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Suite 340 - Gold Toe � � CALL FOR CREDIT CARD PAYMENT Use BLUE or BLACK Ink 105092 612.843.3210 �----------- --, � For Office Us � ' /1�� /�c.�l� !%,��i�— � I � I Permit#: �� I �lt 0� �� Il �� . � � . ��- � � � � Permd Fee: I 3830 Pilot Knob Road 1 � I Eagan MN 55122 ��„I� � � �Q�'� I I Phone:(651)675-5675 � Date Received: � Fax:(651)675-5694 � � j gy; � Staff: � `��_��J 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 6/30/14 Site Address: ✓3965 Eagan Outlets Parkway Tenant: Gold Toe Suite#: 340 Name: Phone: 'F�Q�� .: Address/City/Zip: Applicant is: Owner X Contractor ` Description of work: install sprinklers in sheetrock ceilinqs in new tenant space _ _ '�YPE: Of �ric Construction Cost: $3000.00 Estimated Completion Date: 8/10/14 Name: Ahern Fire Protection �icense#: C039 ` ,4ddress: 13705 26th Ave #110 City: Plymouth �t��nfira±ctc�r state: MN zip: 55441 phone: 763.268.0515 ` cor,t��t: Ray Polos Ema;i: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System(#of heads 1� New _Addition Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial Residential Educational FEES Contract Value$ 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 ApplicanYs Printed Name Applicant's Signature i� � y � i �"��I ��~. FfJFi QFFlCE USE REQUIR�D INSRECTFQNS ' Hydrost2tic 'FlowAlarKn Qr�rr�Test ��ei�9�frt s Trip Purnp T_est ��+#f�)�t�'�t�rt > ��f. . ; Gonditions of Issuance: ° ,' fi ,� . . � � ; _ .. , , . Perm it Reviewed by° r�. '��,�f�� Dat� _�t,_��l .'�. ,�,/�—,--�'�- i� — i � � � f Use BLUE or BLACK Ink i For Office Use �� l � i . CD �� f�� REG�IVED i Permit#: , I �� Permit Fee: [ C �� I 3830 Pilot Knob Road Eagan MN 55122 �UN 18 ?4t4 � �y -��-'� � � Date Received: � Phone: (651)675-5675 i �� Fax: (651)675-5694 � Staff: � .3�t�� -� � �� .�� w----------��((�� .� 2014 COMMERCIAL BUILD G PERMIT APPLICAT�N � �Si�� Date: �+° Site Address: C'�/ �� E�Z�'�/ ��y A�, Tenant Name: �� 8(}�,(� (Tenant is: ✓New/ Existing) Suite#: �'T"� Former Tenant: /U(aIVG �.�.,m ......._ �,wW.,,,... �.,.�,v,�,. ,.,., ��..x _=��.FaF,.,..,�_:,.:, . a,..�:� � ,,.,:��, ,,,.,,.�,� .r�.�v„v�,v.,��.�, ,�,u,,,,��,,,H,,,,,.,� ,w��,��H, ��,�.,,,�� Name:��/�A�/ Uv�� /�"YL�N�S G�• Phone �`(� c.t��o `r��! � � Property Owner >> ;� / � , '� Address/City/Zip: �� 1� /�L , = ' Applicant is Owner ��eutrar,tn� �j� ��ry�,,� j�/ � �� ._�,,.�w��,v�a�� , ,,. .�, .��r,��,.., ��.��, b,,,,,_:�� L'""''��/�� , .....:..:::..:::::::::. �„_,_4r_ ,H,,,:,�,�...,,� '; Description ofwork: (�TC/�jr'�{`I' �7/�/,S� � Type of Work , � ; � = Z 'i Construction Cost� � ,._�.m,�,. ..., .�.�. ,nW, � r.._ ,. ..�.....,v.. ,,,,�......,.. �. ` c � � / ?^4 Ci/rm,,,j�.�i��.�y��i�.�. {, , _v,,v.,,,�,,.�.,�,,..,,. ..,� 1 � Name� License#: � y � Address: I_�9� f'TI"Jlv(Gi�Gr1 �� c�ty: �fvtSTdt�l�,�r��t � Gontractor � � State: �� Zip: ;��7 Phone: �.��r-�-- .�'��`S ° ��'��' � ' � � /' �J � � '� Contact l`�'C-4`�`'N'd ltt�)C`(✓l Finad l��' t%Ct�'1 �� f U� � ��C6��1 � ,.,�,..�w� ..,..,,W„. _n��,,,,��.�._,,,,.�,,,,��.... ,,, , ,.,,��,�..,.��.�. �.. .,,,.�T�.a�,.._ �..,,�,,,,a �� ,�...,.. �.,.s.��,,��w�,�.� .x,.....�,,..�.ro.�,�,, .,,�n,,,,,.,�,.,._,� . _� '�£ Narne:��'� �d��/(r/�C�j�-� Registration#: �¢�.��_ Address: City: 4 � ArchitectiEngineer � ° � � { � � State:�_Zip: 7(�'� Phone: �� (D �' �O � ` ' Contact Person: �i+�� 41//�Y�J EmaiL ��//�l�l=C��`�/�, a/�/�r � .r„ ..t�.,,,,,,�.�.�.,,.,.,.� .__...r.�,� e.m -,,,�� .�,,, .,,.,,..,,�,�„�„�:.....,,.,�,.�.,,. �,,�,.Nm�.� .,..,,:..��,�.,,..� �„�,��,��,,,,.,r�,.�,,�„� ,A..,,ea��,��,�,,�.�,..,,;. - . . . �Licensed plumber mstalling 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 that would permit the City fo � ° " conc/ude that they are trade secrefs. , �._. �._��w.� _.,.� fi,.�,, .,y,._ ,;,�W,.�,_:.�� w�.._... ._ .��,,N�,,,_�.._,.��. .�.�. ,.�,,,.�.�...,,�.�.� �,�.� :.,,.� .,�a�.a..�:�� .�,.>.a:,� ,.,..�....�,,� CALL BEFORE YOU DIG. Call Gopher State 9ne 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. �<��r�r�� her-statecs��u.�Sa.c�rg 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 �ermit, but only an application ermit, and work is not to start without a permit;that the work�vill be in accordance with the a�,proved plan in 2he case of wor equires a review and approval of plans. ,� �1 t� ��U'C LCZIfr'y1,�it�'� °�� X ApplicanYs Printed Name Ap ' a t's Signa ure L.