4678 Stonecliffe Dr i---.=
y ~ For
Office Use ~
~~t~ (~f ~{~](~L,jTj _ ~;l~ i Permit#: ~ /55~-/ ~
4 !)t 11[l~iilll _e ~n ~
3830 Pilot Knob Ro2d j Pemit Fee: j
I
Eagan MN 55122 ~
Phone: (651) 675-5675 ~ Date Received: ~
Fax: (651) 675-5694 i ~ ~
~ Staff: ~
-----------------I
2009 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: 09 Site Addresr. 7~ ~TO~C~ ~tM1"t'f- U l~~r V 2
. Tenant: Si L i Suite
, PROPERTY Name: ~,p~MAJI~~~ M.IAVI Phone: Y1~ -4 ~ `T ~ ~O~ ~
OWNER
CONTRACTOR Name: License l ~G d 3~~
Address: Z~ ~.~City: l5 'Q~ ^3Tate:`~Zip: 5512~7
Phone: "l I- Contact Person: C~1!`~., ~G.rL~V`~
TYPE OF New ~ Replacement Repair Rebuild _ Modify Space Work in R.O.W.
WORK - / -
Description of Work: ~ [4 C~
PERMITTYPE COMMERCIAL
_ New Construction _ Modify Space
_ Irrigation System yes no) RPZ PVB)
• Rain sensors reqwred on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed hy Public Works)
Meters Call (651) 675-5646 to verity that tesis passed prior to oickina uo meter.
Domestic: Size & Type Fire: Size & Price 3/4" meter 203.00
Avg. GPM High demand devices? Yes No Flushometers _Yes No
COMMERCIAL FEES:
$50.5D Minimum (includes State Surcharge) OR contract vawe g x 7%
- $ Permit Fee
Required on ALL new buildings and boulevard irrigation systems Radio Meter Read
- If Permit Fee is less Ihan $1,000, surcharge is $.50 Meter(s)
- II Permit Fee is >$1,000, surcharge increases by $ 50 for each $7,000
$1,000
Permit Fee (i.e a$7,001-$2,000 Pertnit Fee requires a 51.00 sumharqe) State Surcharge
Following fees apply when installing a new lawn irrigation sysSem. $ Water Permit
Call Ihe Citys Engineenng Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply 8 Storage
$ StaCe Surcharge
TOTAL FEES $ S~ . SG
1 hereby acknowledge that Ihis in`ortnahon is complete and accurate; [hat ~he work vrll be in conformance with the ordinances and codes of the Ciry of Eagan; tha[
I understand this is not a permit, hu[ only an application tor a permi[, and work is not to s[art wi[hout a permit; ihat the work will be in accordance with the approved
~ plan m the case ol work w/hic~h, requires a review and approval of plans.
x i'~ r~ (r C, ~v~' ~5~+~ x
ApplicanYs rinted Name ApplicanYS Signature
FOR OFFICE USE . Approved By. ` Date:
Required Insq;ections: _Under Ground • RougR In"~ Air Test ~_Gas Test~ ~_Finai ~
- ~PRVReqwied:-_Yes_No-_, - , ~ ~ -
57662 PINETREE PASS 3RD PAGE 2 OF 2
~
' STONECLIFFE DRIVE
4654 10 57662 O10 O1
4657 10 57662 050 03
4658 10 57662 O10 02
4661 10 57662 040 03
4662 10 57662 020 02
4665 10 57662 030 03
4666 10 57662 030 02
4669 10 57662 020 03
4670 10 57662 040 02
4673 10 57662 O10 03
4674 10 57662 O50 02
4678 10....... (IRRIGATION METER)
13
~ Gj~ ~ D PLUMBING (RESIDENTIAL) ~
r ' Permit Application
City Of Eagan ,
3830 Pilot Knob Road, Eagan Mn 55122 ~
Telephone # 651-675-5675 FAX # 651-675-56~4'
,
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit ~
Date / / ~
Si[e Address ~~p~ a 5'~(3y~e Gl1~Te ~lU~ Unit #
PropertyOwner ,~(`p ~~~}-TQ.~(~/~~ Q?f~e(S Y~65uC~ Telep6one#(~j' 1'-[ ~-~p~y~p(J
Contractor `SUn Y.l `n `~C.
Address Q~ S City ~ Ql ~ Q{~,
State ~ Zip 1~- Telephone #(~j ) L`l I-~
The Appticant is _ Owner ~ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Inciuding $ 50.00
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround 5/8" meter if needed -$121.00)
Other:
Y~ RPZ _ new installation _ repair ~ rebuild $ 30.00
j-
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
State Surcharge $ .50
Tota~ s 3~~ CZ~
I hereby apply for a Residential Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemrit, but only an application for a permit, and work is not [o sTart without a pernu~'t; tfi~th~work will be in accordance with the
approved plan in the case oF work wluch requires a review and approval of plans. ~ V
CU/ P~,J ~C.~~ ~S~ /
ApplicanYs Prin ed Name Applicant's Signature
CITY USE ONLY
COMMERCIAL PLUMBING PERMIT -1998
METER SIZE PRV _ Yes _ No
Domestic
Irrigation
UTILITY CONNECTIOIV (APPLIES TO NEW SERVICE ONLY)
$
To determine meter size
' See if it is indicated on back of Building Inspections cazd
' Enter address in PIMS Screen 301 to obtain S&W permit #
• Check PIMS Screens 110 (Remazks)
* If gallons per minute are less than 25, a 1" meter will be required. If gallons 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 Pluro6ireg Inspecter if Liceosed
Plumber does not know GPMs.
Before selline meter
• Check PIMS Screen 320 for aporoval of inspection resuks. No meter will be sold before all sewer and water inspections are complete
on a new service. [f new service lines are not required, one check may be written for meter and permit costs. Write meter rype and
size on receipt, code to 3716-9220 (meter ponion only), and forward copy to U[ility Billing Clerk.
• Enter meter size, type, receipt date & amount paid on PIMS Screen 1 t0. Copy of receipt should be geven to Utility Billing Clerk.
Miscellaneous Information
* The installer is to contact Huilding Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Central
Maintenance Division may be reached at 681-4300 for water turn-on.
' If ineter is over 5/8", notify Central Maintenance so they can tell you if there is one in stock before plumber goes over there.
CD/Permit forms/plbg permi[ (comm) 1998
CITY USE ONLY Q h
I, ~,g ~ ~p~~ RECEIPT#: 7 0~ ~
SUBD. ~ RECEIPT DATE /
APPROVED BY: ,INSPECTOR ~ ~ riyyT.r.~ '~~+ry~OO~
1998 ~LUM$INfi ~£~tMIT (COMIrI£{t IAL)
CITY O~ ~HlkN
S$SO ~ILOT KNOB itD
£~k&AN.1~IN 5518E
(61E) 6$1-Al675
Please complete for: all commerciaUindustrial buildings
multi-family buildings when separate building permits are not requircd for each dwetling unit
backflow preventer to be installed in commercial areas or residential boulevards
Date: ~ l^ I ` Work Type: _ New Bldg. _ Add-on _ Repair v U.G. Sprinkler ~ RPZ
Description of Work: ~ G r~S~~F'~ l w~1'`
To inquire if Pressure Reducing Valve is required an new service, call 681-4646.
f6E.S
1% of contract price or $25.00 minimum Contract Price: $ x I% = S
COMPLETE THIS AREA ONLY IF INSTALLING UNDERGRDiIND SPRINKLER SYSTEM
Service: Existing (if coming off domestic line) OR New
Backflower Preventer Permit Fee»»»»»»»»»»»»~~~»~~~~7~~~~~~~~~ $ 25.00
Water Flow GPM
WaterMeterl" @ $189.00 Or 2"Turbo @ $871.00 $
If "new service"add Water Permit $ 50.00 = $ 6d
State Surchazge $ .50 = $ ' s ~
WAC $ 807.00 = $ ' ~
~ Treatm t $ ~W4.00 = $ ' ~
I.t~~'~ ?~un et 895.cv
Permit F.ee $
State surcharge is $.SD per $1,Q00 af ep rmit fee or minimum of $.50 per permit State Surcharge $
TotalFee $ ~~~0~• ~v
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Ciry
of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the Ciry during iu normal operational and maintenance activities w the faciliues constructed under this permit within
City property/right-of-way/easement.
SIT'E ADDRESS: 7 1 m I'L 9 G1 t'C
TENANTNAME: 1 ~rt-~ r"'~-
INSTALLER NAME: E ~ (P'J ~ 'v ~1~ ^ TELEPHONE l ~ ~ q O
STREET ADDRES : d-7 ~D ~
CITY: ~9 V I d'? p' ATE: V` Z[P: ~S 3G`~
_ ~~Cl Y
SIGNATURE OF PERMITTEE
Jun 06 2008 9:21RM HP LflSER~ET FRX p•2
L~~
CI4~ Ol L~Illl I Pamitl ik. _ ~`1 ~"7~ ~ 1 I
I ~ J"7~ I
Pilot Knob Road ~ PemtA Fee: ~
an MN SS122 i i
P ne: (657) 6755675 i oate Reoewed: ~O `v` j
F : (BS1) 675-5884
i e ~ i
i saff: r i
2008 COMMERCIAL PLUMBING PERMIT APPLICATION
u~: D S sn. nae~s: 4(Q'l $ 5-fL~~edi~=F'P ~t~. ue.
Y~: u - S~on~ c I~ ~e s~~ o:
PROPrE Name: Cl'UM~M1U~~~y ~(J~~Of)d4lP1l~ Phane: ~D~ov
CONTflA OR N~: CO,t~son ~I umb?,w. ~ vic. License te: d o~0,10 -~m
Address:31Z '~Clty: yl State:~2ip: `J~
Phone:~s a'Q a~ person: ~ SU
w0 - New _ RepiacemeM _ Re ir ~ Rebulld _ Motlify Space _ WoAc In ~O.W.
