1351 Town Centre DrChK
City of Eaaau viers «`,�E`a
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
_
Use BLUE or BLACK Ink
For Office Use
/C/�
Permit #:
Permit Fee:
Date Received:
Staff:
011 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 1 6 I(
Tenant:
Site Address:
135' l ow,v C&'i D¢.
J
meet. oN A 1 Z37
PROPERTY OWNER'
Name: Mete ON h Lt:s #k' IL S7 t
Address / City / Zip: 3S t cGN E J�
Applicant is:
Owner Contractor
Suite #:
Phone: GS (- 686 - IX
TYPE OF WORK
Description of work:
TALC A4w A,usst s
Construction Cost: a,C)40°•
a r✓1 /N /Y 4w
Estimated Completion Date:
CONTRACTOR
Name: IVOeT Ia/A A rota Se , License #: ------^-
Address: l L ZONt Oitk cujetiq
City: LAGAN
State: MW Zip: SS /a U Phone: GS( "2 $7 6SSS
Contact: Email:
FIRE PERMIT TYPE
Sprinkler System (# of heads _)
_Fre Pump
Standpipe
Other: AAV Su L
WORK TYPE
New
Alterations
Other:
Addition -
Remodel
DESCRIPTION OF WORK: ✓Commercial
Residential
FEES
$55.00 Minimum (includes State Surcharge) OR
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
3/4" Displacement Fire Meter - $204.00
Educational
Contract Value $ x 1%
= $ Es Pip Permit Fee
_ $ Surcharge
= $ SS ('3 TOTAL FEE
= $ Fire Meter
= $ TOTAL FEE
*Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknowledge that the information is 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 pe t, and work is not to start without a permit; that the work will be in accordance with t(e approved plan in the case of work
which requires a review an approval of plans.
x
ou.v rci5
Applicant's Printed Nbme
Appll
��w11 Ceilh26- pry
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
FOR; OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test
Trip Rump Test Central Station
Conditions of Issuance:
Permit
Cityofaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
�j 9 2010 COMMERCIAL
Date: Z'3 ". ' // Site Address: far/
Tenant: A an qsj
AUG — 9
Use BLUE or BLACK Ink
Date Received:
Staff:
PLUMBING PERMIT APPLICATION�
Dr- g� Q.. �S
Suite #:
PROPERTY
OWNER
Name: ,"I Pon C OG. Phone:
/d j
CONTRACTOR
/�
Name: S 15Aa i`t/ec. 1 co,A Licenset#: S 96 . / PM
Address: 8240 4Pt1% e S 1—• City:
el Zwkt IZfi$tate: INt ^IZip: SS-`132..Phone:-Wo
/Sir.
3 -7,51-41/9V Email: � 0 l+A @ AO 4Ut t Ale Chani Ca . C..aM
TYPE OF
WORK
New Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _ _
Description of work: !BG>�pc el ck GSA- CCOMS
PERMIT TYPE
COMMERCIAL
New Construction ✓ Modify Space
Irrigation System ( yes / no) ( RPZ / PVB)
_ _
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes _No Flushometers Yes _No
COMMERCIAL FEES: ,,,
$50.50 Minimum (includes State Surcharge) OR Contract Value $1(80 0 x 1
Required
- If Permit Fee is less than
= $ Permit Fee
on ALL new buildings and boulevard irrigation systems 9 = $ Radio Meter Read
$1,000, surcharge is $.50 = $ Meter(s)
- If Permit Fee is > $1,000,
surcharge increases by $.50 for each $1,000
a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge
$1,000 Permit Fee (i.e.
Following fees apply
Call the City's Engineering
when installing a new lawn irrigation system. $ Water Permit
Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility
damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.orq
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I
understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
X VvkA \ ►�i-
Applicant's Printe6'Name
App(icar rs Signature
Page 1 of 3
`,vd II � cort.,11v1l
ofL�onnn
C!ty of Evan ��s ��
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JUN 2 2011
Use BLUE or BLACK Ink
For Office Use
Permit #: /001 9 0
Permit Fee: 7/ • /6/
Date Received:
Staff:
2011 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 25 May 21111 Site Address:
Tenant Name: Mcnnnald's Restaurant
1351 Tnwn Centre nriva
(Tenant is: New / X Existing) Suite #:
Former Tenant:
PROPERTY OWNER
Name: McDonald's USA, LLC Phone: 952-486-4163
Address / City / Zip: 1650 WPCt 82nd Street Suite 900 Bloomington, MN 55431
Applicant is: x . Owner Contractor
TYPE OF WORK
Description of work: Addition to Storage and freezer and an exterior refinish
Construction Cost: $650,000
CONTRACTOR
-r$
/
Name (g �1j�, z h %.l Li ense #:
Address: �7/211---1446,8 ' E,4U< ; City: /' r
State: /I - Zip: 4 `---0,)"- Phone: (611) 2 — to-( 3 IS
Contact. I oMy Email.
ARCHITECT /
ENGINEER
Name: Brian R Johnson Registration #: 18050
Address: 12400 Portland Avenue South, Suite 100 City: Bumsville
State: MN Zip: 55337 Phone: 952-562-3726
Contact Person: Stacy Fva7ich Email: seva7ich nC3raprisedesign com
Licensed plumber installing
new sewer/water service: Phone #:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information 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 CaII at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.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 wor, 'ch requires a review and approval of plans.
x TEM A/ SW/ /
Applicant's Printed Name
• •+want's Signature
Page 1 of 3
/351
tack fie -6' 6
DO NOT WRITE BELOW THIS LINE
/ 00 1 q0
SUB TYPES
Foundation
Apartments
Lodging
Miscellaneous
WORK TYPES
New
V Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% 14
Census Code
# of Units
# of Buildings
Type of Construction
Public Facility
Commercial / Industrial
_ Greenhouse / Tent
Antennae
Interior Improvement
VExterior Improvement
Repair
Water Damage
1,50, boo.
12
V•03
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
/Footings (Addition)
Foundation
Drain Tile;'
Roof: 1Decking Insulation Ice & Water Final
t/ Framing
/Fireplace: Rough In _Air Test _Final
Insulation
Meter Size:
Final CIO Inspection: Schedule Fire Marshal to be present:
Reviewed By: >0
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
_ Accessory Building
Exterior Alteration -Apartments
_ Exterior Alteration -Commercial
Exterior Alteration -Public Facility
Siding
Reroof
Windows
Fire Repair
Demolish Building*
Demolish Interior
Demolish Foundation
Salon Owner Change
*Demolition of entire building - give PCA handout to applicant
Zoo? 1MSAL
MCES System
SAC Units
City Water
Booster Pump
151.3 PRV
Fire Sprinklers
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..
5215 g'e
2134.51
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL
7,244 •
, Planning
Page 2 of 3
iii Metropolitan Council
AA
June 7, 2011
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
oo10
Environmental Services
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services (MCES) Division has determined SAC on behalf of
the City for the McDonald's remodel to be located at 1351 Town Centre Drive within the City of Eagan.
It is the Council's understanding there will be no change in the number of seats; therefore, no additional
SAC is due.
The business information was provided to MCES by the applicant at this time. It is the City's
responsibility to substantiate the business use and size at the time of the final inspection. If there is
a change in use or size, a redetermination will need to be made. If you have any questions, call me at
651-602-1378 or email jessica.nye@metc.state.mn.us.
Jessie Nye
SAC Program Administrator
Environmental Services Division
JN:kb: 110607C4
Determination expiration: June 7, 2013
cc: File, MCES
Peggy Fleck, Eagan (email)
Stacy Evazich, Reprise Design (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
/(O
City of Evan
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.
June 28, 2011
Stacy Evazich
Reprise Design Inc
12400 Portland Ave S
Burnsville MN 55337
RE: McDonald's Addition/Remodel
1351 Town Centre Dr
Dear Stacy:
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 2006 I.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 following items be addressed:
• Accessible parking access aisles are required to have a "No Parking" designation
per Section 502.4.4 of Chapter 1341, MSBC.
• Provide a detail for the required draft stopping in the above ceiling space, per
Section 717.4.3 of the 2006 IBC.
• The toilet paper dispensers and sanitary napkin receptacle(s) shall be installed per
Section 604.7 of Chapter 1341, MSBC.
• Provide completed lighting and HVAC Compliance Forms per Chapter 1323 of the
2009 Minnesota State Energy Code. Comcheck is not accepted by the City of
Eagan at this time.
• A contractor will have to be awarded the proposed project prior to issuance of a
building permit.
am including the following comments from Pam Dudziak, Planner
• Please provide the breakdown on the amount of each exterior finish material and
provide percentages. (Sec. 11.70, Subd. 21) Class II and Class III materials are
limited to 35% of the building exterior. EIFS is a Class III material ( along with
precast textured concrete panels, glass block, and ornamental metal). Class II
materials include specialty concrete block, masonry stucco, and manufactured
stone). Brick and glass (as well as natural stone) are Class I materials — at least
two Class I materials are required and must be at least 65% of the exterior.
• Signage - Building signs are permitted on only two elevations; please remove
signage from two of the elevations. Other signage such as menu boards, drive-
through directional signs, clearance bar, etc. are subject to review and approval by
Mary Granley. Mary is a Sr. Code Enforcement Technician and handles Sign
Permits. (Sec. 11.70, Subd. 28)
• Please show stacking for the drive through, from the window back and how
vehicles will line up to approach the two drive-through order lanes.
• Please include a pedestrian connection to the sidewalk along Town Centre Drive.
• Please provide a Landscape Plan. (Sec. 11.70, Subd. 12) Existing healthy trees
should be preserved, any dead or unhealthy landscaping materials elsewhere
should be replaced. Shrub beds and annual/perennial beds should be refreshed
with new plantings. Also, with the new drive-through approach and additional
order island and menu boards visible from Town Centre Drive, please incorporate
landscape materials in the front of the property that will better screen those areas
from the public right-of-way.
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.
Sincerely,
Craig Novaczyk
Senior Building Inspector
Cc: Dale Schoeppner, Chief Building Official
Pam Dudziak, Planner
re ri
DESIGN
1N C 0(21', O2ATE0SONNIM
MEM
12400 Portland Avenue South
Suite 100, Portland Corporate Center
Burnsville, MN 55337
Date: July 19, 2011
J. Craig Novaczyk
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Re: McDonald's Addition/Remodel — 1351 Town Centre Drive
Dear J. Craig Novaczyk:
The following is a response to your letter dated June 28, 2011:
1. The accessible parking access aisles 'No Parking' designation has been added to sheet D2.1 and
the sheet has been provided for your review, per Section 502.4.4 of Chapter 1341, MSBC.
2. Sheet A1.1 of the plans have been revised to indicate the draft stopping requirement, per Section
717.4.3 of the 2006 IBC.
3. Sheet A4.0 has been revised to accommodate the proper installation of the toilet paper dispenser
and sanitary napkin receptacles, per Section 604.7 of Chapter 1341, MSBC.
4. The completed lighting and HVAC Compliance forms per Chapter 1323 of the 2009 Minnesota
State Energy Code, completed by Steen Engineering have been included with this submittal.
5. The awarded contractor will be contacted by McDonald's upon approval to obtain the permit.
The comments by Pam Dudziak, Planner:
1. The exterior finish materials of the building have been adjusted and are in compliance based on
conversations between Pam Dudziak and Jim Herget with Reprise Design.
2. Signage will be approved prior to installation.
3. The stacking in the drive through has been addressed on sheet D2.4, which has been added to the
construction documents set.
4. The pedestrian connection to the sidewalk along Town Centre Drive has been added to sheet D2.1.
5. Perenials or annuals will be planted in wood mulch per the store operator. The plan shall be
reviewed and approved by the city prior to landscaping.
Respectfully Submitted,
Nikki Nelson
Pam Dudziak
From:
Sent:
To:
Subject:
Attachments:
Pam Dudziak
Thursday, July 14, 2011 4:51 PM
Mike Ridley
FW: McDonald's Restaurant - Eagan
EXTERIOR MATERIAL SF.pdf; ELEVATIONS - REVISED PER CITY.pdf
Mike,
I received this info on the McDonald's materials. They are adding EFIS (a Class 3 material) to the upper portion of the
building, and they are also adding some more brick higher up the building than currently exists. The net result is a 1%
increase in Class 1 materials. I called the architect and said this is okay. I also asked for a landscape plan, and the
architect said Tom Butler said to just note they will plant annuals and perennials in the landscape beds. I suspect we will
be having some additional conversation with Mr. Butler on the landscaping.
BTW, the architect mentioned that Tom Butler really wants the arches logo on a third building elevation. My notes told
them they could have signs on only 2 elevations. Mary is aware they initially proposed signs on all four elevations and I
responded they had to choose two elevations. The sign contractor has not submitted for sign permit yet, but don't be
surprised if he calls you (or Tom H!) to make his case for a third sign.
Pam
Pamela Dudziak 1 Planner 1 City of Eagan
City Hall 1 3830 Pilot Knob Road 1 Eagan, MN 55122 1 651-675-5691 1 651-675-5694 (Fax) 1 pdudziak a(�cityofeagan.com
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: Jim Herget [mailto:JHerget@ reprisedesign.coml
Sent: Wednesday, July 13, 2011 11:09 AM
To: Pam Dudziak
Subject: McDonald's Restaurant - Eagan
Pam, as previously discussed, here are exterior elevations and a breakdown of class I materials for existing and
proposed. Please let me know your thoughts as soon as possible. McDonald's would like to start construction on 7-25.
Thanks!
