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Suite 930 - Fossil �. � �f., Use BLUE or BLACK Ink �-----------------� D � For Office Use . � • R�C'�IV� �^�( I Permit#: � ""' I C�t of �a �Il AY 12 201� i . � �} Z � � � � � � Permit Fee: ` ✓ �I 3830 Pilot Knob Road � � Eagan MN 55122 i i Phone: (651)675-5675 � Date Received: � Fax: (651) 675-5694 j i � Staff: � r����������������J { ����� 2014 COMMERCIAL BUILDING PERMIT APPLICATION �,��``� Date: S IZ I��I" site Address:3�'tZ5 E/SG/•�t�l O�tS�I��'S �2kWp i Tenant Name: �OSS(L (Tenant is: Y New/ Existing) Suite#: q�+ Q Former Tenant: 1��� tvame: Pl�CLAG�rJ O�li'��3' t�A�f1.C�EQS L� Phone: ZZ-g !�� ,3A66 . Pt'Qp��Q�iFt'l�1". - Address/City/Zip: ��, � . ,c�:u�� $r'R•V-�:� ,Z���E-"�OD((,'QA�..t"ICr1�.E, rno Z�zo2 Applicant is: Owner Contractor .�,������ Descriptionofwork: Qt1►l,O UJ� O�� 1�E�A�L.T't�r�/y1�1�' S�G� Construction Cost:Z�d��� � � �"Jy � �i1`slrvr.�--'�f d/'�, Name: License#: �� �+�#l�G�O�` �� Address: �Jr� �C�O�'l ne-�� S� City: L-Q-��5 ✓i f j� ,r� Co7 9,��- �3�-i� x State:�_Zip: 7S�-S ! Phone:(C� `�7,'l. -`�'S5- S3 y$ ; Contact:W�yh� L�(I��¢" Email: 1�7I d�-o�'�0.G'ff�sv�s`F"►"'o�-�-�-��s. . C dyy� Name: �'OLS�11 �1b1A60.S M�IWp t�A(�'��Registration#: Z�1� A�'C�#�#8��1"1��118�1` Address: �JUO� A�S�Q✓GY�'� (�V�O, c�ry: OUfSC,trJ State: Q� Zip: ���1 Phone: (��`� •6� •7{3q Contact Person: '�ACLC�E �A1�� EmaiL• � cK��•�QY�S�.� r'�'1^�.(�S.t Licensed plumber installing new sewer/water service: Phone#: �1�3�'�.P1ar�s a�tl s�p�vrting��r�t���i�#°���r��r���e����c�r�cf��e����� `rt� ��w a�#��'; �tie lr��c��rt���►n+���6�cta�;sl�:��n�rtr�pul�i��P j�t�i�:��d����.����������oi�E� , �`�►�:�t��_.. , ' �+;��de#��t��::��'��'������..,.; . � ... 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.qopherstateonecall.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 require a review and approval of plans. X -r��nsc,��v as23yS.�o4o X � Applicant's Printed Name Applic ' Signature Page 1 of 3 U�C°.>Y� � Y'i �"1 e� �� d ti , � r �J°�1�-e.��S �. . �3� � � � a� �� -,. �' DO NOT WRI�BELOW THIS LINE I � J�� 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 2����� ""� Occupancy 1H MCES System Y Plan Review � ✓ Code Edition �O�p BG SAC Units � (25%_100% '!�) Zoning � City Water ✓ Census Code Stories � Booster Pump #of Units v Square Feet 2-�4f�2.. PRV #of Buildings � Length Fire Sprinklers � Type of Construction �g Width REQUIRED INSPECTIONS Footings(New Building) �heetrock 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: ��� , Building Inspector Reviewed By: - , Planning COMMERCIAL FEES Base Fee ����L•�� Water Quality Surcharge /bs, ot� Water Supply&Storage(WAC) Plan Review �r / I'�•$�f Storm SewerTrunk MCES SAC Sewer Trunk City SAC Water Trunk S8�W Permit&Surcharge Street Lateral Treatment Plant Street . Treatment Plant(Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL � Z-��37. L� Page 2 of 3 � � �� CALL FOR CREDIT CARD PAYMENT Use BLUE or BLACK Ink ---------i 105070 612.843.3210 � For Office Use i ���. � j�� � S� � �� �� ll� N�/�lJ�f N� G✓"l/� i Permit#: �� i � � � Permit Fee: l(Z� I 3830 Pilot Knob Road �,����� � � Eagan MN 55122 � Date Received: Phone:(651)675-5675 �'1N � '� �0�� I I Fax:(651)675-5694 V � Staff: � I � SY: ------ ---------� 2014 FIRE SUPPREtSSION SYSTEMS PERMIT APPLICATION* ✓ �ate: 6/18/14 s�te address: 3925 Eagan Outlets Parkway Tenant: FOSSII su�te#: 930 Name: Phone: Property Owner Address/City/Zip: ' Applicant is: Owner Contractor Type of Work oescr�pt�on ofwork: Install sprinkler heads in new tenant space _ Construction Cost: �5000.00 Estimated Completion Date: 7/1 O/14 Name: Ahern Fire Protection �icense#: C039 Con#ractor Address: 13705 26th Ave #110 c;ty: Plymouth State: MN zip: 55441 Phone: 763.268.0515 cor,tact: Ray Polos Ema;i: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System(#of heads�9j New _Addition Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial Residential Educational ��ES Contract Value$ 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$1 million, please call for Surcharge _$ CO.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 ApplicanYs Printed Name Applicanfs Signature .� l��1�� FOR OFfICE USE REQUIRED INSPECTIONS Hydrostatie � � Flov�r Alarm �� Drain Test � ,ROugh In �� Trip Pump Test ' Gen#ral Station ' � � �� ; ������� .� `. Conditions of Issuance: ��� Permit Reviewedby: � ��'�� ' Date..•; =�� � .-�' ;. -�� � � ���< ' I Use BLUE or BLACK Ink -----------------, � For O�ce Use I �r'�J;! (,- � f sg/ (�. � ��U,� U�11� �11 ��l.�l ,�/ ��� i Permit#: •1 �.,.7(Q 6 J i 3830 Pilot Knob�ad ��p ` y� t.�� � Permit Fee: � j Eagan MN 55122 .��� ) � I I � Phone:(651)675-5675 � n1� � Date Received: /3 I Fax: (651)675-5694 � j � Staff: ________ ________J� 2014 MECHANICAL PERMIT APPLICATION C� ���� ❑ Please submit two(2)sets of plans with all commercial applications. � \ '/ �;c� Date: I l l 7 Site Address: 3ef.���i�{$� LJu,;7''Z-�T� ��Cs!� Tenant: ��.5"S.y-� � Suite#: •7 3� R���������� Name: Phone: ;-�' Address/City/Zip: Name: ,�".S,S�.Ti�y.�l'� -�`���r�=��!%��l=Cr�S:ense#: : ' , Address: 1�:� 7 ���-SC'�'r�'��-�+�� City: �,� ;t d�'�9c� :,Gor��Eracfcr= . � State:�Zip: � �� I G Phone: ���4� —5�4��5 � S�f� Contact: /12L�L�'fL'Email (,� / �''��^�-� �'e�� �New Replacement Additional Alteration Demolition '�'yp����"�p� Description of work: �1.Z,� I�..�3":,�.Z.���,��.�r' i��,� `'� ...i� �t�'1�.Raaf ntcsurt�id��ttl�r�aun,d m�e�nted�ii����i�t�u�p!�en��s�u�e�tn�e=�cre�n��€by�it�; Gc�ci���*lea��isn#����t���r���l insp��Ecu~fsir;rn�'�a�tr��c�n,-�r�t►����re+�ning m±et�+�s: :.: RES/DENTIAL COMMERC/AL _Fumace �New Construction �Interior Improvement �.������,������ _Air Conditioner _Install Piping _Processed _Air Exchanger Gas Exterior HVAC Unit �� ' _Heat Pump Under/Above ground Tank (_Install/_Remove) Other RES/DENTIAL 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$ �1��'t'���(� x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee 'If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge* **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 *`*If the project valuation is over$1 million, please call for Surcharge =$ f(`�� U'� 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�� �i2;2 LrL��! x a��l ApplicanYs Printed Name Applicant's nature ��3RO�`t��l�S� - '� R�uin�d tnspe�ttort�s �e�ti�e�rreci�� �`� i�a#� ` °;,�fnt�etg��. �ttii���, :; .. �i�T�;,_ �s��rs���T�..' -."lr��r� . 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