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Suite 355 - Crabtree & Evelyn Use BLUE or BLACK Ink ~5114 g" , For Office Use I I "r City of Ea dE C E I V E Permit '6f I LO 3830 Pilot Knob Road Permit Fee: ~o. Eagan MN 55122 JUN 0 6 2014 I 1 Phone: (651) 675-5675 I Date Received: f Fax: (651) 675-5694 I I BY: i Staff: _ I 1 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: Tenant: 3C 5(, ' 1,3c -5Y Suite 3SS7 Name: Phone: Resident/Owner - Address / City / Zip: Name: License -~,v► Contractor Address: 7,9" ~s' City: State: Zip: 5-3t Phone: c15 c7- --3 7If f Contact: ~i Email: , New Replacement Additional v--'Alteration Demolition Type of Work Description of work: P 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. t RESIDENTIAL COMMERCIAL _ Furnace New Construction Z--Tn-terior Improvement i Permit Type -Air Conditioner Install Piping -Processed -Air Exchanger Gas Exterior HVAC Unit Heat Pump - Under/Above ground Tank Install Remove) i Other RESIDENTIAL 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 X.01 $55.00 Permit Fee Minimum _ $70.00 Underground tank installation/removal = $ J 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 $1 million, please call for Surcharge ~ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plain in the case of work which requires a review and approval of plans. x jyr"~ /L A x Applicant's rinted Name Appli s Si ature FOR OFFICE USE Required Inspectio Re iewed By: Date: Underground YRough In Air Test Gas Service Test In-floor Heat Final HVAC Screening �L�S/ +�� D /) J,,/� I____Use BWE or BLACK Ink p��.r� ——, � For Office Use I �� O�� Ull �� \/ G j Permit#: ��/�� i I ,r U� 3830 Pilot Knob Road �UN � � �01�} i Permit Fee: (�o� � Eagan MN 55122 � Date Received: � /c� � ! Phone:(651)675-5675 j Fax:(651)675-5694 SY' � Staff: � ------- ---------� 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 6-12-14 Site Address: 39F,5 Fanan n��tlPts Pkwv Tenant: Suite#: 355 �� Name: Phone: � � �� tvame: Voss Utility & Plumbing �icense#: PC000306 y�r � �� '� Aadress:___p0 B�x 240 c�t Hanover State: Zi 55341 M�, Y� —mN. P� .., ': � �� `,:.; ' Phone:_763-497-4577 Email: �� , New Replacement _Repair _Rebuild X Modify Space Work in R.O.W. �`��,� — — — — �� Description of work: �:.; ��- � �� "� � COMMERC/AL New Construction �Modify Space �'a�� — \; _Irrigation System(_yes/_no)(_RPZ/_PVB) � ��r�`� . Rain sensors required on irrigation systems °,b ��` .. • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) ��3 3 , Meters Call(651)675-5646 to verity that tests passed prior to pickina up meter. Domestic:Size&Type Fire: 1 � ,;, ; Avg.GPM High demand devices?_Yes No Flushometers_Yes No COMMERC/AL FEES Contract Value$ 3,10�_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$1 million,please call for Surcharge =$ �n nn 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 pertnit; 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 � �p�(, ApplicanYs Printed Name ApplicanYs Signature ��r �r � - e Y - = A' � �a i^��1" �� €otz-�-. � : w ft��R� ; ��'�"��. §�#.�. � �� .. \ � .�,�t � c y�/y y . t� �� " . N �'��' �`\`�� ,�s.0 '� : : ��t�w+f�l��' :� � ��s�a �1� w�� .R �R � ,f�. „ �y v � �y .�i� �"4"�k �a .. ��RR�� , y� � � �.��'r;.»..C��[�CSiA�.!'