Jim
James M. Herget, Assoc. AIA
Vice President
Reprise Design, Inc.
12400 Portland Avenue South
Suite 100
Burnsville, MN 55337
Phone: 952-562-3721
Mobile: 612-910-0955
Fax: 952-252-4043
email: jhergetreprisedesign.com
PROPOSED: EXISTING: DIFFERENCE:
SF %
Front: Front: Front:
Total: 834 SF Total: 667 SF Total: + 167 SF
Class I: 614 SF 62% Class I: 409 SF 61% Class I: + 205 SF + 1%
Other: 220 SF 38% Other: 258 SF 39% Other: - 38 SF - 1%
DT Side: DT Side: DT Side:
Total: 1740 SF Total: 1494 SF Total: + 246 SF
Class I: 914 SF 53% Class I: 830 SF 56% Class I: + 84 SF - 3%
Other: 826 SF 47% Other: 664 44% Other: + 162 SF + 3%
Rear: Rear: Rear:
Total: 834 SF Total: 667 SF Total: + 167 SF
Class I: 517 SF 62% Class I: 429 SF 64% Class I: + 88 % - 2%
Other: 317 SF 38% Other: 238 SF 36% Other: + 79 SF + 2%
Non DT Side: Non DT Side: Non DT Side:
Total: 1752 SF Total: 1494 SF Total: + 258 SF
Class I: 1021 SF 58% Class I: 853 SF 57% Class I: + 168 SF + 1%
Other: 731 SF 42% Other: 641 SF 43% Other: + 90 SF - 1%
TOTALS: TOTALS: TOTALS:
Total: 5160 SF Total: 4322 SF Total: + 838 SF
Class I: 3066 SF 59% Class I: 2521 SF 58% Class I: + 545 SF + 1%
Other: 2094 SF 41% Other: 1801 SF 42% Other: + 293 SF - 1%
RECEIVED JUL 1t3 2011
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This Ceriiftcate issued pursreant to the requinments of the Uniforrn Building Code
certrfying that at the tintt of i.uma?rce tlus stntcture was in compliance with the various
' onfiriances of the City regulaweg building construction or use. For the following:
U~ ~ffication: CONIlMERC IAL B~ Pcimit Na 20616
A- -
OC-P-yTYM MCDONA D' C" 165 WZcD S
owKr or saiWing Aaereas
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nt~~i JUNE 1, 1993
~ Daim
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P06'T IN A CONSPICUOUS PLACE
INSPECTION RECORD
~T-Y-OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADD.RESS: APPLICANT:
FERMIT SUBTYPE: TYPE OF WORK:
. ~ . , ~ . . ,
INSPECTION . •
~ „ ,
~ ; , .!.r ~ i i•',i
~ ` Fq1•~~ ~
~ -
I . - -
/ Permk No. Permh Holder Date Telephone It
. SNV
k
PLUMBING
HVAC C f 9~ ~~?J'G/~
ELECTRI
~
ELECTRIC Q,V// 4711)
Inspection Date Insp. Comments
Foot,ngs I
Foundation
Framirg
Raofing .
Rough Plbg. ~ 23 ~ . , ~ a1
~i
Rough Htg. IS61 #~jl ~.rs re,s- c;c~ rf eYl +fT
6
Isul.
_ N
Fireplace
Final Htg.
Orset Test
Finai
Plbg. .7 r/~/T PI or - Noti um6er
.s
Const. luleter
EngrJPlan
EMcig. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
r s ~ '
w~
_ INSPECTION RECORD
CITIf OF EAGAN PERMIT TYPE:
3830 Pi4ot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i;. 7 1• f f~(; ,a: ~ , ~ iii
,~i, i ~ I i I ~ i i ~ I ~ .i .
PERII!!IT SUBTYPE: TYPE OF WORK:
INSPFCTION .
. , ~
I
~ - - - -
PsrmR No. Permft Nolder Date Telephone # •
S/HV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
InspecHon Dete Insp. Comments
Footings I Q
Fouhdation
FrBming
Rooting
Rougn Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Fnal Pibg: Plbg. Inspector- Notify Plumber
Const. Meter
Engr.lPlan
Bidg. Final -
Deck Ftg.
Deck Final
Well
Pc Disp.
9
L
F uest Dat ire No. Rouph-in Inspection
Repuiretl? ? Reedy Now ill NoGy InspeCtor
^C 7~.7 ?Yes G No wnan qeetly?
I3 icensed contractor owner hereby requast inspection of above electrical work at:
Job AOtlress (Streel. Box or Rome No.) City
3S/ U hvf LC-4
Sedion No. Township Name or No. TRarge No. Co~~ ~
Occupant(PRINT) Phone No.
L/1r1 92-2 -Z)2-
Power Supplour AtlOress
5'.36()
Elecuical Convacror ICOmpany Namel Contractor's License Na.
I4H C / L c /Q T OOO
Maiiing qtloress ICOmractoro' Owner Making Instellation'
zc) 3~ sr c 4, sr ss~~r
AulM1onxetl SI a re ILOntractorOwner Meki Installetion Phone Nrumpar r
MINNESOTA S FD CTRICI Y THIS INSPECTION REOUEST WILL NOT
Griggs-MfEwey BIEg. - Room &113 BE ACCEPTED BV THE STATE BOARD
1821 University Avp., 5t. Peul, MN 55100 UNLES$ PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
,~~jp/9~ REQUEST FOR ELECTRICAL INSPECTION g°f=~q. T~ndo,-0d
J ? See insimctions lor completing iMS torm on beck o1 yellow capy. r
y p T.
N'1 ~3
l~ 04643 -`X° Beiow Work Covered by This Request `
ewiltld'Rep[ TypeoBUiltling AppliencesWired EquipmeniWired
Home Range emporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Speciy)
Comm.llndustrial Furnace
Farm Air Conditioner
Oiher (sVecity) Coniracror5 Remerks:
Compute Inspection Fee Below:
# Other Fee # ServiceEmranceSiza Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps Z
7ransformers Above 200 _ Amps A6ove 100 _ Amps
SignS Inwecbr§ Use Ony: 7p7pL
Irrigation 8ooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON ,
I, the Electrical Inspector, hereby Rougl oa~e 3 p~
certi that the above ins ection has
~ p Finel Date
been made. /
OFFICE USE ONLY
This repuest voitl 18 montlis iro.
4Q ~.5/5 w.
70 13'-* y~o
Re uest Oet Flre No. Roughan Insvaction
RequireG? G Reatly Now Jill Notiy Inspeaor
~-G3-/_J ~s CNO Whenfieatly?
I. icensed conirector p owner hereby request inspection of above electrical work at:
Job Atldress (Street Box or Rome No.) Ciry •
l3Sl *-r r ct
Section No. Towns~ip Name or No. Range No, CoUn
~
OccupanllPRINTI Phone No.
-`/3ST
POwar Sup lier Atldress
61. 7r -4•&- 3f13~ In 3 ~ce,
Elemncal Convaaor (Company Name) Coniracror3 License c.
~ o 81?
Maifnq Atl ess IContrador or Owner Making InstallaVOn)
0 sfi AV ss/or
Authorizetl Slqn onRecto~/6.~ r Making Instal alioi P~pne Number
MINNESOTA STA Oi A-eTRIC17Y THIS INSPECiION REQUESi WllL NOT
Grlgga-Mldwey BI g. - Raam 5-173 8E ACCEPTED 8Y THE STATE 60ARD
16Y1 UnlvarsLLy Ave., SL Paul, MN 55106 UNLE55 PROPER INSPECTION FEE IS
Fhone (812) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ~
? 1`~~e
Seejnsmtlions lor mmplefing tms form on back of yellow mpy. '4b'?4 44 `
"X" Below Work Covered by This Request ~~b
ew Atld Rep. TypeolBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Othec-(Speciry)
iii~ Comm./Industrial Fumace
Farm Air Conditioner
Omer(syecity) Contractor's Remerks: I~
VC ~JOY7 4I(l) ~c('SfiGVri.nT
Compute Inspection Fee Below: r-Iln 0-30 J07Ky= 320 3l -tuv 4} 7= 63
# Other Fee # ServiceEntrenceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 t0 200 Amps 0 to 700 Amps 8'3
TranSformers ~ Above-2BB Amps YF3 3 Above 1BB 1,L_ Amps
Signs Inspecmr§ Use Only. TOTAL
Irrigalion6ooms t,/ 70y70,
Special Inspection
Alarm/Communication THIS INSTALLpTION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT'JiS. lir
I, the Electrical Inspector, hereby Rough-in oa1e
certify that the above inspection has oeie .
been made. Z~z
OFFICE USE'JNLV
This reqYB9t v0itl 1B mOnlhs irom
r
. .
~ I- __-_______-_-___1
. ~ For OHice Use
Permit
City of EapIl
j Permi[ Pee:
3830 Pilot Knob Road ~ i
Ea an MN 55122 i ~
g ~ Date Received: ~
Phone: (651) 675-5675 i i
Fax: (651) 675-5694 ~ stae: ~
2008 COMMERCIAL BUILDING PERMIT APPLICATION
nate: 3• 12•OS Site Address: I35 1 Tf:)l x, ) E II~~FZE ~Y~~V ~
TenantName: p'1Ck)oNR0D3 RESTP<ViZAS-3T (Tenantis: New/ )C Existing) Suite#:
PROPERTYOWNER Name: MCZ>ONAL'DS USfi,lJ-L. Phone: q572.-8B4-4355
Address ! City / Zip: jIoSo W P,2r-* 5Z' - Sv CTE 900 554r3 ~ Applicant is: C Owner _ Contractor
TYPE OF WORK Description of work: Caltb'T Cj%~ coFtreF- C_El.L iNc.W Wt~5 PWNAleyS~ ~"LEZ..
Constructian CosE` ?7S1ooa
CONTRACTOR Name: 1'r-S4DLETL PA'}'m2SOyJ CL~~SC: License#: .
Address: 4'8-s9 W 12A-m `.5T P'~ ~ ~ mm-1
City: fsyd~v^ En E State: 1-t1J Zip: 53-3-76
t
Phone: 9`5 Z- 890' 43(04 ContactPerson:1j¢
ARCHITECT / Name: 12ap(ZISE Z)Es1~1 IiSC . Registration u: laOS0
ENGINEER qddress: I2-400 Pt?R'TLP~~ AVE 5- SUIlE lOc
City: T~URh~VlLE State: Mt-f Zip: $S337
Phone: 17S2- Z5'2 - 404 Z Contact Person: JPdT'iES t7ffl26f-:17-
Licensed plumber installing new sewer/water service: Phone
NOTE: Pfans and supporffng documents that you submlt are consldered to be public informaHon. Portions of
the lnformaflon may be classi/led as non-public ff you provlde apecitlc reasons that would permlt the Clty to
conclude that the are trade secrefs.
I hereby acknowledge Ihat Ihis intormation is comple[e arM accurate; thaf the work will 6e in conformance vrifh the ordinanCes and Codes of the CiTy of
Eagan; fhat 1 understand this is not a permit, 6ut only an applicaGon for a permit, and work is not to slaR wifhoul a permit; ihat Ihe work will be in
accordance wHh the appmved plan in the case of work which requires a review and approval of plans.
x ~ - X
ApplicanYs Printed Name LI- -i \1/ c_ } ApplicanYe gnatur
/~K I 4 NU8 ~age ~
1 of 3
~jbWO ~(Wva- br.
DO NOT WRITE BELOW THIS LINE el-34(e
~
, SUB TYPES:
? Foundatlon ? Public Facility ? Accessory Building
? Apartments zCommercial / Industrial ? Ext. Alteration-Apartments
? Lodging ? Greenhouse ? Ext. Alteration-Commercial
? Miscellaneous ? Antennae ? Ext. Alteration-PUblic Facility
? Nail Salon
WORK TYPES:
? New ~ Interior Improvement ? Siding ? Demolish Building•
? Addition _ ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Demolish Faundation
? Replacement ? Windows ? Water Damage
` Demolltion (entire building) -glve PCA handout to applicant
DESCRIPTION: /
Valuation 35I000 Occupancy • 3 MCES System V
Plan Review J Code Editlon ZOOL SAC Unlts O
(259/' 100%~ Zoning 1,-,6, City Water V
Census Code Stories ~ Booster Pump
# of Units 0 Square Feet PRV
# ot Bulldings ~ Length Fire Sprinklers
Type of Canst. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) Final/C.O.
Footings (addition) V~' FinallNO C.O.
~ Foundatlon HVAC
Drain Tile ~ Other:
Hoof:_Ice&Water ~/Final Pool:_Footings _Air/GasTests _Final
~ Framing SidMg: _Stucw Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
Insulation Retaining Wall
Final CIO Inspection: Schedule Fire Marshal to be present. _ Yes V! No
Reviewed By: 6~4-- , Building Inspector Revlewed By: 0-7 . Planning
COMMERC/AL FEES:
Base Fee 520.
SO
Surcharge 0. • YO
Plan Review /30• /3
SAGMCES
SAGCity
S/W Permit Financial Guarantee
S/W Surcharge Storm Sewer Trunk
Treatment Plant Sewer Lateral
Treatment Plant (Irrigation) Street Sewer Trunk
Park Dedication Water Lateral
Trail Dedication Other Water Trunk
Water Quality
Water Supply & Storage (WAC) Total /,3
Page 2 of 3
----------i
I For Offce Use ~
I ~
Clty of Eapn ~ Permit#: ~
~
3830 Pilot Knob Road Permit Fee: $,Q
i I
Eagan MN 55122 I ~
Phone: (651) 675-5675 ~ Date Received: ~
Fax: (651) 675-5694 j Staff: I
t - - - - - - - - - - - - - - - - - I
2008 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: &fii Site Address: 135 i lr~ 4211- '01-
Tenant: 6~csE~-+t.Gs Suite
PROPERTY Name: Phone:
OWNER
CONTRACTOR Name:-hok<eci~ st."Or-l ....--W~~ License#:
Address: CitY S' 2' State:t~ Zip: 3'S'oZ
Phone: 41!ContactPerson:
TYPE OF _ New _ Reptacement _ Repair _ Rebuild = Modify Space _ Work in R.O.W.
