EA184747 - Plumbing - Commercial - Issued Date 07/31/2023PERMIT
City of Eagan
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Permit Type:
Plumbing
3830 Pilot Knob Rd
Eagan, MN 55122
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--•- -_-° EAGAN
Permit Number:
EA184747
(651) 675-5675
www.cityofeagan.com
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Date Issued:
7/31/2023
Site Address: 4131
Old Sibley Mem Hwy
Lot: 2 Block: 1
Addition: Preusse 3rd
PID:10-59102-01-020
Use: Axxys Construction
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Description:
Sub Type: Commercial
Work Type: Alteration
Description: Remodel office, new unisex RR and breakroom sin
Meter Size Meter Tyne Manufacturer Serial Number
Comments:
Remote Number Line Size
Fee Summary: PL - Plumbing Commerical % $165.00 0801.4087
Valuation: 11,000.00 Surcharge - Based on Valuation $5.50 9001.2195
Total: $170.50
Contractor: - Applicant -
Owner:
Palen Kimball LLC
Kir Enterprises LLC
1717 University Ave W
18901 Jordan TO
St. Paul MN 55104
Lakeville MN 55044
(612)282-7787
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
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For Office Use I
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'� % 1 Permit #: 184747 j
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• `• � "" � Permit Fee:EAGA ECEIVE
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.1UN 2 o 2023 Staff:_-
3830 PILOT KNOB ROAD I EAGAN, MN 55122-18101P —
' I Payment Recvd: Yes No I
(651) 675-5675 i FAX: (651) 675-5694 133: I I
Email: buildinginspections(a)cityofeagan.com I
I Plans: ZElectronic Paper I
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2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 6/19/23
Site Address:4131 Old Sibley Memorial Hwy
Tenant: Axxys Construction
Suite #:
Property
Owner
Axxys Construction
Name.
Phone:
Name: Palen Kimball LLC dba Signature Mech License #: PM059031 PC 792218
Contractor
Address: 8260 Arthus St NE, Suite A city: MPIs State: MN Zip: 55432
Phone: 612-2$2-7787 Email: jim@signaturemechanical.com
New Construction Addition ✓ Modify Space
Replacement Repair Rebuild Work in Right -Of -Way
Description of work: Remodel office space. New unisex restroom and breakroom sink
Type Of Work
Irrigation System (_ yes I ✓ no) i_ RPZ 1 _ 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 11,000.00
Contract Value $ X.915
$65.00 Permit Fee Minimums
$ Permit Fee
$65.00 PVBtRPZ Permit (includes State Surcharge)
$ 5.50 Surcharge
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call City for Surcharge $ 170.50 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
=s 170.50 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 tork 'll be in accordance
with the approved plan in the case of work which requires a review and approval of plans. 7
xJames Froehle x
Applicant's Printed NameApplica s Signature