Suite 895 - Vera Bradley �(✓ ----Use BLUE or BLACK Ink
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3830 Pilot Knob Road ����,�f�� i
Eagan MN 55122 � �' � "� ` i
ApR � I Date Received: �
Phone: (651)675-5675 � �Q�� � � �
Fa�c: (651)675-5694 � �] � ��
� Staff:
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2014 COMMERCIAL BUILDING PERMIT APPLICATI�N �"�,f�
Date:� �� Z�I� i ���� IJIJ����� 1 �i� �� C��"1 �, `1 '
S te Address: �
Tenant Name: ��� �� `�.J� /� �
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Former Tenant:
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��� Name:����-��1�1 ��~��6�\�� one�
� �� , Address/City/Zip:C.�►� �� —' l.J � �� ���.
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�3 �� : A hcant is: Owner
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Name: � S� License#:
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�; ; �; Contact Person:�-� \ ► 1��: � �
Licensed plumber installing new sewer/water service: Phone#:
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against un rground utili amage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecall. r
I hereby acknowledge that this information is complete and accurate; that th work wi be in co with the ordi ances and
codes of the City of Eagan; that I understand this is not a permit, but an pplicatio for a pe ' d or 's not to st without a
permit;that the work will be in accordance with the approved plan in t e cas of wor ich requi a re i an approval f plans.
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Applic ' Pr't�t d Na e plicant's Signature
Page 1 of 3
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DO NOT WRI�BELOW THIS LINE � I �� l�-`�
SUB TYPES
;Foundation Public Facility Exterior Alteration-Apartments
✓Commercial/Industrial _ Accessory Building � Exterior Alteratian-Commercfai
_ Apartments _ Greenhause t Tent _ Exterior Aiteration-Public Facility
Miscelianeous Antennae
WORK TYPES
_ New �Interior impravement � Siding _ Demolish Building*
r Addition _ Exterior Improvement _ Reroof _ Demolish Interior
_ Alteration _ Repair _ Windows _ Demolish Foundation
_ Replace � Water Damage _ Fire Repair _ Retaining Wall
_ 5alon OWner Change "Demolition of entire building—give PCA handout to applicant
DESCRIPTION �
Valuation �DD�Do0. =° Occupancy '� MCES System
Plan Review ✓ Code Edition ���- sAC units (7 f� PM�
i
(25%_100%� Zoning � City Water
Census Code Stories ��' Booster Pump
#of Units U Square Feet PRV �
#of Buildings � Length Fire Sprinklers
Type of Construction ,�['B Width
REQUIRED INSPECTIONS
Faotings(New Building) Sheetrock
Footings(Deck) �Final/C.O.Required
Faotings(Addition) Final/No C.O. Required
Foundation Other:
Drain Tile Pooi:_Footings _Air/Gas Tests _Final
Roaf: Decidng _Insulation _Ice&Water _Final Siding:_Stucco Lath Stone Lath Brick
—� Framing Windows
Fireplace:_Raugh In _Air Test _Final Retaining Wall
�Insulation Erosion Control
Meter Size:
i
Final C/O Inspection: Schedule Fire Marshal to be present: V Yes No
,.:. � '
Reviewed By: C�1<P , Building Inspector Reviewed By: � t� "`, Planning
COMMERCIAL FEES
Base Fee f 0 SG�7S Water Quality
Surcharge 50 '°'° Water Sampling Fee
Plan Review �$�•Q'9 Water Supply 8�Storage(WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S8�W Permit&Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other:
Water Quality TOTAL � �7 g.'S•G�
Page 2 of 3
���5, ��� �O,y �� p�� Use BLUE or BLACK Ink
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� ���� � For Office Use I
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����• j Permit#: �
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U Q�QII JUL 0 1 2014 ; Permit Fee:_ (.r�-� �
3830 Pilot Knob Road ���fJ � I
Eagan MN 55122 �Y, �"--I � Date Received: �
Phone:(651)675-5675 � I
Fax:(651)675-5694 � Staff______________ I
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of plans wi h all com cial applica ns.
.3 �'��,� �u���� ����
Date: 6-27-14 Site Address. ^"^ ^n " ° �
Tenant: Vera Bradley su�t�#: 895
Q���� Name: Phone:
°�....���Nt'I�f ,.
� Name: Vo tility & Pl�mbin� �icense#: PG000306
��������� ' Address: Pn Rnx �4� City: Han�vPr State:��Zip: 55341
" Phone: 7R3-4A7-Q..,,�77 Email:
� - New Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
;T�1��"�����' — —
Description of work:
� �� �:��::.
' ' COMMERC/AL _New Construction �Modify Space
_Irrigation System(_yes/_no)(_RPZ/_PVB)
�' . Rain sensors required on irrigation systems
�:F��!����,��f[�,�;<', • Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
` �, ' _Meters Call(651)675-5646 to verity that tests passed qrior to aickinca up meter.
' Domestic:Size&Type Fire: 1
;� " : Avg.GPM High demand devices?_Yes_No Flushometers_Yes_No
COMMERC/AL FEES Contract Value$ '�a�(�Q x.01
$55.00 Permit Fee Minimum =$ 55.00 Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ 5.00 Surcharge"
"`*If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
**"If the project valuation is over$1 million, please call for Surcharge =$ 60.0� 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
accordance with the approved plan in the case of work which requires a review and approval of plans.
X Steven Voss X �T ,���.r� \��C'�� —
ApplicanYs Printed Name ApplicanYs Signat e
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Page 1 of 3
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105055 CALL FOR CREDIT CARD PAYMENT Use BLUE or BLACK Ink
i---------
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612.843.3210 � For ottice use �
��/ � �33 '
/ V� /"1.�'fJ.� /v(� �-R',� I Permit#: �
Cl� 0� �� ��1 EcEr � . �d� �
� � � Permit Fee: I
3830 Pilot Knob Road JUL 0 1 2014 � I
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675
Fax:(651)675-5694 �Y; � j
� Staff: �
�________________J
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 6/27/14 Site Address: �3925 Eagan Outlets Parkway
Tenant: Vera Bradley Suite#: 895
Name: Phone:
PI'Op@r'ky�WII@P Address/City/Zip:
Applicant is: Owner Contractor
Type{?f WOYk Description of work: Install, modify sprinkler heads for proper coverage in new tenant space
Construction Cost: $2500.00 Estimated Completion Date: 8�10/14 ,i
�
Name: Ahern Fire Protection �icense#: C039 I!
f Contractor
' address: 13705 26th Ave #110 �ity: Plymouth I
State: MN zip: 55441 phone: 763.268.0515
contact: Ray Polos Ema;i: rpolos@ahernfire.com i
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System (#of heads 15) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
�E�� Contract Value$ 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*
*�xlf 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
, • �3
FOR OFFICE USE
REQUIRED INSPECTIONS °
Hytlrostatic Flow Alarm [�rain Test. � Rough{n '
Trip Pump Tes# Central S#a#ion. .:, � Finai
Conditions of Issuance:
Permit Reviewed;by: C���� �� Qate: ` � f T�f`. ��
�.,—_
J�,;� ___ Use BLUE or BLACK Ink
��' � For Office Use I
� ��-` � ��,5�� ;
���� ������� \�rS �� � Permit#:
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3830 Pilot Knob Road � Permit Fee: �
Eagan MN 55122 I 7 �
Phone: 651 675-5675 C C `I D � Date Received: �
Fax:(6 1)675-5694 R`CL`Y� � I
f � Staff: ---- ---
�}U� O L ���4 �--- -----I
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: �' dY' Site Address: �`3�� �i,�c5?/5�`� p Lc;'�'L��S �i�Z..���
Tenant: V�G/�-� ,Q-� f- £ Suite#: ���
��s���������, Name: Phone:
Address/City/Zip: ,/
': Name: �—�'�'c9 L,�J�-7�D l��c�s��icense#:
' COtI'�f"���Ll�' ' Address: �,7-� 7 �J9'/?._.S'C��- �.urrJ> City: o�t�j�?4--r�d���
' State:�3�Zip: 5 S 3�q Phone: l��- —�4«�— ���
Contact: C�L�"',�Email: ~ R -�
�ew Replacement AdditiQnal Alteration Demolition
Typ�;p��y��(� Description of work:
NOTE:Ra�fimQUnt�d an�ground mcs�nt+� e�cFi�rii�l�c�t�ipment is req�ir�d t€�be scre�ned by City '
' Code: I�I�:aBe�c�nta�t ft�e Mechanic�l,in�pectcsr far in�ctr�n�#iflt��n p�rmitt�:d screen[n�m�th�ls.'
RES/DENTIAL COMMERC/AL
_Fumace A New Construction _Interior Improvement
�,.
, �����-���� _Air Conditioner _Install Piping _Processed
Air Exchanger Gas Exterior HVAC Unit
_Heat Pump Under/Above ground Tank (_Install/_Remove)
Other
RES/DENTIAL 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$ !�� �0-� x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
"If contractvalue 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 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�,{�� l✓�� tr L.�JL.- X__e�"`v"''� �'�iw
ApplicanYs Printed Name Applicant's nature
FOR 0��10E USE �
Required InspQCtivns: Rev,iewe�).�y: � � Date� ��__��
-��� �
tln�erground R�ug�ln '��ir Tesf !:. Gas ServJCe Test .' In-flc��r Hea# �F�n�i '' H�l�IC��"r�enmg �: