EA181391 - Plumbing - Commercial - Issued Date 02/17/2023 PERMIT
City of Eagan , ° , Permit Type: Plumbing
3830 Pilot Knob Rd ® '.° Permit Number: EA181391
• EAGAN
Eagan,MN 55122 •--- _®-•
(651)675-5675 * E R 1 8 1 3 9 1
1111111111111 IN 11111111111111111111 111M
www.cityofeagan.com
Date Issued: 2/17/2023
Site Address: 4166 Rahn Rd
Lot: 1 Block: 01 Addition: High Site Terrace
PID:10-32800-01-010 11111111111111111111 IN 111111111111111111111 11111M
Use: Boulder CourtApts * 10 - 32800 - 01 - 010 *
Description:
Sub Type: Commercial
Work Type: Replace
Description: new water heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Plumbing Commerical% $240.00 0801.4087
Valuation: 16,000.00 Surcharge-Based on Valuation $8.00 9001.2195
Total: $248.00
Contractor: - Applicant - Owner:
Mid State Plumbing&Heating Inc Iret Properties
3500 Cannon St,Suite 100 PO Box 1988
Hastings MN 55033 Minot ND 58702
(651)480-1195
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B : Signature
-----------------,
E C E I V C For Office Use
. . '
ti ® 0 0 °®° C Permit#: 18139 !
®®® ® � Permit Fee:EAGAN
I
I j
�Y, I Staff: I
3830 PILOT KNOB ROAD EAGAN,MN 55122-1810 r-----
I I Payment Recvd: Yes _X_No
(651)675-5675 i FAX: (651)675-5694 1
Email:buildinainspections(a-cityofeanan.com I L Plans: Electronic _Paper j
-__ ----------J
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 2-16-23 site Address:4166 Rahn Rd
Tenant: Suite M
Property
Owner Name: Phone:
Name: Midstate Plumbing and Heating License#: PM64955
Contractor Address: 3500 Cannon St City; Hastings State: MN zip: 55033
Phone:6514801195 Email: eric@midstateplumbing.com
New Construction Addition Modify Space
✓ Replacement Repair Rebuild Work In Right-Of-Way
Description of work: Water Heater replacement
Type of Work irrigation System( yes 1,_no)(_RPZ I_PVB)
• Rain sensors required on Irrigation systems
• Avg.GPM (2°turbo required unless smaller size allowed by Public Works)
Meter Required—Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices? Yes_No Flushometers Yea No
COMMERCIAL FEES Contract Value$ 16000 x.015
$65.00 Permit Fee Minimum
$65.00 PVBIRPZ Permit(Includes State Surcharge) $ 65 Permit Fee
Surcharge=Contract Value x$0.0005 $ ® Surcharge
n
If the project valuation Is over$1 million,please call City for Surcharge $X3 /•��_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,(651)675-5646,for required fee amounts.
$ Meter Fee
$ Radio Read
$ 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.cityofeanan.comisubscdbe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(661)454-0002 or www.gopherstateonecall.orn for proteotlon against underground utility
damage. Contact Gopher State One Cali 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 Eric Stoffel x (: ~
Applicant's Printed Name Applicant's ignature
Ind baex*
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