839 Ivy Lane13WD, 2006 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 '
4 ?cp .5O
Date Z? / /. / C_,(v
Site Address 63 t? 1 V V L L},..C Unit #
Tenant Name ALT !M a,? AG+':^??"r Former Tenant Name
Property Owner Telephone N ( )
Contractor J11 L (?trj_ <L C h .
Address 415-- ? h^ /h,ti S a CiTy H w° /61 NJ
State MA/ Zip S3 IN 3 Telephone #( q} L) 5 3/' `t 6 7 L
License # ? Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type New Bldg _ Modify Space _ Irrigation System** Yes No Work in public r-o-w / easement?
RPZ PVB: New _ RepairBebuild _ Replace _ Remove
Rain sensors are re uired on irri ation s stems
Description of Work I&,, AJ 12'' /Q n" "^^-?'
To inquire if Passure Reducing Valve is required on new service, ca1165I-675-5646
Meters - Call 651-675-5300 to verify that hydrostatic, conductiviry, and bacteri a tests passed prior to oickina up meter.
Irrigation Size & Type 2-' Avg GPM 2" hubo req'd unless smaller size allowed by Public Works
Fire Size & PriCe 3/4" meter $167.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flus6ometers Yes No PRV Required _ Yes _ No
Permit Fee $50.50 minimvm (iocludes State Surcharge)
' PemutFee
ContractValue $ /?^?" • "?? x 1% _ $ ? ?
$ Meter(s)
Required on all new buildings & boulevard irri ate ion systems $ Radio Meter Read
g ' ? State Swcharge
ICpermit fee is less than $1,000, surcharge is $.50
If permit fee is more [han $1,000, surcharge is 5.50 for each $1,000 awed.
Following [ees apply when installing new lawn irrigation system $ Water Peanit
Cali the City's Engineering Department, 651-675-5646, for required fee amounts
$ Treahnent Plant
$ Water Supply & Storage
$ State Surchazge
$ ?? • S? Total Fee
I hereby apply for a Commercial Plumbmg Prnnit and acFnowledge that the informa[ion is complete and accurate; iha[ the work will bc in confortnance with the
ordinances and codes of the City of Fagan and wi[h the Plum6ing Codes; iha[ I undttstand lhis is not a pertni[, 6ut only an apphcauon tor a permit, and work is not to
start without a pertnit; that the work will be in accordance with the approved plan in the case of work whic eqmres a fYiew and approval oCplans.
/?-r P2 '6 f?r?C
ApplicanYs Printed Name Appl anPs Si ture
L-A ? ? L)
2004 COMAERCIAL PLUMBIiNG PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
SZ si?
DateQ,L / ?1?1 / 0 4j-
Site Address !7N?3(1 UU ta wa?v' Unit #
Tenant Name Former Tenant Name ?T?/yl?? )-Z
Property Owner ?/, y7 d ? x'"Telephone #( qS2) Q`7-7 --'7&-D
Contractor
Address q 640o 1??t0? ,n
City ?if770KtU?A Y(MK .
State y v ?0 Zip Telephone #('-763) t-) ZS- (1'70[7
The Applicant is _ Owner ? Conuactor _ Other
Work Type _ New Bldg _ Add-on _ Repair RPZ PVB Irrigation system *
• Jer yWobschall to calwlate fees. Re uired me[er size is 2" turbo unl ss smaller size ermitted b Public Works
Description of Work &?,L ? I ?f0?,? 1.}'? ,? ?, r? e7?Q/1,(-(A,(1_ -?
To inquire if Pressure Re ucing Valve is r6quired on new service, ca1165i-675-5646
Meters - Cal1657-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior [o oickine up meter
Irrigauon Size & Type Avg GPM
Fire Size & Price 3/4" disolacement $ I55.00
Domesric Si2e & 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% _$ (???2, %
V" ??Ba
?
$ Meter(s)
Required on all new buildings & boulevard irrieation sys[ems $ e[er Read
ICbase fce is $1,000 or less, surcharge is $.50 $ $ta10 $lu'Ctlazge
If base Fee is over $1,000, surcharge Is $SO per $1,000 of ttie Base Fee g`J
Following fees apply only when instal6ng new imgation sys[em ?$ Water Permit
Contacl Jecry Wobschall at 651-675-5024 for required fee amounu
$ Treamient Plant
$ Water Supply & Storage
$ State Surcharge
------------------------------- ------------------°------------------------------------------
$
------------- ---------°------ ---------------------
?,
Jc/, ?/
`?
9 Total Fee
(
I hereby apply for a Commercial Plumbing Pertnit and aclmowledge that [he infomiation is complete and accurate; that the work will be in
conforntance with the ordinances and codes of [he 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 approva] oFplans.
--T?w 4 A
ApplicanPs 'nted Name Applic Signature
Use BLUE or BLACK Ink
GENE I For Office Usp
I Permit I
buy o Eajan MAY 3 U 2020 1 Permit Fee: 011 ~
3830 Pilot Knob Road I I
Eagan MN 55122 ~Y~ Date Received:
Phone: (651) 675-5x;75
Fax: (651) 675-5694 Staff: I
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Pleas sub it two (2) sets of plans with all commercial applications.
Date: Site Address: 9,,M e.,
Tenant: I 4)m A Suite
t Property /fir
Owner Name: t (~s 7 Phone:q y t t~t piio~& _qz)
per, 1 '
Name: LLB 4{ icenss#:
Contractor
;Address: PA \4 AA V. State Zip: ~
Phone: W Alm Email: E- I . Abo
OaL
New R placement _ Repair Rebuild _ Modify Space _ Work iNV_64
Type of Work - - - Description of work ~ J~ h b y 4 o -COMMERCIAL New Cons
truction Modify Space~ dIrrigation System yes no) RPZ PVB) t
• Rain sensors required on irrigation systems LA'_`1 h Permit Type 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: 1
3 Avg. GPM High demand devices? _Yes No Flushometers _Yes -No
COMMERCIAL FEES Contract Value $ v C ' W x .01
$55.00 Permit Fee Minimum
= $ Permit Fee
*tf contract value is LESS than $10,010, Surcharge = $5.00 = $ Q ® Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 _ $ (0 . 00 TOTAL FEE
If the project valuation is over $1 million, please call for Surcharge
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. 1
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
E an; 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
ac dance with the apprqya~ plan in the case of work which, requires a review and app" of plans-
X_Utu~,A _4 I b ~ Ali
Applicant's Printed ame Appl n s Signature
FOR OFFICE USE Approved By: Date:
Required Inspections: -Under Ground -Rough-In -Air Test Gas Test -Final PRV Required:.- Yes - No
Meter Related Items: Meter Size Radio Read Manometer Staff:
Page 1 of 3