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Suite 740 � . . Use BLUE:.o�BLACiC ink, _ � � � Fo'r Offlce User 1 • - `� j Pemiit#. . � �� ! �� CIt of �� ; .: � , � � � �, �� PermiY Fee. �� 1 � �3830�Pifot Knob Road �_. � � � •� �°'� �� ` � � � Eagan MN 55�22 � �; i Date Receivedz �� '� � j � � � Phone'. (65'I)675-5675 � � � 1 � � Fax:�651)675-569d � � �` Siaff.�� .�� . � ---=__ � ,� > . 2014 COMMER I L UILDING PERMIT APPLICATlON ` t �--��-�,,o� � �' ,� t�ri Date: t a' •:°'�'-.t��t-�t SiteAddress: •�"STt�-� < t, .Ca1'� ��i �c� �-"t,� '�� l_iY'� � ' , ....-� +, � Tenant Name:�&(' im�� ''\�:.`:��°� ��i14�'� ` ��Tenant is:�N�w�e Exisiing} Suite#: �"�'1 l, FarmerTenant: � e'°�"`�'''� � �`' Phone. �r�°�� -�`" '�� Name: '`�,tv�"��'�t-� Property tAnrnef ,�ddress�c�ty t z�� '�r� 1v ��c�r�t� '�},.�:��.�'S �" °�-�! � ��:r� tilt�i T�2.�' � J ' App6cani is: �Owner �Contractor Type of Wock Description of work: ��L�`t� `��+�l��____„��^� C� ' Construcfion Cost � �- ��r ar Name; ��G.n► Gt. �l t!'Q, ��to License#: Contractor �dd�ess�_'• , �o G'9�`� � C��`� ��City: �� S#ete: �1 I V Zip:i �� Phone: J`��O( "" e��o� � �. Coniact:�t'�.�-�t l.�G.. �G�,(�-✓d.v`. EmaiC: Name: Registration#: Address� � '�� C��' ''Archi#ecttEngineer State: Zip' Phone: Contaet Person: Email: Licensed piumber instailing neuv sewertwater service: Phone#: NC)TE:Plans end st�ppar'ting documenfs fhat you submit ar+e consitlered ta be pubtic;Jnfwmafforr: Portions of";;. the infarmation may 6e ctassi�red as nan-public if you pravfde.spec'rf`ic reasons tirat woutd per�nit#�e City.to conclutle'thai tf�e' 'are trade secr+ets: CALL BEFORE YOU DIG Cal!Gopher State One GaEt at(651)454-00U2 for profectian against undecground u61i1ty damage. Calt 48 hours before yoee intend to dig ta receive iocates of underground utilities. w�rw.qopherstateonecail.orc� ' ; I hereby acknowledge that this information is complete and accurate; thaf the work wili be in conformance writh the ardinances and codes,of the Gity of Eagan;that I understand this is not a perm+t,but only an appiication for a permif,anc!wark is not#o start withaut a permit;that the work w�`!�be in accordance with the appraved plan in the case of work wh�requires a review'and approval ot plans. � � �4� �.�� `j�� x �� c��, X Appliaant's Pnnted Narrte E1pp��ca s Signature � � � � Page 1 of 3 ' , jC��-�� -��,�� , . _ �`�c�� C� �� C��+��. rs �k�= �,�� c�c� DO NOT W�E BELOW THIS LINE � � � v�-g C ( � SUB TYPES _�oundation _ 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 I _ Alteration _ Repair _ Windows _ Demolish Foundation _ Replace _ Water Damage Fire Repair Retaining Wall ' _ Salon Owner Change *Demolition of entire building-give PCA handout to applicant II DESCRIPTION i Valuation �,�� -! Occupancy �f MCES System y.� 5 � Plan Review ��QL� Code Edition ;z44� /Y��- SAC Units ��YLQ'�,, —y_.� (25%_100%� Zoning City Water � Census Code Stories Booster Pump �-- #of Units Square Feet PRV � #of Buildings Length Fire Sprinklers Type of Construction �j 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 �e:+- � 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"N� �" , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee �. �d Water Quality Surcharge %,SC� Water Supply&Storage(WAC) Plan Review � �.� 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 TOTAL� ��$� Page 2 of 3 � Jan.23.2015 05:36 PAGE. 1/ 1 `�� Use BLUE or BLACK Ink �------__�_ —� , � For OHIce use I � � � � , � � � � � Permlt�: � J � I Clty of��a� �" a , b � � � �- ; . ' � I Permlt Fee: 3830 Pltot Knob Road �� !� � � 1 � Eagan MN 65122 f"`� e a � �' � Date Recelved: � Phone:(681)875-6676 (,1� � I Fax:(B61j B76-5694 � � Co�( � Staff: � ---------....�...._____� 2015 COMMERCIAL PL.UMBING PERMIT APPLICATION mlt two f I n wlth all commercial� Ilcatlans. ❑ Please sub (2)seta a p a s pp Da e: � -a �_� ).