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Suite 310 - Converse Use BLUE or BLACK Ink f v" r 1------- i For Office Use -0y I Permit City of Ea~d I Permit Fee: V • I 3830 Pilot Knob Road I 2 I Eagan MN 55122 I I I Phone: (651) 675-5675 RECEIVED Date Received. Fax: (651) 675-5694 I j MAY 12 2013 i staff: I 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 7 / Site Address: ✓ ,~c ~IQh 0CilQ~ }`~LAWAL Tenant: Suite 0 I Name: _ Phone: 9 Property Owner Address /City /Zip: a i, Applicant is: Owner Contractor I Type of Work Description of worhk*g /o AQJ~ ~CZ(liC new &W e y Construction Cost: X00. Estimated Completion Date: 1 ' Ahern Fire Protection Name: License C039 I Address: 13705 26th Ave #110 city: Plymouth Contractor State: MN Zip: 55441 Phone: 763.268.0515 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.01 $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 co _ $ 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 / v' /}/7 ® Applicant's Signature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station L//Final Conditions of Issuance: 8 t: d r!. A Date: Permit Reviewed by. a 3 1 Use BLUE or BLACK Ink �z Jl �-----------------� For O�ce Use � 9�` � I ��� U�1,Itl tlll �ECEI`JED ����/° i Permit#: ����� I 3830 Pi�t Knob�ad �� `n� � Permit Fee: I v � �� I Eagan MN 55122 �U� � � 2��� �� `I' � /,, � � Date Received: `�' ~� 3��� I Phone:(657)675-5675 � j I Fax:(651)675-5694 � Staff:_ I 201� MECHANICAL PERMIT APPLICATION �Please sub it o(2)sets of plans with all commercial applications. Date: � �( C Site Address:_,?��J ,�.��j� �U��S �� Tenant: .�'?f��'� Suite;#: ��(� � Name: 1�'�'/�Y�— Phone:�! 6.3 '°�n�� �eSif�GFntid'�!'�Gr (/� / ,,j� / � �-��`� Address/Cit /Zi v�� f��V�° � �3�,fY� {�f/l� �l� J �'.� . ,�` �_._::_ ; Y P� �'� Name: (.i�d�n ��G�/�L'�`t / License#: � . �� � � � /�� � ��; ��� Address:l.�!�d .,SF /C-O/,�i / �T, ��3�-. City: �r.���G�L CC7�M���G��'?C . -� � � / `� ,�°, : ��: State: ��v Zip: .���d Phone: /.--�.J��,"pZ-��� :� � � r� � / �, �� Contact: �:JL,F�-a ���' EmaiL �D'��'I�lJ� � GG/Lt�O�-C�''�� � ' �� New Replac ent Additional Alteration Demolition i � �g q; � 'Fy�e.�f Wt��k Description of work: 7�J¢� p�.�;,� �'�S�j'7°�,u,�z�v�� '�,�. � �C�de, Ple��cor��t �ro��`nd m�u�te� ' �za�i�a�equYpf� t�r�:c�,�t�to t���� �; ed byw�ty . � " � �_ „ � °��ar�rc��tns e`c���rir�f���tiat��°if��rr►�i����creer��ng.}� c�c�s� ; _ �.� ;_ , � :' �:,, .. . ..... RES/DENTIAL COMMERClAL Furnace New Construction �Interior Improvement .: � � � a�$r���� � _Air Conditioner �Install Piping Processed �� � � Air Exchan er ��'�„ � — 9 _Gas Exterior HVAC Unit � — 3��� �� �: _Heat Pump UndedAbove ground Tank �Install/_Remove) �= Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(inclucles$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES /� � Contract Value$ / �/� x.07 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ 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 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 st rt without a permit;that the work will be in accordance with the approved plan in the case of wor9c which requires a review and approval of plans. x !—J[i ��u�Y �� � f. X � Applicant's inted Name Ap' icanY "g ture �C�1�t1FF��E�l,�� �. �` � � � c ° r - r � . �������Y�a. �P.C'II�CP�t��173f��4".'��I�I1S r� ��` 3 �s '° �a i`� ��{�II�@� s7'�` '�F � ��� � � � � � . �' v e $ , tia � $ : ��..w..,.�„�,,., :� � : ���� .. 'L�l�C f�}Ut1t# ������3U .1�1 '�. � ., �' �. , �... . ��.. ��!�����. �G�s Serutce:`���t, [�-ff�'H��t ��r�a� f-t����n�n f ..