4682 Slater Rd I (.o~l.i9
1 2006 COMMERCIAL BUILDING PERMIT APPLICATION ~ 5
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
.
. . a . .
• Structural Plans (2) set5 • Archrfectural Plans • (2) sets • Architectural Plzns (2) sets
• Civil Plans (2) • Strudural Plans ~ (2) • Code Analysis '(t) "
. Certificate otSurvey (1) • Civil Plans (2) • Project Specs (1)
• Code Analysis (i} " • Landscaping Plans (2) • Key Plan (1)
~ • ProjectSpecs (1) • CodeAnaysis (1) • MasterExitPlan (1j
• Spec. Insp. & Testing Schedule • Cerlificate of Survey (1) • Energy Calculations (1) not always"'
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Fortn (t) not always"
• Meter size must be established • Meter size must be established • Meter size must be established-'rf applicable
b • PrqectSpecs (1)
. y . EnergyCalculations (1) " 1 ~
d • Electric Power & Lighting Form (1) " 1
1 • Master Exit Plan (t) S
1 . Emergency Response Site Plan (1)'*" 1
1 - • Soils Report (1) d
• SAC delermination - call 651-G02-1000 • SAC determination - call 651-602-1000 • SAC tletertnination - call 651-602-1000
• Fire Sto in Submittals
Cal] MN Dept of Health at 651-215-0'700 for de[ails regarding food & beverage or lodging facilities.
Contact Building Inspections for sample and if required .
Permit for new building or addition wil] not 6e pmcessed withou[ Emergency Response Site Plan.
Date ~ / ~ ! ~ Construction Cost ~ ~ fla7 ~
Site Address ~~ri~~. SC.qr~'E~- ~o/tr!J Onit/5te # G
Tenant Name Ft,L,rT¢ ~dA{,T~1 Former Tenant Name
!/lo c,
Description of Work /ti/'Y~.n-~o(a /,4,./)~~-r ?~ME~' d"'l~9 - d1 JT ~~.NL ~i~//
_ o
PropertyOwner /ulSS~cat c.(.S ,(Zri,? Telephone#( ) (aS/ 7ZS ~°I/~seJ
Applicant is: _ Owner ~ Contractor Contact ( ) (o S/ ~"7 Z~- / 4~^~
Contractor ~~_~~r~,~,a.2A f7~.hv~~i
Address 't~}~i C.rF~-ITE 1~Et~J~
~f~w`~ C~tY ST ~A-UV
State ~N Zip ~iS j I~ Telephone ti ( )~'pS/ ~ 7
Z_
T`~ r~9
Arch/Engr /~/~~fJ (~~iyi? Registration # Z~
Address !4-/,S ~ Ll/~~3~~ ~W? ~2so City~,~lb_.._ Y2lij,t
State /v/N Zip y 5 Telephone ) 9~Z- ~'J~- l9
Licensed plumber installing new sewer/water service: /°r7 Phone
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordina~ces and codes of the City of Eagan and the State of MN Statutes; 1 understand this is not a permit, but onty an
application for a permit, and work is not to start without a permir, that the work will be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
T,~~~~~ ~D
Applicant's Printed Na e Applicant s S' nature D
APR~ ~ Z006
l s~
`~3 C_2~ 1
2006 C~MMERCIAL PI,UMBINC~i PERMIT APPLICATION
CITY OF EAGAN
383U PILOT Kl\TOB ROAll, EAGAN MN 55122
651-675-5675 (~z~l~,d ~_f ~ _7__l
~ ,t
I Date 7 /~I I
s~te.~ddress _ y(>$a1 Slater Rdl v~itu
~I Tenant Name El;+e Heal+h Chiro~ra~+ic Former Tenant Name
Property Owner F~ N~p ~{-h CHi ro pvrtcfi c Telephone )
~
~ co~,tra~co~ Ce~ P) un+binq Tnc
i nnaress 13a4 Hel mo Ave N c~y Dakotalr
~ State M/V Zip s5lag Telephone#((o,s~) GS~-~.39D _
I License# 00375y f%'M Expires: )-~-07
The Applican[ is _ Owner ~ Contractor _ Other
Work Type \~ew Bide Modify S~ace _ Irrigation System** Yes No Work in public r-o-w / easement?
