Suite 360 - Watch Station K
� �
Use BLUE or BLACK Ink
�------------ --�
� For Office Use �
� I Permit#: � ��"v I
Clt of Ea aIl � . . � ���.�� �
� � � Permit Fee. � �
3830 Pilot Knob Road �����V�� � i i
Eagan MN 55122 i Date Received: ��/ �"� �
Phone: (651)675-5675 MAY 121014 �/�
Fax: (651)675-5694 � Staff: ''1 � � ,
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2014 COMMERCIAL BUILDING PERMIT APPLICATION � ,��'
Date: 'S I�L �'C Site Address: 3Q E1S EA�sAf�I OVT�TS PACLKW�i � � �
Tenant Name: IffIb�CU-� S�1�(`I Or1I �f�l'.�ff�R(���- (Tenant is: ✓� New/ Existing) Suite#: 3� •
Former Tenant: N D!'(�
' Name: �� OU�TS P�h(IY�.S �-�'�" Phone: Z�9 •�•3�{6V�,
f�"�'C��tl�i��t1+�!' ' Address/City/Zip: ZI—I E ��hI0010 SG'. 21�'�'u0�'L� 6A�•T►nc�KlE . 1'� , Z1Z4-L.
Applicant is: Owner Contractor
,�����,��� � ` �. Description of work: g�1� Q��0(�� (IJ�C�I l.Z"F�(�'��
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`: Construction Cost �$0►��•
Name:��� �� �H S��T�bh License#:
aaa�ess:3.5"G N�.�o�v�e I I S�re�f c�ty: L-�e- W i�s v i�I�e.
Cc�frac#,�r ld 97�-`�36- �� x
State:T�zip: j1g�S� PhoneLc) 412 - 9ss- �'3�4
Contact: a ne j-�MQ�1e Email: 'W�An1c�'�e(fl, ac,+eoHs-h'u.��on. car►''
Name: .TO���`I (Y�10 W(�S N� N U 1�1'Li'�1(82S Registration#: 21�I I0D
�,�������������- Address:7UU1 �I ISCAII�� QWO City: ����'�/
; State:� �t Zip: y3O(�I Phone: �s�y•{�� •7�3c1 .
' Contact Person:JhGGtI� p/�Vl S Email: �QG�C l p�atV�5 Q.1�� IGIV��I'1'�•
Licensed plumber installing new sewer/water service: Phone#:
N�"t�:P��a��rt���r�i�g#7CztCe,��xr���,��Su��i!�r�e��1��+��t`�Q=,��l'���1� ���t��,. ,
the infivr.m�t�c���ray>;�e�la��'"��as no�-g���,��y�o��ravid�sR��'r�,�a��a�r�s t����F t��i����t�...
�ora�f��a�� :�r��d+�,���'e�: ;
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 requires a review and approval of plans.
X T't✓r� SC.�En/1/..:_. CtSZ�'�S'�10�4 X -�-� �
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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DO NOT WRITE BELOW THIS LINE 1��CS� I
SUB TYPES
�oundation Public Facility Exterior Alteration-Apartments
�/' Commercial/Industrial Accessory Building Exterior Alteration-Commercial
Apartments Greenhouse/Tent E�cterior 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 �,r,
Valuation �$��" Occupancy � MCES System �
Plan Review �f Code Edition '�+G7 M�L SAC Units D ��t P��
(25%_100%±� Zoning �� City Water
Census Code Stories / Booster Pump
#of Units C! Square Feet �?j�b 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
ireplace:_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: ��/S'�� , Building Inspector Reviewed By: ` , Planning
COMMERCIAL FEES
Base Fee ��S3(r•7� Water Quality
Surcharge �D.b�o Water Supply 8�Storage(WAC)
Plan Review ��.�j� Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit&Surcharge Street Lateral
Treatment Plant Street
Treatment Plant(Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL� Z(°Zs•�r`�`
Page 2 of 3
/��. Use BlUE or BE.ACK Ink
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� � For Office Use �
Cit of�a � "� ' '
� � , P�,��#: �' i
RECEfVED �
�� �
3830 Pilot Knab Road � P�it Fee; � �
Eagan MN 55122 I ( � �
Phone:(651}675-56T5 �U�j � � q�,�� i Date RecHved l!t � � i
Fax:(651)BT5-5694 �
� 5taff; �
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20'I4 MECNANtCAL PERMIT APPUCATION �t� `
❑ Please submit two(2}sets of plans with al!commerciai applicetions. ��(3�'��
Date: Site Address: ��1't.+a ���id�.�l L:'t.[.,i L�%S' �/��-°�iC �}��
Tenant �l LJ.�t1` �`J'�'-T-•�� SuiGs#: �� �
� ResidBntl{)Wnef-,- � N�ne: � � � Phons:
! Address J City/Zip:
�,'� Name: ��S �� f'C � � nse#:
� �Coritractar�" �dress: ��d� 7 ��C � G c;ty „������� �
� � � : , %�� State• nd Zi a S3�� Phane; �QsS�-4�4�3- .S`!a-r� �
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Contact• �?.Z � il���� CDZ.r
.„�,New _Replaae.►nent _Additional _Alteration Demoli6on ��
� Type.Of,WoCk��:°'�: Descrrprt�on of work: �1.c�T���� .V��6.� �7. ..�- � �� �
NOTE Roof mauntstl and`ground m`ounbed mechanical equipment ts requlretl'to be scree�ed by City ;
, , Cocle Plsase cantact„the Nlechanfcal inspectoc"for irtformatbn an jiermifted scraening meUiods
RESIDENTIAL COMMERCIAL
Fumace �Nevr Consfruction �lnt�or Improvement
� P81'111it Typ@ �ConditEoner � Instali Pipi�g Pracessed � �
Ak Exchanger ��S �Exterior HVAC Unri
�P�p UndertAbove ground Tank {_lnstau t_R,emove}
Other
RESlDENTlAL FEES
s60.Q0 Minimum Add ar�teration to�existing unit(includes$5.OQ State Surcharge)
s700A0 Residential New(indudes$5:00 5tate Surcharge) _$ TOTAL FEE
COMMERCIAL�EES Contract Value$ D a. � x.01
555.00 Permit Fee Minimum
570.00 Undarground tank installatiaNrernovai °$ Permit Fee
'If contract value is IESS than$10,010,Surcha�ge=$5.00 =g Surcharge'
"If contract value is GREAT�R than$14,010,Surcharge=Coniract Value x$O,OOQS
"'If the project valuat�is over$1 million,please call for Surcharge =$ 'fOTAL FEE
(hereby admowledge tliat this inFormation is complele and accurale,that the woNc wiN be in coMamar�ce with ihe ordu�anc�and codes af the Ciry of
Eagan;that i�dersiand ihis is rwt a permM,but only an appl�catbn tor a pertnit,and work is rrot to staA w�twut a permit;ihaC the w�k wi11 be in accorclance
with the approved plan in the case of work which requkes a review arld approval of ptaru,
x�i� � {�.2'L�C��'/�- x �iC�����_c�...,
Applicant's Printed Mame App canYs nature
'F,OR QFFICE U5E � �° �. �� � .e��� � �
Required laspections: ,' Revkwed By Qate�--` ��
Under9rou►�d .�Rou9h iri :`Air Test.: ..�C,as Service Te�t" In-floor Heat �Final HVAC Screeni� , . :'?
n��s ____Use BLUE or BLACK Ink
�� Cy,� � D�G�B� ' --,
� For O�ce Use I
�1� Ul �IQ W1 �����^` '� I Pertnit#: l � / I
� � � ��� �
I Permit Fee: �
3830 Pilot Knob Road JUL 0 1 2014 ' i
Eagan MN 55122 � Date Received: �
Phone:(651�675-5675 �
Fax:(651)675-5694 BY: � Staff: �
�������_�_������_J
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all�mer�ial applications.
rA,ti/
�ate: _6-27-14 Site Address:_�965 R�en Outlets Pkwy
Tenant: Wat�h Station suite#: 360
: ���perty �'
; ��n{�� r�' Name: Phone:
�
�' ►vame: _Voss Utility & Plumbin4a �icense#: PC000306
�������� ' ' Address: P(� Rnx �4� City: Hannver State:�(j�_Zip: .�i5341
.::.
.. , Phone: 763-4..A�-4577 Email:
��
� " _New _Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
'���'�t���?t'�€;�, —
Description of work:
' COMMERC/AL _New Construction �Modify Space
_Irrigation System(_yes/_no)(_RPZ/_PVB)
• Rain sensors required on irrigation systems
�"�t�:��� . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) e
.
' ' , _Meters Call(651)675-5646 to verity that tests passed prior to aickinq up meter.
' ' Domestic:Size&Type Fire: 1
' Avg.GPM High demand devices?_Yes_No Flushometers_Yes No
COMMERC/AL FEES Contract Va1ue$ 14A0 00 x.01
$55.00 Permit Fee Minimum
_$ 55.00 Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ 5.00 Surcharge"
*"If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
*`"`If the project valuation is over$1 million,please call for Surcharge =$ 60.0� 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
accordance with the approved plan in the case of work which requires a review and approval of plans.
X Steven Voss X �0��
ApplicanYs Printed Name Applicant's Signature
,
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Page 1 of 3
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105069 CALL FOR CREDIT CARD PAYMENT Use B�.UE or BLACK Ink
---------,
612.843.3210 � For ot�ice use �
� i "�� �
� Permit#: �`�' �
V�� �� �� ll� I . �f I
� � ���L��,(r„/�� � Permd Fee: I
3830 Pilot Knob Road ` �K'' I �
Ea anMN55122 �CE�v� I I
9 � Date Received: �
Phone:(651)675-5675
Fax:(651)675-5694 �UL O � ?O14 � Staff: �
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`����������������J
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2014 FIRE SUPPR��i�T�7N:�YSTEMS PERMIT APPLICATION*
Date: 6/27/14 Site Address: �Watch Station
Tenant: ✓3965 Eagan Outlets Parkway Suite#: 360
Name: Phone:
Property Owner Address i city i zip:
Applicant is: Owner Contractor
Type of Work
Description of work: �nstall,add sprinkler heads in new tenant space for proper coverage
Construction Cost: �2500.00 Estimated Completion Date: 8�10/14
Name: Ahern Fire Protection �icense#: C039
Contractor
' Address: 13705 26th Ave #110 City: Plymouth
' State: MN zip: 55441 Phone: 763.268.0515
cor,tacc: 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 BuildingJFire 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 Applicant's Signature
, . � 1 �`-f�a�.
FOR OFFICE USE
REQUIRED INSPECTIONS
�� Hydrostatic ` ���� Flow Alarm �Drain Tes�t . ����ugh In �
Trip Purnp Test Centr�l S#ation _,��Fina!
Conditions of Issuance:
Permit Reviewed by: Dat�: . �l�1_!�1