EA187825 - Plumbing - Commercial - Issued Date 11/08/2023PERMIT
City of Eagan
Permit Type:
Plumbing
3830 Pilot Knob Rd
Eagan, MN 55122
*i,- EAGAN
Permit Number:
EA187825
(651) 675-5675
www.cityofeagan.com
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Date Issued:
11/8/2023
Site Address: 2999
Ames Crossing Rd
Lot: 1 Block: 1
Addition: Boulder Lakes 5th
PID:10-14754-01-012
EMI
EMICH111 111111111111
Use: First Impression Group * 1 D— 1 4 7 5 4—
0 1— 0 1 2
Description:
Sub Type: Commercial
Work Type: Alteration
Description: Build out shell
for restrooms, janirot, breakroom eti
Meter Size Meter Type
Manufacturer Serial Number Remote Number
Line Size
Comments:
Fee Summary:
PL - Plumbing Commerical % $893.40
0801.4087
Valuation: 59,560.00
Surcharge - Based on Valuation $30.00
9001.2195
Total: $923.40
Contractor: - Applicant - Owner:
Hayes Mechanical LLC Boulder Lakes Industrial Owner LLC
6840 Shingle Creek Pkwy, Suite 31 % United Properties Development LLC
Brooklyn Center MN 55430 250 Nicollet Mall Ste 500
(763) 568-7086 Minneapolis MN 55401
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
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3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 ECEi`V�------___-�
I G I Payment Recvd: Yes No
(691) 675-5675 i FAX: (651) 675-5694 I I
Email: buildinginspections(cLcityofeagan.corn8 P I Plans: Electronic Paper I
NOV 0 1 2023 I------------ --
2023 COMMERCIAL PLUMAG - PLICATION
❑ Please submit one set of electronic plans via email
Date: 10/31/2023 site Address: 2999 Ames Crossing Road
Tenant: First Impressions Group_ _ Suite #:
Property � Boulder Lakes Industrial Owner, LLC
Owner Name: Phone:
Name: Hayes Mechanical License #: PC801810
Contractor Address: 6840 Shingle Creek Pkwy city. Brooklyn Center State: MN Zip: 55430
Phone: 763-568-7086 Email: smatis@hayesmechanical.com
New Construction V" Addition Modify Space
Replacement Repair Rebuild Work in Right -Of -Way
Description of work: Build out in shell for restrooms,janitor, breakroom etc
Type Of Work � Irrigation System (_ yes ! no) (_ RPZ / _ PVB)
a o 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.
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1 Domestic: Size & Type Fire: 1
—-� Average GPM High demand devices? Yes —No Flushometers -„_Yes _No
COMMERCIAL FEES Contract Value $ 59560.00 x .015
$65.00 Permit Fee Minimums
$65.00 PVB/RPZ Permit (includes State Surcharge) $ Permit Fee
$ 29.78 Surcharge
Surcharge = Contract Value x $0.0005
923.18 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
= $ 923.18 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.cityofeagan.com/subscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www. gophers tateonecall.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 of plans.
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Applicant's Printed Name Appli ant's Signature