EA186312 - Plumbing - Commercial - Northern States Agency - Issued Date 09/26/2023PERMIT
City of Eagan
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Permit Type:
Plumbing
3830 Pilot Knob Rd
Eagan, MN 55122
1.11111111h. AL
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Permit Number:
EA186312
(651) 675-5675
Minneapolis MN 55402
www.cityofeagan.com
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Date Issued:
9/26/2023
Site Address: 1305
Corporate Center Dr 460
Lot: 1 Block: 1
Addition: Eagandale Office Park 3rd
PID:10-22532-01-010
Use: Northern States Agency * 1 0— 2 2 5 3 2—
0 1— 0 1 0
Description:
Sub Type: Commercial
Work Type: Alteration
Description:
Meter Size Meter Type
Manufacturer Serial Number Remote Number
Line Size
Comments:
Fee Summary:
PL - Plumbing Commerical % $150.00
0801.4087
Valuation: 10,000.00
Surcharge - Based on Valuation $5.00
9001.2195
Total: $155.00
Contractor: - Applicant -
Owner:
Bredahl Plumbing Inc
Sub Medical Office Properties Trust
8631 Jefferson Highway
% Ryan Pts
Maple Grove MN 55369
150 5th St S Ste 2500
(763) 424-2646
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
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 Issued By: Signature
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For Office Use I
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0 ®�0 Permit #: I J
I Permit Fee: � `_ 5 I
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GCGIVE GAN
I Staff:__
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 r----Recvd: es — No
� I Payment Recvd: _Yes No I
(651) 675-5675 1 FAX: (651) 675-56941
Email: 1
Email: buildinginspections(o�cityofeagan.com I
I Plans: Electronic Paper
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BY:----------------BY:
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Dater Site Address: 6—C, Gy) -N �C, C ^ roof-' SZ 2S
Tenant: Suite Q1 (Dom
Property
Owner Name: Phone:
NametY�rV��i 1��t�k>>v�G� License#:'PC�Cn`—E�D6
Contractor Address:4�11.�-s \- LS Cit YYY., �,LQ 13y -e State:Y 1 Zi (
Phone:
New Construction _> Addition Modify Space
Replacement Repair Rebuild Work in Right -Of -Way
Description of work S�� \ �„ �K. , � �-7�? l.. d ��,� ant"1.r,�st irlcFv f i a�.1-( t
Irrigation System es I no 1 r Ar v F ay�
Type of Work g y %-_ Y _ ) (� RPZ / _PVB) � i
• 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.
Dornestic: Size & Type Fire: 1
Average GPM High demand devices? Yes No Flushometers Yes No
COMMERCIAL FEES Contract Value $ 10, DDLD. 0 x.015
$65.00 Permit Fee Minimum $
$65.00 PVB/RPZ Permit (includes State Surcharge) Permit Fee
$ Surcharge
Surcharge = Contract Value x $0.0005
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.
$ 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 witlaLit 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