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Suite 405 - Lids
Use BLUE or BLACK Ink CALL FOR CREDIT CARD PAYMENT I For Office Use I II ( J ) I Permit I Ann City of EaEd b I Permit Fee: 3830 Pilot Knob Road` f ` I I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 'i+? I I Fax: (651) 675-5694 I Staff: I 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 5/12/14 Site Address: 3965 Eagan Outlets Parkway Tenant: Lids suite 405 I Name: Phone: Property Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: Install heads to new ceilings for proper protection Construction Cost: $2000.00 Estimated Completion Date: 7/1/14 Name: Ahern Fire Protection License C039 Contractor Address: 13705 26th Ave #110 city: Plymouth 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 _lg _ 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 _ 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. /6 ~i4 x Barb Barnes x Applicant's Printed Name Applicant's Signature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test F3,e~gh In Trip Pump Test Central Station Final d Conditions of Issuance: 9 sn I: Permit Reviewed b Date: / C)u / I Use BLUE or BLACK Ink _N_ For Office Use I ~i6y of Eap Permit 5 61 3830 Pilot Knob Road REC€NED ~ Permit Fee: ° Eagan MN 55122 Phone: (651) 675-5675 ~py 0 91(11 j Date Received: f< I I Fax: (651) 675-5694 I Staff: - - - - - - - - - - - - - - - - 2014 MECHANICAL PERMIT APPLICATION Please submit two (2) sets of plans with all commercial applications. Date: S-tt Site Address: f~R Or\ vZ - ~+n 01v-,1,_ TS Tenant:Suite#: Resident/Owner Name: Phone: ! Address / City / Zip: _ _ Name: 4AF-r "I,Jj WV.. License Contractor Address: LIN2 Sklt( City: L:67- Q mL State: ti Zip: . bLl 2 ^ Phone: IpS ( -1 3 ' 9 ~ ® v Contact: K- C Email: ~&C Cm -coo\ New Replacement Additional Alteration Demolition Type of Work c Description of work: 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 X Interior Improvement Permit Type 'Air Conditioner Install Piping Processed - ' -Air Exchanger _ Gas _ Exterior HVAC Unit - Heat Pump Under/Above ground Tank L_ Install 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 COMMERCIAL FEES ' % Contract Value $ L7~,~ ~ X.011 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 _C5 - c) C)_ 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 = $ 7~, 9 9 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 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 eK-ci. poy&,/ X Applicant's Printed Name Applican ignature FOR OFFICE USE Required Inspections: G Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink A For Office Use I City U Eapn Permit I 3830 Pilot Knob adI Permit Fee: Eagan MN 55122 Phone: (651) 675-5675 M QMI; I Date Received: I Fax: (651) 675-5694 Staff: - - - - - - - a--- 2014 - - J COMMERCIAL PLUMBING PERMIT APPLICATION V Please submit two (2) sets of plans with all commercial applications. Date: Site Address: ~Col~ ytc4^n Tenant: r~ 1 D.,S Suite G~ 32c) Property Owner Name: Phone: i f f 'Name: C Ac t C License lapm QA _j , _r. Contractor Address: E ImA Aii SW'Ci ~ ` to' ty: ~ 1c2 ~►~tr, State: ~ zip: S Phone: `z-t;,o Email: el~c_ FT-C()'i , Cam 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 ry Avg. GPM High demand devices? _Yes No Flushometers _Yes No COMMERCIAL FEES l/ Contract Value $ '7S7 0 "r x .01 $55.00 Permit Fee Minimum 55• o© Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 = $ 5.