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1295 Town Centre Dr ~~FrA1~Ig~S.`vi?..'.,,.,x,~,~i~. :.S...w" .•r r.. - ~ . . .s,...,y~._.~„rr~ava . . . . . , r°c^_.... . . . , f. ~ _„w~' ` MECHANICAL PERIIIHT For City Use Only - CITY OF EAGAN PERMIT # 14, ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # DATE 3~,q PHONE 4548100 DATE: Site Address BLDG. TYPE WORK DESCRIPTION ' Lot j-- / Qlodc / Sec/Sub Res. New Const. . r / " - Muft. Add-on ' Comm.4e~_ Repair ? Name Other ; ~ Address r~ -Z~ . } ~ City ,45:d~ ` Phone FEES RES. HVAC 4-100 M BTU -$24.00 Name ADDITIONAL 50 M BTU - 6.00 ~ Address (RES. HVAC INCLUDES A/C ON NEW 3 CONSTRUCTION) y p City Phone. TOWNHOUSE & CONDOS - RES. RATE APPLIES i - MIWIMUM R€SIDENTIAt FEE - ALL ADD-ON & TYPE OF WORK REMODELS (INCLUDES GAS PIPING) - 12.00 Forced Air M BTU $ ' GAS OUTLETS (MINIMUM - 1 PER PERMIT- NEW CONST.) 1.50 EA. Boiler M BTU $ COMM/IND FEE -1% OF CONTRACT FEE , Unit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES ` Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 , Vent CFM $ STATE SURCHARGE PER PERMIT - .50 ~ (ADD $.50 S/C PER EAGH $1000.00 OF PERMIT FEE) Gas Piping Outlets # $ i Other $ CommJlnd. Contract Price x 1% $ ~f~ll~ia?,%K'f CT",~~?JG~'i1~,~.,~PERMIT FEE: , , ~ SD 6~S~rj~?~` 1rd"~?F~? S/C: 62 FOR: CI O EAGAN Ro~ F TOTAL: ;Uap MECHANICAL PERMIT For City usa Onty CITY OF EAGAN PERMIT #~l-~~~ ~o . 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT DATE PHONE 454-8700 DATE: i1'_2 ,I Site Address OBLDG. TYPE WORK DESCRIPTION , Lot Block Sec/Sub Res. New Const Mult. Add-on Comm. v Repair - Name Other ~ Address ~ ~ City r~A uL Phone 49,44 1 FEES RES. HVAC 0-100 M BTU -$24.00 Name ADDITIONAL 50 M BTU - 6.00 ' (RES. HVAC INCLUDES A/C ON NEW ; ~ p City Phone ~ TOWNHOUSE 8 CONDOS - RES. RATE APPLIES ~ MINIMUM RESIDENTIAL FEE - ALL ADD-ON 3 TYPE OF WORK REMODELS (INCLUDES GAS PIPING) - 12.00, GA5 OUTLETS (MINIIuIUM - 1 PER PERMIT- Forced Air M BTU $ NEW CONST.) - 1.50 E?• Boiler M BTU $ COMMAND FEE -196 OF CONTRACT FEE Unit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES Air Cond. M gTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 , Vent CFM $ (ADD $.50 PPKR EACIH $1000.00 OF PERMIT FEE) Gas Piping Outlets # $ ~j.----- Other $ I&SO CommJlnd. Contract Prlce x 1% $ PERMIT FEE: All) v . S1C: - J FO : ITYO EX&M TOTAL: 5 ~ • . _ _ CITY OFREAGAN _ t. . . - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan,INN 55121 - ~~J~~ PHONE: 454-8100 BUILDING PERMIT ~ Receipt,# To be used for RFi~rR00UNC Est. Value $8,000 Date sEP S Site Address 1295 '[CWN CENTRE DR Lot 1 Block 1 Sec/SubrOWN LgNTU 70,4 ' -pFFICE USE ONLY . P8fC21 NO. • OCCUpanCy _ FEFS ;r Zornng W Name TACO nELL (Actual) Const _ Bldg. Permit 99 •00 o Address 1245 T~Wl~ CENTRE DR `(Allowable) - Surcharge 4•~ City EAGAN Phone # ot stories - - Length Plan Review KORDROOK CONS?RUCTION ' - ' o Name oW+n - snc, citr 0O Address t4~+ p~ AVE S • S.F. Total Uc 1- City aURNSVILLE Phone 431-2454 S.F. Foolprints _ SAC. MCWCC r On Site Sewage _ ~Nater Conn ¢ v Name W On Si1e Well w - Waler Meter AddreSS ~ MWCC Syslem - Acct. Deposit a W City Phone ' ciry water _ • PF1V Require0 _ S/W Permit I hereby acknowlege that I have read this application and state that the Booster eump - S/yy Surcharge inlormation is correct and agree to comply with ali appllcable State of ' . Minnesota Statutes and City of Eagan Ordinances. . . Treatment PI _ ' 5ignature of Permitee APPROVALS Raad Unit A 8uilding Permit is issuetl to: KOR$ROOIC CON6TRUCTION Planner - park Ded. " on the express condi6on that all work shall be done in 9ccocdance with all Council applicable State of Minnesota Statutes and City ai Eagan Oidinances. , gld9, pK. Capies 1 8uild~ Official ' y . Variance - TOTAL U 3. i c . . ~ . ~ _ . • • Permit No. Permk Holder Date Telephone # WATEA SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Raoting Rough PI6g. Rough Hig. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. InspeCtor - Notify Plumber Engr.IPlan Bldg. Final pedc Flg. Deck Final Well ! Pr. Disp. } x4 , r~ MI~'TAW BELL CITY OF EAGAM ~~~O 12785 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT ReceiPt # Tobeusedtor RESTAURAitiT Est.Value $2001000 Date a=TOBER 20, 1986 Site Address 1295 Z'OVr'N CE: i i'ttr' il .R " Erect C Occupancy F3 2 Lot 1 Block 1 sec/sub. TowN CTR 70 5TLiRemodel ? Zoning CSC Parcel No. Repair ? Type o f Const T T N r ArTL Addition ? No. Stories I Q Name TACU BELL CORP Move ? Length E4 3 Add ess 16655 W BL[1BMOUND RD Demolish ? Depth 36 ° i3RnOKF 414/784-5$25 Int Impr. ? Sq. Ft c+ty ~o~ mstau ? 2,265 ~ ROANOKE BUILDING CO INC APP~~als Fe" ~ o Name Address 2 3 4 NzC4,LLET AVE SO Assessment Permit ~ 683.00 ~ City. YPhone 70-9550 Water & Sew. Surcharge 100 .40 Police Plan Review 341.50 W W Name UORDAN Fire SAC 1,725.00 address 16808 ARMSTRONG AVE; N A 4u o Eng. Water Conn. ~ W Ci~ IIt t:,~, i;%ne 714/863-4687 Planner Water Meter N A Council Rosd Unit 586.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. `~/1?/b Tr.PI. 4bt3.U0 information is correct and agree to comply with all applicable State of 1,174.00 Minnesota Statutes and City of Eagan Ordinances. APC PerkS ; ' Signature of Permittee Var. Date Total Copies ' .4 A Building Permit is issued to: RUANOi!E BU I LD I:i %-`Ci l:~iC on the express condltion that all work shall be done in accordance with all appli¢#ble State ot Min!)esot3 Statutes and City of Eagan Ordinances. - r Building Official ' ~ PsrmR No. PwmN Nolder Data TNephone N Plumbinp • ! `l ~ 7 H.Y.ICC. EWftic " 146 A/ -sonen.. IrapocUon Dste Insp. Commanb Footinqs I FooNnys 11 Foundalbn Framiny Rooflnp pou9n wey. 1-/1- Rouyh Htq. ~ Insul. Fk.oi.m O-v ,00 ' Final Hlq. ~ t(J~ Finel Plby. . Bldg. Ffnad , -j CNf.OCC. ~t .7 L< Dock Fty. ~1 - 30 - ~o ~ctd ~ C Q - <_J D*clc Frmp. WNI Pr. Disp. / `'i/$9 U/1 7 i6x" "`y~„ - ~ y~- I~is~ v r~.r . . . . . 7"~ , • • , . . . . g c.. . . . . , . . i : _ . , , _ . . . . . PERMIT # ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN. MN 55121 DATE: CONTRACT PRICE PHONE: 4544100 Site Address BLDG. TYPE WORK DESCRIPTION Lot- Block ~ Sec/Sub Res. New ~ Name Mult Add-on 9 Address, Comm. Repair c Cily Phone Other NO. FIXTURES ,TOTAL ~ Name Water Closet - $3.00 3 Address Bath Tubs - $3.00 p Cily Phone Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE UrinallBidet -$3.00 MINIMUM - RESIDENTIAL FEE _ a1p.pp Laundry Tray -$3.00 MINIMUM - COMM/INO FEE _ 20.00 i Floor Drains -$1.5Q STATE SURCHARGE PER PERMIT _ _50 Water Heater -$1.50 (ADD $50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00 BEYOND $1,000.00) Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 _Rough Openings - $1.50 SIGNATURE OF PERMITTEE , FEE STATE S/C: FOR: CiTY OF EAGAN GRAND TOTAL• ~ ~ ~ 1.?q..',. . . . . . . . . . PERMIT # . • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address ~ ` ~ ° w ~ ~ - ~ ° gLpG. TyPE WORK DESCRIPTION Lot J Block ~ Sec/Sub Res New ~ i'~J / r-„ y~L C ~e ~ a...c a Mult Add-on m Name ao Address j 3);' z~•p,. Comm. Repair c Ciry i~ c phone Other Name -rA RES. HVAC 0-100 M BTUEES $2400 c Address ~ 7~--•- C s~. v• ADDITIaNAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCIUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% aF COlVTRACT FEE Forced Air ~ t a y ~ M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONOOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL RDD-ON 8 Unit Heater M BTU REMoDELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. 3~ CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYONO $1,000) Other 1 FEE: ° 4 y L" --l' C k:c k_, ( Ke ~ i••- S/C: SIGNATURE OF PERMITTEE ~ • TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN N0. 18327 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 . ~p cl~ ~G BUILDING PERMIT PHONE: 454-8700 Receiptft C ! Tobeusedfor RE-ROOFING Est.Value $8,000 Date SEP 5 , I g90 Site Address 1295 TOWN CENTRE DR Lot 1 Block 1 Sec/SubTOWN CENTRE 70 ST OFFICE USE ONLY PdfC@I N0. Occupancy _ FEES Zoning w Name TACO BELL (ACNaq Const _ eldg. Permit 99.00 ; Address 1295 TOWN CENTRE DR (Allowable) ° Clt F.ACAN - Smcharge 4.00 y Phone # ol Stories - Plan Review Length _ ~o Name KORBRODK CONSTRUCTION oevth - snG ciry Address 14004 PARK AVE S S.F.7otal _ City BURNSVILI.E Phone 431-2454 S.F. Foatprims _ SAC, MCWCC ~ On Sita Sewage _ Water Conn ww Name on Sae weu Water Meter Address MWCCSystem _ aw City Phone City Water _ Acct. Deposit PRV Required _ SNJ Permit I hereby acknowlege that I have read this applicatio and state Ihat the Booster Pump - SiW Surcharge inlormation is correct and agree compl wit a ap cable S[afe oi Minnesota Statutes and Cit gan nc 7reatment Pi Signature of Permitee APPROVALS Road Unit A Builtling Permil is issued [o: R I N Planner - park Detl. on Ihe express condition that all work shall be done in accordance with all Council applicable State oi M,i(n~1k1nesota StaNt1es an.,d,,C,i~ry1 ol Eagan Ordinances. Bldg. Oe. Copies Building Oflicial _ ~ 1fl OAfA f! I I,IV Variance - TOTAL 103.00 TACO BELL CITY OF EAGAN Np 12785 . 