Suite 435 - Pac Sun
.j
Use BLUE or BLACK Ink
---------i
For Office Use I
I
I ?-,I oq®
Cit Y of EaEdn Permit#: I
I 0,24
Permit Fee:
3830 Pilot Knob Road :'Et __'EI' ; _~1 I I
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 h EB 2 5 2014 1 I
1
Fax: (651) 675-5694 I Staff:
I t
2014 COMMERCIAL BUILDING PERMIT APPLICATION G ~,1Z
7
Date: Z ZS Site Address: 3865 E/srAH acl M9 175 PAQWWW Sj1,1C 435'
Tenant Name: GS~)..(• (Tenant is: X New/ Existing) Suite M
Former Tenant: 14 4r4E
Name: PAr"Gart WrUE T_ ?1%tLrrfE2S. L.LCr Phone: Z2% -S60 3466
Property Owner Address / City / Zip: zri eAsv Q-eP4'(QAO SCCtgErz0-vt oP_ aAr- -iN14i''iEM MC)
z I tdZ
Applicant is: Owner Contractor
Type ofWork Description of work: &M 64C 539 A CZJESp S_-P&i(/YYS'SIAtt VAL 4 li4 Q, CS" 5MVE
Construction Cost: ,p
Name: Z43 I` 1nStc(M-'Llcense#:
Contractor Address: I'SL>0 V`ori ~r City: :>fiUr_AfIy- --i
State:- Zip: I Phone: Z6 2- -to
Contact: G3 Email:
Name: WILUMA E a4C3os• Registration ZS1'L4
Architect/Engineer ` Address:130 C%SRZr444s St' -eer,5y1E SOL city: Caurmus,
State: OV} Zip: 43215" Phone: 6%1 • q61 1010 f EKT. S44-
Contact Person: UA54SA HVr'(f ' Email: d hunk' se (xUof 1YA145 •c4A'',
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.goi)herstateonecall.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; that the work will be in accordance with the approved plan in the case of work which reeview and approval of plans.
x TIM S 0341 iJ(L x
Applicant's Printed Name Applicant's Signature
/ Page 1 of 3
M rv~ I~ c 7✓s I> 0 E- t- A-/_
j 4 q3
DO NOT WRITE BEL THIS LINE
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/ Occupancy MCES System
Plan Review cute Code Edition SAC Units
(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) 7 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
Reviewed By: , Building Inspector Reviewed By: . Planning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge 3f ~Z Water Supply & Storage (WAC)
Plan Review 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 TOTAL 10, yw
Page 2 of 3
41' Cit of pi
FOR CREDIT CARD PAYMENT
Date:
3830 Pilot Knob Road V/.
Eagan MN 55122
Phone: (651) 675-5675 \C)
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: &U
• VO
Date Received:
Staff:
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
5/16/14 Site Address: 3965 Eagan Outlets Parkway
Tenant: Pac Sun Suite #: 435
Name: Phone:
Address / City / Zip:
Applicant is:
Owner Contractor
Description of work: install sprinkler heads in front display soffits & entry
Construction Cost: $3500.00
Name: Ahern Fire Protection
Estimated Completion Date: 7/15/14
License #: C039
Address: 13705 26th Ave #110 city: Plymouth
State: MN Zip: 55441
Contact: Ray Polos
FIRE PERMIT TYPE
X Sprinkler System (# of heads 1
_ Fire Pump _ Standpipe
Other:
Phone:
763.268.0515
Email: rpolos@ahernfire.com
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
Applicant's Printed Name Applicant's Signature
MAY 21 2014
FOR OFFICE
RE!
UIRED INSRECTIOI
Hydrostatic
Permit
3830 Pilot
Eagan MN
Phone: (65
Fax: (651)
❑Please submi
Date: S/zz.//
Ea
Ii I
nob Road
5122
) 675-5675
5-5694
plcuiv) NucAA- vu-)
RECEIVED
MAY 7 7 2014
Use BLUE or BLACK Ink
For Office Use
Permit #: 15 14 I
Permit Fee:
Date Received: 1))11''
Staff:
2014 MECHANICAL PERMIT APPLICATION
two (2) sets of plans with/all co ercial applications.
Site Address: ML 5% to 727i$ 435
Tenant: 4c -6v i Suite #:
Name: Phone:
Address / City / Zip:
Name:
Address:
1 M urj Heck
3030 Ca'h kry;ll e, Rd
State: Mn„ Zip: 5'%!7
Contact: rIb k
RESIDENTIAL
$60.00 Minimum
$100.00 Residenti
License #:
City: 2ditik Cl c q
Phone: 703– 4 i – .
Email: r,ck 0015 — 1)'%,14, Cd -r
New Replacement Additional i Alteration Demolition
Description of workan
RESIDENTIAL
Furnace
Air Conditioner
_ Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction X Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
_ Under/Above ground Tank ( Install / _ Remove)
ES
d or alteration to an existing unit (includes $5.00 State Surcharge)
New (indudes $5.00 State Surcharge)
= $.41±11&:27:11_
TOTAL FEE
J
COMMERCIAL
$55.00 Permit Fee
$70.00 Undergrou
*If contract value i
**If contract value
***If the project valu
EES
Minimum
d tank installation/removal
LESS than $10,010, Surcharge = $5.00
GREATER than $10,010, Surcharge = Contract Value x $0.0005
on is over $1 million, please call for Surcharge
Contract Value $ ) 4, 0�/A,;Pt x .01
=$
I be lb Permit Fee
5.4 5 Surcharge*
=$ 1 I4. TOTAL FEE
I hereby acknowledg
Eagan; that 1 understa
with the approved pla
x Jr 1
Applicant's Pri
that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
d 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
in the case of work which requires a review and approval of plans.
Name
,64/61-1_
Applicant's Signature
Use BLUE or BLACK Ink
I For Office Use
P'
f Ea Ra~ Permit I Permit Fee: ~ I
City o
3830 Pilot Knob Road RECEIVED
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 JUN 0 3 '
Fax: (651) 675-5694 7n14 I Staff:
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address:
Tenant: C S4''j Suite
Property,.__.
Owner Name: Phone:
~~~.__q~~..e Name: License
Contractor 70
Address: ,,~~1 City: G StatA^ Zip:7
Phone: C~1-2 ' liVS O Email: ~ie~ ~l C ~~ccs .
Type of Work - New _ Replacement _ Repair _ Rebuild '4'-Modify Space -Work in R.O.W.
h Description of work:
i
COMMERCIAL New Construction Modify 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 Flushometers _Yes _No
COMMERCIAL FEES Contract Value $,2-&'0
Q 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 start without a permit; that the work will be in
ac7eZ the approved plan in the case of work which requires a review and apx (fir/ 1
x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: Date: (P
Required Inspections: lUnder Ground Rough-In tAir Test _Gas Test Final PRV Required: - Yes _ No
Meter Related Items: Meter Size Radio Read Manometer Staff:
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