Suite 720 - Chico's
Use BLUE or BLACK Ink
1-----------------~
I For Office Use
I I
City of all RECEIVED I Permit
~ Permit Fee: -3~ / I
3830 Pilot Knob Road MAR 2 8 2014 I ~
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I l
Fax: (651) 675-5694 I Staff:
11 2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: site Address: 3CI0 /06) -72 Q
Tenant Name: C O (Tenant is: New / Existing) Suite
l Former Tenant: i
Name: t.A ! 7 Cx~{~ Phone:) `~(JVK~,~
Property Owner Address / City / Zip: 42?/-'? E gedi4C; od -5r, &ILI ) % ~e /116>
Applicant is: Owner Contractor t-coatn'
Description of work:
Type of Work
5~®~
Construction Cost: I-7
Name: T- 1 VD ~25 ~J V C !5- License
Contractor Address: 13 -3 a I" city:
State: _ Y Zip: Phone: ISIS' ' Ili CA I DC50
Contact: ' Da'n r4 n Email: A ra.Kn Qk re--~a c ~.'~ri
istration ~
Name: (6 /d~)~~'4~) Regi-
Architect/Engineer Address: U I 1'61 City: t i 1
State:_ Zip: Phone: G.6 V5-90 -Ilq Contact Person: 1 Email: &Uj ct d , G a` ' 41,
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 the 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 whjch requires a review and approval of plans.
x x actvj
Applicant's Printed Name Applic is ignature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE ` Z1-7
SUB TYPES
_ undation _ 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 -7S0OcS Occupancy MCES System
Plan Review Code Edition 61 SAC Units O
(25%_ 100%--) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet -LeA ~j PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sfieetrock
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: ceo& , Building Inspector Reviewed By: Planning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge Water Sampling Fee
Plan Review Water Supply & Storage (WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S&W Permit & Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant (Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other: -7
Water Quality TOTAL ~57~•
Page 2 of 3
105387 F � Use BLUE or BLACK Ink
CALL FOR CREDIT CARD PAYMENT
612.843.3210 �-----------------,
� For Office Use �
• ' 2. �DO �
Clt of Ea an I Permit#:
� � ��n f I a✓ �
� Permit Fee: I
3830 Pilot Knob Road R�CE��ED � � i �
Eagan MN 55122 � � Date Received: �
Phone:(651)675-5675 ��N � Z �n�b �
Fax:(651)675-5694 j I
� Staff: �
`������_���������J
2014 FIRE SUPPR�ION SYSTEMS PERMIT APPLICATION*
oate: 6/10/14 s�te aaaress: 3905 Eaqan Outlets Parkway
Tenant: ChICO'S Suite#: 720
Name: Phone:
PrOper'h/Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of Work ' �escription ofwork: Inst__all sprinkler heads in new tenant space.
' Construction Cost: $5500.00 Estimated Completion Date: 7/1/14
' Name: Ahern Fire Protection �icense#: C039
Contractor
Address: 13705 26th Ave #110 c;ty: Plymouth
state: MN zip: 55441 phone: 763.268.0515
Contact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads 19) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ x.01
$55.00 Permit Fee Minimum =g 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 612.843.3210 X
ApplicanYs Printed Name ApplicanYs Signature
. . .� . � 1 � ���
FOR OFFIC� USE `
REQUIRED INSPECTIOI� �
` ��
_
Hydrostatie ��� � �low Alarm � �i�harn Te�t � ��` R€�gh#n� � '
Trip' Pump Test . : ��:nt�����'�R� ..: ��`<.. Fin�l .. .
Conditions of Issuan�e:
' , r..' ; ;
Permit Reviewed;by: . "�/�J�w�r�� '— i�at�:, : _�������,���
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��-1�{-t-"t� �,�,
�(�ll�'� � _Use BLUE or BLACK Ink
1 t�3 --,
Y - � For Office Use I
, RECEfVED j Permit#: ��lY IICT� I
Cit� o����a� � . u� �
I Permit Fee: �
3830 Pilot Knob Road JUN 19 �n1� i �
Eagan MN 55122 � Date Received: .� f �
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. �
Date: ��C�\l.l SiteAddress: ��-s��1U nL.[TL�"T'`�J ���IA/� � I�� ��-f��� lJ��w"' � �
—�
Tenant: C tT�CC, �'r',�' Suite#: ��
�Proper#y - �
, �wner ' Name: Phone:
Name: Commercial Plumbing and Heating, Inc. �icense#: PM059469
Contractor Address: 24428 Greenway Ave. c�ry: Forest Lake state:_pQ�zip: 55025
Pnone: 651-464-2988 Ema�i: awicks@cpandh.com
7�/pe �f WOt'k ���� —New _Re�lacement _Repair _Rebuild �Modify Space _Work in R.O.W.
, , ,
Description of work: '' �'%,1 �
COMMERC/AL _New Construction _Modify Space
_Irrigation System(_yes/_no)(_RPZ/_PVB)
• Rain sensors required on irrigation systems ',
PeC1111t T�/�3� . 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 approval of plans.
x r���. �Lle,o x
ApplicanYs Printed Name App cant's Signature
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�a�c�FFEC�usE °'�����Y�c��y: �, ��� �r�
Required Insp�ctions: _,�Clntler Crc��nd ;���ugh�(n Ai�'Ce$t _`Gas Tesf ��rrat PR�Required �es„_,:No
Meter Relafeci Items: Met�r��z�: � Ra�«�e�d ��Sta�f ° —
� � Page 1 of 3
G�, r �� ��e�BLUE or BLACK Ink
�S � ��� � � F•—r3ffice�lse i
��� ���� �1i �� � I Perntit#: ' � �v _ �
� � RECEIV ED ; �,-�� ,
3830 Pilot Knob Road � � Permit Fee: � �
Eagan MN 55122 � � i
Phone: (651)675-5675 �UN 2 3 1p14 �� � Date'i Received: �
Fax: (651)675-5694 �(�` I I
� Staff:_ �
— I
-------- ---------'
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans wi�th ail commercial applications.
Date: � �3/ Site Address: �90,� � �' �Z�j
Tenant: ��/° G[� �,� Suite#:
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%, � � Name:
Phone:
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` �f3� ; �,,� -., x ; Address/City/Zip:
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= ,` �� y� ��; Name:��ti�iss•-f �,�� .j t�-��y� c�_License#:
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„°,,� � � f ` ��� Address: ��'JO C�'�?�ta'10����� A,P, y� � lCl �nRe�.�,
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����� �: � � s : State: �I� • Zip:_�`�!1 '7 Phone: 7�� —���°���?.�
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�_ ��' `:`� ,��' Contact: r�.� I't�t��� Emai�: �"�teK � C�/�S — I�r►�'1 •�'c�rn
�` �; y���
� New Replacement Additional �Alteration Demolition
�� ;
�
�° � � � � � . .
� ��� � Description of work: �� �
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:��y ,�` � �'������� ��� � �������+�d � ���t�ca�� � �n�,���� : � � � ��s� ��'�
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.....�. �����, ,. ..
�>a� ���w � ' ,� �� �.
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: RESIDENTIAL COMMERC/AL
�� � �� �� � �/
y �` � ` New Construction 7C Interior Im rovement
, € v Furnace
�,�� ,� ��� ��` , � — p
���� '� _AirConditioner InstallPiping Processed
v�� ��,� ��� y ���' ��� ' _Air Exchanger Gas
Exterior HVAC Unit
���-� � � �� � ;�;: _Heat Pump _UndeNAbove ground Tank (_Install/_Remove)
� �w ' �' Other
�'' .�, ��:-,
RESIDENTIAL FEES
$60.00 Minimum Add or afteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ I �� 2117 t p�' TOTAL FEE
COMMERCIAL FEES Contract Value$__ ��Z, f� 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$1 million, please call for Surcharge =$ � �,a"'�� 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 �'I�. �iJ �J-�.n X �W�
Applicant's Printed Name Applic nYs Signature
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, � Use BLUE or BLACK Ink
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,___________
� For Office Use �
� �" � � � �� I
C�� �� ��U U� �'� � � � Permit#: � I
� 6 �A� � //oy v.� I
�" �� � � Permit Fee: �L� �
3830 Pilot Knob Road RECEIVED ��/'�
Eagan MN 55122 -�"^ � Date Received: j
Phone:(651)675-5675
Fax:(651)675-5694 ��� � � ���� � I
� Staff: �
�����������������J
2014 COMMERCIAL FIRE ALARM PERMIT APP�ICATION* �j�jl �
c�u� ��
Date: � - 3 " � � SiteAddress: J �O S t�`5�`^ � ''� `�� � ��(� 7 �G�la�
-
Tenant: C-L'` ` � � S Suite#: � Z � C� �)
�' Name: Phone:
��������� Address/City/Zip:
� r.� �;�' Appiicant is: Owner Contractor
� � y ��� Description of work: �N S�� � ( N t� �i re ��a� M Sy S�cn.
�Y���'�C 4
��° Construction Cost: � S`�° Estimated Completion Date: � � � � — ��
������� Name:/" �'°��5��i �=c�r�e�0 5 y ��o.,� License#: -T'.S o (.S`11
�� .� ��� Address: � S SS (2.3�� ST W ��ty: 5�4 V Ft Cn �
� ��?�1t�'���t �` „
;•s:
;, State�N Zip: SS �� � Phone: �SZ- g��- ����
�.; Contact:�; �c �0��e"� Email: N^�` �c . �s-�--�e•.� Gc.11 M t . Co ►�.
� �w _Remodel
` �'������ Addition Other:
�� � � � ' '� ��� _Alterations
DESCRIPTION OF WORK: .K 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$1 million, please call for Surcharge
_$ �� 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 ��e J�- Mh c �L- �.,, �" � I �
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Applicant's Printed Name Applicant's Signature
'�t�fit���1��li.S�; � .���� `� � � t�r ��Y' ��, �.���i '" .���'f r .��;':
Req�ii�lr��pee�ons. , '` I�c�u��►-�ri �irt�I �ir�Al���"�t> , m �