1 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt q - ~ 7 ~G' / 0 2 ' To6eusedlor RESTAIIRANT Est.Value $200,000 Date OCTOBER 20, t986 SiteAddress 1295 TOWN CENTRE DR Erect 47 Occupancy B2 Lot 1 siock 1 Sec/Sub. TOWN CTR 70 STHRemodel ? zooing CSC Parcel No. Repair ? Type of Const.TU nrT[ Addition ? No. Stories } ~ TACO BELL CORP Move ? Length W Name 16655 W BLUEMOUND RD Demolish ? Depth 64 p AddreBROOKF 14/784-5825 intimpr. ? Sp.Ft. 36 Ciry ~"P 4 Install ? 2.265 o Name ROANOKE BUILDING CO INC APProvals Feea ~Q nddress 2344 NICOLLET AVE SO Assessment Permit $ 683.00 ~ ary NPI'S pnone 870-9550 WaterBSew. Surcharge 100.00 Police Plan Review341.2r 0 W ¢ Name STEPHEN JORDAN W Fire SAC 1.725.00 ¢i Address 16808 ARMSTRONG AVE ~ Eng. Water Conn. N A tw ciryIRVING,('p,jafe 714/863-4687 planner WaterMeter N/A Council Road Unit 586 _ 00 IherebyacknbWledgethatlhavereadthisapplicationandstatethatthe gldg.off. 9/17/86 Tr.PI. 468_00 information is correct and agree to comply with all applicable State of _ Minnesota Statutes and City o/f Eagan OIrdin nces. APC Parks 1 174 _ 00 Signature otPermineeVar.Date Copies $5,077.50 A Building Permit is issued to: ROANOKE BUILD Total G CO INC on the express condition that all work shall be done in accordance with all ap ' ble State o Mi tatutes and Ci of Eagan Ordinances. Building Olficial S ~c-~ i.~ SEVERSON, SHELDON, RECEIVED DOUGHERTY & MOLENDA, P.A. JUL 3 0 2004 SUITE 600 L„uX{V 7300 wesT147TxsraFET ENGINEERING DEPARTMENT MP1.E VALLEY, MINNESOTA 55124-7580 (952) 4323136 TELEFAX NUMBEA (952) 432-3780 E•MAIL bauerrLseversonsheldon.com TO: John Gorder, Assistant City Engineer FROM: Robert B. Bauer, City Attorney DATE: July 28, 2004 RE: City of Eagan v. Anchor Bancorp, Inc., et. al. BFI Real Estate Holdings, LLC Project 851 Our File No. 206-19381 John, Enclosed for the City's records, please find the original Partial Final Certificate and Order As It Relates to Parcel 3- PIN 10-77029-010-01 dated April 1, 2004 and recorded with the Dakota County Recorder on May 4, 2004 as Document No. 2200832. The Final Certificate is equivalent to our Easement No. 975. Shonld you have any questions, please feel free to give me a call. ~ 1 n ~ Q e /a 95 ~ ac~rn /z . ; 2200832 ~N W a o ? a ~o '01 o ? 6 = ? w wW « WC7 W w . U N ~ ~ ~ o ~ i o az. ~ ~ cx ~,1 = iP.lf,4!~SflTACOiJNTY OF ~`•hQ7A at t!~ ~~J : Go b@ c~^'a and coned co~p p ~ 3= o I ~ Y m .'c;; e~ i>b3 ^;v9 0~ ~cord in aifu~ this ~ _ ju ~ ~ 2~ V ? :~~f Wi._, a v LL a F o = ~I ~ o o COU . ANdI TR.ai ;:a O 0 o w w i p y ~ W N f m ? ~ W ~ 3V ~ ~ ~ Q ~ ¢ 0 V~ W W U U 3 0 LL ftECEIiJEC? - flflAIL STATE OF MINNESOTA DISTRICT COURT APR 13 2094 OpKO7A COUNN rREASURER-AIAITOR COITNTY OF llAKOTA FIIZST NDICIAL DISTRICT Case Type 2. Condemnation COURT FILE NO.: 19-CO-03-7039 City of Eagan, a Minnesota municipal corporation, Petitioner, PARTIAL FINAL CERTIFICATE v. AND ORDER AS IT RELATES TO PARCEL 3- PIN 10-77029-010-01 Anchor Bancorp, Inc., a Minnesota corporation, d/b/a Anchor Bank; et. al., Respondents. IN THE MATTER OF THE CONDEMNATION OF CERTAIN LANDS FOR CONSTRUCTION PURPOSES By authority of Minnesota Statutes Chapter 117, I hereby certify that the lands herein described have been taken by the City of Eagan in eminent domain proceedings for purposes in conformity with the requirements of Chapter 117 and of said statutes as amended; that Commissioners were duly appointed by the Court and that all damages by agreement of the parties have been paid by the Ciry of Eagan; that the proceedings for the taking of certain rights =;iFo MKOTACOUrM ,'3 0~ r, q~ncm,,,; D9TE RECEIYED DAKOTA NTY APR \5~0~. TREASURER-AIkDITOR ~v ~ . ~F~IITV . ~ Page 2/PARTIAL FINAL CERTIFICATE AND ORDER AS IT RELATES TO PARCEL 3- PIN 10-77029-010-01 in said lands aze now complete; and that said City now owns a temporary construction easement with the exclusive control of same. Said lands are situated in Dakota County, Minnesota, and aze described in particularity on Exhibit A, attached and incorporated by reference. And notice is hereby given that the above-captioned condemnadon proceeding has been completed; that payment for the taking of lands above described has been made and that the Partial Final Certificate was executed and approved on the dates shown and endorsed herein. Dated: 2004. SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. By: Robert B. Bauer, I.D. #227365 ,<,C) Michael D. Klemm, I.D. #295218 Attomeys for Petitioner, City of Eagan 7300 West 147th Street, Suite 600 Q! Apple Va11ey, Minnesota 55124 (952) 432-3136 The above Certificate is hereby approved. BY THE COURT: ~ y+!y ~F.J~"... Ju g~ ofD~~h-~~tC ~ i~ a ~ , 1 - 1986 BOILDIHG PERMIT APPLICATION - CITY OF EAGAN BIOT6: ALL CONTRAC?ORS MITSi HB LICENSSD IIITH THE CITY OF EAGAB SINGLfi FAlQLY DWELLIAGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MUI.TIPLE DiiE[.LIbIGS - RSSIDBNTIAL EENT9L De1ITS FOH SALE ONITS ZNCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVSY - CHECS itITH ELDG. DSPT.0 1 SET OF ENERGY CALCULATIONS COHMRCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 1'o Be Used For: ZIC-570~."aA~~4 Valuati7~ •iU~ Date: Site Address I79S 7oWN CE,NT2E r2. ICE OSE ONLY Lot ~ Block ~ Ereet ~ Oceupancy Remodel Zoning GS Pareel/Sub T fOWN CEf~T2L- ~1D Repair _ Type of Const AC1UAC.) Addition # of Stories I Owner Lq co~E« ~zl~ Move _ Length ~ ` Demolish Depth ~ Address //,~TS W 1~~~~KOVNn ~<o Int.Impr. _ Sq Ft 22~5 Install TOFe, ALCaJ. ~N City/Zip Code 4OKF)Eai~ S3cz~" Phone APPHOV9IS FSFS Contractor ~LQ&I,KE~~.,.0,,•.4C~ /p c Assessments Permit Cr 3 n Water/Sewer Surcharge /00 Address2 394 ~«~~er N~E 5o Police Plan Review 3/ Fire SAC '?I ZS, City/Zip Code SJ9o9 Engr Water Conn ti?i+ Planner Water Meter u /A Phone -~?c> SSd Couneil Road Unit ~j Bldg Off ~-106 fireatment Pl 41,8. Areh./Engr. STr-pHe.., ~~?q~ APC Parks Variance Copies Address ~~8 ~z~~oaaa ~NC TOTAL S~ City/Zip Code /Z?l"Ir tC4 9z7/ 9 Phone a NOTE: ADDHESSfiS FOR CORNER LOTS - CONTR9CTOR/HOHEOHNER MDST DESIGNATS WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE 9LGOWSD ONCE BIIILDING PERMIT IS ISSIIED. ~.~M Z, 5-0 _~050 ty33 = ~3 fo~3 2C~ ~ , S = ~Ga~ ~cz~ I~12Ac-/ZZ 5~T5 6,0 -Z2 = 2.7 ~ 3) S~SX 3= I"7 2e, l"1 z S k/,~-rErz ~ PCi2- ET) 87O~C TEp~.rr , 3 = 4~~ 4c~$ /173. 5Z //72/ L ~ B l 7owN Ga4TgE -70 s-rN COMMV690OR TA'i, c~~ aea September 15, 1986 Mr. Dale Peterson Building Inspector City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Peterson: This letter is to inPorm you that the Metropolitan Waste,Control Commission has made a SAC determination for the {Taco Bell3to be located at Town Centre ?rive within the City of Eagan. It has been determined that 3 SAC Units should be assigned to this building. This determination was made as follows: SAC Units Charges: Restaurant (Fast Food) 60 Seats @ 22 Seata/SAC Unit 2.73 or - If you have any questions, please call. Sincerely, w, Q R. A. Qdde Municipal Services Manager RAO:RWJ:blm cc: S. Selby, MWCC Don Lawrence, Taco Bell W. K. Johnson, MWCC 350 Metro Square Building, Saint Paul, Minnesota 55101 612-222-8423 ~ • ~ , . t4 ~ ~,'0 ENERGY CODE EXTERIOR ENVELOPE WORK SHEET Ovrner Site Address YANkFF f1r-)on[ c/ p~LZIT K, {C-)R _EqC'nra MIhiN Contractar Phone Date F26) • 2f'~ •A.. Annual Heating Oegree Days C_ode Requirements Wall (lde Wall) .28 Roof/Ceiling (U. Roof/Ceiling) 08 Floor (U, Floor) oe) Slab on Grade Uv = or (R, Heated) f'1•A, Slab on Grade U, =,QBor (R, Unheated) 4.55 OiTV 33.4 I HEREBY CERTIFY THAT 7HIS BUILDING CONFORMS TO CURRENT ENERGY CONSERVA- TION CODES. ((OWNER) (ARCHIT.) (ENG.) (CONT.) SEAL Page 1 of 5 COMBINED GROSS WALL THERMAL TRANSMITTANCE VALUE (Up ) CALCUlATI0N5 Wall Component Area Resistance A/R G l a s s jX, P lo i-h 20219 .90 2z Glasa Ir14AANo 4:/~ ~,spa,P 34(0.5 1.5Ti 22fo.~7 Glass Door P.eof' E-IrAk,tJ (1'1P-+al /zi 2.0 13.5 ~ Door Wall 0 Rn4 lri5u[G1lON ITIS_ 21.~(v 9V')fo Framing 2x (0' mPmherS 219.5 9,04 24.2 Wall Framing Wall Framing Header or Rim Joist Expased Basement Wall. Exposed Basement Wall Basement Glass Basement Glasa Totals ~181 5~12510 U. Wall = A/R = 25(~ _ .21 BTU/h x°F A '1L 8I Ua Wall Code Limit Meets Code ~ Does not meet Code ~ Paga 2 of 5 • COMBINED GROSS ROOF/CEILINC THERMAL TRANSMITTANCE UALUE (UO ) CALCUIATi Roof/Ceilinq Component Area Resistance A/R Non-Cathedral Roof/Ceiling (v'l B/j~: ir['ju, = /L3,55 $Q.,ciZ Framing 2"x 119em}npr-a 22.a3 15,1 ~5 15.Q5 (7'4 ' l .3 3e).37 15,90 Cathedral Roof/Ceiling !x nleank=_ 0; O, 3J Totals 2240 89•39 Ua Roof = A/R = 891~9 = •039 BTU/h x°F A 2240 Uo Roof Code Limit L=_~Meets Codq ~ Daes not meed Code Roof with both Cathedral and Non-Cathedral roaf/ceilings, calculate Uz Roof Code Limit as folloWa: Component Area 'Uo Roof A x U.) Raaf Non-Cathedral Roof/Ceiling 5221 .0412 (03,92 . Cathedral Roof/Ceiling y718 ,CU2Y~ 20.10 2240 S4•02 Uo Roof Code Limit = Total (A x Uo Roof) =,O "I Total Area rL,L40 Page 3 of 5 CROSS FLOOR THERMAL RESISTANCE UALUE (R) CALCULATIONS Perimeter (Lin.Ft.) Resistance Slab on Grade,j 11 Insulation_Lx42! QiQrj _ 212 IO,U R fioor Code Limit= 4,rjrj Q Meets Code ~ Does not meet Code Page 4 of 5 TO?AL ENUELOPE CONFORMANCE A ua A x U., Gros Area Total A/R Code limit limit wall 2781 85 2•5G .28 I]5 dcE Non-Cathedral Raof/Ceiling ~S'LQ (09'q(p .08 l2l-lfo Cathedral Roof/Ceiling lb ,Oej 57.44 Floor 2240 224,0 Inq.12 (1) Grand Total $~.15 (2) Total (]I 7 x ` Meets Code Q~ q• Q Does not meet Code IP the grand total (1) of the wall, roof/ceiling and floor A/R values is equal ta or lesa than the tatal (2) of the A x Uo Code Limits for the wall, roof/ceiling and floor, the 7ota1 Enve2ope meets the Code, even though the wall, roof/ceiling or Floor may not. If tha total envelape calculation indicatea that the desired construction does not meet code requirementa, make changes in the structure ta add insulation, reduce glass areas or use insulating glass as required to meet the code requirements. Page 5 of 5 } a. ' • ~ o11r Ao = 2~81 ~ A, - 2205 y~ uW . , 04-7 ad a 277 0 ua = ,59 '/4'Plctie = LC72.S ¢i Af ~ 1" l rtSVl. = 39(c.5 ~ U . (/4,DW}e = 1,13 f t„ insul.= .46 SF : 15! SC ' 1W PIoie = .95 ~ ly IrM) =.83 AT s(85-l8° TOeQ = 44 OTTY ~(Uw xAw x TOeQ) +(A f x SF x SC) +(Uf x l!f x/a7) ao OTTV ~ x~ t S I 1 6. 4(0, 1 OTTV ~ f•t3X202.S x ~U 1t ~~5 x3~5 x ro Code requires 33,4. ~ Does Meet Code ~ Does Not Meet Code 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH SLDG. 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 MiIST 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: P6QC%V- Valuation~G21a Date: Site Address OFFICE USE ONLY Lot I B1ock FEES Occupancy Zoning Parcel/Sub ,~1~{,,"~ ` p ~mAJtt, Q~ 6A. Actual Const Sldg. Permit ~ Allowable Surcharge ~ Owner 16 A~G~ # of stories Plan Review Length SAC, City Address ~jr~w~ Depth SAC, MWCC y/ S.F.Total Water Conn Cit ZiP Code /~y Footprint S.F. Water Meter Acct. Deposit Phone On site sewage_ S/W Permit On site well 5/W Surcharge Contractor4 ~,~'~bc"~G< < j O'VjZ_ MWCC System _ Treatment Pl. /J City water Road Unit Address 1A90 PRV _ Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL lS/n J~/ S~ APPROVALS Penalty Phone y/ ~7 Planner TOTAL Council Arch./Engr. X°00Bldg. Off. Variance Address City/Zip Code Phone # •7990 57 j CITY USE ONLY L ( BL RECE{PT#: SUBD. f ~O ~I ~ RECEIPT DATE: APPROVED BY: , INSPECTOR MECHANICAL PERMIT ~ 1999 MEcttAvicttL PERMrr (coMMEtc[aw C1TY OF EA&AN 3$30 P1LOT KNOB ftD £l4fiAN, MN 551 £Y ' (651)6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit VVL\t~4ivl r-... wr~n r~.cE. . f ~,.5 ~ 9 . 0--6 WORK TYPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) **NOTE: When insta]]ing/removing underground tank, call 651-6814675 for inspecrion by fue marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever u greater. CONTRACT PRICE x 1% ' PERMIT FEE STATE SURCHARGE 42- (5.50 per $1,000 of ggujilI fee due on all pemuts.) TOTAL /O G . O-'o SITE ADDRESS: - o, OWNERNAME: PHONE#: al~~- 83/9(AREA CODE) TENANT NAME (IMPROVEMENTS ONLl): INSTALLER: twDREss: PHONE (AREA CODE) C1TY:STATE: ZIP: ?'~//2 (o )'Yl l~l,t C~ W.":4=) SIGNbLaOFJ PERM CITY USE ONLY L ~ B ~ RECEIPT I I Q U q I SUBD. 20 -f-_ RECEIPTDATE 10-a5 4 APPROVED BY: : A , INSPECTOR PLUMBING PERMIT # 1999 P1-UhISINfi PERMIT (COMIvIERCIAL) errY oF EAGAv S$SO PILOT KNO$ iiD EArzAnt, Mv 55122 (651)691-4675 Please complete for: al] commerciaUindustrial buildings multi-family buildings when separa[e building permits are not required for each dwelling uni[ installation of backFlow preventer in commercial areas or residencial boulevards Date: Work Type: _ New Bldg. _ Add-on i~ Repair _ U.G. Sprinkler _ RPZ 1 Description of Work: To inquire if Pressure Reducing Valve is required on new service, ca11681-4646. FEES 1% of contract price or $30.00 minimum Contract Price: $ Ci 0L.7 x 1°/o = $ COMPLETE THIS AREA ONLY IF INSTALLING IINDERGROLIND SPRINKLER SYSTEM Backilow Preventer Permit Fee - $ 30.00 $ N'ater Meter: 2" Turbo - $ 889.00 unless plan approved for smaller size $ Service: _ existing (if comine off domestic line) OR _ new "new service" conmct Jenv WobschnTl Finnnce Consu/tant to corv(irm ndding ees for: Water Permit & Surcharge - $ 50.50 $ Water Supply R Srorage - $ 825.00 $ Water Treatment Plant Charge - $ 468.00 $ Permit Fee $ dqtMer State surcharge is calculated &om Permit Fee at right - State SurchaYge $ -2,44 S.50 for each $1.000 with a minimum of $.50 due Totai Fee $ '5I I hereby acknowledge that I have read this application, srate that the infonnation is conect, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicanYs responsibiliry to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activides to the faciliries constructed under this permit wRthin Ciry property/right-of-way/easement. SITE ADDRESS: 12 %s I Wi~ TENANTNAME: TELEPHONE#: (AItEA CODE) INSTALLER NAME: 4"Wj^_fi ' r' 4 TELEPHONE ('L I / `DO4-I REA CODE) STREETADDRESS: NE CITY: ~LLlJ1Il ~ STATE: ZIP: SIGNATURE OF PERMITTEE I 1999 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN 651681-4675 dh'`~Cs-~ I? Re uirements to buildin ermit - U~ Foundation Onl New Construction interior Im rovement • Structural Plans (2 sets) • Architectural Plans (2 sets) • Architeclural Plans (2 sets) • Civil Plans (2 sets) • Structural Plans (2 sets) • Code Malysis (t) " • Code Malysis (1) " • Civii Plans (2 sets) • Project Specs (1 set) • Project Specs (1) . Landsraping Plans (2 seGS) • Key Plan • Spec. Insp. & Tesling Schedule " • Code Analysis (1) " • Master Exit Plan • SAC determination letter from MGES - • SAC determination letter from MGES - call • SAC determination letter from MGES - call ca11651-602-1000 651-602-1000 651-602-1000 • Spec.Insp.BTestingSchedule (1) " • EnergyCalculations (1)notalways" , • Prqect Specs (1) • Elec. Power & Lighting Form (1) not ahvays ° • EnergyCalculations (1) " • Eleclric Power & Lighting Form (1) " • Master Exi[ Plan . Soils Re ort 1 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan mu !15-0700 for details. DATE: 7/ ZI 7~GI N~ REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: Cs ~i OC1 ~ rT r r.~. SITE ADDRESS: -E LOT I BLOCK I SUBD. _FQV .,oune 1 . , PROPERTY Last _ .'i• OWTvER ,-i_, . i:' - - Sheet Address: . . . ;t.+.,: . ~ ciri I~~(S Company: CONTRACTOR c~ Street Address: C.( S- - ~ - r. CISy -1 0 / „ i ~ . . . ARCHITECT/ ENGINEER Company: ` Name: - Kegistrahon Street Address: Ciry State: Zip: Sewer & water licensed plumber (onlv if installina sewer & water): I hereby-acknuwledge. tha4!-have.read this application, state that the information is correct, and agree to comply with all applicable State ~ . of Minnesi ota SCatutes and City of Eagan Ordinances. Signature of Applicant: ~ ~ 2 iop9 I -qq OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 26 Public Facility ? 28 Greenhouse ? 25 Miscellaneous fik 27 Commercial/Industrial ? 29 Antennae WORK TYPE 015TdDDf;-~I_.~tiICs1 S6krII~G AV-X-4 TeEg~0a FlNkl-, ? 31 New ? 34 Repairs ? 37 Demolish Bidg. ? 43 Siding/Soffits/Facia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 WindowslDoors 0, 33 Alterations O 36 Move Bldg. ? 42 Reroof ? 45 Fire Repair GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code ~37 (Allowable) .17 - Ad First Floor sq. ft. SAC Code 3c+ UBC Occupancy ki_ sq. ft. No. of Units ~ Zoning CSG sq. ft. No. of Bldgs. # of Stories t sq. ft. MC/ES System Length b~ sq. ft. . City Water Width ~ Footprint sq. ft. Fire Sprinklered APPROVALS rianririy Building l~ 'cngineering Variance Permit Fee VALUATION: $ lOd ~ OOO Surcharge `3p . U C~ Plan Review ~ (03.~ MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant ~ Park Dedication Trails Dedication Water Quality Other Copies 7otal ~ ~-C1~ - (.,q ~ 1999 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN 651681-4675 dh `y~~,-~ .S? Re uirements to buildin ermit C , -(o ' Foundation Onl New Construction Interior Im rovement • Structural Plans (2 sets) • Architectural Plans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) . Structurol Plans (2 sets) • Code Malysis (1) " • Code Malysis (1) " • Civil Plans (2 sets) • Projed 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 MGES - • SAC determinaUOn tetter from MGES - pll • SAC determinaGOn letter from MC/ES - call call 651-602-1000 ' 651-602-1000 651-602-1 OOd • Spec.Insp.STestingSchedule (1) " • EnergyCalculations (1)notalvrays" • ProjeIX Specs (t) • Elec. Power & Lighting Form (1) not always " • Energy Calculations (7) " • ElecVic Power & Lighting Form (t) " . Master Ezit Plan • Soiis Re ort 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: WORK TYPE: _ NEW ~ REMODEL DESCRIPTION OF WORK: /tv- CONSTRUCTION COST: Cs d oC) co °r TENANT NAME: SITE ADDRESS: JCl'`•"^ SUITE LOT I BLOCK I SUBD. 1_Q11J1J0eNW 70 S" P.I.D. # PROPERTY Last F'ust OWNER SVeet Address: . Ciry State: Zip: Company: Tot. Phone G S ( - ZZ ~I '-~3I cll' CONTRACTOR Street Address: 2( S City 51- Qa~p State: d'Ct? Zip: 57 / 0~ ARCHITECT/ ENGINEER Company: Phone ` Name: Regisuarion A Street Address: Ciry State: Zip: Sewer & water licensed piumber (onlv if installino sewer 8 water): I herehy-acknuwledga-EMaEI-haveread this appiication, state that the information is correct, and agree to comply with all applicable State ~ ir\- ) of Minnesota ttazutespnd Ciry ofiEagan Ordinances. Signature of Applicant: SEP 21999 ~ ~C OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 26 Public Facility ? 28 Greenhouse ? 25 Miscellaneous ~ 27 Commercial/lndustrial ? 29 Antennae WORK TYFE ~~MOD~LFa(s1 S~.TII~G A~b4 ~~EI~o Fll~.` ? 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 43 Siding/Soffits/Facia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors A 33 Alterations ? 36 Move Bldg. ? 