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Suite 332 - GH Bass t M 1 ar Use BLUE or BLACK Ink I For Office Use Permit M City of Ea a n E I 3830 Pilot Knob Road C Permit Fee: ~ I loto I Eagan MN 55122 Phone: (651) 675-5675~'~ ; Date Received: J Fax: (651) 675-5694 I staff: I L---------------- 2014 COMMERCIAL BUIL~ING PERMIT APPLICATION Date: 4 11 Site Address: Tenant Name: • ltf • S S (Tenant is: New / Existing) Suite 3 2- Former Tenant: Name: 5!• Phone: 7!o 3.74' 2 . O 64 3 Property Owner Address / City / Zip:! 4I lo>o6W A! F ff Ve- N'•~, P~IZ0vt-I-YN /`;4 NIV S 4 2-8 100 y Applicant is: Owner Contractor Type of Work Descri ption of work: gwA c r lei r- e u r of ,o. n s T. !P/'~ c r rim ir uiM f 8b , o 00 , SA4~ S' dF XI-7% /~S' Alva j}c~C'S' o/tlO . Construction Cos . Name: T • 00 • License ~y4e- 5 T. City: Contractor Address: Z`N~, / State: PA Zip: • Phone: & 51- 6q4-' 1 ,7 2-'3 Contact3r-%t0 r r (rP Email: CI (~s° ! ~ S~ f~7 Cc~M Name: G, M • 4 l4 cHl r Fe rt// ,6 Registration 19 d 7 9 Architect/Engineer Address: &11",0 IM-SHIN 4 TON AVC. N. 1` 2ogity: In / IV )VFA 1'-1 State:. M/V Zip: 575 4-of Phone: 491 2. f 1 -5 d O Contact Person: VIV J10HIvs01 Email: y ° N sort 6 G M * rC 4 • e,0X1 Licensed plumber installing 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 to conclude that the are bade secrets. _ 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.gopherstateonecall.org 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 applic tion 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 w r which requires a review and approval of plans. X14N7Hely,r C>. JOHNSON x Applicant's Printed Name Applicant' ature Page 1 of 3 4 31 b-.5- C6 q , b~, I rs Pkwy S DO NOT WRITE LOW 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 00 Valuation 00 ) 000 Occupancy - MCES System !-5 Plan Review / yes Code Edition aOB /ks19GSAC Units 0 (25%_ 100%~j Zoning City Water t~5 Census Code Stories Booster Pump # of Units Square Feet PRV " #of Buildings Length Fire Sprinklers Ys Type of Constructions 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 JRoof: -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: V1 Yes No Reviewed By: K h, L---, Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Water Quality Surcharge 90.00 Water Sampling Fee Plan Review r-K eec6,4 Water Supply A 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 2-(cZS.~`~ Page 2 of 3 Jun. 13.2014 03:47 PM Bartylla Plumbing 6516535903 PAGE. 2/ 4 Use BLUE or BLACK ink �vE� �f �� _�_--__�-_---_------, , �or o(f�ce use , . REC ��.5 ��, � � � � P��,��#: /��7�:3 � City of Ea�a� �uN � � ��1� � � � I permit Fee: ��9� � 9830 Pilot Knob Road � � � Eagan MN SS122 � Qate Recelved: � Phone:(651)675�675 I I Fax:(651 j 6T5�694 I Staft_r� _��____� I 2014 C4MMEF�CIAL PLUMBING PERMIT APPLICATION ❑ Please submlt two(2)sets of plans with all commerclal appllcatians. Date: �6/13/2014 Stte Address:_ paragon Dudets ,�%(f..� �..�y� (��f� �i��-�1 7enant; G,H. 6ass& Co.store 4642 space 332 Sult��: ��" ; Pr� e p �X (�yyhqr Name: Phone: Name: Bartylla I'lumbing&Heatinq, Inc. License#: PC643227 � .Ga�1�rACtQf:�; � Address: 8675 126th St N City: Hugo g�te. MN Zip: 55038 . , . .. ,. �. , .;::. . . Phone: 651_.429.3877 Emeil: Q�[�b�rtylla lu�g.com ` �New �,,,Raplacsmenl _Repair ,�Ftebuild _Modify Space _Wo�lc in R.O.W. TYp�of U11Q►�Ir . Dascription of work: Adding a new mop sink and 6 gellon water heater COMMERCIAL ,�„New construction �Modly Space ,_,r IrrlgaUon Systsm(_yes/_no)(`RPZ/�PVB) . Rain seneors required on IrriOatlon ey6tems R,�1�111�t:T�pA . Avg.GPM (2"turbo requlred unless smaller size allawed by Public Works) Metele Call(651)675-5646 to verity that teate paesed qrlor to ploklna un meter. DomeetlC;SLZe 8 Type Flre� 1 Avq.GPM Ntgh dema�d devlces?_Yes_No Flushometers�Yea No COMMERCIAL FEES Contract Value S 4.�00.00 x.01 566.00,�„ermlt �ee Mlnlmum $ 55.00 Permlt Fee v `If contract value is LESS than 510,010,Surcharge=$5.00 =$ 5•�� Surcharge` *'If contract value is QREATER then$10,010,Surcharge=Contract Value x$0.0005 60_00 """If the proJect valuetion Is over$1 million,please call forSurcharge =$ T07AL FEE Following feea apply whan instalNng a new lawn irriyation system S Water Permn Cont2ct the Cfty's�ngineering Department,(651)675-5646, for requlrad fee amowrts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge =$ TOTAL FEE CALL eEFORE YOU DI(3_ Call GopAer 3ta�e Ona Call at(651)454-0002 for protectlon aqainst underground utility damage. 1 `� I hereby acknowledge that thie iniormptlon �S complete and accurate;that the work will be in confo�mance with Me ordinance�a and codee Oi the Gity of Eagan; that I understand this is not a permit, but only an appllcallon for a permit, and w�ork is not to start without a petmiL that the woric will be in acCOrdance wRh the approved plan in the case of work wtliCh requlres a ravlew and approval ol plans. x Georaiann Bartvlla x .,��o+"q,u��> ��% ��u-� Applicant's Printed Name Applicant's�i��nature � ��R:(3FFI��USE ' Aqptcv+�d�y:,'� � ,y�.:�_. [�![t'�c l�;. /. , -- _ - Req�lreda�specti�n�c Un��r��u►ld:-.;�RAU��i•In:'�r Teat ._G�s':�'s t�:�ina(:' : .. :�RY.t�i��R►�d;�Yss�No..: : .. . .... . . . ........ . . � M'llater i�elet�d It�ms; ' . .M1i��t�rSi�e 1- ° I�ad�o:Rea�. Stafi i �. Page 1 of 3 �� Use BLUE or BLACK Ink ��`'� ' ��- ,_________________, � � For Office Use � �� (��i,��j� � Permit#: l`o�� I �� v L �l RECEIVED � Permit Fee: �� 3830 Pilot Knob Road � b�(� � Eagan MN 55122 Phone: (651)675-5675 JUN 0 5 2014 j Date Received: � � I Fax: (651)675-5694 I I � Staff: �- I ��_��_� _��J 2014 MECHANICAL PERMIT APPLICATION ;�,� �Please submit two (2) sets of plans with all co ercial apps�cations. `� � �ac{� �.y�an 1 � j� Date: — , Site Address: � � ��- � � � � � �1� Tenant:�� s� Suite#: ��Z � . �, , � � � � � Name: � �j�[�� t�� Phone: ` ' �,. �.: y�: Address/City/Zip: � � � � � �� . Name: �p�.-,,,�t �1 � y�c.. License#: ,� ' � ¢ �� Address: lo �,J.�s� � , Cit ��`�� '_'`'` Y: ��`.ti...�r� � �� State:�Zip:S�Srdc9'� Phone: `c'�I�2�b-�5�j'`L � � � �� a Contact: L��. � _ ,4�'K,�� Email: °�., C..q^ 4' e . Ce.41.�„ �� \� r �; � ',. �. � ✓ New Replacement Aoditional Alteration Demolition � �, � E � � �t��flt�� Description of work , , , � �; ,h� :R�s�tn �t�a �nd wntr� �t�c�,��C`� i� '.:��r+��ed��a t� �n�d Ei�r��t � , � . � � ��, � ° � � ... ��f � �,�' , R `� �ni�tt ln��: �ci�1t�r t� m'��r n��s,, „.. > ; ,M E. . :_ .... '� � ,,� � � � RES/DENTIAL COMMERC/AL � � � � � � . � r' Furnace New Construction Interior Improvement � � — �� _Air Conditioner Install Piping Processed — — ��? �� _Air Exchanger Gas Exterior HVAC Unit � � � � � Heat Pump �,: �� 3 — _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$��f j�.�' x.01 $55.00 Permit Fee Minimum � $70.00 Underground tank installation/removal =$ �� ' Permit Fee . *If contract value is LESS than$10,010,Surcharge=$5.00 =$ �,� Surcharge* **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 ***If the project valuation is over$1 million, please call for Surcharge ,,� _$ 1 c� � �`L� 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 �1t.�c. /�. ,.r x 4—�(�'�`_�__ ApplicanYs Prmted Name Applicant's Signature � � � � '�a � �� ` � � � �� '�'� � , , � � �� '�� ` ' �� ` � I��#��,, � � � �� ;� Un��ri��(n ,�a��? ,.. �" t ' ' � -.�,�--�-� ,..: �� > �`��,��ice`��t� t'i�fl� �1�at al.,:� . H1�AC�� r�. � CALL FOR CREDIT CARD PAYMENT Use BLUE or BLACK Ink 105634 _________� 612.843.3210 � � For Office Use_ � � � "� �( I N�D D�,�•C � /� �,ly I Permit#: v- O�v I C�U �� U �� /v r J i V E�/�-• i �! i � � �� . �` � Permit Fee: V � 3830 Pilot Knob Road � I Eagan MN 55122 ' $ I � Phone:(651)675-5675 �UN 2d�� Date Received: � Fax:(651)675-5694 I I SY: � � Staff: � ��__�_��J 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* �ate: 6/13/14 s�te adaress: 3965 Ea�gan Outlets Parkway renant: GH Brass & Co su�te#: 332 `: Name: Phone: PI'Op�rty QtiAtller ' Address/City/Zip: Applicant is: Owner Contractor ` TYPe o#Work > Description ofwork: Install sprinkler heads to new tenant space 'I Construction Cost: $1500.00 Estimated Completion Date: 7/1 O/14 rvame: Ahern Fire Protection License#: C039 Contractor ` Address: 13705 26th Ave #110 �;ry: Plymouth State: MN Zip: 55441 Phone: 763.268.0515 conta�t: Ray Polos Ema;i: rpolos@ahernfire.com FIRE PERMIT TYPE WORK TYPE X Sprinkler System(#of heads 1 Qj New _Addition Fire Pump _Standpipe XAlterations _Remodel Other: Other: DESCRIPTION OF WORK: X Commercial Residential Educational FE�ES Contract Value$ 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 Suppressian 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 ApplicanYs Signature ' � � � � ��-(a3� F4R OFFICE USE ��ctv��EC�r�vs��crto�us Hycirosta#ic; Flaw'f�#arm` L�ea�r�Tes� �'��g�►1n: TrCp� � �; : � �� Rump`Test� �� ' �n�ralSt��rn � �;��a! ; Gonditians of tssuan�e .:'; � � � � " ,� ,s- Permit Rewiewed.b�. ''r��'"'' �!�G�� , C?�te.. � 1,..:� �-�,.�,... .�. � �- �. _ v44.,4