•S $Its Address:_.w.3 `� O S �.� .�,._`'..''\._._. �)�..-t- I k��. / � ✓l�( o••�-•,� _ Ta ant• Sufm�� I Property /'� � > I 0'W 11EI' Name: `U C_5, �e� � Q f � Phone: S C�7 � a 6�— ?�� 5 jName: ,�-I es' c �c�,�. �1 r•� .1'�r�i�u' I.icense#: �`f�� 3 S S- /'`"` �Contractor Address: � � • � �n � a / 7 �;ty: Z��`"' siate:✓n� zip:-5-�'� 2 Z � Phone, lo-� � " ��!— $ ZS� Emei�: r►-� i ►'GL @ �') e�!'1'�'C'h_��...;.S! C c ✓ti - _.;�.._.. �...._... _�..w.w _...,,..._...�...�.., �.�..._.,.._...,� — �r� ' Type of Work --New �i�eplacemenl _Repair _Rebuild �Modify Space �,Work in R,O.W. i �w Desoriptlon of work��, � � � � COMMERC/AL _,New Construction �Modlfy Space Irrlpotlon Syatem(,.,_yes l._,_no)L RPZ I,,,_PVB) �• Raln sensors required on IMpetlon systems �permit 1'ype • Avg.GPM (2"turbo�equlred unles6 smallat 912e allowed by Public Worke) ; _„_„MAters Call(651)675-5646 to verity that teste passed prlor to olckinQ un meter. ( Danest�:Size 8 Type Flrr. 1 ; w Avg.QPM Nlph d�mand devices7,,,,,.�Yos_No w Fluolwm�l�n_Yee�No � �OMMERCIAL F'EES w�w Contraot va�ue S � °� � • � x.01 55.00 Perm�F�e Mlnlm�m =$ Permit Fee *f contraot valuo is LESS than$10,010,Surcherge=$5.00 =$ 3urCharge' * If eontract valua is GREATER than$10,010,Surcharge=Conlract Value x 50.0005 • "If the project valuation is over$1 miliion,piease call for Surcharge �� TOTAL F�E ollowing fees apply when Installing a�ew(aiw�Irrigstlon system $ Wats�Psrmit onteCt the City's Englneering Department,(651)675-5646,for required fee amounte. S Treatment Plent $ Water Supply&Storage $ State SurCharge _..__...........,....,..,.^___._....____.___,__._...��.. � T$ TOTAL�EE �� Call t�ophsr Stsle One Call at(851)454-0002 for protedion ag�inst unde�Qround uWity damage. 1 1 h reby acknowledge that tt�is Information ie Complete 8nd accurate;that�e woric wlll be In conformance with the ordlnanCSB 8nd codes of the Clty of Ea en;that 1 understand thls is not a permlt, but only an appllcatlon for a permit, end work Is not to start without d pernll�that the work will be in ec rdence wilh the approved plan in the case of work which raqulres a revlew and approval of plens. x � � � f G� � ' �- x _ Appl�lr.ant's PNnteei Namo Appll nt's Slgnature F�R OFFICE USE Approvvd By: psh; L Re�qulred Inapeotlons: _Under Ground Rough-In �Air Test _Ges Test Flnel PRY Roqulrod:_Yes�No M�ter Related Items: Meter Sfze Radio Read Manomete� Staff: Page 1 of 3 City of Etall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 0 6 2016 Use BLUE or BLACK Ink For Office Use C 4: Permit #: /3590( Permit Fee: / (l%' o Date Received: Staff: L J 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: c390 Db Tenant: 6-- er$'S i Resid Contracto1 Type of Work Permit Type;, Suite #:T� Name: Phone: Address / City / Zip: Name: fic e Address: /7b 5 49ix4r%.-1x g%52- State:/ Zip: 161716 Contact: z__ez B ti r't License #: City: A.4,511‘ 4 Phone:? - J 2-7-71 Email: cAt2A 3h R13& a O -e> New Repla ement _ Additional x Alteration Demolition Description of work: 2 �O`h� / NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for Information on pe mitted screening methods. RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction X. -interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge £TOTAL FEE Contract Value $ /6-( COO x .01 = 00 _$b _$ /-76 "1z Permit Fee 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. x Le o Go -h AP plican�/,• �%Lrinted Name \� FOR OFFICE USE Required Inspections: Underground Rough In Air Te pli ant' gnature .e Test Hea HVAC Screening 41011 CityofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 FEB 52016 Use BLUE or BLACK In For Office Use Permit #: �S / 3`I� 1 Permit Fee: s2) p p� (G / '1 Date Received: Staff: 2015 COMMERCIAL BUILDING PERMIT APPLICATION Date: 2-4-16 Site Address: 3905 Eagan Outlets Parkway, Space 740 Tenant Name: Guess -J (Tenant is: x New / Existing) Suite #: 7 4 0 Former Tenant: go! Calendar's, games, & toys Property Name: Premium Outlets Phone: 973-403-3171 Address /City /Zip: 60 Columbia Rd, Bldg B, 3rd Fl, Morristown, NJ 07960 Applicant is: Owner Contractor x owners agent Type of Wark Description of work: Interior tenant finish Construction Cost: ? G d` '963 = Contractor Name: -171-' ,tAiST -U ve /'h'C: License #: Address: 72. 8C 64/F-5 4°4i-LCr�r 1L /� Zag`�ty: „�j111,b U State: CA- Zip: 9' S C O 3 Ph%ne: 536 - $ Z3 ' 77-64' Contact: /bit /NGt- Email: 1 tI&011 vCan'Strve1jo n . t o ,r.-. Architect/Engineer Name: ArcVision, Inc Registration#: 23971 Address: 1950 Craig Rd, Ste 300, City: St. Louis State: MO Zip: 63146 Phone: 314-415-2400 Samantha Igou sigou@arcv.com Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans apportingdocumentSihat you submit are considered to !ie pul llc information. Portions.of the information may be classified as nonpublic -if you provfde specific reasons would p to conclude that they are. `ry. ' .'seol CALL BEFORE YOU DIG. Call Gopher State One CaII 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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that t codes of the City of Eagan; that I understand this is not a permit, but only an' permit; that the work will be in accordance with the approved plan in the case x 04\A A--ha1/4:a CAC , Applicant's Printed Name work will be in conformance with the ordinances and p olication for a permit, and work is not to start without a of work which requires a review and approval of plans. �,g„,,,,,,60-1 6 --s y' 7V 3`-/-06 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation V Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace _ Salon Owner Change Public Facility Accessory Building Greenhouse / Tent Antennae % Interior Improvement Exterior Improvement Repair Water Damage DESCRIPTION ..t Valuation 2 a5- eee Occupancy Plan Review , Code Edition (25% 100% v' Zoning Census Code Stories # of Units 0 Square Feet # of Buildings 1 Length Type of Construction TE ' 6 Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation _Ice & Water _Final ✓ Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: emi , Building Inspector Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant ///1 MCES System ✓ SAC Units N/4, P2Ei/leus[r Cetz City Water ✓ Booster Pump VMS' MU g ¢O PRV Fire Sprinklers Sheetrock ✓ Final / C.O. Required Final / No C.O. Required Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Concrete Entrance Apron V Yes No Reviewed By: Z - Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality la2•ro to�1G.39 Water Quality Water Sampling Fee Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL# 2, 885,6 Page 2 of 3 • • • Construction. Inc. 2280 Grass Valley Hwy. #207 — Auburn, CA 95603 Ph: (530) 823-7200 • Fx: (530) 823-7260 Email: info(a)tjuconstruction.com CA Contractors Lic. #777206 April 1, 2016 City of Eagan Building Inspections 3830 Pilot Knob Road Eagan, NLN 55122 Re: 3905 Eagan Outlets Parkway, Space 740 Guess #3023 To Whom It May Concern: This letter authorizes Robert Madaski to obtain required licenses, permits and other documents that may be needed, on behalf of TJU Construction, Inc. for the project mentioned above. If you have any questions, you can reach me at 530-823-7200. Thank you, Timothy J. Uhler President P\--E-i- Cil c fr\c_a CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 PPP w .w IP, AN. w. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document, State of California�7) County of C' l G(ce+_ On ilia before me, J I e 1 1 i& Ithh �► Date ` Here Insert e and Title of the Off' er personally appeared t, f� Cid-- S Rk \ -(Ar. Name of Signe who proved to me on the basis of satisfactory evidence to be the personje whose name() is/aper subscribed to the within instrument and acknowledged to me that he/511e/tfyey executed the same in his/be/tber authorized capacity(iee), and that by his/fes/theirsignature(-on the instrument the person,(ej, or the entity upon behalf of which the person'' acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. MA INGLE Coaerriasion . 27068 1 - .. :Notary Public - California Placer County M Comm. Ex , ran Feb 11, 2017 Place Notary Seal Above WITNESS my hand and official seal. Signature OPTIONAL Signature of rotary Public a cur) Though this section is optional, completing this information can der alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document ,• Title or Type of Docurj ent: A*( eAr "i I '\ cV' I ZSR u 1 Date: Number of Pages: 1 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: IL' Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General Individual Cl Attorney in Fact ❑ Trustee Li Guardian or Conservator Other: Signer Is Representing: Signer's Name: `l Corporate Officer — Title(s): El Partner — L] Limited D General =l Individual 11 Attorney in Fact LI Trustee L1 Guardian or Conservator ^I Other: Signer Is Representing: .47„c• `z' � a ... ?� e C c C L `t z ( rc'LQ `•gc,g e 02014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 �Q�C r5 Use BLUE or BLACK Ink My021016 � r _ A for Off ler,use k-City Of Eapn 1 Permit#., 3830 Pilot Knob Road r( f� . DIT CA P- � 1 I Eagan MN 55122 j IN 1=0 f I Phone: (651)675.5675 / _ Date R&CChved: "! Fax:(651)675-5694 76 3 - 36 7-50 O 1 j Staff. 2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: _ _ Site Address: GC—iC1►C1 n..,��fL Tenant: Suite l Name: Tw 1 N C1•7-1 F- 5 NR F.M I UM Ilona- Property Owner �TCF r S FA CET - - Address/City/Gip: 3 9 o s A GA IV 0'A rt—&'7'S i 4 1 � , f' Applicant ls. Owner ,. Contractor k.QVI'Z rXIStsY+ NC srI�( Nkit PA1EA , I Type of Work I}eSCr;ptron of work: 1 N S T/�.u� _5P fit NI�LF,•R S °N FX t S F, 512 !t k 1 �Constructiurl Cost: G5,ir, 0 5 _2.0(�o f t sled Completion Date: — .A.� Name. S i M P LI-k (;114 NNF U License>t: U 1 i ArJdresa: S4(0 d _,ATkA N• LJV �(DO fit y. L Y Moo -rk Contractor ,t i-- J M l ; State: A) Zip:5 F4 '2 Phone: —?6 3-3.6 1- 5 v e7 o Contact:&@, ^I .M ogoS IL t':mail;GM 012 5�1 E 1C•.�St M P«X G-µ1�;O rz(tom M FIRE PERMIT TYPE w WORK TYPE ,Sprinkler System(tt of heads,7__) _New Addition _Fire Pump _Standpipe _Alterations X Remodel r Other Other. DESCRIPTION OF WORK: C Commercial _Residential _Educational FEES $60.00 Per +f OO � Permit Fee Minimum, Contract Value$ .3 3 "( � x .01 � Surcharge=Contract Value X$0.0005 =$� _ Permit Fee l If the project valuation is over $1 million,please call for Surcharge Surcharge $100.00 Residential New (Includes State Surcharge) _ TOTAL FEE --�--_ _. . . ....e_.....___..,_�� ..,__.... .. ....... _. ...,_.�,__..�._ ....__��.... -.__.__, 314"Fire Meter-$280 00 = $ _- Fire Meter i TOTAL FEE i -Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components to be used I heyphy apply for a Fire Suppre&iron Syslern permit and acknowledge that the information is Complete and accurale;that the work will he.in corrlannanCe with the ordinances and Cotles of the City of Eagan and with the Minnesota Quildrrg/Fire Codes:that I undPratand this is nryt aperrnll,bum only an application for a permit,and work is riot to Stan wittroul a permit;that the work Will De in accordance wilh the,approved plan in the Case of work which requires a review and approval of plans. x (13 C Geo o P_o 1 N ti IL x Applicant's Print Name Applicant's Signat re 10-d 2005 L9E E9L xaIdut!,S 61 =60 9t—ZO—Rew l-3 Lo FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic rInw Alarm _ Drain Tesl Rough In Trip _,.., Pump Test _ Central Station _L- s Final Conditions of Issuance: Permit Reviewed by:. Date. — —_,...... l ZO'd 2005 L9E E9Z xOLdWLS 61 =60 9T-ZO-XeW