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2999 Ames Crossing Rd,( I I For Office Use • ; • CiI " _ I Permit #: I 1 I EAGAN� Permit Fee I E C E' V E I Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I Payment Recvd: _Yes JNo I (651) 675-5675 FAX: (651) 675-5694 i Email: buildinoins�ectionsCaD-citvofeaaan.com A� 2 22 9 1 Plans: Electronic _, Paper Electronic Plan Submittal: eplansacitvofeagan com BY: - - - - - - - - - - - - - - - - 2022 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit one set of paper pians and one set of electronic plans Date: 3 -Z6- ZZ- Site Address: Z 7q9 Tenant: �tJ1�-� �-� 5 5 t� �a o� �R' Suite #• Property Owner Name: Phone: Name: V Name: �1:4z,4-PIU41�ym License #: � � Db �71 Contractor Address: $S" �, ¢y,�; ,( L� city: 41, wt;c. �t State: I Zip: X76 Phone: -W q1 %- qr 7 7 Email: ✓OSS (f GtTM�a S-� •Y New Construction Addition Modify Space Replacement Repair Rebuild Work in Right -Of -Way Description of work: 5 `� t `r 41 Type of Work k Irrigation System (X yes I _ no) ( X RPZ I PVB) t�2 • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) X Meter Required —Call Utilities at (651) 675-5646 to verity tests passed prior to picking up meter. Domestic: Size & Type 2_ Fire: 1 Average GPM High demand devices? _Yes No Flushometers Yes _No COMMERCIAL FEES Contract value $ 166, 100 x .015 $60.00 Permit Fee Minimum $ Permit Fee $60.00 PVBIRPZ Permit (includes State Surcharge) $ Surcharge Surcharge = Contract Value x $0.0005 TOTAL FEE If the project valuation is over $1 million, please call City for Surcharge $ The following fees may apply when Installing a new lawn irrigation system or $ Water Permit connecting a new water service. $ Treatment Plant Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Meter Fee $ Radio Read $ State Surcharge - = $ TOTAL FEE 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 cityofeagan.comisub &ribs. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www aopherstateonecall.oro for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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. V x 54-cje- ©$ x Applicant's Printed Name Applicant's Signature FOR OFFICE USE / Approved By - Date: Required Inspections: 4under Ground Rough -In j�ir Test _Gas Test `-final PRV Required: _Yes No IL Meter Related Items: Meter Size Z Radio Read Manometer Staff: Water Meter Fees F_ Meter Size Fee 3/4" $300.00 1" 2" 3" 4" 6" Radio Meter Read $380.00 $1,380.00 $1,600.00 $2,000.00 $3,500.00 $6,500.00 $205.00 Additional Information • Radio Meter Reads are required on all new single-family, multi -family and commercial buildings. Boulevard irrigation systems may also require a radio read. • RPZ's must be tested every year and rebuilt every five years. RPZ testing is submitted directly Online at www.gethydrosoft.com. Please call Hydrosoft customer service at (844) 493-7641 or email infq@hydrocorpinc.com. • A minimum permit fee is required per address for the following RPZ's: new, rebuild, repair, & remove. • Water meters include copper horn / strainer, remote wire, and touch -pad meter. • To schedule an inspection of the inside water line and backflow preventer, call the City of Eagan Building Inspections Division (651) 675-5675. • To arrange for water turn -on, call City of Eagan Utilities Department at (651) 675-5200. 3830 PILOT KNOB ROAD I EAGAN, MN 55122 (651) 675-5675 J FAX: (651) 675-5694 buildinginspections cit vofeagan com If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.