3401 Coachman RdCity of Eaian
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2009 COMMERCIAL PLUMBING PERMIT
Date: ?/' 30- Site Address:
Tenant:
I FOf t Peri
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i Permn Fee: -o-N I
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? Date Received:
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? StaR: ?
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PLICATION
Suite #:
PROPERTY Name: ' Phone: ?, ??4:? ?s- ?.? oz 5--
OWNER
CONTRACTOR Name:?- License#: etv
Address: U ? L?S lr ? r! ity: Tl /? State:/'/.v Zip:,s'So7,91
Phonekl715 0/?Z Co tact Person:
TYPE OF New Replacement _ Repair ?C Rebuild _ Modify Space _ Work in R.O.W.
WORK - - 1
Description of work:
PERMIT TYPE COMMERCIAL
_ New Construction _ ModNy Space
_ Irrigation System (_ yes /_ no) ? 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 oickina uo meter.
Domestic: Size & Type Fire: Size & Price 314" meter 203.00
Avg. GPM High demand devices? _Yes No Flushometers _Yes No
COMMEACIAL FEES:
$50.50 Minimum (includes State Surcharge) OR Contract vawe $ x 1%
Permit Fee
Required an 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 Fea is >$1,000, surcharge increases by $.50 tor each $1,000
$1,000 Permit Fee (i.e. a $7,007-$2,000 Permi[ Fee requires a$1.00 surcharge) _$ State Surcharge
Following fees applywhen installing a new lawn frrigation system. $ water Permit
Call lhe CM1y's Engineering Deparlment, (651) 675-5646, tor required tee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Suroharge
TOTAL FEES $
i hereby acknovnedge tnat tnis intortnauon is compiete ana accurate; cnat me woric vnu oe m comomianw wiiii iiie ?idriailuo? arli uu?__ v t_ ..?,r ?aya...•'._.
I understand ihis is not a permrt, but only an application tor a permit, and work is not to start without permit that the wnrk wiil ba m accortlance with the approved
plan in th case of vrork which qwres a review and approval of plans
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App icant s Printed Name ApplicanYs Signature
FOR OFFlCE USE Approved By: Data:
Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Final
PRV Required: _ Yes _ No
raye i ui zi
Use BLl1E or BLACK Ink
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� For Office Use � I
��� O{'�n n j Permit#: ( � �
1 � i a�1aIl � �
I Permit Fee: �
3830 Pilot Knob Road � �
( Eagan MN 55922 � Date Received: �
Phone:(651)675-5675 j
Fax: (651)67�-5694 ' � Staff: �
��.��.���.��.����.._���J
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: �"�' �.S SiteAddress:���/ �UAC�.Lr�� ��•
Tenant: L � �/� �� ��6�/✓ Suite#:
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�.� ���op ei �' `Y /� .
�<����i���� _�=i r"1 p� ,���i�� Phone: 6r��- 6 7S- v��o a
���-.. Q�n�:r�...�� Name: .
€��}. 651-452-1565
��� " �� �.�.-�: ' �icense#: /�'�'T� G�/.S�
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�. Cont�ac o� .-� WENZEL-PLYMOUTH PLUMBING,LLC � State: Zip:
; ��i'����` 1710 ALEXANDER ROAD
- - ' JE" EAGAN MN 55121
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,�� �� �,�. �
�� - _ �� Cxnichels u�Wppmn.COm kent Repair �Rebuild _Modifx Space Work in R.O.W.
Type=of:Work�, - - — —
_- , .��; .
- - _-;_� Description of work: ��•z
� " � ��� COMMERCIAL New Construction Modify Space
_ - ��� — — .
'�^����' �' -�,��u;� _Irrigation System�yes/_no)�RPZ!_PVB)
. '� IS F S
�-.l�i"_"����,
� '�: �.�°2�'r • Rain sensors required on irrigation systems
�.uR-,�r.'r�
�P�2'Ct111,,�iT,�/� e��; . Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
��'"��
g; _:___ ;'s��'-'��'��` Meters Cali 651 675-5646 to veriE that tests assed prior to aickina ua meter.
��� � �i�F��,;; .— ( ) Y p
� `m� �`�'���F�'� Domestic:Size&T e Fire: 1
��',;�"R�-:�-':?.:�'''x �;�� YP
" �}" � • -�".������q¢ Avg.GPM High demand devices7 Yes No Flushometers Yes No
-;ws'sa�-x' �t.nct.�'�`.:
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
_$ Permit Fee
'If contract value is LESS than$10,Q10,Surcharge=$5.00 =$ - Surcharge*
**If contract value is GREATER than$10,010,Surcharge=Contract Value x$�.0005
***If the project valuation is over$1 million,please call for Surcharge -� 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
r-� .���_�'' $ Water Supply&Storage
"�..a �...,.., ��
$ State Surcharge
=$ ��; �--�'` TOTAL FEE
CAl.L BEFOI2E YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ -
I hereby acknowiedge that this fnformation Is complete and accurate;fhat fhe work will be in conformance with the ordinances and codes of the City of
Eagan; ihat I understand this 1s not a permit, but only an application for a permit, and work is not to start without a permit; that the work wEli be in
accordance witii the approved plan in the case of work which requires a review and approval of pians. •
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Applicant's Printed Name ApplicanYs Signature
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