshal I'1 < lpehlin State Fire Marshal - CoQe Specialist uty EP,a vs 0801745 (7M) FIRE DEPARTMENT DEPT.. GF'RG,FODD INSP. TEL No.612-297-5637 Oct 28,93 8:55 No.002 P.01 ~ . ~ Post-It'" brend iax tranemlttal mornu 7871 Ff ap.pg P ~ c = y " a,& o 4, f'l pao. Plw~re eFl , 7 . 217 K YM R ~ 7' • ~e . Minnesota Department of Ariculture Octobex' 27, 1993 (612) 297-5312 CeddTVdle TeXACO FOOd MdXt 3830 Sibley Memprial Hwy Eagan, MN 55122 Dear Manager: This carrespondence 1s to confirm receipt oP the plans end of a gubsequent pbone conversation oovering the Cedarvale Taxaco Food Mart, located at Eagan, Minaesbta. The plarre and speaifications appeaz to ba in general oonformity with the standarda of the Minnesota Retaii Food Store Rules and with this Depar.tmant; however, the failowing items, additions and\or clarificatians are necessary: 1. All food service equipmant must meet the applicable Standards of ConstrucCion of the Naticnal Sanitation Foundation (NSY+). 2. Snsure that the interior anfl exterior exposed wood areas of the custom fabricated faod and beverage counter are covered with a pressura laminated piastic material and is in Conformance with NSF Standard No. 35 (Laminated Plast4cs for Surfacinq Food Service Equipment). 3. Trie food and bevaraqe counter must be installed on a minimum of six inch sanitary legH. 4. The walls and ceiling in the foad preparation, utensil washing and toilet room areas must be amooth, nonabsorbent surface, including an approved ceiling above the food and Heverage counter. 5. EnffiurB the lights over the deli/food service prspaxation, utensil washing, and storage areas are either shieldAd or shatterproof. 6. All junctures betwean the wall suxfaCe ana the edqeg of attached equipment must ba sealed with approved caulk/sealing compound (e.g. throe oompartment sink, »and sinks, etc.). • 90WmtMmoHaulcvnnd • 5.'vxPaut.M'umr.arra55107-NN4 • (612)297•7200 • Tn0(612)297-5353l1-W"V•3.n9• hi Mal eGVU1nM1Y emt~~N . R=94% 612.297 5637 10-28-93 09:43AM P001 Si34 DEPT.. DF-AG~FOOD INSP. TEL No.612-297-5637 Oct 28,93 8:55 No.002 P.02 Cedarvala Texaco Food MaYt octaber 27, 1993 Page 2 7, The plans and epecifications did not depict a ut111ty serviae sink. Fnsure a mop sink is providod in the storc. B. The floor surfaces in the food prnparation, food sCoraqe, and utensil washing areas must be aon8tx'uCted of smooth, durable, nonaboorbent, easily cleanable materials Which resist tha wear and abuse to whichig eY ara aubjeated• sased on a ghona Convsrsation, ier our Fgo ethat aning e area floors w311 n COthe nsist 1 oY quarry and back Utensil tile. 9. Either adequate space or a ehield muet be provided between the hand sink anfl three compartment sink to pxeclude from utensil contamination by splash. iD. The food storaqe shelving usefl in the walk-in refrigerators must be NSF apProved stainless steel, factory pre-coated epoxy or Metroseale or othar approved material designed Por thia type o£ environment. Criromei6dZhardPbaked vithout approved factory appy is not approved far thig purposs. 11. Adequate AqAn~oved NSF or equivalent ahelving covering the Yood aervice oparation must be provided to ensure that food products, utensils or single service artiales are stored at least six inches off the floor. iz. All junctureg hetween the wall surPaae and the edges of attaeshed equipment musE be aealed with approved caulk/sealing compound (e.g. thxee compartment sink, food and beverage counCer, hand sinks, stc-)- 13. In accprdance with the Minnesota Clean Indoor Air Act, this establishment ahall be posted as NO SMOKItiG ALLOWSD. Sicjns 9ha11 be placed at public entrances. 14. Toilet rooms mugt be pxovided with self-aloeing doore, adeQuate ventilation, hand cleanser, single-use towels or hand dryinq devices, tiaeue paper and wasta paper reveptacles. Toilet rooms used by women gha11 have at least one covered wsste raceptacle. 15. The fountain pop machine must be saaled to the counter or elavated on a minimum of Eour inch sanitary leqs• 16. Appropriate placardinq must be posted at tha self- aerviae bakery caee inatrUCting the customer to use the tissues or tonqs provided an3 to indicated that some bakery products may contain FD & C Yellaw No. S. R=95% 612 297 5637 10-28-93 09:43AM P002 #34 DEPT.. OF-M•FOOD INSP. TEL No.612-297-5637 Oct 28,93 8:55 No.002 P.03 , Cedarvala Texaao Food Mart Ootobex 27, 1943 Page 3 17. Ensure that lapels are displayed at the self-service heverage dispgnsar to inolude: 1. name of baverage; Z. any artificial aolorinq; and 3. listing oY proservatives(s) and its funetion. This Racility may not be constructed, remodeled ox cariverxed except in aceordanca with the plans and speaificatione as approved by this Dapartment. Please contaat me Eor approval oP any pXeposed ohangas or additions. You are authorized ta begin canstruotion on this Rrojeat contingent upan meeting the aPnrementioned ariteria. Should you encounter any probiams throughout the aourss of your construction or equipment installation activities, pSease leel free to call on ma to disauss alternativea which may be available to you. Thank you Ear your aonsiderstion and cooperativn in addressing the ztems outli»efl in this letter. Please natify Food Inspector Tezry Scheiber at 612-246-2627, prior ta completion so that a aanstrnction inspection may be scrieduled. The retail Pood fscility aanaot open for busiaess unt11 it Aas been inagectied and epprova6, and en appropxiate license is iasuea py this departmeat. Ishall remain available for consultatian and review of your facility's construction progrese. Sincerely, ~Lorna K. Girard, R.S. Food Standards Compliance Officer Food Inspection DivSGion LKS:rw cc: Howard J. Andexson, Assistant Aireotor, Food Inspeation charles Klammer, Supervisor Terry 6cheiber, Food Inspector R°95% 612 297 6637 10-28-93 09:43AM P003 #34 PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 2 4 2 9 (612) 681-4675 Date Issued: 11 / 01 / 9 3 SITE ADDRESS: n5~ 3830 HWY 13 LOT: 2 BIOCK: 1 CEDARVALE 2ND DESCRIPTION: (CANOPY) B,uild_i_n'g, Permit Type COMM./IND. MTSC. Building lJork Type NEW ;'Building Length 42 ~ Building Wzdth~ 44 1 `-1 REMARKS: FEE SUMMARY: VALUATION $9,000 Base Fee $108.00 Surcharge $4.50 Totel Fee $112.50 CONTRACTOR: - Applicant - OWNER: PETROLEUM MAINTENANCE 24848264 ANSARI TEXACO 3172 SPRUCE ST 3830 HWY 13 ST PAUL MN 55117 EAGAN MN (612) 464-8264 I hereby aoknowledge that I have read this applicetion and' state that the information is correct and agree to comply with all applicable State ofi Mn. Statutes and City of Eagan Ordinances. APPLICAN7/PERMITEE SIGNATl1RE ISSUED B: SI N TUR k REAtT:'vATE _ CITY OF EAGAN pERMiT # 1993 BUILDING PERMIT APPLICATION 41 681-4675 LSINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. . COMMERCIAL 2 sets of architectural & structural plans, 1 set of specificatioos, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is thanged or 3) lot change is requested once permit is issued. Date Valuatlon of work 77~7c'G Site Address: 1461~ ~ 2_-76~ SiREET SUITE 0 Tenant Name: (commercial only) A/t~z ;~14ko IAT __L_ BIAC& SUSD. /~.uan -„I~/~ P.I.D. N Descri tion of work: The appl i cant i s: 0 Owner ? Contractor ? Other (Deacribe). Name ~.~~~21 %zx'Phone Property LA51 FIRST OWn@f pddress ~36 SiREET SfE r City State Zip Company Phone Contractor Address License d Exp. City State Zip Company Phone 2/s'0~f -S796 ArchitecU Engineer Name ~~Zz Registration / Address ZZ ' City State _ Z4~_ Zip ~ Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that 1 have read this apPlication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT 7YPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodgingp 16 Basement Finish ? 02 SF Dwg. O 07 4-Plex O 12 Multi. Mise. El 17 5wiin Pool O 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Coam./Ind. ? 04 SF Porch p 09 12-Plex ? 14 fireplace fia 19 Coimn./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 11 20 Public Facility ? 21 Miscellaneous WORK TYPE ;ir'31 New 0 33 Alterations CI 35 Tenant Finish ? 37 Demolish O 32 Addition O 34 Repair ?.36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC 5ystem (Allowable) lst F1. sq. ft. City Mater UBC bccupancy 2nd F1. sq. ft. PRV Required 2oniny Sq. Ft. total Booster Pump 1~ of Stories Footprint Sq. ft. Fire Sprinkler length On-site well Lensus Code ~J37 Depth On-site sewage SAC tode - m APPROVALS p. Planning Building Assessments fngineering Variance REDUIRED INSPECTIONS CANOpY ? Site ~ Footing ? Framing O Insulation ? Wallboard E,Pinal ? Draintile ? Fireplace Permit Fee U a wimccm: $ ~UJ~ Surcharge u, 50 Plan Review License • MWCC 5AC City SAL Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC X SAC Units V~1-CO loo~ 10•4J rRUI'I ILI -pl rMUL-UCV/LUIV IU ~404C000 r.GC OCT-26-1993 09: 28 Ft2OM PEfRa,Q-M I'laIhRFlACJm CII. TO 669r7349 P.02 (Te be npd 3.a siooordanea orlcA the "ouidIDliaSS !Or SyfCisl Iuipwtioa snd Testin9') ~ rxOMaca' xAM C2G? r4~i ~ rltwsCr mo. ' LOC7?TIRr A~R1tI= IpO. Leation TM o! Aspore lus pa~d / h 0 M I sTY1~0 I , i 1foleaf ' 2his wcl+ednie ta be filled out aad iao2udod ia the ytsojanC tpaeilleati0n. Internetion ' nnavaLleble at bhat timo to be filled nut rlue tppl7inq !or a buildinq pertnit. , (l) P6ea+l! No. to Lo provided Ay bha 6ui1d1sW 0ltieial. (2) vse Eeoariatiene par V.D.C. seeiion 306. • (3) sWial Inspector, Testinp Agrsnt or 1'abeleater4 (1) Pirm oontractod te perform secvieto. 71CI1'110MLSD0l~Tt 8ach epFropsiata rrprosentsiiva mvoC slqn DolOMs onneri lirms batos Coaer•etour: Pirrat Catsl AResitsei: Yirete patiQl AERf liri0.t Dat*1 • S2s *iselt DatOI •410 tirmi= -d" J" . Atet ~ T7~e Yss~et .yr ' DaLts / rismt psl~s Yithe• Datos • TDe 1m1ividua1 nano@s oe •11 proepeatlvro spselal inepoctoes erd the work thay intaMs to obserro mueL be idontifLed on the swvaeso sida ef tbla form. J,eqsnd: S8A ¦ ffiCrisetnrai Sngif+Qaz o! R~e SI ~ BgOOlnl xnspeetor TA o ~PosLir~q ~nt ~ ! ~ t~l~.CACOr l1ec~lod !or the iuildLng Depuslewnt Ly ~ ' ~c ?G2 oate: 19~5 1'OTA- P.02 TOTRL P.92 OCT eG 10'73 13%a1 rf:OM f'CTI:OLCUM MAINTCNANCC C0. TO ZRIIL Mf'LS. f'.01 R068 CITY CANOFY COMPAtaY n a nQ)( ~ u~ cAGyZ tlhNUi Mq. >b446 218 738-3188 10/2a,o3 retrolsum Mai»teaaium 3172 SPruce St., E:. nS::. r i`I::. Ati.i~: Tblli Danr Tom: In reference to tiie canppy wg dre to builci aE the Meflii,craheen Cuisine in Earjan, Mn,, tihis letter is to conlirm that i,p are buiidiny the canopy accardinq to TrC enginccr speeificeition9 anA t3rawinqe. Thia will bW dona Sn a qOnr.3 vn.kmanship txa!;^2r, ir Y4U ];CEci ._:aY U^r -I..:o.... ~ t«t.n, :d_ _ •a~ gt ,.asoe free t:o aali. SincerelY, 4&z. stovs cooawin SG/ekg TOTf1L P.01 ~ FCr., F.01 ~ . • . , , . . c a...JUJ Or. 'r1465b0 1~ 2t~ ~ 5968 . ic , . e..~: ~ u'• L`f -~t 3 fi,s~tsL•~~on No~ f1~ q.., V s' i r x ~ ~75~ Ql~'L'"~ y y~~ y~.£ ~ a~.. Yya ~i3F3 a.. H u~'~ r££ Yt a~na s s `a 3 ) ~.Bw~p..t ~ s3 y'.£$~ r'¢,~gMy~'¢s ~p=a iRi: i`i*:; rs-h p j 4 i i by ..Eyc~ q w8``~ riacyl~x~-£§~i ~ e~t~ i~xL $ 3 3i x. s 1993 MECHAMCAI. PERMIT (COMMERCIAL) C1TY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALI: COAqvfERCL4UiNDUSTRIAL BUII.DINGS.~ALSO COMPLETE FOR APARTMENT BUILDIIVGS OR OTHER NdiJLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: fD f~/ ,~g~ CONTRACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: 3'~~~~~~~ ,Q~~~f~ ~,P~ O~i,~?U FEES I% OF i.:t7lv l~t tlCT FEE $'7"S-z'~J 0 PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. . .4. TOTAL $ hG~rS O~ SITE ADDRESS: OWNER NAME: L~i&~&/ &4oa TELEPHONE TENANT NAME: (IMPROVEMENTS ONL7) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATU E OF PERMITTEE CITY WSPECT i ~ e x . y ~.aars: . s . . . . . a...~«<- < z,.e3..4~i„YS 1 ' s3nf~ Ktt. xx~.,.. 1993 MECHANICAL PERMIT (RESIDEIVT7AL) CITY OF EAGAIH 3830 PILOT KNOB RD FAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLWGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNTT. - - - - - - - NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACB DATE FEES HVAC: 0-100 M BTLJ $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 C` $3.00 EACH) ADD-O?v'/REMODEL (Exls'I'ING CoNSTRUCi'ION) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE WSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE ity oF eagan 3830 PILOT KNOB ROAD. P.O. BOX 21199 aFA eLOM9U6T EAGAN, MINNESOTA 55121 Mo`or PHONE: (612) 454-8100 1HOMA5 EGAN .LWNES A SMITH VIC ELLISON 7HEODORE WACHiER Council Mainbe's February 13, 1987 THOMAS MED6E5 Cih~minbhala EUGENE VAN OVERBEKE CiN Cw~n MILLER & SCHROEDER INC PO BOX 789 7900 XERXES AVE S MPLS MN 55431 Re: Zoning for the Rax Restaurant Located at 3830 Sibley Memorial Highway 10-16901-020-01 (Cedarvale 2nd Addition, Lot 2, Block 1) To Whom It May Concern: Please be advised that the Rax Restaurant site, located at 3830 Sibley Memorial Highway, Eagan, MN, is presently zoned Commercial Shopping Center (CSC). Tbis zoning designation permits a restaurant such as Rax as a conditional use. A Conditional Use Permit has been issued for 3830 Sibley Memorial Hiqhway. The above-referenced site is located in Flood Zone "C", a ninimal flood zone area, and also has utilities in place serviced by the City of Eagan. I trust the enclosed sufficiently meets your needs regarding this matter. Feel free to contact me if you have further questions. Sincerely, ,~h~ Dale C. PULCity Planner DCR/jj THE LONE OAK TREE. . iHE SVMBOI OF STRENGTH AND GROWTH IN OUR COMMUNIIY ~ r HAUGE, EIDE & KELLER, P.A. ~ PAULH.HAUGE ~ ?'