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3762 Robin Lane?A A erial # chip # ) 3 9 ?a Permit # 3 S(p Address: I AGREE TO COMPLY W CITY OF EAGAN ORDINANCES ®-. A""e? / 2004 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date 4 / o?S / go el Site Address 376a Xec&Al 6.4J Unit# Tenant Name 64ASUEF- ToutJgw,-t Assoc Former Tenant Name Property Owner SAAlt, C- Telephone # ( GS () 4K ng Contractor WtUzEL R24 - }IT6'Ciroo-ru6 Address vile (ALAY f#tJbte City F- R 46 116C 1`J State It-W zip $ S 1.0, Telephone # (a l) r{ Sa- The Applicant is Owner Contractor Other Work Type _ New Bldg - Add.-on - Repair _ RPZ _ PVB _ Irrigation system 'k ..tern obschall to calculate fees. Required meter size is 2" turbo unless smaller size permitted by Public Works W 1 _ ?Il Description of Work To inquire if ensure Reducing 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 yieldne up meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $155.00 Domestic Size & Type Avg GPM Includes high demand devices? - Yes _ No Flushometers - Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1% = $ 6Z - mo Base Fee $ Meter(s) Required on all new buildings & boulevard irrination systems $ Radio Meter Read 0 If base fee is $1,000 or less, surcharge is $.50 $ ' S State Surcharge If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee Following fees apply only when Installing new irrigation system $ Water Permit Contact Jerry Wobschall at 651-675-5024 for required fee amounts $ Treatment Plant $ Water Supply & Storage r $ State Surcharge -------------- - --------------- -- - ------ - ----- ---- - ------ - -------------- AUG 13 200& C) -------- - ------ - ---------------------- T t l F o a ee I hereby apply for aFbinmercial Plumbing Permit d acknowledge that the information is complete and accurate; that the work will be to conformance with the lordinances and c of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a pennit,iand wofflis 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 CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Air Test - GGaas-Test Rough In Final PLANS SUBMITTED APPROVED BY: ?" , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1!2" irrigation syst $ 788.00 displacement sm commercial turbine" must receive maximum approval continuous 10 from Public Works 2-30 3/4" lawn irrigation $155.00 4-160 2" turbine Ig irrigation syst $ 992.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00 bldg to 24 units 65 units maximum sm commercial & continuous & Ig comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $488.00 maximum displacement & cottinuous most comm bldgs 50 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,338.00 6-500 4" compound +300 unit bldgs & $3,749.00 syst & production very lg comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,407.00 10-1000 6" compound +400 unit bldgs $6,124.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very lgirrigation $2,384.00 syst & production lines ?,unnncurs • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician Updated 8/03 14301 BLACKHAWK ACRES 2ND 14302 BLACKHAWK ACRES 3RD ROBIN LANE 3746/ 10 14301 080 01 8-plex 3748/ 070 01 3750/ 060 01 3752/ 050 01 3754/ 040 01 3756/ 030 01 3758/ 020 01 3760 010 01 3753/ 10 14302 010 01 5-plex 3755/ 020 01 3757/ 030 01 3759/ 040 01 3761 050 01 3762 Sprinkler Meter - Blackhawk Acres 2 & 3 - 8/94 3773/ 10 14302 140 01 8-plex 3775/ 130 01 3777/ 120 01 3779/ 110 01 3781/ 100 01 3783/ 090 01 3785/ 080 01 3787 070 01 PAGE 2OF2 3 LOT BLOCK SUBD. JIOt-1?