EA182477 - Plumbing - Commercial - Midwest Surgery - Issued Date 05/09/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
®®®® Permit Type: Plumbing
®Permit Number: EA182477
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Date Issued: 5/9/2023
Site Address: 2975 Holiday Ct 100
Lot: 1 Block: 1 Addition:
PID:10-22455-01-010
Use: Midwest Surgery * 1 0— 2 2 4 5 5— 0 1— 0 1 0
Description:
Sub Type: Commercial
Work Type: New
Description: TI Buildout of medical office
Meter Size Meter Tyne Manufacturer Serial Number
Comments:
Remote Number Line Size
Fee Summary: PL - Plumbing Commerical % $5,782.50 0801.4087
Valuation: 385,500.00 Surcharge - Based on Valuation $192.75 9001.2195
Total: $5,975.25
Contractor: - Applicant - Owner:
Northern Mechanical Contractors LLC Eagan Mob Partners LLC
1975 Seneca Road, Suite 100 % Davis Real Estate Services Group L
Eagan MN 55122 33 6th St S Ste 4650
(651) 789-2275 Minneapolis MN 55402
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
Df Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B : Signature
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I For Office Use
e ® 0 0 Permit #: 182477
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AV ILI Permit Fee: 7+E A E C E -E
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I Staff: I
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 Payment Recvd: _Yes _No
(651) 675-56751 FAX: (651) 675-5694
Email: buildinginspectionsD-cityofeagan.com I I
I Plans: _Electronic _Paper I
— — — — — — — — — — — — — — — — — .I
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
W1 Please submit one set of electronic plans via email
Date: 4/25/2023 Site Address: 2975 HOLIDAY COURT
Tenant: MIDWEST SURGERY Suite CU #:
Property DAVIS HEALTHCARE REAL ESTATE 612.341.3242
Owner, . Name: Phone.
Name: NORTHERN MECHANICAL License#:
Contractor, 1975SENECA RD EAGAN MN . 55122
Address: City: State: Zip.
Phone: 612.616.5139 Email: BOBW@NORTHERNMC.COM
New Construction Addition V/ Modify Space
Replacement Repair Rebuild Work in Right -Of --Way
Description of work: TI BUILDOUT OF MEDICAL OFFICE. PLUMBING WASTE, VENT, AND DOMESTIC WATER.
Typeof Work Irrigation System (_ yes / V no) W RPZ / _ PVB)
• Rain sensors required on irrigation systems
ss
• 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 $ 385500 X.,0118
$65.00 Permit Fee Minimum $ 5782
$65.00 PVB/RPZ Permit (includes State Surcharge) Permit Fee
$ 192.75 Surcharge
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call City for Surcharge $ 5974.75 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
_ $ 5974.75 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.cftyofea-gon.com/subscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.aopherstateonecall.ora 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 plans.
i 4,l9ned by Bob Wolf
ROBERT WOLF Bob Wolf ' Iq atthe, Mechanical, N-mftb Woo
(1" o -US, - Mechanical, hemBob Wolf'
X X ;"" 2M 042414.92.46-04.0'
Applicant's Printed Name Applicant's Signature
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"
Radio Meter Read
$6,500.00
$240.00
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.aethydrosoft.com. Please call Hydrosoft customer service at (844) 493-7641 or email infoQhydrocorpinc.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 buildinginspections(M-citvofeaoan.com
If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.