Suite 320 - Skechers �
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3830 Pilot Knob Road � I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � � �
Fax: (657)675-5694 � Staff: �
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2013 COMMERCIAL BUILDING PERMIT APPLICATION ���
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Date: �d ZS. l3 Site Address:_R4F�(woN Ot.�TL.f.T'S �_..� . � Dg+►�� __ _.__�
Tenant Name: �'CEl,�I E.R`J (Tenant is:_�New/ Existing) Suite*'�
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Former Tenant: 13
Name: �E9�lpw1 5Ll�C£� -{'f�i�'1G01�( D�tTLE-T� Phone: �S��'cD'�j�('ol�i
Property Owner Address�city�zip:a17�A5►" REUWeo�DS��r Zlyr f�R �9G7InRa� �rl D a1 an�
Applicant is: Owner Contractor
Type of Work Description of work: t1ll�RtoR T�.�IIhNf Ftt'-D�tT ��,lu�tl9rAlti 1�1�v�FtX1tc�5 E F�tS►SHE°i
Construction Cost� p '
Name: Obtt FD� �tU ����� ��� Lice se�
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Contractor
Address: ��S 1"J �� �!�c� / � �V�` City: ��� ���' .
State:�Zip: ���/U`� Phone: � �- ��� ^ l y��
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Contact:���f GP!✓� �=�`'• Email: (:UAL1 .�f k'��Z.C�J�' J,a�+✓�e�1 c� �Y1
Name: GM�r Registration#: 1�7�
Architect/Engineer Address: �QD I,AIW�iFlI�Ib�'AhN AI/E.. A�. S�.a0$ City: MU�J�1£,�°t�S
State: N1N Zip: J�Jye� Phone: ��OIZ�S'y7-/�
Contact Person: R �� Email: vi t� GKI�I .
Licensed plumber installing new sewer/water service: Phone#:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classi�ed as non-public if you provide speci�c reasons that wouid permif#he City to
conclude that the are trade secrets.
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.org
I hereby acknowtedge that this inforrnation 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 re uires a review and approval of plans.
X C�R�i Fvtt..�-t CT �
Applicant's Printed Name Applica 's Signature
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DO NOT WRITE �LOW THIS LINE 1 Z���`-�
SUB TYPES
Foundation _ Public Facility Exterior Alteration-Apartments
�Commerciai/Industrial _ Accessory Building _ Exterior Alteration-Commercial
_ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility
_ Miscellaneous Antennae ,
WORK TYPES I
_ 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 I
DESCRIPTION p�
Valuation ��� Occupancy I"� MCES System �f e,'i'
_ � � �� —r_�
Plan Review f. �?�� Code Edition ,,1D�. /�S�C� SAC Units Q
(25% 100%_ Zoning �k_� City Water y�5
Census Code Stories _� Booster Pump �—
#of Units Square Feet _�7�� PRV �
#of Buildings Length Fire Sprinklers C�S
Type of Construction � Width
REQUIRED INSPECTIONS
Footings(New Building) Sheetrock
Footings(Deck) r/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
v'OlFraming 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: +J� � , Building Inspector Reviewed By:�� ` , Planning
'—
COMMERCIAL FEES
Base Fee q0�. �.9� Water Quality
Surcharge �},OQ Water Supply�Storage(WAC)
Plan Review � 3 Storm Sewer Trunk
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 TOTA�/Jr��o. ��
�
Page 2 of 3
Use BLUE or BLACK Ink
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� For Office Use �
` G� � 1�� j Permit#: � � �� /T I
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(�5 � {/" � Permit Fee: �V�. `v'' I
3830 Pilot Knob Road RE�EI�ED \Gt � � i
Eagan MN 55122 � I ,f
Phone:(651)675-5675 UN 2 3 Zd��► i Date Received:�p y����% 1
Fax:(651)675-5694 � j
� staff: �1 �
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2014 MECHANICAL PERMIT APPLICATION
�Please submit two(2)sets of plans with all commercial applications.
Date: �o t��( �� Site Address: c.5�� �i���tw �U�Y�e-�S { ��'i/ �J � ���YI/�f/� 5�J I.�
Tenant: �r'�"e�f'�� Suite#:
Name: Phone:
Address/City/Zip:
Name:�R��Cpe�JF�-�(bf�i�v� �S��CI� �hC License#:
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Address:J��_�� �}I�� City:�i��� �
state: ;�K�) Y) zip: �J�//`7 Phone: (�I— ���,��l
Contact:�i,� S Email:�T r�,+��Cd� C'��tV1►/I e �l,t/�
�New Replacement Additional Alteration Demolition
Description of work:
RESIDENT/AL COMMERCIAL
Furnace New Construction �Interior Improvement
_Air Conditioner Install Piping _Processed
Air Exchanger Gas Exterior HVAC Unit
_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$____(U;UZ� x.01
$55.00 Permit Fee Minimum / v� �
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ �J ' 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
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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Applicant's Printed Name Applican n re
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Use BLUE or BLACK Ink
�ossso CALL FOR CREDIT CARD PAYMENT
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612.843.3210 � For Office Use �
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�,,q�j�J I Permit#: � � `"'" �
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� � � Permit Fee: v I
3830 Pilot Knob Road I �
Eagan MN 55122 JUL 0 3 2014 I I
Phone:(651)675-5675 � Date Received: i
Fax:(651)675-5694 �,�.� j I
BY: •.�-� - � Staff: �
��_�����_��������J
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 7/1/14 Site Address: ""65 Eagan Outlets Parkway
Tenant: Sketchers Suite#: 320
: Name:. Phone:
P�a��'����Q� •:.' Address/City/Zip:
`' � Applicant is: Owner X Contractar
` = Description of work: Install, modify heads to provide proper coverage in new tenant space
^ '�yp��f 1�?�r#� ;
Construction Cost: $2500.00 Estimated Completion Date: 8/10/14
Name: Ahern Fire Protection �icense#: C039
+�#��r�+�'���'
address: 13705 26th Ave #110 City: Plymouth
'. State: MN Zip: 55441 phone: 763.268.0515
# contact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System (#of heads 13) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ 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$1 million, please call for Surcharge
_$ 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 Applicant's Signature
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ft�QUIRED INSP��TI4Sl�S �
Hydros#a#ic; �lovii A�ar'm �)r�t�T��# ��t�kt
Trip 'Ptr�p`!'est �en�r��S��ar� �n�i
CQnclitions�Of fssuance: �' ,.. � � � � ��
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P�irmi�l��vievved by �,G <
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� For Office Use I
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�6tf�1 n �L+�,�� N a ��L j Permit#: /��C /O� i
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� �'"" '�� I Permit Fee: A- I
3830 Pilot Knob Road � I
Eagan MN 55122 JUL 0 8 2014 � Date Received: �
Phone:(651)675-5675 ,. �
Fax:(651)675-5694 � S�� � I
�Y:--"�'�. --------- -------�
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
IJ Please submit two(2)sets of plans with all commercial applications.
Date: `-l�'1�\�_Site Address: .�1ci�o��£i C['�£1 (�lA..'�\f�� �I�-�J( .1 � ��
Tenant: Suite#: ���
Property
Owne1' Name: Phone:
Name: Commercial Plumbing and Heating, In�. �icense#: PM059469
'Contractor ;` aaaress: 24428 Greenway Ave. c�ty: Forest Lake state:�p�zip: 55025
! Phone: 651-464-2988 Ema�i: awicks@cpandh.COm
Type Of Wo1'k —New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W. .
Description of work: W
COMMERCIAL _New Construction �Modify Space
Irrigation System(_yes/_no)(_RPZ/_PVB)
• Rain sensors required on irrigation systems
Permlt T�/pe . Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meters Call(651)675-5646 to verity that tests passed prior to oickinp up meter.
Domestic:Size&Type Fire: 1
Avg.GPM High demand devices?_Yes No Flushometers Yes No
COMMERCIAL FEES ��„�,�, 'C�s�,r�,� ����5 Contract Value$ "� �.01
$55.00 Permit Fee Minimum �}� �D�t��..� �.�
_$ Permit Fee
*If contract value is LESS than$10 010 Surcha�ge�.00��� _$ Surchar e"
9
**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�
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 pl s.
x GN.Ar'/������(./ e1 x
Applicant's Printed Name Applican s ' nature
FOR OFFI�CE USE �' ��' � _ � �� ApP�oved,By � �, � ` � = Date� ��� -
Required Inspections: d�Under Ground��� b Rough-In �Air Test �-Gas Test �Final PRV RequirecJ _��Yes�= � No _��
Meter Related Items: Meter Size ::. Radio Read Staff,: `
Page 1 of 3
Use BLUE or BLACK Ink
�-----------------�
� For Office Use �
• I �S�i I
Clt of�� �� � Permit#: I
� � ; /�' �J ;
`-�t��..����� � PermitFee: V �
3830 Pilot Knob Road � �
Eagan MN 55122 � I
Phone:(651)675-5675 ���- � .� j��,� � Date Received: �
Fax:(651)675-5694 I I
� Staff: �
`_�����_�__���_��J
2014 COMMERCIAL FIRE ALARM PERMIT APPLICATION*
Date: �- �— (� Site Address: � `�S ��y�'^ V ��L��J f K W 7
Tenant:S �C�-f" c r S v Suite#: 3 Z �
Name: Phone:
Address/City/Zip:
Applicant is: Owner Contractor
Description of work: 1 l�►S�A t ( ��i e A�a��. S yr�'-�c�►-�
: Construction Cost: ` v�� Estimated Completion Date: � " J� "�(y
��'������:. � q �� Name: / " �RS��� 1 t c..�r��(o q y' V� ✓o� License#: �$ � f S Z-1
��� ��,� :� � ��.
�`�� ��� � � 43 S�S �-Z3•"� ST � �;�,: SAVAG �
_�,��� j �� Address:
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���� � State:/"`N Zip: cJS� 3� `� Phone:� S 2 �v`3 ' ����
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,. �� �� �` � �� Contact:�''�i k� �o^�-'�c.v� Email:In'���c . ��.�. C4.1 1 v+�t .C 0�
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������ �`�` ��� �New Remodel
��� — _
� '�:
d��� �� ;; �„ �' _Addition Other:
,��; °.�, �, —
° � u-�� �� :�' Alterations
DESCRIPTION OF WORK: � 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$1 million,please call for Surcharge
_$ � V 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 confortnance with the
oMinances 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.
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Applicant's Printed Name ApplicanYs Signature
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