_ RPZ _ PVB: ~ New _ Repair/Rebuild _ Replace _ Remove
Rain sensors are re uired on irri ation sVStems
CLMMiC
Description of Work o€frce Conalo ~;n'~sh• 1 ADA fo~lets_,_y ~C1Y5 i HC showp~~ a a~~F1•C~kithS / ~QGNO~!'Y~U
~ To inquire if Pressure Reducing Vaive is required on new sen~ice, call 51-675-5646 ~ lq~p~~ bOX, 1 Q~2~. W'~" ~Mf'~^ [r
i ~ acnks, 1
Me[ers - CaII 651-67~-5300 to verify that hydrostatic, conduc[ivity, and bacteria tests passed prior to pickin¢ un meter. ~
~ Irrigacio? Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public R'ork,
I Pire Size & Price 3/~" mc[er 167.00
I Domes[ic Size & Type Avg GPM Includes high demand deviees? _ Yes _ No
~ Flushometers _ Yes ~ No PRV Required _ Yes No
Permit Fee 5~0.50 minimum (includes State Surcharge)
, Contract Value $ ~~ao b~ x ~ o~o = ~ 1~~, ~ Permit Fee
g Nleter(s)
I Required on all netv buildines & boulevxrd irriCation svstems $ Radio Meter Read
$ e Jr~ State Surcharge
I If oenni[ (ee is less Ihan $1,000, surcharge is 5.5o
If oermit fee is more than 51,000, surcharge is 5.50 for each S1,OU0 owctl.
~ Following fees apply when installing new lawn irrigation s em $ Water Permit II
Call [he Citys Engineering Depart ~-~9~,R~ amoun[s
I ~ ~ p V~ ~ g T~eatment Plant
L/t
~ , ~ $ Water Supply & Storage
il s ?
$ State Surcharge
I $ Total Fee
] hzreby appW for a Commercial Plum6ing Permi[ and acknowledge ihat the infortnation is complete and acwrate; [hnt the work will be in conformance witl:~ [he
ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; [hat I understa~d this is not a permiL bu[ only an application for a pertnit, and ~vork is not eo
s[xrt withou[ a pennit; ihat the work will be in accorJance wi[h the appro~ed plan in [he ease of work which requires a revieu~ and xpproval of plans.
James @lasena. Master P~u~~ ~~RU`~--- -
.4pplicant's Printed Neme icanYs Signature
73oq ~ ~
2006 FIRE SUPPRE5SION SYSTEMS rExMtT arrr,icnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 Fax # 651-675-5694
Requirements: 2 complete sets of drawings and specifications
cut sheets on materials and com onents to be used
Date l_~ l ~ rP
Site Address: V~-~ ~ ~ ~
Tenant / Building Name: ~~1 ! 7L L C Y~h ~ / `"6 ' C-
The Applicant is: _ Owner Contractor _ Other
PROPERTY OWNER
Address:
City: State: Zip:
CONTRACTOR MN License C.~ ~
Address: SeNICe Fl~e PCOtBCtlOtl, If1C Ciry:
sr~ce: Minnetonka, MN 55~~5 Phone ~~1~~~
ESTIMATED COMPLETION DATE: / l S /
FIRE PERMIT TYPE: Sprinkler System of heads 1~ _ Fire Pump _ Standpipe
Other:
WORK TYPE: _ New _ Addition Alterations ~ Remodel
Other:
DESCRIPTION OF WORK: Commercial Residential _ Educational
Other: ~tJ ~ ~ / 1.,~.G~-G~o ~CJ r
Please continue on reverse side
1
~3SLJ t~i [3Q3R
C.35te liaiPl~L
kecei~t Da$c 6l`Lr'2~'~b
~'~ceiai t?unt,ae 16838n
cFt~r~,~~v r•tu~;ai~~
4~s~ s~Nr~~. r?r,
SiH?.4st19 13~.~~
SI&" DI~FtrlCFttENT NElER
d1~i.~SV~4 14#,i~
Rts~:O REH~
Tesal kFcei~~t ~1~ount ~71.~i~
1i~237 18:3a:08
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
PERMIT
City Of Eaga11 Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA1269p6
Eagan,MN 55122 , Date Issued: 09/16/2014
(651)675-5675
www.ci.eagan.mn.us l, O � a�
Site Address: 4682 Slater Rd
Lot: 000 Block: 000 Addition: Wentworth Park
PID: 10-83568-01-060
Use:
Description:
Sub Type: CommerciaVIndustrial Construction Type:
Work Type: Day Care Inspection
Description:
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments• New Challenges 651-454-0161
Fee Summary: Day Care Inspection $50.00 1221.4216
Tota 1: $50.00
Contractor: Owner: - Applicant -
NEW CHALLENGES PROPERTIES SLATER LLC
4670 SLATER RD
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature