Suite 725 - Asics
CaEV ED
Mai 1 204 Use BLUE or BLACK Ink
For ~
Office Use I
non Permit I
City of EaEd I ~
Permit Fee: /1 1 J I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
~l
Phone: (651) 675-56751
Fax: (651) 675-5694 Staff: J I
- - - - - - - - - - - -
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 31 t1 Site Address: 3905 0-144r4 our(lzrs Pr4zZwAq
Tenant Name: A5t LS (Tenant is: _X_ New / Existing) Suite
Former Tenant: IYOf4E
Name: Pr/rL(/iGOrf GjaGTS. Phone: ?.Z,$ 160 •3464
Zt
Property Owner
Address /City /Zip: 21'1 CAI I- W) WOW Sx', N"r,AQL_ 6pci'0141, V%O.ZIza'L
Applicant is: Owner Contractor
Type of Work Description of work: II 1 LO ®u 0 t' 4 VjErAl 1. -T`r-(A,4(- 5(%CE 19-MC #I&C
w
Construction Cost: 1 S1 0,0M . ,
Name: T •8.0, 7il ~~a~ j' (7 eAeA~ -J✓7C-License
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Contractor Address: 1`71 c[~-I~ City:
State:. t! Zip: 0 Phone:
Contact: JO lad Email: Lldvrl0
Name: "171 MQrl4Y 5. suae (awock Registration 6069k
Architect/Engineer Address: 913U S. SV^tf3ViLl AO City: Wt5TeR4IVLe
State: 6 V4 Zip: 4368 k Phone: to K • SA S-. 4 Ssd
Contact Person: NIG6cTtMC-rZA (Z (0 Email: riftIMP-MY'10 ~S~IK'l°MS(~UCIG• C4~
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.cior)herstateonecall.ora
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 TiM 5Cl&ee G 35Z•3yr•/6040 x ~ <4- ~
Applicant's Printed Name C j Applicant's Signature
Qh Qh J~~~~v ~a Page 1 of3
y
DO NOT WRITILOW THIS LINE
C~
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 ri
Valuation oBG Occupancy A-f MCES System
Plan Review ✓ Code Edition 20o7 /Atf P,,c SAC Units 0 P,CE At-r6
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units 0 Square Feet PRV
# 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
Reviewed By:, Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee 135t.- 75' Water Quality
Surcharge 1S• Water Supply & Storage (WAC)
Plan Review • >3~ 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 23 !3• & `f
Page 2 of 3
� � Use BLUE or BLACK Ink
CALL FOR CREDIT CARD PAYMENT
105839 612.843.3210 � For Office Use j
�-----
-----
' ���/�� � Permit#: '�� ��� I
C�t of E� an � � � � . . t,��.� �
� � � Permit Fee. `u I
3830 Pilot Knob Road RECEIVED � /,, �
Eagan MN 55122 � Date Received: lU/�� �
Phone:(651)675-5675 ��� � 9 ���� I
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Fax:(651)675-5694 � Staff: � �
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2014 FIRE SUPPR�SSION SYSTEMS PERMIT APPLICATION*
oate: 6/16/14 s�te aadress: 3905 Eagan Outlets Parkway
Tenant: Asics suite#: 725
:' Name: Phone:
PrQpPtty,�Wt'i�r , Address/City/Zip:
i Applicant is: Owner Contractor
' .�y��Q,��Qr� Description ofwork: IC1StaII, add modify sprinkler drops for new tenant space
'` Construction Cost: $3500.00 Estimated Completion Date: 7�10/14
' Name: Ahern Fire Protection �icense#: C039
Contractor
Address: 13705 26th Ave #110 c;ty: Plymouth
State: MN Zip: 55441 Phone: �63.268.0515
contact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads 16) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial _Residential _Educational
FEES Contract Value$ 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$1 million, please call for Surcharge
_$ TOTAL FEE
3/4"Displacement Fire Meter-$260.00 =$ Fire Meter
_$ 60.00 TOTA�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
� ; 1a�«�
FOR OFFICE USE
REQUIRED INSPECTI4NS
Hydrostatic ' Flow ACarrn C7ra�n T�sf }�QUgh fn
� :
Trip. � Pump�.Test ���Cep�ra�����a� � ��inal; ��
Gonditinns of Issuance:,`
Perrnit Reviewed by: � ' Qat� ` -����,������ ��'
(/�"� Use BLUE or BLACK Ink
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� For Office Use „ I
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� � Permit#: {� �� �� I
�1�� d����,� RECEIVED ' � ,w '
I Permit Fee: �
3830 Pilot Knob Road � � I
Eagan MN 55122 �UN 19 ��1� � Date Received: �
Phone:(651)675-5675 �
Fax:(651)675-5694 � Staff: �
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2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2}sets of plans�i�h�all commercial applications.
Date: 6-17-14 Site Address: - �� Eagan Outlets Pkwy
Tenant: ASiCS Suite#: 725
��
���`�� � Name: Phone:
���.
