Suite 225 - Justice/Brother
Use BLUE or BLACK Ink
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I For Office Use
I Permit vv t I
Cit of Ea an ILjlf~ tol
Y V ) Permit Fee: / ` + I
3830 Pilot Knob Road RECEIVED s I I
Eagan MN 55122 I
Phone: (651) 675-5675 I Date Received: I
Fax: (651) 675-5694 FEB 1 zQ~ j I
I Staff: I
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 2.1 t Z 1 Site Address: 2R06_ 6OAr4 WLEZ fj;~W4aY
Tenant Name: .TII.$rf<I:.E Q2QSI,~Ir(Z.S (Tenant is: -A New/ Existing) Suite ZZ'S
Former Tenant: Vor1C
Name: 1FACLCGG4 Qklr` ESPA ZEffE" L-LC- Phone: ZZ8- 803, 3g6b
Property Owner Address / City / Zip: 21"1
EASS R~W000 sr. ~Zi~ ~oQ21 dAC.tICY10(lF, M~9 ZIZOZ
Applicant is: Owner Contractor
Type of Work Description of work: 641l,O oJi QIr jt6rAtLTAl4Ar4j-SP E 11(CN Tyazr1hGL~_
Construction Cost: k Imic 1,
Name: MOM • EL OCe -S&Y S ; 1 N C.. License
Contractor Address: I V20 C' Cadt_~S a ' Su i w tz5' Zit city: 0 LOON► IN6r o"
State: fil Of Zip: S S_42131 Phone: q5 Z 6 V` 0
Contact: 7-1 Wl 56 AE. Vk- Email: +,M S @~ Q k e_r)on es .Cow"_
Name: Tlmdr1AY -IT. S1A12t7YL W0GdC. Registration ~a6$
Architect/Engineer neer Address: ~~3tJ5. SUrtt~4134 to. city: WcSt'Z3RJ1V►!~ ~
State: Zip: 0 x#3045 \ Phone: b1y. ZurV - 4ssD
Contact Person: zaNa GRAM Email: I Y`o► h t,m
Licensed plumber installing new sewer/water service: ri A, Phone
NOTE: Pans 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.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; tha~t the work will be in accordance with the approved plan in the case of work which r quy es a review and approval of plans.
x 11-1-m S C AC-N 4 `I ,/,9045 00 x _zf:~
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE XLOW THIS LINE
SUB TYPES
Foundation _ Public Facility _ Exterior Alteration-Apartments
V/ 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 j
Valuation IK Occupancy 4 MCES System ✓
Plan Review j Code Edition :7,01 Ale>BG SAC Units
(25%100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet ,g PRV
# of Buildings ! Length Fire Sprinklers
Type of Construction a 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
Fireplace: -Rough in -Air Test -Final Retaining Wall
Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: ✓ Yes No w
Reviewed By: Building Inspector Reviewed By: Planning
COMMERCIAL FEES ,C /
Base Fee 7 ~ .7<'
15 Water Quality
Surcharge 57.5.0 Water Supply & Storage (WAC)
Plan Review Ills-.3 9 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 'L
Water Quality TOTAL q 7 9 • G/
Page 2 of 3
Use BLUE or BLACK ink
� For Office Use I
RECEIVED �;� ; Pe�,�t#: /���7 � �
�ity of�a�a� ��N , 3 ,�,� �� 1� I Permit Fee: /�� "� j
3830 Pilot Knob Road r� (,;l � �
Ea an MN 55122 iQ� t7 I
Phone:(651)675-5675 l � i Date Received: ����� �
Fax:(651)675-5694 � �
I Staff: �
�-------------- --�
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans w,sth all commercial applications.
7
Date: �p-1��,�I � Site Address�� � �� ���'�''�� ��rk`�```a
�. - ,
Tenant: �U�,�'T�l�3l. � �t'���`�.S __Suite#: �o�-�
`�%� -��� Name: Phone:
Residen�/Owrier �
�,,
,,:��,�� Address/City/Zip:
��.
.���,� �": Name: I.-e���� �,-,.,�a•--,�-c S �n� �- License#: �
°o COI1fCaCfOC; Address: �$S� w�e.-,� w�.--I� �rvr J ciry: I�Ic�c����
°' �` �` . State: b'vl t� Zip: SJ�`�� Phone: �l�a-g��c " I 3`^J�
" Contact: C 1�.., { �Vl(�Y`�C�,�� Email: 1� �c t G �• vt L
New Replacement �Additional Alteration Demolition
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,,. .
