4888 Steeplechase Ct�S"City oiEta
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 676-5694
Cf
Use BLUE or BLACK Ink
MRS-sail."
/a�Permit
Permit Fee:
Date Received
Staff:
2011 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 'I � 5b.1 /1 t.'O5 (7 t1 6 AA 1)
Tenant
Suite
PROPERTY
OWNER
Name: ' Phone:
CONTRACTOR
Name: NraernOne -Z6, 7Z7l/ License#: 44,%
Address: Psi BP3x &i./e7 city: 7,41 /State: Ni p: 6 -5 -PAC
Phone: 5-7?/(' 02 e, Email: OZ * PP 74(9/1 ie G/it-7 ?V• CE11t
TYPE OF
WORK
New _ Replacement Repair -Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE
COMM CIAL.
_ New Construction _ Modify Space
irrigation System (2C yes t , no) L$ RPZ t PVt3)
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Cali (651) 675-5646 to verity that tests passed prior to Dinkins tw meter.
Domestic: Size &Type Fire: 1
g. GPM High demand devices? Yes No Flushometers Yes No
S.
InE (includes State Surcharge)
Required on ALL new boildin
- lithe penmt Lea Is less than $10,010, the surdia
If the Permit Fee is $10,010, the surcharge in•
(Le.aS10,010-s11,000PermitFee requires aSS'• <,; arge)
OR Contract Value $
x 1%
= 5 Permit Fee
yard Irrigation systems -3 =5 Radio Meter Read
= 5 Meters)
for each 51.000 Permit Fes
_ $ State Surcharge
•
Following fees apply when installing a new latero irrigation system.
Cao the City's Engineering Department, (651) 676-5646. for required fee amounts.
$ Water Permit
S
S
S
Treatment Plant -
Water Supply & Storage
Sta'.>... r ' 'e� ?
BALL BEFORE YOU DIG. tali Gopher State One Cali at (661) 454-0002 for prote.4 •n against underground lily
damage. Call 48 hours before you intend to dig to receive locates of underground utl ie • . + • • h rs t= > • coli or
I hereby acknowledge that this Information is complete and accurate; that the work wit 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 10 start withc st arpermit that the work will In aoro dance tih the approved
plan in the case of work which requires a review and approval of plans.
IrFVE /VWF.,
Applicant s Printed Name
App
nate er I
FORiFFICE.0 SE Approveci< Ey; ?
Required Inspections:_ Unde[_Ground. _Rough In Air Test. .fid Test .:„_Finer.
Page 1 of 3
C~b~ 0• ~~~~II Contract No.:
Project No.: ~ - ~
Submittal Date: 5 - /~7 -4~
CITY OF EAGAN
SEWER & WATER PERNIIT RELEASE FORM
PR07ECT DESCRIPTION: SA~' SE"CVt=/2 !/!7~'.C~M9/ ~ STOnM s~G/G2~ SE~Y?iC~
S
Substantial Completion of Sewer & Water NJ?E,a?3EiZ 2oo_S
Date of Occurrence
STEP I: PERMISSION TO HOOK UP
SAIVITARY SEWER WATER MAIN
Lines Lamped and Acceptable ~ Properly Chlorinated & Flushed
ii Deflection Mandrel Test Passed Entire System Pressure Tested
c/ Manhole Structures Properly v~ Entire System Conductivity Tested
Constructed (Cstg. & Cover, Rings, Cone, ~ All Valve Boxes Accessible, Straight
1 fr. Sections, Final Rim Setting, & & Keyed
Build and Invert) ~ All Valves Opened or Closed as Approp.
? Infiltration Test ~ Bacteria Test Completed
SERVICES
All Wye Locations Confirmed
All Curb Boxes Exposed, Set to Proper Grade & Marked with Fence Post
Required Service Risers Televised
COMMENTS: Q~' Fa </h~=T~'i2 /~ELE:IS~@f~1'/~F STE~PLcG'f/r9sE Lf>'Nt: £
~ ~ -~f".~ -r~.~J ~ 5~P~8 <:~FPCEcl~+AsE" Cou2'Y~
STEP II• FULL USE PERMIT (OCCUPANCYI
STORM SEWER STREETS
Lines Lamped & Acceptable Material Tests Checked & Passed
CB Structures Properly Constructed (Conc. Compressive Strength & Air
(Cstg & Cover, Rings, 1 fr. Section, Content, Bitum. Extract & Gradation,
Invert, Final Cstg. Setting & Build, Gravel Base Gradation).
DL-DR Correctly Set Rings & Cstg. Utility Shuctures & Lines Clear & Free
Set in Full Bed of Mortar) of Debris & Gravel (Gate Valves Keyed)
Aprons, Dissipaters & Rip Rap Properly Installed
COMMENTS:
RECOMMENDATION: I herein verify that the tests and inspections indicated ahove have been successfully
completed. Any deviations or exceptions are described in my comments. With this considered, I recommend that
permission to hook up or permission for occupancy be granted as appropnate to e above indicatio
Signed: ~ ~
P ec s ector
Confirmed by: -l/~'~
Public W Deparhnent
G: FORM S/Sew& WatPermitRelForm
Page 1 of 1
l
Jenny Hildebrandt
From: Chris Grub6
Sent: Tuesday, May 16, 2006 3:33 PM
To: Linda Dralle; Lane Wegener; Jenny Hildebrandt; Jan Severson
Ok, I think I have this figured out. 1444 Steeplechase Lane for the 15~ irrigation spot and 4888 Steeplechase
Court for the 2"d spot. 4888 doesn't really match up, but all the numbers were used up so I went back a tad. It is
close enough to work. If anyone has any issues with these addresses, please don't!!! O
Chrisfopher Grubb- Cify oi Eagan Fire lnspector
3830 Pilot Knob Road
Eagan, Minnesota 55122
(651) 675-5681 fax (651J 675-5694
cgrubh~a,ci. ea~an• mn. us
OS/17/2006
~~3~~ ~ zoo6 COMMERCIAL PLUMBING rExivuT arrLicaTioN ~ 2,~~ ~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 ~ ~ 14g~2 ~
Date / /
Site Address -1~5 k~ ~~-Pt' t'~~-P Ch Cl4.F C} `~,v~ . Uni[ #
Tenant Name Former Tenant Name
Property Owner ~TO ~ ~ ~~~P SrC Telephone )
Contractor ~ 1!M O l.l~V l P~
Address C~t3'
State Zip Telephone # ( )
License # Expires:
The Applicant is Owner _ Contractor ^ Other
Work Type New Bldg Modify 5 ace Irrigatioo System** ~Yes No Work in public r-o-w / easement?
_RPZ ~PVB: ~ New _ Repair/Rebuild _ Replace _ Remove
Rain seasors are re uired on irri ation s stems
Descriplion of Work
'Co inquire if Pressure Reducing Valve is required on new service, catl 651-675-5&l6
Meters - Ca11 651-67 5-5 3 00 to verify that hydrostatic, conductivity, and bacteria tests passed prior to pickin2 uo meter.
Irrigation Size & Type I2.~~ ~rU.vbv pvg GPM 2" turbo req'd unless smaller size allowed by Pu61ic Works
Fue Size & Price 3/4" meter $167.00
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 $urcharge)
Con~act Value $ x 1% = S ~O PermitFee
$ . Metei(s)
Required on all new buildings & boulevard iirieation svstems $ ~~i Radio Meter Read ~
$ • 5d State Surcharge i
~ If nertni[ fee is Iess than $1,000, surcharge is $.50
ff nermil fee ls more [han 51,000, surcharge is $.50 for each $I,ODO owed.
Following fees apply when installing new lawn irrigation rystem ~ $ Water Pemut
Cali [he City's Engineering Dcpariment, 651-675-5646, for required fee amounts ,;z;
G~ ('q'~i(v " Treatment Plant
~ r'`'I ~ Uy 3`' Water Supply & Storage
~ $ State Surcharge ~
$ ~ ~ ~ Totai Fee
I hereby apply for a Commercial Plumbing Pem~it and aclmowledge that tNe information is compiete and accurate; that the work will be in confmmance with the
ordinanccs and codes of [he CiTy of Eagan and with Ihe Plumbing Codes; tha[ I undtrstand this ~s n t a permit, but only an applica[ion for a pcrtnit, and work is not [o
start without a pemu[; that Ihe work will be in accorda~ce with the approved plan in the cue of wo which requ'res a reY~ew and approval o lans.
f
~_Q
ApplicanYs Printed Name ApplicanPs Signature
Zoo6 COMMERCIAL PLUMBING rExnaT arrLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 ~
Date / /
SiteAddress y~~S{ ~~PP{'~~-PC~GI~.P Unit#
Tenant Name Former Tenant Name
Property Owner Tp G~ ~r~~p,PSr'S Telephooe )
Contractor
Address City
State Zip Telephone # ( )
License # Expires:
The ilpplicant is _ Owner _ Contractor _ Other
Work Type New Bldg Modify S ace Irrigation System'"* ~Yes No Work in public r-o-w / easement?
_RPZ _ PVB: ~ New Repair/Rebuild _ Replace _ Remove
Rain sensors are re uired on irri ation s stems
. Description of Work
~ To inquire if Pressure Reducing Valve is required on new service, call 551575-5646
Meters - Ca116S1-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to nickine up meter.
IrrigaNon Size & Type ~~~2.~~TUY~ Avg GPM 2" turbo req'd unless smaller size allowed by Public Works '
Fire Size & Price 3/4" meter $167.00 ~
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% J~Q PemvtFee
$ . U " Meter(s)
Required on all new huildings & boulevard iai¢ation svstems $ ~ ~}l Radio Meter Read
$ • 50 State Surcharge
~ If pertnit fce is less [han $1,000, surcharge is $.50
If pertni[ fee is more [han $1,000, surcharge is $.50 for each $1,000 owed.
Following fees apply when installing new lawn irrigation system~ ~ $ ~~SO ~ O° Water Pemut ~ ~
CaII the CiTy's En~neering Departrnent, 651-675-5646, for roquired fee amounts i,,,i
G~ $ (,>"~4~ TreahnentPlant
~J I D~I 3 water Supply & Storage
?
$ State Surcharge
$ 7 ~ ~ ~ Total Fee
I here6y apply fot a Commercial Plumbing Permit and acimowledge that the intorma[ion is complete and accura[e; ihat [he work will be in conformance vri[h the
ordinances and codes of the CiTy of Eagan and with the Plumbing Codes; that 1 understand this is not a permit, but only an application for a pemii[, and work is not to
start without a pertni[; [hat the work will be in accordance with the approved plan in the case of work which requires a reYiew and approval of plans.
App]icanPs Printed Name ApplicanPs Signature .