3790 Woodland Tr
I
,
CITY OF EAqAN Permit Na Date: 9-7-98I
3430 Pllot Kno~b Road Meter No: ' I
P.O. Box 21189 Size:
Reader No: Date: Eagan. MN 55121 .
, I,AYN SPRINIl7.ER
Owner vI;o.etrosl Coapanies I
~ SiteAddress. 3792 Wcnd j,..t 1~af1 Oatlot C. ~J adlaacia ~
; Plumber ~
Conn. Chg: 775
fft1ad Zoning: II
- !Zf~i~lrl.r tLtn--
! Acct Dep: No. of Unib: A Permit Fee: 1 o i~'],Aa,1 ,
Surcharge: ayree to comply with the C of
Tr. Plant ~ ~an ;
. Molqd Ordioances. ~ Meter. . , ;
~ Misc.: ' B I
r
WATER SERVICE PERMIT ~ I
CITY OF EAGAN Permit No: Date: 9-~
3830 PUot Knob Road Meter No: 4~, e2 Size: J" ~ ~
P.O. 8+ox 21189 Reader Oate:
Eagan, MN 55121
:Lx.P.
Owner. t' o Com anfes
Site Address: 379Q Woodland Trr.il Chatlot -Woodlan s I
Plumber_ plj.•,.hin;:,
Conn. Chg: 275.nTd 2oning: ;r_r:iit' i~~ter ' I
AccG Da
p. ' No. of Units:
Permit Fes: nn,. ,
Surcharge: ~ I ayrss to comply wkh the Clty ot Eagan ~
Tr. Plant Ordfoances.
r1 ,
Meter. A~ I
Misc.:
v~
WATER SER,1~.flMIT _ a '
ti
CASH RECEIPT ~
.
j.GITY OF EAGAN
.
3830 PILOT KNOB ROAD I
EAGAN, MINNESOTA 55122
I f r"
DATE l 1g-
FROY
AMOUNT
8 DOILARS
,ao
O CA5H PICHECK
FM
' tVT
FUND OBJECT AMOUNT
Thank You
E3Y _ _ _
~ WNte--Payem copv
rerow-floaag coPp
Pink--Flb Copy
CITY USE ONLY G
L ~ B RECEIPT
SUBD. RECEIPT DATE S S~
.4PPROVED IIY: INSPECTOR PLUMBING PERA4II # ~
1999 PLUM$IN@ fEftM[T (COIvIIriEfiClt4L)
CITY Of £AfiRN
3$30 fILOT KNO$ RD
f-AEiArt. Mx 55 r 22
(651)681-4675
Plcasc complere for: all commerciaVindusmal bmldmes
multi-family bwldmgs when separate buildin¢ permits are not required for each dwelling unit
mstallauon of backflow preventer in commercial areas or residennal boulevards
Date: Work Type: New Bldg. Add-on - Repair U G. Spruilcler RPZ
Description of Work r-
To inquire if Pressure Reducing N'alve is required on new seriice, call 681-4646.
FEES
1% of contract price or 530.00 mimmum Conhact Pnce: $ 1&ej,?. O O x 1% _ $
COMPLETE THIS AREA ONLY IF INSTALLING IINDERGROLIND SPRINKLER SYSTEM
Backtlow Precenter Permit Fee - 5 30.00 $
Water A'leter: 2" Turbo - $ 889.00 unless plan approved for smaller s¢e $
Seriice: _ existing (if commg off domestic line) OR new
If "++enservice". cantac! Jerm 4Vobcchn7l Finnnce Caistdtmil to cattfirnr nddinizfees far
Water Permrt R Surcharee - S 50.50 S
Water Supply R Stora,e - S 825.00 $
R'ater Treamient Plant Charge - $ 468.00 $
Pernait Fee $ ~
State surcharge is calculated from Permit Fee at nght - StStC SUrCh3Cge $
S.50 for each 51.000 with a minimum of S.50 due
Total Fee $ ~~-1~_ L)
I hereby acknowledge that I have read this applicaaon, state that the mformadon is correct, and agree [o comply «-ith all appLcable Gty
of Eagan ordinances. II is the applicant's responsibiliry to notify the property owner that the City of Eagan assumes no hability for any
damaees caused by the City durmg its normal operational and mamtenance activines to the facilities constructed under this pemut wrthm
Ciry properry/right-of-way/easement.
SITEADDRESS: 3 2 9~
TENAN7 NAME: Tg'~ pHONE i1:
(AREA CODE)
INSTALLER NAME: TELEPHONE #
/ (AREA CODE)
STREET ADD/R~ESS: 7 7
CIT7': _~~/~STATE: ZIP C>~~
~G~~ SIGNATURE OF PERMITTEE
CITY USE ONLY
DOAIESTIC pIETER SIZE C011POUND TURBO
PRV: Yes No
• Contact Utility Billing Division for price: 651- 681-4631.
IRKIGATIO\ DIETER SIZE:
• turbo unless approcal for smaller meter granted by Public Works.
• Contact Utiliry Billine Division for price: 651-681-4631.
P2IOR TO SELLING A DIETER:
• Enter site address on Screen 301. Pemiit Inquiry, to obtain sewer and water permit number.
• On PfMS Screen 320, enrer sewer and wacer pernut K ro check that hydrostatic, conductiviry, and bacreria tests have been
approved if not, do not issue meter.
1liscellaneous Information
• Meter larger than 5/8" - ask plumber to Nvait while you call Central blaintenance (ext. 300) and verify that one is in srock.
• To schedule mspection of the inside «ater line and backffow preventer, call 651-651-4675.
• To schedule Nvaternim-on, call651-6S1-4300.
CD/Pcrmit forms/plbg permii (comm) 1999
748~ . . ,
. APFLICATION FOR PERMIT +NO1'E° pAYMENr aF FEE AT TI,'+E OF
~ APPLICATION DOES NCr CON-
~ STI'Nl'E APPRGVAL OF PF7IMIT.
EE7DSEWER AND/OR WATER CONNECTION INSe~au oF s~ aw/oRFw~,~ I[1STALIATIOKS WIIS. NOT BE SCEDUI.FD LNPIL PFAMIT HhS ppPROVED. ecorw`tln
( PLF.elSE PRI NT)
i) PROPERTY ADDRFSS: 37FO /i",L
LFY;AT• DFSCRIPTION: ('Jf.l+ I h`'- l~ I,L¢ l.Q~nn c=~ jv~'^-~
(LotjBlock S ivision or Tax Parcel ID C
IF EXISTING STRCCTORE, DATE OF ORIGINAL BLILDI% P.f•2MIT ISS[JANCE:
.-~c t~ (D7onc Year
Ypy P hr ~
PRESENT ZONING/PROPOSID L~SE: ,S•
Q CODM9ERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDLSTRIAL F=1 R-2 DL'PLEX (3WO Cnits)
Q NSTI'Ii1TIONAL/GOVEELNMENT ~ R-3 'IC)WNHOUSE (Three + Cnits) ( Dnits)
R-4 APARTN]ENT/CONDOMINIUM ( L'nits)
2) ~ NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
For City Use
3) i ~,i: NAME; Plumbers License:
ADnREss: Act~ve
Expired
CITY, STATE, ZIP: Not recorde(f
PHONE: MASTEE2 LICENSE # rt9a.db S Sta Inf{~itia~
4) e • i e a-
r n
NAME: n
~ c ;
. ~ 'h-a M11 OL-n r•e c'
rwDRFSS: L( h'C) I Ll) I S~-
CITY, STATE, ZIP: ~ rrk Jy~ h~
PHONE:
I
5)
Q COiVNECTION TO CITY SEWER ~ CONNECTION~'1C) CITY WATER O CPHER
6) ~****t*.*********~***+**,t***«*:r***~+~~r.+~*****+***~+*+~:~~+.***~*~****:r++*+*.r*+~~*~~**.:r*~*.+~***«,
* .
