EA190255 - Plumbing - Commercial - Issued Date 04/16/2024 PERMIT
City of Eagan *--
Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA190255
Eagan, MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 9 0 Z S S
Date Issued: 4/16/2024
Site Address: 1436 Lone Oak Rd
Lot: 1 Block: I Addition: STEM Magnet Elementary School
PID:10-72545-01-010 1111111111111111111111111111111111111111111111111111111 HIM
Use: Pilot Knob Elementary * 1 0 — 7 Z S 4 S — 0 1 — 0 1 0
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:
Bill Rascher Mechanical Inc Independent School Dist 197
4921 Babcock Trail, Suite C 1897 Delaware Ave
Inver Grove Heights MN 55077 Mendota Heights MN 55118
(651)450-6622
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
4 � Permit#:
� Permit Fee:EAGAN
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I Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
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(651)675-5675 FAX:(651)675-5694 1 Payment Recvd: Yes _No I
Email:bulldinglnsv2ctl2nsdCltYofeagen.com I I
Plans:_,Electronic _Paper j
-------------------
2024
----- --------J2024 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
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Date: iL -24 Site Address:
Tenant:
Preapet
Suite #:
fts ` F
� Phone:
� (,1 C(,1�A f�� � Licens®#:?- Q
City: '1'1 _�Y �� State: Zip: 6
Phone: 1' 2 Email: i 11 ( >'
New Construction Addition Modify Space
Replacement Repair Rebuild Work in Right-Of--Way
Description of work:
trrigatlon System(_yes f no)( 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
Domestic:Size&Type
prior to picking up meter.
Fire: 1
Average GPM High damand devices?_Yes_No
COMMERCIAL FEES Flushomaters_.Yes No
$65.00Permit Fee Minimum Contract Value$ x.pig
$65.00 PVB/RPZ Permit(includes State Surcharge) $ Permit Fee
Surcharge=Contract Value x$0.0005 $ Surcharge
If the project valuation is over$1 million,please call City for Surcharge $
TOTAL FEE
The following fees may apply when Installing a new lawn irrigation system or $ Water Permit
connecting a new water service.
Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant
$ 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
AM c voibagan...,..,ub
GALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or wnrw aopherstateanecali ora for protection against underground utility
damage. Contact Gopher State One Call 46 hours before you intend to dig to receive locates of underground utilities.
I hereby acknowiedge 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 rlpt to start withqut a permit;that the rk will be In accordance
with the approved pian in the case of work which requires a review and approval of plans. fj , r
let
Appitcant's Printed Name Applicant's Signature