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Suite 415 - Crocs . 1 � Use BLUE or BLACK Ink --------- ' � For Office Use j � � Permit#: 1 �� C (� , I Clt Qf �� ; s � � � � � � 3. � Permit Fee: 3830 Pilot Knob Road R�C��'E� j i Eagan MN 55122 � Date Received: ��.3 l � Phone: (651) 675-5675 ��`{ 1 3 ��+ I � i Fax: (651)675-5694 � Staff: � ---------------�I I��l 2014 COMMERCIAL BUILDING PERMIT APPLICATION c, r'�� Date: May 12,2014 Site Address: 3965 Eaqan Outlets Parkwav, Suite 415, Eaqan MN 55122 �� Tenant Name: Crocs (Tenant is: X New/ Existing) Suite#: 415 Former Tenant: s ; ; Name: Crocs Retail LLC Contact:Aaron Webb Phone: 303-848-5348 �� Address 1 City/Zip: 7477 Dry Creek Parkway ': Applicant is: Owner Contractor X Owner's Agent Description of work: Interior renovation of new retail space ,,T��3��.C1��lq��'�C � Construction Cost: $125,000 , - Name: TBD � ✓� ��tl �'��,(! �r� License#: ,. ; � e, �\� �^ �� Address: �S I�� f4 r+ � �- � �Otl�'1"e'l��O�` E—'�� 1� Ll � City: f�b r � , ` State: Y' �i v Zip: �� .�� Z Phone: f� Z^ Z2 �' 31.� C� ' Contact: EmaiL a Name: Donald W. Laukka Registration#: �2992 u ��,��,��, , Address: 10907 Vallev View Road City: Eden Prairie ;: �: ,. ' 'State; Mn Zip: 55344 Phone: 952-944-7576 �� ' �� Contact Person: Mark Ebner � � Email: ebner@I-m.com � Licensed plumber installing new sewer/water service: TBD Phone#: NC?TE P/�rrs andsup,parting d�cumer�ts tha�y�u�ubmrt`at�'e�o��d��'e�[�a b�pu#�t"r��r�fc�rrri�t�on 'Rnrte+��as r�� tf�e�rt�vrrr�attc��r»a�be el�s�tfi��l as rlc%� �ub�1c►f y��p��t�rEd��ecr�c�'��oti�t�at r�rouk�l`��rrnz�tt��,�jr!`c� �� P , ,:..; - ;. : : ��rnclud��hat;th� ..,�,r,,"e frad�.se�r+��,, .�, ,. . �. , > ; � ��; �. ,. ,� ,......._. 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 o he stateone Il.or �� I hereby acknowledge that this information is complete and accurate; that the work� in conformanc 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�n�acco�dancg w�,the�a,pproved p��th�of w hich q iresa evi w and approval of plans. "T'!t'�'i�tbi�� jo�.� X Donald W. Laukka X ApplicanYs Printed Name Applica ' �gna re Page 1 of 3 � � �"�C�� .��, C�J�'l��I-S �lc� ��I 5 � DO NOT WRI� BELOW THIS LINE � �3�� , 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 - � Valuation /2's,DAp � Occupancy �/ MCES System Plan Review �� Code Edition -?-�-�+�-�7 N—�t'S�3L SAC Units d �I�/�MA (25%_100%� Zoning �� City Water ✓ Census Code Stories � Booster Pump #of Units � Square Feet � PRV #of Buildings � Length Fire Sprinklers �- Type of Construction �i -�'� 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 CIO Inspection: Schedule Fire Marshal to be present �Yes No Reviewed By: �� , Building Inspector Reviewed By: . , Planning COMMERCIAL FEES Base Fee �i�G•7� Water Quality Surcharge �Z•Sd Water Supply &Storage(WAC) Plan Review 7 8 4.3 q Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit 8�Surcharge Street Lateral Treatment Plant Street Treatment Plant(Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL� Z�a'S3•4� Page 2 of 3 _ ,� � ,�a,� 1�-�-� ___ Use BLUE or BLACK Ink I --i = �•-� � For Office Use � � '` �'� Y �r I /��I�� t,it� �� RECEIVED i Permit#: I � 3830 Pilot Knob Road � Permit Fee: � � Eagan MN 55122 JUN 1 g �� ; �� i Phone: (651)675-5675 � Date Received: Fax: (651)675-5694 I I � Staff: � �� .