EA182431 - Plumbing - Commercial - Sever - Issued Date 04/25/2023 PERMIT
City of Eagan ® ® , , EAGAN Permit Type: Plumbing
3830 Pilot Knob Rd ®�� ®® Permit Number: EA182431
Eagan,MN 55122 •�•® ••�•
(651)675-5675 111111111111 IN 11111
www.cityofeagan.com * E R 1 8 2 4 3 1
Date Issued: 4/25/2023
Site Address: 1230 Eagan Industrial Rd 117
Lot: Block: 3 Addition: Eagandale Center Industrial Pk 1st
PID:10-22500-03-025
Use: Sever * 10 - 22500 - 03 - 02S *
Description:
Sub Type: Commercial
Work Type: Replace
Description: Replace 1 mop sink
Meter Size Meter Tvae Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Plumbing Commerical% $65.00 0801.4087
Valuation: 2,500.00 Surcharge-Based on Valuation $1.50 9001.2195
Total: $66.50
Contractor: - Applicant - Owner:
Bredahl Plumbing Inc Icon Eagandale Owner Pool 2 W/Ne/Mw L
8631 Jefferson Highway PO Box A3879
Maple Grove MN 55369 Chicago IL 60690--387
(763)424-2646
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 B : Signature
a �4 For Office Use I
. 182431 j
�e a de I Permit#.
a,•• ..ter I PermitFee� Qki tEAGAN
I
I
I Staff: 1
-� I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEI E I Payment Recvd: Yes _No 1
(651)675-5675 1 FAX: (651)675-5694 1 1
Email: buildinginspectlons@cityofeanon.com �'� �i Plans:_Electronic _Paper I
-------------1
By:
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via small
Date: i Site Address: `of t> cC_G1p,w-, L Z c I
Tenant: Suite #:
Property
.Owner, Name: Sr—\)2 I Phone:
Name: Y-e C`G11r\� 1�.ra�hi r�Ca License# L �-) 3Dloy
Contractor Address: (4 � Cit y nCL�FJ,.1,fD\)-P State:MN Zip: n<
Phone:`1 �,� `�lL, Email: M 1,
New Construction Addition Modify Space
Replacement Repair Rebuild Work In Right-Of-Way
Description of work— t: ''DOE>
Type of 1Nbrk 's Irrigation System(_yes/_no)(_RPz l_PVB)
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smeller 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? Yeah No Flushometers Yes --�tVo
COMMERCIAL FEES
Contract Value$ e.> r.,� x
$65.00 Permit Fee Minimum
$65.00 PVB/RPZ Permit(includes State Surcharge) $ Permit Fee
Surcharge=Contract Value x$0.0005 $ Surcharge
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
=$ 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.cltvofeagan.com/subscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.nopherstateonecall.orc 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. 1000
x *`rl 13�cht`t1�Ny x
Applicant's Printed Name App ant's Sig ature