WORK
Description of work: /dW 2- 7Q--.'~S -0- 1
PERMIT NPE COMMERCIAL
New Construction Modify Space
Irrigation System yes no) RPZ PVB) Rain sensors required on irrigation systems
. Avg. GPM _(2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to pickinq uo meter.
Domestic: Size & Type Fire: Size & Price 3/4" meter 183.00
Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No PRV Required _Yes _No
COMMERCIAL FEES: ~
$50.50 Minimum (includes State Surcharge) OR contrecc vaiue $ x1%
m
- $ ~ Permit Fee
Required on ALL new buildings and 6oulevard irrigation systems -3 Radio Meter Read
- If Permit Fee is less than E7,000, surcharqe is $.50 Meter(s)
- If Penit Fee is > 81,000, surcharge increases 6y $.50 for each $1,000
$1,000 Permit Fee (i.e. a$1,001-$2,000 Pertnil Fee requires a$1.00 surcharge). State Surcharge
Following fees apply when installing a new lawn irrigation system. $ water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ TreaVnent Plant
g Water Supply & Storage
g State Surcharge
TOTAL FEES $
I hereby acknowletlge ihat ihis information is complete and accurate; ihat ihe work will be in conformance with the ordinances and codes of fhe Ciry of Eagan; lhat I understantl this
is not a permit, but only an application for a permil, antl work is not [o stan without a permit; that ihe work will he in accordance wilh the appmved plan in the case of work which
requires a review and approval of plans. .
X 3^-5 A-
ApplicanPs Printed Name . ApicanYs Signature
FOR OFFICEUSE
Reqwred lnspections.., _UnderGround?_ Ro,ugh In,_,=?irTe~t,.:~r,r=`y~as+Test _„~Final ~ : ,
Page 1 of 3
S-~ SU
wq~3S 2004 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122 ,
651-675-5675
Date ._~L
--r-
5ite Address a C r i^ Unit #
Tenant Name 116 Former Tenant Name
Property Owner -r'' S Ly r ,2 -f 4 Telephone # ( )
Contractoe Z'-) ~~~b • 4-7
Address t, t LAJ -e' - City r (
State ZiRS~
EC7 Telephone#(GS~ 4,~,761 9 Ll ;-7
The Appticant is _ Owner Contractoc Other
Work Type _ New Bldg _ Add-on _ Repair RPZ PVB Irrigation system *
" Jerrv Wobschall ro calculete [ecs. R uired meter Siz¢ is 2^ furiw u es Smeiler sizc crmitted b Pu61ic Works
Description of Work !O d'
To inq ' if Pressure Reducing Valve is required on new service, call 65] 675-5646
Me[ers - Call 651-675-5300 to verify that hydrostatic, canductivity, and bacteria tests passed urior to oickine uo meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" disolacement $155 00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ x I% Base Fee
$ Meter(s)
Required on all new buildings & boulevard irriearion systems $ Radio Meter Read
If base fee is $1,000 or lessp surcharge is $.50 $ $T2t0 $utCtlaig0
If6ase fee is over $1,000, surcharge is $.50 per $1,000 ofthe Base Fee
Following fees apply only when installing new irrigation system . $ T Water Pemxit Y '
Conlact Jerty Wobschall al 651-675-5024 Tor required fee amounts
$ Treatment Plani
$ Water Supply & Storage
$ State Surcharge
-
- -
s -
$
I hereby apply for a Commercial Plumbing Pertnit and aclmowledge that the informa[ion is complete and acwrate; tha[ the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but oniy an
appiication for a permit, and work is not to start without a pemut; tha[ the work will be ~'p accordance with the approved plan in the case of work
whic uires a reviedappCval of plans.
ApplicanPs Pnnted Name~ AlFplicant s Signature
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMTTTED APPROVED BY: . BUII.DING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $141.00
• RPZ's must be re6uilt every five years. A minimum fee permit per address is required for RPZ rebuildiug or repairing,
• Water meters include copper horn/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
I-20 518" residential $121.00 4-120 1-1/2" i171gaUon SySt $ 788.00
displacement smcommercial turbine'•
must receive
max;n,,,n,
continuous approval
10 from Public
Works
2-30 3/4" lawn irrigarion $155.00 4-160 2" hubine lg urigarion syst $ 992.00
maximum displacement residential gz
continuous sm connnercial producrion lines
15
3-50 I" displacement very lg res $200.00 1/4 ro 160 2" compound bldgs over $ 1,880.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & lg comm bldgs
25 irri ation s stems
5-100 1-1/2" bldgs 25-64 units $488.00
maximum displacement
continuous most comm bidgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM riIETERS USE PRICE GPM METERS USE PRICE
5-350 turbine very Ig irrigation 51,338.00 6-500 4" compound +300 unit bldgs & $3,749.00
syst & production very Ig comm bldgs
lines
1/2-320 3" compound +200 unit 61dgs $2,407.00 10-1000 6" compound +400 unit bldgs $6,124.00
very lg comm bldgs very, Ig comm bldgs
15-1000 4" turbine very Ig irrigaGon $2,384.00
syst
& production lines
Comments
• To schedule inspection of the inside water line and backflow preventer, call 651-675-5675.
• To anange for water turn-on, ca11651-675-5300.
cc: Maintenance Division Clerical Technician Updated 8/03
'~.E, ~ +31~k }
2004 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
~ y, Li --I , J Telephone # 651-675-5675 FAX # 651-675-5694
Foundation • • . . . p. -
• 5trudural Plans (2) sets • Architectural Plans (2) sets • Arch@ectural Plans (2) sets
. Civil Pians (2) . Structural Plans (2) • Code Analysis (1)
• Certificateof5urvey (t) • CivilPlans (2) . Project5pecs (1)
• Code Anafysis (i) " . Landscaping Plans (2) • Key Plan (1)
. Project Specs (1) • Code Analysis (1) • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule • CeAifcate of Survey (1) • Energy Calculations (1) not always`"
. Soils Report (t) • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power 8 Lighfing Form (1) not always'"
• MaYer size must 6e established • Meter size must be established • Meler size must be established-if applicable
1 • ProjectSpecs (1)
b • EnergyCalwlations (1)
l . Electric Power & Lighting Form (1)
1 • Master Ezit Plan (1) y
1 . Emergency Response Site Plan (t)'*' 1
1 • Soils Report (1) 1
• SAC defarmination - ca11651•602•1000 • SAC datermination - ca11 651-80 2-1 000 SAC delertnination -call 651-602-1000
Call MN Dept of Health at 65 L215-0700 for details regarding food & beverage or lodging facilities.
Con[act Building Inspections for sample and if required when it states "not always".
permit for new building or addition will not be processed withou[ Emergency Response Site Plan. '
Date~/ 1-7 ConstructionCost
Site Address
I 3 S I-mWN L,e,ro+tr- T7r ;V,.u 99A Ae uniuste tt
Tenant Naroe Former Tenant Name
Description of Work /urQ,ln] T~ h( L,NLA A&L~ L.al 4111 C
Property Owner Kxor4j U ttLy' Telephone # Osz) qS:9 - OS~
Contractor f_ /}Il ~ 1"10 S"N @_.
Address /dV 70C~ c;R $S A"./4,-7''r. City ~ W~1.
State /174fJM&567-Ab Zip S.Sqy'y Telephone #(763 ).~.57- 7dZ.~~/ ~
Arch/Engr -F'oV Registra[ion #
Address 'I> i£I n.a- n]bus-rr,rt City ~ thun's
stace z,p T*q`f t~ > 5CS7v-
15
M 7 200-
Licensed plumber installing new sewerlwater service: hone .
By
I hereby apply for a Commercial Building Permit and acknow e ge t at the information is complete and accurate;
that the work will be in conformance with the ordinances and cudes of the City of Eagan and the State of MN
3tatutes; 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
approyal of plans.
&12-9613'~7,26
CF4Ri3 h1¢C/Ne.ft- `hJ ~'~i~~.
Applicant's Pnnted Name Applicant's Signature.~
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 26 Public FaciliTy ? 30 Accessory Building
? 14 Aparhuents ? 27 CommerciaUlndush-ial ? 32 Ext Alt-Apariments
0 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial
O 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility
? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AReration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDOOrs
? 34 ReplBCement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Vatuation 3,Z, 00 o Occupancy -MCES System ~ GS
CensusCOde 43-7 Zoning er~- - CityWater ~
SAC Units - Stories 1 Booster Pump
Nbr. of Units ~ Sq. Ft. - PRV
Nbr. of Bldgs ~ Length - Fire Sprinklered r
Type of Const :Va Width
Required InspecUons
_ Footings(new bldg) ` Insulation
_ Footings (deck) FinaUC.O.
_ Footings (addition) ? FinaUNo C.O.
Foundarion Other
Drain Tile
Roof Ice Pr _ Decking _ Insul _ Final Pool _ Ftgs _ Air/Gas Tesu _ Final
?Franung _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Approved By: Planning Building Inspector
- - - - - - - -
Base Fee ~2. tkS
Surcharge I (p . o0
Plan Review 300.52
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
5ewer Trunk
Other
Total ,4g 'y~j. Dq
~ CITY GF-E'AGAN PERMIT
peRnnir TvPE:
3830 Pilot Knob Road
Ea an, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued: o 'I I/ a!5
SITE ADDRESS:
0 C1
1~W7'I Cc~!TftC r'Gh 'L~7lI
DESCRIPTION:
ivo I1dIn'~_.Periiii
;i3Gtilcitny lTt:,rl., Iy4~u fJW
,
'UBC Jecu~poncil`, P1 ?
Cr1n€;P_^:1ct5.Ori 19}'.9 V._N
, o nirt~~
3I d irt.<arrg Lh 3 L
;
h~ut 1*iirrq Wt+j;kx
811111 c;'rttG sCUries -
t ~
REMARKS:
FEE SUMMARY:
~Jlt I U;'~1 7:.; . ~ P, 0
CONTRACTOR: OWNER: w
i~
~ F ~~~,7::~i,~ r.-rak~ ~~t~~3~;cy~• ..~r•< I Ite^.ti~~-. ~..,ttt; tPi . ,~pP' ~,e..
SriPor.t~.~h,io, i_ •mo+~rc;.. ~od ~3,?^ne [_6~ cc~mpl~; . 'Pf,t ; ..~r.c - . , ~
<~r'...c: , x•~e~; Ci:, F. t.=~! fJict~i'i,at~i:e
~ -
PLIB NTIPF 1 ITEE SIGNATURE ISSUED 6q('. SiGNATURE
REACTIYATE °CITY OF EAGAN
~-PERMIT # t - 1993 BUILDiNG PERMIT APPLICATION
4381-4675
- SIN6LE & MULTI-FAMILY 2 sets of.Alans, 3 registered site surveys, 1 copy of energy
calcs.'
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications. 1 copy of energy calcs.
Penalty applies: 1) vrhen permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 3 /Z,~_-2_ / S& Yaluation of work 1.3'Q J Q
5ite Address: /rA/ ag~ff dga_~/1&0
STREET SUI E •
Tenant Name: (commercial only) Jr G~j•s'°~-~~ Z%d~
g
IAT ~ 87AC& L SIISD TowN CENTRE rlo P.I.D.
TFIIRTEEN aDDeno
Descri tion of wark: STO GE • lAll` t
The appl i cant i s: ? Owner ? Contractor 0 Other co..orsee)
Phone
Property u5T F[RST
OW17@f Address
STREET En r
Cit StateZip:~`~`Y~3 J
~vo
Company Phone
C0ntf8Ct0r Address License # Exp.
City State Zip
Lompany Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processinf time for
sewer 8 water permits is two days once area has been approved.
I heraby4ckoowledge that I have read this application and state th t the iaformation is
correct and agree to comply with all applicabl State of Minnesota tatu#,es and City of
Eagan Ordinances.
Signature of App ,
OFFICE USE ONLY
BUILDING PERMIT TYPE , 41
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging .63apmet FiniSh
? 02 SF Dwq. 13 07 4-Plex 012 Multi. Misc. O 17 Swim Pool
0 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory 0 18 tanm./Ind.
? 04 5f Porch O 09 12-Plex ? 14 firepiace ? 19 Comn./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Oeck ? 20 Pubtic Facility
O 21 Miscellaneous
WORK TYPE
W31 New ? 33 Alterations O 35 Tenant finish [3 37 Demolish
0 32 Addit9on ? 34 Repair D 36 Move
GENERAL INFORMATION
Const. (Actuat) V- N Basement sq. ft. MWCC System
(A1loaable) V_ N lst F1. sq. ft. 7-2-4 City Water -
UBC Occupancy M"I 2nd F1. sq. ft. PRY Required
2oning G SC- Sq. Ft. total Booster Pump
t of Stories Footprint Sq. ft. b2G fire 5prinkler
length On-site we11 Census Code
Depth ao, On-site sewage SAC Code =
APPROVALS 6141SV.6 b~~ ~
planning Building Assessments
Engineering Yariance
REQUiRED INSPECTIONS
? Site jg~Footing ~ Framing ? Insulation
? F(allboard ~ Final ? Draintile 0 Fireplace
Permit Fee v.imsim: g~,~, f~GC
Surcharge -*70 J
Plan Review
License
MWCC SAC
City SAC
Itater Conn.
Mater Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pl.
Poad Unit
Park Ded..
Trails Ded.
topies
Other
Total.
SAC % -
SAC Units
I
I
, PERMIT
~ CITY OF EAGAN ~
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Numker:
(612) 681-4675 Date Issued / ~ !"`s
SITE ADDRESS:
1 3~, I
~ora j et oC,,i
iaWN ..._r, i;., . _ , ;111
DESCRIPTION:
res f A !j r<r,ill I
fa£fiIrl nn. I'.•rint.1v!,,, [Ulhri j:-H U.
,."Ic.~ilcfin~
.;UNt~ ilcut~N~snc~~•_. A~~:~
?unio q - CSC
e3GI%ld.;.€}q 4.et1Vl.tT rn
,
{9iai7eino W3d"h7
; I~,i!il.cf?try tif,ur ieg 1
Y P
~"3Tt
...1
REMARKS:
FEE SUMMARY:
1, n
dl.e~,.l 4l9° ("f2fli 1T
i
i,J
SP.*`:,@G1o..G?o ~RcP7Mli'dT °LA. N?~ y"I.
f:
,;11C UtiLJS I'f1P2F: 1!EU1.t:fiT~l01d
i I . e!). ,S ifS I~i'(11!_ !)ED:LCfdI~T(7P! :
fc,t.:;,l
CONTRACTOR: OWNER:
'i 6; Fl bi :'2 P' D~..T
,~ns•n.n3'.~,
y CF.r:ct. ) -~dr4r i,, _ 3. 110 va: 'r~:*~ ae .atr;1 -_t... ~ ~ , . .
3i9c~~: ~.s cr r„ci , .7d `zco crmply it-1 p g,;ic~~t,~s
rx~n fi ~ i~ I
I APPLfCAM/P ITEE SIGNATURE SSUED : S NAT E
REACTIVATE~_ CITY OF EAGAN $IIi
PERt4IT # 1993 BUILDING PERMIT APPLICATION
1041&r 681-4675
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date -5 //2 Yaluation of work 3371 ooa ~
S i t e Address: /:a! 41,1'r
I~
STREET ~ SUITE x
Tenant Name: (commercial only)
IAT ~ BIAC& ~ SUBD.70WN GENrRE 70 P.I.D. M
7"MIRTEEwTH ADNr10N
Descri tion of work: RESTAuRANT
The appl i cant i s: ? Owner ? Contractor ? Other (oesccsbe)
Name~'ij'~.~i~ ~.l /'s~L"•E'i0~-~?'/Jl^ Phone a*
Property LAST FIRST
Owner Address ,vS-2~ i,/~~r~~~S~,/.~Z~
STREET STE 11
City ~JD:~i ~ rp ? State Ztp:~'~~/3 J
Company Phone
C0fflP8Ct01' Address License # Exp.
City State ZiP
Company Phone
Architect/
Name Registration #
Engineer
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved. ,
I hereby'Acknowledge that I have read this application and state th t the information is
correct and agree to comply with all applicabl State af Mlnnesota tatutes and City of
Eagan Ordinances.
Signature of App
OFFICE USE ONLY
.
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging to~ ks%pt Finish
? 02 Sf Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
fid 31 New ? 33 Alterations ? 35 Tenant Ftnish ? 37 Demolish
O 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System Y95
(Allowable) V-N lst Fl. sq. ft. ~ City Water yc-5
UBC Occupancy A-3 2nd F1. sq. ft. PRV Required
Zoning C sc Sq. Ft. total Booster PumP
# of 5tories i Footprint Sq. ft. ~ZL Fire Sprinkler
Length On-site well Census Code 3.217
Depth 1yf. On-site sewage SAC Code 30
APPROVALS co,+sus bld
Cn,nSwS w.1 ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Si4e 0 Footing ? Framing ? Insulation
? Wallboard 0 Final ? Draintile ? Fireplace
Permit Fee =-6 veimc;«n: g~ 337, Opa~
Surcharge I Plan Review l
License - 16T loo~o°° = ~34.5'b i
MWCC SAC 4po;, , /
City SAC
Water Conn. J4G~,
'ioo
Water Meter urvGta~
Acct. Deposit S/w Permit oo,o0
S/W Surcharge
Treatment Pl . j ~ ~ yby' Y. y~~
~204o u.,it
Road Unit g~~~p 3}j `
Park Ded. zoo t
Trails Ded. p Z ~ PEi2DEV6Z0pIr187+TCON7R,qt-r
CoPies
Other ~ Total: Z 2 5
SAC % 100
3AC Units q ~o s- 3°~
'iy, PLpNr ~ •
9 ~ '
/ C~os~-
i~~~~'~Li.4A~
~ ~x 54+.~"S'~x~
~y~u ,.~7'~ ~ - a~ i a ~v "S`° a _ ,~r `i" '"`~a'~K~ ° - 4"Liib<k'r' r' a ¢ y~~~~ , m ~h .,rt ,~''4'~'
iS~k`~ - < ~a . y ~ gs ~ K a : i~~s. ~s~ °~~~'lye "'~'ky NY~ SY.~N1V ~ 3 ~asi~ ~ 3 s
x 3 ; t ~ " . _ ( , e3~,v,v ia~«~9a~,aya ~rdi 34~a 4~8' as ~ ` E
. ,
as < '„':~i~. £a'Y~ ~z£~ t,~"4"~c€ ` r~ ' `~4 ' ~ ' .~a~ ~ w a;ss s~.
m'.,'~ '~.s.,.<>.<. <~'>x.~~x s.H.x.x~rz>~'aa...~'3?.~A,dS~~~~';z.,.s~,e~a~.s°''...;.f~u,~s % ~ ' , z~:~x,...a3r.z's:~~ vw.~:
w , . ,
1993 MECHANICAL PERMIT (COMAERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTT-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRaCT PRICE: $ g 3 UO . D O
~ NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION: ,1,t/517966, OGJivt,~2 S f/t/~G EpC// .LIE%~%,
FEES
1% OF CUNTC~GT' FEE $03. 00
PROCFSSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF WRI= FEE.
TOTAL $ SO
SITE A17DI2ESS: f3 5_7 TO t.rJ .V ~1-.~ O2l v'E
OWNER NAME: /l f~n.t//.9e-4S TELEPHONE
TENANT NAME: (IMPROVEMENTS ONL7)
INSTALLER: a= 0, C/~Y LS/2l ~l/~ ~Oi?D1T70~iJ/^J~
ADDRESS: /oR 03 CTTY: ~/?~5, STATE: ZIP CODE:
TELEPHONE
/ ~
% ~
SIGNATLIRE OF PERMITTErE I SP CTOR
fy~ysta { t t . M f! a- U ~FjZ ~A7~M ~.~i.7~'., ~ 4 W i~tH3~yd
n 7 r'za~ r s ea s &'~a.~c ~ x ~~i °K.. awa> w ,y u a sin~ww ~3. n- :
1993 MECHANICAL PERMIT (RESIDEIVTIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
Ee1GAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- - - - - - - -
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM I @ $3.00 EACH)
ADD-ON/REMODEL (ExisTiNC CoNSTxvcriox) $ 15.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
INSTALLER:
ADDRESS:
CI'I'1': STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE
.
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP_DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING L'~;:T.
~ NEW CONSTRUCTION
ADD ON
REPAIR "
WORK DESCRIPTION:
CONTRACT PRICE: $ 00el
FEE: 1% OF CONTRACf FEE.
SfATE SURCIIARGE $.50 FOR EACH $1,000 OF ~ERMTI' FEE
MINIMUM FEE: S 26.00 '
CONTRACT PRICE X 1% ~ 0 G
STATE SURCHARGE $
TOTAL g C:~9162' Sv
SITEADDRESS:
TENA.NT NAME: STE. #
OWNER NAR4E:
INSTALLER:
AnnxEss: 306 tt =7Te/
CI11': STATE: ZIP CODE: •S~S ~Y~
PHONE 5 D8, ? % ~ 3
FOR: ' `~al-~/
CITY OF EAGAN APPLICANT
N~''~'
M
Y
T W~t LM ~K a ~ ~?u~`tytc~~c`tr~`~"~5yx~~ A v.y.<~w~`"..~c~~~ ~ . ,Yi~sz..µ.<....a.... :
1993 PLiJMBING PERNIIT (RESIDENTZAL)
CITY OF EAGAN
3830 pIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIl2ED FOR EACH UNIT.
NO. FIXTURES F.ACH 'POTAL
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3:00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT T'UB/SPA 3.00
WATER HEA'I'ER 3.00
FLOOR DRAIN - 3.00
GAS PIPING OiTfLET • minimum - i 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dewcry. iiG. 15.00
U.G. SPRINKLER • eome uneer con:i. 3.00
ALTERATIONS • to adsun8 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: '
SITE ADDRESS:
OWNER NAME:
INSTALLER:
ADDRESS:
CTTY: STATE: ZIP CODE:
PHONE ( )
SIGNATURE OF PERMITTEE
; T r'~ ^ > f 3 ga~ ~ itst , y^e ti c . r:
Yx ~~~...'..."M~.: ,'~.~'~M:,'.fdcr,•.,u'.~E~.o3&~~~. x»:.a:~~."'~~~.~ , 8#':. ..as,- ~3 $....k3ixt
1993 PLUMBING PERMIT (CObIlVIERC'IAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMvIERCIAUINDUSTRIAL BUILDIINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WFEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACfi
DWELLING U;::T.
NEW CONSTRUCTION
ADD ON
RcPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1& OF CONTRACl' FEE.
STATE SURCAARGE: s.50 FOR EACH $1,000 OF PMMTI' FEE
MINIMUM FEE: $ 25.00 5. a
CONTR4GT PRICE X 1% $
STATE SURCHARGE $ , 50
05~
TOTAL
S
SITE ADDRESS: L3
^!'ENANT PIAAiE: STE. #
OWNER NAME:
WSTALLER:~L '•J~~ !Zt! C
ADDRESS: 533 '3 ~ ~'f .S~
CIT'Y: L~STATE: f~'I ? ZIP CODE:
pHONE ~y 7 - z
FOR ~K1''~~~ ~
CITY OF EAGAN PL CANT
~~i..)n'~a~ l~ K •
3~dk ¢ Y 9 e .
~a i t' .~K"i i' ~4wan~ k?'f Ey'~`~ £'O , .r j~ . ~.~a ~
1993 PLUMBING PERMIT (RESIDENTIAL)
CTfY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNIT.
NO. FIXTURES EACH
SHOWER 3.00
~WATER CLASET 3•00
BATN TUB 3.00
LAVATORY 3•00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
H0T TUB/SPA 3•00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum • 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
~
PRIVATE DISP. • oex.aY. iic. 15.00
U.G. SPRINKLER • 6ome unda const. 3.00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS:
OWNER NAME: `
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE ( )
SIGNATURE OF PERMITTEE
N I ~MF:iU'
MEMO
- city of eagan
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: LANE WEGENER, ENGINEERING TECHNICIAN
DATE: MAY 25, 1993
SUBJECT: STREETLIGHT ENERGY COSTS FOR LOT 1, BLOCK 1
TOWN CENTER 70-13TH
1351 TOWN CENTRE DRIVE
MCDONALD CORPORATION
This memo is to inform your department to start to invoice the streetlight energy costs in
the amount of $15.88/quarter with the next utility billing for Lot 1, Block 1, Town Centre
70-13th Addition.
This parcel has a net area of 0.84 acres and is to be billed at the continuous streetlighting
rate of $18.90 per acre per quarter which equals $15.88.
The City is currently being billed by Dakota Electric for the streetlight energy cost along
Town Centre Drive.
o
Lanener'
~
J
cc: Michael P. Foertsch, Asst. City Eng.
Ed Kirscht, Sr. Eng. Tech.
LW/je
1
MEMO
_ city of eagan
TO: DIANE DOWNS, UTILITY BILLtNG GLERK
FROM: IJANE WEGENER, ENGINEERING TECHNICIAN
DATE: APRIL 22, 1993
SUBJECT: REF COMPUTATION FOR LOT 1, BLOCK 1,
TOWN CENTRE 70-13TH
1351 TOWN CENTRE DRIVE
MCDONALDS CORPORATION
I have computed the REF's for Lot 1, Block 1, Town Centre 70-13th located at 1351 Town
Centre Drive. This lOt is owned by the McDonald's Corporation. The total REF's are
3.91.
My computations are based on a site plan prepared by Westwood Professionaf Services,
dated September 15, 1992. The total area of this lot is 0.84 acres of which 0.61 acres
(73%) is considered impermeable surtace.
1
,/?~Lane Wegener ~
cc: Michael Foertsch, Asst City Eng
Ed Kirscht
LW/je
; Z!/
I
![EMO TOa STE98 BANSON, ASBIBTANT HDILDIN6 OBFICIAL
JSL[ BTIIRM, CITY PLANNER
JOS MERCHAR, CONBTRDCTION ANALYST
DALB WEGLEZTNER, 8IR8 DEPARTMENT
HILL A&INB, BLECTRICAL INSPECTOR
PIIBLIC WORXB/ENGINEERZNG DEPARTMENT
IITILITY BILLZNG CLERR
YROMi DOIIO &EID, CHIBF BIIILDING OFFICIAL
o D?T8: 5141 93
BIIBJECTi FZNAL INBPECTION
The Protective Inspections Departmen will be performing a final
inspection of ~~e~ / ~ on Jr/o~t~l~.~
A Certificate bfe~ cup nc~ will be issued following our approval.
If you are requesting that the Certificate of Occupancy be held,
please fill out the proper hold request form. Failure to return
the hold request form within five working days from the date of
this notice will be considered your approval.
9Q f 3tf;
city oF eclgcln '
THOMAS EGAN ~
Moyor i
!
APLfl 2+ 1993 PAiRICIA AWADA
SHAWN HUNTER , SANDRA A. MASIN -
THEODORE WACHTER
Council Members
MR FRED REYNOLDS THOMAS HEDGES
MCDONALD'S CORPORATION ciN Ad`"i°i°si`°lm
.1650 W 82ND ST #IOO EUGENE VAN OVERBEKE
BLOOMINGTON MN 55431 cM clerk
RE: IMCDONALD'S RESTAURANT
4351 TOWN CENTRE DRIVE I
Dear Mr. Reynolds:
We have completed our review of the constrvction documents submitted in pursuit of
obtaining a building permit for the above-referenced project. We are pleased to inform you
that the design has been found to be in substantial compliance with the State Building Code
as adopted by the City of Eagan, thus requiring no major design revisions. The comments
listed below are limited in scope to selected areas of special concem and aze not intended
to comprise a complete and exhaustive report. It is our hope that this report will be of
benefit to you in achieving a project that complies with the various state and local codes,
laws, and ordinances.
1. Please find the enclosed Special Inspection and Testing Schedule form. Return the
form to our office after obtaining all of the proper aclmowledgement signatures. The
special inspector must submit a Final Inspection Report to our division before a
Certificate of Occupancy will be issued for the building. Uniform Building Code
(UBC), sections 302(c) and 306(c).
2, Provide verification that the proposed lighting power budget complies with the Model
Energy Code (MEC), secuon 505 as amended by Minnesota Rules, part 7670.0800,
subpart 2. Please note that this amendment requires, with certain modifications, the ,
budget to be calculated in accordance with 1993 criteria as specified in the Code of
Federal Regulations, title 10, part 435.103. An information packet and worksheets
are available from the Department of Public Service Energy Information Center -
telephone #296-5175.
MUNICIPAL CENTER THE IONE OAK TREE MAINTENANCE fACILITY
3830 PILOi KNOB ROAD 9501 COACHMAN POINi
EAGAN, MINNESOiA 55122-1897 tHE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY EAGnnI. MiNNE50TA 55122
PHONE (612) 681•4600 PNONE: (612)681•4300
FAx: (612) 6e1-4612 -Equal Oppotlunlty/Affirmatlve Action Employer, FAx: (612)681-4360
1DD: (612) 454-8535 TDD:(612)454-8535
, . .
3. Wherever a specific requirement of Minnesota Rules, chapter 1340, provides for
minimum standards more stringent than those of the federal Americans with
Disabilities Act (ADA), that speci5c Chapter 1340 requirement will apply. For
example, Minnesota Rules, chapter-part 1340.0500, Subpart 1, requires a vertical grab
bar to be mounted 12 inches from the front of the toilet bow] extending from 12
inches above the height of the toilet seat to 30 inches above the toilet seat.
4. Verify that where the door to room 213 swings over the floor, such floor extends not
less than one foot beyond the door on the latch side - Minnesota Rules, chapter-part
1340.0300, subpart 6, Item E.
5. A Minnesota licensed professional engineer(s) should review the structural
mechanical and electrical portions of the proto-typical project specifications and
certify that it is in compliance with the state building code as provided for by
Minnesota Rules, chapter-pan 1805.1600. Please note that the Uniform Buildine
Code Standards referenced in the building wde (a list occurs in chapter 60) are a
part of the code. Other standards providing equivalent performance may be used
only when such alternates are approved by the Building Official under the provisions
of Section 105 of the building code-UBC, section 6001.
6. P3ease resubmit two copies of plan sheets SPl and UPl after obtaining the respective
design professional signed certi5cation on each sheet - Minnesota Rules, chapter-part
1800.5200 and UBC, secdon 302.
7. No seating plan was submitted. Aisles must be maintained in accordance with UBC,
section 3315.
8. Please submit ]etters of approval for the food service and plumbing system from the
Minnesota Department of Health.
9. Favt doors must be provided with panic hardware. Please note that the exception to
tlris provision only applies to the main eidt when the main ept consists of a single
door or pair of doors - UBC, section 3318(a).
10. Provide exit signage - UBC, section 3314.
il. Drafr stop mansards at 60 foot inteivals - UBC, section 2216(t)4B(rii).
Sincerely,
„
. Joe Merchak, Construction Analyst
Protective Inspections Division
Department of Community Development
7M/js
Enc.
cc: Janis Blumentals, Blumentals Architecture, Inc.
Lloyd Darg, Darg Bolgrean, Menk, Inc.
Chief Building Official Reid
City of Eagan Building Inspectors
. I
~
lqb~dtV oF eagan
THOMAS EGAN
Mayor
PATRICIA AWADA SHAWN HUNTER
March 26, 1993 SlrNDRA A. MASIN
THEODORE WACHIER
Couixtl Members
THOMAS HEDGES '
FRED REYNOLDS CIN Atlmininstrator
MCDONALD CORP EUGENE VAN OVERBEKE
1650 W 82ND ST STE 900 aNaetk
BLOOMINGTON MN 55431
Re: Proposed McDonalds Restaurant -CLot 1 Blk 1 Town Centre 70 13th Addition
Dear Mr. Reynolds:
In confirmation of our telephone conversation this aftarnoon, the City of Eagan will issue
a building permit for the above-mentioned project upon the following:
1) receipt of proof that the plat has been properly recorded at the counry;
2) correction of any code deficiencies that might be found during a review of the
construction documents; and
3) payment of the requisite fees due at the time of building permit issuance.
Sincerely,
p~,~
-
,
Joe Merchak, Construction Analyst
Protective Inspection Division
Department of Commun'rry Development
JM/mg
cc: Doug Reid, Chief Building Official
MUNICIPAL CENTER THE LONE OAK TREE MAIN7FNANCE FACILITY
3830 PILOT KNOB ROAD THE SYMBOL Of STRENGTH AND GROWTH IN OUR COMMUNRY 3aa1 COACHMaN POINT - EAGAN. MINNESOIA 55122~1897 EAGAN. MINNESOTA 55122
PHONE: (612) 681-4600 PHONE: (612) 681-4300
FAX: (612) 581-4612 Equal OpporlunltylAtflrmatlve Actlon Employer FAX: (612) 681-4360 1DD:(612) 454.8535 1DD:(612)454-8535
. Z/, /~l, io~n Q!J+'. 'Io
I
1SE240 TOi BTBVS H]INSON, A88IBTANT BIIILQZN6 OF ICTAL
IJ_I!I BTIIRM, CITY PLANNER fi1 eyi~r
J08 IIERCHAIC, CONBTRIICTIODi ANALY T '
DALE WEOLEITNERo FIRE DEPARTMENT
HILL ARINB, ELECTRICAL INSPBCTOR
PIIBLIC WORRB/ENOINEERIN3 DEPARTMENT
IITILITY BILLIN6 CLSAR
BROlIS DOIIG REID, C8I8F BIIILDING OFFICIAL
DATE i 5/.Cf / g3
BII&7ECTi FSNAL IDSSPECTION
The Protective Inspections Departmen will be performing a final
inspection of on
C~
A Certificate fbf c p nc~ will be issued following our approval.
If you are requesting that the Certificate of Occupancy be held,
please fill out the proper hold request form. Failure to return
the hold request form within five working days from the date of
this notice will be considered your approval.
SPECIAL INSPECTION AND T88TINCi SCHEDULB
(To be need in aCCOrdance aith the "cuidelinee for Special Snepectton and Teating")
PROJSCT NAKS Lf "S _ PROJECT NO.
LOCATION J '3 I `To w,~J 7,fZZ~i L_~16 (1) 11 PEAMIT NO. y.oi616
~
SPECIAL INSPSCTION 6CS8DUL8
pecification Type of Report Aesigned
ction Articl Deec tion 2 Fir 3 e venc Firm 4
LrS 7 ~
vwn.J
TESTIH6 SCHEDUT,E
Notes:
Thie echedule {o be filled out and included in the project epecification. Information
unavailable at that Cime to be filled out when applying for a building permit.
(1) Permit No. to be provided by the Buildinq Official.
(2) Uee deecription¦ per U.B.C. Section 306.
(3) Special Inapector, Teating Agent or Fabricator.
(4) Firm.contracted to perform aervicee.
ACRNOWLED66MENTS
Each appropriate repreeentative must sign below:
Owner: Firm: Date:
Contiactois Firm: uate:
A:chitec : Fizm: Date:
SER: - Firm: ,If7C(N ~~J..;~ i aL.Date:7j l b~
* SI~~ _Firm: Date:
* SI: Firm: Date:
TA: Firm: Date:
TA: Firm: Date:
F: Firm: Date:
F: Firm: Dste: * The individuel namee of all proepective epecial inspectore and the work they intend to
observe must be identified on the reverse eide of this form.
Legend: SER ~ Structural Enqineer of Record SI = Special Inapactor
TA = Teeting Agent F= Fabzicator
Accepted for the Building Department By Date:
~
DARG, BOLGREAN, MENK, INC.
Consulting St?uctural Engineers LIE44IE~j° QF 4URZE04TU
7575 Golden Valley Rd. Suite 210
GOLDEN VALLEY, MINNESOTA 55427
OATE JOB NO.
' (612) 544-8456 FAX (612) 544-8914
ATTENTION,C& M
J
' •TO .JCt'- vk~tzC)4'4K RE:
1L~at''4212
n40 55l 2z_ I srJ
~ WE ARE SENDING YOU XAttached ? Under separate cover via the following items:
? Shop drawings ? Prints ? Plans ? Samples ? Specifications
? Copy of letter ? Change order ?
COPIES DATE NO. OESCRIPTION
~ A'L, ~ ~7l~1LJ 7 /d-fai
THESE ARE TRANSMITTED as checked below:
? For approval ? Approved as submitted ? Resubmit copies for approval
'>QeFor your use O Approved as noted ? Su6mit-capies for distribution
> ? As requested ? Returned for corrections ? Return corrected prints
? For review and comment ?
? FOR BIDS DUE 19 ? PRINTS RETURNED AFfER LOAN TO US
REMARKS ~ QI 14-1
G L
L~r-l~l-~ G ~
! Lc>
. 00AZ AV ;i- "i~s
COPY 70 G
SIGN4E.
ermwcTlat iz,cmm~,xmoiniH enclosuroa are not as noted, kindly n a on
McDonaltl's Corporation
1650 West 82nd Street
' Suite 900
- d Bloomington, MN 55431-9888
~ 612/884-4355
Fax:612/885-4755
' April 5, 1993
Mr. Joe Merchak, Construction Analyst
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122-1897
RE: McDonald's Restaurant
1351 Towne Centre Drive
Dear Mr. Merchak:
In response to your letter dated April 2, 1993 on the above suhject
restaurant we offer the following comments:
1. The Special Inspection and Testing Schedule form will be signed
with the appropriate acknowledqement signatures and returned to
your office.
2. Cain, Ouse Associates our Mechanical Engineering consulting
firm will provide your office with verification that the
proposed lighting power budqet complies with the Model Energy
Code (MEC), section 505 as amended by Minnesota Rules, part
7670.0800, subpart 2.
3. Vertical grab bars will be added to the handicapped stalls per
MinnesOta Rules.
4. The architect will review the door to room 113 swing and
provide the verification that you requested.
5. The licensed professional engineers will provide the review of
the structural, mechanical and electrical portions of the 90
Series Building Specifications.
6. Signed copies of plan sheets SP1 and UP1 taill be submitted to
your office as requested.
7. The seating plan which will be provided by the seating and
decor company will have aisles that are maintained in
accordance with IIBC section 3315.
8. Letters of approval for the food service and plumbing system
from the Minnesota Department of Health will be submitted to
you upon our receipt,
9. Exit doors will be provided with panic hardware per your
requirements.
10. Exit signage will comply with UBC, section 3314.
11. Draft stops will be provided at 60 foot intervals per your
requirements.
Sincerely, ~
F er R y olds Project Manager
McDonald's orporation
Minneapo s Region
FDR/fr
Blumentals0
6205 Earle Brown Drive • Suite 120 • Brooklyn Center, Minnesota 55430-2150 (612) 561-5757
~~~EWED
April 15, 1993 APR 1 9 1993
MEMORANDUM
T0: Joe A9erchak, City of Eagan
Fred Reynolds, McDonald's Corporation
FROM: Ted Arneson
RE: McDonald's Restaurant at 1351 Town Centre Drive
Code Revierr Letter
We have reviewed your letter and have addressed all the items. Below is a
list of how each item will be handled.
1. McDOnald's Corp. wi11 submit the special inspection & testing schedule
form.
2. We are reviewing this item and will submit it when complete.
3. See Addendum #13, Item 3, A. and Sheet R1R enclosed for grab bar locations.
4. See Addendum #3, Item 1, B. for poor '1'.
5. We sent you copies of a letter containing signatures and statements from
the Structural, Mechanical and Electrical Engineers that the
specifications have been reviewed.
6. McDonald's Corp. will submit SP-7 and SP-2.
7. McDonald's Corp. will submit a seating plan.
8. The letters of approval will be submitted when we receive the plan
review back from the state. They are currently reviewing the plumbing
plans.
9. See Addendum #3, Item 1, A. for the panic hardware at the exit doors.
10. The Elec. Contractor is required to contact the local inspection
authorities for requirements and locations of exit signs. See Sheet E3
Note #4.
11. See Addendum #3, Item 2, A. for draft stop at mansard.
pS, WE F-IavE REGE.tV~~] THE`~.E'*'r'ElL. PRfJM Tt~E 1~^tl.I.t?~~T.
416 -93 Tj A
Minnesota Department of Health
717 Delaware 5treet 5outheast
P.O. Box 9441
Minneapolis, MN 55440-9441
(612) 623-5000
April 14, 1993
Blumentals/Achitecture, Inc.
6205 Earle Brown Drive, Suite 120
. Brooklyn Center, Minnesota 55430-2150
Ladies/"uentlemen:
RE: Plans and specifications on McDonald's, Town Centre Drive, Eagan,
Dakota County. Minnesota Plan No 931569
We have received and reviewed the plans and specifications covering the
food and beverage service equipment layout to serve the above-designated
project. The plans and specifications appear to 6e in general
conformity with the standards of this Department. However, some changes
are necessary and the enclosed report lists these.
The plans have been transmitted to our Section of Water Supply arrd Well
Management for review of the plum6ing system. You should hear from them
in the near future.
At such time as construction or remodeling is completed, please
communicate with me at 612/627-5027 in order to arrange for a final
on-site inspection.
If you have questions regarding this review, please call me.
Sincerely yours,
by-
~'rv.lirc~-
`J. Michael Gianotti, R.S.
Public Health Sanitarian
Environmental Field Services
JMG/plp
Enclosure
kn Equal Opportunity Employer
MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT OF PLANS
Plans and specifications on McDonald's
Location: Town Centre Drive, Eagan, Dakota County, Minnesota
Date Examined: 4/13/93 Plan File Number: 931569
Prepared and 5ubmitted hy: Blumentals/Architecture, Inc.,
6205 Earle Brown Drive, Suite 120, Brooklyn Center, Minnesota 55430-2150
The following are corrections or requests for additional information necessary
before construction of your project:
1. All food and beverage szrvice equipment irust meet the appiicable
standards of NSF International.
2. a. Provide a ventilation hood over cooking equipment which eliminates
condensation, vapors, smoke, fumes or excessive odors. '
b. Canopy and hood construction must meet the applicable standards of
NSf International. Additionally, the requirements of the Minnesota
Uniform Mechanical Code (Section 2000) covering commercial kitchen
ventilation systems must also be met.
3. Provide and routinely use a chemical test kit to determine the strength
of the sanitizing agent in the final rinse water of the three-
compartment utensil washing sink.
4. Walk-in cooler shelving must be NSF International approved stainless
steel, factory precoated epoxy, or other materials designed for this
type environment. Chrome shelving is not approved.
~ 5. All equipment must be installed so that it is easily cleanable, that is,
either easily mova6le, sealed in place or having sufficient space
surrounding the unit to clean in place.
6. a. All artiticial lighting fixtures located in Tood preparation areas,
food storage areas, dishwashing areas and walk-ins shall be
effectively shielded to prevent glass breakage onto food or food
contact surfaces.
b. Install a sufficient number of vapor-proof light fixtures in the
walk-in cooler and/or freezer to provide a minimum of
10 foot-candles of light throughout the unit(s).
7. The doors to the restrooms must be self-closing.
8. The outside doors must be self-closing.
McDonald's
Town Centr.e Drive
Eagan, Minnesota
Page 2
9. A sign must be posted at all public entrances to the esta6lishment
stating that smoking is prohibited except in designated areas. Thirty
percent of the seating capacity in your establishment must be provided
for nonsmokers. Post this area with signs and separate from the
smoking-permitted area by either:
1) a 4-foot wide buffer zone,
2) a physical barrier 56 inches in height, or
3) six complete air changes per hour in the room.
10. A separate on-site inspection wili be conducted by the State plumbing
inspector to determine compliance with the Minnesota Plumbing Code.
11. Custom food and bevera9e service equipment shall be designed,
fabricated, located and Snstalled to NSF International requirements.
12. All hot water generating equipment (water heaters) must comply with
Standard No. 5 of NSF International, and be of adequate capacity to meet
the anticipated demand of the establishment.
13. Wall surfaces in food preparation, dishwashing and storage areas shall
be smooth, light colored, easily cleanable and nonabsorbent to the
highest level of splash or spray.
a. Stainless steel should be installed behind the cooking line.
14. Install a handwashing sink in the food preparation area.
15. If no exhaust hood is installed over the bisquit oven, keep in mind that
if there is a problem one will be required at a later date.
\J
J. Michael Gianotti, R.S.
Public Health Sanitarian
Environmental Field Services
,IMG/plp
SPECIFlCATIONS FOR
MCOOMALD'S :
1351 TOMfI CENTER DRtYE
EAGnN, MINf1ESOTA
Aprit 2, 1993
PROFESSiONAL ENfINEER Darg Bolgrean Menk, Ine.
7575 Golden Valley Rd., lF210
Golden Valley, MN 55427
(812) 544-8456
I hsrebY cert{fy that this plen, specjfication, or report Was prepared by
me or under ny djrect supervislon and tha2 1 am s duly Reyistered Enpinear
under the laws cf ths State of sota.
Sigrietur Reg. No,
lo W. Darq
oate:
I
FIF'F' C- _3 i!=
SP6CIfICATtOHS rOR
i1CDQNkLb'S
4361 7tlCt11 CEN7ER ORSVE
EAGA!!, MIMNE8GTd
Aprit 2, 1893
aROfESS10Nkl ENQ?NEER Cain Ousp Associ6tes, Inc,
1310 East HiQhwey 96
Whita 6eir Lake, MN 55110
(612} 428-9548
I hereby certify that Yhis p3ar, apeclf?cation, or report was prepared by
me or under my dirtCt superVision and #hat I am a dUly Registered Enginoer
undeP the lews of the Stali of Minnesota,
Signiture: ZL~ 9 ' Refl, No.;
COtt ,Omg
oat.:
PR4fES5I0NAi. EkGIhEER Cain Quse Aenaciatai, 1nc.
131ti East Miphway @4
WM te eear Lake, MN 65i1D
(612) 426-9548
x hereby Certify that this plan, spacificatian, or rapbtt was preFmred by
ma or under mv direct supervision and that I em a duty Registerad Engineer
under the laws pf the St9te of MinneBOta.
~Siqneture: - : Reg, No.:
~
Date:
Specifications for this project is:
MCDONALD'S
SPECIFICATIONS FDR THE 90 SERIES
STANDARD BUILDIN6S
Issue Date; Revised 11-90
Standard Specifications are general in nature and cover Instructions to
Contractor, General Conditions, Special Conditions and Coordination.
Technical Sections cover equipment, materials, construction systems and
methods for the different trades. Scope, code, quality and fitness of
materials or workmanship assurance standards and requirements are part of the
specifications, ,
Any amendments for this project such as revisions, updates and selection of
any specific equipment, material or construction system are shown and noted on
the drawings.
The drawings and the specifications are intended to describe and provide for a
finished piece of work. They are intended to be cooperative, and what is
called for by either shall be as binding as if called for by both. Should
discrepancies appear drawin9s as detailed and noted shall be followed in
preference to the Standard 5pecifications.
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TABLE Of CONTENTS
Division 1 - General Requirements
Instructions to Contractor
~ General Conditions
' Special Conditions
~ Section 01040 - Coordination
pivision 2 • Site Work
Section 02100 - Ciearing
Section 02200 • Earthwork
Division 3 • Concrete
Section 03100 - Concrete Formwork
Section 03200 • Concrete Reinforcement
Section 03300 • Cast•IrnPlace Concrete
Section 03310 • Concrete Waiks
Division 4 • Masonry
Seciion 04200 - Unit Masonry
~ Division 5 - Metals
~ Section 05100 - Structural Steel
Section 05200 - Steel Joists
Section 05300 • Me?al Decking
~ Section 05400 • Light GaUge Metal Framing
Section 05500 - Miscellaneous Metal
Division 6 • Wood
Section 06100 • Rough Carpentry
Section 06170 - Pre`abricated Wood Trusses and Laminated Veneer Lumber
Section 06180 • Mansard Root Jack Trusses
Section 06200 - Finish Carpentry
Division 7- Thermal and Moisture Protection
Section 07150 - Bituminous Damp Roofing (Basement Foundation Walls)
Section 07210 • Batt Insulation
Section 07215 - Masonry Fill Insulation
Section 07220 • Perimeter and Under-Slab Insulation
Section 07230 • Rigid Roof Insulation
Section 07235 • Rigid Fiberglass Insulation (At Metal Curbs)
Section 07260 - Exterior Insulation and Finish System (Stucco)
Section 07300 • Composition Shingles
Seciion 07500 - Built-Up Bituminois Roofing
Section 07510 - Alternate Single•Piy Membrance Roofing
Section 07600 - Metal Flashing and Trim
Section 07900 - Seaiants and Caulking
~
1
,
;
Division 8- Doors and Windows
Section 08100 - Holiow Klietal Doors and Frames
Section 08200 • Wood Doors
Section 08400 • Aluminum Doors and Framing
Section 08650 • Special lNintlov:s
Section 08 700 • Finish Hardwa: e
Section 08800 • Glazing
Division 9 - Finishes
Section 09200 - Portland Cement Plzster (Stucco)
Section 09250 • Gypsum 1Nallboard Systems
Seciion 09200 • Cementitious 14'allboard System
Section 09300 • Tile
Section 09500 • Suspended Ceiling System
Section 095=0 • Fiberglass Reinforced Panels
Section 09630 • Exterior Pavers
Section 09900 • Painting
Section 09950 • Viny1 1Nall Covering
Dfvision 10 - Specialties
Section I0600 • Toilet Accessories
Division 11 Through 14 - Not Required
Division 15 • Plumbing and Mechanical
Section 15'100 - Basic Plumbing Requiremen;s
Section 154i0- Basic Plumbing Materials and Methods
Section 15420 • Pipes and Pipe Fi;tings
Section 15430 - 14'zter Distribution ?iping
Section 154L0 - Drainage and Vent Systems
Section 15450 - Plumbing Fixtures
Section 15400 • Water Heaters
Section 15470 • Natural Gzs Systems
Section 15480 • Plumbing Insulation
Section 15500 - B2sic Mechanical Requirements
Section 15510 - Rooftop Heating and Cooling Units
Section 15520 • Centrifugal Fans
Section I5850 - Ductwork
Section 15860 • Ductwork Accessories Section 15880 • Air Outlets and Inlets '
Section 15950 • Electric Control Systems ~
Section 15940 • Testing, Adjusting and Balancing
Dtvision 16 • Electrical ~
Section 16000 • Basic Electrical Requirements '
Section 16010 • Basic Electrical Naterials and Methods !
Section 16020 • Raceways ~
Section 16030 - 1Nires and Cables ~
Section 16040 • Electrical Boxes and Fittings ;
Section 16050. Electrical Connections for Equipment
Section 16060 • 1Niring Devices
Section 16070 - Circuit and A4otor Disconnects
Section 16C80 - Switchgecr znd Psrelbocrds
Section 160e0 - Grounding
SPECIFICATIONS FOR
MCDONALD'S
1351 TOWN CENTER DRIVE
EAGAN, MINNESOTA
March 11, 1993
ARCHITECT Blumentals/Architecture, Inc.
6205 Earle Brown Drive, Suite 120
Brooklyn Center, MN 55430
- " (612) 561-5757
I hereby certify that this plan, specification, or report was prepared by me
or under my direct supervision and that I am a duly Registered Architect under
the laws of the State of Minnesota.
Signature: L Q_u-U_ Reg. No.: 8561
Ja is B1 me a s, AIA
Date: 3• l~ .
Specifications for this project is:
MCDONALD'S
SPECIFICATIONS FOR THE 90 SERIES
STANDARD BUILDINGS
Issue Date: Revised 11-90
Standard Specifications are general in nature and cover Instructions to
Contractor, General Conditions, Special Conditions and Coordination.
Technical Sections cover equipment, materials, construction systems and
methods for the different trades. Scope, code, quality and fitness of
materials or workmanship assurance standards and requirements are part of the
specifications.
Any amendments for this project such as revisions, updates and selection of
any specific equipment, material or construction system are shawn and noted on
the drawings.
The drawings and the specifications are intended to describe and provide for a
finished piece of work. They are intended to 6e cooperative, and what is
called for by either shall be as binding as if called for by both. Should
discrepancies appear drawings as detailed and noted shall be followed in
preference to the Standard Specifications.
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TABLE OF CONTENTS
Division 1 • General Requirements
Instructions to Contractor
General Conditions
Special Conditions
Section 01040 - Coordination
Dlvision 2 - Site Work
Section 02100 - Clearing
Section 02200 - Earthwork
Division 3 - Concrete
Section 03100 - Concrete Formwork
Section 03200 • Concrete Reinforcement
Section 03300 - Cast-In-Place Concrete
, Section 03310 - Concrete Walks
Division 4 - Masonry
Section 04200 • Unit Masonry
Division 5 - Metals
Section 05100 - Structural Steel
Section 05200 - Steel Joists
Section 05300 • Metal Decking
Section 05400 • Light GaUge Metal Framing
Section 05500 • Miscellaneous Metal
Division 6 - Wood
Section 06100 • Rough Carpentry
Section 06170 • Prefabricated Wood Trusses and Laminated Veneer Lumber
Section 06180 - Mansard Roof Jack Trusses
Section 06200 - Finish Carpentry
Division 7- Thermal and Moisture Protection
Section 07150 • Bituminous Damp Roofing (Basement Foundation Walls)
Section 07210 - Batt Insulation Section 07215 - Masonry Fill Insulation
Section 07220 • Perimeter and Under-Slab Insulation
Section 07230 • Rigid Roof Insulation
Section 07235 - Rigid Fiberglass Insulation (At Metal Curbs)
Section 07260 • Exterior Insulation and Finish System (Stucco)
Section 07300 • Composition Shingles
Section 07500 - Built-Up Bituminois Roofing
Section 07510 - Alternate Single•Ply Membrance Roofing
Section 07600 - Metal Flashing and Trim
Section 07900 - Sealants and Caulking
Division 8- Doors and Windows
Section 08100 • Hollow Metal Doors and Frames
Section 08200 - Wood Doors
Section 08400 - Aluminum Doors and Framing
Section 08650 - Special Windows
Section 08700 - Finish Hardware
Section 08800 - Glazing
Division 9 • Finishes
Section 09200 - Portland Cement Plaster (Stucco)
Section 09250 - Gypsum Wallboard Systems
Section 09260 - Cementitious Wallboard System
Section 09300 - Tile
Section 09500 • Suspended Ceiling System
Section 09540 - Fiberglass Reinforced Panels
Section 09630 - Exterior Pavers
Section 09900 - Painting
Section 09950 • Vinyl Wall Covering
Division 10 -•Specialties '
Section 10800 • Toilet Accessories
Division 11 Through 14 - Not Required
Division 15 - Piumbing and Mechanical
Section 15400 - Basic Plumbing Requirements
Section 15410 - Basic Plumbing Materials and Methods
Section 15420 • Pipes and Pipe Fittings
Section 15430 - Water Distribution Piping
Section 15440 - Drainage and Vent Systems
Section 15450 - Plumbing Fixtures
Section 15460 - Water Heaters
Section 15470 - Natural Gas Systems
Section 15480 - Plumbing'Insulation
Section 15500 - Basic Mechanical Requirements
Section 15510 • Rooftop Heating and Cooling Units
Section 15520 • Centrifugal Fans
Section 15850 • Ductwork
Section 15860 - Ductwork Accessories Section 15880 - Air Outlets and Inlets ~
Sectien 15950 - Electric Controi Systems i
Section 15990 - Testing, Adjusting and Balancing i
Divlsion 16 • Electrical ~
i
Section 16000 • Basic Electrical Requirements Ij
Section 16030 - Basic Electrical Materials and Methods i
Section 16020 • Raceways ~Section 16030 - wires and Cables E
Section 16040 - Electrical Boxes and Fittings ~
Section 16050 - Electrical Connections for Equipment '
Section 16060 • Wiring Devices '
Section 16070 - Circuit and Motor Disconnects ~
Section 16080 - Switchgear and Panelboards ;
Section 16090 • Grounding ;
~
Metropolitan Waste Control Commission
Mears Park Ccntre, 230 East Fifth Street, St. Paul, Minnesota 55101-1633
612 222-8423
ApYil 16, 1993
Mr. Joe Merchak •
Construction Analyst
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Merchak:
The Metropolitan Waste Control Commission determined SAC for the
Mc9onzld's Restauraat to be located at 1351 Town Centra.Drive within
the City of Eagan.
This project should be charged 4 SAC Units, as determined below.
SAC Units
Charges:
Restaurant (Fast Food)
82 seats @ 22 seats/SAC LJnit 3.73 or 4
If you have any questions, call Jodi Edwards at 229-2113.
Sincerely,
~
Roger W. Janzig
Planner
RWJ:JLE
93041654
cc: S. Selby, MWCC
Carolyn Krech, Finance Departnent, Eagan
Joan Weinstein, McDonald's Corporation
Equal Opporlunity/Affirmative Action Employer
~ ~I~
~ . Paqe 1....
f - EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER /?I L 1/f7AJf-L V 1 S &4;;-(A f) 24A/Z
SITE ADDRESS b'C.A'
CONTRACTOR DATEJa/"/~PHONE
T
Determine working square footage of each:
1. Total exposed wall area... 692, aq. ft. X.Z~J
2. Total roof/ceiling area...'}jr?1Gi sq. ft. X. C) (o = Z( !
Total exposed wall area above floor ='~j ~(pZ .
A. Total wall window area Irj S-7
B. Tota1 door area........................... -7- I
C. Total platg glass door area ......~,1Gt,uD~:YI Ix1 "A
D. Total area
E. Total spandre wall area..................
F. Total net wall area above floor..:........ i
G. Total wall framing area (average 10~)..... ? IA/R
Total exposed foundation area =
H. Total foundation window area
1. Total net foundation area above grade.....
Determine "U" value of each wall aegment:
-
A. /j2 ? -7
x "v" . r7b ° 5 1~
B. g' U. . C. X ^U" °
D. X °U° a
E. X "U" _
F. X"U"
G. X "U" a
H. X "U" _
Z. X °Un °
3..................................... TOtal = [0 72-
If item 13 ie the aeme ae, or legs than item il, you have
, met the intent of SBC 6006(c)2.
.
. Paqe 2....
.
/ . . . .
• . EXTERIOR ENVELOPE"AVERAGE "U" COMPUTATION ,
Total exposed roof/ceiling area a ~j*
,
J. Total skylight area ......................1
K. Total rooF/ceilinq framing area (averaqe s 571'ufJEV-7
L. Total net insulated roof/ceiling area..... z,c,~r7
Determine "U" value for each roof/ceiling eegment:
J. X 'U° _
K. X "U" a
L. X"U^ ~ bL0 ° Z I I
4 ....................................'.TOtal
if total of 44 la the aame as, or leas tfian 12, you have
met the intent of SBC 6006(c)1.
ALTERNATE BUILDING ENVELOPE DESIGN
To vtilize the total envelope system method, the values
eatablished by tfie sum of items #3 and #4. shall not be
qreater thart the sum oE itema tl and t2.
1. + 2. a . •
3. + 4. ~ .
' , . .
' ' _ . . a-- N. ivG.
• 1 ~
; PRESCRiPT1VE PRQCEDURE:
iNTERIQR L(GHTING CQDE COMPLIANCE _
PROJF.C'T'I'xi`i.E: nATE:
s ~juott L.tc,frmma PowEa Au4v,,,i,res
suUdh~'iYad Valtriawcr cnnasLigCmd ILPA
Area blboedaa L tln AUexrcc Area
,str ~ca 0, scs' .?l4~/ a ~ ~ 9
sacoaaary;
I
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II. CQNh"EC= I.iQu'fIN(} POWER 8 ullding Area L+mJamire Tyyc 1aPac N=ber
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1
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PERFQRf1AANCE PROCEDURE: C4NNECTED LfGHTING POVIIER
Y- iJ s~. l Pn'~.r ~ a~`--" s1-7
PRWECTME- ~G AJCn h IyJ ~x
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ILPA iNTERIOR LlGHT1NG POWER ALLOWANCE pROJECTTI7LE: t/Ir ~ .~•,,'.:.~'°~..yvs.=r.~f~~.~~.. DATE:_
AREA LIGHTING POWER E3UDGET
pREp q AftEAIACTIVITY CATEGdRY _ i1PF3. AREA AT WOR}C PU1NE FACTOR {UPB x AWP x AFj _
O r-•:. ar!'vi c~' ~C!' .5 t,rTx G d . I?~i'~
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' a
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i
. a
Minnesota Department of Health
` Division of Environmental Health
925 Delaware Street Southeast
. CT P.O. Box 59040
Minneapolis, MN 55459-0040
(612) 627-5100
April 26, 1993
Blumentals/Architecture, Inc.
6205 Earle Brown Drive, Suite 120
Brooklyn Center, Minnesota 55430-2150
Gentlemen/Ladies:
Subject: Plumbing for McDonald's, Eagan, Dakota County, Minnesota, Plan
No. 931569
We are enclosing a copy of our report covering an examination of plans and
specifications on the above-designated project. Also enclosed is a copy of
the report and transmittal letter to be forwarded to the project owner. A set
of the identified plans and specifications is also being returned to you. It
is the project owner's responsibility to retain the plans at the project
location.
It is the plumbin9 contractor's responsibility to contact the Minnesota
Department of Health for inspections as discussed in the paragraphs in the
report pertaining to inspections. It is also important that we receive the
information requested on the enclosed postal card to help facilitate
inspections. If you have any questions in regard to plumbin9 inspections,
please call Roger Foster at 612/627-5134.
If you have any questions in regard to the information contained in this
report, please contact me at 612/627-5120.
Sincerely yours,
Lewis E. Anderson
Public Health Engineer
Section of Water Supply
and Well Management
LEA:dal
Enclosure
cc: Project Owner
Mr. Dirk Hause, Plumbing Inspector
An Equal Opportunity Employer
• MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and spec'rfications on plumbing: McDonald's, Town Center Drive, Eagan, Dakota County, Minnesota, Plan
No. 931569
Submitted by: Blumentals/Architecture, Inc., 6205 Earle Brown Drive, Suite 120, Brooklyn Center,
Minnesota 55430-2150
Ownership:
Date Examined: April 20, 1993 Date Received: April 2, 1993
SCOPE: This examination is limited to the design of this particular project only insofar as the provisions of the
Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to
which this piumbing system is connected. The examination of plans is based upon the supposition that the data
on which the design is based are correct, and that necessary legal authority has been obtained to construct the
project. The responsibility for the design of structural features and the efficiency of equipment must be taken by
the project designec Approval is contingent upon satisfactory disposition of any requirements included in this
report.
INSPECTIONS: Special care should be taken to insure that the material and instailation of the plumbing system
are in accordance with the provisions of the Minnesota Plumbing Code. It is necessary that the State Health
Department make roughing-in and final inspections of ihe plumbing system to determine whether it complies
with the code. Provisions should be made for appiying an air test at the time of the roughing-in inspection as
outlined in Minn. Rules, p. 4715.2820, of the code. In order to facilitate this work, a self-addressed card is
attached which should be returned to this office. The name of the plumbing contractor should be indicated so
arrangements can be made for the contractor to notify the State Health Department that the installation will be
ready for a test and inspection.
No acceptance of the plumbing installation can be given until inspection and testing of the roughing-in vrork
(Minn. Rules, p. 47152820, subp. 2), finished plumbing (Minn. Rules, p. 4715.2820, subp. 3), and inspection of
the completed installation by a representative of the State Health Department indicates compliance with the
provisions of the code.
REQUIREMENTS:
. 1. Dishwashing Machines - A dishwasher in a building for public use shall discharge to the drainage system
through an air break. If a floor drain without a backwater valve is installed on the horizontal dishwasher
branch, the dishwasher may be connected direcily to the drainage system. The water supply to any
dishwasher in which the supply operiing is located below the spill line of the machine should be protected
with a vacuum breaker (see Minn. Rules, p. 4715.1250). This requirement applies to the washer and the
ware washer.
2. The ware washer cannot discharge into the waste piping of the three-compartment sink. Provide a separate
waste and vent pipe for this fixture.
3. The three-compartment sink should be trapped and venied ahead of the grease interceptor.
4. The grease trap shail be constructed and installed in accorclance with the Minnesota Plumbing Code, Minn.
Rules, p. 47751710 (see the enclosed handout). The following items shali be included in the construction
of the interceptor:
a. Be located inside the building, as close as possible to the fiMUre(s) served.
b. Only receive waste from fixtures that discharge greasy wastes.
c. Be vented in accordance with the code.
d. Have a grease retention capacity, in pounds of grease, of at least twice the flow-through rate, in gallons
per minute.
e. Be equipped with a flow control device.
McDonald§ -2- April 20, 1993
. Plumbing
Plan No. 931569
~ 5. Some floor sinks and floor drains are shawn to be flat-vented. The vents must not extend horizontally
below the floor. The vent connection shall be taken off abwe the centerline of the pipe and shall rise
vertically, or not more than 45 degrees from the vertical, to a point at least 6 inches above the flood level
rim of ihe highest fixture served before offsetting horizontally or before connecting to a branch vent (Mfnn.
Rules, p. 4715.2540).
6. All commercial kitchen sinks, with the exception of mop sinks and hand sinks, shall be provided with 3/4-
inch water supply branch lines as a minimum (see Minn. Rules, p. 47151730, subp. 2).
Authorization for construction in accordance with the approved plans may be withdrawn 'rf construction is not
undertaken within a period of two years. The fact that the plans have been approved does not necessarily mean
that recommendations or requirements for change will not be made at some later time when changed
conditions, additional information, or advanced knowledge make improvements necessary.
Approved: c-
Ls~._rl&rson
Pubtic Health Engineer
Section of Water Supply
and Well Management '
612/627-5120
~
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Serial #
cnip#• d3a3 /VC/ -
Permit # JD ~
~ Address: 13 -5 / ~ircUrl ~2n.G~-e~ ~iDn
I AGREE TO COMPLY WfTH CITY OF EAGAN
ORDINANCES
Signature:
\
I
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serial #
cnip#_.11a79
Permit D 6 r3
~ Address:
1 AGREE TO COMPLY WITH CITY OF EAGAN
ORDINANCES
Signature:~_'~ Z
-
Date:
chcLe__ c4 -
City of ag,au &6I
3830 Pilot Knob Road R i_. C i V E D
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2011
Use BLUE or BLACK Ink
For Office Use (� j�
Permit #: /0 0 iS -i
Permit Fee:
1g7,DO
Date Received:
Staff:
2011 MECHANICAL PERMIT APPLICATION
Site Address: 1351 Town Center Drive
Tenant:
McDonalds Suite #:
RESIDENT / OWNER
Name: Phone:
Address / City / Zip:
CONTRACTOR
Name: Chad Good dE1 l C
rte% e/C- -
cense #: 01-
Address: 2318 First Street NE City: Minneapolis, MN eZ
State: MN Zip: 55418 Phone: 612-781-3358ood q -i U l7.r f 7 .
