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4686 Slater Rd ~ ~ 2004 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan ~~O ~ 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Requirements: 2 complete sets of dxawings and specifications cut sheets on materials and com onents to he used Date ~ / 0`~3 / d- Site Address: ~~O g~a S~ ar{' Q-rZ -l~a acQ -~P~'6^ a- ~Gr ~ Tenant / Building Name: S ~ O~ ~u-P P - .~~(-}pr r2~, The Applicant is: Owner .X Contractor _ Other ; ' ' ` ~ ~ ~ u ~ pU uJ PROPERTY OWNER i$S i {-l-i I I S ~-J ~ G Address: 4"S ~ 0 ~l.ttiC1-, ~ ~ ~ ~~Y City: V~~"`~ State: i~ h-~ Zip: SS I a(,, CONTRACTOR ~Ui C.c ~R MN License No. ~ Q~ ~ 1 Address: O~ I I ~~s-~ 1 t,Lr.-i 1--~-~`~-- 'k~h'~ nQ-~~- State: Iv Zip: S Sa ~ S Phone qS~- SG 1~~Qb ESTIMATED COMPLETION DATE: g / ~ v / ~ FIRE PERMIT TYPE: ~ Sprinkler System of heads _ Fire Pump _ Standpipe Other: WORK TYPE: ~ New _ Addition _ Alterations _ Remodel Other: DESCRIPTION OF WORK: ~ Commercial _ Residential _ Educational Other: T S~r~k 1 ~ y' ~ ~^-Q-~ -~--e~.o~'~- Please continue on reverse side ~I - -1 t~A.o.`k-~.~~ o ~ ~l-l.. f 0.~( ~ 2004 COMMERCIAL BUILDING PERNIIT APPLICATION City Of Eagan ~ ~`3 a-g , 3830 Pilot Knob Road, Eagan Mn 55122 p~ I( Telephone # 651-675-5675 FAX # 651-675-5694 g~~'~ 1 lrJ So . . • . . . • SWcWral Plans (2) seCs • ArchitecNral Plans (2) sets chitectural PI (2) sefs . Civil Plans (2) • SWCturel Plans - (2) ~s • CertifrateofSurvey (1) • CIvilPlans (2) • ProJectSpecs (1) • Code Malysis (1) " • Landscaping Plans (2) • Key Plan (1) • PrqectSpecs (1) • CodeMalysis (1) " • MasterExitPlan (1) . • Spec. Insp. & Testing Schedule " • CertiFlcate of Survey (1) • Energy Calculations (1) not always" • Soiis Report (1) • Spec. Insp. & Testlng Schedule (1) " • Elec. Power & LighGng Fortn (1) not always" • Meter size musl be established • Meter size must be esfablished • Meter size must be est2blished-If applipble l ~ . ProjectSpecs 1 • EnergyCalculadons (1) " 1 1 • Electric Power & Lighfing Fortn (1) " y L . Master Exif Plan (1) 1 1 . Emergency Response Site Plan (1) y 1 • ShcsReport (1) i . SAC detertnination - call 65'1-602-~000 • SAC detertnination - call 651-602-1000 SAC detertnination - call 65'I-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and i£required when it stazes "not always". Permit for new building or addition will not ~processed without Emergency Response Site Plan. ~0 Date / 2!D / ~ ~ Construction Cost ~v ~ Site Address S~TF~- ~f+~-D Unit/Ste # _ ~ Tenant Name d` TF7 !~p ~ Former Tenant Name DescriptionofWork ~Ni F/t~-~~~ 47Vt~~ d~T• PropertyOwner ~1$Sb6rJ cF16?~.W~MG~3T Telephone#(~~) ~/7~'/°f~lc~ Contractor ~V-~~ ~d ~U • Address q ' ~ City L State ~ N Zip S~ l e~ ~S 7 l~'~ 9 ~ Arch/Engr G~' R'~pStr Address State Zip T ho #(I~ jT~ ~/~~s~ Licensed plumber installing new sewerlwater service: Phone I hereby apply for a Commercial Building Permit and aclrnowledge 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 the State of MN 3tatutes; 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. ~~~-r T.~Ma~_ ~ ApplicanYs Printed Name Applicant's Signature " 2004 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan ~ 3830 Pilot Knob Road, Eagan Mn 55122 ~S~ as Telephone # 651-675-5675 FAX # 651-675-5694 ~-~dr1 Requirementx 2 complete sets of drawings and specifications cut sheets on materials and com onents to be used Date~/ ~ ~S / 67 ~ ~L~~ ~P~X Site Address: ~ - J ~ T~ -n Tenant / Building Name: ~-PJ'~-~ Lr~ c~r 7`7/ P~''~ ~~I' SS~Q~-~ f-h ~~S ~ e U~df The Applicant is: Owner ~ Contractor _ Other PROPERTY OWNER '~IQh9cQ.t•~V'oq. ~ L~/"S 1'~-~ ~a~^-.f' ~ 6 rl Address: ~OC> S. ~ W ~4S a ~ l U c~ , Ct . Cit : 5~~C4~.t_,~ State: n'L ~ Zip: S S 1~`1 Y CONTRACTQR ~ ~ ~ ' MNr L ense No. C- ~ Address: ~~l X~J'` e Gt-,r, G.~-~w ~ City: ~/2! State: ~,~J fV Zip: ~ ~ Phone ~~o~ " s9~'`~'J~~U ESTIMATED COMPLETION DATE: ~ l ~o / bb~! _ ~ ~ (oo FIRE PERMIT TYPE: V Sprinkler System of heads Fire Pump _ Standpipe Other: WORK TYPE: _ New _ Addition _ Alterations _ D~ e n~~ ll Other: DESCRIPTION OF WORK: Commercial Residential By _ a~_ Other: Please contiuue on reverse side 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 � .�.'►-�#.r. � ' Use BLUE or BLACK ink � � r----------------^ I For Office Use i � , � Z38�-- � Clt of �a a� ; Permit#: � � . Y � � Z� �� I Permit Fee: ! � 3830 Pilot Knob Road �, '`�� I I Eagan MN 55122 '��:.�� Phone: (651) 675-5675 � i Date Received: �� _ i Fax: (651) 675-5694 p,pR � 4101 � Staff: ' ��7 I�j� �---------------- � � 2014 COMMERCIAL BUILDING PERMIT APPLICAT�ON ��°lf�� j � Date: "� Site Address: ��p ��-�1 ErL �� C<-G�C,�./� /' �/!'�/ Tenant Name:�,�,`�'� C�1C�,L�,�i/�QE'..�",�. ��1L . (Tenant is: Nevrr/�Existing) Suite#: `' ` " `` ``` ` Former Tenant: Name: t 1ClJ� C'F�1 f4�L�ln�E'� �r1C Phone:(��a��, ��`-'��! Property Owner Address�city i zip: ��'�C��5,1,/�7-��'� �c� ,c�,•� 1lV�►n Applicant is: Owner �Contractor � • Type Of WOrk Description of work: ��^►�/�j �ouJE',� ,�C�U�I�C5.�1C� ��j�{_,� Construction Cost: (�� Name: ��i��..b ��'�Y'�1'tSf?S , �,�IL License#: �5��f�_�2�_ Contractor Address: (�z��e.�"�y7r �,.c1 city: Caerl~�PYUr�I� State:�✓�Zip: �`��?�� Phone: �� 7�$ "�� Contact: r �� EmaiL• . C�E��1 /" /�tSE'S c� (�:p �. C t�ytett Name: Registration#: Architect/Engineer Address: city: State: Zip: Phone: - Contact Person: EmaiL Licensed plumber installing new sewer/water service: ' ',"F?hone#: NOTE:Plans and supporting documenfis 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.qopherstateonecall.orq 1 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 �il��-�- X � ,� ApplicanYs Printed N�me ApplicanYs Signature Page 1 of 3 , �� S��f�. ►� � -7 ��` ��;r DO NOT WRITE BELOW THIS LINE I1.�3 U�` � • SUB TYPES Foundation Pubiic Facility Exterior Alteration—Apartments ✓Commercial t 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 PGA handout to applicant DESCRIPTION ✓ e�t. Valuation S.S�ObO Occupancy � MCES System Plan Review ✓ Code Edition ZOe�M56G SAC Units � (25%_100%� Zoning --'� City Water ✓ Census Code Stories ( Booster Pump #of Units 0 Square Feet d�0 PRV #of Buildings � Length Fire Sprink�ers t� Type of Construction V'$ 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 Roof:_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: Mkn�. � Final C/O Inspection: Schedule Fire Marshal to be present: Yes No ,,�-;,, /� =,i' Reviewed By: (r�Jf'�G , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee 7lg•ZS� Water Quality Surcharge Z7•S� Water Supply 8� Storage (WAC) Plan Review 4L7 • �/ Storm Sewer Trunk � MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit& Surcharge Street Lateral Treatment Plant Street Treatment Plant(Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL � �Z�`1� •Z6 Page 2 of 3 . " �� i �� Dale Schoeppner June 9, 2014 Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for New Challenges, Inc. to be located at 4686 Slater Road in the Wentworth Park Association within the City of Eagan. The City will be charged no SAC Units for this project, as determined below. SAC Units Charges Office 585 sq. ft. @ 2400 sq. ft. /SAC 0.24 Meeting 217 sq. ft. @ 1650 sq. ft. /SAC 0.13 Total Charge: 0.37 Credits: Condo Office 1 unit @ 1 SAC/unit 1080 gsf/2719 gsf= 40% 1 x 40% Q,4Q Net Charge: -0.03 or 0 The business information was provided to MCES by the applicant at this time. It is also 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 email me at ka�°ort.cappaert!a�metc.stczte.rr�n.z�s. Sincerely, �`�f��,c� ' Karon Cappaert I SAC Program Technical Specialist i KC:fa: 140609B3 I�I Determination expiration: 06/09/2016 I cc: Amy Griffin, Eagan (email) '� Bill Rantz, Bilco Enterprises (email) '"`� �, �---�_°'- File, MCES I I •� •..- . � ;� • . - . .� �� . . �.� � . � �•�. - , , . . �1��`i�.��'��°I"� � . .... .. - � c� �a �, � � � Use BLUE or BLACK Ink r----------------� I For Office Use � I (�`� ' � Permit#: ��7 T 7 � j Clty of �� ; ; : �;� � Perm t Fee � I 3830 Pilot Knob Road i Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � Fax: (651) 675-5694 i Staff: ____' � ---------� 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7� O` "—� Site Address: /�C'J� ,�'�L�� -�-,/' Tenant: Suite#: � � ��Wrr��, Name: Phone: Address/City/Zip: Name: License#: �� rv�3� GQII#r�C�#�C,; , ,, Address: City: State:�Zip:_��/] � Phone: (oS�/'� ��'—�7�.�a Contact:� Email: ' ' 4 New Replacement _Repair _Rebuild �,Modify Space Work in R.O.W. "I"ype Qf�A/#�rk v d�� — — — � , , . �� + '�� „�,�, �� Description of work: �� L„ ^� i �� RESIDENTIAL � i� ,; Water Heater Water Softener Lawn Irrigation�RPZ/_PVB) ��pe�� Add Plumbing Fi�ures�Main/�Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irr'igation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround"(includes$5.00 State Surcharge) "Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 SeptiC System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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�� 2-��f�� x Applicant's Printed Name App icant's Signature FOR C?FFICE USE I�e�riewed By: p�t�: Req�uired lns�ections: �� lnder�r�unc# ' Roc��h-In �� Air`T�st �as T�st �' �inal �! Meter Ftelated Ite.ms: M,�ter vi�e, : Rad��_R�ad : Mantim�ter ; vtaff- .. : . ��, ��,�E _ � � .a W,.. ,. .. � / '3 �6�L�`��BLUE or BLACK Ink � 7'� N� �� G'' ,-----------------, � For Office Use _ � • �� ' I v � Permit#: I � �� I ��t of �a �� h � . ; � � � � U 2�� I Permd Fee: � � 3830 Pilot Knob Road �� I Eagan MN 55122 I � Phone:(651)675-5675 � Date Received: Fax:(651)675-5694 SY� � j � Staff: � `��J. . . 2014 FIRE SUPPRESSIO�I �YSTEMS PERMIT APPLICATION* Date: �a�^ �7 Site Address: yb�'6 S�.A►1"f. __��0�.� Tenant: /7�L1�.7 �.�i+�1�d.=.�y(s� Suite#: ' Name: Phone: � � Property Owner ' � - ' Address!City/Zip: � � � '.: Applicant is: Owner �Contractor � Typ�Of WOCk �escription of work: Ft D� I� � K1�.4�5 �R. 1�lla� �iC�4�/�+►� . �� 3000 ?-�- �S� � Construction Cost: Estimated Completion Date: � , Name:_U�iLt N 1. �ts'1'�N�1M,,T'�C. ��.�NK1.t�.