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1286 Town Centre DrCity of Eaaall 3830 Pilot Knob Road, +69' Eagan MN 55122 Phone: (651) 675-5675 - 0 Fax: (651) 675-5694 se BLUE or BLACK Ink Date Received: Staff: 2011 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 74/1/p Site Address: �) 0 4 7Tjib ( t ,Ve Tenant: V.r t� th T Suite #: PROPERTY OWNER Name: Phone: Address/City/Zip: Applicant is: OwnerContractor TYPE OF WORK Description of work: .0•7—.3 kacir Tu/ (P (4y tk.it ,y3X2IfeXte2i� Construction Cost:' cEstimated Completion Date: `/r // CONTRACTOR --- ��/ eern Name: ,eVn �%'-e r/!>feC.Tld,License#: Address: 87d5 16 7f UP . Pt... -.I U City: ii'/ oce.ar�l State: Mil G/ Zip: v ✓44(71/ Phone: 111,"? - d 3.3 ,_ (-?/o Contact: / /l%S Email: /�U/a Pahe`. . c&cn FIRE PERMIT TYPE /`Sprinkler System (# of heads al -s) WORK TYPE New Addition Fire Pump Standpipe _ _Alterations Remodel _ _ Other: Other: DESCRIPTION OF WORK: )4 Commercial Residential , Educational _ FEES $55.00 Minimum (includes State Surcharge) OR $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Fee requires a $ 5.50 surcharge) Contract Value $ gdb, — x 1% - If the Permit Fee is less than = $ 55 Permit Fee Permit Fee = $ 5 Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit $ 60- TOTAL FEE 3/4" Displacement Fire Meter - $204.00 $ Fire Meter $ TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is 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 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 requir s a review and approval of plans. Applicants Printed Name Applicants Signature . , I dgia Tyr Gy4re. 1 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecaii.org FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed by: Ult # 4. Date: Gity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 'Ilk' L U r C(4k2ed3 Use BLUE or BLACK Ink Permit # I� Permit Fee: Date Received: Staff: 2011 FIRE SUPPRESSION/ SYSTEMS PERMIT APPLICATION* Date: 442(1/8Site Address: t� 674 44/7 ele/77f )5-r. Tenant: ,6anQ Tan J Suite #: PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK /� Description of work: Dd/ heads £ FVe v e, Construction Cost: .`^ Estimated Completion Date: gfiJ/ CONTRACTOR Name: ern./..e )1-40/erne-Al License#: C05/ Address. /eg 705 State: Nil Zip: ‘SW1 er 46//&-_, City: "6/m1J� Phone: 7 j zer,(6i Contact: / ,0/05 Email: tp,/d S a 46i-li rr ..(2,04/ C.� FIRE PERMIT TYPE X Sprinkler System (# of heads .3) Standpipe WORK TYPE New Addition Fire Pump _ _ _Alterations Remodel _ Other: Other: - DESCRIPTION OF WORK: X Commercial Residential Educational — _ FEES $55.00 Minimum (includes State Surcharge) OR $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Fee requires a $ 5.50 surcharge) Contract Value $ /t0 • x 1% - If the Permit Fee is Tess than = $ Permit Fee Permit Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit $ TOTAL FEE 3/4" Displacement Fire Meter - $204.00 $ Fire Meter $ 5 5 TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used 1 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x &vh &trrn?s Applicant's Printed Name Applicant's Signature 147 k?a- CALL BEFORE YOU DIG. Call Gopher State One all at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orcl QUIRED INSPECTI Hydrostat 4110 City of Eaaii Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: Use BLUE or BLACK Ink 9 Permit Fee: $55 00 r� Date Received: CC ` Staff: 201 FIRE SUPPRESSION SYSTEMS P RMIT APPL _ ATION* Site Address: 4216 Tuff) ( 7Q Bea l-6fs Suite #: PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: a cJ ha's' y r rA To c/� Construction Cost: 4629 - Estimated Completion Date: Jj�/ CONTRACTOR Name:�/o7 !77iI License #: eo.v Address: /370,5 626f4Ave #//0 City: /4/14/66/1A State: AP Zip: ✓ J55gl Phone: 763 ;--6e.05/5 Contact: 404C Email: 0a9A.0 OQhletni4ve. CO»i FIRE PERMIT TYPE XSprinkler System (# of heads 3 ) WORK TYPE New _ Addition Fire Pump Standpipe _ ---Y Alteration _Remodel Other: — Other: ,pfd DESCRIPTION OF WORK: X Commercial Residential Educational _ — FEES $55.00 Minimum (includes State Surcharge) OR $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Fee requires a $ 5.50 surcharge) Contract Value $i� . x 1% - if the Permit Fee is less than .$ Permit Fee Permit Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit $ TOTAL FEE 3/4" Displacement Fire Meter - $204.00 $ Fire Meter �' $ �✓ TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be use I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which r quires review and approval of plans. x �v� Applicant's Printed Name Applicant's Signature la-e6 Oh)e, 9fr(3) CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org r* City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 F''7 2 Use BLUE or BLACK Ink Permit #: R ?D Permit Fee: Date Received:/ -2,-/f Stalk 2011 COMMERCIAL BUILDING PERMIT APPLICATIONC td Ott �-1� J � 1 � Date: 4Ji'4 Site Address: Zt(o TOWr► i Ekinz6 DR 0.441 f— Tenant Name: CA EANI A TAN VitAAt ,l (Tenant is: New / )K Existing) Suite #: / 0 v Former Tenant: PROPERTY OWNER Name: mM' AiM Ltc A REA.. CS -141C Phone: g52. - 563 - lob7_S Address / City / Zip: 5353 INI41124 9 /fit/�Ev� t 5t//T Gyp /Pea //W Applicant is: Owner Contractor 5541 b TYPE OF WORK CONTRACTOR Description of work: U'l44/Iri 744 IS nt1 vdN.s l Z /A6 — Cta4 * -Uf viktw cy Construction Cost:*2 5 00 O NEyr /,g Name: W��,IL.. MTt L4 or) (uN Cr License #: Address: 49)31 W /24 77/ SiCity: 99l///C7Ei State: OW Zip: (3%U Phone: 92O " 4364 Contact: nt 6 C Email: Eg19RG14C % 'Na6/ Pg��gCOrt .6 ARCHITECT / ENGINEER Name: MA -R. INRCA,IITSVNILE I INC_ Registration #: 17444 2 0 Address: In/i1SH(Nc ) 4416--/� City: #1/01O6feflAt State: ///14/ Zip: 5540 i Phone: (,/Z - t' 7 & — 2700 Contact Person: CIM IS L4/H i i7 Htl%SE Email: CWRITEI+wtsE a�DTR.41C, • CO IN` Licensed plumber installing new sewer/water service: Phone #: CALL BEFORE YOU DIG. CaII Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's 'Printed Name x Applicant's Signature Page 1 of 3 Ii ceiri4te& DO NOT WRITE BELOW THIS LINE gEgoe* SUB TYPES Foundation Apartments Lodging Miscellaneous WORK TYPES New Addition Alteration Replace Retaining Wall _ Public Facility V Commercial / Industrial _ Greenhouse / Tent Antennae /Interior Improvement _ Exterior Improvement Repair Water Damage DESCRIPTION Valuation 25lboo %� Occupancy Plan Review V Code Edition (25% 100% ✓) Zoning Census Code Stories # of Units 0 Square Feet # of Buildings ( Length Type of Construction '1,[ ' pj Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile ,Roof: Decking Insulation _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: _ Accessory Building _ Exterior Alteration -Apartments _ Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Demolish Building* Demolish Interior Demolish Foundation Fire Repair _ Salon Owner Change *Demolition of entire building - give PCA handout to applicant 6 22.67 4QG S' S`- MCES System SAC Units O f Dd1Nf t,S(21 City Water ✓ Booster Pump 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 Final CIO Inspection: Schedule Fire Marshal to be present: Yes V No Reviewed By: CAW , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality 413.00 It•'l0 268. sir Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL G43.95. Page 2 of 3 gekoe Peggy Fleck 1 Clerical Tech 1 City of