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
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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
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