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Suite 500 - Adidas � � ? v Use BLUE or BLACK Ink �-----------------i � For O�ce Use � C•} f � ?2,3�3� ' l6 Ol �� �Il ���Ep�E� I Permit#: I � � � Permit Fee: � � I 3830 Pilot Knob Road MAR ? 7 20i� , � Eagarr MN 55122 � � Phone: (651)675-5675 � Date Received: � I � Fax: (651)675-5694 � Staff: � ' � ------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION �ate:_�/26/14 s�te address: 3905 Eagan Outlets Pkwy. Suite 500 Tenant Name: AdldaS (Tenant is: X New/ Existing) Suite#: 500 ; , Former Tenant: I i Name: Paragon Outlet Partners, LLC Phone: 410-856-1818 'Property�w�ter , qddress/City/zip: 217 E. Redwood St. 21 st Floor', Baltimore, MD 21202 Applicant is: Owner Contract A ent Type of Work �escription of work: First time tenant build-out with shared stock room Construction Cost: r NJ �C�C� Name: TBD ����'t��� ��"�'/ �icense#: COf1tt'�CtOf Address: ��� !`�`U�J�G%4 /��c City: ���V��'`�T— State: (/"� Zip: ��C � � Phone: ���'– ����li'��� ' Contact: G� !� t��Z� EmaiL• Name: BKA Ar�hite�ts. II1C. Registration#: 50571 Ar�h�tect/Engine+�r: Address: _142 Crescent St. c�ty: Brockton ' state: MA zip: 02302 Phone: 312-260-7144 Contact Person: Phil Tollios Ema�i: ptollios(a�burnhamnationwide.com Licensed plumber installing new sewer/water service: N/A Phone#: Nt?TE:?Plans and supp�rrting tlac�rinertts ttiaf:y�iu�ubmit aree;�»sidereai.tc�tse putilic�ir�ft�r�t�tivrr; Porti�an.s;crF the i�formation maybe c/assi.fred a�ntan�u�i/ic if yeau prov�de�p�ct�i�r�e��ris�hat wc���d perrrin�eit tlie City�o ccrricl�rd�.tfiat-t�ie ar�#rarfe 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 whi h requires a review and approval of plans. X Phil Tollios X ApplicanYs Printed Name Applicant's Signature Page 1 of 3 � s 1} � ' �C7`� ��c r �,, �.s f��'r.S �1�w, `�",,�f�C� DO NOT W�ITE BELOW THIS LINE � l 23 �3� SUB TYPES Foundation Public Facility Exterior Alteration-Apartments Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration-Pubiic Facility Miscellaneous Antennae WORK TYPES / _ New v 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 /�is�000 Occupancy /�/ MCES System Plan Review ✓ Code Edition Zoo7 wtS�S�G SAC Units D /J!E,•P�HD (25%_100%� Zoning � Lj City Water �/ Census Code Stories Booster Pump #of Units u Square Feet ��� PRV #of Buildings / Length Fire Sprinklers � Type of Construction jj• Fj 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: C�� , Building Inspector Reviewed By: t'� ., C<-'" � , Planning COMMERCIAL FEES Base Fee � "��G .7S Water Quality Surcharge �32 •f0 Water Sampling Fee Plan Review ��o •3q 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� Zj ���• L�` Page 2 of 3 r Use BLUE or BLACK Ink r_________________ .�! , , � For Office Use L, � 1�,� �.�,.-/ �d (JY�" i Permit#: � � ��v� I Clty of�a�a� � � , a: � � 3830 Pilot Knob Road RE�.'��VE� � Permit Fee: i Eagan MN 55122 j Date Received: I Phone: (651)675-5675 J(f(� '� � Fax: (651)675-5694 � ��'� I Staff: � � �-------- -------� 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: � �_� J f Site Address: ����/,`.-e��c�i ����� �Cr���'1 Tenant:__ ,/'7 ��C��S Suite#: �v�✓ Property OWllef Name: Phone: Name: C� '�.� ���n Q/ ���`^5f�'� License#: �i,� ������ Contractor ��'"'Jp � C� f`�„� y��,�,� �l p�� Address: � Cit : Stat . � Zi : Phone:C.o'��"���'" ���� EmaiL �'/'�'�f/'�� �t5a��'S�� N�� Type Of WOPk —New _Replacement _Repair _Rebuiid �/Modify Space _Work in R.O.W. Description of work: COMMERCIAL New Construction �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 pickinp up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices7 Yes No Flushometers Yes No COMMERCIAL FEES °��` Contract Value$ ���� 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. 1 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 ce 'th the approved plan in the case of work which requires a review and appr of p ns. � � x ���`-�/� =x V C�f` Applicant's Printed Name Ap canYs Signature FOR OFFICE USE Approved By: �-�T' Date: (o � r� Required Inspections: �Under Ground �Rough-In �Air Test _Gas Test �inal PRV Required: Yes No Meter Related Items: Meter Size , Radio Read Manometer Staff: Page 1 of 3 � Use BLUE ar BLACK Ink *� 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 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 @$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 Metropo/itan Council Environmenta/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 r----------------� 6-10 SAC units 8,900.00 lus 445.00 � For O�ce Use p per SAC unit over 5 � � 11+SAC units 11,130.00 plus 178.00 per SAC unit over 10 � I � Permit#: � I � I iPermit Fee: � I � � Date Received: � I � I � Staff: � -----------------J Cc: City of Eagan Finance Department Page 2 of 3 � � ���l�� Water Meter Fees 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 i, 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 $5,960.00 ADDITIONAL INFORMATION • Radio Meter Reads are required on all new buildings. Boulevard irrigation systems may also require a radio read. • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Linda Dralle at the City of Eagan Utilities Department(3419 Coachman Point, Eagan, MN 55122) • A minimum permit fee is required per address for the following RPZ's: new, rebuild, repair, & remove. • Water meters include copper horn/ strainer, remote wire, and touch-pad meter. • To schedule an inspection of the inside water line and backflow preventer, call the City of Eagan Building Inspections Division (651)675-5675. • To arrange for water turn-on, call City of Eagan Utilities Department at(651) 675-5200. 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G f� � � . j ��r_�- � o-'+ € I ' K i t `.Z�_�- 1___ .�.__ x , _._._--- --- _--•.___ , I i i i � i � I Use BLUE or BLACK Ink � For Office Use ---------j C�' � iJ J/D�� � } �� �n n� I Permit#: i 6� U�Q � �v.� � 3830 Pilot Knob Road ��.������ j Permit Fee: j I � Eagan MN 55122 , � *� �� � Date Received: � Phone:(651)675-5675 .�1��. ��% � I Fax:(651)675-5694 � Staff: � `����������������J 2014 COMMERCIAL FIRE ALARM PERMIT APPLICATION* '{ � �C.� �s P1cwy Date: � - � � � `'r Site Address: ✓� �S �°�S°`^ � � S Tenant: �-�°�� � Suite#: S�O �� ����� Name: Phone: , ; ����������`��� Address/City/Zip: _::: , Applicant is: Owner Contractor �� � � A ����� Description of work: 1 H S'�� < < �� ►c �(c..N• SY t-�c r- .���8��� ° �� Construction Cost: Zi �O 0� Estimated Completion Date: � �3 (- (� Name: /v,/t S'4ei �t c�.�l o(oy���! License#: � S � � S � 1 ��� � � ���� ��� Address: �S.$�S �2 3�d ST W City: �r"s�/+�Co � Gon�"�r�#�� ,,. ��� ,`; State: l"�^� Zip: SS 3� � Phone: �S Z- $ � a ' 3 ��� ,� Contact:��Ke go-��.. Email: V►�.� kt - �e-�-��.. Gc.�t v�-��E . C� �New Remodel ��� V��r�C�'�r� `_������ add�t�on otner: Alterations DESCRIPTION OF WORK: �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$1 million, please call for Surcharge _$ � � 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 acknowiedge that the information is complete and accurate;that the work will be in confoRnance 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 �'�2V Z �A'C � X '�� �i� � VCI�� ApplicanYs Printed Name Applicant's Signature �flR QF��C�U�� 1��V'� � .. � �y, � � « s � F�equire�d`Ir�Sp�r�S. #�UUgl�-l�l ,:�F�1 ���'����'� > �, ,��>; . 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 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 Use BLUE or BLACK Ink a �rj For Office Use y City01: , Eapile Permit ft: / 3 g 0 C- 1 C Permit Fee: (a(� V) 3830 Pilot Knob Road (.,t Eagan MN 55122 ''CC Date Received; 65".)-/- Phone:(651)675.5675 Fax:(651)675-5694 Staff, 411) 2017 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 6 26 t Site Address: -34-iich r, D�,k1c\s '�k Tenant: E-ACT- t J — PILE t VM Ok T`t-1. — A dt 0/N S0 Suite d: ScD Ph. .....::.,.•.........:...... •. one: Prop ,©caner:;;?;• Address/City/Zip: ... Applicant is: Owner Contractor .' .T�/Pe.Q ...,q k:`:::' .I Description of work: DROP oN f_ S P CL I N KLE R TO TH i o F F f CP. • Construction Cost 2, 4 if LI.00 Estimated Completion Date: 6/(de 7/I I Name: SIM?LAX ( TL INN F.LL License#: C Q 1 S Co•ntractor; .. Address: S 400 NJAfit A pJ LN f # 100 city: FLY M 0 v T H State: Alk Zip: 5 54 4/2 Phone: 76 3 -i 6 7 —50 17 .. .. Contact:6724 A L D.'OiI4 kEmail: ,M 0' 03141E lc a S1M FPO 6721/114 e et . �M FIRE PERMIT TYPE WORK TYPE j_.Sprinkler System(#of heads j New I Addition _Fire Pump Standpipe _Alterations _Remodel _-,Other _Other. DESCRIPTION OF WORK: VCommercial ^Residential Educational FEES $60.00 Permit Fee Minimum Contract Value$ 2 kY if x.01 Surcharge=Contract Value x$0.0005 =$ 24.11N (so.aP)Permit Fee If the project valuation is over$1 million,please call for Surcharge r.$ r 11,2 Surcharge $100.00 Residential New(includes State Surcharge) _$ 10 . 0 J at?,a--TOTAL FEE 3/4"Fire Mater-$290.00 =$ 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. 4,04, Applicant's Printed Name Applicant's Sig re 30/TO 39O'd JS ZOOSL9EE9L VE:OT LZOZ/LZ/90 /t/s3D FOR OFFICE USE REQUIRED INSPECTIONS ' Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Finai Conditions of Issuance: • Permit Reviewed•by.' Date: f / c2g Fog, CRS DI CAA- ( FOXA4 ATI rev ?LE. S cc �� aor_ Mary ski 3 -36 -J"bt y Z0/Z0 39t0d 9S Z009L9EE9L I'E:OZ LZOZ/LZ/90