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Suite 525 - Jockey c{ , ,""� Use BLUE or BLACK Ink � ForOfficeUs----------j . I � � Permit#: � I Clt of �a aIl ��i�� . ��] �� Permd Fee: -� ! � 3830 Pilot Knob Road - Eagan MN 55122 A�� i � � � Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 i i � � Staff: � \ �_�_��J �V C� �'`�` 2014 COMMERCIAL BUILDING PERMIT APPLICATION ��,� Date: "7°/�-/y SiteAddress: �7dJ 1�Qo,C1''I �l,��.5 blGv� �_Q�r'�r► /n/ti'f `7�/a "� 'Tenant Name:_�C�n� (Tenant is:�ew/ Existing) Suite#: J'rr�$� Former Tenant: (1�l kvll'a,u ✓I Name:�i'f� ( �1��t��iQi J �-c Phone:�/'J '-��°7�J�� Prc��erty C)wr��r � ; Address/City/Zip:��F�� ;jj. �� Fl. �1��/�ei�2.. IYl Q ��o'�'J� = Applicant is: Owner Contractor y� � � � ,.� �� Description of work: �v��fivf' — /t'�ra�,,�l �v2,��/py�vrp�°�" � � e� Construction Cost: ��OiCX).—" Name: � �,�i� � � � �i'2 License#: /�`� � �� Address 1��,� / '�tr�,, k��. City: S'i�- �,�:,,�°'� < Cr�l'��`�C"�O�" � State: '�/9 Zip: '�� ✓� Phone: �� 3�Cl �� Contact: .� � ,i', ��';' Email: " ;; � ; « :" Name:Lp9{k�� v/ /�-y-L�,`�[c� Registration#: o��a�9 :�i'�G�fi#E+C'��T��" Address: �Il� Al. �`�i�lnr 15� city: l��I��✓� > State: � Zip: 7(dJ/a� Phone: �tf1'��3S`�`�� Contact Person: � � G EmaiL � ✓►'I Licensed plumber installing new sewedwater service: Phone#: �OT��t�s��"s�p�z�rti��r��e��a��r��rr��r��a��'+�1��+�� ic��f. ;the�»t'�rm��t�c��+l�e+��r��tl�+�nor��r��,�r�n��rr�v�'+d+��t�r►��,��w�s�#d� ��: .. � x E � , ��lu��i� �r�e�r�r�l� �'t`s� � � : � r, .;$ � � , t. µ...... �`. . ; ,..,, �.., .F . ...: �� . �� 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.qopherstateonecall.or4 I hereby acknowledge that this information is complete and accurate; that the work will be in conf rmance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a perm� , and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of w rk which re �e a review and approval of plans. � ��i x �YYI U �o/��hKi x °'3 � Applica Ys Print�ed Name ApplicanYs S'r aat ` j{ Page 1 of 3 / � �� - w �� : i .'`ti V I, � � � i, 0� �Ca e.,� C��.'7 ��-� �1�-�"� '"`�" S�.J DO NOT WRIT�BELOW THIS LINE C t��`7 � 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 appiicant DESCRIPTION �f/ Valuation $?j��00. ° Occupancy � MCES System Plan Review � +�� Code Edition ��M�s�G SAC Units d P� pIF'�� (25%a_100%_) Zoning �� City Water � Census Code Stories Booster Pump #of Units v Square Feet �`Z� PRV #of Buildings � Length Fire Sprinklers � Type of Construction �'d 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 present: v Yes No Reviewed B . ��G (�� y' , Building Inspector Reviewed By: _ , Planning COMMERCIAL FEES Base Fee 92�-Z� Water Quality Surcharge 41•�'� Water Sampling Fee Plan Review rib�.b/ Water Supply 8 Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit&Surcharge Water Trunk Treatment Plant Street Laterai Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL ��S7�' .�� Page 2 of 3 � '� Use BLUE or BLACK ink r----------------� � I For Office Use � � �;�� ; �a�� Permit#: � City of�a�� Q �� E��Ep 1 G r�S � Permit Fee: � 3830 Pilot Knob Road RE L`� � I Eagan MN 55122 O 2 ?n�� Date Received: �J�r�� i Phone: (651)675-5675 ,]u�.. �� i Fax: (651)675-5694 I Staff: � �-------- --------� 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: /" J �� Site Address: � �� `� �' �G`�� C'�� Tenant: ��C Suite#: �� Property' OWngr Name: Phone: Name: ��`---� �'�/%c (J/CC�"S/.� License#: Q./"�� c� COt1tC1Ct01' Address: -^�/�%V ' � // �� City:��1�"v� State�� Zip: �� Phone:��v��" �°�� Email: Type Of WOt'k , —New _Replacement _Repair _Rebuild `�'IVlodify 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 qickinq up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers Yes_No COMMERCIAL FEES Contract Value$ �S�� 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 not to start without a permit; that the work will be in accorda with he approved plan in the case of work which requires a review and app al of lans. X ! �� l✓/L X� �� C)'�--�. ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE USE : �/ Approved By: �..5�� Date: � Required Inspections: .�'Under Ground �Rough-ln ,�Air Test ! Gas Test �Final : PRV Required: > Yes No Meter Related Items: Meter Size. Radio Read Manometer Staff: Page 1 of 3 � � Use BLUE or BLACK Ink .� —, /�„� � For Office Use -------- � C� Q � ' � ' 1�� 1 ' �� Gl^ � � �L' � Permit#: I t7 � `'` I 3830 Pilot Knob Road 1� � Permit Fee: � Eagan MN 55122 ED � � Phone:(651)675-5675 p�C�.�� i Date Received: i Fax:(651)675-5694 �� Staff• ��` � 5 Z014 � !----------------' 2014 MECHANICAL PERMIT APPLICATION �'Q ��' ❑ Please submit two(2)sets of plans with all commercial applications. �.�(o�ly Date: �? I � I� Site Address: ��8� �}�I'� C�u.,TL£7'�" ��W� �� Tenant: � Suite#: .��`-� � � �� Name: Phone: ` Address/City/Zip: Name:�S'�S(S G.�-,�T"�� f�2£(�'�-�"{D,�'C�se#: � � � ' Address:/a-�? �1�19��'C�1'X.� LL /�� City: ��4�� E �tttl�l"��31'; `` ,� State: l�1z/ Zip: ,�;r3�s Phone: �,�� `�`��"��0� f ° Contact: �� nl..�C.L Email: , � � �New Replacement Additional Alteration Demolition Ty��t��+p�c Description of work: f �1�; #�+�f sr��u�ete��ntt�ro��z�re��su�t�ii€��t��t��r��e��e��e�d��t�i��r" - .,. �� 'lea��cc�tl��e�fia��l��o��`��c�r�c��e€�nt€�s��n�r�nr��s#��s.�. � � RESIDENTIAL 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$ �/ �-� 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$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance 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 wili be in accordance with the approved plan in the case of work which requires a review and approval of plans. x��9i �T �C.��i' X /�� ApplicanYs Pr ted Name ApplicanYs �gnature � , �'��:�� " � �+�t��€��'sp��" �k�v�d� `�� ;t�l,��,,...��Si o ' �R�� r ��i3?�� e �� "�k _ `-..- - . . �%+�+�!e. .. .,...� �w(y�.auw.... -'�'��` �..:whW+�.++i".a.¢>. �� :�„ e � 109787 CALL FOR CREDIT CARD PAYMENT Use BLUE or BLACK Ink 612.843.3210 � For office use � I-- ��} �� I Permit#: � I 6� � j W I 3830 Pilot Knob Road � Permit Fee: � � Eagan MN 55122 R�CEI`JED j �-�� I Phone:(651)675-5675 � Date Received: � Fax:(651)675-5694 '�U� Z �► ?Q�� Staff: �� `��_J 2014 FIRE SUPPRE SIO SYSTEMS PERMIT APPLICATION* (.�� 9 Ea an Outlets Parkwa � �� Date: ��21/14 Site Address: g y Tenant: Jockey Suite#: 525 Name: Phone: PCOpE1"fy OWI1@F Address/City/Zip: Applicant is: Owner X Contractor Type of Work Description of work: Install sprinkler heads in new tenant space for proper protection Construction Gost: $4500.00 Estimated Completion Date: 8/15/14 ` Name: Ahern Fire Protection �icense#: C039 Contrac#or Address: 13705 26th Ave #110 c;ty: Plymouth State: MN Zip: 55441 Phone: 763.268.0515 cor,tact: Ray Polos Ema;i: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System(#of heads 23) New _Addition Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial Residential Educational FEES Contract Value$ 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 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 Applicant's Printed Name ApplicanYs Signature �► • � 1��' fOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test `� Rough In Trip, Pump Test Central Station Final Conditions of Issuance: � � Permit Reviewed by. - � "' Date: ` �! ��/-