42 Reroof ? 45 Fire Repair GENERAL INFORMATION Const. (Actual) ~ Basement sq. ft. Census Code 43? (Allowable) ~ First Floor sq. ft. SAC Code 30 UBC Occupancy a sq. ft. No. of Units ~ Zoning CSL < sq. ft. No. of Bldgs. # of Staries l sg. ft. MC/ES System Length sq. ft. - City Water Width Footprint sq. ft. Fire Sprinklered APPROVALS rianririy nuilaing l~ cngineering Variance Permit Fee ~ VALUATION: $ (0d yWo Surcharge 0 _ o C) Plan Review MC/ES SAC % SAC Ciry SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant / Park Dedication Trails Dedication Water Quality Other Copies Total ~ a~ -l . _ *#***i##**************##*f**~t#****# C I TY O F E A A iV *'~OT°: PA~~ OE FEE AT TIME pF ~ * APPI.ICATION DOE:S NOT CoI1S"i'I2V1E * * APPROVAL OF PERNIIT. * ~ APPLICATION FOR PERMIT * ~ intsPrx-i2ota oF sE~= ANP/at %AWt * y*, rucmaT.rMrONS WIIZ NOT HE SClHED- ,*t SEINER AND/OR WATER CONNECTION »UILED Lwrn. PERmIT HAs BEEN ; . * A2ritovm. » * * * * * ***f**~*,.*~****.******~**.*~***~*#** P ease Print ' 1) PROPERTY ADDRESS; LEGAL DESCRIPTION; 76 ~ Lot Block Subdivision or Tax Parce ID ) IF E}:ISTING STRC'CILRE. DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: i . PRESENT ZONING/PROPOSID L'SE: (Mon )rear 'p" COP'MERCIAI./RETAIL/OFFICE ? R-1 SZNGLF, FAMILY . 0 IND'STRIAL ~ R-2 Dt;PLEX (ltoo L~nits) INSTI'I[JTIONAL/GOVII2I2MN'p ~ R-3 1UWNiOU5E (Three + Units) ( Lnits) . p R-4 APAR'IT7ENT/00NppMINIC'M ( Units ) 2) AwoREss:~/~ - G CITY. STATE, ZIP: ~ PHONE: •3 - 3) u c a• NAME• For City [Jse . .s...~.~ P1LUnbers License: ADDRESS: Active ired i CITY. STATE, ZIP: bcp Not recorded PH0NE: MASTER LICEN5E# Sta In1t131 4) 9•:,~ ~..ni'~;m NA61E:1=]eE~~~_.(/ - ADDRESS:1~ CI'TY. STATE, 2IP: PHONE: . -5) ~ vi r- • a• : a • a~ - ~ CONNECfION Z+D CITY SE4E2 ~ CONNECTION ZO CITY WATEE2 ~Jf O'ISiERr~Z~~yg~:~ 6) ~ PLEASE HOLD APPROVED PII2MIT FY)R PICK-UP BY ONE OF ABi7VE PI.EAuE MAZL ApPROVED PERMIT TO 1, 2, 3, 4, ABOVE . (Circle one) 7) r r•. ~ - . ' 7- • Y' C ~ 1' ~ ~ I' • ? 171• . i~ /Y01• . . y.' • ' 7~ • ~ ~ • 1. ' 1~ ! : ~1'1. 'l1a~ 1 1 1 ~1 ~ :A' ' 1~~ Y . TOR CITY USE ONLY PERMIT # ISSUED ' Pd w/Bldg. Permit FEES: $ $ fO. 50 SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLLDE SL'RCHARGE) . $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ ACCOONT DEPOSIT - WATER $ -777 $ WAC $ $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSNIENT $ S ' LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $ WATER -TREATMENT PLANT SURCHARGE $ $ ID OTHER: $ S 31,60 TOTAL 9D6D RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : . ~ ~c - 1 5 CRAIG RNUDSEN - ENGINEERING TECH. BILL AKINS - ELECTRICAL INSPECTOR , MEMO R0: TOM COLBSRT, DIRECTOR OF POBLIC WOR%5 .T114 STOBH. PLANNIa1G DfiP9ATMEN? FROM: DALE PETERSON, CHIEF BIIILDING OFFIC29L . DATE: The Protective Inspections Department will be performing a Final inspeetion for oecupancy of on Please return within 48 hours with your approval or denial. Failure of response within that time Prame will be determined as approval. Thank-you. DP/Js APPROVAL: DENIAL: f~ ~a (SIGNATURE & DATE) (SIGNATURE & DATE) -'~G~~~~~'^~•- .:4 minneso#a department of health 717 s.e. delaware st. p.o. box 9441 minneapolis•55440 O (612) 623-5000 . , . . . . . ' . . . October.2. I90 Nr. Oan lawrence : " TacO De11 CorDOrattort ' • ' 18655 ilest 81ae MAUnA Raad l2t14 9roakfield, M9aconsfa ,53005.- ~ Dear Mr. LawrtAea: ' , . >SU9JECT; Aiumbfnq 4or TacQ„~,Bs11. Esgatn. 14irmesot3 : We, are enelastnq a copy oP our.rksporx coveriag ar ex#mimatiort of ptwrt. and tpeclflcations on,ihe abovE-desdgnated projact. 1415o enctosed 1s a, GOpY Of t" r@p0!'to transmlttal letter and plenc ta 4e sorwardeQ. La the . Qrnject ownor. it IS'THE PRQJfiCT OktNER'S RE5?OMSIBI6iTT 'ft} RETAIR TNE PLARS RT TME PR4JECT 40GA7ION. Yaur sttee+iion t; direcLeA to the attached statewt pertaining Le ~ • inspectlon of tht pluching. IC ts inwtant that w reeetve t#?e fnformatfon inAiCated tn order Zhat the nACessary3nspeetlon may ba Tadr.. . _ ' , The plarts and sp8ctfiCat.t4ns oOpREr to bt in general Confo?7nanca xith , the stn+QirdS pf th1s tlepartment. When tho project is cvmpteted, plaase cvmnlcate Mith an Emrtroemntdt iteplth sanliar1an.in oar MletroApl"itart Office tp Ndnneapolis ;5612/82d-F33S1, St+ ordn^ that they may eiuke fdiial ~ in90dCt4on. . If you haw any questicns 1n regarQ ta plumbinq inspeetions, piew ' , contAct ponala StanTay nt.&i2/4l3-532$. If you here any quest4ens in rRgarA to the inforeatton contalaed 1o this nDOrt,.please contact Br1an A. Noma at 612/623-5357. 81actYely youm . Gary~L. Englundy R:H., 010 • _ Settion of yater SupPiy - • ind Englnaartng SLE:BAN:gh ° £nGlqsures , . cc: Pro3est Omer . ' ' fte-. ki.lltam Adans; Plumbing' Ins*Lar. Itoanoke BQiidtng Cmnany,. Inc. . . - , an equal opportunity employer , . ' , - MINNESOTA DEPARTMENT OF HEALTH Division of Environmen[al Health REPORT OF PLANS i Plans and specificati•ons ooPlumbing for Taco Bell Town Center Drive and Yankee Doodte Road Location EdgdR, Minnesota nate Examined September 26,>1986 Prepared and submitted by Mr. Don Lawrence, Taco Bell Corporation, 16655 West Blue Mound Rd. #200, Brookfield °Wisconsin 53005 Da[e Received September 11, 1986 Ownership - Scope - Thia examination is limi[ed to the deaign of this partfcular project only insofar ae the provisions of the Minnesota Plumbing Code, as amended, apply, and does noC cover the water aupply or sewerage aystem to which this plumbing system is connected. The examina- . tion of plans is based upon the eupposition that the data on which the design is'based are correct, and that necessary legal authority has been obtained to construct the project. The responaibility foti the,deaign of structural features and the eEficiency of equipment must be taken by the project desfgner. Approval is contingent upon sa[isfactory'disposition of any requirements included with thie report. Inapectians - Special care should'be taken to"insure that the material'and installation of the plumbing system are in accordance vith the provisions of the Minnesota Plumbing Code. It ie necessary that the State Heal[h Department'make'roughing-in and;final in,spections of the plumbing system to determine whether i[ complies with the Code. Provisions should be made for applying an air test at the time of the roughing-in fnspection as outlined in Minn. Rules p. 4715.2820 of the Code. In order to facilitate this work, there ie attached a aelf-addressed card which should be returned, indicating the name of the plumbing contractor so that arrangements can be made for the SCate Health Department to be notified by him as to the time that the installation will be ready for test and inspections. No acceptance of the plumbing installation can be given until inspection and test of the roughing-in work (Minn. Rules p. 4715.2820, subp. 2), finished plumbing (Minn. Rules p. 4715.2820, subp. 3), and inspection of the completed installation by a represen*ative of the State Health Department indicates compliance wi[h the provisions of the Code. Requirements - (OVER) Authorization for construction in accordance with the aQproved nlans may be withdrawn if construc[ion is not undertaken within a period of two years. The Eact that plans have been approved does not necessarily mean that recommendations or requirements.fqr change will not be made a[ some later time when changed conditions, additional information or advanced knowledge make improvements necessary. . Approved: Milton R. Bellin, P.E. ' • Brian A. Noma Public Health Engineer Engineering Aide 5ection of Water Supply Section of Water Supply and Engineering and Engineering Requirements: 1. Uerify that the water closets are vented in accordance with the Minnesota Plumbing Code. Refer to the enclosed handout for proper venting procedures. 2. Verify that the prep sink (Fixture S-3) is directly connected to the sanitary drain system. 3. If the qrease trap is required by the local authorities, then verify that the construction of the interceptor is in accordance with the Minnesota Plumbing Code (see Minn. Rules, p. 4715.1110). The following cortonents sha11 also be incorported into the project: a. Verify that the grease trap is vented. b. Verify that the grease retention capacity in pounds of grease is at least twice the flaw through rate in gallons per minute. c. Verify that the interceptor is equipped with a flow control device. d. If a sink compartment contains super-heated water, then this compartment shall not discharge into the interceptor. 4. Provisions for supplying 180-degree Fahrenheit water-to the three- compartment sink should be shown on the plans, or provide for chemical sanitizing. 5. All underground sections of sewer pipe located within 10 feet of water supply pipe shall be constructed in accordance with Minn. Rules, p. 4715.1710, subp. 2. 6. The water piping system shall be disinfected in accordance with Minn. Rules, p. 4715.2250. 7. The plumbing system shall be tested in accordance with Minn. Rules, p. 4715.2820. ~I ~.s922 (25 VVZ(2 / 6o7 ' -;t2 `07 -ZZ 71 , / ' ~Z, l~S17Lv' ~ ~ ~u s oL S~P)PD Nncu. ~ g i-1 77 . L_ ~ S r Tourt ~.lr~ ~c5 S~ MEMO T0: JAY SERTHE, POLICE DEPT. TOM COLBERT, DIRECTOR OF PUBLIC WORKS JIM STURM, PLANNING DEPT. KEN VRAA, PARKS & RECREATION DEPT. JOE CONNOLLY, WATER DEPT ) JON HOHENSTEIN, ADMINISTRATION . FROM: DALE PETERSON, DEPARTMENT OF PROTECTIVE INSPECTIONS DATE: 4" The preliminary construction v plans for TA~A ~LL - I Zq5 TOWN eN 12E Dr- are in our plan review section for your review and comments. Please return this form to Steve Hanson with your initialed comments and the date of review. Failure to return form to Steve vithin five (5) daYs V111 be considered your approval.. l/ 9 f000'-c Thank you. ~ /JS MEMO T0: JAY BERTHEO POLICE DEPT. TOM COLBEAT, DIRECTOR OF PUBLIC 14ORKS JIM STURM, PLANNING DEPT.) KEN YAAA, PARKS & RECREATION DEPT. JOE CONNOLLY, WATER DEPT. JON HOHENSTEIN, ADMINISTRATION . FROM: DALE PETERSON, DEPARTMENT OF PROTECTIVE INSPECTIONS DATE: The preliminary construction v plans for TAGO ~L ~ ~1^`~5 IDWN ~-E~IT2E r-~ are in our plan review section for your review and comments. Please return this form to Steve Hanson with your initialed comments and the date oF review. Failure to return form to Steve vithin five (5) daYs vill be considered your approval. Thank you. /JS MEMO T0: JAY BERTHE, POLICE DEPT. TOM COLBERT, DIRECTOR OF PUBLIC WORKS JIM STURM, PLANNING DEPT. KEN YAAA, PARKS & RECREATION DEPT. JOE CONNOLLY, WATER DEPT. JON HOHENSTEIN, ADMINISTRATION . FROM: DALE PETERSON, DEPARTMENT OF PROTECTIVE INSPECTIONS DATE: `1 - I ~ • ~ ~ The preliminary construetion V plans for TA4-0 5e4.L -11-q5 Tpy.IN CEaJ72E are in our plan review seetion for your review and comments. Please return this form to Steve Hanson with your initialed comments and the date of review. Failure to return fom to Steve within five (5) daYs wi11 be considered your approvaL Thank you. /JS r eAl MEMO T0: JAY BERTHE, POLICE DEPT. TOM COLBERTO DZRECTOR OF PUBLIC ~ JIM STURMt PLANNING DEPT. KEN VRAA, PARKS & RECREATION DEPT. JOE CONNOLLY, WATER DEPT. JON HOHENSTEIN, ADMINISTRATION FROM: DALE PETERSON, DEPARTMENT OF PROTECTIVE INSPECTIONS DATE: The preliminary construction v plans £or TAGO 554-t- - 12q 5 TDW N CE44T2E QZ • are in our plan review section for your review and comments. Please return this form to Steve Hanson with your initialed comments and the date of reviex. Failure to return Porm to Steve vithin five (5) days vill be considered your approval. Thank you. /JS , MEMO T0: JAY BERTHE, POLICE' DEPT 1 TOM COLBERT, DIRECTOR OF PUBLIC WORKS JIM STURM, PLANNING DEPT. SEN VRAA, PARKS & RECREATION DEPT. JOE CONNOLLYt WATER DEPT. JON HOHENSTEIN, ADMINISTRATION , FROM: DALE PETERSON, DEPARTMENT OF PROTECTIVE INSPECTIONS DATE: 9:" 1M~ The preliminary construction plans £or TA-(r0 ~L - 11-175 TOWN ~lT2E ~ are in our plan review seetion for your review and comments. Please return this form to Steve Hanson with your 3nitialed comments and the date of review. Failire to return form to Steve vithin five (5) days vill be considered your approval. Thank you. ...wr--,... . . , - /JS . . . j For Office use ~ I ~ City of EapIl ~ Permit~ ~ ~3c-7 ~ j PermitFee: SIr ~ ~ j 3830 Pilot Knob Road i ~ E0g0n MN 55122 ~ Date Received: j Phone:(651)675-5675 i I Fax: (657) 675-5694 ~ Staff: ~ 2008 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION" y - - - - - - - - - - - - o¦te: J 1(0 site address: 1011572ow,v Qt.tl7'fu~~ LJi-i vc Tenant: ( RCt~ ~L~. ~ 3a~~ SuiteN: PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: _ Owner _ CoMractor TYPE OF WORK Description of work: e'..MOvc 01 a~i~ S STErh JA/SrA(L UL 00 AA4 UL ?-`JO Construction Cost: t , 7W, &'O Estimffied Completion Date: s oh) CONTRACTOR Name: A )e)k7'l4 Oya.D Flkf C)-SCC-c'X 'T 7 License AaaresS: 41ys (_:1. _77t'` 84 Ciry: /"VNNE,*PdLLS State:. kN Zip: Phone: G I5~,- 613-0105 ContactPerson: FIRE PERMIT TYPE WORK TYPE _ Sprinkler System of heads ~ New Fire Pump _ Addition _ Standpipe teratiora emodel Other: DESCRIPTION OF WORK: ommercial _ Residential _ Educational FEES $50.50 Minimum (indudes State Surcharge) OR Convact Value $ J 7, a ~ x 1% _ $ .SQSro Permit Fee - N Pemi Fee is less than;1,000, sureharge is $.50. - R Permit Fee is> $1,000, surcharge increases by $.50 far each Stete Surcharge $1,000 Pertnit Fee (i.e. a$1,001$2,D00 Permit Fee require5 a$1-00 surcharge). $ cSI• TOTAL FEE 314" DisplacemeM Fre Meter -$183.00 $ Fire Meter $ TOTALFEE' 'HequtremeMs: 2 compleSe sets af drawings artd specFficatiorts, cut sheets on meterials and components to be used I hereby apply fa a Fre Suppression System parmit arW xlcrWwledge that the information is complate a1W wcurate; that the work will be in . conformance with the ordinarwes and codes of the City N Eagan aiW with the Minnesota BuildingiFre Cades; that I understarb this is not a pertnit, but only an applicauon fa a permit, and work is nat to start withau[ a permit; Mat the work will be in ac rdance with th approved pan in the case of worlc which requires a review antl apprmal of plaris. x~Qe~~ Y~CI~?Ci5 Ap(AicanYs PrMe~Name IicaM's Sign FOR OFFICE USE REQUIRED INSPECTIONS _ Hydrostatic _ Flow Alarm ~ Drain Test Rough In 7x- Trip _ Pump Test , Central Station X Final CorWRions of Issuance: Permit Reviewed b Date: ~ 1,3 ~ ! bO �,. ;� "H". � � � � � �, ..� s . , 'ham � 1 1 „ ! t 5a"1 } , Al t > .s�- �. z �. ✓ - = i . —, ' .r te . ' z� . 4 4 ,- ,'1,1*" ".-.7 �s . .�7 w ;r ' RYA 4 1 ? ' x a. 4 Y ft- , • 5 • « - Y , 31- � ^x °! ! 7',a * 7 .yam ♦ Iii: F i! M 1r i 300 4t 56 1 :1_00..--•••,..,-,-,-;-c,-:• t y r ° l/ 4tCht, b ^: 2 ... immujoi..-‘ . - ;.-' . .*:...0• 01 ' ,....... :.. . -..,- .i ...,..;-.- 1 VIGAN v - ? �V1h1 • 11X:• '� d < � f,• P1rur r: . } k F.. BY r , t C1 � CityofEaQali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /z,)/S7 Perms Fee: Permit #: Date Received: Staff: -1'112 2012 COMMERCIAL BUILDING PERMIT APPLICATION Date: tkr IPZ- Site Address: Ii 1 S OWrJ Cc l%`c�' oc J Tenant Name: ON -0 r5,4_ (Tenant is: New / Existing) Suite #: Former Tenant: PROPERTY OWNER Name: t f p.r. L -L C"- Phone: -+I2 --3/3 - Address / City / Zip: C 0 5 6 lef1/4:11"3NZ4ZeQe, b1NS TYPE OF WORK Applicant is: Owner '1 Contractor Description of work:) 01-1 Of c,‘do ---r-pro 'RE-( pt.„ r Construction Cost: 1 ', 000 CONTRACTOR ARCHITECT/ ENGINEER Name: l r R P- License #: Address: I2S 1 ` QUA 's" -t- State: \v,tl Zip: c5 31S Contact �\ v RITZ City:U Ali c Phone: 17 5 - -/c 1 vRw &Xcpv7 i .fibM Email: S'VvR Name: Address: City: State: Zip: Phone: Contact Person: Registration #: 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 48 hours before you intend to dig to receive locates of underground utilities. www.goph- _ _ .necall.orq 1 hereby acknowledge that this information is complete and accurat- . nce with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, bu •'4 start without a permit; that the work will bye in accordance with the approved plan in plans. x -°fir`+: I `/FK1'�1"� Applicant's Printed Name afthe only an applicati e case of work wh 1 be in confor for a permit, an. require x w .. • ew and approva Appl nt's gnature Page 1 of 3 Aug 16 12 12:21p ST PAUL UTILITIES AUG/16/2012/THU 11:'5 AM City of Eagan 46° Cityofaffall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 6514820285 p.1 FAX No. b5 -975-5E94 P, 001/001 r Use BLUE or BLACK Ink For Office Use Permit 0: Permit Fee: 2`). co Date Received: Stan: 2012 SEWER AND WATER REPAIR / DISCONNECT PERMIT Data: B r1 (01201 Z Fee: $60.00 City Sewer City WaternRepair Disconnect Description Of Work: T /44(10 SE_(. R. Sawa._ P%,,jC ^�( 4(tet',EJ. Street Address for Proposed Work 12-9' 3 cc -t-)& CE4a-E.S. LIR,.Y E._ OWNER Name: ct D Tet -c. 1,E L_L Phone: Address 1 City 1 Zip: Applicant is: Owner ontractor Name: �• ?AOC_LicensedPipelayer C > Master Plumber Property Owner 0/dP(/ 7f�2e-q( /<q(, Phone: �iS-1'LtSL / -r&ZCP Address / City I Zip: ) O 1�y Lia/C....,_ (�1r C /f 1 AA,%1( f! 1 7 1 6 Pipelayer Training Certification Card It / r C5O or Master Plumber License #: I acknowledge that the information is complete and accurate and that the work ill be in cont m ce with the o .i n C and codes of the City of Eagan and the State of MN Statutes. I understand this is not a • it, but on ap i for - pe,r it, and work is not to start without a perm/il. / i Applicant (Print Name) ii ppli . nt's Signature CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protectlon against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www,00pherstateonecall.orq ik CA -a- C'wxr Cry //vi -o *City alBaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 20112 Use BLUE or BLACK Ink 1 For Office Use Permit #: i()(dj° `'i Permit Fee: Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Dat4 ,2O /2 Site Address: /927 / (/ /�' L %Y,T�— i f jE r' V// v W/‘ Suite Suite #: Tenant: ✓/? ' IN' v W/414✓ ne: Address / City / Zip: Name: /T `CiLTense#: Address: f?