- : ,� � :.. .,,���. , x llse�LUE or BLACK Ink �------------------1 k For C)fif'rce ilse ! . ( ���'� i ���ii �� ��� �� � t} �5��� i F'ermit#; I � � ���� � { �� � 3$��I Pllot Kt�ob ROad A�� � � 2���5 j Perrnit�ee:__�-=zJ-.z— I Eag�ri MN 55122 � Date R�ceived:�` � P'hone; (651) 675-5675 F=�x: {651) 675-5694 f Statf: ;_�. 1 � �--- I ._______.._�______.._Y.� 20�#4 C�}MME�2CIA�, BE11La1NG P�R��T AI�pLICATIOIV �� ��'� Da#e: C}3/28 j14 Site,4tidress; .39�5 E�cTan Ou�1.�cs P��'kw��. St�3te 31�' 7enant Name: �C>T1v��'S e (�'enan2 is: X New/ Existing) Suite#; 3 l d Ft�rmerTenant: �I�A �. �v ,ro�,,,m. wM.,�,� M..�.«�.u�� �.�.��, ���u�.�.�,,.�..�.�� _ -� . � � � � �htame: L�ara��n �'u�.lei" Ce�.�������,,,_.._ P�orre 41f1;-85�-�181.� # '' P"rc�p��r�r��e�r � Address I City f Zip: 217 E'. l;.edwa�d St. , 2:�st F1 oc�r� Bal.tirnore ML? .21202 T�:nant-Au�.Y�orized Ager�t _ � � AppEicant is: Owner Contracts�r L3escription�fv�rork: Teni-121� flt-c7Ltt ._C3f _�Xisti.I'1�t Spc"iC� � � �1��:�?���#�� < .._._.�.._. ��.. � � � ��ns�rucCic�r��c�st: $1�0,�fl C3 Q� . � ,..�... . :.,�-�.x�=,�..�:...,.... .� ,�, — — �������������� � � � : , � � t�ame. � o Be Detertnirt�d- ..... _W. _ _�.,. �icense#�:__ s � �� _.._....._. � � f� r�,�,�'� ,�'��-� � �''���P � ' 3' Address: � _._w... _ ...�__�.._�ity: C����1�y�4;�� � � �bl't'��'��tl��' a � _ „�'/,� ��d�� ��� 7��z. �'�"�..s��. � $ � � � State. _� Za � Phone�. � W..�_ P� �.____-_-- /� 8 ..__ .W___________ _ � ��+ , �. . .. ����I'Y7 b q��. : � Contacf:������ Email: �� r C� a ��,.��-��<.�.�,�-,�, �.� ... .. ..... �v .�-.-, � ..__....� _:::. .���-:_ "� _ , ; ` Name: Richa�el A. Ma�ors,.. .��..._..... �Registrati�n#: 4�€382 __.._ � � �YG�'ll'�'LEt,.'��1iC�}���Qrl° ', Atftlf€.'S5: t rR :�ic.>�.cc+>u.:e, 5';�� 7irt at�n ,aza, i c:� 3;)�; �;il}�: ME�'T'S'1c"�ltl - � ; State: KS Zip; 6 6 2 Q 4 P�aone: 913-2 6 2-9 U 9� ___ __ � § s � ; ` � �'Fie�2:�r ra Covin Yarz ritaass ' � 3 Catt#��tF'ers€��t: 3- Ernc��l: Chelsea.C�vi�zqtr�nM�a����rrarch co� � ' 4.__.�,.,..�.,..��.y ___- � m__.y. „��.,,.�..,�.,.�.� ._�»Fa�;. ����,�.,��. _ �._ _ �,,��� � Licensed p�umber instaifing r�ew sewerlwater service N�A F'hc�n�#: £ � Pl�f�"�`:�'lart�an�sc��prartir��da+c�m�n�s thal,�r��cr�rr�!r�if are cor���dere�`�€�be pu�I��r'r�fearr�n�#it�rr. Fr�rt�c�r�s�vf�. � #�e t�fr�rrr��t�arr rr��y be cl�ssefa��"as n�n�r�r#�fc;�"y�►u prctvact�s,�e��flc r�asc�n��I��r�t�rr��rl��err��i�#h�Ci#�ta'. 3,. �_...��..,�«.�m...,�; . . .� ...,, �i`{���`ef73€[,f�FIl#�i ifl��?����i������r���i'�. .�9«,,. .�.w.,�,�,w:a, .x.�-a-.��__ , . . . ... .��,««,.�. .. . �Al,.l. BEF�RE YUU G11G, Call L'aopltsr Sta#e t>ne Gali at(651}454-flU{�2 for pfotectian a�ainsi unclerground utility damage: Ca1148'haurs befc�re you in#�nd to dig to receive locates a#unde�ground uti�iti�s. wuvw.c�c�c�hers#ateonecall.org I hereby acknowledge that this inforrnation is camplete and accurate; thaf fhe work will be in conformance wikh the ard�nan�es and cod�s of the City o#'Eagan; that! understand this is not a permif, buf only an application far a perrnit; and work is not ta start without a permit;that the wflrk w�ll be in accordance with the apprav�d plan in#he case of work which requires a re�rie�v and approuai'of plans- �-t _ :„ , �� �� � � � x �__h�1 c�� Cc��ina _pr3 Maa�� x x#� � Applicant°s Printed'hlarne Applicant's Si nat�re �,�,,� Page 1 of 3 `y������` . � , , � ���� t�'� � �, C���(��-s �1�-�,7 � t� � QO NQT WRITE EL�W�'HtS LINE �Z—��J SllB TYP�S : Four�rlation Pubiic Facility Exterior Alieratian-Apartments -V commercial i Ind�rstria! � Accessory Bailding � �xterior Alteratian-Commerciat � Apartments � Gr�e�iEr�use/Tent _ Exterior Alteration-Rublic�acitity Miscellanec�us Anfenrtae WURK Tl°PES � _ New �/ interior Irr�pravemen£ � Siding' _ Demolis�r Building* Addition Ex#erior Irrrprov�mend Reroszf �emo#ist�Int�rior � Alteratian F2epair � Windows � �emaiisl�Foundation _..