EA187708 - Plumbing - Commercial - Issued Date 10/26/2023 PERMIT
City of Eagana , , EAGAN Permit Type: Plumbing
3830 Pilot Knob Rd %,r�` Permit Number: EA187708
Eagan, MN 55122 •�
(651)675-5675 1111111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 8 7 7 d 8 *
Date Issued: 10/26/2023
Site Address: 3250 Denmark Ave
Lot: 2 Block: 1 Addition: Wings
PID:10-84490-01-020
Use: Savoy Pizza * 1 0 — 8 4 4 9 0 — 0 1 — 0 2 0 *
Description:
Sub Type: Commercial
Work Type: Replace
Description: Replace commerical light duty electric water heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Plumbing Commerical% $65.00 0801.4087
Valuation: 4,000.00 Surcharge-Based on Valuation $2.00 9001.2195
Total: $67.00
Contractor: - Applicant - Owner:
Norblom Plumbing Company Northwood Court Eagan LLC
1465 Selby Ave 5201 Eden Ave Ste 370
St Paul MN 55104 Edina MN 55436
(612)827-4033
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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I For Office Use i
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Permit Fee:
EAGAA
V E I V E I Staff; I
3830 PILOT KNOB ROAD I EAGAN,MN 65122-1810Pa Payment Recvd: _Yes No
(651)675-5675 1 FAX:(651)675-5694 OCT 2 6 2023 I y ---
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Email:build inginspectionsc@-cityofeagan,com Plans:_Electronic _Paper
BY: ----------
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date; 10/25/2023 Site Address: 3250 Denmark Avenue
Tenant: Savoy pizza Suite #:
Mike Meentis 651-269-2215
04Ain�I Name: Phone:
s x Norblom Plumbing 643133
Name: License#:
cf�#raor Address: 1465 Selby Avenuecity: St. Paul State; MN Zip; 55104
x
x 6128274033 service@norblomplumbing.com
r Phone: Email:
yr New Construction Addition Modify Space
✓ Replacement Repair Rebuild Work in Right-Of-Way
Description of work: Replace commercial light duty electric water heater,water lines ONLY
Ty pf Wbtk Irrigation System(Jyos 1_no)(^ RPZI_PVB)
Rain sensors required on irrigation systems
a Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required-Cali Utilities at(651)675-5646 to verity tests passed prior to picking up.mete
Domestic:Size&Type Fire: 1
Average GPM High demand devices?_Yes_No Flushometers Yes No
COMMERCIAL FEES Contract Value$ 4000 X.0115
$65,00 Permit Fee Minimum $ Permit Fee
$65.00 PVBIRPZ Permit(includes State Surcharge)
$ 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 emal{ update on the City's website at
yp,6M.cltyofeaQan.com/subscribe.
CALL BEFORE YOU DIG, Contact Gopher State Ono Call at(651)454-0002 or www,gopherstateoneceIt.Ora for protection against underground utility
damage. Contact Gopher Slate 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 Jeffrey L. Norblom x
Applicant's Printed Name App' ant's Signature