EA185334 - Plumbing - Commercial - Vacant - Issued Date 07/18/2023 PERMIT
City of Eagan ® ® ® ® Permit Type: Plumbing
3830 Pilot Knob Rd �m®®® ®®®® AM
A& Permit Number: EA185334
M
Eagan, N 55122 ®®®® ®®®® /A A N
(651)675-5675
www.cityofeagan.com * E A 1 8 5 3 3 4
Date Issued: 7/18/2023
Site Address: 1230 Eagan Industrial Rd 117
Lot: Block: 3 Addition: Eagandale Center Industrial Pk 1st
PID:10-22500-03-025 111111111111 IN 111111 Im 11111111111111111111111111111111111111111111 IN
Use: Vacant * 10 - 22500 - 03 - 025 �K
Description:
Sub Type: Commercial
Work Type: Replace
Description: Breakroom sink, drinking fountain,connect
dishwasher
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Plumbing Commerical% $72.68 0801.4087
Valuation: 4,845.00 Surcharge-Based on Valuation $2.50 9001.2195
Total: $75.18
Contractor: - Applicant - Owner:
Budget Plumbing Corporation Icon Eagandale Owner Pool 2 W/Ne/Mw L
855 Highway 169 North PO Box A3879
Plymouth MN 55441 Chicago IL 60690--387
(763)531-2000
This permit shall be null and void if work does not start.within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature sued B : Signature
r-----------------
I For Office Use I
Permit#: 3 3 4
Permit Fee:EAGAN
I I
I Staff. 1
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I Payment Recvd: Yes No I
(651)675-5675 FAX:(651)675-5694 I I
Email:buildinainspectonsO-citvofeagan.com I I
I Plans:_Electronic _Paper I
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 7(T(21 Site Address:
Tenant: VkCk Suite Ifs #:
Property
Owner Name: ►'3�1 z s Phone:
Name: lvuo ke-r License#: pC_6L1Y4 LtZ
Contractor Address: rs 3-- ft [G- P City: �Q►( ° -� State:11A1 Trp: Att(
Phone: �iq-o�f�' Email:/V1(-K5'0_ �ikp��-� �,gWda �. C.,j,
New Construction Addition Modify Space
Replacement Repair Rebuild Work in IZght-Of-Way
Description of work: P-CA.to ow 5'A wi �r� rbu6st Tkk k_+pnN.k';�4 � �. °`L°� D+T(.•.�
rIF
Type of Work Irrigation System yes I—no)L RPZ/_PVB)
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required–Call Utilities at(651)675-5646 to verity tests passed prior to nicking up meter.
Domestic:Size$Type Fire: 1
Average GPM High demand devices?_Yes No Flushometers_Yes_No
COMMERCIAL FEES Contract Value$ r� S= x-bit
$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.
Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant
$ 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.cbafeaaan.com/subscdbe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonewil.oro 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.
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Applicant's Printed Name Applicant's Signature
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