1525 Diffley Rd
Use BLUE or BLACK Ink
_______________:_1
1 For Office. Use
OUL 71YGI, IJ I Permit / b Eaan 1
City of
j I
3830 Pilot Knob Road I Permit Fee: _ ~J 'Q I
Eagan MN 55122 I Date Received: i
Phone: (651) 675-5675 l
Fax: (651) 675-5694 I Staft I
2010 COMMERCIAL PLUMBING ~ PERMIT APPLICATION
Date:
C I Site Address: e- 1 ~1 &
-4 7-
Tenant: N` Suite
PROPERTY {1 `2~/_ ~-l
A- OWNER Name: ne:
CONTRACTOR Name: f Plf` ry) k'tw b I Ltciffse U'01
Address: V ('7f- State0NZi4J~('
Phone: - 1 Ernaii I JJ Y\ G
TYPE OF New Replacement - Repair I Rebuild Modify Space _ Work in R.O.W.
WORK
.Description of work: W 1 V `-)04V-k di
PERMIT TYPE COMMERCIAL
New Construction Modify Space
Irrigation System yes no) LRPZ / PVf3) r 1 U
• Rain sensors required on irrigation systems T
• Avg. GPM (2" turbo required unless smaller size allowed by Pubic Works)
- Meters Call (e51) 575-5646 to verity that tests passed prior to pick*no up meter.
Domestic: Size & Type Fire: 1
Avg. GPM Nigh demand devices? _Yes _No Flushometers _,_,_,Yes ,,,_No
COMMERCIAL FEES: M $50.50 Minimum (includes State Surcharge) OR Contract Value M ` 10/0
t7U Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 _ $ Radio Meter Read
- If Permit age is less than $1,000, surcharge is $.50 = $ Meter(s)
- If Permit Egg is > $1,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). State Surcharge
Following fees apply when installing a new lawn irrigation system. $ Water Permit
Call the Qty's Engineering Department, (851) 675-5846, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
State Surcharge
TOTAL FEES $ Ob
CALL BEFORE YOU Dig, Calf Gopher State One Call at (651) 454.0002 for protection against underground utility
damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www,aor)harstatPnnPr.AII orn
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 vAhout a permit that the work will be in accordance with the approved
plan in case of work which requires a review and approval of plans.
X 11W1~t X
Appir ant's Printed Name
Appiican s Signature
FOR OFFICE USE Approved By: Date:
Required Inspections: Under Ground -Rough-in Air Test Gas Test -Final PRV Required: ^ Yes No
Page 1 of 3
REQUEST FOR ELECTRICAL INSPECTION
pp?? I? See instructions for completing this form on back of yellow copy.
IYI 6 2 7 _X" Beiow Work Covered by This Request
r? ? Ee-OOW1-a8
SKI
. .
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management %
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks: /
Service for Sprinkler system
Compute Inspection Fee Below: j
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above too -Amps
Signs Inspectors Use Only: TOTAL
Irrigation Booms / / (f $15.50
Special Inspection ( J
Alarm/Communication THIS INSTALLATION MAY 8E DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough in Date
certify that the above inspection has
been made. Final ( Date
-?0'lYv?
If2
OFFICE USE ONLY
This request void 18 months Tram
y 9 ?
627
,61j
,
Request Date
9/03/93 Fire No. Roug Inspection
Required? y NOTICE: You Must Call Electrical Inspector
If A Rough-In Inspection
?
? Yes FYNo Is Required.
I$] licensed coot actor •ner hereb Est inspection of above electrical work at:
Job Atltlreas (Street, Sox Or Ro . City
44 Ix 4F f
e
4
v
i Eagan
Section No.
Township Name or No.
Range No.
County
I Dakota
OLcupanl(PRINT) Phone No.
423-1179
Power Supplier Address
Dakota Electric 4300 220th wt. W., Farmington
Electrical Contractor (Company Name) Contractors License No.
Joos Electric Co. AM01895
Mailing Address (Contractor or Owner Making Installation)
2104 Great Oaks Drive, Burnsville MN 55337
Aulhoni Signature (Contractor/Owner Making Installa?(ion) Phone Numbor
431
4755
-
MINNESOTA STATE BOARD of ELECTRICITY G Y t THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S173 / G BE ACCEPTED BY THE STATE BOARD
1821 University Ave„ St. Paul, MN 55104 (/l" ? fJ UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 vwi ENCLOSED.
TAT ,A BLACK _L SIJBD.
RECEIPT #
Z?1?L
CITY OT EAGAN
UNDERGROUND SPRUTKLER SYSTEM PERMIT
i::?93
4 3
Date: E3
_ Commercial project
Residential project
Existing residence
Area/address
Installer: AST `
Street address: AS l a ?(
City, state & zip: ;Celephone #:
Owner name:
Street address:
City, state & zip:
Phone #:
Irrigation contractor, if different:
Phone #: !9( - ` / R?-
I hereby acknowledge that I have read this application and state that the infdrmation is correct and agree
to comply with all applicable City of Eagan ordinances.
ew, rJ ty o6"el
a ure of Permittee
New service required 25
Fee due: $ A0 FS VP Calculated by:
-14e- 47te?
4'49e r.
s?
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PROCEDURE
1993
1. Plans must be submitted to the City 3 engineering department for approval before
installing a lawn sprinkler system. If Jigging in the boulevard, a right-of-way permit
may be required.
2. Once plan is approved, it will be presented to the City's plumbing inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial proiect: $ 25.50 plumbing permit.
$ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City. Please consult with
engineering department regarding feasibility of City
installation (City will only install taps up to 1" ).
b. Residential project:
if new service is instahed.
WAC.
$324.00 ger connection - water treatment plant.
$ 15.50 plumbing permit.
$ 50.50 water permit fee
$695.00 per connection -
c. Eadstine residence: $15.50 plumbing permit - (not required if backflow
preventor previously installed) however plan must still be
presented for approval and an application must be filled
out.
4. Once meter size is determined, building inspections clerk typist will contact utility
billing clerk for cost and notify installer of all costs associated with project. If new
service lines are not required, one check may be written for meter and permit costs.
No meter will be sold before all sewer and water inspections are complete on a new
service--(engineering department will advise utility billing clerk when meter can be
sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy
forwarded to utility billing clerk.
5. The installer is to contact building inspections division at 681-4675 for inspection of
the inside water line and backflow preventor. The public works department may be
reached at 681-4300 for water turn-on and set and seal of meter. Inspection hours are
8:30 AM to 3:30 PM, Monday through Friday: Requests for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon that day.
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Serial #
Chip #.,/2 Permit #
Address: ?a d
1 AGREE TO COI?IFP
Y yY TH CITY OF EAGAN
ORDINANCES /76,
,
Signature:
2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
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Date ! t d ?/?/ r 'n t
#
Unit
Site Street Address t C r Id 4?C+? l
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Telephone #
Property Owner TyV)eV-'5 -T4 T
Y1Cf',?IL?IMIO11-4r YZ,, _ Telephone#(014A -
Contractot
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Address O`ictV - )5?)o lau-. )r City m [0- State oit, zip-55
The Applicant is: _ Owner Contractor -Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing only a eroe(r?errpt/oar Water
heater, do not complete this section; move to the r t a d, c the
appliance(s) you are installing.
JUN 2 8 200?
-Septic System Abandonment
-Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
VP2?2P4?u+
Lawn Irrigation RPZ _PVB -new -repair rebuild $ 30.00
State Surcharge $ .50
Total $'
I hereby apply for a Residential Plumbing Permit and acknowledge that the intormanon is complee ana accuj aie, uiai iiw
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
roved plan in a event a plan is re iced to be reviewed and approved. -
a cordance with the ap
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A plicant's Printed Name Applicant's Signature
` Ui; or BLACK Irk,
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'2013COMMERCIAL r' l PERMIT APPLICATION
-4,- 5/24/2013 1 1525 DIFFLEY ROAD
ARBORS TOWNHOME ASSOCIATION
na;
- ARBORS TOWNHOME ASSOCIATION (651)373-0585
CV,
TRA K Na m : RAY VIN ZANT PLUMBING _065956-PM X
F y»-,v 593 HAMLINE AVENUE ST. PAUL
MN zi : _55104
(651)644-2700 JAMESVINZANT@YAHOO.COM
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of cu k,. MANDATORY 5 YEAR OVERHAUL z
F
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R cpzired on, ALL and ule ar . €-gati n syste~Ss ~ ~c ~Ey Meter Read
F rtG } m 5.00 _ ~u...
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JAMES VIN ZANT
prc-vomd By Date:
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€ s Yr?~ . ft~5}?iuil "s; _v uclllc. 2 .4; _=ou h-m Air Test - ~a5 Test Fi: of PP.V Required: c-, "pit?
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Use BLUE or BLACK Ink
�-----------------,
� For Office Use I
��6 Ol �Q Qlt ���i�� I Permit#: I�"7 �O tp I
I �
3830 Pilot Knob�ad : �UN 3 � 2��4 � Permit Fee: ��•dD �
Ea an MN 55122 I �
9 • I Date Received: ��''j I
Phone:(651)675-5675 �
Fax:(651)675-5694 �Y' � Staff: �
_____�����____���J
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
�ate: 6/27/14 Site Address: 1525 Diffley Road
Tenant: Suite#:
Propert�
(�yy��;r Name: Phone:
dba Clearwater Plg & Htg
Name:Alta Heating & Plumbing, Inc. �icense#: PM060886. 0570T
Contra�for Address: 19260 Mushtown Road city: Prior Lake state:.plJ.�zip: 55372
; Phone: 952-440-3779 Ema�i: susan(a�clearwaterphc.com
.���Q,�;����, ' _New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work: IIlSt811 RPZ atld t@St
' ' COMMERCIAL _New Construction _Modify Space
X Irrigation System(�yes/_no)(�RPZ/_PVB)
• Rain sensors required on irrigation systems
P@rI�11�'T�/�?+� ' • Avg.GPM {2"turbo required unless smaller size allowed by Public Works)
Meters Call(651)675-5646 to verity that tests passed prior to oicking up meter.
! Domestic:Size&Type Fire: 1
' Avg.GPM High demand devices?_Yes No Flushometers_Yes No
COMMERCIAL FEES Contract Value$ 300.00 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 ot 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 p s.
x Susan Schlink X ����v�.J � �
ApplicanYs Printed Name pplicanYs Signature
FaR OFFtGE IJSE ,4ppr�sved�y; C��aa:��,,,�,�;
Required Mspec�ions: ,,�Und�r Graund �,,,RQUgh-tn �Air Test �Ga�Test ,��i�tal F�����ired:,,,,,�,,,°��;s�.�c� .
Meter Related#tems: Met�r�ize ' : Radio F�ead Manc��ttet�r` �ta�: -
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