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Suite 850 - White House/ Black Market t• Use BLUE or BLACK Ink 1-----------------i 1 For Office Use I ~7 1 ROD " City of had RECEIVED I Permit ` 3111 1 MAR Z 2014 1 Permit Fee: 1 o 1 3830 Pilot Knob Road 1 1 Eagan MN 55122 Date Received: j Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: y. 2014 COMMERCIAL BUILDING PERMIT APPLICATION, Date: Site Address: Tenant Name: ()-VkI (;/l,l c &CZ K- Atf „ t (Tenant is: New / Existing) Suite a 1Former Tenant: A 14 Name: IRC6 A L u -e 1 t(4t) r ~ Phone:c:1 6-_ebQ ~jlfCU~~ Property Owner Address / City / Zip: ~fC~ (t l f~ d 4& 1JQ 1f- AP -/-2-02- Applicant is: Owner Contractors - Type of Work Description of work: ; i a -r 4/-A-/"q//C)-,1 Construction Cost: , duU Name:,, CA s J VC-45, License Contractor Address: l 31r, ~ _ 1 1f City: State: I` " t f V Zip: ~Dc/2- Phone: 1 1 ' (d® D Contact: DAz /-JP-C V- A Email: ArA%4 A C rd4y:x ~ c 0/r 57~r~c e-4- .o - C' 004ol Name: Tin _C~ ~A f°epfl -d~?lj 0 C /C Registration Address:W City: l rl %7~T ~')ll ~ Architect/Engineer State: 00 Zip: Phone: Contact Person: A < Email: Oc 1~IC) ('I ,'Z?% j ~ 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.oro 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 whic requires review and approval of plans. x I~C x Applicant's Printed Name Applicant's Si nature Page 1 of 3 flan 1~.~-`zu-~ 2 CS I~~►~q DO OT WRITE BELOW THIS LINE / 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 Occupancy /`'r MCES System ! jc Plan Review t'{v Code Edition 'AArl O& SAC Units ~0 (25%_ 100% Y) -r-- Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV T # of Buildings ~ Length Fire Sprinklers Type of Construction 8 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: ✓ Yes No Reviewed By:t , Building Inspector Reviewed By: , _,Planning COMMERCIAL FEES Base Fee l le bZ S Water Quality Surcharge D 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: r Water Quality TOTAL D Page 2 of 3 i�� r�� V''�' l�� Use BLUE or BLACK Ink � �-----------------, � � For Office Use I . � ��[ �/��J � n � Permit#: 7 I Clt of��(�a� RECEIVED � /��1 �� ; � 6 I Permit Fee: W V- � 3830 Pilot Knob Road I Eagan MN 55122 J U N 1 y �m� � Date Received: � � � Phone:(651)675-5675 I Fax:(651)675-5694 � Staff: � I �______� _______J 2014 COMMERCIAL PLUMBING PERMIT APPLICATION � L'I Please submit two(2)sets of plans with all commercial applications. Date: �� Site Address:��(,�1�� 1�t�� ` Q�`��'�'J Tenant: w�l�'�. �'f�(�c�'.� c1�i��(C�/l�(2.�� Suite#: � sPropert�i ; �y�n�P �� Name: - Phone: Name: Commercial Plumbing and Heating, InC. �icense#: PM059469 Ca�ntractor Adaress: 24428 Greenway Ave. c�ty: Forest Lake State:�p�zip: 55025 ! Phone: 651-464-2988 Emau: awicks@cpandh.com T pe Of WO�k —New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W. � Description of work: C� COMMERC/AL _New Construction Modify Space _Irrigation System�yes/_no)�RPZ/_PVB) • Rain sensors required on irrigation systems P�rmit 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 pickinq ua meter. Domestic:Size&Type Fire: 1 ! Avg.GPM High demand devices?_Yes No Flushometers Yes No COMMERCIAL FEES Contract Value$ �f�� 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 rt 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 p s. x �, l�1/2'�5� � a x � ApplicanYs Printed Name Applicant's Signature �t)R�C}FFICE US�� APpraved By': - � •� - Date�t � I�equired I�peetEpns: _,� Jnder Grt�uncl ' �cru�t�n � AiF�est �Gas"�e�t �rna! _ �; PR�►l�equrred:,,_'�es,_,�Jc� Meter Refatecl��ems: Me�e��ize - Ratl�R�ac� �t�ff; ' � : u � Page 1 of 3 � Use BLUE or BLACK Ink �----------- ---, For Office Us � �� (� �]� RECEIVED �Q r S�/ f.�'�Jcv� I permit#: � ��J�� U��itll +� �� Permit Fee: �� Eagan'MN 551 2Road JUN 2 3 101� � � � , p�„ . � Phone:(651)675-5675 � Date Received: �fl I Fax:(651)675-5694 � j �i � Staff: � _ � I �� ...��J � 2014 MECHANICAL PERMIT APPLICATION � ❑ Please submit two(2)sets of plans with all commercial applications. l.t,�� Date: Site Address:___,�j�,� �! �Q.�-�'.ti-- (�j,yt.�� G`'�� Tenant: ��'�v'� Suite#: �� R�IdeC1,�I�3Wt'l�t ::. Name: Phone: Address/City/Zip: � Name: d��i�-�c-t� License#: ' �Qt1#�'�C#fiT Address:,a S� ��'p %"%�J�' City: � /? " / � ' State:�Zip:_$��,3 /`�' Phone:_y J� -�.< ��— �l � � . � ' Contact: Email: . (�1�`'7�- ew Replacement .Additional Alteration Demolition �ypi2 pf 1i1/prit ' Description of work: Y �(��'�.Raof��unted and grc�urtd:irrvunt� ecFranical+�i�ui�nent is'requitatl tc�b�s�ct��n�N l��r�ity : ' G�s��. pl�ase c�nf�et th�14��hanical In�peetQ[�fcsr inf�r��i4n on permitt�:d sc�:eni�it�rneth��d�. : RES/DENT►AL COMMERCIAL _Furnace X.i"New Construction _Interior Improvement T— ��,�� _Air Conditioner _Install Piping _Processed _Air Exchanger Gas Extenor HVAC Unit _Heat Pump _Under/Above ground Tank (_Instali/_Remove) Other RES/DENTIAL 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$�� G�, L� 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. 1 X �r� �� 1�.�� X .�� 1�-��~ ApplicanYs Pri ted Name Applicant's ature F�}R Q�FIC��7�E ' �� R�equired In��ec�ivns: Re��wed 8y �� '� ��t�; ,__._„ UndergrQUnr� ' Rcrugh In Air Test Gas Servi�e T�st._I,n-flt��r H�a# Fir�al ` HUAC Screerri -!�� 9 , * Use BLUE or BLACK Ink 105432 CALL FOR CREDIT CARD PAYMENT 612.843.3210 � For office use , ��i , � � �� n� �� I Permit#: � u� I A/ _/ I �� /Y� ��/v�� ,j�,� � Permit Fee: � c' � 3830 Pilot Knob Road ("!' `/ � I Eagan MN 55122 �v�� "" � � Date Received: � Phone:(651)675-5675 � Fax:(651)675-5694 �UL O � ?O74 i Staff: � `��_��__J BY: 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 6/27/14 Site Address: '� 3925 Eagan Outlets Parkway Tenant: �Nhite House Black Market Suite#: 850 ° Name: Phone: P�'Op@1'k�/01KIt@C Address/City/Zip: Applicant is: Owner Contractor Type of WQrk' Description of work: Install sprinkler heads in new tenant space for proper coverage ' Construction Cost: $4500.00 Estimated Completion Date: 8�10/14 Name: Ahern Fire Protection �icense#: C039 Contractdr adaress: 13705 26th Ave #110 �;�y: Plymouth State: MN Zip: 55441 phone: 763.268.0515 cor,tact: Ray Polos Ema;i: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System(#of heads� New _Addition Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial Residential Educational ��5 Contract Value$ 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 speci�cations,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 BuildinglFire 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 Applicant's Printed Name Applicant's Signature ► ; � �� FOR OFFICE USE REQUIRED INSPEGTIONS Hydrostatic Flow Alarm �3�a�rr i'est �c��g�� Trip Pump Test Gentra��tation . �inal �� ,,, ,> ;. � Conditions of Issuance: ` � � � I Perm it Reviewed byC��'s�'"` , ?Rate: ;,�l�,�^� Use BLUE or BLACK Ink �-----------------� � For Office Use � ///��' (� � � 14� 1 �� O� �(� (�� I Permit#: I A Q � �� u� � Permit Fee: � � 3830 Pilot Knob Road � I Eagan MN 55122 ��G��D � Date Received: i Phone:(651)675-5675 � '`" � Fax:(651)675-5694 � Staff: � ,��i�. � � l".�� ----------------� 2014 COMMERCIAL FIRE ALARM PERMIT APPLICATION* Date: � � � (� Site Address: ��Z S ��,��^ U �{ �'`+J �K w y Tenant: � �^: �t t' h v�1'e b (�c(C ✓�'�o.r 1<< 'I- Suite#: � S v Name: Phone: �� ''�� Address/City/Zip: Applicant is: Owner Contractor �. � �� `�� Description of work: (N S'�"l�l 1 N� u ��c (�l a�r. S�r r-�c r� �� 2 20c� Construction Cost: Estimated Completion Date: , - 3( — �� <<�.n`► �v �C /��P �icense#: T S v t S ? �� Name: AS�� 5,/ � �t�n�'a�#+c�', . ' , Address: �3 S S S (Z,3..� 5-.�- �,,,� c�ty: S Pt V k} G � `, State:�� Zip: S S 3� � Phone:� S 2 - �V 5 - � �� . Contact:l�v�� t 30-�-'�t.-� Email: Yn� �C� . �� '�e-. e CS.t l ►r fi . C� �� New _Remodel �� = Addition Other: Alterations DESCRIPTION OF WORK: � 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$1 million, please call for Surcharge _$ / O 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. s � �eV{ MRC..� � I�/`i I � x x ApplicanYs Printed Name Applicant's Signature F+C�R,O�fiC�USE �'i��/� ' � h *� -� � � ' � � , .�,,, �� w�� R@qt�i#�ilt�pec�ic��, �i� -itl �� '�"��t, � � �x £:� j �