EA187190 - Plumbing - Commercial - Feed My Starving Children - Issued Date 10/02/2023 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA187190
Eagan, MN 55122 --®- •®®° EAGAN
(651)675-5675 11111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 8 7 1 9 0
Date Issued: 10/2/2023
Site Address: 990 Lone Oak Rd 122
Lot: 141 Block: 3 Addition: Eagandale Center Industrial Pk 3rd
PID:10-22502-03-141
Use: Feed My Starving Children * 1 0 — Z Z S 0 Z — 0 3 — 1 4 1
Description,:
Sub Type: Commercial
Work Type: Replace
Description: Water Heater
Meter Size Meter T Te Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Plumbing Commerical% $65.00 0801.4087
Valuation: 2,144.00
Surcharge-Based on Valuation $1.50 9001.2195
Total: $66.50
Contractor: _ Applicant _ Owner:
Northern Plumbing and Softening Ci Minn I-A LLC
2958 Sheridan Ave N %Colony Northstar Inc
Minneapolis MN 55411 13727 Noel Rd Ste 750
(763)274-1476 Dallas TX 75240
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
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Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I Payment Recvd: _Yes No I
(651)675-56751 FAX: (651)675-5694 I I
Email: building inspections(cDcityofeagan.com I Plans:_Electronic _Paper
I---- -----------J
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date:
10/02/2023 Site Address:990 Lone Oak Rd, Suite 122, Eagan MN 55121
Tenant: Feed My Starving Children 122 Suite #:
Property Feed My Starving Children
Owner Name: Phone: 952-200-5192
TPC Northern Inc(DBA Northern Plumbing&Softening) PC804062
Name: License#:
Contractor Address: City: State: Zip:2958 SHERIDAN AVE N Minneapolis MN 55411
763-274-1476 admin@tpcplumber.com
Phone: Email:
New Construction Addition Modify Space
✓ Replacement Repair Rebuild Work in Right-Of-Way
Description of work: Replace/Install 40 gallon Water heater
Type Of Work irrigation System(—yes/_no)(_RPZ/_PVB)
• Rain sensors Y
on required irrigation systems
q 9
• 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$2144.42 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.cityofeagan.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.
,,Sara Clifton X
Applicant's Printed Name Applicant's Signature