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Suite 600 - Brooks Brothers Use BLUE or BLACK Ink For Office Use i City of Eafill vzF cso r t` i Permit I I Permit Fee: J~ I 3830 Pilot Knob Road Eagan MN 55122 µp Date Received: 341 _ j Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: / - - - - - - - - - - - - - - - - J 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: 02/28/2014 Site Address: 3905 Eagan Outlets Parkway. Space # 600. Eagan, MN 55122 Tenant Name: Brooks Brothers Factory Store (Tenant is: x New / Existing) Suite 600 Former Tenant: Name: Brooks Brothers Group Phone: (714) 975-9708 Property Owner Address /City/Zip: 100 Phoenix Ave. Enfield, CT 06082 Applicant is: x Owner Contractor s Description of work: Interior tenant alteration to 6,472 S.F. retail space. Type of Work 11 Construction Cost: $ 287, 000 Name: T.B.D. C j?4r'E. 4"-c'eti'.5 6.-V5' G~icense#: Contractor Address: A yc City: J i~IANAP-P'-1C,- State:. Zip: 1-16Z.ev Phone: 317 Contact: CTl-61f- Email: C Q2AoFc p S clo Name: David A. udkow Registration 14788 Address: 11881 N. 113th way. City: Scottsdale Arch itectlEngineer State: AZ Zip: 85259 Phone: (714) 975-9708 Contact Person: Darren Baysa Email: Dbaysa@retailpermitgroup.com Licensed plumber installing new sewer/water service: Phone M 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 which requires a review and approval of plans. x x Applic n a s igna ure Page 1 of 3 DO NOT WRIT BELOW THIS LINE Z(I 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 Z.BT, boo. Occupancy IV/ MCES System ✓ Plan Review ✓ Code Edition 2vo7 MSBG. SAC Units d Pke- PAl.# (25%_ 100%~ Zoning City Water ✓ Census Code Stories Booster Pump # of Units Square Feet ~y q ~2- PRV # of Buildings Length Fire Sprinklers Type of Construction 7T • )3 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: r° E 6 , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee 7$• 7<, Water Quality Surcharge `f3 • rO Water Supply & Storage (WAC) Plan Review I L • q Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL 5750- Page 2 of 3 „ e. . 105288 Use BLUE or BLACK Ink CALL FOR CREDIT CARD PAYMENT 612:843.3210 � For ottice use i � �� (� �/� I A�'T /y�/t��J � Permit#: �” "1' � �►�I CJ (�f'Cl.C�G._., I �✓ I Cit af Ea a� ��,�,C � . � � ` � Permit Fee: I 3830 Pilot Knob Road I � I Eagan MN 55122 ,JUN 1 3 2�� Date Received: � Phone:(651)675-5675 � Fax: 651 675-5694 BY. � I � � , � Staff: � ��_��___J 2014 FIRE SUPPRESSyON SYSTEMS PERMIT APPLICATION* �ate: 6/10/14 s�te adaress: 3905 Eaqan Outlets Parkway Tenant: Brooks Brothers suite#: 600 Name: Phone: PCOp�F'fy OWt1ef Address/City/Zip: ' Applicant is: Owner Contractor Ty��fi W��,� Description of work: 111Stall modifx sprinkler heads in new tenant space ' Construction Cost: �7500.�0 Estimated Completion Date: 7/1/14 Name: Ahern Fire Protection �icense#: C039 Cantrac#c�r ', address: 13705 26th Ave #110 Ciry: Plymouth State: MN Zip: 55441 Phone: 763.268.0515 ' cor,ta�t: Ray Polos Ema;i: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System (#of heads 4� _New _Addition Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial _Residential _Educational FEES Contract Va1ue$ 7500.00 x.01 $55.00 Permit Fee Minimum =� 75.00 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$0.0005 -$ 3.75 Surcharge" "*"`If the project valuation is over$1 million, please call for Surcharge _$ 78•75 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 Applicant's Printed Name Applicant's Signature . - � � ��'� F�R OFFICE US� REQUIRED{NSPECTIONS'. HydrQStatic Flow Alarm �r�ain Test "' Rou�fi ln Trip ; Pump Test Cen#ral Statitin . �Final Conditions of Issuance: ��iG�� Date: ; f �� !. PermitReviewed by:� .�� _:_,�. � d- 3 `�a ��V �� Use BLUE or BLACK Ink \�� ForOfficeUse --------- i I ��1 � Permit#: 1 �� Clt� 0��Il �E� �� , � � ��C, � r0' �� Permit Fee: � 3830 Pilot Knob Road G C cr / � /� �' I Eagan MN 55122 � �� {� i � /��J i Date Received: UJ�� j P h o n e:(6 5 7)6 7 5-5 6 7 5 ��N 1 3 �� 1 `'7 I Staff: / I Fax:(651)675-5694 vl L____________ -___J 2014 COMMERCIAL PLUMBING PERMIT APPLICATION .Q Please submit two(2)sets of plans with all commercial applications. Date: Site Address: �� .