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Suite 865 - Movado� � �� L�` __ Use BLUE or BLACK Ink �S j�r � For Office Use I Cit of�a a� l�` �uc 16/ I Permit#: /�� I � I y � RECE�V ED � � w � 3830 Pilot Knob Road i Permit Fee: � Eagan MN 55122 q � � �''�� Phone:(651)675-5675 �UL 0� L�� Date Received: � Fax:(651)675-5694 � � I � staff: � L----------------� 2014 MECHANICAL PERMIT APPLICATION ❑ Piease submit two(2)sets of plans with all commercial applications. Date: �'1 —I � Site Address:�J ��fC�+��l ��-�-'� �� r'°� Tenant: Ivll�� Suite#: �� . � � Name: Phone: F��Ld8t1�tC�rN�1,�t� � ' �� ' Address/City/Zip: � � � a�� . �. Name: �Gt C�t.ti./ C bv�-�,�J�� c�2- S ��.. License#: �_�� Address: �£S j� L_...�f.-1�{'�..�c�v--{°h .(��,�: S City: ��'�v-�'`7�,�z cx�� E) �'��4t�" � � ,� , � Zi ;�S�I�U Phone: �4�� " �s� �' "� 3 S r � �, � State:�i p: �£y ' �`�� z. � �� r"�" ' �� ; Contact: �.`��--� �- Email: �� a� Gc �. ✓1�2. ,��..;.; �� °�� `, New Replacement Additional Alteration Demolition �a, � �I"ypg K1f.'I�I�p�� '. ' Descrip#ion of work: ��r G YS w-� 2X�� ; � , �+t�Tr� l��f,� ��cl�n und tnc�unted mech�nt�t equi�m�nt �� q�u�r��l tcr 1i��reenerJ�k�'City i ��a� � ° Cod�y �se ccsnta� +�l�lechan�c�l Insp��ar fi��q��#�on cz��rEnit�ed scree��g 1»ethcscls* ', r \ tiz.,�.. ' ° �% � RES/DENT/AL COMMERC/AL � ��'; _Furnace �New Construction _Interior Improvement � � � � �° Air Conditioner � p►��'�� _ _Install Piping _Processed �� _Air Exchanger Gas Exterior HVAC Unit � �� — — ; � h� _Heat Pump Under/Above ground Tank �Install/_Remove) � � — ��..:...�� : '��''' 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$ s "� x.01 $55.00 Permit Fee Minimum ,�,�, $70.00 Underground tank installation/removal =$ ��° Permit Fee 'If contract value is LESS than$10,010,Surcharge=$5.00 =$ J�� °� Surcharge* *#If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 "**If the project valuation is over$1 million, please call for Surcharge =$ �Q(� �� 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 �L i.-1 � I�v��e rS01-� x 1��.� �� ApplicanYs Printed Name Applicant's Signature � �`��i�4r�� ,li� � �� Pk4�3� � y/n y - /ay� � � r� / % �i�C(1l�3`@�EIIS�C��QsEfSf-� ,�� / iia'��/�� f �I�.+T�#�� ` j� ��i � � � �. � ,.,,,�;��'�rgresu�d : % ��I�Ii� : . . AIr Test �� as y ��' � ��ocir��a#�� srtal �„�AG Scr�e`e�rrin ,� � � ; � ..�.a �'�', ,., � . .�.,. , Use BLUE or BLACK Ink --, � ForOfficeU e ------ I • ' �`��i�� ' Clt 0�� Il � Permit#: � � � jy � � I Permit Fee: V. � 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received: � � � I Phone:(651)675-5675 � Fax:(651)675-5694 � Staff: � �� .��J 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with ail commercial applications. Date: �/� '°I � Site Address: � 1�� Gt�,� �,�'I� �ILt.tJ �/ Tenant:��v�� Suite#: �� P�'Q�,#�� ° Name: � ��. ��'1 \Q.(�� Phone:� " b�7Cp " �e�� ;��i�T �� ,� Name: �l�(e5 �1. !'�lJ�'1�� License#: �� ' Address: �� t� � City:�>'� �(�,(�� State:�Zip:,!� �� Phone: 7 Email: �C�I�C� � f7�1 t S � f�✓�'�� +-� �New _Replacement _Repair _Rebuitd _Modify Space Work in R.O.W. �"`��1'��?I�C �°� — � Description of work: � Ll � � "� /� COMMERCIAL _New Construction �Modify Space _Irrigation System�yes/_no)�RPZ/_PVB) ' • Rain sensors required on irrigation systems �� , • Avg.GPM (2"turbo required unless smaller size allowed by Public Worics) Meters Call(651)675-5646 to verity that tests passed prior to pickina uo meter. `�� Domesl3c.Size&Type Fire; 1 � Avg.GPM High demand devices?_Yes No Flushometers Yes No COMMERCIAL FEES Contract Va1ue$ '�� x A1 $55.00 Permit Fee Minimum _$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge"` *"If contract value is GREATER than$10,Q10, Surcharge=Contract Value x$0.0005 --• "*"If the project valuation is over$1 million, please calt for Surcharge -$ �� 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 amouMs. $ Treatment Plant $ Water Supply 8 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 worlc will be in conformance with the orclinances 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 �Y1 w`�el�c �,�.�r� X Applicant's Printed Name App ican s Signa ure �� r�,�ct�r; ��` � �` , � ��# �;��'��t`�ri�r� �� r� ,,,��:.,��"� �.,�..�.��'�� '�..�,�� '� ,,� � � �� }3��.�"r� � , ri S 1 t � �, �I " '��"iw` _ :�A'.xi_ ,ek�.Nuz�". „f„ Page 1 of 3 109604 Use BLUE or BLACK Ink CALL FOR CREDIT CARD PAYMc�v i--------------- 612.843.3210 � For ottice use f � .� � � (�� a�� (J L-/'7 x"' � Permit#: � � � � b ^ t�- �V�� I � Permit Fee: � 3830 Pilot Knob Road � I Eagan MN 55122 �1 � Date Received: � Phone:(657)675-5675 �U�. Z � �u�'� � Fax:(651)675-5694 � I �,f� � Staff: SY:__—•--� — -----------------I 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: ��21/14 Site Address: "}�3925 Eagan Outlets Parkway Tenant: Movado Suite#: 865 Name: Phone: Property Owner . Address�City�Zip: Applicant is: Owner X Contractor Type of Work > Description ofwork: Instail sprinkler heads to new ceilings&stockroom area Construction Cost: 3500.00 Estimated Completion Date: 8/15l14 Name: Ahern Fire Protection �icense#: C039 Contractor Address: 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 �3 ) New _Addition Fire Pump _Standpipe XAlterations Remodel Other: Other: DESCRIPTION OF WORK: X Commercial Residential Educational FEES Contract Value$ 35.00 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 l �� fOR OFFICE USE REQUIRED INSPECTlONS Hydro&tatic FlowAlarm Drain Test �Rough In Trip Pump Test Central Station �.-�'Final ' Conditions of Issuance; �� Permit Reviewed by: - ; Date: �/ /: