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3925 Eagan Outlets Pkwy Suite 805 - Robert Graham -� � ,. a I . i I I Use BLUE or BLACK Ink ' �----------- --� � For Office Use � � � �� I � i Cit of �a a� � Permit#: i � 1 � / � , 3830 Pilot Knob Road RECEIVEC � Permd Fee. �` � ' ' Eagan MN 55122 i � Phone: (651)675-5675 JUL 0 3 20�� , Date Received: � Fax: (651)675-5694 j i � � Staff: � ----------------��'1"1 2014 COMMERCIAL gUILDING PERMIT APPLICATION �� s" '1 r�� Date: � Z-. � SiteAddress: � � '� tA6,A� �tr`'C`1..E'TS ��G�`''� , Tenant Name:�a�i?>�"S �R.h'�y /a,1� , (Tenant is: �New/ Existing) Suite#:�S Former Tenant: Name: ��A�C-,,Q� ��L C:� S �--.�. Phone: 2C'�i` '�� 12��. PCOp@t`h/OWt1@P Address/City/Zip: �Z..S� �• �E1��!O V� �j•� `�jAL��1��-�. �1� 2.1Z 4� Applicant is: Owner '�Contractor l *�='sz�i TypB Of WOt'k Description of work: ��a�N� ��Q*�. °- �a�.K T'Q��Lu�� -C� �=�, eo �c��T i �--�+�5 Construction Cost: `��3,'�r�dc� Name: 1.1�w r License#: ��. Contractor Aadress: ��0� �•.t� �`w c�ty: �-�C,��.�a�.+ State: '�'.L Zip: �3 1��' Phone: L�� i�� 7�� Contact: Email: � v� �e- � •Lc�.�l�� v'` Name: !a 1 C.t�v�..�5 J . )�.�C.q,��C� Registration#: 1`�� Architect/Engineer Address: i'a Z �t��-��1 ��l• ciry: v��A1'f�Q State: 1�.� Zip: C7�r��-� Phone: r'1Z � �2..Z �l3 l0�12 • 022z Contact Person: "3'1�1� �AG�-� Email: Licensed plumber installing new seweNwater senrice: Phone#: NCITE:Plans and supporting documents that you subm�t are considered to be publfc Infon»a�o». Fortions of the information may be class�ed as non-pubtfc if you provide specif�c r�sons th�t w�uld ps�ait the City ta conctude that#he are trade secre�s. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.c herstateonecall.or I hereby acknowledge that this information is comptete and accurate; that the work II be ' conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an appli i for ermit, and work is not to start without a permit;that the work I be in accordance with the approved plan in the case o r ich r ires a r view and approvat of plans. x v�' �`� x Applicant's Printed Nam Ap ' an s Signa re , � Page 1 of 3 ;�r l,s` , �':f � �«�y�`�r�h_C� ',4�' • ` �/ ��(2� �G( 4—� �'�1�-�S �IC w� � �� DO NOT�TE BELOW THiS LINE � �� SUB TYPES Foundation _ Public Facility ^ Exterior Alteration-Apartments �Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commerocial _ Apartments _ Greenhouse/Tent _ Exterior Alteration-Pubiic Facility Miscellaneous Antennae WORK TYPES / _ New ✓ Interior Improvement _ Siding _ Demolish Buiiding" � Addition � E�cterior Improvement _ Reroof _ Demolish irrterior _ Alteration _ Repair � Windows _ Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wa8 Salon Owner Change "Demolition of entire building—give PCA handout to applicarrt DESCRIPTION �,I j Valuation «� �� Occupancy /r� MCES System �� Plan Review � � Code Edition Zd47 MS�i SAC Units D P 'p/1'i-� (25%_100%� Zoning �— City Water Census Code Stories �_ Boos�r Pump #of Units �— Square Feet 2,1�� PRV � #of Buildings �^ Length Fire Sprinklers Type of Construction 'jaj Width REQUIRED INSPECTIONS Footings(New Building) �heetrock Footings(Deck) Fina!/C.O.Required Footings(Addition) Finai i No C.O. Required Foundation Other: Drain Tile Pool:`Footings Air/Gas Tests _Final �oof:�Decking _Insulation _ice&Water _Finai Siding:�Stucco Lath _Stone Lath _Brick Framing Windows �ireplace:,_Rough In _Air Test Final Retaining Wail v Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshai to be present: �Yes No Reviewed By: C�`'n�� , Building Inspector Reviewed By: � , Planning COMMERCIAL FEES BaseFee �,Lqo• rs WaterQuality Surcharge �•3� Water Supply�Storage(WAC) Plan Review �38•�� 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: Trail Dedication Water Quality TOTAL Z�q 9- L� Page 2 of 3 � Use BLUE or BLACK Ink r----------------� ' I For Office Use � � � �� Clty of �a�a� �'v � Permit# � , � � , 3830 Pilot Knob Road R�C' � � Permit Fee: � Eagan MN 55122 Au� �6 7��4 j Date Received: ��f� i Phone: (651) 675-5675 � Fax: (651)675-5694 I Staff: �� -----------------I � 2014 COMMERCIAL PLUMBING PERMIT APPLICATION C��,�� ❑ Please submit two (2)sets of plans with all commercial applications. �'� Date: ' 7 Site Address: a �� .G-�� G ��,c /C. S ��'✓��.! � _��_-�� q � � � Tenant: / I C7 7 t'� ��/1�� Suite#: V o � Propertjr OWner Name: Phone: �� Name: `�=-� �� ''�� License#: U'� 0 � �� Contractor Address:��`' �� ,� City: ,/�i�G�c�t/e�- Statc�„n Zip: �� Phone: ��.��C��/�'��-3v Email: Type Of WOI'k - —New _Replacement _Repair _Rebuild Modify Space _Work in R.O.W. Description of work: ��Art� i�� '� ��Cs� f/��C/" COMMERCIAL New Construction _�Modify 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 Public 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; t nderstand 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 nce wi t approved plan in the case of work which requires a review and appro o ns. 9 �.�'' X;t cS �-� ��''Y--- X� c� `�..�C°,r��_ App icanYs Printed Name ApplicanYs Signature FOR OFFICE USE Approved By: '�;� Date: � � Required Inspections: �nder G'round �R'ough-In _Air Test Gas Test �naE. PRV Required:_Yes_No Meter Related Items: 'Meter Size : Radio Read Manometer - Staff: Page 1 of 3 t ".� . Use BLUE or BLAGK Ink ��3824 CALL FOF� ��QIT CqRQ RA��([VIE�+i� � �� 12.843.321Q i F o----,.�----�--� � Of f��e Use r� • i"� r� Nd �' I Psfmitt�: I��`^ �� I Clt of Ea a� � �- � . : _ � � � � �� Petmlt Fee: ��" I 3830 Pilot Knob Road � � I Phone n(651)675-5675 AUG � � ZO�4 j � �� I D�te RRCeived: Fax:(657)675-5694 ,�,,/� I I �upr i sta�: i BY:__ - — __ –_ _–_ _� 2014 FIRE SUPPRESSION SYSTEMS PERMIT ARP�,ICATIC?N* Date: $�8�14 Site Address: 3925 Eagan Outlets Parkway Tenant: Robert Graham Suite#; ��`� Name: Phon�: Proper�ty Ov�ner �,ddress i Ci±y i Zip: Applicant is: Owner X Contractor Type Of WOrk Description of work: �nstall sprinkler heads in frpnt soffit, modif�for�ro��r cover��e _ � , Construction Cost: $3000.00 Estimated Completion pat9; $/14f1� rvame: Ahern Fire Protection ° ��csnse#; �03� Contractor Address: 13705 26th Ave#110 ��ry: PIytllp�th State: MN zip: 55441 phone: 763.268.051� cor,tact: Ray Polos Ema;i: rpalos�ahernfir�,c(am FIRE PERMIT TYPE VI/ORK�'YPE X Sprinkler System(#of heads�9) T N�uy _,Addition _Fire Pump _Standpipe �A�ter�tions �Rerllodel Other: Qther: " DESCRIPTION OF WORK: X Commercial _Residential _ _Educatipnal FEES Con�ract Yaluq$ 30a0.QQ 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$0.000{ _$ �urch�rge� ""If the project valuation is over$1 million, please call for Surcharge �� : _$ TOTA�.FEE 3/4"Displacement Fire Meter-$260.00 =$ Fir�Meter °$ TQTAL FE� "Requirements:2 complete sets of drawings and specifications,cut sheets on m�te�ials and cQ�npqnents t��e used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and�ccurate;th�1t the work vYill be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota�BuildinqlFire CodQ�;that(und�rstand thi$I�not a perrpit,but only an application for a permit,and work is not to start without a permit;that the work will be in accor�iance with th@ app�roved plari in the case Of work which requires a review and approval of plans. X Barb Barnes 612.843.3210 X+�� ".� Applicant's Printed Name ApplicanY�.Signatyre , . . ,ac��.� � FOR OFFICE USE REQUIRED INSPECTIONS ' ' _ �. . ,' . Hydrostatic Flow Alarm f2�a�n Test Ro1.�h In Trip Pump,Test �ent�al 5tatio�t �I�al Conditions of Issuance: \ _l PermitReviewed b : � Qate: ', �i � /_,�,�, �� ' G� �� ___ Use BLUE or BLACK Ink v � For O�ce Use . � I � � ��G��S� � ' � Permit#: � C��y af�a�� o � � �� 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 �J�� ,. !(�� I ` Phone:(657)675-5675 � ry i Date Received: �f� � Fax:(651)675-5694 I I I Staff: L_—�� —_—��J �. ' 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of pians with all c��or,�r�e�al applications. Date: � -'�� 't � Site Address: � Eaaa�.-, O�-��-�5 �av��`t`�( Tenant: �(��fJP+�'� �r o.�c��.v, Suite#: ��S ��::: �� : Name: Phone: ��3 �1 Z 4 � �� '�c�� '' �� Address/City/Zip: �. �+� � � ` � �� ! Name: L�' �c-cJ:- \�C.- License#: " ',`�� r �, ' w � a ,,. � 1 �1�E30.1�1�..�,A � • �� w�'►�-� �`✓C ..S' ci � CI'�t'c��'�C1�t"' Address: 43'45�0 \��-�.�.,�sa ty: �LbG�'r�vtif.,-�-or� ` : �, � ��' 1 .._, � \ State:�_Zip: c'�-ri L}a-� Phone: l��a r�3�� J� � �� ('_ � : Contact: �t��.� EmaiL• 1�`� `' ct c. l/V t k.-C-� - ' � �`��`.�� New Replacement Additional Alteration Demolition _, �� , � �`��;��'�{�pr� Description of work �� W� of mc�unted ar��rc�u�r�'r�unted mech�ntcal N �� t�t�r��+��u�r�ed tc� � 't�by�,�' <��`�� ',�%��,. ..� �o�I��P'lle��n#act t�i�Mi� �C��I,I�p�c�e?�#ar rn �on�rr�a�rrn�tte�s�i�ni c�s F� a�, :r„xa.. „ - �. »a,. ,,,� � ,..�. : . .......... .,., : . - � . . ... . ,,,. ,e. ,. ,„,.. ,,.: ...,. �� ` '' ,. �� RESIDENT/AL COMMERCIAL � �� a�� , Furnace �New Construction �Z �"^�l�terior Improvement ��v . ' � p��;��•�� _Air Conditioner Install Piping _Processed � — � �� f ;%�;'v� `� � _Air Exchanger _Gas _Exterior HVAC Unit '' ' �`�� _Heat Pump _Under/Above ground Tank �Install/_Remove) � " "' Other F.. RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residentiai New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ °� x.07 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ �a0� � Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ 1.� • �� Surcharge* **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 ***If the project valuation is over$1 million,please call for Surcharge =$ ' � lo- �� TOTAL FEE I hereby acknowledge that this infortnation 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 �, t�� tr a--'`n-'l x ��`..'- '-r ►'V Applicant's Printed Name Applicant's Signature FC1R€'��FIGE USE � r.� �� .� �,� �ti , ,,,� �, � , , , �, f��/��CI��'t@ w��i�!1'I�i g�� ` �� Y1eW� ' �'�, �� ` �� ' `�Y�� .� u � ' ' �� r r�ru�c�� , �� t�ou ln ' � Air�E`��t, � �a��er�r�c��'est tr��c�.ir��„� � �'�...HUAC S ' � .,��;,,�.�,�:� � ,�„ .��' �✓ � Use BLUE or BLACK Ink l� � I------------- ---� � � For Office Use � CI o � ��_ � } � ��y �n � � Permit#: I b� �1� 11 � � `''` I � Permit Fee: �' � 3830 Pilot Knob Road � Eagan MN 55122 � ', _ �,! � Date Received:� � f� � Phone:(651)675-5675 � � � Fax:(651)675-5694 " ' ,��..A � I � ' ` G.;�;� i Staff: — I ��__��___��J 2014 COMMERCIAL FIRE ALARM PERMIT APPLICATION* � /�, � (� (�� 1� Date: "'l. �r U� Site Address: ��ZS ��-G� h �ZS�� A��Y�C/ `� �� Tenant: J . _ ��t,\(�!'1 C ' -- - �� Suite#: �T ��; ,. �� `� �� Name: L`� Phone: � �° a� � : P��"�r�`�?ti��£�r h� Address/City/Zip: � �� t ,: Applicant is: Owner J� Contractor �. e� ' Description of work: �c u{'_ �-�� L�L'T !�� YE�, ��Cl� � ��' Construction Cost: ��,� Estimated Completion Date: � �� I�7-7 s= Name: 1�1Gt�v` �(� - License#: � � � � ��— Contra��vr � Address: City: '; State: � Zip: �-Ze�`�_ Phone: �(�� `�� L� ,;� Contact: �1�� EmaiL `'`�'�� _�ew Remodel ��T�p� _Addition Other: � �� ,; ��, „ Alterations DESCRIPTION OF WORK: �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$1 million, please call for Surcharge _$ 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 Alarm 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 cil��z2,�,o�`�. �> : /� X � ApplicanYs Printed Name A icanYs Signature � �f)��F�� ; ��;� �� '��i�� . & �T �`"�' �� ,� � ��, � Fieq..tr#re�In�ec#ia��s . .��Rb�i�`:�ir�� i'��.�..': ,��r��l��t� � x � � �,