EA190195 - Plumbing - Commercial - Issued Date 04/16/2024 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd ,,�;; %,;:, Permit Number: EA190195
Eagan,MN 55122 -- EAGAN
(651)675-5675 ��
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www.cityofeagan.com * E A 1 9 0 1 9 S *
Date Issued: 4/16/2024
Site Address: 4150 Pilot Knob Rd
Lot: 1 Block: 1 Addition: Beautiful Savior 1st
PID:10-13525-01-010
Use: Crown of Life Church * 1 0 — 1 3 S 2 S —'0 1 — 0 1 0
Description:
Sub Type: Commercial
Work Type: Alteration
Description: Replace 3 toilets,2 urinals,2 lays
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Plumbing Commerical% $65.00 0801.4087
Valuation: 3,100.00
Surcharge-Based on Valuation $2.00 9001.2195
Total: $67.00
Contractor: - Applicant - Owner:
Spring Plumbing LLC Crown Of Life Ev Luth Ch
8220 Ravenrock Road Pres Of Crown Of Life Ev Luth Church
Rockford MN 55373 115 Crusader Ave
(763)614-7963 West Saint Paul MN 55118
This permit shall be null and void if work does not start within 180 days of issuance,or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 r
I Payment Recvd: Yes No
(651)675-56751 FAX: (651)675-5694 APR 12 2024 1
Email: build inginspectionsCa)_cityofeagan.com 1 I
Plans:_Electronic _Paper I
By: ----------------
2024 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit one set of electronic plans via email
Date: 04.11 .2024 Site Address:4150 Pilot Knob Road
Tenant: Crown of Life Church Suite #:
Property Crown of Life Church
Owner Name. Phone:
Name: Ravenrock Plumbing DBA Spring Plumb License#: PC778581
Contractor Address: 8220 Ravenrock Road city. Eagan State: MN Zip: 55373
Phone: 763-331-2606 Email: Alan@springplumbing.net
New Construction Addition Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work: replace 3 toilets, 2 urinals, 2 lays on existing rough ins.
Type of Work Irrigation System(_yes/_no)(_RPZ/_PVB)
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required—Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter.
Domestic:Size 8 Type Fire: 1
Average GPM High demand devices?_Yes No Flushometers Yes_No
COMMERCIAL FEES 3100.00
Contract Value$ x.01.5
$65.00 Permit Fee Minimum 46.50
$65.00 PVB/RPZ Permit(includes State Surcharge) $ Permit Fee
Surcharge=Contract Value x$0.0005 $ 1.55 Surcharge
If the project valuation is over$1 million, please call City for Surcharge $ 48.05 TOTAL FEE
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
_$48.05 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/subscribe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.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 Alan Bialon x
Applicant's Printed Name Applicant's Signature