Suite 540 - Lindt Use BLUE or BLACK Ink
r-----------------�
� �Q�o�,�a�� �3�'�(� ►
� ,
C�� ol �� �11 ���.�:.il��'°s`_.� � Permit#: �� � r I
c,f
I Permit Fee: � �
3830 Pilot Knob Road i �
Eagan MN 55122 �i�Y ; F �{, � i
�� � Date Received: �
Phone: (651)675-5675 i i
Fax: (651)675-5694 j Staff: � �
�----�------------- � ��
20'14 COMMER�IAL BUILDING PERMIT APPLICATIQN �Jl� ��
�I�4 �1�� ���-1 �c�� p��-wa� ��
Date: Site Address: � �;�°��
Tenant Name: I��y� (Tenant is:�New/ Existing) Suite#: r'-�'4'� � f 1"�
Former Tenant: '`� ��
_ , ..k�. �, .Ww�..��,.�. r,��_...._�.,�..M .�.��.. �,� ��.�..�.
�,�,�.d _ £
� = Name: ��� � �` ' �►'�1 ` Phone: C�� � � 4� �
� Property Owner � Rddress f City/Z���' 7 �� �� W�b� ��� ltlmor� MD 2)2D2�
� ,� ��" �� §
; � Applicant�s: Owner Contractor V � � ���Y r� '
� .,..�.�,,,�.p,��.�,.,.� __.�..M,. A.:N�..��.m_w.�,...�.��.� _ �,.,
� � Description of work: �����1 �C�1'��v i i ���• � � ��� r��� ��J �
� TYpe of Wark g �
� r ,
3 � Construction Cost: �2✓I ��� �
�.� ..�.�.n�.�...�. � ��.....,.���..�._.._.�.,.�.�..,....�,��..��.�,,..__.__ti,�..�.�_�.
� �
� Y Name: 1�'� C�,r��i t J License#; �
� 4
� _= Address: 1 S t�� �T�s� ��i� �� ��- City: 'I�('��,r L� (�-c._ �
; Contractor � �
� � State: �� Zip: ����2- Phone: �� �°2� �' ' ���� �
�
:
�
- Contact: . ��S v'�' Email:
��„��.�..�_.u=��..�.� ° � ,.��,.�..,t...�.�,:�,�,�.�...�,�....�.,�,__.��..�.,.�,� ....�.�R..�.�..�.,.��m,�...�..�.�..�
� /� P,� /�
�� 21 �
Name: �v'� �� di � � Registration#: �1 � �
� $ �j, �j,1 '
e ArchitectlEngineer � Address: " 1 b� I 1�-V M ��� City: _���,���
� -( �j / I�, /�
� � State: �V Zip: ��� -✓� Phone: 1.��� ��✓���� ��� V'����
� � Contact Person: V�Ul��(/��'`� (�!/1�V��E�ail: �1 �u K�Ki �YI I'tG{G�YIsbYS.C 6y►� �
- x.,�.
, .y �,�.�..
: �
Licensed plumber instailing new sewerJw�f�r service: Ph�ne#: _
� NOTE:Plans and supporting documents that you submft ar�e considered to be publie�information. Partions of �
� the information may be class�ed as nan pubiic if you provfde specific reasons that would permit the City fo F
�
� conclude that the�r are trade secrets.
� ,�.�,.��.��.�..�..,..�M..�..�...�,��a�, -- - ---
CALL B�FORE YOU DIG. Call Gopher State Orte Call at(657)454-0002 for proteation against underground utiliry damage.
Call 48 haurs before you intend to dig to receive locates of underground utilities. www.Qapherstateonec,atl.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�rmit, 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 ic r ires a review and approval of plans.
X a��w� CaQ�vvn�t x
Applicant's Pr' Name pplic nt's Si re
� ` Page 1 of 3
`� ��.
� d'�p� �
����
. ...�, . . .. � .-::+ .
'` . . � ��5� �� �„ (.,���f(-���� 1���� �- �c3
DO NOT WRITE� LOW THIS LINE � ��3�C��
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 ,�o?SQ�� Occupancy � MCES System �
Plan Review �i. eS Code Edition �� IK5+3�-- SAC Units �
(25%_100%� Zoning �""� City Water �
Census Code Stories Booster Pump --,
#of Units Square Feet PRV Ye�
#of Buildings Length Fire Sprinklers �
Type of Construction f� Width
REQUIRED INSPECTIONS
Footings(New Building) Sheetrock
Footings(Deck) V'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 B �
y:/"�� � , Building Inspector Reviewed By: l" , Planning
COMMERCIAL FEES
BaseFee /,0�06. `7� WaterQuality
Surcharge (o�. .�� Water Supply&Storage(WAC)
Plan Review '"f$7. �9 Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S8�W Permit�Surcharge Street Lateral
Treatment Plant Street
Treatment Plant(Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTA� o?j��3���
Page 2 of 3
Use BLUE or BLACK Ink
`a n� � For Office Use � � i
1 ( j�
� � � ��V�� �� I ��,,�G-� � � Permit#: �l � I
�lt� 0���.�l�ll REC ,� � �-� �
� Permit Fee: � �
3830 Pilot Knob Road � � f �
Eagan MN 55122 I Date Received:�_ �
Phone:(651)675-5675 I �
Fax: (651)675-5694 j�� �J � '�D1� � Staff: �
�-----------------�
2014 COMIIIIERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: ��( �( SiteAddress: ��-�`5 ��4�tc� �c.��-l.r� �c.i��.w�+ `/
Tenant: L.i'�c{'C Suite#: 5��
Property I _
Ow11e1" Name: !` �✓�<<T Phone:
Name: r���_ �`'�c°G�tevl r�Cr'�� License#:,��.(���-��
C011tl'BCtOr Add�ess: �j��(J ��-tc� �.ct City: �4�e.✓t� State' L�'f� Zip: .t-�.��23
Phone: C�S(��-fS��l—��� Emai1: - ,�hr�Swi�C e�.,nile,,4.1r�o.��c�l,ca,c�
Type of Woi'k —New _Replacement Repair Rebuild `� Modify Space �Work in R.O.W.
Description of work: ' P (f
COMMERCIAL New Construction �Modify Space
_Irrigation System(_yes/_no)(_RPZ/_PVB)
. Rain sensors required on irrigation systems
Pefl7tit T�/pe . Avg.GPM (2"turbo required unless smaller size ailowed by Public Works)
_Mefers Call(651)675-5646 to verity that tests passed�rior to pickinq up meter.
Domestic:Size&Type Fire: 1
Avg.GPM High demand devices? Yes No Flusfiometers Yes No
COMMER.C/AL FEES Contract Vaiue$ �i��l'S� x.01
$55.00 Permit Fee Minimum �1Lq.s�
_$ Permit Fee
'`If contract value is LESS than$10,010,Surcharge=$5.00 =$ l�„b�� Surcharge`
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 �,i�
**'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 Ca�l at(651)454-0002 for protection against underground utility damage. 1
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 pl ns. ,
X � �S �G�,�eGhti X � ^
� � f �,µ
Ap�icanYs Printed Name ApplicanYs ignature
FOR OFFICE USE . ' Approved By: �� Date: �- r
Required.inspections Under Ground Rough-In _Air Test _Gas Test �Final PRV Required:_Yes_No
Meter Related Items: Meter Size Radio Read Manometer Staff:
Page 1 of 3
108176 Use BLUE or BLACK Ink
CALL FOR CREDIT CARD PAYMENT
612.843.3210 �-----------------,
� For Office Use ���� i ,
� nID �L,/��NS�//�II� �'/�/ i Permit#: LE� I �
��� �� �� �� �"�' � I . /� �
� � ��-+�'� � Permit Fee: t-i �
3830 Pilot Knob Road � �
Eagan MN 55122 �UL Q 2 20�4 � Date Received: j
Phone:(651)675-5675 � �
Fax:(657)675-5694 � � Staff: �
BY: -
`________________J
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 6/30/14 Site Address: ✓3985 Eagan Outlets Parkway
Tenant: Lindt Suite#: 540
Name: Phone:
PI'+Dpel"��/ �W�1@I'.. < Address/City/Zip:
; Applicant is Owner X Contractor
Description of work: Install sprinkler heads for proper coverage in new tenant space
T�i�l��►f WOirk
s Construction Cost: $4000.00 Estimated Completion Date: 8�10/14
' Name: Ahern Fire Protection �icense#: C039
� C�ntracto����� �
Address: 13705 26th Ave #110 �;�y: Plymouth
' state: MN zip: 55441 Phone: 763.268.0515
cor,ta�t: Ray Polos Emaii: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads�� ) New _Addition
_Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ 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
ApplicanYs Printed Name Applicant's Signature
y - l ����3
F�ft OFFICE USE .
REQUIRED IN�PEGTIQNS
` Hydrostatic Flow Alarrn R+�air�Test �Ro��h l�r
Trip ' Pump Test �e�#f�i Sta�+tan ,��F a#
Conditions of Issuance:
:. �. � .r �',
�
P�rmit Reviewed by: ^� Date ; _T_r�� ,� /''`-��,!���
Use BLUE or BLACK Ink
�. �-----------------�
/fL�Ns/ /������� For Office Use �
,.,$r.�Y._ r � �: 03 � J�a ���� �
C16� Ul ����11 ������ I Permit#: I
� �
� Permit Fee: � �� �
3830 Pilot Knob Road � I
Eagan MN 55122 JUL 0 7 2014 � '
Phone: (651)675-5675 � Date Received� � I
Fax: (651)675-5694 � � �
BY: � Staff: �
i
______ ��___�_��_J
2014 lltilECHANICAL PERMIT APPLiCATI��J
❑ Please submit two(2)sets of plans with all commercial applications.
� Date: � Site Address: f �9d �� ,��'UJ� "�•ITL� " '�
�
Tenant: i'- c' � Suite#: � ��
Resident/Owner ` Name: Phone:
� Address/City/Zip:
�� N�ame: �'�f� � � License#:
� �y�-���
C011��aCtO� Address: ��r/"� �c�'��� Z City:
� State: � 1'�'' Zip: 5•�� �� Phone: �.��"�`��r' ����
� .
� Contact: "`� !'�"v�.. �y'��� Email: %'� �C�°G!G �'G e� C�CC�
�
� New Replacement Additional y'`��Alteration Demolition
�
� Type of Work Description of work:
� NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
� Code. Please contact the Mechanical Inspector for information on permitted screening methods.`,
� RESIDENTIAL COMMERCIAL
� _Furnace New Construction ` Interior Improvement
t
� Permit Type Air Conditioner Install Piping _Processed
� _Air Exchanger Gas Exterior HVAC Unit
� _Heat Pump Under/Above ground Tank �Install/ Remove
t — — �
� Other
RESIDENTIAL 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 G��"�� x.01
� Contract Value$ �:
� $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 =� �,g� 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� �.����'"`��9�.��.�t_ x ` � '�
App ican�t's Printed Name A ant's gnature
FOR OFFICE USE ' n
Required Inspections: Reviewed By: `� Date:�–�/�E�–�–
Underground �ough In Air Test Gas Service Test In-floor Heat Final HVAC Screening