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EA187985 - Plumbing - Commercial - Issued Date 11/13/2023 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd *;� %,;��, Permit Number: EA187985 Eagan,MN 55122 •-•• •-• EGAN•�' (651)675-5675 1111111111111111111111111111111111111111111111111 www.cityofeagan.com * E R 1 8 7 9 8 S * Date Issued: 11/13/2023 Site Address: 4140 Lexington Ave Lot: 8 Block: 01 Addition: Lexington Hills 1st PID:10-45025-01-080 111111111111111111111 IN Use: The Lexington Communities * 1 0 — 4 5 0 2 5 — 0 1 — 0 8 D Description: Sub Type: Commercial Work Type: Replace Description: RPZ Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Fee Summary: PL-RPZ/PVB/Lawn Irrigation $64.00 0801.4087 Valuation: 800.00 Surcharge-Fixed $1.00 9001.2195 Total: $65.00 Contractor: - Applicant - Owner: Northland Mechanical Contractors Inc Monument Frozen Tundra LLC 9001 Science Center Dr %Mres New Hope MN 55428 5200 Blue Lagoon Dr Ste 400 (763)544-5100 Miami FL 33126 This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature r---------------- For ---------------For Office Use I 4 187985 !® I Permit#: 1 ®w ®a w, p, Permit FeerEAGAN 1 I I ECEIVE I I Staff: I -----------------I 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 r _ I I Payment Recvd: Yes No � (651)675-5675 1 FAX: (651)675-5694 NOV 0 9 2023 1 I Email: buildinginspections(a)-cityofeagan.com ' Plans: Electronic Paper I BY: ' — u 2023 COMMERCIAL PLUMBING PERMIT APPLICATION W1 Please submit one set of electronic plans via email Date: 11/9/2023 Site Address:4140 Lexington Avenue S Tenant: Lexington Hills Communities suite #: Lexing ton Hills Communities wh6r Name: Phone: 651-724-8007 t"� Name: Northland Mechanical Contractors, Inc. License#: PC643880 COl'tr�ct©r Address: 9001 Science Center Drive city. New Hope State: MN Zip: 55428 Phone: 763-544-5100 Email: permits@northland-mn.com New Construction Addition Modify Space Replacement Repair Rebuild Work in Right-Of-Way Description of work: Replace (1) RPZ i Y4'0Or Irrigation System(_yes/_no)L_RPZ/_PVB) • Rain sensors required on irrigation systems • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meter Required—Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 Average GPM High demand devices? Yes No Flushometers_Yes No COMMERCIAL FEES Contract Value$ 800.00 X.0115 $65.00 Permit Fee Minimum 65.00 $65.00 PVB/RPZ Permit(includes State Surcharge) $ Permit Fee Surcharge=Contract Value x$0.0005 $ 0 Surcharge If the project valuation is over$1 million, please call City for Surcharge $ 65.00 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 =s6 5.00 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.gopherstateonecall.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. XNicole Doeden X Applicant's Printed Name Applicant's Signature CITY OF EAGAN MANDATORY INSPECTION OF BACKFLOW PREVENTER Test Reduced Pressure Zone Backflow Preventer Unit ID Account# PROPERTY ADDRESS CONTACT PERSON PHONE# [.e. 11 s r-e- - 7 BACKFLOW PREVENTER INFORMATION Type Serial Number Model Size Manufacturer Assembl Responsible Com an Phone# Date of Last Rebuild Next Scheduled Rebuild Device Location Device Serves What System BACKFLOW PREVENTER ASSEMBLY TEST Check Valve I ( ) Leaked Closed Tight Check Valve 2 O Leaked (�p) Closed Tight Press Diff Across Check Valve#1 -7- 2- PSi Press Diff Across Check Valve#2 �+—�-- PSI Press Diff Relief OpenPSi Describe Repairs `. , I hereby certify the forgoing data to be correct and that the tested device is functioning within the limits of the standards. Firm Name: Northlan%ber echanical Contractors, Inc. Address 9001 Science Center Drive Lic a 059225•PM New Hope, Minnesota 55428 Test By: �GL..,,•-�'' Certification#: BF066827 Printed Name: Jim Pack Date Tested: Install OTest O:Rebuild P0Replaced Unit q6 t7 I 3�y PLUMBING PERMITIS REQUIRED FOR ALL REPAIRS AND REBUILDS Date Copy to City