~Ho"tteu5 al ~ oia KEVIN Nl EIDE T0~1'N CENTRF PROFF,SSIONAL BLDG., SUITE 200 onvio G. Ke~LeR ` 1260 N':1\IiEE DOODI.E ROAD IORI M. BELLIN I'ACAN, 7%1INNF.SOT.a 55123 DEORAE. SCHMIDT (612) 456-9000 June 19, 1987 ~oT Z, 13t.cJ...K C.GVJa2~/~ Lv' z M~ ~a Mc. David Grannis, III , Gtannis, Grannis, Farrell & Knutson, P.A. 161 N. Concord Street ' South St. Paul, MN 55075 RE: Cedarvale Bowl/Rax Roast Beef/Country Club Market Dear Dave: I talked with you several days ago about the City of Eagan improvement project hearing that was held last Tuesday, June 16, to consider certain improvements to the north/south right-of-way between Beau D'Rue Drive and Cedarvale Boulevard adjacent to the three properties that are mentioned a6ove. The'work would include improvements to the access from Cedarvale Boulevard, some landscaping near the Country Club Market and some storm sewer improvements. You indicated that you were aware of the project and that you represent DCR Company, the owner of the Cedarvale Bowling Lanes: In recent weeks, the City has been requested by Rax Roast Beef to, in the first instance, give a guit claim deed to its interest in the easement right-of-way and, failing that, to acknowledge that it has not maintained the right-of-way. The City Council has been reluctant to approve any such acknowledgement because of the reluctance of the, particularly Country Club Market, owners to improve their access and landscaping on the northwest sides of their buildings. A public hearing was held about two years ago for similar improvements and at that time Country Club Market representatives indicated that they would improve the site to the City's satisfaction but have failed to do so after several requests. It was brought to the Council's attention on Tuesday night by Tom Colbert, the Public Works Director, that posts have been driven into the easement right-of-way to obstruct the traffic, and this letter constitutes notice to DCR Company on behalf of the City of Eagan that the obstructions must be removed immediately to allow public access to the public easement. . Mr. David Grannis, III June 19, 1487 Page Two I would direct you to two different methods that relate to acquisition of easements including the standard doctrine of prescription whereby a street used by the public for a peciod of fifteen years may become an easement if it fulfills the conditions required including continuous open actual hostile and exclusive use. In addition, M.S.A.§160.05 relating to dedication of streets and roads, provides as follows: "When any road or portion of a road has been used and kept in repair for at least six year continuously as a public highway by a road authority, it shall be deemed dedicated to the public to the width of the actual use and be and remain until lawfully vacated, public highway whether it has ever been established as a public highway or not." It is my understanding that the City has not maintained the roadway and therefore, M.S.A. §160.05 may not be applicable but in any event, from information that the City has received, the use by the public has been in excess of fifteen years. I further direct you to the application of DCR Company which was considered by the Eagan City Council in 1974. Enclosed is a copy of the Eagan Advisory Planning Commission minutes of July 25, 1978 regarding the preliminary plat for Cedarvale Second Addition which included a requirement that curbing would be included on the entire length of the alley adjacent to the Country Club Market. In addition, enclosed is a copy of November 20, 1979 Eagan City Council minutes with the same condition. Also enclosed is a letter dated October 25, 1979 from Tom Colbert to Dick Sttyker relating to the curbing. In addition, the Cedarvale Second Addition plat reflects a utility and drainage easement over the northerly thirty feet of the plat in the location where the roadway exists. Based upon this information, the City therefore requests that DCR Company or any other party responsible for installing the barricades remove them immediately and restore the roadway to its former condition. Very truly yours. HAUGE, EIDE & RELLER, P.A. Paul H. Hauge PHH:jjm Enclosures cc: Tom Colbert E w BAUDLER, BAUDLER & MAUS ATTnNNEYS Ai LAW 110 NO. MAIN STRF.l:T 704 SOUifI BROADWAY P.0.90X 1168 AUSTIN, MINNESOTA 55912 SPRINf. VAI.LEY, MINNESOTA 55975 TEI.. 50)/I)y3391 TEL 507/3~7101 WILLIAM 1 9AUDLER I.AWRENCE E. MAUS aicunaocnnuDLers JU112 4th, 1987 URY.4NJ.0nUOLFR Reply to: RUNERT M. MA115 , P.O. Box I268 Spring Valley, MV 55975 / Mr. Thomas Colbert Director of Public Works for the City of Eagan 3850 Pilot Knob Road Eagan, Minnesota 55122 Re: 3830 Sibley Memorial Highway, Eagan, Minnesota D e a r M r . C o 1 b e r t: Pursuant to our telephone conversation of last week, enclosed herewith please find an Affidavit I have prepared for your signature. As I informed you, my client is attempting to purchase the Rax Restaurant located at the above referenced location, but is unable to close on the property until the enclosed Affidavit has been signed. Time is becoming a critical factor and I would appreciate your immediate attention to this matter. Please note that I have relocated to Spring Valley, Minnesota, and can be reached as indicated on the letterhead above. I will be contacting you later in the week to assertain the current status of this matter. Thank you for your cooperation and assistance. 4 V r t JBUDLER ours, , & MAl1S N L. PALM P.O. Box 1268 Spring Valley, Minnesota 55975 DLP/bs Enc. . STATE OF MINNESOTA ) ss. AFFADAVIT OF THOMAS COLBERT COUNTY OF DAKOTA ) Thomas Colbert, being duly sworn states and deposes as follows: 1. Your affiant is the director of Public Works in and for the City of Eagan, State of Minnesota. 2. Your affiant states that no portion of.the following described property has been used and kept in repair and worked for the past six years continuously as a public highway by a road authority in and for the City of Eagan, State of Minnesota: The Northeasterly 35 feet of Lot 2, Block 1, Cevarvale 2nd Addition, according to the recorded plat thereof, in Dakota County, Minnesota. Further affiant saith naught. THOMAS COLBERT Subscribed and sworn to before me this day of , 1987. Plotary Public County, Minnesota My coinmission expires: Ca-~-----~-~-~ o~ L- -i147 ~ ~ ity oF eagan . 3830 PIIOT KNOB ROAD. P.O. BOX 21199 8FA BLOM9UlST - EAGAN, MINNESOTA 55121 rsww PHONE: (672) 454-8100 iHOMAS EGAN - .IAMES A. SMITH ' VIC ELLISON ' iHEODORE WACFRER . Couricll Members , March 6, 1986 ~o ~s Ne~s EUGENE VAN OVERBEKE -CiN Clerk ~ MA DAVE RADER RAX RESTAURANTS INC 1266 DUBLIN RD COLUhIDUS, OHIO 43215-1094 RB: RSHODII. OF RA% RffiTADRANT AT 3830 SIBLEY lMORI9L HfiY. Dear Mr. Rader: The proposed remodeling of the Rax Restaurant will not require a general building permit. Aowever, eleetrical and meehanical permits should be applied for by the contractors performing the work. It is the responsibility of the : contraeting performing the work to call the City of Eagan, Huilding Inspection Department -.454-8100, for required inspections. ' If you have any questions coneerning this, please call me at the above number. Thank you. ' Sin erely, e~llt~ Steven T. Hanson Construetion 9nalyst STH/js ; t THE LONE OAK iREE...THE SYMBOL OF STRENGTH AND GROY?TH IN OUR COMMUNITY minnesota department of health 717 s.e. delawere st. p.o. bax 9441 minneapolls 55440 0 (612) 623-5000 July 2, 1985 Mr. Steven W. Quigley Regional Development Planner Rax Restaurants, Inc. 2029 Woodland Parkway v St. Louis> Missouri 63146 ~ ! J RE: Remodeling Plan Review for: u C~ Rax Restaurant at 1925 West Frontage Road, Burnsville Rax Restaurant at 3830 Sibley Memorial Highway, Eagan Rax Restaurant at 1560 South Robert Street, West St. Paul Dear Mr. Quigley: We have reviewed the plans and specifications covering the food service equipment layout to serve the above designated projects. Based on your review of these plans and specifications and of our discussion of June 25, 1985, we have the following comnents to offer: It is our understanding that the folldwing conditions will apply, namely, that - 1. Al1 new food service equipment installed will meet the applicable standards of construction of the National Sanitation Foundation (NSF). 2. Primary food preparation surfaces (tables/counters) will be of stain- less steel construction in conformance with Standard No. 2 of the NSF. 3. All existing equipment will be in good repair and perform up to opera- tional expectations. Approval of the existing or used equipment t+il] be made by the irspecting sanitarian on final construction inspection. 4. All equipment will be installed so that it is easily cleana6le, with six inch sanitary legs, casters or sealed atop a solid masonery base. There shall be no construction of equipment with enclosed bases. 5. That a splash shield(s) will be installed at the kitchen hand washing lavatory, so as to preclude splash and contamination from occurring to adjacent activities et the three compartment sink and the ovens. 6. Alt heating appliances which generate either excessive heat, vapors, condensation, odors or fumes will be properly situated 6eneath the mechanical ventilation exhaust canopy. (See Enclosure I.) an equal opportunfty employer Mr. Steven W. Quigley July 2, 1985 Page 2 7. That only removable baffle type filters will be installed in the mechanical kitchen exhaust canopy system. wire mesh type filters are not designed nor approved for canopies which exhaust grease vapors. 8. Canopy and hood construction will meet the applicable standards of the NSF. Additionally, the requirements of the Minnesota Building Code (SBC-7714) and the local Building and Life Safety Codes covering commercial kitchen ventilation systems will be met. 9. All annular openings around pipes and other conduits where they pass through the walls and floor will be sealed (caulked). 10. Hoses, electrical conduits, plumbing and drain lines beneath equip- ment will be installed so as to be off the floor to facilitate house- keeping activities and ease of maintenance. . 11. All natural gas food service equipment installed will be provided with quick utility disconnect valves so as to facilitate housekeeping activities and ease of maintenance. 12. The ice machine will be relocated to place in the utility room where it will be adequately protected from potential sources of contamination. 13. The floor in the utility room, and the kitchen wherein the remodeling is to occur will be provided with a quarry tile floor covering with a corresponding bull-nosed and coved inch radius) base tile. 14. The walls in the utility room and the kitchen will be provided with properly installed fiberglass reinforced panels. 15. The ceiling in the utility room and the kitchen will be provided with vinyl-rock ceiling tiles or other materials acceptable to this Department. Ensure that the following other items are in compliance with the require- ments of this Department: 16. Ensure that a spring-action goose neck spray device is provided over the wash compartment of the existing three compartment scullery sink. (See Enclosure II.) 17. That all artificial lighting.fixtures located in the utility room (wherein the ice machine is stored), provide at least 20 foot candles of illumination and are effectively shielded to prevent glass breakage. 18. Ensure that if upon inspection, the fiberglass walls behind the main cooking line (behind the heating/cooking appliances), proves to be inadequate for its proposed application, that the wall in that area be upgraded with properly installed sheets of stainless steel. Mr. Steven W. Quigley July 2, 1985 Page 3 19. Ensure that the activities at the food preparation sink (vegetable sink), are conducted in such a manner so as to preclude the commingling of soiled (vegetable washing) activities, with clean-activities at the adjacent food preparation work table. 20. To minimize safety hazards, ensure that adequate worker/pedestrian space is alotted, so as to permit ease of food preparation activities in and about the newly proposed kitchen cooking area, and walk-in refrigerator/freezer area. If upon inspection it is determined that a hazard exists, an alternative access means to the walk-in refrigerator and freezer (relocation of walk-in doors) may be required. You are authorized to begin construction on this project contingent upon complying with the aforementioned items. Should you encounter any problems through the course of your construction activities, please feel free to call on me to discuss alternatives which may be available to you. At such time as all construction on the Burnsville store project is completed, please communicate with me at 612/623-5558 in order to arrange for a final on-site inspection. Upon completion of the Eagan and/or West St. Paul store projects, you may communicate with Dave Goff at 612/623-5340 in order to schedule for final inspection. Sincerely yours, % James y:l itkowski, R.S. ' CHS C nsulting Sanitarian ; Comm ni y Environmental Services ~Enxlosures cc: John Heibert Dale Peterson ? Herbert Reich JJW:ms , ~ . : ~ . , ~ _ . , minnesota department of health ' 717 s.e. delawarest.. p.o. box 9941 minneapalis 55440 . .O . i6121823:5000 . . ' . . . . , . . , . . . ' . . . . - " . . . . nCtYbft .4gt 1985 . . UJ-I . - 3s3° 11r. sLeTen ~R1SY. . 30°1 ` Awoaal ]kvsilo~ Plsnner Aaz RAetamUwa, IMorponsat ~qti1 ~ xix a em b37.46 ~ r ` Dear llr. Wt1ar . 8ub,sct r ti"b#ts !'sri ftx 14astrumatt SaIsa. ItlmieroYAi . mciont" r cw. of ow reywrt easss3ns us eaudmatioa .t p3am _ tyOcltlbatiMs vu tIN abave-QMi6esteQ. prajeet. 24 IS 4'H$ PROib= - CiIM'S RWl0M?II+IT7 TO l1ETAU 'Pai PfiM. A? 