/- WI 355j ity:s/^/®frf State:��1 Zip:T/ted" 46/Phone: /�' U "-�r/�� fv Contact: C' (�ieri�W, .e - Email:49;k6 /9-a W//i4tierx r. 74 New Replacement Additional Alteration Demolition Description of work: P1-5-7/04 ,%1(��G' iY�kv' RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other (New Construction Install Piping X Gas Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) COMMERCIAL vX Interior Improvement Processed RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal $55.00 Minimum (includes State Surcharge) - If the Permit Fee is Tess than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $X®©p x 1% _ $ p7CIO Permit Fee _ $ Surcharge = TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in co. •rmce with the ordinances Eagan; that I understand this is not a permit, but only an application for a permit, and work is n o sta thout a permit; tha with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed ame x the City of e in accordance ppli nt's Signet -Use BLUE;: or.BLAC j Fgr. ffiice Ilse permit #: j06 71/ 3830 Pilot Knob Eagan MN 55122 Phone £651) 678-605 .. Fax (651) 675 5694 Peel* .Feel Date Received: Starr:. 17 7�, ink li 2 i12 OQMNIMIAL B M :E: ING PE ivtit:APPLICATIQ.N Date l a t 7 Zia Site Address t z 9' .to WN CtE0S 6,r • eAA. tenant Name 511E22.14t t.i. W aLL.I A.M (tenant rs :1 New l Existing) Suite #: Fortner Tenant, Name t .L . Phone 1-2-7) ala Atldress / City / Zrp !a..,:b.'.€03.14.®r.: , i OPROLAMA Appitcant Contractor :' r4r0L 542.1:% C 2 i. v LC3J'r' tt Oescnpfionof wank. t 5 tl f�. , }! E Construct • ion Cost. Z5i 00 ©. Na•med.. Ccsi•`3SttLT104 License# • Addresst 2� O ur-N~-Y_ a3 0 .:: .Q cb'as,tv State, M13 Zip 3`' " j Phone: `3) - -3 cs°i ,4 contact:.:; curt.:._ Q S (1 Email: S Co: + trS(. (i.l"...eioe-r--cOYlt . Regisfr .tion #: 39C Address .4* 60114 C City.: i t i-WAti E StateWI Zip ,J�- �7j .'Gi✓ Phone t4); 3 3Y3 Contact Pelson �� YFinals :; lig Licensed plumber install ng new sewer3water service Phone # pp _ b rc,nformation Port o M07E f'>lans end su ottrng documents that yp#f suiinirt sire consitleced (be'pr{ I the mformatton:may be classlliectas non public rfyou prov}de speck reaso r$ that wocrlo permitthe Crfyt: ci nciutle fhaf they -ire'. #. '' 'secrets. CALL BEFORE YOU DIG Cali Gopher State OneCall at(661) 454-0002 for protection against underground utthty+_damage; Ci,elt 48 hours before you intend to dig to receive locates of underground utElities www. opherstateonecall.org " hereby acknowledge that this ill.formation is complete and accurate #ht the work will be in conformance Mth the ordinances: cosies of the; City of Eagan, that understand this is not apermd, but only an application fora permit and work is not to start wi iso p-----' that the work:vrnil be in accordance -with the approvedv. pian In the case of work; ich requires : rewevu and appro�!ai ofipl� ns. (c-koiod Fyt-A-Ve_& Applicant. s: Printed Name Applicant's Signature Page hd fa of 3 4 DO NOTINFilTE BELOW THIS LINE _ /O67/ SUBTYPES,,- v':::•.1- ' - ' - " .: .. Foundation .. .,_._ i;Public Facility - -. ,,.. . :COrnenercial 1 Industrial .:.:- Accessory Building iFiPerinient-S Greenhouse / Tetit fillisCallarieeiES ::. ,Anteriraa ;!! .,- W RKIYPES : . iiite.tior.lrnprOyeinent Exterior Improvenient „., Alteration Repair Water Damage - Salon Owiner:Ohange DESCRIPTION 0.4.e Watian 47.4:1 A AO Plan Reviewoo_...... . . ) 60.4.040t9.4 # otOnits .0..• of .1400.0so . Type at Construction VB :AEQUIREOlkSPECTIONS FOOngeIPeOl.9 f,5604(40014qp) :..•-•:•ootHiff4 • Roof Decking ......„:ice & Water. Final Framing Exterior Afteration-APertMents Exterior Alteration-..-Consiierpial Exterior Aiteratiortublic Facility Siding Demolish i3oilding. ,_ ... : Reroof Demolish Interior Windows Dernolish Foundation 'Fire Repair Retaining Wall tictin°1"lilun entire bungling - give F CA handout to 40 .:•i ' : . ,000Upericy .. . .. . . Code Edition 7067:".. at. zeNtio • „ &54..-. ., -Stories -- i : . Square Feet 31.5101.> Length ,:. Width , Iteplaop: . Rough Jr __Air Test _Final Instriation Pieter Size: FiliOl iniPedtiOn: SOhednle Fire .Nlershel to Preeent: Yes :No ; ilevipw04 13y; meg. system SAC wilts o/L4rre*-- City -Water . . . Booster -Pump Fire Sprinklers . . _j ShSEtrOOk V Final Required Final 1 No OA Required Other. 0061; oigt!pg ?, /G S Tests Final 77Siding: StuCu Lath ,Stone Lath _4__Lpriok Whid� u Retaining Wall —7/ Erotion Control Reviewed By.; Building InspeCtor nin COMMERCIAL- FEES Baia Fees Surcharge plan Review mcgs SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (lrrigatiori) Park Dedication Trail Dedication Water Quality 7 C.- Water Quality 17 - S'o Water Supply & Storage (WAC) /1.1 54. If Storm Sewer Trunk Sewer Trunk Water Trtin k Street Lateral Street Water Lateral Other: 1-#4,104,41,M Ofii9511" 70 Soo • 0-0 TOTAL 12-/ 73 • 4 Page 2 of 3 it Metropolitan Council Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Ao6 Environmental Services August 16, 2012 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Sherwin Williams to be located at 1295 Town Centre Drive within the City of Eagan. The City will be charged no additional SAC Units for this project, as determined below. SAC Units Charges: Office 117 sq. ft. @ 2400 sq. ft./SAC Unit 0.05 Stock 1551 sq. ft. @ 7000 sq. ft./SAC Unit 0.22 Retail 1405 sq. ft. @ 3000 sq. ft./SAC Unit 0.47 Total Charge: 0.74 or 1 Credits: Future Demolition Taco Bell (Look -Back Period — paid 10/86) 3.00 Net Charge: 0 Please be aware that the demolition credit is being taken ahead of the actual building demolition and no other credit will be available. At the time of the actual building demolition note on your SAC -D form that the credit has already been applied to a new use. Also keep in mind all demolitions must be reported within one month of the end of the calendar year during which the demolition occurred, in order for the prior use to be eligible for any credit on the property. The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us. Sincerely, 44 46,7.•t_ on Cappaert SAC Program Technical Specialist Environmental Services Division KC:kb: 120816A7 Determination expiration: August 16, 2014 cc: J. Nye, MCES Peggy Fleck, Eagan (email) Michael Fraser, BTS Construction (email) www.metrocouncil.org 390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 • TTY (651) 291-0904 An Equal Opportunity Employer City of Eaaall Nemo TO: cott Peterson, Building Inspections n Hohenstein, Community Development Mike Ridley, Planning /Darrin Bramwell, Fire Marshal ✓John Gorder, Engineering Leon Weiland, Engineering Jon Eaton, Utilities ric Macbeth, Maintenance Gregg Hove, Maintenance FROM: Craig Novaczyk, Senior Building Inspector DATE: 8/13/12 RE: Plan Review For: Sherwin Williams 2`J Town Center Dr 12-R S. - The The plans are in our plan review section for your review and comment. # 11 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: Indicate below any fees that are to be collected with the building permit. Amount ❑ Yes ❑ No Landscape Security Required Zoning: ❑ Yes ❑ No Water Quality Dedication Meter Size: ❑ Yes ❑ No Park Dedication ❑ Yes ❑ No Trail Dedication ❑ Yes ❑ No Tree Dedication ❑ Yes ❑ No PRV Required Signature Date G:\Building Inspections\FORMS\Commercial Bldgs Final & Plan Review Letters City of Evan Nemo TO: Scott Peterson, Building Inspections Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Russ Matthys, Engineering John Gorder, Engineering Leon Weiland, Engineering Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove, Maintenance FROM: Craig Novaczyk, Senior Building Inspector DATE: 8/13/12 RE: Plan Review For: Sherwin Williams 1259 Town Center Dr The plans are in our plan review section for your review and comment. # 11 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: Indicate below any fees that are to be collected with the building permit. Amount Landscape Security Required Zoning: Water Quality Dedication Meter Size: Park Dedication Trail Dedication Tree Dedication PRV Required ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes No nature Date G:\Building Inspections\FORMS\Commercial Bldgs Final & Plan Review Letters *s City of kali Nemo TO: Scott Peterson, Building Inspections Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Russ Matthys, Engineering John Gorder, Engineering Leon Weiland, Engineering Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove, Maintenance FROG Craig Novaczyk, S=nior Building Inspector DATE: RE: Plan Review For: Sherwin Williams 4 -59 -Town Center Dr 17-1 The plans are in our plan review section for your review and comment. # 11 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: 442_ To& Indicate below any fees that are to be collected with the building permit. Amount Landscape Security Required Zoning: Water Quality Dedication Meter Size: Park Dedication Trail Dedication Tree Dedication P', Re uired ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ N Sign DatM13/& G:\Building Inspections\FORMS\Commercial Bldgs Final & Plan Review Letters *' City of Eagan Nemo TO: Scott Peterson, Building Inspections Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Russ Matthys, Engineering John Gorder, Engineering Leon Weiland, Engineering Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove, Maintenance FROM: Craig Novaczyk, Senior Building Inspector DATE: 8/13/12 RE: Plan Review For: Sherwin Williams Town Center Dr The plans are in our plan review section for your review and comment. # 11 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: Indicate below any fees that are to be collected with the building permit. Amount ❑ Yes ❑ No Landscape Security Required Zoning: ❑ Yes ❑ No Water Quality Dedication Meter Size: ❑ Yes ❑ No Park Dedication ❑ Yes ❑ No Trail Dedication ❑ Yes ❑ No Tree Dedication ❑ s ❑ No PRV Required j Signature Date G:\Building Inspections\FORMS\Commercial Bldgs Final & Plan Review Letters City of Eapll Nemo TO: Scott Peterson, Building Inspections Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Russ Matthys, Engineering John Gorder, Engineering Leon Weiland, Engineering Jon Eaton, Utilities Eric Macbeth, Maintenance Gre.