3965 Eagan Outlets Pkwy - Suite FC3 - Former Subway ' � -Use BLUE or BLACK Ink
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I For Office Use
� � Permit#: 4 � �
CltV of Ea �� `'Eo � �,� �
eJ � C�,�1 I Permit Fee: � I
3830 Pilot Knob Road R� � �
Eagan MN 55122 � �, '!!�'� � ���'L,�� I
Phone: (651) 675-5675 �VN i Date Received: I
Fax: (651) 675-5694 j Staff: ' j
�-----------------�
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date:� � � � � ) � SiteAddress: ���� � ��'S�� �"-�t-'�g ��F-��1 � �
Tenant Name: �`�-"J "� a (Tenant is:�New/ Existing) Suite#: ���
. Former Tenant: N �
Name:��� �.�C� 0.•�. ��e.v�l Phone:��� �`�`�� � � �3 �
�y�flWtleC Address/City/Zip: I 4 J c�- �f�"`'c��0 OG I���
Applicant is: �Owner Contractor
Description ofwork: ��-� ��` ��� �� �E'" �-� �4�''t'� � f"'d
Type�o#Work_ _ -
Construction Cost: � ! J
Name: 1� V SS � �lC.� �.�S�.. License#:
Contractor: Address: �a$�� �J��N Vc_ Av city: ���-/�o�t�
��� �� State: �� Zip: �J���� Phone: � L�� �a ��' ���� �
'. Contact: EmaiL
Name: Registration#:
Architect/Engineer ' Address: city:
State: Zip: Phone:
Contact Person: EmaiL
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 pravide specific reasons that would permit the City to
conclude that the` are tr.ade 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.qopherstateonecall.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 Ea an; that I understand this is not a ermit, but onl an a ' ati for a ermit, nd work i not to start without a
9 P Y pp P
permit;that the work will be in accordance with the approved plan in the case of or w uires view a approval of plans.
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Applicant' inted Name Applicant's Si t
u S � /`'��l� Page 1 of 3
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� DO NO�WRITE BELOW THIS LINE l�-��� � �
SUB TYPES
Foundation _ Public Facility Exterior Alteration-Apartments
� Commercial f 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 6QQ � Occupancy p MCES System �
Plan Review ✓ Code Edition Z�'T MSaG SAC Units � � '�A-!D
(25%_100%� Zoning j���.>_�~� City Water
�
Census Code Stories � Booster Pump
#of Units V Square Feet PRV
#of Buildings l Length Fire Sprinklers �
Type of Construction �•B 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 ��I
Insulation Erosion Control I
Meter Size: I
Final C/O Inspection: Schedule Fire Marshal to be present: V Yes No
.�-,--�----
Reviewed By: (�/�� , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee l�79•ZS� Water Quality
Surcharge �'�•r6 Water Sampling Fee
Plan Review ri$2•O/ Water Supply & Storage (WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S&W Permit 8� Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant (Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other: �
Water Quality TOTAL 17$D.7�
Page 2 of 3
Use BLUE or BLACK Ink
�� „ 1, ���I�r �p� �� � For Office Use � � �� I
��V� j UU4' � I
Permit#:
Clt� of�a�a� R�C�`��'�D � �.-� ;
� Permit Fee:
3830 Pilot Knob Road �
Eagan MN 55122 I Date Received:
JUL 0 � ��14 �
Phone: (651)675-5675 I Staff: j
Fax:(651)675-5694
�-----------------�
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
� Please submit two(2)sets of plans with all commercial applications.
Date: //Z�/.3 Site Address: ����� /ri/ft�iPL� ��� /�/«..JJ
Tenant: U ��` � O Suite#:
�
���� ro�e��� a,
���"' ti Name_ Phone:
f)w,�ner
��� ��:_
, � d ,r� /
�°� `� �� `� z�, Name:�t.o��G' �y�ia�1'f1 %-L � LL C �r�
� /� � License#: �� �b�c�J
,� r� ,�
��Cc�ntracto� , Address:�7Jt��i��tl�1NJF.E /r�• Cit .�/��i�iCJ State:/Zf WZip:�
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�����'�� �y:
Phone:����` ��C3� EmaiL �
�� ��,;.
'�� � ��� �.� _New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
��TYPe af Work .
��� ������ ;�`
������t� ����y Description of work: '� - � �i'`)
�<� ���' :� COMMERCIAL New Cons ruction Modify Space
,, ��� ; �; _Irrigation System(_yes!_no)(_RPZ/_PVB)
�an��
# � • Rain sensors required on irrigation systems
��„„,F�CI'171�T�lp��� • Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
� � �'4 Meters Call(651)675-5646 to verity that tests passed prior to pickinp up meter.
�`,�_� � � , —
��� � ��;: Domestic:Size&Type Fire: 1
� `�� � Av GPM Hi h demand devices?_Yes No Flushometers Yes No
.�v��. g• g
COMMERCIAL FEES Contract Value$ ���v x.01
$55.00 Permit Fee Minimum _� 1�� B'O
Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ .7•�v Surcharge'
'`*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 3Z
***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
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 ApplicanYs Signature
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Page 1 of 3
�'r��� �s�- f!S'z - ���'` � C�.��,`�'���o
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Use BLUE or BLACK Ink
-��K-�- ��N�lirl���NJ�� I ForOffice Use ---------�
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� t (� /�. aO ' � /��T� I
� ��b� U������ �V'�� V/ � I Permit#:
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3830 Pilot Knob Road � Permit Fee: � �
Eagan MN 55122 �U�- � 9 2014 I
� I
Phone: (651)675-5675 � Date Received: ' I
Fax: (651)675-5694 � � �
�Y' � Staff: �
� ��____�� __�__�_�J
2014 !ttlECHANICAL PERIVfIT APPLECATIQ�J
Ll Please submit two(2)sets of plans with all commercial applications.
Date:� 7 Site Address: � `�' `�,���� O�T��
1 1 '�' �-- � �
Tenant: C �� ' Suite#• �� � �
Resident/Owner ` Name: Phone:
Address/City/Zip:
Name: �Q 'o/� ' �*� License#:
� COlttfaCtO� Address � ��:� '��% i- City:
� � ',/�� � �/
� � �� State:�i "�Zip: s�� ���" Phone: ���� ��'�'�3���
€
; � Contact: �/"" '�=' e�l�/.,����('_EmaiL � ,:
�
; New Replacement Additional �eration 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 �erior Improvement
� Pe1'mlt Type —AirConditioner Install Piping Processed
_Air Exchanger Gas Exterior HVAC Unit �
� _Heat Pump Under/Above round Tank Inst
� _ g � all/_Remove) �
� 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 Contract Value� s`�C�C� � x.
01
• � $55.00 Permit Fee Minimum
� $70.00 Underground tank installation/removal =$ �.� ^ Permit Fee
�
� *If contract value is LESS than$1 Q,010,Surcharge=$5.00 =� -s ^ 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
�
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 �I���c��r'�' l�✓�,��. x z �'
ApplicanYs Printed Name App i nt's S' ature
FOR OFFICE USE '
Required Inspections: Reviewed By: Date: � - [ �
Underground Rough In Air Test Gas Service Test In-floor Heat �Final HVAC Screening
110938 CALL FOR CREDIT CARD PAYMENT Use BLUE or BLACK Ink
612.843.3210 � For office use / i
� i i
� Permit#: �� ��� I
�l� �� ��. �,I� ,�L��.��b ���� � . ��= �
� � �� � Permit Fee: I
3830 Pilot Knob Road I �
Ea anMN55122 ������ I I
9 � Date Received: �
Fax:(651)675-569475 ,���„ � � Za�� j j
� Staff:
�Y: � -----------------�
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 7/21/14 Site Address:"�yn5 Eagan Outlets Parkway
Tenant: Subway ' Suite#: FC 03
Name: Phone:
Property Owner Address/City i Zip:
Applicant is: Owner X Contractor
Type of Work
Description of work: �nstall sprinklers in all ceiling areas, cooler&freezer for proper protection
Construction Cost: $2500.00 Estimated Completion Date: 8�15/14
Name: Ahern Fire Protection �icense#: C039
Contractor
Address: 13705 26th Ave #110 City: Plymouth
State: MN zip: 55441 phone: 763.268.0515
co�tact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System (#of heads�� New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ 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
_$ 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
� - . � ��3�3
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain 7est ` �ugh In
7rip Pump,Test Gen#ral Station �-Final
Conditions of lssuance:
�iti�� �� ; /
Permit Reviewed b • Date: ; �/ l �