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Suite 215 - Kitchen Collection Use BLUE or BLACK Ink E C E I ~ E 1 For Office Us/es~ c~ I V I 195 t fi I I Permit I I ~ I City of Eapn 20% 40 3830 Pilot Knob Road JUN Permit Fee: Eagan MN 55122 I 1 Phone: (651) 675-5675 BY: I Date Received: I I Fax: (651) 675-5694 I I ~ Staff: L 1 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: Tenant: Suite Resident/Owner ~ Name: Phone: Address / City / Zip: Name: Al~ C License Contractor Address: -7,0 7 16e city: State: /t-/ Zip: S Phone: q5 r~--,73 Y- ~ i Contact: G dr,-;1 ' Email: i j New Replacement Additional _iteration Demolition Type of Work Description of work: p NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City I 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 fi j 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 $ rJ^ rid 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 .S 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. x IJ4111_~_ L X", __4~1 / / Applicant's Printed Name Ap scant' ignature FOR OFFICE USE Required Inspectio:LRoughin Reviewed By: Datek/ 1 ( / Underground Air Test Gas Service Test 1n-floor Heat Final HVAC Screening .'f T . Use BLUE or BLACK Ink --------- � For Office Use j . RECEfVED j Permit#: Z ✓`�'� i C�t of �� aIl MA� l � � . / a� � � � �� Permit Fee: �(tT� � 3830 Pilot Knob Road � I Eagan MN 55122 I � Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 `' j I 4 � Staff: � �----------------��\�9��`� ,,�, 2014 COMMERCIAL BUILDING PERMIT APPLICATION �p �r,� \ ��t� Date:�'�• �i.2v1�1 Site Address: 39 0� F-.�•c..,A� c�'��T� '�t ra.�eu.wb`� , s u<<� id�2�� Tenant Name:_ ��`C�� ,lt,�c,-cw�. (Tenant is: New/ Existing) Suite#: 2�5� Former Tenant: _�; � ' ! Name:`�a,t+c..�� c��w�C ��rc.-tw� ti.L Phone: Z?sc. �c�o •�lLL � � �� PCOj��I"�/UW�1�C �`�" i , �� Address/City/Zip: 2�'� �r�s-s �t.�wwc� 5'C, � Z1 '�Ratt:. 3+•�z�ctr•x+.� '�10� 2�2W`L ��' ' ��`� Applicant is: Owner Contractor � ��`�,� , � $,ty� o c o� a��cz.e��. 2, � G Sc�.FY �.a�R.�.+� aa.v.>t- saC:u. � � Description ofwork: tLEV�t�- sp�.c.�. . r\� �.��ti.�- 4,�aaac-.r�a r�l.sac..� oR ui� , Tjf(38"4f�O�'�C F DO �= '� Construction Cost: ��.3�`-- .�_t_ ��.: .� �� s � �� " � - o � ,� �y � � t UiS��►'�/ ,� � Name: �i,/Yt�� .1f�c�Sol�! C�-,S'fi'K��icense#: � �� t CO�tC1C�QT � Address: ��3oZ. ��r �p,c.�t �l'��•City: ��G�SOY�Vi��e.� � �� State:�Zip: 3 a�� Phone: ��`� ° Contact: Email: �;�. , . ��_� �_., �a ° � ' � �� Name: baa�+0 �� Registration#: ��T5`��1 _�;,��u� � v� 14�k'Chl�@C�lEfa�l11@�C"�� Address: r6S� C,i�.a►�cN.�.�u ly,�� ,y�cr� 2�f City: ��,v.�•�.oya� � � °� State:�_Zip: �'�2�r Phone: Tot� .��Ss'l"7� `� k ;; Contact Person: E2�L ��4�.�?�.k Email: E-gp?��c�,aX�S2.�,p,�.�c�-c,H��r-�z.zs -�oc-� Licensed plumber installing new sewer/water service: Phone#: NUTE:P,Iaits�nat su��ing�"ocumen�s:�`h�t y�u�ul�m�t�re cons►tle�e�tt��i��ublrc�nfor�►tativn.�Por'�e�ir�s tif the int`arntaf�ivn�r►ay��classrfled;�s r�an�ublic�f y'ou�raKialef eci'fic re�asans��ia��o�r�d per, he��r�o �` ' ; �� ' ;. : +cbr�ciud'e ttia#��e`are tr �'� ,ecrefs. ,: � _ 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.