EA188587 - Plumbing - Commercial - Agiliti - Issued Date 01/16/2024City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.cityofeagan.com
PERMIT
Permit Type: Plumbing
Permit Number: EA188587
EAGAN
* E R 1 8 8 S 8 7
Date Issued: 1/16/2024
Site Address: 2999 Ames Crossing Rd 200
Lot: 1 Block: 1 Addition: Boulder Lakes 5th
PID:10-14754-01-012
Use: Agiliti * 1 0— 1 4 7 5 4— C 1— 0 1 Z
Description:
Sub Type: Commercial
Work Type: Alteration
Description: Restrooms, Water Heaters, Sinks
Meter Size Meter Tvne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL - Plumbing Commerical % $795.00 0801.4087
Valuation: 53,000.00 Surcharge - Based on Valuation $26.50 9001.2195
Total: $821.50
Contractor: - Applicant -
Owner:
Century Plumbing Inc
Boulder Lakes Industrial Owner LLC
590 Hayward Ave N
% United Properties Development LLC
Oakdale MN 55128
250 Nicollet Mall Ste 500
(651) 653-9390
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.
1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
Df Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 FAX: (651) 675-5694
Email: buildinginspections a cityofeagan.com
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II PaymentRecvd: —Yes _No 1I
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Plans: e_ Electronic __ Paper I
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&Pe submit one set of electronic plans via email
12/22/2023 Site Address: , Eagan r��,�
Tenant- Agiliti 2`I q 'f Amies CIQ-OSS11'L� Suitel'"" #:
Property
Owner Name:
Inverpoint 2 Industrial Owner LLC C/O Phone:
`
Name: Century Plumbing, Inc
License #: PC644371
ContractorAddress: 590 Hayward Ave N City: Oakdale State: MN zip: 55128
Phone: 651-653-9390
Email: jblasena@centurypiumbing.net
New Construction Addition V Modify Space
Replacement Repair Rebuild Work in Right -Of -Way
Description of work: Tenant Space Remodel- Restrooms, water heaters, various sinks
Type of Work Irrigation System (_ yes l no) (` RPZ I _ 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
Averaae GPM Hiah demand devices? Yes
COMMERCIAL FEES
$65,00 Permit Fee Minimum
$65.00 PVBIRPZ Permit (includes State Surcharge)
Fire: 1
Flushometers Yes
Contract Value $ $53,000
$ $795.00
x.015
Permit Fee
$ $26.50 Surcharge
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call City for Surcharge $ $821 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
$ $ 821.50 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.00�herstateonecall.oro 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.
i
x Jeffrey W Blasena x - --
Applicant's Printed Name AP s gnature