�.License#: �,CO�t_tiS' COt1t�aCt01' ' Address: �� YOIe,K �'L City: $T. I�i�►f�. � State: �1'� Zip: .S�S/��_ Phane: �S�� ►��e1�7'$ � � ' Contact: �tF4 ��. Emaii: +�M. ��+t Q ✓r1�IN i� . ,��,� �FIRE PERMIT TYPE WORK TYPE ; �Sprinkler System(#of heads�a) New _Addition � _Fire Pump _Standpipe C�Alterations Remodel � � Y Other: Other: � � — � DESCRIPTION OF WORK: �Gommercial �Residential _Educational �,� ��,�.�,�.��, ; FEES Contraet Va!ue$ �� x.iY? _ � $55.00 Permit Fee Minimum _$ .�O Permit Fee � *If contract value is LESS than$10,010,Surcharge=$5.00 ; F' "'If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 =$ 5 Surcharge" � ***If the project valuation is over$1 million,please call for Surcharge � �� _$ � TOTAL FEE ; 3/4"Displacement Fire Meter-$260.00 =$ ""' Fire Meter � � _$ �D TOTAL FEE *Requirements:2 complete sets of drawings and specifcations,cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that fhe 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 1 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 De in accordance with the approved plan in the case of work which requires a review and approval of plana x �itH ��-�„ X ApplicanYs Printed Name ApplicanYs Signature . . � �.�� FOR OFFICE USE REQUfRED INSPEGTIOMS Hydrostatic Flow Afarm Drain Test Rou h In � Trip' Pump Test Central Statian ' Fina1 � Conditions of Issuance: � ;-� Permit Revi�nred by:�� - -- Date: '�1 �.-�/� ' Use BLUE or BLACK Ink ,.� �' ---------, � For Office Use � I �� tl�� "N�C�"tC�lpd�t�a2• I Permit#: _ � � �� ~� I � � � � I EC��VE ' 3830 Pilot Knob Road � Permit Fee: � Eagan MN 55122 j -�/ I Phone: (651)675-5675 JUN 3 0 2014 � Date Received: l � f � I � � Fax: (651)675-5694 � �Y. � staff: ---------� -------� 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applicat'ons. Date: �� ' �" i � �� Site Address: ��t) � �J �� o� �� Tenant: � � V V �(J Y Y � � Suite#: � : „�� ,,�� Name: "l��`( ��J � Phone: �f�SlE�e[1�Q1l1�[1�C ,: � q �� Address/City/Zip: � � � �� N�"�� i� ' °� Name: � � �� V License#: �� V��' �t�t1�C`�G�ti�`. ��. �: Address: �� \ City: l�� W V ='�� State:�_Zip: � � Phone: { �� Q �� Contact: � �� ( � Email: � � � � � Y 6 • �� ;,° � �New Replacement �Additional Alteration Demolition '��{�{��t� ; �� Description of work� Z � S ' � (I� SV ) ' �(j��Y �� '� C� �� , � � �t(}�'E �t��m��nt�artc��r�r�rn�n��p��#��ec�fc��eec��it� � ;,Cod�;P�ase cvnta�t�t��ar�ca��#c��for��a��;i� r��ted scree �e�� , , �� , � � , , _.� . „ .. ��, , .-� . ,. ,.� , �, .�� , . ,,, �,,. � RESIDENTIAL COMMERCIAL � �� _Furnace New Construction �Interior Improvement � ��-� � ' _Air Conditioner Install Piping Processed � ; _Air Exchanger Gas Exterior HVAC Unit � _Heat Pump Under/Above ground Tank (_Install/_Remove) � �� — Other RESIDENTIAL 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 �a Contract Value$ �� o � 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 =� �r o Q Surcharge* *"If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 ""*If the project valuation is over$1 million, please call for Surcharge =$ 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 witl be in accordance with the approved plan in the case of work which requires a review and approval of plans. X : � �c hc� I �► � . X . . ApplicanY Printed Name Ap icant's S gnature �lFt��FIC��tSE � � � � � � � % i � %%� � � i' � l�eqt�fi�eC�Itt8�1+B�Q��: �� %� ,; � �e �� *�'`' �� . �� ,,,_�-�" .� � �� rg�t� �.' ��, �'�`� �,:,_,_�� :��%��..,��,`��. , ; �4,