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Suite 860 - Michael Kors � � �' � Use BLUE or BLACK Ink �-----------------� � For Office Use � Cit of ' ' L'(1 (1 i Permit#:�� i � �a�1a11 3830 Pilot Knob Road � _ „� �� Permit Fee: ��(�,�0� � Eagan MN 55122 ��-��° �� i i Phone: (651 j 675-5675 � Date Received: � Fax:(651)675-5694 ��,R � 5 �Q1� � i � Staff: � �-----------------�� `� � ��' 2014 COMMERCIAL BUILDING PERMIT APPLICATION �' �1 � `, IP Date: j.. Z� - ��1 Site Address:� i a�,� ��`��,� �G�.� 1�1�C�.�1 7enant Name: 1�1 ��(�� (S (Tenarrt is: .�New/ Existing)�Snite�#:_�L��_ Former Tenant: Name:P��b�X`i ��,T t�'� Q �'� L.1.�. Phone: ZZ � �� ,�— t��'.�s�� Propet#y OwttBr �sr Address/City/Zip:�1`�- �. �y�1 ar!-�["� '�: ��' �j(J��'iI�Y1f1't 1"uc�",�-C �. Applicant is: Owner �Contractor �'�� : 'TyPe Of WO!'k Description of vvork:�:� i�( ��'��Q � �(��((}1�l� 1(`�� 1 '�' . Construction Cost: �Z� �� . a--�"� Name: � �Q►\f License#: �� f-�a ��z�6�, � �p.�.p eity: ��fev��.�' L,�� f'\ ` COtttldCtOC Address: �� 6 7-- � State: .f^1 '� Zip: J J �7 / Phone: ��d� t�3/� -(�C�p(? � ) / r-' � �/ Contact: t�` �LU�✓ Email: �t[-K �dC��v� �/ , �� ' ��[QY1C� � �t'C�'��ES Name: M.�,�_� Registration#: v�Z�� AC+�hi#eCt/ErlgiMeet' Address: `°{��( . �'�,(,I(�p� '(�= City: �r f1Y1��_ State:�,_Zip: �� Z Phone��c ��'�, �j �c""� 1�,D Contact Person: EmaiL__il_L�Q �t.�_�(� •1��" Licensed plumber installing,�w sewerJwater service: Phone#: NBTEr Plans a�r�d serp�aonting dacumetr�s that yv�r submit a�can�itier�eal to be►public informardsiatr. Por�ns�f ' the infom►ation may be c►;�sst�f�s nQn:public if you pt�*ide sp�i�ic t�ea,s�tns fh�#wtxutd pe�mit the City t4 concludo that the are tratle secr�ets. CALL BEFORE YOU DIG. Call Gopher Sta�One Call at(651 j 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.popherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the wark 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 wrork will be in accordance with the approved plan in the case of vwrk which requires a review and approval of plans. x_ � ��1 y' �'2� x ApplicanYs Printed Name Appl cant's Signa . Page 1 of 3 ��tJa -.�...i ,�,. ., �; � .� � / � �/ C9 ' . . "�. �� ('.4 �..�, �E.�-�'�re fs �k"�.:� �t � � � DO NOT WRI�E BEI.OW THIS LINE � � Z Z-I�� SUB TYPES oundation Public Facility Exterior Alteration-Apartments _ Commercial!Industrial i Accessory Building T Exterior Alteration-Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES f _ New ✓ Interior Improvement _ Siding _ Demolish Buiiding* _ Addition � Exterior Improvement _ Reroof _ Demolish Irrterior � Alteration � Repair _ Windows _ Demolish Foundation _ Replace + Water Damage _ Fire Repair i Retaining Wail _ Selon Owner Change *Demolition of enGre building–give PCA handout to applicant DESCRIPTION � Valuation �C�',1D� Occupancy H� MCES System Plan Review ✓ Code Edition �--�`b-,;��MS�L SAC Units d ji� it'0� (25%_100%� Zoning ++° �� City Water �/ Census Code Stories ! Booster Pump #of Units D Square Feet �z ,��'L� PRV #of Buildings —� Length rT— Fire Sprinkiers � Type of Construction �� B wdth REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) ��Final/C.O.Required Footings(Addition) Final/No C.O.Required Foundation p�e�; 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 _AirTest �Final Retaining Wall � insulation Erosion Control Meter Size• � f,, Final CIO lnspectlon: Schedule Fire Marshai to be present � Yes No `� Reviewed By:_ (.��' . Building Inspector Reviewed By: '� 4 Planning COMMERCIAL FEES Base Fee ZIDG�Z� Water Quality Surcharge /37.5`D Water Sampling Fee Plan Review 13 Gq.�j Water Supply�Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S�W Permit�Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality T.OTAL `�T 3��-�O7 Page 2 of 3 Use BLUE or BLACK Ink �` r_________________� � I For Office Use � �`'�(�J'� I �16 Ol 1J� �11 �L� �� Permit#: �t�'' ,J/� i Y � �.a""�S {, � � Permit Fee: Vl�` 3830 Pilot Knob Road RECEI��F� G t° � I I Eagan MN 55122 �e' j Date Received: ��' � I Phone: (651)675-5675 Fax: (651)675-5694 '�Ui �2 ��jj� I Staff: � , �-------- -------� 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: � �� Y Site Address: � �� /-�� ' ��j� �f �� Tenant: .%�l G/� '�°-G/ �L ��' Suite#: ��C� Prop"ei`t�! OWn�C Name: Phone: Name: 3� �'''��`�� /� License#: fJ sr, � �d�� Contractor �`�c, � �c�� `'� Address City: �✓�--- State: � Zip: Phone: ��-��/��( �v Email: Type Of WOPk —New _Replacement _Repair _Rebuild '°'IGlodify Space _Work in R.O.W. Description of work: ' COMMERCIAL _New Construction �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 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 miltion, 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; t I understand this is not a permit, but only an application for a permit, an k is not to start without a permit; that the work will be in acc ance�the approved plan in the case of work which requires a review and rov I of plans. x r � �y��/�— v� ApplicanYs Printed Name ApplicanYs Signature ' FOR OFFICE USE pproved By: ' Date:`� f ' Required Inspections: �Under G�ound �Rough-ln �Air Test _Gas Test �Final PRV Required: Yes No Meter Related Items: Meter Size, ' Rad'io Reatl Manometer ' Staff: Page 1 of 3 Use BWE or BLACK Ink � For O�ce Use � �� I �l� Of�� ll �� ,��55 f� ' j Permit#: � 3830 Pi�t Knob�ad RE�E�U�� ` ry w`c � Permit Fee: � � `� � j � j Eagan MN 55122 � Phone:(651)675-5675 ��UL �Z �� Date Received: � � Fax:(657)675-5694 I I � Staff: � r�� 2014 MECHANICAL PERMIT APPLICATION �� ;�� Please subm't two(2)sets of plans with all commercial applications. Date: ` Site Address: � �� Tenant: � ^ Suite#: � e C�� ''� �� - Name: Phone: ��#d��,.._...��'.. : �::' �, x�, ��°; Address/City/Zip: � ��,.. Name: t� License#: � � Address:� �� City: �/,c�T'./"l��t,-� ~��1�T�Cfi?�� j �/ ��''ri � ��' T��'�! �/ �� State: Zip: Phone: t J� � � � � , �� ; Contact: � D dstl`l!� EmaiL �� 7 � � 1 �New Repla ment Additional Alteration Demolition � ��y��p�}� Description of work � � � , �, � � � � "��.�: t��m "j��n q�#ez�mecharr�+��qc�� qu� t��s��i b�� _;��... ..v., ... �' , "+�+�,. �..,M�a��: �Q �ct t �.�, .. �1 tr�spectar fc�r"�'�Fo�Clr�.:,. � ��mt� , ��rl��Qd�; , u,. r.. .�.. y� � , � RESIDENTIAL COMM�C/AL `�� y �� A _Fumace _New Construction Interior Improvement � tr��k�� n. �3� �;, . � ��r��;.� _Air Conditioner _Install Piping _Processed �� ': _Air Exchanger Gas _Exterior HVAC Unit '��° x,� � , ,� _Heat Pump Under/Above ground Tank �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 Contract Value$�� ""'—� x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is�ESS 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$1 miilion, please call for Surcharge =$ 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 to sta 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 �.j"' (� r x Applicant's Pri ted Name p ica 's Si a re ��F� �� ! : : ::_ _ rr��: _ \\ � ' � f . �� 3 ��'�: �'� �::.: ; � : ��'�� t F� � � "_"`_1.��y��,�f��Y��+„w� . I��Q'��n � s �� / ,�, �s ! , : �� ) � 1:lnd�i��rc>uurt�i...: �R�s h In �� At��T�s� ' �e�ce T��t ,��n=�f�or'��;at� °�`rrt�ti,,. ; ':t-t'�A�` r��ng, r�+ _ � CALL FOR CREDIT CARD PAYMENT Use BLUE or BLACK Ink 108724 612.843.3210 � For office us i , i �n i x �r� � Permit#: � `�� I V�6Ol �U (111 �� L/9"/l�,s NU G�'�� I . �ai � � � �'�"'` � Permit Fee: I 3830 Pilot Knob Road �`"'� �� I � Eagan MN 55122 i � Date Received: � Phone:(651)675-5675 �Ul � 2 2�1� � I Fax:(651)675-5694 � I � Staff: BY: -----------------� 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 6/30/14 Site Address: J �Eagan Outlets Parkway Tenant: Michael Kors Suite#: 860 ` Name: Phone: P#'4��1"�y�5N1�@r Address/City/Zip: �� Applicant is: Owner X Contractor DeSCriptiOn OfwOrk: Install sprinkler heads for proper coverage in new tenant space ��G1'�1l�/QP�C Construction Cost: Estimated Completion Date: Name: Ahern Fire Protection �icense#: C039 ' Address: 13705 26th Ave #110 c;ty: Plymouth �o�r�tractor � � � State: MN zip: 55441 phone: 763.268.0515 contact: Ray Polos Ema;i: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System(#of heads 19 ) 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 =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$0.0005 =$ 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 specifcations,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 Applicant's Printed Name ApplicanYs Signature � ` ' �� FQR OFFiCE lJSE REQUIRED INSPECTIQNS . Hydrostatic. Flow RC�rrn ��'a�xr Test ',��ugh,ln ; Trip Pump Test' ��tr�l Ska��n �in�l. ; Conditions of issuance: � � � Perm it Reviewed b '' [3ate �,.��t,��,��t—�'��,-- Use BLUE or BLACK Ink �-----------------� For Office Use � '(j I Permit#: �J � "�� I C�t.Y/ of�� ; _ �, ; ° � Permd Fee: � � 3830 Pilot Knob Road � I I Eagan MN 55122 �:S 3 _ � Date Received: � Phone:(651)675-5675 ��%-j�� Fax:(657)675-5694 J�l. !� ::' 7(�1t� � stat�: � ��_��__��_��___J 2014 COMMERCIAL FIRE ALARM PERMIT APPLICATION* Date: �- �- 1� Site Address: ��2� ��j a�^ Q J"�"�e '�S p�C w y Tenant: / � �� t �^"�t � K c�rs Suite#: �� S Name: Phone: Address/City/Zip: Applicant is: Owner Contractor Description of work: \N S�1 a t( N c w �;�e (�(qv N. S�r S'�c✓+� � Construction Cost: � � �u Estimated Completion Date: � " 3�- I� � � �. -� $� Name�AS �c� �cc.�•roE�c �ro.,� ,S' O ( S �?Z � � � y License#: T � f @�'�. - � �� ' 'Y:�� Address: �SSS ( 2�� S� w c��: S A v� G c— �� „� State:/"`r' z�p: SS 3? �S Phone: � S2- �v�3 ' 3 �� `` � � ` Contact:N^i L�c �o�c.� Email:�i kc . �o�c.. cc�� v.-�� ,rvw. ��°"'� �`� � �`�� lew Remodel � �� - ,�,� — ��* � -; Addition Other: � �� :� _ _ Alterations DESCRIPTION OF WORK: �l Commercial Residential Educational FEES Contract Value$ x.01 $55.00 Permit Fee Minimum *If contract value is LESS than$10,010,Surcharge=$5.00 -$ Permit Fee **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 permft;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. G V� n�f�C IL ��/�� X � ! ' ` x � � Applicant's Printed Name A 'cant's Signature ��`,�?FF�(�� s # ��'�+��W��. . �,,� . ��111��11�� U`u��` � l�e�� ;t � �1�4 �� f � �� .-�� ` n'�� ... .a ,: .. . .��,.. ,�,.. ... �_� ..,,�:<�,.� �,� �,r�. , � �� ,�� '"� °�, � �