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Suite 870 - Francesca's _ �. Use BLUE or BLACK tnk �----------- �� For Office Use � /�� ' � .�� I � Permit#. � � � �� of ��Il ��,�� . � ; 3830 Pilot Knob Road �� i Permit Fee: � j Eagan MN 55122 �A� � � ��J�� Date Received: � ��S �� I Phone: (651) 675-5675 � Fax: (651)675-5694 � Staff: //` ! � - -----------------� ��, �. 2014 COMMERCIAL BUILDING PERMIT APPLICATION C �� Date: �"�L "1`t Site Address: j�Z� �accpon G�u*l�'�`S P�� a.a�an,Mn 5S t LZ Tenant Name: ��/tC�X'rn�S (Tenant is: x New/ Existing) Suite#:�� Former Tenant: � / 'l � Name: tYcrnfP5Prn5 C�'�Si:�v��'o� �M� �i�f�,°r Phone: �3Ti �� Z�?�1 Prc��erEy C�wr��e� aaaress i c�ty i z�p: ��7CC� C(c�� r�� 1 �x �7 �?C��'iG ��: �.., -�' ,. ! Applicant is: Owner Contractor ,,� ��r ` L I / / �y�� .�/��`�(s�� Description of work:�01�+r1'�' Vu l(d O'v j1 � �1c'W M,�1� �'�er`{ �� ;V��1 9 i..i,.��. . . ' Canstruction Cost��Ob U !%, Name: � U CG I`'�Q License#: � �� Q� , � ��x� "_�T �\�� ,��, Address: � �� S'dJ C�u W �1�.�'i1 W C�y City: �@-."�u.S`�lfi.�, �.>�� ti j r` •-- r ' State: �`L Zip:3�Z�1 s � Phone: �S�c'j ��1�..� !'D��S ,, � , +� „ Contact: ' \�G.Q. �t. Email:''Ih� �. 'Q u " �U� � ; � ,�;� � `�� Name:�l�/� Arc�j�'S; ��(IG Registration#: I�3��o % � � . ,� j' A�C111'�Cl'/Et��l��' Address:�G'� �T�PfC��' Lc�rK?. City: ,�CJ/!�'t�/1 � ; � „ State:�Zip: 5'�6�G, Phone: �o�S- "7R�°��U ,, %fij � �� Contact Person: �!'��J� EmaiL r k c..�o�� -�"�.C nn Licensed plumber installing new sewer/water service: Phone#: = f��s�,��,��ppor#ir��trr�ur�er�t�f�at�rru,�su�►r�Mt�r"��onside��f��pu�r�`"��r��,,,i�rl`i�t� �q' ��"� �p �rr�y 6��s��+�c�t as��nubli�r��ou,�a�rr�d�.��ecr�i�\ ��rld�e y�e �rfy tc�� y%, jl% �c�t��l�rd�i�#�� i"�tL�sec� , ��: 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.popherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work w e in conformance with the ordinances and codes of_the City of Eagan;that I understand this is not a permit, but only an applicaf for ermit; and work is not to start without a permit;that the work wiil be in accordance with the approved plan in the case of wo hic quires a review and approval of plans. X��c�.��o.�, Applicants Printed Name Ap ic gnature Page 1 of 3 . � , . �. �a �� L� k -� �.��lQ fi� I��` � g f � DO NOT WRITE �LOW THIS LINE � � ��U�� 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 � � � � � va�uation ��G �GG• � Occupancy M MCES System Plan Review � Code Edition �0'D7 A�ISQG SAC Units a �p/fl� (25%_100%vj Zoning � City Water � Census Code Stories =_�� Booster Pump #of Units d Square Feet � PRV � #of Buildings / Length Fire Sprinklers Type of Construction �•6 Width REQUIRED INSPECTIONS Footings(New Building) �heetrock 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: f Yes No Reviewed By: t,�� , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee �, /S�2•7� Water Quality Surcharge 5�''•� Water Supply 8�Storage (WAC) Plan Review ��•� 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 TOTAL � �i 9�0•�� Page 2 of 3 �Ql �� Use BLUE or BLACK Ink (� ------------------ `� � For Office Use � . (� � `�(��J'� R�C,��"' �(A'�� '� j Permit#: /�,/✓�� j C�ty of��a� n�� 3830 Pilot Knob Road j�� ,�J ��1 � � Permit Fee: � Eagan MN 55122 I � -�,1 I Phone:(651 j 675-5675 � Date Received: � Fax:(654)675-5694 � � � � Staff: , � ------------------ 2014 MECHANICAL PERMIT APPLICATION ❑ Please s bmit o(2)sets of plans with all commercial applications �� Date: Site Address: �� Tenant: c';'C�S�-� �� Suite#: O �� P s� n '� S �''f� P '� I . 5�� Name: ��-� S��r� Phone: F+�� '1 1Ki��t` '' �' � f,< � F k, � c Address/City/Zip: �� Name: ��r License#: 2 S 3� � � ��, Address: � , ,S t �2� . ��3� clty. �r.f�r �7`f��cc.-,� ,�' / f� >/'--^ --�'" r� . �� State:� Zip: � Phone: [�J! �T"^� �-- ��S �� . / f �� . � �� = Contact: � �� d"°!� Email: J`') �/� ��'�"!/ ��'�"�. �` ��s � �� a ,; � �.�Vew Replace ent Additionai Alteration Demolition � 3 �I �[,� _�d �� i��y��y�}� Description of work �l l��C. ��! �"� ��h-� � �.+��5 `��. :�' �i s y .cv v /c� ��e � � � �IC�'�R�o � 4�unt��r#sunsi rz�+�unteci�m�c�a� �qufpm�nt 3��ir'�� ry be�'sc��+' ,, �� . .�� : C��ie P� '��tr� �e 11�I��Y►an�c�t Crtsp�c�Z'r f x�t►�tian�r�,��n��k��r�t��i ' �;t�� .� , .., ��,._.. . : .__. F.. . �: , .. �,.. . ,,..>..�. , , ��. ,.. ,. :: �� RES/DENTIAL COMMERC/AL , �� _Furnace _New Construction �Interior Improvement �`�� Air Conditioner Install Piping Processed R@r��'►�Ty�� — — — ��4' �� ` _Air Exchanger _Gas _Exterior HVAC Unit ` ��i � _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$ 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 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 t to sta without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approvai of plans. X �d ��/� �� ApplicanYs rinted Name plica Ys ignature '�� I��tlS�� '� " ` �� ! �� e � / Q�.q �y�S �.a' h \`>>°'aa Y�' � �f II ��c�u��d tl�#$peC�Q!tls ; � �� ', ��e�t��t+�c��y �� '. �� .: 1 �y�S9'u,�'s� .::� . : �� \�'�� ,,y a .' ��. ��,` -- $� � h ��. `�,��t�rgres�nd :.'. l��s�t Irr Arr t ��; �'� E+n-#tot�r 3��' �� 2 a�� st, '' _ .. . . �, ,�.�,.�,.. . ' �� a.:a. . _b ,� �;... ....., � � ' �' Use BLUE or BLACK Ink CALL FOR CREDIT CARD PAYMENT �082�2 612.843.3210 � For Office Use � i ' �� G�.'ry/�(� �� I Permit#: `�� I G�t 0� �� .� ��:�� . . ��v' � � � � Permit Fee. � 3830 Pilot Knob Road � I Eagan MN 55122 JUL 0 2 2014 � Phone:(651)675-5675 � Date Received: � Fax:(651)675-5694 � � BY: � Staff: � `��J 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 6/30/14 Site Address: 3925 Eagan Outlets Parkway Francesca;s Collections 870 Tenant: Suite#: Name: Phone: PrQ��t'ty QWn�r Address/City/Zip: Applicant is: Owner X Contractor ` Description of work: Install sprinkler heads in new tenant space for proper protection ��TYP�o#�t1l+�r�t; �� ' Construction Cost: $2500.00 Estimated Completion Date: 8�10/14 F Name: Ahern Fire Protection �icense#: C039 ' Cor�tra�t�r_ Address: 13705 26th Ave #110 c;ty: Plymouth State: MN Zip: 55441 phone: 763.268A515 ;' conta�t: Ray Polos Ema;i: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System (#of heads��j New _Addition Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial Residential Educational FEES Contract Value$ 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$1 million, please call for Surcharge 60.00 _$ 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 , 4 r 1 ��J 1, FOR OFFICE USE REQC�II�ED ifdSPLC'CIONSr . HydrosYatic ; : Flow A(a�rn I�rair�Test . ;��h 1r� Trip. Pump Test G�:ntrafi��a#i�n, ' : �Finat ;,�...