EA181655 - Plumbing - Commercial - Day By Day - Issued Date 03/09/2023 PERMIT
City of Eagan , , , , Permit Type: Plumbing
3830 Pilot Knob Rd •;;; Permit Number: EA181655
Eagan,MN 55122 •• EAGAN
(651)675-5675 ..---
111111111111
www.cityofeagan.com * E R 1 8 1 6 5 E
Date Issued: 3/9/2023
Site Address: 1565 Cliff Rd 9
Lot: 1 Block: 1 Addition: Thomas Lake Center ��
PID:10-75925-01-010
Use: Day By Day * 10 - 75925 - 0 1 — d 10 *
Description:
Sub Type: Commercial
Work Type: Alteration
Description: RPZ
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-RPZ/PVB/Lawn Irrigation $64.00 0801.4087
Valuation: 1,100.00
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Corporate Mechanical Inc Brackenridge Tlc LLC
5114 Hillsboro Ave N 922 North Broadway Ste 100
New Hope MN 55428 Rochester MN 55906
(763)533-3070
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 sued 13 : Signature
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For Office Use j (`
4 i i i Permit
�••• ••.i Permit Fee:
EAGAN
I I
I Staff: I
I-----------------;
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 Payment Recvd: _Yes _No I
(651)675-5675 1 FAX: (651)675-5694 1
I
Email: buildinginspections(u)cityofeagan,com I I Plans:_Electronic Paper I
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2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 2)ICI Site Address:
Tenant: �� 1 , ( x Suite #:
Property
Owner Name; Phone: !
Name: �` L t �' �`License#: Iy 6-
Contractor
Contractor t) � -1 1±11,s yD l� �V y (� � ►�
Address: Citv: '��h' r �.. State: Zip:
Phone:�7_U3_C,�, `�C 1 V Email: `, ' t'U S C c J 1 1 t CL�•CCS 1
New Construction Addition Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work: f ('�I t 1S�z:�t�<I Y2-i r\( h �i_�ko
T Of Work Irrigation System(_yes/_no)�RPZ/_PVB) - �J35 U�� I
Type Rain sensors required on Irrigation systems fCowN `> V orV i'lSt Ict r�k
• 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$ Or) X.015
$65.00 Permit Fee Minimum $ � 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
$ State Surcharge
_$ CC)�jj.55 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.citvofeagan.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 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 pl ns
x
Applicant's Printed Name A H ant's Si ature
FOR OFFICE USE
ApprovedBy: Date:
Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Final 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
$1,380.00
2" $1,600.00
3" $2,000.00
4" $3,500.00
6" $6,500.00
Radio Meter Read $205.00
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.gethydrosoft.com. Please call Hydrosoft customer service at (844)493-7641 or email info(a),hydrocorpinc.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 buildinginsi)ections@cityofeagan.com
If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.
REDUCED PRESSURE BACKFLOW PREVENTER TEST REPORT
AND TESTABLE DOUBLE CHECKS
Se^dice N3.le ally h-X Cont'a�:Parson,i e;e
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Rebuild Da-e. Test Date
Ar.r;:3' Chet :K Va'b=- r"rl Check Va've rTr2 Differer'al Pressure Relief Valve
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i
Tested ov (P.,;r! Name �•�a� C a�()y Cer:ifica::cr NumnegrC6a?O
CORPORATE
NIECHA!"sICAL
5114 Hillsboro Avenue North
New Hope NIN 55=23
Phone:r763'i 533-3070
Fax ;753)533-3-:3