3159 Crane Creek Plt ..
s -4- - ? vseOqY ___1 -1 1
PERMIT #: L-7 (? RECEIPT DATE:
CObIMEftC1AL PLUM$INH PERMIT i4PP11CAT10R
C1TY OF BA6AF
ssso ru.or xxos gn cJ"
KAsAx, Mx ssiEE
e51-681-4e75 t'
1NCOMPLEIE APPUCA710NS WILL NOT BE PROCESSED 'e J i C-Z,
Date: 7/ l?-1 I U ?
WORK TYPE New Bldg Add-on Repair RPZ PVB • Irriga[ion system
• Must complete reverse side of application also. Requ'ved meter size is 2" turbo unless sma0er size permitted by Public Works
DESCRIPTION OF WORK
To inquire if Pressure Reducing ViIve is required on new service, call 651-6814646
METERS - Ca11651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oickine uu meter
Irrigadon Size & Type ?',? ?V3 C7 Avg GPM
Fire Size & Price 3/4" disnlacement $149.00
Domestic Size & Type Avg GPM
Does this include high demand devices? _ Yes _ No
FLUSHOMEI'ERS _ Yes _ No PRV REQUIRED _ Yes _ No
Site Address: S°1 C Y 0.`J \ Q Q A f 1,_
Tenant Name:
-??---e_ ?
Telephone #:
(nrea Code)
Was there a previous tenant in this space? Y N. If Yes, Name:
Installer Name: Telephone #:
(Aroa Code)
Installer Address:
City:
FEES Contrect price $
State:
x 1% ($50.00 minimum)
Required on all new buildings & boulevard irrigation systems (Acct # 9220-4509)
Surcharge: $.50 Murimum. If contraM fee exceeds $1,000, calculate at
50 cents per $1,000 contract fee.
Total From Reverse
Zip Code
Contract Fee $ c)
Meter(s) $ `j 9. C)
Radio Meter Read $
Stete Surcharge S - ?
New Service $
Total s?-5 a 9. c? c?
I hereby aclmowledge that 1 have read this application, state that the infortnadon is coirect, and agree to comply with all applicable City of Eagan
ordinances. It is the applicanPs responsibility to noti£y the property owner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry
during its normal operational and maintenance activides to the faeilities eonstr_ucted mder this peimit wittiiri City -property/righaof-way/easement.
?/ R` 15.?-s A\ 0
SI TURE OF PERMI I?'TEE /
CITY USE ONLY
REQUIRED INSPEC7'IONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SOBMITTED APPROVED BY: , BUILDING INSPECTOR
IRRIGATION SYSTEM (CONT)
Service: _ existing (if coming off domestic line) OR /new
Ij "new service" : contact Jerry Wobschall, Finance Consultant, to confirm adding fees for.•
Water Permit & Surcharge - $ 50.50 $ S 1). s O
Water Supply c@ Storage - $ 860.00 $8W 00
Water Treatment Plant Charge - $516.00 per SAC unit $ 566. ov
Fees to be added to front side of appllcaHon $/ Y? 6,?-r ?
GENERAL INFORMATION
• Radio Meter Itesd (required on all new buildings & boulevard irrigation systems- $153.00 (Acct Code # 92204509)
• Water meters include copperhorn/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" displacement residential $115.00 4-120 1-1/2" imgation syst $ 727.00
sm commercial turbine" •'must receive
maximum approval from
continuous Public Works
10
2-30 3/4" displacement lavm irrigation $149.00 4-160 2" turbine Ig irrigation syst $ 899.00
maximum residential &
condnuous sm commercial production lines
IS
3-50 1" displacement very Ig res $194.00 1/4 to 160 2" compound bldgs over $ 1,757.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & Ig comm bldgs
25 irri ation s stems
5-I00 1-1I2" bldgs 25-64 units $428.00
maximum displacement &
cantinuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation syst $1,184.00 6-500 4" compound +300 unit bldgs & $3,476.00
& production lines very Ig comm bldgs
1/2-320 3" compound +Zpp unrt bldgs $2,212.00 10-1000 6" compound +400 unit b(dgs $5,711.00
very lg comm bldgs very ]g comm bldg.s
15-1000 4" twbine very Ig irrigation syst $2,132.00
& production lines
Comments
• To schedule inspection of the inside watcr line and backflow preventer, call 651-6814675.
• To arrange for water tum-on, call 651-681-4300.
ec: Kris Forstet, Maintmance Division Clerical Technician Updated 1/01
73,3 7c,
,sD,,5Z)
2006 RESIDENTIAL BLTILDING PERMIT APPLICATION
City OF Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-6755694
New Construcfion ReouiremeMs RemodrllRepair Renuirements Office Use Onlv
3 registered s0e surveys showing sq. fl. of lol, sq. tt. oi house; and all roofed areas 2 copies of ppn showing footings, bearns, josts Cart of Survey Recd Y_ N
(20%maimum lot coverage allovred) 1 sst oi Energy CaiGulationsior heated addilioris Tree Pres Plan Recd Y_N_
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sAe survey fa additions 8 decks Tree Aes Requied _Y _ N
lsetofEnergyCakulatioris Additon-indicate8on-sb sepficsysfem OmsileSeplicSyslan _Y _N
3 copies o( Tree Preservation Plan d bt plaKed after 711193
Rin.bist Oetail Oplions seledion sheet (buildingswith 3 w'ess units)
Minnegasco meckisnical ventilation fortn
Date /
3ite Address /
3 I j"I 1(l,Wn< Coostrudion Cost
('h u Q h P(y. Unit/Ste #
Description of Work kQb(/i jr! k'p Z jd A Le) t
Mulfl-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?
?:a S'fyP.t?:jTi tv ?10,?r,z?6*
;F
F.rs? ? rdl?+ L? Telephone M (b (
Contractor ?JU\, LJv 1k????mb`n* 9Rc
Address
3tate City )?f4.QP7,
Zip ?>SZ?t-(1-( Telephooelk(q6?)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mamesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Ca1BgOry . Residentlal VeMilation Category 1 Warksheet • New Enargy Code Worksheet
(4 submission type) SubmiHed Submitted
• Energy Envelope Cakulations Submitted
In the lasi 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Conhactor Telephone #( )
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residenrial Building Pemut and acimowledge that the information is complete and accurate;
that the wark rvill be in canfonnance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start withoat 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.
ApplicanYs Pnnted Name ApplicanYs Signature