Suite 450 - Sunglass Hut Use BLUE or BLACK Ink
�-----------------i
� For Office Use �
Clt 0� �� �Il �i,�A�Cy �+f ���i ��i i Permit#: � i
� � �1liR L 9 �n�� j PermitFee: C/`�vl,.�� �
3830 Pilot Knob Road
Eagan MN 55122 i Z i
Phone: (651)675-5675 � Date Received: '✓��J 1 �
I I
Fax: {651)675-5694 � Staff: I,;�� �
`____����__�_��__J
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: ` ��; � Site Address: I�`<� ���1�:i i°� of.(TI�T) ���%��
,,,�a � p �.-
Tenant Name:��.�� �--�1�� $'�"LL� , (Tenant is: �ew/ Existing) Suite#: `�_
' Former Tenant: � — �0 �hlAO�
��������x � - �° p �
�,_� � Name: � l�l lJlT11� � hone:��� ��A �. ����(Q
�
� �,; ^�
, �; Address/City/Zip: CT 1 U �!�
`: Applicant is: ✓Ow r Contractor � � �
� � � � - � u� `� -� �
" �x ' � ' Description of work:
����� � �
�' ��� '_; Construction Cost: ����ti��� �
n, "„��, ° �t u_:
�'���� � �/�'��-J���� �i,�.�.. � �
�
�� Name:_ _L_ License#:
P ��
, _ + {�
��'' � � � Address: ��� � �����• City: t��G�'l�^^�"`�1� �
���+���'"1
� "� � Sy. 5�
� �� State: h't 1� Zip: .�'����� Phone: ���' � �
�� �'�.
� ° � � ��� Contact: �l^s�S �.�. orlg�l� Email: C. 1�,r:5 b� ������z�r�� ,fo��^-�
� � Name: i�/![(�� �` �t�(,�� Registration#: `T ��S�
� ,
� � �� =� �x Address:��U V si���G�� �I�� City: f lY !�,�'n� �
�� /� �7 1 �L �( f�
���� � � €` State:�Zip: �1.��� � Phone: � � /��6 1 � ° � f
��, x
��� '�`� �
r � �„�F Contact Person: Email: � � �� ��
Licensed plumber instaliing new sewer/water service: Phone#:
��#���� r , � ��,�� ��' � � � 4
�� �
F�s�s+�+�YN n ."�,".-�r - c ,`° :: `� '� � �i u! ��.
k P ,Y _ u.�'t �L_',Uf � �Y„�f-. ^�� �"'N`�,V� ,`��u -
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.org
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 accord nce with the approved plan in the case of work ich re uires a review and roval of plans.
x x
Applicant's Printed Name plican S�nature
�(,t,�.:S 1 j��t'1 �u L__ _"'.--__.._.. Page 1 of 3
3��s �� �� Os� I��-s �'1�:�, � y�
7 a�
DO NOT W�E BELOW THIS LINE � �'�O� (
SUB TYPES
Foundation Public Facility Exterior Alteration-Apartments
�ommercial/Industrial _ Accessory Building Exterior Alteration-Commercial
_ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES /
_ New 4�lnterior 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 �c'�-4 OOQ�a Occupancy ,� MCES System �
Plan Review � Code Edition �s��-- SAC Units _ ('�
(25%_100%'r) Zoning {� City Water t�
Census Code Stories Booster Pump =--'
#of Units Square Feet �C PRV �
#of Buildings Length Fire Sprinklers ��-s
�Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Sheetrock
Footings(Deck) �j�inal/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 ,,,-� a
Reviewed By: ��� �- , Building Inspector Reviewed By: �'� , Planning
COMMERCIAL FEES
Base Fee /�'"?�P ,?S Water Quality
Surcharge Gl�. Ot� Water Supply 8�Storage(WAC)
Plan Review " U , g Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S8W Permit 8 Surcharge Street Lateral
Treatment Plant Street
Treatment Plant(Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL� 0�00�• lot
Page 2 of 3
r _, �
Use BLUE or BLACK Ink
106496 CALL FOR CREDIT CARD PAYMENT
612.843.3210 � For Office Use �
