Suite 825 - Motherhood Maternity
Use BLUE or BLACK Ink
RECE11ED For Office Usg
APR 0 8 2014 I Permit 2 ` I
Cit of Eaa an
~1id/~ I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 I I
I Date Received: I
Phone: (651) 675-5675
Fax: (651) 675-5694 j j
Staff:
' ---------------C V J~
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: i•= -1~ Site Address: -AZS 1EAG4r4 OVTLeTS PWZ14 At , SF74C,E 8ZS'
Tenant Name: MargErz►.Aod10 MASECZMtT j (Tenant is: New / Existing) Suite ~ZS
Former Tenant: N004 ►
Name: PAVL4G4rf 0V(%.cTS PN(LTNE%S L.LC Phone: Z28 -%Q0 .3%1
Property Owner Address / City / Zip: Z11 e. fteOVI 000 Ste- ZI ~t=Lamp LIALXI a the . MV, Z 17 0
Applicant is: Owner Contractor
Type of Work Description of work: QVILD Odf-dlr A fZC-'lAt~.. ~1LAf~f~SpP S=fl~• p 11(Clrl
MA t'NERNauO f~,ast-niYta~ 53~E
Construction Cost: ~$Sa00a
Name: / • _ ~Qat' ~►1~~L C License*
Contractor Address: City: h*0-1
State: ~%%t✓ Zip: Phone:
Contact: /r KCitx10 Email: iL
Name: C.cR.rV' y (3 (nQ(V A.4 Registration Z~Z
Architect/Engineer Address:-111 t4ortl%A V16L0 (L rZQt40. City: jsC!•I,IK=(V.
State: 11% Zip: 7 ba 17- Phone: •63S •569fo .
zt s - A QQ - z1%5 C fP~"/41 T
Contact Person: C11 L0OW&W.12. 14XS - Email: d~eS{'i 11Q7 I ah
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.oro
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 7 t-"1F NVL- q • GV 1V x
Applicant's Printed Name Applicant's Signature
Pagel of3
T
-31
DO NOT WRIELOW THIS LINE l ~3~1v
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 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 006 Occupancy Al MCES System
Plan Review Code Edition U07AfW, SAC Units 0 sag P
(25%_ 100% ✓S Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet ~i o PRV
# of Buildings T Length Fire Sprinklers
Type of Construction fF • b Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) 17~ 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 (3771 Reviewed By: Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee 9 TY• ZS Water Quality
Surcharge ¢ 2 .50 Water supply & Storage (WAC)
Plan Review W 3.76 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 ~j `d0.
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use ECEIVE
3 y'
UN 112014 1 Permit
I
I
My of E
J C~ I
I Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 BY,(,tp Date Received: _
Phone: (651) 675-5675 j
Fax: (651) 675-5694 Staff: 1
- - - - - - - - - - - - - - - - J
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 6-9-14 Site Address: 3925 Eagan Outlets Pkwy
Tenant: Motherhood Maternity Suite M 825
Property
Owner Name: Phone:
Name: Voss Utility & Plumbing License P0000306
Contractor Address: PO Rnx 240 City: Hanover State: -AZL Zip: 515.341
Phone: 7613-497-4577 Email: y!?§§!!P@9arnrast net
Type of Work - New _ Replacement - Repair _ Rebuild X 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 prior to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? _Yes No Flushometers _Yes No
COMMERCIAL FEES Contract Value $ 1.5100 00 X.01
$55.00 Permit Fee Minimum
_ $ 55.00 Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 = $ 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 = $ 80.00 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
_ $ 60.00 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 Steven Voss X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: j Date: / f
Required' Inspections: -L-1,61der Ground ough In _LATr 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
r _ - - - _ _ - - _ _I
For Office Use
1
Permit
City of Ea l Permit Fee; Ul
3830 Pilot Knob Road
Eagan MN IECEIVE IVE I I
Phone: (651) 675-5675 Date Received:
Fax: (651) 675-5694 JUN 0 4 2014 j Staff: 1
2014 MEO RMIT APPLICATION
Please submit two (2) sets of plans with all commercial applications.
V
Date: L. Site Address:
Tenant: Suite
Name: Phone:
Resident/Owner
Addre,,~s ; C ity l Zip:
t
Name: License
Address
Contractor
State: ' Zip: "7 Phone:
. {
Contact: Email
l
New Replacement Additional Alteration Demolition
i
Type of Work Description of work
# NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Permit Type r Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump _ Under/Above ground Tank Install Remove)
Other
RESIDENTIAL FEES
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l
$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 $ -I X.011
$55.00 Permit Fee Minimum
$70.00 Underground tank installationtremoval Permit Fee
If contract value is LESS than $10,010, Surcharge = '5.00 . $ Surcharge* 3
'"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.
XL'a +t A-, x f',
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE I-qhq
Required Inspections: Reviewed By. - { Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
105001 ' ` " Use BLUE or BLACK Ink
CALL FOR CREDIT CARD PAYMENT
612.843.3210 � For office use �
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� �� � � Permit#: � L v � I
C�t af �� a� � . �� �
� � � Permit Fee: I
3830 Pilot Knob Road RE�EIV�D i i
Eagan MN 55122 '�N 1 2 �0�� � Date Received: i
Phone:(651)675-5675 �
I
Fax:(651)675-5694 �
� Staff: �
����___����������J
2014 FIRE SUPPRESS ON SYSTEMS PERMIT APPLICATION*
�ate: 6/10/14 s�te address: 3925 Eaqan Outlets Parkway
renant: Motherhood Maternity su�te#: 825
! Name: Phone:
Property Owner Address i City i Zip:
'` Applicant is: Owner Contractor
Type Of WO�k ' Description ofwork: (tlStall, modifksprinkler heads in the new tenant space
Construction Cost: $4000.00 Estimated Completion Date: 7/1/14
Name: Ahern Fire Protection �icense#: C039
Con#ractor
aadress: 13705 26th Ave #110 c�ty: Plymouth
' State: MN Zip; 55441 Phone: 763.268.0515
` contact: Ray Polos Emaii: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System (#of heads 19) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ x.01
$55.00 Permit Fee Minimum =$ 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
. _ . l �-� �
FOR OFFICE USE
REQUIRED tNSPEGTIONS
Hydrostatic Flow Alarm Dr�in Tes# � f�augh{r� .
Trip' Pump Test Ce�#r�a1 Stattor� . F►nal,.
,.
Conditions of Issuance: �� � � � � : �� � � �� ���`� �
Perm it Reviewed by: ���; r�T,���F`. �
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