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3665 Sibley Memorial HwyCITY OF EAGAN Remarks 2.7 ACS. - r-za 1_s Addition Ced Ind. Pk. ?_g ?p Lot 3 Blk 2 Peel 10 16800 030 02 Owner ?-?&tY?et ?/, State 41.14 A4-1 ?,zl // IAA- n Improveme t Date Amouni Annual Years Payment- Receipt Date STREET SURF. 197 0 k? 2413.7 241-37 10 STREET RE BR. 19722 3049.66 304-M 10 GRADING SAN SEW TRUNK 1968 72.50 15.73 30 * SEWER LATERAL A'S 1 09. 970. 10 WATERMAIN 1<P * WATER LATERAL MaZLn 77 9 10 WATER AREA 9 -0 r ` 1647-0 Q 164-70 10 1 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 2250-00 5850 8-28-73 PARK 1A -W-4DAIS CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for Ii !iillsitlOR 1l N[ Est. Value ;40.000 Site Address 3665 SIBLEY HEMORIAL HWY Lot 3 Block 2 Sec/Sub. CBDAit IND PARK Parcel No. W Name CUZ INC # Address 3665 SIBUY NEWRIAL HWY e "city EAGAN Phone 452-0334 o Name INTERIOR SPECIALTIES zl- Address 6341 CEDAR AVE S U? City RICHFIELD Phone 866-1379 u low Name 13 Address iu City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee A Building Permit is issued to: INTIS OR SPECIALTIES on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ?t1 Receipt # Occupancy Zoning (Actual) Const f Miowable) k of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance 1991 OFFICE USE ONLY A-3 FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL a 19737 350.00 20. 227.00 L•W 599.00 Permit No. Permit Holder Date Telephone # WATER 6EWER PLUMBING 1v41191 H.VAC. / v 9 ELECTRIC inspection Date Insp. Comments Footings I /4/ 1 Foundation Framing Roofing Rough Plbg. / C' Z " 3 I ?L G C c,' ; Rough Htg. Isul. Fireplace Final Htg_ Orstat Test Final Plbg. i, Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ,Y4f) Tntifira#r of (Orrupanry cite of (Eagan Rq aced of wilding JmWrdiw n& Girds xue issued pursuant to the requiremadr of&xdon 306 of the Uniform Building Code cerk; dng that at the time of issuance this skucture xw in compliance wish the various on names of the City regulating building consoucdon or use For the following: U?,, Commercial Imp. SM&HNM19737 o=w..yrya A-3 LI Tyac*w 5-N O,wctemmim C u z Inc. Am, 3665 Sibley riecaorial Hwy B.mn Add,,. 3665 SibleNw9am- L,,r4 Eagan March 20, 1992 a,?s;na o? POST IN A CONSPICUOUS PLACE Y y f ? BUILDING PERMIT To be wed fee RU CJDIM Slte Address 1* 5 Lot Parcel No. _. W Name _ Address b City _ zI u? Phone Name EVERSON Address 4655 T City EACAN Pt Name _ Addresi City _ I hereby acknowledge that I 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. Permit $ 373.00 Surcharge 40.00 Plan check 186.50 SAC Water Conn. Water Meter Road Unit Total $ 599.50 Signature of Permittce }'- I A Building Permit Is issued to: VERSOC CONSTRUCTION INC on the express condition that all work shall be done in occorda*e with all applicable State of Minnesota Statutes and City of Eagan Ordinances. i• CITY OF EAGAN N? 9?J4? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t?k P PHONE: 454-8100 P? lei Receipt * UU Date MAY 8 , 19 84 Erect Occupancy A 2 1 Alter ? Zoning I1 Repair ? Fire Zone V 1 r sprink Enlarge Q Type of Const. Move ? * Stories 2 Demolish Q Length Grade Q Depth Sq. Ft. Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing ? m J)-9 P ? r- 1 b, '? -( ? I H. V.A.C. 4 5 3q ?i l Yrley ' I g, Y re ucArc A.i I i Well Water Disp. Sewer Electric U7?? f ? der ce Cj?ci . S! y (3? Inspection Date Insp. Other Footings Foundation Framing =p- ?'y Rough Plbg. 10 ii 4 l.J A ?Q Rough HVA Insulation Final Pibg. J- ?J Final HVAC Final - J_ Water Describe Location: Well Sewer ` Pr. Disp. Receipt PLUMBING PERMIT Permit No. y= 1 CITY OF EAGAN Fee '1 (_• f Fill in numbered spaces S/C ` Type or Print legibly` r j Tot. i r ?t 1. Date ! - 2. Installation Cost 3. Job Address__:~ = Lot Blk. Tract 4. Owner 5. Contractor Phone -?-T 6. Address 7. City /:''l ; 'L ? - State zip -54// - 8. Building Type: Residential ? Commercial [?' Institutional ? 9. Work Description: New ? Add ? Alter Repair ? 10. Describe J)/ 11. No. Fixtures Water Closet No. Fixtures Cesspool /Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/bidet Laundry Tray Other Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed Inspections: Date Rough - Insp. Date for Final Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt 6/" 14 '/ MECHANICAL PERMIT CITY OF EAGAN Permit No. Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date .r rc y 2. Installation Cost 3. Job Address v - i - ?; Lot Blk. _ Tract 4. Owner 5. Contractor < < r !.,,-Phone 6. Address 1 6 = 7. City State Zip S S ?'? 8. Building Type: Residential ? Commercial ;M Institutional ? 9. Work Description: New ? Add ? Alter 15 Repair ? 10. Describe /-.? r,. -1; I /,. • Fuel Type J 1. r ?1 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Oth Air Cond. er Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN k >r 3795 Pflef Knob Reed Eegew, MH 55121 - PHONES 464-8100 BUILDING PERMIT Receipt # T. „.A 1,,. J-L RLSTAURAN;pd 0? . Ik.to October 17 19 Site Address - aiuley .u-wvriat nignway Lot Block 2 Sec/Sub. Cedar Ind. Park # Parcel 1.6 1100- X30-02 a Name ` w"' ` " 3665 Sibley Mem. Hwy. Address ,,,__ Lawn J-511" 452-5411 Erect ? Alter Repair] Enlarge ? Move Q Demolish ? Grade n Occupancy A 2.1 Zoning I-1 " .y Fire Zone Type of Const. V Sprint. # Stories Length Depth Sa. Ft. I Name ° 4655 Nicols P.oad #203A if- Address t• r..,h. LaFan 55122 pt,n. 452-3851 Name I hereby acknowledge that I 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 Permittee vers<,n Schmidt, Inc. A Building Permit Is issued to: all work shall be done in accordance with all applicable State of Mir Building Official Assessment _ Water 6 Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit ' A Total ; 6??' • 50 _ on the express condition thn' City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing J H.V.A.C. Well Water Disp. Sewer Electric P 5-5$1t-1 -7 EC?CE t 5 Il`t3 Inspection Date Insp. Other Footings ?? _ tax Foundation 's r Framing r S Rough Plbg. ' Rough HVA Insulation Final Plbg. C T Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. J LOSS ESTIMATE Make GWA MWA GHW FHW S V -1H -Space Firepot of Plant ? ? ? ? ? ? ? ? Size Chimney--Size No. Flues Installed E.D.R Type of Domestic Gas Equipment: ? Range ? Refr. ? W. Htr. ? Dryer ? Hot Plate Checked By -3 9_:? i7y Remarks:- abAa?ie - d" ' r V27- Y./j /)%/b 1,17 n I)AA 1 A Date Recd Expiration Seq. No uth. N Cert. No Heat Lo Inp`T? Est. Annual MCF .4e Ar Equipment Installed b Installel?1».?C??? / Sold b ® MCI I ., I I I ( I «•1?1?c Jon •n*o •oog so '•D _I I I MID ( ??• 6OND AL"UTAs uops419ul "Oa uOrluWalal I I I I I I I I hr I f I I i I I I I f Jo I sJ I"Un iJ 'a I 4q'il ( oma Jo I Sul p I bx io ox AX;&H q+PIM oup PUV O ar T"JO--4200II PT" amopulAL 111aISH CPPIA losurI MOOR u m2lon g7Pld? g7soa'I ---a Li lgalaH %PPidd g42uwl UWO11 I t ox-401 P"QPA OLLZY SdiZ -q?iHS 2n1m "A& xOTIV'Mgxl ot1?sA ox?i vooQ "LoplagA 6aIHJS1l [ZVHei AOUU sallmo xOLIDaILL@xOD "AL CITY OF EAGAN Np 8588 7795 Pilot Knob Rood Eagan, MN 53112 PHONEt 4544100 BUILDING PERMIT Receipt # C437 To be coed far REMODEL RESTAURANTEst Value $100,000 Date October 17 19 83 Site Address 3665 Sibley Memorial Highway Erect p Occupancy A 2.1 Lot 3 Black 2 Sec/Sub. Cedar Ind. Park Alter M Zoning I-1 Parcel # 10-16800-030-02 Repair M Fire Zone NA Enlarge ? Type of Const. V 1 hr. St7rin$. W Name LaFonda De ACebo Move ? # Stories zz Address 3665 Sibley Mem. Hwy. Demolish ? Length_ city Eagan 55122 Phone 452-5411 Grade ? Depth Sq. Ft.- o Name Everson Schmidt, Inc. Approvals Fees i Address 4655 Nicola Road, 11203A 01 t- r:... Eagan 55122 at....,. 452-3851 Name _ Address 1 hereby acknowledge that I 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. Assessment - Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit "'. v.. 50.00 Surcharge 216'50 Plan check SAC NA Water Conn. NA Water Meter NA Road Unit NA Total $699.50 Signature of Pennittee / I A Building Permit is issued to: Everson Schmidt, c. on the express condition that 'IZE all work shall be done in accordance with all applicable Slat f and City of Eagan Ordinances. Building Official 10,99. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645.7703 REQUEST FOR ELECTRICAL INSPECTION CHECKS WORK COVERED BY THIS REQUEST ?{D ( 3 -I P 55847 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? ? Range ? Temprary Wiring. o Duplex ? ? 1] Water Heater ., ? og Fixtures Lighti Apt. Bldg. ?- ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ?W Furnace . _ ? Silo Unloader ? Industrial Bldg. ? ? 'El Air Conditioner 1:1 Bulk MBi Tank ? ' Farm ? [] E] List 1 pp y e rs List Qehers Other ? ? ? H re l COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee 1 1 Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 0 101 to 200 Amps. 31 to 100 Am es 31 to 100 Amperes 75.0 Above 200 Amps. Transformers Signs Above 100 Amps. Remote Control Cite. special Inspection Above 100 Am s. Partial or other fee Minimum fee Remarks TOTALFE the Electrical Inspector, hereby certitylt u>othe ab? j ecti s been rq L.(/ 6 ??h-in) ate " J?ate d 18 monthslfrom CIO This request void Y31 )1_3 18 mo iths.from a A9 r ?) ?4 ,boa Ca_-A- SIC a?.? Request Dept, ^ I Fire No. I Rough-in.lnspec t ion Requrredl Inspec- eady Now ? Will Notify, YAK tes C3 No for WhgiL Read ? `i `i a a i G' Licensed lectrical Contractor I hereby request inspection of abov1 ? Owner electrical work installed at: 36a. ?. {r( Stre?eettt Address, B.. or Room No. City ection o. Township Name or No. Range o, Coun lµ? ?(?p y? Or, anI I{P??W{T) /y/?,p,, ?,1 Q Fyn Phone (o. Power flier Addres // 16) Ele icaI Contractor (Company Na /??j+ Vc. of/c / Con tray Lic No 4 9 / _t cc CAt Mai li g dress jCootrac o or Owner Making lnstail onl ` Au 'z Signa a ontractc!ew n ing Installation) Ph j I THIS INSPECTION REQUEST WILL NOT MINNESOTA S E BOAR OF ELECTRICITY Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (6121 297.2111 ENCLOSED. 3i 15 REQUEST FOR ELECTRICAL INSPECTION rEB 00001-04 ' See instructions for comp Feting lhiik' form on back of yellow copy. s Y A it l `l 2 A "X" Below Work Covered by This Request p1e*d A3d1 Rep.11 Type of Building 1 Appliances Wired 1 Equipment Wired I ce Farm # Fee Service Entrance Size # Fee Feeders/5ubfeaders # Fee Cir .its 0 to 200 qm s Oto 3D Am s 1, Otn 30 Am s . bove 200_gm ?s 31 to 100 Amps 31 to 100 Amps Swimming Pool _ Above 100-Amps Above 100-Amps Transformers Irrigation Booms Partial 'Other Fee I- I Signs I Special Inspection ?!9G„SU Remarks °??GG'? G Inspector, hereby certify that the above ipspection has been Thia request void BI ,,?rls?- z .C? ?? r To Be Used For Site Address: CITY OF EAGAN,---? Include 2 sets of plans, 1 site plan w/elevations & , PERMIJ.&PLICATIOW 1 set of energy calculations. Lot ?_ Block Sec./Sub. u Parcel #: /4 .FOB - 6-196 - 0 Z' Owner: L oru /?Cc?? Address: City/Zip Code: Date OFFICE USE ONLY ?ect Occupancy ? a,Z Alter r/ Zoning Repair Fire Zone Enlarge Type of Const. _ Move # Stories Demolish Front ft. _ Grade Depth ft. Phone #: `(S Z - S q l ( APPROVALS FEES Contractor: L_Vj fgSO ! 4:kHmz67 ?nJC Address: ¢(DtS N ! C X' S R0.4/-?, *Zu5f City/Zip Code: 2?A6vhu M+nu?.) 3512-z Phone #: 4: 5.2 - 3 E35 ) Arch./Eng.: Address: City/Zip Code: ? Assessments Permit '.? ?? 0 Water/Sewer Surcharge Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. f APC Phone #: ?7''` ?TAL 10-14-F-3 ??? A• BUILDING PERMIT To be used for RENO[ Receipt # $ 80,000 Date MAY 8 N° 9046 Site Address 3665 SIBLEY MEM HWY Lot 4 Block 2 Sec/Sub. CED IND PK Parcel No. 10-16800-040-02 I Name HOLLY INN REST z Address 2000 E EVANS, SUITE 100 9 City DENVER Phone INam, EVERSON CONSTRUCTION INC o 00 Address 4655 NICOLS RD, #203A t City EAGAN Phone 452-3851 Name _ Address City - Phone 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 Pennittee - A Building Permit Is issued to: all work shall be done in acco CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454.8100 Erect Occupancy A 2 1 Alter ? Zoning Il Repair ? Fire Zone Enlarge ? Type of Const. V 1 hr sprints Move ? #' Stories 2 Demolish ? Length Grade ? Depth Sq. Ft.- Approvals Fees Assessment Water 8 Sew. Police - Fire Eng. Planner - Council Bldg. Off. _ APC - Permit S i Li_ UU Surcharge 40 _ 00 Plan check 1 96 --50 SAC Water Conn. Water Meter Road Unit Total $ 599.50 RUCTION INC on the express condition that of Minnesota Statutes and City of Eagan Ordinances. Building Official A.-F To Be Used For` Site Address: 3 CITY OF EAGAN Include 2 sets of plans, l 1 Certificate 01.Strvey,& BUILDING PE= APPLICATION 1 set of energy calculations. afL, ?G?_ av (J aluation ( OCU , Date S^? Lot + _Block 1r Sec./Sub. l? LAk Parcel #: /.,0 a 91go 4 ?-- Owner: H- LL,1 INti hE--5fA0VZAWTS_° Address: ;ZC,Y?U 6z45T E\0&N5 1344,1 5.' e ,,,c City/Zip Code: D&KjvEQ- Cc C_ E3??ZZZ Phone #: Contractor: e-Veiz- GIN 0%+.151 tiL((_T I C?v 17JL, Address: .4(,5S' 1J1c c(5 ;2e?A0 42i:,3+ City/Zip Code: LJ+,AM MINN 55!2-2 Phone #: 6,1 Z - ?lS --3p51 Arch. /Eng.: CAI ?I2ACTC 2 Address: City/Zip Code: Phone #: OFFICE USE ONLY Erect Occupancy , 2 l Alter -2S,,Zoning l "0 . A ft. 373 0C+ FEES 1 86 50+ Ins 40.00+ Ill?t ?21 - 599SC* 1410-1 _er Conn. Planner Water Meter Council ` Road Unit s/01 Bldg. Off: - - APC TOTAL S b This request void 18 months from It -Z3 L3 13-? CpA@r Z;-,A ,P/1-1 Yo t 3 7 6'S O? p3 Dat of.this Request_ / ' ' P 55847 1, as• Licensed Electri ontractor 0Owner, do hereby request inspection of the abov:aZlectri- cal wiring installed at: J - ' Street Address or Route No. 366 y/?L1f????4GdQ/?¢( ///6//Ggnity?K , [ Section Township Range County P4"Y79L Which is occupied by tl?/} r/fNDAIS' f t ?VT !Name of Occuoantl is a roughin inspection required on this job? No ? Yes ? Ready Now O Will Call Power Supplier f' W Address Electrical i,?c7?'ICf/f ?NGfLA3 / #a39sG?' 1 Contractor MContractor's License o. _ r7 (CO pang Name) /J Mailing Address W23 "/?/CW-I? /` %1&' . Authorized Signature Phone No. l' (Electrical ontrac or or Owner Making This Installation) STATE BOARD COPY This inspection request will inspection accepted by the State Board unless propoer nspecti tionn fee e is is enclosed. ba- 9/a&Isi X 131 B S P 3 4 G sg g 24881 pO 1 0 C TM 3355 Request Date Fire No. Rough-in Inspection Reouiretl? ? Reatly NowWill Notify inspector 9/23/91 Jj Yes GNo When Fill I _? licensed contractor F1 owner hereby request inspection of above electrical work at: Job Address (Street Box or Route Nd.I Cory 3665 SIBLEY MEMORIAL HWY EAGAN ___ Section No. Township Name or No. Range No. County DAKOTA Occupan:(PRINTI Phone No. LAFONDA RESTAURANT Power Supplier Address DAKOTA ELECTRIC _ Electrical Contractor (Company Name) Contractor's License No. MUSKA ELECTRIC COMPANY 039902-5 Marro, Address (Contractor or Owner Mean, Installation 1985 OAKCRES T AVENUE, ROSEVILLE MN 55113 _ Aumonz at (Contract Owner axing (allauon Phone Number 636-5820 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mldwey Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1021 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. ?ja? p? REQUEST° FOR°ELECT'RICA°L INSPECTION li? See iiij thrm back of yellow copy. /' 1 2 4 8 8 1 "X" Below Work Cpvered by This Request CITY New add Rep., Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Buitding Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner L Omer Ispevfyj Contractor's Remarks: -.- Compute Inspection Fee Below: REMODEL RESTAURANT. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 2 0 to 100 Amps 4.00 80.0( Transformers Above 200 Amps ov 0 Amps Signs 's'ectors use only: Y TOTAL Irrigation Booms (J 80.50 Special inspection ( Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN NTH I, the Electrical Inspector, hereby R°eyn-' 16/01 D certify that the above inspection has been made. Final Data OFFICE USE ONLY This request void 1B months from ?' CITY OF EAGAN ryo _ 19737 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 l? V BUILDING PERMIT Receipt # 07AL To be used for IINIERIOR Ih¢ImVEiM Est. Value $40,000 Date SEP 26 t g 91 Site Address 3665 SIBLEY MEMORIAL HWY Lot 3 Block 2 Sec/Sub. CEDAR IND PARK OFFICE USE ONLY Parcel No. Occupancy A-3 FEES Zoning _ W Name CUZ INC (Actual) Const Bldg. Permit 350.00 Address 3665 SIBLEY MEMORIAL HWY (Allowable) 20 00 o - Surcharge City EAGAN Phone 452-0334 k of Stories Plan Review 227.00 Length F Name INTERIOR SPECIALTIES Depth SAC City ¢ g04 Address 6341 CEDAR AVE S S.F.Total , City RICHFIELD Phone 866-1379 S.F. Footprints SAC, MCWCC Water Conn On Site Sewage Ow Name On Site Well Wat M t I 13 N Address MWCC System er er e City Phone city water Acct. Deposit PRV Required S/W Permit 1 hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge information is correct and ag es to corpply with applicable State of Minnesota Statutes and City, Eagan Ork nanc s. Treatment PI / Signature of Permitee APPROVALS Road Unit INTE OR SPECIALTIES A Building Permit is issued to: Planner Park Dad. on the express condition that all work shall be done in accordance with all Council 00 2 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off. . Copies Building Official nmq pJ el I ILlJ Variance TOTAL 599-o , CITY of EAGAN Owner ........ ................ Address (present) ...?!.?>.?Z....tuL.. Builder Address & Iq N°_ 3698 BUILDING PERMIT O 3795 Pilot Knob Road Eagan, Minnesota 55122 454.9100 Data ....... .-.1.....??......_....... Stories To Be Used For ot T o s Front Depth i Heigh! Est. Cost er Fee ? Remarks I21 r P? ` ra U r /:2 /?00 1 , T r LOCATION -D /V - / or This permit does not audorise the use of sire, roads. alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hasard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE/KEI/PT QN T E PREMISE WHILE THE WORK IS IN PRO,9RESS. `J This is to certify, tha!__...i.._l!L?r.P4v' ,-/ .................... .......has permission to erect a1.cirl.°C.a y ley C 4. --- e the above describe remise subject to the provisions of all applicabl in ces fpr-the ' of Eagan. ......................... ....................................... Per ... Mayor Building Inspector EAGAN TOWNSHIP BUILDING PERMIT Owner .-... ...,1.•^_::-.- ?._...- ... Address (present) .. .`r.°'-°.... - 7..... Jw- Builder .....C.an.d.... < ....... :.. f.:!r:?^cd ....................... Address ..... °---. .- ..!.....?................ DESCRIPTION (/ N° 3117 Eagan Township Town Hall 1 da - Dale ..... J p- .••.?....-• .......... 7_1 . . glories To Be Used For Front Depth Height Est. Cos! 'Permit Fee Remarks ftoo-a G 6 -5-- z3 or LOCATION This permit does not authorise the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that ....4................_......._? .......................has permission to erect a.--..............................°..°......:........-..-upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. ............. -- -- -- -- ---- -•- 7------------------ - °---'.°.......... Per _.__.._.......... ........_-------------_ .............. ........................... hil irman of Tnwn Board Buildin Inspector xS rt: '1ILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 1330 Eagan, MN 55122 DATE: 10/18/73 Zoning: I-1 No. of Units: -t? Owner: - 11 S-MATT' Restaur _t? - Jcey s Rest. Address: _ J D?iyh , mid ox Site Address: 3665 Sibley Mem. Hwy. Plumber: Maplewood Sewer & Water Meter No.: Size: _ Reader No.: I agree to comply with the Village of Eagan ardinoncen. Ill _ )ate of Insp.: Connection Charge: Account Deposit: Permit Fee: 10.00 pd Surcharge: • 50 pd Misc. Charges: Total: _ Date Paid: Insp.: _ VILI-#GE,OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road Eagan, MN 55122 PERMIT NO.: 2098 DATE: 10/18/73 Zoning: 7-1 No. of Units: 1 Owner: TOMtS_MATTrS Restaurant _-_Joey's Rest Address: Site Address: 3665 Sibley Mem. Hwy. Plumber: - Maplewood Sewer & Water InC 1 agraa to comply with the Village of Eagan Connection Char J250.00 pd 8/28/ Ordinanc g ee. Account Deposit: Permit Fee: 10.00 pd Surcharge: .50 pd 8y. Misc. Charges35.00 pd. Sewer taf Date of Insp.: Total: Insp.: Dale Paid: r?i,: r,? 1 O COIL, ?c-tzn -7 (0 .a c) 0COMMERCIAL C I - TL d' BUILDING PERMIT APPLICATION L? 2 1 \ CITY OF EAGAN 651-681-4675 New # after 12/10/02 651-675-5675 -3 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans , (2) • Project Specs (1) • Code Analysis (1)" • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • Project Specs (1) d • Energy Calculations (1) 1 • Electric Power & Lighting Form (1) ! • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 • Soils Report (1) 1 • MGES SAC determination letter • MC/ES SAC determination letter • MClES SAC determination letter call 651-602.1000 call 651-602-1000 call 651-602-1000 r0oa & beverage or loaging racfimes - suomn plan to MN uepanmern or neann. ? du ou -z ro-vr vv ivr ucreua. Contact Building Inspections for sample. Permitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. SATE: WORK TYPE: X NEW _ REMODEL CONSTRUCTION COST: ?? ° C lc:? : An A t A(\ . tn., A i - .. 1-t., 31TE ADDRESS: TENANT NAME: =ORMER TENANT NAME, IF APPLICABLE: PROPERTY OWNER Name: 1 a-5 S.-C J(" h ? ^ Phone #: ( ) Last First Street ' G Gs 1A CONTRACTOR City: ?n U State: M n/ Zip: SS) 2 Company: Phone #: (Y? t L )Z 7 Z - 00 9-7 Street Address: t l-6 p N" ?y m.) A-,- State: ? Zip: S J I City: -S)l " ?"q I )3 Phone #: (? ( 7, ) ? z ° v 7 Re6&tioh1#: ARCHITECT/ ENGINEER Company: Name: Street Address: City: Licensed plumber installing new sewerlwater State: Zip: 'Phone #: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of App?tt:'ar(t-----_J, _ OFFICE USE ONLY I iUBTYPE 1 01 Foundation 1 14 Apartments 1 15 Lodging 1 25 Miscellaneous VORK TYPE T' 31 New 1 32 Addition 1 33 Alterations 1 34 Replacement ? 26 Public Facility ? 30 Accessory Bldg. ? 27 CommerciaUIndustrial 0 32 Ext Alt - Apts. ? 28 Greenhouse ? 34 Ext Alt - Comm. ,2' 29 Antennae 'POI (601)0 35 Ext Alt - PF ? 37 Nail Salon ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 36 Move Bldg ? 43 Reroof ? 47 Repair 0 37 Demolish (Bldg) 0 44 Siding ? 