Suite 830 - Cole Haan
Use BLUE or BLACK Ink
For Office Use j
I Permit 2, I
City of Eavlan ;
Permit Fee: I I
3830 Pilot Knob Road I I
Eagan MN 55122 I I
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694 j j
I Staff:
- - - - - - - - - - - - - - -
2014 COMMERCIAL BUILDING PERMIT APPLICATION ~I
Date: 31 t o1 l`4 Site Address: 39ZS `cAGAX4 04rt-f1% 1900 KWA` , SVIM 930, ENAH rrw 5S L L
Tenant Name: GOLF- A AAN (Tenant is: ✓ New/. Existing) Suite
Former Tenant: N wE
Name: 1ROPGrOrV ay+t ei 10AVrJOL,S LLC-. Phone: VS -260 .3%fj
Property Owner sr
Address / City / Zip:'Zl'l 110 - (ZaW= zirirzt-E . iudrt _ dA(X1 MA(-z-N MO, 21' -aL
Applicant is: Owner Contractor
Type of Work Description of work: OVIC.,Q OVt'QIr A (ZECAl,L U-YY4n(, S►0AGE ln(T 46 17FaLL.
Construction Cost: ISO, 4G0
Name: TA.0 . U mi'l--,0 r,,a,ti cense
Contractor Address: q -ty-2J, City: i ~ ^ ne
3 k - 6
State:-kktQ Zip: 3Lj) Phone: clqa-
Contact: Email: e- r N C C a
Name: S-MPIAecr( L. OWWCIN Registration
Architect/Engineer Address: 1420 F(Fri-'t AVE SVIC Z400 City: ScA(ruc
State: V& Zip: _ c, $ ( O k Phone: 'ZM -T g16 •4419
Contact Person: SCOT l4;0 WIAN Email: S CO t; . howAh 0- c a an -wou,
Licensed plumber 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 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?'(M SC(4En(k QS2.314S•60400 x i~
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE 7/ f
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 applicant
DESCRIPTION dG Cc)
Valuation Occupancy _M MCES System y e-5-
Plan Review / Code Edition 1iU yk5115 SAC Units
(25%_ 100% Zoning City Water ~S
Census Code Stories Booster Pump
# of Units Square Feet PRV y~ s
# of Buildings Length Fire Sprinklers S
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
LL 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: des No
Reviewed By: M L L , Building Inspector Reviewed By: Planning
COMMERCIAL FEES
Base Fee 5 e 75- Water Quality
Surcharge '75-. GQ Water Supply & Storage (WAC)
Plan Review r'. X59 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 3
Page 2 of 3
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` Use BLUE or BLACK Ink
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��4� U������ \a�`S ! j Permit#: /� �`-�-� �
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3830 Pilot Knob Road ,�u� L 3 �01� � Permit Fee: �� �
Eagan MN 55122 � 1
Phone:(651)675-5675 � Date Received: I
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Fax:(651)675-5694 �
� Staff: �
������� ��������J
2014 MECHANICAL PERMIT APPLICATION ��
❑ Please submit two(2)sets of plans with all commercial applications. v
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Date: � � � Site Address: ,��aZS � �-�-��- �� ����
Tenant• ( "� )�¢� Suite#• ��
1���ldefl#i�Wtl#�F Name: Phone:
' Address/City/Zip:
Name:_ > -��^�--�-���^-�' License#:
��1t�#E'��'�{��`' Address: l��7 /r-f�l,�f' City:
State:�Zip: �j � 7� Phone: 7 5 ,�. — 5�7 S=�/�
Contact Email� ( ^ -Ge►�L
�New Replacement Additional Alteration Demolition
'��Type�f W#��'�, Description of work: ��
' �I�'��:�c��f r���unt€�d and� .:�t��mou�rte ec�t��i�cal�quipm+a�#Es,r�aq�ir�d#a be�creet��d#ay��tY
��de'. Pleas��t�ntact th�:�ec�art�c�l,lnspectur€t�.r inf�rm�f�on,+�i��e►�rnitted s�r�eeriing metho�d�.'
RES/DENT/AL COMMERC/AL
_Fumace �New Construction _Interior Improvement
p���T���, ' _Air Conditioner _Install Piping _Processed
_Air Exchanger Gas Exterior HVAC Unit
_Heat Pump _Under/Above ground Tank (_Instail/_Remove)
Other
RES/DENT/AL 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 Vaiue$ ��/l�3. !� 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.
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Applicant's Printed Name App ical nt's Si ature
F�'tt��F�I�CE USE �
R�quire�i In��ec�i�rns: Ft�viev�+��By; � �'� � �ate:��;����'�
Underg�raund �F�r�ug,h 1r� : Air T�st . �as Ser�rice T�ss# �n-f�€�ar Heat F[nat '_ H��C Scr�errin� `
Use BLUE or BLACK Ink
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P rmit Fee:
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3830 Pilot Knob Road �U� 0 3 2014 ' i
Eagan MN 55122 � Date Received: �
Phone:(657)675-5675 � I
Fax:(657)675-5694 BY; � Staff_______ ______J
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
�Please submit two(2)sets of plans with all commercial applications.
Date: �`�1�y Site Address: "` �. � �'
Tenant: l_��_,,,,T �-� Suite#:
Prope'rty
OWII@P. Name: Phone:
Name: Commercial Plumbing and Heating, Inc. �icense#: PM059469
Contractor ; Aadress: 24428 Greenway Ave. c�ty: Forest Lake state:_pdp�zip: 55025
Phone: 651-464-2988 Email: awiCkS cpandh.com
7yp@ Of WOfk —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 arior to pickina uo meter.
'' Domestic:Size&Type Fire: 1
" Avg.GPM High demand devices?_Yes No Flushometers Yes No
bp
COMMERCIAL FEES Contract Value$ 3��� 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 tart 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
X f�-e,��,� skP,;� X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE�, �' � " ���'Approved By: �d'� Date `f�� '� ��� �
Required Inspections: _Under Ground �Rough-ln _Air Test =Gas Test �nal , PRV Required „_Yes_No
�,.
Meter Related Iterns Meter'Size . ' Radio Read Staff:
Page 1 of 3
CALL FOR CREDIT CARD PAYM��JT Use BLUE or BLACK Ink
�os��0 612.843.3210 j For office use i
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�/� � I Permit#: � I
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� � � Permit Fee. I
3830 Pilot Knob Road I �
Ea an MN 55122 JUL 0 2 2014 �
9 � Date Received: �
Phone:(651)675-5675
Fax:(651)675-5694 �Y, � � Staff: �
I �
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2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
6/30/14 �3925 Eagan Outlets Parkway
Date: Site Address:
Cole Haan 830
Tenant: Suite#:
Name: Phone:
����������r ��`� Address/City/Zip: �
`. Applicant is: Owner X Contractor
Type!c�#11�ork
Description of work: �nstall sprinkler heads in new tenant space for proper coverage
` Construction Cost:$200.00 Estimated Completion Date: 8�10/14
rvame: Ahern Fire Protection �icense#: C039
���,��,����� ' Address: 13705 26th Ave #110 �;�y: Plymouth
State: MN zip: 55441 phone: 763.268.0515
cor,tact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System (#of heads 13) _New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial _Residential _Educational
FEES Contract Value$ 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 irt the case of work
which requires a review and approval of plans.
X Barb Barnes 612.843.3210 X
ApplicanYs Printed Name Applicant's Signature
� - - � C� ��
FOR Q�fiCE USE
REQUIRED INSPECTION�
I�ydrostatic FIowA4arm . #�r��n:T��t �t3��h�fl`
Trip Pump Test GBntral�#8t�i3h'; �Ftr�a�.'
Conditions of Issuance:
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Permit Revieweci by�� �F'� ; D�te ,�����.����t
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Use BLUE or BLACK Ink
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� For Office Use �
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� Permit#: � � I
Cit of �� �Il � /,, �'c� �
� � � Pertmt Fee: lY� �
3830 Pilot Knob Road
Eagan MN 55122 ����I��D � Date Received: �
Phone:(651)675-5675
FaX:�ss��s�s-sssa J�JI. (1 � 2Di4 i s►a�: i
`_______________�J
2014 COMMERCIAL FIRE ALARM PERMIT APPLICATION*
Date: � ! �` � � Site Address: J�2-S ��`��`^ �,���{ s �K W /
Tenant: �° ��' «�^°` h Suite#: � � �
Name: Phone:
�������� Address/City/Zip:
Applicant is: Owner Contractor
� � ��� �� � Description of work: l�S'�'a 1 l �i rc ��q,.r-. S�5-�-�w,
������3t'�C
����� Construction Cost: �� �� � Estimated Completion Date: � �3 � — � �
��.���� Name:/ �\/�S�rr Tcc�na�ec� Cpio�„p License#: �S� ( S�1
��G1l�#tA�#!>T„ ����,�_' Address: �S S S )'2, �'"'� ST W �iry: S�V F? G li
�`��'� State:�^� Zip: SS 3� � Phone: � S 2 - ���" 3 ��iy
`� Contact:�^� IL r �j o-�--�..Q►.� Email: 1M�j�c . �.-�-^�e Cc.(1 vn E .C��►-.
�lew 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$1 million, please call for Surcharge
_$ �� 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 S-�e vt /�/�n c I� X '�. �
ApplicanYs Printed Name ApplicanYs Signature
��R�'3FFI�U�E �;�vieW+�t��t�< � �
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R�qui�ed#�spe�c�ir�s: �' �� ��al �ir� �"� ,,� ,,,�_