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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 ~ ~ 6'1 r1~ GL~►`~- ~(,~`Jv~'~'V~Q-f~~.-~i ~ ytcc y~~l,r ~ r A f DNOT WRITE BEXW THIS LINE I 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 Page 2 of 3 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: ` I I Use BLUE or Bt AM !rt# ------------I 1 1 For Office Use 1 Z i j I Permit ~ CR Y 01 Eatan pu c, I I 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: ~ . 4ej-,,,, trl[~ .E 1 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, t 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 r - - - - - - - - - - - - - - - - - C"k I For Office Use 3 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: Page 1 of 3 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 I I I Permit Fee: I I Date Received: I I I ~Staff: - Cc: City of Eagan Finance Department Page 2 of 3