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Suite 820 - New York & Co. � - Use BWE or BLACK Ink RECEIVE� �-----------------, � For Office Use � • MAY 19 101� j Permit#: �� j Cit of �aoa� � . .�J �°�. � � � b � P e r m i t F e e: L� J I 3 8 3 0 Pi lo t Kno b Roa d � � Eagan MN 55122 � Date Received: j Phone: (651) 675-5675 � � Fax: (651)675-5694 � Staff: � I � � r��J 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: � � �� Site Address: 3qZS ��/�r' OV� 1 A(L,{GV�(A� TenantName: NE� LdI�C �" C�. (Tenantis: T New/ Existing) Suite#: �0 . Former Tenant: Iv �� _ �•'� . C� _ Name:l�Ar1.f�G�N OU�!" PA�Lf i1�F�5 Phone: ��Q• vbS • �� '#��['�f�1if�� , Address/City/Zip:��7�, ��I�Q(�(J 5�� . Z.��F'�'Z, Q/'31.��MQ'��n Z��Z ' Applicant is: Owner Contractor .�.�� , : Description of work: C�I 11�0 W 1 O(- �l%�ll. TI�(/Or�(�SPRC:I. /,�f /)'y/Lt�L i� W Construction Cost: �ZS,d�• J Name:�. ��"'�� s' � ��'L ' License#: -''� ; . Address: � 1 � V. ��'1�{�. ��'. City: o�W� N�, °QY` �#3F1'��"c'�G��f3�' • State:��Zip: ��L/ Z� Phone: ��Z ' 3��C ��O 2-�Li( A��►r'� J . � � - Contact: .S� �a GP' K Email: � G'C" �+�1 L°S • G d�'"� Name: �..1 r(a P,c CNL C. Registration#: ��7�{3�7. A�ck�it�±c#f�r��er Aaaress: 123 CeC�OJE S f. c�ry: �''C"}��F'�Y State: 11�J Zip: �674 Phone: 2�� r 8�'� •q06� Contact Person: �DEC. TOR(C�U.( Email:J ��°'�� @' WJ Cq 1 h C. C� Licensed plumber installing new sewer/water service: Phone#: �IQ�:P�ans�r�zc�'S��r��ng�i#��u�t��r�s:��r�s�t'br��'��,;. , ��`_ �� •��''F., ti�e ir�f�rr��t��n t�r��i��,sl��F.a��tn-p�#�lf��yo�r�auide��r��#��'c��'��;`�'��t=: ; ' �r�r��'t� . ar��te��:��s:, ' `. 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.orq 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 'C'1 M SG►-�n�I�G '�S Z �"3�5.�O�A X '�-��/� Applicant's Printed Namg, � � Applicant's Signature .t Sa � Gr _ Page 1 of 3 1 � / � � � (��-rl,�.fs �� —� �� `�2 5 �� Z,I DO NOT�ITE BELOW THIS LINE � `� SUB TYPES _�oundation _ Public Facility _ Exterior Alteration-Apartments �/ Commercial/Industrial Accessory Building Exterior Alteration-Commerciai _ Apartments _ Greenhouse/Tent _ Exterior Alteration-Pubiic 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 DESCRIPTION f Valuation �ZS ODl1 � Occupancy � MCES System V Plan Review ✓ Code Edition �o7�5RL SAC Units G Pi� t°�'f'�� (25%_100°/a v') Zoning C `a City Water Census Code Stories / 6 Booster Pump #of Units a Square Feet ^�C`�L PRV #of Buildings � Length —� Fire Sprinklers ✓ Type of Construction ,�- 'n Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) V� 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 • V Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: �Yes No � ��. ;�,;_ Reviewed By: C.-�A�'1G , Building Inspector Reviewed By: �' ' , Planning COMMERCIAL FEES Base Fee �Z�L.75� Water Quality Surcharge (�Z •S"� Water Supply&Storage(WAC) Plan Review '7$ • 3�j Storm SewerTrunk MCES SAC Sewer Trunk City SAC Water Trunk S8W Permit&Surcharge Street Lateral Treatment Plant Street Treatment Plant(Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL 2 b S3'4�" Page 2 of 3 Use BLUE or BLACK Ink �U�N� �-- --, �� D� /�� For Office Use I ��` EG 1VE �� 3 ' ��'� � �{'�1� �T � Permit#:� � 1 �} 11 ' I Permit Fee: � � 3830 Pilot Knob Road ,�ul� Q 3 2p1�4 � i Eagan MN 55122 � Date Received: � Phone:(657)675-5675 Fax:(651)675-5694 �Y. � Staff: j 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plan�i�i a�I�,Qmmercial applications. `�o! Date:_J_1-14 Site Address: Fa�an nutlPts Pkwv Tenant:�1ew York & Co suite#: 820 ��y. , �j�� ;'; Name: Phone: ' ' Name: Voss Utilit�/ & Plumbing �icense#: PC000306 �� Address: PC� Rnx 7dn City: HannvPr State:�_Zip: Fi5341 ; .: ', Phone: 7��-497_4577 Email: New Replacement _Repair _Rebuild X Modify Space Work in R.O.W. '�y�Cl'��,: — — — ' Description of work: ' ' COMMERC/AL _New Construction _Modify Space Irrigation System(_yes/_no)(_RPZ/_PVB) ^ . Rain sensors required on irrigation systems ��`��I��,: • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) �� Meters Call 651 675-5646 to verit that tests assed qrior to uickina up meter. ,�;: — � ) Y p �� .; ; Domestic:Size&Type Fire: 1 ' Avg.GPM High demand devices?_Yes No Flushometers_Yes No COMMERC/AL FEES Contract Value$ Zp�_(�p x.01 $55.00 Permit Fee Minimum _$ 55_00 Perrnit 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$1 million, please call for Surcharge =$ 60.00 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�,�q� `_�� Applicant's Printed Name ApplicanYs Signature - � ��U� � � �tproved Bp: �� .� 3 � �� #i+�quin�rd�t�t�� a �3r�t�er Gr+�ta� �Rr�€��hF� .:��r'��t� ��,�� .�Fri�l �5��c��d "��hlb �I��r��at�d tt�a.�s � (��r�e�.�;;;� Radi��t�acE q�taffi. ;� � �� °�� ` ' � ? � � �° �.... _.. .. � , ....... _.___ ,.. . � ,,: '.: Page 1 of 3 , �Q�� Y"_ �� ✓"- - __ Use BLUE or BLACK Ink C� � For Office Use ( �� RECEIVED � Permit#: ��'� � V � � J i ° � I Permit Fee: � I , 3830 Pilot Knob Road Eagan MN 55122 1UN 3 01014 i —7 � Phone:(651)675-5675 � Date Received: / 7 I Fax:(651)675-5694 � I I Staff: � L------- -------� 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. d�� i Date: � 'v�C� Site Address: � �-' ��S / � > � � Tenant: ew c�� C-CrvVt Suite#: V � ��„< . � Name: Phone: �`fFSIC,'��t'i'��At'Ct�C `\ �� : Address/City/Zip: �� . � � \�� " �� Name: G--��Q'°"�"� �n L License#: �� ` � �2 ��S��i'�t'�C'�4!';r�; Address: �$.�jC� c�e�--,"��o✓��-+ �k�+E `� City: )..��c�n�.,-,��u� ^�G� � �, ..,� ��' ' �° State: I`�/1 IV Zip: S�� f� Phone: Lo� a- $I�(-P = r J S � F� � ., . �� i�1�(�-Q r�r EmaiL• vi ��F Contact: C\�r, � i� cc c. ►�Y)-�� , V�-�" � � �j � �New Replacement Additional Alteration Demolition � � � !�� T'y��"�y�-� � , Description of work. I� k w ✓ , �� . �'. . . . . �� t��TE:Rac�f rr�c�unted�n �urtc�r�txtn�#rn��ha�ic�l equipment�s:��t��tc�be scre�ned b��i�y, �•� y .� �oite. PTeas��a cf ' 1�i[ech�nceal,i� efc� �i ' €orma#�c�nc�n. rm��cresrnn�m�tl�s' ;` 'I �'�3 ��n�� RES/DENTIAL COMMERCIAL ', � � �� — — ' Fumace �New Construction Interior Improvement � �" � Air Conditioner Q�� _ _Install Piping _Processed ; ` Air Exchanger Gas Exterior HVAC Unit �� - - - �, _Heat Pump _Under/Above ground Tank �Install/_Remove) � ` Other — 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 °f' Contract Value$ �� -� � x.01 � $55.00 Permit Fee Minimum , $70.00 Underground tank installationlremoval =$ �( � 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 infortnation 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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. � ('��.�_� ��(, X ca.-� � -��-, X __ ApplicanYs Printed Name ApplicanYs Signature ��FIaC�t,lS� �' r k �� iii/� � � �� i/�rr� � � �� L[Tl`��CR��.'CtE#St'�S�"\'x i'i�c� �� : R(:Y�E��< . � ��"63r��i� i �� E�s'YC� i s �a � �'"` � � C,��rde�g�und �,,�F� tY�n` r�r Te�� eruNCe�'�st Ir�-��i ��nal �,,, A� ��in � �: .. ., 9. �, �,,,, �,a'`�.; �,;,, �.�e'�, F'�r .� y _ ' � Use BLUE or BLACK Ink 109046 CALL FOR CREDIT CARD PAYMENT 612.843.3210 � For Office Use i �r� � Permit#: �� I t�� d� �� t��. Nv l��nls�N�s �lL ; . / �°% � � � � Permit Fee: („9 � 3830 Pilot Knob Road ��j�,a V� I I Eagan MN 55122 I � Date Received: Phone:(651)675-5675 .1UL 0 9 2014 i i Fax:(651)675-5694 � Staff: � BY: � -----------------� 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: ��3/14 Site Address: 3925 Eagan Outlets Parkway Tenant: New York&Company Suite#: 820 Name: Phone: Property Owner Address�City�Zip: Applicant is: Owner X Contractor Type af Work ` Description of work: Install additional heads&required changes per Fire Marshal to provide proper coverag . Construction Cost: $3000.00 Estimated Completion Date: 8�10/14 Name: Ahern Fire Protection License#: C039 Contractor Address: 13705 26th Ave #110 �;ry: Plymouth State: N�N Zip: 55441 Phone: 763.268.0515 contact: Ray Polos Ema;i: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System(#of heads�$) New _Addition Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial Residential Educational 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 Applicant's Signature . � �� '�� FOR OFFICE USE REQUIRED 1NSPEGTIONS Hydrostatic Flow Alarm Drain Tes# � .Rough In Trip Pump Test Central Station �`��/Final Gonditions of Issuance: Permit Reviewed by: ` � ,S�'��" Qate: �l ��/ � � ��