• - ce M: Craig Novaczyk, Senior Building Insp DA RE: Plan Review For: Sherwin Williams 4 -259 -Town Center Dr The plans are in our plan review section for your review and comment. # 11 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: LYN Sk 1-6m4 (32,46, 1.19 Indicate below any fees that are to be collected with the building permit. Amount ❑ Yes No Landscape Security Required Zoning: ❑ Yes No Water Quality Dedication Meter Size: ❑ Yes No Park Dedication ❑ Yes ❑ No Trail Dedication LI Yes ❑ No Tree Dedication ❑ -s ❑ No PRV Required Date Vis G:\Building Inspections\FORMS\Commercial Bldgs Final & Plan Review Letters City of Etall TO: Scott Peterson, Building Inspections Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Russ Matthys, Engineering John Gorder, Engineering Leon Weiland, Engineering Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove, Maintenance FROM: Craig Novaczyk, Senior Building Inspector DATE: 8/13/12 RE: Plan Review For: Sherwin Williams 1259 Town Center Dr The plans are in our plan review section for your review and comment. # 11 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: Indicate below any fees that are to be collected with the building permit. Amount Landscape Security Required Zoning: Water Quality Dedication Meter Size: Park Dedication Trail Dedication Tree Dedication PRV Required ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes IX No ❑ Yes ❑„ No Signature Date vri--(ar G:\Building Inspections\FORMS\Commercial Bldgs Final & Plan Review Letters 40 4A 4,11 City of Eayll Remo TO: Scott Peterson, Building Inspections Jon Hohenstein, Community Development Mike Ridley, Planning Darrin Bramwell, Fire Marshal Russ Matthys, Engineering John Gorder, Engineering Leon Weiland, Engineering Jon Eaton, Utilities Eric Macbeth, Maintenance Gregg Hove, Maintenance FROM: Craig Novaczyk, Senior Building Inspector DATE: 8/13/12 RE: Plan Review For: Sherwin Williams 1259 Town Center Dr The plans are in our plan review section for your review and comment. # 11 Please return this form to my attention with your signed comments within 7 days. Please indicate any concerns you have with these plans and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please submit the proper "hold request" form to me. Comments: fir° e re (4m' ±Jl / 5izo ' p%a-r) s (1e tejaJ7 )/i, /a ntddceyvi j ' i)G►v1ivh - c. idol- kold on e- d , vvt f i l Y c!QJe e --6`iifv,e 06c, i / -b Sova is fiat vi sf.bce -(140^ o -4 p tediva` `7 Indicate below any fees that are to be collected with the building permit. Amount V4 Yes ❑ No Landscape Security Required '11+- t((fitZoning: ❑ Yes ❑ No Water Quality Dedication Meter Size: ❑ Yes ❑ No Park Dedication ❑ Yes ❑ No Trail Dedication ❑ Yes ❑ No Tree Dedication ❑ Yds ❑ No PRV Required )?' 01A/M 44 adr Signature Date G:\Building Inspections\FORMS\Commercial Bldgs Final & Plan Review Letters rinr""getan info o Embattling Consulting �BuildOn November 30, 2012 Mr. Mike Fraser NLD Eagan, LLC 50 South 6th Street, Suite 1480 Minneapolis, MN 55402 RE: Sherwin Williams Paint Store Eagan, Minnesota Project Number: 0675389 Dear Mr. Fraser: Professional Service Industries, Inc. has provided construction inspection and testing for Sherwin Williams Paint Store in Eagan throughout the duration of the project. These services were provided under contract between NLD Eagan, LLC and PSI. Inspections performed included the following: • Soil Observation and Testing for the Building and Parking Lot • Proofrolling Observations • Concrete Testing • Reinforcing Steel Observation • Foundation Observation • Structural Steel Observation and Testing • Masonry Observation and Testing Based on the results of the testing and observations, the work items observed were in substantial compliance with the project documents. If you have any questions pertaining to this letter, please contact our office. Respectfully submitted, PROFESSIONAL SERVICE INDUSTRIES, INC. Brandon J. Saeger, E.I.T. Branch Manager Professional Service Industries, Inc. • 2401 Pilot Knob Road, #138 • Mendota Heights, MN 55120 • Phone 651/646-8148 • Fax 651/646-8258 - .s 50$ > CD g ®k `- . . , ..- E. q I Chemical Name and Common Name CAS # Material: Class (Chemical Abstract Service #) PHYSICAL HAZARD MATERIALS INVENTORY REPORT , C. .56 � - _ 6 1 th Cs � 53 Storage b. Soild Liquid : Gas Pounds Gallons (cubic,(cubic feet feet) pounds) at NTP) • 2R » a* I: \ 2 yj g P . Use.Closed Systems b. Solid Liquid Gas Pounds Gallons (cubic (cubic feet feet) (pounds) at NTP) Use -Open Systems b, Solid Liquid Pounds Gallons (cubic (pounds) feat) 3 0 / \ \ \= \ c . N . .44 10 tb � S ‘STI 7 Sil. N \ t Occupancy group (F1)14,11,3'1 the maximum allowable quantity Is exceeded - .s 50$ > CD g ®k Craig Novaczyk From: Craig Novaczyk Sent: Wednesday, September 12, 2012 7:04 AM To: 'Allison Kern' Cc: Sarah Thomas Subject: RE: Sherwin Williams - Town Center Drive Allison, In order for us to issue a separate footing and foundation permit, we will need you to submit (2) addition sets of plans that include the Certificate of Survey, the Site and Utility sheet, the Grading Plan, and plan sheets S1.0 and S4.0. We will also need you to fill out a separate permit application. The fee for the footing/foundation permit will be based on $10,00.00 dollars of the total valuation plus all other fees associated with the building permit. This permit will not include inspections for any work done above grade. Craig Craig Novaczyk 1 Senior Building Inspector 1 City of Eagan City Hall 13830 Pilot Knob Road I Eagan, MN 55122 I (651) 675-5683 I (651) 675-5694 (Fax) I cnovaczvkna.citvofeagan.com City Of Ea all THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient. If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers. From: Allison Kern [mailto:akern@caprei.com] Sent: Tuesday, September 11, 2012 3:21 PM To: Sarah Thomas Cc: Craig Novaczyk Subject: RE: Sherwin Williams - Town Center Drive Hi Sarah, As discussed, please accept this email as confirmation that we are currently revising our plans to show the following changes: • Revise building elevation material calculations to eliminate accent metal as a Class I material; • Revise landscape plan to show sidewalk foundation planting off the northeast corner of the building, planting in the island at the end of the row of parking on the south side of the building and on the east side of the access point to Town Centre Drive (north of easement line); and • Modifying or replacing fixtures on existing light poles so that photometric plan conforms to City code. I believe I will have these plans from our consultants and available for your review tomorrow or Thursday. However, we have our contractors mobilized and standing by to start construction and respectfully request that the City consider release of a grading permit and foundation permit in the interim. I am willing to provide full permit fees and any surety as may be required or acknowledge a time period after which the City could shut down construction if the revised plans are not timely approved. Any consideration would be a huge help and greatly appreciated as we are trying to take advantage of the Fall weather. 1 Thanks, Allison Kern From: Sarah Thomas [mailto:SThomas@cityofeagan.com] Sent: Monday, September 10, 2012 11:14 AM To: Allison Kern Cc: Craig Novaczyk Subject: RE: Sherwin Williams - Town Center Drive Hi Allison, In relation to the building materials discussion from last week, given that the elevation plans that went to City Council showed the smooth and split face CMU being painted, we'll consider it a Class II material. But please still have the elevation plans revised so that they properly reflect the Class I, with removal of the metal from the percentage calculation. Have you applied for a demo permit yet? I would think that could be handled separately from the building permit while we wait for the revised plans to come in. It won't take long to review those, but at least getting the demo permit could keep things moving for you. Thanks, Sazal From: Sarah Thomas Sent: Friday, September 07, 2012 3:15 PM To: 'Allison Kern' Cc: Craig Novaczyk Subject: RE: Sherwin Williams - Town Center Drive Good Afternoon Allison, I left you a voicemail earlier this afternoon in relation to my Building Permit review. I see since then you've called, but I wanted to get this to you in writing yet today. Please see the remaining comments on the plans: Landscaping — Foundation plantings are needed on each elevation, not just the west side. A maintainable path of egress is needed by each door, but plantings could be placed in between. I'd also suggest plantings near the driveway upon the approach to the site, far enough into the site though as to not cause a sight clearance issue. City Code requires the Landscape Plan to provide for plant material equal to three