4600 Stonecliffe DrPROPERTY
OWNER
Name: 'ECI...1 - +4Cfr Phone:
_
CONTRACTOR
Namegi . 4∎AZ.P4 S. �v .S. License #, (gq �4
,l NSA-WO? r�1 Q
Address: Lib NS 7f 1 (J � l�� - City; �\ Zip: Sc `I - 1
- State:MI
Phone: Jc ^233 a1 l Email ,PA Y1I ...a‘ t A, ii is e
TYPE OF
WORK
New Replacement Repair Rebuild _ Modify Space Work in R.O.W.
T
Description of work:c Cl t`U' — 1 -� -� cR ZS r '$
PERMIT TYPE
COMMERCIAL New Construction _ Modify Space
Irrigation System ( yes / _ no) RPZ / PVR)
• Rain sensors required on irrigation ystems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675 -5646 to verity that tests passed prior to picking uo meter.
_
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? _ Yes No Flushometers _ Yes No .__..
COMMERCIAL FEES:
$60.00 Minimum (includes 55.00 State Surcharge) OR Contract Value $ x 1%
Required
- If the fpltnit Egg is lass
= If the Permit Fee Is >
$ Permit Fee
on ALL new buildings and boulevard irrigation systems - $ Radio Meter Read
than $10,010, the surcharge Is $5.00 $ Meter(s)
$10,010, the surcharge Increases by $.50 for each $1,000 Permit Fee $ State Surcharge
(i,e. a $10,010 - $11,000 Permit Fee requires a $5.50 surcharge)
Following fees apply
Contact the City's Engineering
when installing a new lawn irrigation system $ Water Permit
Department, (651) 675 -5646, for required fee smounts. $ Treatment Plant
$ Water Supply 8 Storage
$ State Surcharge
) •
$ (fi TOTAL FEE
# Pfr City of Iaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax; (651) 575 -5694
2012 COMMERCIAL PLUMBING PERMIT APPLICATION
t
Date: S ,
(l 2-' Site Address: ` ►e-
Tenant b STL> NY \ \-
Use BLUE or BLACK Ink
For Office Use
Permit ft:
Permit Fee:
Date Received:
Staff;
Suite #:
J
CALI. BEFORE YOU DIG. Call Gopher State One Call et (651) 454.0002 for protection against
intend to dig to receive locates of underground utilities, www.qophersteteeneletim
1 hereby acknowledge that this Information is complete and accurate; that the work will be in
Eagan; that I understand this Is not a permit. but only an application for a permit, and w
accordance with the ved plan in the case of work which requires a review and approval
Applicants Printed Name
Required Inspections: Under Ground Rough -In Air Test Y Gas Test _ Final
underground utility damage, Call 48 hours before you
with the ordinances and codes of the City of
permit: that the work will be in
FOR OFFICE USE Approv =d Ey: Date:
PRV Required: Yes
Page 1 of 3
41,11
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit#: I 3by
Permit Fee: 381 •
Date Received: CJ I e�1 TS
Staff: 467
L
2013 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: LI IN 13 Site Address: '4 b t r`.,5„rt r. CCS, t E F E D -
Tenant:
Suite #:
r#Y
Owner
Name: 5 c, aJ-b S Fti e �. , Phone: S Z - Z7-1 --27 Qv
`V .4—e Lwi--- NC7cylt:: t
Contractor
Name: &ITTl t --k a'.N NA ett-13 �tEivs el -ii LPRQ . License #: "i -.t c t --Sc." -Oa 0
Address: ►°tx=' rtiviERtLAiwf, e3:.v:�- E , City: B.i..ccai.n'ci,-SL—tvt-.1 State::''Y% t--1 Zip::;.5i-i 2-5—
Phone: cl S' Z -
Phone:iSZ` Z 1 —21®c, Email: s2R.v:` Z 0-1-t-tL -.PN (CAsn
Ty•e of
'
New Replacement Repair Rebuild Modify Space Work in R.O.W.
—
Description of work:
Permit Type
COMMERCIAL New Construction Modify Space
• ‹ Irrigation System ( )(yes / no) ('RPZ / PVB)
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Y Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? _Yes No Flushometers _Yes _No
COMMERCIAL FEES:
$55.00 Minimum Contract Value $ ''- - `-;1 x 1%
Required on
*If the project valuation
= $ Permit Fee
ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read
$ Meter(s)
is over $1 million, please call for Surcharge $ $5.00 State Surcharge*
Following fees apply
Contact the City's Engineering
when installing a new lawn irrigation system $ Water Permit
Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
= $ TOTAL FEE
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
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 o .fans.
x R e'J EDLsr .J
Applicant's Printed Name
plicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
2013 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY (if applicable)
Date:
FOR OFFICE USE ONLY
Property Owner:
_PRN required
Permit
Address: Phone Number:
City R -O W Permit
,
County R O W
Plumber: Contact Name:,,..
.. ,.,� SEWER ��
�1I�IATER
Sewer Service
Water Service
Water lateral charge
Water trunk
Water supply storage
Receipt #:
Sewer lateral charge
Sewer trunk
City SAC @ $100/unit
MCES SAC @ $2,435/unit
, Date:
Receipt #: , Date:
Treatment Plant @ $801/unit
Permit Fee
State Surcharge
*Plumbing Permit Required
acquired with building permit
Permit Fee $60.00
$60.00
State Surcharge $5.00
$5.00
TOTAL:
— water meter to be
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
Permit Fee
State Surcharge
*Plumbing Permit Required — water
acquired with building permit
$120.00
$5.00
meter to be
TOTAL:
Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000.
Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past.
1-5 SAC units 1,780.00 per SAC unit
6-10 SAC units 8,900.00 plus 445.00 per SAC unit over 5
11+ SAC units 11,130.00 plus 178.00 per SAC unit over 10
Permit #:
Permit Fee:
Date Received:
Staff:
7
Cc: City of Eagan Finance Department
Page 2 of 3