1864 Cliff Lake CtCTTY USE ONLY
PERMIT #: 1-'I o `I U I RECEIPT DATE:
COIKMERCIAL PLUbISINH PERbIIT RPPLICATION
_ CITYOFR4HAft _
3$30 £'ILOT KROB !W
HA(iAR, b1P 55188
BSt-891-9875
1NCOMPLE(E APPLICATlONS WILL NOT BF PROCESSED
Date: 4)- I?)'N
WORK TYPE New Bldg Add-on _ Repair X RPZ PVB ` Irrigation system
` Must complete reverse side of application also. Required meter size is 2" turbo unless smaller size permitted by Public Works
DESCRIPTION OF WORK A 2bL.I a10 JU-Z - Sr VC !:? J-, cJ Y\ VYl -et-f
To inquire if Pressure Reducing Valve is required on new service, call 651-681-4646
METERS - Ca11 65 1-68 1-43 00 to verify that hydrostatic, wnductivity, and baeteria tesu passed prior to pickin2 uo meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" disolacement $149.00
Domestic Size & Type Avg GPM
Dces this include hig]i demand devices? _ Yes _ No
FLUSHOMETERS _ Yes _ No PRV REQUIRED _ Yes _ No
Site Address: lp(O w l?SC"' A Q _ j
Tenant Name:
Telephone 61f_5 Z
(Area Code)
Was there a previous tenant in this space? _ Y. _ N. If Yes, Name:
Installer Name: GP4l2 - O-VA y'1 ? I Vi Telephone #: Lo S? U 7-t) - I 1 U Lj
(nrea Coda)
Installer Address: I L! ll L1 ? ? Qsi?? 'r rt12 l.-
City: 1Z?DSF _yY)o t A )r1 "r State: lil.,l & 1 Zip Code 55??0
FEES Contract price $ x 1% ($50.00 minimum) Contract Fee $
Meter(s) $
Required on all new buildings & boulevard irrigation systems (Acct # 92204509) Radto Meter Read $
Surcharge: $.50 Minimum. If aont ac "feu ?cE'eeiis $?-0 alculate at Stste Surc6arge $
50 cents per $1,000 contract Fe ' ? ? ? ? ?" ? ?
o I L? rom Reverse New Service $
AUG 1 6 200?'
?I"' ? so
??-??-'y???" Toral s ---?
I hereby acknowledge that I have ad this apQicl atipn,-state-that- he information is correct, and agree to comply with all applicable City of Eagan
ordinances. It is the applicanYs resp ?otisibiliry to'notify`the pr peo?ity owner tha[ the City of Eagan assumes no liability for any damages caused by ihe Ciry
during its nonnal operational and maintenance activities to the facilities constructed under thiS pemiit within City propertyhight-of-way/easement
, . I I ii-. ?. ?
. ,. ? SIGNATU OF PERMITTEE ?
t
CITY USE ONLY
REQUIRE? INSPECTIONS: U.G. __ Air Test _ Gas Test _ Roug6In _ Final
PLANS $UBMITTED APPROVED BY: /j V' 5_1 rO ?? , BUILDING INSPECTOR
11 city oF eaqan
PATRICIA E. AWADA
Mayor
PAUL BAHICEN
PEGGY CARISON
CYNDEE FIELDS
MEG TILLEY
cowd Members
THOMAS HEDGES
ciryndministrator
Municipal Cen[er.
3830 Piloc Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
Fax: 651.681.4612
TDD: 651.454.8535
Mainrenance Facility:
3501 Coachman Point
Eagan, MN 55122
Phonc: 651.681.4300
Fan: 651.681.4360
TDD: 651.454.8535
www.cityofragan.com
THE LONE OAKTREE
The symbol of arengdi
and grovrth in our
communiry
August 13, 2001
GENZ-RYAI3 PLUMBING & HEATING
14745 S ROBERT TR
ROSEMOUNT, MN 55068
RE: PERMIT FOR RPZ
1864 CLIFF LAKE CT
TO WHOM IT MAY CONCERN:
An RPZ testing report recently sent to the City of Eagan indicated that an RPZ was
rebuilt at the aforementioned address. Please be advised that a plumbing permit is
required when an RPZ is rebuilt or newly installed.
Far your convenience, we are enclosing a plumbing permit application with this
letter. Please fill in the appropriate information and return it along with a check for
$50.50 to the City of Eagan, Building Inspections Division, 3830 Pilot Knob Road,
Eagan, MN 55121.
Your anticipated cooperation is greatly appreciated. If you have any quesrions, feel
free to ca11651-681-4675. Thank you.
Sincerely,
City of Eagan Building Inspections
Encl.
cc: Paul Heuer, Systems Analyst
°'Dale Schoeppner, Chief Building Official
, -t 329`1
2006 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
657 _(,7S-5C.75
S5050
-- -
I Date
? Site Address c/l"1 Unit #
Tenant Name l? ?` /? ?J 0 'q P.--S Former Tenanf Name
o- t-IIR - _ , ? L)
PropertyOwner LL ELC.Sf ?' CG &?lQV/ CC,? Telephone#( )
Contractor OC -F'! LU-'1
Address n
, I ? th f-t l/G City lC ! cG?
State Zip? ?a? Telephone # (?/? _ i3 ?? / 153/ -
License# `J 3U10 (2N%' Expires: Z D
The Applicant is , Owner Contractor , Other
Work Type New Bldg _ Modify Space _ Irrigation System*x _ Yes No Work in public r-o-w / easement?
? RPZ _ PVB: New ? Repair/Rebuild _ Replace _ Remove
Rain sensors are re ?ired on irri ation s stems
Description of Work Pe?juc.L R1'?:
To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 -
Mefers - Call 651-675-5300 to verify Chat hydrostatiq conductivfty, and bacteria tzsts passed prior to oickioe up meter.
Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" metec $167.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers Yes No PRV Required ? Yes _ No
PeCmif Fee $50.50 minimum (includes State Surcharge)
ContractValue $ x l% = $ 50 66 permitFee '
g Meter(s)
Required on all new buildings & boulevard irrieation svstems $ Radio Metei Read
g . U State Surcharge
If nermit fee is less than $I,000, surcharge is $.50
tf peanit fee is more than $1,000, surcharge is $.50 for each S1,000 owed.
"'_"""_"""'"""'_'_"""_""'_"___""'__________'_'_____'__________'_-_'_'_""""""'-_'__'_ '__'_""""'"'""_""_______'"'_- ""-'_"'_'
Following fees apply when instafling new lawn ir i Q?? m $ Watei Permit
Call the City's Engineenng Depart, EqLLl??amounts
D U $ TreatmentPlant
m?Y Water Supply & Storage
$ State Surcharge
$ ? 0 Total Fee
. . . ..
I hereby apply for a Commercial Pfumbing Permit and acknoR9edge [hat ffie mYOanatton is compie[e ana accurme; mx? um wo.,. wn? U? ilt ? ................... ...... .....
ordinances and codes of the City of Eagan and with the Plumbing Codes; that I unders[and ?s is not a permit, but only an application for a peanit, and work is oot to
start wi[hou[ a permit tha[ the work will be in accordanee wi[h ffie approved plan in the case?yv c?}vhi requires a review d apq ppmval of PlanS.
L? ? - \ r
?/,4pplic s Printed Name pp1 ? nPs Sign
CITY USE ONLX
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Fina1
PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR General Information
• Radio Meter Read (required on all new buildings. Bou(evard irrigation systems may require a radio read -$141.00
. RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan.
. A minimum fee permit per address is required for tfie following RPZ's: new, rebuild, repair, remove.
. Water meters include copper horn/strainer, remote wire, and touch-pad meter.
METERS REQUIl2ING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
M METER5 USE PRICE GPM METERS USE PRICE
0 5/8" residential $130.00 4-120 1-112" 1TT1gatlon Syst $g27A0
displacement or tuibine** Pubtic Works
um
ma small commercial must approve
uous meter size
0 3/4" lawn irrigation $167.00 4-160 turbine luge irrigation $ 1,040.00
um displacement residential system &
[
uous or production lines
small commercial
0 1displacemenf large residential ?210.00 1/4 to 160 2" compound bldgs oJer $ 1,962.00
bldg to 24 units 65 units
um smal] commercial ? &
uous & large comm bldgs
5 irrigation systems
00 1/2" 25-64 unit bldgs $S15.D0 L
mum displacement &
uous most comm bldgs
0
METERS REQUIIi.Ii1G 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPNI METERS BSE PRICE GPM METERS USE
5-350 3° turbine very large irrigation $1,394.00 6-500 4" compound +300 unit bldgs 1
system & production & very lazge
lines comm. bldgs
1/2-320
compound
+200 unit bldgs
$2,51600
101000
6" compound
+400 unit hldgs 6.00
very large very lazge
comm bldgs comm 61dgs
15-1000 4"turbine very large $2,495,00
irrigation systems
& production lines
Comments
• To schedule inspection of the inside water line and backflow preventer, cal( 651-675-5675.
• To arrange for water tum-on, call 651-675-5200.
cc Utility Division Systems Analyst January 2006
Use BLUE or BLACK Ink
For Office Ussf
Permit#: f i �4111 Cliv of Eapil Permit Fee: - W
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675 staff:
Fax:(651)675-5694
/ / 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: (gl 9/W I7 Site Address: /%(P y c e-/ FF L-�4 re 634.
Tenant: C-1-1 L 14"-- 4 Izi" t9 11S .Ho PC Suite#:
Resident/Owner Name: �y � �-�-(4.e clot- ter ""-•S Phone:
Address/City/Zip: /15 4,9 C L-,F-4=7. 1-44-f!
Name: S I L-YeTitre_ o License#:
Contractor
Address: 15 3 E M tH poky( E'I6r-N-TS I f�( V.® k 'S
State: MCI Zip: 5-5-11--C3
1Lc3 Phone: 4-51- 3 1-1-17-0°
Contact: f 01444301-k Email:
Type of Work —New "3/4""Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Water Softener
'✓ Lawn Irrigation( 4PZ/_PVB)
Permit Type Add Plumbing Fixtures( Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
"Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Call 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.qopherstateonecall.orq
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 M t rc_ 1s4)L-i-1►4oc/3 x � o�
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff: