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3800 North Ridge Dr Use BLUE or BLACK Ink For Office Use I I I City Permit 4D of Eagan C V4 l Permit Fee: co I I 3830 Pilot Knob Road I Date Re ived: I Eagan MN 55122 Phone: (651) 675-5675 J U L 1 3 7,'!' l staff: j Fax: (651) 675-5694 2011 COMMERCIAL PLUMBING PERMIT APPLICATION gOC) Date: Site Address: Tenant: Suite PROPERTY Name: t~Oi' tRtd E' &~C)GPhone: &11-9t 4-2.3 (01( OWNER Oc~Oi~t ~ ~ r f rn bra 'P ly mk~~k n Name: License Q©~ CONTRACTOR Address: 8' 15 2-0 lb, 5-t- W. City: L a.~ &U l I e State: M ily ziP:S-5CJ 4 i Phone: L192- ` -c j (Oqq Email: L) VV, 0 1MSk, CO kA TYPE OF New _ Replacement _ Repair Rebuild _ Modify Space _Work in R.O.W. WORK ' Description of work: rL R :P>Z COMMERCIAL New Construction Modify Space i - X Irrigation System (X yes / no) ( X RPZ / PVB) Rain sensors required on irrigation systems PERMIT TYPE • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) i Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Av .GPM High demand vi g de ces. Yes No Flushometers Yes No COMMERCIAL FEES: $55.00 Minimum (includes 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 (i.e. a $10,010-$11,000 Permit Fee re wires a $5.50 surchar e) $ State Surcharge 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 _ $ 0.0 0 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,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. ~6CC Gt L-av'> 0 x Applicant's Printed Name Ap ant's Signa re FOR OFFICE USE Approved By: Date Required Inspections: Under Ground . Rough-In Air Test Gas Test Final PRV Required: Yes No Page 1 of 3 ??Qko 2005 COMMERCIAL PLUMBING PERiMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ? Date / ,?y,, n ' Site Address D? YY? I o 1J?J ?/ Unit # y Tenant Name p I I V S Former Tenant Name Property Owner I Ce Telephone #(?J Contractor U v City uJ ?? Address ?? ? I ? State IVUV Zip ? Ial Telephone#(lS?i) q- ) License # 5211 FM Expires: 05lj The Applicant is _ Owner ontractor _ Other Work Type New Bldg _ Modify Tenant Space RPZ PVB New Repair/Rebuild _ Replace _ Irrigation system Workwithin public right of-way/easement _ Yes _ No Rain sensors are re uired on irri ation s stems Description of Work RfIP(,WQ_ ?Y?ST?N6 JZPZ VWLVF To inquire if Pressure Reducing V alve is required on new service, ca11 651-6 75-5 646 Meters - Call 65 L675-5300 to verify that hydrosta6q conductivity, and bacteria tests passed prior to oickine uo me[er. Irrigafion Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" disolacement $161.00 Domesric Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Snrcharge) Contract Value $ x 1% _ $ Pernrit Fee $ Meter(s) Required on all new buildings & boulevard ittisarion svstems $ Radio Meter Read IFpemti[ fee is 31,000 or less, surcharge is $.50 $ St3t0 $uiCt137gC If permit fee is over $1,000, surcharge is $SO per $1,000 of tLe Permit Fee ? Water Permit Following fees apply only when installing new irriga8on sys[em ? $ CaII Jerry Wobschall at 651-675-5024 for required fee amounts $ Treatment Plant $ W ater Supply & Storage $ State Surchazge ------------------ -----------------------------------------------------------------------------------------------------?----y-V ?------------------------°---- $ `? •? 2 Q2 fl I hereby apply for a Commercial Plumbing Permi[ and acknowledge that the informafion is complete and acw e; 'thaf'tHel wo'rk will b i conformance with the ordinances and codes of [he City of Eagan and with the Plumbing Codes; that I understand t is is not a pemrit, y,t only ? ? application for a pemilt, and work is not to start without a permit; that the work will be in accordance with the ap hi h i i d l f l ?n?e,b'U w r oIuIcd pl? L requ res a rev ew an approva o p ans. w c LI ?'s?RL /?i'?f c/s }fpplicanYs Yrinted Name npgrrcant's 5igna[ure - CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMTTTED APPROVED BY: BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $141.00 • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum Fee permit per address is required for the following RPZ'x new, rebuild, renair, remove. • Water meters include copper hom/strainer, remote wire, and touch-pad meter. METERS REOiIIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $125.00 4-120 1-1/2" irrigation Syst $ 735.00 displacement smcommercial turbine** Public Works maacimum must approve continuous meter size 10 2-30 3/4" lawn irrigation $161.00 4-160 2" turbine lg irrigation syst $ 931.00 maximum displacement residential & continuous sm commercial producrion 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 irri ation s stetns 5-100 1-1/2" bldgs 25-64 units $429.00 maxmum displacement Rc continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,182.00 6-500 4" compound +300 unit btdgs & $3,563.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bidgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very Ig comm bldgs very lg comm bldgs 151000 4" turbine very lg irrigation $2,226.00 syst & production tines i.ouunencs • To schedule inspection of the inside water line and backflow preventer, ca11 65 1-675-5 675. • To arrange for water turn-on, ca11651-675-5300. cc: Maintenance Division Clerical'Cechnician January 2005 PLUMBING(COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ? q I.+O 0 Telephone # 651-675-5675 FAX # 651-675-5674 -t 50.;:::?b Date 5 / M / O 3 SiteAddress pd ?0? Q((,? ()('j ' Unit# Tenant Name d y?/ 0?'orer Tenant Name Proper[y Owner YVB(?_ JU ?O ?? ?1?,,Q ?G ?.?i ,,,r Telephone #(lpS/ )?F2 3- lO I( Contractor I&Qd p ? i"A Address ti. R City ct p, State ? Zip ,rj (23 Telephone#(65l ) +w- -4S1 -?Sles' The Applicant is _ Owner Conhactor Other Work Type _ New Bldg _ Add-on Repair RPZ PVB Irrigafion system * ' Jer Wobschall to calculate fees. R uired me[er size is 2" turbo unless smaller size ermitted b Public Works Description of Work ?&k,, u fzQ7 ci Ly Lk Q ti4 To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Ca11 6 5 1-675-5 3 00 to verify that hydrostatic, conducfivitg and bacteria tests passed prior to oickine u o meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disnlaccment $156 00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 m' imum (includes State Surcharge) Contract Value $ x.Ol% _$ Base Fee $ Meter(s) Required on all new buildings & boulevard irrieation systems $ Radio Meter Read If base fee is $1,000 or less, surcherge is $.50 $ $t3tC $UtCh2igB If base fee is over $1,000, surcharge is 5.50 per $1,000 of the Base Fee Following fees apply only w6en installing new irrigation systemY ?ater Permi[ ? Contact lercy Wobschall at 651-675-5024 for required fee amounts ? I $ ', Treatment Plant 1 nn9 I ( I? a[er Supply & Storage $ ? ! St?te Surchazge ------------------------------------------------------------------------------------------ ----- _ -- ----------------- - " --F ? ---------------------------- $ Total Fee ,,ioiooy appry ior a ?ommeraai rmmomg rermrt and aclmowledge that the information is complete and accurate; that the work will 6c in wnfomiance with the ordinanccs and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pertnit, but only an application for a permit, and work is not to start without a permih, that the work will be in acwrdance with the approved plan in the case of work which requires a review and approval of pltuts. akop, ApplicanYs Printed Name Appcan s S [ure CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: 6 r s"ZL i7gUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevazd 'urigation systems- $157.00 1 • RPZ's must be rehuilt every five yeazs. A minimum fee pemilt per address is required for RPZ rebuilding or repairing. • Water meters iuclude copper hom/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS ' USE PRICE 1-20 54" residenrial $121.00 4-120 1-1/2" irrigationsyst $ 781.00 displacement sm couunercial turbine** muSt reCOive maximum roVal ap continuous p lo from Public Works 2-30 3/4" ]awn irrigation $156.00 4-160 2" nubine ]g irrigation syst $ 982.00 maximum displacement residenrial ` & continuous sm commercial production lines 15 3-50 1" displacement very lg res $200.00 1!4 to 160 2" compound bldgs over $ 1,860.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 25 arion s stems 5-100 1-1/2" bldgs 25-64 units $484.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM ME1'ERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00 syst & producHon verylg comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 uuit 61dgs $6,100.00 very lg corom bldgs very Ig comm bldgs 15-1000 turbine verylgirrigation $2,329.00 sys[ & production lines ?.ommenrs • To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675. • To arrange for water turn-on, call 651-675-5300. ec: Maintenance Division Clerical Technician Updated I/03 . ,- 28800 GARDENWOOD PONDS 28801 GARDENWOOD PONDS 2ND NORTH RIDGE DRIVE (PAGE 1 OF 2) 3800 lO 2$800 (IRRIGATION METBR HOUSE) 3801 10 28800 O10 Ol 3804 10 28800 070 OS 3805 10 28800 020 01 3808 10 28800 060 OS 3809 10 28800°030 Ol 3812 10 28800 O50 OS 3813 10 28801 010 Ol 3816 10 28800 040 OS 3820 10 28800 030 OS 3821 10 28800 O10 02 3824 10 28800 020 OS 3825 10 28800 020 02 3828 10 28800 O10 OS 3836 10 28800 O10 04 3837 10 28800 O10 03 3840 10 28800 020 04 3841 10 28800 020 03 3844 10 28800 030 04 3845 10 28800 030 03 2 OFFICE USE ONLY L RECEIPTO: 750115 . SUBD. _ RECEIPT DATE: 401?lq 9 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for. DATE: DESCRIPTION OF WORK: WORK TYPE: _ New Const. _ AddAn _ Repair IS WATER METER REQUIRED7 _ Ves _ No. ARE FLUSHOMETERS TO BE INSTALLED? _ Yes _ No INSTALLING METER? _ Yes _ No. NEW SERVICE? _ Yes _ No WATER FLOW: GPM. Pressure Reduaing Valve may be require0 ii insWlling new service - contact Ciry's Engineering Department at 681-4646. PAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE FEES Minfmum fee oi $25.00 or t°h ot contred price, whichever is greater. Minimum State Surcharge of 5.50 due on all permits. CONTRACT PRICE: $ x 1% _ $ COMPLETE TNIS AREA ONLV IF INSTALLING UNDERGROUND SPRINKLER SYSTEM ?0 O BACKFLOW PREVENT ER FEE E 25.00 = Xa S ?- WATER PERMIT (new service onty) 50.00 = $ WAC (new service only - per connection) 780.00 = S WATER TREATMENT (new serviea only - per connec[ion) 420.00 = E CITY INSTALLED TAP 300.0 = $ METER: t" = $185.00 , 2" TURBO =$846.00 = E PERMIT FEE FIGURE SURCHARGE AT 60 CENTS FOR EVERY $7,000 OF EP RMIT FEE DUE STATE: TOTAL a aCo6 -f)e?,- S i 4/A I hereby adcnawbdge Mat I have read this application, state thet the in(ortnation is correct, and agree ta compty whh all appliceble Cily W Eagan ordinances. tl is the epplicanPs responsmildy to notiy the property owner Mat Me Cily M Eagan assumes no Hebilily for any damapes caused by the City during its nortnai operetlonal and maintenance aGivities to t"cllitles conatruct"er this pertnR within City propertyJright-of-way/easement. SITE A9DRESS: TENANT NAME: ONMER NAME: INSTALLER NAME: STREET ADORESS: CITV: / 6 2 AV • all tommerciaVndustrial huildings. • muHFfamily buildings when separete pertnks ere Ul required for each dwelling unit. • badcflow preventer to he installed in commerciel areaa or residential boubvarda STATESURCHARGE STE.p: TELEPHONEi1: a9 a 'c IIXc? ZIP: `-"-'lb& OFFlCE USE ONLY - REVERSE 91DE OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE PBY _ Yes _ iNo Domestic Ircigation JTILITY CONNECTION IAPPL!FQ Tn NEW SERVICE OtiLY) $ BEVIEWED BY Building Inspector j Date 7o determine meter size • See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S&W permit # p • Check PIMS Screens 110 (Remarks) • If gallons per minute are less than 25, a 1" meter will be required. If galions per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licenaed Plumber does not know GPMs. Before sellinq meter Check PIMS Screen 320 for °roval of inspection results. No meter will be sold before all sewier and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permft costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and Porward copy to Utility Billing Clerk. Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt shlould be given to Utility Billing Cierk. The installer is to contact Building Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water tum-on. i If ineter is over 5/8, call Public Works and let them know so they can tell you if they have one in stock before plumber goes overthere.