Chad Good c modernht com g
Contact: Email: 9 @ g'
TYPE OF WORK
New X Replacement Additional Alteration Demolition
Description of work: Replace 3 RTU's and diffusers
NOTE: Roof mounted and ground mounted mechanical equipmentis required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening r► thods.
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / Remove)
Other
_
RESIDENTIAL FEES:
$55.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State
out appliances, ductwork, etc.) (includes $5.00
Surcharge)
State Surcharge) = $ TOTAL FEE
$95.00 Fire repair (replace burned
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$55.00 Minimum (includes
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
OR Contract Value $ 19,200 x 1%
_ $ 192 Permit Fee
- If the Permit Fee is less than
= $ 5 Surcharge
- If the Permit Fee is > $10,010,
Fee 197
_ $ TOTAL FEE
(i.e. a $10,010-$11,010 Permit
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 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 t a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x Chad Good
Applicant's Printed Name
nt's Signature
FOR OFFICE USE
Required Inspections: �/ Reviewed By:
Underground Q Rough In Air Test Gas Service Test In -floor Heat ere- Final
For Office Use CA°
Permit#:
::it
Fee: ko .61
Ir,+,�►, �- —
Payment Recvd: YesNo
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIVE
///
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 Plans: Electronic aper
Plan Submittal: eplansv. G6. 6.
a@cityofeaoan.com S 3 �-
•
2019 COMMERCIAL BUIL = - = 04 IT APPLICATION
Date: 8/22/19 Site Address: 1351 Town Center Drive, Eagan, MN 55123
Tenant Name: McDonald's (Tenant is: New/ ✓ Existing) Suite#:
Former Tenant:
Name: Kay Butler Phone: (651 )-203-4170
Property Owner Address/city/zip: 1351 Town Center Drive Eagan, MN 55123
Applicant is: Owner Contractor
Type of Work
Description of work: Project consists of interior improvements.
Construction Cost: $ 85,000
Name: TBD BIC D COijSTrAic 1t t.1 License#:
Address:
2706. CA-1.14o4 City:
Contractor ( ,$ ) 72. - 47 z3
State: WI t1 Zip: 5s1( Phone: Ceur (L t Z) $t L - OO 1 S
Contact: Jw 6-602-11- Email: ,)e4.Gla.rV bk -cI . cowl
Name: Joshua Carrell Registration#: 56537
Architect/Engineer
Burlington
Address: 21 B St. City.
State: MA Zip: 01803 Phone: (707)-328-3731
Contact Person: Email: jcarrell@ebiconsulting.com
Licensed plumber installing new sewer/water service: Phone#:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Carina Martinez NaAfi:frig
Applicant's Printed Name Applicant's Signature
1 _ ,
,
• DO NOT WRITE BELOW THIS LINE / E 'S 9•"Q
SUB TYPES /35 1 -7-0GOvt Ceri-1126- p .
--.--7
Foundation Public Facility Exterior Alteration-Apartments
'Commercial/Industrial Accessory Building Exterior Alteration-Commercial
Apartments Greenhouse/Tent Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES
New /Interior Improvement Siding Demolish Building*
Addition Exterior Improvement Reroof Demolish Interior
Alteration Repair Windows Demolish Foundation
Replace Water Damage Fire Repair Retaining Wall
Salon Owner Change *Demolition of entire building—give PCA handout to applicant
—
DESCRIPTION
Valuation Oe., ow Occupancy 4•2 MCES System
Plan Review V Code Edition 20 IS MBG SAC Units 0/
(25% 100% ✓) Zoning City Water
Census Code StoriesBooster Pump
#of Units 0 Square Feet PRV
#of Buildings / Length Fire Sprinklers do
Type of Construction V.13 Width
REQUIRED INSPECTIONS
Footings New Building Deck Addition Drain Tile
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier Erosion Control
Framing 30 Minutes `' 1 Hour Steel Reinforcement
Insulation Street/Curb Cut Inspection
Sheetrock Other:
Roof: Decking Insulation Ice&Water Final Meter Size:
Siding: Stucco Lath Stone Lath Brick EFIS Electronic Set of Final Revised Plans
Windows
Fireplace: Rough In Air Test Final Final/C.O. Required
Pool: Footings Air/Gas Tests Final / Final I No C.O. Required
Final CIO Inspection: Schedule Fire Marshal to be present: Yes ` iNo
Reviewed By: t•S • , Planning WONew Business to Eagan:
Reviewed By: Gk/f1( , Building Inspector
FEES --// Water Quality
Base Fee f Y/. LS' Storm Sewer Trunk
Surcharge 4-2- •5--6 Sewer Trunk
Plan Review 1,13 . 76 Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit&Surcharge Water Lateral
Treatment Plant - Stormwater Performance Security
Treatment Plant(Irrigation) Landscape Security
Park Dedication Other: y
Trail Dedication TOTAL: y 6 60e.Sf
Page 2 of 3
MCES USE:Letter Reference: 190905A7 Address ID:729275 Payment ID:425073 J �'
Date of Determination:09/05/19 Determination Expiration:09/05/21
Greetings!
Please see the determination below.
Project Name: McDonald's
Project Address: 1351 Town Center Drive
Suite#/Campus: N/A
City Name: Eagan
Applicant: Carina Martinez, EBI Consulting
Special Notes: None
Charge Calculation:
Food & Drink: 3409 sq.ft. @ 300 sq.ft./SAC= 11.36
Total Charge: 11.36
Credit Calculation:
McDonalds(Non-conforming GSF 07/11)
Food & Drink: 3409 sq.ft. @ 300 sq.ft./SAC= 11.36
Total Credit: 11.36
Il�
Net SAC: 0 = 0 SAC Due
The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the
business use and size at the time of the final inspection. If there is a change in use or size,a redetermination will need to be
made. If you have any questions email me at:toni.ianzig@metc.state.mn.us.
Thank you,
Toni Janzig
SAC Technician
Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram
390 Robert Street North St. Paul. MN 55101-1805
Phone 651.60'2.1000 Fax 651.602.1550 I TrY 651.291.0904 metrocouncil.org METROPOLITAN
COUNCIL
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CALL ALISSA ANTON WITH
PERMIT FEE OR QUESTIONS.
651-464-2988
Aanton@cpandh.com
E AG AiV
For Office Use
Permit #: /514 4
77,; O
Permit Fee:
RET Staff:
RE
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 CEIVETYPayment Recvd: Yes . No
(651) 675-56751 TDD: (651) 454-8535 1 FAX: (651) 675-5694 SEP 2 7
Email: buildinginsoections c(�.citvofeagan.com 2019 L Plans: Electronic Paper
Plan Submittal: eplansc citvofeagan.com
2019 COMMERCIAL MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of paper plans with all commercial applications as well as an electronic set of the
submittal, submitted via email, CD or flash drive
Date: '7' !.[,c I'I Site Address: / 35/ 729VIt £eldre 7
Tenant:
J
Suite #:
Owner
Name: /"LL'_%Y/l'l(S Phone:
Address / City / Zip: 7;57 (22)4 Cbl iG 4C) ci n 57;7 Z3
Name: e,Gfrir•nt re/cz ADIfb/P Y License #:
Address:
�/Z'/(/2-
State: J IV Zip: 5 Z S� (J Phone:
Contact: 67--k5zc 411 &")' l Email:
City: FOY'S- / L
A ll / 1 l e/N a jell/,'
New Replacement Additional Alteration Demolition
Description of work: If �t_ f bi 4/ V s t e-1 A- C C/%, 4141-...5
NOTE: Roof mounted and ground mounted rn chanicai equipment Is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screeningmethods.
COMMERCIAL
New Construction X Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under/Above ground Tank ( Install / Remove)
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$75.00 Underground tank removal, includes State Surcharge
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x1'.015
= $ 7 60
=$ Z',5
=$71.55
Permit Fee
Surcharge
TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the . - 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 • = it; that th : work will be In accordance
with the approved plan in the case of work which requires a review and approval of plans.
Applicants Printed Namell�
Applicai3i's Signature
FOR OFFICE USE �/3
Required Inspections' Reviewed By: Date.'
Underground. _ Rough in Air Test Gas Service Test in -floor Heat t In -floor HeaFinal HVAC Screening
EAGAN
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651) 675-56751 TDD: (651) 454-8535 1 FAX: (651) 675-5694
Email: buildinciinsoectionsecityofeagan.com
Plan Submittal: eplansacityofeagan.com
For Office Use
Permit #:
15E3169
Permit Fee: (::;?°/'54-)
Staff:
Payment Recvd: Yes ✓ No
SL ' aas Plans: Electronic Paper
2019 COMMERCIAL PLUMB APPLICATION
❑ Please submit two (2) sets of paper plans with all commercial applications as well as an electronic set of the submittal,
submitted via email, CD or flash drive
Date: 9/30/2019
Tenant: McDonalds
Site Address: 1351 Town Centre Drive
J
Suite #:
Contractor
Name:
Name: Northern Mechanical Contractors
Phone:
License #: PC645358
Address: 1975 Seneca RoadCity: Egan State: MN Zip: 55122
Phone: 651-789-2275 Email: Benl@northernmc.com
New Construction Addition ✓ Modify Space
Replacement Repair Rebuild Work in Right -Of -Way
Description of work: Remove/replace(6) plumbing fixtures & 1 Floor drain. Modify RI to accomodate new location to 1 fixture. Relocate (1) kitchen hand sink.
Irrigation System ( yes / ✓ no) ( RPZ / PVB)
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meter Required — Call Utilities at (651) 675-5200 to verity tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Average GPM High demand devices? _Yes _No
Flushometers Yes No
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$60.00 PVB/RPZ Permit (includes State Surcharge)
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call City for Surcharge
Contract Value $ 13,000
$ 195
$ 6.5
$ 201.50
x .015
Permit Fee
Surcharge
TOTAL FEE
The following fees may apply when installing a new lawn irrigation system or
connecting a new water service.
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts.
Water Permit
Treatment Plant
Meter Fee
Radio Read
State Surcharge
TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.citvofeaoan.com/subscri be.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I
understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work .e ccordance with the approved
plan in the case of work which requires a review and approval of plans. �
eN r^ C
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 4
FOR OFFICE USE
App oved e•
Required:s Na
rider Ground ugh In _Air Test Gas Test Fina I PRVYe
—
Items: Meter Size Radio Read' Manometer Staff:
Required Inspections:
Meter Relate
Page 2 of 4
a-7 77
Wo#:3305W
Test of
BACKFLOW PREVENTER TEST REPORT
JOB ADDRESS (INCLUDE ADDRESS #, STREET NAME, & DIRECTIONAL), Apt/Unit #
13 J'/ To6m CemHe Pr
tic, h7/0 S
(11 /
_ ,f BACKFLOW ASSEMBLY INFORMATION (All Fields are Required)
System Served, - [�LUa� I1e�G �/ n ¢' S Manufacturer of Assembly: "v' Ifs ��.� Model #
Size of Assembly: _ 1 Serial # 43L9FF 4
Location of Assembly: Floor # �� N� C.� �1 D �~2 Room # Date test was performed: d
Reduced Pressure Principle Backflow Preventer (RP) — TEST RESULTS
Check Valve #2
Shutoff Valve #2
Check Valve #1
Pressure Differential
Relief Valve
Closed Tight Yes No
Closed Tight Q Yes IINo
Closed Tight p Yes pVo
Initial Test
Pressure Drop Across
Opened at psid
Check Valve #1 psid
Describe parts and
repairs when needed
Closed Tight Yes _No
Closed Tight ' Yes No
Closed Tight _lYes No
�'
Final Test
—
Pressure Drop Acr s
Opened at psid
Check Valve #1 ► psid
Double Check Backflow Prevention Assembly (DC) —TEST RESULTS
Check Valve #1
Check Valve #2
Shutoff Valve #2
Closed Tight Q>'es =No
Closed Tight 0 Yes [=Vo
Closed Tight 0 Yes E]No
Initial Test
psid
psid
Describe parts and
repairs whdn needed
Closed Tight ;;; es No
Closed Tight _ Yes o
Closed Tight = Yes =No
Final Test
psid
psid
Pressure Vacuum Breaker Assembly (PVB)
or Spill Resistant Vacuum Breaker
(SRVB) — TEST RESULTS
Air Inlet Valve
Check Valve
Shutoff #2
Failed to Ope e� No
Closed Tight 0 Yes 1lo
Closed Tight a Yes Flo
Initial Test
Pressure Drop Across
Opened at psid
Check Valve #1 psid
Describe parts and
repairs when needed
Closed Tight lees OVo
Closed Tight Q YeCNo
Final Test
Opened at psid
Pressure Drop Across
Check Valve #1 psid
CERTIFICATION: I certify the foregoing information provided by me to be correct and that the tested device is functioning with the limits of the stands ds.
Name (Print): John Walfoort Signature: Date:
State of MN Certificate Number: BF779207