EA187274 - Plumbing - Commercial - Summit Medical - Issued Date 10/20/2023 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd NZ °_° Permit Number: EA187274
Eagan,MN 55122 EAGAN
(651)675-5675 ,. 111111111111111111111111 lit
,,,.
www.cityofeagan.com * E R 1 8 7 2 7 4 *
Date Issued: 10/20/2023
Site Address: 815 Vikings Pkwy 100
Lot: I Block: 1 Addition: Lone Oak 4th
PID:10-45703-01-010
Use: Summit Medical * 1 0 — 4 5 7 0 3 — 0 1 — 0 1 0
Description:
Sub Type: Commercial
Work Type: Alteration
Description: 16 wc's, 12 lays,4 urinals,4 water coolers, 1 sink, ]
dishwasher
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Plumbing Commerical% $675.00 0801.4087
Valuation: 45,000.00 Surcharge-Based on Valuation $22.50 9001.2195
Total: $697.50
Contractor: - Applicant - Owner:
Bredahl Plumbing Inc Mve West LLC
8631 Jefferson Highway 2685 Viking Cir
Maple Grove MN 55369 Eagan MN 55121
(763)424-2646
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
-----------------
For Office Use
e w ai` 0 ® o Permit#:
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I Permit Fee: 1
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- ECE I Staff: ------ 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 Payment Recvd: _Yes No I
2023
(651)675-5675 1 FAX:(651)675-5694 UC+' 0 4
I
Email: buildinginspections(@cityofeagan com R 0 Plans:_Electronic _Paper I
BY: ----------------
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 10/2/23 site Address:815 Vikings Pkwy
Tenant: Summit Medical Expansion 100 suite #:
Property
Owner_ Name: Phone:
Name: Bredahl Plumbing License#: PM089375
ContractorAddress: 8631 Jefferson Hwy City: Maple Grove state: MN zip: 55369
Phone:763-424-2646 Email: Iizzie@bredahlplumbing.com
� s New Construction Addition Modify Space
Replacement ✓ Repair Rebuild Work in Right-Of-Way
Description of work: 16 water closets, 12 lays, 4 urinals, 4 water coolers, 1 sink, 1 dishwasher
Type of Work Irrigation System(_yes/_no)(—RPZ/_PVB)
• Rain sensors required on Irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required–Call Utilities at(651)675-5646 to verity tests passed mor to picking up meter.
Domestic Size&Type Fire: 1
Average GPM High demand devices?_Yes_No Flushometers_Yes No
COMMERCIAL FEES Contract Value$ 45,000 X.015
$65.00 Permit Fee Minimum $ 675.00 Permit Fee
$65.00 PVB/RPZ Permit(includes State Surcharge) $ 22.50
Surcharge
Surcharge=Contract Value x 50.0005 $ 697.50 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 _
=$ TOTALFEE
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 webslte at
www.citvofeagan.com/subscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.qoplherstateonecall.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 start ' out 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.
xLizzie Williams x
Applicant's Printed Name App a ign t