(-,)o 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 accordance with the approved plan in the case of work which requires a review and approval of plans. (.0.(c. 1 V_~ x x Applicant's Printed Name Applicant's i nature FOR OFFICE USE Approved By: Date: S P Al Required Inspections: -6nder Ground Roughdn YAir 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 �-------- ---------� � For Office Use � � r�ECE11/E � Permit#: � I ��t �f �a a� . � . . z , � � � FEB 13 10�� I Permit Fee. �t � 3830 Pilot Knob Road � � Eagan MN 55122 i � Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 j i � Staff: � ----------------- 2013 COMMERCIAL BUILDING PERMIT APPLICATION c� '/ E�� Date: z� ��` �`�' Site Address: �`��� G�AGA'� ����T� P�R�wi4' � Tenant Name: L— � � S (Tenant is:�New/ Existing) Suite#: 7`�� Former Tenant: ��� Name: ��C7� O�t'f�'7' �fl�'7�vFr�i -f ��-G Phone: �. �.5�6. !8/$ �P#'�?j}�:F#�"QW17E�'t� �i Address/City/Zip: Z�'� r• wao9 S� �/�'� �G 'i �` i'it0 /?�OZ �, / �L7.r��'� -�,✓,��r Applicant is �-9uewer Contractor .� r-',�e1�2 i3d��o a�.G�"' o� /r/.�.t� S/�Rc�> � .�. ��f W�,� ���� Description of work: T��✓� �- �� �, Construction Cost: �✓' � 9�a Name: ���� �r+5�}T���a�. ��2�✓,'t..�.. License#: ���� �antra����r � Aaaress: � t�� � �`�T`� S� Vl� c�ty: L-��� L:.�,�,.� State: /'inl Zip: �SG���-- Phone: C�� � '�U�'�'��C�OC� Contact: Email: � ' Name: �J f�'�►'�E1� � �!�l�� Registration#: /',Sl Z At'Chi'�@C'�/E11gln��!" �� Address: SOfO �TAr� iCNvE .4�0� S'T� /BO City: �Gelaa� � State: ��S Zip: � G Z�g Phone: �� �7� � G ��i 7 Contact Person: / �FtONI �1�i� Email:�_G�o/3,E� @ S7'y✓✓, ��K Licensed plumber installing new sewer/water service: �-''�/sr��/r s�'e�� Phone#: 111C?TE:Pl�rrs antl supparting docurnents thaf,you su�brr�it are�onsftlered ta be pubtic inf�srrrtativn..Pcrrtions of the irr#arma#lan ntay be classified as ncrr�=�ublic if you pravide*pecit��reast�ns fhat�c�uld permit the C�ty tv ° ccrrtclutle fha�the are�raale s��r�fs. 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.qopherstateonecall.orq 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 accord nce with the approved plan in the case of work which requires a review and a f plans. x'�-'/`'�j�f D 1�f U/3� ApplicanYs Printed Name Ap ' re � 'f?�� i� ��T � -� �i�ft-.+�I" : ��i>5 � -? SS � c-il o o.�t�a,,.-� `>2��� '�---- Page 1 of 3 �,�,�J,;q„�„Ia�✓Ir7 Lc I� .��1 ?`(o L 7$ Flcs,y� �,�/�'✓/3 -- �j/�. �Z�i'. S! �i�i . �. . . ����.� �,� �:�, C���l��-s �k -���� l DO NOT WRITE B�OW THIS LINE t��_( � 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 appiicant DESCRIPTION `A Valuation 3.,J. 9(/D Occupancy N1 MCES System �t�� �=— Plan Review / yGs Code Edition o�A'7'7 Ikt�6� SAC Units �_ (25%_100% Y) �— Zoning ���� City Water �C, Census Code Stories � Booster Pump '.�-- #of Units -�'- Square Feet f, �"C L� PRV _y�.S #of Buildings ""��� Length -�` Fire Sprinklers � ��- �_ Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) �/ Final/C.O.Required Footings(Addition) Final/No C.O.Required Foundation Ather: 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: ��l� L• , Building Inspector Reviewed By: /�'(� � , Planning —�.- COMMERCIAL FEES Base Fee �aG. �,s'� Water Quality Surcharge a$. Dd Water Supply 8�Storage(WAC) Plan Review trLrJ�, Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit 8� Surcharge Street Lateral Treatment Plant Street Treatment Plant(Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOT� /,o?a�7. �� Page 2 of 3