Suite 460 - Kay Jewelers
Use BLUE or BLACK Ink
For Office Use
i I
I Permit I ~ ~ I I
City of Ea dpi a
3830 Pilot Knob Road RECEIVED ,i Permit Fee: ~-f
Eagan MN 55122 I 3 -aq I
Phone: (651) 675-5675 Date Received:
Fax: (651) 675-5694 j
Staff:
I i
2014 COMMERCIAL BUILDING /PERMIT APPLICATION
Date: 3°I'14/ Site Address: 5066' QOr~n ArAw"'?y h~~a3Y7 f''71/ hSJa~
Tenant Name: ~ a~ 4LA-- 60 (Tenant is: New / Existing) Suite ISO
Former Tenant:
Name: i_roal>n [ lJ?V} 173r~vtotg LLC Phone:
Property Owner Address / City / Zip: 191,7
Applicant is: Owner Contractor
! Description of work:
h,,L,ric,r ~rrAn~vh<rA;.~l
Type of Work
€ i Construction Cost: `f " V .
Name: 1 J W n/31 r1 ►1/1 C 1 License
Contractor Address: 113q3 39~' 2,0 City: W aw
G G 4-
Contact: State: Zip: ~i,~ Phone: 015 - J ®
~ltn Si~✓' Email:
Name: ll L ho~ h 5 P Zala vo,t Registration d6V,13
rchitect/ ngineer Address: riSU cclcl City: 6/'l Eland
State: Zip: W/P Phone: 91&-
} Contact Person: k 15 Email We 115 a), jaega, ,jw
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 f~ are trade secrets. I
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.Clopherstateonecall.om
I hereby acknowledge that this information is complete and accurate; that the work will be in confor atwoa with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permi , and k isnot to start without a
permit; that the work will be in accordance with the approved plan in the case of work)whi h requires revi nd approval of plans.
X t hk k; x
Applicant's Printed Name ican Sign e`';
Page 1 of 3
DO NOT WRIT"ELOW THIS LINE I G
SUB TYPES
_ oundation _ 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 G
Valuation Occupancy Iv\ MCES System qei/
Plan Review Code Edition WA-07 1U16C-SAC Units -70
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet 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
Fireplace: -Rough In -Air Test -Final Retaining Wall
Insulation Erosion Control
Meter Size: /Yes Final C/O Inspection: Schedule Fire Marshal to be present: No -
Reviewed B `r, .
By: ~ L .Building Inspector Reviewed By: L,7 Planning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge Water Sampling Fee
Plan Review Water Supply & Storage (WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S&W Permit & Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant (Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other:
Water Quality TOTAL
Page 2 of 3
a Use BLUE or BLACK Ink
AC - For Office Use
LY (}t IA Pe
rmit#: Ul
OR pEap
3830 Pilot Knob Road RECEIVED I Permit Fee: I
Eagan MN 55122 I MAY ~ 6 ~ Date Received: I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
Please submit two (2) sets of plans all commercial applications.
Date: Site Address: 6142..
Tenant: Suite # IfJ
N TProperty
Owner Name: Phone:
Name: 3)w +f C License
Contractor Address: W(Q jdn, Cit : 7 ,y~,,
Y i~10 State: / ~ Yv zip:
Phone: L VI 7 - 2 D OLa Email: E~l /YI N L/~'l . ~O✓J~
Type of Work - New _ Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W.
Description of work:
COMMERCIAL _ New Construction )-L, Modify Space
- Irrigation System L_ 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 $ ,~2QC G X.01
$55.00 Permit Fee Minimum e9
_ $ ~ Z 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 0-0--
***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 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.
Applicants Printed Name Applicant's ' nature
FOR OFFICE USE Approved By: Date:
Required Inspections: Under Ground -kqough-In _ it Test Gas Test jl~Final PRV Required: Yes No
Meter Related Items: Meter Size Radio Read Manometer Staff:
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
I 1
City of Ea an 5 v I Permit 2Z I
Y 1
3830 Pilot Knob Road V r to I Permit Fee: I
Eagan MN 55122 ` I I
Phone: (651) 675-5675a~ 1~~ I Date Received: I
I
Fax: (651) 675-5694 I
Staff:
2014 MECHANICAL PERMIT APPLICATION
Please submit two (2) sets of plans with all commercial applications.
Date: 511(o //Y Site Address: P_Arl?:~ o~v Q.1 0,J U "1S V L,-
Tenant
Resident/Owner Name: Phone:
Address / City / Zip:
Name: ! y ec.11A.-i License
Contractor Address,/~J$Z- ~ City: L-Ilptb
State: E
Zip: J Phone: 1x51 _7 - 20 oo
Q -5-b42- 73
Contact: F_,z(L r.N Email: Ev-kt_. Lfi-~ d ('oM
New Replacement Additional )L Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and round mounted mechanical equipment is required to be screened by City
i Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Permit Type Air Conditioner Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
t _ 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) _ $ TOTAL FEE
COMMERCIAL FEES
Contract Value $ 60 ~ X.01
$55.00 Permit Fee Minimum Fyn
$70.00 Underground tank installation/removal Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 ®a 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 b
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 i ~ G- a~ x
Applicant's Printed Name Ap- ~~.411-Zl
plican Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date: ~
Underground 1 Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
CALL FOR CREDIT CARD PAYMENT
41' Cit of EaaaTn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: 1 aac117
Permit Fee: 0, (10
Date Received: 5/3'/, y
Staff:
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 5/16/14 Site Address: 3965 Eagan Outlets Parkway
Tenant:
J
Kay Jewelers
suite #: 460
Contract
Name: Phone:
Address / City / Zip:
Applicant is:
Owner Contractor
Description of work: install sprinkler heads to new ceilings, modify stockroom heads
Construction Cost: $3500.00 Estimated Completion Date: 7/15/14
Name: Ahern Fire Protection
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 17)
_ Fire Pump _ Standpipe
Other:
WORK TYPE
New Addition
XAlterations Remodel
Other:
DESCRIPTION OF WORK:
FEES
X Commercial
Residential
$55.00 Permit Fee Minimum
*If contract value is LESS than $10,010, Surcharge = $5.b0
**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
Educational
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
Applicant's Printed Name
x
Applicant's Signature
MAY21 2014
FO
OFFICE USE
REQUIRED INSPECT]
Hydrostatic
Trip
Conditions of Issuance: