Suite FC1 - China Max
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Use BLUE or BLACK Ink
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For Office Use
D I Permit v 1
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City of EaEdIl
I Permit Fee: J~ ✓ °
3830 Pilot Knob Road _
Eagan MN 55122 spy 11141 Date Received: J
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2014 COMMERCIAL BU DI G PERMIT A03LICATION[-c
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77 ' CC,902 64,,"f Q-,.,- 'j'
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Date: Site Address: r 3 1
Tenant Name: 0e tGicz ND 'tj G ff fN'R (Tenant is: New / Existing) Suite G ~ 2
t o bl ~40
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Former Tenant: Mi,4
Name: n t C~ N^ /A~1104 CA^ EN7" Phone: -70T - 7-0'2 - 18-315'
Property Owner Address /City /Zip: (a 17 s U,. -f1jj*j "j A-/6- 100 , LA'S 064- t $f Ny 8, 1
Applicant is: ,1C Owner Contractor
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' Type of Work Description of work: F00,9 Cor+2f 1 57ix~ /is►.~ it f~,t fP.✓T /.~..P~e.o ~~""E '07,50 000
Construction Cost:
Name: License
Address: 0/ City: J rva K C I ! C
Contractor ~yJ c/ 7g
State: r ' " 0 Zip: Phone: 6 / / 6
Contact: / c~f0 cs Email: elm P' fg Z. /~S 14, rt. . C .
Name: ~(bttA~h alyb A/►J Registration
Architect/Engineer Address: 11 City:
G 02A-7 -63t; 47,9
i State: T Zip: c Phone:
Contact Person: Email: J o A^*, C rM R 1 A , N T'
Licensed plumber installing new sewer/water service: _ TO 0 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 quires a review and approval of plans.
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Applicant's Printed Name Applicant's Sig ture
Page 1 of 3
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DO NOT WRITE JELOW THIS LINE ' Z [
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 Occupancy MCES System
Plan Review Code Edition 2667A4,586 SAC Units • W-6
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units d Square Feet l y PRV
# of Buildings / Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) V 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: rAw, Building Inspector Reviewed By: Planning
COMMERCIAL FEES
Base Fee IgSG . -1 S' Water Quality
Surcharge I Z T- " Water Sampling Fee
Plan Review /Z7 / . Sq 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:
Water Quality TOTAL 3x36 3 •
Page 2 of 3
107503 FC1 ' - � Use BLUE or BLACK Ink
CALL FOR CREDIT CARD PAYMENT _________�
i--------
612.843.3210 � For office use �
N� ���ls � ��- �� �
�
�l� V� �� 1.�� �� � V E I Permit#:
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� � I
� Permit Fee: v I
3830 Pilot Knob Road JUL 0 2 2014 ' '
Eagan MN 55122 � Date Received: �
Phone:(657)675-5675 �
I
Fax:(651)675-5694 SY:— � Staff: �
� I
`________________J
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
6/30/14 �965 Eagan OUtlets Parkway
Date: Site Address:
Tenant: nOW ���� �a� Suite#: FC1
Name: Phone:
p�Q��������� Address/City/Zip;
Applicant is: Owner X Contractor
.��P�.Of WQrk
` Description of work: Install sprinkler heads for proper coverage in new tenant space
` Construction Cost: $2000.00 Estimated Completion Date: 8�10/14
. tvame: Ahern Fire Protection �icense#: C039
Cer�tr.��tor
` ,4ddress: 13705 26th Ave #110 �;ry: Plymouth
;; State: MN zip: 55441 phone: 763.268.0515
:: conta�t: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System (#of heads 9 ) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ 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 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
, ' _ � (Q�
.
fOR OFFIGE USE .
REQUIRED INSI�ECTI�NS ,
Hydrostatic ' Flow Alarm C�ra[n'�est �tiu�t�1n ;
Trip Fump T�st ��tlfi�al�tair�n :° _����+al '°
Condi#ions of Issuance:
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PermitRevi�wed by . ;t�a�� ; �,�.�l.�_��f_����,.T,_
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�' Use BLUE nr BLACK ink
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I Permit#: l �� I
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� � Permit F : Cs
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3830 Pilot Knob Road � �
Eagan MN 55122 R�����E� � Date Received: �
Phone:(651)675-5675 I I
Fax:(651)675-5694 ,�� � � ��1� ! �
� Staff: �
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2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* �96� ���
� �aQ� Slte Address: D �C��F' FC�`
Date: �
Tenant: �G y4 l,tf ��'t ' Suite#:
�„�.,,.,.�-.�.,�,�,„...� a,.,�,,..�
Name:_��� Q(l��� Phone:
Property Owner � Address!City/Zip:
�� ������ � Appiicant is: Owner Contractor
� -�--- - - ..,a.,�.��....�e_��,v..�...w,. o�...�,�..,�.��
Type of Work � Description of woric
�. Construction Cost: Es�mated Completion Date:
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� � Name:�I✓V�� �i*�'P � S�t7�e,i I �N� p
� �, .�,_,_License#: � �4�'f �
� Contractor Address: �D� �o��' 7�°-,���I Sr ST �;H; /11C��'//�DD/f �
� � State:�Zip: ,SJ�U.�> Phone: IDS��S I �.3t�7
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° Contact: Email: t.�-�v.� C"1 �S/v����
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� FIRE PERMIT TYPE �Y�s� L S ySJ�e WORK TYPE
� _Sprinkler System{#of heads� (�f'►'! � `Q��� � 7!�New _Addition �
_Fire Pump `Stand ipe �h ��� � Aiterations Remodel
��� � ��� — r
�Other. f��1 Rh D� �1ZSJ� �1"�SUja�itPSS/r���M` Other:
DESCRIPTION OF WORK: 7� Commercial _Residential _Educational
FEES
Contract Va1ue$ �D(7 x.01
$55.00 Permit Fee Minimum
'!f contract vafue is LESS than$10,01Q Surcharge=$5.00 -� Permit Fee
� *"If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 =$ Surcharge"`
� "**If the project valuation is over$1 million, please call for Surcharge /' �
_$ /ff�'� TOTAL FEE �
�,. �,�.,..�_r.�.�...��,.��.w.�.-�,.,.� � �.�._� -- - ..�..
, 3/4"Displacement Fire Meter-$260.00 =$ Fire Meter
• _$ TOTAL FEE
.W.�,.��:��..�..F.,� .��.�.�.���,,�,�, ,��
*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�nrork 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 perrnit,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 X .
Appticant's Printe Name Applicant's Signature
� C ���'�
�FOR OFFICE USE .
I2EQUIRED INSPECTIONS
Hydrostatic Fiow Alarm Drain Test Rough In
T►�p Pump Test Central Station %�,� Final
Conditions of issuance:
�
Permit Reviewed by: � Date: �/�/�
Use BLUE or BLACK Ink
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1 I For Office Use
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City of ~a RaR 6P 1G Permit
n Permit Fee:
3830 Pilot Knob Road 1t~( I
Eagan MN 55122 j Date Received: I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: - - - -I
L
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: I /~L Site Address: 7i 76 5- 4,h L.% C-) ~,-r/C') -
Tenant: ( /7i C ~1L vj 10077 X WV k Suite M ~
Property
Owner Name: Phone:
Name: License#: dG0
Contractor /
I Address: &V6 City: /we-s State: 6*Zip: Ili
Phone: 6:571 ~J"/ - 2'7 .1-4) Email:
i
Type of Work - ew ` - Replacement - Repair - Rebuild _ Modify Space - Work in R.O.W.
6 Description of work: /,~I4
COMMERCIAL ew Construction _ Modify Space
I _ 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 $ "cry o X.01
$55.00 Permit Fee Minimum
_ $ Z-10 8 Permit Fee
U`I
If contract value is LESS than $10,010, Surcharge = $5.00 = $ _2a.> Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 u
***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 I
Applicant's Printed Na Applicant's Signature
FOR OFFICE USE Approved By: Dater 1
Required Inspections,: ~nder Ground Rough-(n Air Test Gas Test A---Final PRV Required: Yes No
Meter Related Items: Meter Size Radio Read Manometer Staff:
Page 1 of 3
�i �,� �� Use BLUE or BLACK ink
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� For Office Use j
, � �., c � � -��S � - �
C7� �� �� �� I Permit#: I
1 � � � Permit Fee: l!!V ! I
3830 Pilot Knob Road RECEi�!ED i i
Eagan MN 55122 � Date Received� � II
Phone: (651)675-5675 JUL 1 � 20i4 i i '�
Fax: (651)675-5694 � �r�,l
� Staff: � S
2014 COMMERCIAL * �� �1�
FIRE ALARM PERMIT APPLICATION ,-�5
Date: � y� Site Address: 3�1.�� L�t �J�I'�L'�S �Y�� `� � '^
��1�
T e n a n t: �h �h�M G 7�� h t L h U� S u i t e#: �t � �
Name: Phone:
Property Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of Work Description of work: ��hc.. /�-IGtV�M G�(� I��d�s
Construction Cost: v Estimated Completion Date: � �l �'I
Name: M�'�L1��L�VIC)�1t�1 � l�Q� License#: �S (����--�-
Con:tractor Address:_ 855��`�a � l 2�� �"� City: S�.�G��
State: M� Zip: �v"r'J�j��j Phone: °1 '�vZ—i"XdJ� �J�'-M��
.
Contact: ��"'����� Email: M �.� G {1'� v✓�
�New _Remodel
Work Type Addition Other:
Alterations
DESCRIPTION OF WORK: �pmmercial Residential Educational
FEES Contract Value$ ��v 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$1 million, please call for Surcharge
_$ �� D� 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 M.�ha��� C�ef� X v�,`�� �
Applicant's Printed Name Appl' Ys Signature
FOR OfFICE USE Reviewed By: Date; � �/
Required lnspections: Rough-ln Final Fire Alarm Test