{Ifii?? K, L?GtDd_e xk C- y R RECEIPT b & DATE in X,?vo 1994 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) J/;? /9y 9 /b'?9 3 ?7, COMMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: Commercial GPM Residential (boulevards) GPM Existing esideential ?q Area/address to be irrigated: 3??? Installer. Owner ? Plumber Street address: City, state & zip code: Owner Name: l C7ULS Street address: -` °-' City, state & zip code: Irrigation contractor, if different than installer: Telephone #: S Phone M: < 5°Z ?1-?-6 Phone #: 6S( - 3'92, I hereby acknowledge that I have read this application, state that the information is correct, and agree to ;co;mply ', al applicable City of Eagan ordinances. Ignature Title If construction activity occurs in public easement or City right-of-way, signature of property owner is required. The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. Property Owner (J //-- ? ? Date ? Approved by: (U4?'fir 9ZlkGOt?/' Date: ?, /9 9¢ S 60 PRV ? Yes C6, No 00 New service 9 Yes ? No Meter Size & Cost ?6, S ?? N h Fees due:/ 9 5 y 0 Calculated by: U., e.1 At-f 1nC W&.0 _ IYAH-Zr ?5, CDJr' . CITY of EA( 3830, PILOT KNOB RC EAGAN, MINNESOTA 5 Thank You 0 ' .rte" - - - - - - - - - - - - - - - - - 1I of 1P',[??t ?jyt 7111 ? For 6flfce_lJse /1 I I Permit#: City o f Eakan --- ? I 3830 Pilot Knob Road I Per mit Fee: Eagan MN 55122 I I I I Date Receivelill IN 02009 Phone: (651) 675.5675 I Fax: (651 675-5yy,,94 I Stan: 00MMEA1124 11 1---------------- 2009 PLUMBING PERMIT APPLICATION Date: _' nnn`'_,_a,SiteA?ddrAe'sss3- , R/ ftb yi t.(-.1r??1/& Tenant: L-[1J?.f V I V t'k1 i tf ?t l' tK./ ? ? l , 7 t Suite #: RESIDENT/OWNER Name: Phone: Address/ City/Zip: CONTRACTOR ,, '/? !n Name: M1-Uj-ANw?, ?/1 491 1I6lLicense#: V0556-pm Address: oI 7 ,i( ?-fA" j : MN Zi p? City: Sta e h ? v ? l Phone: Contact Person: A1,?,(, r p?(?t!!?t? i TYPE OF WORK _ New _ Replacement _ Repair ebuild _ Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heat Water Softener Lawn rigation -Add Plumbing Fixtures RPZ / _ PVB) (_ Main _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $? 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 1tplan in the case of work which requires a review and proval of pl rys. x \_1l.u c+v?1 f- I ILA.! ICIJI t x Applicant's Pri ted Name Ap nt's tg t >e 14301 BLACKHAWK ACRES 2ND 14302 BLACKHAWK ACRES 3RD ROBIN LANE 3746/ 10 14301 080 01 8-plex 3748/ 070 01 3750/ 060 01 3752/ 050 01 3754/ 040 01 3756/ 030 01 3758/ 020 01 3760 010 01 3753/ 10 14302 010 01 5-Plea 3755/ 020 01 3757/ 030 01 3759/ 040 01 3761 050 01 3762 Sprinkler Meter - Blackhawk Acres 2 & 3 - 8/94 3773/ 10 14302 140 01 8-Plea 3775/ 130 01 3777/ 120 01 3779/ 110 01 3781/ 100 01 3783/ 090 01 3785/ 080 01 3787 070 01 PAGE 2 OF 2 3 Use BLUE or BLACK Ink For Office Use I l02 3 ~c f I I 'City ol Ea d~ EVEN I Permit 1 MoD. ' JUN 0 4 2014 1 Permit Fee: I 3830 Pilot Knob Road I '-l a-~-~ Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 ' I 1 Staff: Fax: (651) 675-5694 1 - 2014 RESIDENTIAL PLUMBING PER/'MIT APPLICATION Date: Site Address: L ~Z Tenant: Suite Resident/Owner Name: 0_5 <d``y Phone: Address / City / Zip: Z, 42 Name: (A),60 License Contractor Address :ce~/~ > r er e~t der City:/ / l7 State: ~~yl Zip:. U Phon : ,S/ -',_ef ~ 7.4S _ Contact: LIZ S Email: L~ kxltl~~ i Type of Work - New _ Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_KRPZ PVB) Water Softener Permit Type Add Plumbing Fixtures Septic System Main Lower Level) s New Water Turnaround E Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 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) 454-0002 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 I ans. x Uy/ ~ C x~ Applicant's P ted Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: