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1836 Merlot CurveERic +,Uup 2007 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN ?j ?y7- a? 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Do not combine inside and outside plumbing on the same application; separate applications and permits are reauired. 1 c2 o e) 7 Date / ? Site Address / Ll?- Ih"" l / , LA k2 V l? __ Unit # Tenant Name Former Tenant Name Property Owoer Telephone # ( ) ' Contractor Address C) City State N\1 Zip Telephone #(laS/)?-S? I SL? License # ??7 r Expires: 15- 3l l??7 The Applicant is _ Owner X_ Conaactor _ Other Work Type New Bldg _ Modify Space X Irrigation System** Yes No Work in public r-o-w / easement? _ RPZ _ PVB: X New _ Repair/Rebuild _ Replace _ Remove Rain sensors are re uired on irri ation s stems Description oF Work p w\e Vq Y CN. lY'C 19 Q4C1(? ? To inquire if Pressure Reducing Valve is req 'r on new service, call 651fi75-5646 Meters - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oickine uo meter. ?r Irrigation Size & Type Avg GPM 2" hubo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter $174.00 Domestic Size & Type Avg GPM Includes hig6 demand devices? _ Yes _ No Ftushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) ContractValue $. x 1% _$ Sd' 00 PemritFee $ / (? ?0 3 • O U Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read $ State Surcharge If pertni[ Cee is less than $1,000, surcharge is $.50 (f perntit fee is more [hen $1,000, surcharge is 5.50 for each $1,000 owed. Following fees apply when ins[alling new lawn irrigatlon sys[em $ S 0? d C) Water Pernlit Call the City's Engineenng Department, 651-675-5646, for requireA Cee amounts / dO T Pl d ( an[ • reatrnent O $ lp $ f a 0-7 O.0 O Water Supply & Storage $ • $ 0 State Surchazge $ 3, o y 7• o o Total Fee 1 hereby apply for a Commercial Plumbing Permi[ and acknowledge that the information is comple[e and acc ra[e• Iriat the work uall be m comormance wim me ordinances and codes of the City of Eagan and wi[h the Plumbing Codes; that I understand Ihis is not a p ut a ication for a pemri[, and work is not to t` h t thr ?l accordance wi[h the approved plan in the case of work wK and approval of plans. MIT i L,? ApplicanPs Printed Name . Applica 6 Signature Use BLUE or BLACK Ink I-----------------i For Office Use I 1 Permit D 3 (Ob 1 City of Eaad~ I 1 Permit Fee: 0 I 3830 Pilot Knob Road I L I Eagan MN 55122 1 Date Received: , Q-I 1 Phone: (651) 675.5675 I I{ Fax: (651) 675-5694 L staff------------- Ca C KC 1,19 C- 2012 IE£,IDE 4L PLUMBING PERMIT APPLICATION Date: Site Address: i 83 0-,~- N1,r t C Tenant: 1p~ I 1--L10 10141 A) Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Name Ptc..0~ License #:V t ~1 ,I Address: O T 441 City: LIW ~ IL CONTRACTOR Stater Zip: Phone.!j6--)-- 4VS I Contact: I Email: P 4-IiC~J fc" C VA IlAw -<t3 TYPE OF WORK New _ Replacement Repair Y-,Rebuild Modify Space Work in R.O.W. Description of work: 8- - I l t~~ • i RESIDENTIAL Water Heater ri Water Softener Lawn Irrigation (ARPZ PVB) PERMIT TYPE Add Plumbing Fixtures Main ! Lower Level) Septic System 9 - ) Water Turnaround New Abandonment r - I RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5,00 State Surcharge) awn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) I $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-6002 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permi the-work will be in accordance with the approved plan in the case of work which requires a review and approval plans. x IV\ y} 1 q~)' r t9-1l R r1 Applicants Printed Name Applicants Signature FOR OFFICE USE Reviewed By: Date; Required Inspections: Under Ground Rough-In Air Test Gas Test _„Final I From: Parsons Exteriors Inc Fax: (888) 426-9712 To: Fax: +1 (651) 675-5694 Page 15 of 26912612013 8:24 Use BLUE or BLACK Ink I,-___-___:___ l For Office. Use t ~ 1 ' r tatan f~eITtl~f Fie: .a 3830 Pilot Ki100 lRoad 1` p► t Eagan MN 5 t 2, I Date Reewed 1 ~ Phone-, (651) 675.5675 1 sflafl FAX: j { 51~ s~-sass l t RESIDENTIAL. BUILDING PERMIT APPLICATION a a, le: ° $iteA<ddress; Unit Fume- Phone. Residents ner Address it Applicant is ~9wner Contractor msr:~a Work Description of wok Type o f 1(l E Construction Cost Mulfi-Fafnily Suilding (Yes ~ 1 Iva ~3 company: CA A / 6 tfi~~ P ~R3 contacf L D1A ra~traf Address ! 4) City State: ~ lltp: Phone a,~~•a t r., r t° r Imo'" 7 I*i; 4 License MS 7 7 Lead Certificate /V Z9 ~i - ~ If the project is ex pt a"rorn had certification. please explain wily: (see Page 3 for additional nfdrinat on) Put L:-J- Al::T'M 07t w COMPLETE THIS AREXO NLY IF CONSTRUCTING At NEW BUILDING r In the last 12 months, has the c+ty of Eagan issued a permrt for a s1wn!Ilar plain t)alsect On a master plane Wires -No If yes, date and address of MMI.er plan: Liconsed :Plumber: Phone: _ i Mechanical Contractor_ Sewer Dilater Contractor: _ Phone., NOTE. larrs anrsyppattig documents that you submit are considered to be public 'Formation.. Portionsof. the information may be classifted as non-public if you provide specifir; rea,5vns that would permit the City/ to conclude that they are trade secrets. CALL BEF(7RE YOU'i7BC, Call. Gopher State one Call at (651) 454-0002 for protection against underground obiity damage. Gall 4-5haurs befgre yw intend to dig to:receive locates-uf underground utlifies. >;i}h ray on k rr I hereby acknovAedge that this tnformarson is complete and accurate, that the work vutll tie an wnfomaance with the ordinances and codes f the'C~ity of EagFra,'that] understand this is not a permit but tardy an application fora permit; ant, work 15 not t© start :without a permit, Mt the mork Wit? he t accardanc vuittt the appravad plsn in the: case caf warlr which acquires a review and approval of plans:, Exterior work authorized bye building pemvit Issued in acicordance weth the Minnesota State.Rulldinp Code must:be compl<ate.dwithin 181) days of hermit issuance. ApplicanVs Printed Name Applicant's Signature Pagel of .3 b Use BLUE or BLACK Ink For Office Use ill!!!! City of Eaaali Permit#: a//o Permit Fee: /(pp.2 3 3830 Pilot Knob Road APR 1 3 2017 Eagan MN 55122 Date Received: 14-0 (, Phone:(651)675-5675 Fax:(651)675-5694 Staff: L� .I 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (5( 17 Site Address: I 7 3k-i, 1cc3kp Covy,)-e Unit#: Name: Phone: Resident/ Owner Address I City I Zip: Applicant is: Owner Contractor Description of work: Q - ofWO FP TypeWork Construction Cost: Ss,000 Multi-Family Building:(Yes K /No ) Company: gars , Contact: Contractor Address: i(geil 0 fJrt)h >Zp City: (9.v‘ CL State: P'\r) Zip: cc01 L Phone:lott.-1 qq.-°(q Email: L)W" S1cn &- License#: I"l r Lead Certificate#: dvl� If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public.information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.uopherstateonecalLorq 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. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days ofpermit issuance. l x (.)° 5h\I )1 Applicants Printed Na e ,na ure Page 1 of 3