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2202 Liberty Lane2007 COMMERCIAL PLUMBING rExMrr nrrLicnTiox ??? E? KS CITY OF EAGAN 3830 PLLOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date Site Address /.(,,4,? Unit # ? TenantName ? .?Ti1) `?u^!ll'tfl*j?r_ FormerTenaotName Properly Owoer Telephone # ( ) Contrector Address W.t4(1G-'C< ? c,? State Zip Telephone # License # 23? Oh Expires: ? Z CJ7 The Appticaut is _ Owner _; Contractor _ Other Work Type New Bldg _ Modify Space _ Irrigafion System•• Yes No Work in public r-o-w / easement? X'APZ _ PVB: _ New _ Repair/Rebuild T?Replace _ Remove Raiu seusors are r uired ou irriation systems Description of Work 'z - To in uir ?CPressure Reducing Valve is reqmred on new service, ca11 6 5 1-67 5-5 646 Meters - Ca11 6 5 1-67 5-5 646 to verify that hydrostatic, conductivity, and bacteria tesfs passed grior to oickine uo meter. Imgation Size & Type Avg GPM 2" twbo req'd unless smaller size allowed by Pu6lic Works Fire Size & Price 3/4" meter 174.00 Domestic Size & Type Avg GPM Includes high demsod devices? _ Yes _ No Flushometers Yes No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Conhact Value $ x 1% _$ Permit Fee $ Meter(s) Required on all new buildings R. boulevazd irrieation systems $ Radio Meter Read $ State Surcharge If oemit fee is lesa thm S1,000, surcharge is $.50 If cennit fee ia morc thao $1,000, surcharge is A50 for nch SI,000 owed. Following fea apply wheu inatalting orn lawo irrigafion rystem $ We[ei Pe°mt Y Cal I the Ciry's Engineenng Departrnent, 651-675-5646, for reqwreA fee amounLs $ Treatment Plant $ W ater Supply & Storage $ State Surcharge $ Total Fee 1 hereby apply for a Commercial Plumbing Pelmi[ and acknowledge tl?at tlie infonnazion is mmPiac md accurale; llm[ de `"°? ?l bc in conformance with the ordinances and codes of the City of raga" and with the Plumbing Codes; ihat 1 understeW thfs is not a pe*mit, bu[ only an application for a pertnR, and wrork fs rrot to hich requires a review and aEpmval of plans. stert wi out a er ?4 ?? e work will be in eccordar?ce with the approved plan in the case oFIZW?V-S-Signaturc ? -P?-? ti GJ? ApplicanPs Printed mme 0 1 ??,?ty.ao 2005 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 k0 3 nate Cr / ) i? R SiteAddress aAog Unit# Tenant Name Former Tenant Name Property Owner 191"Jn `C'4 Telephone # ( / r ) 41?L 2 ti fL Contractor W r5- / Address City (TC?I ? State Zip Telephone # e(L ) License # Expires: The Applicant is _ Owner Contractor _ Other Work Type New Bldg _ Modify Tenant Space _YRPZ PVB New Repair/Rebuild _ Replace -Arrigation system Work within public right uf-wayleasement Yes _ No Rain sensors are reaired on irri ation s stems Description of Work To inquve if Pressure Reducing Vatve is requaed on new servmq ca11 6 3 1-673-5646 • '1 . Meters - Call 651-675-5300 to verify that hydrostahc, conductivity, and bacteria tests passed prior to pickine up meter. er size.allowed by Public Works Irrigation Size & Type Avg GPM 2" tyr?o req'd ess s, mall `?/ Fire Size & Price 3/4" disnlacement $161 00 `\ Pa ? Domeslic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Requimd _ Yes _ No Permit Fee $50.50 mimmum (includes State Surcharge) p u Contract Value $ x 1% _$ -SU PernutFee Meter(s) Requued on all new 6uildings & boulevard irrieahan systems $ ?`7"'• ?? Radio Metei Read If pemtit fee is $1,000 or tesa, snrchazge is $.SO $ ?J State Surcharge If pemdt fee is over $1,000, surchsrge is 5.50 per $1,000 of the Permit Fee Following fees apply only when installing new imgation system Water Pernut Call Jerty W obschail az 651-675-3024 for required fee amowrts Q p ? ot•? ? $ ?p(o; TreatmentPlant \ $ / '? 0 ? Wa[er Supply & Storage $ . 5d State Surcharge ---------------------------- ------------- ------- --------------------- ---------- -- ------------------- - ------------------------------- ------- n q pb $ d ? `Ti Total Fee I hereby apply for a Commercial Plumbing Pemut and acknowledge that the information is complete and accurate; tliat the work will be m confoimance with the ordinances and codes of the CiTy of Eagan and with the Plumbing Codes; that I unders[and this is not a pczmit, bu[ only an application for a pemvt, and work is not to staR without a perntit; that the work will be in accordance with the approved plan in the case oF work which requires a review and approval of plaris. ? ` ?!- ?h7`! ,?{ c/ /-? ApplicanYs Piinted Name Applicant's Signature Use BLUE or BLACK Ink I For Office Use ~ -2, I I I I City of EaRan I Permit F 1HJ i Permit Fee: Pilot Knob Road 3830 \I Eagan MN 55122 I Date Received: Z - 75 Phone: Staff: Fax: (651) 675-6694 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please ub it two (2) sets of plans with all commercial applications. Ur Date: Site Address: oG ILA 10M r Tenant: Suite PROPERTY OWNER Name: Phone: Name: License CONTRACTOR Address: City: State: Zip: Phone: Email: a W TYPE OF -New _Replacement -Repair Rebuild - Modify Space - Work in R.O.W. WORK Description of work: CO ERCIAL _ New Construction _ Modify Space Irrigation System (y yes / - no) Lk_ RPZ / - PVB) Rain sensors required on irrigation' systems 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 Avg. GPM High demand devices? Yes No Flushometers -Yes -No COMMERCIAL FEES; $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x1% = $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee $ State Surcharge i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surchar e 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 = , W TOTAL FEE 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.goopherstateonecall.org 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. Ik PIMA x x -JWMA ~Ahmw Applicant's Prin d Name Ap I ant's ure FOR OFFICE USE Approved By: Date: i Required Inspections: Under Ground Rough-In -Air Test Gas Tesi% Final PRV Required: Yes No Page 1 of 3