1578 Antler PtLOT BLOCK ,.L SUBD. 1".0al4ed
RECEIPT '15 941 DATE 9
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: Commercial GPM
Residential (boulevards) GPM
Existing residential
Area/address to be irrigated: ZS7 E .., 4 U a
Installer: ddzi? U Owner 0 Plumber
Street address: V 3 (31, em u- Ave-,
9) a
` a 1
City, state & zip code: Jh- fI ?, .50 _ Phone #: V9
Owner
Street address:
h?
/,7
3 : l 793
City, state & zip code: Phone #:
Irrigation contractor, if different than installer:
Telephone #:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property
owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
Applicant's signature
Approved by:
Title
Date:
PRV 13 Yes No service /4Yes 0 No
Meter Size a & Cost
ar-
Fees due: a Calculated
--------------
1 _a/-97 /7
f? re. i3z
PROCEDURE FOR IRRIGATION SYSTEMS -1996
An Irrigation permit I required - please contact Protective Inspections at 681-4675.
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed.
$300.00 per tap if installed by City.
Residential project $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit The if new service is installed.
$760.00 per connection - WAC.
$396.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer - (not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not required, one check maybe written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter.. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through,. Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
city o1 Cagan
THOMAS EGAN
MOvof
CHANGE OF ADDRESS
PATRICIA AWAOA
SHAWN HUNTER
SANDRA A. MASIN
THEODORE WACHTEE
Councd Mom0ors
THOMAS HEDGES
CN AQmmt6Nafor
OLD ADDRESS:
NEW ADDRESS:
/5 -7f
/ J
LOT BLOCK /
PLAT NAME `4
h _ C y
REASON FOR CHANGE:
(SSGNATURE)
(DATE)
E. J. VAN OVEREE<E
C:rv Ca*
MUNICIPAL CENTER
_820 PILOT KNOB ROAD
:ALAN. MINNESOTA -4512$ .897
=4CNE' .iR`.--: C1
X:;611)on1.a012
o ;01.).3sa.as2s
THE :.CNE OAK TREE
THE SYMiiCL -`P TRENGT.1, 4NZ) CWTH IN '."ti COMMUPr!TY
=ucf Opoorrun3ry/Alflrmc,ive +Cffcn .mcfov'lr
MAINTENANCE FAC:U' '
35Ot COAC14MAN PO'.NI
EAGAN, MINN_:CT : E5:::
PHONE: 1612) :.i1-43C0
;AX: (6121681-4360
i00. (612) .1 4.o.;.1_
319 - 6 8 6 OFFICE US ONLY This request void 18 months from validation data printed is b
WLI
PLEASE PRINT OR TYPE
Request Date Rough-in inspection required? ? Yes ? No Inspection Other Than Rough-In: ? Ready Now ? Will Call
(You must call the inspector when ready) Date Ready:
I, ? licensed contractor ? owner hereby request inspection of the above electrical work at:
Job Address (Street, Bas, or Route No.) City Zip Code
r% PL. E a CA
Section No. Township Name or No. Range No. Fire No. County
Occupant Phone No.
L..Z )CId )
Power Supplier Address
'^
T 1L
Electrical Contractor (Company Name)
- Contractor License No. Master Lic. No. (Plant Elect. Only)
SjQ, - LL, ?
coin
mo i
Mailing Address (Contractor or Owner Performing Installation)
'
u: _t . 1 LY- K)
fir rfl .) yy
Authorized Signature (Contractor or Owner Performing Installation) Phone No.
J nCu(C ,l UC\ ,
EB-00001A-10 6/95 1 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
REQUEST FOR ELECTRICAL INSPECTION T afi?r?
IIII V III II II) V III (I III II III II III II III II III VIII Minnesota State Board of Electricity
1821 University Ave., Rm. S 128, t Paul, MN 55104
* 0 3 Z 9 6 6 2 * Phone (612) 642-0800 f 2?
