Suite 240 - Childrens Place
Use BLUE or BLACK Ink
C* For Office Use n " _ C I Permit /
City U Eva I
QO
RECEIVED I Permit Fee:
3830 Pilot Knob Road I / I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 MAY 3 0 2014 I
Fax: (651) 675-5694 Staff:
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications. ~ f
~S r~~~y !
Dater `9/ Site Address:
Tenant: Suite ,2 YO
Property"
Owner Name: Phone:
Name: rl'n P/GPn~1 JAl License d ~ C/o
COI1traCt01' Address: ~~U / / el City: n AjUC_ StateA-1 Zip: ~J
Phone. Email~r n
New Replacement _ Repair Rebuild Y Modify Space Work in R.O.W.
Type of Work I - - - -
Description of work:
COMMERCIAL New Construction Y Modify Space
Irrigation System L- 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 uo meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes No Flushometers Yes No
COMMERCIAL FEES
Contract Value $ :5, 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
accor ce with the approved plan in the case of work which requires a review and approval of plans.
x 0-~
Applicant's Printed Name Applicant's Signature
FOROFFICE USE , / Approved By: Date: Z- /4
Required Inspections: Y Under Ground )-kough-In j Air Test _Gas Test Final PRV Required: _ Yes _ No
Meter Related Items: Meter Size Radio Read Staff:
Page 1 of 3
Use BLUE or BLACK 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-O-W Permit
Plumber: Contact Name: Plumbing Permit
SEWER WATER Sewer Service Water Service
Sewer lateral charge Water lateral charge
Sewer trunk Water trunk
City SAC @ $1001unit Water supply storage
MCES SAC @ $2,4851unit 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 r
6-10 SAC units 8,900.00 plus 445.00 per SAC unit over 5 1 For Office Use 1
I
11+ SAC units 11,130.00 plus 178.00 per SAC unit over 10 I
Permit I
I I
Permit Fee:
1 I
I I
Date Received:
I 1
Staff:
L---------------
Cc: City of Eagan Finance Department
Page 2 of 3
r� j �
r �
t� � . �•
Use BLUE or BLACK Ink
---------
i
� For O�ce Use �
� j Permit#: LV l� I
� Clt of �� �Il ; . � � �
� � � Permit Fee: �
3830 Pilot Knob Road �ECEIVED
Eagan MN 55122 i �
� Date Received: �
Phone: (651)675-5675 �AN 1 4 Z014
Fax: (651)675-5694 j i
� Staff: �
`_________��____�J
2013 COMMERCIAL 9BUILDING PERMIT APPLICATION ����j
Date: I�I V' � �' Site Address:�,Q G�(1�(` Cf�Y O U.C� S�G.Y����I �.�'P�.�-Q� �.L��
Tenant Name: �� Q�l���Q YI^� $ �� (Tenant is:�New/ Existing) Suite#:�'—! v
Former Tenant:
Na�,e: 1 �-1(GI.C�ll�lrl ��1-�''�..2.-I— �G�.C-�rY�O YS Phone: �o��• g��'���
Pt'Op@�y OWEI��' Address/City/Zip:oC�4 '!�.�c�� I�OUc� S�" ��,�a'I 1'Y�a�(�2. 'I�Y��
��ac�.
Applicant is: Owner Contractor �C Q(��,Q'(S OL Q
� �TYpe c�f Worlc r., �
Description of work: ��(1Xc�`(l.d(^ ��n"� �('� l��
: Construction Cost: �<<
Name:��� �"vf�Z�7 n Ifi�u-i� �✓�� License#:
Contt��€ctor .� ��
Addr��ss: � J�CJ �o y r 2 D � �/.�� City: ��c/'�+�0�.r...�;�
' State: �� Zip: � 7 �? � Phone: o�G'� �3 � ���
� � � � � �e/�.c r Q�1
Contact: 1 v� ,j✓��j1� Em il: i! �r a'� 'T��"�•r►'Z vn , ,�
Name: ��Gv 151�1n ( ��C, Registration#:, d-�C'{1 �
AI'Chl�@Ct/E17�111@�C` Address: �`'t Jb C 10..1G �--� ��b� City: C�C. �O�t5
State:�Zip:�31�� Phone: ,7�� •�( �S" �i��
Contact Person: �N, 1 d�� � Email: �-- � �( V, O�
Licensed plumber installing new sewer/water service: Phone#:
NOTE:Plans and su o►tin :�icume�It,s th��:y,�u submft�re consJdered`fa���p�i��'�c fr►form#�frin. Portiv�s of
�►� �" .
the infarma#it�n may be classifieat as ntiR publ�c�f yau;provide`s�ecific r�ans tiiai`woulcl perrri�t�t►e City,ti�
conclude that the are trad+�'s�rets: ' yt
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against unde�ground 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
per 't;that the work will be in accordance with the approved plan in the case work which requires a review and approval of plans.
x � �--����- x ��I1,�'
Applican s Printed Name A i Ys Signature
Page 1 of 3
„
. . �� � �� �,�, ��-(� rs �� ���
�� �'7 �� �
DO NOT WRITE �OW THIS LINE � 0
SUB TYPES
Foundation Public Facility Exterior Alteration-Apartments
✓Commercial I 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
4lteration 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 � ��� �'F' �^- Occupancy /� MCES System �,� 5
Plan Review N�r7 Code Edition �1f70'1 �5��",.. SAC Units � ��`-�
—r—
(25%_100%� Zoning City Water o,��
�
Census Code Stories Booster Pump --
#of Units Square Feet $�0,�. PRV --"'
#of Buildings Length Fire Sprinklers �
Type of Construction -�; g 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:_Foo6ngs _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: /�'����- , Building Inspector Reviewed By:�,� °` ` , Planning
COMMERCIAL FEES
Base Fee 3�,7S- Water Quality
Surcharge �Jrtn.�%� Water Supply&Storage(WAC)
Plan Review �,5 f 3, �� Storm Sewer Trunk
�
MCES SAC Sewer Trunk
City SAC Water Trunk
S8�W Permit 8 Surcharge Street Lateral
Treatment Plant Street
Treatment Plant(Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication �
Water Quality TOTAL � 3;�`�� � ¢
Page 2 of 3
. . � . C �--���-,
Dale Schoeppner January 15, 2014
Chief Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122-1810
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be
charged for the wastewater capacity demand for The Children's Place to be located at 3905 Eagan
Outlets Parkway, Suite 240 within the City of Eagan.
The City will be charged no SAC Units for this project, as deterrr�ined below.
SAC Units
Charges:
Stock
652 sq. ft. @ 7000 sq. ft. /SAC 0.09
Retail
3814 sq. ft. @ 3000 sq. ft. /SAC 1.27
Total Charge: 1.36
Credits:
Retail (SAC paid 7/13)
4780 sq. ft. @ 3000 sq. ft. /SAC 1.59
Net Charge: -0.23 or 0
The business information was provided to MCES by the applicant at this time. It is the City's
responsibility to substantiate the business use and size at the time of the final inspection. If
there is a change in use or size, a redetermination will need to be made. If you have any
questions, email me at Kristi.Goble@metc.state.mn.us.
Sincerely,
Kristi Goble
SAC Program Assistant
KG: 140115A3
Determination expiration: 01/15/2016
cc: Amy Griffin, Eagan (email)
Samantha Igou, ArcVision (email)
File, MCES
�_,..,._--
I�`����
•� -..- - . � :� „
. - . .� ��� . .� � . • �•�� . . . . t�kET�.C�I�{�I�I7A.N
� . •.., .. - C fl u I�1 � I L
__ Use BLUE or BLACK Ink
� For O�ce Use �
�' `/�� I / � I
�4� U�L���11 D � �(�' � Permit#: /� �j� I
c �(,� I �
3830 Pilot Knob Road R�GG`� ,G r� �c,�` i Permit Fee: �
Eagan MN 55722 �J �
Phone:(651)675-5675 ��N � 3 1Q�� � i Date Received: ����� / I
Fax:(651)675-5694 � � 4 �
� S,aff. �
------------------
2014 MECHANICAL PERMIT APPLICATION
❑ Please s mi o(2)sets of plans with all commercial a plications.
Date: Z" �� / ite dress: � � �� C..��l an s J"r'��S ��Lcl
Tenant: ��+s2:� e._.C..__ Suite#: Z��
�� � �� r ,
� � Name: Phone:
�"�Slt��'�'/ i1�f
�
` � °' ���°' Address/City/Zip:
� ��
'�� � t��✓�� ' T�"Ci
` � �� y � Name: �� License#:
� ��� �?� ��� z� ��o ,C `
�� Address: � � �s���-- City: GCJ�� :, �
CtlR#C��{l�', � /
� � �� State: �N Zip:_�'/l0 Phone: ��/� �.��i_"�'��.,�
� u
� �, ��ti
,� � �".; y' Contact: l�Y/[ Email: �ll���3 L� ����'�---
��: ��
` ` �New Replacement Ad 'tio�al / Alt ation Demolition
� �t�� e Q����'ssx5�� �� �v�%� �
�T�t{�+�pfiyl�t�k � Description of work: t�, �Yj
s- ��� �'� �E t�cs�m�su �d�n�g���d m�nte�f e�rat�y , '�qu��m�n ���quir�e. �t�be scree����iy �y '
:, i ��� �': cc��� P���e��+�r���e 1���� , �Cn�pe�tor f�!r�r�farrrraf��,+�.�an pe �d scrr��r�u�� , hn��t; . ''
� .
��;� �, :� �� RES/DENTIAL COMMERCIAL
p ��
"���` Fumace
� � ��� �� � _New Construction �iterior Improvement
�, �
Air Conditioner Install Pi m
�Fs�CCi��'�T�?� — — p� 9 _Processed
'��� _Air Exchanger
� � ,� : _Gas _Exterior HVAC Unit
� � ������ � _Heat Pump Under/Above ground Tank �Install l_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$ /� 41�d,•/� 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 start wi ut a permit;that the work will be in accordance
with th approved plan in the case of work which requires a review and approval of plans.
` �
x 1� �1"�[ c' • X
Applicant's Pr ted Name lican s Sig �
� ������`��a���7��'' � ' a�� � �� `� � ���- �� � : •.
�
Rec�u��d In�'ec��c�n��r �� � ' � �� �� �� ��f t��v�ie?v�rec�� �� , ,� z�� � ��
r� ? � �� � � �,�, �� ��� Y ���.� � f�f��`�� �
� Undergri��t�c� ��ugh I�t ..<< fi�'fest � �as,'Servtr.�,'��sf � 'Ir�,�(�#f Heat � ,�� �
.. z��...� .... :: .... .,�,.. .:., r.... „�-��nal... �.�` F1UF4��cre�I�g..
Use BLUE or BLACK 1nk
�-----------------�
� For Office Use . �
Cl�}tt f � Permit#: �� I
6�) Ol �a �I� REGEIVED � . �= i
v � � Permit Fee: � �
3830 Pilot Knob Road
Eagan MN 55122 J�� � � ?���. I �
Phone:(651)675-5675 � Date Received: �
Fax:(651)675-5694 � �
� Staff: �
�.��_______����___J
2014 COMMERCIAL FIRE ALARM PERMIT APPLICATION*
Date: � - � ' � � Site Address: 3�O,s CaS��• (�c��`'<<�f P(�K y
Tenant: T��' �-�"•,`�r�`` S ���qct Suite#: ��O
Name: Phone:
����������� ;: Address/City/Zip:
� �
�
f Applicant is: Owner Contractor
��� ���` �� ��� Description of work: t�"S��l( ��/� �(ar n. 5�t S�r4.
��������,
����� Construction Cost: �� 3�° Estimated Completion Date: � " � ( — ( �
n; Name:M�s�e� �� ��n°�o�y � �o�,� License#: TSO l S �71
� �' �` �''� Address�S SS 1�.3�d ST W �i�,: Sl�V A�n �'
�ar�#�r�c�tor �
`�� State: ��Zip: 5 S 3� � Phone: � S 2� � ��� $ - 3 �� �
Contact:/��� �c �����"` Email: �^i K� . �'-�°"'�'�'e''�� c�l ( Mt .Co
�° Xtiew Remodel
������\ Addition Other:
Alterations
DESCRIPTION OF WORK: �ommercial 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$1 million, please call for Surcharge _$ /'_�
lD 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.
X ��T'� J� ��t C ��- X � `��°''�`�.
Applicant's Printed Name Applicant's Signature
,FC�R�?F�IC�tl��`' `,; �i�iY � .
� �,. ,; : �>
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� w� ������ , ':�,, �"` {
Rei�tlir$d IrtB�?@Cfi#t�l�� ��U��4�rf;, ,'��1�1 ��� �"�� � ���`
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�� �, , , ..�� � ,,, ,a ,�;., , _. { �., �� '
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104840 CALL FOR (��EQIT CA�tp PA►YM��1JT Use BLUE or BLACK Ink
�-------------
612.843.�21� � For pffl�e Use I
' I /� ��l � I
�l� (�� �� �I� P�N �� � P��,�t#:
'�/� �� �
� � � ,�j � V j PBrmit Fee: � � I
3830 Pilot Knob Road I �j- �
Eagan MN 55122 AUG Q 4 2�14 � Date Receiv�d: r� j
Phone:(651)675-5675 � I
Fax:(651)675-5694 E � Staff. �
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� -.� �J
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPI.�CATIQN*
Date: 7/31/14 Site Address: 3905 Eagan Outlets Parkway
Tenant: The Children's Place g�ite#: �40
Name: Phone;
Property Owner Address i City i Zip:
Applicant is: Owner X Contractor
Type of Work Description of work: Install modify fire protection system in new ten�nt$pac�for�roper cpverage
Construction Cost: $8400.00 - Estimated Completion p�te; $�14l14
Name: Ahern Fire Protection ��c�nse#; ��39
Con#ractor
Address: 13705 26th Ave #110 City: PIy1Ttp�lth _
` State: MN zip: 55441 phone: 763.268.Q51�
cor,tact: Ray Polos Ema;i: rpolos�ahsmfir�.cp�m
FIRE PERMIT TYPE WORK TYRE
X Sprinkler System(#of heads� _New _Addltion
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential' ��ducationa�
FEES - Contract balu�t$ �500.00 x.01
$55.00 Permit Fee Minimum �$ 85.Q0 Permit Fee
"If contract value is LESS than$10,010, Surcharge=$5.00
*"If contract value is GREATER than$10,010, Surcharge=Contract Value x i�0.000� _$ �•�� �urcharge"
'""If the project valuation is over$1 million, please call for Surcharge �Q.00
_$ TOTq�,FEE
3/4" Displacement Fire Meter-$260.00 � _$ Fire Meter
_$ T�1TA�,FE�
*Requirements:2 complete sets of drawings and speci�cations,cut sheets on mate�ials�nd compQnents tQ t�e used
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;th8t the work wfll be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota�uildin�JFire CodeS;thal I understand thiS I�not a permit,but
only an application for a permit,and work is not to start withOUt a permit;that the wp�k wiN be in�COr�lance with thB approve�plar��n the�ase p(work
which requires a review and approval of plans.
X Barb Barnes 612.843.3210 X����
Applicant's Printed Name Ap�licant's Signatyre
j
� � � I
,
I
.- �
: � i �����
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm �tairl Tes# „�.," Ra��h In
� Trip � � � Pump Test ���� Centrai��atior� �� �����'li?a� �
Conditions of lssuance:
I
��.D�te: � f ��t!��.
Permit Reviewed b •
—�-��--R —�,r,--F- �