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
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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
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A
Date:
Permit Reviewed by.
a
3
1 Use BLUE or BLACK Ink
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For O�ce Use
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��� 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��
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� �-��`� Address/Cit /Zi v�� f��V�° � �3�,fY� {�f/l� �l� J
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�'� Name: (.i�d�n ��G�/�L'�`t / License#:
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�� Contact: �:JL,F�-a ���' EmaiL �D'��'I�lJ� � GG/Lt�O�-C�''��
�
' �� New Replac ent Additional Alteration Demolition
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'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 .
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°��ar�rc��tns e`c���rir�f���tiat��°if��rr►�i����creer��ng.}� c�c�s� ;
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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.
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Eag�ri MN 55122 � Date R�ceived:�` �
P'hone; (651) 675-5675
F=�x: {651) 675-5694 f Statf: ;_�. 1
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7enant Name: �C>T1v��'S e (�'enan2 is: X New/ Existing) Suite#; 3 l d
Ft�rmerTenant: �I�A
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� AppEicant is: Owner Contracts�r
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� 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'.
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�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-
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Applicant°s Printed'hlarne Applicant's Si nat�re
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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�.
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Name?1�`t�q��.�Fo ��C-.�-iv?� .�'b'IL� License#: ��$'�a��
COnt.= Address:L/.L � �5�-� �1��'r`-S�;I'�C�
r 1 ty: �.kc�s��; state:/ iJ�✓zip: ``���`�
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'�.� }� Phone:���-�a�"fa12..Sj Email: �� . � .---�hkVr ��' l��'%`���n aCx���`'1
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New Replacement _Repair _Rebuild ,�Modify Space Work in R.O.W.
w� — — —
� : Description of work:
m �� �; COMMERCIAL _New Construction �Modify Space
_Irrigation System(_yes/,�no)(_RPZ/_PVB)
a� . Rain sensors required on irrigation systems
�
;y����� ' � , � . Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
"� "' Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter.
���"`y ���' Domestia Size&Type Fire: 1
���:; Avg.GPM High demand devices? Yes No Flushometers Yes No
COMMERCIAL FEES C, �"
Contract Value$ ( 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.
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