Suite 410 - Oakley Vault � Use BLUE or BLACK Ink
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Q�` i For Office Use
Permit#:
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3830 Pilot Knob Road � Y ' �
Ea an MN 55122 'JUL 2 ���� � �'� �
9 � Date Received: I
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff:_� �
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2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: ��r�' � �� Site Address: � �� �"� �' D�-�L-'�-�S ���"��J c'
Tenant: ���/� �✓�� ` Suite#: � ���
Property
OWpgr Name: Phone:
' Name: v� � �►'-/� �`��.�/� License#: Tl� 6 6 d/�C3
Contractor c �`' / /� �/� �/�/ �'���
Address:����` ��� �1 City: l�nG�cJr�C//�n State:�//hZip:_�
Phone: ���'���p C��.�l..! Email:
Type Of WOt'k ' —New _Replacement _Repair _Rebuild 2�odify Space _Work in R.O.W. ��
Description of work:
' COMMERCIAL New Construction odify 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 Pubiic 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; un erstand t �s is not a permit, but only an application for a permit, and is not to start without a permit; that the work will be in
acc ance ' the a ved e e of work which requires a review and app al of lan
x
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ApplicanYs Printed Name Applicant's Signature �
FOR OFFICE USE Approved By: � ' Date: '� '�? �
:Required Inspections: �Under G�ountl �Rough-In �"Air Tesi _Gas Test �Final PRV Required:_Yes-_No
—
i Meter Related Items: Meter Size Radio Read Manometer Staff:
�, Page 1 of 3
Use BLUE or BLACK Ink
,! � Fo�Office Use I
R�,C�,V�� (r`�� � Permit#: /� �" 1�d �
�i�y of�a�a� ry ��,� �� �/� � �/��- �� � ��
u� � a � Ci C I Permit Fee: / �. �
3830 Pilot Kn�b Road � 1 Q✓` J �
Eagan MN 55122 � � I / �
Phone:(651)675-5675 ` � Date Received: CD '�� ^� I
Fax: 651 675-5694 D � �
� � I Staff: 7 � ;
L--------------- � '
2014 MECHANICAL PERMIT APPLICATION
� Please submit two(2)sets of plans with all commercial applications. �:�f�.
Date: � ���` l �1 Site Address: ��(� �r.��G... L`5,,�.'}��-t`�"S �1��
Tenant: u.�, Suite#: � ��
� 2
�� � Name: Phone:
.. <�
Resident/Owner :
° � � �'"' "' Address/Ci /Zi
��. �Y P�
§
"' Name: L�,G�t � ���'��rt;l 2 S ��(� License#:
�� Address: ��S�Ub �A�a-.-�'� I.�CN�'` Qs�f� � City: �( Q�D�"yvi�'ze��t.r
� Contractor ` `
,' State: �1 N Zip: �j,'j�� Phone: �G+(,�' �S�G�o� l�S �
� �� Contact: ���`�"`�k ��-GY���rS,--� Email: �. �� �� c�C -�v-���-�
� � New Replacement �Additional Alteration Demolition
���Type of Wor'k �'� Description of work: r � �� � :�C- s �r, � e,� ��
NOTE:.Roof mounted ar�d ground mounted mechanical equipment is required to be screenetl:by City '
,
� • ' ,,:. ` ! ,: Code: Pfease contact the Mechanical lnspectorfor information on permtttetl screening inethods� , :
RESIDENTIAL COMMERCIAL
_Fumace _New Construction �Interior9mprovement '
' Pernlit Type . ' —Air Conditioner Install Piping _Processed
_Air Excha�ger Gas _Exterior HVAC Unit
_Heat Pump Under/Above ground Tank �Install/_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$ �� �C�OD• °� x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank instaliation/removal =$ � ��•� Permit Fee
'If contract value is LESS than$10,010,Surcharge=$5.00 =$ �', $D Surcharge'`
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
*"If the project valuation is over$1 million, please cafl for Surcharge =$ � j�"j-5� 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 �<<�`� r\v�G�-ei�"�C�-t x l�Q� ,� l. —_..._..._
ApplicanYs Printed Name ApplicanYs Signature
�FOR OFFICE USE' � � '° �� �`
Required Inspections Rev�ewed By '%'�: ' Date:4P �� �
�.= .
' Underground ' Rough fn ' Air Test Gas Service Tesf ��! In-f�oor Heat �Final '' �HVAC Screening '
Oa/06/2014 10:42 FA% 323 954 8965 VaLERIO ARCHITECTS �21001
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s � FOr pffice Use • �
• ���„�� �,/�
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� Permit#: � v`-r I
Clty of �a�aIl R 06 2014 � / � -��,
3830 Pllot Knob Road
MA � Pefmit Fee: �P� �
Eagan MN 55122 j �, i
� Date Received: �
Phone:(651)675-5675 � � �
Fax:(651)675-5694 � Stan: �
2014 C�MMERCIAL BUILDING PERMIT APPUCATION r���
nace: 3-b-20 i�}- Site Address: .fI�o� Fr��N �v rr.�r� P�kw�Y s����v
Tenant Name: �'4�L�� V��^/ (Tenant Is: �C New/ Exisfing) Suite#: �l�
Former Tendflt:
Name: D�G(,�y�-ON�(COI� (�j¢N/t3G-�pA10Sk��Phone: 7��• `a����Z�
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ON�i/LpN
Address/City I Zip: �°a{�}�LL� Q'�NG1�1- � C� 97.�ot O
Applicant Is: '" Owner Con�ractor
Description of work: ��^-'���,��w��Nr O� E1'NEI�+�L'�l���1�vr���jQ�
/N A�/ �XlS77N'G� OvTA00� �NAZ�.