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 permit;that the work will be in accordance with the approved plan in the case of work which r uires a review and approval of plans. x �.nz-�L- �.-�,a,Qeux x Applicant's Printed Name �.- Applican 'gn re L'' ��,�V(Ttil� r� ��2� Page 1 of 3 L��°`�`~ �/��ti�G"" � . �, , � � ��c�� t ,-, c�t(g�-s �1�� "�/ DO NOT WRI� BELOW THIS LINE � jZ��C.� 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 � ,/ Valuation ��.30�� Occupancy N� MCESSystem � Plan Review � Code Edition �DD� MsBG SAC Units � (25%_100°/a ✓) Zoning �� City Water � Census Code Stories Booster Pump �-'—" #of Units Square Feet "�'-{ PRV �..�c S T— #of Buildings Length Fire Sprinklers � Type of Construction 1� 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: V Yes No Reviewed By: /vL�� L. , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee � C� 'fjr Water Quality Surcharge ,�,3.06 Water Supply&Storage(WAC) Plan Review '7�d ,a.9 Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S�W Permit 8�Surcharge Street Lateral Treatment Plant Street Treatment Plant(Irrigation) Water Lateral Park Dedication Other: Trail Dedication WaterQuality TOTA�,�� gs(o-�� Page 2 of 3 �� G��/�-'�/'� ��02 9?� ___Use BLUE or BLACK Ink �� ..�� ForOffice Use � i � /�T� / � �� y �� n �0�� i Permit#: i #lAij u `„O (� i � I Permit Fee: (U 3830 Piiot Knob Road �9', ,p � i Eagan MN 55122 �Y; ��7 � Date Received: � � Phone: (651)675-5675 � Fax: (651)675-5694 � Staff: � �� J 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: � °'"' �°�� Site Address: �� .� 1--��c�.� � (�G��"�'(�"�-S 1 �i 1�..�� Ters�r.�►: ��,�-`t�t✓� C._.�'� I l�G._. �t��i� � �uite#: �� ..,..........�,.�__.,,.._..,......._...y....�.......__....._.._..�....._.._.�....._..�..,...,......_.._.�.�._...�.�.�.,�,.w..�....�..._...�.._.......,._...�..�.,..._,,...e.., Property �yy��r Name: Phone: .�...�. ....4,,....�..�.,�,_..�,...�..�..�aa_._.o_w��...,.....�.....M.....�.,_W...�,.,...�. ..e._.m..�.� Name �L�C�� 7' �'V vh�'Jf j'l�, ��r'�r� License#: �j�j y�-1 ��I �__m.�.,____..a.�... ` Contractor ` ��'�`' � State: �°!/t/Zi �5 Y�-t Address: �jS� ,i,«„ I� 1✓VCity: � ' c�L p: � Phone�� 3�'o�i1C�4� ,.......� EmaiL �. bv�l�� X�'/ lSU��e�'��vm��h,Cc�.-� G��-�.� �, Typ@ Of 1�VOfk —New _Replacement _Repair _Rebuild x Modify Space _Work in R.O.W. �� . � Description of work: COMMERCIAL� _New Construction� �.Modify Space �� µ� Irrigation System�yes/_no)(_RPZ/_PVB) • Rain sensors required on irrigation systems P�m1�t T�e . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed prior to aickinq up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers Yes No COMMERC/AL FEES Contract Value$� Cs�c�G� x.01 $55.00 Permit Fee Minimum _$ �. (''�' Permit Fee 'If contract value is LESS than$10,010,Surcharge=$5.00 =$ ��- ��v 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 -� ��' dJ 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 ' ._.,..w . w,.��. ,..__. ,� ��, ._..�...