Suite 1020 - Jos. A. Banks w *�
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3830 Pilot Knob Road ,�C�`'��Q i Permit Fee: � �
Eagan MN 55122 � � I � �Z�'� �
Phone: (651)675-5675 MA� '�o��'��, i Date Received: i
Fax: (651)675-5694 � Staff: �
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2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: OS-19-14 SiteAddress: 3945 Eagan Outlets Parkway
Tenant Name: Jos. A. Bank (Tenant is: X New/ Existing) Suite#: 102 0
FormerTenant: N/A New construction
Name: Paragon Outlet Partners, LLC Phone: 201-669-7083
P1'Op@PtyOWneC Address/City/Zip: Baltimore, MD aiaoa
Applicant is: Owner Contractor
Type of Work Description ofwork: Tenant build out of exg shell mercantile space.
Construction Cost: 3 3 0,0 0 0.0 0
Name: TBD�/'r�C�� �=7�;r ,��� License#:
Address���%'� t/C?/r��Jr`� ��` City: —7'�,,�1/�-�,�
Contractor -�- �
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State: �� Zip: ✓ � �7 Phone: (��� �(C���L,�''�C�
� � Contact: , J �c~ ��'�"� EmaiL• �V��c�� `� �� ��- � ��r��cr�' ��D -� �
Name: Patrick G. Blees Registration#: 18079
Architect/Engineer Address: soo Washington Ave N. #208 City: Minneapolis
State:MN Zip: 55125 Phone: 612-547-1300
ContactPerson: John Holten Email: jholtenc�cmarch.com
Licensed plumber installing new sewer/water service: Phone#:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons#hat would permit the City to
conc/ude that the are trade secrets.
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.qoaherstateonecall.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.
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ApplicanYs Printed Name App� an ' nature
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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 *Demolitio�of e�Ure building-give PCA handout to applicant
DESCRIPTION
Valuation �3���o� Occupancy I�'1 MCES System �
Plan Review / y�s Code Edition /�'�S,�L SAC Units Q
25% 100% ✓ �- �
( _ ) Zoning � City Water .�
Census Code Stories � Booster Pump �
#of Units Square Feet � �� PRV �
#of Buildings Length Fire Sprinklers �s
Type of Construction � Width 7 `
REQUIRED INSPECTIONS
Footings(New Building) Sheetrock
Footings(Deck) �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
Reviewed By: , Building Inspector Reviewed By: • , Planning
COMMERCIAL FEES
Base Fee �, �,�j�p, 7,S Water Quality
Surcharge _ ��0.��o Water Sampling Fee
Plan Review /�,Sg3• Water Supply�Storage(WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S8W Permit&Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other:
Water Quality TOTAL �1��- � �
Page 2 of 3
P�,qN���O G�� Use BLUE or BLACK Ink
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3830 Pilot Knob Road � ,�„��� V � Permit Fee: �
Eagan MN 55122 I �
Phone:(651)675-5675 J�N Z 7 Z��� � Date Received: �
Fax:(651)675-5694 1
� Staff: �
BY: -----------------�
2014 MECHANICAL PERMIT APPLICATION
Please submit two(2)sets of plans with all commercial applications.
Date: �'ZS•�0/'� Site Address: ��FS �A6�4n1 OVTL�TS P'��k5)��
Tenant: �O$ 14 �N kS Suite#: /OLO
�������;�,����r, Name: Phone:
''°°�� � ' Address/City/Zip:
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� �� � Name:/'7'/+�TEcE,F 1 l��I�ttX License#: � �
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�������� ; Address: �'{9 I$ W �$� �T2.�ET City�: �d. ��S
� �',�' ,` `.' ' State: �� Zip: SS�� Z- Phone: ��2•�29 - �/Q �XT G.Og
�' ' �. � � Contact: �NK�� �77� Email: �Fv7l"f�/���Z.T�f,!{7�'�� . C.O�-
�
�New Replacement Additional Alteration Demolition
, , ;'"'�'y�r�a�y�/�� Description ofwork: ��T'/NsTp.Lc.�T�O�.]
��� � ' t �d�'��ER�i���iri��i���t��r��i grtsi�n� u��d�ne�ha�i���q�li�m��� �1�'��A� �i�� �< � �
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� _ RES/DENFIAL COMMERCIAL
Fumace �New Construction _Interior Improvement
����,���-�,��, _Air Conditioner _Install Piping _Processed
`'=7' � Air Exchanger � Gas Exterior HVAC Unit
� ti;; _Heat Pump Under/Above ground Tank (_Install/_Remove)
r�„ � —
Other
RES/DENT/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 Contract Value� 33 az� x.09
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ SS. o D Permit Fee
"If contract value is LESS than$10,010, Surcharge=$5.00 =� S. 6 v Surcharge`
*"If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
"`"'If the project valuation is over$1 million, please call for Surcharge =$ ��,d� 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 t a 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.
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Appiicant°s Printed Name icanYs Sign ur
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� � Use BLUE or BLACK Ink
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'G'�� �" � Permit#: I�7��� �
Clty of���a� � �
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3830 Pilot Knob Road
I�ECEI`✓ED ; Permit Fee: �`� i
Eagan MN 55122 j Date Received: `��� I
Phone: (651)675-5675 '��� 01 2�14 � I '
Fax: (651)675-5694 I Staff: � '
�--------- -------� i
2014 COMMERCIAL PLUMBING PERMIT APPLICATION I
❑ Please submit two (2)sets of plans with all commercial applications.
Date: ����� / Site Address: � � 7 � � � ��'► �L�/�-�� ����U
Tenant: ��S ./�. l`./�<��S Suite#: ��� �
Property
,OWner Name: Phone:
Name: J� �-��-r�C1 ����^�/� License#: �� �� �� 7 C�
COt1t1'aCtOP Address:���6 ����i�1 City:_ /!�!I Cdl�v(j State��h Zip: _��
Phone: ���Ca C� /�°'�c.�__�--�V Email:
Type Of WOPk : —New _Replacement _Repair _Rebuild �/dify Space _Work in R.O.W.
Description of work:
COMMERCIAL _New Construction ��dify Space
Irrigation System(_yes/_no)�RPZ/_PVB)
• Rain sensors required on irrigation systems
Permit Type . Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter.
` Domestic:Size&Type Fire: 1
Avg.GPM High demand devices? Yes No Flushometers Yes No
COMMERCIAL FEES Contract Value$ ��� x.01
$55.00 Permit Fee Minimum
_$ 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
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
accor ce ith t e approved plan in the case of work which requires a review and appro lans.
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ApplicanYs Printed Name Applicant's Signature
FOR OFFICE USE ' Approved By: Date: � �
Required Inspections: nder G�ountl �Rough-ln '�'�Air Test _Gas Test �Final PRV Required: Yes No
Meter Related Items: 'Meter Size Radio Reatl Manometer Staff:
Page 1 of 3
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CALL FOR CREDIT CARD PAYMENT Use BLUE or BLACK Ink
107394 612.843.3210 �-----------------,
� For Office Use �
� ND � / N� � i �
�L/"r�"� �i/�/�i I Permit#: l �� I
�l� 0� �� ��l ��E v'� � . °�' �
� � � Permit Fee: � �
3830 Pilot Knob Road � I
Eagan MN 55122 �UL O Z ZQ�4 i i
� Date Received: �
Phone:(651)675-5675 � �
Fax:(651)675-5694 gy; � Staff: �
�����������������J
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 6/30/14 Site Address: 3945 Eagan Outlets Parkway
Tenant: �os.A. Banks Suite#: 1020
� Name: Phone:
� ����e�'������ :��` Address/City/Zip:
<: Applicant is: Owner X Contractor
' Description of work: �nstall sprinklers throughout new tenant space for proper protection
� �'yp���,of Wark„ ��;
Construction Cost: $4500.00 Estimated Completion Date: 8/10/14
rvame: Ahern Fire Protection ��cer,se#: C039 '
Contrac#or
aadress: 13705 26th Ave #110 city: Plymouth
' state: MN zip: 55441 Phone: 763.268.0515
contact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System (#of heads� New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ x.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 ApplicanYs Signature
� �� ° ��C��
FOR OFFICE USE
FtEQUIRED INSPECT�f3MS .
.
Hydrostatic Flow Ala�m {7�asn Tes� �ugh ln .
Trip Pump Test �en��t S��#�t� A ��ai
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Conditians of Issuance: : �� � � �" ,'� �� ` �
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