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Type of Work , Description of work: �� . h' �k�5 � �� �G�
NOTE:Roof mounted and ground mounteii mect�anical equipmenf is reqtt�red to be!screened by Cify ;'
: Gocle': P[ease contact the Mechanical.lnspectar for'information on;permitfe�}screen�ng inethods'
RESIDENT►AL COMMERCIAL
Furnace New Construction �interior Improvement
i _ _
:pel'tillt T�}e '. —Air Conditioner _Install Piping _Processed
Air Exchanger Gas _Exterior HVAC Unit
_Heat Pump Under/Above ground Tank �Install/_Remove)
Other
RESlDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES Contract Value$ � �� x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank instailationlremoval =$ � Z� •�� Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =� g •`�p Surcharge`
'"If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
"*If the project valuation is over$1 million,please call for Surcharge =$ 1 g�Q - �� TO?AL 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 staR 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.
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ApplicanYs Printed Name ApplicanYs Signa ure
FOR OFFICE USE ,�'� � � � � �. � �
Required Inspections• Rev�ewed B� . .-.��"' Date; �� �
' Undergraund ' •Rougf�ln ' `Air Test,�� Gas,Service Tesf ': Y 'In-flaor Heat, �Final�Y' HVA�Screening' ; .,-:
Jun. 11.2014 09:29 AM Struss Plumbing 320 629 3773 PAGE. 1/ 1
+ �� ���S j�� Use BLUE or BLACK Ink
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' RECEIVED ' �3�°�� '
C�ty of Ea�a� ' P��n� '
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� Permlt Fee:
I
3830 Pilot Knob Road ,1UN 1 1 ?t�1b � �
�agan MN 56122 � Date Received: �
Phone:(651)B75�675 `--------^TT��_-- ��
Fax:(651)6TSa69` j StafF j
2014 COMMERCIAL PLUMBING PERMIT APPLICATION Q�� ,
� ���
❑ Please submlt two(2)sets of plans�h all commerclal appilcatlons. ��� �'� �,�
qate: �i�Z��'t____,_,_Slte Addre� � f'
Tenant: r�l�S,fl.(.�Pi � � rCi'f"����� 9ufte#: � ��
Property r
Owner Name; Phone_ ZZ�"��D•– 3�'6�
Name:���s�'(� �� �'�1G LLC. license#�: /-G �7�O lS/3
COI1tfaC�Of Address: �q�s_ �//� (�JYC.�-C Clty: State:/�Zip:�Z�2id�.2_ ,
Phone:_�i��"� /� "�J'rs7.� Emall: �' � I�
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Typ�Of WOI'k --NeW —Replacement _Repair �Rebulld _Modify Spaoe Work in R.O.W. ! I!
Description of worlc: 1 � - D 1 � 1�� (�
COMMERCIAL New Constructlon �Modlfy Space
Irrlgatlon SyBtam(_yea I X no)�RPZ/_PVB)
� . Rain sensorS requlretl on irrigation syetems
Permlt Type • Avg.GPM (2"turbo requlred unless smaller eize allawed by Public Works)
Mafera Call(651)675-5646 to verlty that tes�s passed prio�to plcklnqup rr�,�,ter.
DomesNc:Size&Type Flre: 1
Avy.aPM Hlgh demand davlces�wYes�No Fluehomebara_Yss No
C4MMERCIAL FEES Contract Value$ d�7Q�. �0 x.01
S6b.00 Permlt Fee Mlnlmum
�$ Permit Fee
•If conq�act value is I.ESS than$10,010,Surcharge=$5_00 �$ Surcharge"
""If contract value is GREATER than$10,010,Suroharge=Contrsct Value x$4.0005
•"�If the project valualion is over$1 million,please calt for SurcharAe °$ TOTAL FEE
Following fees applywhen installiny a new lawn Irrlgation system $ WaterF'ermK
Contact the City's Engineering Department,(651)675-5646,tor required tee amounts. $ Treatment Plant
$ Water Supply&Storage
$ State 5urcharge
=$ TOTAL FEE
CALL BEFORE YAU D14. Call Oophar sfate One Call at(651)45A-0002 tor protection�gainet undereround utility damage. \
I hereby acknowledge that thls Intormation is complete and accurate; that the work will be in conformance with the ordlnances and codes of the City of
Eagan; that I undarstand thle Is not a permit, but only an appllcatlon for a permit, and work is not to start wlthout a p�mllt; that the worlc will be in
accordance wlth t�e approvad plan In the caae of wark whlch requlres a review and approval of plans. ,�.
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Appllcant'a rinted Name App icanCs ture
FOR OFFICE USE � / Approved ey: oam;
Required Inapecttona: 3�'Under Ground �ouph�ln A rl Test �Gas Test �nal PRV Raqulrod:_Yes�No
Meter Related Items: Meter Slze Radio Read Manometer StafF.
