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Suite FC2 - Chickenow G~ Use BLUE or BLACK Ink I-----------------i For Office Use D I Permit v 1 ~vE ~ I 1 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 Z G 77 ' CC,902 64,,"f Q-,.,- 'j' ff" 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 ~ 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 1 ' 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. (2 x j a , A W0 c fE x Applicant's Printed Name Applicant's Sig ture Page 1 of 3 hc1 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 � �C� � Use BLUE or BLACK Ink ��''� ,_________________, i For Office Use� �� I �� {'�� n � Perrnit#: 1 � � � 1 � ll RECEIVED ' �f�j�.� ' 3830 Pilot Knob Road � Permit Fee: i Eagan MN 55122 �(�� 3 Q � � � � Phone:(651}675-5675 101� � Date Received: � Fax: (651)675-5694 � � I Staff: I �-------- -------� 2014 MECI-lANICAL PERMIT APPLICATION � Please submit finro(2)sets of plan��all commercial applications. Date: 06.30.14 Site AddreSS: "'�''Eagan Outlet Parkway-FC 2 T211dl1t' Chicken Now/China Max SUI�#: FG2 �@SId��1�OGYl1@C Name: Phone: Address/City/Zip: Name: Optimum Mechanical Systems,Inc. License#: ' > Address: 3030 Centeruille Road C��: Little Canada CQC1t1'e1+��01` State: MN Zip: 55117 Phone: 65t-429-2302 ' Contact: EmaiL _New _Replacement X Additional _Alteration Demolition ��/�??'t�s�¢"��(yP�C � '�� D@SCflptlOtl Of WOfk: Install owner supplied kitchen hoods-MUA-Fans -Install distribution off existing RTU's � � N+�TE,12oaf rnou��ed an��r�und irrw;ai�it�d m�c��c�t.�#u�pment�"r��uired l�be ser�er�ed byG�� . Code. P�ea��"�:ont�c�:tt�+�Mechani+��l i�r��rfiiir infarr�a�c��i�permt�ted��r��n�+n�rr►,�t�od�::: : RESIDENTIAL COMMERCIAL _Fumace New Construction X Interior Improvement � ��y�r�� _Air Conditioner X Install Piping _Processed � _Air Exchanger x Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank (_Install/_Remove) Other RESlDENTIAL FEES $60.00 Minimt�m 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 ContractValue$ 40,500.0o x.01 $55.00 Permit Fee Minimum $70.00 Underground tank instailation/removal =g 405.00 Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =$ 20.25 Surcharge* '"`If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 ""If the project valuation is over$1 million,please call for Surcharge =$ 42525 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 ofwork which requires a reviewand approval of plans. X Randy Peterson X Applicant's Printed Name App can Si ature �QFt OFFICE USE �eqs�ired Irtspectlohs: �� ReuB�nrecl B �� [�t�: �`� � � �� - �� 3�' .�r �� l�itlergr�und. �� I�augk� in �- ' �s� �s's S�rviGe��st�.��:'�, ...._lrn.fitir�r He�t.. _ rnai. �.---...MUAG,�rre�nit��,__„��_. � 107503 FC2 ' * Use BLUE or BLACK Ink CALL FOR CREDIT CARD PAYMENT ---------, 612.843.3210 � For office use � � i �y i �'v ��,/ �� Permit#: �a I �ltV 4� �� all �7'v I �� I d � � �� Permit Fee: I I I 3830 Pilot Knob Road I Eagan MN 55122 JUL 0 2 2014 � Date Received: j Phone:(651)675-5675 Fax:(657)675-5694 �� gY: � Staff: � �________________J 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* 6/30/14 �965 Eagan OUtlets Parkway Date: Site Address: Tenant: Chickenow Suite#: FC2 Name: Phone: �F��Q��'� Address/City/Zip: �,�� Applicant is: Owner X Contractor , Description of work: Install sprinkler heads for proper coverage in new tenant space T�tjae�f WQrk Construction Cost: $2000.00 Estimated Completion Date: $�10/14 Name: Ahern Fire Protection �icense#: C039 Cor�tt'aC#or Address: 13705 26th Ave #110 c;ty: Plvmouth State: MN zip: 55441 phone: 763.268.0515 contact: Ray Polos Ema;i: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System(#of heads� New _Addition Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial _Residential _Educational FEES Contract Value$ 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 Applicant's Signature � � "r �� FQR��f1�E USE REt�UIRED INSRECTI(?NS - Hydros#atic F►c�v++,Al�rm _,,:,,� C�rair�T�� '�ugh In. ! , � ; ` � , Trip ' Pump l'est {�n��l�t�'b�'� Fi�a# Gonditions of Issuance: � Permit Reviewed b � � Qat� ,; t��,��--/��: �' Use BLUE nr BLACK ink J�,�. /1x-e� ,-----------------, �(�.'`� 1 � For Office Use � • 1 f 1 I Permit#: l �� I Clt of �a �� ; �^��, ; � � Permit F : Cs � ee � 3830 Pilot Knob Road � � Eagan MN 55122 R��E� � Date Received: � Phone:(651)675-5675 I I Fax:(651)675-5694 ,�� 1� ! � � Staff: � � `��'��J 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: �_� .,��,.�.......�.._��.�.��.._.,�,. � � 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 � �✓ /°� �L ° Contact: Email: t.�-�v.� C"1 �S/v�� .��:.,.�.,.. ,..�w..�...,.�.�,.�.,.�...,.�..,�... � 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 r 1 I For Office Use cvQ 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 l � 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