48 Authorization ? 38 Demolish (Int) 0 45 Fire Repair aENERAL INFORMATION .ensus Code S_ -AC Code Io. of Units To. of Bldgs. c ;onst. (Actual) (Allowable) 1BC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq, ft. sq. ft. IIISCELLANEOUS INSPECTIONS 1 Gas Service Test ? Heating ?PPROVALS ? Insulation 'lanning Building 0Afilf-+ Engineering Variance 'ermit Fee Surcharge 'Ian Review AC/ES SAC :ity SAC Vater Supply & Storage S/W Permit S!W Surcharge .reatment Plant 'ark Dedication - rails Dedication Vater Quality )ther :opies VALUATION $ lo, DDO % SAC SAC Units d Meter Size sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered Q Plumbing ? Stucco/Stone .otal MEMORANDUM #14 TO: ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT BOB KRIHA, UTILITY CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JAMIE VERBRUGGE, ASSISTANT CITY ADMINISTRATOR JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: DECEMBER 31, 2002 RE: PLAN REVIEW FOR A QWEST WIRELESS TOWER AT 3665 SIBLEY MEMORIAL HIGHWAY (LA FONDA'S RESTAURANT) The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request fQ rm. A * f a t (( 2 4AU,4-+ . 8 t )-Lt ? 6-h-M - 4KO-1 rcaoC t ?c G c??L dux Comments: -k S?yl u. (u.rc?P .P?vIS?? A-C d S Cho,-"(- &Y\ ? 0- ? 41a15-' u I ?-e d ' ?-? W adc(? Aloll ?a1ae (0cz-Lav) .au Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ?9 No landscape security required ? Yes ® No water quality dedication ? Yes No park dedication ? Yes No trail dedication ? Yes ? No tree dedication ? Yes ? No PRV Required AzlaA,c Signature ZONING? l -) METER SIZE i d03 Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 /I F-eNY1 o,re. 666&U-fie- o? a G e? J? {{5t Y II MXM,0,-RANDUM r. n #14 TO: ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT BOB KRIHA, UTILITY CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JAMIE VERBRUGGE, ASSISTANT CITY ADMINISTRATOR JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: DECEMBER 31, 2002 RE: PLAN REVIEW FOR A QWEST WIRELESS TOWER AT 3665 SIBLEY MEMORIAL HIGHWAY (LA FONDA'S RESTAURANT) The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No PRV Required ZONING? METER SIZE Signature CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N Date REVISED 9- 02 MEMORANDUM #14 TO: ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT BOB KRIHA, UTILITY CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JAMIE VERBRUGGE, ASSISTANT CITY ADMINISTRATOR JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: DECEMBER 31, 2002 RE: PLAN REVIEW FOR A QWEST WIRELESS TOWER AT 3665 SIBLEY MEMORIAL HIGHWAY (LA FONDA'S RESTAURANT) The plans are in our plan review section for your review and comment. ndicafe any fees that are to be collected with the ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No PRV Required Signature [ilding permit: AMOUNT ZONING? METER SIZE Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9-02 Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. MEMORAANDII;Mi,. ,-TO ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT BOB KRIHA, UTILITY CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JAMIE VERBRUGGE, ASSISTANT CITY ADMINISTRATOR JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR o- TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER ?O _MOIV - CRAIG NOVACZYK, SENIOR INSPECTOR DATE: DECEMBER 31, 2002 RE: PLAN REVIEW FOR A QWEST WIRELESS TOWER AT 3665 SIBLEY MEMORIAL HIGHWAY (LA FONDA'S RESTAURANT) The plans are in our plan review section for your review and comment. #14 Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. W Indicate any fees that are to be collected with the building permit: 3 AMOUNT 2 ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? es No trail dedication ? es No tree dedication ? ! es j No PRV Required Signature CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N ZONING? METER SIZE Date REVISED 9- 02 d .,ti n fl e/ vfr(,ri z/-Aae6./.L .,e7 ) ?` ? ^` ,M;E1410RA1YDWM" '`I `{ ? R t.R #14 TO: ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT BOB KRIHA, UTILITY CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JAMIE VERBRUGGE, ASSISTANT CITY ADMINISTRATOR JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: DECEMBER 31, 2002 RE: PLAN REVIEW FOR A QWEST WIRELESS TOWER AT 3665 SIBLEY MEMORIAL HIGHWAY (LA FONDA'S RESTAURANT) The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: 09 - 4 ';S9tL1 aTL9 Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ZONING? METER SIZE ? Yes ? No tree dedication ? Yes ? No PRV Required gnature !z-3I-o2 Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 M'EM'ORANDUM I I— #14 TO: ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT BOB KRHL1, UTILITY CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JAMIE VERBRUGGE, ASSISTANT CITY ADMINISTRATOR JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: DECEMBER 31, 2002 RE: PLAN REVIEW FOR A QWEST WIRELESS TOWER AT 3665 SIBLEY MEMORIAL HIGHWAY (LA FONDA'S RESTAURANT) The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: 0,-2 !5) 'T Indicate any feeslthat are to be collected with the building permit: AMOUNT ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No landscape security required water quality dedication park dedication trail dedication tree dedication PRV Required ZONING? METER SIZE Signature /2- oY Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 1l VMORAN'DUM i y #14 TO: ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT BOB KRIHA, UTILITY CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JAMIE VERBRUGGE, ASSISTANT CITY ADMINISTRATOR JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: DECEMBER 31, 2002 RE: PLAN REVIEW FOR A QWEST WIRELESS TOWER AT 3665 SIBLEY MEMORIAL HIGHWAY (LA FONDA'S RESTAURANT) The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees. that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes R No tree dedication ? Yes ? N PRV Required Signat CD/Fo ? BL G INSP/PLAN REVIEW CRAIG N ZONING?. METER SIZE Date REVISED 9- 02 PER; I, CGPV GEOTECHNICAL ENGINEERING REPORT Prepared for: QWEST COMMUNICATIONS St. Paul, Minnesota 55104 Project: PROPOSED COMMUNICATION TOWER MIN-540 And PROPOSED BUILDING ADDITION 3665 Highway 13 EAGAN, MINNESOTA Project No. 0236021 December 16, 2002 Prepared by. Master Civil and Construction Engineering, Inc. Minneapolis, Minnesota 55404 U COMD";7 Master Civil & Construction Engineering, Inc. Master Civil & Construction Engineering, Inc. LJ Planning Design _ Development Construction Landmark Building 2104 Fourth Ave. So. Minneapolis MN 55404 Phone: (612) 872-9200 Fax: (612) 872-9201 Visit our website at: www.nwsterengr.com p??GFMEq?co s ?AMFA?r'P December 16, 2002 Mr. Doug Fasteen QWest Wireless 426 Fairview Avenue St. Paul, MN 55104 Re: Geotechnical Engineering Report Proposed Communication Tower MIN-540 & Building Addition 3665 Highway 13 Eagan, Minnesota MCCE Project No. 0236021 Dear Mr. Fasteen: The subsurface exploration for the referenced communication tower and building addition has been completed. The accompanying report presents the findings of the subsurface exploration and provides recommendations regarding earthwork and the design and construction of the foundation for the proposed tower. We appreciate the opportunity to be of service to you on this project. Should you have any questions concerning the contents of this report, or if we may be of further service to you, please contact us. Sincerely, Master Civil and Construction Engineering, Inc. Prepared By: Barry C. organ, P. . Minnesota No. 2 BCM/: bcm Copies: Addressee (3) Attachments GEOTECHNICAL ENGINEERING REPORT PROPOSED COMMUNICATION TOWER MIN-540 And BUILDING ADDITION 3665 HIGHWAY 13 EAGAN, MINNESOTA MCCE Project No. 0236021 December 16, 2002 INTRODUCTION Master Civil & Construction Engineering, Inc. (MCCE) has completed the subsurface exploration for the referenced communication tower. As a part of our subsurface exploration, one (1) soil boring extending to a depth of approximately 40 feet below existing grade was proposed at the site. However, based on the subsurface conditions on boring extending to a depth of about 20 feet has been performed at the proposed communication tower location. The purpose of this report is to describe the subsurface conditions encountered in the boring, analyze and evaluate the test data, and provide recommendations regarding the design and construction of the foundation for the proposed tower. PROJECT DESCRIPTION We understand the proposed tower construction will be a monopole communication tower with a final height of about 95 feet. The monopole will be supported on a drilled shaft foundation. The tower loads for this site were unknown at the time this report was prepared. Based upon our experience with similar structures, maximum loads are anticipated to be on the order of 10 kips in compression, 100 kips laterally, and 300 foot-kips overturning moment. Grade changes for the proposed site are expected to include only minor cuts and fills. It is understood that the owner of the property is planning on constructing a small addition to the southwest comer of the building. For the purposes of this report it is expected that the addition will be slab on grade with maximum wall loads on the order of 3 kips per lineal foot. SUBSURFACE EXPLORATION AND TESTING PROCEDURES The boring was drilled near the proposed tower location using a truck-mounted rotary drilling rig equipped with continuous flight hollow-stem augers to advance the borehole. Representative samples were obtained using the split-barrel sampling procedure in general accordance with ASTM Specification D-1586. The split-barrel sampling procedure consists of driving a standard 2- inch O.D. split barrel sampling spoon with a 140-pound automatic hammer falling a distance of 30 inches. The number of blows required to advance the sampling spoon the last 12 inches or less of an 18-inch sampling interval is termed the standard penetration resistance value. The standard penetration resistance values are indicated in the appropriate column on the attached boring log. The samples were tagged, sealed and returned to the laboratory for testing and classification. The drill crew prepared a field log of the boring. This log contained visual classifications of the materials encountered during drilling as well as the drillees interpretation of the subsurface Proposed Communication Tower MIN-540 & Building Addition Eagan, Minnesota MCCE Project No. 0236021 December 16, 2002 conditions between samples. The final boring log included with this report represents an interpretation of the field log and includes modifications based on laboratory observation and tests of the samples. Descriptive classifications of the soils indicated on the boring log are in accordance with the enclosed General Notes and the Unified Soil Classification System. Also shown are estimated Unified Soil Classification Symbols for the natural soils. A brief description of this classification system is included with this report. SITE AND SUBSURFACE CONDITIONS The proposed tower is planned near the southern corner of the existing building. The boring was drilled about 12 feet south and 6 feet west of the southern building corner. The owner of the existing building is also planning on constructing a small addition on the south west comer of the building. east side or the existing building located at 3665 Highway 13 in Eagan, Minnesota. Specific conditions at the boring location are indicated on the attached boring log. The stratification boundaries shown on the boring log represent the approximate location of changes in soil types; in situ, the transition between materials may be gradual. Conditions encountered at the boring location are summarized below. The drill crew indicated about 4 inches of landscape rock at the ground surface. The landscape rock was underlain by possible fill materials to a depth of about 4 feet. The fill consisted of lean clay soils. The fill was underlain by dense to medium dense sand soils that extended to the termination depth of about 40 feet below the existing ground surface in fine to medium sand soils. WATER LEVEL OBSERVATIONS The boring was monitored while drilling and upon completion of drilling to detect the presence and level of groundwater. Groundwater was observed at a depth of about 25 feet while drilling. Delayed water levels were not obtained because the boring was grouted upon completion. However, observation of the groundwater level in monitoring wells sealed from the influence of surface water would be required to obtain more accurate groundwater levels on the site. Fluctuations of the groundwater level can occur due to seasonal variations in the amount of rainfall, runoff, and other factors not evident at the time the boring was performed. Perched water could develop at higher levels following periods of heavy or prolonged precipitation. The possibility of groundwater level fluctuations should be considered when developing the design and construction plans for the project. 2 Proposed Communication Tower MIN-540 & Building Addition Eagan, Minnesota MCCE Project No. 0236021 December 16, 2002 ANALYSIS AND RECOMMENDATIONS Site Preparation (Tower and Building Addition) The site preparation recommendations are presented as a guideline assuming that cuts and fills at the project site will be less than 2 feet. If final grading plans call for greater cuts and fills, the recommendations presented in this section should be reviewed and modified as necessary. Possible fill materials were observed to a depth of about 8.5 feet in the boring. These soils should be observed at the time the building addition is constructed to verify the suitability of leaving the soils in place. The soils below floor slabs and below footings should be evaluated by the geotechnical engineer during construction. The presence of the fill soils should not impact the foundation for the proposed tower. Prior to site grading the site should be stripped of all topsoil or other unsuitable soils. New fill and backfill placed on the site should consist of approved materials, which are free of organic matter and debris. Suitable material would consist of either granular material or low-plasticity cohesive soil. Low-plasticity cohesive soil should have a liquid limit of less than 45 percent and a plasticity index of less than 20 percent. Moisture adjustments of the on-site soils should be expected to reach the recommended degree of compaction. Fill should not contain frozen material and it should not be placed on a frozen subgrade. The fill should be placed and compacted in lifts of 9 inches or less in loose thickness. All fill placed below structures or used to provide lateral resistance should be compacted to at least 95 percent of the material's maximum standard Proctor dry density (ASTM D-898). All cohesive fill should be placed, compacted, and maintained at moisture contents within minus 2 to plus 3 percent of the optimum value determined by the standard Proctor test. Positive surface drainage should be incorporated into the design of the site. The ground surface around the structure should be sloped to drain away from the tower base. Tower Foundation Design parameters are presented for supporting the proposed tower on a drilled shaft foundation or a conventional spread footing. Based on the results of the boring, we have developed the following table to provide design parameters for the design of a drilled shaft tower foundation 3 Proposed Communication Tower MIN-540 & Building Addition Eagan, Minnesota MCCE Project No. 0236021 December 16, 2002 Allowable Allowable Allowable Angle Effective Undrained Compressive End Passive of Unit Shear Depth Soil Skin Friction Bearing Pressure Internal Weight Strength (feet) Description (psf) FS=3 Pressure (psf) FS=3 Friction (pcf) (pcf) (Psf)* P 0-7 Frost -- -- --- --- --- --- 7-40 Silty Sand 675 15,000 1,575-9,000 30 75 -- ' Below a depth of about 15 feet. Foundations can be subject to uplift loading due to frost action and loading. In calculating the shaft resistant from uplift loading, we recommend that 213 of the compressive loads be used to provide uplift resistance. The upper 7 feet of soil should be ignored due to the potential affects of frost action. A drilled pier foundation should be designed with a minimum shaft diameter of 30 inches to facilitate clean out of the excavation. The use of temporary casing and slurry drilling techniques may also be required during excavation to support the sides of the excavation and control groundwater seepage. Care should be taken so that any existing building foundations and the sides and bottom of the pier excavations are not disturbed during construction. Lateral loads and pier deflections could possibly affect nearby footings. The bottom of the shaft should be free of loose soil before placing reinforcing steel and concrete. A concrete slump of at least 6 inches is recommended to facilitate temporary casing removal. It should be possible to remove the casing from a pier excavation during concrete placement provided that the concrete inside the casing is maintained at a sufficient level to resist any earth and hydrostatic pressures outside the casing during the entire casing removal procedure. Tremie placement of concrete should be used if slurry drilling techniques are used. Building Addition Foundations Possible fill soils were encountered in the boring. The suitability of these soils should be evaluated at the time of construction. It may be required to overexcavate any unsuitable soils observed in the base of the footing excavations. Support of the proposed structure on shallow foundations appears feasible provided the excavations are observed by a geotechnical engineer, and provided the site preparation, structural fill placement are performed as recommended herein. Shallow foundations are anticipated to be supported on new structural fill extending down to suitable native soils. Foundations supported on approved native soils or on properly placed engineered fill extending to suitable native soils could be proportioned using a net allowable bearing pressure of 1,500 DO. The net allowable soil 4 Proposed Communication Tower MIN-540 & Building Addition Eagan, Minnesota MCCE Project No. 0236021 December 16, 2002 bearing pressure is the pressure in excess of the minimum surrounding overburden pressure at footing base elevation. We estimate that post construction settlements of foundations designed and constructed in accordance with the recommendations presented herein will be less than about 1 inch. Differential settlements on the order of '/2 the total settlement depending upon variations in subsurface conditions and actual foundation loads, as well as the quality of construction. The base of all foundation excavations should be free of water and loose soil prior to placing concrete. Concrete should be. placed as soon as possible after excavating to minimize bearing soil disturbance. Should the soils at bearing level become excessively dry, disturbed or saturated, the affected soil should be removed or reconditioned prior to placing concrete. For frost protection perimeter footings should extend at least 3.5 feet below lowest adjacent finished grade for frost protection. In unheated areas, footings should extend at least 6 feet for frost protection. Isolated footings should have a minimum width of 30 inches, and continuous formed footings should have a minimum width of 16 inches. Due to the presence of possible fill soils in the borings and the potential for lower strength soils at or near anticipated footing depth and the potential for subsurface variations across the site, it is recommended that the soils exposed at design footing elevation be evaluated by the geotechnical engineer to determine if the soils meet the bearing capacity as specified herein. If unsuitable bearing soils are encountered in footing excavations, the excavations should be extended deeper to suitable soils and the footings could bear directly on these soils at the lower level. The footings could also bear on properly compacted backfill extending down to the suitable soils. Overexcavation for compacted backfill placement below footings should extend laterally beyond all edges of the footings at least 8 inches per foot of overexcavation depth below footing base elevation. The overexcavation should then be back-filled up to the footing base elevation with well-graded granular material placed in lifts of 9 inches or less in loose thickness and compacted to at least 98 percent of the material's maximum standard Proctor dry density (ASTM D-698). We recommend that the foundations for the attached addition be supported at about the same depth as the existing foundations and care be exercised not to disturb the soils beneath the existing footings. Some overlap of stress between the new and existing footings will occur and could cause some minor movements of the existing structure. Maintaining a clear distance at least equal to the width of the new footing between the edge of the new and existing foundations that bear at the same depth will significantly reduce this risk. The design should accommodate some differential movements between the addition and existing facility 5 Proposed Communication Tower MIN-640 & Building Addition Eagan, Minnesota MCCE Project No. 0236021 December 16, 2002 Building Addition Floor Slabs It is anticipated floor slab subgrades will consist of fine to medium sand fill soils or new structural fill. Prior to placement of the sand cushion, subgrades should be proofrolled to evaluate the subgrades stability. Also, the existing soils should be scarified and recompacted to the requirements specified herein prior to the placement of fill soils. As previously stated, the silty clay/clayey silt soils will be sensitive to disturbance and may require localized areas of stabilization. We recommend that a minimum of 6 inches of crushed aggregate or recycled concrete Class 5 be placed immediately beneath the floor slab to provide a stable working surface and a capillary break. The sand layer should contain less than 7 percent passing the No. 200 sieve. The Class 5 should be compacted to a minimum of 95% of the materials maximum standard Proctor dry density (ASTM D-698) The magnitude of foundation settlement will depend upon variations within the subsurface profile, the actual structural loading conditions, the embedment depth of the footings, the factors of safety used in design and the quality of the construction. Assuming foundation construction is completed in accordance with our recommendations, we estimate that the maximum total post construction settlement of the footing foundation should be less than about 1-inch. GENERAL COMMENTS MCCE should be retained to review the final design plans and specifications so comments can be made regarding interpretation and implementation of our geotechnical recommendations in the design and specifications. The geotechnical engineer should be retained to observe foundation excavations to verify that the soils encountered are suitable for the design requirements specified herein. The analysis and recommendations presented in this report are based upon the data obtained from the soil boring performed at the indicated location and from any other information discussed in this report. This report does not reflect any variations that may occur across the site. The nature and extent of such variations may not become evident until construction. If variations appear evident, it will be necessary to reevaluate the recommendations of this report. The scope of services for this project does not include either specifically or by implication any environmental assessment of the site or identification of contaminated or hazardous materials or conditions. If the owner is concerned about the potential for such contamination, other studies should be undertaken. This report has been prepared for the exclusive use of our client for specific application to the project discussed and has been prepared in accordance with generally accepted geotechnical 6 Proposed Communication Tower MIN-540 & Building Addition Eagan, Minnesota MCCE Project No. 0236021 December 16, 2002 engineering practices. No warranties, either expressed or implied, are intended or made. In the event that any changes in the nature, design, or location of the project as outlined in this report are planned, the conclusions and recommendations contained in this report shall not be considered valid unless MCCE reviews the changes, and either verifies or modifies the conclusions of this report in writing. 