EA189643 - Plumbing - Commercial - Issued Date 03/14/2024 PERMIT
City of Eagan , . , , Permit Type: Plumbing
3830 Pilot Knob Rd ,,�;lo e,;•', Permit Number: EA189643
Eagan, MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com k E R 1 8 9 6 4 3
Date Issued: 3/14/2024
Site Address: 1276 Town Centre Dr
Lot: 2 Block: I Addition: Town Centre 100 10th
PID:10-77047-01-020 11111111111111111111 IN 11111111111111111111111111
Use: Cub Foods * 1 0 — 7 7 0 4 7 — D 1 — 0 Z 0
Description:
Sub Type: Commercial
Work Type: Replace
Description: RPZ
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-RPZ/PVB/Lawn Irrigation $64.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Commercial Plumbing&Heating Erep Eagan I LLC
24428 Greenway Ave %Sue Richardson
Forest Lake MN 55025 515 Congress Ave Ste 1925
(651)464-2988 Austin TX 78701
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
----------------
I For Office Use
I + .� 2 I
Permit#: I 1�L I
•+++ '"•�� 1 Permit Fee:EAGAN
1
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I Staff: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 j_Payment Recvd: _Yes _No 1
(651)675-5675 1 FAX: (651)675-5694 I I
Email: buildinginspectionsC@citvofeagan.com I I
I—Plans__Electronic _Paper -
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 3/13/24 Site Address: 1276 Town Center Drive
Tenant: Cub Foods Suite #:
Pr°o,':, SuperValu Phone:
UV1 nor Name:
Name: Commercial Plumbing & Heating, Inc. License#: PC643117
Contractor Address: 24428 Greenway Avecity: Forest Lake state: MN zip: 55122
Phone: 651-464-2988 Email: mwisgerhof@cpandh.com
New Construction Addition Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work: Replace 2 RPZ's. 1 in meat dept serving chemicals, 1 in floral serving floral chemical.
y�1@ mQ WcA Irrigation System i—yes/_no)CZ RPZ/_PVB)
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required–Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices? Yes No Flushometers Yes No
COMMERCIAL FEES Contract Value$ 600.00 x.015
$65.00 Permit Fee Minimum65.00
$65.00 PVB/RPZ Permit(includes State Surcharge) $ Permit Fee
$ Surcharge
Surcharge=Contract Value x$0.0005
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
_$ 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.
x Derrek Skeie x
Applicant's Printed Name Applicant's Signature