Suite 333 - Torrid
105364 ~
CALL FOR CREDIT CARD PAYMENT Use BLUE or BLACK Ink
For Office Use I
I Permit
City of EaEdn
I I
3830 Pilot Knob Road E IV Permit Fee:
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 JUN 1
Fax: (651) 676-5694 j I
I Staff:
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 6/9/14 Site Address: 3965 Eagan Outlets Parkway
Tenant: Torrid suite 333
Name: Phone:
Property Owner Address / City / Zip:
E
4
Applicant is: Owner Contractor
Type of Work I Description of work: Install new sprinkler heads to tenant suite
r
3 Construction Cost: $2500.00 Estimated Completion Date: 7/1/14
i ' Name: Ahern Fire Protection License C039
Address: 13705 26th Ave #110 city: Plymouth
Contractor
State: MN zip: 55441 Phone: 763.268.0515
I Contact: Ray Polos Email: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System of heads _12 _ 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 l 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
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough In
Trip Pump Test Central Station k Final
Conditions of Issuance:
Permit Reviewed by:-. Date:
~A~S J
O Use BLUE or BLACK Ink
C\ `l
For Office Use 1 /i 2 ~ I
City of EaV~ Permit 1 I
I 3 1
~ Permit Fee: I
3830 Pilot Knob Road AR 2 4 201
1
i Eagan MN 55122 3 ~~>I I
I Date Received: I
Phone: (651) 675-5675
Fax: (651) 675-5694~~
I Staff: I
4-------------------
2014 COMMERCIAL BUILQ NG PERMIT APPLICATION 'Y
Date: 3 20 I Site Address: Pargin 001els Twin M-it,S lHwv 13 ahd Hwyll j E44sin 55122
Tenant Name: T 0 K K I D (Tenant is: _ New / Existing) Suite 333
Former Tenant: NIA
Name: PAlraeo QA105 Partntrs LLC Phone: 410-1356- (112-
Property Owner Address/City/Zip: 7- 11 E. Ko4W00d St- , 21St Flo ,11tiMOtrt, rib 21202
j
i Applicant is: Owner Contractor
Type of Work Description of work: JAf&& I0V flnapf iM~DVth'Itflt Lq an tyisfihe shill
bvildirly.
Construction Cost: 60, goo. `00
Name: _!'7l~~ ~d22 G ! License
Contractor Address: A-Soo city:
State: jd- Zip: ~3 l 7 7 Phone: C ~.'q - f'-&aV
Contact: &-a;' Al ~ e Email:
Name: t MA Registration ( 9 O 11
Architect/Engineer Address: 900 washinDtan Avl N. SOL& 209 City: flihheabOH5
State: M Zip: 55+01 Phone: bl2-,54] - 13 00
Contact Person: Wit, L4yfa)Lvtj&C Email: a7 criarch.con
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 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_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 Kafi ti Lauf t h6 tra ur x
Applicant's Printed Name Applicant's S natu e
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
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 00, Opp. 0.& Occupancy A4 MCES System V/
Plan Review Code Edition 200"7 ^458L SAC Units
(25%_ 100%✓) Zoning City Water
Census Code Stories Booster Pump
# of Units d Square Feet -Z aJ6 PRV
# of Buildings Length Fire Sprinklers
Type of Construction • ~3 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
r/ 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: G Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee TO it " 7S- Water Quality
Surcharge 40 * °"o Water Sampling Fee
Plan Review 6'8~• 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 /S 3 4
Page 2 of 3
� `����1' ___ Use B�UE or BLACK Ink
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�ld U�11� �� r,� t� �I I Permit#: ���� � I
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3830 Pilot Knob�ad � Permit Fee: � �
Eagan MN 55122 �UN 1 6 2014 i �
Phone:(651)675-5675 � Date Received: 1
I �
Fax:(651)675-5694 �
BY: � Staff: I
� ����������������J
2014 MECHANICAL PERMIT APPLICATION
Ll Please submit two(2)sets of plans with all commercial applications.
Date: (o'�2•2 n/�/ Site Address: 3 9<oS Era6,c1�/ovT�S �o� SAA�-E # 3?v 3
Tenant• T�oR�2/t�S Suite#: �3 3
���'��������� ,� Name: Phone:
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"�, �����h�`{�� �,aa� ;=, r Address/City/Zip:
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�I¢' �G� *� i� � Name: ��/z'r�'c,f� "7'7�E��f?.LrX License#:
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'�„� � � Address: y9�9 �l 3S-��'=",T",ce�T Ci �%.Gpv�3 ��.�
r,'i,��� � ���t���, ty'
P�'p� � � " /�iN Zip: J`�S'YI �.. Phone: 952• 9�.9- $$/O E'�cT. !�a �
�,,�� �� H� � ' �� State:
�`�`'�� �r i� �M�u��'� � - �m '� Contact: �A10�I�oTH EmaiL__�4��� R-�27�'ChFT/�'211?.CX . Co�✓1
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� �` '' '` � �New Replacement Additional Alteration Demolition
.'_�
� ��,T����t#,���� Description of work: �uG7- �ivST�u�T-yp�J �
�����;�� �„ ,-,,, � t��T���s��ime�u�t�a�d�r�wnct�oun�d meehani�f��qu�pm�n#{��r�i�ui�'�� r���,� y
��, , ''` . � � . „
�a � a r�:� � ��ti�:„; 'PEe��e���M1�C�#h��'Mec�ani�al 1nsp�torf�r infq�rma�i�p��r���#i������+� ; ��, �`��'7,
� a�: ,
-�� RESIDENTIAL COMMERCIAL
�� � - �'� �
�
.�
� �� " ° � ! _Furnace �New Construction _Interior Improvement
� �
,_ ,
�fi w E�- '`'� � � _Air Conditioner _Install Pi in Processed
� �'�l�`���?�3a � p 9 —
� � ` � 'a Air Exchanger Gas Exterior HVAC Unit
I� t� k � �
m��� : � � �� � � _Heat Pump _Under/Above ground Tank �Install/_Remove)
� �
���� q�� �„t qa, � 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
$70.00 Underground tank installation/removal =$ SS.O D Permit Fee
*If contract value is LESS than$10,010, Surcharge=$5.00 =$ S• O D Surcharge*
**If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 �
***If the project valuation is over$1 million,please call for Surcharge _$��Qd�� 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 plan in the case of work which requires a review and approval of plans.
x �Nrl�oti v T. Fo-r�-k
ApplicanYs Printed Name Applicant's Signat
���r� ���rsl� ' ° �7 _ � � _
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���!���� t����t�ec�� � ` R�wiewed By'�„�'�' "�1 °'" ���#�;����� �; I
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����,!_����_ ,a�! `° ����r k�!�, ;�a��fieSt �:��',��rvic�Test, �„'It�r��i�kt��t= �1�„ $� �'���, �� �,r =
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'` Use BLUE or BLACK Ink
r_________________
� I For Office Use �
' ' 2-7/ I
ClbOl �� �11 I�'`� �..t'�`'��� �,I�— � Permit#: l� J /lt`/� I
Y � � '
3830 Pilot Knob Road � Permit Fee: t�d���� j
I
Eagan MN 55122 ���,�,��,+'�� j Date Received: � /� � I
Phone: (651)675-5675 � I
Fax: (651)675-5694 �U� � � '��� L Staff: _ �
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: ' '`�/ ��( T Site Address: � ��� l,%r^�'"°I�i1 ��'T/�'�� ��1��-��y'
Tenant: ��r��'� � �
/ ^� �j� Suite#: � 3-3
Property
OW11eP ' Name: Phone:
Name:�J� v�.�"/JI V ���+1�i�'� License#: V"�'1 ���f S'`C�
Contractor „�'��� �- �`�y ��° �� y� _� i
Address: ^ City: ���'�'C✓� State�//�, Zip: ��.��
Phone: (���' G�G�j�' Ce�/3V Email: '�"rl:n t/"(6 ���,t�� 1�'f� II
Type of WOCk —New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W.
Description of work:
! COMMERCIAL _New Construction +v�Modify Space
Irrigation System(_yes/_no)(_RPZ/_PVB)
• Rain sensors required on irrigation systems
Permit Type . Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
_Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter.
Domestic:Size&Type Fire: 1
Avg.GPM High demand devices? Yes No Flushometers Yes No
p.. �'-.
COMMERCIAL FEES Contract Value$ .�0 � � 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
accorda 'h the approved plan in the case of work which requires a review and approv lans.
l
x C., �����'� X t, ���,,��"'�/'�
ApplicanYs Printed Name Applicant's Signature
FOR;OFFICE USE Approved By: ^� � Date: C`o /�
Required Inspections: �Under Ground �ough-In ;�ir Test _Gas Test �nal PRV Required:_Yes_No
Meter Related Items: 'Meter Size Rad'io Read Manometer ' Staff:
Page 1 of 3
�
Use BLUE pr BLACK Ink R.
2014 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY (if applicable)
Date: FOR OFFICE USE ONLY
PRV required `
Property Owner:
City R-O-W Permit
Address Phone Number: County R-0-W Pet'mit
Plumber: Contact Name: Plumbing Permit
SEWER ' WATER '
Sewer Service Water Service
Sewer lateral charge Water lateral charge
Sewer trunk Water trunk
City SAC @$100/unit Water supply storage
MCES SAC @$2,485/unit Receipt#: , Date:
Receipt#: , Date: Treatment Plant @$828/unit
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 per SAC unit over 5 � For Office Use �
11+SAC units 11,130.00 plus 178.00 per SAC unit over 10 � I
� Permit#: �
I �
I
� Permit Fee: �
I �
� Date Received: �
� I
I
� Staff: �
� ---_--J
Cc: City of Eagan Finance Department
Page 2 of 3
�
,�
' ' /
Water Meter Fees ��3��,`�-
Meters Requiring 4-Hour Advance Notice Prior to Pick-Up
GPM ! Meter ` Use Fee
1-20 maximum continuous 10 5/8"displacement residential/small $210.00
commercial
_ _ _ _ _ _ ._ __ _. __
2-30 maximum continuous 15 3/4" displacement ; lawn irrigation residential/ $260.00
small commercial
__ _ _ ;. __ __ ... _. .__. _
' ', large residential buildings to
3-50 maximum continuous 25 ' 1"displacement ' 24 units, small commercial & $340.00
_ ___ . _ ! irrigation systems
_ . _ __ _
5-100 maximum continuous 50 1-1/2"displacement ; 25-64 unit buildings & most $690.00
__ _ , commercial buildings
;. _ ._ , __ __ . _
irrigation system Public ,
4-120 1-1/2"turbine** Works must approve meter $1,100.00 '
size
4-160 2"turbine large irrigation system &
�,
; _ production lines $1,650.00 �
_ _ _ _ : _.
1/4 to 160 2"compound buildings over 65 units & $2,140.00 �
; : large commercial buildings ,
Radio Meter Read $185.00
Meters Requiring 30-Davs Advance Notice Prior To Pick-Up
GPM Meter Use Fee
.__� _ . _ __._ . _._ ___ , � . � ._ _,
5-350 3"turbine very large irrigation system $1,870.00
& production lines
1/2-320 3"compound +200 unit buildings, very $2,610.00
.._ __ _ ' large commercial buildings
_ ___
_ . _
15-1000 4"turbine very large irrigation systems �3,610.00
__ _ ._ & production lines
__. ; . . _ _ __ __
„ +300 unit bldgs & very large
6-500 4 compound comm. bldgs ; $4,210.00
; ._ _ _ __
10-1000 6"compound +400 unit buildings, very $6,860.00
_ _ __ large commercial buildings
6"turbo $5,960.00
ADDITIONAL INFORMATION
• Radio Meter Reads are required on all new buildings. Boulevard irrigation systems may also require a radio read.
• RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Linda Dralle at the City of
Eagan Utilities Department(3419 Coachman Point, Eagan, MN 55122)
• A minimum permit fee is required per address for the following RPZ's: new, rebuild, repair, & remove.
• Water meters include copper horn/ strainer, remote wire, and touch-pad meter.
• To schedule an inspection of the inside water line and backflow preventer, call the City of Eagan Building Inspections
Division (651) 675-5675.
• To arrange for water turn-on, call City of Eagan Utilities Department at(651) 675-5200.
Page 3 of 3
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