7 GENERAL NOTES DRILLING & SAMPLING SYMBOLS SS Split Spoon - 1%" I.D., 2" O.D., unless otherwise noted PS Piston Sample ST Thin-Walled Tube - 2" C.D., Unless otherwise noted WS Wash Sample PA Power Auger FT Fish Tail Bit HA Hand Auger RB Rock Bit DB Diamond Bit - 4", N. B BS : Bulk Sample AS Auger Sample PM Pressuremeter HS Hollow Stem Auger OC Dutch Cone WB Wash Bore Standard "-N" Penetration: Slows per foot of a 140 pound hammer falling 30 inches on a 2 inch OD split spoon. except where noted. WATER LEVEL MEASUREMENT SYMBOLS WL Water Level WS While Sampling WCI Wet Cave In WD While Drilling DCI Dry Cave In BCR Before Casing Removal AS After Boring ACR After Casing Removal Water levels indicated on the boring logs are the levels measured in the borings at the times indicated. In pervious soils, the indicated levels may reflect the location of groundwater. In low permeability soils, the accurate deter- mination of ground water levels is not possible with only short tern observations- DESCRIPTIVE SOIL CLASSIFICATION: Soil Classification is based on the Unified Soil Classification System and ASTM Designations 0-2487 and 0-2488. Coarse Grained Soils have more than 50% of their dry weight retained on a x200 sieve: they are described as: boulders, cobbles, gravel or sand. Fine Grained Soils have less than 50% of their dry weight retained on a x200 sieve; they are described as: clays, if they are plastic, and silts if they are slightly plastic or non-plastic. Major con. stituents may be added as modifiers and minor constituents may be added according to the relative proportions based on grain size. In addition to gradation, coarse grained soils are defined on the basis of their relative in-place density and fine grained soils on the basis of their consistency. Example: Lean clay with sand, trace gravel, stiff (CL); silty sand, trace gravel, medium dense (SM). CONSISTENCY OF FINE-GRAINED SOILS: Unconfined Compressive Strength, Ou, psi Consistency < 500 Very Soft 500 - 1.000 Soft 1,001 - 2,000 Medium 2.001 4,000 Stiff 4,001 - 8,000 Very Stiff 8,001 -16.000 Hard > -16.000 Very Hard RELATIVE PROPORTIONS OF SAND AND GRAVEL Descriptive Term(s) lot Components Also Percent of Present in Sample) Dry Weight Trace < 15 N:::h 15.29 Modifier > 30 RELATIVE PROPORTIONS OF FINES Descriptive Term(s) (of Components Also Percent of Present in Sample) Dry Weight Trace < 5 With 5- 12 Modifier > 12 RELATIVE DENSITY OF COARSE-GRAINED SOILS: N-Blowsltt- Relative Density 0.3 Very Loose 4.9 Loose 10-29 Medium Dense 30-49 Dense 50-80 Very Dense 80- Extremely Dense GRAIN SIZE TERMINOLOGY Major Component Of Sample Size Range Boulders Over 12 in. (300mm) Cobbles 12 in. to 3 in. (300mm to 75mm) Gravel 3 in. to #4 sieve (75mm to 4.75mm) Sand :4 to #200 sieve (4.75mm to 0.075mm) Silt or Clay Passing #200 sieve (0.075mm) Master Civil & Construction Engineering, Inc. GLACIAL RIDGE DRILLING & TESTING LOG OF BORING PROJECT: QWESTTOWER MIN-540 BORING: 13-1 LOCATION: 3665 HIGHWAY 13 Muter Civil & Construction Engineering EAGAN, MN Project # 0236021 CREW: BWR/RH METHOD: 3'b" HSAiAutohmr DATE: 12-13-02 NOTTOSCALE ELEV. DEPTH USCS MOISTURE (FT.) SYMBOL DESCRIPTION OF MATERIALS BPF CONTENT % NOTES 3" LANDSCAPE ROCK POSSIBLE FILL: LEAN CLAY, TRACE 6 Sample depth 3.5'-5' 8.5' SAND, BROWN 40 Sampie depth 8S'-10' SM SILTY SAND, TRACE GRAVEL, BROWN, MEDIUM DENSE TO DENSE 43 Sample depth 13.5'-15' 44 Sample depth 18.5'-20' 49 Sample depth 23.5'-25' 21 Sample depth 28.5'-30' 24 Sample depth 33.5'-35' 40' 24 Sample depth 38.5'40' END OF BORING WATER LEVEL FIRST ENCOUNTERED AT APPROXIMATELY 25' WHILE DRILLING BORING IMMEDIATELY BACKFILLED GI,ACLAI, RIDf,t: URII,I.IN(: &'ITa'I'IN(:-24785 5'" 5"I. NW NI'w LONDON. WN 66::3 aui-goo-?n,rm -^-?'»--»?^ ?-'• • UNIFIED SOIL CLASSIFICATION SYSTEM Soil Classification Criteria for Assigning Group Symbols and Group Names Using Laboratory Tests Group Names Simi Coarse-Grained Soils Gravels Clean Gravels Cu ± e and 1 s Cc s 3e. GW Welbgraoea gravely More than 50% retained on More than 50% Of coarse Less than 5% fines- f80e0 gravBly l 1 > Cc > 3` GP Poorl C < J A No. 200 sieve !,action retained on u y g i NO. " sieve Fines classify as ML of MH GM Silty gravel' `-" Gravels with Fines More than :2'e fined Fines classify as CL or CH GC Clayey gravely. p." Sates Clean $aras Cu L 6 and 1 5 CC < 32 $W Wenyrames sand' 50°'0 or more of coarse Less !ran 5°.'. Imes > 3e. SP Po ern, Shaded sand < 6 and/or 1> C C fracvoh passes u " No. ' Sieve Fines classify as ML of MH SM Silly sandal $and5 win Fines - More lnan 12% Tine c twines Classlly as CL or CM SC Clayey sumac Fine-Graned Soils sills and Clevs inorganic PI > 7 and plots an or above "A' :IM' CL L6an ClaI " 30% Or more passes the LiQuld limit less than 50 a L I PI < 6 or plots below -A" line ML Silt NO. 200 sieve organic clay'' Lutuid limit - oven cried organic < 0.75 CL Liquid hmu - not had Organic stlin. u, o Sits and C:eve inorganic PI plans on or above -A" line CM Fall Clay L " Liquid limn 50 or more PI plots below "A' line MH Elastic 4flfL L Organic cuvx. e. e Liquid limit - oven cried organic < 0.75 CH LloUld limit - not pried Organic slits. L M.0 Highly organic sells Primarily organic matter. ban In color, and organic odor W Peal 'Sawa on the material ceasing the 3-In. t Iasi C C O O "If sod contains 15 to 29% plus Na 200. add u ' c ' (75-mm) sieve. so ip -WIth sand" or -With grovel=, whicnever is Cis stn field sample contained cobbles or ON pre0dmmanl. `If sop contains a 15% sand add -with sand" to . boulders. or both. COpbles Of 0tl With t t soil contains 2 plus. Ne. 2 1 boomers, or both" b group name group name. gro up Cg li C4M l predominantly ntly sand. . add -sandy" to o group l GC nes y as L use Dua classi CGravels with 5 to 12% fines re0wre dual symbo -SM. GM symbols: . Of SC-$M. -I! sell contains a 30% plus No. 200, GW.GM wa4graded gravel with silt "if lines are organic. add "with organic fines" to predominantly gravel, add "gravelly" to group GW-GC Well graced gravel with clay group name. name. GPGM poorly offend gre l with sill 1I1 son contains z 15% gravel. add with gravel" to '-I a A and plots on or above -A- line. GP-GC poodv graded gravel with Car group name. -Pi < A or plots below "A" Ima. .: .. " ii `. to 1:'x e5 !acute dust 'II Allefbefg limits plot in shaded area soil is a CL 11, 1401E On Or above 'A" line. Symbols: ML silty clay. cot Dims below :aria SWSM well-graded sand with sill SW SC weibgraped sand wnn clay $PSM ooonv ^y raped sand with ,If SPSC pooriv graoep sand with clay 60 For classification of lima grained soils ! and finayramed fraction of coarse. /I 50 L giants! $oils Eouation of -A" line Horizontal at PI < to LL - 25.5. d then PI = 0.73 ILL 201 W 40 Equation o1 "U" line OP I r, vertical at LL = 1610 PI 7. then PI 0.9 ILL al G y 30 - F- I ~ 0? Q 2° O ' v a MHOROH , G tot----? CL - ML ML OROL 0 10 18 20 30 e.0 50 60 70 80 90 100 110 LIQUID LIMIT ILL) Master Civil & Construction. Engineeringe Inc. I I SPennSumrnit Tubules 225 Kiwanis Boulevard, West Hazleton, PA 18202 Phone: (888) 847-6537 Fax: (888) 460-6885 POLE SHAFT CLPOLE & FOUNDATION & BASE PL. ANCHOR ° U DOUBLE HEAVY BOLTS HEX NUT W/ HEAVY HEX a WASHER LEVELING NUT 3" GAP W/ WASHER (NO GROUT) 2" CLR TEMPLATE - AND NUTS o ? z o J o Z ;o N c G m U v ? 3 ? Z s z I C? 0 O nn n n I??I J V v 1 6'-0' 0 SHAFT FIN GRADE PAUL J. FORD AND COMPANY STRUCTURAL ENGINEERS 250 East Broad Street, Suite 500, Columbus, Ohio 43215 (614) 221-6679 Fax: (614) 44&4105 www.P)Fweb.com J 0 B D A T A Poe 1 of 1 Job No. 29202-0366 By MFP Design No. #19028 12-18-2002 D t Chkd By /4(,C o e Rev. No. Rev. Date Pole 100 MONOPOLE Site MN-5408, DAKOTA, MN Owner QWEST WIRELESS Ref. No. Design 80 MPH + SIMUL ANEOUS 1 2 DIAL ICE ACCORDING TO TIA EIA-222-F 1996 THERE ARE TWO NOTCHES ON THE ANCHOR BOLT TEMPLATES LOCATED 180' APART. THE CONTRACTOR SHALL POSITION THE ANCHOR BOLTS AND TEMPLATES IN THE FOUNDATION PER THE SUMMIT MANUFACTURING ANCHOR BOLT TEMPLATE DRAWING. NOTES: 1. ALL CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3000 PSI AT 28 DAYS. CONCRETE SHALL BE AIR ENTRAINED (6i1.5Z). CONCRETE (12)-#5 SHALL HAVE A MAXIMUM WATER/CEMENT RATIO OF 0.46. ALL CONCRETE WORK " THE BUILDING CODE REQUIREMENTS FOR SHALL BE IN ACCORDANCE WITH TIES ® REINFORCED CONCRETE", ACI 318, LATEST EDITION. FOUNDATION INSTALLATION 6" C/C SHALL BE IN ACCORDANCE WITH ACI 336, "STANDARD SPECIFICATIONS FOR THE CONSTRUCTION OF DRILLED PIERS", LATEST EDITION. 2. REINFORCING STEEL SHALL CONFORM TO THE REQUIREMENTS OF ASTM REM #5 A-615 (GRADE 60) EXCEPT THAT CAISSON TIES MAY BE ASTM A-615 (GRADE TIES ® 40). ALL REINFORCING DETAILS SHALL CONFORM TO -MANUAL OF STANDARD 18'. C/C PRACTICE FOR DETAILING REINFORCED CONCRETE STRUCTURES', ACI 315, LATEST EDITION, UNLESS DETAILED OTHERWISE ON THIS DRAWING. 3. SEE POLE DRAWING DATED 12-11-2002 FOR ANCHOR BOLT QUANTITY, SIZE, LENGTH, AND BOLT CIRCLE. 4. TOTAL CONCRETE = 22 CUBIC YARDS. 2'-0" 5. FOUNDATION DESIGN IS BASED UPON GEOTECHNICAL EXPLORATION REPORT MIN LAP PREPARED BY: MASTER CARL & CONSTRUCTION ENGINEERING, INC. REPORT NO.: #0236021 DATED: 12-16-2002 6. CONTRACTOR SHALL READ THE GEOTECHNICAL REPORT AND CONSULT THE (16)-#11 GEOTECHNICAL ENGINEER AS NECESSARY PRIOR TO CONSTRUCTION. VERT REINF 7. THE FOUNDATION WAS DESIGNED USING THE FOLLOWING SERVICE LOADS: FULL HEIGHT MOMENT: 1100 FT-KIPS SHEAR: 16 KIPS AXIAL: 15 KIPS DRILLED PIER FOUNDATION WILL BE PLACED ADJACENT TO EXISTING STRUCTURES. INFORMATION ABOUT THE EXSITING STRUCTURES AND FOUNDATIONS WERE NOT AVAILABLE AT THE TIME OF THIS DESIGN. IT IS THE OWNERS RESPONSIBILITY TO HAVE A QUALIFIED ENGINEER DETERMINE IF THE PLACEMENT OF THE DRILLED PIER FOUNDATION WILL EFFECT THE STRUCTURAL INTEGRITY OF THE EXISTING BUILDINGS AND FOUNDATIONS. FOUNDATION CONTRACTOR SHALL BE RESPONSIBLE FOR PROTECTING THE ADJACENT STRUCTURES DURING CONSTRUCTION I hereby certify that this plan, spe& fication, or r,=;?c r ;•!cs praper't by me or unde cly c:., c1 Suporvision and that I am a duly L{c::nsed Professional EI•:gincpr or iA-chitect under the isms of tho State of Minnesota. Print Name: .KURT J. SWARTS Signature:U Date'. 16/Pt License# 40798 CAISSON (DRILLED PIER) FOUNDATION PJF_Pole (tm) - Monopole Design Program Windows Version 3.04.0000 Wed Dec 18, 2002 - 10:49:17 am (c) 1993 to 2000 PAUL J. FORD AND COMPANY, Columbus, ------------ Ohio -------------------------- - ---------------- Job No......: 29202-0368 Design No: #19028 ------------- Enginee --------------- r : MEP Description : 100-Ft Monopole - MN-540B, Dakota, MN Design..... : 80 mph + simultaneous 1/2" radial ice Owner...... : Qwest Wireless Client: PennSummit Tubu lar, LLC Status..... : Final Design Revision: Rev. Dat e : ---- - -------------------------------------------------- S U M M A R Y O F C U R R E N T C A I S S ---- - ------- O N D E S I --------------- G N -------------------------------------------------------- Diameter (ft) .....: 6.00 Compression (kips): 15.00 ------------- Friction S.F --------------- ......: 2.00 Min. Depth (ft) ...: 20.00 Horizontal (kips) : 16.00 Lateral S.F .......: 2.00 Depth Used (£t) ... 20.00 Uplift (kips) ....: 0.00 Concrete S.F ......: 1.30 : Rebar Area (in'2) 24.96 Moment (Ft-kips) .: 1100.0 Concrete F'c (psi) : 3000.0 Rebar Used .:(16)#11 Full Cohesion (ft): 18.00 Steel Cover (in) : 4.00 Water at (ft) .....: 25.00 Rock at (ft) .....: 99.00 --- --------- --------------- - ------ - ------------------------------- SOIL PROFILE . ------ ------ -- - Soil Layer unit Ult. Skin Allowable Friction Passive Cohesion Layer Thickness Weight Friction Bearing Angle- P hi Coeff.- KP (c) (ft) (pcf) (psf) (psf) (deg) (psf) 1 7.00 100.00 0.00 0.00 0.00 1.000 0.00 2 18.00 137.40 0.00 3000.00 30.00 3.000 0.00 3 20.00 75.00 0.00 3000.00 30.00 3.000 0.00 ------------------------------- - ------------------------------------ LATERAL / MOMENT CAPACITY (CHECK) : Min Design --------------- Actual Design Caisson Diameter (ft) ............................: 6.00 6.00 Height Above Grade (ft) ..........................: 0.50 0.50 Depth Below Grade (ft) ...........................: 20.00 20.00 Concrete Volume (CY) ............ :................ : 21.47 21.47 Applied Moment From Loads (Working), Mwork(Ft-kip): 1 354.40 1354.40 Resisting Moment From Soil (Ult), Mult(Ft-kip) .... 3 366.57 3366.57 Moment S.F. (Mult / Mwork) .......................: 2.49 2.49 Applied Horizontal Load (Working), Hwork (Kips) ... 16.00 16.00 Horizontal Soil Resistance (Ultimate), Hult (Kips): 40.22 40.22 Horizontal S.F. (Hult / Hwork) ...................: 2.51 2.51 Center of Rotation (from grade) (ft) .............: 15.40 15.40 Inflection Point (Max Design Moment Location (ft) . 8.00 8.00 Maximum Factored Design Moment for Reinf. (Ft-kip): 1 981.74 1981.74 Area Steel Required From Loads (in'2) ............: 13.20 13.20 ACI Minimum Steel (0.5%) (in"2) ..................: 20.36 20.36 Area Reinf. Steel Provided (in"2) ................: 24.96 24.96 ---------- - ------------------------------------------------------- UPLIFT CAPACITY CHECK : - ------------ --- - Actual Uplift on Caisson (Kips) ................... 0.00 0.00 Allowable Uplift Capacity (Kips) .................. 69.55 - 69.55 --------------- ----------- - --------------------------------------- - -- COMPRESSION CAPACITY CHECK : ----------- - Actual Compression on Caisson (Kips) ............. :- 15.00 15.00 Total Compression (Includes Concrete Wt.) (Kips) .. 45.39 45.39 Allowable Compression Capacity (Kips) ............: 84.82 -------- 84.82 --------------- -------------------------------------------------------- CAISSON DESIGN: ----- USE: 6.00 ft Diameter X 20.50 ft Long (Concrete Volume = 21.47 CY) Reinf: (16)#11 Vert, w/Closed Ties: (12)#5 06.0", remaining ties 018. -------------------------------------- - ----------------------------- 0" (ASTM A615) --------------- ]Pe nffnSunmmit Tubular JLLC-a mm;,mm 225 Kiwanis Boulevard, West Hazleton, PA 18202 Phone: (888) 847-6537 Fax: (888) 460.6885 100'-0' 97'-O' R 3/15' X 27.25' (Fy=65) (EST WT = 1.271 KIPS) 80'-0' 76'-0' SPLICE LENGTH MIN = 35.10' DESIGN = 39.00' MAX = 42.90' 3 (ESf WF % 606 KIFPXS)65) G 0 0 i z 40'-0. SPLICE LENGTH MIN = 43.20' DESIGN = 48.00' MAX = 52.80' R 1/4' X 40.00' (Fy=65) (EST WT = 3.562 KIPS) 0'-0' PL PAUL J. FORD AND COMPANY STRUCTURAL ENGINEERS 250 East Broad Street, Suite 500, Columbus, Ohio 43215 (614) 221-6679 Fax: (614) 448-4105 www.PjFweb.com J 0 B D A T A Poe 1 of 1 Job No. 29202-0368 By MFP Design No. 19028 Dote 12-1 -2002 Chkd By fp Rev. No. Rev. Date Pole 100 MONOPOLE Site MN-5408, DAKOTA, MN Owner QWEST WIRELESS Ref. No. Design 80 MPH + SIMULTANEOUS 1/2 RADIAL ICE ACCORDING TO TIA EIA-222-F 1996 L 0 A D C A S E S CASE 1 CASE 2 80 MPH WITH 1/2 RADIAL ICE WIND W/ SIMULTANEOUS ICE 50 MPH WITH NO ICE OPERATIONAL WIND PO LE SPECIIF ICA-T10NS Pole Shope Type: 18-SIDED POLYGON Taper: 0.16 025 IN/FF Shaft Steel: ASTM A607 GRADE 65 Base PL Steel: AS TM A572 GRADE 5 5 KSI Anchor Bolts: -2--174 0 -x8 -0 LONG 18J ASTM A615 GRADE 75 A N T E N N A L I S T No. Elev. Description - TOP 5/8- LIGHTNING ROD 1-9 97.00 (9) EMS RR33-20-XX-P - 97.00 TRI-ANTENNA MOUNT W/ ARMS 10-21 80.00 (12) 60' X 12' X 6- PANEL ANTENNA - 80.00 (3) 12' T-ARM MOUNTS 22-33 65.00 (12) 60' X 12° X 6- PANEL ANTENNA - 65.00 3) 12' T-ARM MOUNTS ,._. ».y cut aDy apicw- STEP BOLTS FULL HEIGHT. f cation, Or repo" 1"'.3 CrC;?ar.'I by ANTENNA FEEDUNES RUN INSIDE OF POLE. ME) Or Under my Cir.ci aUi]Cn'i=' in . and that I am a duly Liccns,. i Professional Engineer or Arci;L..ct under the laws of th3 State A Minnesota. Print Name: KURT J. SWr1,-; S Signature: Date IZhloz. License# 40798, 80 M PH WIND 50 M PH WIND Elevation Lateral Deflection (Inches) Rotation (sway) (degrees) Lateral Deflection (Inches) Rotation (sway) (degrees) TOP 51.6 3.844 18.1 1.343 PLEASE NUTL: IHE MUNUPULL HA5 HtLN UL.GlUNGIJ iU UMa 6UIMIIUN ur mr .U, ur me W9 r Tn or 1 rea THaN 1 A' AT 15 MPH S H A F T S E C T 1 0 N D A TA Section Plate Lap Diameter Across Flats Shaft Length Thickness Slice (inches) - - - Section (feet) in.) (in. 0 -T-0 -0 T 0 Bottom 1 27.25 0.1875 00 39 21.000 25.442 2 40.00 0.2188 . 48 00 24,538 31.059 3 40.00 0.2500 . 29,969 36.490 NOTE: DIMENSIONS SHOWN DO NOT INCLUDE GALVANIZING TOLERANCES BASER 2 1/2' X 41.000' SQUARE MOMENT = 1100 ft-k W/(8) 2.25.0 ANCHOR BOLTS IN QUADRANTS ON 43.000' B.C. WITH MIN. 7'-0- SHEAR = 16 kips EMBEDMENT INTO PIER (W/NUTS k TEMPLATE PLATE 0 BOT.) AXIAL = 15 kips TIGHTEN ANCHOR NUTS TO NSC SNUG TIGHT CONDITION. PJF Pole (tm) - Monopole Design Program Windows Version 3.04..0000 Wed Dec 11, 2002 - 9:55:13 am (c) 1993 to 2000 PAUL J. FORD AND COMPANY, Columbus, Ohio ------------------ - ------------------------------------------------------------- Job No......: 29202-0368 Design No: #19028 Engineer : MFP Description : 100' Monopole - MN-540B, Dakota, MN Design..... : 80 mph + simultaneous 1/2" radial ice Owner...... : Qwest Wireless Client: Penn Summit Tubular, LLC Status..... : Final Design Revision: Rev. Date : ------------------------------------------------- - -------------- --------------- S D M M A R Y O F A N A L Y S I S R E S U L T S ---------------------------------------------------- ---------------------------- Pole Height .............: 100.00 ft Top Diameter ............: 21.000 in Bottom Diameter.........: 36.490 in Pole Shape ..............: 18-Sided Polygon Splice Joint Type.......: Taper shaft - Slip Joint Shaft Taper .............: 0.163025 (in/ft) Shaft Steel Weight......: 7.439 kips POLE SHAFT PROPERTIES: Wall Steel Top Bottom Slip Shaft Section Thickne ss Yield Diameter Diameter Joint Section Length [t] [FYI [Dt] IDb] Overlap Number (ft) (in) (ksi) - (in) - (in) ------------- (in) ------------ ------- 1. ------------- 27.250 ----------- 0.18750 ---------------- 65 -------- 21.000 25.442 39.00 2. 40.000 0.21875 65 24.538 31.059 48.00 3. 40.000 0.25000 -- -- 65 ---------------- 29.969 --------- 36.490 ------------- -----=------ -------------------------- - POLE SHAFT SECTION MAXIMUM FORCES AND MOMENTS: ------- At Base of Section -------I Max. Ratio Shaft Wind Wind Radial Sect. Axial Horiz. Bending Actual/ Section Load Speed Ice Elev. Load Shear Moment Allowable Number No. (mph) (in) ( ft) (kips) (kips) (ft-kips) [Ftot/Fb] ---------- ------- 1. ------------- 1 80.0 ----------- 0.50 --------------- 76.00 4.734 ---------- 7.065 ------------ 84.743 --- 0.2300 2. 1 80.0 0.50 40.00 10.133 11.969 462.049 0:6941 3. 