'PAt p!lOrTIC! EAt.A"ILM. Zom" atLw41m is iiraovw to the eutalMnt yn'qalaSn6 to l,~tpercl3oa . ot t1xis j7,iabing. I4 if 4alortaat tSss re receSre 4lee Sn!?uraatl.ap iadicate! ix wder Ehat thw nwensarf tmppdtiey aay Dg a"*. _ . S'At pUss "Q sWsficatiass.aypnp to `Lr ia goftra]. caatarrle4s ritH _ tDit standardt mt tiis ftpartiea4. ildm the,rejeett 1S e0wletNt, p:leas* ¢aawtmiea#e rftEe gti Mviresuausl HOa2th swiW~riari t» ,sur ltetropolitaa Districi Qtfice ix liinwsapoitp (6121623.5335)s is oMer _ tA1tt b4 w,Y s`te llttnl isspwtien. . . T! Ywwi Lara mqr Qwattons in regrd to pYewib4ng itispbetiaes. p7,eNe . aantsat Dmaaid L`t.aalq Rt 612/523`5328. . . T! yqM baxs aaar: ~io= ln re6RrQ 'W ths tafureatitat eaMAiasi ft `tbSs :reDons Pleafr# et+olPunlesta Vitlt l[iltoa R. Lellia at 612/633-5g'f+. SSuea'e17 youra, : - t3ar7 L. E"WLltind, P.S., C'Ait! : st¢titm of i1[!er 8upplY,.. and 16~Sdrs;~oi 8ldaPlRli~ . " 3'nC7mautat ee s lh. Yiiiia~ Mas.. P1=biaa ZmpQetar an equal opPortunity employer.. . ' . - , . . MINNESOTA DEPARTMENT OF HEALTH Division oE Environmental Health REPORT OF PLANS Plans and specifications on Plumbine for Rax RestaLrant Location Eagan. Mintlesota Date Examined SpptemhPr ]"j, 19R5 Prepared aad submicted by .r'fr'• Steven Quigley, Regional Development Planner, Rax Restaurants, Inc 2029 Woodland Parkway, St. Louis, Missouri 63146 Date Received July 24, 1985 Ownership - Same as Submitter Scope - This examination is limited to the design of this particular project only insofar as the provisions of the Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which this plumbing system is connected. The examina- tion oE plans is based upon the supposition that the data on which the.design is based are correct, and that necessary legal authori[y has been obtained to construct the project. The responsibility for the design of structural features and the efffciency of equipment must be taken by the project designer. Approval is contingent upon satisfactory disposition of any requirements included with this report. Iaspections - Special care should be [aken to insure that the material and installation of the plum6ing system are in accordance with the provisions of the Minnesota Plumbing Code. It is necessary that the State Health Department make roughing-in and final inspections of the plumbing system to determine whether it complies with the Code. Provisions should be made for applying an air test a[ the time of the roughing-in inspection as outlined in Minn. Rules p. 4715.2820 of the Code. In order to facilitate this work, there is attached a self-addressed card which should be returned, indicating the name of [he plumbing contractor so that arrangements can be made for the State Health Department to be notified 6y him as to the time that the installation will be ready for test and inspections. ' No acceptance of the plumbing installation can be given until inspection and test of the roughing-in work (Minn. Rules p. 4715.2820, subp. 2), finished plumbing (Minn. Rules p. 4715.2820, subp. 3), and inspection of [he completed installation 6y a representative of the State Health Department indicates compiiance with the provisions of the Code. Requirements - (OVER) Authorization for construction in accordance with the approved plans may 6e withdrawn if construction is not undertaken within a period of two years. The fact thatplans have heen approved does not necessarily mean that recommendations or requirements for change wi11 not be made at some la[er time when changed conditions, additional information or advanced knowledge make improvements necessary. Approved: Milto n, P.E. Zpl~^Patri~ Simpkins Public Health Engineer Engineering Aide Section of Water Supply Section of Water Supply and F.ngineering and Engineering 4 Requirements: 1. A statement that the plumbing system shall comply with the Minnesota Plumbing Code should be included in the specifications (see Minn. Rules p. 4715:0320 arid p. 4715.0330). 2.• The water'piping system shall be disinfected in accordance with Minn. Rules p. 4715.2250. 3. The pliuubing system shall be tested in accordance with Minn. Rules p. 4715.2820. 4. Use of 50-50 solder or fliix containing lead is now prohibited by State law on potable water distribution systems. Solder containing less than .2 percent lead must be used (Section 326.371): 5• Verify piping materials for water supply along with waste and vent comply with the Minnesota Plumbing Code. 6. Verify the sink is trapped and vented according to the Minnesota Plumbing Code. 7. Water supply to the vegetable sink shall be 3/4 inch in diameter. I ~O RESTAUWANTS,ING October 19, 1983 Mr. Dale Petterson City of Eagan 3745 Pilot Knob Road Eagan, Minnesota 55122 RE: Retrofit Solarium Addition to Existing Rax Restaurant in Eagan, Minnesota Dear Mr. Petterson: Please find enclosed the necessary building permit fee of $377.00. Pat Ulrich, Design Engineer for Lord & Burnham, the manufacturers of the solarium, is forwarding to you the calculations for the 40 pound snow load requirement. Please feel free to contact me collect at 614-424-6900 if there is any additional information required. Thank you for your cooperation. Sincerely, Rax Restaurants, Inc. 1~/41 Rickard alan Sicker Site Planner RAS/llm Enclosure 1169 Dublin Road • 1'O. Box PI060 • Columbus, Ohio 43216 Tel. 614/424-6900 SOLARIUM 407 - ~'O7 40 ~ ~9 t_ESS F~NC:~C5i5 s(f+) fo.541 ~EAp .`,OAD ~d: #/!+J 0. let) ~o. ~o~ J ~ I.IUE {.UAO (E) ~ #~I7 1r ~Ft) 3 . 33 a W,w o l,oao U') ZU '~~m Q(4v) to. o' 1Z _ K• 4~s =.637. N = Ka~_1.632.t •~~a = b=°'= io° - I.So. V77 - . WINp ~,O:,7 I~.54 LIVE LOAD £ DEAO ~„~~a~ roR Wtvo toAD a. ' Q. C• 5d FOR d~. g. = (d + e)- _/12• 5 ' {t6 L~P914 , Ms - I eN] aN] 42 142) I; ~kZ ~ez ~4x ,~4~~ 4qaL ~~ack [ z]+[ gNJ _ (o~I2 ~ + 2+ 8h 2 8rJ vA - R UA~ A= ~ + P z L A = 34' t ~2 ?06 AL] v t N ~ - ~,U + + 9 v r~Qt ~ _ ~ 2 a * SN~. a Hpt NL'~8~0. = 173 + 163 z Vt ~A = - ~ 8rf /00~- ~ BNS a. 3.~I o 2. 6' ~ - , SeE _ hN49 _ -12,1 o2 .6-_S7~ ~u so;~ ;,47 ~ ~ • - ~ Z 20fl = Z d p„4 = E 570 o S, - - OF'N - - = SQE y~ ~ ~~A33 - _D FJ' ~7 w' * ~ ~yy , G ~ ~ _ ~ _'.5 7 / . ? x~ ~'~o~ A 456 ORAM(?I BY: REVfSED: ~UFfSSlONPART NO. APPR VED: nen a e.~nwusY rt~nc•n.n~ e~nv~n~~ ~+nnne~~rnwr`l~r([ • ' o P. O. BOX 255 0000 ~ I R V I N GTON-ON-I1 UDSON, N. 10533 SECOND CENTURY OF GREENHOUSE LEADERSHlP Telephone (914) 591 ~8800 - LOrd$Burnham OIYISION BURNHAM CORPORATION October 19, 19$3 Mr. Dale Petterson 3795 Pilot Knob Road Eagan City, Minnesota 55122 Subject: RAX RESTAURANTS 40 pounds per square foot live load Dear Mr. Petterson: Enclosed herewith you will find calculation for our Solarium Model 5-407 showing a 40 pound per square foot live load that we are using for the above subject jobs. Should you have any questions, please do not hesitate to contact us. Very truly yours, LORD & BURNHAM iv sion of BurnhS;orp. Patrick Ulrich ' Chief Engineer PU:ljs Enclosure cc: Mr. Rick Sicker 1169 Dublin Road Columbus, Ohio 43216 Mr. John Curtin PATE " SUILDING YERMIT APPLICATION Znclude 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for ~_~"~,LIZAp~ Valnation D e c-> - 3 3 30 Site Addresc: Lot Block See. Su6. Parcel Number /d O/900 CAM1mer C.1-1 " 4'elephone Address =I~jZ LF~n:e f7i t-j nl contractor' Czti1s-Uz0"ipy`1 '70 Telephone &J~367 Address jt~30 -W. (.t), /QO,_CL, Arch./Enq. r arl~ Efv19 . 'Pelephone ZZQ--l~7~?2 Address OFFICE USE . Erect n Occupancy Alter a 2oning P.epair Fire Zone Enlarge Type of Const. Move # of Stories Tfemolish Front Grade Depth ~`3 j20015 OFFICE USE Date of A roval & initial FEES Assessment ~ a/g y Permit Waier/Sewer SurcJiarge Police ~ ps-in Check s 7 Fire SAC ~ Eng. [~!ater Conn. Planner - 47ater Meter ~ I ~ ° ~DS.tlcs - • (,buncil • u Rldg. Off. A.P.C. TOTAL ~z/~e a c5 O-C, . - _ . . . . . t r~ . . . , , w r,Ip,Irar~QTA ~~?,>~A~iqr,.rm OF L?F..HLTH Uivision of 'r'.:;vi.ro.imental. Healiii P.EPOr<T O11 r; i;S Plans and SFecirications rr; Plumhing fcr Rax Roast BeeS Restaurent Locatior. EnPan, MiniZesota _ Date Examined Noven:ber 29, 1978 Pr.ep4red and stib,:itted bv Foe`nr.inger Engineering, Incorpora*?d, 6109 Penn Avenue South., Minneapclis, i:inneso..a Pate 12eceive.ci Septembe-r 28, 1078 plar. Fiie PLo. A-3931 Ownershzn - lorid D. No'va.^zyk, 1301 CamUridge Street, rIi_nneapoli_s, Minnesot.a_ 55343 Sco*>e ihis e;e,-raina-I:i.on is ].ir-itcri to the desirrn of this parriculaf- pT'O]°Ct OIl].y c3^c', i.T130fc Y' c'.S 'f'1_7° t71^C71510;1s of thC.' Pi =nnesota PlU';:)J].Il€T, COGC' y aS H7!lE?.IIC]0d, cIwD1\T .171] (:OP i 110t cover •the ;;c1tE.r. SUD1)117 Ol^ $24722'aCC S'y"3tf:71 10 G71'1Ch 'i:r_1S piL1PiJ1Aj? :~V`-':~C!`:! 15 coni~ected. 1, C;r::ase trap sha11 he _inscall.ecl as per r11D 12E(a.)(3) Recommendatia.o ef'' tfie, MinrGSOta 1'12imoing C^cie. 2. :t'1a.t VE'Tlt].Tl.g is not pt~=issible. 31 ?,il *,aai=er closets shal:i Ue p-roperly vented. Co!Zt. on ba-k Conc7.usion 'I'hese 'o:!_ans and s--)er..ific: tions complV ~rith the nrovisions of the Minnesota Pli.m}>in- arid are recor.imended fo.r approva1 with tYlr- L'RCj21'S+:E2i.1d.'..rc15 i11 '-'•1•S. PI',.;_,`ti__r,v 4`I.LtSI the UsU3i. 1'c^SE;7'V:itlO:t d5 Si:i.'LE:C: on the.az)pencied SllE.`Cty entiCleci "Infor;~ia-rion Ri.lut"1Vi; tG i'l3n En37!11t1a':1071. O.,u S v Apnroyedi Patil T. Panaaos, P.E-. Pu&li.c Health rngir.eer . Secti.on e{ jdater Supply and Ceneral Engineering Paul B. John`s-cn, i .E. Senior Enj ineer _ Section'6f ?+iater Supply and General En^ineerin~ 4 R Recomrnendations Cont. 4. Floor drains farther than 25 feet from a vented waste pipe shall be vented (see MiD 127(q)(4) of the Mir.nesoCa Plumbing Code). ~ . - ~ . . ' " - . . . - . . ' . . • J%ti - . . . . . . . - . . minnesota department of health O. 717 s.e: delaware st:. minneapolis 55440 16121 295-5221 . . . . . Nl9violibeZ* t 1973 . Mr. Tb4Q D. i+ToVitet.yk . . . 1301 Gaimbaidga gtvaiet : Mianeapol#s, Ml.masgeta 55343 Dibaar Ur. l~~+e~ar~'~€s ; . W* are enc3.os a sr of our sspart stovazing aa examiratioxc of plazto ausi s,paci icafi~s on Hlumbla$ for Ra,x least SeeL Us#caemant, Yvir aCta~ion is directed ev the attrtched a?tet.as?[ perta3.aing to i.nspect3tu~ ~f the pltambItsg. Tt ?.s. importnnt that we racs3.ve tha Wvnmtlcm inacatsd !,a c>zder t3zst the necessary Snspection may . 3re made. , T'!ie p1susand sgecS.fi¢ationsr agpear to be in genera1 cangmseaty vi.th . ~~tantFxrda of Lh#.a bapartma°t. whea the preje" i.s 06"lat", p2esse : sommmieaee srith #€r. Jim Witkmski, Sanitari,un in our Het"pa@lit&A Dx3CJ:ic1Z offi'C~ ~ Mini2#l18WEiliRI', Iit Cdlder tIlY1G h! 'Jlaj? ~ fi13il impY!$tipn. A ret of th4 34ent3.fied g7f.ans raad specS.ftsati.ons i# be.ing osret ta pora tucder septra?te ~evor. If you hsrre auy +qusetions 3n regard to #.is tofar"tiou cmtas;neat !aa Cbtg xepe?rt.. P1o"r tzanC~~tMx: Faul Fagagea of thia offlQa. - ' Yo•r~rs ves~ tru1y, . : "Vp L. Engl~. B.B.. Chief Sesti~a~ v!C i3$tes SWP1Y +[nd +Conetal ftgimeFing ~+a: F+ew~~^~,atgs~ ~t~3asaar~,r~. inrec?oorstad . ~ ]>alo Potwctoa, Plumbing xuspeeter 'n . Sul1ding Code Uiv3s1ga , . . . ~i . anequal opportunity employer ~3 , minnesota department of health. O 717 s.e. delaware st.. minneapolis 55440 (612) 2966221 . . . : . . . . . ' . . Septemher 279 197? pr 5 6 • - . ~ J'~~'~~.z; co' - r co Dwi$ht G. Cbeetnut . Canotruestiatt 70, Inc. 1430 W.nt comcy R"a e st. ta„a, rsinn.aota s5113 Dear Mr. cn.stuute : . 3t Aae eene to aw attentfop that yeour Cvmpauig ie aaxatrnctiag a _ Rnx Roaat Hee# ReeYaurant loaatad on Sfbley ramorial Hip,hxay fn tiu G'ity of Eagaa, IIakota Coswtyi M3nnesata6 Hiiasieaota BEatutes $nc#fqs 157.03 requiree Cbafi piane erRd speaiticsat#aaa for aaY nw cexinisruetimm, r+sno8eliag, or alYeratioao eavering a fved andlbr bevera$e aaralce astablighment must ba submittsd tc ZhYs Departmrrrt for . revieu aaci approval qsier to comrnaeoing rtth ema'truatiens opot+ntisana. Yon ara irs violaticn of thM eforQnentfoaed state l5tatuie snd are haraDy iuformad t'luet plws anfl spacificatis" wist be Qubmittsd to this Departmant coaerfng tho 4ntire prc+juct oa or hefosw t9cstalrmr 2,, 2379. Failuae fia cang+ly with thSa raqairea+ent map resalt in a rrork steg+ynge ardes anct orhtr aaemditl aetfon. ruCthareocre anq eeras'trttic'tian e.lx-ea8yr coplotRei bb3nh is wot in aaaform9.ty mat be Lrought inta tatal cwapliauae kith the R+1quiremeata of fiAis Degax+tms:?t+ If you have anq qtsesLions c.weernln$ thfs matEer, plemef ¢omiauateat;r vith ua et 612/296-5341, Yourg vqry traly, U. Ei*ederfck Miteha21 Scctioa Ch9.ef fioYeYs, fieaorte aud RsaYaurr+atiB J~i2~`roah a¢s TaiA ~ . ,~fa~e 1~3s1~k3 ~aw~r l~i~ls' ~ / ~ . ' . ' an equalopportunity employeP ~~C3 . . , S76 ""t2 ~U`~•'~~ "nLi "iit3AORY F'LAT AND CONDITTONAL CTSG PCRMST - CEDARITAU 4 ' _ . II014L AND RAX ROl',ST IIF.EF. Mr. Richard Stryket appeared on the behalf of the DCR Company's application for preliminary plat approval and conditional use per- mit for tAe commercial development in the vicinity of lligheaay 1113 and Rahn Road and Beau-d-Rue Drive. The total 8 acre piece has heen oartially developed with Perkins and Dfinnesota Federal. In addition, there was an anplication for Page 7 JlJi,Y 25, 1976 temporary waiver of plat to permit ct« rnnctruction of Rax Roast Beef Restaurant adjacent to Highway f113 and also conditional use permit for 24 lane bowling alley, liquur lounge, convenience room and game room. There waA d3scussion ca+erning direct accesa to $13 and several accese points eventually were recommended. Peter Cook, the Presiaent of Rax Rnast Beef and . Wendy's Reataurant, explained the proposal. A sitdawn and carry out restaurant would seat 94 persona and a report of the planner of July 19th was reviewed. It was noted that the Cedarvale Sowl entrance would be from Beau-d-Ruo Drive with a minor entrance fzom the alley along Country Club. There would be a 6 foot berm all [he way around the building with ground siqn and landscaping. - The City Engineer recomnended the 30 foot roa@ along Country Clu6 not he dedicated to the City because of iY's being [o narrow for a pu6lic atreet. Hedtke moved atd Slomquist seconded the motion, all member5 vpted yes to Spplove the conditinnml uoe pccmlt fur Rax Aoast AePf Aer.taurant wlth drive-up faci.ltcy subjcct to the follrnring: 1. A$1,000 landscape bond to insare the landscs,e plan is completed. 2. Landscaping should be completed within Yhe 9 months from the date the the businesa is opened. . 3. The trash enclosure should be we21 screened. 