EA189741 - Plumbing - Commercial - Issued Date 03/19/2024 PERMIT
City of Eagan , , ® , Permit Type: Plumbing
3830 Pilot Knob Rdg " " EAGAN Permit Number: EA189741
Eagan, MN 55122 °��' �"��
(65 1)675-5675
www.cityofeagan.com * E A 1 8 9 7 4 1
Date Issued: 3/19/2024
Site Address: 2250 Cliff Rd
Lot: 1 Block: 1 Addition: Oak Cliff 6th
PID:10-53555-01-010 mum
Use: * 1 0 — S3S55 - 0 1 - 0 10 )K
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
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Commercial Plumbing&Heating Realty Income Properties 3 LLC
24428 Greenway Ave Attn Portfolio Management 2833
Forest Lake MN 55025 11995 El Camino Real
(651)464-2988 San Diego CA 92130
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
I----------------"
I For Office Use
e j 189741
t @ + a I Permit#:
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Permit Fee:
EAGA
ECEIVEI '
I Staff: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 MAR 19 2024 rPayment Recvd: _Yes _No
(651)675-5675 1 FAX: (651)675-5694 I
Email: buildinginspections cDcityofeagan.com I
BY:_ Plans: Electronic Electronic _Paper J
2023 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 3/19/24 Site Address: 2250 Cliff Rd
Tenant: Speedway Suite #:
Property Sp eedway
Owner Name: Phone:
Name: Commercial Plumbing & Heating, Inc. License#: PC643117
i Contractor Address: 24428 Greenway Ave city: Forest Lake State: MN Zip: 55025
t
Phone: 651-464-2988 Email: mwisgerhof@cpandh.com
New Construction Addition Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work: replace RPZ in car wash serving car wash (replace serial#ACG4130).
Type of Work Irrigation System(_yes/_no)LV/—RPZ/_PVB)
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required–Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter.
Domestic: Size&Type Fire: 1
Average GPM High demand devices? Yes No Flushometers_Yes_No
COMMERCIAL FEES Contract Value$ 850 X.015
$65.00 Permit Fee Minimum $ 65.00 Permit Fee
$65.00 PVB/RPZ Permit(includes State Surcharge)
$ Surcharge
Surcharge=Contract Value x$0.0005 $ 65.00 TOTAL FEE
If the project valuation is over$1 million,please call City for Surcharge
t 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 _ --
=$65.00 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/subscri .
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www oopherstateonecall.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 D"&a
Applicant's Printed Name Applicant's Signature