� . �,�y
>:' tvame: Voss Utility & Plumbing �icense#: PC000306
������`� , -' Address: PC� Rnx �4n City: HannvPr State:,�[�Zip:_55�41
�,.;. Phone: 7�3-497-4577 Email:
.�.�������� _New _Replacement _Repair �Rebuild X Modify Space _Work in R.O.W.
�� Descri tion of work:
���� : p
� � COMMERC/AL New Construction �Modify Space
°���� �� Irri ation S stem
�;�� . . :: — 9 Y (_Yes/_no)(_RPZ/_PVB)
• Rain sensors required on irrigation systems
�������' ',', • Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
��,K.� „�„ � ',: '', _Meters Call(651)675-5646 to verity that tests passed prior to aickinct up meter.
���� ' Domestic:Size&Type Fire: 1
�� �, �.� Avg.GPM High demand devices?_Yes No Flushometers_Yes No
COMMERCIAL FEES Contract Value$ 3800.00 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$1 million,please call for Surcharge =$ 60.00 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 GopherState 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 wifl 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 Steven Voss x �n VC1�
ApplicanYs Printed Name ApplicanYs Signature
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Page 1 of 3
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�,� • 1,�� Use BLUE or BLACK Ink
� � C1,'- ,-----------------,
� � � For Office Use I
Y I
Cit� o������ � �
� Permit#: �� i
3830 Pilot Knob Road R�L�'v�� � Permit Fee: � � � `� j
Eagan MN 55122 � I �� ' �
Phone:(651)675-5675 �u� � ���� � Date Received: �
Fax:(651)675-5694 � I
� Staff: �
_____�� ������___J
2014 MECHANICAL PERMIT APPLICATION
lease submit two(2)sets of plans with all commercial applications.
Date: �li'l�\y Site Address: 3-l�� ��N(�U.12����
Tenant: � �S # � Suite#: "f 2S
R�Sid�n�lOW�let' Name: Phone:
Address/City/Zip:
rvame: Commercial Plumbing and Heating. Inc. ucense#: PM059469
Cantractor Address: 24428 Greenway Ave. c�ty: Forest Lake
State: MN Zip: 55025 Phone:_�,,S1-4R4-�9RR
cor,tact: Anna Wicks Emau: awicks(a�cpandh.com
New Replacemen Additional eration Demolition
Type of Work Description of work: `
NCI7E.Raof mour�ted anti grounct mou d mech�tr4G�1 ecjuipment is�equi; c�to�� reened liy`�i#y ;
�ode. Please c8ntact the Mechanical Inspector far informati�n,on permitEed�creerting�►etF�ods. � '
RES/DENTIAL COMMERCIAL ',
_Fumace �ew Construction �Interior Improvement ',,
PErml���/f�l?_ —Air Conditioner _Install Piping _Processed �II
_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$� . 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 =g 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 wit e ordinances and c �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 'tho a pe it;that the w II be accordance
with the approved plan in the case of work which requires a review and approval of plans.
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ApplicanYs Printed Name Applicant's ignature
FQR�3�FICE l3SE ' ` - '� - � ` �� , �
� � �
Required Insp�c���ns: Re�iewed B�t. h�� '��� � ` t�af� ����
Underground `..R�h Ir� ,-�s °�'Air Tes# .'- ��s Seruice T�ast ° l�r=fl�c�r��a� p� ��,�na� s° , F��R��i�r�e�nirtg', r
Use BLUE or BLACK Ink
�-----------------�
� For Office Use �
� � I
� Permit#: �� I
C�t of �a aIl ; . �� �
� � � Permit Fee: � �
3830 Pilot Knob Road ������/�D I I
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 ��� � � ���� � I
Fax:(651)675-5694 � Staff: �
`����������������J
2014 COMMERCIAL FIRE ALARM PERMIT APPLICATION*
� � ��— �� 3�O S �`-�e� °.-• (7�-�t- C.e.�J ��C t,� 7/
Date: Site Address:
Tenant: /`T J � �- � Suite#: � Z S
.�•F Name: Phone:
�
��'������ Address/City/Zip:
�% Appiicant is: Owner Contractor
�� � �� �� Description of work: l�S'�a�t l ��/� ��q�r S y S�v�-.
�������5' °
� Construction Cost: 3 ( �� Estimated Completion Date: � �3 �` �y
�'��� Name:�'�5��✓ T<<,���1�5� ��o��(! �icense#: �'"So f S ?—1
' �� �. , Address: �S S S i Z 3 �`� $'t" v✓ �ity: ��4 V R � �
G�r1�t'�±�tl�' °'
�� State:/� `N � zip. SS 3? � Phone: �(S� - �3 c� �y- �j�-f �-f �l
� ,�'�� Contact:�`i �c �j.-�-�-Gr� Email: V�� (�c • �o-�-'�2 r Cc,t( Mt . G�
,
t �Rew Remodel
<'�_ — —
' .�`�"�
,�� ������ _Addition Other:
� Alterations
DESCRIPTION OF WORK: �Commercial Residential Educational
FEES Contract Value$ 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$1 million, please call for Surcharge
_$ �0 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�� �� X --� I�✓l�
ApplicanYs Printed Name Applicant s Signature
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