i---------
. i �
��� _ �� �� �� N� �� /�� C�� � Permit#: � �� i
� � I �� I
`\)� � Permit Fee: �
3830 Pilot Knob Road ���■ � � I
Eagan MN 55122 I �
Phone:(657)675-5675 JUL 0 2 2014 � Date Received: �
Fax:(651)675-5694 � I
� Staff:
BY: -----------------�
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
6/30/14 �65 Eagan Outlets Parkway
Date: Site Address:
Tenant: Sunglass Hut Suite#: 450
Name: Phone:
F�rf3���1�/ f�YYn@r Address/City/Zip:
Applicant is: Owner Contractor
Description of work: �nstall sprinkler heads for proper coverage at new tenant space
' Type of W+�rk
> Construction Cost: $2500.00 Estimated Completion Date: 8�10/14
rvame: Ahern Fire Protection �icense#: C039
Contractor
aaaress: 13705 26th Ave #110 c;ty: Plymouth
' state: MN zip: 55441 phone: 763.268.0515
; contact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System (#of heads ��) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ x.07
$55.00 Permit Fee Minimum =$ 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 ApplicanYs Signature
f � � i �-���-�
FOR OFFICE USE
RE4UIREI}ENSPECTIC7N�`v
Mydrastafic Flow Alarm C?�'��t�.Tes� �t�gh ln.
Trip Pump Test �entral 5t�#ann . ` �ai .. .
Gonditinns of Issuance:
� �
/,��,,, r^�'�' �`
Permit Reviewed by�`\,L,� �e�i� ��afie : �„���!__��/�.
�-Gr=--r- -�--
r� • ,�`` Use BLUE or BLACK Ink
� ��A�n1�l Nb �k. -----------------,
�/"'�c��� j For Office Use �
� V IL.� � /a�o� �
Clty 0�����Il � Permit#: i
.IU�. p82Q14 i Qo� �
I Permit Fee: �
3830 Pilot Knob Road � I
Ea an MN 55122 I �
9 (�Y;_ � Date Received: �
Phone:(651)675-5675 �
Fax:(651)675-5694 � staff: �
����_____ ����___J
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
� Please submit two(2)sets of plans with all commercial applications.
Date: 1 —1 Site Address: �� ���1 vl�,���j��� ,� ��1'CC.�-��
Tenant: Suite#: �
. Property .
OVV11eP � Name: Phone:
Name: Commercial Plumbing and Heating, Inc. �icense#: PM059469
'Contractor ; Aadress:_24428 Greenway Ave. c�ty: Forest Lake state:�p�zip: 55025
Phone: 651-464-2988 Ema�i: awicks@cpandh.COm
Type Of WOPk —New _Replacement _Repair _Rebuild �Modify Space _Work in R.O.W.
Description of work: � M $f � -
COMMERC/AL _New Construction �Modify Space
_Irrigation System�yes/_no)(_RPZ/_PVB)
• Rain sensors required on irrigaGon systems
P@P1111t T�/p@ . Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
_Meters Call(651)675-5646 to verity that tests passed orior to aickinp up meter.
Domestic:Size&Type Fire: 1
Avg.GPM High demand devices?_Yes No Flushometers_Yes No
COMMERCIAL FEES �\� �,� ���� Contract Value$��Q � x.01
$55.00 Permit Fee Minimum ��,�,,n ��,r,��i �,Ze��
� _$ Permit Fee
C.�S\ g\�_.�'a.�,��
*If contract value is LESS than$10,010,Surchar e- _$ 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
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. $ Treatrnent 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�nformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a pertnit, 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 X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE �� � � � Approveci By: ��� ` � - Date.� � �-
�� ,. .
Required Inspections: �nder Ground �_• Rough-In "±yAir 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
_ r,� ---------,
�'��" � For Office Use I
��� � C � I
I�t^S ��G- • � Permit#: ���`�� �
�1�� 0�����1 'n,, � � �� �
Y• � Permit Fee: �
3830 Pilot Knob Road I
Eagan MN 55122 RECEI`JEQ � �
Phone:(651)675-5675 i Date Received: � � _ �
Fax:(651)675-5694 'J�� O � ���1� � Staff: j
i������� ��������J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commerciai applications. �,��
Date: �� y Site Address: �`V� ���+/g"� Q�l-T L�Tj" �f�..��✓�y
Tenant: � L/�S,f" T� Suite#: ���
R�51�Eti��?WCi�:t' Name: Phone:
Address/City/Zip:
' Name: d7 S�� c�.�,F�'t"� � ������'CL�"e�use#:
C�n#�act�►r Address: /�-�) �'I'►�5�,��L )2-D� City: �'f�����
' State: �°'� Zip: ��3`7% Phone: ��4�` ���- �<�
Contact:�/��� !/h.�-LC�E�- Email: !•v!/1-O�G�� g " �"��
JC. New� Replacement Additional Alteration Demolition
Type�'E W€�rK ' Description of work:
N�T�;i���sf rno�n�d ai�d 9rvund ma�ut�ted rr� hani��ti�quip�rie�tt.is rec��rr��l`�Eo;be screer��td��City '
' Gad�.'.�I�:as�;cc�ntact�se Mechanicai-i,nspec#c�r°ft�r inff�r��#i�rt c�n p�rniit€�d screeniiig rrt`�tht�#�. '
RES/DENT/AL COMMERC/AL
_Fumace �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$ �q�. Qa 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 va�uation is over$1 million,please call for Surcharge =� TOTAL FEE
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x�J lZ�6i �'1�-L L/.�/L , x i�!�t�t,�
ApplicanYs Printed Name Applicant's i nature
__ _ __
F�C#C�FFX�E ElSE�, � �
.,, .� . =
R�q�ired tn�p�cti�s`,. ' ' _ 12��i�wed#Y,� *�'� Da�:� � � '
+lri1�,�-"
Un�er�raund Raugh in ,4ir Test ' ��s�eruice�est ; tn-�Icaar Heat Fin�i : HVAC Screet�in�
�(� �.,�-- Use BLUE or BLACK Ink
�-----------------i
� For Office Use �
` �,,C,c �-`�` �c- ' a,�� 5� '
Clt of �� a� I Permit#: I
� � � ��= �
3830 Pilot Knob Road REC�IVED � Permit Fee: �
I I
Eagan MN 55122 I I
Phone: (651)675-5675 ��L '� f� 2�'�j� � Date Received: �
Fax: (651)675-5694 I I
� Staff: �
`______��_���_��_J
2014 COMMERCIAL FIRE ALARM PERMIT APP�ICATION*
Date: 7�(���I Site Address: 3��5�s L Ci �J`�'�L'� �� �
Tenant: v S '�°� Suite#: ��
Name: Phone:
Property Owner Address�City/Zip:
Applicant is: Owner Contractor
Type Of Work Description of work: ��hc.. /�-�GI,V VY� G,�� I����S
Construction Cost: L�V� Estimated Completion Date: � �l ��
' Name: M�'�L1��L�Vt��1�1 �v (�� License#: ���� u��_
Contractor Aadress:__QS���.. � l 2� �'- city: S�.��.�
State: M� Zip: '�v"rJ�j��j Phone: �1�Z�XlJ� J�-4��
�
Contact: ��""vFJ��� Email: C`n �.h C M v✓�
�New _Remodel �
WOrk Type _Addition _Other: �
Alterations
DESCRIPTION OF WORK: �flmmercial Residential Educational �
FEES Contract Value$ �-�� 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$1 million, please call for Surcharge
_$ C° � 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 Alarm 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 �.�ha��� C�� X U�,`�� b
Applicant's Printed Name ApplicanYs Signature
fOR OFFICE USE Reviewed By: ` Date: �' '
Required Inspections: Rough-In Final Fire Alarm Test