�,.. Gonditions of Issuance: ; � � , ,� P�rmit Review�d by: r ��i'-' .. ► __ �fi�e .._�f �� ,,t._�. I I I j Jul, 21, 2014 S; OOPM No. 9444 P, 2 Usa BLUE or BLACK Ink �,��,,, _„ „ r_ � ForOtficeUse �--------I Cit of�a an � �/_� �� w z.�.- , Y (� � j Permit#��_ � � � � 6 RECEIVED I Permit Fee. (%1�� 383o Pilot Knob Road I �� i Eagan MN 55122 I bete Rece�ved: � Phone:(651)675-5675 � Fax:(651)6T5-5694 �UL 1 2 z0�� Staff: � �-------- --------� 2014 C4MMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. � _ •�� ate: s - � Site Address: z/ �, � �Go4 N Q�i?(,�r3 /,��4 � Yenant: ��2 Fl CE�� C.Q� �j Cp ��,J Suite�: �� ,,. gI J Property --_......_ . . Owner Name; Phone: . _......_....._.,. Name: /l E.3 C/m�N ��liirr�r�✓[r LiCense�t: � Contractor Address:�O`�J.4CJ��lp/�Y �Vc� Ciry:�GK��UC3j2 State:�'✓JN'zip:� Phone: Email: • Type pf WOI'k —New _Replacement _Repair �Rebulld �Modify Space _Work in R.O.W. Descriptlon o(work:�/��ql�. �/Tj�iT?!�.�l�A/�l.D �G7�ic w�,�r�t�� ..........._�........ . COMMERCIAL New Construction �Modify Space _Irrlgation Systam�yes/_no)�RPZ 1_PVBj ' • Rain sensors required on irrigation syslems Permit Type . Avg.GPM (2"lurbo requlred unless smaller size allowed by Public Works) Meters Call(651),675-564610 verity thst fesls passed prlor t i jnq up meter. � Dom9stic:Size 8 Typg Fire: 1 Avg.GPM High demand devlcas9 Yes No Flushometers Yas No COMMERCIAL FEES p� � Contratt Value$_ �/ 7�$" °—` x-01 ' $55.00 Permlt Fee Mihimum =g �j.� permit Fee 'If contract value Is LESS Ihan$10,01 Q Surchar e=$5.00 °'O 9 =$ � - '-- Surcharge" "'If contract value is GREATER than$10,010,Surcharge=Conlract Value x$0.0005 / op ' "'•If the project vaivation is over$1 million,please call for Surcharge =$_- �(' 0- '� TOTAL FEE �ollowing fees apply when insta0ing a new lawn irrlgallon system $ Waler Permit . Conlact the Cltys Engineering Depahment,(651)6Y5-56a6,for required fee amounts. $ Treatment Plant � $ water Supply&Slorage _ _ $ State Surcharge _$ TOTAL F�E ---__._..__..... . . S�4LL BEFORE YOU DIG. Cell Gopher State One Call at(B51)45d•0002 for proteclion against underground utilify damage. \ � I h�reby acKnowledge that lhis information is complete a�d accurele;thal the work will be in conformance with the ordinances and codes of the City of � Eagan; �hat I understend this is nol a permh, but only an applicalion for a permh, and work is not lo start wilhout a permlr, tnal 1he work win be in accordance wlth the epproved plan in fhe case of work wnich requires a review and approval o(plans. x-��t�Yk�' �`�'�� Appllcant's Printed Name App11 S' ture FOR OFFICE USE Approved By: Date: ' Requlred Inepections: Under Ground �ough-In _Air Test �Gas Test Final PRV Requlred:_Yes_No Meter Related Items: Meter Size Ra�dio Read Manometer Staff: Page 1 of 3 <