1 80.0 0.50 0.00 14.778 13.985 ------- 989.397 ------------ 0.8978 ------------- ------- >> ------------- MAXIMUM BASE ----------- REACTIONS --------- - ---- : - 14.778 --- 13.985 989.397 ------- << ------------- ------- POLE DE ------------- FLECTION AND -- - ------- ROTATION AT ------------------------------ TOP AND AT HIGHEST MICROWAVE DISH ELEVATION: Wind Wind Radial Max. Allowable Load Speed Ice Elev Deflection Rotation Rotation Limit No. (mph) (in) Location (ft) (in) --- (deg) (deg) -------------------------- ------- 1. ------------- 80.0 0.50 ----------- Top --------------------- 100.00 51.643 3.844 2. ------- 50.0 0.00 ------------- Top ----------- 100.00 18.071 ------------------------ 1.343 ------------- ------------- Page 1 PJF_POle (tm) - Monopole Design Program Windows Version 3.04.0000 Wed Dec 11, 2002 - 9:55:13 am (c) 1993 to 2000 PAUL J. FORD AND COMPANY, Columbus, Ohio --------------------------------------------------------------------------------- Job No......: 29202-0368 Design No: #19028 Engineer : MFP Description : 100' Monopole - MN-540B, Dakota, MN Design..... : 80 mph + simultaneous 1/2" radial ice Owner...... : Qwest Wireless Client: PennSunm:it Tubular, LLC Status..... : Final Design Revision: Rev. Date : ----------------------------------- - -------------------------------------------- Pole Height : 100 ft Pole Shape : 18-Sided Polygon Pole Type : Taper shaft - Slip Joint - Pole Taper : 0.163025 (in/ft) INPUT TUBE PROPERTIES: Top / Bot Wall Top Bot Slip Tube Splice Tube Tube Thick Steel Diam Diam Joint Sect Elev Elev Length [t] [Fy] [Dt] [Db] Overlap No. (ft) (ft) (ft) (in) (ksi) (in) (in) (in) --------------------------------------------------------------------------------- 1. 100.00 72.75 27.250 0.18750 65 21.000 25.442 39.00 2. 76.00 36.00 40.000 0.21875 65 24.538 31.059 48.00 3. 40.00 0.00 40.000 0.25000 65 29.969 36.490 --------------------------------------------------------------------------------- TUBE SECTION PROPERTIES: Diam. Wall Diam/ Tube Section Across Thick Thick Sect Weight Elev Flats [t] [W/t1 ID/t1 Area Ix No. (kips) Location (£t) (in) (in) Ratio Ratio (in"2) (in'4) --------------------------------------------------------------------------------- 1 1.271 @Top 100.0 21.000 0.1875 17.99 112.00 12.39 677.6 @Splice 76.0 24.913 21.66 132.87 14.71 1136.1 @Bot 72.8 25.442 22.16 135.69 15.03 1210.7 2 2.606 @Top 76.0 24.538 0.2188 18.02 112.17 16.88 1261.2 @Splice 40-.0 30.407 22.75 139.00 20.96 2412.4 @Bot 36.0 31.059 23.27 141.98 21.41 2572.1 3 3.562 @Top 40.0 29.969 0.2500 19.37 119.88 23.58 2630.6 @Bot 0.0 36.490 23.97 145.96 28.76 4769.8 --------------------------------------------------------------------------------- Total Shaft Steel Weight = 7.439 kips --------------------------------------------------------------------------------- t Page 2 PJF Pole (tm) - Monopole Design Program Windows Version 3.04.0000 Wed Dec 11, 2002 - 9:55:13 am (c) 1993 to 2000 PAUL J. FORD AND COMPANY, Columbus, Ohio --------------------------------------------------------------------------------- Job No.......: 29202-0368 Design No: #19028 Engineer : MFP Description : 100' Monopole - MN-540B, Dakota, MN Design..... : 80 mph + simultaneous 1/2" radial ice Owner...:.. : Qwest Wireless Client: PennSummit Tubular, LLC Status..... : Final Design Revision: Rev. Date : --------------------------------------------------------------------------------- Segment Properties: ( 0 Max Segment = 10 ft ) Diam. Wall Diam/ Tube Segment Segment Across Thick Thick Segmt Feature Elev. Flats [t] [W/t] [D/t] Area Ix No. Location (ft) (in) (in) Ratio Ratio (in'2) (in'4) -----------------------------------------------------'-------'------------------- 1. top 100.000 21.000 0.18750 17.99 112.00 12.39 677.6 2. <arm [1]> 97.000 21.489 0.18750 18.45 114.61 12.68 726.5 3. <a= [2]> 97.000 21.489 0.18750 18.45 114.61 12.68 726.5 4. <arm [3]> 97.000 21.489 0.18750 18.45 114.61 12.68 726.5 5. 90.000 22.630 0.18750 19.52 120.69 13.36 849.6 6. 80.000 24.261 0.18750 21.05 129.39 14.33 1048.6 7. <arm [4]> 80.000 24.261 0.18750 21.05 129.39 14.33 1048.6 8. <arm [5]> 80.000 24.261 0.18750 21.05 129.39 14.33 1048.6 9. top sec(2) 76.000 24.913 0.18750 21.66 132.87 14.71 1136.1 10. bot sec(t) 72.750 25.067 0.21875 18.44 114.59 17.25 1345.5 11. 70.000 25.516 0.21875 18.80 116.64 17.56 1419.6 12. <arm [6]> 65.000 26.331 0.21875 19.46 120.37 18.13 1561.3 13. <arm [7]> 65.000 26.331 0.21875 19.46 120.37 18.13 1561.3 14. 60.000 27.146 0.21875 20.12 124.10 18.70. 1712.1 15. 50.000 28.776 0.21875 21.43 131.55 19.83 2042.3 16. top sec(3) 40.000 30.407 0.21875 22.75 139.00 20.96 2412.4 17. hot sec(2) 36.000 31.059 0.25000 20.14 124.23 24.45 2930.6 18. 30.000 31.599 0.25000 20.52 126.40 24.87 3087.7 19. 20.000 33.230 0.25000 21.67 132.92 26.17 3594.8 20. 10.000 34.860 0.25000 22.82 139.44 27.46 4154.7 .21. base 0.000 36.490 0.25000 23.97 145.96 28.76 4769.8 --------------------------------------------------------------------------------- Total Number of Antennas / Arms = 7 --------------------------------------------------------------------------------- y Page 3 PJF_Pole (tm) - Monopole Design Program Windows Version 3.04.0000 Wed Dec 11, (c) 1993 to 2000 PAUL J. FORD AND COMPANY, ----------------------------------------------------------- Job No......: 29202-0368 Design No: #19028 Description : 100' Monopole - MN-540B, Dakota, MN Design..... : 80 mph + simultaneous 1/2" radial ice Owner...... : Qwest Wireless Client: PennS Status..... . Final Design Revision: ANTENNA AND ARM PROPERTIES AND LOAD DATA 2002 - 9:55:13 am Columbus, Ohio ------------------ Engineer : MFP ummit Tubular, LLC Rev. Date : LOAD CASE 1: WIND VELOCITY = 80.00 mph + 0.50 inches Radial Ice. Arm Load Antenna Antenna Ant Mount. Applic . Arm Ice Area Force Antenna Arm Elev. Elev. Length Load [CaAa] [gzGhCaAal Weight No. ---- (ft) (ft) ------------------ (ft) ---- Case (sf) (lbs) (lbs) [1] - 97.000 100.000 ------ 0.0000 ----------- W/ Ice: ----------- 0.50 -------------- 19.00 ------------ 100.00 Description: 5/8 " Lightning Rod [ qz ] [qz] [Ghl ( Gh ] [ Xz ] (psf) (psf) ---- 1.69 ------------- 1.373 W/ Ice: 22.490 38.008 [2] - ---- 97.000 97.000 ---------- 0.0000 -------- - - W/ Ice: ----------- 50.93 --'----------- 1918.97 ------------ 636.93 Description: (9) EMS RR33-2 0-XX_P L qz 7 [qz] [Gh] [ Gh ] [ Kz ] (psf) (psf) ----- 1.69 ----------- 1.361 W/ Ice: 22.295 37.679 [3] ------- 97.000 97.000 ---------- 2.0000 ----------- W/ Ice: ----------- 17.05 -------------- 642.42 ------------ 315.00 Description:-Tri- Antenna Mount w/ Arms ( qz ] [qz] [Ghl [ Gh ] [ Kz ] (psf) (psf) ----- 1.69 ----------- 1.361 W/ Ice: 22.295 37.679 [41 ------- 80.000 80.000 ---------- 2.0000 ----------- W/ Ice: ----------- 76.79 -------------- 2738.36 ------------ 540.00 Description: (12) 60" x 12" x 6" Panel Antenna [ qz ] [qz] [Gh] L Gh ] [ Kz ] (psf) -(psf) '---- 1.69 ------------- 1.288 W/ Ice: 21.101 35.660 [5] ----- 80.000 80.000 ------" --- 2.0000 ---------- W/ Ice: ----------- 15.59 ------------- 555.94 - ----------- 1275.00 Description: (3) 12' T-Arm Mounts [ qz ] [qz] (Gh] [ Ch ] [ Kz ] (psf) (psf) ----- 1.69 ---------------- 1.288 W/ Ice: 21.101 35.660 [6] -- 65.000 65.000 ----------- 2.0000 ---------- W/ Ice: ----------- 76.79 -------------- 2580.63 ------------ 540.00 Description: (12) 60" x 12" x 6" Panel Antenna [ qz 7 (qz] (Ghl [ Gh ] ( Kz ] (psf) (psf) ----- 1.69 ----------------- 1.214 W/ Ice: 19.885 33.606 (7) - 65.000 65.000 ----------- 2.0000 ----------- W/ Ice: ---------- 15.59 -------------- 523.92 ------------ 1275.00 Description: (3) 12' T-Arm Mounts [ qz 7 [qz] [Gh] [ Gh j [ Kz ] (psf) (psf) ----- - 1.69 -- - -------------- 1.214 ----------- W/ Ice: ----------- 19.885 ----------- 33.606 ------------- ------------ r Page 4 PJF Pole (tm) - Monopole Design Program Windows Version 3.04.0000 Wed Dec 11, (c) 1993 to 2000 PAUL J. FORD AND COMPANY, ----------------------------------------------------------- Job No......: 29202-0368 Design No: #19028 Description : 100' Monopole - MN-540B, Dakota, MN Design..... : 80 mph + simultaneous 1/2" radial ice Owner...... : Qwest Wireless Client: PennS Status..... : Final Design Revision: POLE SHAFT LOADS: 2002 - 9:55:13 am Columbus, Ohio ------------------ Engineer : MFP ummit Tubular, LLC Rev. Date : LOAD CASE 1: WIND VELOCITY = 80.00 mph with 0.50 inches Radial Ice. Design Loads per TIA/EIA-222-F Standard; Gust Fac tor ..... ... Gh = 1 .69 Pole DL Overload Factor = 1 .1 - PerTIA/EIA Table 1: Note 3: For all cross secti onal shapes, Force Coefficient [ Cf] need not exceed 1.2 for any value of C. (Where C=sgrt(Kz) *V*D.) Top of Veloc Pole Projec ted Area Segment Shaft Segment Expos Press Veloc Force Shaft Segment Wind Segment Elev. Coe£f [qz] Coeff Coeff [Ae] [Cf Ae] Force Weight (ft) [Kz] (psf) [C] [Cf] (sf) (sf) ------- (lbs) ---------- (lbs) ------------- --------- 100.000 -- - ---- 1.373 -------- 22.49 --------- 164.03 ------ 0.650 --------- 1.840 -- 1.196 45.46 59.86 97.000 1.361 22.30 167.12 0.650 3.721 2.419 91.53 121.11 97.000 1.361 22.30 167.12 0.650 0.000 0.000 0.00 0.00 97.000 1.361 22.30 167.12 0.650 1.881 1.223 46.06 61.25 . 90.000 1.332 21.82 174.12 0.650 13.547 8.805 327.76 441.75 80.000 1.288 21.10 183.55 0.650 18.395 11.957 433.73 601.35 80.000 1.288 21.10 183.55 0.650 0.000 0.000 0.00 0.00 80.000 1.288 21.10 183.55 0.650 2.112 1.373 48.95 69.14 76.000 1.269 20.79 187.10 0.650 8.568 5.569 196.79 513.06 72.750 1.253 20.54 187.10 0.650 6.486 4.216 146.99 239.88 70.000 1.240 20.31 189.40 0.650 6.609 4.296 148.04 244.60 65.000 1.214 19.89 193.39 0.650 9.002 5.851 198.75 333.48 65.000 1.214 19.89 193.39 0.650 2.284 1.485 49.90 84.68 60.000 1.186 19.44 197.11 0.650 11.626 7.557 250.52 431.26 50.000 1.126 18.45 203.57 0.650 24.270 15.776 503.87 901.85 40.000 1.057 17.31 208.36 0.650 25.610 16.647 501.69 1347.86 36.000 1.025 16.80 209.65 0.650 10.522 6.840 196.39 436.86 30.000 1.000 16.38 210.66 0.650 16.137 10.489 291.65 670.49 20.000 1.000 16.38 221.53 0.650 27.981 18.188 503.60 1164.26 10.000 1.000 16.38 232.40 0.650 29.340 19.071 528.05 1222.74 1.000 1.000 16.38 242.18 0.650 27.567 17.919 496.15 1150.47 Summation TOTAL = 5005.89 10095.95 ---------( END LOAD CASE 1 -- POLE SHAFT LOADS ) ------------------------------- Page 5 PJF_Pole (tm) - Monopole Design Program Windows Version 3.04.0000 Wed Dec 11, (c) 1993 to 2000 PAUL J. FORD AND COMPANY, ----------------------------------------------------------- Job No......: 29202-0368 Design No: #19028 Description : 100' Monopole - MN-540B, Dakota, MN Design..... : 80 mph + simultaneous 1/2" radial ice Owner...... : Qwest Wireless Client: PennS Status..... : Final Design Revision: POLE SHAFT SEGMENTS -- AXIAL AND SHEAR FORCES: 2002 - 9:55:13 am Columbus, Ohio ------------------ Engineer MFP ummit Tubular, LLC Rev. Date : LOAD CASE 1: WIND VELOCITY = 80.00 mph with 0.50 inches Radial Ice. Cumulative Cumulative Tube Segment Axial Axial Horiz. Horiz. Segment Elevation Load Load Shear Shear No. ---------- (ft) ---------- (kips) ---------------- (kips) -- (kips) (kips) 1. 100.000 0.060 --------------- 0.060 -------- 0.045 -------------------- 0.045 2. 97.000 0.221 0.281 0.111 0.156 3. 97.000 0.637 0.918 1.919 2.075 4. 97.000 0.376 1.294 0.688 2.763 5. 90.000 0.442 1.736 0.328 3.091 6. 80.000 0.601 2.337 0.434 3.525 7. 80.000 0.540 2.877 2.738 6.263 8. 80.000 1.344 4.221 0.605 6.868 9. 76.000 0.513 4.734 0.197 7.065 10. 72.750 0.240 4.974 0.147 7.212 11. 70.000 0.245 5.219 0.148 7.360 12. 65.000 0.873 6.092 2.779 10.139 13. 65.000 1.360 7.452 0.574 10.713 14. 60.000 0.431 7.883 0.251 10..964 15. 50.000 0.902 8.785 0.504 11.468 16. 40.000 1.348 10.133 0.502 11.969 17. 36.000 0.437 10.570 0.196 12.166 18. 30.000 0.670 11.240 0.292 12.457 19. 20.000 1.164 12.405 0.504 12.961 20. 10.000 1.223 13.627 0.528 13.489 21. 1.000 1.150 14.778 0.496 13.985 Base 0.000 14.778 13.985 ---------( END LOAD CASE 1 -- AXIAL AND SHEAR FORCE ) -------------------------- Page 6 PJF Pole (tm) - Monopole Design Program Windows Version 3.04.0000 Wed Dec 11, 2002 - 9:55:13 am (c) 1993 to 2000 PAUL J. FORD AND COMPANY, Columbus, Ohio - - ---- Job No --------- - -- ......: 29202 - - ------ -0368 --------- - Desig ------- n No: #1 -------------- 9028 ---------- Engineer --------- - : MEP Description : 100' Monopole - MN-5408, Dakota, MN Design ..... : 80 mp h + simul taneous 1/ 2" radia l ice Owner. ..... : Qwest Wireless Client: PennSummit Tubul ar, LLC Status ..... : Final Design Revision: ------------ Rev. Date ---------- : ----------- ------------------- POLE SHAFT SEGMENTS ------------------- -- MOMENTS and -------- DEFLECT -- IONS: LOAD CASE 1: WIND VELOCITY = 80.00 mph with 0.50 inches Radial Ic e. [-------- MOMENTS (ft-kips) -------- -] [--DEFLECTIONS (inch) -------] Segmnt From From From No Total W/ Total Elev Ant/ Shaft P-Delta Total P-Delta P-Delta Rotation (ft) Arm Wind Effects Moment Effects Effects - - ---- (deg) ----------- ------ 100.00 --------- - -- 0.000 --------- 0.000 --------- 0.000 -------- 0.000 -------------- 49.883 --- 51.643 3.844 97.00 0.057 0.274 0.012 0.343 48.328 50.030 3.844 97.00 0.057 0.274 0.012 0.343 48.328 50.030 3.844 97.00 0.057 0.274 0.074 0.404 47.550 49.224 3.844 90.00 18.120 2.533 0.769 21.422 42.118 43.594 3.817 80.00 43.924 9.800 1.956 55.680 35.245 36.470 3.704 80.00 43.924 9.800 1.956 55.680 35.245 36.470 3.704 80.00 43.924 9.800 2.142 55.866 34.496 35.693 3.704 76.00 67.422 14.069 3.251 84.743 31.526 32.615 3.631 72.75 86.515 18.112 4.160 108.788 29.342 30.351 3.561 70.00 102.671 21.938 5.096 129.704 27.199 28.130 3.494 65.00 132.044 29.861 6.382 168.286 24.412 25.243 3.352 65.00 132.044 29.861 6.738 168.643 23.734 24.540 3.352 60.00 176.940 39.031 8.915 224.886 20.426 21.113 3.181 50.00 266.733 61.142 13.216 341.090 14.402 14.876 2.753 40.00 356.525 88.289 17.235 462.049 9.331 9.630 2.241 36.00 392.442 100.544 18.772 511.758 7.597 7.838 2.036 30.00 446.318 120.390 20.905 587.613 5.311 5.476 1.719 20.00 536.110 157.417 23.859 717.386 2.381 2.452 1.163 10.00 625.903 199.590 25.830 851.323 0.599 0.616 0.587 0.00 715.695 247.153 26.549 989.397 0.000 0.000 - 0.000 ------ ---( END LOAD CASE 1 -- MOMENT S AND DE FLECTIONS ) --- ---------- ----------- Page 7 PJF_Pole (tm) - Monopole Design Program Windows Version 3.04.0000 Wed Dec 11, (c) 1993 to 2000 PAUL J. FORD AND COMPANY, ----------------------------------------------------------- Job No......: 29202-0368 1 Design No: #19028 Description : 100' Monopole - MN-540B, Dakota, MN Design..... 80 mph + simultaneous 1/2" radial ice Owner...... Qwest Wireless Client: Penns Status..... Final Design Revision: POLE SHAFT SEGMENTS -- ACTUAL VS. ALLOWABLE STRESSES: 2002 - 9:55:13 am Columbus, Ohio ------------------ Engineer : MFP ummit Tubular, LLC Rev. Date : LOAD CASE 1: WIND VELOCITY = 80.00 mph with 0.50 inches Radial Ice. Note: Per TIA/EIA Sec. 3.1.1.1: Allow a 1/3 stress increase for poles under 700 feet in height. The allowable stresses shown include the factor of 1.333 [--------- ----- ACTUAL STRESSES ----- ----------] Allow. Actual/ Segmnt Bending Axial Torsion Shear Combined Stress Allowable Elev [fb] [fa] [ft] [fv] [Ftot] [Fb] [Ftot/Fb] (ft) -------- (ksi) ----------- (ksi) --------- (ksi) - (ksi) (ksi) (ksi) Ratio 100.00 0.000 0.005 --------- 0.000 ---------- 0.007 ------------ 0.014 ---------- 52.00 -- - ------- 0.0003 97.00 0.062 0.022 0.001 0.025 0.095 52.00 0.0018 97.00 0.062 0.072 0.152 0.327 0.840 52.00 0.0162 97.00 0.073 0.102 0.265 0.435 1.225 52.00 0.0236 90.00 3.476 0.130 0.239 0.462 3.805 52.00 0.0732 80.00 7.849 0.163 0.207 0.491 8.103 52.00 0.1558 80.00 7.849 0.201 0.584 0.872 8.435 52.00 0.1622 80.00 7.875 0.295 0.660 0.957 8.636 52.00 0.1661 76.00 11.322 0.322 0.626 0.958 11.962 52.00 0.2300 72.75 12.349 0.288 0.531 0.834 12.856 52.00 0.2472 70.00 14.203 0.297 0.512 0.836 14.688 52.00 0.2825 65.00 17.291 0.336 0.739 1.116 17.918 52.00 0.3446 65.00 17.328 0.411 0.792 1.179 18.064 52.00 0.3474 60.00 21.724 0.422 0.744 1.170 22.392 52.00 0.4306 50.00 29.281 0.443 0.662 1.154 29.890 52.00 0.5748 40.00 35.482 0.483 0.592 1.140 36.091 52.00 0.6941 36.00 33.043 0.432 0.498 0.993 33.575 52.00 0.6457 30.00 36.639 0.452 0.481 0.999 37.179 52.00 0.7150 20.00 40.402 0.474 0.434 0.988 40.950 52.00 0.7875 10.00 43.519- 0.496 0.394 0.980 44.080 52.00 0.8477 0.00 46.115 0.514 0.360 0.970 46.686 52.00 0.8978 -------- -( END LOAD CASE 1 -- ACTUAL VS. ALLOWABLE STRESSES ) ------- ----------- PJF Pole (tm) - Monopole Design Program Windows Version 3.04.0000 Wed Dec 11, 2002 - 9:55:13 am (c) 1993 to 2000 PAUL J. FORD AND COMPANY, Columbus, Ohio ------------------------ - -- Job No......: 29202-0368 ---------------------------- Design No: #19028 ------------------------- Engineer : MFP Description : 100' Monopole - MN-540B, Dakota, MN Design..... : 80 mph + simul taneous 1/2" radial ice Owner...... : Qwest Wireless Client: Penn Summit Tubular, LLC Status..... : Final Design Revision: Rev. Date : -- ------- ---------------------------- M O N O P O L E B A ---------------------------- -------------- ------------- S E P L A T E D E S I G ---------------------------- --------- - ---- - N D E T A I L S ------------------------- Shaft Shape .....: 18 Sided Polygon Stress Increase ...: 1.333 Factor Base Dia, DF ..... 36.490 Inches Base Plate Shap e ... Square PT-to-PT, DP ..... 37.053 Inches Min Bolt Circle .. 43.490 Inches Use Bolt Circle - .... 43.000 Inches ------------------------- ------------ - -------------- Base Reactions --------------------------- DESIGN USER Moment ..............: 989.40 Ft-Kips 989.40 Ft-Kips Axial Load ..........: 14.78 Kips 14.78 Kips ---------- -------- ---------------------------- Anchor Bolt Details ---------------------------- DESIGN ------ USER Number of Bolts ...... 8 8 Bolt Diameter .......: 2.250 Inches 2.250 Inches Bolt Type ...........: #18J ASTM A615 #18J ASTM A615 Y-Distance ..........: 3 - 3 Mom. of Inertia ...... 1891.38 In'4 1849.00 In-4 Bolt Tension, T ....... 136.50 Kips 138.06 Kips Allowable Tension .... 194.81 Kips 194.81 Kips Bolt Compression, C .. 138.35 Kips 139.90 Kips ---------------------- ---------------------------- Base Plate Details ---------------------------- DESIGN --- USER Plate Moment, MPL .... 968.43 In-Kips 910.77 In-Kips Bend Plane, W .......: 21.07 Inches 21.49 Inches Plate Thickness, t ... 2.239 Inches 2.500 Inches Plate Width .........: 40.701 Inches 41.000 Inches Plate Steel .........: ASTM A572 GRADE 55 (55 KSI) ASTM A572 GRADE 55 (55 KSI) Gross Weight ........: 1051.80 Lbs 1191.80 Lbs Net Weight ..........: 790.30 Lbs 899.70 Lbs Allowable Stress ..... 54.99 Ksi 54.99 Ksi Actual Stress ........ 54.99 Kai 40.68 Kai Act./Allow Ratio ..... 1.00 0.74 B A S E P L A T E D E S I G N S U M M A R Y ---------------------------------------------------------------- USE FOLLOWING SPECIFICATIONS: Plate Thickness ...... 2.500 Inches Number of Bolts ... 8 Plate Width/Diameter : 41.000 Inches (Square) Bolt Circle ....... 43.00 Inches Plate Weight ........: 1.192 Kips Bolt Diameter ....: 2.25 Inches Bolt Type ........: #18J ASTM A615 2004 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 'I ?S. q, • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Ept Plan (1) " • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always " • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always • Meter size must be established • Meter size must be established • Meter size must be established-if applicable 1 • Project Specs (1) 1 • Energy Calculations (1) 1 1 • Electric Power & Lighting Form (1) " 1 1 • Master Exit Plan (1) 1 t • Emergency Response Site Plan (1) 1 1 • Soils Report (1) 1 ----- -_"cr"enn ?nnn - cer•null FSi_rv12.1 nnn SAC determination - call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. ** Contact Building Inspections for sample and if required when it states "not always". *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date l l 3 / Construction Cost p ?P 41l a U U Site Address l0?a 5 J Unit/Ste # f p?^ 0. I " Tenant Name W R)YJ de qq S K Owrmer Tenant Name - fear U f ey-tskv? Ma ' dLex?r 2SbaAAX% cub 2"Xsc?clK.n to rI c1 - ins axe Description of Work i or. R- a a - ??\\ ?` IIG IJ ? S T ' hone #(6571) q5 ?-()337 Tele I .- y S ? Property Owner t`J1 p Contractor - !(l w Address L05-1 E /j ?-c City 6L.t ?'{'j5 1 State &/YI Zip / Telephone # (gY2y 39!7 - S ({-3S- Arch/Engr D Registration # Address JUL 1 4 2004 City State Zip Telephone # ( ) By Licensed plumber installing new sewerlwater 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 case of work which requires a review and approval of plans. ?Nz (7?LSD? Applicant's Printed Name J?hti a,, Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments ? 27 CommerciatIndustrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* X 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg onl y) -Give PCA handout to applicant Valuation Z7, ocio 0-0- Occupancy MCES System Census Code Zoning City Water SAC Units - O -' Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width Required Inspections _ Footings (new bldg) Insulation - Footings (deck) _ Final/C.O. _ Footings (addition) _ FinaUNo C.O. _ Foundation _ Other Drain Tile _ Roof _Ice Pr Y Decking / Instil/ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace - R-1. -Air Test -Final _ Windows A d B p?? ! ,? ' pprove y: Planning , r--tc t ( B uilding Inspector Base Fee Surcharge Plan Review MCES SAC City SAC Water Supply & Storage (WAC) SNV Permit SAN Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total ?a?. `? !,Sa33 2004 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 C?- 1I o? • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis 0) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always- • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established-4 applicable l • Project Specs (1) 1 • Energy Calculations (1) l • Electric Power & Lighting Form (1) " l 1 • Master EAt Plan (1) 1 1 • Emergency Response Site Plan (1)'" 1 1 • Soils Report (1) l • RAC dptprninstion - call 651-602-1 000 • SAC determination - call 651-602-1 000 SAC determination - call 651-602-1000 ** Contact Buildir *** Permit for new at 651-215-0700 for details regarding food & beverage or lodging facilities. Lions for sample and if required when it states "not always". or addition will not be processed without Emergency Response Site Plan. Date / 1624 Construction Cost t?? Site Address s1a lgy? AI IVU L- ` ??w / Unit/Ste # Tenant Name y ]? s l f U Former Tenan t•Name (, A0 Description of Work c-m - ?E T -rN - it U-) Property Owner 12T15 Telephone #(?J?) 4G2 -633+ Contractor E-'- e--VWghk 1 ( Address -3Z7 I-IVR1t)CnV- L E City 1??12?a 1?1)/Ct? State Q ZipG? Z Telephone#1Jv3LA-(,V -?S: Arch/Engr Registration # Address City State Zip Telephone # ( ) Licensed plumber installing new sewerlwater service: Phone #: J L 0 1 2004 I hereby apply for a Commercial Building Permit and acknowledge that the informa is c atmrate; that the work will be in conformance with the ordinances and codes of the City o agar and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. t?EC?1? M ,?19?1?Sor? Applicant's Printed Name Appl Signatur OFFICE USE ONLY Sub Types ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 26 Public Facility X 27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 35 Int Improvement ? 