��'l(,�,t'� ��r l�G/i✓�/J�r Page 1 of 3 ` �'i� �� ,� Li y°i !�� , � �� • . 'e: • � -�� 4�:.� ��-�t��s ��r DO NOT WRITE BELOW THIS LINE � �� 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 7Z� ad0 � Occupancy /"� MCES System ✓� Plan Review � ✓ Code Edition ��a7M-5�G SAC Units � � �� (25%_100%�) Zoning �' V City Water �/ Census Code Stories � Booster Pump #of Units V Square Feet � PRV #of Buildings � Length Fire Sprinklers � Type of Construction �'� 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 V Framing Wirtdows Fireplace:_Rough In Air Test _Final Retaining Wall �Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: V Yes No !� Reviewed By: � , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee 8¢� •7� Water Quality Surcharge 3G •� Water Supply 8�Storage(WAC) Plan Review 5S�-39 Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S8�W Permit 8�Surcharge Street Lateral Treatment Plant Street Treatment Plant(Irrigation) Water Lateral Park Dedication Other: COPlES (�p. B.-p Trail Dedication �/Z� Z¢~X 3G YSA� Water Quality TOTAL � ��3 3 .�T � � ¢93 .�¢ Page 2 of 3 Use BLUE or BLACK Ink I 4 ��„� n�.-� 1r� c��- �-----------------, I For Office Use � I �� Clty of�a�a� � Permit#: � � 04, � 3830 Pilot Knob Road RECEIVED j Permit Fee: I Eagan MN 55122 j Date Received: I Phone: (651)675-5675 �� I I Fax: (651)675-5694 I Staff: � �-----------------� 2014 COMMERCIAL PLUMBING PERMIT APPLICATION (,9� � �ti��r�l � ❑ Please submit two (2)sets of plans with all commerciai applications. ✓�� Date: / �/ r�� Site Address: �� r'�✓� (��t�li�"-' �� Tenant: ��(� "�� Suite#: � �� Property. . OWner Name: Phone: , /� Name: '"�.-��►''��'` ��G�'l"��I� License#: v""�j C) �,.�� ConfraCtor Address: �� `��-1 c�ty: ,��z�-- scat�%�� z�p: Sr��d`� � ` Phone: �/��' �c� %�'�C�J Email: Type Of WOPk —New _Replacement _Repair _Rebuild �dify Space _Work in R.O.W. Description of work: � /�� +i� �3 �'��-'�/�'' �i�i=�� COMMERCIAL _New Construction Modify Space Irrigation System(_yes 1_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 qickinct 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 _$ TOTA�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 wilt 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 the approved plan in the case of work which requires a review and ap val o plans. x� � �'�„�.�� - Appiicant's Printed Name Applicant's Signature ` FOR OFFICE USE Approved By: b�� Date: Required lnspections: �nder Ground- �ough=ln Air Test _Gas Test ��inal PRV Required:,_Yes_ o Meter Related Items: , :Mefer Size ' " Radio Read Manometer ' Staff: Page 1 of 3 ' _ r J�__ Use BLUE or BLACK Ink �'-w �� For Office Use j ��`�� f�1 n RECEIVED �� '� � -��`�3 � C�� Ol 1J��11 ry �1 S�C� i Permit#: �j i 3830 Pilot Knob Road �UL � L � � ��r � Permit Fee: � � Eagan MN 55122 � I Phone: (651)675-5675 � Date Received: �Z`-�� I Fax: (651)675-5694 i �� i Staff: _�__��_�_��_�_�J 2014 �ECFIANICAL PERIVlIT APPLlCATIO�i ❑ Please submit two (2)sets of p{ans with all commercial applications. i, /`� Date: � Site Address: L �� • Lo� �� 4�- ��,�'f'S 1C�� Tenant: _ � � �-�c�� Ll "�� Suite#: �� Resident/Owner ` Name: Phone: .:� Address/City/Zip: � � Name: Iz � - !3 ° License#: � � r � ' Contractor Address: '7�� l�P�' �� - City: ��E,� f��-�' � State: ��Zip: �� % y Phone:��"�S��'� �� Contact: EmaiL � � New Replacement Additional ✓ 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 lnspector for information on permitted screening methods. i. � RESI�ENTIAL COMNfERCIAL � _Furnace New Construction ` I�or Improvement s � Air Conditioner � Permit Type — i�Stau P�p��9 _Processed � $ _Air Exchanger � 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$_ ��.2��"�� 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 " -° � '"`If contract value is GREATER than$10,010, Surcharge=Contract Vafue x$0.0005 -� S Surcharge* � """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. � J � x � 1�/'��.- /��/�,��----��'� x�' App icant's Printed Name Ap canY ignature FOR OFFICE USE ' � � Required Inspections: Reviewed By: � Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening