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EA180233 - Plumbing - Commercial - Issued Date 12/02/2022Meter Size Meter lype Manufacturer Serial Number Remote Number Line Size Comments: Fee Summary: PL - Permit Fee % $202.50 0801.4087 Valuation: 13,500.00 Surcharge - Based on Valuation $6.75 9001.2195 Total: $209.25 Contractor: - Applicant - Owner: Commercial Plumbing & Heating Lyndale Terminal Co 24428 Greenway Ave % Tax Department Forest Lake MN 55025 4567 American Blvd W (651) 464-2988 Bloomington MN 55437-412 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 PERMIT City of Eagan , Permit Type: Plumbing 3830 Pilot Knob Rd Eagan, MN 55122 , ®--• ••a® E A N Permit Number: EA180233 (651) 675-5675 111111111111 IN 1111111111111111111111111 IN III www.cityofeagan.com * E R 1 8 0 2 3 3* Date Issued: 12/2/2022 Site Address: 3044 Holiday Lane Lot: 1 Block: 2 Addition: Oakview Center PID: 10-53790-02-010 1111111111 IN 111111111111111111111 11111M Use: Holiday Gas Station *10-53790-02-010* Description: Sub Type: Commercial Work Type: Alteration Description: Relocate check-out sink/drink bar renovation Meter Size Meter lype Manufacturer Serial Number Remote Number Line Size Comments: Fee Summary: PL - Permit Fee % $202.50 0801.4087 Valuation: 13,500.00 Surcharge - Based on Valuation $6.75 9001.2195 Total: $209.25 Contractor: - Applicant - Owner: Commercial Plumbing & Heating Lyndale Terminal Co 24428 Greenway Ave % Tax Department Forest Lake MN 55025 4567 American Blvd W (651) 464-2988 Bloomington MN 55437-412 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 r.----------------.., I For Office Use I 0100 I I " 1 0 0 I Permit #: 180233 I `l0 10 0e 0 a w w s I ° I Permit Fee:vaq EAGAII ECEIVE I Staff: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 m®v 142022 1 Payment Recvd: _Yea —XNo I (651) 675-56761 FAX: (651) 676-5694 Email: buildinainsoections(cDcitvofeanan.com BY. Plans: X Electronic _Paper j Electronic Plan Submittal: eplansCd)cityofeaaan.com _ _ _ _ _ _ _ _ _ _ __ _ _ _ 2022 COMMERCIAL PLUMBING PERMIT APPLICATION 14 Please submit one set of paper plans and one set of electronic plans Date: 11/11/2022 Site Address: 3044 Holiday Lane H lid # Tenant: o ay 2746318 Convenience Store Suite #: Pr°pe1r Owner Holiday Companies Name: Phone; 952-830-8884 Name: Commercial Plumbing & Heating, Inc. License #: PC843117 Conttactor ;Address: 24428 Greenway Ave city; Forest Lake state: MN zip: 55025 Phone: 651-464-2988 Email: Aanton@cpandh.com New Construction Addition V Modify Space Replacement Repair Rebuild Work in Right -Of -Way Description of work: Relocate check-out sink/drink bar renovation Type Of Wwk , Irrigation system (_ yes / _ no) (_ RPZ / _ PVB) • Rain sensors required on Irrigation systems • Avg. GPM (2° turbo required unless smaller size allowed by Public Works) Meter Required — Call Utilities at (661) 675-6646 to verity tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Average GPM High demand devices? _Yes _No Flushometers _Yes —No COMMERCIAL FEES Contract Value $ 13,500.00 X.0116 $60.00 Permit Fee Minimum�c $ ��Q�•rrV ✓y Permit Fee $60.00 PVBIRPZ Permit (Includes State Surcharge) $ — Surcharge Q.�7 Surcharge =Contract Value x $0.0005 If the project valuation Is over $1 million, please call City for Surchar e $ . 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 Engineering Department, (661) 675-5646, for required fee amounts. $ Meter Fee $ Radio Read $ Stale Surcharge nG� l � � =$ /�'� • 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.cltyofeagan.com/subocNbe. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.nooherstateonecall.org 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 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 requires a review and approval of plans. x Derrek Skeie x Applicant's Printed Name Applicant's Signature "I Iz i I % "AL( A /