38 ? 36 Move Bldg. ? 42 ? 37 Demolish (Bldgr X 43 'Demolition (Entire Bldg only) - Give P Valuation 15766 &.4) Occupancy k •3 Census Code ZL_ Zoning _ SAC Units O Stories _ Nbr. of Units Sq. Ft. _ Nbr. of Bldgs Length _ Type of Const Width _ Required Inspections Footings (new bldg) - Footings (deck) Footings (addition) _ Foundation 976n'PF:LT 0A1 Drain Tile r r _ Roof t/fce Pr qjg ? Decking ? Insul Final / _ Z" Framing pa ASij'Z,p - Fireplace _ R.I. _ Air Test _ Final Booster Pump PRV Fire Sprinklered _ Insulation _ Final/C.O. Final/No C.O. Other Pool _ Figs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone Windows Approved By: PlanningC-?Building Inspector Base Fee Surcharge Plan Review MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other ? 30 Accessory Building ? 32 Ext Alt-Apartments ? 34 Ext Alt-Commercial ? 35 Ext Alt-Public Facility ? 37 Nail Salon Demolish (Interior) ? 44 Siding Demolish (Foundation) ? 45 Fire Repair Reroof ? 46 Windows/Doors CA handout to applicant MCES System City Water Total MECHANICAL (COMMERCIAL) Permit Application City Of Eagan G ce -L 3830 Pilot Knob Road, Eagan Mn 55122 .Telephone # 651-675-5675 FAX # 651=675=5674 ". Please complete for; commercial/industrialbutldings .. -multi-family buildings when separate permits are not required for each dwelling unit Date / 7 / Site Address CpCr Unit # // // Tenant Name (if applicable) (_Q ?NQ S Previous Tenant Name Property Owner Telephone # ( ) Contractor GC '/ S Add treet ress City State Zip a? Telephone # ¢?J ?) The Applicant is Owner Contractor Other 3 JAN 3- Work Type New construction Underground Tank -Install -Remove 6y Interior Improvement Call for inspection during installation/removal of tank - Processed Pipin / _ Nature of Work: _ews7 Cv "% r ,,-, l Y Permit Fee $50.50 Minimum Fee (includes State Surcharge) Contract Value $ p0M. oz x .01% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 per /y????j yu+ ; „ $1,000 Permit Fee / $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without per ; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of 1 L D r r. Applicant' rinted Name A lican s Sig ature 07 city of eagan PATRICIA I- AWADA Mayor PAUL BAKKEN PEGGYCARLSON CYNDEE FIELDS MEG TILL.EY Council Members THOMAS HEDGES City Administrator Municipal Center. 3830 Pilot Knob Road Eagan, MN 55122-1897 Phone: 651.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maintenance Facility: 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.cityofeagan.com THELONEOAKTREE The symbol of strength and growth in our community November 4, 2002 VIA FACSIMILE: 952-808-0584 MR GREG EVERSON HUNTER EVERSON CONST CO INC 1104 RIVERWOOD DR BURNSVILLE MN 55337 RE: LAFONDA'S RESTAURANT ADDITION 3665 SIBLEY MEMORIAL HWY Dear Mr. Everson: We have started our review of the construction documents submitted in pursuit of obtaining a building permit for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless otherwise noted, all references are to the 1997 U.B.C. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the items checked below be addressed: 2 sets signed Architectural Plans 2 sets signed Structural Plans 2 sets Civil Plans 2 sets Landscaping Plans 1 Code Analysis 1 Certificate of Survey ?I 1 Spec. Insp. & Testing Schedule 1 Project Specs 1 Energy Calculations 1 Electric Power & Lighting Form 1 Emergency Response Plan 1 MC/ES SAC determination letter 1 Soils Report If you have any questions regarding the above items, please feel free to contact me at 651-681- 4683. Sincerely, J. Craig Novaczyk Senior Inspector JCN/j s Encl: Special Inspection & Testing Schedule Emergency Response Plan Example Electric Power & Lighting Form PERMIT #: i y) APPROVED BY: CITY USE ONLY 9 RECEIPT DATE: / 6 Z._ INSPECTOR 2002 COMMERCUL M£CHMICAL PERMIT APPLICATION CITY OF EAGAN 3$30 PILOT KNOB RD L 3 t Q c?. t EAGAN, MN 5578E 651-661-4675 ?K - Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: 9&Lo ?L, SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS:/o CITY: STATE: Zip: TELEPHONE #: WORK TYPE: New construction Interior Improvement Processed Piping Specify Nature of Work. l When installing/removing underground tank, Plumbing inspector. Install U.G. Tank Remove U.G. Tank t /? _57 J 651-681-4675 for inspection by Fire Marshal and Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $_ W7 x I = $ e (Base Fee) State surcharge calculate at $.50 for TOTAL $?? 1 $1,000 Base Fee Updated 1/02 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 ?I?C1?A,NICA?,, Y FOR CITY USE ONLY PERMIT # RECEIPT # ? DATE: X02 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE F TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ --- WORK DESCRIPTION NEW CONST ADD ON _ REPAIR _ Replace/remodel X OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: I'4 ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.00 24.00 6.00 3.00 50 SIGNATURE OF PERMITTEE Cb?IIIERCYALf1VDiISTTALe PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------------°-° -------°---------------------°°- CONTRACT PRICE: $16,185.00 11 .r OWNER NAME: LaFonda Rd. - Aj ? 3(066 e SITE ADDRESS: Hwy 13 & Sha e} /? LOT: d BLOCK L SUBD. ( !0/?Q.?! id, 9a/ri FEES FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. INSTALLER: FREDRICKSON HEATING& AIR CONDITIONING,INC. CONTRACT PRICE x 1% $ 161.85 ADDRESS: 3650 Kennebec Dr. STATE SURCHARGE $ .50 CITY: Eagan ZIP: 55122 PHONE #: 452-27777755/ FOR: CITY OF EAGAN TOTAL:: 2 $ 1162.35 (SIGNATURE) GENERAL INFORMATION 13-9 CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE Upon completion of work, inspection and testa shell be made by the contractor's representative and witnessed by an owner's representative. All defects shell be corrected and system left m &I before convector's personnel finally Ism the lob. A certificate half be filled out and signed by both rspresentatiws.- Capie shall be prepared for approving authorities, owners and contractor. It I. understood the owner's ropreenutiveA signature in noway Prejudices env claim against contractor for faulty materiel, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. p- 7- 91 ,!-?!6!-Jcyk y'13?S?HAwnt?'? A CEPTED BY APPROVING AUTHORITY('S) NAMES PLANS STALLATION CONFORMS TO ACCEPTED PLANS IUIPMENT USED 15 APPROVED NO, EXPLAIN DEVIATIONS IN CHARGE OF FIRE EOU VALVES AND CARE AND INSTRUCTIONS LOCATION (SUPPLIES OF SYSTEM CARE AND MAINTENANCE DYES ? NO MAKE MODEL YEAR OF ORIFICE QUANTITY TEMPERATURE MANUFACTURE 512E RATING SPRINKLERS PIPE CONFORMS TO STANDARD DYES ?NO PIPE AND FITTINGS CONFORM TO STANDARD DYES DNO FITTINGS IF NO. EXPLAIN ALARM DEVICE MAXIMUM THE TO OPERATE THROUGH TEST PIPE ALARM VALVE TYPE MAKE MODEL MIN . SEC. R FLOW O 4 5 INDICATOR RYV L DO MAKE MODEL SERIALNO. MAKE MODEL SERIAL NO. ER TI T ALARM TIME TO TRIP WATER AIR TRIP POINT EACHE D OPERATED THRU TEST PIPE* PRESSURE PRESSURE AIR PRESS TEST OUTLET PROPERLY DRY PIPE MIN. SEC. PSI PSI P51 MIN, SEG YES NO OPERATING TEST Without O.O.D. .D W,tn O.O.D. MEASURED FROM TIME INSPECTOR'S TEST PIPE IS OPENEU. 35A goeg) PRINTED IN USA Contractor's Material & Test Certificate for Aboveground Piping (OVER) 13-10 SPK INK Ll .SYSTEMS PNEUMATIC LJ ELECTR IC YES L -J DELUGE er 15 THERE qN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO, EXPLAIN PREACTION VALVES DYES ONO -- DOES EACH CIRCUIT OPERATE - GOES EACH CIRCUIT MAXIMUM TIME TO MAKE MODE SUIERVISHOoli SALARM OPERATE VALVE RELEASE OPEF]ATE RFIFASE L VES NO YES NO MIN, SEC. HYDROSTAiT&: Hydrostatic tests shall be made at not less than 200 Psi 413,6 bars) for two howl or 50 psi (3.4 bars) above Italic pressure in excess of 150 psi 00.3 bars) for two hours. Di f/erential dry-pipe valor clappers shell be !aft open during test to preeent damage. All aboveground piping leakage shell be stopped. TEST FgR ING: Flaw the required rate until water is clear as indicated by no collectlon of foreign material in burlap bags at outlets such as HA DESCRIPTION by ram and blovi flush at flows not less then 400 GPM (1514 L7minl for 4-nrr pix, 500 GPM (2271 L/min) for 5 inch prpe, 750 GPM (2839 L/mrn) for 6 -rich pipe, 1000 GPM (3785 L/miN for 8 inch pipe. 1500 GPM x5670 L/m.h) for 10inch pipe and 2000 GPM 17570 11 for 12 inch 'pe. When supply cannot Produce stipulated floe. rate:, itl`d?n 1.1".m avainsp a. M. PP ?MN TIC Establish 40 psi F. 7 bars) air pressure and measure drop which shall note r*M 1-k psi (0.1 bars) 24 hours. Test Pressure t an at normal water level and air pressure and mass ...... pressure drop Which iha!! nnl exceed I-K on 10.1 bard In 24 hours. ' y ALL PIPING HYDROSTATICALLY TESTED AT `"0 PSI FOR $, III NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED 0 YES ?NO r-]? EQUIPMENT OPERATES PROPERLY LYES ?NO DRAW READING OF GApE LOCATED NEAR WATER SUPPLY TEST PIPE: RESIWALPR R EWITHVALVE INTESTRPE OPEN WIDE TESTS TEST G STATIC PRESSURE: PSI PSI' Underground mains and lead in connections to system risers flushed before connection made to sprinkler piping. VERIFIED BY COPY OF THE U FORM'NO. 85B ? YES ?NO OTHEP EXPLAIN FLUSHED BY INSTALLER OF UNDER GROUND SPRINKLER PIPING Lj YES iJ NO E3ANK-i-EsTiNG NUMBER USED LOCATIONS NUMBER REMOVED GASKETS WELDED PIPING ? YES 17 NO IF YES. DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELOINO Pn OCEO1I RE5 COMPLY wII THE REQUI A EMENT50F AT LEAST PAS O 10 9, LEV EL A R 3 DYES ?NO 00 `"OV CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIF1170 IN rk'r.LGri1a COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9. LEVEL AR 3 DYES ?NO DO YOU CERTIFY THAT WELOING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF DYES ? NO PIPING ARE NOT PENETRATED (CRAJLIC NAMEPLATE PROVIDED IF NO, EXPLAIN -- DATA NAMEPLATE DYES ?NO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN'. REMASKS NAME OF SPRINKLER CONTRACTOR TESTS WITNESSED BY S:CXATJAES I F PROP£RT OW 151 £O) TI DATE 3 9l ?- S C ,: NK F K R C TR TOR (SIGNED) TITLE GATE AOOITIONAL EXPLANATION AND NOTES ub 85A BACK Contractor's Material & Test Certificate for Aboveground Piping 1-a- F'oodas MASTER CARD STRUCTURE AND A I LAND USED AS I LOCATION OWNER MA-A/A &10 / Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK 3117 rf_,?j -i??c ?n ar WELL ELECTRICAL HEATING 7L Itf 0 GAS INSTALLING SANITARY SEWER OTHER OTHER ao! b _ 7,$"7 ?j !/ ?i.:C? Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER 4 L4) /D-_3/" 3 I6o ?O xst w F -ZS7 T ? r a 7? AP Iari /rcc, S Violations Noted on Back COMMENTS: L w ?,4 rondo-T MASTER CARD Pk Permit No. Issued Issued To Contractor Owner BUILDING I- --- PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER o Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: jqq3 1991 BUILDING PERMIT CITY OF FAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: ? 7V2 Date: Z3 / Site Address ?(O(os Si?E i?cg1 /? Lot Block z ??/?1?.5 S Parcel/Sub Z v Owner G"z V Address 366 55cc "(fit ?? Y /l City/Zip Code Phone (?D(Z) ??Zr 033 y Contractor 11L1Q?U1 S(?EGrRL%!c'S Address GSC{? f}Q e S? City/Zip Code VZtcH1"E(-0 Mrf 5-SY23 Phone 4'L) S'3CoCo - e,379 Arch./Engr. Aa Address City/Zip Code Phone # OFFICE USE ONLY 43 FEES 3 50 0 0 Occupancy Bldg. Permit , , Zoning Surcharge o?D.OG Actual Const Plan Review ,Z 7.00 Allowable SAC, City # of stories SAC, MWCC Length Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment Pl. On site well Road Unit MWCC System Park Ded. City water Trail Ded. PRV Copies a. Booster Pump _ SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL Bldg. Off. b q,, Variance Se r/Wate is sed Contr. /T agrees that all work shall be done in accordance with (Sig atu 91 of CoAtractor) Q? `f all applicable State of Minnesota Statutes and City of Eagan ordinances. OF 3830 PILOT KNOB ROAD. P.O. BOX 21199 EAGAN, MINNESOTA 55121 PHONE: (612) 454$100 February 17, 1987 CHRYSLER FIRST BUSINESS CREDIT CORPORATION Re: To Whom It May Concern: BEA BLOMQUIST Mgor THOMAS EGAN JAMES A SMITH AC EWSON THEODORE WACHTER Council Members THOMAS HEDGES City AcmtrJSfra EUGENE VAN OVERBEKE City Ceit Please be advised that LaFonda's Restaurant located at 3665 Sibley Memorial Highway, Eagan, Minnesota, is presently zoned light industrial which does permit the location of restaurants such as LaFonda's. The premises comply with the City's platting/subidvision ordinances and at present no variances, conditional use and/or special permits are required for this site. A liquor license for on-sale consumption is not a permitted or conditional use in the light industrial zoning designation, though the City of Eagan has issued a liquor license for LaFonda's Restaurant pursuant to the provisions of previous City Codes. This site is not located within a flood plain, as designated by the Federal Insurance Administration. All sufficient utilities. are in place for the proper and safe operation of LaFonda's Restaurant. I trust the enclosed information is sufficient to meet your needs. Feel free to contact me if you have further questions regarding this matter. Since 9*41/ 1 a e C. Runkle City Planner DCR/SS/jeh n THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 10 140Yn° 4 4LL4_;t__ T"" •\ rJ ^ ( L lJF? ( l?s OF 3830 PILOT KNOB ROAD. P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 May 18, 1984 FARMER'S HEATING 1308 E 96TH ST BLOOMINGTON, MN 55420 RE: LAFONDA DE ACEBO 3665 SIBLEY MEM HWY EAGAN, MN Gentlemen: This is to advise you that all of the gas piping has been removed from the air plenum in the ceiling of the LaFonda Restaurant, however, the kitchen area was missed. There- fore, gas piping in the kitchen ceiling must be dropped through the ceiling and sleeved properly. Thank you. Sincerely, William Adams Plumbing Inspector WA/js CC: Everson Construction Inc. 4655 Nicols Road, #203A Eagan, MN 55122 LaFonda De Acebo 3665 Sibley Memorial Hwy Eagan, MN 55121 BEA BLOMQUIST Moyor THOMAS EGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER Council Member THOMAS HEDGES City Adminshata EUGENE VAN OVERBEKE City Clerk THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY .e minnesota department of health 717 s.e. delaware st. p.o. box 9441 minneapolis 55440 (612) 6235000 June 30, 1984 Mr. Steve Ekeler Holly Inns, Inc. La Fonda de Acebo 3665 Sibley Memorial Highway Eagan, MN 55122 Dear Mr. Ekeler: PO •030- yq C..&J. 4.2,..? 13,e4_ On June 4, 1984, an inspection was conducted of La Fonda de Acebo bar and restaurant managed by you and located at 3655 Sibley Memorial Highway in the City of Eagan, Minnesota. This inspection was conducted to determine if orders previously issued on my inspection of January 9, 1984, were in compliance with the Rules of this Department governing food and beverage establishments. The following is a list of violations which have not as yet been corrected: 03. a) All potentially hazardous foods must be maintained at a temperature of 400 F or below or 1500 F and above at all times. Comply immediately. 05. Provide accurate thermometers for.all refrigerators throughout the establishment, including the refrigerated bulk milk dispenser. 08. a) Discontinue the storage of containers of food on the floor of the storeroom area, walk-in refrigerator and freezer. All food containers must be stored a minimum height of six inches from the floor on approved shelving or dunnage racks. b) All food items stored in the reach-in and walk-in refrigerators and freezers must be protected by a wrap covering or stored in a covered container. Comply immediately. e) Relocate the bulk grease container off the floor and away from the splash zone of the kitchen handwashing lavatory. Comply immediately. f) Provide either stainless steel sliding lids or lexan plastic bubble type covers for the ice bin work stations in the bar. 10. a) Install a running water dipper well for the storage of the ice cream dispensing scoops at the ice cream freezer in the kitchen. b) Discontinue the practice of storing the ice transfer receptacle on the floor. The receptacle must be stored off the floor and in a sanitary location between uses. Comply immediately. an equal opportunity employer Mr. Steve Ekeler June 30, 1984 Page 2 12. a) Employees must not consume food and/or beverages while en- gaged in food preparation or service, nor while in areas of the kitchen used for food preparation or utensil and equipment washing. Food and/or beverage consumption is permitted only in the designated employee dining or break areas. Comply immediately. b) The three compartment utensil cleansing sink must not be jointly used as a food preparation sink. Either the size of the pot and pan utensils must be reduced to a size which can be washed and sanitized in the dishwashing machine or a separate food preparation sink must be provided. 14. a) Replace all the moided rubber cutting boards currently in use in the cooking area. These boards have numerous cracks, breaks, chips and similar imperfections and cannot be effectively cleaned and sanitized. bYE Repair the Telescope cover on the steam table by brazing a handle on the lid or by replacing the cover. 15. a) The shelves in the refrigerators which are rusty or which show other signs of deterioration must be commercially refinished by plastic coating or replaced. b) Replace all torn or cracked gaskets on all refrigerator and freezer doors where required. (e.g. Silverking freezer, Victory refrigerator, etc.) d) Provide a sufficient amount of National Sanitation Foundation (NSF) approved shelving to ensure proper sanitary storage of clean pot and pan utensils. This'shelving must also be located in a manner which precludes potential contamination to clean utensils., f) Replace the missing stainless steel skirting on the Hobart glass washer in the bar. 17. A chemical test kit or sanitizer test paper must be provided to determine the strength of the sanitizer concentration at the kitchen utensil cleansing sink. The kit or test paper must be designed to test the type of sanitizer being used (e.g. Chlorine, Quats., etc.). 21. Several wiping cloths were observed being stored indescriminately throughout the kitchen waitress station and bar areas. Moist cloths or sponges used for wiping food spills on kitchenware and food contact surfaces of equipment shall be clean and rinsed frequently in an acceptable sanitizing solution of proper con- centration. These cloths and sponges must be stored in a sanitizing solution between uses. Comply immediately. Mr. Steve Ekeler June 30, 1984 Page 3 22, 23, 36, 37-Cleaning Items: Administer a thorough and complete cleaning to the following areas and maintain them in a clean condition at all times: a) The kitchen cooking equipment to include the areas between, behind and beneath broilers, griddles, and ranges; b) the inside compartment of the range/oven; c) the soft drink beverage dispensing nozzles and drip through in the waitress station area (clean on a daily basis); f) clean and defrost the interior of the Silverking freezer in the kitchen and the interior of the bulk milk dispenser; g) the floor throughout the establishment especially in corners and under equipment in the kitchen, bars, and storeroom areas; and h) the walls and ceiling tiles especially in the kitchen area. 24. a) Provide/install splash shields in the appropriate areas of the bars adjacent to the dump sinks, to preclude splash and contamination from occurring on clean glasses or in the beverage ice. b) Discontinue the practice of using unapproved web-type packing material for glass storage. Provide the approved type webbing for glass storage. c) Discontinue the practice of storing clean pot and pan utensils on the floor of the kitchen. 25. Store and dispense all single service items((cups, styrofoam containers, etc.) in a sanitary manner. Retain the storage of these items in the plastic wrapper or the original shipping container. Comply immediately. 30. a) Eliminate the plumbing cross-connection at the water softener discharge line by assuring that the line terminates (air gapped) above the floor drain. Please Note: The air gap space must be i'-i times the diameter of the discharge pipe. b) Assure that the spring-action spray flush device recoils above the spill rim of the dishmachine draintable. 32. Provide single service towels at the kitchen handwashing lavatory. 38. c) Shl6ld all light fixtures in the kitchen, storeroom, ice machine room, at all under bar work stations by providing light protective sleeves, shields or enclosures for all unprotected light fixtures. Mr. Steve Ekeler June 30, 1984 Page 4 42. Provide and use restraints for all C02 compressed gas cylinders. 45. Comply) by with the provisions of the Minnesota Clean Indoor Air Act and d by by designating a minimum seating of 30$ for nonsmokers posting the appropriate smoking permitted and nonsmoking area signs. Additional items noted during this inspection which were not addl4essed on the aanuary 9, 19849 inspection: previously 08. a) Food (ice) shall at all times, including while being se6red, be protected from potential contamination, including overhead leakage, overhead drippage from condensation, or other sources. Relocate the ice machines in the basement overhead sewer pipes. Co so as not to be beneath mply by July 16, 1984. b) Install the ice bin lids which were provided for the bins in the new bar. Comply by July 16, 1984. c) Relocate the margarita salt to an area within the bar which is Protected from potential contamination by the public and/or from splash and contamination from soiled bar related activities. Comply immediately. 