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Suite 530 - Corningware ___Use_B_L_UE or B_L_A_C_K Ink For Office Use g "Pst' t j Permit 1 Cl y of Eanon ~ECovED b I 3830 Pilot Knob Road y '7 104 Permit Fee: Eagan MN 55122 MA n i I J Phone: (651) 675-5675 Date Received: I Fax: (651) 675-5694 7 I Staff: / I 2014 rte, MECHANICAL PERMIT APPLICATION L~ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: ~CJ 1 p L~` 4^ 0J 6AS r ~ Tenant: Jh Suite f~ Resident/Owner Name: Phone: Address / City / Zip: I Name: t~ t License Address: h~0 v city: Contractor ! = State: Zip: Sri Phone: Contact: Email: .14 ~e6e ~ New Replacement Additional Iteration 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 ----Interior Improvement Permit Type -Air Conditioner Install Piping - Processed - Air Exchanger Gas - Exterior HVAC Unit - Heat Pump Under/Above 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 (includes $5.00 State Surcharge) _ $ % TOTAL FEE COMMERCIAL FEES Contract Value $ X.01 $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 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. ` Applicant's Printed Name A ant's iffanature FOR OFFICE USE Required Inspections: Reviewed By: Date: ~P 3U Underground _J-Rough In _ Air Test Gas Service Test In-floor Heat' Final HVAC Screening .-- Use BLUE or BLACK Ink � ForOfficeUse -------C--� ' ((�s � f Z, �J I � C�� T �� (�� I Permit#: I � � ��/1� I �I � Permit Fee: j 3830 Pilot Knob Road � � Eagan MN 55122 ��'��-��,t.., � Date Received: � Phone: (651)675-5675 `- 1� I I Fax: (651)675-5694 ��. � � 10�� Staff: � �� ____�� 1� --------- � 2014 COMMERCIAL BUILDING PERMIT APPLICATION ��C � Date: A��ia 3�eo�� Site Address: 3 98 S �AGA�✓au?':C��'S fA.��v✓�o.y E��..✓ Tenant Name:LQ.e.✓..��, w�.�� c7ri�� (Tenant is: ✓ New/ Existing) Suite#: � 3 v R E..�E;s.G �-r-��z..E... � Former Tenant: � �. y�� , Name: ?t.��.sC9o•-� l9vTL�T '��s.z-r��2� �c.c. Phone: S//l7 � 8'S�- /�'id� ; '�t'� � � Address/City/Zip: Z l '� � , 72 E�.,cfr�o� �, Z�s r F�. � , ' SJA�.^r�MO'iZ�, Mi? 2 1 202. � Applicant is: Owner ✓Contractor �� _ "��,I��+�� Descri tion ofwork: i�,i'T�z�o� F�-*� o�T/g�s�srv�.c�.o.c.,�/�c.sc.-r�o. p - ��g` :� Construction Cost: ' C9 oOC� .°� �" �� + Name:_�e..(,IC.cv�c. GG.�ls'TRucT/r>�.-� License#: � r ,m��` , ',�oo µ. c.E 3a...ia.✓ 3�v iJ � � T �� Address: gv �-�a' z.� 1 -.�. City: �i- �"r'r's�3v izCs r--� , �i�# �'� fi : � �� ' � State: �P- Zip: r SZ 3�1 Phone: �//2 -G, (o Fl' O/1Y� �� '�= �� `� Contact: �S.�.L'�o.� 'S-�c...�Gn��c. Email: '�"t�icov� Ac.lccJ�c. Ga.,isr Tio� . � ,�� .. G.,O/�� ,,,:. Name: �2� A'�,G i-1�-rE c�-r Registration#: �.:: � � !o lo!S G Bc�2G i•o, A•/E' � ��` Address: 5� �'rE.. 1 o v City: �+-�t`--r-r,�,✓ao Ca�. � � � �� State: �r"al Zip: 3 7�I D 2.. Phone: +-123 - 7 S�- 12'3 y � z . < �,_:. ...k° , �� Contact Person: 5-r�d� �e..�.�a-r�r'� Email: ��c.c,� �'�'+ SZ��-•o.'� .co Licensed plumber installing new sewer/water service: Phone#: �1 � �'�rd�supp�ar�rr��do��mer��yc��t��s�l . f r� �tf= ��tl�'#�N`�8�91? CI �... � �� s��n ��rtT��ir�r��s�aw��'#+�re�.s`r,lt��`�at t+�t��► �� ,��r� �.... ��.. � �:..: ��; . ��t�� ''��e�d�� ,_ .. ....:.. F.:.�::, .�:..�:: . � .::..J9'_. . - "'"".... :,, _... „�:. .. F..:: „ .:: CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 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 coiies 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 .bc..c..�-A -�i�.c,�c.ov�c.. X ApplicanYs Printed Name Applicant's Signatu Page 1 of 3 � � f �� 4 �,, �.,�-�,��-s ��, � 5'3 � DO NOT WRITE BEL'DW THIS LINE � � Z 3�� 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 _ Exteriorlmprovement 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 �Qj� Occupancy �_ MCES System � Plan Review � �_ Code Edition �Q�? ,Il�$8�„ SAC Units �_ (25%_100%a Y ) Zoning � City Water c Census Code Stories Booster Pump � I #of Units Square Feet 2 PRV 4� #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 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: �1� t,,.. , Buildin Ins ector Reviewed B : ��' ! 9 p y , Planrnng COMMERCIAL FEES Base Fee q�S�, '�� Water Quality Surcharge .� Water Sampling Fee Plan Review �p,� � � Water Supply 8�Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit 8�Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTA+� l �QIP 7: Page 2 of 3 � i 104143 CALL FOR CREDIT CARD PAYMENT Use BI�UE or B�ACK Ink --------- � For Office Use � ` �b ��N� �a��"-�/ j Permit#: ��7�V I � Cl�� of Ea an �� . � /� � � � � � � Permit Fee: �v` � 3830 Pilot Knob Road � I Eagan MN 55122 � �j I ��j} � Phone:(651)675-5675 �� Date Received:—�"�„'E� � Fax:(651)675-5694 � I I gY; � Staff: � �� ___��J 2014 FIRE SUPP�S�ION SYSTEMS PERMIT APPLICATION* �ate: 6/3/14 s�te aaaress: � agan Outlets Parkway renant: Corningware su�te#: 530 Name: Phone: Property�twner Aadress i c�ty i z�p: Applicant is: Owner Contractor '; Typ+e of Work �escr�pt�or,ofwork: Install, add, relocate, replace sprinkler heads in suite ' Construction Cost: $4200.00 Estimated Completion Date: 7�1/14 Name: Ahern Fire Protection ��cer,se#: C039 Contrac�or Address: 13705 26th Ave #110 c;ty: Plymouth State: MN zip: 55441 phone: 763.268.0515 contact: Ray Polos Ema;i: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System (#of heads�9) New _Addition Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial Residential Educational FEES Contract Value$ 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. X Barb Barnes X Applicant's Printed Name Applicant's Signature � . � �. ; �OR OFFICE USE � , ... ��t�UIREQ INSPEaC7`t41�1S Hydrvstatic Flaw Alarm t}ra�n�'es� � �'f F�c��t�h.�t�.<. Trip, Rump Tesf Cen�f�tattt�n ': Ftnal �� : Conditipns of Issuance: ' i � � � ' Permit Reuieuved by:� "�� ' .� �'�r ' T�ate �„��!_��1 ---�-��. , ; i I � = Use BLUE or BLACK Ink �-----------------, � For Office Use I , �.��3-� � i �i U�� lt � Permit#: C I 4� � � `�`� I I Permit Fee: � 3830 Pilot Knob Road I � Eagan MN 55122 � Date Received: � Phone:(651)675-5675 � I Fax:(651)675-5694 � Staff: � ��_��J 2014 COMMERCIAL PLUMBING PERMIT APPLICATION �Please submit two(2)sets of plans with all commercial applications. ' — i- � Date: 0� `'T Site Address: /�� -�`"�y�� /e„!