4666 Slater Rd
~C~ ~ 2005 COMMERC~IL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694 (1n _
ti~.i~,
. • - ~ . .
• Structural Plans (2) sets • Arehitectural Plans • (2) sets • Architecturel Plans (2) sets
• Civil Plans (2) • Structurai Pians (2) • Code Analysis (1) ~
• CeAificate of Survey (1) • Civfl Plans (2) • Projed Specs (1}
• CodeAnafysis (1) " • Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) • Code Malysis (1) TM • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • Cert~cate of Survey (1) • Energy Calculations (1) not always"
. Soils Repod (1) . Spec. Insp. 8 Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always"
. Meier size must be established . Meter Size must be eslablished • Meter size must be established-if applicable
1 • ProjectSpecs (1)
y • Energy Calculafions (1) 1
1 • Electrio Power 8 Lighting Form (1) " 1 .
1 • Master Exit Plan (1) '1
1 • Emergency Response SBe Plan (1) 1
1 • Soils Repod ~ (1) 1
• SAC determination - call 651-602-1~00 . SAC delermination - call 651'-602-1000 • SAC detertnination - call 651f02-1DD0
. • Fire Sto in Su6mittals
Call MN Dept of Health at 651-215-0700 for details regarding food & 6everage or lodging tacilities.
Contact Building Inspections for sample and iFrequired '
Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date / f~ S Construction Cast # csS~~t1~T
Site Address ~0(0 ~ .SL/kTf.C.?- IY~'~'J Unit/Ste k Z
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Tena~tName ~U,c~TnNK. (or~SVl.~Nls FarmerTenantName fJ+9'
Description of Work f~"rf„ ¢-14a'1- ~iV lG;g 'eC7~/x
Property Owner C ,.J !-Elu.zS fjcV~ Telephooe # ) ?7~ /
Contractar \/~1 (p~(d /7y~,~/I~,~F~S ~ ~N C.•
Address /q70 ~,eyt.~~7" ~v-F ~2p0 City /~dl'~,Y/U/ti
State G(~.11 Zip r5s./~ ~ Telephone ) 7 7s '!g'~/
Arch/Engr ~,q/{?~ (p 4~.f' Registration #
Address 4/S ~ CJ,~ `,~f} T~f(~• ~d0 CiTy lit/Q']~Z AT,4-
State ,
1~/ N Zip ~ Telephone g7~~ /
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Licensed plumber installing new sewer/water service: ~~Phon'e~' n~.)
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I hereby apply for a Commercial Building Permit and acknowiedge that the•information i complete and accurate;
that the work will be in conformance with the ordinances and codes of the C' ~ aii
and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, ork is not to start without a
permit; that the work will be in accordance;with the approved plan in the cas~ of wark which requires a review and
approval of plans. ~
~ ~F~aM,l~o a
Applicant's
Prmted N e Applicant's Signature
L~""l~
2005 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-67~5675 Fas # 651-675-5694
Requireme~s: 2 complete sets of drawings and specifications
cut sheets on materials and components to be used
Date D
SiteAddress: ~(;F.'~~Q~L.
Tenant / Building Name: / ~t (11 ~ ~ VV , ` )rrl ~
The Applicant is: Owner Contractor Other
PROPERTY OWNER U~ ~
Address: ~ ~C.'(~L,~-_~ ~J .o~C7
City: ~.F'J~ I~~ State: Zip: JrS/~
CONTRACTOR MN License ~
Service Fire rO S~uth
Address: Lane City:
state: ;~1~nr+etonka, MN 5 Zip: Phone ~~a' ~q~ ~'o~~
ESTIMATED COMPLETION DATE: ~ / ~ / ~ S
FIIiE PERMIT TYPE: Sprinkler System of heads ~ X Fire Pump _ Standpipe
Other:
WORK TI'PE: New Addition Alterations Remodel
Other:
DESCRIPTION OF WORK: Commercial Residential Educational
Other: ~ ~u.~ ~ ~ A~I/l K~h r
U ^ *
Please continue on reverse side
-~a~~~-~- ~ ~
~ 2005 C01~IMERCIAL PLUNIBING PERNIIT APPLICATION
, CITY OF EAGAN ~p~
3830 PILOT KNOB ROAD, EAGAN MN 55122 ~9S~,~I a~ •"C""
651-675-5675
Date 8-18y05 ~
Site Address 4666 Slater RoaD Unit # 2
TenantName Milestone Consulting GYoup FormerTenantName None
Property Owner `~e Community Association VYoup~ Inc. Tetephone )
Contractor ~tury Pltmibing, Inc.
Address 1324 Helmo Ave N C~ty Qakdale
State ~ 7~P 55128 ~Telephone # (651 ~ 653-9390
License# 003755 PM Expires: 12-31-OS
The Applicant is _ Owner ~ff40{ Contractor _ Other
Work Type New Bldg _ Modify Tenant Space RPZ PVB ~{New Repau/Rebuiid _ Replace
_ Irrigation system Work within public right of-way/easement _ Yes _ No
Rain sensors are re uired on irri ation s stems
Description of Work ~ffice Condo finish 2 ADA restroans (1 ) shower (1 ) breala~oom sink w/dis al
o mqmre ~ essure e ucmg alve is equveA new sernce, ~a eter
Me[ers - Call 651-675-5300 ro verify that hydrostatic, conductivity, and bacteria tests pused orior to oickine uo meter.
Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by PubGc Works
Fire Size & Price 3/4" disolacement $161.00
Domesfic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No •
Permit Fee $50.50 minimum (includes S[ate Surcharge)
99.00
Contract Value ~ 9.900.00 x 1% Pe
~ jee_ n ~gn
R#q,Sq ~ ~ ~ IoZS'. ~ O Mete s jf°''`'`x
Required on all new buildings & boulevard iaieazion svstems $ ~ U Radio Meter Read
Ifpemtit fee is $1,000 or less, surcharge is $.50 $ State SuiCha[ge
If permit fee is over $1,000, surcharge is 5.50 per $1,000 of the Permit Fee
Following fees apply only when installing new irzigation system $ ~Water Pertnit
Call Jerty Wobschall at 651-675-507A for required fee amounts
$ Tieatment Plant
$ Water Supply & Storage .
$ Sbte Surcharge
- -
$ ~~I~Fee(,~ ~ ~J ~ ~
i
I hereby apply for a Commercial Plumbing Pemut and acknowledge that the information is comptete and accuiate; that.theiwoIrk will be~' I'
conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; thaz I understand tfiis is no~'a{~eYcm'~, bua"~hly ~a,~n,,
application for a permit, and work is not ro start without a pemut; that the work will be in accordance with the approved plan in the case of work~ i
which requires a review and approval of plans. ~
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~avv~aS ~SP.~c, . (,wwCB~ : --i
ApplicanYs Printed Name ~ plicanYs Signature
CENTURY PLUMBING INC
1324 Helmo Ave N
Oakdale, MN 55115
TELEPHONE: 651 ~53-9390
FAX: 651-203-1307
LETTER OF TRANSMITTAL
TO: Ciry of Eagan DATE: 8-78-05
A7'~N: Plumbing Permits
RE: MIIesMne Co~sulting Group
We are sending you: Plumbing Permlt Application
COPIES DATE DESCRIPTION
2 8-18-05 Plumbing Drawings
2 Arohitectural Plans
These are transmitted as indicated below, for your approval
REMARKS: This is an office condo flnish wkh ~2) ADA restrooms flnishes both having a toilet and
lavatory, one has a shower valve and draln wlfold up seat; (1) sink in break room with a disposal. in
mechanical room (1) 30 gallon electric heater, (1) sump pump and (1) water meter.
1. Plumbing system will be installed per MN Plumbing Code.
2. Plumbing to conform to ADA requirements
3. Waste and vent to be PVC Sch 40 with PVC solvent weld joints ~ purple primer and cement per MN Code.
4. Toilets 1.6 gpf, elongated bowls, open front seat. Faucets with lever handles and Vap/supply wraps
5 Copper water pipe with lead free solder.
6 The plumbing system will be tested and inspected per MN Code.
If you have any questions or need to make any changes feel free to call me at 612-590-8336 (cellular) or 651-
653-9390 (office). /
SIGNED: / l
J j Blasena, ster Plumber No. 003755 PM
C!ty of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use �{ %'
Permit#: 11130-
✓M3
Permit Fee: Li,)5.
Date Received: Io/(i /1,3
Staff:
2013hlrilbt • - 3UILDING PERMIT APPLICATION
Date: ID13 Site Address: `%Dv�"la,�er �el� �1�er�d �Lrc,2.
Resident/
Owner
i`TC
Name: o U C tA.0 ..� e kc £th c- S Phone: 'SiCV t 454— 01( (
, 41 tl
Address / City / Zip: 1 00 S/Q--1-er, ".,1 e"ealat„.. syn. 5S1ZZ
(
Applicant is: Owner Contractor
Type of Work
Description of work: — 70c:54-
Construction Cost: $250(X)c"-- Multi -Family Building: (Yes / No )
Contractor
Company: "F:::( t its I^ pr ices 1 (v c___ Contact: --i It "Egm*k-z._
Address: q ) r Po ncl L9 )a,City: C -e v r u :Re
State: /44 h Zip: (5038 Phone: (loiz) '718 — Sgq
License #: BC -398323 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes _No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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 they 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.orq
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 12A-n+z
Applicant's Printed Name
(6"-c‘"L
Applicant's Signature
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