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Suite 1015 - Ann Taylor Factory `'..: �>. r,. . ,.... . Use BLI.IE'or BLACK Irsk �, ,, , . . �.'1�. . ... ,�.' ..-., �� .��. ��.� __.._�.�_:...��._�__`�..�.. .. ► F��o�;��u� °' �� i . MAR Q 3 2Q�� . Z Z-- � (� c� r�p P��t�. U�� {��Cll! � � � , � Permit Fee:;. �� I 383tI Pi1at Kr�ob Road � � � '��g�n;tUlN 5��,2�" � D�tet�e�eived: �1,�� Phone: (6a1�s75-v675 � i Fax; (6�1} 875.5694 [ staff: � .� d� �-_ _- _ --� 9 201�4 CC1M11�ERClAL� SL��LE31�+IG PERIVIIT APPLMGATt;+DN Date: Si#e Addrass: �r��'1 �,�„��3 ��T'�� Tenant Name: �1"'t i'� ;,j„��"1 i' �C�(`y�'�1'"�.J (Tenant is:��w t Exis#ing) Su"ste'##:� Farmer Tenant: �L'��$� � � � Name: � � Phone: �� G3�G° ,tLl�r� � �' _, , r � PC'OpeCt�f`C?Wrtet` Address 1 City f Zip: �` � � � � � ��PPlicant is: Owner Contractor ��" � �� Description�€warle: ��' �� f�.�'� �'}�#- �,�� .. � �,M� �'YRe Of Wt�rk � p' ` � ��a��3�ic.�„ . ... 3 � �ons�ructir�n-Gost: � �� Nam�: ,�"°.�°ma :�,j �..�.,�x.( '�' License#: �`� ; �, � :, ' � ,�, .Adttress:/'�y�LI daL�.�� L.:�9 ��v^ Ci3y ';�✓�°1��:,f�✓'1� � � ��t�fir�c�Or �; � States �� Zip; J 5r/i�� Phane: - �C��' ?'�'°��>r i' � 'Cor�#act; Email: _ � �`` �� Name: ��C°�� f��"`��,�1 Registration#:��`7'� g a a.n Aaa�� -�1 ��i��r��t— �.��c.�� c;ty: �r`� ��-°r��t1 � Ar.chi�ectlE�ri�ineer � � �� '�� State:__��Zip:' �� Phone: ��'i��,./�,,�� ' ' � �.� � �Ccrntac#Person: ��? �r�� ..�L�`�(�� Emeil: ��z�t�1��..�'�./°Y��/�-,°J�1,��`�°" �� , �,.� A,.�,�,�,.,,,,,� n..��.�.�.�..�� .��,��...�,�� o-��. w .�. � � C�tcensed p�Eunnl�er inst�ltir�g new sewer/wafer seruice: Pt�one�: �� Nt?'��.PIanS and suppor�ing��ents'tX�at y�u submlt:�re eonslder�d#o.be publrc iritr�rnrrat�an; Pot+t7rsns�f "`� �� tl�e ittf�rma�ic�n may b�.�(�ssi,fr�d as�on-puL►tic�#yor��prov�de speci�c Tea,s�r�i�thaf�uvould-perm��tt��Ci�y:to �� „,.,��a,�°�„�.,. -- � coi�e�futle�tt��t.ti�� are�r��/e se�rets. , � . � , �.��.,��..�.�.�,�.,�m.�: ��, _�.��..�..._.Y � .�,;�,�.,.� - CALI.'BEFUFiE Y�11 DIG. Cail Gopher Sta#e One Gatl af(651)454'-Q�02 for pratection�ga9nst underground utility darrtage. Gali 48 haurs beFore you'intend to dig to reeeive tocates o#"undergrtiund ukilities, www.go�hersfateonecall.orq' 1 hereby acknowledge that this infcarrnation is camplete and accurate; thak the work wili b� in confprmance uvith the ordinances and cades ofi the�ity of Eagan;that t untlerstantf this is not� permit,bui oniy an application for<a permit,and wark is not ta start w[#hout a permit;that the work wIE!be in accordance'with the approved plan in the case of work w�hich requires a revi�w and approval af plans. x �.` ,� X Applicank's Printed Name Applicanf's Siyna��tre Page 1 of 3 �.,U�'� ��1��'`_/�L �-�.f�'il`��-s.�:- � � � �� s �� ,-, o�-�f.�� P�,7 -� �� DO NOT WRITE �LOW THIS LINE �Zf�� --- SUB TYPES �oundation _ 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 a� aas.3�0 Occupancy ,�1� MCES System �r S Plan Review ycs Code Edition a00`f �MSBL SAC Units � 25% 100%� �� _ ( _ ) Zoning 1-� City Water Census Code .--- Stories _� Booster Pump "'' #of Units "'-' Square Feet S?�O a PRV � #of Buildings �°' Length — Fire Sprinklers � Type of Construction � Width � REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) �inal/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Other: Drain Tile Pool:_Footings _AidGas Tests _Final �oof:_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: ��Iu. 1,��/, Building Inspector Reviewed By: � , Planning COMMERCIAL FEES Base Fee �� a'�. 7.S"� Water Quality Surcharge 1G�. 40 Water Supply 8�Storage(WAC) Plan Review ,��o, 0 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 TOTA� .