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Suite 935 - Aerosoles s> . y t . y Use BLUE or BLACK Ink ---------i � For O�ce Use � I * `� �''7/' )� I �� I Permit#: �(X /t� 1�/ I � � � c.,{ ��° ' 3830 Pilot Knob Road ��'�'�`�� j Permit Fee: �/ _�/ I Eagan MN 55122 ^ 1 i '��`�� j (,�1� Date Received: � Phone: (651)675-5675 S�g i /�� i Fax: (651)675-5694 Staff: r 1 , I �� J '� � 2014 COMMERCIAL BUILDING PERMIT APPLICATION � o� � � S �`� � �� Date: /e2 Site Address: Tenant Name: 1�d -e (Tenant is:_New/ Existing) Suite#:� Former Tenant: �_ � �:��" "_ - � �,�5� � _ � � � � � �� :� � �� Name: � � Phone: � _ � � Q�e��( s �v �{ � .� � ��: , ,�� — � +r�! � "'� � , �� -= Address/City/Zip: o? !� 3 �� o �'uyc� I� .�r � �?� 3 2. � �� '��'s � F � �- �� '"�� ' Applicant is Ow er Contractor i€T` � e R T Y F_� , � � s � � � �� °� � � �� Description of work: (/1('Yl�1r��_�4—�'' �� s�`�� y' �,, ��; ` �= Construction Cost: �Y C�C) � '��` � � �� '�, �`i F . ��w , �_ �^;�w,�i�� > _ �� ° Name: �� Q U� �U��i`�� -L License#: � �1k 6',� 99bY _ ' � / . . /�ry� �f r�� °" � ��// � ": J/V/- � �� ° �� Address: 3�� Cit �3�'� � a� ' � .�� , t � � � .� y � � � � 8 g77 7 ` °� ��'��x'� � State:�� Zip: l'ZD�� Phone: J�� • d /�, ��, S �� ` , � � `�'� � �� T r,, � ��►� �sh • b�� x b�� ' _-�� =��+ �=_ Contact: d Email: � ��'�� / � J� —7 �y � �� f��;� Name: �� vt,['i�1C,�� Registration#: � � / � O �r «�� !�. 1 �,� �_ �� , �' �� '� Address: � l 3 City: ��a��-� �, �� -—L ��F I�l . 1 `�� -- k�i _ `"�. €:. . . �� - 1 i�J� �- a::,� . (� . ' �zy :,.,-�_ .:.�tl�n -5e�._' � �� 4-� a� �l � ��- � �e State: Zip: ��J Phone: � � `1 �� '�``=� �� ` �� au � � o k p�ommC r�ia.l � � Contact Person: Email: c�-- . � 3, �_�� Licensed plumber installing new sewer/water service: � Phone#: � � r� � r�� ' �'' u� � �i '- 4��* �� ;., �� m ' - ��. �� ;[� �"'��t� #�� r��`�i`� � �i �f��1�`t��l�'��„ ��` � ' .�t =-,_�` ;��` t�=-. ��°^, _ ..r�r�,.}:ya n. ��t�t" " ;"�� -_. �"� �� `4i '��N�'��-�"�� ,�'" � � �, _ -. _ ` ,� -, z � � =.o er r :; '._ . � .:, ,. _ -._ -m �..,; -""��, �4 , _. . ... .,., �� . � � 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.gopherstateonecalLorq 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 ith the approved plan in the case of work which requires a review and approval of plans. x � X Appli nt's rinte ame ApplicanYs ignatu Page 1 of 3 '� - - �--=----_._....a_�_._ra_._,..� ____. ...__-- -_. — t�,�n-�� t�.�� ev�-ryz�c:;��- � ,�v��1—�a'u i' . . � r . f '�'`�� G��G�f� ��-�� 35 , . � � �`, I ��7 !�� DO NOT WRITE 6ELOW THIS LINE SUB TYPES Foundation Public Facility _ Exterior Alteration-Apartments � Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial T 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 '?S�b00•� Occupancy l� MCES System Plan Review ✓ Code Edition �4O"7 MS6G SAC Units � P/F/D (25%_100%� Zoning _r�� City Water ✓ Census Code Stories � Booster Pump #of Units � Square Feet PRV _�_ #of Buildings / Length Fire Sprinklers Type of Construction j�•6 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 � Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: �Yes No Reviewed By: �'G��° , Building Inspector Reviewed By: � , Planning COMMERCIAL FEES Base Fee �L�•ZS� Water Quality Surcharge 3 7•Y'o Water Sampling Fee Plan Review SLf.O/ Water Supply&Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit&Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL��77�-�'` Page 2 of 3 � ` � Use BLUE or BLACK Ink CALL FOR CREDIT CARD PAYMENT 612.843.3210 � For ot�ice use � , , ��12�J � n�� .. I Permit#: I �J � �.,�� ND ��.� N �/��- � � � � �� Permit Fee: ` I 3830 Pilot Knob Road � I Eagan MN 55122 I � Phone:(651)675-5675 SFP 2 �► 2�14 I Date Received: � Fax:(651)675-5694 � � �� Staff: � 3Y.___i��.'"`i.�.-_- _-- ___-------_—J 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* 9-19-14 3925 Ea an Outlets Parkwa 119184 Date: Site Address: 9 Y Tenant: Aerosoles Suite#: � F�� ' Name: Phone: Property Owner qddress i City i zip: � Applicant is: Owner X Contractor Type of Wpr�k Description of work: Install white concealed sprinkler heads in all ceilings iI Construction Cost: $3500.00 Estimated Completion Date: 10.20.14 I � � rvame: Ahern Fire Protection �;ce„se#: C039 Contraetor Address: 13705 26th Ave #110 �;ry: Plymouth State: MN zip: 55441 phone: 763.268.0515 cor,ta�t: Ray Polos Ema;i: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System(#of heads_) New _Addition Fire Pump Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial Residential Educational FE�ES Contract Value$ 3500.00 x.01 $55.00 Permit Fee Minimum =� 55.00 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$0.0005 =$ 1.75 Surcharge" *`�If the project valuation is over$1 million, please call for Surcharge 56.75 _$ 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 TA . � � �� FQR OFFICE USE REQUIRED INSPECTIQNS Hydrostatic �� FlpuvAlarm � � �L�r�in�Test � ��Rough In�� Trip Pump Test Gentral Sfiatit�n ' �ina[ Conditions ofJssuance: : permit Reviewed by: D�#��: �.:�:��1�1 .��