2105 Cedar Grove TrCityofEa�all
Date:
Tenant:
p
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675-5694 t It:511 7
2012 COMMERCIAL PLUMBING PERMIT APPLICATION
Site Address: 4 /( OC--(1611.-- GW/v6- he_ ,
Ze-€19/4fal / jjz ittz-_.
Name: Phone: 41 vt 6
Name: A) A CV\ 1 (,t, � C License #:
I t
Address: /b ./5V/ - .g f- t City: f / IbUL2. State Zip: 'f
Phone: ., r `. 2 " ( A/7q Email: '
New _ Replacement Repair
Description of work:
COVI MERC/AL New Constr ction Modify Space / 6 %/
Irrigation System (_ yes / no) ( RPZ / _ PVB) �l
• Rain sensors required on irrigati systems / `�
• 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 UP meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? _ Yes No Flushometers ^Yes
COMMERCIAL FEES:
$60.00 Minimum (includes $5.00 State Surcharge)
Required on ALL new buildings and boulevard irrigation systems 4
- If the Permit Fee is less than $10,010, the surcharge is $5.00
- If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee
i.e. a $10,010 - $11,000 Permit Fee requires a $5.50 surcharge
Following fees apply when installing a new lawn irrigation system $ ' 0 0
Contact the City's Engineering Department, (651) 675 -5646, for required fee amounts. $ " 0
$ -O
$ < C C;
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gooherstateonecall.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 of
Applicant's Printed Name
x
Rebuild
OR
Applicant's ature
For Office Use
Suite #:
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
Modify Space Work in R.
= $_0 ES - o(.3 TOTAL FEE
W.
Contract Value $ x 1%
= $ - • (> b Permit Fee
$ / "77. 0 U Radio Meter Read
$ (/e) .6 0 Meter(s)
$ State Surcharge
Water Permit
Treatment Plant
Water Supply & Storage
State Surcharge
J
Page 1 of 3
Peggy Fleck
From: Linda Dralle
Sent: Tuesday, June 26, 2012 1:19 PM
To: Peggy Fleck; Scott Peterson; Leon Weiland
Subject: 2105 Cedar Grove Trail
We approve an 1.5" Displacement for the irrigation system to be located at 2105 Cedar Grove Trail.
Peggy, could you please add that to the I Drive plat /street file?
Thanks
Linda
LLv4da DTP
aft of Easavt - ttti,Lties
341J° coachvvolk Road
Earoaw MN 55122
(051) 075 -5200
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