Suite 230 - Crazy 8 Use BLUE or BLACK Ink
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` � j Permit#: � �� I
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I Permit Fee: �
3830 Pilot Knob Road � I
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Eagan MN 55122 i Date Received: �
Phone:(651)675-5675
Fax:(651)675-5694 � Staff: �
F3Y:—_��� -----------------�
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all r���ial applications.
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Date: F_1�-1 d Site Address: �9@5 agan Outlets Pkwv
Tenant: Crazy 8 Suite#: 230
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� ' � Name: Phone:
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,;; :, Name:_Voss Utility & Plumbing �icense#: PC000306
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Address: Pn Rnx �4(1 City: Hannver State:��Zip: 55341
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�� `���: Phone: 7('j,3-4A7-45�Z7 Email:
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� � � "':� • _New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
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� ', ', Description of work:
� �-`- � �_.: COMMERC/AL _New Construction _Modify Space �
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�' �tl�" Irrigation System(_yes/_no)(_RPZ/_PVB)
�� • Rain sensors required on irrigation systems
y ����, . Avg.GPM (2°turbo required unless smaller size allowed by Public Works)
� /i � ^ _Meters Call(651)675-5646 to verity that tests passed prior to oickina up meter.
''�' '' �- ;s f�� Domestic:Size&Type Fire: 1
���� � Av GPM Hi h demand devices?_Yes_No Flushometers_Yes_No
�...................... �........: 9• 9
COMMERC/AL FEES Contract Value$ ��nn n�_x.01
$55.00 Permit Fee Minimum
_$ 55.00 Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ � 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 Suppty&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 pertnit; 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 �"�i�.,.e�.,� �.�@�
ApplicanYs Printed Name ApplicanYs Signature
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Page 1 of 3
Use BLUE or BLACK Ink
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� For Office Use � �
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� Permit#:
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t� � � P e r m i t F e e. I
3830 Pilot Knob Road i �
Eagan MN 55122 � Date Received: �
Phone: (�51)675-5675 � i
Fax: (651)675-5694 � Staff: �
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2013 COMMERCIAL BUILDING PERMIT APPLICATION / +�.�.
, Z Z3 I3 Site Address: �145 �p(Sr� Q��-�rS F�h� ���q l00 l�U
Date• � ' �
Tenant Name: G�Z.'� Q) dV t��.G�S (Tenant is:�New/ Existing) Suite#: ��
Former Tenant:
Name:PAMbGOrI 4vt'(,�S" �li i�(E2S 11-�- Phone: ZZ,� •$� .3�� -
�t'O��F"��1�Wt18�`., ; Address/City/Zip: Z1�I rGQ,SS^ R.IC'ON�D SS�Ct-G�TZI�l.�C,. 6At�'trYl�,l'1�Ip ZiTAZ,
Applicant is: Owner Contractor
T�p��#���,� : Description ofwork�(1►�Q t1J('d�=p 62�.�yat c...��(/�cJd�5('I�C� !n/A �'�(C�✓/�11/�GL
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Construction Cost: 1 1�,C1O�, �"
Name: 'T'.�3.►?� ���Z-��-� � N � License#:
�cintract�r = address�I�d �. ���C�}' ��". c�ty: �UUC�(1(ltl�l��l
: State: �Zip: ��`�1�� Phone: " 1 rJc� • ��� � ����
Contact: �� ��1���� EmaiL �l I+ L- �� 4D��" • 1-��
��` Name: G�AN1�cl. ��� W��Ir�r! �Pn(LQ,S Registration#: Z��17..
� Archite�t/E�g�n��� address:Z��Sh6M1D�ARL�k�`(,Sv�s�301 c�ty: � Si�.Ppv�. � �
State: M,N Zip: SSi��t Phone: E�SI •(>QQ�111 .SS2S'
ContactPerson:JFSS�'�r� QVI�A.� Email: � eSS ('�.@��nh��4M�t�5.CCh.�.
Licensed plumber installing new sewer/water service: Phone#:
N��`Eti Plar��:�n�►���pc�rt����tac�r��r�#�#�at y�u subr�ft at�e cc�nsitlerea�tc��6e p������rr��rr�ra�c�r� F�rt�rxs�f
the ir�t'r�r�ati���,����c��;s��fie�f a�n�ri p�i�if yo°u�irovid��p�iflc reasc�,ns#h�t sn�au��fi p�r�t�����°�. ; '
+�c���u�f��t t#e ,�r`e���le s�±cr�r�s.�. -
CALL BEFORE YOU DIG. Gall 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 utiiities. www.qopherstateonecall,orq
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 requir s a review and approval of plans.