Construction Cost: !� Ov D
Name: TF''�• � � � License#:
Address: Ll 2 3� 6 3 f� Sf*�a�- G�{snL' C;ty; � r� �P... l�s�
State: �� Zip: ��"� 2 0� Phone: -1 `� �'� ��1.s — r-� �d[�
Contact l'i S�F ��,✓�t e-r/ Emall: �G r,rr. Gh�r.S .� .�` ��.c�".'- (9•''�
Name: N��LOLO 1�54LF.../2l(� Registration#: GP�'aL8
Address: S��S W�6sh�/GE BLVD �'1� City: �a� /�'(iJP/�S
State: �i �Zip: q���� Phone: ��77Y. ��! X��`F
Contset Person: f�IYA- ��/,C N��Z �mail: �el'�Ia�GLG°k'I��d��fG�GU�I
��
Licensed plumber installing new sewer/water se►vice: Phone#:
CALL BEFORE YOU DIG. Call Gopner State One Call at(6S�)a54-0002 for p�oteetion against underground utility damage.
Call ag hours before you intend to dig to receive locates of underground utilities, www.aooherstateonecall.or4
I hereby acknowledge that this irtformation is complete and accurate; that the work will be in conformance witfi 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 wlthout a
permit;that the work will be In accordance with the approved plan in the case of work which requires a re iew and approvel of plans.
X �(ll� ����+tiaAN��� z �
Appllcant's Printed Name Applican s Signature
Page 1 of 3
��t- �►A��S� ,`y�
� • `� � b l>� ����e2.. W��.t.7 S ��Gwv� '� l ��
DO NOT WRITE BEL�W THIS LINE � �2-j ���
SUB TYPES
Foundation Public Facility Exterior Alteration–Apartments
�Commercial/Industrial Accessory Building Exterior Alteration–Commercial
Apartments Greenhouse t 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 d� A �
Valuation j��� � Occupancy I�t MCES System �S
Plan Review � Code Edition .�-thp'7 /a15;�� SAC Units (�
(25%_100%� Zoning {�� City Water ���
Census Code .---- Stories � Booster Pump �--
#of Units --� Square Feet PRV Y�-5
#of Buildings — Length �" Fire Sprinklers �
` Type of Construction .� Width s`
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 C/O Inspection: Schedule Fire Marshal to be present: ✓ Yes No
Reviewed By: �i�- L , Building Inspector Reviewed By: �-- , Planning
COMMERCIAL FEES
Base Fee f�� 7J� Water Quality
Surcharge �p, pp Water Supply & Storage (WAC)
Plan Review � g 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� �����
Page 2 of 3
, �
�
CALL FOR CREDIT CARD PAYMENT Use BLUE or BLACK Ink
106262 612.843.3210 � For Office Use i
. � �
/1/�D �G/.�f�1S �rt,�j G,� i Permit#: ��� I
C�� �� �� t��. ���E I � � . �°�"� �
� � � Permit Fee: C� I
3830 Pilot Knob Road
Eagan MN 55122 JUN 3 0 2014 i i '
Phone:(651)675-5675 ��'d � Date Received: � 'I
Fax:(651)675-5694 I I
BY: � Staff: �
i i
������____�_����_J
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 6/26/14 Site Address: 3965 Eagan Outlets Parkway
Tenant: Oakley Suite#: 410
Name: Phone:
Property Owner ;, Address i City i Zip:
Applicant is: Owner Contractor
Type of Work
= Description of work: �nstall, add sprinkler heads for proper protection in new tenant space
Construetion Cost: $2500.00 Estimated Completion Date: 8�10/14
' Name: Ahern Fire Protection �icense#: C039
Contractor
' Aaaress: 13705 26th Ave #110 c;ty: Plymouth
! State: MN zip: 55441 Phone: 763.268.0515
` cor,tact: Ray Polos Ema;i: rpolos@ahernfire.com
FIRE PERMIT TYPE WORK TYPE
X Sprinkler System(#of heads 19) New _Addition
Fire Pump _Standpipe XAlterations _Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial Residential Educational
FEES Contract Value$ 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 Godes;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
�
� � ��i
FOR OFFICE USE
REQUIRED INSPECTIQNS
Hydrostatic ' Flow A►arm : Qrain Test �'�ugh In
Trip '� Pump�Test � ��ntra��Stati�r�� � ��� �Fir�a] � �
Conditions of Issuance:
� � � � ,..---•--�+ ��� �
Permit Re�iewed b}��, �'' � �?��? Dafe: � / �� /�
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