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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