Suite 950 - Express
Use BLUE or BLACK Ink
For Office Use j
I Permit 1
City of Ea dii 1 1
1 Permit Fee: 1
3830 Pilot Knob Road 1 I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 1 1
Fax: (651) 675-5694 1 Staff: 1
1
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 1 14 Site Address: 397-5 EAGAH OUrEM PA12WWAY
Tenant Name: C>(~Z.~SS (Tenant is: 25 New/ Existing) Suite M qW0
Former Tenant: I1for4d
Name: PA (LIXON OV1*cZ-f5 Ph rnfEKS L LL- Phone: Z18 - 1%Q - 3966
Property Owner Address/ City/ Zip: V1 Q~.S T (LZ0W000 smeer, -zAP-L QR ~ aagxli►'►me, IM 0
ZI ZoZ
Applicant is: Owner Contractor
2EtA«- tt~(`(hY~ SPPGc PV1r/'3~5~-
Type of Work Description of work: am m CJ C a ii:
Construction Cost: X ZZS 440•',-,
Name: '03.0- 46. -2_0,1.► 17,.e-- -tl+ it e0115- License*
Address: ?'506 ~~>r +z. n " b4V_ %v City:
Contractor
State: W T- Zip: S 3 "7 -7 Phone: 2 10 2 fv 3F- 6606
Contact: 1<.(}.y LOr,L aka-SsdS 6~~~ Email: k- n v' C-7- I.4o r ►2 ov r-_ 4-c , L rc.30n
Name: ?Ir4Orlii 5iVLt-7151A0C1_ Registration G<303
Architect/Engineer Address: 6~ ud S. Scfr(f3 IM aGAO • City: M eVeWIusF
State: Q Zip: Phone:
Contact Person: M, 144E PIA tWes Email: AlehI NOS M5-hr ,IYt° S 4CL'-L(W-_...
Licensed plumber installing new sewer/water service: Phone M
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.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; 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 1n SGIrSGn~ gS2.3~{t•6G46 x _2
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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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 Y 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
cRV .
Valuation 22G ab0 Occupancy A4 MCES System
Plan Review / Code Edition 2~° MSR~G SAC Units ~IL'~ PA
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units 0 Square Feet (ir l PRV
# of Buildings Length Fire Sprinklers
Type of Construction ~j 13 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
v/ Framing Windows
Fireplace: -Rough In -Air Test -Final Retaining Wall
V Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
s
Reviewed By: , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee 8/Z • 7S' Water Quality
Surcharge I13 • 4-0 Water Sampling Fee
Plan Review ~/7$ • 2q 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 ~t j!D ~f e 7
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V Use BLUE or BLACK Ink
f I For Office Use ;
I 0000/ I
city of Ear ~ I Permit I
I
I Permit Fee: I
3830 Pilot Knob Road RECEIVED 5 13 I
Eagan MN 55122
I Date Received: I
Phone: (651) 675-5675 MAY 12 2013
'
Fax: (651) 675-5694 j I
C h- ( Staff: I
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Q
Date: Site Address: e266 9Wr)
Tenant: Suite 196
Name: Phone:
Property Owner Address / City / Zip:
Applicant is: Owner Contractor
app, h24ds` 4. V)ew
9 Description of work: /gyp /p(~O 1r.P10 /
Type of Work
Construction Cost: 3500. Estimated Completion Date:
Name: Ahern Fire Protection License C039
Address: 13705 26th Ave #110 city: Plymouth
1
~ Contractor
State: MN Zip: 55441 Phone: 763.268.0515
3
Contact: Ray Polos Email: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System of heads _ New _ Addition
Fire Pump _ Standpipe XAlterations _ Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value $ X.011
$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
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 , 16 Q X 6U46 d". u4-~
Applicant's Printed Name 011,,vqrxt Applicant's Signature
4 I X 1
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough In
Trip Pump Test Central Station yRoFinal
p Conditions of Issuance:
R
Permit Reviewed by Date: `
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Use BLUE or Bt AM !rt#
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1 1 For Office Use 1
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j
I Permit ~
CR Y 01 Eatan pu c, I
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Permit -Fee:
3830 Pilot Knob Road RECEI~E~ t
Eagan MN 55122 # I ~l I
Phone: (651) M-Sts fa 1 Date Receiver: 4-
Fax: (651) 675-5694 MAY 2 9 2014
I Staff:
G6 _ !
L - -
2094 MECHANICAL PERMIT APPUCATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 5,jzq Site Address:
"Z5_ Q► ~i pp~ _0
""444PO
Tenant: I..,,~7 ~G~S r 100A) Suite
ResidentfOwner Name: Phone ,
Address t City f Zip:
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Name: t N?~
1~1 k License
Address: 3b3o I.ZIZ+I.+' yd/y 4 City: 61 nn
Contractor
State: zip: 55[L:j Phone: 7L3°4A(,-Zg32,
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Contact rft k rJA e n - Email: r'i C & d Aop - 4111. Coln
New Replacement Additional Alteration y er;~e tc ,
Type of Work Description of work: Q&k JX95U:SiQrf& kdrar_'/ : . G~yF~I r
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
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
- Heat Pump Under/Above ground Tank Install f _ 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
- t.. , . E...... _
COMMERCIAL FEES
Contract Value $ r A Jf~} a 6 x .01
$5x.00 Permit Fee Minimum
$70.00 Underground tank installationlremoval ZZZ/ /D Permit Fee
*If contract value is LESS than $10,0'10, Surcharge = $5.00 j) . JJ 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
I hereby acknowledge that this information is complete and accurate that the work will be in confarmance 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- plate in. the case of work, uthich requires. a review and,approval of ply.
x 1~1C KC. be-) i x lzCL Ip
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Use BLUE or BLACK Ink
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C"k I For Office Use
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Permit '0,R1
I
City of Eagan LL Eo I~
3830 Pilot Knob Road RECEIV I Permit Fee:
I
Eagan MN 55122 j Date Received: I
Phone: (651) 675-5675 MAY 3 0 7014 I I
Fax: (651) 675-5694 1 Staff:
L ---------I
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address: //e +Q_ ro & yl
Tenant: X~~~~ 5 Suite'#:
Property
Owner Name: Phone:
Name: License
Contractor
Address:2;7.20 City: A.A", State: A^ Zip: 5~~3
Phone: Email: GI rig U ~~j L t~rr~CeS t
Type of Work - New - Replacement - Repair - Rebuild Modify Space _ Work in R.O.W.
Description of work:
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 4Sj--
Contract Value $ X.01
4
$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_,j
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
accordap with the approved plan in the case of work which requires a review and approval of tans..
x /`~'~Crr'IN ~Ux cam] i`/1V
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: Date: & /
Required Inspections: Under Ground ugh-In 'Air Test _Gas Test Final PRV Required: -Yes - No
Meter Related Items: Meter Size Radio Read Manometer Staff:
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Use BLUE or BLACK Ink
2014 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY (if applicable)
Date: FOR OFFICE USE ONLY
I
_ PRV required
Property Owner: j
_ City R-O-W Permit
Address: Phone Number: _ County R-O-W Permit
t
Plumber: Contact Name: ' Plumbing Permit
SEWER WATER ~..~..~._.....__m~ ...~,..-..e
Sewer Service Water Service
Sewer lateral charge Water lateral charge
Sewer trunk Water trunk
City SAC @ $1001unit Water supply storage
MCES SAC @ $2,4851unit Receipt , Date:
Receipt , Date: Treatment Plant @ $8281unit
Permit Fee $60.00 Permit Fee $60.00
State Surcharge $5.00 State Surcharge $5.00
TOTAL: *Plumbing Permit Required - water meter to be
acquired with building permit TOTAL:
SEWER & WATER
Sewer Service
Water Service
Sewer lateral charge
Water lateral charge
Sewer trunk
Water trunk
City SAC
MCES SAC
Receipt # Date
Water supply & storage
Receipt # Date
Treatment plant
Permit Fee $120.00
State Surcharge $5.00
*Plumbing Permit Required - water meter to be
acquired with building permit TOTAL:
Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000.
Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past.
r
1-5 A units 1,780.00 per A unit - - - - - - - - - - - - - - - - I For Office Use -
6-10 SAC units 8,900.00 plus 445.00 per SAC unit over 5 I
11+ SAC units 11,130.00 plus 178.00 per SAC unit over 10 I
Permit
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Permit Fee:
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Date Received:
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~Staff:
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Cc: City of Eagan Finance Department
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