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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�� ;.J . ► � . . : ��1�5 C� �-, ���(.e.fis j°� ��3� ' � 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 "