Suite 1030 - Eddie Bauer
Use BLUE or BLACK Ink
For Office Use
I I
¢ G~ I Permit 3 5 I
City of Eapn
3830 Pilot Knob Road RECEIVED ~g V I Permit Fee:
Eagan MN 55122 I 1
Phone: (651) 675-5675 MAY I7 Date Received: I
Fax: (651) 675-5694 I I
Staff:
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 5Z--QW Site Address:
Tenant: c - ld /03Q Suite 1074-9
Resident/Owner Name: Phone:
r 3:
E Address / City / Zip:
Name: License
C
,
I : Address: City:
-7 iP
Contractor
State: &/I-/ Zip: S S".3 1/ `I Phone: r ~~7
Contact: Email C~ll~
P~
New Replacement Additional Alteration Demolition
Type of Work 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 i/ 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 $ f , ~p4C~ X.01
$55.00 Permit Fee Minimum x
$70.00 Underground tank installation/removal Permit Fee
"If contract value is LESS than $10,010, Surcharge = $5.00 U 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;,fiereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
ITMagan' 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
!withthe•approved plan in the case of work which requires a review and approval of plans.
Applicant s, Printed Name ican ' Signature
01
F6R'6.FF1GE USE ~ ~
Requ red•lnspectioYRoughln Reviewed By: Date:-6310/
Underground Air Test Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink
•
For Office Use I
MAY 181014 1 Permit 19
City of Evan I Permit Fee:
3830 Pilot Knob Road C~N~ I I
Eagan MN 55122 t 1^ J+ ~~d' Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 j Staff: I
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
Please submit two (2) sets of plans with all commercial applications. s
Date: Site Address: ~ LA15 a4i QvA jf 4S P~j J-1- 1
Tenant: F>
~~~1 Qd ~~ey- ~ Suite ( 0~
Property
Owner Name: Phone:
~I
Name: ~ ~ Ll~l.~+vwJ ense
Contractor Address: Z-02-1b (Sap
wlovil ► y: ~ ~ - State:
Phone: b~ -1 (I' ~"IP mail: ~ t7 LK=5 6 L{oJ~i, Cd
Type of Work - New _ Replacement - Repair - Rebuild X 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 Contract Value $ 5 9150 fid X.01
$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
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.
x'
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: o° Date:
Required Inspections: Under Ground ~oughdn )-Air Test -Gas Test YFinal PRV Required: - Yes - No
Meter Related Items: Meter Size Radio Read Staff:
Page 1 of 3
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - - -
For Office Use
0
I 7
City of Eagan t i Permit Lon
f I
`V ~Q 1 Cf~~ j
3830 Pilot Knob Road Permit Fee: q,
i'a~ t I
Eagan MN 55122 Date Received: Phone: (651) 675-5675 F
Fax: -(651) 675-5694 Staff: ft~
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: ~l V!5 6,c1q ei d
Tenant Name: G~C'l 1' C ft~`e u~ (Tenant Is: New / Existing) Suite C) Z'
Former Tenant: ~l
Name: Phone:
Property Owner Address/ City /zip:,21 `7 ne)re
Applicant Is: Ownerrf Contractor
Type of Work Description of work: C9 C4 ~7" C f et 12o P-l
uZ 0ao .
Construction Cost;
Name: 1 C( ~j~)icense !ogl0~(o~0~0a®
COf1#rBCtOr Address: `7 F W llA) City: ! 1
State: Zip: Phone: C)q/~
Contact:V 'e Email: 4M CCL& key tee- • ,mot
,j
Name: G~ k 1 Va/In -f' Registration l
-Ij
Address; &O 1- e~ -fty jt City: PG~i!
Architect/Engineer..:
State: Zip: 7 / l Phone; (12 I ,~2, y'~ -7 G✓ 2.
Contact Person: Email qire, 6i ✓Lll Ci?
Licensed plumber Installing new sewer/water service: Phone
NOTE: Plans and supporting documents that you submit are:consldered 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 socre#s.
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.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 accordance with the approved plan in the case of work hieh requires a review and approval of plans.
x br) a 0 i.-eq x i Qa~)- 1,
Applicant's Printed Name Applicant' Signature
Page 1 of 3
QIS ev
-7 ?z,
DO NOT WRITE BELOW LINE
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
Valuation 2371 too.- Occupancy M MCES System
Plan Review Code Edition Z49 /KSRL- SAC Units rXiel-PM
(25%-100%-) Zoning 7PTS- City Water ✓
Census Code Stories Booster Pump
# of Units 0 Square Feet DOO PRV
# of Buildings Length Fire Sprinklers
Type of Construction V7•r3 Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) V 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
✓ 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: (014 , Building Inspector Reviewed By: Planning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge l J t, • ~O Water Sampling Fee
Plan Review 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 3~/ L L • ~Y
Page 2 of 3
Use BLUE or BLACK Ink
104130 CALL FOR CREDIT CARD PAYMENT _____
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-- --
612.843.3210 � For office use �
. � .> �
� Permit#: " �
���V �� ����� I /„ o� I
sJ � Permit Fee: �f�� I
I �
3830 Pilot Knob Road I
Eagan MN 55122 � Date Received: �
Phone:(657)675-5675 j
Fax:(651)675-5694 � Staff: �
I �
`________________J
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
34KS
�ate: 6/17/14 s�te address: �Eagan Outlets Parkwav
Tenant: Eddie Bauer su�t�#: 1030
Name: Phone:
Property Owner Address�City�Zip:
Applicant is: Owner Contractor
Type of Work �escr�pt�on ofwork: Install sprinkler heads in new tenant space
Construction Cost: $2000.00 Estimated Completion Date: 7/1 O/14
Name: Ahern Fire Protection �icense#: C039
Contractor
Address: 13705 26th Ave #110 �;ry: Plymouth
State: MN zip: 55441 phone: 763.268.0515
contact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System (#of heads 16) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial _Residential _Educational
FEES Contract Value$ x.01
$55.00 Permit Fee Minimum =g 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.
X Barb Barnes 612.843.3210 X
Applicant's Printed Name Applicant's Signature
��� l �-�-(��
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test �ough fn
Trip Pump Test Gentral Station �/ Final
Conditions of Issuance:
� fPermit Reviewed byc Date: �/�/_�
I