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4678 Slater Rdoil; ® Name: Phone: x x (( CON C K Ir >�� Name: Z•f-) ' 11 57 4€ /7 f ,°66.4 License #: QZ15:53 Address: J7 /0 Al X AA11.IC ,E ? City: £ 4'644J State: "kJ Zip: �J` j Phone: �a.� / -3/ 7 - 4 /137 Email: e /1frG �j C✓S � W �/0/L!/✓. co.,..„.. ®1= ■ X New Replacement Repair Rebuild Modify Space _ Work in R.O.W. _ _ Description of work: RC ,C/ N if // feN44.0 At ,L'AJ P P 315 .P� COMMERCIAL New Construction Modify Space y , i ,1, ry,11 IIIT PE 1i� _ Irrigation System ( yes / _ no) (_ RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675 -5646 to verity that tests passed prior to picking up meter. p P� ( ) Y r 1 41 zx , Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes _ No Flushometers _ Yes No COMMERCIAL FEES: 61% $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ 22/ • x 1% Required - If the Permit Fee is less = $ 7Z . le Permit Fee on ALL new buildings and boulevard irrigation systems 3 $ Radio Meter Read than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee $ � ,,,,r State Surcharge Permit Fee requires a $5.50 surcharge) (i.e. a $10,010- $11,000 Following fees apply Contact the City's Engineering when installing a new lawn irrigation system $ Water Permit Department, (651) 675 -5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge — 7 - 7 A = $ TOTAL FEE *City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 CA � ( � fi/c� RECEIVED C t i { ' MAY 2 1 1012 &tutd 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: ($ /Z 1/ 1Z. Site Address: Tenant: , 7-E— .f /S C, w eo OPI 'i 7 9'6 7 cSL rie,e A Use BLUE or BLACK Ink C ( ' For Office Use Permit #: Cr 51 Permit Fee: Date Received: Staff: Suite #: CALL BEFORE YOU DIG. Call Gopher State One Cali 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.aooherstateonecall.oro 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 (4'gL /V - c4e /i Applicant's Printed Name x Applicant's Signature r 40'C!ty of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 RECEIVED MAY 022012 2012 COMMERCIAL BUILDING PERMIT APPLICATION Date: 05 /o 2 Site Address: 4-G78 5' a.�}er RcV E.agr,r, 7 Mt4 SSIZ.Z Tenant Name: GEREStS C Mro ?me - . 14e.S . GeAltec (Tenant is: v New / Existing) Suite #: Former Tenant: SJ Pr x c isoz z. 9 C H-K+E Applicants Printed Name Name: PR . E1lt.1G V-4.014 - L, t N o'6 yuo( Phone: 6251- o1OS - 0330 Address / City / Zip: 413 o 1:310.01. ees,, s v :I-e,. w2 o►Oc.►, ..s-size. Applicant is: Owner /Contractor Description of work: ryl2W Cov .S u cA eh l �� Z o , Construction Cost: (45) 10 0 °O Name: £vrJS1 T CvAEA-v'uc -.ov\ Group License #: 6G376 Address: Slot W y 65 ) ; e. SooD City: T^ <<s State: MN Zip: .S`5¢2Z Phone: 412- SOl - 4-1 g Contact: 6ARS -4 N N-zsc { e. Email: Contact Person: For Office Use �/ // �J Permit #: /() l LI E! l/ Permit Fee: / & Date Receiv Staff: ■te,VNh A p dllt" 'ev 't'e-Nh or -5 CANYA Name: V'J. v4$ev1, ,AorcL Ear P Registration #: 1 AO 7 '4-- Address: (OOO 4- .iekve. %3 CenAe . City: 1fliCy State: Nlk•\ Zip: .5 °11 Phone: ° 1S Z 4 Z G - 740a _ Email: Yvt,A.0. C \�4sW'1�,_e '\ Licensed plumber installing new sewer /water service: / 24AZ 1E 1.., 9 . Phone #: 651 - 45Z - lS6S CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 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 application for a permit, and work i 74 to start without a permit; that the work will be in accordance with the approved plan in the case of work ich requires a r- 5 ' -• approval of plans. .ham //a x ppllcants Si Use BLUE or BLACK Ink Page 1 of 3 1 -/b - A bodoe_ SUB TYPES Foundation _✓ Commercial / Industrial _ Apartments Miscellaneous WORK TYPES New Addition Alteration _ Replace _ Salon Owner Change DESCRIPTION Valuation Plan Review ✓ (25 %_ 100% Census Code # of Units # of Buildings Type of Construction V • 15 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 _ Public Facility Accessory Building Greenhouse l Tent Antennae /Interior Improvement _ Exterior Improvement Repair _ Water Damage I 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 C/O Inspection: Schedule Fire Marshal to be present: Z es Reviewed By: CilAki J , Building Inspector 1332.1( 7S . ■-o $ 6L .2-1 TOGS- e■-v ( oo • , 0 NOT WRITE BELOW THIS LINE 1 $4. Occupancy Code Edition Zoning Stones Square Feet Length Width 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 / 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 MCES System ✓ SAC Units 01•tI:,ILTTE City Water ✓ Booster Pump PRV Fire Sprinklers No Reviewed By: Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL *1 S6' 21. 04 jo gg ( 0 , Planning Page 2 of 3 � � Metropolitan Council i May 15, 2012 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Genesis Chiropractic Health Center to be located at 4678 Slater Road within the City of Eagan. The City will be charged 1 SAC Unit for this project, as determined below. Charges: Clinic 25 f.u. @ 17 f.u. /SAC Unit Shower 1 shower x 17 f.u. /stall @ 17 f.u. /SAC Unit Total Charge: Credits: Office Condo (Look -Back Period — paid 4/04) 1 unit ® 1 unit/SAC Unit The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651- 602 -1378 or email jessica.nye @metc.state.mn.us. Sincerely, ,,3fLL Jessie Nye SAC Program Administrator Environmental Services Division JN:kb: 120515B3 Determination expiration: May 15, 2014 cc: File, MCES Peggy Fleck, Eagan (email) Garen Nitzschke, Sunset Construckim SAC Units 1.47 1.00 2.47 1.00 Net Charge: 1.47 or 1 390 Robert Street North • St. Paul, MN 55101 -1805 • (651) 602 -1005 • Fax (651) 602 -1477 • TTY (651) 291 -0904 An Equal Opportunity Employer Environmental Services t Use BLUE or BLACK Ink r For Office Usg I Permit I Permit Fee: ~ 3830 Pilot Knob Road I Eagan MN 55122 Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 1 I Staff: t------ ----------1 2013 COMMERCIAL, BUILDING PERMIT APPLICATION Date: 1612-4113 Site Address: 7f 3, q/b 8 Z ~u Ckl~ Tenant Name: (Tenant is: New 1__V_ Existing) Suite Former Tenant: Name: 1.' /Phone: Property Owner Address /City /Zip: `~Z,` ' a41,_ +n SS/ Z -3 Applicant is: Owner Contractor Type of Work Description of work: Te-r cc~, 4 Construction Cost- OOC"_) Name: ]3;k LO hpf`l SfS I YI C_ License t Contractor Address: ~ e - a a( C (.)a+:~l City: Ce m e rU c l i e State: Y71 A Zip: ~~~d 3g Phone: (L (Z.\ 71'0 -aBgS Contact: __"1 0,Vt4-7- Email: i (C0Cav%-{0r r+ PS CtO~iC ~ Name: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone M 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 trade 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 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 ~t+.-~-z x Applicant's Printed Name Applicant's Signatu Page 1 of 3