1857 Sleepy Hollow Use B�UE or BLACK Ink
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� For Office Use I
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Clt Of�� �Il � Permit#: '
Y � JUL 2 5 2014 � Permit Fee: l�a• � �
3830 Pilot Knob Road I �
Eagan MN 55122 BYI � Date Received: 7�J�-'�� I
Phone:(651 j 675-5675 ----- I
Fax:(651)675-5694 � Staff: � �
_________���_____J
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
�ate: 7/22/2014 site Address: 1857 SleepY Hollow
Tenant: Suite#:
Prpperly
p�„���� Name: Cliff Lake Condominiums Phone:
dba Clearwater Plg & Htg
Name: Alta Heating & Plumbing, In�. �icense#: BF060886
Corrtractor Address: 19260 Mushtown Road c�ry: Prior Lake state: MN z�p: 55372
Phone:�2-440-3779 Email:
.�y� ��;���� _New _Replacement _Repair X Rebuild _Modify Space _Work in R.O.W.
Description of work:
1 COMMERCIAL _New Construction _Modify Space
`' �Irrigation System(_yes/_no)(X RPZ/_PVB)
• Rain sensors required on irrigation systems
P@r'iY11t Tj(�?e ' • Avg.GPM (2"turbo required unless smaller size allowed by Public Worics)
Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter.
Domestic:Size&Type Fire: 1
' Avg.GPM H1gh demand devices?_Yes_No Flushometers_Yes_No
COMMERCIAL FEES Contract Value$ 340.00 x.01
$55.00 Permit Fee Minimum
_$ 55.00 Permit Fee
"If contract value is LESS than$10,010, Surcharge=$5.00 =$ 5.0� Surcharge*
*`If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
**"If the project valuation is over$1 million, please call for Surcharge =$ 60.00 TOTAL FEE
Following fees apply when installing a new lawn irrigation system $ water Permit
Contact the City's Engineering 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. \
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 Susan Schlink X
ApplicanYs Printed Name Applicant's Signature
FOR OFFIG�USE A�praa�ed Sy: `" � ��
Required Inspactions: ,�,,;Under Graund , Rough-tn '��4�r Test �,Ga�T�st ,,,����a� FF����i��E���;,,�;��1�
Meter Related Etem�. Meter 5iz� ' RadiQ Read Mant�mete� '�Ca�:
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