Daxrlptlon of work: lY~ 1+M.l.V~f yry,-t ~i~
PERIu11T PE C'OMl4ERC/qL
_ New Construdbn NodHy gpaee
~~0..t~~ ~ Irrlgatlm System yes no) RPZ 1_ PVB)
rJ'~JZ ~ Rafn aensors requlred on Irrigation systema
1~`.~ ~ • Avq. 6Pb1 _(Y turbo requlretl unless smeller size ailowed by Public Wo~ks)
s Neters Call (651) 67b5646 to vertLy that teste passed wiw in p~ekl~p uo meter_ .
~ ~omastk: Size 8 Type Fire: Slze & Price 31a" meter 5793.00
Avg. GPM High demerd devfcea? _Yes _No
FlwMmstsrs _Yes _NO PRV Requlred Yea _No
COMMER AL FEES:
~0.50 (includesStateSurdiarge) OR comraccvemaS x1%
= S PermH Fee
equirod on AlL new 6uIlNrga end boulevaM irrigatlon systems S Radb Me[er Reed
- H Es~t E5! leq than i1,000. wroher9e IS ffi.5D e$ Mg~g(e)
- n P.8ffit E98 > 51~000~ su~cnarge increases nv 5-50 tor eaC~ E1.000
S1.o00 Perm ee p.e. a 57.001-S2~oo0 Pertnrt Fee raqwies a 81.00 aurcherya). m S State Suroharye
FWlowlog apply wAen in9telling a new lawn irHgation systam. S Water Pertnit
Cel tlie Clly'6 In9Bfm0 Dep~mOnt~ (&51 J 675-5648~ IOr f9yuirBd fB0 emW ~t3.
S TreaMent Plant
$ WaOar Suppty 8 Storepe
$ SWm Suroharge
TOTALFEES
~f hareby erJinow! thet Ma IMOrmation ia cam0~ ~tl acoirab; that Me work xill 6a In ooNamance wtlh ihe o nenCea dee o} M9 pty ef ~ Ihet I u~deMeM Mia
ia nat a pe'ml4 but fln epplitat~m tpr e pe1mit end work ia ml to atart w~tlloul a permif that the wwN wlll n a the
; requhes a ~evi approvel of plans. 'ti m ~a~ P~ n She Cme d wpk xMrh
z ( Q ',50~ x
Appllcant's nted ms /lpplicent igrmture
' ~ .i: ~ - pa ~j~y r y~' _ - - -
_ !A`Y, ~~y,~~ :l -1 ~9 ' I~
",a~~`~ ' - 'S:
L~ F.,
~ . ~ ~ ,~^~~y~ ~ ryPage 1 of 3
~ G~{/V'~'7 ~ ~ 13 Cl a ~ l SGI 1t^ ~ V 1
( ~p( 5
Oity of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit*: 1 V /�
y'3
Permit Fee: (D
Date Received;
Staff:
2012 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: L-74 ! ! /� Site Address: `-445 Sib I CU 1.4e_
Tenant: BID t -- C_. -t F� -Pc
Suite #:
PROPERTY
OWNER •
Name: '— t -• Phone: O
CONTRACTOR
Name: YN.k It AACt W{J t- q -- License*: 111".IJ I i ►"
'° l� (
Address:�„QD��r,pP <_�� City: �]l �Q'd�l-`-�-�1 State:'vl Zip:, __((
Phone: 6S( -25S —3(S t Emair., 1V t1�211cP-C,Z '2 , Ca
TYPE OF
WORKQ
New Replacement Repair 'Rebuild Modify Space _ Work in R.O,W,
_ _ •_
— L01 Ciro ( 3123902-
9'7�L- S(3123902
Description of work:?,L ll� -S -
PERMIT TYPE
COMMERCIAL New Constru ion Modify Space
COMMERCIAL
Irrigation System (r„ yes / _ no) (..X., RPZ 1 _ PVB)
• Rain sensors required on Irrigation systems
• Avg. GPM (2" turbo required unless smaller slze 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 Nigh demand devices? _Yes _No Flushometers _Yes _No
COMMERCIAL FEES:
$60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x 1%
Required on
- If the Permit Fee Is less
= $ Permit Fee
ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read
than $10,010, the surcharge Is $5.00 $ Meter(s)
• If the PeaOjt Pte 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
Contact the City's Engineering
when installing a new lawn irrigation system $ Water Permit
Department, (651) 675-5648, for required fee amounts, $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
= $ 1 TOTAL FEE
CALL BEFORE YOSIJDIS. CaII Gopher State One Ca11 at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilltie$. www,nopherstateonecall.orq
I hereby acknowledge that this information Is complete and accurate; that the work will be I
Eagan; that I understand this Is not a permit, but only an application for a permit, and
accordance wit tytt�e, approved plan In the case of work which requires a review and epprov
xr.. Biu.*V 1cJ14�
Applicant's dated Name
FOR OFFICE USE
nform : ce . th the ordlr,• es and codes of the City of
is no to
plan
rmit; that the work will be in
ffIlcenrs Signature
Approved By: Date:
Required Inspections: Under Ground ___Rough -In _Air Test Gas Test _Final PRW Required: _ Yes — No
Page 1 of 3