12/14. The slicer which is located atop the right side drainboard of the three compartment utensil cleansing sink must be relocated to either an approved food preparation table 6r food equipment stand. Comply by July 16, 1984. 15, a) Seal the exposed wood in the following areas as directed. Comply by July 16, 1984: i) the lip of the recessed area on the bar counter top-seal with a Polyurethane varnish like material; and the exposed edges of plastic laminate counters and shelving- apply a plastic laminate (Formica like) material. b) Install strainers in all dump sink compartments of both bars. Comply by July 16, 1984. 16. Install the missing stainless steel access panel on the bar glasswashing machine. Comply by July 16, 1984. 22/23. Clean and maintain the following equipment so as to be in a clean condition at all times. Comply-by July 3, 1984: a) the mechanical ventilation exhaust canopy and filters in the kitchen; and Mr: Steve Ekeler June 30, 1984 Page 5 b) the downstairs bar sinks and drainboard areas. 24. a) Provide/install splash shields in the appropriate areas of the new bar, such as adjacent to the dump sinks. This must be done in order to preclude splash and contamination from occurring on clean glasses or in the beverage ice. Comply by July 16, 1984. b) Insure that all cleaned and sanitized utensils and equipment in the kitchen area are stored at least 18 inches above the floor in a clean, dry location in a way that protects them from con- tamination by splash, dust and other means. Comply by July 3, 1984. 29. Repair the plumbing problems in the following areas as directed. Comply by July 3, 1984: a) repair the plumbing leak beneath the garbage grinder on the disbmachine draintable; b) eliminate the plumbing obstruction in the handwashing lavatory of the womens toilet room; and c) install a floor drain cover grate for the floor drain iii the kitchen area. 31. The kitchen handwashing lavatory was nonoperational at the time of this inspection. The lavatory must be repaired or replaced and maintained in a good working order during all periods of business operations. Comply immediately. 32. Provide soap or a suitable hand cleanser at the handwashing lavatories in the kitchen and mans and womens toilet room. Comply immediately. 36. Repair the floor in the downstairs bar where the installation of floor covering material was incomplete and did not extend to the back bar. Comply by July 16, 1984. 38. Repair/provide the lighting in the following areas as directed. Comply by July 16, 1984: a) replace the missing incandescent light bulb in the r8ach- i. in refrigerator at the north (right side) end of the cooking line. The replacement bulb must be of rubber coated con- struction to prevent the potential of broken glass from falling onto food (see Enclosure II); and b) provide at least 20 foot candles of shielded or enclosed light at all bar work stations in the new bar. Mr. Steve Ekeler June 30, 1984 Page 6' 42. Rearrange the kitchen dishwashing area and downstairs ber area which are presently cluttered. Food and beverage service material storage should be arranged so as to be maintained in a ueat,.orderlp, and clean condition. Comply by July 16, 1984. e,. The foregoing items must be corrected by the compliance dates assigned .`.,AF'V.' reinspection will be conducted the week of July 16-20, 1984, to determine if satisfactory compliance has been achieved. Failure to again comply with orders issued may result in other forms of remedial action being taken. If you have any questions concerning this matter, please feel free to contact us at 623-5558. Yours very truly, James J. Witkowski, R.S. CHS Consulting Sanitarian Section of Environmental Field Services JJW:mjt cc: Greg Everson Dale Peterson r j. x I.DiWF,tt f.EEl,1AP(Ev01e QFI4CD. ??? 000 I,OW bIt MULtL ENW ? I&Itq 37 KD& 612E too X 46' ??Cl R Stairs LaFONDA'S RESTAURANT STAIRWELL (No Scale) RARR ENGINEERING CO. BARR ENGINEERING CO. CONSULTING ENGINEERS DOUGLAS W. BARR JOHN D. DICKSON L R. MOLSATHEi ALLAN GEBHARD LEONARD J, KREMER DENNIS E. PALMER WARREN W. HANSON 6600 FRANCE AVENUE SOUTH MINNEAPOLIS, MINNESOTA 55435-2062 TELEPHONE (AREA 612) 920-0655 September 12, 1983 Mr. Pete Schmidt Everson-Schmidt Design and Build 14201 B. Ewing Avenue South Burnsville, Minnesota 55378 Re: LaFonda's Restaurant Dear Mr. Schmidt: On September 1, 1983, an inspection was conducted at the LaFonda's Restaurant in Egan, Minnesota. The purpose of the inspection was to deter- mine if the block walls that form the stairwell support the existing precast plank floors above. It was determined from the inspection that the stairwell does not support the above floor, but acts only as a partition. Therefore, the block walls can be removed without any structural modification. If you have any questions concerning the inspection, please call me. Sincerely, Martin D. Bonnell, P.E. MDB/gbs DIVISION 16 - ELECTRICAL SECTION 1601 GENERAL PROVISIONS 01 GENERAL CONDITIONS 1.1 The "General Conditions of the Contract", latest edition, published in standard form by the American Inatitute of'Architects. shall apply to all, work on this project', except.as modified by this.Specification. This Contractor shall familiarize himself with their provisions and shall adhere to their requirements.. 02 GENERAL 2.1 This project shall consist of furnishing all labor. materials, services, and equipment necessary for and incidental to the completion of the electrical work as required by the Drawings and Specifications. 2.2 The drawings are diagrammatic in nature and not intended to show exact locations. Contractor shall coordinate installation with other documents and on-site conditions. Whenever a question arises as to the intention of the.documents, instructions shall be obtained before proceeding with the work. 2.3 It is the intent of the Plans and Specifications to form a guide for a complete installation. Everything necessary for the completion and successful operation of the work. whether or not herein definitely specified or indicated on the drawings, shall be furnished and installed as well as faithfully as if so specified or indicated without additional cost to the owner. Electrical Contractor shall verify all mounting methods, dimensions and lengths prior to installation. 2.4 Wherever a question exists as to exact intention of the documents, obtain instructions from the A/E before proceeding with the work. Should the drawings disagree in themselves or with the specifications, the better quality or greater quantity of work or materials shall be provided as determined by the Engineer. 03 CODES, FEES AND PERMITS 3.1 The complete electrical,installation shall conform to all of the latest requirements of the National Electrical Code and all applicable state and local regulations and ordinances. 3.2 All fees, permits, licenses, and service charges, adc., necessary to complete the electrical work shall be applied for and paid by this contractor. 04' MATERIALS AND SUBSTITUTIONS 4.1 All materials and equipment shall be new and shall carry the UL label where applicable and shall be commercial grade as specified or approved equal. Substitution of equivalent equipment will be considered by the engineer only if contractor submits sufficient catalogue, size and performance information to the engineer at the time that bids are received. All requests will be studied by the engineer who will issue a notice indicating all alternate approvals. The engineers decision shall be final. 1. 05 WORKMANSHIP 5.1 All work shall be installed in a neat and workmanlike manner by exper- lenced, skilled tradesmen. 06 SHOP DRAWINGS 6.1 The contractor shall provide six (6) sets of bound and collated shop drawings for all systems and equipment furnished, under this Division or as indicated otherwise in the individual sections of the specifications. 6.2 Shop drawings shall be stamped and approved by the contractor prior to submittal to the engineer. 07 COORDINATION 7.1 Contractor shall be responsible for total layout and coordination of the electrical work as well as the work of other trades and with the actual site conditions encountered. Minor changes, required to meet this requirement, & all be made without additional cost to the owner. 7.2 Contractor shall remove, carefully inspect „clean, reinstall, and reconnect certain existing items of equipment and material as called for on the drawings. Any item found to be in unsuitable condition for reuse shall be brought to the engineers attention. 08 CUTTING AND PATCHING 8.1 Cutting and patching of existing conditions required for the completion of the electrical work shall be the responsibility of this Contractor. 8.2 All patching and/or rdfinishing required shall he by this Contractor and shall be approved by the Engineer. 09 GUARANTEE 9.1 All work shall be unconditionally guaranteed for a period of one year from the date of final payment to be free from any defects due to faulty workmanship or materials. Contractor shall replace, repair, or alter at his expense. all such items brought to his attention during this period. 10 AS BUILT DRAWINGS 10.1 This Contractor shall maintain one complete set of drawings on the site at all times and shall mark all field changes and deviations in red pencil. 11 MAINTENANCE BROCHURE 11.1 The electrical contractor shall prepare one complete maintenance brochure which shall cover all electrical systems and equipment furnished installed by him for this project. Data shall be placed in a 811 inch by 11 inch heavy-duty 3-ring binder. 2. SECTION 1610 BASIC MATERIALS .01 RACEWAYS AND FITTINGS 1.1 Raceways shall be rigid metal, electrical metallic tubing, flexible metal, or rigid PVC as manufactured by Republic, Youngstown, Triangle, Gedney, Carlon, Electrgflex, or equal. 1.2 Fittings shall be of construction similar to the.particular raceway, weathertight as required. Fittings shall be set screw or compression type. Indentor type are not acceptable. In addition to conduit manufacturers, fittings shall be as manufactured by Race, Gedney, Efcor, Regal or equal. 1.3 Conduit installation shall conform to the following requirements: 1.31.1 Neat and orderly; porpendicular or parallel with building construction. 1.3.2 Supported with non-corrosive metallic straps, clamps, or hangers, 1.3.3 Coordinate routing with other trades. Conduit location is secondary to mechanical and general construction elements of building. 1.3.4 Conceal in all finished areas unless explicitly noted otherwise. 1.3.5 Conduits penetrating walls, etc., shall be sealed to maintain the integrity of the assembly. 1.3.6 Flexible metal conduit shall be used for connections to all fixed appliances, motors, transformers, etc., and all other vibrating equipment, Flexible metal conduit shall also be used for connections to recessed light fixtures and other branch circuit wiring as required for special applications. 1.3.7 All conduit exposed to weather or in direct contact with concrete shall be galvanized heavy wall steel conduit. 1.3.8 All conduit concealed in or below concrete slab on grade, or in masonry construction within 24 inches of final grade shall be galvanized heavy wall steel conduit or rigid PVC. 1.3.9 Aluminum conduit shall not be permitted. 02 JUNCTION AN D OUTLET BOXES 2.1 Boxes shall be of galvanized code guage steel as manufactured by Appleton, Steel City, Raco, or equal, and as follows: 2.1.1 Minimun size 4 inch square or octagon by Ik inches deep. 2.1.2 Plaster or extension rings as required. 2.1.3 Concealed except where explicitly noted otherwise. 2.1.4 Supported independent of conduit system. 1 2.1.5 Offset. back to back boxes a minimum of 614. 2.1.6 Type FS for surface exterior applications. 2.1.7 Metal boxes used with metal raceways. 2.1.8 Non-metalic boxes with non-metalic raceways. 03 CONDUCTORS 3.1 Conductors shall be soft drawn copper as manufactured by C.E., Cyprus, Triangle, Anaconda, or equal. Aluminum conductors are expressly forbidden. Conductors shall conform to the following: 3.1,1 No. 12 minimum size, except for controls. 3.1.2 Stranded for No. 8 and larger. 3.1.3 Color coded. Colored wire for branch circuits and field marked for feeders. 1 3.1.4 Feeder splices shell utilize hydraulic compression connectors. 3.1.5 Branch splices shall utilize "Scotchlock" connectors. 3.1.6 Minimum conductor insulation shall be type TW for size #4 A.W.G. and smaller and type THW for #3 and larger. Change as required for high ambient temperatures. 04 4.1 WIRING DEVICES Devices shall be specification grade as manufactured by Slater, Sylvania, Leviton, Hubbell and Arrow-Hart, or equal as follows: 4.1.1 Ivory color with smooth plastic plates.. Round corner galvanized plates for service installation, in service space.1 4.1.2 Toggle type switches with 20 amp, 120/277 volt rating. 4.1.3 Duplex receptacles with 15 amp (20 as noted) 120 volt rating and three wire grounding type. 4.1.4 Pilot-switch combinations with neon pilot located in toggle. 4.1.5 Wet location covers for weatherproof devices. 4.1.6 GFI receptacles with 20 amp, 125'volt, and 5 MA trip rating. Where required by code and as indicated on the drawings. 4.1.7 . Mount switches at 48" and receptacles at 12" unless noted otherwise. 4.1.8 Special receptacles shall be as indicated on the drawings. 2. SECTION 1630 - ELECTRICAL DISTRIBUTION SYSTEM 01 SERVICE 1.1 The existing 120/208V, 3-phase, 4 wire electrical service shall remain in use. 1.2 Contractor shall provide one new lOOA/3 pole molded case circuit breaker and install in the existing space. Remove temporary wiring from main switch and provide a permanent connection to the new breakers. 1.3 Reuse all the existing 20 amp, one-pole circuit breakers in the restaurant area freed up as part of the remodeling work. 1.4 Provide twelve (12) new 20A/lR breakers in the existing panel on wall to left of electric service. Leave as many spares as possible. 02 GROUNDING 2.1 The service conduit shall be the extension of the building's electrical ground. All service equipment, transformers, panelboards, disconnect switches and other permanently installed electrical equipment shall be solidly grounded in accordance with the N.E.C. to form a continuous, permanent and effective grounding system. 03 DISCONNECT SWITCHES 3.1 Switches to be normal duty fusible type, and by same manufacturer as panels, as follows: 3.1.1 600 or 250 volt rated, multi-pole, with solid neutral where required. 3.1.2 Fusible with quick-make and quick-break operation, horse- power rated, with voidable door interlock. 3.1.3 NEMA enclosure type as required by application. 3.1.4 Mount with top at 781, or as noted. 04 FUSES 4.1 Fuses shall be as manufactured by Bussman, Chase-Shawmut or approved equal. 1. SECTION 1640 LIGHTING SYSTEM 01 LIGHTING FIXTURES 1.1 Contractor.shall furnish and install light fixtures as scheduled, or approved equal, complete with lamps end accessories necessary for a complete installation.. 1.2 Capital letter at fixture outlet sysibol or in note on drawings indicates the fixture type; lower case letter at outlet symbol indicates switching patfern. 1.3 Fluorescent ballast shall be claps. "P1', high power factor, "CBM" certified with a sound rating of "A", and shall be energy saving type equal to Advance Mark III or equivalent. Ballasts shall be manufactured by Advance, Universal, Jefferson, General Electric or equal. 1.4 Surface mounted fluorescent fixtures shall be.supported at 40 intervals with suitable fixture hangers. 1.5 Prior to ordering recessed fixtures, Contractor shall carefully verify the exact type of suspended ceiling to be installed and the exact mounting required. All recessed fixtures shall be complete with separate junction box and 72" maximum length of 3-conductor flexible metal conduit with conductors rated for the temperature to be encountered. 1.6 All square or fluorescent light fixtures shall be orientated so all lamps run the same direction in the same room. All fixtures shall be clean and like new at the time of final acceptance of the work. 1.7 Install all recessed incandescent fixtures with thereto protectors where required. 02 LAMPS 2.1 Lamps shall be as manufactured by Norelco, Sylvania, General Electric or Westinghouse except where a specific manufacturer is noted in the fixture schedule. Any deviation from the selected manufacturer shall be considered as an equipment substitution. 1 Lighting Fixture Schedule A Existing recessed "Universal" housing, Halo,#H7 with #410 open coilex baffle. Remove, clean baffle, re- install and provide new 120 ER40 lamp. Al Same as type A, except discard present #401 trim and provide new #410 trim and 120 ER40 lamp. A2 Same as type A, except discard existing #303 wall wash trim, provide new #410 baffle and 120 ER40 lamp. A4 New unit to match type A. Halo #H7-S-410 with 120 ER lamp. B Recessed 10-1/8" deep housing. Halo #H44-S with #440 wall wash trim and 130 volt, 150W R40 floodlamp. C Surface mounted 4-circuit track/flood assembly consisting of (1) Halo 80-0" track kit #L623, live end feed #L921 and outlet box cover #L900. Track sections and all adapters shall be matte black finish. Provide (8) #L1543-NB "Roundback Cylinders" with black baffle and 120 watt PAR 38 lamps and install (2) on each of the four circuits. Provide (1) #L201 accessory holder for e4ch floodlight. Provide (2) each of the following color filters for each 81 section of track: #L12 warm red, #L241 medium green, #L231 medium amber, #L221 medium blue. Install color filters in 6 of the 8 floods and turn over the remaining filters to Owner. D Recessed glass face step light rated for 25 watt lamp. Replace glass with matte white polycarbonate or similar plastic and provide a 15 watt A-17 IF lamp. E Universal exit light fixture with (2) 20 WT6' IF lamps. Lithonia #ES1R. F Recessed open unit with Alzak reflector, black coilex baffle and 100 watt HPS lamp, 120V ballast and damp label. Prescolite #M1441. G Recessed 2 x 2 fluorescent troffer with (2)40W URS warm white lamps and flush steel trim. Lithonia #2GS2U40 A12.125 120. It of 3830 PILOT KNOB ROAD. P.O. BOX 21199 BEA BLOMQUIST EAGAN, MINNESOTA 55121 Mq ' PHONE: (612) 454-8100 THOMAS EGAN JAMES A. SMITH VIC ELLISON THEODORE WACHTER Cow it Members T February 18, 1987 cwm insfta EUGENE VAN OVERBEKE Oily clerk RE: LAFONDA'S RESTAURANT 3665 SIBLEY MEMORIAL HWY L 3, B 2, CEDAR INDUSTRIAL PARK TO WHOM IT MAY CONCERN: As of 5/31/84, remodeling at the above referenced property was inspected and completd according to the Uniform Build- ing Code. Sincerely, &41 k_, Doug Reid L" Acting Chief Building Official DR/js THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY DUDLEY AND SMITH ATTORNEYS AND COUNSELORS AT LAW i W 1260 FIRST NATIONAL BAN. BWLOING JOSEPH J. ?UDL.EY ST. PALL, MINNF50TA 55101 G. WILLIAM SMITH DAVID W. LARSON 2911717 JAY B. KELLY THOMAS M MOONEY JAMES E. 5PECKMANN January 19, 1976 - JEROME A. LEIS WAYNE T. BELISLE JOHN E. VUKELICH of eourvset Mrs, Ann Goers, Assistant Clerk City of Eagan 3795 Pilot Knob Road Eagan, Minnesota 55122 Re: Lot 3, Block 2, Cedarr Itial Park`; Dear Mrs. Goers: Mr. Adelmann has referred your letter of January 15, 1976 in which you request him to pay $11,356.44 of special assessments on Lot 3, Block 2, Cedar Industrial Park, to this ofEice. Mr. Adelmann, on May 5, 1973, entered into a purchase agreement in which he sold Lot 3, Block 2, Cedar Industrial Park to Joseph P. Lombardo for $47,250,00 on the following teens: $13, 502,50 cash on or before June 30, 1973, and the balance of $33,747.50 by co;Ttract for deed to be amortized over a ten year period with monthly payments of $412,50 together with interest at the annual rate of eight per cent. This purchase agreement was drafted by Calhoun Realty Company and stated that "the buyer shall pay the real estate taxes due in the year 1974 and any unpaid installments of special assessments payable therewith and there- after," On July 30, 1973 a contract for deed was drafted by Calhoun Realty Company in which Joseph A. Adelmann and Ruth B. Adelmarm, as vendors agreed to sell Lot 3, Block 2, Cedar Indastrial Park, Dakota County, to Joseph P. Lombardo for $47,250.00 as follows: $13,502,50 cash and $33,747,50 by paying $412.50 or more per month until August 30, 1983, at which time any unpaid principal together with accrued interest shall be die and payable in full. The contract for deed stated that Joseph P. Lombardo agrees as follows: to pay before penalty attachs thereto all taxes die and payable in the year 1974, and in subsequent-years, and all special assessments heretofore or hereafter levied. Based on the fact L-hat the contlract for deed states that Joseph P. Lombardo agrees to pay before penalty attachs thereto all taxes due and ; ayable in the year 1974, and n subsequent years, and all special assessments heretofore or hereafter levied, it is, our opinion that Mr. Lombardo is liable for the $11,356,44 of assess- ftients. Therefore, you should collect this $11,356.44 from Mr. Joseph P. Lombardo. Mr. Lombardo should be billed for these special assessments at his place of business which is located on Lot 3, Block 2, Cedar Industrial Park, Dakota County. I do not Mrs, Ann Goers, Assistant Clerk January 19, 1976 Page 2 have Mr. Lombardo's home address, but if you need by calling Mr. and Mrs. Adelmann, that I think you can get that Very truly yours, DUDLEY AND SMITH i i David N. Larson DWL/nes CC. Joseph A. Adelman P.S. We have just discovered that our records indicate that in December, 1974 Mr. Joseph P. Lombardo vas residing; at 1929 Hillcres t Avenue, St. Paul, Minnesota. city of eege 3830 PILOT KNOB ROAD. P.O. BOX 21199 BEA BLOMQUIST EAGAN. MINNESOTA 55121 MQ PHONE: (612) 450-8100 THOMAS EGAN ,AMES A. SMITH VAC ELLISON THEODORE WACHTER February 17, 1987 Co?h Me mbers THOMAS A MAS HEDGES City AdrninMrator EUGENE VAN OVERBEKE Cily Clerk CHRYSLER FIRST BUSINESS CREDIT CORPORATION Re: To Whom It May Concern: Please be advised that LaFonda's Restaurant located at 3665 Sibley Memorial Highway, Eagan, Minnesota, is presently zoned light industrial which does permit the location of restaurants such as LaFonda's. The premises comply with the City's platting/subidvision ordinances and at present no variances, conditional use and/or special permits are required for this site. A liquor license for on-sale consumption is not a permitted or conditional use in the light industrial zoning designation. This site is not located within a flood plain, as designated by the Federal Insurance Administration. All sufficient utilities are in place for the proper and safe operation of LaFonda's Restaurant. I trust the enclosed information is sufficient to meet your needs. Feel free to contact me if you have further questions regarding this matter. Sincerely, Da R?V City Planner DCR/SS/jeh THE LONE OAK TREE ...THE SYMBOL Of STRENGTH AND GROWTH IN OUR COMMUNITY STATE OF MINNESOTA PS 06017-03 DEPARTMENT OF PUBLIC SAFETY Fire Marshal Division 1246 University Avenue St. Paul, Minnesota 55104 ,;>.I x,rcia Dz .ee?o Restnta=alt eruc:'c •zr .1 Occupancy wrier, agent or lessee ;,3.,5 Sibley l iunori.a.1 tii; tcray La?y7.T1, l+l]Pe70i:8. _ ?