Page 1 of 3
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�_� / , � � Use BLUE or BLACK Ink
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� For Office Use �
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Citof �� a� �����V�D I Permit#: r� � �� �
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jPermit Fee: j
3830 Pilot Knob Road J�� � j; �r��� � �
Eagan MN 55122 � Date Received: j
Phone:(651)675-5675 � �
Fax:(651)675-5694 � Staff: �
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2014 COMMER�CIAL FIRE ALARM PERMIT APPLICATION*
Date: ` � � - �4 Site Address: � ` �S ��^S�`^ �'' �``�S f �Q�C i''�ay
Tenant: S�' s�• �Q — Suite#: 2 Z S
Name: Phone:
� �������� `���' Address/City/Zip:
�
:,�� Applicant is: Owner Contractor
� �- F' /-����.-. s� s-�.w.
� �.������ Description of work: (NS� f� nrc w , �e
> Construction Cost: �, 2 O° Estimated Completion Date: �' 3� - ( �
'' Name: MAS'�"c� T-ec�•� ��Sy �jOJ � License#: �SC� (S�—t
� ��; Address:�SSS ( Z,3 �� �''� W Ci�. S�t�<1C. �
C4��1'�C��ft`
' State: ��^� Zip: S's 3� � Phone: �52- $O S3 - ���'f�
= Contact: /V`�� K� �•�`'�c� Email: h^' Ke . �o�T��� Ca.l t Vs�t .Ge e�►.
�New Remodel
�����'���'����� . '�� Aaa�t�o� otr,er:
Alterations
DESCRIPTION OF WORK: �Commercial Residential Educational
FEES Contract Value$ 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$1 million, please cal�for Surcharge
_$ �� 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 Alartn 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.
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Applicant's Printed Name IicanYs Signature
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101637 CA�L FOR �REDIT CARD PAYMENT �—�T—,
f1�.843.3�10 � Foronlceuse ��
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� ��.�')�S. �� t�t'T� I Permit�� � I
��� �� �� �� ��� �hl � . I . . ��✓ I
� � � Perrnit Fee. I
3830 Pilot Knob Road I �
Eagan MN 55122 ,�u�,,, � '� ��1� � Date Received: �
Phone:(651)675-5675 j
Fax:(651)675-5694 gv' _2� � Staff: I
�
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2014 FIRE SUPPRESSION SYSTEIIAS PERMIT APP�,�CATI�N*
Date: ��29�14 Site Address: 3905 Eagan Outlets Parkway
Tenant: Justice& Brothers S�Ite#: ��5
Name: Phone;
Property Owner Address i city i zip:
Applicant is: Owner X Contractor
Type c�f Work
I Description of work: Install heads, modify fire prote�tion fpr neVv ten�nt Space
Construction Cost: $$000.00 Estimat�d Comp��tion Qate: 8�1�/14
: Name: Ahern Fire Protection uc�nse#: �p3�
Contractor
Address: 13705 26th Ave #110 City: PIytT�O�,lth
State: MN zip: 55441 phone: 763.268.Q515
cor,tact: Ray Polos Ema;i: rpolos ahqrnfire.cpm
FIRE PERMIT TYPE WORK�YI�E
X Sprinkler System (#of heads 34) New _,Adc�ition
Fire Pump _Standpipe XAlterations ___,Remodel
_Other: _Qthe1':
DESCRIPTION OF WORK: X Commercial _Residential` _;__�ducatipn�)
FEES Contract V�lu�e$ $QOO.p� x.01
$55.00 Permit Fee Minimum =$ $Q.QU permix Fee
"If contract value is LESS than$10,010, Surcharge=$5.00
"�If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 =$ �OQ �urch�rge"
**"`If the project valuation is over$1 million, please call for Surcharge
_$ 8�QQ TOTI��.FEE
3/4" Displacement Fire Meter-$260.00 =$ FiC�Meter
_$ TCITAL,FE�
"Requirements:2 complete sets of drawings and specifications,cut sheets on materials�nd cpmppnents tq�e used
1 hereby apply for a fire Suppression System permit and acknowledge that the information is completg and�ccurat�;th6t the work Will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fir@ Codes;that I unc��;rstand th�s 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 jNith ths approved plarl If�the�ase of work
which requires a review and approval of plans. -
X Barb Barnes 612.843.3210 X+����
ApplicanYs Printed Name Applicant's Si�natyre
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FOR OFFIGE USE
REQUIRED INSPEGTIONS
Hydrostatic F�w fllarm i�tair�Te�t ,�„��„ Ro�h In
Trip Pump Test G�nt�at Statiot� �� ��nat
Conditions of Issuance: `
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Permit Reviewed<by: i3�te: ' _,,�,_„�/. +�,,/,��,��