EA187968 - Plumbing - Commercial - Issued Date 11/08/2023 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA187968
Eagan, MN 55122 •-•• •-
EAGAN
(651)675-5675 iiiiiiiiiiiiiiiiiiiiiillillillillillillilliilillE
www.cityofeagan.com * E R 1 8 7 9 6 8 *
Date Issued: 11/8/2023
Site Address: 3173 Dodd Rd
Lot: 3 Block: 1 Addition: Eagan Pointe
PID:10-22465-01-030 HUM
Use: Freightmaster Logistics * 1 0 — Z Z 4 6 5 — 0 1 — 0 3 0
Description:
Sub Type: Commercial
Work Type: Replace
Description: Replace 1 urinal
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Plumbing Commerical% $65.00 0801.4087
Valuation: 3,000.00 Surcharge-Based on Valuation $1.50 9001.2195
Total: $66.50
Contractor: - Applicant - Owner:
Champion Plumbing LLC Dover Partners LLP
3670 Dodd Rd.,#100 %Ronald Have
Eagan MN 55123 2373 Highover Trl
(651)365-1340 Chanhassen MN 55317
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
\ i / Permit#: 187968
I
EAGAN
•�.o � Permit Fee:
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I I
ECEIVE I Staff:----------- I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 Payment Recvd: _Yes No I
(651)675-5675 1 FAX: (651)675-5694 NOV U 8 2023 1
Email: buildinginspections aocityofeagan.com I
Plans: Electronic Paper I
BY: ----------------
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email 1 (`�
Date: Site Address: �� f1/d�C\– C\
Tenant: +ref- L d I t L S Suite #:
Property _
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Owner Name; �V✓ ��\ Phone; ((1�� " ItJc� `SC2 KU
Name: V ,'c PjUj1,nbjvj ' License#: C)cx->3 0
Contractor Address;30.4c) Baca c� 'P_C�_ City; State: zip: �� _
Phone; 1U1 rlfl�- �L'Q Email: Dvv,
New Construction Addition Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work: -��)CCS U tr ca '
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 prior to picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices?_Yes No Flushometers-_/ Yes_No
COMMERCIAL FEESContract Value $ bcob x .015
$65.00 Permit Fee Minimum $ � Permit Fee
$65.00 PVB/RPZ Permit(includes State Surcharge) `
$ ` Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call City for Surcharge $ l C lfJ• 50, 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
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$ 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.citvofeagan.com/subscribe.
CALL BEFORE YOU DIG, Contact Gopher State One Call at(651)454-0002 or www.qopherstateonecall.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 a roved plan In the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature