EA185652 - Plumbing - Commercial - Issued Date 08/07/2023 PERMIT
City of Eagan a , , ° Permit Type: Plumbing
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3830 Pilot Knob Rd ° ° ° ° EAuPermit Number: EA185652
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Eagan, MN 55122 '�
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(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
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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
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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
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=$ 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