- 1, ORDER Pursuant to the authority vested in me by statute, you and each of you upon whom this order is served are hereby ordered within the prescribed time to: J_. LTmc'iiaaei;%, V-ep allG=xit doors unlcckLd eCCu3] _i:l i. -i; ,r r t0: .•;rn. Stat. Sec. 2cgr'.12, t?;hich states: ":when t'ne state fire war:"hal upon it-rpection shall f is d a bui . i : u acid use that the exits and means of e&,Tess alruaul- ;rov_acd au ' _. safe escape in case of fire for the number of people CUE L, .ra •i l;; . J_ -t1. such exits co b:: opened =d such means of escape to no a, reasonabl?j necessary to eliminate ,he dart cr rlr:,.I' ?. Within 30 days, tine occupant load of the do:•,nrta.i_rs ua. .w.l as x. is t irr.. >tar.,. lc ti3 & 1.6. t;6, Subd. 5. ra.'n _eUotu G; i:_ or„i Suildin , Code (WC), Sec. 3301 (j), 1--hich "Any rcor% havii- an occupant load of more ',han 50 fricx and ?%Thich is us :d for classroom, assembly or nind1 d:" ip o os d1l'_1 I :v of the room posted in a conspicuous place rcax the rv_;n c,i'roi: c:,: _ I n ns s11.a.11 be nn nta:ined In a le&.ble manner bj the: olvTf r u^ i it shall indicate the number of occupants permitted for eac, :,c• t., e . ). idithin 24 hours, repair the exit sitTr in the upsLdr-, dir_i^l; mo,.., , :2Lv . &at. 1503 L 16.06, Subd. 5. i. nzoso a. thiforu 'uildin?; Code (JX), Sec. 3312 (a), ahich st tes: "h?ci.ts shall Je illur ice cad. at any time tae buildin; in ccc inte-isity o- i net loss than one foctcandle at f]cor lrirei." cc: sire Depar mcnt If we can be of further assistance, please feel free to contact the undersigned at • , , _ Failure to comply within time provided is a violation of the law. PLEASE NOTIFY IN WRITING THE FIRE MARSHAL'S OFFICE UPON COMPLETION. State Fire Marshal Dated 1' - 19 La By COPY DISTRIBUTION: White - Facility, Blue - Fire Department, Green - Central Office, Pink - District Coordinator, Gold - Employee Page-of 1bFScce4L?°2,? 1805 Pacific P. 0. Box 10147 (82003) CHEYENNE, WYOMING 82007 Phone 307/637-7446 November 15, 1983 9 Arrow Sign Co. ATTN: Grady McCorkel 18607 Highway 65 N.E. - Cedar., Minnesota 55011 Dear Grady: Attached you will find our prints and specifications for the . signs at the La Fonda Restaurant, Highway 13 & Shawnee „in Egan, Minnesota. In as much as the original signed proposal was not permitted by the City of Egan, we have made necessary revisions as suggested by Dale Peterson, that would be acceptable by his department. We have been advised by Mr. Peterson that the existing free-standing sign.could be remodeled, not to exceed 125 square feet. You will note on our prints, this particular sign,now measures 120 square feet. The two directional sign reading RESTAURANT ENTRANCE and LOUNGE ENTRANCE have been reduced to',3 square feet, as permitted. We would appreciate your securing the necessary permits at Mr. Petersons office as soon as possible, so that we may proceed in manufacturing. We anticipate installation on or before December 5th and ask that you coordinate your installation crews accordinly. We appreciate working with you and the City of Egan regarding the above and look forward to hearing from you upon securing the necessary permits. Please call me person-to-person collect at (307) 637-7446 upon securing the necessary permits. Sincerely, WILL RUSCH WR/eds cc: Dale S. Peterson City of Egan Egan, Minnesota -- - ------------------ - - --- ----------------------------- i MINNESOTA DEPARTMENT OF HEALTH Section of Hotels, Resorts and Restaurants - 717 Delaware S.E., Minneapolis, Minn. 55440 page - of FOOD SERVICE ESTABLISHMENT INSPECTION REPORT. p.0_ Eagan COUNTY Dakota DATE January 9, 1984 TIME 9:30 a.m. LICENSEE Holly Inns, Inc. - CITYtTOWNSHIP Eagan ADDRESS 3665 Sibley Memorial Highway i0-/6800 - eta -0 y' &1144 1m('.Pj_ BUSINESS NAME La Fonda de AceboTYPE of BUSINESS Food and Beverage LICENSE NO. 0141134 POSTED ESTABLISHMENT PHONE 452-5411 ITEMS MARKFn ANn nRnPR4 WRITTRnI RpI r1W MIMT RF CDMPI IFD WITH RV DATE INDICATED ITEM VVTI DESCRIPTION ITEM DESCRIPTION ITEM _ DESCRIPTION FOOD 18 1 Pre-flushed, scraped, soaked 34 1 Outside storage area, enclosures properly 1 5 Source, Wholesome, No Spoilage 19 2 Wash, rinse water; clean, proper tempera- t constructed, clean; controlled inci, aeration ure RODENT ANIMAL CONTROL ' INSECT 2 1 Original Container. Properly Labeled , I FOOD PROTECTION 20 3 Sanitization rinse: clean, temperature, concentration, exposure time 35 3 Presence of insects/rodents-outer openings ) 3 5 Potentially hazardous food meets temp- 21 1 Wiping cloths: clean, use restricted protected, no birds, turtles, other animals - erature requirements during storage, preparation, display, service and 2 2 Food-contact surfaces of equipment and FLOORS, WALLS AND CEILINGS transportation utensils clean, free of abrasives and 2 Floors: constructed, drained, clean, good 4 4 i rod ct ili i t i t F detergents 4ss repair covering installation dustless t es o ma n a n p u ac temperature 23 1 Non-food contact surfaces of equipment , , cleaning methods s 1 provided and conspic uous Thermometers 44 1 and utensils clean g q p handling of clean a ui ment- Stora e 37 2 Walls, ceiling, attached equipment: con- strutted good repair clean surfaces Potentially hazardous food DroDerly g , utensils , , dustless cleaning methods 6 2 thawed 5 1 Single-service articles, storage, dispensing LIGHTING 7 4 Unwrapped and potentially hazardous food not reserved 26 2 No re-use of single-service articles 1 Liyhung provided as required-Fixtures shielded 8 2 Food protection during storage, prepar- ti l t i d i d - WATER VENTILATION transpor on ay, serv ce an a at on, isp d ld d W t t H t 27 5 er source, sa an un er a e: o co 39 1 Rooms and equipment-vented as required Pressure 2 Handling of food lice) minimized SEWAGE DRESSING ROOMS _ F07 I Food lice) dispensing utensils properly stored 28 4 Sewage and waste wa 40 1 - Rooms clean, lockers provided, facilities clean located used , , PERSONNEL PLUMB OTHER OPERATIONS 29 1 m intained ll I d 11 5 Personnel with infections restricted - nsta e , a 41 5 labeled and Toxic items properly stored y 5 Harris washed and clean, good hygienic 0 5 Crass-connection, ba I , used practices back flow t Premises: maintained, free of litter, urn 13 1 Clean clothes, hair restraints ND TOILET HAND W SH necessary articles, cleaning/maintenance uipment properly stored authorized pers e - A I . q , MENT AND UTENSILS 37 3 mber convenient N 4 1 Complete separation from living1sleeping 4 2 Food lice) contact surfaces; designed, , , u installed 3 quarters, laundry constructed, maintained, installed, located NSF standards 32 2 Toilet rooms enclosed, self-closing doors, leanser l H d i 44 1 Clean, soiled linen properly stored f5 2 Non Food contact surfaces: designed, constructed, maintained, installed, located NSF Standards , ean: an c r, c fixtures, good repa sanitary towelslhand drying devices provided, proper waste receptacles, issue 5 Compliance with MCIAA Yes No 9 2 Dishwashing facilities: designed, con- d GARBAGE AND REFUSE DISPOSAL - --- -- , strutted, maintained, installed, locate operated 33 2 Containers or receptacles cpvered: ode- insect/rodent Proof uate number Bactericidal Agent 7 1 Accurate Thermometers, chemical test " , , q frequency, clean -- IPS valve) kits provided, gauge cock. (/. Concentration pPm 7 PERATURES: Hot 'Water Sanitizing - - _Hot Foods - Cold Foods OTE All new food equipment must meet the applicable standards of the National Sanitation Foundation. Plans and specifications must be submitted for review and approval prior to new construction, remodeling or alterations. Minnesota Statutes Section 157.03. - ITEM REMARKS AND ORDERS Rating Score 53 Received by Copy Mailed District Office and Telephone No. Metro 623-5558 Public Health Sanitarian James T Wi tkowgki min.ne$ota department of health w . 717?s.e. delaWare st. p.o. box 9441..' minneapolis 55440 - 0 (612)623.5000 ,Taut' 13,. 1f18a 11r. Duane. QuL= La Fonda de AAcebbo 383$ Sibley Memorial b y - r w 55122.. Dar Mr.. Quinn? on Jataaiaxy , 36949 an Inipeatioa vas oonduoted.of LA Fonda ate Aoebo bar and restawmt managed by you and located at 8868 Sibley , 3111_ in the City of z1vu, Minnesota. Tbis inspection eras 90WIvote. to determine the earrections uccesaary to,bring this facility into aoapliaece with 0a Mules of th" Depa t.gavoarnisag food and boverage eatablLebmeati Fhs follovin to a list of violatiams noted Obioh moat be e4veatad by 06, ompusnae detos: asaf$nerlt. i 03. a). All pot0vtIally bae4rdeue3 foods must bo wibltaitie8 at°fa. J?temperature of 400 y-or eloW cr 150° F and above at all # tI=w* Comply iwmALstaty. Srreper temperatures found v re. dre "L"ag in steam table 700 F,w gravy 'in steaa table 78° F.' b) gte am tablea* bai=wLes* food wanmrs. anal aliatlar bat foal holding facilities are psobilsited for the m1d W-Uml baatlaug of pot>entially basardous foods. Imeerid'A ely di'aerontimm Us r; practie s of using the steam table as an initial Wanting ;., facility for such food items... Comply as direatsd. 05. Provide ai¢cunate tbermoaeters for all refY t the estsbliabwwt* including the r;Mgwft?iilk di car. 086 a) A4soontinue this stowage of eloataiaers of food on tba'flriw of the.storaroom etrea* Walk-in refrigerator and fraaPsr. All food contail wa must be stored a rd aimuo beightt.; of six .iadh *w tba.floor an alpproaeed atAeivIAg or dunnage rocks. b), All food itstas stared 'in the"reacb-in amd valk'4in? refrigerators az4 fiveaers resist be protected by a wrap e;tovering or scoured In a covered eaauatsiner.' CasihW blimediataai ' a) TM balk milk dispenser tubes mast be Gait an an vingle aa. abort As posslM" fa no cans sball tbey be longeir than 314" of an such.. Comply imaedin uly. d) The bevmW dfsyepaing aosales must be relocated so as act to be direastly, c, Acs Ut ltstims is tbo bar.. an equal opportunity employer Hrw Tlltffi!0 QUITM January 191 1964 Page 2 e) Relocate the bulk grease container off the floor and away from the splash zone of the kitchen handwashing lavatory. Comply immediately. f) Provide either stainless steel sliding lids or l.exan plastic bubble type covers for the ice bin work stations in the bar. 09. Provide properly designed scoops for the sanitary dispensing of beverage ice at the ice bins in the bar and at the ice machine. 10, a) Install a running water dipper well for the storage of the ice cream dispensing scoops at the ice cream freezer in the kitchen. (See Enclosure I) b) Discontinue the practice of storing the ice transfer receptacle on the floor. The receptacle must be storad off the floor and in a sanitary location between uses. Comply immediately. U. a) Employees must not consume food and/or beverages while en- gaged in food preparation or service, nor while in areas of the kitchen used for food preparation or utensil and equipment washing. Food and/or beverage consumption is permitted'only in the designated employee dining or break areas. Comply immediatelyo b) The three compartment utensil cleansing sink must not be jointly used as a food preparation sink. Either the size of the pot and pan utensils must be reduced to a size which can be washed and sanitised in the diebwashing machine or a separate food preparation sink must be provided. 14. a) Replace all the molded rubber cutting boasts currently in use in the cooking area. These boards have numerous cracks, breaks, chips and similar imperfections and cannot be effectively cleaned and sanitized. b) Repair the Telescope cover on the steam table by brazing a handle on the lid or by replacing the cover. c) Immediately discontinue the use of nonfood grade polylirer plastic bags. Only food grade plastic bags may be used as a food container or as covering material.. 15. a) The shelves in the refrigerators which are rusty or which slow other signs of deterioration must be commercially refinished by plastic coating.or replaced. b) Replace all torn or cracked gaskets stn all refrigerator and freezer doors where required. (e.g. Silverking freezer, Victory refrigerator, etc.) Mr. 'bane Quinn January 13, 1984 Page 3 c) Apply a plastic laminate material (e.g. Formica) to the wood storage shelves in the waitress area. Please Notes The entire wood surface =at be laminated, tope bottom and all sides,. d) Provide a sufficient amount of National Sanitation Foundation (NSF) approved shelving to ensure proper sanitary storage of clean pot and pan utensils. This shelving angst also be located in a manner which precludes potential contamination to clean utensils. e) Seal by using a polyurethane varnish like material the wood stem glass storage racks in the bar. f) Replace the missing stainless steel skirting on the Hobart glass washer in the bar. 16/20 a) manual utensil washing of multi-use articles was not conducted in accordance with prescribed procedures. The proper method for the manual cleansing and sanitizing of dishes and utensils in a three compartment sink is as follows: 1) wash in the first compartment using warm water and a suitable detergent; 2) clear water rinse in the second compartment; 3) sanitizing in the third compartment using an approved chemical sanitizing agent; and 4) allow to air dry. Comply as directed immediately. b) The kitchen dishmaebine wash cycle water must be maintained between 1400 F and 1800 F; the final rinse temperature must be at least 1800 F at the manifold and 1700 F on the tray. Comply immediately. Tray temperatures found were let cycle Me F; 2nd cycle 1350 F. 17. A chemical test kit or sanitizes test paper must be provided to determine the strength of the sanitizer concentration at the kitchen utensil cleansing sink. :'he kit or test paper must be designed to test the type of sanitizer being used {e., Chlorine, Quats., etc.). 21. Several wiping cloths were observed being stored indescririnately throughout the kitchen waitress station and bar aireas. Moist cloths or sponges used for wiping food spills on kitchenware and food contact surfaces of equipment shall be clean and rinsed frequently in an acceptable sanitizing solution of proper con- centration. These cloths and sponges must be stored in a sanitizing solution between uses. Comply immediately. Mr. Duane Quinn January 13, 1984 Page 4 22, 230 36, 87-Cleaning items: Administer a thorough and complete cleaning to the following areas and maintain there in a clean condition at all times: a) the kitchen cooking equipment to include the areas between, behind and beneath broilers, griddles, and ranges; b) the inside compartment of the range/oven; c) the soft drink beverage dispensing nozzles and drip through in the waitress station area (clean on a daily basis), d) the interior of the bar ice bins to include the accumulations of mold.beneath the cold plate (clean on a daily basis), e) the interior of the beer cooler (mold on bottom); g) clean and defrost the interior of the Silverking freezer in the kitt'hen and the interior of the bulk milk dispenser; g) 'the floor throughout the establishment especially in corners and under equipment in the kitchen, bars, and storeroom areas; and b) the walls and ceiling tilea.especially in the kitchen area. 24. a) Provide/install splash shields in the appropriate areas of the bars adjacent to the dump sinks, to preclude splash and contamination from occurring on clean glasses or in the beverage ice. b) Discontinue the practice of using unapproved web-type hacking material for glass storage. Provide the approved type webbing for glass storage. c) Discontinue the practice of storing clean pot and pan utensils on the floor of the kitchen. d) When the new bar is installed, ensure: that the stemmed glass storage racks are located in the back bar area so as not to subject clean glassware to contamination from the customers seated at the bar or from cigarette spoke. 28. Store and dispense all single service items (cups, styrofoam containers, etc.) in a sanitary moaner. Retain the storage of these items in the plastic wrapper or the original shipping container. Comply immediately, ?... Mr. Duane Quinn January 13, 1984 Page s 30. a) Eliminate the plumbing cross-connection at the mater softener discharge line by assuring that the line terminates (air gapped) above the floor drain. Please Note. The air gap space must be 1h times the diameter of the discharge pipe. b) Assure that the spring-action spray flush device recoils above the spill rim of the dishmachins draiatable. 32. Provide single service towels at the kitchen handwashing lavatory' 35. Provide a salf-closing device to the back delivery door so as to protect all outer openings against entrance of rodents or other vermin to the establishment. 36. Repair the floor or provide a floor covering material (which meets the requirements of this Department) in the following areas as directed: a) install a new floor covering in the main bar and a corresponding back bar coved base; b) install a new floor covering in the downstairs bar and a corresponding back bar coved base; c) install a coved base tile at the floor-wall junctures is the kitchen areas where required; d) install a now floor covering in the waitress station area with a corresponding coved base tile at the floor-wall3unctures; e) install a floor covering in the downstairs food storeroom with a corresponding coved bass tile at the floor-wa:M junctures; f) replace all broken, cracked or missing quarry floor tiles in the kitchen and downstairs areas (e.g. door threshold of walk-in refrigerator/freezer); and g) replace all badly worn and dangerous stairtreads on the stair- case to the lower level. 37. s) Replace all broken, cracked or missing ceramic wall tiles in the kitchen area where required. b) Repair all holes throughout the establishment (e.g. kitchen, hallways, downstairs areas). Mr. Duane Quinn January 13, 1984 Page 6 C) Remove the carpeting from the walls of the mono toilet room and provide a wall surface which is smooth, light colored, easily cleanable, and which meets the requirements of this Department. d) Provide a wall and ceiling surface in the downstairs food storeroom which meets the criteria as indicated in item C. 38. a) Provide a minimum of 10 foot candles of illumination through- out the walk-in refrigerator and freezer by installing an additional surface mounted vapor proof light fixture in each facility. (see Enclosure II) b) Replace the missing protective globe for the incandescant light fixture in the walk-in freezer. c) Shield all light fixtures in the kitchen, storeroom, ice machine room, at all under bar work stations by providing light protective sleeves, shields or enclosures for all unprotected light fixtures. (See Enclosure III) d) Replace all missing incandescent glass bulbs in the reach-in refrigerators and freezers where required (e.g. Victory refrigerator and others). The replacement bulb must be of rubber coated con- struction to prevent the potential of broken glass from falling onto food. (See Enclosure IV) 42. Provide and use restraints for all C02 compressed gas cylinders. 45. Comply with the provisions of the Minnesota Clean Indoor Air Act (MCIAA) by designating a minimum seating of 30% for nonsmokers and by posting the appropriate smoking permitted and nonsmoking area signs. The foregoing items must be corrected by February 15, 1984, unless otherwise noted. A reinspection will be conducted on or immediately after that date to determine if satisfactory compliance has been achieved. If you have any questions concerning this report, please feel free to communicate with the writer at 623-5558. Yours very truly, James J. Witkowski, R.S. CHS Consulting Sanitarian Section of Environmental Field Services &TJew:mjt cc: Greg Everson VDale Peterson CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # DATE: MA M? f, s PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------------------------------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 _ BATH TUB 3.00 _ LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 _ LAUNDRY TRAY 3.00 SITE ADDRESS: HOT TUB/SPA 3.00 _ WATER HEATER 3.00 LOT: BLOCK SUBD. FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 ADDRESS: OTHER _ _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP, 15.00 U.G. SPRINKLER 3.00 PHONE # SUBTOTAL ST. SURCHARGE 50 SIGNATURE OF PERMITTEE TOTAL: S PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: ?cvYw(i FEES OWNER NAMEr?//" ? 2 'ew 0-fC 18 OF CONTRACT FEE. FOR SITE ADDRESS _j?ol ? ??? EACH E$1 000 OFEPERMIT OFEE. LOT: BLOCK SUBD. ?n!