__ 'Replace Wafer Damage � Fire Repair Retaining Wail .v.� Safon f7wner Change "Demalition of entir�build'ang—gave PGA hancis�u#ta appEicant 13E�CRIPT'IflN cd �/� ila�lu�tion 7��04� Occupancy ►� 1 MCES System --{-� Plan Reaiew / � Code Ed�tion "7�� SAG Units � (25°la_1(l0% l�j Zoning _�� City Water _ Census Code Stories Boos#er Pump !���u.u. #of Uni#s Squ�re Feet '1. � � PF�U 4�5 #ofi Suildings L�ngth Fi�e Spr�nkters ,_�,�eS Ty�te of Cor�struction ��� Width ° �._ RE' UIREI}iNSP;EC7`tUP1S Foatings{Ne�v Building) =_��e�trock Foc�finys{Deekj Final/�.0.Required Footings(Additian} Fina!!'Na C.t?.R�:quired � Foundat"rQ» C3ther: , arain Ti1e Poal:_Footings �RirlGas Tesis ...._..�inal Roaf:�t3�ck;ng _insulatian �lce&VUater �Final Sidin�:�Stucco t�a#h �Stone Lath _Brick �Framrng Windows Fire�rlace._......_Rough In _Air Test Final Retaining W�II �lr�sulation � Erosion Contr4l _. Meter Size: Firral Glt7�n5p�ctian: Sehedufe Fire M�rshal ta be present: V Ye� No , � Reviewsd E3y; �VI�� � , Building tnspector Rev�evved By: :° ' , Pl�nning COMMI�RGIAL �EES Base F�e �� ��lp,f.� Water Quality —,— Surcharge 5'; (Xj Water Sampling Fee Plarr Review ��_ �� Water Supp(y&Storage (ViIA!�) MCES SA�£ S#orm Sewer'Trunk City SAC Sewer Trunk Sc�V1t Permit&SurcF�arge W�ter Trunk Treatment Plant Street latera! Treatment Plant{Irrigation) S#reet Park �edicatiors Water Lateral Trail t3e�dication C}ther: WaterQuality TC)TAL`� �.�/3.(0'� Page 2'o�3 �C,J�Ns�CF�K- � �g,�Q�i Use BLUE or BLACK Ink ���� V � �-----------------, � For Office Use � �jlU U�!ja �11 �UN 2 3 2014 i Permit#: !���-°'� i � � I Permit Fee: 3830 Pilot Knob Road � ��/� � Eagan MN 55122 �Y: � Date Received: � Phone:(651)675-5675 � Fax:(651)675-5694 � Staff: � _������� ���__���J 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: ,�°�"�'"I���( Site Address: ���is`� �,�`���.� C vi�-�c1�3 �"^�..`i'f-� �5`"�'�' �'3(� Tenant: �����t��� Suite#: � ` l.l Prap 4 �tyi,�Q�y Name: Phone: r�. ��'� � Name?1�`t�q��.�Fo ��C-.�-iv?� .�'b'IL� License#: ��$'�a�� COnt.= Address:L/.L � �5�-� �1��'r`-S�;I'�C� r 1 ty: �.kc�s��; state:/ iJ�✓zip: ``���`� x ; x� � �>; '�.� }� Phone:���-�a�"fa12..Sj Email: �� . � .---�hkVr ��' l��'%`���n aCx���`'1 �.�� New Replacement _Repair _Rebuild ,�Modify Space Work in R.O.W. w� — — — � : Description of work: m �� �; COMMERCIAL _New Construction �Modify Space _Irrigation System(_yes/,�no)(_RPZ/_PVB) a� . Rain sensors required on irrigation systems � ;y����� ' � , � . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) "� "' Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter. ���"`y ���' Domestia Size&Type Fire: 1 ���:; Avg.GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES C, �" Contract Value$ ( t�i� x.01 $55.00 Permit Fee Minimum �� _$ <�� Permit Fee J�,'�.__-- '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 ,� a�,�.� ***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 un rstand 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 ' th approved plan in the case of work which requires a review and approval ans. x ����`�� �" ��'��t�f� X Applicant's Printed Name Applicant's Signature fi.,. .� , r. �,; � �p� 4 <, ���R��OFFtC�US��� � � ovett� ��� ,�.K:: �., � ;.� � ���� � ��� _� N �, � ��� �� Require pect'r �� �ra ug� � ir T�� �`�T t� �.� � � u�d � � ' � @ y� ��. 3' ;�' {�� ,..�r Mete�,r� ed 's: ` r S� ���� `#*� Rea � �"11Aan t�r,��� '� � � Page 1 of 3