�,...M�,.._...._...... .A.._=_..,.._...,_.,..�,,�..�..,.��....._...�_.......__.....�.._,_......�-. �......_.�...�......�.�_��..._....�.�_._..�,......r..M_....,._..,_.�...�.�....g. �.m.�._.__.____�. .��.a..,,�..... _$ ,_,,.�._�..�_...�,.o TOTAL FEE M CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utility damage. 1 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 1 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 f plans. x �v�i 2 � Vu�� . � X ..,.....____-_....e. Applicant's Printed Name Ap icanYs Signature FOR OFFIEE USE Approved By: Date:�P 2-�} I ` Required Inspections: �Under Ground �ough-In �r Test Gas 7est ��ina) PRY,Required:`Yes No Meter Related Items: Meter`Size ' Rad'io Read Manom�ter Staff: Page 1 of 3 � f Use BLUE or BLACK Ink 104913 DUPLICAT�ALL FOf'� GRE[aIT CA�f�l PA�(M��T 812.843.3210 ' i--__T___--------�—, � For Of�iGe Use �� I � I �+ � PeITnit#; I t�l� Q� t� ��. i�a ��,s j�to c,r}-,� � �% � � � �[� '�/ � Parmit Fee: � I 3830 Pilot Knob Road "'" �� *' � � I Eagan MN 55122 � D�ts Received: j Phone:(651)675-5675 JUL 3 1 2p14 � � Fax:(651)675-5694 � Staff: � iJ f�� T ��J 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPI.�CATIQN* Date: 7�29��4 Site Address: 3965 Eagan Outlets Parkway Tenant: Kitchen Collection Suite#: �� Name: Phonq; PI'Opel'�y QWneC Address/City/Zip: + Applicant is: Owner X Contractor TYpe of Work Description of work: Install, modify fire protection system for new ten�nt Space Construction Cost: $3500.00 Estimated Completion p�te; ��14/14 rvame: Ahern Fire Protection License#; �Q3� Contractor address: 13705 26th Ave #110 �;ry: Plymq�th state: MN zip: 55441 phone: 7�3.�68.051� cor,tact: Ray Polos Ema;i: rpolo� ah�rnfir�,c,c�m FIRE PERMIT TYPE WORK TYRE X Sprinkler System(#of heads 18) New Addlt�on Fire Pump _Standpipe XAlterations _Rerllodel Other: � Other. DESCRIPTION OF WORK: X Commercial _Residential ^Educa#ion�l FEES Contract Valui!$ 350Q.Q0 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$0.000� _$ $urch�rge* **"`If the project valuation is over$1 million, please call for Surcharge �p�Q ` _$ 70TAL FEE 3/4"Displacement Fire Meter-$260.00 =$ FiC�Meter _$ T�lTA�,FE� "Requirements:2 complete sets of drawings and specifications,cut sheets on mate�ials�nd cpr�p�nents tQ p�e used I hereby apply for a Fire Suppression System permit and acknowledge that the information is corr�pletg and�ccurat@;t11#t the work v�fill be ln conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Cod�s,that(ur�d�rstand th1��S not a permit,but only an application for a permit,and work is not to start without a permit;that the work wilT be in aecordance with th�approved p�aq iCI the�ase pf Work which requires a review and approval of plans. : _ 1�+�� X Barb Barnes 612.843.3210 X Applicant's Printed Name Applicant's Signatyre � � 2 � i . � C �� 4 � FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm (�Cair#Test ;�___, F�oy�h In 7rip; Pump Test Cent�al�tatic�t� �f�al . �; Conditions of Issuance: ` I � I Permit Reviewetl by: R�te � ! �,�,��,�� _.�. �^,►r"' �i�.X' __