4. That all ordinance requirements be met. lledtke moved nnd Blomquist seconded the motion and all membe=s voted in favor to recoimnenu npprr•yal of the tnmpurary waiver of the plat to allow coumwrcial ROAST n'~, !g ~ AZ,W:BEEr Rax of Minnesota, Inc. AESTAVRAM?S . December 23, 1980 ~ Z T0: Health Inspectors and Health Departments governing Rax Roast Beef Restaurants FROM: Rax of Minnesota, Inc. SUBJECT: Introduction of a RBC (Beef, Bacon, and Cheddar-Favored Sauce), Chicken, and Fish Sandwiches We are planning the roll out of a ABC, Chickett, and Fish 3andwichea beginning late January. The enclosed aiaCerial is designed to update you with the in- formation we presently have for the latroducCion of those sandsaiches. You will find a list of equipment needed, with a description of each, slong with some helpful graphics describing how it will be implemented in our present syvtem. Also enclosed you'll find food product specificati.ons and menu preparations, giving you some idea how we will be handling the products in the restaurants. We wou13 like to meet with you at your conveniance and sit down and discuss any questions you may have regarding this addition to our menu, or the equipment used in the preparation of this product. Thank you in advance for your time. We will be in touch with you soon. Sincerely, Erian A. Lattu District Manager 8AL/bab Enclosure 1301 Cambridge St., 5uite 111C, Hopk3ns, Minneaota 55343 Telephone: 612/933•1648 J RAX Systems, Inc. ii~iiiaT ~EEF Novenbex 24, 1980 TO: AT3., PARTICIPANIS INiRQDUCING NEI9 PRCUJCfS FROhi: R. E. Litzingex/Mary J. SSnith - ProcurFment Department SUBJDGT: S.B.C. (Beef, Bacon, and Cheddar Flavored Sauce) astd CHICKEN SAPIDWICH We are planning a systciri-wide rollout of tie B.B.C. and Chicken Sandwich beginning December 15, 1980. Introduction of the Fish Sa.ndwich is planned for rollout by approximately Janua.iy, 1981. Attached is information fos ynur use i.n introducing the B.B.C. and Chicken Sandwich: APPROVID FC)OD PRCDUGTS Your distributor has been notiiiad of the following approved Food and Paper Products; however, you must contact your distributor to verify qvantities and delivery date: B.B.C. . Bac~.on: OFaar Mayer Post OPtice Box 1788 Madison, lYisconsin 57307 608/241-3311 Product code manber 2037; flat pack 26-30 strip count 4/12 lb. boxes - 48 lb. per carton APPFOIbU1TE WMMY USACE BASED CN A$12,000 WI,UME UNIT: 2 cases 1169 Dubtin Road P.O. Box P1060 Columbus, Ohio 43216 Telephone: 614/4246900 PAHTICIPANPS INTRpDUCING NEW PRCDUGTS NovemUer 19, 1980 Page 'it+o Approved Food and Paper Products continued..... B.B.C. RAX Special Sauce B.B.C. (Cheddar F7avored Sauce) C.F.S. Continental 2550 North Clybotm Avenue aaicago, Illinois 60614 312/477-7600 Mr. Ed Weisbrod Product code nwnber 970020; packed 4/1 gallons per case case aeight 36 pounds; Pricing: $32.86/ca.se F.O.B. Chica.go APPROXIIdATE WEEKLY USACE BA.SID ON A$12, 000 VQLUM LUIT: 2 cases CAIGKEN SANIDWIGH Ghicken: DTT1YE @UALITY HOtTSE Post Office Box 2397 Csinesville, Georgia 30503 800/241-3110 Mr. Mike Cape or Mr: Weldon Tanner Piroduct code aimber 4022; pack 44 - 3.6 oz. per case (10 lbs. per box); 3.6 oz. flaked and fonned breast meat National Pricing delivered to distributor is $2.00 per lb. AP'PRDXIMATE WEE[MY USACE BASED CN A$12,000 VOLiAtE t7NIT: 22 cases BUN (Used for B.B.C. aud Chicken Sandwich): Suirtype, split-top, cornmeal-iusted bun; bun specifications are enclosed. If you ha.ve not had a cornmeal-dusted bun approved please take the enclosed specifica.tions to your bun supplier. Yois bun supplier should forward bun sauples to A9aiy Snith for approva.l. PARTICIPANiS INPFtODUCIIIC'i NEW pEZC1DUCI"S Novenber 19, 1980 Page Three APPFiOVED PAPER PRODUf..PS Sandwich container for B.B.C. and Chicken Sandwich: IbPaco Packaging, Inc. Pbst Office Box 270 Downington, Pennsylvania 19335 215/269-1777 Mr. James 5rtryth Case weight is 34 pounds; packaged 800 , per case; pricing $16.00 per 1000 F.O.B. Ibwnington, Pennsylvania (the tw4rcolor container with RAX logo is • in production) APPROXIMAIE WEQKLY USACE BASID CN A$12,000 VOLZJAiE UNIT: 2 cases UIPMENT The following page is a list of equipment needed for introduction of the new products. Equipment suppliers have been notified; however, you must contact either supplier to order your equiprmr?t before introduction of the products: Mr. Herb Aydelott Mr. Bob Wright I~'dd FIFTIM, INC. TfM WASSER.SIFOM OOA'lPANY 2691 lance Drive 477 South Front Street Moraine, Ohio 45409 Cblimibus, Ohio 43215 513/293-0214 614/228-6525 The equipment needed for the Chicken sandwich can alsn be used for the introduction of the Fish Sandwich in January. .~':4~..1s.Y.iia{ .J.. .~L_. "~:us.J14-i~C= ~'1YVa3YlaV'srulwn.v./w~~+.uir n..?..e.. BQUIPME[S!' NEEDID FOR 7ESf PRCDiH.'I'S IEN FXQiTIPMENf DESCRIPTICN B.B C. (HI WASSERSI Eight 18" x 26" alwnimun bun pans (Item #1095 in Food Service and Equipment Chxide). Used for bakin cookies and bacon. X 44•30 42.OC Wo metal spatulas. Used for removing - bacon and cookies from cooking ans. X 12.20 9~ One Fastron Model 20.99 tLner. Used for timing bacon and cookies. Chn also be used „ for timing 15-minute stirring of baTbecue beef.** X 132.00 136.8C **NUfL: Dimc;o-Gray Carmany timer; mqdel #167; may be used in place of Fastron Model 20-99 timer.' X 41.40 37.95 Wo condiment sauce pwnps by Server Products. Used for dispensing B.B.C. cheddar-3lavored sauce. One at each re station. X 98.31 113.1C 1tw wire racks 12" x 24" to fit stainless steel pan. One used'at fish and chicken holding area and one used in thermotainer for holding bacon. X X 18.53 38.20 T,w stainless steel 1 3 size pans 2-1 2" deep. Used for holding ba,con at pre stations. X 8.45 11.06 _ Four 9" tongs. Used for handling fish and chicken. X 3.92 5.36 Four fish and chicken fry racks. Used for frying and holdin chicken and fish. X 87.82 88.76 One Fastron 6 x 6 Micro 180 fish and chicken computer. To be mounted on toA of P er. X 755.32 848.00 Six 1/9 size stainless steel pans 4" deep. To be used in condiment area on prep tables to hold leron v.edges, tartar sauce, and ' parsl ri s. X 33.22 40.56 1vio sets each of twenty iish and chicken tent tags. Used for product sdentification. X 54.24 32.00 One custom bacon pan adaptor to be mounted to the right side of the bun toaster. Used to hold an for the B.B.C. be.con. X 11.13 4.65 One custom 10" x 20" bun shelf. 1b be located under lefthand bun shelf on r table. X X 71.50 60.42 Ztw salad bar crocks for tartar sauce (small clacks) 3.94 4.76 DQiIIlMNf 1SiAT SHOUiD BE ADDEp IF NC7P AIREADy S[1B1C7PAL 1334.88 1473.16 IN STORE • One Delfield FY-eezer. Used for storing frozen fish and chicken roducts. X 565.45 614.92 One Cres-cor heat lamp. Located on top of Delfield Freezer. Used for holding iish and chicken roducts. 135.60 136.8a ~e 121, x 20" x 2" stainless steel steamtable pan. Ipca.ted under (re.s-Cor heat lamp. Used for holdin fish and chicken roducts. R 8.44 10.7S SLiB1i(7fAL I 709.49 762.41 , GFiAPID TUfAL 2044.37 2235.,67 . ~ : d?{. . . . . . . ' . . . . :1~.: A'. . SOUO.STATE TIMER . . (FASTIMER.)' •r . it . 4. MODEL 20-89 . 1 ~ . n1oDEL ~ tb'? f i THE MOST ECONOMICAL ..a-;y, . ~ METHOD OF GSIVING MANAGEMENT CONTROL •OVER A VARIETY OF COOKIN6 TIMES UP TO 98 MINUTES 0 p ~ ~5~• ' : d • DouWe dials aswre accurote aetting LeH diel in increments ot 10 mfnutesTOr fast setting, u~ . rigAt dial Tor "Fina tuning" to assure peAecNy cooketl pMUuct , p .f' ; u Q5.• , . I ~N ~ • Asaurat PreOm Cooklnq TUns • • ImL" ReMwae OPK~M°n • E1lmlmtaa Nu~ Error • VeneUk COMMERCIAL KITCNEN TIHER I w~a ~~p~~ B"Diel-60 minute time range can be set Sn minutes and • qeftm TnlNnp Tims • Timu Cookinp of MY Produel eeconda-Steel case w/vhite 'o T,aWtaFM-ENOUOn1GfioVdB~ ~ Bmam Anum QfO^nPt AeoOf1 semi-glass finish-Carrying Aandle-Plugs into 11DVACs •AmraeytoWlihlnBscoids , .Fasytool 60 cycle curnnt. IRC No.261519 ~ FDOD AUTOMATION • 8ERVICE TECMNV011ES. 510C. . Yw.~~iMw~ •A~d' ~p ~piwii~w C~ eisi TM. p05) 3]I~14 h FAST. (6+6180PxFX) OOb1PU'1ZR. GHICKE[1 FISH (FRO'LIN FINISH) DF7CAI,: FISH FINISH FISH (BI11NQi) FRIES CPIN ~ QQQ~coooooo. , • . ~ ~ ? ~ • ~ . ~ . ~ . . . ~ . .~TJ8G..._ ~DIAL SE'iTING g i Q3IP 81 ~ SJ~ ~ gK 1 TIME (QOOICING CYCLE) _ 2 .32 1:12 2: 32 ~ ~ 3: Ol ~ 4:40 ~ ~ H O Q , . _ , FRY RA(KS ATTA(3IIrIENT B 2.78 oz. cod ~ 2.5 oz. 3.6 oz. chicken chicken RAQ{ ~IDLE i iilI JJAINLFSS Ii~ ~ BAFt t 1. Place portions into fnj rack with no more than 1/2" of the portion ahove the top of the rack. a. Widest part of 3.6 oz. chicken resting aga.inst bottcm of rack. ; b. One diagonally cut end of 2.78 oz, fish portion resti.ng squaxely on bottom of rack. c. Rounded edge of 2.5 oz. chicken portion resting against bottom of rack. 2. Lift stainless steel bar to the right and rest on top of products to hold in place during cooking cycle 3. After cooking cycle is canpleted, lift rack of product fran shortening; turn gently side-to-side to drain ezdess shortening, and, using tongs, flip stainless steel bar to the left. 4. Transfer rack of product to the drain-holding pan; do not dimip product fxcxn racks into drain-holding Pan• 1. Transfer portions previously fried to the back oP the fry rack. Standard rotation of product will be from the back to the front of the ! rack. (BACK) (FI~T) 1 PREVIWSLY FRIID FRESfII,Y FRIED . ~ A(7fATION QF ° ATTACfA'IlNf C FRY DuMP , 3 i Bu~,B ~ FRY vAT ! ; A ~ Y FRY vRr ; , ~ f ~rom c?s'~'~R. _.._r.~~ • ,3y,~,°" ~os-o f~l ,wSoP.;/ ~n }n~. ceqter c&A,n - , ~ ~+nn AE+FII~~ aRa~N - No~.o~~VC~ FREEzER PA N I+sltd WIRI utSIRT r - ~ f~ . ~W O WRVV . ! lic-las Y ; swt8s ~'~._...~y.i.. l. .r ~ . ' SUGCsESTID GONDIMENT SEf-UP FOR FTtONP LII1E ATTAQAtENT D TARTAR b1AYCHVNAISE , SAiJCE SHRFMID SADIDWICHES ONI,Y I,El'iqJCE SI,ICID au'SE 'lUMA7OFS SLICFS PARSLEY SPRIGS SfRIDDID A9AYQfINAISE Ik,TP[7CE SAbIDWI(HES CF1ICKEN APID SAI,AD IEMCN FISFi AAID SAIAD WEDC:ES SLICm (g~SE TARTAR T=TOES SLICES SAUCE (FRONr) 1USSm FISH APID SALAD 2 SMALL CHACKS ~1 FISH PLATTER FUR TARTAR SAUCE SALAD O nEr.FrELn co. MT. PLEASANT, CADILLAC ~ MODEL 403-2 ~ J ZZDO . ~s ~ • ~ ~ OPERATING MANUAL 400-2 FREEZERS SELF DEFROSTING PAGE 2 USE AT1D CARE OF YOUR 400-2 SERIES FREEZF.RS YOU ARE NOW THE PROUD OWNER OF ONE OF THE FINEST PRODUCTS ON THE MARKET TODAY, WITH A LITTLE CARE,'TT WILL GIVE YOU YEARS OF SATISFACTORY USE. IACATION AND INSTALLATION: THESE UNITS ARE NOT TO SE INSTALLED NEAR TO HIGH HEAT PRODUCING EQUIPMENT, SUCH AS OVEN RANGES ETC. ON UNDERCOUNTER MODELS, ALIAW A MINIMUM OF 3" OF SPACE SEHIND THE UNIT FOR AIR CIRCULATION tJEEDED FOR PROPER COOLING OF CONDENSER COIL. L$VELING: ALL FOUR LEGS ARE ADJUSTASLE. ADJUST EACH LEG AS NEEDED UNTIL UNIT IS LS'VEL AND DOORS ARE PROPERI.Y LINED UP WITH UNIT BODY, STARTING OPERATION; THESE REFRIGERATORS ARE EQUIPPED WITH A GROUNDED PLUG IN CORD, AND MJST BE PLUGGED INTO A PROPERLY GROUNDED THREE PRONG RECEPTAQ.E SO AS TO PREVcNT ANY POSSIBILITY pF A SHOCK HAZARD. UNIT SHOULD BE PLUGGED INTO AN INDIVIDUAL OUTI,ET 115 VOLT 60 CYCLE SI23GLE PHASE AC CURRENT. SET CONTROL AT NO, 5 FIRSTO AFTER APPROXIMATELY ONE HOUR OF RUNNING TIM£, CONTROL MAY BE SET AT A HIGHER NUMSER FOR COLDER OPERATION OR TO A IAWER NUMBER FOR WARMER OPERATION. DEFRGSTING: UNIT WILL DEFROST EVERY TIME THE COMPRESSOR IS NOT RUNNING (OFF CYCLE) IT IS ALSO EQUIPPED WITH AN AUTOMATIC DEFROST TIMER WHICH SHUTS OFF THE COMPRESSOR FOR 15 MINUTES EVSRY 2 HOURS ANA 40 MINUTES. WHEN UNIT IS pN DEFROSTING TIME, WATER WILL DRAIN DOWN THRU A DRAIN TUSING INTO THE EVAPORATOR PAN IACATED ON BOTTOM BACK OF UNIT. IF YOU WISH TO HAVE THE AUTOMATIC DEFROST PERZOD AT A DIFFERENT TIME, YOU MAY TURN THE TIMER SHAFT WEiICH PROTRUDES FROM THE CONTROL DIAL PLATE ON THE LEFT SIDE OF CONTROL KNOB. USE A COIN TO TURN SHAFT CLOCKWISS, ONLY 1/2 OF A TURN WILL ADVANCE TIMER 3 HOURS, ONE COMPLETE TURN WILL ADVANCE IT 6 HOURS. CLEANING: INSIDE OF Ut3IT SHOUI,D BE CLEANED WITH A 50LUTION OF BAKING SODA IN WARM WATER. OUTSIDE OF UNIT SHOULD BE CLEANED WITH A SOLUTSON OF MILD SOAP AND WATER. ALL STAINLESS STEEL PARTS SHOULD BE CI.EANED BY RUBBING IN THE SAME DIRECTION OP THE GRAIN AND NEVER ACROSS THE GRAIN. DO NOT USE fiARSH DBTERGEHTS O.R Q,EANING SOLVENTS ON ANY PARTS. MAINTENANCE: THESE REFRIGERATORS ARE: EQUIPPED WITH A SEALED TYPE COMPRESSOR WHICH SHOULD NOT BE TAMPERED WITH UNDER ANY CIRCUMSTANCES. THE CONDENSING COIL WHICH IS LOCATED IN BACK OF THE UNZT SHOULD BE VACUUM CLEANED PERIODICALLY TO REMOVE DUST FROM THE COIL FINS, FAILURE TO DO 80 WILL AFFECT '1'HE EFFICIENCY OF THE REFRIGERATION SYST£M AND MAY IN TIME CAUSE COMPLETE FAILURE. I ' . PAGE 3 DEI.FIELD COMPANY MODEL 400 SERIES FREEZERS ELECTRICAI. SUPPLY: 115V 60 CYCLE 1 PHASE TOTAL LOAD: 6.7 AMP REFRIGERANT: R 12 - 4 3/4 oz. TEST PRESSURE: HIGH SIDE 245 LBS. IAW SIDE 140 I,BS. ' PART N0. 3526765 COMPRESSOR: TECUMSIIi AE-2410 2162671 CONDENSER FAN MOTOR: UPPCO MOD. 50 115V -.5 A1"[P CCW ROTATION 3516049 CONDENSER FAN BLADE: THORGREN 5" x.181 (PLASTIC BLADE) 2162671 EVAPORATOR FAN MOTOR: UPPCO MOD. 50 115v .5 AMP CCW ROTATION 3515995 EVAPORATOR FAN BLADE: S4IIFT 5 1/2" x.181 (ALUMINUM) 3516151 DEFROST TIMER: RANCO T30-4300 2194232 DEFR05T HEATER: 3516043 TEMPERATURE GONTROL: RANCO A10-2502 3516153 EvAPORE?TO1t coIL (COOLING COIL) 3516014 CONDENSING COII. (ZN BACK OF UNIT) 2194199 CONDENSATE EYAP. FIEATER: HEATERS INC. 115V-60-1 200 WATTS ELECTRICAL DIAGRAM L1 Black Defrost Timer Temperature Control Compresaor . 3 T ~ 115v-60 -1 CEH 4 POWER SUPPLY D H EF ~ CF CPR L2 White Thermo Zcondensate Disconnect Evaporator ZEvaporator Condenser Defrost Heater Fan Faa Heater . . FDCA PIiODUGT SPECIFICATIOdVS RAX SYSTEMS, INC. A. FnpD PRODUCp NAME: gun (sub-twe) split-top cortvneal-dusted B. RDQUIREbOM: 1. A roast beef sub-type roll made from a iean french_type forMlation. The bun has a surtace split made by a water splitter and is topped wi'th cornmeal imnediately after splitting. The cornmeal will be fran 3/4 to 1 ounce per pa,cka,ge of 8 rolls. Z• Fbrnrulation - based on 100 pounds of flour, should be approximately as follows: a. Yeast - 3 to 31% b. Vegetable Shortening _ 7% ± 1% c, Yeast Fbod - 6 to 10 ounces per 100 paunds of flour d. Liquid Egg Whites - 3% # 1/2%, e. Salt - 2% f. Non-liastatic Malt - .7~'0 6• Sugas' - based on solids should be 9% # 1% h. Mold Inhibitor -.25% in the sUMIer annths and .lOqo in the winter months i. Water will be variable fx'om 579b to 60%. , j. Vital tiYheat Gluten - 1.5% The flour should be agood pa.tettt flour or an eutra,_strengtb plour tha.t rims at least 13% protein. If pa.tent flour is used and supplemented with Vital Whea,t Gluten, it should be supplemented with enough gluten to bring it to a 13% protein level. 3. Scaling weight should be 24 ounces for a paclca.ge of 8(raw dough weight), . or 36 ounces per dozen, 1 4. T1ie split on the top of the bun will be from 3/4" to 1-1/8" wide at its widest point. - 5. Pan size should be the IIM pan ffi?-1623 or the Bmdp pan 5-675 or their equ3valent. 4be top insit3e this pan shovld be 6-3/4" x 2-2/2)1. The depth of the pan should be 17/32. 7he eonpigura,tion of the pan is 4 roolds wide as it gDes thmugh the Pan-O-Mat and the pa.n is 6 aplds deep. 6. The physical characteristics from the outside appearance should be a semi-haz'd crust arith a light to mediwn color. The grain should be close grain and tmiPorm. - 7. The cut of the bwi, separating heel and crowu, is to be couplete; a hinge- cut is not a.cceptable. . . ' FCJC)D PF20DUCI` SPECIFICATIOI9S BUN, (sub-tYPe), SPlit-top, cornmeal-dusted Page Ttm 8. The heighth of the bim should be 2-1/4" ± 1/41'. The length should , be 6-1/2" larig ± 1/411, and the width should be 2-1/2" wide f 1/411. 9. The heel heighth should be 7/8 of 1" t 1/811. 10. Shelf-liYe should be a mininnmi of 6 da.ys beyond the date of pro- duction. C. PACKAGING: The buns will be packed in air-tight poly bags (pillow-pack), placed in cardboard, plastic, or metal tra.ys, in a single layer to prevent crushing and damage to the product. Rhe buns may be overwrapped in polyethylene and packed 4 on 4, or 6 on 6. Each peckage of tnu?s will show a color code or nurwrical production date to prevent stores from receiving or selling old buns. D. S'PpRAGE AND FIAPIDLING Bims showing evidence of bei.ng improperly sealed, old, crushed, or other- wise damaged, should be refused. Stores should order only enough buns to meet the projected usage until the ttext delivery. E. APPRAVED MANUFACPLTaM Local roanufacturers per specifications. FOOD PRODUCT SPECIFICATIONS RAX SYSTEf9Sr INC. A. FpOD PRODUCT NAME: IIaCOn (Slices) B. REQUIREMENTS: 1. The bacon bellies ranging in weight from a minimum o£ 8 lbs. to a maximum of 12 lbs., will be pumped with a cure solution; the cure solution will contain water, salt, sugar, sodium phosphate, sodium ascorbate and sodium nitrite. The ' bellies will be smoke-house cured, then pressed. 2. The cured, pressed belZies will be sliced and graded to eliminate slices which are not center cut. 3. The uncooked center cut slices wi11 meet the fpllowinq criteria: Slices per pound: 26-30 Slice lenqth: Msnimum - 8° Maximum - 9-3/4" Slice thickness: 11 slices per inch Slice width: Mini.mum - 3/4" Maximum - 1-5/8" 4. The fat dips (fat "dippings" on the end of the slice) will be exhibited on only one end of the slice. The fat dip , will not exceed 1 inch in lenqth or more than 1/2 of the width of each slice. 5. The frozen bacon strips will be received at the distribution warehouse at 3 maximun age of 12 days from slicing. 6. The bacon will not exhibit evidence of mold, rancidity, or other signs of deterioration. C. PACKAGING• The bacon strips will be flat-packed with waxed sheets separating the single layers of strips. The strips will be contained in a cardboard carton, with a total net weight of 10, 22 or 15 pounds. The master shippinq carton will be labeled with the name and ingredients of the contents, the item or product code number, the manufacturer's name and address, and the Flant and date of processing. D. STORA(;E AND FiANDLING; Bacon strips are to be kept in freezer storage for extended shelf life (up to six months) or at refrigerator tempexatures for limited storage, up to five days, or expiration date specified by the manufacturer. E. APPROVED MANUFP,CTURER: Oscar Mayer (Item No. 2037) Telephone: 608-241-3311 P O Box 7188 Madison, wI 53707 III. 8 . .-~._._.._.w. F'OOD PRODUCT SPECIFICATTONS RAX SYSTEMS, INC. A. FOOD PRODUCT NAME; Ma onnaise I B. a4U_ IREMENTg• . 1. Flavor: fresh, clean, smooth, with no evidence of rancid or other off-flavors. ' Z• Color: Uniformly creamy-white. 3• Physical/Chemical properties (approximate values); ' a• Viscosity; 90,000 + 15,000 cps (Brookfield , , Spindle D, 75-850F), Heliopath - ~ b. Acidity: .424 + .05% c. Salt: 1.35 + ,lg d. pH: 3.75 ± .15$ e. Moisture: 13.5 + lg f. Solids: 86.5 + lg Y 9• Lipids: 80.89 + 2% 4• Minimum egq content (10$ salt yolks) 6.698 by formula: ; C. MICROBIOLUGICAL REQUIREMENTS: 1. Total Plate Count: 1,000/gram (maximum) 2. Coliform: Negative 3. Staphylococcus: 10/gm (maximum) 4• E Coli: Negative D. PACKAGING• The mayonnaise will be packed four, 1 gallon plastic jars per master shipping carton. The shipping carton will be imprinted with the manufacturer's name, address, production date and product identification number. E. STORAGE AND HANDLING: During all phases of storage, transporting and handlinq, the shelf cstable at oom emperaturesgforTaemin mumeof ninety product is days. The product must be refrigerated after opening. III, g ~ P'OOD PRODUCT SPECIPICATIOIdS Rl1X $YSTEMS, INC. A. POOD PRODUCT NAME: _ Sauce, Special IIBC B. REQUIREMENTS• ' . ~ 1. rlavor: Tangy, cheddar-f lavored sauce with traces of bacon flavors and smoke flavors uniforml,y distributed throughout; no evidence of off flavors. 2. Color: Orange. 3. A permanent emulsion. 9. Texture: smooth. 5. Base: Mayonnaise C. PACKAGING• The sauce will be packed four, 1 qallon plastic containers per shipping carton. Each shipping carton will be imprinted with the manufacturer's name, address and production date. D. STORAGE AND HANDLING: The unopened containers of sauce will be kept at a temperature not to exceed 750F, with a shelf life of eight weeks. The Pr Product must be kept from freezing and from sources of excess heat. After opening, the unused portion is to be stored tightly covered, in the walk-in cooler; shelf-life of the opened, refrigerated product is seven days. E. APPROVED MANUFACTURER: Continental Food Products Company (Product Code #970020) 2550 North Clybourn Avenue Chicaqo, IL 60614 Telephone: 312-477-7600 III. B. . . - MENU PRIIPARATIONS RAX SPSPIIV6, INC. A. MENfJ ITEM NASE: QiICKM SAPIDWIQi B. INQtIDIFa1T SPECIFIATION.S: Each Chicken Sandwich will oontain the following: 1. One split-top, cornmeal-dusted bun • 2. One 3.6 oimce portion of deep fried chicken 3. Mayonnaise (approximately a one-ha,lf ounce portion) 4. A one-ounce portipn of shredded lettuce C. PREPARATICN AND HArIDLING OF QIICKEN: 1. Receiving: _ a• Check bill of lading against the nwnber of cases received. b. Check for darreged shipping cartons. Return any dazmged cases for credit. c. Check for evidence oY thawed product; return any cases of praluct which are not solidly fnozen. d. C7ieck the cases for the manufactvrer's code number and pack (44 - 3.6 oz. portions per case). e. After receipt of delivery, product uust be transferred to the walk-in freezer imnediately for storage. The shipping cartons are to be stacked at least 6" ofP the iloor, 1" awa,y from the walls, and 6" fraan the ceiling to a11ow for proper air circula- tion and ensure a solidly frozen product at a11 times. 2. Pregaration and Handling: a. Transfer one ten-poimd csse (qq _ 3.6 oz. portions) from the malk-in freezer to the Delfield freezer; the Deltield freezer is to be positioned to,the left of the fry station. Zb *aximize use of storage space, reoove the bag liner oontaining the chicken . portions from the shipping carton aad pla.ce product on the top shelf of the Delfield freezer. - b. Set the fry teuperattme at 3600F. (heck the condition (see Oper- ations Manual, French Fries, III D.2., Rev. 11-30-79), and level of shortening in the Yry vat. Add new stortening, as needed, so . that the shortening level is 2 inches above the till-li.ne indicated in the Pry va,t. _ _ .~..~..m. - ..~.~.....Y._....,.,.~._..... . . . D9IIVU PREPARATIQNS NAR SYSTEvS, INC. c. 1he F.A.S.T. (6+6180PxF7C) Canputer will be preset for the cool-,ing cycle; the chip (8I) and dial (6) settings correspond with a two minute thirty-tao second (approximate) fry time (see Attachment A). The cooking cycle may vary siightly depending upon the amount and temperature of the praluct submerged into the shortening. d. FYy racks are used to hold the product during the cooking cycle as well as to drain and liold the product after frying. Place each 3.6 ounce portion ofi chicken into the fry rack so that the widest area is resting against the bottom edges of the rack (see Attackment B). No more than 1/2" of the narrow "tail" of the chicken pprtion should be above the top of the rack.. Although" the fry rack has 13 available spaces, it is recomnended that no rmre thau 7 chicken portions be fried at one time. Begin with the space at the end ot the rack to which the handle is attached; lea.ve the next space empty, then position another chicken portion, etc., so that very other space is empty. Zhis will permit more ra.pid frying and more unitorm browning of the batter. e. Transfer the filled rack to the stmrtening and push the appropriatE button for chicken to activa,te the cooking cycle. f. The F.A.S.T. Clomputer will signal the campletion of the cooking cycle by a beeping sound aad flashing of the lighted button. Push the button to deactivate. Lift the rack of chicken above the shortening and turn gently frwn side-to-side (DO N04' STIAKE) to rarove excess shortening. Transfer imnediately to the drain pan (containing wire insert), positioned under the infra-red lamps; the drain-holding pan and lamps will be set on top of the Deliield freezzr (see Attachment C). g. Ib uot duap the fried chicken portions from the fry rack into the drain-holding pan. Rhe fried chicken portions are to be held in the fry racks, under the latnps, until needed for the sandwich. If there are portions oP chicken previously fried being held in a rack these are to be transferred to spaces i.n the back (opposite end frn the handle) of the rack of freshly fried product. 7he rotation of piroduct from the rack to the sandwich simuld be frem the back to the front of the rack (see Attachment B). . D. PRIIPARATICN AND HANDLING OF &IIVS: See Operations Manual, Big RAX, pp. III D. 8 and D. 9, Rev. 2-20-80 and 12-31-79. E. PREPARATIQLV ANID HANDLIIJG OF BUN OIL: See Operations Manual, Big RAX, pp. III D. 9, Rev. 12-31-79. F. PREPARATION AND HADII)I,TNiG OF IET1TXE: , See Operations Menual, Big RAX, pp. III, D. 10, Rev. 2-20-80 ~ . _ _ . . . . : • MENU PRFPARATIONS RAX SYSfEMS, INC. G. SAbIDWIpI ASSL'MBLY ADID pAC7{AGING: 1. Gently place the heel of the bun, toasted side up, into the bottan of tkie sandwich box. 2. SPread approxinra,tely one-half ounce of roayonnaise evenly over the entire face of the toasted crown of the bun. 3. Spread one ounce of shredded lettuce evenly over the uayonnaise. 4. Place the fried portion of chickea on the toasted heel of the bun. 5. Gently place the prepared crpwn oi the bun on top of the chicken. 6. Fold the top half oY the sandwich box over the assembled sandwich. H. HOLDING TI69E: 1. The fried chicken portion may be held in the fry rack under the 250 watt infra-red lamps for 15 minutes. (Check distance Proan lower edge of lamps to wire insert of holding pan; distance is to be fxon 15" to 16".) 2. The prepared sandwich may be held for a maximim of three minutes. MM PRFPARATIQYS • RAX SYS1M, IIJC. 1 - A. MENU ITF~M NAME: B.B.C. (BEEF, HAOCN. & CMDDsAR FLAVOIIM SAiIM) B. INC3tIDIFNT SPDCIFICATICNS: Each RAX B.B.C. will contain the follawing: 1. Osie six-inch, split-top, cormieal-dusted bun 2. A three-0unce portion of sliced, steatoed, aad fluffed RAX Roast Beef 3. 7tw strips of bacon . • 4. Three-fourths owice of RAR Special Sauce B.B.C. C. PREPARATICN AAID HANLLING CF BEEE': (See Big RAX) D. PREPARATIM AAID HANI)LING CF HUNS: 1. Preparation: a. 1Uast tle buns using the same procedures as in the Big RAX. N(7PE: 4bast bims tA order OnlY. . 2. Storage and Haadling: a. 3plit-top, coruneal-dusted buns are to be frozen if delivered only once or twice a week. Thaw the projected nwnber to be - used for one day, 1-1/2 to 2 hours bePorn opening each morning. Rotate fresh or Prozea buns to ensure a fresh product. E. PREPAR.eiTI(FI ANID AANIDI,ING OF BA(7CN:' 1. Storage a.nd Handling: a. Baoon will be delivered fx+ozen. Ghe box may be transferred to ' the walk-in eooler for tempering if desired; hoaever, bacon does aot require thawing for our method of preparation. It is recan- • mended that Flat Fak bacon be kept frozzxi due to ease of handling when tra,nsferring be.aon to the sheet pans. If the be,cAn is tmipe2'ed prior to coolsing, the recanmended cooking time may be reduced to approximately tao minutes. After thawing, unoooked bacon may be kept in the cooler for five days. 2. Preparat3en: a. Pro-heat the lower ooavectian aven to 325OF (dial at 325°F). b. Zhhere are ten etrips oY becon peropaper layer. Litt the paper liner oontaining the bacon stripe and flip onW a cleaa ungreased 18" x 26" sheet paa. Ramve the paper liner Yrom the tmcon. c. Individml strips of baooa may also be txaasferred fznm the paper liner to tbe cleaa, ungreased 18" x 26" sheet pan. MOL' PREPARATICNS , RAX SYS1F?dS, INC. , ~ d. Baaon strips must be Ylat with no overlap of strips on the sheet pan. Recvnnended aligvnent in positioning of the strfps is showa in the diagram belaw: 18" X 26" ( ( ~ • Sfir~,T PAN 24 strips of bacon / (as shown) (NOrPE: Bacon strips can be panned prior to closing at night to be ready for cooking the Pollaving morning. IP this is clone, stagger stack sheet pans o3 bacon using PaPer liners to cover eacposed strips. Store in the freezer or in the walk-i.n c.ooler, be sure product is protected fram any source oY drips, conden- sation, and foods which give-off strong odors. After the oven is preheated the following morning, reaove the liners and cook.) e. With the oven set at 325°F, coak bacon for 10-11 minutes. Time'imay vary slightlq if the oven doors arn opened during the cooking time, if there are hot spots in the oven, with the loading of the oven (nunber of pans introduced at one time), and with the tcinperature of the product and pans put into the oven. Check the doneness of the bacon on the highest, middle, and lowest oven shelves after eight mirrutes to deteimine unifoxmness of cooldng at different levels 3n the oven. DO NC7i' overcook the bacon; the product shonld be golden broHn to brown in color, crisp, but without burned or charred eclges. (NdlE: If thexe are not spots in tne oven, pa.ns may neea to be turnea n,iaway (six minutes on timer) through the cookiDg period. F2npty sheet pans placed on the top aad bottan shelves thxoughout the cooking cycle may help the strips to cook more unifoxmly.) See Diagx'am below: QNVD(,TION OVEN A--enpty sheet pan B--TaCk enPtY , F--lst sheet pan bacon = = D-rack empty - ~ E--2nd sheet pan of bacor 11 rack guides F-rack eupty G---3rd sheet Pan of bacoi • ~ H-rack emPtY I-sheet pan of bacon Dial setting at 3250F. ~ J-rack enPtY g-empty sheet pan _ • M21U PREPARATIQVS 1 ~ RAX SYS1M, INC. ~ . f. Using a flat metal spatula (pancake turner), transfer cooked strips of bacon (imnediately after reiooviag fran the convection wen) to multi-layers of paper towels. ArraDge bacon in a`, single layer for best draining of excess grease. A11av strips to cool and draia for approximately fifteen rtdnutes, thea transfe strips, using spatula or tongs, to a second set of PaPer towels t drain residual gresse• Allav to drain a second time, on multi- layers of paper toxels, for an additional ten mittutes. g. Liue the bottom of a staialess steel holdi.ng pan (third-size pan) with multi-layers of papea tavels. lransper strips of bacon (after draining a second time) to the holding pan, aniy a smali amount of grease should ranain on the strips by this time. . h. Transier holding pa.n tn the sandwich preparation sta.tion. i. Leftover cooked strips of bacon may be stored in the cooler over- night.but these strips must be warnied in the thennotainer and use first the following morning. Broken strips of bacon should be crunhled and added to the crock of bacon bits for the salad bar. F. RAX SPECIAL SAUCE B.B.C.: 1. Stora~e aad Handling: - a. Cheddar 3lawred sauce is to be stored at x+ocm temperature (dry . storage area) until opened; shelf-life of the unopened pnoduct is eight meks. After opening, the unused portion is to be storec tightly-covered, in the walk-in cooler. Shelf-life of the opened, refrigera,ted p¢roduct is seven days. 2. Preparation• a. RAX 3pecial Sauce B.B.C. dces not require further preparation, mixing, or heating. • , b. Set dispenser punp for 3/4 ounce (1 ring added) and set the sanitized dispenser paaqp directly into the plastic gallon containe of sauoe. a• Cbeck calibration of dispenser with Emct Weight Scales (one pmp 3/4 ounce). d- DisPease 3/4 otmce portioa of sauce onto the toasted crown of bun. Dispense sauce in oae strip, down the center of the length of the bua so that there will be sauce in each bite of the sandwich. e. Stose gallon container with dispenser pnzp at condiment station for saadwicL assmbly. . r MTU PREPARATICN5 RAX SYSIME, INC. G. SANDWIQi ASSIIM13LY: , 1. 7bast buns to order only. 2. Steam and fluff three ounces of roast beef and arrang+e the beef so there is an even distribution over the length and width of the saxtdwich. 3. Dispense 3 4 ounce of RAX Special Sauce B.B.C. onto the toasted crown of the bun as shown in the diagram below: ~ 4. Place txo full strips of bacpp on the cheese saure, 5. Gently place the prepared crown of the bun on top of the beef. H. PAQCAGING: 1. Fbld the top ha],f of the sandwich box over the asseubled sandwich. I. MIAING TIhM: 1. The RAX B.B.C. is ma,de to order only. DIEVI1 PNT;PARATIONS ' RAX SPSTEAtiS, INC. A. b7EN[7 ITZ4 NAME: FISH SAAIDWIQ3 B. INCRIDIENI' SPECIFICATIONS: Eaan Fish Sandwich will contain the following: 1. One split-top, cornmeal-dusted bun 2. One 2.78 ounce portion of deep-fried ba.ttered cod 3. Tartar Sauce (approximately a one-half ounce portion) 4. A one-ounce portion of shredded lettuce 5. Tao slices of tomato and/or one slice of clieese, if requested C. PREPARATICHJ ANID HANf)LING OF FISH: 1. Rece~; a• (hecl; bill of lading against the munber of cases received. b. Check for damaged shzPP~g cartons. Return any damaged cases for credit. o• Check for evidence of thawed product; return any product that is not solidly frozen. d• Check each case for the manufacturer's product identification label and pack to ensure you are receiving the correct product. e. After receipt of delivery, product must be transferred to the walk-in freezer umnediately for storage. The shipping cartons, or individual bolces of fish portions, are to be stored at least 6" oPf the floor, 1" away from the walls, and 6" from ceiling to allow 3or proper air circulation and ensure a solidly frozen product at all times. 2. Preparation and Handling of Fish: a. Blanching: 1• Project the ntinnber of fish portions to be sold for the day. 2. Set fryer teaperature at 3600F. Check the condition (see Operations Manual, French Fries, III D.2, Rev. 11-30-79) and level of shorten3_pg in the fxy vat. 'pdd new shortening, as needed, so tha.t the shortening level is tao inches above the fill line indica,ted in the Yry vat. 3. The F.A.S.T. (6+6180PXFX) Computer (see p_ttachment A) is preset for bl.anching time; the chip (8J) and dial setting (4) correspond with the fish-blanch decal, and a three minute one second cooking cycle (see Atta,chment A). The cooking cycle tnay vary slightly depending upon the azrount and temperature oi product sukmerged into the shortening. ~ MENU PREPARATIONS • ' RAX SYSI'EMS, INC. 4• Fry raclts are used to hold the product during the blanching cycle. All 13 spaces of the rack r.ay be filled with fish portions for blanching (see Attachment B). Lo2d the fry rack by resting one of the diagunally cut ends oP the fish portion against the bottan edges of the rack. No irore than 1/2" of the opposite end of the fish portion should extend above the top of the rack. Flip the stainless steel bar of thF• fry rack to cover the top of the fish portions and hold them in place during blanching. 5. Transfer the filled rack tp the shortening and push the appropriate button (see Attaclvment A) to activate the cooking cycle for blanching. 6. The F.A.S.T. Ccxnputer will signal co¢rpletion of blanching by a 1eePing slgnal anfl flashing of the lighted button. Push. the button to deactivate. Lift the rack of blanched fish portions from the shortening and turn gently from side-to-side to remve excess shortening, Dp IVOT SHAKE, Transfer to the drain pan (lamps should not be on), and allow product to cool and drain for five minutes. Remove blanched fish portions fran the fry rack(s) and place on a clean 18" x 26" sheet pan, and/or in the original box (note: if the original box is used, be sure to separate layers of blanched fish portions with the waxed papers used to separate layers of the frozen product). - Remove the stai.nless steel ba.r from the top of the blanched portions by 3lipping the bar to the left. 7. Store blanched fish portions in the refrigerator. Store an adequa.te supply of blanched fish portions in refrigerator (located benea.th the front prep station) for peak periods; excess blanched portions are to be stored in the walk-in cooler. Replenish the supply of blanched fish in the reach-in cooler as needed tYurougtiout the da,y. b. Finishing; 1. The F.A.S.T. (bmputer is preset for Pinishing the fish portions; the chip (8G) anfl dial (4) settings correspond with the fish- finish decal (see Attachment A), and a one minute twelve second cooking cycle. The cooking eycle may yary slightly depending upon the amount and teaq*rature of the product submerged into the shorteni.ng. 2• FY'3' raclss are used to hold the fish portions for the finish cooking cycle. All thirteen spaaes ma,y be filled to finish the blanched fish; however, if up to seven portions are to be finished at one time, alternate the fish portions lea.ving an snpty spa,ce between eaCh, - 3. Transfer the rack of blanched fish portions to the shortening and push the appropriate button for fish-finish (see Attachment A) to activate the cooking cycle. MLVJ PRSFARATIONS ' RAX SPSTEbIS, INC. 4. The F.A.S.T. Computer will signal c.ompletion of the cooking cycle. Deactiva.te by pushing the button. Lift the rack of fish above the shortening and turn gently fran side-to-side to ramve excess shortening, DO NOrP S[iAKE. Transfer imned- iately to the drain pan and hold under the infra-red lamps. 5. Do not dwmp the fried fish portions fran the fry rack into the drain-holding pan. The fish portions are to be held in the fry racks, under the lamps, until needed for the sand- wich. If there are portions of fish, previously fried, being held in a rack, these are to be transferred to the empty spaces in the back (opposite end fran the handle) of the rack of fresh fried product. The rotation of product fran the rack to the sandwich should be fran the back to the front of the rack (see Attachment B). c. Frozen to Finish: 1. The F.A.S.T. Carputer is preset for a frozen to finish cooking cycle, in the event that the supply of blanched portions is depleted. The chip (SK) and dial (6) settings correspond with the Fish-Frozen to Finish decal and a four mi.nute, 40 second cooking cycle. 2. Place frozen fish portions in the fry rack as previously des- cribed (Fish Sandwich, C. 2. a.4 and Attachment B). 3. Push the appropriate button for fish-finish (Attachment A) to activate the cooking cycle. 4. When the F.A.S.T. Computer signals completion of the cooking cycle, push the appropriate button to deactivate. Lift the rack of fish above the stortening a.pd turn gently fran side to side to renove eaccess shortening. DO IJd!' SFIAKE. Transfer bm-edia.tely to the drain pan, and hold under the infra-red . laaps. 5. See C. 2. Preparation and Handling of Fish, b. 5., Finishing. D. PREPARATION ANID AANDLING OF BUNS: See Operations Manual, Big RAX, pp. III D. 8 and D. 9, rev. 2-20-80 and 12-31-79. E. PREPARATICN APID HAAIDLING OF BiIN OIL: See Operatiotts blanval, Big RAX, pp. III D.9, rev. 12-31-79. F. PREPARATICN ANID HANDLING OF LE7=: See Operations L4ar?ua1, Big RAX, pp. III D. 10, rev. 2-20-80. ~ h7ENU PIEPARATIONS RAX SY51'EN1S, INC. G. SANDWICSi ASSRiBLY INSfRi]C'i'ICJS: 1. Gently place the heel of the bun, toasted side up, into the bottom , of the sandwich box. 2. Spread approximately one-half ounce o3 tartar sa.uce evenly over the entire face of the toasted crown of the bun. 3. Spread one ounce oP shredded lettuce evenly over the mayonnaise. 4. Place the fried portion of fish on the toasted heel of the bun. 5. Gently place the prepared crnwn of the bun on top of the fish. 6. If toma,toes are requested, place two slices of tortra.to on top of the shredded lettuce; the customer should receive a bite of tomto in each bite of the sanclwich. 7. If cheese is requested, break one slice of cheese in half and place end to end acs•oss the length of the toasted heel of the bun; fish is placed on top of the cheese. (note: See Attachment D for suggested set-up of condiment sta.tion) H. PACKAGING: 1. Fold the top half of the sandwich box over the assembled sandvrich. 2. Pull slit wide, and i.nsert tab into slit. Flip the tab upward to secure the closure of the sandwich box. 3. Indicate the contents of the container by marking C(Chicken), F (Fish), or B (B.B.C.). , 4. A maximwn of three packaged sandwi.ches may be placed in a 10 lb. carryout bag (See Attacinnent E). I. HOIDING TIMES: 1. Fried fish portions may be held in the drain pan, under the infra-red lamps, amaYiR^n^ of seven minutes. 2. 7Yie prepared sandwich aay be held a maxumun of three minutes. J l ' . . . . , . _ ' . . - ~ Wertifirttte n# (Orrupttnrij Citp uf Cagan ~ lgP}1FITtrilPrif Uf B1[[1DtriQ 3tlSpPl'2tlrit ` y Tbir Cnti f&ate isrued pnrrxant u tIx nqui+nnrntj of Srrtion 306 af the Uni fonn BuilrJing ~ Coda urtiJy+ng that ar t!x ti+nqof 77S1I6fIC[ lHff flILCfRI[ fUA3 1R COIIIpGdDC[ WIfI] lIX vAf/aMf \ ~ ordinaeca of t& Citr ngulating Mrildirsg contt+uttion or ute. For ihr /ollowing: ~ . L . ~ Fax Roast Beef ~ 4935 r' e~as.e~~, No. ' . , ? '1b°ciu~uam ~'.aC ' YB3 Cmumctlm ~ Fin lon l_3 ~^d ~ °°"'~"'y°~ Gbnst ction 70 Aa,,A„ St. Paul. NA7 I j o.e~,~rsw { 3830 Sibley Man. E--4an, NN 4 ~ 978 &I or~ wu: FAST I . m...rcvw• ...a ~ ~ „.v. • ~ . z. ..i . ~ t . . .r . "a I - 1M U.s. ~7 ! 2005 COMMgRCIAL BUILDFNG PEZ2MTT ApPLICATION ¢[I 5 9 4 S D City Of Eagan 3830 pitot Knob Road, Eagan 11qn 55122 (a(l lz/9. ,BT1 Telephone #k 651-675-5675 FAX # 651-675-5694 . • Strac[urai plans • (2) sets . • Civi1 Pians Architecturel Ptans t (2) sets • Certficate of Survey ~ • Structu2l P1ens • Archdectural Planc se13 ( 7 • Clvll Ptans (2) • CodeAnafysls . Cotle Analysis (1) " (2) . Project Speog • ProjeCf Specs • Landscqping plans (1) (2) . Key Plan • Spec. insp, 8, Testing Schedule COde Analysis (t) . MasterExit Plan • Soils Report • Ce~cafa of Survey • Meterspe musF be (1) SPea lnsp. & Testin (1) ' En~9Y Celculations established ~ 9 Schetlule (t) not always•* • Meter s¢e must be established (1) • ~ EII POtYer & W9htlng Form (1) not ahvays`• l • Project Specs • Meter size must be estabGshed-a ~ • Ener appficaWe y 9y CdICUIdtIOne 1 • Electric Power & UghUng Form {1) l j • Master Exit Plan 1 • Emergency Respanse Site Plan (7) i i • Soils Repar} 1 • SACaetermination-ca11651-6p2-1000 (1) • SAG determinstion - catl 657-602-1000 i • Fira Sto in Submiqals • SAC determlnaUcp - Call 851-802-7000 ~all MD7 Depi of Health at 651-215-0700 ('or detai( Contact $uilding InSpections S n8axdin8 {ood & bevera e or iodgtng fot sample and if r~q~ g fatilitles. Pe mtit for nw bui3ding or addition wil1 not be processed without Emer3enc Y RPSponse Site Ptan, Date 12 ~ g" 1~~'"! ~P,w Site Address _~30 ~ Cost Tenant Name Unit/5te q Forrder Teua¢f Name 5~ 5~e~i~ n Description of Work ~u,lc(,~ dPMo 26 ~ Property pwner ~ Telephone#{412 ) 7417•~ftg' Contractor 'l I Addreas ~]2~ U7 «,L AA ~ State !14/ CitY Jrcu4o~ Zip 7$ Telephone#(ySz~ 7i6-s{~v0 ~~Fxix~ ArchlEngr Address Registration # State City Ztp. Telephone Licensed plumber instatling new seweNwater servica: Phone I herebY aPP1Y for a Commercial Building Perxnit 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 understaqd this is not a permit, but only an applicarion for a pemni, and work is not to starc without a pezarrt; that the work will be in accordance with the approved plan in the c" e of work which requires a review and approval ofplans. 7 Applicant's printed Name a Applicant's Signature - - ~ '------------T_ OFFICE USE ONLY Sub Types G 01 Foundation 26 Public Paciliry ? 30 Accessory Building E 14 Apartments ~ 27 CommerciallIndus[rial ? 32 Ext Alt-Apartments 15 Lodging ~ 28 Greenhouse C 34 Ext Alt-Commercial ? 25 Miscellaneous C 29 Antennae G 35 Ext Alt-Public Facility _ 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ~ 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors ? 34 Replac0ment 'Oemoiition (Entire 81dg only) - Give PCA handout to applicant Valuation Type of Const Width Plan Rev 100%_ 25%_ Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Required Inspections _ Footings (new bldg) _ Fireplace _ R.I. _ Air Test _ Final _ Foorings(deck) _ Insulation _ Footings (addition) _ FinaVC.O. Foundation FinallNo C.O. Drain Tile Other _ Driveway Apron _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Roof Ice Pr _ Deckine _ lnsul Final _ Siding _ Stucco _ Stone _ Framing _ Windows Approved By: Planning Building Inspector Base Fee Surcharge ~ "TVt~+~.Q CG'~SN~C-~~'-• GcT 'T'~,i S Plan Review S~ Ke e S SAC-MCES Le~ tr"re 'p, -"..'2°'.ri°-.-,1f SAGCity J or ~ SIW Permit SIW Surcharge Treatment Plant Financial Guarantee Treatment Plant (Irrigation) Srorm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Trail Dedicafion Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Tofal . 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 o s. x~ x a s c.. . Strudural Plans (2) sets • Architectural Plans p (2) sets • Archdectural Plans (2) sets . Civil Plans (2) • Structural Plans(2) . Code Analysis (1) " . Gertificate of Survey (1) • Civil Plans (2) • Project Specs (7) . Code Analysis (1) " • Landseaping Plans (2) • Key Plan (7) . Project Specs (7) • Code Analysis (7) • Master Exit Plan (1) . Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (7) not always" . Soils Repwt (i) • Spec. Insp. & Testing Schedule (1) " • Elec. Power 8 Lighting Form (1) not always•• . Meter size must be established • Meter size must be established • Meter size must be established-if applicable y . Project Specs (1) 1 • EnergyCalculations (1) 1 • Electric Power & Lighting Form (1) " y L . Master Exit Plan (1) 1 ! • Emergency Response SRe Plan (1) 1 j . Soils Report (1) . SAC determination - call 651-602-1000 • SAC determination - call 651-602-7000 • SAC determination - call 651-602-1000 • Fire Sto in Submiflals Call MN Dept of Healfh at 651-215-0700 for details regazding food & beverage or lodgiug faciGties. Contact Building Inspections for sample and if required Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 7 6eestnrelion Cost la oc~ 6~ri~ /yPN+o~'a( ry UniUSte # $iteAddress s Tenant Name n DqSrl ~E+ Former Tenant Name S4t/l ,rs ~{a{+7ic/( Description of Work ~iti~c~no clerho on~ Cohcrd-C S/44 54- s A` mba/J Property Owner i`, Telephone # (GI Z ) 7q7"AX)5' Contractor Z/ZVd5 ( adsr"hd*4 StI'aws Address 72U7 Wt5± /Z0451-- City 56V4 State MN Zip S3 78 Telephone #(ySz) 7y6-SF~S~O ArcL/Engr Registration # Address Cit3' State Zip Telephone # ( ) Licensed plumber installing new sewedwater service: Phone I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the c' se of work which requires a review and approval of plans. ' ~~r~ ~eKU~''S Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Aparhnents ? 27 Commercial/Industrial O 32 Ext Alt Apartrnents ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous D 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire 81dg oniy) - Give PCA handout to applicant Valuation Type of Const Width Plan Rev 100°k _ 25°h _ Occupancy MCES System Census Code Zoning CityWater SAC UnRs Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Required Inspections _ Footings (new bldg) _ Fireplace _ RI. _ Air Test _ Final _ Footings (deck) _ Insulation _ Footings(addition) _ FinallC.O. Foundation FinaUNo C.O. Drain Tile Other _ Driveway Apron _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Roof Ice Pr _ Decking _ Insul _ Final _ Siding _ Stucco _ Stone _ Framing _ Windows Approved By: Planning Building Inspector - - - - Base Fee Surcharge Plan Review SAC-MCES SAC-City SIW Permit SIW Surcharge Treatment Plant Financial Guarantee Treatrnent Plant (Irrigation) Stortn Sewer Trunk Park Decrication Sewer Lateral Seww Trunk Trail Dedcafion SUeet ' Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Total d 2007 COMMERCIAL MECHANICAL rERNtiT nrrLIcaTion Citv Of Eagan 3830 Pilot Knob Ruad, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc commercial/industrial buildings multi-familv 6uildines when se arate ermits are not rc uircd for each dwclling wiit i Uate lQ_ l I Site Street Address_ 3230 aib iP c4 1-4E,rr~OY [c~1 Unit # Tenant Name (iSapplicable) ePcSLo-r ~j r-o LRF SWt Previous Tenan[ Name Property Owner ~GS. ( Telephone # ( (p ( Contractor pu.,.,,,p d' &~rZYtcQ ._LytC, Streetwddress 113Q3 eKQPl%-,pr ljtX. City 'fTQ~l~1t State ~lw Zip SS 3t- Telephone q( c/ L) Bond }-'I PG0 Qfo n Expires: ~LLO8 The Applicant is _ Owner w"~Contractor _ O[her Work Type Ne%v Conslruction _Interior Improvcmenl _Inslall Piping _ Processed _Gas Exterior HVAC UniP'* *"HVAC units must be screcned ? Under/Above ground Tanlc Install Remove When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspeclor kacurco:l{:ori:: ~ - Ui~ ¢ ~.1 c•nE,' J~ -s-~,-~ s~ P¢Ctlllt F¢¢5 570.50 UndcrgrounA tank installa[ionlrcmoval $5050 Minlmum (includcs Sta[c Surchargc) Of Contract Value $ x 1°/a Permit Fee $ . ~ State Sumharge To calculate surcharge If Permit Fee is less than $1,000, sureharge is 50 crnts. C~S D If Pennii Fee is> $1,000, surcharge increases by $.50 r,.~~ II ~ u\L~ for each $1,000 Permit Fee (i.e. a $1,001-52,000 Peanit W Fee requires a$1.00 surcharge). 0 T 1 7 2007 g Total Fee 1 hereby acknowledge thai this infoanation is wmplete and accurate; that the work will be in confortnance with [he ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is noi a permit, but only an application lor a perntit, and work is not to stan withuut a pertnit; that the work will 6e in aecordance with the approved plan in the case of work which requires a review and approval of plans. 0- c Ir RT . ~e ~ tt~ir~ ApplicanPs Printe Name ApplicanPs Sismator Approved By: , lnspector Date:_ ulnu.;. ~ • .=..:`8;-rt';r,. M8fI1 OffIC2 • 11303 Excelsior Slvd • Hopkins, MN 55343 Phone:(952)933-4800 • Fax:(952)939-0418 Email: www.pump-meteccom r. ~ io"nyl a"d Met" eePJLCdi'.et ,nC. SERVICE • SALES • INSTALLATION , Bejin.Pump Service • Adivision of Pump & Merer Servire, Inc Duluth Branch 3497 129m Street • Chippewa Falls, WI 54729 Phone: (715)392-6687 • Fax: (715)392-6520 Phone:(715)723-8223 • Fax:(715)723-7242 January 9, 2008 CITY OF EAGAN ATTIJ: DA7 E(F i RE M_ARSHAL ) 3830 PI"LOT KNOS RD EAGAA?, Mld 55122 RE: Tank Closvre Soil Sampling CEDAR GROVE SHELL, 3830 STBLEY HIGHWAY EAGAN,MP7 To Wnom It May Concern: Enclosed Is a copy of the chemistry report on the seil samples taken during the closure of the (1)12,000 gallon fvel oi1 tank and (2) 8,000 qallon tanks at tne abo-ve location.Results of the .."~.c'i.8 _:)C1CaL2 770P.-Q'2L2Ci.. Trznk 37ou. Sincerely, PUMP & METER SER VICE, INC. RON SMITH FnC, Fueling Systems - Elecf'ronic Gauging & "Self-Serv Equipment - Compressors Inventory Controls - Fiberglass Tanks & Pipe I Auto Lifts & Parts - Service Station Pumps Line Testing - Tank Testing Card Control Systems - Canopies Pace Analytical Services, Inc. aceAnalytical ~ 1700 Elm Street - Minneapolis, MN 55414 wwwp3ce/eDS.ean (eiz)em-noo November 15, 2007 Mr. Ron Smith Pump & Meter 11303 Excelsior Blvd. Hopkins, MN 55343 RE: Project: CEDARVALE SHELL Pace Project No.: 1062314 Dear Mr. Smith: Enclosed are the analytical results for sample(s) received by the laboratory on November 01, 2007. The resuits relate only to the samples included in this report. Results reported herein conform to the most current NELAC standards, where applicable, unless otherwise narrated in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sipcerely, Sy75ia`Wunter sylvia.hunter@pacelabs.com Project Coordinator Florida (Nelap) Certifcation E87605 Illinois Certification 200011 lowa Certification 368 Minnesota Certification 027-053-137 Wisconsin Certification 999407970 Enclosures , REPORT OF LABORATORY ANALYSIS Page t ot 9 Ttis repo.".snal! r: be:_proeoce.:. ex.ept in fuil. . without the written consent of Pace Analytical Services, Inc.. ~I~r1~; Pace Anatytical Services, Inc. aceAnalytical ' 1700 Elm S[reet ~ - " Minneaoolis. MN 55414 wwwpeca'ebs.crom ! i (672)607-1700 SAMPLESUMMARY Project: CEDARVALE SHELL Pace Project No.: 1062314 La61D Sample ID Matrix Date Collected Date Received 1062314001 #1 UNLEAD 12K EAST Solid 10/31107 10:30 11101l07 15:50 1062314002 #2 UNLEAD 12 WEST Solid 10/31l071015 1110110715:50 1062314003 #3 DIESEL TANK Solid 10l31/07 1140 11l01l0715:50 7062314004 it4 PREM TANK Solid 10/31l07 11:50 11701l07 15:50 REPORT OF LABORf1TORY ANALYSIS Page z ot 9 Thi=_ report sna:l nc- oe reorotlucec. except'm fWl. without tne written consen; ot Pace Analylical Services, Inc.. . ~ Pace Artalytkal Services, Inc. ~dC@At12l.j/t1G3l noo eim so-eei / wwwaerelebs.com Minneapolis,MN5541a / (612)607-1700 SAMPLE ANALYTE COUNT Project CEDARVALE SHELL Pace Project No.: 1062314 Analytes Lab ID Sample ID Method Reported 7062374001 #7 UNLEAD 12K EAST % Moisture 7 TPH WI GRO/PVOC 8021 6 1062314002 #2 UNLEAD 12 WEST % Moisture 1 TPH WI GRO/PVOC 8021 6 1062314003 #3 DIESEL TANK TPH DRO Wisconsin 2 1062314004 p4 PREM 7ANK °h Moisture t TPH WI GRO/PVOC 8021 6 - - REPORT OF LABORATORY ANALYSIS Page 3 of 9 Thls re;Artshal! nctbe reproduc2d. excepl In tull, ` without Ne wriryen consent of Pace Analytical Services, Inc.. ciL:: Pace Anatytical Services, Inc. /~ti`4aceAnalytical ~ 1700 Elm Sireet Minneapolis, MN 55414 www.pacelebs.wm ~(612)6074700 ANALYTICAL RESULTS Project: CEDARVALE SHELL Pace Project No.: 1062314 Sample: #t UNLEAD 12K EAST Lab ID: 7062314001 Collected: 10131/0710:30 Received: 11101/0715:50 Matrix: Solid ResWts reported on a"dry-weigh[" basis Parameters Results lJnits Report Limit DF Prepared Analyzed CAS No. Qual WIGRO GCV Analytical Method: TPH WI GRO/PVOC 8021 Preparation Method: TPH GRO/PVOC WI ext. Benzene ND mglkg 0.052 1 11106/07 00:00 11/08/07 00:54 77,43-2 Ethylbenzene ND mglkg 0.052 1 11106/0700:00 11/0810700:54 100-41-4 GasolineRangeOrganics NDmgfkg 52 1 11/06/0700:001110810700:54 1M,G2 Toluene ND mglkg 0.052 1 11106107 00:00 11/08/07 00:54 108-86-3 Xylene (Total) ND mg/kg 0.76 1 11/06107 00:00 11108107 00:54 1330-20-7 a,a,a-Trifluorotoluene(S) 100 % 80-150 1 17106/0700:00 11/08/0700:54 98-08-8 Dry Weight Analytical Method: % Moisture Percent Moisture 4.6 % 0.10 1 11/02/07 00:00 Sample: #2 UNLEAD 12 WEST , Lab ID: 1062314002 Coliected: 10131/07 10:15 Received: 11101l07 15:50 Matriz: Solid Results reported on a"dry-weighP basis Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual WIGRO GCV Analytical Method: TPH WI GROlPVOC 8021 Preparation Method: TPH GRO/PVOC WI ext. 8enzene ND mg/kg 0.052 1 11/06/0700:00 11/081070121 71-43-2 Ethylbenzene ND mglkg 0.052 1 11/06/07 00:00 11/08/07 01:21 100-41-0 Gasoline Range Organics ND mglkg 52 1 1 V06l07 00:00 1 V08/07 0121 1M,G2 Toluene ND mg/kg 0.052 1 11/06l0700:00 11/081070121 108-88-3 Xylene (Total) ND mg/kg 0.16 1 11/06107 00:00 11108107 01:21 1330-20-7 a.a,a-Trifluorotoluene (S) 99 % 80-150 1 11106l07 00:00 11108107 01:21 98-08-8 Dry Weight Analytical Method: % Moisture Percent Moisture 3.6 % 0.10 1 11/02107 00:00 Sample: #3 DIESEL TANK Lab ID: 1062314003 Collected: 10131107 11:40 Received: 11/07/07 15:50 Matrix: Solid Resulis reported on a"we!-weighf" basis Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual WIDRO GCS Analytical Method: TPH DRO Wisconsin Preparation Method: TPH DRO Wisconsin Diesei Range Organics ND mg/kg 6.5 1 117D2f07 21:19 111121072018 n-Triacontane (S) 100 % 50-150 1 i t/02/07 21:19 11/12/07 20:18 Sample: #4 PREM TANK Lab ID: 1062314004 Collected: 10l31/07 11:50 Received: 7 7/01/07 15:50 Matrix: Solid Resutts reported on a"dry-weight" 6asis Parameters Results Units Report Limit DF Prepared ~Analyzed CA5 No. " Qual WIGRO GCV Analytical Method: TPH WI GRO/PVOC 8021 Preparation Method: TPH GRO/PVOC WI exL 8enzene ND mglkg 0.052 1 11/06107 00:00 11l08/07 01:48 71A32 Date: 11l1512007 0223 PM REPORT OF LABORATORY ANALYSIS Page 4 0' 9 • Tnis reocr? shall nc<. be repro7uc=_-. =_xc=p; in fu!I. without ihe writlen consent of Pace Analylical Services, Inc.. . ~ Pace Analytical Services, Inc. , aceAnalytical 1700 Elm Siree; - Minneapolis, MN 55414 www.Ceceianscom (612)607-1700 ANALYTICAL RESULTS Project: CEDARVALE SHELL Pace Project No.: 1062314 Sample: #4 PREM TANK Lab ID: 1062374004 Collected: 10131/07 11:50 Received: 11101107 15:50 Matrix: Solid Resulis repoited on a"dry-weight" basis . Paramefers Results Units Report Limit DF Prepared Analyzed CAS No. Qual WIGRD GCV Analytical Method: TPH WI GROIPVDC 8021 Preparation Method: TPH GROlPVOC WI eM. Ethylbenzene ND mglkg 0.052 1 - 1 V06l07 00:00 11108/07 01:46 100-41-4 Gasoline Range Organics ND mg/kg 5.2 1 11106/07 00:00 11108/07 01:48 1M,G2 Toluene ND mg/kg 0.052 1 11106107 00 00 11l08107 01:48 108-883 Xyiene (Total) ND mg/kg 0.16 1 11I06/07 00:00 11/08/07 01:48 1330-20-7 a,a,a-TriFluorotoluene (S) 99 % 80-150 1 11106/0700:00 11/0810701:48 98-08-B Dry Weight Analytical Method: %a Moisture PercentMoisture 4,2 % 0.70 1 11102/07 0000 oate: 11n512007 0223 PM _ REPORT OF LABORATORY ANALYSIS Pa9e 5 of 9 Thls reood shz!I not be reorotluoeC, ezo_pt in full, ' • wI[hout the written consent of Pace Analytical Services. Inc.. ~ Pace Analytical Services, Inc. !aL+e~iAna1fL.al 1700 Elm Stre=t y~ ~ Minneapolis. MN 55414 xM1nv.Pecefobs.can i` (612)607-1700 QUALITY CONTROL DATA Project: CEDARVALE SHELL Pace Project No.: 1062314 QC Batch: OEXT17490 Analysis Method: TPH DRO Wisconsin QC Batch Method: TPH DRO Wisconsfn Analysis Description: WIDRO GCS Associated Lab Samples: 1062314003 METHOD BLANK: 409350 Associated Lab Samples: 1062314003 Blank Reporting Parameter Units Result Limit Qualifiers Diesel Range Organics mg/kg ND 5.0 n-Triacontane (S) % 97 50.150 LABORATORY CONTROL SAMPLE & LCSD: 409351 409352 Spike LCS LCSD LCS LCSD % Rec Max Paremeter Units Conc. Result Result °/o Rec %Rec Limits RPD RPD Qualifers Diesel Range Organics mg/kg 80 77.4 81.3 97 102 70-120 5 20 n-Triawntane (S) "/0 100 100 50-150 Dat=: 1 1l15/2007 0223 PM REPORT OF LABORATORY ANALYSIS - Page 6 of 9 Tnis repoF. sh2:l not ba reproDuceE, except in full, . without the writren wnsent of Pace Analylical Services, Inc.. Pace Analytical Services, Inc. u 1700 Elm SVeel _ aceAnalytica! Minneapoli5. MN 55474 '(612)607-1700 QUALITY CONTROL DATA Project: CEDARVALE SHELL Pace Project No.: 1062314 QC Batch: MPRPI10624 Analysis Method: % Moisture QC Batch Method: %Moisture Malysis Description: Dry WeighUPercentMOisture " Associated Lab Samples: 1062314001, 1062314002, 1062314004 SAMPLE DUPLICATE: 409362 1062306013 Dup Max Parameter Units Result ResWt RPD RPD Qualifiers Percenl Moismre % 20.7 197 5 30 SAMPLE DUPLICATE: 409363 1062306021 Dup Max Parameter Units Result Result RPD RPD Qualifiers Percent Moisture % 19.6 17.5 12 30 Date: 11l1512007 0223 PM REPORT OF LABORATORY ANALYSIS Page i of 9 7hi= r=ocC siall no! D=%p:otlucec. excep: in fulL without ihe written consent of Pace Analytical Services, Inc.. . r-., Pace Analytical Services, Inc. aceAnalytical~ 7700ElmStre=_t - Minneapo65, MN 55414 enrw.PecelaUS.corn (612)807-1700 QUALITY CONTROL DATA Project: CEDARVALE SHELI Pace Project No.: 1062314 QC 8atch: GCV14581 Analysis Method: TPH WI GRO/PVOC 8027 QC Batch Method: TPH GRO/PVOC WI eM. Analysis Description: WIGRO Solid GCV Associated Lab Samples: 1062314001, 1062314002, 1062314004 METHOD BLANK: 410468 Associated Lab Samples: 1062314001, 1062314002, 1062314004 Blank Reporting Parameter Units Result Limit Qualifiers Benzene mg/kg ND 0.050 Ethylbenzene mg/kg ND 0.050 . " Gasoline Range Organics mglkg ND 5.0 Toluene mglkg ND 0.050 Xylene (Total) mglkg ND 0.15 a,a,a-Trifluorotoluene (S) % 97 80-150 LABORATORY CONTROL SAMPLE &.LCSD: 410469 410470 Spike LCS LCSD LCS LCSD % Rec Max Parameter Units Conc. Result Result % Rec % Rec Limits RPD RPD Qualifers Benzene mg/kg 5 5.5 5.5 11 D 110 80-120 .1 20 Ethylbenzene mg/kg 5 5.5 5.5 709 109 80-120 .3 20 Gasoline Range Organics mg/kg 50 482 53.9 96 108 80-120 11 20 Toluene mg/kg 5 5.4 5.4 109 108 80-120 .9 20 Xyiene (Total) mg/kg 75 15.8 15.8 105 106 80-120 .2 20 a,a,a-Tritluorotoluene (S) % 107 101 80-150 Date: 1111512007 0223 PM REPORT OF LABORATORY ANALYSIS Page 8 et s 7his reDoh s,".a!I not b_ re?iodorec. exczpt In fuC. , without Ne written consent of Pace Analy6ai Servires, Inc.. ~rie~ao-. Pace Analytical Services, Inc. " 1700 Elm SftEet aceAnalytica! Minneapolis, MN 55414 (e12)s07-17c•: QUALIFIERS Project: CEDARVALE SHELL Pace Projeci No.: 1062314 DEFINITIONS - DF - Dilution Fador, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J- Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MOL -Adjusted Method Detection Limit. S - Surrogate 1,2-Diphenylhydrezine (9270 iisted analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate °/a recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplirate) MS(D) - Matrix Spike (Duplicate) DUP-Sample Duplicate , RPD - Relative Percent Difference NC - Not Calculable. Pace Analytical is NELAP accredited. Contact your Pace PM for the current list of accredited analytes. 5AMPLE QUALIFIERS Sample: 1062314001 [1) The samples were received outside of required temperature renge. Analysis was completed upon client approval. Sample: 1062314002 [1 ] The samples were received outside of required temperature range. Analysis was completed upon client approval. Sample: 1062314003 [1 ] The samples were received outside of required temperature renge. Analysis was completed upon client approval. Sample: 1062314004 [1) The samples were received outside of required temperature range. Analysis was completed upon client approval. BATCH QUALIFIERS 8atch: GCV/4582 [i ] A matrix spike/matrix spike duplicate was not performed for this batch due to insufficient sample volume. [2] A matrix spike/mairix spike duplicate was not performed for this batch due to insufficient sample volume. ANALYTE pUALIFIERS G2 The sample weight in the container did not meel method specifications. 1 M A one-to-one ratio of inethanol to sample could not be acheived. Sample results may be biased. Date: 11/1512007 02:23 PM REPORT OF LABORATORY ANALYSIS Page 9 0° s . This r=oo^ shail ne[ be r=procuc=c. excep: in tul!, witnout the written conseni of Pace Analytical Services, Inc.. , ~'nelac"= G CHAIN-OF-CUSTODY / Analytical Request Document , The Choln r,6CU,etoAy is a LEGAI DOCUMENT. AII relevent fields musl ne compla~q0 acr.urately. Fr~ceAnalytical" 3 I L www.pronlahxsom Seclion A $ection B Section C Pege: ol 2equLrd'ornWlimm..bunReqolreAPmilnPormafion: Involce lnfonnatio¢ ^ Company J Reporl To: Altenlion: 5 7F~~{ 2 V AMU•sf 7 • ' p)' To' ComPany Name'. lI.3D.~ 'XG2~PS~Or./~ ON " YYLL~1 REGULATORYAGENCY ~ Atltlress' ~d~i/ur NPDES . GROUNUNiAiER DRRJKINGWNLR Emnll'I'o'. purchasenrn?rNOaaceomne aeie .eiso VST RCRA OTIIFR p C` 93JY -z- 0 minr,iNanir./J~~p"`p paoermix~ SileLocation G. nlanaea: RinluPUlnirl D.m flnlc/TAT: Prnjrcl Nvmbm' P.v.::e!'rnliln p: STATE: Requesled Analysis Fillered (YfN) Setllon O MatriK Codes - - i noq,n,.ro'~„•neim,.,. :n;i MAIRIX ;cnog ~ o COLIECTED Preservatives D o,mkn,g waier ow ~ ~ a wrie, wr ~ uWeSIPWdl2! WW COMPOSIiE l'111IM11 IF U PioJVCI P m SI4R1 ENf^c:~9 j Z SoIVSOIitl SL y ~ 0 N y Y SAMPLE ID w~pe wp - Q w (nz,no) ni, na a z o w a 9 F~ o ..nupdulDs MIISt 9FIINIOIIF lissue 15 O d E N m y ~ L Viher OT I w Z Z ' U # K W j D N O C T N L N a ~ ~ a a U v O S N v F 2 a ~ a NO Uo ~ d C N - narE innE o,ve nnt[ ~ # D i z= z z ~ O y ~ ~ Pace Project No./ Lah I.O. jir , G4d/4EA-P /L E107, z o2 GcAv GN AN / Z /oEST 7 0=010 s ~ 46;K L a * /JIE'SCG AN L o•JI ' :m iPJ/ i < _-.Pr~6 nn.Lt. ag i•.3o .'30 . 5 6 7 8 9 70 " 11 12 npnITlONpI cOMMENTS REL OUISHEU BY I AFFILIATION DATE TIME ACCEP BY / AFFILIATION DATE PME SaMPIE CONORIONS _ U t/e'7 ~S~J"v a t~ ~if SAMPIER NAME PND SIGNATURE `v U - lil:'F!P;f - - PftINT Name of SAMPIER: SIGNATIIRF_eISAMPLER: OATESi9netl T c='~ m Y E J (MMf~~lYY~: `G/ 'I . I.utNnln'9Yp..i glllelHniV~~~rwn.-npflnONA[e'sNE1300~Y~~YmCnllernsantlapE¢n91olPlx[M1A~ 0115°61~~menlM1foram/n cnSnolP 1 i 41 . _ ~ . . . . . ~aceAnalytic31 Client Name: Project ( ;21 ~ Courier. 7~ Fetl Ex ? UPS ?USPSVClient LDCommercial LI Pace Other ptionil - Tracking k: P~~k'DFi~9 Ddt03L` P{p~.'N,e ~ Custody Seal on Cooler/BOx Present: ?yes ]no Seais intace ? yes r no zt, Packing Materlal: X Bubbie Wrap Bubble Bags None ? Otner - Thermometer Used 230194010 Type of Ice: Wet ) Bfue None ? Samples on ice, cooling prxess has begun Cooler TempereWre 9iologlcel Tfssue is Frozen: ves No Date and IMti Iof person exsmining ~,7 contents:~ i emp ShoWd be ebove (reeZing !0 6°C - COfI1rt1E0[S: ~ Chain ol Custod Presern: r,s ONO Own 1. Chain of Custod Filled Out: ves ?NO ?N/A p, Chain ot Custod Relin uished: ;Z/Yes ?NO ?wn 3, Sampler Name & Si nature on COC: v.s Or+o Ow.o a, Sam les Arnved wilhin Hold Time: r~s ONa Own 5. Short Holtl Time Anal als <72hr • ?res o?wn 6. Rush Tum Around Tlme R uested: Dves rvo ?wn 7. Suflicient Volume: Jvee ?NO ?wA g, Corract Containers Used: ` Idres ?no ?wn g. / -Pace Containers Used: vsc ?No ?wa Containers Intacr. v.. ONO ?wn 1p. Filtered volume received for Dissdved tests ?ves ?r+o A 11. Sample Labels match COC: ?Y•s /eNa ?wA 12. Sayy) li l e~ ~ f*Z S~'Y~Y C d f y w e l~- -Includes date/time/IO/Anal sis Matrix: 1~ LV ( All comainers needinq preservalion Aave Ceen checkad. ?YSS ONO 16 WA 13. All wntainers needing preservalion erefound ro De in pves ?NO wn comphance with EPA recommenaetion. ' Initiel aTen LDI a o~ atltleC excev~ns. 60A. Norm, TOC, 06G. WbDHO (wa~er) Yes ?NO compleletl preservalive Sam les checked for dechlorination: Orea rJNO NlA 14. Heads ace in VOA Viels >6mm : ?vea ?Na A 75. Trip Blank Present: ?v.. Y(No ?wA 76, 7rip Blank Custotly Seals Present ?vas ?NO P(N/a Pace Tri Blank Lot p if urchased : Cllent NotificatioN Resolutfon: Fiem Data Required? V~ N Person Comactad: Date/Time: q Comments/ Resolution: Project Manager Review: Oate:// Noie. Wnenever tnere is a tliscrepancyaffecUnq Nonn Carohna comphence sampies, a cooy of tnis form will he sent to the Nonn Carolin2 DcMNn Cenilicaiion Office (i.e out of hold, inrorrect preservative, out of lemp, incorrect containersl FALLC003rev.3, 115eptember2006 ` ~vil i~ ~ ° d~~0 ~ ~ ~ ~ ~ ~ ~ \ 0 ~ , - ro q 5' °,~6 ti 0,3 ~ . 1 . . ~ . • ~~.00 - ~ • _ ~ {o~! , . c~ ' 21.5 ,~i' _ _ - ~J _ , F~-X- Cur~ , ~ce ~ r ~b ~ ~ , i ~I ~ 3, o ~ i , , p ~ ~ ~ , ~ , ~ , ro ~ ~ Q~ i ~D ~ l/ ~ ,/~rai~a ~ ~a~'~'~ehf ~N N l f f. ~ y , ~ , ~ , 4-. ~ ~ , ~ p, 0 0~n ~ i M ~ o ~ . a~ n s. ~ . c " a ~1 v C, C'') QJ U? ~ . . ~ ~ ~ ~o . ~ ~ Mirrar 3 O U ~ i~ o~l l~oa~ ! Z v~ 4- ~ ~'G/? O I ~ Q ~ . ~ ~ ' ~ ~ ~ . ~ ~ 3~ c~Q ar . ~ ro ~ .L = ~ s a~ ~ ~ ~ ~ _ ~ w cn 1-- cL ~ _ ~IJ ` d \ ~ ~ ~ v , l ~ ~ ~ , ~ ~°a,' f ~ ~ .r•--- , ~ - . , 4 a ~ o ~ ~ ~ w ~ + ~ ~ r ~ ~ ii. ~ ~ ~ ~ ~ ~ ~ t , ~i. i . ~I : ~ Yy'~~~C` : ~ ~ ~ ~ ~ I ~ ~ V' , ~ ~ ~ I • ~ t , ~ ~~,{1 ~ ~ 4 S V ~ /6.Z ~ ~ ~ ~ ~n~ ~ ^ ~1~ ~ ~ ~ ~o, .~:~.;pf .~/Z ` ~`.~.,,,.y ~ ~ , . t, ~ ~o ~ 9 ~ ~ ~ ~L ~D p ~ ~ ~ ~ ~ ~ ',fi e,. , d' ~ ~ o~ f~. ~ ~ . ~ . . a . ~ ~ r ~ \ ~ ~ ~ ! , ~ ~ . ~ ~ . . N a 41 . ~ o ~ ~i U G ~ • G~/ /~I r No ~ ~ ~ ~ ~ o~ a s a~ ~v ~j +~~~c~ ° N ~ er v ` ~ ~ ~ ~ ~t N ~ o2 ~ N ~ ~1 ~ ~ ` ~ \ ~ ~ I ~ - ~7~~ ~ : i ~b ~ t/ ~ / .~~ac o ~ + ~ ,i ~ d ~ . ~ /<~p , o ~1 ~1 ~ • ~ - \ , ~ ~ , t7 ~ --35.~ ~ \0.9 ~ 1 ~ G ~ Spi/rcva~ ~i ~ \ ~ N f/a, ~r MEfF ~ ~ c'~ ~ ~ y ; 3/ / 'G s; ~ n c \ , ~ . . ~ ~ ~ ~ ' ~ 6~ ~ ".'v ' ~y ~ ,z ~ , ~ r~ ~ ~ c,~ ~ ~ ~ ~e~ey ' ~ ~ ~ ~ 'p ~ \ ~ 1 ~ ~ , • 7~ ~ ~:J r n' ~ y Z i ~ ~.P ~1 ,y„ ~ . . ~ . . V U~.- \v\ v ~ d5/~2 E? ~ ~ (p -L'°, ~ , ' A . - ~ ~ ~ . t'r':`l, ! . ~ ~ . \ ~ ' ~ . . ~ ~ \ `"p , 6~,.~•, : f . . : \ ' ~ ~p~ y~~ H c . , ~/r/ / ~ Q ~ ~ Q \ ~ ~ ~ ~ _ , . ~ ~ ' , . _ _ _ . _ ~ . ~ _ _ _ _ ~ - = ~ ~r . ~ , I ~ ~ ~ ~a , ~ ~ : ~ ~ , , ~ 3 . ~ ~a • R, ~ 1~ ~ p ~ ~ o , ~ p ~ I . . M~ ~ ~ ~ ~ - ~ . . ~4 I~ . . ~ . ~ . \ v J , ~ C ~ a ~ . rt~ ~ ~J . ~ V~ . . . . ~ ~ ~ . ~ . ~ . . ~ . . . ~ . . ~ ` , ~ _ . ~ ' ! , o : . , ~ ~ l ~ , ~ , ~ : . ~ _ ~ , , ~ , ~ r~ , i , , , , . , .~s~~: c~ . ~ ~D. ao _ ~ o - _ e,y o , „ ~l ~ D7 ~ ~ ~ ~ ~ ~ ~ 5z ~s- , , - ~'av,6 - - - - ~ ti ~ ~ ~ % ~ ~ Survey for: M. AuSTIN SM1~TH AND LEO T. FURCHT DESCRIPT[ON: Outlot A and L 2 Block 9, Cedarvale 2nd Addition accordin to th re.or g e c ded ?corded plat thereof, in Dakota County, in gs~o~t , i,,, a 1~ _ ..-w~ ; , ~~'c~f~L~ ~ I a~~so~ & II~C. I hereby certify to M. Austin Smith and Leo T. Furcht and Miller & Schroeder, Inc. ancl Title ici Title ARLSON Insurance Com ant of Minnesota that this is a true and ~ p correct representation of a survey of arvey of the boundaries of the land above described and of the location of all buildings, if any, therec iny, thereon and all visible encroachments, if any, fram or on said land. ~ NOTE: ~ A Oated this 10th day of February, 1987. rea of Lot 2 is 55,146 Square Feet or 1.266 Acres. Revised by us February 16, 1987. CARLSON & CARLSON, INC. IAND SuRV~YORS L NO SURVEYORS Area of Outlot A is 8,332 Square Feet ' or 0.199 Acres. f ~ f f ; a ~ bY,`~ ' 1z~'~ i ~ ~ ~Lar y ~R. C~o'uture, Land~Surve or Y nnesota~~License No. 9018 r~ - - - - - - - - - - - - - - - - - For Office Use jY 1 I Permit City of Eat Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Grate Received: Phone: (651) 675-5675 Fax: (651) 675-6694 staff: 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: v r r y I Site Address: 3S-30 t h \c`' ° \ r Y`° UD Tenant Name: (Tenant Is: New / Existing) S Former Tenant: PROPERTY OWNER Name: Da ko to Coon fy G D 4 Phone: (5l " 6 7f _ W if 7 Address/City /Zip: 122 8 -own 6en*re Drive Applicant is: Owner `X Contractor TYPE OF WORK Description of work: ~7~~ ~lF:t/f DLll9d~r"t;Dn Construction Cost ,t nse # CONTRACTOR Name: IA/;6ken hgdle t E rawdt ..sj Inc. Address: , 365 d (Oyl te R04d 41 City: Cd /0.1 n f' State: _ Zip: SS3 2 2 Phone: 19 2 - y66' 2 23) Contact Person: Do n ARCHITECT I Name: f ie'iSf4 740orn Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public inibmiation, Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that Mey are trade secrets. 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. ,Don tsv%ckenh fuser x Applicants Printed Name Applicants Signature Page 1 of 3 Use BLUE or BLACK ink gc9- 74 42 Permit it. 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date Received: c9. Staff: e 2010 COMMERCIAL BUILDING PERMIT APPLICATION abiemJ J41 Date: t'.11-\ t° Site Address: Tenant Name: (Tenant is: New / Exis ing) Suite #: Former Tenant: PROPERTY OWNER Name: ' 4-4 Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description ofwork: JY() ..-, Construction Cost: CONTRACTOR _ Name: LeC YY/044 - ' ---r-r, 1:;: License #: 4(/ ' C Address: )1-94.P1 't) 1k. City: g vv-IvISA,' ' ' ilic '') Y1State: VI Zip: 55.3(..i ) Phone: ,1 .91)-‘10 -7 Contact le---‘,. Email: ARCHITECT / ENGINEER Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone, #: '-'--,J1OTE:rians4hd sUPPOtting4ocurrients hatyou sobrnitatk,Onsitfet'ed:ttib0:-itthtiattPOlif ‘"..- .. the information maybe classified as 066.=-iiiiblta :-.f'y.4u::or6'i4d:o'*4aifieieesah.,iini:*oiiid-S'' ifih .conaiicia: ih4ithek<=iie -Se secrets,:•":':',1;---i-''';:'':;L:W..;:;:ifNO3-*,...r; CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecallorq I hereby acknowledge that this information is complete and accurate; that the work will be in conforrnance 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 .ch requires a review and approval of plans. x Applicaas Print d Name x Ap • cant's 6" nature Page 1 of 2 For Office Use City of Eaftafi I PeI Permit Fee: Q 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I i start: Fax: (651) 675-5694 2009 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: 8 ' / ? 61 Fee: $59.50 X City Sewer x city water Repair X Disconnect Description of work: 0I$&04 n e°c sewer 1 wa ter g t pro p ei fy 1,'n e /1o 6N;/ding, sewer 3. wgtet y be ob-se ec fed, Ce Street Address for Proposed work 3 $ 30 OWNER Name: ~n11 Gf't 2ri h aff/s' r Execv~ ~`%'~j n c. Phone: dy 5 2 X166' 2 2 31 474ko tp eo, Address/City/Zip: / 36So coot) 1-Y 4Qoad N/ C OA Applicant is: Owner j( Contractor Licensed Pipelayer X Master Plumber Property Owner Name: DOA wieken h 4t1Pef Phone: 6 /2 - 2 74- 7 766 Address / City / Zip: / 3 6 f 0 G d do ?t ~ /g04d Z/ / Co /O,7A e Al/ti 55' 2 Z Pipelayer Training Certification Card ©s t" 6 or Master Plumber License I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes. I understand this is not a permit, twt only an application fora permit, and work is not to start without a permit. Don wi , e h b4t/s' 'r oi3 - ~W yt~er r.. Applicant (Print Name) Applicant's Signature C {rorrJ ~V Safi o V