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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 \�� � 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� � '�� � � � �� � 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 : _ ___ ,�.. , V.�.. .��� _.._ _.�_,�_. _____r ...�,�.. µ�: _-- - _ _ . ___ .,.� .. _ ..____ . ...._ . _ .. �� . ��� 7�p� . 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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 t� i - \ a3 t �� (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 � -- s=u ea- a de es ® -e � 9i ¢ LI 14.,e4 r ¢ e • w ( maCatf , � aT e-1 .1111114 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