✓iN'L!�✓�q�"'� ��",G.r..� ��t�be.� .�f.7��' Suite#: � `7.�/ Tenant: / Prc�perty OWner .: Name: Phone: ��`� Name: ��>"��1 � �� "`7 License#: � 2-�� 'Contractor�� C ,J,�(Z.. �� ,�SI� Address:�� City: �� State: Zip: ;;' Phone:�Pl2--l�,,�1'9�2 Email: �laiQ1� � �yGL��. C''0/'�'L+ .r�p�,Q�.�� _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 Typ�^: . Avg.GPM (2°turbo required unless smaller size allowed by Public Works) Meters Gall(651)675-5646 to verity that tests passed prior to pickinq up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices?_Yes No Flushometers Yes No COMMERC/AL FEES Contract Value$'��.a 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 utilit amage. \ I hereby acknowledge that this information is complete and accurate; that the work will be in confo i the ordinances and co s of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work ' ot tart without a permit; that e work will be in accordance with the approved plan in the case of work which requires a review and approval f plans. x ��`I/\ � �E��7 Y✓/►� x Applicant's Printed Name Applicant's ature �;�.� FO#�OFFICE USE � � �� Apprc�red B�`� �g �: � � � � , E3at`s � � �. � '�?� ��<z .� �Cg,�R � i. �' � "� rx . Required�l�ispectians " ;Under Ground ;��Rau$�� I#)��'e�t `:G��T�St� ��t�� "� PRV Required ��Yss �� Np � � �'��`' ��< : � �z� �` s n `^,� �< s�� "�� "�+°�� $ M fer R I� ed 1�� Q e at� eims� �� Mete�k�� t,. . � ��adio Rea� � � �';5#a�F:`� �� :��>: � � ,�,:�.� � Page 1 of 3 r Use BLUE or BLACK Ink --------- � For Office Use j • � �� I Clt of �� aIl , Permit#: I � � � ��°� � 3830 Pilot Knob Road ��,;,,i�.�� Permit Fee: � I � Eagan MN 55122 I � Phone:(651)675-5675 J��. � � j�i'�l� � Date Received: � Fax:(651)675-5694 I I � Staff: � �____��______��J 2014 COMMERCIAL FIRE ALARM PERMIT APPLICATION* Date: � - �— ( � Site Address: � � � 5 ��jA.-. ��-e k S p�W y Tenant: ��iN C ��'2. �`e. �e� �2te.. Suite#: S3� Name: Phone: �� "��,��= Address/City/Zip: te'� Applicant is: Owner Contractor �� Description of work: (^� S��<< F��e (��a�n� S�s'��^ �� ` Construction Cost: $�� Estimated Completion Date: �� ( ' � � Name:/�/`AS�� tc�no��SY ��v�P �icense#: TS� 1S?`1 �t?Ci�C��►�` . � � � Address: �SS.S �Z. ��`) ST �J`� City: S/��PrCo � a; state: ��zip:S S 3? � Phone: �S 2 - $d� - 3�fY 5/ ��°: Contact:�` k� �"�"'�'�"` Email: r�^: K� • b`��e-. �New Remodel -�� Addition Other: Alterations DESCRIPTION OF WORK: �Commercial Residential Educational FEES Contract Value$ 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$1 million, please call for Surcharge /_ _$ �G � 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 Alarm 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. S-��c M�� k ��1�� X X -� Applicant's Printed Name A plicant's Signature FC�t Q��IG�U�� ,#teY �yr� ,��-.. �, � n � . •�•. �, �� Ftequ�r�!111spec#ii�r�s' �gh�ln ' �'i��l'; �t��r�.'� ~ � � � � � � ��x� �< �.��.�,;x �