EA185392 - Plumbing - Commercial - Therapy Brands - Issued Date 07/24/2023PERMIT
City of Eagan,
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Permit"
ermit Type:
Plumbing
3830 Pilot Knob Rd
Eagan, MN 55122
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Permit Number:
EA185392
(651) 675-5675
Minneapolis MN 55402
www.cityofeagan.com
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Date Issued:
7/24/2023
Site Address: 1305
Corporate Center Dr 450
Lot: 1 Block: 1
Addition: Eagandale Office Park 3rd
PID:10-22532-01-010
Use: Therapy Brands
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Description:
Sub Type: Commercial
Work Type: Alteration
Description: Replace sink on existing RI and water line for fridg
Meter Size Meter Type
Manufacturer Serial Number Remote Number
Line Size
Comments:
Fee Summary:
PL - Plumbing Commerical % $65.00
0801.4087
Valuation: 1,500.00
Surcharge - Based on Valuation $0.75
9001 2195
Total: $65.75
Contractor: - Applicant -
Owner:
Blaylock Plumbing
Snh Medical Office Properties Trust
7731 4th Ave S
% Ryan Pts
Richfield MN 55423
150 5th St S Ste 2500
(612) 869-7531
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
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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
zp'rss'ued B : Signature
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For
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�` ` • o� Permit #: 1853192r r
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EAGA
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I Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 AUL 2 1 2023 r -------------
(651) 675-5675 I FAX: (651) 675-5694 1Payment Recvd: Yes No I
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Email: buildinginspectionsO-cityofeagan comI
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• I Plans: — Electronic — Paper I
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2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 07/06/23 Site Address: 1305 CORPORATE CENTER DR #450
Tenant: THERAPY BRANDS Suite #:
Property THERAPY BRANDS
OW11@r, Name: Phone:
Name: BLAYLOCK PLUMBING CO License #: PM063200
Contactor Address: 9425 SYNDICATE AVEBLOOMINGTON MN 55420
City: State: Zip:
Phone: 612-869-7531 Email: ROBB@BLAYLOCKPLUMBING.COM
New ConstructionAddition Modify Space
Replacement Repair Rebuild Work in Right -Of -Way
Description of work: REPLACE SINK ON EXISTING ROUGH IN, WATER LINE FOR FRIDGE
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 $ 1500 X.015
$65.00 Permit Fee Minimum $ 65.00
$65.00 PVB/RPZ Permit (includes State Surcharge) Permit Fee
Surcharge = Contract Value x $0.0005 $ .75 Surcharge
If the project valuation is over $1 million, please call City for Surcharge $ 65.75 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
= $65.75 TOTAL FEE
rou 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 plans. pp,
X ROBB M BLAYLOCK k � le'l ("Lr
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Applicant's Printed Name Applicant's Signature