^` • (4• $25.00 MINIMUM FEE. INSTALLER CONTRACT PRICE x 18 $ S• ?'a ADDRESS: ?? STATE SURCHARGE $ S CITY: ZIP: SST PHONE #: FOR: CITY OF EAGAN TOTAL: $ ?S SZ7 - (SIGNATURE) i s DONALD A. HAUSLER ATTORNEY AT LAW W-867 FIRST NATIONAL. BANK BUILDING SAINT PAUL, MINNESOTA 55101 TELEPHONE 22A-73AS February 4, 1976 Mrs. Anil Goers Assessment Clerk City of Eagan 3795 Pilot Knob Road Eagan, Minnesota, 55122. Dear Mrs. Goers: /e,$do o-:;rO 09 C-bl:) LS Re: Lot 3, Block 2, Cedar Industrial Park Lateral sewer, watermain and water area etc. assessments. Reference letter of Dudley and Smith to you dated January 15, 1976 re tPe above matter, a copy of which letter was mailed to Joseph P. Lombardo. On December 10, 1974 pursuant to prior agreement Joseph P. Lombardo entered into a Contract for Deed for the sale of Lot 3, Block 2, Cedar industrial Park to Hr. Norman E. Vogelpohl, which contract provided that Norman E. Vogelpohl 11 agrees to assume and pay all payments due in accordance with the terms of a certain contract for deed to said premises dated July 30, 1973, between Joseph A. Adelmann and Ruth B. Adelmaun, husband and wife It and 'I Joseph P. Lombardo 'I, and further that Norman E. Vogelpohl agrees to pay, before penalty attaches thereto, all taxes due and payable in the yeas 1975, and in subsequent years, and all special assessments heretofore or hereafter levied 'I. on December 17, 1975 Joseph P. Lombardo assigned to Norman E. Vogelpohl all of his interest in said Contract for Deed dated July 30, 1973 between-?`ioseph A. Adelmann and Ruth B. Adelmann and Joseph P. Lombardo 11 subject to all the covenants of said assi,nor in said contract contained which said party of the second part hereby assumes and agrees to keep and perform and pay . " It is my understanding that.llr Vo elpQhl is presently in _rossessioa of said property, and it is suggested that you notify 1,1r. Vogelpohl of the assessments and their status so that he may make payment without interest penalty. Yours truly, dah:Y F? 8,i'rI _ n lyre 1? i ,..:?cvoXl. , ..:a,<;k;i>:tX:7„XCY,O?aaiX°.:,•%,ti;Y„L,..,,'XS;°.;;U:o;', , .;:(i;. CITY OF E'AGAN CASHII'R S TERMINAL NOs 777 LATE: 03/0:5/99 TIME! 0908::40 ID:: NAME; HUNTER EVERSON CONSTRUCTION CO 321.0 9001 366 SIB MEM HN! .39.25 B155 9001 3665 SIB MEM Hid 3.2:5 Total. Receipt Amount- 142,50 WORK? USER ID;: NANCY X, *Y,S".'XC?Y';;X;Y,SY.?I$X(YFYr';X?f,:X(IX vX..( 1990 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN JSS a Q 651 681-4675 :1I L( a C UIL,,Q,4 s 4,?? Foundation Only New Construction Interior Improvement • Structural Plans (2 sets) • Architectural Plans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) • Structural Plans (2 sets) Code Analysis (1) " • Code Analysis (1) " • Civil Plans (2 sets) • Project Specs (1 set) • Project Specs (1) • Landscaping Plans (2 sets) Key Plan • Spec. Insp. & Testing Schedule " • Code Analysis (1) " • Master Exit Plan • SAC determination letter from MC/ES - • SAC determination letter from MGES - call SAC determination letter from MC/ES - call call 651-602.1000 651-602.1000 65102-1000 • Spec. Insp. & Testing Schedule (1) • Energy Calculations (1) not always" • Project Specs (1) Elec. Power & Lighting Form (1) rat always " • Energy Calculations (1) • Electric Power & Lighting Form (1) . Master Exit Plan • Soils Report 1 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-215-0700 for details. DATE: WORKTYPE: X NEW _ REMODEL DESCRIPTION OF WORK: Apy &W, PAT)D itlne kI/ y N N DA CONSTRUCTION COST:: &t5'+T ? / / TENANT NAME: LA DA f20 MA,r l SITE ADDRESS: ?IOI?"l 4•? V/Y is I `uqL4?y SUITE #: LOT BLOCK 9- SUBD. 6M 114DP51A, A"P.I.D. # Name: , leU-,TI?LD o lZ2 Phone #: &ry)",44,c52 'b3e?4 PROPERTY Last /n?? ( First (??yt ?7? yt ' ,' 1, OWNER Street dr ?Lpto L' S??LI Y MGYIUIN?IL I?tU[7 A'd!pesrs-:_, If'tiSA ] C City F State: Mkt Zip: 5-) r?-7. CONTRACTOR ARCHITECT/ ENGINEER j? fS I' , fa1TF)? y, EVG f }K4pid' Wfir,A1 a I- Phone#: 15??2gJ-SJ/ Company,?? U?yT / W Street Address: f? Z ftih ,^ ? IM M I I ?] City State: Mil Zip: 3/ Phone #: Registration M Street City State: Zip: I IJ-?J Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application, state that the information is co , and agr ?r Iply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: ? ^ ?_..? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 26 Public Facility ? 28 Greenhouse 25 Miscellaneous ? 27 Commercial/Industrial ? 29 Antennae WORK TYPE PL?-rl b 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 43 Siding/Soffits/Facia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors ? 33 Alterations ? 36 Move Bldg. ? 42 Reroof ? 45 Fire Repair GENERAL INFORMATION Const. (Actual) 5• '-l Basement sq. ft. Census Code 437 (Allowable) 5 First Floor sq. ft. SAC Code SC) UBC Occupancy sq. ft. No.'of Units 1 Zoning sq. ft. No. of Bldgs. # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Fire Sprinklered APPROVALS Planning Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total Building a- 3 Engineering VALUATION % SAC SAC Units Meter Size Variance $ 1vS? 3 t ?..; EAST WEST 1/4 LINE, SEC.17,T-27,Q-23.--? 1 NOMP LINE OF S.W.I/4,SECAI?T•27,11-23. •QO SEE INSET-2 V ?1C?("M M1 1' ilA BY \ ? DATE ' + BUILD i i 00 3 N 4k a 1,t 14 oee Jov I If \ °4 .a 4p 0 / /.i S 4?NS DEPT, ? •a ? rte- COMMERCIAL 2002 BUILDING PERMIT APPLICATION? J 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 S 0 6a l`1 6'k" 24M Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) . Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master E>at Plan (1) • Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always- • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter sire must be established • Meter size must be established -if applicable • Project Specs (1) 1 • Energy Calculations (1) " l d • Electric Power & Lighting Forth (1) 1 • Master Ext Plan (1) 1 l • Emergency Response Site Plan (1) 1 • Soils Report (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. " Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: 120 <01_ WORK TYPE: p? NEW _ REMODEL SITE ADDRESS: TENANT NAME: FORMER TENANT NAME, IF APPLICABLE CONSTRUCTION COST; ?rlb? DESCRIPTION OF WORK REMME: *4 u%es 0 616Tt)4& DR%J MVAL-? R=t!d t7ff5 ?"i?t311-1-a Name: Rb11?t t? Pk?L?? t 1 Phone #: - ?jZ )??_7 PROPERTY Last First OWNER / Street Address:_?7!? S11?1 G S NA City: APPIZ VAI, --y State: /4 k) Zip: sr; _ ?E L 6*Et-, PaVeVW &12_36b?b86S Company: f+L24122 F11 SDII dpp : LD )l(, Phone#: (!tj'2 113 CONTRACTOR Street Address:11rr-+ ?40 D12- City: Eol:? 1sol fJ )?. State: r-tZip: ARCHITECT/ ENGINEER Company: Rm5c' PFII-ib• Phone #: (9 a ) 6?o$'L6 Cpl- __ Name: 1?J'??? '?bAfO561J Registration #:?n? III S, "" 11 Street Address: y;AOD b T v Ave City: y/ y? Li State: tp: Licensed plumber installing new sewerlwater service: Phone #: I hereby acknowledge that I have read this application, state that the information corr to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?a Updated 7102 OFFICE USE ONLY x.411:1WAJM ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments X 27 Commercial/Ind ustri al ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneo us ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors D< 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 4307 Zoning SAC Code 50 # of Stories No. of Units o Length No. of Bldgs. Width Const. (Actual) Basement sq. ft. (Allowable) ?/ • First Floor sq. ft. UBC Occupancy A-13 }01 sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication .Water Quality Other Copies T 1 sq. ft. ZLX Z4? sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered ? Insulation 0 Plumbing ? Stucco/Stone Building Ib"` Engineering' Variance 543.7r ZZ -SZ 3 ST1 VALUATION $ 4'.r. 0 0V % SAC SAC Units O Meter Size Total /002. • 19 c 3 3 f5 li o C,IC. ?.n r y ?Q 1 ?c COMMERCIAL _ -z18e2-sUILDING PERMIT APPLICATION C (- ?? tl3 CITY OF EAGAN (? Z/ ( 651-681-4675 New # after 12110/02 651-675-5675 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) •• • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always- • Solis Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always** • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • Project Specs (1) ! • Energy Calculations (1)" 1 1 • Electric Power & Lighting Form (1) 1 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 1 • Soils Report (1) 1 • MCIES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. Contact Building Inspections for sample. **' Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. S? o ; J DATE: I ' 3 c). ti WORK TYPE: NEW _ REMODEL CONSTRUCTION COST: SITE ADDRESS: %0 6 S \ L) I `mo d TENANT NAME: L, FanJ, d,LJLv + L,? h y SUITE M FORMER TENANT NAME, IF APPLICABLE Name: V 0,3 tL o" Phone #: PROPERTY 15st First OWNER 3 (o }J w n ? 3 Street Address: City: ? _ V State: M n/ Zip: S-91-2- Company: i C' ?cr- Phone #: (Yi Z7 z - Oo CONTRACTOR Street Address: ) y? rl N' ?--s\J ? m..) f, i City: -A ' ?'j State: `? Zip: SJ h, Y ARCHITECT/ ENGINEER Company: Name: Street Address: City: Licensed plumber installing new sewer/water 'Z'l z-GO67 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature ofAppp?'? OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facili ty ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Ind ustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. F] 25 Miscellaneous 1!< 29 Antennae PoL-r= (M-,)0 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ,8' 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (hit) ? 45 Fire Repair GENERAL INFORMATION Census Code -SM Zoning I SAC Code 450 # of Stories No. of Units I Length No. of Bldgs. c Width Const. (Actual) Basement sq. ft. (Allowable) First Floor sq. ft. UBC Occupancy sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation APPROVALS Planning Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Building Engineering Variance VALUATION $ 4501 15a® % SAC SAC Units L°> Meter Size sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered 0 Plumbing ? Stucco/Stone Total ?? ?? (off Requirements: 2004 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 2 complete sets of drawings and specifications cut sheets on materials and components to be used Date J? 0-y _ I Site Address: 3465- U -- Tenant / Building Name: { a ?vv ?? e L o S ?s, bo s The Applicant is: Owner Contractor Other PROPERTY OWNER L? J's, U ) Address: 5'r, 4" f U 6.0 c City: State: Zip: CONTRACTOR MN Li cense No. Address: t/4/4(57- i V . 77 f ` A?/25 City: / 919L 5 State: JO Al Zip: Gj S?f 35 Phone #: 675,2 - 4S°13'O?iO ESTIMATED COMPLETION DATE: / / / FIRE PERMIT TYPE: - Sprinkler System (# of heads _ Fire Pump _ Standpipe Other: J' h f K/ Q/& 0 2 WORK TYPE: New Addition Alterations Remodel Other: ?t fJ? c c S a J? (/l L 30ro c?ys><+r+ i DESCRIPTION OF WORK:/ Commercial _ Residential _ Educational Other: Please continue on reverse side PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ ? 6 5d- CO x ol% = $ 2 5 O Permit Fee If Permit Fee is $1,000 or less, add $.50 => If Permit Fee is over $1,000, add $.50 per $1,000 Permit Fee 3/4" Displacement Fire Meter - $155.00 TOTAL FEE: $ ??• > U State Surcharge I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's SSignature nature DO NOT 41111 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use �- 9 Permit #: Permit Fee: /"°2) Date Received: Staff: 2012 COMMERCIAL BUILDING PERMIT APPLICATION Date: �' Site Address: �� lL.t`-7dk J 7 Tenant Name: 44 ,1-69,G404 SAi) S (Tenant is: New / x Existing) Suite #: Former Tenant: Name: a --f lJI)1,"./v f 17Li-(,, Phone: —G)33f Address / City / Zip: 04 7 7 /t, --r2 > 0 wiz Applicant is: Owner Contractor Description of work: r h Construction Cost: 1r_c►`e5u -3 GO RA i- Address: )5 i3 @.ry( ,40 At _Q City: y►,i>>.wtk State: MO Zip: St.12 U Phone: ScCA3i(c 8a� Contac + ' Email: Name: _ Registration #: C Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone #: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application f. ,. •ermit, an work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work w f. quires a re ie and approval of plans. x (? f 9r' Fht.o 22? C v X Applicants Printed Name Appli ►- Signatur Page 1 of 3 .H6 c SUB TYPES Foundation Commercial / Industrial Apartments Miscellaneous WORK TYPES ,New Addition Alteration Replace Salon Owner Change .t-fizne r/w DO NOT WRITE Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage ELOW THIS LINE Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation �' Occupancy MCES System Plan Review IIIJGWVED UV 12M Code Edition SAC Units (25% 100% .4 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet Li) PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation Ice & Water Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: Final Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Sheetrock Final / C.O. Required Final / No C.O. Required Other: Pool: Footings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall Erosion Control /Yes No , Building Inspector Reviewed By: Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: , Planning tca,AMip Iztsc-e44.114,tpattaiz97,9:ck TOTAL (1/35-• °`� Page 2 of 3 4° City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Gy Permit #: ' " 1�� Permit Fee: L 35.° Date Received: I ( 3 Staff: 2013 COMMERCIAL BUILDING PERMIT APPLICATION 0{7 Date: 4� i I3 Site Address: 3UU 51'bLtalavitylkAA,6 01 (l i ZZ Tenant Name: i S —Cr(*) \ l (Tenant is: New / X Existing) Suite #: Former Tenant: Property Owner Type of Work Contractor Name: lig-5(V O \ � Lt r n Phone: i" 4SZ- C33I Address / City / Zip: acus � fn ` Applicant is: X Owner Contractor DT. 1,3 -Feu Description of work: (7...t . -- \CL" -t Construction Cost: Name: Lq SS Address:( ly't. State: a\ i Zip: Contact: ALL License #: City: . roD' L.lv-1 Phone: t13 -- L4 7)1 "(O\ SS Email: Name: Architect/Engineer ' Address: City: Registration #: State: Contact Person: Email: Zip: Phone: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.dopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a„permit, and/work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work whiclyrequires a re ew and approval of plans. x fes- A/I -ND . ��J I r -LO Applicant's Printed Name Appl a Cf s Signature Page 1 of 3 3ie40S S doll DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Commercial / Industrial Apartments Miscellaneous W9RK TYPES v New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction f twr Public Facility Accessory Building 4' Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation _Ice & Water Final Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: �ll�rjG I0goig7 Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required -- PlW-ki Other: Pool: Footings Air/Gas Tests _Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall Erosion Control Yes No , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL 91 /3s-- 04 Page 2 of 3 r\C"Ncl 3 \-\-0(\a'‘c-cf) fe,nctrict a0ourd _ _ , 1 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /_ �j Q y Permit #: / ® ! ✓ Permit Fee: / 0 0 Date Received: Staff: 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: r Tenant Name: S 3-"-A-16' Site Address: 3 coe2/ 5, biey'Pie rwjr GL 1 Property Owne Type of Work Contractor Architect/Engineer Name: (Tenant is: New / Existing) Suite #: Former Tenant: !-lei ro-1,41,5 cfc LOb°5 Phone: 657-2/05—P?-(;) Address / City / Zip: 30# ie" mei,4I ttitt:dx Contractor &(/lj' Applicant is: Owner Description of work: Te Or Construction Cost: Name: 8 0 (A -r R\c-i Address: 10 / A5 I-0LA AVS State: )/4 14 Zip: S,j ` ,5L Contact: Name: Address: State: Zip: Phone: Phone: ' Email: D x 5 d TENT1 3 sib Sx 2.Q5 License #: City: FJ 7(,3--- Registration (,3_ Registration #: City: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: �l NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of i the information may be classified as non-public if you provide specific reasons that would permit the City to .. -w .. conclude that they are trade secrets... CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x dun/ 1/te Applicant's Printed Name Applicant's Signature Page 1 of 3 -rl�11-1 (71•6111047/4( .e 3-- ,ter DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Commercial / Industrial Apartments Miscellaneous WORK TYPES ✓ New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Public Facility Accessory Building ✓� Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage nap Fee - C' Type of Construction V •5 REQUIRED INSPECTIONS Footings (New Building) Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Insulation _Ice & Water Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: Exterior Alteration—Apartments Exterior Alteration—Commercial Exterior Alteration—Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building — give PCA handout to applicant 2.0 IS /413G MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required / Final / No C.O. Required W7k Other: Pool: Footings _Air/Gas Tests Final Final Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Concrete Entrance Apron Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: C-6144- , Building Inspector Yes No Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality /3S-. Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: 3 Page 2 of 3 Flay 03.1610:13a THOMASFINN City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (65i) 675-5694 RF r -r - MAY 0 3 2016 2016 COMMERCIAL BUILDING P Dale: ✓ 3 ;011/ Site Address: L 3 on oto, 1,05 L'* Tenant Name: Property Owner Type of Work Contractor Architect/Engineer Name: 6512275452 p.1 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: ✓ ', , `f' Staff: IT APPLICATION � R 3 b NIN 55 i 2.2.7 (Tenant is: New I r Existing) Suite #: Former Tenant: G� l Phone: b i ~ 452 03 7 13 ,tel MJ (r?Iz2 l/ Ell riij ilio Address, City / Zip:3bbi:. tivsi y f�cq�i Applicant is: Owner I, Contractor Description of work: Construction Cost: &eL/K -.-n2 & J —. 5 2e, 000 • Name: �hQ e S' Finn Comply License#: A,mL ry� Address: 62 (o As'1" r r6 Avr City:j�' ` a u lJ State: M LV Zip: 5 510 b9/' ;; ! .-‘0153i6' 3. Contact: re3 W3 t 1 Email: -i-T i i V(3O1. Wrn Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 40 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of ycork which requires a review and approval of plans. x GYe(I<OvV d. Wabh ApplicaAt's(Printed Name x Appliq re Page 1 of 3 C'\O W DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Public Facility Exterior Alteration -Apartments Commercial / Industrial _ Accessory Building ./ Exterior Alteration -Commercial Apartments_ Greenhouse / Tent _ Exterior Alteration -Public Facility Miscellaneous Antennae WORK TYPES New _ Interior Improvement /Reroof iding — Demolish Building* Addition _ Exterior Improvement _ Demolish Interior Alteration Repair Windows Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Z$/ ODD Occupancy A • Y MCES System AVA Plan Review _ Code Edition 20 / S Met. SAC Units (25%_ 100%_) Zoning City Water Census Code Stories 2- Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required _ Foundation Other: Drain Tile Pool: Footings Air/Gas Tests _Final %/ Roof: _Decking Insulation _Ice & Water Final Siding: _Stucco Lath Stone Lath _Brick _ Framing Windows Fireplace: _Rough In Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final CIO Inspection: Schedule Fire Marshal to be present: Yes /No Reviewed By: r!G , Building Inspector Reviewed By: , Planning COMMERCIAL FEES L,_ Base Fee 7Y�• 2- Storm Sewer Trunk Surcharge 11- •11-0 Sewer Trunk Plan Review o • " Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit & Surcharge Water Lateral Treatment Plant Other: Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality TOTAL: 451 • L Y Page 2of3 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 Plan Submittal: eolans(c�cityofeagan.com flEcEIvJ JUN 1 7 2020 2020 COMMERCIAL BUILD PPLICATION For Office Use I ' I' Cv CC Permit #: Permit Fee: Staff: Payment Recvd: _Yes 0 Plans: X Electronic /\ Paper Date: 6-17-20 Site Address: 3665 Sibley Memorial Highway Tenant Name: Public Storage (Tenant is: New / Existing) Suite #: Former Tenant: Name: Public Storage Inc Phone: Address /City /zip: 701 Western Avenue / Glendale, CA / 91201 Applicant is: Owner ✓ Contractor Description of work: Demolition of existing restaurant Construction Cost: $ 3 7, 0 0 0 Name: Frattalone Companies License #: Address: 3205 Spruce Street City: St Paul State: MN Zip: 55117 Phone: 6517651125 Contact: Carl Maki Email: carlm@frattaloneco.com Name: Kimley Horn Registration #: Address: 767 Eustis St Suite 100 City: St Paul State: MN Zip: 55114 Phone: 6516430480 Contact Person: Andy Berg Email: andy.berg@kimley-horn.com Licensed plumber installing new sewer/water service: Phone #: You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Carl Maki Applicant's Printed Name Applicant's Si nature DO NOT WRITE BELOW THIS LINE • SUb TYPES Foundation A Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage DESCRIPTION Valuation Occupancy Plan Review Code Edition (25%_ 100% ) Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction Width REQUIRED INSPECTIONS Footings _ New Building _ Deck _ Addition Foundation Foundation Before Backfill Vapor Barrier Framing 30 Minutes 1 Hour Insulation Sheetrock Roof: _Decking _Insulation _Ice & Water _Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Fireplace: _Rough In _Air Test _Final Pool: _Footings _Air/Gas Tests _Final Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: s 1pl %j filemtgtigi Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair X1 Demolish Building* _ Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Drain Tile Retaining Wall Erosion Control Steel Reinforcement Street/Curb Cut Inspection Other: Meter Size: Electronic Set of Final Revised Plans Final / C.O. Required X Final / No C.O. Required , Planning Yes JC No New Business to Eagan: Reviewed By: g /i , Building Inspector FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Stormwater Performance Security Landscape Security Other: TOTAL: Page 2 of 3