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Suite 817 - True Religion Use BLUE or BLACK Ink For Office Use 3~ 1 Permit I City of Ea dR Z l4 i I Permit Fee: 53~, 3830 Pilot Knob Road Eagan MN 55122 Date Received: Z«, 13 Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 I Staff: 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 12 13 113 Site Address: FikRAbow a4ner5 17 ( 3125 EA 6 A-IJ Pkt,, y OtiYLe-s % Tenant Name: 7t UE U LI & t&jV 139-A- X43 j V5 (Tenant is: New / Existing) Suite 917 Former Tenant: A-vAIG 26f, - Name: TRIAL- gr..LI6t0,,j 0A A.0 JG'~kNS Phone: '327 Address / City / Zip: 1263 V."N A119 ~ VePt"Al CA 9 00 SK T-6-t A AT 6r¢01 iTW) Applicant is: ~ caner Contractor Type of Work Description of work: I iA41:60 (L T = 1nNl&k. Construction Cost: 190 0(9 U Name: IV°12a~ k4G'tj License Contractor Address: ) 5®® hb;12.j - City: rkf/'eL C v tt 7 Zu 1310 State: Zip. 53 ( 77 Phone: ooo c~ -&oo o ( Contact: Email Name: _&M A- Registration Igo- 71 Address: goo 6*s1'11AN6Zoo, /kkf N I Architect/Engineer u ~C1 City: State: M k/ Zip: 5 ! Phone: Wd - S L11-(3q6 Contact Person: TQ' Email: +bOfc, gVW6 e- GV1-Ofr A • i installing new_sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered 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 they are trade secrets. 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wit 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 is not to start without a permit; that the work will be in accordance with the approved plan in the case of w which requires view and approval of plans. ,pt x Lflf e`~ Qnl,&KA"r x Applicant's Pri ed Name Appli natu e Page 1 of 3 DO NOT WR BELOW THIS LINE Z~ 7 M~ SUB TYPES _ Foundation _ Public Facility _ Exterior Alteration-Apartments u~Commercial / Industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse / Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New V' 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 Occupancy ✓ MCES System Plan Review Code Edition ? SAC Units (25%_ 100% Z)~- Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction- Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) y'- 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 f insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: 111i,le- L ,Building Inspector Reviewed By: Planning COMMERCIAL FEES Base Fee 2®(o. Water Quality Surcharge 1/0.00 Water Supply & Storage (WAC) Plan Review S Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL # /5 ~6. Page 2 of 3 a Use�LUE or BLACK Ink 105614 CALL FOR CREDIT CARD PAYMENT --------- 612.843.3210 � For Office Use � r � I �� ,/�Z�- /� Na �L�,� i Permit#: � � � � C�t af �a an r -.�� u.�_, �� ; � � � Permit Fee: I �� 3830 Pilot Knob Road I � Eagan MN 55122 ry � Date Received: � Phone:(651)675-5675 �UN 1 8 LO7� � Fax:(651)675-5694 j I � Staff: SY: -----------------� 2014 FIRE SUPPRES�I�O SYSTEMS PERMIT APPLICATION* �ate: 6/13/14 s�te aaaress: �SC�SEagan Outlets Parkway Tenant: True Religion Brand SP,0.c13 suite#: 817 Name: Phone: PCOp�I'ty Owl7@r Address/City/Zip: � ; Applicant is: Owner Contractor ' ' Type of 1tVlork ,: Descr�pt�or,ofwork: Install sprinkler heads in new tenant space II Construction Cost: $2000.00 Estimated Completion Date: 7/10/14 ` Name: Ahern Fire Protection �icense#: C039 ' ' Contractor Address: 13705 26th Ave #110 c;ty: Plymouth ' State: MN zip: 55441 phone: 763.268.0515 cor,tact: Ray Polos Ema;i: rpolos@ahernfire.com � WORK TYPE FIRE PERMIT TYPE X Sprinkler System(#of heads� New _Addition III _Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial _Residential _Educational FEES Contract Value$ 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.