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 )
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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_ '���"_`
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,
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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.
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Applfcanfa Printed t�ame Applicant's Slgnature
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