EA181394 - Plumbing - Commercial - Issued Date 02/17/2023 PERMIT
City of Eagan , , Permit Type: Plumbing
3830 Pilot Knob Rd ,�.;� �;:® Permit Number: EA181394
Eagan,MN 55122 EAGAN
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 1 3 9 4
Date Issued: 2/17/2023
Site Address: 4158 Rahn Rd
Lot: 1 Block: 01 Addition: High Site Terrace
PID:10-32800-01-010
Use: Boulder Court Apts * 1 0 — 3 2 8 0 0 — 0 1 — 0 1 0
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% $270.00 0801.4087
Valuation: 18,000.00 Surcharge-Based on Valuation $9.00 9001.2195
Total: $279.00
Contractor: - Applicant _ Owner:
Mid State Plumbing&Heating Inc Iret Properties
3500 Cannon St,Suite 100 PO Box 1988
Hastings MN 55033 Minot ND 58702
(651)480-1195
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B :Signature
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For Office Use I
® ° ® e ® ® I Permit#; 181394
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ECEOVE ` ,
®"® Permit Fee:EAGAN
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Staff: i
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 6Y' rPa —_
(651)675-5675 1 FAX:(651)675-5694 l yment Recvd: _Yes X No
Email:buildinninspections at&cityofeagan.com Plans:_Electronic _Paper
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2023
----------------J2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 2-16-23 Site Address:4158 Rahn Rd
Tenant: Suite #:
Property
Owner Name: Phone:
Name: Midstate Plumbing and Heating License#: PM64955
Contractor, ` Address: 3500 Cannon St City: Hastings state: MN Zip: 55033
Phoneo5j�80-1195 Email: eric@midstatepiumbing.com
New Construction Addition Modify Space
A!L Replacement Repair Rebuild Work In Right-Of-Way
Description of work: Water Heater replacement
Type of Work Irrigation System(_yes/_,no)(_RPZ/_PVB)
• Rein sensors required on Irrigation systems
• Avg.GPM (2°turbo required unless smaller size allowed by Public Works)
Meter Required—Call Utilities at(651)675-5646 to verity tests passed prior to Picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices?_Yes No Flushometers Yes_No
COMMERCIAL FEES Contract Value$ 18000 X.0115
$65.00 Permit Fee Minimum
$65.00 PVBIRPZ Permit(Includes State Surcharge) $ 65 Permit Fee
Surcharge=Contract Value x$0.0005 $ 9 Surcharge
If the project valuation Is over$1 million,please call City for Surcharge $ 3; 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
=$,W 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.cltvofeaman.com/subscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.nopherstateonecall.orn for protection against underground utility
damage. Contact Gopher State One Cell 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.
XEric Stoffel x��
Applicant's Printed Name Applicant's Signature
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