EA187562 - Plumbing - Commercial - Issued Date 10/18/2023 PERMIT
City of EaganPermit Type: Plumbing
3830 Pilot Knob Rd ® ® ' Permit Number: EA187562
Eagan, MN 55122 ®~"' "®''
EAGAN
(651)675-5675 * E R 1 8 7 S 6 2
www.cityofeagan.com
Date Issued: 10/18/2023
Site Address: 1351 Town Centre Dr
Lot: 1 Block: l Addition: Town Centre 70 13th
PID:10-77037-01-010
Use: McDonalds * 1 0 — 7 7 0 3 7 — 0 1 — 0 1 0
Description:
Sub Type: Commercial
Work Type: Replace
Description: RPZ
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-RPZ/PVB/Lawn Irrigation $64.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Valuation: 1,772.00
Total: $65.00
Contractor: - Applicant - Owner:
NAC Mechanical&Electrical Services Mcdonalds Corp
1001 Lahore Industrial Ct.,Suite B %Thomas P Butler
Vadnais Heights MN 55110 7735 Gibraltar Terrace
(651)490-9868 Apple Valley MN 55124-612
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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For Office Use i
oro Permit# L 6 (5
•••« Permit Fee:EAGAN
I
I Staff: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 l Payment Recvd: _Yes No I
(651)675-5675 1 FAX: (651)675-5694 1
Email:building inspections cityofea. an.com
�� Plans:_Electronic _Paper I
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2023
----------2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email �'A n^
Date: d l ��1p�� Site Addre s* tJ 1� �-G DC
o i) //( 155
Tenant: I I Ice Doy-toot� fD
Suite #:
Property % G //__c7 �jQ
Owner Name: 1C1 G Phone: (o5 i– (oac— ✓y
Name: 10 tf Gl G.t� lft G 1 License#: pcl 1
Contractor Address) '� � 6k,ittyy:- t J�State: Zip:_5
Phone: 9 QEmail; ,
New Construction Addition Modify Space
XReplacement Repair Rebuild Work in Right-Of-Way
Description of work: 618 ell`
Type of Work Irrigation System(_yes/ o)(_RPZ I_PVS)'
Rain sensors required on rrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required–Call Utilities at(651)675-5646 to verity tests passed prig[to picking uD meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices? Yes—No Flushometers Yes.,,_,- No
COMMERCIAL FEES Contract Value$—Ma-00 X.015
$65.00 Permit Fee Minimum $ { 5. ( Permit Fee
$65.00 PVB/RPZ Permit(includes State Surcharge)
$ Surcharge
Surcharge=Contract Value x$0.0005 � QQ
If the 2!2j:!ct valuati {on is over$1 million,please call City for Surcharge $_ 5 C� 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
--------------------------- ---------------------------------- _._._.,_-----..--- w_-----
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$ t!-1 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.ctvofeagan.com�ubscilbe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or>n+WW agoherstateonecall 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 ofplans.
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l ei8t &uer-
Applicant's Printed Name Applicant' gnature