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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: Page 1 of 3