2910 Lone Oak Pkwy
Use BLUE or BLACK Ink
I
Permit I
City of Eajan .
I
I Permit Fee:
3830 Pilot Knob Road I
Eagan M N 55122 I Date Received:
Phone: (651) 675-5675 j
Staff-
Fax: (651) 675-5694 I
2011 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: Site Address: '2410 L orl-e p(l cuJai I
Tenant: ( Suite
PROPERTY
OWNER Name: 19, j t~~&A)as, I GY~ Phone: r S~'G(l I'CJ 3~~` f
~
CONTRACTOR Name: TeC.V L, License
' State: 44foZip: r 7+3
Address: ~j~~73 ✓ a` tY: 1~ Lc~_
Phone: 3 6-1 Email
TYPE OF _ New _ Replacement _ Repair RebuildModify Space _ Work in R.O.W.
WORK ~ 2_
Description of work: (2 ' "
COMMERCIAL
PERMIT TYPE _ 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 up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes No Flushometers Yes No
COMMERCIAL FEES:
$55.00 Minimum (includes State Surcharge) OR Contract value $ X1%
10~5 C-;h 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
(i.e. a $10,010$11,000 Permit Fee requires a $5.50 surcharge) _ $ State Surcharge
Following fees apply when installing a new lawn irrigation system. $ Water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $S
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.gopherstateonecall.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.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: Date:
Required Inspections: =Under Ground Rough-in Air Test Gas Test =Final PRY Required: _ Yes No
Page 1 of 3
2005 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Date_tp
Site Address Unit #
Tenant Name Former Ten ame
Property Owner Telephone # ( )
Contractor ?.AiAcc- h
Address -712i-: C(erA? UCIKV-- 0C Ctity ????Y1P??c1?,1?
State ? 7ip`S!3LtM Telephone#fT-4 q4t4- ,(?,?
License # ?-'? ?11 (> Y"r\ Eapires:
??
The Applicant is _ Owner _ Contrector _ Other
Work Type New Bldg _ Modify Tenant Space RPZ PVB New Repair/Rebuild _ Replace
_ Irrigation system Work within u lic right af-way/easement _ Yes _ No
Rain sensors are reuired on irriatiou a stems.
Descripdon of Work ? I"?t ?1 l? ti?7
Ta inquire if essure Reducing Valve is requved on new sernce, ZU1651-675-5646
Meters - Call 651-675-5300 to vertfy that hydrostafic, conductiviTy, and 6actena tests passed prior to pickine uo meter.
Icrigation Size & Type Avg GPM 2" twbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" disolacement $161.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Fluahometers _ Yes _ No PRV Required _ Yes _ No
P¢rntit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ x 1% _$ Permit Fee
$ Meter(s)
Required on all new buildings & boulevard imgation svstems $ Radio Meter Read
If peanit fee is $1,000 or lesa, aurcharge is $.50 $ $13IC $AiCh2I'g0
IF permit fee is over $1,000, surcharge is 5.50 per $1,000 of the Perntit Fee
- -------------- - -------------------
Following fees apply only when installieg new irrigarion system $ Y ? Y Water Peitnit
Cail lerty Wobschall at 651-675-5024 for requ¢ed fee amounts
g Treatment Plant
$ Water Supply & Storage
$ _M%FoiW Sta[e Surctiarge
-------------------------------------------------------------------------------------------------------------------------------------------------------
$ So
Total Fee
I hereby apply for a Commercial Plumbing Peimit and acknowledge tLat the information is complete and accurate; 't}that tire ? r$ ? ?,i
confoimance with the ord'v?a??ces and codes of [he CiTy of Eagan and with the Plumbing Codes; that I understand th? is not a peixmt,? u nly'
application for a permit, and work is no[ to star[ without a pemit; that the work will6e in accor ' Ihe appr ved pl?n tin e ease,nt?rwo I
which requires a review and approval of plans. C U U?
K"
J
? - --- _
ApplicanP dName Applican 1
?T70 - -#sa.so
2005 COMMERCIAL PLUMBING PERMIT APPLICATION '
CITY OF EAGAN '
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Date 00 / 11; / (,
Site Address 2-,1 r' IL '' Unit #
Tenant Name (b ?41 I.U -[,1 (?4( i S ormer Tenant Name
Property Owner di Telephone #((F4L) gLAq- 2-9
Contractor 61jkS L.
-
?
Address ?4JC (? i-IC? a
City 171 S k-tt4 n (
State ' ^ ?
N1-f?j Zip4314t-i?
Telephone?."j?(??)
License #0A Expires: I L''?) I"1X,
The Applicant is _ Owner ' Contractor Other
Work Type _ New Bldg _ Modify Tenant Space ?i RPZ PVB
New Repair/Rebuild ) Replace
_
_ Irrigation system Work within public right of-way/easement _ Yes _ No
Rain sensors are re uired on irri ation s stems
Description of Work 9 9-?Z ?i(.?-li/L 11 (j -7 (po?.-
To inquire if Pressure Reducmg Valve is required on new service, call 651-675-5646
MeterS - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to nickine uo meter. .
Imgation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" disolacement $161.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushametere _ Yes _ No PRV Required Yes
No
_
_
Permit Fee $50.50 mmimum (inNudes S[ate Surcharge)
Contract Value $ x 1°/o = $ Pe_mvfFee_
-
.