* T[IE GOID COPY OF 'ISM PII2MIT WILL SE SENP DIRFXZZ.Y TO PLBLIC WORKS 1U FACILITATE NIEPER PICK-L~P. _
*k PLEASE ALIAW 'ItiD WORKING DAYS FOR PROCFSSING. SOMEONE FROM 74iE CITY WILL CONPACf YO[] IF TfIII2E
* ARE ANY PROBI.ENLS. ~
~*x+~*~~+**+*~*t***r,t*,ts+x,r*~**,rr**~t****+:+*+*+**~+++.t+:~~+******~~~~**«*~**r*++**~~*r.+,r~.:s,w~~~;
~r p~ r '
`a~OR ~iYTY U~7G OIVLY , .
PERMIT 4 ISSCED
Pd ca/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLCDE SCRCHARGE)
$ $ ~O •s~ WATER PERMIT (INCLC'DE SCRCHARGE)
$ ~-~•~U. ~u~~j~l~~ WATER hIETER/COPPERHORN/OCTSIDE READER
I
$ S WATER TAP (INCLCDE CORPORATIOV STOP)
$ S SEWER TAP
$ $ AC1 yZ ~o~ ; )STT - SEWER
. d215,00
$ S C- ~ SIT - WATER
$ .,~7S~~ro ~~0~5 W 7 at:`\oz.oo
r ~o, So
s Q~ ~ DRr vr o
$ S ~~e1"e?' / SESSMENT
$ $ ~xUNfC SES9ER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BEN°FIT/TRCNK [9ATER
Qe
s JU vZ • U o 7 WATER TREATMENT PLANT SORCHARGE
$ Qc'r OTHER :
$ / I D U $ TOTAL
F 7 2- O D ~ 7 ~-c7 C)
RECEIPT T RECEIPT n
DOES CTILITY CONNECTION REQUIRE EXCAVATION IN P[1BLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC'BLIC
ROADWAY" MCST BE ISSCED BY THE EAiGINEERING
~ NO DIVISION. LIST AS A CONDITION.
Si:BJECT TO THE FOLLOS9ING CONDITIONS:
APPROVED SY:
TITLE:
/p J
DATE: Z~7
City of Iain ``0. .
3830 Pilot Knob Road �V
Eagan MN 55122
Phone: (651) 675-5675 cil/9-nd
Fax: (651) 675-5694 90 ,!! O
Use BLUE or BLACK Ink
Fdrt
Permit #:
Permit Fee:
Date Received:
Staff:
2010 COMMERCIAL PLUMBING PERMIT APPLICATION
�� �'V 4A, W Li r atiA, c, -QJ
Date:(0-10 � rte AdddhtYw\
SE C
Tenant:
Suite #:
PROPERTY
OWNER
Name: Phone:
CONTRACTOR
,,
Name: `644 • License #: MN Lf 6-3PAA
Address: •. �•
�� f i i y: a� ,(j / A State: Zip: 5_ ,...5494
Phone: 163 - a3a' LvJ"I
_ _ _ .
a Email! 1 0 4. A 214 f 11' q MINI
TYPE OF
WORK
_ New _ Replacement RebuildModify Space Work in R.O.W.
(�R,ep�air
..}./,,_
Description of work:
P r�.���� <I l�fX�t,l P�_
PERMIT TYPE
(J
C MMERCIAL
_ New Co truction Modify Space
Irrigation System ( es / no) PZ / PVB)
• Rain sensors re uired on irrigation
• Avg. GPM (2" turbo required
ys ems
unless smaller size allowed by Public Works)
that tests passed prior to picking up meter.
Meters Call (651) 675-5646 to verity
Domestic: Size & Type t 11 P,Pa Fire: 1
Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No
COMMERCIAL FEES:
$50.50 Minimum (includes
State Surcharge) OR
on ALL new buildings and boulevard
$1,000, surcharge is $.50
surcharge increases by $.50 for each $1,000
a $1,001-$2,000 Permit Fee requires a $1.00
Contract Value $ 1%
Required
- If Permit Fee is less than
570 SD
_$ • J`� Permit Fee
irrigation systems 4 = $ Radio Meter Read
= $ Meter(s)
- If Permit Fee is > $1,000,
surcharge). = $ State Surcharge
$1,000 Permit Fee (i.e.
Following fees apply when installing a new lawn irrigation
Call the City's Engineering Department, (651) 675-5646, for required fee
system. $ Water Permit
amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $ 51) •5
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.gooherstateonecall.orq
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 per •it; that the work will . e in accordance with th approved
plan in the case of work whicrequires a review anappro I of plans.
Applicant's Signat re
x
Applicant's Panted Name
a DC
x
Page 1 of 3
05/29/2015 9:43AM FAX 6514637935
City Of Ea of
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651)'6755675
Fax: (651) 6755694
FARMINGTON PLUMBING 10001/0001
Use BLUE or BLACK Ink
For Office Use
Permit* / :,Q I
oo
Date Received:
Staff:
Permit Fee:
2015 COMMERCIAL PLUMBING PERMITAPPLICATION
0 PIe e�submit two (2) sets of plans vith,all comm
e
rcial applications. �
Date: S11)-1) 17 Site Address; 3 O1 V I.jDO d ;.)G1-,�
Tenant
Suite #:
J
Property
Owner • ';
(�,,
Name ( -t �-V r. Phone;
C ontractor210341;hippendale
.
•
Name: Fam1inotgrl Plumbing & Meatjng License #; Y ( O9 ? \
Ave W
City: State: Zip:
Address: _Faso g 55324
-- •
Phone: (75=4('3 •----Aa-4 Email:
Type Of Work
:
-- New _ R !placement Re a airRebuild _ Modify Space
Description or work:' PZ — '► lik i \ p�
_ Work in R.0 W.
Permit Type
COMMERCIAL __ New Construction __ Modify Space
_ Irrigation System (c yes / no) PZ / PVI3)
No
. Rain sensors re aurred on irrigati n s stems
. Avg. GPM _ (2" turbo required unless smaller size allowed by Public Works)
_ Meters Call (651) 67t.5646 to verty that tests passed prior to nicking uo meter,
Domestic: Size &Type Fire: 1
Avg, GPM High r lemand devices? _Yes _No Flushotneters Yes
COMMERCIAL FEES
$55.00 Permit Fee
Contract Value$
x .01
Minimum
Permit Fee
'If contract value Is
"If contract value is
"'Ir thero eCt valuation
p J
=$
LESS than $10,010, Sun:harge = $5:00 .$
Surcharge -
GREATER than $10,0111, Surcharge = Contract Value x $0.0005
is over million = $
cag for Surcharge
TOTAL FEE
,phrase
Following fees apply
Contact the City's Engineering
when installing a nevt lawn irrigation system S
Water Permit
Department, (651 ) 6 x5.5646, for required fee amounts. 6
Treatment Plant
Water Supply & Storage
6
$
State Surcharge
$
TOTAL FEE
CALL BEFORE YOU DIS. CaII Gopher State One I:al at (651) 454.0002 for protection against underground utility damage. 1
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances end codes of the City of
Eagan; that 1 understand this is not a permit, but oily an application for a permit, and work is not to sten without a permit; that the work wit be in
accordance with the approved plan in the case of wor t which requires a review and approval of plans.
vc‘,‘ --vi\r\ kw\
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: _Under Ground _ ?Rough -In Air Test _Gas Test `Final PRV Required: _ Yes _ No
Meter Related Items: Meter Size _' Radio Read Manometer Staff: •
Page 1 of 9
Approved By;
Date;
Co.SJ1 Q Q-4 -