��'Y�9iC/ t�jL�i�s /AI��I�y Tenant: �dd,/� �07'�/ydr�-.f Suite#: L�� Pro�erty: " ;. OWn�� : Name: Phone: '' Name: ��/VG'�L'J�Lrl�vu?'f1/�Ld��_L1..0 �icense#: �/r? 46/.�j" Contr�cfor .' Adaress:/��.►,✓,t.F �� ''�/� city: .Eiq6'•4��J State:/�iJZip: �. ' Phone: �.�/� �.7G " /sL� EmaiL• C/�!/G�t Br..f" �LtJ��i�j/!f Cv/�-�_ New Replacement _Repair _Rebuild -�Modify Space _Work in R.O.W. Type�of Work� — — — Description of work: ��x /�fi�C/t�. ��w��s ry �MMERCIAL _New Construction � Modify Space a Irrigation System(_yes/_no)(_RPZ/ PVB) • Rain sensors required on irrigation systems P@rl'Y11t T�/p@' -!.� . 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 up meter. omestic:Size&Type Fire: 1 Avg.GPM High demand devices?_Yes�No Fiushometers_Yesx No COMMERCIAL FEES Contract Value$ ,�t�85 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 B(j ""*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(657)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 �'��2L. /�l� Ghe%' X r Applicant's Printed Name ApplicanYs ignature FOR OFFICE US��: ' � �� ARPrtiveti By:: : D�t� � -�° / ; � � Re uired Ins ections, ��(lnder Grouhtl �Rqugh In b:�Air Test _Gas�esf`,y�Final P�tu Requ�red 1'es�No q p N Meter Related ltems .',Meter°Si�e , F.: R�`diQ Read! Manometer x Sta�' .. . .� Page 1 of 3 ��"� ° � ___ Use BLUE or BLACK Ink �I � �,� / �y/ --, � For Office Use I � l��/"I � ('I��tt O{'�1��Qn ` � Pertnit#: �� l w 11'i ll � �� Permit Fee: � 3830 Pilot Knob Road RECEIVED i - i Eagan MN 55122 � ,S �� I Phone: (651)675-5675 �� .�� i Date Received: � Fax:(651)675-5694 � Staff: � I �� J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: �v�l�° /L-f Site Address: �g�� 0'� ��L�� s Tenant: �'��7�7t�S C��"��=�ZS Suite#: �� Resident/Owner Name: Phone: Address/City/Zip: Name: G4J�'�/�?�Z f�� License#: Contractor Address: ��4`S� �LD Si�3�.�� H�}� City: ��'�� State: Zip: ��/Z�- Phone: �S/ `��'�� Contact: �C�`-� Si�-i�TN EmaiL• �5e�!iT1-�� L'�/�I'Z�Z�V�� • Gu'vf �New Replacement Additional Alteration Demolition Type of Wo►'k Description of work: TJ�-G��'v�1G � ��1=iJ��5 /�� v�� i NOTE:Roof mounted and graund mounted mechanical equipment Is required ta be screened lay Gity Code. Please cont��t the Mechanical Inspector f4r infc�r�nation+�n permitted screer�inc�methads. RES/DENT/AL COMMERC/AL Fumace X New Construction � Interior Improvement ��.��,�-��p� _Air Conditioner _Install Piping _Processed Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank (_Install/_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$ J��r Dv ti x.01 $55.00 Permit Fee Minimum t��r �� $70.00 Underground tank installation/removal =$ � Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ � 7 ' �p Surcharge" "*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 "**If the project valuation is over$1 million, please call for Surcharge _$ 3S�� o� TOTAL FEE I hereby acknowledge that this information is complete and accurate;that the work will be in conformance wi�-tf�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 �I�nit;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 ��'y��'= �:✓yl/T�f X ApplicanYs Printed Name Ap i anYs Sig ature FC�R OFFlGE t�SE L �� Required lrrspections Reviewed�y: ��.i�" �ate:� �'� [lnderground Rough In Air Test ' �as Servic�:Test In-�faor Heat Fina1' t�UAG Screening �'age 1 of 1 �%0� �a�� '�>`��-.�' ,�°�'�, -�(�Gc:� I I�T E RT E� ��01� BI�fiH� �rt'o� Daily Field Notes Project No.: j�j,.-' f� ��?u� � Report No:; �...��' 1 .�..�� ocat�on: I �'�1.�f" � u��. � �C� Date: �� -�- - �6 � �� r� r�� pw�--f-: � _� Personnel Cfassi�cation Ragular Hours Overtime Nours 1`;f iYtc.-G'? �` � St`. �rl ,1�ee(` 1,.75--� ..�,.,�.. Areas and�v�rk erformed this da , v +'JSC.�c-W �fi �" V�%t/`1�ti L'� �G�E.� 1� � .�Gi� � � � t��s . `�rw� ��t�G��.} �,,y�,�1�-�- a�� ,�e. �� r s �1�usfi- ��... �Lt�l1� �tl`�i��l�� C?tJ�< �i �v t�S , � i � I w Weather; Performed By: � � Subrr�itTed To: Qate: n�•::�t=c�� , � 1'r•nv€dirrg erxgiiresrirrg arxt caasvirorrmerrtrrl anlrrtrons si�rce 1957