$ Meter(s)
Required on all new huildings & boulevard imgation svstems $ Radio Meter Read
If pertnit fee is $1,000 or less, surcharge is 5.50 $ State Surcharge
If permit fee is over $1,000, surcharge is $50 per $1,000 of [Ae Permit Fee
Following fees apply only when installing new irrigation system $ Water Pem'ut
Call Jerry Wobschall at 651-675-5024 for required Fee amuunts
$ Treatrnent Plant
,
$
Water Supply & Storage
$ State Surcharge
---------------------------------------------------------------------------------------
----- r ,------------------------------------------------ -----
---
$ ?L ? ? Total Fee
I hereby apply for a Commercial Plumbing Permit and acknowledge that the mformanon is complete and accurate; that the work will be in
conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is no[ a permit, but only an
application for a permit, and work is not to start without a pertnit; that the work will be m accordance with the approved plan in the case of work
which requires a review and approval of plans. ,/? q /,
Pa 1 1 ?cd y w i Y. 4 1 /G?l ?%?/?+,
ApplicanPs Printed Name ApplicanYs Signature
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In Final
PLANS SUBM?TTED APPROVED BY: gUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00
• RPZ's must be tested every year and rebuilt every five years. Test results should be mailed ro Paul Heuer at the City of Eagan.
• A minimum fee pemut per address is required for the following RPZ's: new, rebuild, re air, remove.
• Water meters include copper horn/strainer, remote wire, and touch-pad meter.
METERS REpUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
I-20
displacement residential $125.00 4-120 I-1/2" irrigatiOn Syst $ 735.00
maximum sm comme:cial hubine**
Public Works
continuous must approve
10 meter size
2-30
maximum 3/4"
displacement lawn irrigation $161.00 4-160 2" turbine ]g irriga6on syst $ 931.00
residential &
continuous
15 sm commercial
producrion lines
3-50 l"
displacement very Ig res $29600 1/4 to 160 2" compound bldgs over $ 1
849
00
bldg to 24 units 65 units ,
.
maximum sm commercial &
continuous &
25 L 1g comm bldgs
irri arion s stems
5-100 bldgs 25-64 units $429.00
maximum , &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GEM METERS iiSE Ylil(:E GPM USE PRICE
5-350 3" tur6ine very Ig irrigation $1,182.00 6-500 E
T 300 unit bldgs & $3
563.00
syst & production ery Ig comm bldgs ,
lines
I/2320 3" compound +200 unit bldgs $2,282,00 10-1000 6"
compoun
d +400
unit bldgs $6
076.00
very lg comm bldgs very ]g comm bldgs ,
IS-1000 4" turbine very Igirrigation $2,226.00
syst
& production lines
Commen ts
To schedule inspection of the inside water line and backflow preventer, ca11 65 1-675-5 675.
To arrange for water hun-on, ca11651-675-5300.
cc. Maintrnance Drvision Cierical Technician
January 2005
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 COMMERCIAL PLUMBING PERMIT
Date: 07/31/08 SlteAddress: 2910 Lone Oak
Tenant
Suite #:
PROPERTY Name: Phone:
OWNER
CONTRACTOR Name: FaciliTech License#: 059075- PM
Address: 4350 Baker Road City.Minnetonka State: MN Zip: 55343
Phone: 952-944-5304 ContactPerson: Bruce Kuchinka
TYPE OF New Replacement Repair X Rebuild _ Modi(y Space _ Work in R.O.W.
WORK Rebuilt 2 RPZ' s
Descriptfon ofwork:
PERMITTYPE COMMERCIAL
New Constructlon _ Modity Space
_ Irrigation System (_ yes 1_ 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 oickina ut) meter.
Domestic: Size & Type Fire: Size & Price 314" meter 183.00
Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR Convact Vaiue S X1 %
_$ 50.50 permitFee
Requlred on ALL new bulldings and boulevard Irrigatlon systems 4 = 8 Radio Meter Read
- If Permit Fee is less then $1,000, surcharge is $.50 =$ Meter(5)
- If Permi Fee is> $1,000, surchaige increases by $.50 for each $1,000
$1,000 Pertnd Fee (i.e. a$1,001-$2,000 Permit Fee reqwres a$1.00 surcharge). _$ State Surcharge
Following fees apply when installing a new lawn irrigation system. $ Water Pertnic
Call the Ciry's Engineering Department, (651) 675-5646, for requvetl fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTALFEESS 50.50
I here6y acknowletlge tnat thls Intomiatlon is compiete ana acwraze; ma[ ma wonc win oe in coniarmanw w,vi n-e v.oI. Ia I. a? ?? -w - ,. Io ..,,' ... -=y...., .—
I understand this is not a pertnit, but only an applica[ion for a pertnrt, antl vrork is nol ro %AnVS rrnit; t Ihwork vnll he in accordance vdth [he apprwed
plan in the casa of work which requires a review antl approval of plans.
x Bruce Kuchinka ApplicanPs Printed Name Slgna ure
FOR OFFICE USE Approved 6Y: ' Dew:
Requlred Inspectlons: _Under Ground _Rough-In AirTest , Gas Teffi _Finai
PRVRequlred;,_Yes _No
Page 1 of 3
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I Permit #: r?l r? rl I
I `^? I
j Permit Fee:
i
? Date R
? StaR:
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