Eagan City Hall 1 3830 Pilot Knob Rd 1 Eagan, MN 55122 1 651-675-5675 1 651-675-5694 (Fax)1 pfleck(a)_citvofeagan.com City of 6an 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: Peggy Fleck Sent: Wednesday, April 27, 2011 2:35 PM To: 'Nye, Jessica' Cc: Craig Novaczyk Subject: 1286 Town Centre Dr, Suite 100 Hello Jessie, Do we need to notify you if a tenant is downsizing their space? Cabana Tan located at 1286 Town Centre Dr, Suite 100, is downsizing by 1200 sq. ft. Thank you, Peggy Peggy Fleck 1 Clerical Tech 1 City of Eagan City Hall 1 3830 Pilot Knob Rd 1 Eagan, MN 55122 1 651-675-5675 1 651-675-5694 (Fax)1 pfleckacitvofeagan.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. 2 • • Craig Novaczyk koe From: Peggy Fleck Sent: Wednesday, April 27, 2011 3:15 PM To: Craig Novaczyk Subject: FW: 1286 Town Centre Dr, Suite 100 See below. Peggy Fleck 1 Clerical Tech 1 City of Eagan City Hall 13830 Pilot Knob Rd I Eagan, MN 55122 1651-675-5675 1651-675-5694 (Fax) I pfleckna,citvofeagan.com Cit! otEaQall 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: Cappaert, Karon [mailto:Karon.CappaerOmetc.state.mn.usl Sent: Wednesday, April 27, 2011 3:02 PM To: Peggy Fleck Subject: RE: 1286 Town Centre Dr, Suite 100 No because it is not a change of use. If another tenant comes into the space created and it's not retail they would need a determination. Karon Cappaert SAC Administrative Technician MCES - Finance 390 N Robert St St Paul, MN 55101 karon.cappaert©metc.state.mn.us Phone 651-602-1118 Fax 651-602-1030 Please visit our website for more information. http://www.metrocouncil.orq/environment/RatesBillinq/SAC Program.htm From: Peggy Fleck [mailto:PFleck©cityofeagan.coml Sent: Wednesday, April 27, 2011 2:39 PM To: Cappaert, Karon Cc: Craig Novaczyk Subject: FW: 1286 Town Centre Dr, Suite 100 Hello Karon, Please see below. I understand Jessie is not in the office. Thanks! Peggy 1 41111° City of Etail 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 51`'5 ill Ch � kn5 RECEIVED MAY 0 5 2011 Use BLUE or BLACK Ink Fpr Permit#: q Permit Fee: 9 7 OD Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Site Address: i2$LQ Tenant: b��>JT � d 4 �. f� �T TcS C,.a.44.44A-T.Ai4 Suite #: J RESIDENT 1 OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: F r-vEC14D,vJ.00 , License #: Address: Ib Z, 1,c5 O":� L) , City: .Aa. State: \N Zip: 44.1 Phone: 74 -15:t"- (4%.V3Z3 Email: t• -0-k FC, E5..SAAtJ1c.AL • (5.' .k Contact: t 0.4 IA bsu.ltZ t TYPE OF WORK New Replacement Additional I,. Alteration Demolition Description of work: Ao0 IN't ' 0�cw�,Z.s1.--Cc ••‘-t"y(M.„,'Sk NOTE: Roof mounted and gr and mounted mechanical equipmentis r red to be by City Code. Please contact the Mechanical Inspector for information on pertsiif d screening methods. PERMIT TYPE RESIDENTIAL. Fumace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger % Gas x Exterior HVAC Unit i Heat Pump Under / Above ground Tank ( Install / Remove) _ "When When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: 855.00 Minimum Add-on or alteration to an existing unit (includes twined out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $___. TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge)csd Contract Value $ ct %ZSId_ x 1% _ $ `ii L -- Permit Fee - If the Permit f is Tess than Fee = $ S � Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010411,010 Permit _ $ cl'-1 — TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org 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. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Required Inspections: Under Ground ouah In Air Test IrGas Service Test Date: Heat d' Falai