�7` Page 2 of 3 r� __ Use BLUE or BLACK Ink r• ��_ � For Office Use � V � �� 4� U�� Permit#: �, L�'� I 3830 Pilot Knob Road RECEIVEQ ; Permit Fee: l �V� � Eagan MN 55122 � � Phone:(651)675-5675 � Date Received: � Fax:(651)675-5694 �UN � 3 ZO��► � Staff: ,� � 2014 MECHANICAL PERMIT APPLICATION � ❑ Please submi two(2)sets of plans with all commercial applications. �� Date: � � l Site Address:��7 ✓ �`'1"'� / �� / �� Tenant: .''1 ' f/l' �-�..� Suite#: �/� � �� f � 6 Name: ✓� Phone: R�S��C�tl�1M��' � �� ' � `�� _'�" Address/City/Zip: ,. .,� .x .: ..:.. ' �.;... � �; �� Name: License#: � �� a�� , � � �^ �� ,�� ,�� Address: �3��City: �`J � �;y . :<; State: Zip: � Phone: �F.��°'"��Z..a—��/- : � ,�,; �/ � `�� Contact: ' � l�tYLi Email: �� .l ��. 1 �7 � �`°�� ew Repl c ent Additional Itera io Demolition � � � �� / P t � �"yp�p�i11/ot�� Description of work �C,�' 0��` Zt �� , IV�'�'�� fo��r c�� s�stu�nt�d m��ha�r��al et��7�r�ent is�q�r��"I� ��er�ed �; �' ° � ; � C�z� F��ea�`�r�an�,ct ttw�M�c an��al�n��s�c�ar for�t�fc�rm�t� ��r�ri� �s��eer��.�ri�� ,� ,. .. . -...,. ,:.. ... . �� ,. ... ..... „ �� ; k ✓ �.�� RES/DENTIAL COMMERC/AL �� _Furnace _New Construction �,`"�terior Improvement '�s Air Conditioner Instali Pi in Processed ��=RE�'l1I1�� " — — P 9 — , �� _Air Exchanger Gas Exterior HVAC Unit 5 �� ti � _Heat Pump _UndeNAbove ground Tank �Install/_Remove) �� ,� � � � Other RES/DENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(inciudes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Vafue$ . 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$1 million, please cali for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in co rmance with the ordinances and cades of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not art wit a permit;that the work wili be in accordance with the approved plan in the case of work which re uires a review and approval of plans. �� X l/'''/(L + X ApplicanYs Pr' ted Name A icant' Sign ure ��f4�1��,� . . h r ,,. '\ / _ : �` \ @d b�L �'Z ;� �i �r �K4 �'. �� ,s \ : - �3 ta�S � R�quir�d��ispe��i�ns � � � �;� � �' ��u�e�r�:�i�y� r .,.,,,� h�°R s` t� � � . � z,...� ,_ � ��. . , � _.. .� : ,.,?.��T'est ; 1n-�o�}��.. . � s� �t�ng ,,' `' `��t,ln��'rrau��ct �ir� �t�7'e� � � � = a� , � �.. , �.:;�. �... _... �` Use BLUE or BLACK Ink � ��, �\' i---------------- I `t�" For Office Use � � i ,�/,.� �'] C�6 Ol �� 11 S � � �� Permit#:__��7'�� / I �� Permit Fee: ' �''' I 3830 Pilot Knob Road � RECErVED i � � I Eagan MN 55122 j Date Received: � � I Phone: (651)675-5675 JUN 1 8 1pt� I � Fax: (651)675-5694 I Staff: �------- ---------� 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: ��/ 0 �/ Site Address: � �� `� �'� �� -`-'T °' '`�� Tenant: /') �►/� � �,/` Suite#: �C�/� Property OWner ' Name: Phone: Name: v �'f��1 �`"��'�.7%r� License#: C,/"� ��Q�Y'� Contractor � J �(� Address:��i�C� "�� i� City: ��lf�.- State��l�. Zip: �� l Phone: C.��Z ��'°�� Email: C'ni1/T� � L.c.�,,�C�J��1Vc� Type Of WOI'k —New _Replacement _Repair _Rebuild �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 aickinq up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES GC'�J � 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. \ 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 tart without a permit; that the work will be in accordan th pp d plan in the case of work which requires a review and approv,�l-of"plans. x '�.��,.�/'i'� ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE USE Approved By: Date:�u � Required Inspections: �der Ground �Rough-In 11 Air Test Gas Test X Final PRV Required: Yes No Meter Related Items: Meter Size Radio Read , Manometer Staff: Page 1 of 3 Use BLUE or BLACK Ink �-----------------i � For Office U � � , ��%j � � Cit of �� L��,�� i Permit#: � �ii � � � � Permit Fee: tJd � 3830 Pilot Knob Road '��' � � z�� Eagan MN 55122 � Date Received: � Phone:(651)675-5675 ��p`�� Fax:(651)675-5694 I I °� . � Staff: � .��J 2014 COMMERCIAL FIRE ALARM PERMIT APP�ICATION* Date: I - �- ( � Site Address: ✓�� S ��°�� u'��{"� S ��C 1.�+ y Tenant: h✓� �� 2 Suite#: � v I S � ,. �� Name: Phone: �� ,, Address/City/Zip: ,- ; , �^f �. `+��; � «> �� Applicant is: Owner Contractor � `� � �� - Description ofwork: l�+ S�A-� � �� p�.� S��cr-� �� ;�� Construction Cost: 2� �V� Estimated Completion Date: �' 3 (- �� <-, �` /�� T �� ` �� Name:/ � ��S�e� Itc,�.n��c,-�r �rc�u�(J License#: TSD IS�7�l . � � �T : ; �+"�#�t"��` Address: � S SS �2 �`d S'r' W City. �VA-Ce � State:/"�/`� Zip; SS 3� � Phone: � S 2 - �n a ' 3 �f y� ,` Contact:�" ` ' �` �"�+�^ Email: V�'`��e ' �`��+e"��° �� t M �S • �o �„ � �new Remodel �'��: f , Addition Other: 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 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 p�ans. x . S�e v� /�Ac.. (L X � ��(� l Q-� ApplicanYs Printed Name A licant's Signature ft?R:!�FFIG�LlSE' .`�ev��r�rr�#�t� z"- � ,�, � R�u�red l�spe+�c�tt� �R�tr �rlt� �`�I. �� "` � � �� . � �,� �; �,� , �,� � � � ,,, , � �� ~ , �. ,��, � � �; . _ �, IJse BLUE or BLACK Ink C�4LL FOR CREDIT GARp RAY�IIE�T 105392 duplica e I--�—`---�'°--^—� Q�12.843.3210 i Fo�ofiNNce use �� i , N� �r�as a �� ' ��5�� . I Parmit q�; � �lt 4� �� l � �- � � � � Pa[m�t�ee: I 3830 Pilot Knob Road JUL 3 1 2014 � � Eagan MN 55122 � � Data Race�ved: Phone:(651)675-5675 � Fax:(651)675-5694 BY� � � � Staff: I I � ��.�!f�.��ww��.��.�,��J 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATIUN* Date: ��30/14 Site Address: 3965 Eagan Outlets Parkway Tenant: Ann Taylor Factory Store $ulte#; 1�?15 ! Name: Phone; PI'Op�'r'1y OWt1�P Address/City/Zip: Applicant is: Owner X Contractor Description of work: �nstall, modify fire protection syst�m�r n�w tenant space Type of Work . ! Construction Cost: $3500.00 �stimated Gompletion pat�; 8��4/14 Name: Ahern Fire Protection ��c�nse#: �039 Contractor ' Address: 13705 26th Ave #110 �;ty: Plymo,�th State: MN Zip: 55441 phone: 763.268.Q51� contact: Ray Polos Emai�: rpoloS(�ah4�'nfir�,cpm FIRE PERMIT TYPE WORK TYRE X Sprinkler System(#of heads�9) New_ _Addition Fire Pump _Standpipe XAlter�tions _Rqrriodel Other: Other: DESCRIPTION OF WORK: X Commercial _Residential �Esiucati4[ta� FEES Cont1'act Valu�$ 3500.Q0 X.01 $55.00 Permit Fee Minimum �g 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$0.000� _$ �urch�rge" *""If the project valuation is over$1 million, please call for Surcharge �Q.00 . _$ TOTAI.FEE 3/4"Displacement Fire Meter-$260.00 =$ Fir�Me�er -$ TQTA�,FE� "Requirements:2 complete sets of drawings and specifications,cut sheets on materials�nd compqnents to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurat�;th8t the work y�ill be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/FirA Codgs;that 1 upf�rstand th��S not a pefmit,but only an application for a permit,and work is not to start without a permit;that the work will be in accor�iance With thC approved plar1141 the Casa pf work which requires a review and approval of plans. X Barb Barnes 612.843.3210 X�� , Applicant's Printed Name Applicant's Si�natyre � Y - . � � �� 3� FOR OFFfCE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm �ai�Tes# �,;, Ro}�h ln � Trip � �� Pump Test � � �n�'ai�t�tic��} �� Dal Conditions of Issuance: Permit Reviewed by: C��te: ,,,;,,�� _��;,,,..,,,; �� ' � � �. _