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EA185652 - Plumbing - Commercial - Issued Date 08/07/2023 PERMIT City of Eagan a , , ° Permit Type: Plumbing ° 3830 Pilot Knob Rd ° ° ° ° EAuPermit Number: EA185652 ®�'b�° ®A®°�, Eagan, MN 55122 '� A N (651)675-5675 1111111111111111111111111111111 111[m www.cityofeagan.com * E A 1 8 5 6 5 Z * Date Issued: 8/7/2023 Site Address: 4131 Old Sibley Mem Hwy Lot: 2 Block: 1 Addition: Preusse 3rd PID:10-59102-01-020 Use: Axxys Construction * 1 0 — 5 9 1 0 2 — 0 1 — D Z 0 Description: Sub Type: Commercial Work Type: Alteration Description: add restroom,break room sink and drinking fountain Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size Comments: Fee Summary: PL-Plumbing Commerical% $247.50 0801.4087 Surcharge-Based on Valuation $8.25 9001.2195 Valuation: 16,500.00 Total: $255.75 Contractor: - Applicant - Owner: Commercial Plumbing&Heating Rjr Enterprises LLC 24428 Greenway Ave 18901.1ordan TO Forest Lake MN 55025 Lakeville MN 55044 (651)464-2988 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 slued B : Signature r———————————————— I For Office Use I I I w � � ae ® a i Permit* 185 652 EAGAN I Permit Fee: 5 I I I ECE � s I I �, � '.= I Staff: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 "' a j Payment Recvd: _Yes _No (651) 675-5675 1 FAX: (651)675-5694 ' a Email: buildinginspections(D-cityofeagan.com I Plans: Electronic Paper I 8Y: I----=_-----—-- 2023 COMMERCIAL PLUMBING PERMIT APPLICATION W1 Please submit one set of electronic plans via email Date: 7/31/23 Site Address:4131 Old Sibley Memorial Hwy Tenant: Axxys Construction Suite #: Property Owner Name: Phone: Name: Commercial Plumbing & Heating, Inc. License#: PC643117 Contractor Address: 24428 Greenway Ave city: Forest Lake State: MN zip: 55025 Phone: 651-464-2988 Email: Aanton@cpandh.com New Construction Addition Modify Space Replacement Repair Rebuild Work in Right-Of-Way Description of work: Add restroom, break room sink and drinking fountain 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 [$65.00 OMMERCIAL FEES Contract Value$ 16,500.00 x.045 Permit Fee Minimum $ 247.50 Permit Fee 65.00 PVB/RPZ Permit(includes State Surcharge) $ 8.25 Surcharge Surcharge=Contract Value x$0.0005 $ 255.75 TOTAL FEE If the project valuation is over$1 million, please call City for Surcharge 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.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. x Derrek Skeie x Derrek/Ske iz Applicant's Printed Name Applicant's Signature