percent of the value of the building. I think you will get to that amount with these plan modifications. Condition nine of the Variance also required planting at the base of the pylon sign. This should be shown on the Landscape Plan. Lighting — A condition of approval required a Lighting Plan, but I was unaware that you were proposing to utilize the existing lights. Given that, we will still need fixture information. City Code requires that illumination be indirect and diffused or shielded and not directed upon public rights-of-way. It does not appear that the existing lights meet City Code. Glare onto the ROW and adjacent property needs to be addressed. Building Materials — Ornamental metal should be removed from Class I calculations. It appears that the 65% Class I requirement would still be met but that should be shown on the Elevation Plan. 2 In relation to the painted block, I believe we have considered painted block to be a Class III material vs. a Class II material in the past (it isn't specifically identified within any of the classes, so we need to make a determination as to which it best fits). Class II materials are specialty block such as textured, burnished or rock faced block. I'm still in discussion with other staff on that and should have an answer for you after our staff meeting on Monday morning. Craig will need to chime in on the process, but I believe we'll need the revised plans in order to be able to sign off on the full plan set and determine the necessary fees. After that has been done we can issue the Building Permit. I will contact you on Monday after the discussion on the painted block. Regards, scvrea From: Allison Kern [mailto:akern@ caprei.coml Sent: Wednesday, September 05, 2012 3:56 PM To: Sarah Thomas Subject: Sherwin Williams - Town Center Drive Hi Sarah, Thank you for your voicemail yesterday. It won't be a problem to address your concerns regarding lighting and foundation plantings for the above referenced. Please let me know if you have any other comments and then maybe we can schedule a call to discuss your comments. Thanks, Allison Kern Ph. (612) 313-0126 3 4!1° City of Eagan Mike Maguire Mayor Paul Bakken Cyndee Fields Gary Hansen Meg Tilley Council Members Thomas Hedges City Administrator Municipal Center 3830 Pilot Knob Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD Maintenance Facility 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com The Lone Oak Tree The symbol of strength and growth in our community. August 16, 2012 Scott Bursch Ebert Construction 23350 County Road 10 Corcoran, MN 55357 Cc: Steve Gartman Albion Architects 1243 North 10 St Milwaukee, MN 55205 RE: Sherwin Williams 1295 Town Center Dr. Dear Scott: We have started our review of the construction documents submitted in pursuit building permit for the above -referenced project. This review is not intended to be and comprehensive report. Unless otherwise noted, all references are to the 2006 goal that this review will help you in complying with the applicable codes and we requesting that the following items be addressed: Please provide the following building submittal requirements: ✓ • Completed Energy Code Compliance Forms for HVAC, of obtaining a an exhaustive I.B.C. It is our are, therefore, Thank you in advance for your attention to these items. If you have any questions concerning this letter, please contact me at (651) 675-5683 or cnovaczyk@cityofeagan.com. Sincerely, Craig Novaczyk Senior Building Inspector 41/1° City of Eapll Mike Maguire Mayor Paul Bakken Cyndee Fields Gary Hansen Meg Tilley Council Members Thomas Hedges City Administrator Municipal Center 3830 Pilot Knob Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD Maintenance Facility 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com The Lone Oak Tree The symbol of strength and growth in our community. August 23, 2012 Scott Bursch Ebert Construction 23350 County Road 10 Corcoran, MN 55357 Cc: Steve Gartman Albion Architects 1243 North 10 St Milwaukee, WI 53205 RE: Sherwin Williams 1295 Town Centre Dr Dear Scott: We have completed 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 2006 IBC. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the following items be addressed: 1. Illuminated exit signage and emergency lighting shall be required per Sections 1011 and 1006.3. Note: Emergency lighting also required above exterior exit door landings. 2. Separate sex toilet rooms will be required per Section 2902.2. 3. The detail for the accessible parking signage (sheet 3) has been redlined to comply with the mounting height requirements per Section 502.7 of the 2007 Minnesota State Accessibility Code (MSAC). 4. The accessible parking access aisle shall be marked with the designation "No Parking" per Section 502.4.4 of the MSAC. Thank you in advance for your attention to these items. If you have any questions concerning this letter, please call me at (651) 675-5683 or cnovaczyk(a�cityofeagan.com. Sincerely, Craig Novaczyk Senior Building Inspector Cc: Dale Schoeppner, Chief Building Official 4* City of %an 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 wc:i V17_ Use BLUE or BLACK Ink For Office Use 10J7& Permit Fee: Date Received: - a 3- 12 Permit #: Staff: 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Please submit two (2) sets of plans with all commercial applications. Date: "c /r-- Site Address: /, 95 - % 4 Cr4T E 7;014;‘)E... Tenant: Sh at -J � ��>"I,n PROPERTY OWNER Suite #: Phone: Address: '7/6c. /kigm1/4/m) 6„2cte 4Vo\- City: i3Ro8k/yn) f4Lk State:: A . Zip:55/,* Phone: -W-537-9360 Email: (%,k9CA5 .:CSv.A/Q* 6.111,9)— qI (7 - PERMIT PERMIT TYPE ,New _ Replacement Repair Rebuild _ Modify Space Description of work: :-.49-474 t 10.4^bi t -k i rHO fi /Jo-) 5727/1k COMMERCIAL iC New Construction Modify Space _ Irrigation System yes / _ no) ( RPZ / _ _ PVB) • Rain sensors•rgquired on irrigation systems • Avg. GPM 1 (2" turbo required unless smaller size allowed by Public Works) -1— Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type / �• Fire: 1 Avg. GPM High demand devices? _Yes ,X No Flushometers _Yes Jc No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Required on ALL new buildings and boulevard irrigation systems - - If the Permit Fee is less than $10,010, the surcharge is $5.00 - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee i.e. a $10,010-$11,000 Permit Fee re•uires a $5.50 surchane Contract Value $ %N x 1% _ $ 1L40 Permit Fee $ (71a Radio Meter Read $ Meter(s) $ State Surcharge Following fees apply when installing a new lawn irrigation system $ Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ =$ Water Permit Treatment Plant Water Supply & Storage State Surcharge .! S. C -Cr. TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance 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 Dans. x Applicant's Printed Name Applic is gnaw FOR OFFICE USE Approved By: Required Inspections: Under Ground ,Rough -In Air Test Gas Test PRV Required: _ Yes T Page 1 of 3 City of Eayll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 6t ,� c- Date Received: 11,3b') 2 - Staff: Staff: 463 Permit Fee: 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: j/-30: —/ L Tenant: Site Address: /,g25 PROPERTY OWNER „ Name: '3APnL3`r.-.i t;J;/l, 40.6 CONTRACTOR TYPE OF WORK •. �... Description of work: /1/Q:4-1 1'-d1 _l r2 10:it --) Name: (4-f%,i€r; (Alit-TeA. cL c :a424 Phone: Suite #: License #: 0}-3.1 Address: 7(Od Alio-N/1 14) C; City: gkeck%y...IPAi.L State: /it - Zip: (53117,k Phone: 7f73 537 -4O3(,2 Email: atAk...0 e.JS♦- X New _ Replacement Repair _ Rebuild _ Modify Space Work in R.O.W. C MMERCIAL New Construction Modify Space Irrigation System (_ yes! no) (_ RPZ 1 PVB) yvt jam, !` • Rain sensors required on irrigation systems 1 PERMIT TYPE • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) a _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes _No Flushometers _Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $� $ Permit Fee x 1% Required on ALL new buildings and boulevard irrigation systems -i $ Radio Meter Read $ Meter(s) *If the project valuation is over $1 million, please call for the State Surcharge $ 5.00 State Strcharge` Following fees apply when installing a new lawn irrigation system i Contact the City's Engineering Department: (651) 675-5646, for required fee amounts. $ $ Water Supply & Storage $ State Surcha-ge Water Permit Treatment Plant _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call al (651) 454-0002 fcr protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstaieonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be :n conformance with the ordinances and ;Ades of the City of Eagan; that I understand This is not a permit but only an application fcr a permit, and work is rot to start without a permit; that the work wi:l be in accordance with the approved plan in the case of work which requires a review and approval ofp(ans. x V O✓ $p 17 (bra -9 -0166 Applicant's Printed Name x Applicants FOR OFFICE USE Approved By: tore( Date:t k `°7ja �''... Required Inspections: Under Ground Rough -In Air Test ..Gas Test Final PRV Required; Y0s No d 69LZ9£9£9L 00 Jamas Ja)eM pa)iun Page 1 of 3 e69:80Z10£AoN