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Suite 735 - Lucy Use BLUE or BLACK Ink r-----------------I Im I For Office Use - Permit City of Eap 3830 Pilot Knob Road RECEIVED I Permit Fee: Eagan MN 55122 j Date Received: I Phone: (651) 675-5675 JUN 1 1 7n1t l Fax: (651) 675-5694 I Staff: L -----------------I ) ~C 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. U'G r,~L CJG 't Date: yo - 1 Site Address: 0 can Vc,, 'f/-C 'js y` Tenant: L l~ Suite Property Owner Name: Phone: Name: License n o C7 0 Contractor 17 Address: /7 City: J7 /1t,01-1'c'' State/hl',, Zip: ~~,3d y E Phone: 45 11 Email ar'r~~ 1~/ C u.r. Cis t _ New Replacement _ Repair _ Rebuild _Modify Space Work in R.O.W. Type of Work I - - Description of work: COMMERCIAL New Construction Modify Space _ Irrigation System L- yes no) RPZ PVB) I 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 r Contract Value $ 2 ®C70 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 ***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 accordan 'th the approved plan in the case of work which requires a review and approv tans. I r/ /N x x / V Applicant's Printed Name Applicant's Signature FOR OFFICE USE Approved By: e Date: 4P l Required Inspections: Under Ground- Tough-InirTest _Gas Test final PRV Required: _Yes _ No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of 3 Use BLUE or BLACK Ink 2014 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY (if applicable) Date: FOR OFFICE USE ONLY PRV required Owner: _ City R-O-W Permit Address: Phone Number: County R-O-W Permit f Plumber: Contact Name: Plumbing Permit SEWER WATER Sewer Service Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk City SAC @ $1001unit Water supply storage MCES SAC @ $2,485/unit Receipt , Date: Receipt , Date: Treatment Plant @ $8281unit Permit Fee $60.00 Permit Fee $60.00 State Surcharge $5.00 State Surcharge $5.00 TOTAL: `Plumbing Permit Required - water meter to be acquired with building permit TOTAL: SEWER & WATER Sewer Service Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk City SAC MCES SAC Receipt # , Date Water supply & storage Receipt # Date Treatment plant Permit Fee $120.00 State Surcharge $5.00 "Plumbing Permit Required - water meter to be acquired with building permit TOTAL: Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000. Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past. 1-5 SAC units 1,780.00 per SAC unit 6-10 SAC units 8,900.00 plus 445.00 I For Office Use per SAC unit over 5 I 11+ SAC units 11,130.00 plus 178.00 per SAC unit over 10 I Permit I I I Permit Fee: I I Date Received: I I I ~Staff: - Cc: City of Eagan Finance Department Page 2 of 3 Use BLUE or BLACK Ink For Office Use j • Z~~33 City of Ea pD Permit I CXC 'J 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 APR 1701 ~rj pate Received: ' j Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: I S ~~~J►y° 2014 COMMERCIAL BUILDING PERMIT APPLICATION 7 Date: 3/31/14 Site Address: 3905 Eagan Outlets Parkway, Building 100 Tenant Name: Lucy (Tenant is: X New/ Existing) Suite 735 Former Tenant: None Name: Paragon Outlets Phone: (410) 856-1818 Property Owner 217 East Redwood Street, 21st Floor /Baltimore, MD 21 Address / City / Zip: 202 Applicant is: Owner Contractor X Architect Type of Work Description of work: Interior Tenant Build-out Construction Cost: $93,000.00 Name: RQI Z'5,FJ V-f' *T-BD (~aC N4TV-Q 6 Vb KLicense Contractor Address: 1666 H694Zi*j Cit ; S-tUrLTT-- MNT- tt Cut- - 145 - 4460 State: I Zip: 5317 "7 Phone: QFH6E- . (2foZ) 161'6 &11+ Contact: Mk-(T' rw5al Email: M&ttb@hbrl?.6Kref tLL-L~tvg Name: Joseph Geoghegan Jr Registration 26441 Address: 5100 River Rd, Suite 125 city. Schiller Park Architect/Engineer State: IL Zip: 60176 Phone: (847) 671-7452 Contact Person: Bryon Krebs Email: bkrebs@rgla.com 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 maybe 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.aopherstateonecall.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 Bryon Krebs (RGLA Solutions) x Applicant's Printed Name Ap i 's Sig ature Page 1 of 3 DO NOT I/RITE BELOW THIS LINE 1 7i~ 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 93Bcoo- Occupancy A4 MCES System t/ Plan Review y` Code Edition 200'1,45$4 SAC Units e/ i rft- rkn> (25%_ 100% Zoning City Water ✓Census Code Stories Booster Pump # of Units 0 Square Feet PRV # of Buildings I Length Fire Sprinklers Type of Construction • 13 Width REQUIRED INSPECTIONS Footings (New Building) --~~heetrock 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 V Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall tf 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 r-' Base Fee 00 ' 2S Water Quality Surcharge 4to -5d Water Supply & Storage (WAC) Plan Review 6 SZ .Tb 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 1763.5-1 Page 2 of 3 105371 �, Use BLUE or BLACK Ink ' �ALL FOR CREDIT CARD PAYMENT 612.843.3210 � For office use i . � ���o� i ��� �� j�� �� I Permit#: I J ���� I � I �V � Permit Fee: v I 3830 Pilot Knob Road I � Eagan MN 55122 JUN 1 1 201q I Date Received: � Phone:(651)675-5675 j Fax:(651)675-5694 � Staff: � BY: �----------------� 2014 FIRE SUPPR�SSIQN SYSTEMS PERMIT APPLICATION* 05 �ate: 6/9/14 s�te address: aqan Outlets Parkway Tenant: LuCy Suite#: 735 Name: Phone: Property�wner Address i ciry i zip: Applicant is: Owner Contractor TYPe of 1Nork �escr�pt�o►,ofwork: Install sprinkler heads in tenants space fitting rooms, etc -- Construction Cost: �2���.00 Estimated Completion Date: 7/1/14 Name: Ahern Fire Protection �icense#: C039 Contraefior Address: 13705 26th Ave #110 c;ty: Plymouth 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 1� _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 Applicanfs Printed Name Applicant's Signature ���� FOR OFFICE USE ,,:�� ���. � .. =REt�UIRED INSR�CTIpNS " '` Hydrostatic Flow Alarm Drai�?Tes� Rou�h°11i Trip Pump Test =Centra(5#a#�t�rr" Final Conditions of Issuance: ' ' _ ,� �� , , Permit Reviewed by � ,��� �a#e; t � T_ '���"_` � �+�. , �� � ���„� Use BLUE or BLACK Ink r � For Office Use � � � I C' oa � ' ��� �1! � I Permit#: I / ,' vi � 3830 Pilot Knob Road �, � Permit Fee: v � � Eagan MN 55122 I � Phone:(651)B75-5675 � Date Received: � �ax:(651)675-5694 � I � Staff: � ^�----------�,_�_...� 2014 MECHANICAL PERMIT APPLICATION . ❑ Please submlt two(2)sets of p(ans with all commerclal applications. � pate: 7 ! Slte Address: � �,f'.lv � �,� Tenant Suite#: 1�3� Name: Phone: � Address/Ciry!Zip: . ' �� Name: � M+ � , � � icense#: $ / Address: �e.3o C����/�'r�cJ /�c�. City: G> ,r�� State: ���, Zip_ ��j>�l phone: �� ���'" 2��� Contact: /���/f✓ ��� Email= j'I�/C i% D��-°���• �'D/-y New Replacement Additional �Alteration Demolition �� / ` � ^ Descrlptlon of work: �o � . p � �. , �«.i: •.i.�a � , •.� �,; ,,, � ,';� :�'� ,i [� s!�',.E�±ei t. ( i R 0�e �� 0 :,�. �yL f `�Ft' .�• u.`1� k:,r y i,� v � ,�,r h�P:�.. l�Z'�.� �.., ��� �i` i�`�c��: ' RESIDENTIAL COMMERCIAL _Furnace New Construction �Interior'(mprovement Air Conditioner Install Piping ____,Processed '� �Air Exchanger Gas Exterior WVAC Unit i. — — _We�t Pump Undef/Above ground 7ank �Install/_Remove) �Othe� RESIDENT/AL FEES a60.00 Mlnlmum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(inGudes$5.00 State Surcharge) _$ TOTAL,FEE COMMERCIAL FEES Contract Va1ue$ � CX�� x.01 $55.00 Permit Fee Minimum �� $70.00 Underground tank installation/removal =$ �1��Permit Fee "�If contract value is LESS than$10,010,Surcharge=$5.00 �.`� ""If cantract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 -$ L�Surcharge" '""If the project valuation is over$1 million,pleese call for Surcharge =$ G>> u'—TOTA�F�� I hereby acknowledge thet thls inFormation is compleFe and accurate; thai the work will be in wnformance with the ordinances and codes oF the City of Eagen;that I underst2nd this is not a permit,but only an appllCation for a permit, and work is noE to start without a permit;that the work w311 be In accordance with the approved p(an in the CaSe of work which requires a review and app�oVal of plans. x ��i/� ���L'i� x ! �� Applfcanfa Printed t�ame Applicant's Slgnature � � se p i . 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