��J. 2014 E�ECHANICAL PERNiIT �lPPLICATI��J L7 Please submit two (2)sets of plans with all commercial applications. Date: �+ � Site Address: c�< � �?' �� ( �;� �J��-�'� ��'"� Tenant: /�Gtt''r,�i ,� Suite#: '"7�� Resident/Owner ;` Name: Phone: :� Address l City/Zip: n ,r�� r Name: �`��Ct-,� /�1��l�,7r�� License#: � Contractor Address:�� "� �uf/��?! .�c'�..�,�_city: � State: �� Zip: S�3 �� Phone: �S�"�� ' j / . � � Contact:�'�'}� j�,��'� Email: �o't.Y/(t'� c'G dis° el�, ,, � � New Replacement Additional ✓Alteration Demolition � Type of Work �escription of work: � NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City, _ Code. Please contact the Mechanical lnspector for information on permitted screening methods. � RESI�ENTIAL x COM1t9ERC/AL � Furnace New Construction �erior Im r v � — _ p o ement � PePm'tt Type —AirConditioner � Install Piping Processed F - _Air Exchanger Gas Exterior HVAC Unit � _Heat Pump _UndedAbove round Tank _ g �Install/ Remove) � Other � RESIDENTIAL FEES � $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) E ; $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE � COMMERCIAL FEES S£�S'� � Contract Value$ �� r�� x.01 � $55.00 Permit Fee Minimum l � $70.00 Underground tank installation/removal =$�/ � 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$1 million, please call for Surcharge =� ��j � TOTAL FEE � I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. � �"" x_ �1�=,��' /�. C�s'�� x l � ApplicanYs Printed Name App ' nt's Si ature FOR OFFICE USE ' � , �� Required Inspections Reviewed By: � Date Underground R� ough In Air Test Gas Service Test ln-floor Heat �Final HVAC Screening ia,l� Use BLUE or BLACK ink -----------------, U �� For Office Use � I j� n � � /��.�o�- ' U��TT iJ�L�� Permit#: I J � I RECEIVED j Permit Fee: 3830 Pilot Knob Road I `1 I Eagan MN 55122 �UN 2 5 9 I Date Received: .ti� � Phone:(651}675-5675 L�� I � Fax:(651)675-5694 � Staff: � L------ --------� 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial apptications. �(w �� Date:�Z5�2PJIE-f� Sife Address 3�1�r�l'z�-�we.�t E�Jz,+��ts�.s�c.P{(��,��«r ��c� �,U�' '��"� �(S'�. �1�r.,.�_-�'�COI� � Tenant: �if�7GS suite#: �� Property OWII@I' Name: Phone: Name:_��u.et /�''��t f�rr�Lc,� License#: ��.� ��°�� Contractor Address: �(:,t�� ycEct �c� City:��e�,� State: 1"�� Zip: fJ.�J�Z.� Phone:_��I –`�c�5�!°�C7 EmaiL ri G� u..�i2c�e• .'cct , YL Type of Work —New Replacement Repair Rebuild � (vlodify Space �Work in R..O.W. Description of work: /, � •� , COMMERCIAL _New Construction _Modify Space _Irrigation System(_yes/_no)(_RPZ/_PVB) • Rain sensors required on irrigation systems Permit Type . Avg.GPM (2"turbo required unless smailer size allowed by Pubiic Works) Meters Call(651)675-5646 to verity that tests passed orior to pickinq up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers Yes No COMM,ERC/AL FEES Contract Vaiue$ �,lZ3 x.01 $55.00 Permit Fee Minimum _$ f�( `Z� 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 23 ***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 conforznance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but oniy an appiication 