X r.ti.sc.c.st�J1�. 9'sZ.3��•6C��v X � �
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
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DO NOT�ITE BELOW THIS LINE � Z��`��
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 �1�;46� occupancy /r ► MCES System It,�5
Plan Review c.��� Code Edition �-O�J'7 ��ls'�- SAC Units �
(25%_100%� � Zoning '�.� City Water �
Census Code Stories 1 Booster Pump °—'
#of Units Square Feet ���� PRV �'
#of Buildings ----" Length Fire Sprinklers t��
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: ��,�-- L- ,Building Inspector Reviewed By: �-'`� r , Planning
COMMERCIAL FEES
Base Fee /,��(�, rj,�� Water Quality '—""'—' j
�
Surcharge �'j-�� Water Supply 8�Storage(WAC) �� '
Plan Review `J��, 39 Storm Sewer Trunk ---�
MCES SAC �—� Sewer Trunk °—`—'
City SAC �—'' Water Trunk
S8�W Permit 8�Surcharge Street Lateral —"'—'
Treatment Plant "—�� Street
Treatment Plant(Irrigation) � Water Lateral --'�"�
Park Dedication Other: ------------
Trail Dedication
Water Quality - _ TOTAL �,�'7`"/, rv�
Page 2 of 3
Use BLUE or BLACK Ink
.: ,/��., �-----------------i
� For Office Use
�.- ��. � �� ' � I� ��� �
Clt� 0�����Il -� � Permit#:
3830 Pilot Knob Road � � Permit Fee: lG'��� �
I�ECEIVED '
Eagan MN 55122 � � I
Phone: (651)675-5675 � Date Received: I
Fax: (651)675-5694 '��N � � 2Q1� I I
� Staff: i
. _��___ ��_����_��J
2014 11�ECHANICAL PERMIT APPLECAT6Q�1
❑ Please submit two (2) sets of p{ans with all commercial applica�ions.
Date:�pf�['v„r�� Site Address: "'J��� l'� (,ol;
Tenant: �t 'Z Suite#:_ � �
�
Resident/Owner ' Name: Phone:
� Address/City/Zip:
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� Name:��/f��/���?.�,'��,� License#:
� ' Contractor address: �i� �� /�r��/ca/'��c��-1� c�ty: �' ,u.M �i'r,��r.�"
� state: I3`�/V zp: ��-3 �'� Phone:_ yS.� — 9'.�'Jd— 3 9��
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� � Contact:s�,��._,.�� ��,/',�� Email: � � �
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; New Replacement Additional Alteration Demolition
_
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City,
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
�
<� RESIDENTIAL COMNIERCIAL
_Furnace New Construction �nterior Improvement
� ' �Air Conditioner Install Pi m Processed
_ Permit Type P� g
� _Air Exchanger � Gas Exterior HVAC Unit
�
Heat Pump Under/Above ground Tank �Install/_Remove)
' � _Other
�
RESIDENTIAL FEES '
R $60.00 Minimum Add or atteration to an existing unit(includes$5.00 State Surcharge) ii
� $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE I
� 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=$5.00 =$ J � Surcharge*
� "`If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
�
"'"If the project valuation is over$1 mi�lion, please call for Surcharge =� �— 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�j,�,���� t.c/�D
ApplicanYs Printed Name icanY ignature
FOR OFFICE USE
Required Inspections Reviewed By: � � Date. � �
Under round �ou h In Air Test Gas Service Test In-flo r ��
9 9 o Heat �Final HVAC Screernng
� � Use BLUE or BLACK Ink
CALL FOR CREDIT CARD PAYMENT
108983 �-----------------i
612.843.3210 � For o�tice use / j`� �
. � � �'�(,p�t v �
} � Permit#: I
�6� � ���� �� �l�1 n/D C�,C- � � F : �v� ;
� � � Perm t ee I
3830 Pilot Knob Road ����� � I
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 ,IUL � � 2014 j I
Fax:(657)675-5694 � Staff: �
• �----------------�
BY�_,._
2014 FIRE SUPPR��I,QN SYSTEMS PERMIT APPLICATION*
Date: ��1/14 Site Address: ,3��an Outlets Parkway
Tenant: Crazy 8 Suite#: 230
4 Name: Phone:
�r���������� " Address/City/Zip:
� Applicant is: Owner X Contractor
` Description of work: Install, modify sprinkler heads to provide proper coverage in new tenant space
���'������
: Construction Cost: $1800.00 Estimated Completion Date: 8�10/14
� � ' Name: Ahern Fire Protection �icense#: C039
' G�rii#ra�#c��
Address: 13705 26th Ave #110 c�ty: Plymouth
: state: MN zip: 55441 phone: 763.268.0515
contact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads 9 ) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ 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 i����
ApplicanYs Printed Name Applicant's Signature
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