Suite 510 - Reebok Use BLUE or BLACK Ink
���C`�Y�� j ForO�ceUse ---------�
L�
C. � �3�. � �
lt of E� �Il MAR Z 7 2Q1� i Permit#: � ��� i
� � � Permit Fee: � ��• �
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: �`�1' ��j
Phone: (651)675-5675
Fax: (651)675-5694 ` j ��]i
//��///��� �^� � Staff: � � I
� �,r' ]' J � `________________J
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2014 COMMERCIAL BUILDING PERMIT APPLICATION
�ate:�/26/14 site address: 3905 Eagan Outlets Pkwy. Suite 510
Tenant Name: ReebOk (Tenant is: X New/ Existing) Suite#: 51�
Former Tenant:
rvame:_Paragon Outlet Partners, LLC Phone: 410-856-1818
Pr'operty Dwner Address/City/zip: 217 E. Redwood St. 21 st Floor, Baltimore, MD 21202
Applicant is: Owner Contractor g
zype of Wo�rk .. �escr�ption of work: First time tenant build-out with shared stock room
Construction Cost: � O�
�. Name: TB� j��d�C�Z ���,�6 License#:
COCItt'8C#O� , Address:�J C�C� l�i.�'i6e Lc�"2 ,C��"� City:�7�/��1X�h� �.�_
State: �� Zip: �J l� / Phone��°?��D����UC�
// L
Contact: C�° /� �(��`(� EmaiL•
Name: BKA Ar�hiteCts. In�. Registration#: 50571
Ar�hitect/Eng}neer Address:142 Crescent St. c�ty: Brockton
state: MA zip: 02302 Phone: 312-260-7144
Contact Person: Phil TOIIiOS Ema�i: ptollios burnhamnationwide.com
Licensed plumber installing new sewer/water service: N//� Phone#:
11lOTE:Rlarrs a»d supporting docrrm�nts that yc�u�vbin�#-are��rtsiderec/tc�b��rtubf�e ir�fe�ma�rorr: �'arl�ians of
the in��rmat�on may"`be classi�ed�s r��rr��u�#fc rf you prvwtdt�spe�ft�c re�3��fhat�auld pe�t##�r±e:City tv .,
con�lud�#,hat�he'.are r�a�le s�crets: .,
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiliry damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.arg
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 pe mit, and work is not to start without a
permit;that the work will be in accordance with the approved plan in the case of w re ' a review and approval of plans.
X Phil Tollios X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
� �
��(�`j �� a., (�v�f'�.�� �Okw
DO NOT�ITE BELOW THIS LINE 1 [ 7i�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 /
k y
Valuation �72�D�vp� Occupancy � MCES System
Plan Review �/ Code Edition Zod7 M54L SAC Units � ,L�•/�i�1'/0
(25%_100% ✓) Zoning � ��� City Water �/
Census Code Stories Booster Pump
#of Units v Square Feet `� �` � 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
� Framing Windows
Fireplace:_Rough In _Air Test Final Retaining Wall
�Insulation Erosion Control
Meter Size: �
Final C/O Inspection: Schedule Fire Marshal to be presenfi � Yes No ,
Cr�� �
Reviewed By: , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee �j �$B•?� Water Quality
Surcharge Q!6.�o Water Sampling Fee
Plan Review qb7. 6? Water Supply�Storage(WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S&W Permit 8 Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other:
Water Quality TOTAL � 2�S�Z•��
Page 2 of 3
105372 ' � Use BLUE or BLACK Ink
CALL FOR CREDIT CARD PAYMENT
612.843.3210 n� t��� � For office use , �/ i
. w i `� �
1 � Permit#: �� `� I
��� �� �LL �� I . � �
� � � Permd Fee: o I
3830 Pilot KnobRoad ��`�E.� � I
Eagan MN 55122 R� � Date Received: �
Phone:(651)675-5675 I I
Fax:(651)675-5694 JuN � 2 �d�� I I
� Staff: �
I �
`������_���������J
2014 FIRE SUPPRE��ION SYSTEMS PERMIT APPLICATION*
�ate: 6/10/14 site aadress: 3985 Eagan O�tlets Parkway
Tenant: � __ ReebOk Suite#: Z�c 510
Name: Phone:
PC�peety OWn@I' Address/City/Zip:
' Applicant is: Owner Contractor
Typ� O#WOCk ' Description ofwork: Install, modify coverag or protection in new tenant spaces
Construction Cost: $4000.00 Estimated Completion Date: 7/1/14
' Name: Ahern Fire Protection �icense#: C039
ContractQr '` Address: 13705 26th Ave #110 c;ty: Plymouth
'' state: MN zip: 55441 Phone: 763.268.0515
' cor,tact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads 1�) New _Addition !
Fire Pump _Standpipe XAlterations _Remodel I
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ 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
Applicant's Printed Name ApplicanYs Signature
� � � . � �3���
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrrastatic : Flow Alarm Dra�n.Tes�. Rat��h.In '.
Trip Pump Test C�ntral�ta�t�n ; T„ inat
Gonditions of Issuance:
� � �
Permit Reviewed by:� ,/�w�wf`'"''�- ; ° ��f� �� t �� �;,
� /��[/� ___ Use BLUE or BLACK Ink
7 , --,
� For Office Use �
. �'� �v c�� � ' �-���� �
�14� V�L���11 ���' M � I Permit#: �
� I
� Permit Fee: �
3830 Pilot Knob Road � I
Eagan MN 55122 ��N � � �O'�� I �
Phone:(651)675-5675 � Date Received: �
Fax:(651)675-5694 �� � j
gy; � staff: �
�����������������J
2014 MECHANICAL PERMIT APPLICATION
'� Please submit two(2)sets of plans with all co�er�al pplications.
Date: �'/2•Z,o/ �SiteAddress:_��°�"S�E✓�6��Oc�T�TS I"�42,kw,A.�
Tenant: 2�'�QOK l N'r�V/a-'r-�0 a,��— Suite#: S/ �
� u, i� � �
qP���� � '�7 �� � �i�,
� ���� �- � Name: � Phone:
, �"�'������i�@�' �,a�
� �;���� ����• ' ! Address/City/Zip:
����v4��"�i t
��' � ' � '��k "": Name: /�4R,T�'�l-F��/LW1��L License#:
� _ �
� � i
` 5 Address: �°t �3 W 3S�' �T: City: �LC�1J i S �R�,�
�oi��i�';�#�h�h��4�+G��" �� �
� �
� State:�Zip: �J`� �/l0 Phone: /S�- 9$� " ��/L� �YTlov$
Contact: /'Y�n`� ��H Email: I�FoT/-���4/�T.�QIyIiE'�C.. C a�,..
° `° �� � �� �.New Replacement Additional Alteration Demolition �
��� � i l '� �,� �
��` �,#'��� d� � Description ofwork: �GLGT /N�T4GLA-� 0/�
��y�, i '
� �" �� �E;��� �y ' k"Y7, �� �+1�?'����of`mp�n�+�d,��nd grvu�d��rtounted me�h�tr��c�i�aqu€p��i'iEis��i�t�'�b�'���n��`� `_ �,`
, , ;� �� ; � � ` �.Crde. Pl��e�o�tact the MeehanFGal insp�etor ft�r infArm�#i�rl�wt�„p�rrnit�t����i��+�� _+�.. ��*
,� _ -
� G; n�� � RESIDENTIAL COMMERCIAL �
� 7,
�' w �;i�,�� � �,,; _Furnace �New Construction _Interior Improvement
s��ii � ,�
�a r Air Conditioner Install Piping Processed
, �i������F�� — — —
�,,,
� u
�, �� ��'� ' °� _Air Exchanger _Gas _Exterior HVAC Unit
� , �
�
�� � �{y � k r' � ,� _Heat Pump _UndedAbove ground Tank �Install/_Remove)
���� �t
�'`pe,���'y��'� _�' ' 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$ 7l0 .2S x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ :�C�CJ' Permit Fee
*If contract value is LESS than$10,010, Surcharge=$5.00 =$ .S. Surcharge*
"`If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
"""`If the project valuation is over$1 million, please call for Surcharge _$ � �p';Z� 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 X
ApplicanYs Printed Name Applicant's Signature
G �
'€h �-�� �����54 _�Ji I �� � �. i - a - � �� ti� �) �, �y9'�'� �,°��y`I� �r
J����}3�����f'��i�'���,� i �'li9�� �i�� � � i� � RF€���4737���W �f�'tiz �� ,'�� -t i�'��� �") i at s..
�- �.� �� � u �1�1��'11'�tl ;��w�,�«,�,��'���Ji'' 'f��,�'����@���'xy*"'�` 111•�1d4�"�{����' j ' ��I'�,-�-���+,,,� �M'����`�r ,'t� �
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Use BLUE or BLACK Ink
• ---�
r--------------
. I For Office Use i
� � ' /� ��� � �
• �/� � 1�� � �� �-- � Permit#: �
Clty of Ea��� � �� ��- j C�, �
� Permit Fee: I
3830 Pilot Knob Road j�f �
Eagan MN 55122 ���.C.�V�� I Date Received: I
Phone: (651)675-5675 I Staff: �
Fax: (651)675-5694 JUN 1 3 2�14 �_______ _________
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: � ����/ Site Address:� /�� � �� ��'`��� �G���
Tenant:�e�=�C�� ��'i?��tI1�'"�j v�'�a � �"��'� Suite#:�� 'V �
Property
OWner Name: Phone:
Name: c�� �tl� U�"����`.� License#: dl'� ����y�
Contractor Address:�7��� ��Y���14 City: /'���'Cf�' Stat�� Zip: ° �-TO
Phone:�P�il` ���'. ���`� EmaiL G/'r�✓1 tN/� .� �G.�.r���/
_New _Replacement _Repair _Rebuild "Modify Space _Work in R.O.W. l
Type of Work '
Description of work:
' COMMERCIAL New Construction �odify 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 qickinq up meter.
Domestic:Size&Type Fire: 1
Avg.GPM High demand devices?_Yes No Flushometers_Yes_No
COMMERCIAL FEES Contract Value$ �3� � 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
accor e ith t approved plan in the case of work which requires a review and appro plans.
?'� � �� � ^ �'��!/'� LS ,� � ��T i�.
X-.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: Date: ��'
Required Inspections: nder Ground �Rough-In;"�Air Test _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 0'FFICE USE O.NLY
Property Owner: —
PRV required
Citq R-O-W Permit
Address: Phone Number: County R-0-W Permit
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 perSAC 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
I
� Permit#: I
� I
� Permit Fee: �
� I
I �
� Date Received: �
� I
� Staff: �
I
_________________J
Cc: City of Eagan Finance Department
Page 2 of 3
� /�37� �
. Water Meter Fees
Meters Requiring 4-Hour Advance Notice Prior to Pick-Up
GPM i 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 & ; $1,650.00
production lines
_. _.. . _
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 $5,960.00
ADDITIONAL INFORMATION
• Radio Meter Reads are required on all new buildings. Boulevard irrigation systems may also require a radio read.
• RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Linda Dralle at the City of
Eagan Utilities Department(3419 Coachman Point, Eagan, MN 55122)
• A minimum permit fee is required per address for the following RPZ's: new, rebuild, repair, & remove.
• Water meters include copper horn /strainer, remote wire, and touch-pad meter.
• To schedule an inspection of the inside water line and backflow preventer, call the City of Eagan Building Inspections
Division (651) 675-5675.
• To arrange for water turn-on, call City of Eagan Utilities Department at (651) 675-5200.
Page 3 of 3
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Use BLUE or BLACK Ink
�-----------------�
� For Office Use �
� I Permft#: �✓ `-'� I
�
It of�a aIl �������� ; . �� ;
� � � Pertnd Fee: � �
3830 Pilot Knob Road
Eagan MN 55122 ���- � � ���� j I
Date Received: �
Phone:(651)675-�.,675 � I
Fax:(657)675-5694 i �aff. i
��_������___��__�J
2014 COMMERCIAL FIRE ALARM PERMIT APPLICATION*
Date: � - � ' � ""�' Site Address: �� �S �A��a,,. � ��e-�,� �S P k w y
` � j -
Tenant• � ��e- J dG� Suite#• �- '-� � �
Name: Phone:
Address/City/Zip:
Applicant is: Owner Contractor
Description of work: 1 N r'�� << �� ►c �(c��•�. sy r-1c r-•
��� --� _3
� Construction Cost: 2� �O�� Estimated Completion Date: �- (4
����� ��� �g �� ��- Name: I" ,�'tT�e� Tcc��lo�oy�/�� License#: �S 0 J S 7 1
,.� �,��--, .
� Z 3 W ty. � +�Co �
�� � .�;�� � � Address: �S,S S� I �d S"f Ci �/
�Nr
; � ��-°�" - State: !"l� zip: SS 3� � Phone: 9 S 2 - 8 � a - 3 ���
� , "•� �
:�'�*� `� v � 1 . r
�� ���
+� �� �� ���� A L'Of1t8Ct:� �F C goT�C'� Email: V+�, K� � `J���Cr� �G��N^\'� . ��
�� � �. �� �' ": �New _Remodel
� � � Addition Other:
� ���
- � �� � Alterations
DESCRIPTION OF WORK: �Commercial Residential Educational
FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
*If contract value is LESS than$10,010,Surcharge=$5.00 °$ Permit Fee
**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
*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 thatthe information is comptete 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 pertnit, 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 �'�8V � �A'C � �,p � V���`�
x
ApplicanYs Printed Name Applicant's Signature
F�3�t��F1G���E � �g�r�����1�`�. � � `� ��
:
. s
�$qu�l'�If1s�CtIfJ1�$ ,���du�h�f� ��"8� �1'$``��"d �S�f� ���' �,._..�'� . ���z �����.'��� ������
� �
�...� . _, , .�_.,�
�
. rrick,ce_ C04411,04-
• mtn7t, "'- . 7 n 11 41friel 1191 a�41Pil(Ake!e_. CvNlJse BLUE or BLACK Ink
For Office Use
City of Eaaall :::e:
l D"- %C) LI
3830 Pilot Knob Road
Eagan MN 55122 Date Received: S7-1"17
Phone: (651) 675-5675
Fax: (651) 675-5694 ` r:1
Staff: l4C-5
J
2017 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 5/8/2017 Site Address: 3985 Eagan Outlets Parkway Eagan, MN 55122
Tenant Name: 41;01 ft g (Tenant is: New/ X Existing) Suite#: 500,510
Former Tenant: Adidas
Name: Adidas America Phone: 781-401-7991
Property Owner 5055 N. Greeley Ave. Portland, OR 97217
Address/City/Zip:
Applicant is: X Owner Contractor
interior remodel of existing Adidas space to give back space to mall
Type of Work Description of work:
Construction Cost: 60000
Name:713--D 1-\0 i \-2-C-'o—) 2- A4 i , License#:
Contractor Address: '7� V\(...3' i 2 .....-., �,' City: ,S�i. :="Thz v1�..:...,-31-
State: L Zip: c 3 ( V7 Phone: -;-(13 4" (o .. (,c c 0
Contact: VO— -o-,=%°`oCi V Email: -
Name: David Seibert Registration#: 50571
Architect/Engineer
Address: 142 Crescent St. Brockton
City:
State: MA Zip: 02302 Phone: 508-583-5603
Contact Person: Lindsay McAdams Email: Imcadams@bkaarchs.com
Licensed plumber installing new sewer/water service:_N/A 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 they 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.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 re 100 a review and approval of plans.
Matt Murray x "Allrill
Applicant's Printed Name Applicant's Si nature .
f , f1 '7
Page 1 of 3
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DO NOT WRI1VBELOW THIS LINE
SUB TYPES
,Foundation Public Facility Exterior Alteration-Apartments
/Commercial I Industrial Accessory Building _ Exterior Alteration-Commercial
Apartments Greenhouse I 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 6e) coo . Occupancy /, S. I MCES System V
Plan Review ✓ Code Edition 2.0/S/14 86 SAC Units d/it/o£,f**'LE IN us E Dt Lc'e Lb
(25% 100% ") Zoning City Water ✓
Census Code Stories I Booster Pump
#of Units Square Feet PRV
#of Buildings D Length Fire Sprinklers V
Type of Construction ' 5 Width
REQUIRED INSPECTIONS
Footings_New Building_Deck_Addition Drain Tile
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier Erosion Control
V Framing 30 Minutes 1 Hour Steel Reinforcement
Insulation Concrete Entrance Apron
Sheetrock Other:_
Roof:_Decking Insulation Ice&Water Final / Meter Size:
Siding:_Stucco Lath _Stone Lath Brick EFIS ✓ Electronic As-Built Plans Required
Windows
Fireplace: Rough In Air Test _Final Final I C.O.Required
Pool: Footings Air/Gas Tests Final ✓ Final I No C.O.Required
Final CIO InspectioryF fie - Fire Marshal to be present: Yes No
Reviewed By: , Planning New Business to Eagan: 14
Reviewed By: 0 , Building Inspector
FEES Water Quality
Base Fee 75-4 •7c Storm Sewer Trunk
Surcharge 30 • Sewer Trunk
Plan Review /If. S1 Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit&Surcharge ' Water Lateral
Treatment Plant 'r Stormwater Performance Security
Treatment Plant(Irrigation) Landscape Security
Park Dedication Other:
Trail Dedication TOTAL: I/2.715. 4
Page 2 of 3
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�� (pa Use BLUE or BLACK Ink
CALL ANNA WICKS For Office Usei IA _ .3
Ci•
ty of Eaiall. WITH PER ITEE R QUESTIONS. Permit#:U i
3830 Pilot Knob Road awicks@cpandh.com Permit Fee:
Eagan MN 55122 - -
Phone:(651)675-5675 F,_ Date Received:
7 ,
Fax:(651)675-5694
Staff:
2017 MECHANICAL PERMIT APPLICATION
6, Please submit two(2)sets of plans with all commercial applications.
Date: (JL-lc3\,`--\ Site Address: 'a -c� -E9 -ThSL-\e\c3 '\'`L.
\\ ` J\K--)Tenant p > � � �' � Suite#: 5 �
„7'-N4-,_-4--F
,_ nidi" , Name: Phone:
4.4 Address/City/Zip:
B � l�„11:-4:-.0;.'.,.1
� Name: Commercial Plumbing and Heating, Inc License#: MB005209
�ry�IrI�0 g
,' , ' Address: 24428 Greenway Ave City:
Forest Lake
'I MN 55025 651-464-2988
te , 4 State: Zip: Phone:
� ' awicks c andh.com
IC-ter- Contact: Anna Wicks Email: @ p
• New Replacement Additional Alteration Demolition
Description of work: c _ ,- e
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l je � s• -ai ss si �--- o • s , $ "-'41,14-.".v® , s,. .4"-''*':,- --..""''''"'n �', � ') M®m s ,,,,,f-r!.:: .(-0_,_II e r1 . Wr..sd --;:,-.*p.,,,;,111,,„ 91 ,n.',,,,n.',,,,, --1
�, �i RESIDENTIAL COMMERCIAL
Furnace __New Construction 2C Interior Improvement
:,
�4 1 _Air Conditioner Install Piping _Processed
I - Air Exchanger _
9 Gas Exterior HVAC Unit
'1,,',,f,� ,,, Heat Pump Under/Above ground Tank L—Install/___Remove)
1 iIi . fol h Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ 11"1tEN x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Lid Permit Fee
=$ '%S. Surcharge
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 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
Applicants Printed Name Applican s ugnature
meg ,, Jw, aw 7 ,,
lgkl
--- ' 4
°4, gi — - Po '''• ,s1.,..0.-Jr--.4.,• • a s
. rrick,ce_ C04411,04-
• mtn7t, "'- . 7 n 11 41friel 1191 a�41Pil(Ake!e_. CvNlJse BLUE or BLACK Ink
For Office Use
City of Eaaall :::e:
l D"- %C) LI
3830 Pilot Knob Road
Eagan MN 55122 Date Received: S7-1"17
Phone: (651) 675-5675
Fax: (651) 675-5694 ` r:1
Staff: l4C-5
J
2017 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 5/8/2017 Site Address: 3985 Eagan Outlets Parkway Eagan, MN 55122
Tenant Name: 41;01 ft g (Tenant is: New/ X Existing) Suite#: 500,510
Former Tenant: Adidas
Name: Adidas America Phone: 781-401-7991
Property Owner 5055 N. Greeley Ave. Portland, OR 97217
Address/City/Zip:
Applicant is: X Owner Contractor
interior remodel of existing Adidas space to give back space to mall
Type of Work Description of work:
Construction Cost: 60000
Name:713--D 1-\0 i \-2-C-'o—) 2- A4 i , License#:
Contractor Address: '7� V\(...3' i 2 .....-., �,' City: ,S�i. :="Thz v1�..:...,-31-
State: L Zip: c 3 ( V7 Phone: -;-(13 4" (o .. (,c c 0
Contact: VO— -o-,=%°`oCi V Email: -
Name: David Seibert Registration#: 50571
Architect/Engineer
Address: 142 Crescent St. Brockton
City:
State: MA Zip: 02302 Phone: 508-583-5603
Contact Person: Lindsay McAdams Email: Imcadams@bkaarchs.com
Licensed plumber installing new sewer/water service:_N/A 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 they 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.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 re 100 a review and approval of plans.
Matt Murray x "Allrill
Applicant's Printed Name Applicant's Si nature .
f , f1 '7
Page 1 of 3
V
.1 r41Gt S A. t tsa-rte G p ... .
-3%C atyr‘ OA 1pis A9 K-Lok-f
I L-fi?- 12--
s
DO NOT WRI1VBELOW THIS LINE
SUB TYPES
,Foundation Public Facility Exterior Alteration-Apartments
/Commercial I Industrial Accessory Building _ Exterior Alteration-Commercial
Apartments Greenhouse I 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 6e) coo . Occupancy /, S. I MCES System V
Plan Review ✓ Code Edition 2.0/S/14 86 SAC Units d/it/o£,f**'LE IN us E Dt Lc'e Lb
(25% 100% ") Zoning City Water ✓
Census Code Stories I Booster Pump
#of Units Square Feet PRV
#of Buildings D Length Fire Sprinklers V
Type of Construction ' 5 Width
REQUIRED INSPECTIONS
Footings_New Building_Deck_Addition Drain Tile
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier Erosion Control
V Framing 30 Minutes 1 Hour Steel Reinforcement
Insulation Concrete Entrance Apron
Sheetrock Other:_
Roof:_Decking Insulation Ice&Water Final / Meter Size:
Siding:_Stucco Lath _Stone Lath Brick EFIS ✓ Electronic As-Built Plans Required
Windows
Fireplace: Rough In Air Test _Final Final I C.O.Required
Pool: Footings Air/Gas Tests Final ✓ Final I No C.O.Required
Final CIO InspectioryF fie - Fire Marshal to be present: Yes No
Reviewed By: , Planning New Business to Eagan: 14
Reviewed By: 0 , Building Inspector
FEES Water Quality
Base Fee 75-4 •7c Storm Sewer Trunk
Surcharge 30 • Sewer Trunk
Plan Review /If. S1 Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit&Surcharge ' Water Lateral
Treatment Plant 'r Stormwater Performance Security
Treatment Plant(Irrigation) Landscape Security
Park Dedication Other:
Trail Dedication TOTAL: I/2.715. 4
Page 2 of 3