Suite 1035 - Haggar 1
�
�
Use BLUE or BLACK Ink
jFor Office Use. �
�1��• I Permit#: ���, I
�� �� an RECEIVED � . "�. �� �
� Permit Fee: ��/� �
3830 Pilot Knob Road � �
Eagan MN 55122 MAY 3 0 2014 � Date Received: �
Phone: (651) 675-5675 i I
Fax: (651)675-5694 � Staff: � , �S
-----------------�' �
2014 COMMERCIAL BUILDING PERMIT APPLICATION 1�����j'
3`��F S E'A�� O U'�'.7S ��jZK� _\�
Date: l Site Address: S �L�G ��
Tenant Name: d�-'{� � � u ' (Tenant is:�New/ Existing) Suite#: /�,�$
Former Tenant:
�
� Name: �j � .rP� O�ii7����'�',��S�l Phone: ��d" �`�8f� �
F�aperEy Ov�rner �: �
Address/City/ZiP: t� .��(" ��7��/�pf� �T. 02(sr ���� �
� Applicant is: Owner ✓.�e�raster ;
'�2a��.ct �o�r�k�-�
TypE'Of�1101'IC Description ofwork: i��f�� (MP�cI�F(y��r„�� �'[—F�A-�—�f' '�( �ti1CU� �
Construction Cost: �
Name: �E-`d'!rf �G�-S�"rW-L'�D K `jex'Ni�ts��G' � �
/License#:
� Address: ��� 7 7 39� 5-f- ,Ilj �;ty: L,�,� tLm� �
Confractor �
:� State: ,��1 N Zip: �,J� 7'� Phone: �1��"" ��`t" �7�lp
� Contact: ��� f�$�tLC� Emait �
� �
� � Name: ''� Registration#: y�_y� �
� : ' �
Address: ~/1��{, �/��(�('`� `2Qj Cit �
Arct�itectlEngineer ��. Y� Lllj�'r'7�N
State:�_Zip: �"7GQ�,2 Phone: �17�- ����—S�°IG �
Contact Person: Jd �rN� FJp�,q�DC EmaiL � f �
i
Licensed plumber installing new sewer/water service: Phone#: �
� NOTE:Pians afrd supporting documents that yarr scrbmit are corrsidered fo 6e pubtic irrformation. �orti�ons af
a #he informatian may 6e classi�ed as non-pub/fc if you pro�ride;specific reaso�s thaf�ic�ld permit the C►".fy to
cor�civrte:that fhey are trede secrefs.
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. tivww.qopherstateonecall.orra
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 plar in the case of work which requires a review and approval of pians.
x J �UN� ��T('� x
ApplicanYs Printed Name A i anYs Signature'
C ��F{H{,til�(.�E� F��I (Y1���� Page 1 of 3
5�3- 7SS-78°I'�- . �PT t�����N f'v�P�✓
, h ' �[ � (%,4 �-�^ �..3 �'�-e k S ���w � l,���
� 7 ��3 �-� �
DO NOT W'f�ITE BELOW THIS LINE
SUB TYPES
Floundation 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 �
e �
Valuation �J7y 6C� " Occupancy � MCES System
Plan Review � � Code Edition ZIO�7MS�L SAC Units O PIC��M'
(25%_100%_) Zoning � :-� City Water
Census Code Stories �_ Booster Pump
#of Units � Square Feet �Zi�'�� PRV
#of Buildings � 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 present: �Yes No \.. ��:
Reviewed By: «� , Building Inspector Reviewed By: Gm�-/K� , Planning
COMMERCIAL FEES
Base Fee '�S9.t� Water Quality
Surcharge 'f3•S� Water Sampling Fee
Plan i2eview (,23•�l/ Water Supply&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 � �LUo •Z�
Page 2 of 3
t
� Use BLUE or BLACK Ink
CALL FOR CREDIT CARD PAYMENT
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612.843.3210 �----------- ,
� For Office Use �
I "'� �
� � Permit#: J� I
C�t of �� �� N� ��,���,d �,� � . �� ;
� � /''� � Permit Fee: � I
3830 Pilot Knob Road ��-�*���� � I
Eagan MN 55122 I �
Phone:(651)675-5675 JUL 0 2 2014 , Date Received: �
Fax:(651)675-5694 � j
Q__ ,/ � Staff:
BY: !�'�`'r '
���__������������J
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 6/30/14 Site Address: �45 Eagan Outlets Parkway
Tenant: Haggar Suite#: 1035
� Name: Phone:
`P����'�`������.. ' Address/City/Zip:
Applicant is: Owner X Contractor
; Type of Work
Description of work: Install sprinkler heads in new tenant space to provide proper coverage
Construction Cost: $6000.00 Estimated Completion Date: 8/10/15
Name: Ahern Fire Protection �icense#: C039
' Address: 13705 26th Ave #110 �;�y: Plymouth
Contr�ctor°�� � �
State: MN Zip: 55441 phone: 763.268.0515
cor,tact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads ��) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ 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 I
_$ 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 a����
Applicant's Printed Name Applicant's Signature
, � �,��-��
FOR�FFICf USE `
REQUIREQ INSP�CTIt3NS
Hydrastatic Flow�4larrrr . qFar�7est �f2auc�ii ir�,;
Trip Pump Test �e�trai��#�c�r� _ �inal
Gonditions of lsswanr,e:
�� �
Permit Re�riewed fsY�C.� "�" �y r�'�r'rr�� ;: `T�a#e : �.���_,��� �
� -
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i�J u�l��10. 2014 9: 37AM No. 2671 P, 2
Use BLUE or BLACK Irtk
�__��.._— --y
� For Oiflce Use � �
� I
IVED �on� j Permit#; � �
Clt of�a a� ECE � �� ;
Y � R � �° I Permit Fee:
EageniMN55122 Oed ��� 10 201b `�� ��� � DaleRecalved: ����` 1 i
Phone:(651)6T5-5676 � �
Fax:(651)675-569d ' � 5���`yyY__w^______ I
20�4 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Ploase submit two(2)sets of plans with�all commercial appllcatlons.
Date: 1 Slte Address: J�9�[�A1U ���� ��_y
Tenant: ��(�1412. C�.07}'(�I�g' � Suite i1: I D�S
Property
OWner Name: Phone:
Nama: Commercial Plumbing and Heating, InC.�icense#: PM059469
Contractor Addrass: 24428 Greenway Ave. cicy: Forest Lake stace:�j�zip: 55025
Phone: 651-464-2988 ema�i: awicks@cpandh.com
Type of Work —New _Replacement _Repair �,Rebulld ,�Modify Space _Work in R.O.W.
Descrlptlon of work:
COMMFRCIAL �New Conslruction �Modify 5par,e
Irrlgallon Sysfem�yes/_no)�RPZ/_PVB)
� . Rain sensors required on irrigelion syslems
Permit Typ� . Avg.GPM (2"lurbo requi�ed UnleSS smaller slze allowed by Public Works)
Meter6 Call(651)875-5A46 to verlly thal tests passed rior to ick'
Damestic,Size�Type Fire: 1
Avg.(3PM High demand davlcss? Yes No Flushometerb Yes No
COMMERCI'AL fEES Contract Value$ l ea x,01
$55,00 Permit�ee Minimum
_$ Permit Fee
'If contract valus is LESS than$10,010,Surcharge=$5.00 =$ Surcharge'
'"If contract value is GREATER than$�0,010,Surcharge=Confract Value x$0.0005
*'�If the project valualion is over$1 milNon,please call for Surcharge °$ TOTAL���
�ollowing fees apply when Installing a new lawn Irrigation system $ water Permlt
Contact fhe Clly's Englneering Depar�ment>(651)675-5646,for requiretl Iee amounls. $ Trealment Plant
$ Water Supply&Slorage
$ Slale Surcharge
_$ TOTAL F�E
CALL BEFORE YOU DIC3. Call Gopher State Ona Call at(A51)A54-0002 for proteclion againal undergf0und utlllly damage. \
I heteby acknowledge thef lnls In(ormallon Is complele and accurate; thal ihe worK wfll be�n Con(ormance wllh Ihe ordinances and codes of lhe Cily of
Eagan; Ihat I understand this is nol a permlt, bUt only an app11ca11on for a permit, and work is nol t ta�l wtll►out a permlt; lhal fhe work will be in
accordance wilh Ihe approved plan in ihe case of worK whlCh requlres a revlew and approval of a .
x UP�`r r�S�� JPr .�, x
Applicant's Printed Name Applicant's Signature
�OR O�FIC�USE Approved By; baEe:'7 � �
Requlred Inspectlons: f!�Under Ground jfRough-M �Alr Test _Gas Test�Final pRV Required:,___Yes_No
Meter Related Items: Meter Size Radio Read Staff:
Page 1 of 3
� Use BLUE or BLACK Ink ,
'� ----------------=,
� ;�'� � For Otfice Use � �
. 1 � 2,2 �
� Petmit�: � � J✓ I
Clt 0����,�Il RECEIVED� � �
3830 Pil�t Knob Road � Pe�mrt Fee: � �
Eagan MN 55122 JUN 2 3 ��14 I �
Phone:(651 j 675�5675 � Date Received: �"� �
Fax:(651)675-5694 � I
� Staff: �
������ ���������J
2014 MECHANICAL PERMIT APPLICATION �
� �lease submit two(2)sets of plans with all commercial applications. � ��
Date: �I �o � i�1 Site Address: �`'i V����C.._.a..-� ��T► ,E�s I�`C ►_,,1� s��� (0 35
Tenant: Suite#: � 0 3?5
ResidentlOwner Name: Pnone:
' Address!City/Zip:
Name: V c��t� S�-T A/`C-�,�� + �.�c Lic;ense#: !
Contr'dc�or Address:�,{�`g�( C.,�*n c �c �..� � . City: �r�ua,��n--r�6�_
State: MN Zip: S'50.�2 Phone: c►—Zi 6- ^7S'�2
Contact: �`c AX�k,��� EmaiL i�5 �o -C
�New Replaceme.�►t Additio�l Ai#erafion Demolition
Type of Work Description of work: �S �
NOTE:Rcwf mouM�ed;and gr!a�nd mouM�ed m�ctranicai eqt►ip�rMent�rec�it+ed to be screen�d by City '
Code.'Please conta�:#�iiikchanical Mspector fiar i�rmation on permitfied screerrir►g:me#hods.
RESIDENTIAL COMMERCIA!
Fumace � Nevy Constructian _Interior Improvement
Pe���y� —Air Conditioner _Install Piping Processed
Air Exchanger �S Exterior HVAG Unit
_Heat Pump UnderlAbove ground Tank �Install/ Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(indudes$5.Od State Surcharge)
$100.00 Residential New(indudes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES Cantract Val�$ 8 .�l f�I �� x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank instailation/removal =$ ��t. �� Permit Fee
*If contract value is LESS than$10,010, Surcharge=$5.00 _g �_°-= Surcharge"
""If contract value is GREATER#han$10,010,Surcharge=Co�ract Value x$O.OQ05
"``ff the project valuation is over$4 miltion, piease call for Surdiarge =$ ��.3� TOTAL FEE
I hereby acknowledge that tt+is ir�forma#ion is complete and accurate;that the work wiH be in confortnarrce with the ordiriant�s and cx�des of the City of
r.agan;mat i unaerstana mis is not a perma,nuc orny an appucauon ror a perm¢,ana wonc is not ca start vwmout a pemuc;tnacme v�nc v�nu ne in atxoraance
with the approved plan in the case ofi work whicM requires a review and approval of plar►s.
'�.R�c, ,A,_ ,,�'RL.1�S
x x C�� ��_ C-�.. ,...=.L.�
Applicant's Printed Name ApplicanYs Signature
FOR OFFIC€t,1SE
Requit�ed inspeetiot�s- R�By �.� Dat+e �
� - ��,����
Underground .Rcnigh(n Air Test � Gas Service Test in-floor Hea# Fina1 MfAC Screening