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1634Summit HillCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2009 COMME Date: ?0 D V g Site Address: Tenant: _ _ ---------i I EOfx -ce:Us? I Permit #: Ylo. , I Permit Fee: ? , I I ? I Date Received: I I I Staff: I 1 t-----------------I LUMBING PERMIT APPLICATION Suite M PROPERTY Name: Phone: OWNER CONTRACTOR Name: .Fiyer-?1dC fIVr4Pa% ot 1141'G, License#: Address: 0174Z, Xhnebahot tvC City: M;4t7e4DA'5 State,144PI Zip mac Phone: _fI3gZ` %1& Contact Person: Tr- _L- OF Repair X Rebuild _ Modify Space New Replacement _ Work in R.O.W. WORK _ _ Description of work: PERMIT TYPE COMMERCIAL - New Construction _ Modify Space y RPZ / _ PVB) _ Irrigation System(_ yes / _ no) ( • Rain sensors required on irrigation systems • Avg. GPM _ (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter Domestic: Size & Type Fire: Size & Price 3/4" meter 203 00 Avg. GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR contract value $ x1% = $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ 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 as 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 x Trevor x •rc?r,»r?? Applicant's Print 6d Name Applicant's Signature FOR OFFICE USE =si Approve i By: Date Required Inspections -Under dround Rough-,19Air Test -Gas Test ' Final, PRV Required:--Yes, =?No Page 1 of 3 2009 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY (if applicable) Date: .FOR OFFICE USE ONLY _ PRV.re"ired-, Property Owner: City R O-W Permit Address: Phone Num ber: - 'Y' Plumber: Contact Name: County_R-07W Perriiit SEWER WATER Sewer Service Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk City SAC @ $1001 unit Water supply storage MCES SAC @ $2,0001 unit Receipt #: , Date: Receipt #: , Date: Treatment Plant @ $7351 unit Septic abandonment $ 50.00 Permit Fee $ 50.00 Permit Fee $ 50.00 State Surcharge $ 0.50 State Surcharge $0.50 'Plumbing Permit Required - water meter to be acquired with building permit TOTAL: TOTAL: v - SEWER &WATER Sewer Service Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk City SAC MCES SAC Receipt # , Date Water supply & storage Receipt # , Date Treatment plant Septic abandonment $ 50.00 Permit Fee $ 100.00 State Surcharge $ 0.50 'Plumbing Permit Required - water meter to be acquired with building permit TOTAL: Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000. Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past 1-5 SAC units $ 1,6351 SAC unit --- - - 6-10 SAC units $ 4101 SAC unit _ --- ----- -- - For O?ficeUse 11+ SAC units $ 465 / SAC Unit I I Permit#. I I Permit Fee: I ? I I Date Received: I I I I Staff: I i-----------------I Cc: City of Eagan Finance Department Page 2 of 3 72970 SUMMIT HILL SUMMIT HILL 1600 10 72970 010 01 1602 10 72970 030 01 1604 10 72970 020 01 1606 10 72970 040 01 1607 10 72970 090 01 1608 10 72970 050 01 1609 10 72970 100 01 1610 10 72970 070 01 1611 10 72970 110 01 1612 10 72970 060 01 1613 10 72970 120 01 1614 10 72970 080 01 1615 10 72970 130 01 1616 10 72970 280 01 1617 10 72970 140 01 1618 10 72970 300 01 1619 10 72970 150 01 1620 10 72970 290 01 1621 10 72970 160 01 1622 10 72970 270 01 1623 10 72970 170 01 1624 10 72970 260 01 1625 10 72970 180 01 1626 10 72970 240 01 1627 10 72970 190 01 1628 10 72970 250 01 1629 10 72970 200 01 1630 10 72970 230 01 1631 10 72970 210 01 1632 10 72970 220 01 1634 Blvd Sprinkler r. l aja? T-zs I 1 `-1 CITY USE ONLY PERMIT #: I Y RECEIPT DATE: 2008 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF F.AaM 8530 PILOT KNOB RD t:AG M.M11551EE 051-651-4675 INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date: 2- r WORK TYPE _ New Bldg _ Add-on Repair _ RPZ PVB ' Irrigation system ' Jerry Wobschall to calculate fees. Required meter size is 2" turbo unless smaller size permitted by Public rks DESCRIPTION OF WORK /Y U ( 1 q nlJ P- -e r-<- To inquir ' Pressure Reducing Valve is required on new service, call 651-681-4646 METERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter Irrigation Size & Type ? ya " "rtu, l8 O Avg GPM Fire Size & Price 3/4" displacement $152.00 Domestic Size & Type Does this include high demand devices? - Yes _ No FLUSHOMETERS Yes No P V v vn rn , r R SSite Address: Tenant Name: Was there a previous tenant m this space? _ Y _ N. If Yes, Name: Installer Name: JA ?) e C- l< V ( h `7 r Installer Address: City: p ! (eCL FEES Contract price S x 1% ($50.00 min) Avg GPM IUIRED _ Yes _ No Telephone #: (Area Code) Telephone #: CP S7- y 6 (Area Code) State: Vv?-v-? Required on all new buildings & boulevard irrigation systems Surcharge: $.50 Minimum. If base fee exceeds $1,000, calculate at 50 cents per $1,000 base. Supplementary fees for new irrigation system: Contact Jerry Wobschall at (651) 681-4624 regarding fees SEP o 5 2002 Plbg Permit Meter(s) Radio Meter Read State Surcharge Zip Code ?7 ?- (,) S 5co -oy $ ri L4 c .,() $ 1 c C? $ S (-) Sub Totalfrotal S Water Permit $ 50.00 Treatment Plant $ 540.00 oa ter Supply & Storage $ aa a ReD o 5\ Surcharge $ te - '? l] a\ $ 2J-k -?, 3. o-b I hereby acknowledge that I have read this application, state4at-theinfarmatron is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to nonfy the property owner that the City of E< an assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed u rs pe i City property/right-of-way/easement. SI URE OF PERMI EE CITY USE ONLY REQUIRED INSPECTIONS: U.G. Air Test Gas Test _ Rough In Final PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 (Acct Code # 9220-4509) • 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 hom/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $118.00 4-120 1-1/2" irrigation cyst $ 745.00 am commercial turbine" **must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine Ig irrigation syst $ 923.00 maximum residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 units maximum am commercial & continuous & lg comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $439.00 maximum displacement & continuous 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 syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & production lines very lg comm bldgs 1/2-320 3" compound +200 unit bldgs $2,264.00 10-1000 6" compound +400 unit bldgs $5,900.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation syst $2,184.00 & production lines Comments • To schedule inspection of the inside water line and backflow, preventer, call 651-681-4675. • To arrange for water turn-on, call 651-681-4300. cc: Kris Forster, Maintenance Division Clerical Technician Updated 2/02