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 . - c �� FUR QFFI�E USE , RE4UI RE Ll I N SPEC�'it,1N5 ; . . ' ' Hydrastatic. ' Flov�r Alarm- [?r�n Ts�# } : ` F�ou�ka F� ; ... Tr�p , Pum�iTest ;Gen#Cal��at�on Y ��na1 � CondifFOns of Issuances � �' � � � � � � ;� fr."'7 „.� ' -. ,.. c.. ;:'e- . . . '.,: . � Permit Reviewed b�t. , .< ��'��. Da#� __�t ��f ,� � Use BLUE or BLACK Ink . �_________________ � For Office Use � �tJI.�J �,@ �,- �L l'� � � Permit#: ��7�� I Clt of�� Y � ��. � � � Permit Fee: � 3830 Pilot Knob Road RECEIVED � f�(� / i Eagan MN 55122 j Date Received: Phone: (651)675-5675 � I Fax: (651)675-5694 �� 2��C I Staff: � �---�---------� 2014 COMMERCIAL PLUMBING PERMIT APPLICATION `�,,,� ❑ Please submit two (2) sets of plans with all commer 'al applications. � '� Date: � � � �� Site Address: � / � �C"t/��'� G� ��''�/t�� 'r'�� r� �- °'� Tenant: ��u� ' 'G �1 i C�� Suite#: �� f Property ' OWIle1' Name: Phone: � f Name: �� G(/� ��' License#: COIItCaCtOC Address�I �V � ��`/�� City:�✓��X1G� Stat�'✓/�'1 Zip:��3v� Phone: C��r� `�G�"i��'"" ��.�'� Email: �tr.+�l/'�� °�'�1" . /'�� Type Of W01'k —New _Replacement _Repair _Rebuild �odify 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 pickinq up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES Contract Value$ � � 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 approv plans. / X � J� c/'i"'� x c.�� /`�`� Appli anYs Printed Name ApplicanYs Signature FOR OFFICE USE Approved By: Date:� �G �� Required Inspections: _Under G�ound �Rough-In Air Test Gas Test Final PRV Required: Yes No Meter Related Items: Meter Size Radio Read Manorneter Staff: Page 1 of 3 t Use BLUE or BL�4CK Ink � . 2014 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY (if applicable) Date: FOR OFFICE USE ONLY ' PRV required Property Owner: City R-O-W Permit Address: Phone Number: County R-0-W Permit- Plumber: Contact Name: Piumbing Permit SEWER . WATE:R Sewer Service Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk City SAC @$100/unit Water supply storage MCES SAC @$2,485/unit Receipt#: , Date: Receipt#: , Date: Treatment Plant @$828/unit Permit Fee $60.00 Permit Fee $60.00 State Surcharge $5.00 State Surcharge $5.00 TOTAL: 'Plumbing Permit Required-water meter to be acquired with building permit TOTAL: SEWER &WATER Sewer Service Water Service Sewer lateral charge Water lateral charge � Sewer trunk Water trunk City SAC MCES SAC Receipt# , Date Water supply&storage Receipt# , Date Treatment plant Permit Fee $120.00 State Surcharge $5.00 'Plumbing Permit Required—water meter to be acquired with building permit TOTAL: Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000. Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past. 1-5 SAC units 1,780.00 per SAC unit �-----------------� 6-10 SAC units 8,900.00 plus 445.00 per SAC unit over 5 � For Office Use � 11+SAC units 11,130.00 plus 178.00 per SAC unit over 10 � � � Permit#: � I � I � Permit Fee: � I � � I � Date Received: � � I . �_Staff.--------------� Cc: City of Eagan Finance Department Page 2 of 3 � > . . ,a37�� Water Meter Fees Meters Requiring 4-Hour Advance Notice Prior to Pick-Up GPM Meter ' Use Fee 1-20 maximum continuous 10 5/8" displacement residential/small � $210.00 _ commercial . _ . _.. _ __. 2-30 maximum continuous 15 3/4" displacement ; lawn irrigation residential/ $260.00 small commercial _ __ __ __ __ . _ _. _. large residential buildings to 3-50 maximum continuous 25 1" displacement ; 24 units, small commercial & ' $340.00 ___ ; i irrigation systems _ _ _ _ _ ___ _ __ 5-100 maximum continuous 50 ; 1-1/2" displacement ; 25-64 unit buildings & most $690.00 _ __ ; commercial buildings _.. _ . ___ _ __ _ _. ', irrigation system Public 4-120 , 1-1/2"turbine*'` ' Works must approve meter $1,100.00 size ' 4-160 2"turbine large irrigation system & $1,650.00 ; production lines � _ _ _._ _..... 1/4 to 160 2"compound buildings over65 units & $2,140.00 �� large commercial buildings �i Radio Meter Read $185.00 Meters Requiring 30-Davs Advance Notice Prior To Pick-Up GPM Meter Use Fee 5-350 3"turbine very large irrigation system � $1,870.00 & production lines 1/2-320 , 3"compound +200 unit buildings, very $2,610.00 ._ _ large commercial buildings _. _ __ . _ _ _.. _ 15-1000 4"turbine : very large irrigation systems $3,610.00 __ __ ! & production lines _. _ .. _ __ _ __ __ __ __ ______._____ 6-500 4" compound ' +300 unit bldgs& very large $4 210.00 . . ' comm. bldgs 10-1000 6" compound +400 unit buildings, very $6,860.00 __ large commercial buildings _ _ ___ . _ __ 6"turbo $5,960.00 ADDITIONAL INFORMATION • Radio Meter Reads are required on all new buildings. Boulevard irrigation systems may also require a radio read. • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Linda Dralle at the City of Eagan Utilities Department(3419 Coachman Point, Eagan, MN 55122) • A minimum permit fee is required per address for the following RPZ's: new, rebuild, repair, & remove. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. • To schedule an inspection of the inside water line and backflow preventer, call the City of Eagan Building Inspections Division (651)675-5675. • To arrange for water turn-on, call City of Eagan Utilities Department at(651) 675-5200. Page 3 of 3 . � i�.3�� `� � � � � � �, � � � � � �� -� , � � � � � � � � � � � �� / � � ( /�°'S , � �/ c �� 4� � � � � , � � �� a � �� . � � � s � �. � � cl , � _ 1� � � � G � � � � � � �� . � � � � �, � � � � � � � �� \ � � �.i � � � � � R, � � � � � � � � � � � �. � G � � � � � � � � `� � Use BLUE or BLACK Ink ------------------ � For O�ce Use � ' �� j Permit#: I��" j �lty Qf�� ja� � q�S �,�" � Permit Fee: �/' � 3830 Pilot Knob Road c\�'�o � U Eagan MN 55122 �C,G �;l�O I '`,�''r/1 I Phone:(651)675-5675 � '��y � Date Received: � Fax:(651)675-5694 ��Q��'� I Staff: � ,� I I --I �-------- ----- � 2014 MECHANICAL PERMIT APPLICATION ❑ Piease submit two(2)sets of plans with all commercial applications. �,/`�� Date: ' 2- / Site Address: - !" � �t✓ /� � .--- p � Tenant• ��"C 1''�-�C�� ` J�c,,,,,,—t Suite#• Q� � �� - -�� Name: Phone: F��1i'��tt��WC1�P `;' ��':: Address/City/Zip: E:. / / ; � Name:��d".Y3t!/1 ,/�(,E.G��C`► / License#: � �/ /� '� � ��„w, Address: l�►'�td J'. �� r/t`':`l��-City: �� + �R-•-c�/ ' ��t'1�1`�C�T�' � . � / �� /� � � State: iL�/ Zip: `�S //e`� Phone: ��/— `t'��—' �'�'? �.��...:. Contact: �� ►J uY(r`` Email: �-�J1'�J�'1 �l C� � G'i�?! .C0','�'�. �� ,., �,f,: �� " ��; �--New Replacement Additional Alteration Demolition �� '[ ��p� y�� ' Description of work:��6�L' �i'�'T�"��1�W �� `p r.� � � ' � (��'TE::I��c�f mount�c!anc��r��li��nt�cf inechan��al e�t�f��t 3�t�� F . �lx�e screenet�Fsy��ty:, ' ��de.:P�ase ccintact t��r N�c��hrrr�I In�pector fi�rr:Ei�if�rm�r��rtt�►+�r��i ,; ��reening m��hods. �� RES/DENTIAL COMMERC/AL �� „ �� '. ; Furnace New Construction �Interior Improvement ��'��y _Air Conditioner _Instali Piping _Processed �� _Air Exchanger Gas Exterior HVAC Unit �� E — — ° _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$5.00 State Surcharge) _$ � �OTAL 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 "*"Ifthe 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. ,� � � 7� �e �l' r✓� + x Applicant's Print d Name A lican 's Si na re ��1��1��4J�" �.� ` �\ �� , � �a � � �, Fi�qct�t�d Insp�c�ii�n �` : '�e�i�wetl�y � �� :� � Ur�der rc�und° ' ��i � I�„�= A� .�;�t ' �a��e�rcc��'��# ' tn:=floor hi� ` F�rr�� HUAC Sc€�,�ng a �,„. � .� _. ___.� � ,.m �A.a... ....� s.o .�,�.„ ., . . �. , �