885 Ivy Lane6 6'F / 6 2005 COMNIERCIAL PLUMBING PERNIIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
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Tenant Name Former Tenant Name
Property Owner ?er saf-1a.l To ucff Ma n a a ern e na" Telephone #((QI)) (G 6-Q'S-l I
N 9SEiiILLE
Contractor
Address 65 SOUTH l1WASS0 RLVD CitS
State ST PAUL, MN 55117-1092 Zip Telephone #ks-l ) y 8'Y- qo 6
License# 331g t? Expires: Ic'? 3) OS
The Applicant is _ Owner Contractor _ Other
Work Type New Bldg _ Modify Tenant Space RPZ PVB New Repa ebuild _ Replace
_ Irrigatlon system Work within public right of-way/easement _ Yes _ No
Rain sensors are r uired on irri ation s stems
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Description of Work -
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To inquire if Pressure Reducing Valve is required on new service, call 657 -675-5646
Meters - Call 651-675-5300 to verify that hydrostatiq conductivity, and bacteria [ests passed urior to nictdne uo meter.
Irrigarion Size & T}pe Avg GPM 2" turbo req'd unless smaller size allowed by Pubhc Works
Fire Size & Price 3/4" disnlacement S161.00
Domeshc Size & T}pe 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% _$ Permit Fee
$ Meter(s)
Required on ail new buildings & boutevard irrieanon svstems $ Radio Meter Read
Ifpermi[ fee is $1,000 or less, surcharge is $.50 $ SL1t0 8l1LCh2Sg0
If permit fee is over $1,000, surcharge is $.50 per $1,000 ofthe Permi[ Fee
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Following fces apply onty when installing new imgation system ` $ Watez Pernrit
Call Serry Wo6schall at 651-675-5024 for required fee amounts
$ Treatment Plant
$ Water Supply & Storage
$ State Surchazge
------------------------------------- ----------------------------------------------------------------- ------- -- ---
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I hereby apply for a Commercia] Plumbing Pernvt and acknowledge that the informaNon is complete and accuratconformance with the ordinances and codes of the City of Eagan and with the
Plumbing Codes; thai I understand this
applicafion for a permit, and work is not to start without a pemut; that the work will be in accordance with the approN
which requires a review and approval of plans.
(? reaarl CA . rf-'?ek
Appti-canYs rin Name Applicant Signaj
strnx).
RECEirr ? ? a303 & ijkrr
1994 CITY OF' FAGAN
1RfCIGATION CERNfI'C (EOR BACKFLUW PREVF,N'TER)
CUMnIEIlC1AL iNS"I'ALLA7'1bN5 - F()R111 11[US"1' BG C0111hLC'ITU BY 1,1CGNS-EI)?['I,UAtIiER
A r, _ -- -. ,:?_
Uale: /f y5 Connnercial ' • GPN[
Residential (boulevards) ,.:. Sy(1W.
_ F_,xisting residential ?I
Area/address to be irrigated:
Installer. t,rl L3 cte_+°s 1161 Owner ? Flvmber
YQ
Sheet address: 6760'D k7;-, C- , e
Cily, stale & zip code: /,Lf& -K's'n7 7 Phone a: ?/ss = ?/ 9 9
pwner Name:
5lreet addiess:
Cily, slate & zip code:
Phnne N
4.,., ,
lrtigation contractor, iP diffeient Iliau installer: 1p2c r /??..,?'n'.
7'etephone 1f: ? 9-S-- 7 ? '2-9
I heteby ocknowledge thni 1 Lave read tLis application, stale tliTt tlie informatiou is correct, and agiee lo
comply with all applicable City of 6agan ordinances.
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ICconstmclion aclivity occurs in public easement or City right-of-way, signalure o[ pi operty owmer is tequiied.
7'he ptoperty owner agrees to hold harmless Ute City of Eagan for any damages caused hy lhe City during its
normal operalional and maintenauce activilies to tlie facilities consttucted mider lhis pennit within City
property/right-of-way/easement.
Property Owner
Uate
Approved by: _. . ?z ,z? Uate: __ /Z-/- 24
CRV 17 Yes CJ No
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New service O Yes ? No Meter Size ? Rc Cost ?
Pees due: Calcidated hy:
? CASH RECEIPT
. CITY OF EAGAN. -
? 3830 PILOT KN08 ROAD
EAGAN, MINNESOTA 55122
onre 19 9;'??,e'?
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? casH ? CHECK
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FUND OBJECT ? AMOUNT ? .
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Thank You
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C 23034
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CITY OF EAGAN
rFlSFIIEIk: Y,N 1'ERMINpI_ N0: 113
DATE: 0£3/18/94 TIMF: 15:05:45
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Chip # ooZ 7a` "] ?(/ o( _
Permit # o< <f 3 9 5?
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1 AGREE TO COMP 1N WITH CITY OF EAGAN
? ORDINANCES
; Signature:
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C!ty f aill
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
Zo-13
2013 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submittwo(2) sets of plans with all commercial applications.
Date: Lob 71, Site Address: gig S 1 V y
Tenant: } YSjnoY TO ArVeCila
r e 11 f Sulte
Name:
one:4Sc 3-32 —11 A-)
'cense
Pa''b
ri/tp Fj State Zip: 4D
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_ New _ Replacement_''', Repair4x Rebuild _Modify Space Work in R.O.W.
Description of work: FP21ii1/` he i1' la . TCS 1 e21 $LIJ5or&V
COMMERCIAL _ New Construction Modify 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 picking uo meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? _ Yes No Ftushometers _Yes
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COMMERCIAL FEES:
$55.00 Minimum
Required on ALL new buildings and boulevard irrigation systems +
*If the project valuation is over $1 million, please call for Surcharge
Following fees apply when installing a new lawn irrigation system
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts.
Contract Value $ 3e -l./ • x 1%
= $ 55. 40 Permit Fee
$ Radio Meter Read
$ Meter(s)
$t) $5.00 State Surcharge*
$ Water Permit
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
_ $ 6b CZ TOTAL FEE
CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.gopherstateonecaLorq
1 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 MI be in
accordance with the approved plan in the case of work which requires a review and approve •f plans.
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Applic nt's Printed Name
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