EA189853 - Plumbing - Commercial - Issued Date 03/27/2024 City of Eagan PERMIT
Permit Type: Plumbing
3830 Pilot Knob Rd ° � ' ° ° °
Eagan, MN 55122 °'y"� E AG A Permit Number: EA189853
(651)675-5675 N
www.cityofeagan.com MUM
* E R 1 8 9 8 5 3 *
Date Issued: 3/27/2024
Site Address: 1305 Corporate Center Dr
Lot: 1 Block: I Addition: Eagandale Office Park 3rd
PID:10-22532-01-010
Use: Rasmussen College Radtech
* 1PJ - 22532 — >! MMM
J 1 — f� 10 *
Description:
Sub Type: Commercial
Work Type: Alteration
Description: RI& Install Dishwasher
Meter Size Meter Type Manufacture
Serial Number Remote Number Line Size
Comments:
Fee Summary: PL- Plumbing Commerical % $65.00
Surcharge-Based on Valuation 0801.2195
4087
Valuation: 2,000.00 — $1 00 9001 2195
Total:
$66.00
Contractor:
- Applicant - Owner:
Blaylock Plumbing
7731 4th Ave S Snh Medical Office Properties Trust
Richfield MN 55423 %Ryan Pts
(612)869-7531 150 5th St S Ste 2500
Minneapolis MN 55402
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 — --I
04 ra �r ®o I Permit#: �
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II Permit Fe
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EAGAN
Staff: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E C E'V EPayment Recvd:
(651)675-5675 1 FAX; (651)675-5694 1 P _
I Yes No I
Email: building lnspectlons@cityofeagan cpm MAS 11 2014 I I
Plans:_Electronic Paper I
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BY:
2024 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 03/27/24 site Address: 1305 Corporate Center Dr - 2nd Floor
Tenant: Rasmussen College- Radtech
-- a -- -�—
Property -.—_ Suite #;
-.-.....-.._...�_.�.�.
Owner. Name; Rasmussen College
. - Phone:
Name: Blaylock Plumbing Co PC643661
License 4:
Contractor Address: 9425 Syndicate Ave B[oomin ton MN 55420
City: g State: Zip:
Phone: 612-869-7531 Email: robb@blaylockplumbing.com
Construction Addition ✓ Modify Space
Replacement Repair Rebuild Work in Right-Of--Way
Description of work: RI and install dishwasher
Type of Work Irrigation System(`yes/i no)(_RPZ PV6)
• 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 olckina up Meter,
Domestic:Size&Type
Fire: 1
Average GPM High demand devices?—Yes No Flushometers—Yes
COMMERCIAL FEES — —No
-
$65.00 Permit Fee Minimum
Contract Value$ 2000 X.015
$65.00 PV131RPZ Permit(includes State Surcharge) $ 65 Permit Fee
Surcharge=Contract Value x$0.0005 $ 1 Surcharge
If the project valuation is over$1 million,please call City for Surcharge $ 66
TOTAL FEE
The following fees may apply when installing a new lawn irrigation system or $
connecting a new water service. Water Permit
Contact the City's Engineering Department,(651)675-5646,for required fee amounts, $ Treatment Plant
$ Meter Fee
$ Radio Read
------------------------------------------- $ State Surcharge
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_$66 TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by
www.cityofuggn com/cubsg b signing up for an email update on the City's website at
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.00pherstateonecall ora for protection aga
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities, Inst underground utility
Eagan;that I understand this is not a permit,but only an application for a permit,and
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
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 Robb Blaylock
Applicant's Printed Name x
Applicant's Si n re