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1800 Trailway Dr • - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDIMCs PERMIT RKelpt # T* wased for Est. Value Date 19 Site Addrea Erect 0 Occupancy Lot Block Sec/Sub, Remodel ? Zoning Parcal No. Repair ? Type of Conat. AddRion ? No. Stories Move ? Length it Name Demolish ? pepth Z Address ~ Int Impr. ? Sq. Ft. ~ City Phone Install O Name Approvob F"s ~ Address Assessmenf Permit u~ CI Phone Wote? 8 Sew. Surcherqe tY Police Plan Review Name Fin _ SAC Address Eng. WaterConn. Z. City Phone Plonner WaterMeter . . Council Road Unif 1 hereby acknowledpe thut I haw reod this application and stote thct Bldg. Off. ~J/ Tr. Pl the inlormotion Is corrett ond ogree fo comply with all applicable qPC State of Min»esoto $totutes cnd City of Ecgan Ordirwnces. Perk& 5ipnature of Permiftes Var. Date Capies - ~ Total ' A Bulldinq Permit is Iuusd to: on the exprcn conditlon Ihot oll work shall be dorw in accordonce with all opplicoble State of Minnesoto Statutes ond Cicy of Ecpon Ordinonoes. Buildinp pffkial Pwmlt No. Permit Holder Date Telephon~ ~ ~~~ing o~ w 5~.t~~ ~191 H VA.C. g4m 6 6~! ~ ehwt.;c l r I i l InWect{on Date Insp. Other Footings I Footings 11 Foundetlon Framing Roofiny Rouph Plby. Rough Ht9. InsuL Firoplacs Final Hty. Finel Pltq. c?~~j Final `~~7 CWt/Occ. Water ~~ibe Locition: WNI ! d-I ~~V?l s.M?.r (~r2to,. y~i,u~rv Pr. Disp. PERMIT # )x MECHANICAL PERMfT RECEIPT # 5 CITY OF EAGAN ~3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address - BLDC~i~PE WORK DESCRIPTION Lot ~ Block New m Name ~ Lil I IuNlviu 1-0. Mutt ~G Add-on q Address , Comm. Repair c City Phone pther ~ Name FEES 3 Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS = 1.50 EA. Forced Air M BTU COMM/IND FEE - 146 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ; Gas Piping Outlets # Other FEE: ~ S/C: NATURE OF PERM TOTAL• / FOR: CITY OF EAGAN SITE ADDRESS 18 00 TRAILWAY DR Unit M 8 Permit # 11186 TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING Cp S(~ W G p ~S H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLB6. ROUGH HTG. ry , Z-r( • INSl1L FIREPLACE ~~~~~9Cf ~G{/ FINAL HTG ~ l7 , FINAL PLBG . UNIT FINAL 3 _ CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1804 TRAILWAY DR Unit # 1 Pennit # 11186 7YPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION OATE INSPEGTOR 4THER FRAMING _ a _,6 ROUGH PLBG. . . ROUGH HT6, Jyler g~ g,(4,j INSUL j'Cl FIREPLACE FINAL HTG ~j ;7 FINALPLBG J-a.Y, - ff"~'f UNIT FINAL 7~~ CERTIOCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1800 TR.AILWAY DR Unit # 2 permit #f 11186 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE M PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ~ ROUGH PLBG, ROUGH HTG. INSUL FIREPLACE FINAL HTG FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1800 TRAILWAY DR Unit # 3 Permit # 11186 TYPE PERMIT Ik PERMIT GONTRACTOR DATE TELEPHONE # PLUMBING (d g ' H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. I NSU L I S~~ /g~ J2~li FIREPLACE FINAL HTG 3--l FI NAL PLBG UNIT FINAL CERTlOCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1800 TRAILWAY DR Unit # 4 Pertnit # 11186 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING ~ S~ • ~a I g I~~ H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING - a - lr6 W, !j ROUGH PLBG. ROUGH HTG. - p/, %ee, INSUL /ow FIREPLACE FINAL HTG FINAL PLBG UNITFINAL CERTlOCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1800 TRAILWAY DR Unit #i 5 Permit # 11186 TYPE PERMIT# PERMIT CONTRACTOR DATE TELEPHONE# PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING .2 ,U~ ROUGH PLBG. - a ~ r p~I ROUGH HT6. INSUL FIREPLACE FINAL HTG FINAL PLBG a 3l ~ 6J . UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR -COMMENTS SITE ADDRESS 1800 TRAILWAY DR llnit M 6 Permit # 11186 TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE # PLUMBING H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ~ - a ROUGH PLBG. ROUGH HTG. /S / INSUL FIREPLACE FINAL HTG ~ FINAL PLBG UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS 1800 TRAILWAY DR Unit # ~ Permit # 11186 TYPE PEHMIT #i PERMIT CONTRACTOH DATE TELEPHONE ~ PLUMBIN6 H.V.A.C. ELECTRIC INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG 3 FINAL PLBG V- 77 ~•G~( . UNIT FINAL 3 `l ~ ~ CERT/OCC INSPECTION DATE INSPECTOR COMMENTS Receipt PLUMBING PERIMIT Permit No. ; CITY OF EAGAN ~ ; . Fee ' fill in numbered spaces }S/C ~ C1 Type or Prin[ legibly Tot. ~ 1. Date 2. Installation Cost 3. Job Address Lot Blk. i Tract 4. Owner 5. Contractor Phone 6. Address.' ' ' - i - 7. City, State Zip 8. Building Type: Residential O Commercial 1:7 Institutional O 9. Work Description: New 0, Add O Alter O Repair ? 10. Describe 11. No. Fixiures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank ~ • ~ Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other ~ Laundry Tray T ~Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets , 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition RT,nrKH.AWx TOWNNnTTSF APTS Lot ~ eik n Parcel ' 11,389 qnOsL Owner street 1$00 Trailway Drive stete Eaga , MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, S@@ p rce 0I' OT'lgl a assessme S STREET RESTOR. GRADING 5AN 5EW TRUNK SEWER LATERAL WATEAMAIN WATER IATERAL WATER AREA STOFM SEW TRK STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT Roa Unit $280.00 57044 10/29/85 WATER CONN. 500.00 " " 9UILDING PER. 11186 n SAC • PARK It TOWNHOUSE CITY OF EAGAN N°_ 11186 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receivt # ~ Te M wed ?er 8 UNIT M.D. Esr. Value $373.000 pme OCTOBER 29 Sitenddn 1800 TRAILWAY DR Erect ~ OcwPancy Rl Lot 9re Block 1 SeclSub. BLACKHAWK TOWN-Remodel ? Zonin9 R4 Parcel No. HOUSE APTS RQPair ? Type of Const. V 1 HR Addttlon ? No. Stories _a Z Name WALNUT TRAILS Mave ? Length 83 ~ ? Address 7900 XERXES AVE SO., #1733 Demolish Depth 43 BLMTN 835-0822 Intlmpr. ? Sq.Ft. 7200 City Phone Install ? • SHAREVEST INC AVOrorals Faes ~O Name u~ qddms SAME Asuzsment Permit $ 113. 00 City Phone Water 8 Sew. Surcharge 186 . 00 Police PlanRevlew 556.50 ~Z Name KORSUNSKY, KRANK, ERICKSON Fira SAC 3,360.00 Address 570 GALAXY BLDG Eno. waterConn. 3• 200.00 tW Ci4y MPLS Phone 339-4200 Plonner WaterMeter 12..0 ,00 Cour+Nl ftoadunit 1,792.00 1 hereby ackrwwl[dqa iFwt I have read this nD coHOn ond sfote ihat gldg. Off. Z O/Z 9/H 7r. Pl 848.00 fhe inlormotion is corrett a e to ly wif oll opplicoble APC Srote of Minnesota St Cit ~ n 4 •ncez. PBrks ~ / Var. Date Copiee Sipnotum of Pe 7otal $11 ,17 5. 5 0 - A Building Vermit Is issued to. SH EST INC on ths axpress eonditlon IMi all vrork ahall be done in accordante 4 oll ap " 61a ote of Min esota St utes ond City of Eogan Ordirwnces. Buildinp pfficlol ?L-L ~-rv.~ CITY 01% EAGAN WATER SERVICE PERMIT 3830 Pilot Kno6 Roed P. Ov9ox 21199 PERMIT NO.: Eagen, MN 55121 DA7E: Zontr;):. No. of Units: Owneu . ..~3r.. , ..r _ . Addrcss: Ske Addrcas: Rumber. ConnecHan Charye: " - 5 Acmunt Depo;it: Perimt Fee: 1 rm merolpwhhtM~.Ciry.of^Ea9nns Surclmrge: 3 7 1/ s6 0 9 Misc. cnoro.s: t3r Trnol: By Dote Poid: Date oF Insp.: Irap.:~~ Gg 93 _ . (Ipr#i#irtttr of Orruvttnry tttp of (f agan . Er}rartatrnl of BuilMng Jnsprciimt This Cerzificate issued pursuant ro the requiremen[s ojSecdon 306 oJthe Unijorm Building Code certijying that at the time of issuance lhis structure w¢r in compliance wrth the vanous ordinances of fhe Crty regulating building canstrucNon or use. For the jo!lowirtg: useCi.uIrinuon 41 Y,,:,.,' :.,I::.'7T.r^. r•~ ~T.~A'~ 6lde.IbmdWO. Occupory Type ~ ZoninB Ditlnn TYPn Conu o~.,wftkbns " _.i: x't nad~m it~'J Y f:~:• - ..~.r~.,-, euMing aaao~ L«.tity :l., ' Bwidine Official • _ POST IN A CONSPICUOUS PLACE 1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN NO'fE: ALL COIITRACTORS MUST BE LICENSED IiITH 'fHE CITY OF E9GAN INCLUDE 2 SETS OF PLANS ~y 3 CERTIFICATES OF SURVEY y/ jl ~G 1 SET OF ENERGY CALCULATIONS • To Be Used For: Valuation: Date: Site Address: jQ~ OFFICE USE ONLY t Lot: _ Block Sect/Su$lackhawk 'IRnenbou'se AptsOccupancy Remodel Zoning Parcel # 10 92910 - -07-1 Repair Type of Const Addition 11 of Stories Owner Walnut Trails Move Length Demolish Depth AddresJ900 Xerxes Ave. S. #1733 Int.Impr. _ Sq Ft Install City/Zip Cbhoomington, MN 55431 ----___r - Phone $35-0822 APPROVALS FEES Contraetor Sharevest, Inc. Assessments Permit Water/Sewer Surcharge Address 7900 Xerxes Ave. S. #1733 police Plan Review Fire SAC City/Zip Code Bloomington, MN 55431 Engr Water Conn Planner Water Meter Phone 835-0822 Council Road Unit Bldg Off Zp-,7 -AnTreatment P1 Arch./Engr.Korsundky Krank Erickson APC Parks Varianee Copies Address 320 Second Ave. S. TOTAL ~S •S(~ City/Zip CodcMinneapolis, MN 55401 Phone 0 339-4200 I t ~ • I 0' 0 I• • J~ • 71• • 71• • 7i' 1 ' • Y' • ~ ~ • • ' ~1~ 1 1 1 ~1 • • ~ CITY OF EAGAN APPLICATION FOR PERMIT SEWER AAID/OR YTATEEt CONNECTION Please rint} 1) PROPII2TY AnDRFSS: ~'G' T,FY;AT• DFSCRIPTION: "5 /GCtr~~`L- (Lot Block Subdivision or Tax Parcel I.D. Number) IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDINS PERMiT ISSLiANCE: (Nbnth Year) PRESENI' ZONING/PROPOSID [75E: R-1 SINGLE FAMILY R-2 DUPLEX (Trro Lfiits) R-3 2Y)WNHOI'SE (Three + C'nits) ( Units) R-4 APARTMENT/CONDOMINIL'M (~Units) COh1NMERCIAL/RETAIL/OFFICE IDIDC~STRIAL INSTI'1L'TIONAL/GOVERNMENNT 2) ~ NAME: ~ ADDRESS: 2~2,egf' CITY, STATE, ZIP: A PHONE: lq- P'O~ 3) r. a~• _ For City L'se NAME: Plimibers Licens( ADDRESS: (/y r= Ztfv' CITY, STATE, ZIP: ~Exp- ed PHONE : MASTII2 LICENSE # O Recor( Sta f tial • • . • ~ 4) NAME: ADDRESS: 4 C~'°•--~ c~ CITY, STATE, ZIP: ~ PHONE: 5) u • a~ JM/CONNECTION TO CITY SE[4II2 ofCONNECTION TO CITY WATEFt p O'PI-IER (Please Describe) 6) i~ • • M ~ PLEASE HOID APPROVID PERNffT FY)R PICK-[.'P BY ONE OF ABOVE d PLEASE MAIL APPROVM II2NLiT Ttl 1, 2, 3, 4, P.HOVE ~ (Circle one) F 0 R C I T Y U S E O N L Y ' PER'NIT ISSUED FEES: $ /0 $ v S°WE.°. PE?2^1rT (INCL'JDi. .JURCt:AIZGL) $ /v•5~ WATER PERPlIT (INCiUDE JLRCHARGL) / J/S •D7)-1~--~0- WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE:vE4 TAP $ , n~-~'i.::'T +S ACCOUNT DF.PpSIT - F7ATER $ • ~ U WAC $ spc $ TRWK WATER ASSESSilE::T $ TRli.d?{ SE:dER ASSESSME.IT $ LATERaL BE:IEFIT/TRUNK SE?`E-R $ LATcRr;L SENEFIT/TRUNK WAT°R . $ G U WATER TREATMENT PLANT SURCHARGE $ OTHER: , $ TOTAL +S = - AI~lOII:1T PAID/RECEI?T i~ ~~i~ & i7S . S-u DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN n"PERMIT £OR 'AORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ~ NO ENGINEERING DIVZSION, LIST AS A CONDI- TION. SUSJECT TO THE FOI.LOWING CONDITIONS: APPROVED BY: ~ - TITLE: DATE; , f lc . k sr a ;+` y 3 9., .e % ,. R te ., �.'PV�ry k S S es ery a.� a • 'Ei.. • w F �. y. t �& : ^il . ° F r }ilk 11, pz...�...,, ,r,. L � .w �a . 7a , � y �� a Use BLUE or BLACK Ink ~j For Office Use Z Permit City of Ea a~ I Permit Fee: t✓ 3830 Pilot Knob Road l Eagan MN 55122 I I I Phone: (651) 675-5675 Date Received: d Fax: (651), 675-5694 i Staff: l i 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: 41 r 64 Site Address: 1 t ✓ f f~I ► 0 A- s57- t5 4L.0 Tenant Name:~'/?JR? (Tenant is: New / Existing) ` Suite # Former Tenant: Name: 1_ -_7_Z2/9/e7 `2,0-7 Phone: -770 y 00 Property Owner e Address /City /Zip:.. ~ 'el? I Az' Applicant is: Owner Contractor Type of Work Description of work: /Z Construction Cost: 7 b Name:` !y off. LV e t ✓1 l~/ ! G~'' a icense 61 L4 3 Contractor Address: aid / City: 3°~G ~~7/r'I'e- State: ,4L, zip:, Phone: b 1 i r Contact: Email: Name:. A7 /I Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 1 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 fch requires a review and approval of plans. r Applicant's Printed Name is is Si gnat * Page 1 9f 3 ' Use BLUE or BLACK ink -----------------, � For Office Use 1 Glt Of�� 1 `�1�I � � � � Permit#. r , � ' 1�D� �� Pertnit Fee: � 3830 Pilot Knob Road � ^��I Eagan MN 55122 I Date Received: ' Phone:(651)675-5675 � j� Fax:(651)675-5694 � Staff:C�C� � I JUN 2 3 1015 �----------------� 2015 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with ali comme�cial applications. Date: �1 �t � f s Site Address: � �C� Tf�c.` �O�l-�1 �f�'. �a1� SS I 22 Tenant: Suite#: �'`� Q he-1 d ov� -�� - ��' Name: �a�(1l_� i�-�.'3".5 ��Gt-�'�N�M� Phone: �P(a.- �.3�- �1 '77 �,�: Name: rV� � Q u-�� [ � � License#: ��i �3��J� �� "� Address: ` � ( City: � S S �� State:��Zip: 5.�3�S c 6 p� � 1 j_ /�.�.1 ' Pnone: �S I- ��5�— 1�l C2 Q Email: (,t_ivt r!i � �'{�'►'�CQq�� New Replacement _Repair �Rebuild _Modiiy Space Work in R.O.W. ��'�fl�"�4 � — — �p — � Description of work: �0_(�(c,t 1 Gl �j�� ' COMMERCIAL New Construction Modify Space Irrigation System(_yes/_no}(�(RPZ/_PVB) . Rain sensors required on irrigation systems ��1`� • Avg.GPM (2A turbo required unless smaller size allowed by Public Works) �` � Meters Call(651)675-5646 to verity that tests passed prior to aickinq up meter. ' Domestic:Size&Type Fire: 1 Avg.GPM High demand devices?