EA190030 - Plumbing - Commercial - Issued Date 04/08/2024 PERMIT
City of Eagan & m , Permit Type: Plumbing
3830 Pilot Knob Rd „g�;�� $�'��°� Permit Number: EA190030
Eagan, MN 55122 �"�' �""� E A G A N
(65 1)675-5675 1111111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 9 0 0 3 0 *
Date Issued: 4/8/2024
Site Address: 4565 Erin Lane
Lot: I Block: 1 Addition: Mari Acres
P I D:10-47400-01-010
Use: McDonalds * 1 0 — 4 7 4 0 0 — 0 1 — 0 1 0
Description:
Sub Type: Commercial
Work Type: Alteration
Description: RPZ
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Please call HydroCorp at 1 (800)315-4305 to schedule a final inspection or ask any questions related to your project.
Permits related to work being done as part of Eagan's Cross Connection Control Program are inspected by Hydrocorp Inc.
Inspection results and records are available by calling Hydrocorp at 1 (800)315-4305.
Fee Summary: PL- RPZ/PVB/Lawn Irrigation $64.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Dave Nelson Plumbing LLC Mcdonalds Usa LLC
550 1 lth Ave N PO Box 4007
South St. Paul MN 55075 Mankato MN 56002
(651)734-5609
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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3830 PILOT KNOB ROAD I EAGAN,MN 55122.1810
(651)675-56751 FAX:(651)6755694 1 Payment Rocvtf --Y I
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2024 COMMERCIAL PLUMBING PERMIT APPLICATION
JR Please submit one set of ekotro tic pians via email
Data: y -3-2 y Site Address:—N%5 Erin L.a n e
Trt�rtanU �4 o n t>vto15 .+ r . Stdb
Property
owName: Ci ollee,n V anblarcom Phone: �o-j - 4 20 - 591-44
Name:0aye Nelson Plumbml LLC license:: pc,'1(6123y PMo9564 11
Contrac=tor Address:Z9 'o Ace NW city: 2Safli State: fAv Zip: 550y0
Phone: S 5609 Email: inCo Inn So4,xbvlidin 5olvito,rl5.Gorl'!
Mae-
New Construction Addition _Modify Space
—Replacement Repair _Rebuild Work in Right-Of-Way
Dmdptionofwork: 105 it 11V IM Per ryevi pe%se 0� �?qutprn
Type of Work —ItAgation System L_yes 1_no)(%A RPZ 1,PVB)
• Rain sensors required on irrigation systems
• Avg.GPM_(2'turbo required unless smaller size allowed by Public Warks)
Motor Required—Call Utilities at(851)675-5848 to verity tests passed prior to tiding upmeter.
Domestic:SW E Type Fin: 1
Avrap GPM Hlqh demand devices?_Yes No Flushomsters Yes_No
COMMERCIAL FEES Contract Valve S' 2000 x Ala
$66.00 Panmit Fee Minimum $ (o S pO Permit Fee
$65.00 PVB RPZ Permit(includes State Surcharge)
Surcharge:Contract Value x 50.0008 $ 5,o n
If the project valuation Is over it million,please call City for Surcharge $ 110 Oo TOTAL FEE
The following fees may apply when Installing a now lawn irrigation system or S vWW permit
connoting a now water service. $ Tmatfrterp PYnt
Contact to City's Engineering Department,(651)675.5846,for required fee amounts.
$ Motor Fee
$ Radio Read
$ Stas Surdwqe
$ TOTAL t=EE
You may a&eaibe to receive an electronic notification tram the City a proposed ordinances by sigro g up fgr an small updato on tM City's wsbeft at
CALL BEFORE YOU ice, Contact Gopher state One Cap at(651)454-0002 or for protattlon agdnst urdaproutd updgr
damp•. CaRsd dopher State One Call 48 Furs beton you WWW to dg to racohm locates of undo outd uti itka.
I hereby odvtawte*Utat Ulu Information Is compists and amrste:that the work will be M conformance with the ordinances and Coda of the City of
Eagan:that I w duataud 06 Is not a pump,but aly an application br a penNt,and work is rat b start without a Permit;that towork will be h acoordanos
with the approved plat in ft cue d work wtdoh mqu i as a mvtew and approval of plots.
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Applicant's Printed Norte
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