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3480 Golfview Dr CITY OF EAGAN WATER SERVICE PERMIT 38, 0 Pgot Knob Road P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: - Zoning: --- No. of Units: Owner: Address: Site Addess: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 P.iloi Knob Road P.4O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.• Total: Insp.: Date Paid: r � • Office Use For i � �4-/ / f Permit#: / :::t iFee: •. -.• `_ 4l ECEIVE {�-- No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 rPayment Recvd: _Yes /� / - I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569 Plan Submittal:eplans(a�cityofeacian.com FEB 1 8 2020 Plans:_Electronic/Paper 1 2020 COMMERCIAL BUIEbING13E1UITT APPLICATION CP ,c Date: � ^�0 26 Site Address: 2 7()L) 04!7fp,i/° )2/ J e__ TenantName: 1de,/1,-e/. (Tenant is: New/ Existing) Suite#: Former Tenant: Name: WL/ ,I/P/ . Phone: Property Owner Address/City/Zip: Applicant is: Owner )/ Contractor Description of work: � l�`� � /� A`l n Type of Work /- Construction Cost: ��� 1r. r Name: a/ � Stdw (i2 License#: /! F6 Address: 0 /1" 411'-e- City: 6e /1i, /7ry Conractor ! // / �State: 'f Zip: Phone: (@ l �1 —eL( 2� Contact: JI ! Y S /...) Email: J ( v`••• elf WI Name: - Registration#: ArchitectlEngineer Address: City: State: Zip: Phone Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: 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 they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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.aopherstateonecall.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 ie accordance with the approved plan in the case of work which requires a review and approval of plans. jVA. V v SIJ c)A) X r Applicant's Printed Name Appllo is Signature DO NOT WRITE BELOW THIS LINE SUB TYPES 3'00 G vA J"✓t '- >r- `3c 090H) Foundation _ Public Facility _ Exterior Iteration-Apartments Commercial/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 PCA handout to applicant DESCRIPTION FID— -1P4--/f--_ Valuation .sd� 060. Occupancy r.7- MCES System A/A Plan Review Code Edition ZD/5 frt/3(, SAC Units (25%_100%_J Zoning City Water Census Code Stories Booster Pump #of Units / Square Feet PRV #of Buildings / Length Fire Sprinklers /Sib Type of Construction V .A- Width REQUIRED INSPECTIONS Footings_New Building_Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control ✓ Framing 30 Minutes / 1 Hour Steel Reinforcement ✓ Insulation Street/Curb Cut Inspection V Sheetrock Other: Roof:_Decking _Insulation _Ice&Water _Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans Windows Fireplace:_Rough In _Air Test _Final Final/C.O. Required Pool:_Footings _Air/Gas Tests _Final ✓ Final/No C.O. Required Final CIO Inspection: Schedule Fire Marshal to be present: ✓ Yes No Reviewed By: — , Planning New Business to Eagan: Nib Reviewed By: Cs1 60 , Building Inspector FEES Water Quality Base Fee C $ / • 75-- Storm Sewer Trunk Surcharge 25-• °`"c2 Sewer Trunk Plan Review •J'41 - /4 Water Trunk MCES SAC Street Lateral City SAC Street SSW Permit& Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: it Trail DedicationTOTAL: /j Pif•Arr Page 2 of 3 From 1.305.694.2669 Thu Apr 30 13:11:10 2020 EDT Page 1 of 1 _ r � For Offlo.Use ��� �' ` i Permit ft-/12J C • EAG AN Permit Fee- �a. s Staff: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Payment Recvd: Yes No (651)675-56751 TDD:(651)454-85351 FAX:(651)675-5694 Email:buiidinginspectionstatdtirofeagan.com Plans:_Electronic Paper J Plan Submittal:eolans©cityofeagan.corn 2020 COMMERCIAL PLUMBING PERMIT APPLICATION 0 Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via emall,CD or flash drive Date: - -ao Site Address: A-70‘5- Tenant: suite if: f 30�- Property Owner Name: Phone:6873 Name: Z /S P t v evv e 1 ct L L G �^ License!1: 1 7 Contractor Address: 6('1S ApJo(r ST AI City: Fri j tel State: i )bp: '3 Phone: 6I �' 7a.?g53 Email: ZgL0dn iA fi( G� 1�. - - 60/1/ New Construction Addition Modify Space )( Replacement Repair h //Rebuild Work in Right-Of-Way r Description of work: SC( tJ . i) k d&Lv �i ,h v d f-CL rtiel j e-r Type of Work irrigation System L—Y/—no)L_RPZ 1—PVB) ▪ Rain sensors required on irrigation systems • Avg.GPM (2'turbo requited unless smaller size allowed by Public Works) Meter Required-Call Utilities at(651)6755200 to verity tests passed prior tsr picking un meter. Domestic:Size&Type Fire: 1 Average GPM High demand devices?Yes No Flushometers Yes No COMMERCIAL FEES �q Contract Value$ J(� x-016 $60.00 Permit Fee Minimum , $60.00 PVB/RPZ Permit(includes State Surcharge) $ V ! Permit Fee Surcharge=Contract Value x$0.0005 $ ')� Surcharge If the project valuation is over$1 million,please call City for Surcharge $_ (0 TOTAL FEE The following fees may apply when installing a new lawn Irrigation system or $ Water Permit connecting a new water service. Contact the City's $ Treatment Plant dy' Engineering Department,(651)675-5646,for required fee amounts. $ Meter Fee 3_ Radio Read $ State Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for aim email update on the City's website at www.eltvofsaaan.somisubsoribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(861)454-0002 for protection against underground utility damage. 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 permt,but only an application for a permit,and work is not to start without a pen*that the work will be In accordance with the approved plan in the case of work which requires a review and approval of plans. Sq S Z0,0.410 _ x Applicant's Printed Name cant's Signature ir 4 ) - Page 1 of 4