1003 Station Tr
Use BLUE or BLACK Ink
r
For Office Use I
I Permit#:
I I
City of Eagan
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 I I
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694 j I
Staff: I
L-----------------I
2012 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY
Date: FOR OFFICE USE ONLY
Property Owner: PRV required
Address: ~Q ST.~i /4N Phone Number:GS--a5/9-0391 City R-O-W Permit
County R-O-W Permit
Plumber: TT ~ DVS Contact Name.i C~ R
SEWER WATER
Sewer Service Water Service
Sewer lateral charge Water lateral charge
Sewer trunk Water trunks
City SAC @ $100/unit Water supply storage
MCES SAC @ $2,3651unit Receipt , Date:
Receipt , Date: Treatment Plant @ $784/unit
Septic abandonment $55.00 Permit Fee $55.00
Permit Fee $55.00 State Surcharge $5.00
State Surcharge $5.00 *Plumbing Permit Required - water meter to be
TOTAL: acquired with building permit TOTAL:
SEWER & WATER
Sewer Service
Water Service
Sewer lateral charge
Water lateral charge
Sewer trunk
Water trunk
City SAC
MCES SAC
Receipt # Date
Water supply & storage
Receipt # Date
Treatment plant
Septic abandonment $55.00
Permit Fee $110.00
State Surcharge $5.00
*Plumbing Permit Required - water meter to be
acquired with building permit TOTAL:
Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000.
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
Cc: City of Eagan Finance Department
2012-05-26 07:52 SWANSON PLUMBING INC 9524673708» 651975 5694 P III
Us_e_BLUE or BLACK ink
- - - - - - -
For Office
I Permit a>;: I
" My of Ealan
l I
1 Permit Fee:
3650 Pilot Knob Road I i
Eagan MN 66122 Date Received; ~e, - 7 I a I
Phone: )651) $764676 1
Staff: mL
Fax: (661) 876.6694
2012 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 5 -'LZ- l7 Site Address: I oQ 3 3*-4lZ e^) *J ;
Tenant: Suite 0:
PROPERTY
OWNER Name: Phone:
Name: Sw APJ5.0 rV License Ik: G y3 5
CONTRACTOR Address: Sq/ ?SI Xe city: Albou v Stater zip:
Phone: &.17- SO>:-9H 7 `t~ Email: war )I 70 8 Z0 ~m b a-r3 •►rw r•••,.
TYPE OF New Replacement _ Repair _ Rebuild _ Modify Space , Work in R.O.W. /
WORK Description of work: # ' 101- I I I /
COMMERCIAL _ New ConsbucWn _ Modify Space
loof Irrigation System yes no) (_!f RPZ 1_ PVB) L
PERMIT TYPE • Rein sensors required on Inigadon systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 676-6646 to verity that tests passed odor to Ricking up meter,
Domestic- Size & Type _ Fire: 1
Avg. GPM Nigh demand devices4 Yes _No Flushomatora Yes,r-„No
COMMERCIAL FEES:
$60.00 minimum (includes $5.00 State Surcharge) OR Contract Value $ 15c0• ~a X11%
$ f 0 > Permit Fee
Required on ALL now buildings and boulevard Irrigation systems $ / :Z, C:1 Q Radio Meter Read
- If the EtMj~ Egg is Im than $10,010, the surcharge Is $5.00 $ Meter(s)
- If the Eq=d Ea is > $10,010, the surcharge Increases by $.SO for each $1,000 Permit Fee
Le. a $10,010411,000 Permit Fee requires a $5.50 surcharge) $ V State Surcharge
Following fees apply when Installing a new lawn Irrigation system $ ~5 Z ' (J , Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply 6 Storage
$ State Surcharge
TOTAL FEE
96,6 "ORE ?BFORE YOU DIG. Coll Gopher State One Call at (6611464.OM for protection against underground utility damage. Call 48 hours before you
Intend to dig to receive locates of underground utilities, www gophemist?onet a I cry
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 1 undemtend 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
9000fdance with the approved plan in the case of work which requires a review and approve) of
x ✓►q ruN ~/14A.ISo/~1 x V~e
AppllcafWs Prifiad Applicant's SI ture
FOR OFFICE USE Approved By. Data:
Required Inspections: -Under Ground -Rough-In Air Test _Gas Test _Final PRV Required: _ Yes _ No
Page 1 of 3
ry
Pe'§gy Fleck
From: Linda Dralle
Sent: Wednesday, May 23, 2012 9:27 AM
To: Peggy Fleck; Scott Peterson; Leon Weiland
Subject: Irrigation meter for 1003 Station Trail (Stonehaven)
We will give them another 1.5" Displacement meter for the irrigation system located at 1003 Station Trail once the
water extension has been inspected and approved.
Thanks,
Linda
U v~'da praLle
C,tu of eagaw- L'ttUtties
3419 Coachvi'Lav~ Road
Eagavu MN 55122
(651) 6~5-5200
~dra~~eC?c%tUO fea ~a v~,.cow~.
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