Suite 337 - Gymboree � .
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Use BLUE or BLACK Ink
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� Permit#` � ° �� �
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3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 i j
Fax: (651)675-5694 I Staff: �
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2013 COMMERCIAL BUILDING PERMIT APPLICATION �\'�
Date: 12-Z3-t3 Site Address: 3�b5 ���.t OJi'l�i S ►�(�R1CW�
Tenant Name: G''�m��� QV r�-�C� (Tenant is: New/ Existing) Suite#: 3�
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Former Tenant:
Name: PA�/�Cronl 011,("�,tT�'S r�l'Lt'iYt�S LLC. Phone: Z.2S—8fi0-3966
RFOp81'#�/�W11�1' Address/City/Zip:?�1 F�s- R�brtoa� sr���2��r�, QA�Trma2r.��Z1202..
Applicant is: Owner Contractor
�yp� �f W(31'k . Description of work: (3+f 1 cA W C"d�= ��tl�l C.. T'l-.1Nl�11(S"S(�jCJ� rM i'f C"l,I ('�/�l.l.
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Construction Cost: 12S,a00.
i Name:T,�.Q ���-��D l'l�S � j 1.�C.� �icense#:
G011tl'���£�C Address: 1���-O �i� ���� �. City: ��I�VU f i'�,'T�Y L
State: �� Zip: ���Z l�. Phone: "I�S� . �`'l S. �a� l
Contact: t�sl � ` ���� Email: K�C�i.� ` � �� � 'e ' � �
Name: QA,N►E`,�aC� �r1�l=lnfn(�A�IELS Registration#: �'�Z-
A�Ghifi�C�lE�l�lil�F' Address:'�I�IrS 1-��'�/Yl1C(n(A�( City: $A�rrQ" '�A�(�-
State: �'"� Zip: SS L�C� Phone: C�S� •�'i0 SS�J�
' Contact Person: �IiCx yE{n(/b� EmaiL �fl'1i�C G@, t'i h�-�Ani�-I s .Ca+�
Licensed plumber installing new sewer/water service: Phone#:
l�lt}TE:Flans��a1 se�pp�ttir�g dcrc�menf5 that.y4u�wkrrtit are c�nsic�et`�a►.t�i��j�ubl#�#r�€u►�a��� �'�rfcc�s rif
tl�e informa�`ic�n.r�►a;yke�c�as�ified'a��+an�ubf��;�f'�au�rt�v�d�spi��fic:r�eas�r��t��=i+��������i�`°��y tc��
°�ca�r���ud�fhat the` are#rade�e�r.et,�:`
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qQp,herstakeonecall:orQ
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit;that the work will be in accordance with the approved plan in the case of work which requi es a review and approval of plans.
x'f I lv1 5 ti�F,�11� �1 y 2•3�(�:�i0�(0 x !'�%
Applicant's Printed Name Applicant's Signature
Page 1 of 3
, . . , ���(�� (��� r,-, (���I� t� �'� ����
DO NOT WRIT�ELOW THIS LINE � ����
SUB TYPES �
/Foundation Public Facility Exterior Alteration-Apartments
✓ Commercial/Industrial Accessory Building _ Exterior Alteration-Commercial
_ Apartments _ Greenhouse/Tent _ Exterior Aiteration-Public Facility
Miscellaneous Antennae
WORK TYPES
_ New � Interior lmprovement _ Siding _ Demolish Building`
_ Addition _ Exterior Improvement _ Reroof _ Demolish Interior
_ Alteration _ Repair _ Windows _ Demolish Foundation
_ Replace _ Water Damage _ Fire Repair _ Retaining Wall
Salon Owner Change "Demolition of entire building-give PCA handout to applicant
DESCRIPTION /
.L ��/
Valuation l 2 S���0 � Occupancy ,I�1 MCES System �t—�—
Plan Review ✓ Code Edition ZGID MS$� SAC Units �/�►',C� {'fi/�D
(25%_100%� Zoning � City Water T 1/
Census Code Stories �_ Booster Pump
#of Units � Square Feet ZSGfl PRV
#of Buildings 1 Length �— Fire Sprinklers �
Type of Construction �•B 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 tobe present: Yes No ,��
Reviewed By: ��Iv/ri�/ , Building Inspector Reviewed By: �` , Planning
COMMERCIAL FEES
Base Fee ��4�.?S� Water Quality
Surcharge L2 •S�� Water Supply 8�Storage(WAC)
Plan Review 7�5�•3q 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 � Zi��j•G`�'
Page 2 of 3
. - � l �z���
Dale Schoeppner December 26, 2013
Chief Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122-1810
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to
be charged for the wastewater capacity demand for Gymboree to be located at 3965 Eagan
Outlets Parkway, Suite 337 within the City of Eagan.
The City will be charged no SAC Units for this project. Retail was paid on 7/13, and this is use
is still retail. A determination is not necessary.
The business information was provided to MCES by the applicant at this time. It is the City's
responsibility to substantiate the business use and size at the time of the final
inspection. If there is a change in use or size, a redetermination will need to be made. If
you have any questions, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us.
Sincerely,
�
�
Karon Cappaert
SAC Program Technical Specialist
KC:kg: 131226A2
Determination expiration: 12/26/2015
cc: Amy Griffin, Eagan (email)
Tim Schenk, Elder-Jones (email)
File, MCES
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___ Use BLUE or BLACK Ink
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T �' � �'`` � For O�ce Use �
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� � Permit#: Q �
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3830 Pilot Knob Road RECEIVED � Permit Fee: �
Eagan MN 55122
Phone: (651)675-5675 ��� , 9 j Date Received: �� I
Fax: (651)675-5694 ���� I I
� Staff: �
__�_�__� �._�����J .
2014 �'I�ECHANICAL PERt�IfIT APPLfCATIC?�1 " �
❑ Please submit two (2)sets of plans wi all commercial applications. I
Date: �/����f� SiteAddress: /' . ��p� ;;�'i �,� ��l-�'�C' ��"✓"
Tenant° n ' ?
� Suite#: 3��
Resident/Owner ' Name: Phone:
: Address/City/Zip:
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Name: cr �� License#:
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� Contractor Address:��_�rr�� ��-�,o� city: � �r,,��� j�
� � State: Zi � �,5;�?--�'.3�3��''1�'�'
� p: 5 s�3� Phone:
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� Contact: �����"�.�` �✓'�.�.�'� Email: • � ? /� �'
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New Replacement Additional Alteration Demolition
Type of Work Description of work:
, NOTE: Roof mounted and.ground mounted mechanical equipmenf is required to be screened by City
_ Code. Please contact the Mechanical Inspector for information on permitted screening methods.
� _._..,,
� ,, RESI�ENTIAL
COMMERCIAL
� _Furnace New Construction � Interior Improvement
� ` _Air Conditioner
� P@�I'ilit T�/pB Install Piping _Processed
Air Exchanger
� � — Gas Exterior HVAC Unit
� _Heat Pump _Under/Above round Tank _
9 �Install/ Remove)
_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
�p Contract Value$ �f�l� x.01
$55.00 Permit Fee Minimum � �„
� $7 0.0 0 U n dergroun d t an k ins ta l lation/removal =$ �� 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 -� �R Surcharge*
""y'If the project valuation is over$1 million, please call for Surcharge �--
� _� ��l 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.
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App icant's Printed Name A icant's gnature
FOR OFFICE USE � n
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Required Inspections: Reviewed By: �� Date 1
Underground �Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
�08982 � Use BLUE or BLACK Ink
CALL FOR CREDIT CARD PAYMENT
612.843.3210 '
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� For Office Use �
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�T �y � � Permit#: ��`�'� �
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d � � Permd Fee: � I
3830 Pilot Knob Road � I
Eagan MN 55122 -�UL � � 2��4 � Date Received: �
Phone:(651)675-5675 � I
Fax:(651)675-5694 �Y. � Staff: �
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2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: ��1/14 Site Address: �3965 Eagan Outlets Parkway
Tenant: Gymboree Suite#: 337
Name: Phone:
PC0�4't'#�/£�V�fq�i' Address/City/Zip:
.�� Applicant is: Owner X Contractor
� Description of work: Install sprinkler heads for proper protection in new tenant space
T�(��:`�fi W��k
> Construction Cost: $1800.00 Estimated Completion Date: 8/10/14
; Name: Ahern Fire Protection �icense#: C039
�r�#ra�#��'
Address: 13705 26th Ave #110 �;ty: Plymouth
` ' State: MN Zip: 55441 phone: 763.268.0515
: cor,ta�t: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads�) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ 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
Applicanfs Printed Name Applicant's Signature
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