1658 Hunt Dr2005 COMMERCIAL PLUMBING PERMIT APPLICATION
0 C1TY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
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I hereby apply for a Commercial Plumbing Pemut and acknowledge tha[ the info:mation is complete and accurate; that the work will be m
wnfocmance with the ordinances and codes of the CiTy of Eagan and with the Plumbing Codes; that I understand tbis is not a pamit, but only an
application for a pemut, and work is not tn start without a permit that the work will be in acc ce with the pproved plan in the case of work
which requires a review and approvel of plans.
ApplicanYs Piuited Name Appli s Signature
Date //6
Site Addreas ? ? Unit #
Tenant Name Former Tenant Name
7-7 a-2 c
Property Owner ? A Telephone # ( )
Contractor ?df Cic c?a? ??
Address ? d AD " 14 .F! ? City ,eOl<«-?
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Z Telephone #
State 2zv z Zip r,q?
License # gw? Eapires: ?
The App6cant is _ Owner ontractor Other
Work Type New Bldg _ Modify Tenant Space RPZ PVB New _ Repair/Rebuild _ Replace
?l Irrigation system Work within public right of-way/easement _ Yes _ No
7 Rain sensars are reuired on irriarion s stems.
Description of Work A ?aL/ ?
`y`r 0? X`z 0k
?? inquire if Presswe Reduciag Valve is requ'ved on new service, call 651-675-5646
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Meters - Ca11 6 5 1-675-5 3 00 to venfy th Myti?n ?uc Ty, and bactecia tes[s passed prior to oickine uo meter.
Irrigation Size & Type /`f Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & PtiCe 3/4" disolacement $161.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fce $50.50 minimum (includes State Surcharge)
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Conhad Value $ 07 7?v x 1% _$ a Pemut Fee ? /
$ Z q Meter(s) J
v?
Required on all new buildings & boulevard im aLon systems $ Radio Mete[ Read /
If pemtit fee is $1,000 or less, surcLarge is $.50 $ State Surcharge ?
If permit tee is over $1,000, aurcharge ia $.50 per $1,000 of the Permit Fee
?-
FoRowing fees apply only when insta0ing new irrigation system $ ? Water PCrmit
Call Jerry W obuhatl at 651fi75-5024 far required fee amouMS Q D /
$ (i ?03 Treatment Plant
$ O ? ? Water Supply & Storage ?
$ ,. -?"0 State Surctiarge I/
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g -- p? `S / q ? Total Fee
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CITY USE ONLY
REQ[JIRED IN5PECTIONS: _ U.G. _ Air Test _ Gas Tes[ _ Rough In _ Final
PLANS SUBM[TTED APPROVED BY: , BUII.DING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevazd irrigalion sys[ems- $141.00
• RPZ's mus[ be tested every year and rebuilt every five years. Test results should be mailed to Paui Heuer at the Ciry of Eagan.
• A miniwum fee pernut per address is required for the following RPZ's: new, rebuild, reuair, remove.
• Water meters include copper horn/strainer, remote wire, and touch-pad meter.
METERS RE UII2ING 4-HOUR ADVANCE NOTICE PRIOR TO PICK IIP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $125.00 4-120 1-1/2" irrigation syst S 735.00
displacement sm commercial turbine** Public Works
maximum must approve
continuous meter size
10
2-30 3/4" lawn irrigation $161.00 4-160 2" turUine lg urigafion syst $ 931.00
maximum displacement residential &
continuous sm commercial production lines
15
3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & lg comm bldgs
25 tion s[ems
5-100 1-1/2" bldgs 25-64 units $429.00
maximum displacement &
continuous most comm bldgs
50
METERS REOUIItING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation S1,182.00 6-500 4" campound +300 unit bldgs & $3,563.00
syst & production very Ig comm bldgs
lines
1/2-320 3" compound +200 unit 6ldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00
very Ig comm bldgs very Ig comm bldgs
15-1000 4" turbine very lgirrigation $2,226.00
syst
& production lines
CommeMs
• To schedule inspwGOn of the inside water line and backflow preven[er, call 651-675-5675.
• To amange for water turnon, ca11651-6'75-5300.
cc: Maiotenance Division Clerical Technician
Jamiary 2005
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Eagan MN 55122 i oate Recelvee: � � !' � I��
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Fex: (6S1)675-5694 � ' � �
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2015 RESIDENTIAL PLUMBING PERMIT APPLICATION' '�: ; ��� ��'
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�' �'"��' �4'�?� � New Replacement _Repair „�Rebuild Modify Space o n ,Q,W.
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�''��� �'s;�;:,';� Descrlptlon of work: E �' �
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,<�;:.:;';:<;,'�� �t���.. ;.;:;•:�.:%,�.;;' WaterSofte�er ' ' �
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,:w,.?`�:::..:...:...�,��:>;�:;<�::.,�,::r.,,,r.,�-, Lawnlrrigation(�RPZ/ PVB)
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's�k� �,..,ti , , �-��:: Add Plumbing Fixtures�Meln!� �e Level)
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,,,;, ..:� , :„� • ;�,,,.t,�::: Septic System '
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:,;r. �;�:�r;�, Water Tumaround �
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RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener,or Water Heate��Softener(includes$5.00 State Su�charge) � ' � ;
$60.00 Lawn Irrigation(Includes$5.00 minimum State Surcharge) �, ; `
$60.00 Add Plumbing Fixtures, Seotic Svstem Abandonment,Water Tumatound`(includes$5AU State Su. , ar ,)
'Water Turnaround(add$200.00 If a 5/8"meter Is requlred) � !
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�115.00 Seotic Svstem New($10.00 per es bullt)(Includes County fee and$5.00 State Sureharge) , ; � �
10TAL FEES S ' i •�
CALL BEFORE YOU DIG. Call Gopher 3tate One Call at(651)d5d•0002 for protectlon against undergrountl tlll �d mage.
Call 48 hours before you intend to dlg to recelve locates of underground utilities. www.gooherstateone��IL.4ta ; ; � I
I hereby eck�owied9e that lhia informelion le eomplete end accurale;that the work will be In conformsnce wilh the oldlnenees e; c ��s f lhe City of
Eagan; that 1 undarslend this Is nol a permlt, but only a� appllcaUon for a permit, and work 1e not to sleR without a permlt;st, t � � rk wiU be in
aceordan th the appr ved plan in the case of wo►k which requlres e revlaw and approval of plans. '
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Appllcant's Printed Neme Applicant'a Signature
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