Suite 610 - J Crew
C) J-
-Use BLUE or BLACK Ink
For Office Use I
Lily Eap RECEIVED j Permit of I UD
3830 Pilot Knob Road MAY 12 2013 1 Permit Fee. 1
I I
Eagan MN 55122 I Date Received: 5 3 I
Phone: (651) 675-5675
I
Fax: (651) 675-5694 I Staff.
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications. 51
ddress: , `C.
Date: Site Address:,,
-C,
Tenant: uite
Property
Owner Name:
CZ Y- Phoneme~ r~
Name: C_ License#: t''N10~5q d"1
Contractor r
Address: Dq ~ City: ~e~~- Lo--1LC, State: VJ~Zip:5,4 J
Phone: Lgf:A Lxe- ;;Fls & ,
Type of Work - New _ Replacement - Repair - Rebuild Modify,Space - Work in R.O.W.
Description of work: a t
COMMERCIAL _ New Construction _ Modify Space
Irrigation System C_ yes / _ no) L- RPZ / _ PVB)
• Rain sensors required on irrigation systems
Permit Type • 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 Contract Value $ 07 80 la,- X.01
$55.00 Permit Fee Minimum
_ $ Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEE
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 st without a permit; that the work will be in
accorddaanccep with the approved plan in the case of work which requires a review and approval of pl
x-siYi x
Applicant's Printed Name Applicant's ignature
FOR OFFICE USE Approved By: Date:
Required Inspections: f under Ground Rough-In K Air Test _Gas Test Final PRV Required: _Yes No
Meter Related Items: Meter Size Radio Read Staff:.
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use I
Eapn City Olf RECEIVED (L6` ✓ 1 Permit f ~c/ ~7 >r0
3830 Pilot Knob Road ~ECEI ~a ~S r V G Permit Fee: % / '
Eagan MN 55122
Phone: (651) 675-5675 MAIi 13 2014 ; Date Received: ~ /S I
I
Fax: (651) 675-5694 ~ Staff: I
I
2014 MECHANICAL PERMIT APPLICATION
❑ Pleases bm'/t two (2) sets of plans with all commercial applications.
Date: / G Site Address:
Tenant: Suite :
Resident/Owner Name: Phone:
Address / City / Zip:
Name: C0zC:,1C,1o c cA ~`Vvr~~(` ~1est~i cense pmotn
Address: c 'Ci ~
Contractor
State: Zip: 505 0 oZ Phone:
Contact: Email: vl~.U \ S
New Replacement Additional Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace 2C New ConstructionInterior Improvement
Permit Type -Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank l_ Install Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) / ® -
$100.00 Residential New (includes $5.00 State Surcharge) _ $ 704 TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal = $ Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances d nodes 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 wi out it; that t ork will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x 60~ s J x
Applicant's Printed 14iCme Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: ~5- Date:
Underground -Rough In ( Air Test Gas Service Test In-floor Heat Final HVAC Screening
Date:
CALL FOR CREDIT CARD PAYMENT
Cit of Eapu vv rtimi/
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAY 1 2 2013
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
5/4
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
2 2 P
(00c>>
Date Received:
Staff:
Tenant:
Site Address: /eft
( rSuite # v 6/0
Iia
Name: Phone:
Address / City / Zip:
Applicant is:
Owner Contractor
e
r
Description of work:
riloectie nicdfy hems . Ch /)eth sae,
Construction Cost: A516Estimated Completion Date:
n1
Name: Ahern Fire Protection License #: C039
Address: 13705 26th Ave #110
State: MN zip: 55441
Contact: Ray Polos
Phone:
City: Plymouth
763.268.0515
Email: rpolos@ahernfire.com
FIRE PERMIT TYPE
X Sprinkler System (# of heads )
Fire Pump _ Standpipe
Other:
WORK TYPE
New Addition
XAlterations Remodel
Other:
DESCRIPTION OF WORK:
X Commercial Residential
Educational
FEES
$55.00 Permit Fee Minimum
If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
= $ Permit Fee
= $ Surcharge*
= $ ((/(/ TOTAL FEE
3/4" Displacement Fire Meter - $260.00
Fire Meter
TOTAL FEE
*Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but
only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work
which requires a review and approval of plans.
x Barb Barnes ���,eW3 Soyd
Applicant's Printed Name
x
Applicant's Signature
•
FOR OFF{
REQUIF
Conditions of Issuan
Pei
Use BLUE or BLACK Ink
For Office Use
I
I Permit I~ 1
City of Eajan,aEiVED G
I I
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 j
Fax: (651) 675-5694 j Staff:
- - - - - - - - - - - - - - J
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 031t411(4 Site Address: "05 EAGAA/ OuTLEIT FAMW AY
Tenant Name: J . CRBW (Tenant is: V*" New/ Existing) Suite M S/0
Former Tenant: AM
Name: 0410 ty &rLL2g%S &V BBA 4L,F OF J",CREW Phone: 3-12---20q-56Sp
Property Owner Address / City / Zip: 710 510"WAY . I9TN FL lIVEW YORK /1000)
Applicant is: Owner Contractor
Type of Work Description of work: NBW TRAI/ ur FZr-0111
Construction Cost: asci. OO.OO
Name: T$P f n/t~, i• LtJrs~I Ce2ki +7'~?.C_ License
Contractor AddressI5/ &L&6 7~'~► S}~i'~ City:
State: ,T Zip: Phone:/ 2 - 7
Contact: '4 ki f) Email:
Name: ooMAS Howse Registration A3yi0
Architect/Engineer Address: 1XX W. Z?Tk jr, HrN PL City: A/dW yogic
State: _Aly _ Zip: 10001 Phone: 3-11" 6V;- 0011
Contact Person: QLEf Tsui Email: ALUTIR149CARCB.Coin
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www o herstateonecall.or
I hereby acknowledge that this information is complete and accurate; that the wort 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 applic,~ ion for a permit, and work is not to start without a
permit; ~th{a~tt th_,e~work will be in accor)dancee with the approved plan in the case of wo ich re ires a review and approval of plans.
xy fIYtL 1 r MJ ►.l&5zl~ x
Applicant's Printed Name App ica is Signature
Page 1 of 3
U) Z4 e fs
i
DO NOT WRI BELOW THIS LINE Z~ 3
SUB TYPES
_ Foundation _ Public Facility _ Exterior Alteration-Apartments
-/Commercial / Industrial _ Accessory Building _ Exterior Alteration-Commercial
Apartments _ Greenhouse / Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES
New v 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 Occupancy M MCES System
Plan Review / Code Edition a-®IOIS~'~ SAC Units j~
(25%_ 100% tom) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV Yes
# of Buildings Length Fire Sprinklers vet
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) ::ZFinal / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Other:
Drain Tile Pool:- -Footings -Air/Gas Tests -Final
Roof: -Decking -Insulation -Ice & Water =Final Siding: -Stucco Lath -Stone Lath -Brick
v/-Framing Windows
Fireplace: -Rough In -Air Test -Final Retaining Wall
✓Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: v-*Yes No
Reviewed By: M l L-- ` , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee 0 f (o. 75" Water Quality
Surcharge / 30 , 00 Water Supply & Storage (WAC)
Plan Review 3 ,~19 Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTJ COT
Page 2 of 3
U ��/�..�` ��,}C� �l���J��� ;��f� Page 1 of 1
7
I NTE RTEC �'. C��/`
Daily Field Notes
Project No„ ��,,;�- ��,°�����°'� � Report No.;
Location: '"�`��,�s�,'�- "� c.e, Date: ,,��,�—� �� �
� ����� � ��
Personnel Classiflcation Regular Hours Overtime Hours
... ..:� } . ....:td ..� � � .. .. ��� ..��n \Yi�✓"�s( ....:. . �a� . ..�.�. . .. .. . .. .
A�eas and work e�farrn�d�h�s�a .
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Weather: Performed By;
Submitted To: Date:
Rev:10i0b
Prnviding engineering anc�environmetttat soltNions since 1957
,� �i(r�--. ���Lt�
L� � � � - Use BLUE-or BLACK Ink
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� For Office U �
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� Permit#: � � �� i
Cit of �a �Il � . � � �- �
� � � Permit Fee: � I
3830 Pilot Knob Road �������'� � I
Eagan MN 55122 I �
Phone:(651)675-5675 �(�� � � ���� I Date Received: �
Fax:(651)675-5694 � I
� Staff: �
`��______���__���J
2014 COMMERCrIAL FIRE ALARM PERMIT APPLICATION*
Date: � - 3- ( � Site Address: ���S �e��^ ��'��'e�.S �p Z(��A.�/
Tenant: _ ��E�''� Suite#: � ( �
.; Name: Phone:
������ Address/City/Zip:
Applicant is: Owner Contractor
�<
� �� �`��� Description of work: l n1 S'��<< N t u F;.e (��a.-.-. Sy s��h-•� �
;.i ���±l�'�'�T'�C �
s
. t2oo - 3 � - ��-F
Construction Cost. , Estimated Completion Date: �
Name: A S't tr ��c�n+�u 5 ��°'' �icense#: T S o � S � 1
M y P
� .
�
. �',ssS I 3 s�r w � S+�v��E
, �
.�?�I�C�t?!'
Address. Z, City.
=��� State:/�`� Zip: S�3� g Phone: �S Z- �v$' 3���
„_�
� ,.
ti
' Contact: (°`��c (�, a�'�c� Email: V►�'�� l�� . �o�-Ee., � Ga.� 1 w,t .Gov.�.
S
�
,�New Remodel �I
������' ` Addition Other: i
— —
—
Alterations
DESCRIPTI N�� F W
O O ORK: � Commercial Residential Educational
— — —
FEES Contract Value$ x.01
$55.00 Permit Fee Minimum =� Permit Fee
*If contract value is LESS than$10,010, Surcharge=$5.00
""If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 -$ Surcharge"
*""If the project valuation is over$1 million, please call for Surcharge _$ / Q
lD TOTAL FEE
�
Requirements:2 complete se�of drawings and specifications,cut sheets on materials and components to be used
I hereb a I for a Fire Alarm ermi n kn wl h r � h h rk will be in conformance with the
y pp y p t a d ac o edge t at the information is complete and accu ate,t at t e wo
ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a pertnit,but only an application for
a permit,and work is not to start without a permit;that the work v�rill be in accordance with the approved plan in the case of work which requires a review
and approval of plans.
X S�-eve �hcK X �. �l V \�
ApplicanYs Printed Name A licant's Signature
��3F���FI+�E 1��� �rt�ei�r��� � ,�. ��. ��:
�
, � ,
Requireri'1nsp�ior��.,, �tc�u��t� ��i�t F�r�����'��.