Suite 235 - Stride Rite
Use BLUE or BLACK Ink
For Office U en--------- ~
7CEI"D
Cat of Ea all Permit y tl I Permit Fee
3830 Pilot Knob Road APR 7914
I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
- , I Staff: I
Fax: (651) 675-5694 -
-
2014 COMMEr CIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address:
Tenant: S-rr Suite
Property
Owner Name: Phone:
g Name: V,-\ c)~~%-^'~t` L License
Contractor Address: l Yt City: 1 P~-o State: /4 ri Zip: J
40
-Lj G:JEmail:
Phone: y
New Replacement - Repair _ Rebuild Nlodify Space _ Work in R.O.W.
Type of Work
Description of work:
COMMERCIAL _ New Construction odify Space
Irrigation System yes / _ no) 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 Fiushometers Yes _No
COMMERCIAL FEES Contract Value $ ? 30 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 _ $ TOTAL FEE
***If the project valuation is over $1 million, please call for Surcharge
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 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 ~j x
Applicant's Printed Name Applic Signature
FOR OFFICE USE Approved By: Date: 7-1
Required Inspections: Under Ground -""ugh-In it Test _Gas Test 1---Final PRV Required: - Yes - No
Meter Related Items: Meter Size Radio Read Manometer Staff:
Page 1 of 3
CALL FOR CREDIT CARD PAYMENT
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAY 16 20i4
Use BLUE or BLACK Ink
For Office Use C✓ `//� /
Permit* ��Cq
Permit Fee:
Date Received:
Staff:
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 5/13/14 Site Address: 3905 Eagan Outlets Parkway
Tenant: Stride Rite suite #: 235
J
Name: Phone:
Address / City / Zip:
Applicant is:
Owner Contractor
Description of work: install sprinkler protection to new suite 235
Construction Cost: $1300.00
Name: Ahern Fire Protection
Estimated Completion Date: 7/1/14
Address: 13705 26th Ave #110
License #: C039
City: Plymouth
State: MN zip: 55441 Phone: 763.268.0515
Contact: Ray Polos Email: rpolos@ahernfire.com
FIRE PERMIT TYPE
X Sprinkler System (# of heads 8 )
_ 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*
$ 60.00 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
x
Applicants Printed Name Applicants Signature
FOR OFFICE U
22-? c7
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm'
Trip Pump Test
Conditions of Issuance:
Permit Reviewed
Use BLUE or BLACK Ink
�--------
--------�
� For Office Use � � � �
� � I
`i�t'� � Permit#: � 1 � I
C�tV of �a a� Cc��� � � . � � ��. �
J � R` � Permit Fee: � ' � I
3830 Pilot Knob Road � ��,01� , � �
Eagan MN 55122 �P� � Date Received: � ` � I
Phone: (651) 675-5675 �
I
Fax: (651) 675-5694 � Staff: �� �
I �`________________JL
IN PERMIT APPLICATION ���I'��
2013 COMMERCIAL BUILD G
Date: ! `�" ��-1 Site Address: � / V � ��'�:dt� �i�"���S �l��-��T'1
Tenant Name: ��'(i-��'�- t�-�T� (Tenant is: � New/ Existing) Suite#: ��7
Former Tenant: 1�► �
Name: �.��At�lrrJ D��� t'�"tK�-T1�(1-3 �('�`Phone: �i�+°�SL� ����
'Z..I St� f-�:...✓L
Property Owner ' Address i city i z�p: Z��] �. ��Eb��� sM-�-%� ��,.,��n-� !�t�
��2�°2.
Applicant is: Owner Contractor
Type Of WOrk Description ofwork: ��ki ��,n+•r �nnP�%�.M�se%� tF 1�- N�.�.a/ �°-c.uw�S P��..�
Construction Cost:� �'Z'�j ��
Name: ��I�t_. :�"�;111��C'��� IYl( License#: a��Jl� ����J���
Contractor Address: �� �i Q 1'�I�� �"� �°��'= City: ���aL��'��
State: I f 11�' Zip: ���`7 �L�° Phone: �� ! y�71��� � /�=�� 1
Contact: 1� �� EmaiL L �'�, � •�t'r"LIC.IL�i(1C. V?
Name: ���5 ��: Sr��l�(�'l� Registration#: ���� �1
Architect/Engineer Adaress: �I E�NN� �T�'L�t' �;c� City: Ci�NL�N�A�
State: V It Zip: � g ZL� Phone: ��� °�'l 1 ` ���
ContactPerson: �i�Rl� t3' `�A Email: G�Gr.��Flk-S c;� �(LC,�'il �4'M
Licensed plumber installing new sewer/water service: Phone#:
NOTE:Plans and supporting documents thaf you submitare consitlered fo be public information. Portions of '
the information may be classified as non-public if you provide specific reasons that woutd 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. ��nr�,ti�r. c� herstateonecall.ora
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 applicatio for , d work is not to start without a
permit;that the work wili be in accordance with the approved plan in the case of work Jsequires a rev w and approval of plans.
� .
X �R�l, Pr= L�.�, j X_ -
ApplicanYs Printed Name � `
��
����� Rage 1 of 3
� _
��v��u� . �. � __
��(l"�'�'� .��?✓� .����Gk����i��
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.
► � . . : ��1�5 C� �-, ���(.e.fis j°� ��3� '
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DO NOT WRITE BELp THIS LINE lZ:���- �
SUB TYPES
/Foundation Public Facility Exterior Alteration-Apartments
✓ Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial
_ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES ` /
_ New " Interior Improvement _ 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 '�1�5��d4• '� Occupancy lN MCES System
Plan Review ✓ Code Edition � SAC Units !,S ,�,� ,�A'l0
(25%_100% ✓) Zoning �;.: City Water ✓
Census Code Stories _� Booster Pump
#of Units � Square Feet 2�� PRV
#of Buildings �_ Length Fire Sprinklers �
Type of Construction �•$ Width
REQUIRED INSPECTIONS
Footings(New Building) �Sheetrock
Footings(Deck) �Final/C.O.Required
Footings(Addition) Final/No C.O.Required
Foundation Other:
Drain Tile PooL•_Footings Air/Gas Tests _Final
Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath Stone Lath Brick
✓Framing Windows
—�ireplace:_Rough In _Air Test _Final Retaining Wall
� Insulation Erosion Control
Meter Size: �
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
�....,
Reviewed By: ���i� , Building Inspector Reviewed By: � � <� , Planning
COMMERCIAL FEES
Base Fee `�O G •7� Water Quality
Surcharge `�Z •�� Water Supply 8 Storage(WAC)
Plan Review l / 7 • 39 Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S8W Permit&Surcharge Street Lateral
Treatment Plant Street
Treatment Plant(Irrigation) Water Lateral
Park Dedication Other: �l/� `2-� �O• �
Trail Dedication
Water Quality TOTAL �3 p� ,L�"
Page 2 of 3
Page 1 of 1
s Rau N
INTERTEC ��a�. � � o. �,
Daily Field Notes
Project No.: ��."��," ���l'�� Report No.:
,�. ._.W.�.a....�,.�...�.... i
Location: �' 6{V�t � C.�. ,��.� Date: b � �1�
�u!'a tt�+t��
Personnel Classificatlon Regular Hours Overtfine Hours
hr�� ��- "11� .� . � 1, r
�
Areas and work erform�d t1�is da :
�}�S�Vet� :�lll�t1 G�c�' `��� � ���
�.� ��` �. � � �?��� ��`�
� � ���. � �� � �� �
�� ������'� � ��� ��`� � �1 � � ���� ���`��� ;
�
Weather: Performed By: � � �i��
Submitted To; Date:
Rev.1 Di06
Prouiclrng engineering aiic!environmerricrl sobrlions siiTCe 1957
_ 1n' ___ Use BLUE or BLACK Ink
��,, i __�
-: � �'r For Office Use �
� � � � I
�' - I
rvY:#�rv � � Permit#: ����� I
Clt� O����I�I� R CEIVE � � . O."� �
3830 Pilot Knob Road D � Permit Fee. �
Eagan MN 55122 ��N , I
Phone: (651)675-5675 3 Q ���� � Date Received: � I
Fax: (651)675-5694 � �
� Staff: �
. . ��__��_� � �_�_�_�J
2014 11�i6ECHANICAL PERIVfIT APPLiCATlO�I
❑ Piease submit two (2)sets of plans with all commercial applications.
Date: �/.� 1�Site Address• �C �'¢�C/c'n,/C � ,��� ��J��Q/N �'�fq;� ��'�'
/� ` �T
Tenant: �' 1�i .. ,Ci` c�t >� Suite#: ,� 3 3�
Resident/Owner ` Name: Phone:
Address/City/Zip: �
Name:�–'�_�/�/,��'�r�c �el� License#:
� Contractor Address: �'�S'�f'�ca�- c�,. City: �',(�c�,.-j �i�'�riya�°.
� State: /�!/� Zip: �s � y'�� Phone: C�,S���„7'<�����f
� � Contact: �,/�'�`.`:a�P`�1�.�,�,�G.- EmaiL f Q� ,�,. , , r ,�
' �
� N w i ��,.�
e
� Re lacemen
t A ii
dd t onal AI r i
te at on
P Demolition
� � .
� Type of Work = Descriptior� of work.
� � NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City,
, Code. Please contact the Mechanical lnspector for information on permitted screening methods. ,
^ R
� RESIDENTIAL COMMER AL
_Furnace New Construction +' Interior lmprovement
� P2I'Itllt Ty�@ —AirConditioner Install Piping Processed
_Air Exchanger Gas Exterior HVAC Unit
_Heat Pump UndedAbove round Tank
_ g �Install/_Remove)
Other
� RESIDENTIAL FEES
� $60.00 Minimum Add or alteration to an existmg unit(includes$5.00 State Surcharge)
� $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES ContractValue$ ,�jG�� 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$1 million, please call for Surcharge =� �Ci ''`� TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
�
x c.�;';�'�� /rL���,��..,- x
Applicant's Printed Name A nt's S' nature
FOR OFFICE USE '
Required Inspections: Reviewed By: � � Date:� 7 �
Underground �ough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
�� � �
Use BLUE or BLACK Ink
�� �. �(_ i-----------------,
� For Office Use � �
C� j Permit#: o ' ��� I
l� of �a �� RE��s�� i-� � . �t— �
� � �v � Permit Fee: �
3830 Pilot Knob Road �
Eagan MN 55122 JUL 1 � ���� � Date Received: �
Phone:(651)675-5675 �
Fax:(651)675�694 � �
� Staff: �
�________�_����__J
2014 COMMERC�IAL FIRE ALARM PERMIT APPLICATION*
Date: � ^3 - � y' Site Address: ���S �°`�I�^ ��{�c'�I p W t�y
Tenant• S�r, a e �; � '` Suite#• Z 3 5
�:�' Name: Phone:
` ������;�� Address/City/Zip:
���: Applicant is: Owner Contractor
�� � � � Description of work: A N S'�A � ( ��r� � �A• r� S7 S'�� rr
T�r�u@#?f,'�t��'k
Construction Cost: � �s Estimated Compietion Date: , -3 ( - ( 4
. Name:/" �aS�'e� T-cc�n°�oSy �S ioJ �License#: 't.sc� t S-7 �
� � �'� Address:� .SS S I Z,3�� ST �1 City. S f��/A 6 G-�
� '�Ot'ft��A#'
State:/V`N Zip: S S 3 1 � Phone:�S 2- ��U � - 3 ��"��
` Contact:��.�c �o-�e� Email: ��� �c . �o-�-��•. � Cc.11v'nE . �u
��: �New _Remodel
`���`��� " Addition Other:
Alterations
DESCRIPTION OF WORK: �ommercial Residential Educational
FEES Contract Value$ 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$1 million, please call for Surcharge
_$ � � 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 Alarm 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 v�rith the approved plan in the case of work which requires a review
and approval of plans.
X �e ve MA c (L � V v 1eti✓"�
x
Applicant's Printed Name Applicant's Signature
�t�R UFf1+�E t�SE Rr�►i�wed�, '� " . � ��;; ",
��,
R�uir+�d in��e�ti4ns: ��gh-lri �i�a! ' �`i���l't���'��st "