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 �}�r�`s M e�,E�e-��tc� � � � � x ApplicanYs Printed Name Applica 's Sig ure FOR OFFICE USE Approved By: �� Date: �� Required.inspections: �nder Ground YRough-In Air Test Gas Test �inal PRV Required: ' es No Meter Related Items: Meter Size Radio Read Manometer Staff: , Page 1 of 3 I Use BLUE or BLACK Ink 2014 SEWER �41VD WATER COfVNECTION AND AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY (if applicable) Date: FOR OFFICE USE ONLY PRV required Property Owner: City R-0-W Permit Address Phone Number: County R-O-W Permit Plumber: Contact Name: Plumbing Permit SEWER WATER ' Sewer Service Water Service Sewer lateral charge Water fateral charge Sewer trunk Water trunk City SAC @$100/unit Water supply storage MCES SAC @$2,485/unit Receipt#: , Date: Receipt#: , Date: Treatment Plant @$828/unit Permit Fee $60.00 Permit Fee $60.00 State Surcharge $5.00 State Surcharge $5.00 TOTAL: 'Plumbing Permit Required—water meter to 6e acquired wrth building permit TOTAL: SEWER 8�WATER Sewer Service Water Service Sewer lateral charge Water laterai charge Sewer trunk Water trunk City SAC ,. _ .. . NICES SAC Receipt# , Date Water supply&storage Receipt# , Date Treatment plant Permit Fee $120.00 State Surcharge $5.00 *Plumbing Permit Required-water meter to be acquired with 6ui/ding permit TOTAL: Number of SAC units is determined by the Metropolitan Council�nvironmental Services(651) 602-9000. Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past. 1-5 SAC units 1,780.00 per SAC unit r—' ----�------�--I 6-10 SAC units 8,900.00 plus 445.00 per SAC unit over 5 � For Office Use � 11+SAC units 11,130.00 plus 178.00 per SAC unit over 10 � � � Permit#: i I I � Permit Fee: � I I � Date Received: � I I I Staff: I . . L————————————————� Cc: City of Eagan Finance Department Page 2 of 3 . �r Use BLUE or BLACK Ink CALL FOR CREDIT CARD PAYMENT 105850 �-----------------i 612.843.3210 � For Office Use � ' N6 1�G /�/d ' � G�,� � Permit#: � � �lt 0� �� 1 �� V� � . �a; ; � � � Permit Fee: I 3830 Pilot Knob Road � I Eagan MN 55122 .IUL 0 2 2014 � Date Received: j Phone:(651)675-5675 Fax:(651)675-5694 L�., ✓� � I BY: ,��,�,r � Staff: � ��_��_��J 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 6/30/14 Site Address:�965 Eagan Outlets Parkway Tenant: Crocs Suite#: 415 i Name: Phone: p�� Address/City/Zip: ' Applicant is: Owner X Contractor ' T ��'�(pC� .t ° Description of work: Install sprinklers in new tenant space for proper coverage �P. Construction Cost: $2000.00 Estimated Completion Date: 8/10114 Name: Ahern Fire Protection ��cense#: C039 Cfln��ra�t�ar Address: 13705 26th Ave #110 c;ty: Plymouth ' State: MN zip: 55441 phone: 763.268.0515 I � cor,tact: Ray Polos Ema;i: rpolos@ahernfire.com ' FIRE PERMIT TYPE WORK TYPE j X Sprinkler System(#of heads��) New _Addition Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial _Residential _Educational I FEES Contract Value$ 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 � _ . La-�C�a- F4R OF�ICE USE , � � � � � ; , ; RfQUIRED IN�RECTIOMS Hydrastatic ; FlawAlarm Dra�nTes� ��RoughJn ! Trip Pump Te$# Gent�al��ta#�on . �''"�Final Contlitions of Issuance: ': � Permit ReV�ewed by' ��fe ` �,�,��;,,,,,�/ � 1 :�� I