EA190031 - Plumbing - Commercial - Issued Date 04/08/2024 PERMIT
City of Eagan , s , Permit Type: Plumbing
3830 Pilot Knob Rd a a ® ' ` EAGAN
Permit Number: EA190031
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Eagan, MN 55122 �--�
(651)675-5675
www.cityofeagan.com * E A 1 9 0 0 3 1
Date Issued: 4/8/2024
Site Address: 1995 Silver Bell Rd
Lot: 1 Block: 1 Addition: McDonalds
PID:10-47725-01-010
Use: McDonalds * 1 0 — 4 7 7 2 5 — 0 1 — 0 1 0
Description:
Sub Type: Commercial
Work Type: Alteration
Description: RPZ
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments: 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.
Please call HydroCorp at 1 (800)315-4305 to schedule a final inspection or ask any questions related to your project.
Fee Summary: PL- RPZ/PVB/Lawn Irrigation $64.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Dave Nelson Plumbing LLC Franchise Realty Int Corp
550 1 Ith Ave N PO Box 4007
South St. Paul MN 55075 Mankato MN 56002
(651)734-5609
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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(851)875-5875 FAX:(851)875-5651 I I
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2024 COMMERCIAL PLUMBING PERMIT APPLICATION
(� Ploase sulm*ono sot of sboMmis plans via small
Daft: �l '3-2 4 sit.Address: I cm s G ituet s eil RD L-0.a o'n , moi 5 S ZZ-
Tenant» CD oft Suits 0:
Isf,Qj
Omer y Nam:-Colleen VanblarGorn : 50-1 - 142o - 59N4
Nrtte:Dave. Nelson NmbiM LL C, License p �to3 a3y PMOg35yy
Contractor Adder: 29 9 Zq-1""Ave. N W city: I,5 A N TS state:tAO zip: S 50 40
Phan: `13,4 L1409 F.rnaa: n(:o tnn¢so+c>Lb���drn soty Ston a G01►'�
New conatruclon Addition Mod4 Space
Repiaoament Repair Rebuild work in Right4X way
�riptionofwork: 015401( 11-L" 1UZ Vor R
ncweice-OC t?9u wrnert�''
Typo of Work I"Wmi a system(_res I_no)t)(RPZ I_PVs)
• Rain seraors required on irrigation systems
• Avg.GPM (2'hobo required unless smaller we allowed by Public Waft)
Metall Required-calk Utilities at(651)8755846 to verity tests passed 9dor to oiddm 11011101M, g
Dotrastfe:Size 3 Type Flre: 1
Averw QPM High demand deviaes? Yes_No Flushormaters Yes No
COMMERCIAL FEES
. Contrast Value$ a
C7(70x.g'16
$65.00
$600. '
permit FM Minimum �Pstt�t Flsrt ;
PVBIRPZ Pwmk(includes State Surcharge) S 5 d v Surcharge
Surcharge=Contract Value x$0.0005 $ I Q O TOTAL FEF.
If the project vatuatim is oyer$1 mkkm please call City for Surchsram
The following hos may apply whan installing a novo Lawn Irrigation system or $ vmsi ftm*
oommdng a now water sorvioe. i Treatment Pkv
I
Collect uta City's ErVirwarkV Departrnord.(65 1)6755846,for required tae smou rds.
$ Meter Foo
$ Recto Read
$ State surdlarge
.; TOTAL FEE
You may vJAc ibe to receive an*Weft c notification from to Cly of proposed adkwncn by slgrdng up for an small update on tM City's wsbaite at
CALL BEFORE YOU DIG. Contact Gopher State Ora Cal at(651)454-0002 or www.popherstateonecall.am for prokrction against tndorwound utter
drnage. Ca trot Gopher stabs One Cal 48 hours before you k>Rend to dig to receive locates of underVound LdAk .
I hmW adarowledge the fhb k0ormatim is complow and accurate,fhat ow wok win be W conformance wM the ordinances easel codes of ft City of
E&W.OW 1 underhand ft Is not a permit,but ordy mr poication for a permit.and work is not to start wWWLA a permit;that the wak will be in accordance
with tla approved plot kr"ass of work wtdch requires a review red approval of puns.
x Andrew W k e s dA
Appllsanfe Printed Hm1» ApplisaM's Signature
Scanned with CarnSc n er