EA180402 - Plumbing - Commercial - MNGI Endoscopy - Issued Date 11/29/2022PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd •,o; % ;: , Permit Number: EA180402
Eagan, MN 55122 •- =- EAGAN
(651) 675-5675 ®—.®
111111111111
www.cityofeagan.com E A 1 8 0 4 0 2
Date Issued: 11/29/2022
Site Address: 1185 Town Centre Dr 200
Lot: I Block: 1 Addition: Gatewoods
PID: 10-28900-01-010
Use: MNGI Endoscopy *10-28900-01-010*
Description:
Sub Type: Commercial
Work Type: Replace
Description: Replace RPZ #70347 with new RPZ #ABQ9186
Meter Size Meter lype Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087
Valuation: 2,147.00 Surcharge -Fixed $1.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Gilbert Mechanical Contractors Town Centre Plazaeagan LLC
5251 74th St W 56 E Broadway Ste 200
Edina MN 55439 Forest Lake MN 55025
(952)835-3810
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B :Signature
-Yr Gbeck cTtMched*
1 a o r r r
0 0 � �
o�oo •••o
EEAGA
CEIVE
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 NOV 2 3 2022
(651) 675-56751 FAX: (651) 675-5694
Email: buildinciinspecdonsCciicityofea ag n•com
6Y:
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I For Office Use /� �./►
Permit #: L t JV ly
I Permit Fee: 00
I I
I I
II Staff:
I Payment Recvd: —Yes _No
I I
�—Plans: _ Electronic _ Paper I
----------------j
2022 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date:
11/11/22 site Address:1185 Town Centre Dr
Tenant: MNGI Endoscopy
200 suite #:
' Pr°P®MY
� OWn�I"
Name: py Phone: MNGI Edosco 612-435-3970
'
Gilbert Mechanical Contractors, LLC PC769827
Name• License #:
.
j�
Contmdor
Address: 5251 West 74th st c;ry; Edina state: MN zip: 55439
612-267-7742 koneill Ilbertmech.com
Phone: Email: �9•
G'
New Construction Addition Modify Space
✓ I Replacement Repair Rebuild Work in Right -Of -Way
Description of work: Replaced RPZ, serial # 70347 with new RPZ, serial #ABQ9186.
Type Of, Work
Irrigation System L_ yes / ✓ no) (V RPZ / _ PVB)
• Rain sensors required on Irrigation systems
'
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
j 1
: Meter Required — Call Utilities at (651) 675-5646 to verity tests passed prior to nicking up meter.
Domestic: Size & Type Fire: 1
I
. ; 1 !
Average GPM High demand devices? _Yes _No Flushometers _Yes _No
COMMERCIAL FEES I Contract Value $ 2.1114mm X.0115
$60.00 Permit Fee Minimum
$60.00 PVB/RPZ Permit (Includes State Surcharge) $ Permit Fee
$ Surcharge
k
Surcharge = Contract Value $0.0005
60.00
If the project valuation Is over $1 million, please call City for Surcharge $ TOTAL FEE
The following fees may apply when installing a new lawn Irrigation system or $ Water Permit
connecting a new water service.
$ Treatment Plant
Contact the City's Engineedndf Department, (651) 675-5646, for required fee amounts.
$ Meter Fee
$ Radio Read
$ State Surcharge
_ $60.00 TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.cityofeanan.com/subscribe.
CALL BEFORE YOU DIG. Corjtact Gopher State One Call at (651) 454-0002 or www.nopherstateonscall.ora for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you Intend to dig to receive locates of underground utilities.
I hereby acknowledge that this linformation is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this Is rot a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan In the case of work which requires a review and approval of plans.
xKristin O'Neill x
Applicant's Printed Name Appli nt's Signature
FOR OFIFICE USE
_
Approved By: �'' Date:
R�q ' -
utred �hspecUnn: Under Ground' _Rough=ln Air Test GasTest i Final PRV Requtrod: _ Yes _ No
M t r Related Items: Meter Size Radio Read
Water Motor Fees
,' I : i�411ate$Ize
Fee
3/4"
i $300.00
1" '
$380.00
1-1/2"
$1,380.00
2"
$1,600.00
3"__.
1 $2,000.00
4"
$3,500.00
6" !
$6,500.00
Radio Meter Read ;1
$205.00
Manometer Staff:
Additional Informatio
• Radio Meter Readsre required on all new single-family, multi -family and commercial buildings. Boulevard irrigation
systems may also require a radio read.
RPZ's must be tested) every year and rebuilt every five years. RPZ testing is submitted directly Online at
www.ciethydrosoft.cok Please call Hydrosoft customer service at (844) 493-7641 or email info(&hvdrocominc.com.
• A minimum permit fee is required per address for the following RPZ's: new, rebuild, repair, & remove.
Water meters include copper horn / strainer, remote wire, and touch -pad meter.
To schedule an Inspetion of the inside water line and backflow preventer, call the City of Eagan Building Inspections
Division (651) 675-56 5.
To arrange for water tum -on, call City of Eagan Utilities Department at (651) 675-5200.
i 3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651) 675-5675 1 FAX: (651) 675-5694 buildinginspectionsOcityofeagan.com
If you have a �earing or speech disability, contact us through your preferred telecommunications relay service.
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