Duplex Apt. Bldg. Othe : - New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
c
Dryer Range Elec. Heat Temp. Service ( {ma
" ?`
"X' above the work covered by this request. Enter remarks in this space and o e back of the white cdpy only.
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall to 200 Amps 0 to 100 Amps
Street Ltg./rraffic Sig. Above 200 ps Above 100 Amps
Transformer/Generator INSPECTOR'S USE
04LY TOTAL
Sign/Outline Ltg. Xfmr. / 3S
Alarm/Remote Control
Swimming Pool
the I ins eel on ri ed herein on the dohs stated
I here certif
Irrigation Boom y
Rough-In Date
Special Inspection
TH Investigative Fee
IS INSTALLATION MAY
BE OR Final Dare
DERED DISCO CTE IF OMPLETED WITHIN 18 MONTHS.
640 q 3
2004 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Date(
!
_
?
Site Address ,
j /w C,(!/1 d yr unit #
Tenant Name. YL*i -? 1 L: ?, - ?J) Former Tenant Name 1)
Property Owner A-L 14 LC /Oa Telephone # (f ) 0212 - 7c' 0
Contractor J.(- LU yL C ,
Address FL.2 C) (9- K"Lj L4) e A it Of City c l W,1 Q'A 4
State . Zip I ? Telephone # (-7* 5 - ( 700
The Applicant is Owner Contractor Other
Work Type -New Bldg - Add-on _ Repair RPZ KOKLO PVB _ Irrigation system
lculate
*Jerry Wobschall to c
fees. Required meter size is 2" turbo u! smaller size permitted by Public Works
a
/
Description of Work qt ,1 ?[.c f
To inqui if Pressure Reducing Valve is required on new service, call 651-675-5646
Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed for to ickl u meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" displacement $155.00
Domestic Size & Type Avg GPM Includes high demand devices? - Yes _ No
Flushometers - Yes _ No PRV Required _ Yes -No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ x 1% - $ Base Fee
$ Meter(s)
Required on all new buildings & boulevard irrigation systems $ Radio Meter Read
If base fee is $1,000 or less, surcharge is i.50 $ State Surcharge
If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee
Following fees apply only when installing new irrigation system $ Water Permit
Contact Jerry Wobschall at 651-675-5024 for required fee amounts
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
-------------------------------------------------------------------------------- -----------------------------------------------------------------
$ 0 . ?l) Total Fee
I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the plumbing Codes; 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. ,E
Applicant's Arinted Name Applicant's nature
------i
l-For Office Use - -
Permit #: /
C1tyofEaja 1
`
3830 Pilot Knob Road Permit Fee;
Eagan MN 55122
Phone: (651) 675-5675 Date Received:
Fax: (651) 675-5694
Staff:
---------------
2009 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: a 1-2 t ?' \ Site Address: .1 t }
Tenant: Suite #:
PROPERTY Name: Phone:
OWNER
CONTRACTOR Name: l ?`c•yc ????,ar• c -S? c- License
Address: City: State: Zip:
Phone: Contact Person:
TYPE OF y New _Replacement _Repair ')(-Rebuild _ Modify Space __ Work in R.O.W.
WORK
Description of work:
PERMIT TYPE COMMERCIAL
_ New Construction - Modify Space
,VC-irrigation System (?yes no) (It- RPZ PVB)
• Rain sensors required on irrigation 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: Size & Price 3/4" meter $203.00
Avg. GPM High demand devices? Yes No Flushometers Yes .. No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR Contract value x1%
$®' -
Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read
If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s)
If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 0
-------------
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ State Surcharge
Following fees apply when installing a new lawn irrigation system. $ _Water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $
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
Applicant's Pri ed Name App ca s Signature
FOR OFFICE USE Approved By; Date:
Required Inspections: Under Ground -Rough-in __Air Test __,Gas Test -Final
PRV Required:_ Yes _ No
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