3129 Farnum DrPemut #: Receipt Date: -7 O ?
CITY OF EAGAN
2007 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING NON-RESIDENTIAL PROPERTY
Address SJO" 1 ?\01
Property Owner ?S
Telephone #:
Plumber
Date of Inquiry:
Contact Name:
Sewer
8" Sewe \ff $ 19:0(
Lateral ?
Sewer Tit
City SAMCES nit
ReceiSeptic abandonment 50.00
Permit Fee \ 50.00
State Surcharge .50
Total
8" Sewer Service
6" Water Service
Se ver lateral charge @ $28.30/ff
Water`lateral charge @ $36.00/ff
Sewer trui k,ner SAC unit
Water trunk @'$2,500/z
City SAC @ $100/unit
MCES SAC @ $1,675/1
Receipt # , L
Water supply & storage
Treatmentplant @ $66(
Sepric abandonmenY
Permit Fee
State Surc3iaree
I OFFICE USE ONLY
PRV required ?
? y??
R-O-W Permit:" City ?tounry
i7npaid
? Permit Fees
?
? Ciry Financed
?
6!??
i.atea y??
Treahnentplant @
Permit Fee
State Surcharge
unit fa loo °O
50.00
.50
Total
Separate plumbing permit required
Jater
$ 1,589.00
2,660.00
r '
?
/
unit,
Separate plumbing permit required
Number of SAC units is deterrnined bv tlae Metron,
Sani[ary Sewer Trunk Connection Charge applies if not
1-5 SAC units $1,475/SAC unit
6-10 SAC units 370/SAC unit
11 + SAC units 150/SAC Unit
ca Carolyn Krech, Finance Depamnent
50.1111
100.00
.50
$?..?
..,?
Cauncil Environmental Serv_ices (651-602-
sewer trunk bv assessment in tlie past.
$ 1`?O
' ry 2007 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN I
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Do nof combine inside and outside plumbing on the same application; separate applications and permits are
required.
Date?/ -0-7
SiteAddress ?e/'j(/jm Unit#
Tenant Name )0[z7f? Former Tenant Name
Property Owner 'Telephone # ( )
Contractor
Address City I y?
State 6-)A I"& Zip Telephone # (?S ) ?? '" ? SQV
License # Expires:
The Applicant is Owner _ Contractor Other ,
Work Type New Bldg _ Modify Sp e Irrigation System** Yes No Work in public r-o-w / easement? I
,RPZ _ PVB: New _ Repair/Rebuild _ Replace _ Remove !
in ensors are re uired on irriation e stems I
Description of Work I
To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646
Meters - Call 651-675-5646 to verify tha[ hydrostatic, conductivity, and bacteria tests passed priar to oickin2 uo meter.
Irrigation Size & Type ?? ?(? /Lhd Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" meter 174.00 Domestic Size & Type Avg GPM Includes 6igh demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permi[ Fee $50.50 minimum (includes State Sureharge)
Contract Value $ x 1% _$ Pemrit Fee
$ % f?/e3`OU Meter(s)
?
Required on al] new buildings & boulevazd irrieation svstems $ Radio Meter Read
$ . .?i6 State Surcharge
If permit Fee is less than $1,000, surcharge is $.50 .
If oermit fee is more than $S,OOQ surcharge is $.SO for each $1,000 owed. '
Following fees apply when ins[aliing new lawn irrigation system Y ??$ ? SQ- 10 Q Y Water Pemilt ? ? II
Call the City's Engineering Department, 651-675-5646, for required fee amounts
$ TreahnenkPlant
$ /--- Water Supply & Storage
$ State Surcharge
$ Total Fee
I hereby apply for a Commercia] Plumbing Permit and acknowledge that ttie information is complete and accurate; that the work will be in conformance with [he
ordinances and codes of the Ciry oF Eagan and with the Plumbing Codes; that i understand this is not a pertnit, but on] application for a permi[, and work is no[ [o
start without a pecmit; tha[ Ihe work will be in acwrdance wi[h [he approved plan in the case of work which requi ev and approval of plans.
ApplicanPs Pnnted Name ApplicanYs Signature'?
2007 RESIDENTIAL PLUMBING PeRnnir APPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 i
Please complete for modifications to existing residential dwellings: Do not combine inside and outside
qlumbina on the same aoolication: seoarate aoolications and nermits are r uired.
Date7 / a. G / -Icu?
Site Street Address?? F-r n u? D ve Unit #
Property Owner lcs To h„.,tim S ' Telephone #( )
('?(l
Contractor ?<: f Lak Frcr <nc Telephone#(GS+) 74 -? 1s?T,
Address ?.??, c 4e,6./ ?- City ,c g,.:r G:A• State;m.-? Zip SS//°
I The Applicant is: _ Owner 8 Oc upant Licensed Plumbing Contractor
Septic System _ New _ Ref rbished Sub it 2 sets of plans and MPC iicense Includes County fee
1 $ 100.00
Per as-6uilt $ 10.00
Fire Repair (replace
when extensive
Alterations to existing dwelling
_ Add plumbing fixtures to main
installation of a water softener and/or
installing onlv a water softener and/
move to the next section and place2
installing.
_Septic System Abandonment / \
=Water Turnaround (add $136.00 if a:5/8" meter is
Other: ?
are made to a
lower level. This fee includes
heater at the same' time. !f you are
)r heater, do not complete this section;
nark next to the appliance(s) you are
Water Softener / _ Water Heater
new replacement
x Lawn Irrigation X RPZ/ _PVB _new , _repair _rebuild
SWte Surcharge
90.00
$ 50.00
$ 15.00
$ 30.00
$ .50
ToWI \ I $
I hereby apply for a Residential Plumbing Permit and acknowledge that the irormation is complete and accurate; that the 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 accordance with the approved plan in the event
a plan is required to be reviewed and approved.
r4 I hz C''y? r ?. ?,c?,,?.? ','??.1? ?•?r ,?'"? ?.
ApplicanPs Printed Name ApplicanPs Signature
4
MINNESOTA DEPARTMENT OF LABOR AND INDUSTRY - BONDING AND INSURANCE CERTIFICATE
This is to certify that Kim Lyall, Master Plumber License No. PM003395,
representing Capra's Utilities Inc , has filed a 825,000 bond with the
Commissioner of Labor and Indus:?ry
a'nuary_18, 2007 and provided evidence
?
of Public Liability Insurance ?r ??r?d?cts Liability Insurance of at
l
t $50
000
b
°
?
1
eas
.
per person and ?
9?
?er o
??r,??nCe and Property Damage
0
Insurance of at least $106flQ,,fi_d?r?cl??e???rrvR0?Yn•accordance with the
provisions of Minnesota,Statules,??Section V?xr?Q???
BOND N0. 68980622 p,Qi??Y?O. .D8931865
Western Surety Company .?Owng?s? en"sur ?nce Company
Sioux Falls. South Dako-ta, Diane Mi1Minnesota Agent
,?:•, •? Maplewood,'Mi:rinesota
MR KIM LYALL
CAPRA'S UTILITIES INC.
2382 LEIBEL STREET
WHITE BEAR LAKE MN 55110 n 'Scott Brener
Commissioner
.
2007
r
i 11R.?
M1AP
'It,is is w certity fhat
K1M LyALL
holds the following competencia:
MasterPLGF 9693
These competrncies pcpue: 12/012007
Bob Kessler
-° -=------ I--ns--
'City ofpecttons MlnneapoHs '---- -------------
' 612-67&58g2 -----`--
; Dlv3s
; 250 3 4m 3t Mpls ion
14N 5543.5
ji 2007
;: CERTII+'ICA1`F OF COMPETENCy
?$eep thls card ia qour possession on the job.
;; This is to certl(y that: &IM LYALL
„holds the following competencies:
,
¢PfM516 MA$TEA PLDMBER/G1ISFITTER
1
f
?THESE COMPETENCIES EXP'RE; Nov. 01, 2007
----------------------------------
+ MINNESpTAOHPA0.TMENTOR
?,neoR & iNOUSrav
..
Construction Codes and Licensing Division
Commissioner of Labor and Industry
Has Received and Filed a$25,000 Surety Bond,
As Required by MS 326.992, for Work Regulated
by the State Mechauical Code
To' • Michael Capra
Capra's Utitities, Inc.
2382 Leibel St.
White Sear Lake MN 55110
, . EtTective Date
1I1/2007
Bond No: 70093992
MB ID: 02078
Ezpiration Date
12/31/2007
?
;
' MHNYMAY[!/11iMRNfCI
y LA6OR &INDUSTRY
' Construction Codea and Licrosing Division
?
? . Commissioner of [.abor end industry
i Nas Received and Filed a$25,000 Surcry Bond,
; As Required by MS 326.992, for Work Reguls[eJ
? by the State Mec6anicai Code
!T'p; MlchnN Cepra Bond No: 70097992
? Capra's Utllities, lnc. MB ID: D2078
i Effeclive Da[e Expiration Datc
; 1/1/2007 12/31/2007
i ... . . . . . . . . . . . . . . . . ..._ . . . . ... . . . ...
?
i
; MBFormRC
101 ZD31OD00
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M
Sep 24 2012 3:15PM HP LRSERJET FAX 6517622600 p.1
Use BLUE or BLACK Ink
_ r
For oMlca us j
City o
f EaaIl
Pemlit 3830 Pilot Knob Road Permit Fee:
Eagan MN 66122 1 Data Raceived:
Phone: (651) 676-6675 1 /I~
Fax: (651) 675-5694 i Staff:
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: .
Tenant: S suits
"
RESIDENT DINNER. N ame: . Phone:
Address / City / Zi
Name: License
CONTt Address: L~ 1A city: _ LI~x"L. e_'
CTE9R.. -
State; A'd'/ Zip: S-4410 Phone:
Contact; Email; ~f
TYpE:. F.`IN K _ New _ Replacement ^ Repair Rebuild ModiNS
Q QR , T pece _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation OT' { RPZ!_ PVB) -Water Softener
PEAmit YPE. Add Plum bin Fixtures Septic system ® Mail) / LowAr Level)
_ New , Water Turnaround
-Abandonment
RESIDENTIAL FEES;
$60.00 MiniMurn Water Heater, Water Softener, or Water Heater Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, -Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
"Water Turnaround (add $169.00 if a 5/6" meter is required)
$105.00 Septo S stern Now ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES _
CAL BEFORE U DIG. Call Gopher Suite One Call at (661) 464-0002 for protection against underground utility damage,
Call 48 hours before you Intend to dig to receive locates of underground utilities. www.oaoherstaleonecall.em
hereby acknowledge that this Information is complete and accurate; that the work will be In conformance w,th the ordinances and codes of the City of
Eagan; that I understand this le not a permit, but only an application fora permit, and work pinotto stawthoul a permit; that the work will be in
accorda a ith the ap roved plan In the case of work which requlnss a review and approval of Applicanfs Frlnted me Appllcant'a Slgnat
iFOR OFFL6E USE
R 6lVltwtredf 9y, Clat+aC'
Re4u1md.lnBoaeG ipna Unile>r Orour d. ; ^Rowph;lj : _~ir Taet.. s Test _FintAl -