EA185898 - Plumbing - Commercial - KLJ Engineering - Issued Date 10/30/2023City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
Site Address: 2750
Lot: 1 Block: 1
PID:10-30802-01-010
Use: KLJ Engineering
PERMIT
Permit Type: Plumbing
Permit Number: EA185898
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EAGAN
*ER 185898*
Date Issued: 10/30/2023
Blue Water Rd 100
Addition: Grand Oak 3rd
Description:
Sub Type: Commercial
Work Type: Alteration
Description: Restrooms, sinks, trench drains, fwt
Meter Size Meter Tyne Manufacturer
Comments:
II I II IIII III I VIII I I I II I I I II III IIII (III III IIII I III I II IIII IIII I III I II IIII III I IIII I I
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Serial Number Remote Number Line Size
Fee Summary' PL - Plumbing Commerical % $747.00 0801.4087
Surcharge - Based on Valuation $24.90 9001.2195
Valuation: 49,800.00
Total: $771.90
Contractor: - Applicant -
Owner:
Blaylock Plumbing
Grand Oak Minnesota Realty LP
7731 4th Ave S
% Alexander Massa
Richfield MN 55423
One World Trade Center Ste 83g
(612) 869-7531
New York NY 10007
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.
hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
f Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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,,,,.,b ..,•terEAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
Email: buildinginspections(cbcityofeagan.com
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For
---------For Office Use
I Permit #: I
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I Permit Fee:
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I Staff:
rPayment Recvd: _Yes _No
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Plans:_ Electronic _ Paper I
— — — — ----- — — --'
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date. 08/07/2023 Site Address: 2750 BLUE WATER RD
Tenant:
KLJ ENGINEERING 100 Suite
_
Name: KLJ ENGINEERING
Name: BLAYLOCK PLUMBING CO
Address: 9425 SYNDICATE AV
Phone: 6128697531
Phone:
License #: PM 063200
E City: BLOOMINGTON State: MN
Email: ROBB@BLAYLOCKPLUMBING.COM
Zip: 55420
_ New Construction Addition Modify Space
_ Replacement Repair Rebuild Work in Right -Of -Way
Description of work: PLUMBING FOR KLJ ENGINEERING (RESTROOMS, SINKS, TRENCH DRAINS, FWT)
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 prior to picking up meter.
Domestic: Size & Type Fire: 1
Average GPM High demand devices? _,Yes No Flushometers Yes _
COMMERCIAL FEES Contract Value $ 49800 x .015
$65.00 Permit Fee Minimum $ 747.00 Permit Fee
$65.00 PVB/RPZ Permit (includes State Surcharge) $ 24.90
Surcharge
Surcharge = Contract Value x $0.0005 $ 771.90 TOTAL FEE
If the proiect valuation is over $1 million, please call City for Surcharge
The following fees may apply when installing a new lawn irrigation system or $
connecting a new water service. $
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $
= ci� 771.90
Water Permit
Treatment Plant
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 website at
www.cityofeagan.co /subscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www gopherstateonecail.orq 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.
x ROBB M BLAYLOCKx P& K �
Applicant's Printed Name Applicant's Signature