EA181561 - Plumbing - Commercial - Element - Issued Date 03/06/2023 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd %,;•;, Permit Number: EA181561
Eagan, MN 55122 ""' ""�
EAAN CS
(651)675-5675
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www.cityofeagan.com * E A 1 8 1 S 6 1 *
Date Issued: 3/6/2023
Site Address: 1285 Corporate Center Dr 100
Lot: 3 Block: 3 Addition: Eagandale Office Park
PID:10-22530-03-030
Use: Element * 10 - 22S3 0 - 03 - 030 *
Description:
Sub Type: Commercial
Work Type: Alteration
Description: Piping for new auto clave including 13/4"RPS
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-RPZ/PVB/Lawn Irrigation $64.00 0801.4087
Valuation: 2,200.00 • Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Blaylock Plumbing Icon Eagandale Owner Pool 2 W/Ne/Mw L
7731 4th Ave S PO Box A3879
Richfield MN 55423 Chicago IL 60690--387
(612)869-7531
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.
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Applicant/Permitee: Signature Tssued B. : Sl,4natU['e
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I For Office Use I
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®° 1 Permit tt: 181561
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c„. ®e o r: ( Permit Fee: b5
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I Staff: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 j j Payment Recvd: _Yes --x No 1
(651)675-5675( FAX: (651)675-5694 #x°
Email: buildinginspectionspcityofeagan.com I Plans:_ _Electronic _Paper I
— __--____ —__ ,
no plans
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: March 3, 2023 Site Address:1285 Corporate Center Dr., #100
Tenant: ELEMENT 100 suite #:
Property ELEMENT 651-379-5510
Owner Name Phone:
Name: BLAYLOCK PLUMBING License 11: PM-0632100
Contractor Address: 7731 4TH AVE S City: RICHFIELD State: MN Zip: 55423
Phone:612-869-7531 Email: SHARON@BLAYLOCKPLUMBING.COM
New Construction Addition Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work: Piping for new auto clave including 1 3/4" RPZ
Type of Work 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(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$ 2200 x.015
$65.00 Permit Fee Minimum $ 65 Permit Fee
$65.00 PVB/RPZ Permit(includes State Surcharge)
$ Surcharge
Surcharge=Contract Value x$0.0005
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 Engineering Department,(651)675-5646,for required fee amounts.
$ Meter Fee
$ Radio Read
$ Stale Surcharge
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_$65 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.cityofeagan.com/subscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.org for protection 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 w k Will be in accordance
with the approved plan In the case of work which requires a review and approval of plans t
xSHARON WILLIAMS x '
Applicant's Printed Name Ap'plicant's'Signature
FOR OFFICE USE
Approved By: �~ Date: 34/13
Required Inspections: _Under Ground Rough-in --Air Test _Gas Test -12�tnal PRV Required:—Yes„No
Meter Related Items: Meter Size Radio Read Manometer Staff:
Water Meter Fees
Meter Size ! Fee
3/4" $300.00
1" $380.00
1-1/2" $1,380.00
2" $1,600.00
3" $2,000.00
4" $3,500.00
6" $6,500.00
I
Radio Meter Read $205.00
i
Additional Information
• Radio Meter Reads are 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. eg thydrosoft.com. Please call Hydrosoft customer service at(844)493-7641 or email infoC@hYdrocorninc.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 inspection of the inside water line and backflow preventer, call the City of Eagan Building Inspections
Division (651)675-5675.
• To arrange for water turn-on, call City of Eagan Utilities Department at(651) 675-5200.
3830 PILOT KNOB ROAD i EAGAN, MN 55122
(651)675-5675 1 FAX: (651)675-5694 buildin inspections .cityofeagan.com
If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.