_Yes No Ftushometers Yes No ' COMMERC/AL FEES Contract Value$ x.01 'I $55.00 Permit Fee Minimum _$ �� Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 =$ �-�0 Surchar e'" 9 `*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 (,, *"*If the project valuation is over$1 million, please calt for Surcharge -$ `�� TOTA�FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Gontact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge _$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call 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 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 wrork will be in accordance with the approved plan in the case of work which requires a review and appro al of plans. x �L/C��1/�iL �� x � r- Applicant's Printed Name Applicant's Signature ��flFt�3��tt�� i��: � � .� � � �� : e � , - ��,.� s��c�� ,_,�1r��r��cct�# ,�.;,�� ;„��t'"�+�t }„�,_��'�`� ,�„�.,�� i� . < �'� � I�p ��t ��'�`��,, ��+d�� ',�:;.�„Yt � � k � Page 1 of 3 tri. _.- r - For Office�� Permit#: CC • EAGAN AN P ——No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: _,_--_Yes ____ (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 paper Email:buildinginspectionsCcr7citvofeagan com Plans _Electronic Plan Submittal:eplansCc�citvofeagan.com L------ — 2018 COMMERCIAL PLUMBING PERMIT APPLICATION iv El Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, ri submitted via email,CD or flash drive l / 1 �3O0 Tr AI L �� . r �>/ .� Date: �,� a 6 � / � Si--te__Addnnress: Tenant: �� C't�t�_Q.4 _ Suite#�_ Property `'_r/.�` - ' , --- / i/ a. _Y Owner Name: 4 Y/ _ �. ! a►ti r!iu_ 'hone. `T t Alf li Name: t' i 1 ♦ r •�t9111AMJA'c�1Tse#: I iI , Contractor Address: Lf --�---1 15 / /-q/)iA,Q/ ,t�1 ty: o") State Zip: 1' e I Co tt 1L • _ __� 6S .1/7_.. ; 5/ Email: ' , ,� -i----'— _ Phone: p New f Y Replacement Repair Rebuild Modify Space Work in R.O.W. Type of Work c1 A bgt -A- 11?-- __ ) i Description of work: be_ Q � - 'y'. COMMERCIAL _New Construction _Modify Space M _Irrigation System( yes/ no)( RPZ I_PVB) 1 • Rain sensors required on irrigation systems 1 1 i Permit Type , • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) i I _Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 i _ Avg.GPM_ High demand devices? —Yes- No Flushometers_Yes__No i 1 COMMERCIAL FEES— _ .73 0 0 x .01 1 Contract Value$ I $60.00 Permit Fee Minimum Permit Fee j $60.00 PVB/RPZ Permit(includes State Surcharge) =$ Surcharge 1Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please can for Surcharge $ _ TOTAL FEE IFollowing fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage —, $ State Surcharge _$ TOTAL FEE _ You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the-City's website at www.cityofeagan.com/s u bscrlbe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)464-0002 for protection against underground uti,' •,mage. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with o• ances and -s o the City of Eagan;that I understand this is not a permit,but only an application f permit,and work is not to start wifpput a permit,that the work will be in • •a wi the •rov ...plan in the case of work which requires a review and j3ioO )lri$ X fi e e:e.e..;50 , X 1.• il #ierf Applicant's Printed Name Applicants Signatu • FOR OFFICE USE Approved By: Date:61.6" //t Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test l Final PRV Required:i Yes No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of 3 i,