� ..Tt�� '.Rj�'E 7le � � �� \\ � � �. . �a Page 1 of 3 103378 °� - -- Use BLUE or BLACK Ink CALL FOR CREDIT CARD PAYMENT _________� i-------- �� For Office Use � + ��3 � � '{ I �+ � Permit#: ^-� � � I C�� 0� �i� ��. �G IE 1 � (�� o � � � �� Permit Fee: 1�` I 3830 Pilot Knob Road � /,� /,, I Eagan MN 55122 JUN 0 5 2014 � Date Received: UF l(� j Phone:(651)675-5675 � � Fax:(651)675-5694 BY� � Staff: � I �___�� _____��J 2014 FIRE SUPPRESSIO�I SYSTEMS PERMIT APPLICATION* �ate: 6/2/14 s�te address: 3965 Eagan Outlets Parkway Tenant: Crabtree & Evelyn Suite#: 355 Name: Phone: Property Owner Address�City�Zip: Applicant is: Owner Contractor Type of Work Description ofwork:install hPads t� pr�tar.t �alPS arPa, st�c:kr�nm arPa alsn_ Construction Cost: $2600.00 Estimated Completion Date: 7/1/14 rvame: Ahern Fire Protection �icense#: C039 Contractor Address: 13705 26th Ave #110 �;ry: Plymouth State: MN zip: 55441 phone: 763.268.0515 contact: Ray Polos Emaii: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System (#of heads�gj New _Addition Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial Residential Educational FEES Contract Value$ 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$1 million, please call for Surcharge 60.0� _$ 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 X F ° ��iicant's Printed Name Applicant's Signature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test �'' Rough ln Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed b : Date: �/�/� , � Use BLUE or BLACK Ink --------- � For Office Use � CitV of �a �n ` I Permit#: �� ` I �+ � REC�f��E�,) j Permit Fee: � J ` �P f I 3830 Pilot Knob Road Eagan MN 55122 �� $ Z�� Date Received: � �� j Phone: (651) 675-5675 � ��` � Fax: (651)675-5694 � Staff: 1 r-` I ' �S _� -----------------�� G�S �� ,, �,1�-�y rs �,��, � �;,�� 2014 COMMERCIAL BUIL ING PERMIT APPLI�ATION 1�` �� Date:✓�2�' �� Site Address: 1�L1 A� ��5 �II V1�l��i!1 SUI� �J Tenant Name: �(� � Evt Mn (Tenant is:�New/_Existing) Suite#: �� Former Tenant: �,r�' »;�� /'r,�i,�,�f r�'�� F'"�f,� �;'��' ,'� � r� �,'%i�,�f��,''��f�F� i, �V�d/`�~��P ��J��'",�'�! �'.�,,;;'i'� ,;; Name:�Qt`dtCGrl 6Ji'1G� �Ar�'Yk'PS G 'L� �/� �� r � � � (.t. Phone: ,� �%��`�`��'� �'� � n�W � ' ��'i!i��F��`�%;��`��;'�f�,�� ,�' Address/City/Zip: ?�� • 1�'GV �Op '�. 2� �Opl'� �l �M4IVG �b 2� �.. '��`��f��f�� 1�� `� '�' ��f � � �%t��J f� �' lif''r'%� �,�''`�,��f�,� Applicantis: Owner Contractor � �G�;GH1'�.'� ��/, ; � ; ��f,? ,f�,�r� �,,�,��`�� '��,,�� -Tenan�- p�u�Id-adt Q� a ►-P�,1 S�ct r'�". ��:` � ; `'� Description of work: F'f'�f f' f ,r ,�� , �r�`�,f� � 0 ��`� ,��%'�� O�0 �f '` '�;f,�;�,�" � ;;'' Construction Cost: °� ��,�� f T• � � ! f�f�y' ; i ,�'�if��, � Name:�G Df l�- ✓c�l��s� J-N� License#: �� 'r�%��"f. �, L �/�.. /� j �� 77�7� r';,�`� ',��f��,�,'` Address: l�a�O �. 5��'�i7 JT� ��/ ��ty: 81odrn�n �`��`��'� ,;f � T�k.e.�' 4,..5��— �'�s— D(o `f % �` '�'��f i ��,�,r,,f,�%��r �"�� State:�Zi Phone:(t��,�//,� — ��— � �'��' p' I ��— �� f�� , � �� f � ,.;�'f ��,�`� , �� Contact: Email: �i`' '��'',�f�`��'` �'� h L�, q '�� /�r � �� ,� � � :'; � ; Name: aVII� P� ��IG�TFC ��.PC��Registration#: �Z�S-1 f�f''r�`��;��f` � r � r ,f � f� f Address: 7��0 I21�Kr' �• �1� �ZS City: �'.Xi�'1A��Cr �r� ��;'� �,;`f,�'� , > / F f f, State: �l. Zip:_�Q��'(O Phone: �'1`��O � �� ,• Q� '�.-�W �f / � c fr` � �'�„�',,� Contact Person: �K ��r�h Gl�u�,`Email: T�Y �,�� 'a •�a� Licensed plumber installing new sewer/water service: Phone#: �, �-. �� , r � :. 1 � � ;" �- ,; � � � , ' � � � % % 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.qopherstateonecall.orq 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�DGniS� �tr�nGln�Gk- X p�wisc,,��u.�-vt--- �o�vaw� I�a�gor ApplicanYs Printed Name Applic s Signature � p�(„� ��U fi� ��tJ(r Page 1 of 3 � �— �� `�� `. , � ' � 3��, ,�a 4� ��-�1.�-�� 1P1�� 3� DO NOT WRI� BELOW THIS LINE 7 ��S l � SUB TYPES �oundation Public Facility Exterior Alteration-Apartments ommercial/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 �_ MCES System � Plan Review / t�/Q�5 Code Edition �.b�� SAC Units � 25% 100% V � � �— ( _ ) � Zoning � City Water __�%'' Census Code Stories Booster Pump #of Units Square Feet �� PRV �L�7 � #of Buildings Length Fire Sprinklers �,. Type of Construction �� 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 ,i;�� < --� Reviewed By: �G� � , Building Inspector Reviewed By: �� , Planning COMMERCIAL FEES Base Fee '`�Q7`;�� Water Quality Surcharge `o�,$� Water Sampling Fee Plan Review �l�p,01� Water Supply�Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S�W Permit&Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL �/ ��.o� Page 2 of 3 Jun. 16.2014 08:17 AM Struss Plumbing 320 629 3773 PAGE. 1/ 1 Use BLUE or BLACK Ink �______.�_--- —___� D � For Offlce Uee 1 I , R��EIVE �,`� v I Permltlk. �� I Clt� Of FaQ�il u� � 6 �m� o `° „`�` , � Permlt�ee� t��'G� � 3890 Pilo!Knob Road j � � � � � Eagan MN 55122 � Date Received: � Phone:(8�1)6Y6-S675 I � Fax:(6�1)675-5694 � staK: ...__---_---_-------� 2014 COrVIMERCIAL PLUMBING PERMIT APPL,ICATI4N ❑ Please submlt two(2)sets of plans with 11 commerclal ap Ilcations. Date: ' Slte Addresa: � ` " Tenant: t� � gu��*: ��/S Proper'ty Owner Name: Phone: , ' / Name; License#; �D'1�� Contractor Address� ✓�7�� City: ' Slate�Zip: ..7u W.� Phone: (O�a�'7/� `� 7� Emall: Ty�6 Of WOI'k —New "Replacemenl Repair �Rebuild ,,,_,�,Modiy Space �,Wo�tc in R.O.W. Dascription of work: CS�� COMMERC/AL ___._New Constructlon �ModiCy Space �Irrlgaflon Sy6tam(�yas!__,_no)(_RPZ/_PVB) • Rain sensors required on ircigation systems Perm It Type • Avg.aPM (2"tutbv requl�ed unless smaller slze allowed by Public Works) Mebars Call(651)675-5646 to verity that teala pa�eed orior to oicKlna uu meter. �omestic;Sae&Type Fl�e: 1 Avq.QPM Hfgh demand devicea7_Yes_No Flushomatara,_,,,,,,Yes„_,,,No COMMERCIAL FEES Cantract valua$ ��(�_ Dn x.01 ab6.00 Permlt Fee M1nlm�am =a Permit Fee "tf contract value is LESS than$10,010,Suroharge�$5.00 =$ Surcharge' `"If contraat valua is GREATER than$10,010,Surcharge=Contract Value x$0.0005 . ""'If the project valuation is ove�$1 million,please call for Surcharge �$ TOTAL FEE Fnllowinp faeg apply when inatalling a new Iswn irrigation system $ water Permn ConCact the Clty'e Englneering Oepartment,(651)675�646,for required fee amounte. $ Treatment Plant S Water Supply S�Storage $ State Surcharge _$ TOTAL FEE CALL BEFORE YOU DIO. Call(3opher Stats One Call at(851)454.0002 for protectlon agalnst underground utlllty damage, \ I hereby acknowledge that thls Informatlon Is complete and accurate; that the wu1'k wlll be in conformance with the ordlnancee and codes of the City of. Eagan; that I understand thfs is not a permlt, but only an appllcation for e pemtit, and work ie not to 91a�t without a pertnl� that the work will be in accordanoe wlth the approved plan In the ca6e ot work whlCh requlres a review and approval of plans. x / /'V l U��SS X � Appllcant's PrinEed Name Appl ant'a i�n re F4R OFFICE U3� Approvad By: Sr Deibe: �f� Required Inapections: ,�Under Ground �ough-In �AIr Teat _Gas Test ,�Final PRV Requlred:_„_Yes,_No Mete�Related Items: Meter Size Radlo Read Manometer Staff: Page 1 of 3