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1491 Violet Lane.4! 1/ City of Eke 3830 Pilot Knob Road Eagan MN 56122 Phone: (661) 675-6675 Fax: (651) 675-5694 Date: Tenant: IL -1g I Use BLUE or BLACK Ink Far Ofkl-Ufte /� % /L50q/.. Permit Fee: Permit #: Date Received: Staff: 2010 COMMERCIAL PLUMBIN PERMIT APPLICATION Site Address: l,a-frokiI 0I 4+ � u itt soe vitt La,n PROPERTY OWNER Name: \i alas las a T CONTRACTOR o�C Suite*: w C V ed rii and Phone: Name: ( t 1 1�� License#: 60,56. 4)--p vi4 Address: TYPE OF WORK PERMIT TYPE LS StaterZip: '4 f Phone: L01 i .19 6 - Y 7f d Email: S el U- ! A e eQ0 -• 4 el— New _ Replacement11_ Repair IRebuild Modify Space _Wo in R.O.W. Description of work: i�t'1ZI'/bL li i�tki , � / 4 Ai,t11-9q L 4/ / COMMERCIAL r --(sI- veldk f j J, h 6s — New Co struction Modify Space Irrigation System (./ yes / no) (W RPZ / PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Pubic Works) Meters CaII (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM __„_,_,• High demand devices? _Yes _No Flushometers Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ 1 • © x I% = $ . . 00 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 1.50 = $ Meter(s) - If permit fee is > 11,000, surcharge increases by 1.50 for each $1,000 $1,000 Permit Fee (Le. a 11,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ 1 State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Cali the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES 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.Qopherstateonecali.orq 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 which r quires a review and approval of pans. Applicant's Printed Name Applicants Signature z AGIVet4 FOR OFFICE USE Required Inspections. Uriu Test ;Final PRVRec sired•, Yes Page 1 of 3 l 2005 COMNIERCIAL PLUMBING PERNIIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date ,S l 13 l O S Site Address /Y4~P l/~<oL.fi71- GfJ IInit # Tenan[ Name V'1 l kw!g oiF U%oLA't GquE Foemer Tenant Name Property Orvner 54M..i wS ~46a7/L Telephone # ( 65( 99-6,5 Contractor 4..)vWZu- fiilLFs4 -iS itm Address N"l.W A1,C9ANOf9 IP-JL, CrtS' State /Lt f.J Zip 'S 5 42 ( Telephone # ((eS ( ) ``152' (S ~-5 X LL License # 5c91 ~ PAA, Expires: Z o5 The Applicant is _ Owner ~ Conuactor _ Other Work Type New Bldg _ Modify Tenant Space RPZ PVB New RepauBebuild _ Replace _ Irrigation system Work wit6in public right of-way/easemen[ _ Yes _ No Rain sensors are re uired on irri ation s stems Descrip[ion of Work To inquire if Pressure Reducing Valve is required on new service, cali 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed orior to oickina uo meter. Irrigation Size & T}pe Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" disolacement $161.00 Domesric Size & T}pe Avg GPM Includes high demaud devices7 _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 mi~ (includes Stare Surcharge) Contract Value $ x 1% Pennit Fee $ Meter(s) Required on all new buildings & boulevard irrieation systems $ Radio Meter Read O If permit £ee is $1,000 or less, surcharge is $.50 $ S STatB Sl1TC112ig0 If permi[ fee is over $1,000, surcharge is $.50 per $1,000 of the Permit Fee Following fees apply anly when installing new irrigation system $ Water Perntit Call Jerry Wobschall at 651-675-5024 for required £ee amounts $ Treatment Plant $ Water Supply & Storage $ State Surchazge a $ S4~• S Total Fee T hereby apply £or a Commercial Plum6ing Permit and aclmowledge that the information is cMF t'8iee conformance with the ordinances and codes o£ the City of Eagan and with t he Plumbing Codes; to£ a~p~r~libuY~~opl~~ application for a pecmit, and work is not ro start withou[ a permit; that the work will be in accordlan'in tfie case of wor which requires areview and approval oFplans. NiAY 1 7 ppp5 ~'?F2~ fLt«hels ApplicanPs Printed Name A icanY Signature By- CITY IISE ONLY REQUIRED INSPECT[ONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUEMITTED APPROVED BY: BUILDING INSpECTOR General Information • Radio Meter Read (required on all new buildings & boulevazd irriga6on systems- $141.00 • RPZ's must be tested every year and rebuilt every five yeazs. Test results should be mailed to Paul Heuer at the Ciry of Eagan. • A minimum fee pemut per address is required for the following RPZ's: new, rebuild, reaair, remove. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS REOL7II2iNG 4HOLTR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM bIETERS USE PRICE 1-20 5/8" residential $125.00 4-120 I-1/2" irrigahon syst $ 735.00 displacement sm commercial hubine** Public Works ma~cimum must approve conrinuous 10 meter size 2-30 3/4" lawn irrigation $161.00 4-160 2" turbine Ig urigarion syst $ 931.00 maacimum displacement residentia] & continuous sm commercial production lines 15 3-50 1" displacement very lg res $296.00 114 to 160 2" wmpound bldgs over $ 1,849.00 bldg to 24 units 65 units maximum sm wmmercial & continuous gz ]g comm bldgs 25 ation s stems 5-100 1-1/2" bldgs 25-64 uni[s $429.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lg irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very lg comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" tur6ine verylgirrigation $2,226.00 syst & production tines Coxnments • To schedule inspecrion of the inside water ]ine and backflow preventer, call 651-675-5675. • To arrange for water hun-on, ca11 65 1-675-53 00. cc: Maintenance Division Clerical Technician January 2005 LOT S BLOCK -L SUBD. V-di RECEIPT # /X~ DATE ' WATER PERMIT #25530 1995 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: Commercial GPM 4- Residential (boulevards) GPM Existing residential Area/address to be irrigated- Installer: /~I~12~~~/~G?j Owner ? Plumber 0 Street address• ~ 2 z 31 >Y.tC~~i ET ~l v~ City, state & zip code: ~"u.~irs?.r-«~ 4 S33 7 Phone Owner Name• Street addres~ City, state & zip code: Phone Irrigation contractor, if different than installer: Telephone I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility ta notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement. , ~ }Pz- tr~?ls'~'~ .%WVcant's signature Title Approved by: Date: PRV ? Yes ? No G~ oplew service j~Yes ? No Meter Size ~ & Cost C~~D ~ - ---------------JPL 0 ~q ~~.~+~Qe ~1 I~/~~,~ Fees due: ~~e Calculated by: ~I.Pir z~Y/,(/~~Y~X Xl PROCEDURE FOR IRRIGATION SYSTEMS - 1995 An irrigation permit is required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee oniv if new service is installed. $300.00 per tap if installed by City. Residential project: ~$20.50 irrigation permit to cover installation of backflow preventer. ~$50.50 water permit fee if new service is installed. $750.00 per connection - WAC. ~$372.00 per connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $170.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $800.00. This information is to be supplied by the designer of the system. - No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water.line and backflow preventer. The Public Works Department may be reached at 681-4300 forwater turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon.