Suite 960 - Le Creuset �,; f
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,a.. � Permit#: J I
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� Permit Fee: ►
3830 Pilot Knoh Road �
Eagan MN 55122 f '�3'�`� E
Phone:(651);675-5675 � DateReceiued:
Fax: (651)6T5-5&94 � Staff: --a-t—l- t' 1��
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- 2014 CtJMMERCIAL BUILDING PERMIT APPL.ICATIUN � (�p���
_ � �1Date: �/1���� Site Address: ��!Z:S ��fr�� rs�i�-E_TS �5;:tt'.:�tv�-;� Sv,"t'�:- #cl c� ��,t�'���C=G
Tenant Name: l�"� C:.C�:.I�S�"(` (Tenant is;�New/ Existing) Suite#: ���
Former Tenant: � �+�
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Address J Gity/Zip: � �f �
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��� Applicant is: _Owner _Contractor ..,�, A-f '�'�r}1't'�C.."f- � ���
� TYpe of WO�'k Description ofiwork: `��iv:Prr�T �'f�s- d�"f� �
. Construction_Gost: ���:�u�: ci� � ��
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�ontractor `
Address: �� Z �J �7 '1'+ I �'�� � 1 City: � ��`�/ � � / �7' �. �
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� Contact: EmaiL
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� Name: CSG��-TL�ti� {'hc 2.1;+�'4`� , Regisiration#: -�-�"" (
Address: ��1 4�- "`S' 1�:t.L-'�c1�-- i��. City: }�i'Lt,:i ttl lr T'b!�} �
� Architec�/En ineer � . �
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� � Staie:�Zip: ��c�1 Z PMone: L�l�— �`�� "' ���f{�, j
�,�. Contact Persan: '�o }4N 6� c-t3c��-�-��5 Emaii. '�c!�-N� +� �'M f�ll-� .ttiY�T �
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� Licensed plumber instalfing new sewerlwater servic�: Phane# �
� ._..�.�,.�.,,.._...� .... _.�. � _4�.�.
l�fD�:TE:P/arrs and supporting�docurrrer�ts fhat you subrizit are considered to.be public infarma#ion. 'P_oriions�of �
� ��� the informaPion�may�be c(ass�ed as no�pub7tE�iyou provia�"speci�c rea"son"s fhat woutd�permif.the Cif�i to
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CALL BE�ORE YOU DIG. Ca11 Gopher_State One:'Cati aE{S51)454=0002 for protection against underground utility damage.
Cali 48 hours before you intencl to dig to reeeius locates of underground uti{i#ies. yv4vuv.c�ophersfateonecall.orr�
I hereby acknowledge#hat this information is complete and accurate; thaf the work will be in conformance with the ordinances and
codes of the City o#Eagan;that( understand this is not a`permit,but only an applic.�tion for a permit,and work is not to starE without a
permi#;that the wcrrk will be in accordanee with tMe approved plan in the case af work whi ,requires a reuiew and approval of ptans.
X c"ia�Ti�a�.t-Q �ytn J(r�?'t�:C : X ��:-�-
ApplicanYs Printed Name ` Applicant's Sigaature
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� DO NOT WRITE B�W THIS LINE � �� ����
SUB TYPES
_ Foundation _ 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 1 s� �d0 � Occupancy � MCES System '�
Plan Review ✓ � Code Edition Z�jD1 /1�/S�,G SAC Units 0 /�X��M�D
(25%_100%_) Zoning ��i City Water ✓
Census Code Stories � Booster Pump
#of Units O Square Feet �� PRV
#of Buildings T Length � Fire Sprinklers �
Type of Construction � 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 to be presenfi �Yes No ,_ �
��
� � Reviewed By: ��G . Building Inspector Reviewed By: ��` � Planning
COMMERCIAL FEES
Base Fee l,3 SG .'jf Water Quality
Surcharge 7S• � Water Sampling Fee
Plan Review �$1•!g9 Water Supply 8�Storage(WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S8�W Permit 8�Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other:
Water Quality TOTAL �Z/3l'� • L �"
Page 2 of 3
� �.
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� __ Use BLUE or BLACK Ink
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��� V�iJ���li � Permit#: I
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�E���r:�' s i Permit Fee: � �� j
3830 Pilot Knob Road �
Eagan MN 55122 �j� �
Phone:(651)675-5675 ��f f� � `J z��� j Date Received: 'C�� � �
Fax:(651)675-5694 � I
I Staff: �
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2014 MECHANICAL PERMIT APPLICATION
� Please submit two(2)sets of plans with all commercial appiications. �'
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Date: Site Address: ` �o� �c����l.�. S Li��
Tenant: �� � �$�,c,.� Suite#: -I��
� � Name: Phone:
, RE:S���[i��1AiCl�+�'
�¢�,� � � Address/Ciry/Zip:
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`� ���`�� Name: �.�q ca L y 1 iaG v7l..F S ��� License#:
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� �� ��,. �'�; `' Address: � �� e�e�,,��'x"I"h �� S� City: �j
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' '' Contact: L' l t�,. � EmaiL• (�� �!` l e �c.L C.i�. �
� ;, /`* New Replacement Additional Alteration Demolition
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"'�"�^�� ��!�"p��� Description of work: � �c�,� �'.�t
` N�T�Rs�of rna�n'�!�n��rrts�r�+�rniwr�ted me�kia�4�quiprr�t�t �requ�l�c�tr�,�s�r�e�ec!by C�fy
° Q � �a��+�rr�taci�e I����ic�l I��pect�a��+�� �r�#o�n�iaon c� �r�i�."scre��uu€ti �rd��
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� K�,� ���?� RES/DENTIAL COMMERC/AL
� p,,, �� �'3�� _Fumace _New Construction �Interior Improvement
����•��,�� _Air Conditioner _Install Piping _Processed
' _Air Exchanger Gas Exterior HVAC Unit
� , �` _Heat Pump _Under/Above ground Tank �Install/_Remove)
� �� Other
_,� F...,:
RESIDENT/AL 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$ � 3�� x.07
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ � � � v� Permit Fee
"If contract value is LESS than$10,010,Surcharge=$5.00 =� tj . C7 C�. 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.
X ��1�� 1"\V�l,��-��5""'� X ���1,��nJ � �J''`—(9� _.._
Applicant's Printed Name ApplicanYs Sig ature
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109814 CALL FOR CREDIT CARD PAYMENT Use B�UE or BLACK Ink
612.843.3210 �-----------------,
� For Office Use� ����� I
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ll�� �� �� {�ii �GI'-�� /�0 C..rr� i Permit#: I
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� � ��j 'V� I Permit Fee: �-✓ ✓ I
3830 Pilot Knob Road � I
Eagan MN 55122 I �
Phone:(651)675-5675 JUL 2 2 2014 , Date Received: �
Fax:(651)675-5694 ____�� I I
BY: � � Staff: �
I
`������_���������J
2014 FIRE SUPPRES�SION SYSTEMS PERMIT APPLICATION*
Date: 7/21/14 Site Address: " 3y25 Eagan Outlets Parkway
Tenant: LeCreuset Suite#: 960
Name: Phone:
Property Owner ' Address/City i Zip:
Applicant is: Owner X Contractor
Type of Work
Description of work: Install sprinkler heads front soffit, lift-out style ceilings for proper protection
' Construction Cost: $3000.00 Estimated Completion Date: 8/15/14
` rvame: Ahern Fire Protection �icense#: C039
Contractor AddreSS: 13705 26th Ave #110 c;ty: Plymouth
° State: MN Zip: 55441 phone: 763.268.0515
contact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads��) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
I
FEES Contract Value$ 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 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
� � � a� 3� �
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FOR OFFICE USE '
REQUIRED INSPEC710NS
Hydrosta#ic Flow Alarm Drain Test " Rough In I�i
Trip Pump Test Central Station ' �Finai '' �
Conditions of lssuance:
4 I�✓(�Ir^I�,f- � . �� �
Permit Rev�ewed b •. Date: �l l�_